Ni gute wakwita ku ifu yawe ya K-Pouch (Continent Ileostomy) neza?

Niba warabazwe hakoreshejwe K-pouch, ushobora kuba ufite impungenge nke kandi utizeye uburyo bwo kuyifata buri munsi. Ibyo ni ibisanzwe cyane. Ariko niba ubizi neza, kuyifata ntabwo bigoye cyane. None rero uyu munsi, reka tuganire ku cyo K-pouch ari cyo n'uburyo bwo kuyifata neza.

Mu magambo make, K-Pouch ni iki?

K-pouch, cyangwa continental ileostomy , ni uburyo bwo kubaga buhuza igice cya nyuma cy'amara yawe mato, ileum , n'uruhu rw'inda yawe. Abaganga babakora ibi kugira ngo bakore inzira imyanda isohokamo mu gihe umubiri wawe udashobora gukuramo imyanda mu buryo busanzwe.

Igitandukanya K-pouch n'ubundi bwoko bwa ileostomy ni uko umuganga ubaga akora valve yihariye. Iyi valve irinda imyanda kuva yonyine. Ahubwo, iyo ukeneye gukuramo imyanda muri iyo paki, ushobora gushyiramo umuyoboro witwa catheter kugira ngo uyikuremo.

Tekereza, uko ibinyobwa n'ibiryo byahinduwe mu gikapu byiyongera muri iki gikapu, umuvuduko urimo urushaho kwiyongera. Iyo iki gipimo kidasohotse, igikapu gishobora gucika, gutobora, cyangwa agakoresho kakameneka maze imyanda igasohoka. Niyo mpamvu ari ngombwa cyane kugikuramo ku gihe.

Ni kangahe ngomba gukuramo ibinure muri aka gakapu?

Inshuro zo gusohora ibi bishobora gutandukana bitewe n'umuntu ku wundi, ariko hari amabwiriza rusange amwe n'amwe.

Ako kanya nyuma yo kubagwa, muganga wawe azashyiraho catheter iri mu mubiri , umuyoboro usigara mu mwanya wawo kugira ngo usuke imyanda. Uyu muyoboro uzakenera gusigara mu mwanya wawo mu gihe cy'ibyumweru 3-4 kugira ngo agapfunyika gashya kakozwe gakure, bivuze ko kazaba gakomeye. Nyuma y'ibyo, uzaba ushobora gukuramo imyanda inshuro nyinshi ku munsi. Uko igihe kigenda gihita, inshuro zo gukuramo imyanda zizagenda zigabanuka buhoro buhoro.

Vugana na muganga wawe, umuganga ubaga, cyangwa umuganga w’inzobere mu by’imitsi (ET nurse ) kuri ibi. Ushobora kuba warigeze guhura n’uyu muforomo mbere yo kubagwa. Bazakwibutsa uburyo bwo kwita ku igufwa ryawe n’agafuka kawe.

Uburyo bwiza bwo gusohora amazi mu gakapu ka K

Gukoresha amazi ahoraho ni byiza mu byumweru 3-4 bya mbere by'agafuka gashya. Niba umuyoboro wa catheter uvuyemo ku bushake muri iki gihe, ntugahangayike. Ushobora kongera kuwushyiramo ubwawe ukurikije izi ntambwe zoroshye:

• Ruhura imitsi yo mu nda yawe gato.Gupfukama ivi rimwe bishobora gufasha muri iki gihe.
• Sukura amavuta kuri katheteri ukoresheje amavuta ashongesha amazi. Ntugakoreshe ibintu birimo peteroli, nka Vaseline.
• Ongera ushyiremo catheter ku rugero rwari rwagaragajwe mbere. Niba ibi bisa n'ibigoye, ruhuka gato, hindura aho uhagaze, hanyuma wongere ugerageze.

Muri iki gihe cya mbere, ugomba kuvomera catheter inshuro nyinshi ku munsi, ukoresheje hafi 30ml z'amazi asanzwe yo mu robine, kugira ngo uvane imyanda.

Iyo umwanda udasohotse nyuma yo gukora ibi bintu, ikintu nk'uduce tw'ibiryo gishobora kubikwa. Muri icyo gihe, kuraho catheter, woge neza n'amazi yo mu robine, hanyuma wongere uyishyiremo.

Nyuma y'ibyumweru 3-4

Nyuma y'ibyumweru 3-4 bya mbere, ushobora guhagarika kwituma uhora wiyuhagira hanyuma ugatangira gusohora amara inshuro nyinshi ku munsi. Iri hinduka rikunze kubaho nyuma yo kubonana na muganga wawe bwa mbere nyuma yo kubagwa.

• Sukuramo ishashi buri masaha abiri ku manywa, igihe uzaba uri maso.
• Sukura igikapu cyawe mbere yo kuryama nijoro no mu gitondo ukangutse.
• Irinde kurya cyangwa kunywa ikintu icyo ari cyo cyose amasaha 2 mbere yo kuryama.
• Mu ijoro, ushobora gusiga catheter aho iherereye kugira ngo ikomeze gusohora imyanda. Cyangwa ushobora gushyiraho inzogera kugira ngo ikangure ikayikuraho.

Mu byumweru bike biri imbere, ushobora kongera buhoro buhoro igihe hagati yo gukuramo ubusa mu isakoshi. Nyuma y'amezi agera kuri 3 yo kubagwa, ubusanzwe nta mategeko yihariye abaho. Uzakenera gukuramo ubusa mu isakoshi inshuro 4-6 ku munsi, kandi ukahira inshuro ebyiri ku munsi. Ariko ibuka ko ugomba gukuramo ubusa mu isakoshi igihe cyose wumva uhaze cyangwa uhaze. Ni ngombwa kubikora mbere yo gukora imyitozo ngororamubiri na mbere yo kuryama.

Ni gute wakwita kuri catheter n'uruhu?

Ni ngombwa kugira ngo uruhu rukikije catheter rugire isuku kandi rufite umutekano, ndetse no kugenzura ko catheter idafunze kandi ko imyanda ivamo amazi neza.

Amabwiriza y'intambwe ku yindi

1. Gukaraba intoki : Banza woge intoki zawe neza ukoresheje isabune n'amazi ashyushye hanyuma uzihanagure n'igitambaro gisukuye.

2. Kuhira catheter: Kuramo hanyuma ujugunye agapfundikizo kari hejuru y'igikomere (stoma). Gutandukanya catheter n'isakoshi yo gukusanya imyanda hanyuma usuke ibiri muri catheter mu gikarabiro.

3. Fata amazi: Shyira hafi garama imwe (30ml) y'amazi muri syringe y'amatara. Kugira ngo byorohe, shyira akamenyetso gahoraho cyangwa irangi ry'inzara ku rugero ruri kuri syringe.

4. Gutera amazi: Kanda buhoro buhoro amazi yo muri syringe uyashyire muri catheter.

5. Kura imyanda: Mu gihe ukanda syringe, kanda catheter n'ukuboko gutandukanye kugira ngo ukuremo syringe. Hanyuma rekura catheter hanyuma ukingure umuyoboro w'amazi kugira ngo usuke imyanda mu gikombe. Ntuzigere ukura amazi avuye muri catheter mu syringe.

6. Igenzura ry'uko amazi anyura: Niba amazi yashyizwemo asa n'aho afite ikibazo cyo gusohoka, cyangwa niba catheter yazibye ikintu nk'ibisebe, jya uyisukura inshuro nyinshi kugeza igihe imyanda itemba neza. Niba amazi atajya cyangwa ngo asohoke, kuramo catheter, woge neza, hanyuma wongere uyishyiremo.

7. Gusukura uruhu: Iyo imyanda imaze guhagarara, shyiramo katheteri ku gafuka. Sukura neza igisebe (stoma) n'uruhu rukikije. Koresha isabune idakoresha amavuta n'amazi ashyushye. Oza neza, wumishe, hanyuma wumishe n'igitambaro cyoroshye.

8. Shyiraho ifuro: Shyira ibice bibiri by'ifuro rya gauze ritandukanye hejuru y'igikomere, ushyireho kaseti nibiba ngombwa.

9. Isuku ya nyuma:Kuraho ibintu byose bitari ngombwa, oza neza isanduku na seringe ukoresheje isabune hanyuma ubireke byumuke. Hanyuma, ongera woze intoki zawe neza.

Izindi nama z'ingenzi

• Suzuma catheter buri gihe kugira ngo urebe neza ko imyanda ivamo amazi neza. Uyivomere kabiri ku munsi, cyangwa nk'uko muganga wawe cyangwa umuforomo yabigutegetse.
• Suzuma stoma yawe buri munsi. Igomba kuba isa neza, itose kandi itukura. Nubona impinduka mu isura yayo, bwira muganga wawe ako kanya.
• Niba intebe yawe ari nini kandi ukumva itinze kunyura muri katheteri, ushobora gukenera kunywa amazi menshi, umutobe w'imbuto , cyangwa ibindi binyobwa. Gerageza kunywa ibirahuri 10-12 by'amazi ku munsi.

K-Pouch, Ileostomy yo ku mugabane, ubuvuzi bwa ileostomy, stoma, catheter, kubaga, amara, ubuvuzi bwa ostomy Sinhala, ubuvuzi bwa K-Pouch