Reka twige ku inshinge zidasanzwe (Collagenase Injection) ku gukomera kw'intoki no kugorama kw'igitsina cy'umugabo

Hari igihe ingingo zimwe na zimwe z'umubiri wacu zishobora gukomera no gukomera. Tekereza ko urutoki rwawe rukomeye ku buryo udashobora kurupfunyika, wumva meze nk'aho rukururwa n'umugozi. Cyangwa igitsina cy'umugabo kigoramye kandi kibabaza. Indwara nk'izo ntizituje cyane, si byo se? Uyu munsi turimo kuvuga ku inshinge zidasanzwe zitangwa kugira ngo zivure bene izo ndwara. Iyi ni inshinge ya Collagenase.

Mu magambo make, Collagenase ni iki?

Kolajeni ni ubwoko bwa poroteyine ifasha guha imbaraga n'imiterere ingingo zo mu mubiri wacu. Ni nk'insinga zo mu nyubako. Ariko rimwe na rimwe, ahantu hamwe na hamwe, iyi kolajeni irundanya cyane kandi ikabyimba. Ni bwo ingingo, nk'uko byavuzwe mbere, zikomera, zikabura ubushobozi bwo gukomera, hanyuma hakavuka ibibazo.

Mu by’ukuri, Collagenase ni urukingo rurimo enzyme isenya, igashonga, kandi igakuraho ingirabuzimafatizo za collagen zirenze urugero. Iyo uru rukingo rutewe mu gace kagize ikibazo, imigozi ya collagen ikomeye kandi ikomeye irasenyuka. Hanyuma gukomera no gukomera kw'ingirabuzimafatizo biragabanuka bigatangira gusubira uko byari bisanzwe.

Uru rukingo rukoreshwa cyane cyane mu kuvura indwara ebyiri:

1. Gukomera kwa Dupuytren: Ibi bibaho iyo imiterere ya kolajeni iri munsi y'uruhu rw'ikiganza ibyimbye kandi igakomera nk'umugozi, bigatuma intoki (ubusanzwe urutoki rw'impeta n'urutoki ruto) zigorama imbere kandi zigakomera. Ibi bituma bidashoboka kugorora urutoki.

2. Indwara ya Peyronie: Iyi ni indwara aho imiterere ya kolajeni mu gitsina irushaho kuba myinshi (plaque), bigatuma igitsina gihinduka nk'ikiziba. Ibi bishobora gutuma imibonano mpuzabitsina ibabaza cyangwa ikagorana.

Ibintu ugomba kubwira muganga wawe mbere yo kuvurwa

Kubera ko ubu ari uburyo bwihariye bwo kuvura, ni ngombwa cyane kuganira na muganga wawe ku kintu cyose. Mbere yo gutangira kuvurwa, banza umubwire niba ufite kimwe muri ibi bintu.

• Niba ufite ikibazo cyo kuva amaraso .
• Niba warigeze kugira ikibazo cy'ubwivumbure kuri uyu muti witwa Collagenase cyangwa undi muti, ibiryo, cyangwa irangi.
• Niba utwite cyangwa utegereje umwana .
• Niba uri umubyeyi wonsa .

Hashingiwe kuri aya makuru, muganga wawe azashobora gufata icyemezo niba ubu buryo bw'ubuvuzi bukubereye cyangwa butakubereye.

Uru rukingo rutangwa rute?

Uyu si umuti ushobora kujyana mu rugo ugakoresha. Uru ni urushinge rutangwa mu bitaro cyangwa ku ivuriro, n'umuganga wabyigiye, mu gace kagize ikibazo. Bityo rero ntugomba kubihangayikishwa.

Ushobora guhabwa agapapuro kabigenewe (MedGuide) karimo amakuru arambuye kuri uyu muti. Nuwuhabwa, soma witonze kandi uwusobanukirwe. Nanone, niba ubu buvuzi buhabwa abana, hashobora kuba ngombwa ubwitonzi bwihariye. Vugana na muganga wawe kuri ibi kandi.

Wakora iki niba urenze urugero rw'imiti?

Uyu ni umuti utangwa na muganga, bityo amahirwe yo kuba ibi bibaho ni make. Ariko, niba utekereza ko hari icyabaye, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi.

Ibintu ugomba kwitondera cyane mu gihe urimo kuvurwa

Umaze gutaha nyuma yo guhabwa urukingo, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza. Aya mabwiriza azatandukana bitewe n'indwara urimo kuvurwa.

Niba uri kuvurwa indwara yo gucika kw'imitsi ya Dupuytren mu ntoki zawe...

• Gahunda yo kubonana na muganga: Uzasabwa kugaruka kureba muganga wawe nyuma y'iminsi 1 cyangwa 3 nyuma yo guterwa urushinge. Ntucikwe n'iyi gahunda. Muri icyo gihe, muganga azakurambura ukuboko witonze maze agufashe gucagagura ingingo zikomeye.
• Ntugakoreshe ukuboko kwawe: Kugeza igihe ugiye kwa muganga, ntugapfukamire cyangwa ngo ugorore intoki z'ikiganza aho watewe urushinge. Nanone, ntugakore ku rutoki aho watewe urushinge.
• Komeza ukuboko kwawe hejuru: Komeza ukuboko kwawe hejuru uko bishoboka kose, cyane cyane mbere yo kuryama. Ni byiza niba ushobora kugukomeza hejuru, nko ku musego.
• Imyitozo ngororamubiri n'imitsi: Muganga wawe ashobora kuguha imyitozo yihariye y'intoki cyangwa agapira ko kwambara nijoro. Kurikiza ayo mabwiriza neza.
• Witondere: Niba umutuku n'ibibyimba mu kuboko kwawe byiyongera, niba ugize ibinya cyangwa utacyumva neza mu rutoki rwavuwe, cyangwa niba ufite ikibazo cyo kunama urutoki nyuma yo kubyimba kugabanuka, hamagara muganga wawe vuba.

Niba uri kuvurwa indwara ya Peyronie (kugorama kw'igitsina) ...

Nubwo iyi ari ingingo ikomeye, gukurikiza aya mabwiriza ni ingenzi kugira ngo ubuvuzi bugende neza.

• Irinde gukora imibonano mpuzabitsina: Irinde imibonano mpuzabitsina burundu hagati y’umuti wa mbere n’uwa kabiri w’urukingo. Ntugakore imibonano mpuzabitsina mu gihe cy’ibyumweru 4 nyuma y’umuti wa kabiri kandi kugeza igihe ububabare n’ibibyimba by’igitsina gabo birangiye burundu .
• Irinde gukoresha ibikoresho: Ntugakoreshe ibikoresho byo gushyushya igitsina bifasha mu gukangura igitsina cy'umugabo muri iki gihe cyo kuvurwa.
• Irinde kunanura imitsi yo mu nda: Irinde kunanura imitsi yo mu nda mu bihe nk'ibyo mu gihe cyo kwituma.
• Inama za muganga: Muganga wawe azaguha amabwiriza y'uko wakora ibikorwa byo kwerekana ibishushanyo mbonera mu rugo. Uyakurikize neza.

Ni izihe ngaruka mbi zishobora guterwa n'uru rukingo?

Nk'uko bimeze ku muti uwo ari wo wose, uru rukingo rushobora gutera ingaruka zimwe na zimwe. Zimwe muri zo ni zikomeye, izindi ni izisanzwe. Reka turebe ibyo ari byo.

Indi miti ishobora kugira ingaruka kuri uru rukingo

Indi miti urimo gufata ishobora kugira ingaruka ku mikorere y'uru rukingo. Ni ngombwa cyane cyane kubibwira muganga wawe niba urimo gufata imwe muri iyi miti.

• Asipirine n'indi miti irimo asipirine.
• Imiti ibuza amaraso kuzura cyangwa kugabanya amaraso (urugero: warfarin, enoxaparin, dalteparin, apixaban, dabigatran, rivaroxaban).

Uru rutonde ntirwuzuye. Kubwibyo, ni ngombwa kubwira muganga wawe imiti iyo ari yo yose, vitamine, imiti y'ibimera, cyangwa inyongeramusaruro ufata. Ni ngombwa kandi kubwira muganga wawe niba unywa itabi cyangwa unywa inzoga.