Ese waba warigeze gushyirwamo agakapu mu nda yawe bitewe n'uburwayi? Ibi byitwa stoma mu magambo y'ubuvuzi. Kubaho muri ubu buryo bishobora kubabaza ndetse bikanababaza gato. Ikibazo gikomeye kiri mu bitekerezo bya benshi ni iki: "Ese nzigera nshobora kujya mu bwiherero nk'uko nabikoraga mbere?" Mu by'ukuri hari igisubizo cyiza kuri icyo kibazo. Ku bantu benshi, iyi stoma y'igihe gito ishobora guhindurwa no kubagwa ukundi (kubagwa mu buryo busubira inyuma) igasubizwa mu mimerere aho bashobora kwituma mu buryo busanzwe. Reka tubiganireho birambuye uyu munsi.
Ese buri wese ashobora kubagwa?
Iki ni ikibazo cy'ingenzi cyane. Umuganga wawe hamwe n'umuganga muzafatira umwanzuro hamwe niba ubu buryo bwo kubaga stoma reverse medication bukubereye cyangwa niba butakubereye. Hari ibintu byinshi ugomba kuzirikana mu gihe ufata iki cyemezo.
- Ubuzima bwawe muri rusange: Umubiri wawe ugomba kuba ufite ubuzima bwiza kugira ngo ubagwe muri ubu bwoko kandi ukire vuba nyuma yo kubagwa.
- Ingano y'uturemangingo tw'amaraso twasigaye nyuma yo kubagwa bwa mbere: Kugira ngo impera zombi z'amara zihuzwe, hagomba kuba hari uturemangingo duhagije.
- Ingufu z'imitsi yo mu nda: Muganga azasuzuma niba imitsi ikikije inda yawe ikomeye bihagije ku buryo yaguha imbaraga zikenewe zo gusohora umwanda.
- Gahunda yawe yo kuvura: Niba uri kuvurwa indwara nka kanseri, ubu buryo bwo kubaga buzasubikwa kugeza igihe ubwo buryo bwose bwo kuvura (urugero, chemotherapy) buzarangirira.
Mu magambo make, ikintu cy'ingenzi hano ni ukumenya niba umubiri wawe witeguye kubagwa bwa kabiri, ndetse niba bishoboka mu buryo bwa tekiniki kongera guhuza amara.
Mbere y'uko ubagwa, muganga wawe azagusuzuma neza, kandi nibiba ngombwa, ashobora kukugira inama yo gukora imyitozo ngororamubiri cyangwa ubuvuzi bw'umubiri. Ibi bizagufasha gukomeza imitsi yo mu mara no kugufasha kugira imisemburo isanzwe nyuma gato yo kubagwa.
Ni ikihe gihe cyiza cyo kubagwa?
Muri rusange, igihe cyiza cyo kubagwa nyuma y’uko ubaye uwa mbere ni amezi atatu . Ariko, hari aho bishobora gufata umwaka. Impamvu y’ibi ni ukugira ngo ibikomere byo mu nda n’ibibyimba bibone umwanya uhagije wo gukira no gusubira mu buzima busanzwe. Hari igihe abantu babagwa nubwo babagwa imyaka myinshi. Rero ntugahangayike, ushobora kuvugana na muganga wawe maze ukamuhitiramo igihe kikubereye.
Guhindura ibara ry'uruhu n'ishusho y'uruhu
Mu gupima amaraso, igice cy'amara manini (colon), no muri ileostomy, igice cy'amara mato (ileum), gikurwamo binyuze mu ruhu rw'inda yawe kugira ngo habeho stoma. Nubwo uburyo bwo kubaga ubu buryo bubiri butandukanye gato, igitekerezo cy'ibanze ni kimwe. Ni ukuvuga ko impera ebyiri z'amara atandukanye zihuzwa kugira ngo umwanda ushobore kunyura mu nzira isanzwe.
Uburyo bwo kubaga bikorwa
1. Anesthesia: Ubwa mbere, uzahabwa anesthesia. Bityo ntuzumva ikintu icyo ari cyo cyose mu gihe cyo kubagwa, uzaba usinziriye burundu.
2. Kurekura amara: Hanyuma, umuganga ubaga azarekura buhoro buhoro igice cy'amara yawe gifatanye n'uruhu rw'inda yawe.
3. Anastomose: Hanyuma, impera zombi z'amara atandukanye zisubizwa hamwe hanyuma zigaterwa. Ibi byitwa anastomose mu buryo bw'ubuvuzi. Iyi sano ishobora gukorwa hakoreshejwe ubwoko bwihariye bw'udupira cyangwa kudoda intoki.
4. Gufunga igikomere: Nyuma yuko amara ahujwe imbere, stoma n'ibisebe byo kubagwa bifungwa.
Ubusanzwe ubu burwayi bumara amasaha 2-4 , ariko niba ufite inkovu cyangwa hernia yo kubagwa mbere, bishobora gufata igihe kirekire.
Ingaruka zishobora kubaho nyuma yo kubagwa
Nkuko bigenda mu kubagwa kose, hari ingaruka n'ingorane zishobora kubaho. Ariko, akenshi ibi bishobora gukemurwa. Gusubira inyuma kw'inyuma y'uruhu bifatwa nk'aho bifite ibyago byinshi byo kugira ingorane kurusha gusubira inyuma kw'inyuma y'uruhu.
| Ingorane zishoboka | Ibyo bivuze iki? |
|---|---|
| Indwara y'ibikomere | Indwara nko gutukura, kubyimba, kubabara, no kugira amashyira hafi y'igikomere cyo kubagwa. |
| Ileus | Kuziba amara by'agateganyo, bikabuza umwuka, amazi n'ibiryo gutera imbere. |
| Kuziba amara | Kuziba kw'inzira y'amara bitewe n'inkovu z'umubiri. |
| Gusohoka kw'ibinure mu mubiri | Amasambu asohoka mu nda aturutse aho amara ahurira. Iyi ni indwara ikomeye cyane. |
| Hernia | Igice cy'amara gisohoka munsi y'uruhu binyuze mu gituza cyangwa mu incision. |
| Sepsis | Indwara ikomeye aho indwara ikwirakwira mu mubiri wose kandi ishobora gushyira ubuzima mu kaga. |
| Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi ba ETU (ETU). | |
| |
Niba unywa itabi , guhagarika cyangwa kugabanya itabi mbere yo kubagwa bishobora kugabanya cyane ibyago byo kwandura ibikomere.
Igihe cyo gukira n'ibintu byo gukurikiraho mu rugo
Nyuma yo kubagwa, ubusanzwe uzamara mu bitaro iminsi 3 kugeza ku 10. Uzoherezwa mu rugo umaze gushobora kurya ibiryo bikomeye kandi amara yawe agasubira ku buryo busanzwe.
Icyo wakwitega nyuma yo gusubira mu rugo
Uburyo amara yawe ashobora guhinduka gato mu ntangiriro. Ntugahangayike, ibi ni ibisanzwe.
- Imyanya y'amazi cyangwa idafite amazi: Mu ntangiriro, imvunya ishobora kuba irimo amazi make.
- Kujya mu bwiherero kenshi: Ushobora gukenera kujya mu bwiherero inshuro nyinshi ku munsi.
- Ibyihutishwa: Ushobora kumva ukeneye kujya mu bwiherero ukimara kumva ukeneye kwiyuhagira.
- Kumva utararangiza amara yawe yose: Ndetse na nyuma yo kujya mu bwiherero, ushobora kumva utararangiza amara yawe yose.
Ibyinshi muri ibi bimenyetso biragabanuka buhoro buhoro kandi bikongera kumera nk'uko bisanzwe uko igihe kigenda gihita.
Indyo
Ugomba kwitondera cyane indyo yawe mu gihe cyo gukira.
- Indyo irimo fibre nke: Mu byumweru bike bya mbere, muganga wawe azakugira inama yo kurya indyo yoroshye gusya kandi irimo fibre nke.
- Amafunguro mato: Ni byiza kurya amafunguro mato 5-6 ku munsi aho kurya amafunguro mato mato 3 ku munsi.
- Nywa ibinyobwa byinshi: Nywa amazi menshi n'ibindi binyobwa (nk'imitobe) umunsi wose. Ibi ni ingenzi cyane ku mikorere y'amara.
- Hagarika ibi bintu akanya gato:
- Ibiryo birimo amavuta, ibinure n'ibirungo.
- Ibiryo byuzuza igifu umwuka, nk'amashu, ibitunguru n'ibishyimbo.
- Ibinyobwa bishyushye, inzoga, na kafeyine ikabije.
Imyitozo ngororamubiri n'ibikorwa
Ushobora kumva unaniwe gato nyuma yo kugera mu rugo, bityo ruhuka bihagije.
- Imyitozo ngororamubiri yoroheje: Tangira imyitozo ngororamubiri yoroheje, nko kugenda n'amaguru, nyuma yuko muganga wawe aguhaye uburenganzira.
- Irinde guterura ibintu biremereye: Ntugaterure ibintu biremereye mu gihe cy'ukwezi kumwe cyangwa kurenza.
- Gutwara imodoka: Irinde gutwara imodoka igihe gito. Saba uruhushya kwa muganga mbere yo kongera gutangira ibi byose.
Ubusanzwe bifata ibyumweru 6-8 kugira ngo umuntu akire neza. Muri iki gihe, ni ngombwa cyane kwihangana no gukurikiza amabwiriza ya muganga.
Ubutumwa bwo kujyana mu rugo
- Iyo ufashwe na colostomy y'agateganyo cyangwa ileostomy, akenshi birashoboka kuyisubiza uko imeze ukoresheje kubagwa.
- Ugomba kuganira n'umuganga wawe niba ubu buvuzi bukubereye kandi igihe cyiza cyo kubukora ni ikihe.
- Bifata igihe kugira ngo uruhuke neza nyuma yo kubagwa, bityo rero ni ngombwa kwihangana no guha umubiri wawe ikiruhuko ukeneye.
- Kurikiza amabwiriza ya muganga wawe ajyanye n'imirire n'ibikorwa mu gihe cyo gukira.
- Niba ubonye ibimenyetso by'umuburo nko kugira umuriro, ububabare bukabije, kuva amabyi mu gisebe, cyangwa impinduka zidasanzwe mu mwanda, menyesha muganga wawe ako kanya.
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