Ese hari igihe wumva bigoye gato iyo urimo kunyara , cyangwa nk'aho uruhago rwawe rutaravamo burundu? Hari indwara zimwe na zimwe n'uburyo bwo kubaga bishobora gutera ibibazo nk'ibyo. Rero, muri ibyo bihe, uburyo bumwe bukoreshwa mu gukuramo inkari mu ruhago rwose bwitwa 'catheterization'. Kumva iri zina bishobora kumvikana nk'aho biteye ubwoba gato. Ariko mu by'ukuri ni ikintu gishobora gukorwa mu mutekano no mu buryo bworoshye iyo ugiriwe inama n'abaganga n'imyitozo ikwiye.
'Kwigira Katheterizing' ni iki?
Mu magambo make, iyi ni inzira yo kwikuramo uruhago rwawe. Andi mazina ni 'Clean Intermittent Catheterization' ( CIC ) cyangwa 'Intermittent self-catheterization ' (ISC).
Dore uko bigenda: Umuyoboro muto kandi woroshye, witwa catheter , winjizwa witonze unyuze mu muyoboro wawe w'inkari mu ruhago rwawe. Inkari zose ziri mu ruhago rwawe zihita zisohoka zinyuze mu muyoboro zijya mu musarani cyangwa mu gikoresho cyo gukusanya. Iyo uruhago rwawe rumaze gusa, ukuramo umuyoboro buri gihe. Ibi bikorwa inshuro nyinshi ku munsi, akenshi buri masaha ane kugeza kuri atandatu .
Witinya, muganga wawe cyangwa umuforomo azakwereka uko wabikora neza. Hari ubwoko butandukanye n'ingano zitandukanye za catheter, kandi muganga wawe azaguhitamo ikubereye. Uzakenera kandi ibintu nk'amavuta n'udupira two kwisiga kugira ngo byoroshye igikorwa. Kugira ngo wirinde kwandura, ni ngombwa guhora ufite intoki nziza igihe cyose.
Kuki ukeneye gukora ikintu nk'iki?
Hari indwara zimwe na zimwe zishobora kubuza uruhago kuvamo burundu. Iyo inkari zisigaye mu ruhago, bishobora gutera ibibazo byinshi. Urugero, kwandura indwara zo mu nzira y'inkari (UTIs), kwangirika k'uruhago, ndetse no kwangirika kw'impyiko.
Imbonerahamwe iri hepfo igaragaza ibihe bimwe na bimwe aho ubu buryo bushobora kuba ngombwa.
| Imiterere cyangwa impamvu | Ibisobanuro byoroshye |
|---|---|
| Prostate yagutse cyangwa kubyimba (prostatitis) | Muri iki kibazo, gikunze kugaragara ku bagabo, urethra iraziba, bigatuma inkari zitava. |
| Indwara z'imitsi | Indwara nka sclerosis nyinshi (MS), indwara ya Parkinson, spina bifida, na cerebral palsy zishobora kugira ingaruka ku mitsi igenzura imikorere y'uruhago (Neurogenic ubridge). |
| Ibikomere byo mu mugongo | Iyo umugongo wangiritse bitewe n'impanuka, uburyo bwo kugenzura inkari bushobora kubura. |
| Ingorane ziterwa no kubagwa uruhago rw'inkari cyangwa ubundi buryo bwo kubaga | Nyuma yo kubagwa, bishobora kugorana kunyara, haba by'agateganyo cyangwa burundu. |
| Kubika inkari cyangwa kutabasha kwihagarika inkari | Iki ni igisubizo cy'ibi bibazo bivuka bitewe n'impamvu zitandukanye. |
Ikintu cy'ingenzi cyane ni uruhago rw'inkari .Gukoresha amara buri gihe. Ibi bizarinda impyiko zawe kandi bigufashe kwirinda indwara zibabaza.
Ni gute witegura ibi kandi ukabikora neza?
Gukora ibi bishobora kumera nk'ibidasanzwe kugeza igihe ubimenyereye, ariko biroroshye cyane iyo ukurikije intambwe neza.
Intambwe ya 1: Isuku ni yo iza mbere!
- Gukaraba intoki : Banza ukarabe intoki zawe neza n'isabune.
- Isuku: Hanyuma, sukura neza agace gakikije igitsina cyawe ukoresheje isabune n'amazi cyangwa agatambaro kabugenewe kanizwe mu muti wica udukoko wahawe na muganga wawe. Ibi bizagabanya cyane ibyago byo kwandura.
Intambwe ya 2: Gutegura catheter
- Kura catheter mu gapaki kayo. Igomba kubikwa isuku cyane, bityo nyuma yo gukaraba intoki, ntukore ku kindi kintu kitari catheter.
- Shyira amavuta akomoka ku mazi, nka `KY Jelly®`, ku mpera ya catheter izashyirwa mu muyoboro w'inkari kandi ifite uburebure bwa santimetero eshanu. Hari catheter ziza zisizwe amavuta mbere y'uko zishyirwa muri ayo mavuta.
Intambwe ya 3: Gushyiramo katheteri
1. Injira mu mwanya mwiza. Ushobora kwicara ku musarani, guhagarara, cyangwa kwishingikiriza gato ku musarani. Abagore bashobora gusanga ari ingirakamaro gukoresha indorerwamo nto kugira ngo barebe aho umwobo w'inkari uherereye hakiri kare.
2. Noneho shyira impera ya catheter irimo amavuta witonze ariko ukomeye mu muyoboro w'inkari. Fata indi mpera uyishyire ku musarani cyangwa ku gikoresho cyo gukurura inkari.
3. Umaze kugera mu ruhago, shyiramo katheteri buhoro buhoro kugeza igihe inkari zitangiye gusohoka mu muyoboro.
4. Iyo inkari zitangiye gusohoka, zishyiremo indi santimetero ebyiri.
5. Gumisha catheter mu mwanya wayo kugeza igihe uruhago rumaze ubusa rwose. Ushobora gukanda inda yawe yo hasi cyangwa ugatera imbere gato kugira ngo bigufashe gusohora inkari zose zisigaye.
6. Iyo inkari zimaze guhagarara, shyiramo witonze kandi witonze catheter uyimanure uyisohore.
7. Hanyuma, ongera woge intoki zawe neza n'isabune.
Izi catheter zikoreshwa rimwe gusa , bityo uzijugunye mu myanda nurangiza kuzikoresha.
Igihe ukeneye kuvugana na muganga
Nubwo ubu buryo muri rusange bufite umutekano, hari igihe hashobora kuvuka ibibazo. Niba ufite kimwe mu bimenyetso biri hepfo, hamagara muganga wawe ako kanya.
| Iyo catheter bigoye kuyishyiramo | Niba wumva bigoye kurusha uko bisanzwe cyangwa niba udashobora kubishyiramo na gato. |
| Niba ufite amaraso mu nkari zawe (hematuria) | Iyo inkari zisa n'umutuku, umutuku cyangwa umukara wijimye. |
| Niba ubabara iyo uri kunyara (dysuria) | Niba wumva ubushyuhe cyangwa ububabare iyo uri kunyara udafite catheter. |
| Ibimenyetso by'indwara y'inkari (UTI) | Umuriro, ubukonje, ububabare bwo mu nda yo hasi, no kunanirwa kwihagarika inkari. |
| Ibibazo by'uruhu | Iyo hari ububabare bw'uruhu, ububabare, cyangwa umutuku aho katheteri ishyirwa. |
Ibi bishobora kumera nk'aho bikurenze urugero mu ntangiriro. Ariko ibuka ko iki ari ikintu cy'ingenzi cyane ugomba gukora ku buzima bwawe. Hari abantu bashobora kubikora igihe gito gusa. Abandi bashobora kubikora ubuzima bwabo bwose. Biterwa n'uko umeze. Niba rero ufite ikibazo cyangwa impungenge, vugana na muganga wawe ku mugaragaro.
Ubutumwa bwo kujyana mu rugo
- Kwicaterisha ni uburyo bwizewe kandi bufite akamaro bwo gukuramo burundu uruhago rwawe. Ibi bifasha kurinda impyiko zawe.
- Kugira ngo wirinde kwandura, isuku ni yo ya mbere . Buri gihe karaba intoki zawe neza mbere na nyuma yo gushyiramo katheteri.
- Ibi bishobora gusa nkaho bigoye gato mu ntangiriro, ariko iyo umaze kumenyera, biba byoroshye cyane. Gira kwihangana kandi witoze.
- Niba hari ububabare, kuva amaraso, cyangwa ibimenyetso by'ubwandu, ntugapfushe ubusa uhamagare muganga wawe.
- Ubu buryo bwo gukora ntabwo buzagabanya ubuzima bwawe. Mu by'ukuri, ubuzima bwawe buzoroha kuko utazongera guhangayikishwa n'ibibazo by'inkari.
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