Ese hari igihe uhura n'ingorane iyo ugerageza kugabanya inkari , cyangwa ukumva utemerewe kuzikuramo burundu? Hari indwara zimwe na zimwe n'uburyo bwo kubaga bishobora gutera bene ibi bibazo. Muri ibi bihe, gukora "self-catheterization" ni uburyo bwizewe kandi bufite akamaro bwo gusohora inkari zisigaye mu ruhago rwawe. Kumva iri jambo bishobora kugutera ubwoba mu ntangiriro. Ariko, iyo uhuguwe neza kandi uyobowe na muganga wawe, mu by'ukuri ni uburyo bwizewe kandi bworoshye ushobora gukora ubwawe.
Kwishyira mu kabati (Self-Catheterization) ni iki?
Mu magambo make, ubu ni uburyo wikorera ubwawe kugira ngo usukemo amaraso mu ruhago rwawe. Buzwi kandi nka Clean Intermittent Catheterization ( CIC ) cyangwa Intermittent self-catheterization (ISC).
Dore uko bikorwa: winjiza witonze umuyoboro muto kandi woroshye witwa catheter unyuze mu muyoboro wawe w'inkari no mu ruhago rwawe. Inkari zibitswe mu ruhago rwawe zizasohoka muri uyu muyoboro, zigahita zijya mu musarani cyangwa mu gikoresho cyo gukusanya. Iyo uruhago rwawe rumaze gusa, usohora umuyoboro buhoro buhoro. Ubusanzwe iki gikorwa kigomba gukorwa inshuro nyinshi ku munsi, akenshi buri masaha ane kugeza kuri atandatu .
Witinya, muganga wawe cyangwa umuforomo azagufasha kandi akwereke neza uko wabikora neza. Catheters ziza mu bwoko butandukanye n'ingano zitandukanye, kandi umuganga wawe azaguhitamo ikubereye. Kugira ngo ukore neza, uzakenera ibikoresho nk'amavuta ashongesha amazi n'udupira two kwisiga. Kugira ngo wirinde kwandura, ni ngombwa cyane ko ukaraba kandi ugasukura intoki zawe neza mbere yo kuzikoresha.
Kuki ibi ari ngombwa?
Hari indwara zimwe na zimwe zishobora kubuza uruhago rwawe kuvamo burundu. Gusiga inkari zidakora mu ruhago rwawe bishobora gutera ingorane zikomeye, nko kwandura indwara z’inkari (UTIs), kwangirika k’uruhago, ndetse no kwangirika kw’impyiko mu buryo budasubirwaho uko igihe kigenda gihita.
Imbonerahamwe iri hepfo igaragaza zimwe mu ndwara zisanzwe zishobora kugusaba kwikorera catheterization.
| Indwara cyangwa Impamvu | Ibisobanuro byoroshye |
|---|---|
| Prostate yagutse (BPH) cyangwa prostatitis | Iyi ndwara ikunze kugaragara ku bagabo igabanya umuyoboro w'inkari, ikabuza inzira isanzwe y'inkari gutembera. |
| Indwara z'imitsi | Indwara nka Multiple Sclerosis (MS), indwara ya Parkinson, spina bifida, cyangwa cerebral palsy zishobora kugira ingaruka ku mitsi igenzura uruhago rwawe (indwara izwi nka neurogenic uruhago). |
| Ibikomere byo mu mugongo | Kwangirika k'umugongo bitewe n'igikomere bishobora kubangamira uburyo ukoresha uruhago rwawe. |
| Kubagwa mu rukenyerero cyangwa mu kibuno | Ushobora gusanga bigoye kunyara by'agateganyo cyangwa burundu nyuma yo kubagwa bimwe na bimwe. |
| Kubika inkari cyangwa kutabasha kwihagarika inkari | Kwicaterisha ubwabyo bishobora kuba igisubizo cyiza cyo gucunga ibi bibazo. |
Ikintu cy'ingenzi muri ibi ni ugukuramo amaraso mu ruhago rwawe buri gihe kandi neza. Kubikora birinda impyiko zawe kandi bikakurinda kwandura indwara zibabaza kandi zigaruka.
Ni gute witegura kandi ukitoza gute kwivura indwara ya Self-Catheterization neza?
Bishobora kumera nk'ibidasanzwe cyangwa biteye ubwoba mu ntangiriro, ariko iyo umaze kubyumva, inzira irahita yoroha kandi irashoboka. Kurikiza izi ntambwe witonze.
Intambwe ya 1: Shyira imbere isuku!
- Gukaraba intoki : Buri gihe tangira woge intoki zawe neza n'isabune n'amazi meza.
- Gusukura: Hanyuma, sukura witonze ahantu hakikije igitsina cyawe ukoresheje isabune n'amazi yoroshye, cyangwa umuti wica udukoko nk'uko muganga yabigusabye kugira ngo uvaneho mikorobe zangiza. Ibi bigabanya cyane ibyago byo kwandura.
Intambwe ya 2: Gutegura Catheter
- Kura catheter mu ipaki yayo idahumanye. Igomba kuguma isukuye rwose; intoki zawe zimaze gukaraba, irinde gukora ku kindi kintu cyose mbere yo gukora kuri catheter.
- Siga amavuta menshi ashobora gushonga mu mazi (nka KY Jelly®) ku mutwe no ku gice cya mbere cya catheter. Menya ko hari catheter ziza zarasizwe amavuta mbere yo koroherwa.
Intambwe ya 3: Gushyiramo Catheter
1. Shaka ahantu heza. Ushobora kwicara ku musarani, guhagarara, cyangwa kwicara gato hejuru y'umusarani. Ku bagore , gukoresha indorerwamo nto mu ntangiriro bishobora gufasha cyane kumenya neza aho umwobo w'inkari yawe uherereye.
2. Shyiramo witonze agace ka catheter gasize amavuta mu muyoboro w'inkari. Menya neza ko impera y'indi mpera yerekeje mu gikapu cy'ubwiherero cyangwa mu gikoresho cyo gufatiramo inkari.
3. Shyira buhoro buhoro katheteri imbere kugeza igeze mu ruhago rwawe inkari zigatangira gutemba.
4. Iyo inkari zitangiye kuva, sunika witonze catheter muri santimetero imwe cyangwa ebyiri kugira ngo urebe neza aho iherereye.
5. Gumisha katheteri mu mwanya wayo kugeza igihe uruhago rwawe rumaze kuzura burundu. Kugira ngo ufashe mu gusohora inkari zose zisigaye, ushobora gukanda buhoro buhoro ku nda yawe yo hasi cyangwa ukajya imbere gato.
6. Iyo inkari zihagaze burundu, kuraho buhoro buhoro kandi witonze catheter.
7. Hanyuma, ongera woge intoki zawe neza ukoresheje isabune n'amazi.
Wibuke ko izi catheter zikoreshwa rimwe gusa . Shyira catheter yakoreshejwe neza mu myanda ako kanya ukimara kuyikoresha.
Igihe cyo kuvugana na muganga wawe
Nubwo kwiyicaterisha ari igikorwa gitekanye cyane kandi gisanzwe, rimwe na rimwe ingorane zishobora kuvuka. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe cyangwa itsinda ryacu ryita ku barwayi bo muri Nirogi Lanka ako kanya.
| Kugorwa no gushyiramo catheter | Niba wumva ufite ubushobozi budasanzwe bwo kwirinda cyangwa ugasanga bidashoboka na gato gushyiramo catheter. |
| Amaraso mu nkari zawe (hematuria) | Iyo inkari zawe zisa n'umutuku, umutuku cyangwa umukara wijimye. |
| Kubabara mu gihe cyo kunyara (dysuria) | Niba ukumva ubushye cyangwa ububabare iyo urimo kunyara mu buryo busanzwe udafite catheter. |
| Ibimenyetso by'indwara yo mu nzira y'inkari (UTI) | Umuriro, ubukonje, ububabare bwo mu nda yo hasi, cyangwa se gushya mu buryo butunguranye umuntu atangira kunanirwa kwihagarika inkari. |
| Kuryarya cyangwa kwangirika k'uruhu | Niba ubonye uduheri, ibisebe, kubyimba, cyangwa gutukura hafi y'aho washyizemo. |
Mu ntangiriro, gukora ubu buryo bishobora gutuma umuntu yumva aremerewe cyangwa ahangayikishijwe. Ibuka ko iyi ari intambwe y'ingenzi mu kurinda uruhago rwawe n'ubuzima muri rusange. Bitewe n'uburwayi bwawe, ushobora kubikora by'agateganyo gusa, mu gihe abandi bashobora kubisaba igihe kirekire. Uko urugendo rwawe rwaba ruri kose, nyamuneka ntutindiganye kuganira ku bwoba bwawe cyangwa ibibazo byawe ku mugaragaro n'umuganga wawe wo muri Nirogi Lanka.
Ingingo z'ingenzi (Ubutumwa bwo kujyana mu rugo)
- Kwicaterisha ni uburyo bwizewe kandi bufite akamaro kanini mu buvuzi bwo gukuramo amaraso mu ruhago rwawe rwose, ibyo bikaba ari ingenzi cyane mu kurinda imikorere y'impyiko zawe.
- Isuku ni cyo kintu cy'ingenzi kurusha ibindi mu kwirinda indwara. Buri gihe karaba intoki zawe neza n'isabune n'amazi mbere na nyuma yo kubagwa.
- Nubwo bishobora kugorana mu ntangiriro, iyo ubyitoje, bizahita biba igice cyoroshye kandi kidahangayikishije mu mibereho yawe ya buri munsi. Ihangane nawe ubwawe.
- Niba ugize ububabare, kuva amaraso, cyangwa ibimenyetso by'ubwandu, ntugategereze—hamagara muganga wawe muri Nirogi Lanka ako kanya cyangwa ushake ubuvuzi bwihuse.
- Ubu buryo bugamije kukurinda, ntabwo ari ukukubangamira. Mu by'ukuri, iyo ugenzuye ubuzima bw'inkari zawe, bizakoroha cyane kubaho ubuzima bw'umudendezo, bukora kandi butagira imihangayiko.
