Hari igihe tugira ibibazo by'ubuzima bigatuma tugira isoni zo kuvuga, ariko bigira ingaruka zikomeye ku buzima bwacu. Urugero nko kugira amara adakora neza, cyangwa kudashobora kwiyuhagira iminsi myinshi. Ibi ni ibintu bigoye cyane kandi bihangayikishije mu mutwe haba ku mwana muto ndetse no ku muntu mukuru. Iyi ndwara ishobora kuba imbogamizi ikomeye ku kujya ku ishuri, kujya ku kazi, no gusabana n'abandi bantu muri sosiyete. Uyu munsi rero turimo kuvuga ku kubagwa kwihariye abaganga barimo gutanga nk'umuti w'ibyo bibazo.
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Mu magambo make, appendicostomy ni iki?
Nubwo izina rishobora kumvikana nk'irigoye, uburyo bwo gukora buroroshye cyane kubyumva. Uburyo bwo kubaga appendicectomy, cyangwa nk'uko bizwi cyane n'abaganga, uburyo bwa MACE (Malone Antegrade Colonic Enema) , ni uburyo bwo kubaga.
Mu magambo make, ibi ni byo bibaho:
Ukoresheje igice cy'umuyoboro wawe bwite , umuyoboro muto ukorwa uhereye ku ruhu rw'inda yawe ukagera ku mara yawe/amara manini. Ubu buryo bukoresha amazi yihariye (enema) kugira ngo yoze imbere mu mara yawe kandi bufashe umwanda gutambuka byoroshye.
Umwobo muto ukorwa mu ruhu rw'inda uhuza iyi nzira witwa stoma . Ubusanzwe uyu mwenge ukorerwa hafi y'umukondo (inda) cyangwa iburyo bw'inda. Bityo ntugaragara cyane inyuma.
Kimwe mu byiza by'ubu buryo ni uko ushobora kugenzura inzira yo kuvanga amara. Ibyo bivuze ko ushobora kwihitiramo igihe n'inshuro ushaka koza amara yawe.
Ni nde koko ukeneye ubu bubagwa?
Ubusanzwe abaganga basaba ubu buryo bwo kubaga abantu batashoboye kugenzura uburyo bwo kwituma mu mara bakoresheje ubundi buryo bwo kuvura, nko guhindura imirire, inyongeramusaruro za fibre, cyangwa imyitozo nka biofeedback. Bukorerwa ku bana no ku bakuru.
Niba wowe cyangwa umwana wawe mufite kimwe muri ibi bikurikira, mushobora kuvugana na muganga wanyu ku bijyanye no kubaga MACE.
| Indwara | Ibisobanuro byoroshye |
|---|---|
| Impatwe ikomeye | Indwara zigoye gukira nubwo haba hari imiti, nko kutagira amara iminsi myinshi. |
| Kunanirwa kwifata mu mara | Gutembera mu mara mu buryo butunguranye cyangwa butagenzuwe. |
| Spina Bifida | Indwara yo kuvuka mu ruti rw'umugongo n'imitsi igira ingaruka ku mikorere y'amara. |
| Ubusembwa bw'imitsi yo mu nda | Utumenyero tw’impinja mu mwanya w’ikibuno cyangwa uturemangingo. |
| Indwara ya Hirschsprung | Kugorwa no gusohora umwanda bitewe n'iterambere ritari ryiza ry'uturemangingo tw'imitsi mu mara manini. |
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Check Availability →Reka kandi twige uburyo kubagwa bikorwa.
Mbere yo kubagwa
Muganga wawe azagusobanurira neza icyo ugomba gukora mbere yo kubagwa.
- Kurya no kunywa: Uzabwirwa igihe ugomba kwirinda kurya no kunywa mbere yo kubagwa.
- Gusukura amara: Hazakorwa uburyo bwihariye bwo gusukura amara yose (Amara yo mu nda) umunsi umwe mbere yo kubagwa.
- Indi miti: Niba ufata imiti y’izindi ndwara, ni ngombwa cyane kubaza muganga wawe niba ukwiye gufata iyo miti mbere yo kubagwa.
Mu gihe cyo kubaga
Ubusanzwe ubu buryo bwo kubaga bukorwa hakoreshejwe laparoscope . Ni ukuvuga "kubaga umwobo w'urufunguzo." Bikorwa hifashishijwe kamera n'ibikoresho binyuzwa mu mwobo muke mu nda, aho gukata igice kinini. Ibi bituma igihe cyo gukira kigabanuka kandi inkovu zigagabanuka.
Mu gihe cyo kubagwa, umuganga ubaga:
1. Bafata agace gato k'umuyoboro wawe cyangwa amara bakagahindura umuyoboro.
2. Uwo muyoboro uhujwe n'imbere mu mara manini.
3. Impera yindi y'umuyoboro ifatanye n'umwobo muto (stoma) ukorerwa mu ruhu rw'inda.
4. Mu ntangiriro, umuyoboro muto, witwa catheter, ushyirwa mu gifu by'agateganyo kugira ngo gikomeze gufunguka.
Ubusanzwe ubu burwayi bushobora gufata amasaha abiri.
Nyuma yo kubagwa
Uzamara mu bitaro igihe gito gusa, nk'umunsi umwe cyangwa ibiri. Muri icyo gihe, abakozi b'abaforomo bazakwigisha uburyo bwo koza amara yawe mu nda yawe nshya. Uzatozwa kubikora wenyine nutaha.
Ni izihe nyungu n'ingaruka mbi z'ubu buvuzi?
Akamaro gakomeye ni uko wongera kugenzura imikorere y'amara yawe. Ibi bigufasha kubaho ubuzima busanzwe, gukina siporo, no kujya ku kazi nta soni cyangwa ubwoba. Ubuzima bwite bwawe burinzwe kuko abandi badashobora kubona stoma yawe.
Hari ibyago byo kugira ingaruka mbi (ingorane) . Si buri wese uzahura na zo, ariko ni ngombwa kubimenya.
- Hari igihe umwanda muto cyangwa amazi make ashobora kuva mu kibuno.
- Hari igihe inzira yakozwe (stoma) ishobora kuba nto.
- Hari abantu bashobora kugira ikibazo cyo kutagira icyo bakora cyangwa bakagorwa no kugenzura imikorere y'amara yabo ndetse na nyuma yo kubagwa.
Ubusanzwe bifata ukwezi kugira ngo ukire. Abaganga bakugira inama yo kwirinda guterura ibintu biremereye no gukora siporo igoye muri icyo gihe. Nyuma y'ukwezi kumwe, umuyoboro w'agateganyo (catheter) ushyirwa muri stoma urakurwaho. Nyuma y'ibyo, ushobora kwiyinjizamo umuyoboro gusa iyo ukeneye gusukura amara yawe.
Ni ryari ugomba guhita ubonana na muganga?
Niba wowe cyangwa umwana wawe mugaragaje kimwe muri ibi bikurikira nyuma yo kubagwa, hamagara muganga wawe ako kanya cyangwa ushake ubuvuzi.
| Ibimenyetso byo kwitondera | |
|---|---|
| Umuriro | Ubushyuhe bw'umubiri bwiyongera. |
| Kubyimba inda | Kubabara inda no kubabara mu nda. |
| Isesemi no kuruka | Isesemi no kuruka. |
| Ububabare, gutukura, cyangwa kubyimba aho bakorewe ubuvuzi | Ibi bishobora kuba ibimenyetso by'ubwandu. |
| Kugorwa no gushyiramo umuyoboro | Iki gishobora kuba ikimenyetso cy'uko inzira ya stoma yagabanutse. |
| Amazi ava mu nda | Gukomeza kuva amazi cyangwa umwanda ndetse na nyuma yuko umuyoboro ukuweho. |
Ese ubu buryo bwo kubaga bushobora gusubizwa inyuma?
Yego. Niba wowe cyangwa umwana wawe mugasubirana ubushobozi bwo kwituma mu buryo busanzwe, iyi nzira yakozwe ishobora gukurwaho no gusubizwa mu buryo busanzwe. Ubu buryo ntibugira ingaruka mbi ku mikorere y'amara manini.
Amaherezo, ibibazo by'amara ni ikintu gishobora kugutwara ibyishimo n'icyizere mu buzima. Ariko ubuvuzi bwa none bufite ibisubizo byiza kuri byo. Muganga wawe ni we muntu mwiza wo gufata icyemezo niba ubu buvuzi bukubereye cyangwa bubereye umwana wawe. Rero, menya byinshi kuri ibi, uganire ku kibazo cyawe neza, kandi ubone ubuvuzi bwiza.
Ubutumwa bwo kujyana mu rugo
- Appendicostomy (kubaga MACE) ni igikorwa cyo kubaga gikorerwa abantu bafite impatwe ikomeye cyangwa bafite ikibazo cyo kugenzura inzira zabo zo mu nda.
- Aha, umusemburo ukoreshwa mu gukora inzira iva ku ruhu rw'inda ijya mu mara manini, kandi unyuze muri yo, amara yogezwa kugira ngo afashe mu gusohora umwanda.
- Ubu buvuzi bukorerwa ku bana ndetse n'abantu bakuru, kandi bushobora kuzamura cyane ubuzima.
- Niba ugaragaje ibimenyetso nk'umuriro, ububabare bwo mu nda, cyangwa kubyimba nyuma yo kubagwa , hamagara muganga wawe ako kanya.
- Kugira ngo umenye niba ubu ari bwo buryo bwiza bwo kuvura, ni ngombwa kuganira na muganga wawe ku bwumvikane ku bibazo byawe byose.
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