Reka twige ibijyanye no kubaga uruhago rwongereye (Augmentation Cystoplasty) mu magambo yoroheje.

Ese uhora ushaka kunyara? Cyangwa hari igihe udashobora kugenzura inkari nke, zikava mu myenda yawe? Kuri bamwe, ibi bishobora kuba imbogamizi ikomeye mu buzima bwabo bwa buri munsi. Iyo uruhago rudakora neza bitewe n'indwara zimwe na zimwe, ibi bishobora gutera ibibazo nk'ibi. Rero, mu bihe nk'ibi, igisubizo kimwe abaganga batanga ni ukubaga uruhago rwongereye. Ibyo ni byo tuvuga uyu munsi.

Uku kubaga kongera uruhago rw'inkari (Augmentation Cystoplasty) ni iki?

Muri make, uruhago rwawe ni urugingo rumeze nk'agafuka rushobora kubika inkari igihe runaka. Ubu buryo bwo kubaga butuma uruhago rwawe rurushaho kuba runini. Ni ukuvuga ko byongera ubushobozi bwarwo.

Tekereza ko icupa ry'amazi ufite ari rito, bityo ukaba ugomba kurizuza kenshi. Niba dushyize ikindi gice kuri iryo cupa tukarigira rinini, ese twashyiramo amazi menshi icyarimwe? Nibyo, ni ko bigenda kuri ubu buvuzi.

Abaganga bakoresha igice cy'umubiri wawe muri ubu buryo. Mu by'ukuri, bafata agace gato k'amara yawe mato cyangwa amara manini bakagashyira ku ruhago rwawe kugira ngo kaguke. Iyo ukoresheje amara mato, byitwa "ileocystoplasty", kandi iyo ukoresheje amara manini, byitwa "sigmoid cyangwa ceco-cystoplasty". Ariko ibi ntabwo ari ingenzi cyane kuri wewe. Ikintu cy'ingenzi ni uko ibi bituma uruhago rwawe runini kandi rukabasha kubika inkari nyinshi.

Kuki ari ngombwa kubagwa nk'ubu?

Si buri wese ukeneye ubu bubagwa. Akenshi bugirwa inama ku bantu bafite ikibazo cy'imikorere y'uruhago bitewe n'indwara runaka. Urugero:

• Ibikomere by'umugongo: Iyo umugongo wangiritse bitewe n'impanuka, imitsi igenzura uruhago ishobora kugira ingaruka.
• Indwara z'imitsi zivukanwa: Hari abana bavukana ibibazo bimwe na bimwe mu ruti rw'umugongo cyangwa uturemangingo tw'imitsi.
• Izindi ndwara: Indwara nka "Multiple Sclerosis" nazo zishobora gutera impinduka mu mikorere y'uruhago.

Izi mpamvu zishobora gutera ibibazo bitandukanye ku ruhago rw'inkari. Reka turebe ibyo ari byo.

Akenshi, ubu buryo bwo kubaga bukorerwa abantu bamaze igihe kinini bakoresha uburyo bwo kwikemurira indwara. Ubu buryo ni uburyo bwo gushyiramo umuyoboro muto (catheter) binyuze mu muyoboro w'inkari kugira ngo uvanemo uruhago. Niba ubu buryo budakemuye ikibazo, muganga wawe azakubwira uko ubu buryo buzabagwa nk'intambwe ikurikiraho.

Ni iki kibaho mbere yo kubagwa?

Kubera ko iki ari igikorwa gikomeye cyo kubaga, ntabwo gishobora gukorwa icyarimwe. Muganga azagusuzuma neza kugira ngo arebe niba ukwiriye. Azakora ibizamini byinshi nk'ibi.

• Isuzuma ry'umubiri: Ubuzima bwawe muri rusange burasuzumwa.
• Gupima amaraso: Kureba imikorere y'impyiko no kureba niba hari ubwandu.
• Imirasire ya X: Fata ifoto y'urwungano rw'inkari.
• Cystoscopy: Ikizamini aho umuyoboro ufite kamera ntoya unyura mu muyoboro w'inkari kugira ngo urebe imbere mu ruhago.
• Ikizamini cya Urodynamic: Ikizamini cyihariye gipima imikorere y'uruhago n'umuvuduko rutanga iyo rwuzuye kandi rumaze gusohora.

Ni iki kibaho mu gihe cyo kubagwa?

Kubagwa bikorwa hifashishijwe ikinya rusange (gusinzira) bityo ntuzumva ikintu icyo ari cyo cyose. Umuganga w’inzobere mu kubaga ashobora gukora ubu buryo bubiri: haba binyuze mu gukata igice kimwe kirekire mu nda (kubaga gifunguye), cyangwa binyuze mu gukata igice gito kenshi hakoreshejwe uburyo bwa roboti.

Uko byagenda kose, intambwe z'ibanze ni izi zikurikira:

1. Ubwa mbere, umuganga ubaga agace ko hejuru k'uruhago .

2. Hanyuma, igice cy'ingano yagenwe kiracibwa kigatandukanywa n'amara mato cyangwa amara manini, nk'uko byagenwe mbere.

3. Igice cy'amara cyatandukanye kirazingirwa hagati, kigakora "agace" karinganiye.

4. Amaherezo, aka gace k'amara gashyirwa mu ruhago rwari rwafunguwe mbere, maze byombi bigahuzwa bigashyirwa hamwe .

Nyuma y'ubu buryo, uruhago ruzaba runini kurusha mbere. Iyo ukangutse nyuma yo kubagwa, uzabona imiyoboro ibiri cyangwa itatu isohoka mu nda no mu ruhago. Iyi miyoboro ishyirwamo kugira ngo inkari zisuke neza kandi zisukure uruhago kugeza igihe uruhago rushya rwavutse rukize. Ntugahangayike, iyi ni iy'igihe gito.

Ubusanzwe, ubu buryo bwo kubaga bushobora gufata amasaha ari hagati ya abiri na atandatu .

Bigenda bite nyuma yo kubagwa? Bifata igihe kingana iki kugira ngo umuntu akire?

Igihe cyo gukira nyuma yo kubagwa nacyo ni ingenzi cyane. Ubwitange bwawe burakenewe muri iki gihe.

Igihe cyo mu bitaro

Ubusanzwe ugomba kumara iminsi itanu kugeza kuri irindwi mu bitaro.

• Ibiryo n'ibinyobwa: Ntuzemererwa kurya cyangwa kunywa mu minsi mike ya mbere. Ibi biterwa nuko nyuma yo kubagwa nk'uku, amara ahagarara gukora by'agateganyo maze akaba "afite ubunebwe". Ibi tubyita "ileus". Ibi ni ibisanzwe. Ushobora kandi gukenera gushyirwamo umuyoboro unyuze mu mazuru yawe kugira ngo uvane amazi mu nda yawe. Iyo amara yawe atangiye gukora, uzahabwa ibiryo by'amazi (nk'isupu) mbere na mbere, hanyuma buhoro buhoro ugezwa ku biryo bisanzwe.
• Imiyoboro: Mu gihe uri mu bitaro, uzaba ufite imiyoboro myinshi mu nda yawe. Nibura imiyoboro ibiri ishyirwamo kugira ngo ikure inkari mu ruhago rwawe. Abaforomo bazakwigisha uburyo bwo kwita kuri iyi miyoboro, cyane cyane uburyo bwo koza amacandwe yikusanyiriza mu ruhago rwawe (kuhira).

Kwitabwaho igihe kirekire nyuma yo gutaha

• Kuhira ibicurane: Iyo ibicurane byiyongera, bishobora kuziba urethra, bigatera amabuye mu nkari, kandi bigatera kwandura. Kubwibyo, uzakenera koza imbere mu ruhago rwawe umuti wihariye buri gitondo mu buzima bwawe bwose. Uzigishwa uko wabikora mu bitaro.
• Ibizamini: Nyuma y'ibyumweru bitatu nyuma yo kubagwa, uzakorerwa isuzuma kugira ngo urebe neza ko uruhago rwawe rushya rutavamo inkari. Niba byose bikize neza, muganga azagukuraho imiyoboro yawe.
• Kwicaterisha: Nyuma yo gukuraho umuyoboro, uzakenera gutangira kwicaterisha ubwawe. Wihangayika! Itsinda ry'abaganga rizakwigisha uburyo bwo kubikora kugeza igihe uzabasha kubikora wenyine byoroshye.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nk’uko bigenda ku kubagwa kose, uku kubagwa gufite inyungu ndetse n’ingaruka zimwe na zimwe.

Ni izihe nyungu?

Niba ubu buvuzi bugenze neza, bushobora kuguha ihumure rikomeye mu buzima bwawe.

• Uko uruhago rugenda rukura, umuvuduko w'imbere uragabanuka .
• Ibi bihagarika cyangwa bigabanya kwangirika kw'impyiko .
• Kubera ko ushobora kubika inkari nyinshi icyarimwe, ntuzakenera kunyara kenshi .
• Ubusanzwe, ushobora kumara nibura amasaha ane utiriwe uhagarika inkari .
• Kuba ushobora kugenzura inkari zawe biguha icyizere kinini iyo uri mu ruhame.

Ingaruka n'ingorane

Gukuraho amatembabuzi twavuze mbere bishobora guteza ibibazo bikomeye iyo bitakozwe neza. Byongeye kandi, hari ingaruka zimwe na zimwe ziterwa no kubagwa ubwabyo.

Bizatwara igihe kingana iki kugira ngo umuntu akire neza?

Iyi ni inzira ifata igihe.

• Nyuma y'ibyumweru bitandatu , ushobora kwitega ko uzasubira mu buzima busanzwe. Ibyo bivuze ko uzumva umeze neza ku kigero cya 90%.
• Ariko, bishobora gufata amezi atatu kugira ngo umuntu akire neza kugeza ku rwego rumwe n’urwo yari afite mbere yo kubagwa.
• Muri iki gihe, ugomba kwirinda burundu ikintu cyose cyagutera igitutu ku nda, nko guterura ibyuma, kwiruka, gukina siporo no gukora imibonano mpuzabitsina .
• Ushobora gusubira ku kazi cyangwa ku ishuri nyuma y'ibyumweru bitandatu, bitewe n'imiterere y'akazi kawe n'umuvuduko wo gukira kwawe.

Ni ryari ugomba guhamagara muganga mu buryo butunguranye?

Niba ubonye kimwe mu bimenyetso bikurikira nyuma yo gusubira mu rugo, ugomba guhita uhamagara muganga wawe cyangwa ukajya mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) by’ibitaro bikwegereye.

• Iyo habayeho kuva amaraso menshi hafi y'aho hakomeretse.
• Iyo umuriro urenze dogere selisiyusi 38.
• Iyo agace k'igikomere kabaye umutuku, kabyimba, kababara, cyangwa karimo kuva amashyira (ibimenyetso by'ubwandu).
• Niba udashobora gushyiramo catheter yo mu muyoboro w'inkari cyangwa wumva yafatiriwe.

Muganga wawe azakomeza kugutegurira gahunda zo kwa muganga. Mbere na mbere, azagusaba kuza gusuzuma igikomere, gukata imiyoboro no gukuramo imiyoboro. Nyuma y'ibyo, azagusaba kuza rimwe mu mwaka kugira ngo arebe uko impyiko zawe zimeze, apimwe amaraso, kandi avugurure imiti yawe.

Uku kubagwa ni icyemezo gihindura ubuzima. Kubwibyo, vugana na muganga wawe mu buryo bweruye kandi buboneye ku bibazo byawe byose n'ubwoba bwawe. Ibi bizagufasha muri uru rugendo.