Ese wigeze wumva inkuru y'uko wabazwe aho ufite agakapu gafatanye n'inda yawe kugira ngo umwanda wawe cyangwa inkari zawe bisohoke? Wenda inshuti yawe yaba yarakorewe. Ibi byitwa ostomy mu buryo bw'ubuvuzi. Nubwo bishobora gusa nkaho biteye ubwoba kandi bitangaje mu ntangiriro, mu by'ukuri ni uburyo bw'ingenzi cyane bwo kwa muganga bushobora kurokora ubuzima no kukubera inzira yo kongera kubaho ubuzima busanzwe. Uyu munsi, tuzaganira kuri ibi mu buryo bworoshye kandi butaziguye.
Kubaga ostomy mu buryo bw'umwimerere ni iki?
Muri make, gukubagura uruhu ni uburyo bwo kubaga butuma habaho umwenge mu nda yawe (inda) kugira ngo umwanda cyangwa inkari binyure mu ruhu. Ubu buryo bufasha gukura imyanda mu mubiri wawe iyo udashobora gusohora umwanda cyangwa inkari bisanzwe bitewe n'uburwayi.
Nyuma yo kubagwa, uzabona agace gato k'amara kakuwe mu mwenge uri mu nda yawe. Iki cyitwa stoma. Gifite ibara ry'umutuku wijimye. Kimeze nk'aho umunwa wawe urimo. Ikintu cyiza ni uko nta mitsi ifite, bityo ntuzumva ububabare. Umuganga wawe azakwigisha uburyo bwo gukoresha agafuka kadasanzwe mu gukusanya imyanda muri iyi stoma.
Ostomy ni izina risanzwe ry'ubu bwoko bw'ubu buvuzi, naho colostomy ni ubwoko bwihariye.
Nigute wakoresha agasakoshi ko mu mubiri?
Iyi sakoshi yo mu gifu (izwi kandi nk'agakapu cyangwa igikoresho) ikusanya umwanda cyangwa inkari zisohoka mu gifu. Iyi sakoshi ifite uruzitiro rwihariye rufata ku ruhu. Ibi birinda uruhu rwawe imyanda. Ni ngombwa cyane kuyifata neza no kwirinda kuva imyanda. Bitabaye ibyo, indwara z'uruhu zishobora kubaho.
Muganga wawe cyangwa umuforomo wabyigiye azakwereka uko wakoresha iyi sakoshi. Ibi biza mu bwoko bubiri bw'ingenzi:
- Sisitemu y'igice kimwe: Aha, agafuka n'uruzitiro rufata ku ruhu byombi biri muri kimwe.
- Sisitemu y'ibice bibiri: Aha, flange n'umufuka biza ukwabyo. Iyo flange imaze gushyirwa ku ruhu, umufuka ushobora gushyirwaho hanyuma ukawukuramo.
Uburyo bwo gukuramo ubusa mu gikapu
Isakoshi igomba gusukurwa imaze kugera kuri kimwe cya gatatu cyuzuye. Ibi bishobora kuba ngombwa ko bikorwa inshuro ebyiri kugeza kuri esheshatu ku munsi.
1. Icara ku musarani. Banza ushyire agapapuro k'ibati ku gikombe cy'umusarani. Ibi bizabuza amazi gutemba iyo imyanda iguye.
2. Bika imyenda kure y'isakoshi.
3. Kuraho agakoresho ko gupfunyika cyangwa gufunga munsi y'isakoshi.
4. Kanda hasi mu gikapu hanyuma ujugunye imyanda mu musarani.
5. Hanagura neza impande zo hepfo z'agafuka ukoresheje agapapuro k'ibati.
6. Ongera ushyireho clip neza.
7. Karaba intoki zawe neza n'isabune.
Uburyo bwo guhindura isakoshi burundu
Ibi bitandukanye no gukuramo ubusa mu gikapu. Ubusanzwe, ugomba gusimbuza igikapu n'uruzitiro buri minsi 3-4, bivuze ko inshuro ebyiri mu cyumweru.
- Karaba intoki zawe neza hanyuma ushyire hamwe ibyo ukeneye byose (igikapu gishya, imikasi, igitambaro gisukuye).
- Mbere yo gukuramo agafuka gashaje, suka imyanda irimo mu musarani.
- Hanyuma, kuramo agafuka, ukagashyira mu gafuka ka pulasitiki, hanyuma ukajugunye mu gisanduku cy'imyanda.
- Noneho sukura uruhu rukikije stoma ukoresheje amazi ashyushye n'isabune idahumura. Ntugakoreshe isabune irimo imibavu cyangwa amavuta yo kwisiga. Ibi bishobora kubuza uruhu gufata neza.
- Oza uruhu neza hanyuma wumishe ukoresheje igitambaro gisukuye cyangwa igitambaro cy'impapuro.
- Kata uruzitiro rushya kugira ngo rugere ku bunini bwa stoma yawe, urushyire neza ku ruhu, hanyuma ushyireho agafuka gashya.
Niba ufite ikibazo icyo ari cyo cyose kuri ibi, niba uruzitiro rudafashe neza, cyangwa niba ufite ububabare bw'uruhu cyangwa ibisebe, hamagara muganga wawe vuba.
Ni nde ukeneye ostomy?
Abaganga basaba ko habaho kubagwa mu kibuno nk'uburyo bwo kuvura indwara zitandukanye zikomeye. Izi ndwara rimwe na rimwe zishobora kuba iz'igihe gito, rimwe na rimwe zikaba iz'igihe kirekire.
Ibihe bishobora kuba ngombwa ko habaho ostomy y'igihe gito:
- Indwara zikomeye zo mu mara.
- Indwara y'ububyimbirwe bw'amara .
- Ibikomere bikomeye ku mara.
- Kuziba amara.
Ibihe bishobora kuba ngombwa ko habaho ostomy ihoraho:
- Kutagenzura amara (kwirinda kwihagarika).
- Ubusembwa bw'amara cyangwa uruhago.
- Kanseri zo mu mara, mu mfuruka cyangwa mu ruhago.
- Iyo igice cy'ururenda cyangwa ikibuno gikuweho.
Ubwoko bw'ingenzi bwo kubaga ostomy
Hari ubwoko bubiri bw'ingenzi bufasha mu kwihagarika no kunyara, n'ubundi bufasha mu kwihagarika no kunyara.
| Ubwoko bw'ukubaga | Ibisobanuro byoroshye |
|---|---|
| Ileostomy | Aha, igice cya nyuma cy'amara mato (ileum) gisohoka ginyuze mu rukuta rw'inda kugira ngo habeho stoma. Imyenge irasohoka, ikanyura mu mara manini. |
| Udukoko two mu bwoko bwa Colostomy | Iyo igice cy'amara gikuweho, igice gisigaye gifatirwa ku rukuta rw'inda kugira ngo kibe stoma. |
| Urostomy | Imiyoboro itwara inkari ziva mu mpyiko zijya mu ruhago ifitanye isano n'agahu kaba mu nda. Ibi bikorwa iyo uruhago rukuweho. |
Kubagwa mu isakoshi ya J
Hari andi mahitamo uretse ostomy isanzwe. J-pouch ni uburyo bukora agafuka imbere mu mubiri kugira ngo gakusanyirize umwanda. Ibi bikubiyemo guhuza impera y'amara mato n'anus. Ibi bivuze ko udakeneye stoma ihoraho kandi ushobora guca umwanda mu kibuno nk'uko bisanzwe.
Ingorane zishobora kubaho kandi ni ryari wajya kwa muganga?
Nkuko bigenda mu kubagwa kose, hari ingaruka n'ingorane bishobora kubaho. Rero banza ubiganireho na muganga wawe mbere yo kubagwa. Zimwe mu ngorane zishobora kubaho zirimo:
- Ibibazo by'uruhu: gutukura , kuribwa , no kwandura kw'uruhu rukikije stoma.
- Kuziba: Uduce tw'ibiryo dufata mu mara.
- Hernia: Ubusembwa mu rukuta rw'inda rukikije stoma.
- Kubura intungamubiri: Kugabanuka k'amazi, vitamine, n'imyunyu ngugu mu mubiri.
- Kugabanya stoma (Stricture): Kugorwa no guta imyanda.
Niba ufite ibimenyetso bikurikira, hamagara muganga wawe ako kanya.
| Shaka inama z'abaganga ako kanya! | |
|---|---|
| 🔴 | Ububabare bwo mu nda bumara amasaha 2-3. |
| 🔴 | Kurwara isesemi cyangwa kuruka kenshi. |
| 🔴 | Nta myanda igomba kwirunda mu isaho mu gihe cy'amasaha 4-6. |
| 🔴 | Kuva amaraso menshi mu gituza cyangwa mu bisebe by'uruhu bikikije igituza. |
| 🔴 | Impumuro mbi ituruka mu gifu (iki gishobora kuba ikimenyetso cy'ubwandu). |
Kubera ko ibimenyetso byavuzwe haruguru bishobora kuba ari ikibazo cyihutirwa, ntugatinye kujya ku bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe niba bibaye ngombwa.
Nigute wabaho ubuzima busanzwe ufite agakapu ka ostomy?
Bifata igihe kugira ngo umenyere gukora imikorere y'umubiri mu buryo butandukanye. Ariko ushobora kubaho ubuzima busanzwe ufite agakapu ka ostomy. Ntibikubuza kujya ku kazi, gukina siporo, koga, gutembera, gushaka cyangwa kubyara.
Mu ntangiriro, ushobora kumva uhangayikishijwe n'umubiri wawe n'uko abandi bakubona. Ibyo ni ibisanzwe. Kubera ko isakoshi itagaragara hejuru y'imyenda yawe, abantu benshi ntibamenya ko uyifite.
Ubuzima bw'imibonano mpuzabitsina
Ni ikimenyetso cyiza cy'uko urimo gutekereza gukora imibonano mpuzabitsina nyuma yo kubagwa, igihe umubiri wawe n'ubwenge bwawe bizaba byiteguye. Biganireho weruye n'umukunzi wawe.
- Mbere yo gukora imibonano mpuzabitsina, kuraho ibinure mu gikapu, ugisukure neza, kandi urebe neza ko agapfundikizo kameze neza.
- Ushobora gukoresha imyenda cyangwa udupfundikizo tw’udupfundikizo kugira ngo isakoshi itagaragara.
- Gerageza imyanya idashyira igitutu ku gikapu.
- Kuganira n'umukunzi wawe ku bwoba bwawe, gushidikanya kwawe, n'impungenge zawe bizafasha mu gukomeza umubano wanyu.
Niba uhanganye n'iyi mpinduka, vugana na muganga wawe, umuryango wawe n'inshuti zawe. Bishobora kandi kuba isoko ikomeye y'imbaraga zo kwinjira mu matsinda y'ubufasha aho abantu bahuye n'ibibazo nk'ibyo bahurira.
Ubutumwa bwo kujyana mu rugo
- Ostomy ni uburyo bw'ingenzi bwo kubaga bushobora kurokora ubuzima no gufasha abantu kubaho neza mu ndwara zikomeye. Si ikintu cyo gutinya.
- Ni ingenzi cyane kugira ngo stoma yawe n'uruhu ruyikikije bisukure kandi bisukuye. Shaka inama zikwiye kwa muganga cyangwa umuforomo wawe.
- Ukoresheje agakapu ko gusigamo ostomy, ushobora kubaho ubuzima busanzwe kandi burangwa n'ibikorwa byinshi, harimo akazi, siporo, n'ibindi bikorwa byo kwidagadura .
- Niba ubonye impinduka zidasanzwe mu nda yawe cyangwa ku buzima bwawe, cyangwa niba ufite impungenge, vugana na muganga wawe nta gushidikanya.
Ostomie, stoma, colostomy, ileostomy, urostomy, ostomy bag, ostomy bag
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