Ese ushobora gukuramo uruhago rwawe ugakorerwa urundi rushya? Reka tuvuge ku kubagwa kwa Neobladder (Kuvugurura Neobladder)

Hari igihe, bitewe na kanseri cyangwa izindi ndwara zikomeye, uruhago rwose rw'umuntu rugomba gukurwaho. Abantu benshi batinya bati "Nzanyara nte ubu?" Ariko ntutinye, hamwe n'iterambere ry'ubumenyi bw'ubuvuzi, hari igisubizo cyiza kuri ibi. Ni ukuvuga ko, ukoresheje igice cy'amara yawe, uruhago rushya ruremwa mu mubiri. Uyu munsi, turimo kuvuga kuri ubu buvuzi butangaje, bwitwa Neobladder surgery.

Kubaga "Neobladder" ni iki mu buryo bworoshye?

Muri make, ubu ni ukubaga kugira ngo habeho uruhago rushya kugira ngo rusimbuze uruhago rwawe rurwaye kandi rudakora neza. Muri ibi, abaganga babanza gukuraho uruhago rwawe rwa mbere binyuze mu kubagwa. Ibi byitwa cystectomy . Hanyuma, bafata agace gato k'amara yawe mato bakagakoresha mu gukora uruhago rushya (neobladder) rufite ishusho nk'umupira.

Iyi ruhago nshya ishyirwa ahantu hamwe n'uruhago rwawe rwa kera. Niyo mpamvu rimwe na rimwe yitwa 'orthotopic' neobladder. 'Orthotopic' bivuze "ahantu hamwe." Ibi ni byo twita reconstruction ya neobladder, irema uburyo bushya bwo kubika no gusohora inkari.

Ariko ubu buryo bwo kubaga si ubwa buri wese. Abaganga bazagena niba ubikwiriye bashingiye ku bintu byinshi, nko ku buzima bw'impyiko zawe n'umwijima wawe ndetse no kumenya niba urwaye kanseri y'uruhago.

Ni mu bihe ibihe ubu buvuzi bukenewe?

Muganga ashobora gusaba ubu buryo bwo kubagwa ku ndwara zitandukanye zigira ingaruka ku buzima cyangwa imikorere y'uruhago rwawe. Reka turebere hamwe izo ari zo.

Witegura ute mbere yo kubagwa?

Mbere yo kubagwa, uzahura n'umuganga w'inkari. Azagusobanurira ibyiza n'ibibi byo kubagwa, ndetse n'andi mahitamo, kandi azasuzuma amateka y'ubuzima bwawe kandi agukorere isuzuma ry'umubiri kugira ngo apime ubuzima bwawe muri rusange.

Byongeye kandi, uzabajijwe ibi bintu:

• Imiti ufata: Ugomba kubwira muganga wawe imiti iyo ari yo yose ufata (yaba imiti yanditswe na muganga cyangwa iyo uhawe na muganga). Imiti imwe n'imwe igabanya ububabare (NSAIDs) hamwe n'imiti igabanya amaraso (anticoagulants) ishobora kongera ibyago byo kuva amaraso mu gihe cyo kubagwa. Ariko ibuka ko utareka gufata imiti iyo ari yo yose utabanje kubaza muganga wawe.
• Allergies zawe: Menya neza ko utubwire ibyerekeye allergies zose ufite ku miti, imiti isukura uruhu (nka iyode), latex, cyangwa ibiryo.
• Ibiryo n'ibinyobwa: Uzagirwa inama yo kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro mbere y'uko ubagwa. Niba ufite imiti y'ingenzi, ushobora kuyinywa ukoresheje amazi make.

Uburyo kubagwa bikorwa intambwe ku yindi

Ubu ni ukubagwa gukomeye bifata amasaha abiri kugeza kuri atandatu. Reka turebe intambwe ku yindi ibiba muri iki gihe.

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

Nyuma yo kubagwa, uzakenera kumara iminsi mike mu bitaro. Uzumva unaniwe gato nyuma yo kongera kugira ubwenge. Mu bitaro, itsinda ry’abaganga rizaguha imiti yo kugenzura ububabare bwawe no gukurikirana ubuzima bwawe.

Mu gihe cyo gukira, uzigishwa ibi bikurikira:

• Imyitozo ngororamubiri yo hasi mu gituza (Kegel): Iyi myitozo ni ingenzi cyane. Iyi myitozo ikomeza imitsi igenzura uruhago rwawe. Kubwibyo, ibi bifasha cyane mu kwirinda kunanirwa kwihagarika inkari.
• Kwicaterisha: Si buri wese ubikeneye, ariko abantu bagera kuri 15% bazakenera gukoresha ubu buryo kugira ngo bakuremo burundu uruhago rwabo. Ntugahangayike, tuzakwereka neza uko wabikora.

Bishobora gufata amezi menshi kugira ngo ukire neza. Bifata igihe kugira ngo umenyere uruhago rwawe rushya, wige uburyo bwo kurukuraho, kandi ukomeze imitsi yawe. Muganga wawe n'abaforomo bazagufasha muri ibi byose.

Ni izihe nyungu n'ibibi bya Neobladder?

Ariko nk'uko bimeze kuri byose, hari ingaruka n'ibibi bimwe na bimwe kuri ibi.

• Kugenzura inkari: Bishobora kugorana kugenzura inkari yawe mu ntangiriro, cyane cyane nijoro. Ariko, uko igihe kigenda gihita, cyane cyane iyo ukoresheje imyitozo ngororamubiri ya Kegel, abantu bagera kuri 90% bazagira ubushobozi bwo kugenzura inkari neza ku manywa.
• Uduheri mu nkari: Kubera ko uruhago rushya rukozwe mu gice cy'amara, rukora uturemangingo tumeze nk'uduheri. Kubwibyo, kugira ngo hirindwe kwandura, rimwe na rimwe biba ngombwa gushyiramo catheter no kuhira uruhago.
• Izindi ngaruka: Kuva amaraso, kubyimba kw'amaraso, kwandura bagiteri, kwandura indwara zo mu nzira y'inkari (UTIs), kugumana inkari, nibindi. Ni gake cyane, habaho kubura electrolyte ihagije.

Ese birashoboka kubaho ubuzima busanzwe ufite ingirabuzima fatizo?

Yego rwose! Abantu benshi bafite ingirabuzimafatizo bashobora gukomeza imirimo yabo isanzwe n'akazi kabo.

Mbere na mbere, uzakenera kunyara buri masaha abiri. Ariko uko igihe kigenda gihita, uko uruhago rwawe rushya rukura kandi rugakomera, uzabasha gufata inkari zawe mu gihe cy'amasaha agera kuri 4-6. Mu byumweru bike, uzabasha gukora akazi koroheje no kujya ku kazi. Nta mbogamizi zidasanzwe zo kurya, kandi ushobora kugenda nta mbogamizi.

Hari igihe wifuza kubonana na muganga

Niba ufite ibi bimenyetso, hamagara muganga wawe vuba. Niba ibimenyetso bikomeye, jya mu Ishami ryita ku Butabazi bw'Ibanze (ETU) ry'ibitaro biri hafi yawe.

• Ibimenyetso by'indwara nko kugira umuriro, ubukonje, n'inkari zuzuye ibicu.
• Biragoye gushyiramo catheter wenyine.
• Amaraso mu nkari (hematuria) .
• Ububabare bukomeye mu gifu cyangwa hagati y'imbavu n'ikibuno.