Bifata igihe kugira ngo umenyere ubuzima bushya nyuma yo kubagwa intanga. Ibyo ni ibisanzwe. Ushobora kuba ufite ibibazo byinshi, ubwoba, n'amakenga kuri ibi. Ariko ntugahangayike. Muri iyi nkuru, turagerageza gusubiza ibyo bibazo ufite mu buryo bworoshye kandi bw'ubucuti no kukwigisha.
Ni ikihe gihe cyiza cyo guhindura agasakoshi k'uruhu (colostomy bag)?
Iki ni ikibazo ku bantu benshi. Ikintu cyiza cyo gukora ni uguhitamo igihe amara yawe aba adakora cyane. Mu magambo make, amara aba akora cyane nyuma yo kurya.
- Ibihe byiza: Imenyere gukuramo ubusa cyangwa guhindura igikapu cyawe mbere yo gufata ifunguro rya mu gitondo cyangwa mbere yo kuryama nijoro. Utunyangingo tw’igogora tuba tudakora cyane muri ibi bihe, bityo biroroha gukora akazi.
- Ugomba guhindura isakoshi yawe kangahe?: Muri rusange, guhindura isakoshi yawe buri minsi 3-5 ni igitekerezo cyiza. Ntabwo ari ngombwa kuyihindura buri munsi. Niba wibagiwe, andika itariki ku gapapuro k'amakuru ku isakoshi yawe. Cyangwa shyiramo ikintu cy'urwibutso kuri kalendari yawe cyangwa kuri telefoni.
- Ingorane: Niba uruhu rukikije stoma yawe rwumva ruryamye cyangwa rubyimbye , bishobora kuba ikimenyetso cy'uko rugomba guhindurwa ako kanya . Ibi bishobora gusobanura ko ishashi irimo kuva. Muri ibyo bihe, ntugacike intege ahubwo uhindure ishashi ako kanya.
Stoma ni iki?
Muri make, iki ni igice cy'amara yawe kibagwa kikazanwa hejuru y'uruhu rwo mu nda yawe kikagifata. Aha niho umwanda uva.
Ni gute wakwita ku ruhu rukikije stoma?
Ni ngombwa kubungabunga stoma n'uruhu ruyikikije, kimwe n'indi mibiri yacu. Ariko ibi ntibivuze ko byose ari ibisanzwe.
- Kata umusatsi ukikije stoma ukoresheje imikasi idasobanutse cyangwa urwembe rw'amashanyarazi. Ntugakoreshe urwembe rufite ibyuma, kuko bishobora gukata uruhu.
- Ntukigere wisiga amavuta cyangwa amavuta ku ruhu rukikije stoma yawe. Kubikora bizakurinda ko agafuka kawe k'uruhu gafata neza ku ruhu rwawe, bigatuma gashobora kuva amazi.
Ese ushobora koga ukoresheje imashini igabanya ububabare bw'uruhu (colostomy)?
Yego, ushobora kubikora rwose. Iki ni ikintu abantu benshi batinya. Ushobora kwiyuhagira ufite isakoshi cyangwa ukayikuramo. Ni wowe ubwawe ubyifuza.
Ariko ibuka ikintu kimwe. Nubwo waba wiyuhagiye nta gikapu ufite, hari intebe ishobora kuva mu gituza cyawe. Ibi ni ibisanzwe kandi ntibishobora kugenzurwa.
Umaze koga, fungura kaseti iri mu gikapu kugira ngo yumuke neza. Niba ubyifuza, ushobora no kuyumutsa ukoresheje icyuma cyuma umusatsi ku gikoresho gito .
Ukora iki iyo ukora siporo?
Kugira isuzuma rya colostomy ntibivuga ko ugomba kureka gukora siporo. Ushobora gukora siporo iyo ari yo yose ukunda. Ariko niba ukina siporo yo gukomeretsa umubiri, banza uganire na muganga wawe.
- Kugira ngo uhe agakapu ahantu heza ho kuruhuka mu gihe ukora imyitozo ngororamubiri, ushobora kwambara imyenda y'imbere irambuye. Shyira agakapu mu myenda yawe y'imbere.
- Hari udupfundikizo tw'udupfundikizo ushobora gushyira ku gikapu cyawe. Ntabwo biguha ihumure gusa, ahubwo binafasha mu gukurura ibyuya.
Ese kwiyongera cyangwa kugabanya ibiro bigira ingaruka ku gikapu?
Yego rwose. Iyo wiyongereye cyangwa ugabanye ibiro birenga 5-7 (ibiro 10-15), bishobora kugira ingaruka ku buryo agapfunyika gakwira. Uko igifu cyawe gihinduka, ingano ya stoma yawe ishobora guhinduka gato. Ibi bishobora gutuma agapfunyika kadakwira neza bigatuma amazi ava.
Niba uhuye n'impinduka zikomeye mu buremere nk'ubu, ni ngombwa cyane kumenyesha umuganga wawe cyangwa umuforomo wahuguwe by'umwihariko muri ibi (Enterostomal Therapy - ET nurse).
Ni iki ukwiye kwitondera mu gihe uri mu rugendo?
Nta mpamvu yo guhagarika ingendo. Ariko iyo witeguye gato, ushobora kugenda nta ngorane.
| Ukuri | Ibisobanuro |
|---|---|
| Bika ibikoresho by'ubuvuzi hafi aho. | Buri gihe shyira amasakoshi yawe, udupira two gupfunyika, n'ibindi bikoresho byose mu mufuka wawe . Ntuzigere ubishyira mu mufuka wawe. Niba umufuka wawe utakaye cyangwa utinze, ushobora kugira ibibazo byinshi. |
| Fata kabiri. | Zana ibikoresho bikubye kabiri ibyo usanzwe ukeneye. Bizagufasha cyane mu gihe cy'impanuka. |
| Itegure ikibazo cyihutirwa. | Niba ukeneye ubufasha, andika urutonde rw'aderesi na nimero za terefone z'ahantu hatanga ibikoresho. Niba ugiye mu mahanga, shakisha kuri interineti amakuru yerekeye imikorere y'uturemangingo tw'amaraso muri icyo gihugu. |
Izindi nama z'ingenzi
- Buri gihe gendana isakoshi y'inyongera: Igihe cyose uvuye mu nzu, gendana nibura isakoshi imwe y'inyongera mu isakoshi yawe. Ni ingirakamaro cyane mu gihe cy'impanuka.
- Ibikoresho by'inyongera: Igikoresho gifunga isakoshi gishobora kugwa cyangwa kuvunika. Rero shyira ikindi gikoresho kimwe cyangwa bibiri hafi aho. Ushobora kandi gukoresha umukandara wa rubber cyangwa agakoresho ko gufunga mu gihe cy'impanuka.
- Gerageza ibintu bishya mu rugo: Niba utangiye gukoresha ubwoko bushya bw'isakoshi cyangwa ikindi gicuruzwa, banza ugerageze ku munsi uri mu rugo, aho ushobora kuba uri hafi y'ubwiherero.
Igihe cyo kubonana na muganga cyangwa umuforomo w'inzobere
Niba ufite ikibazo muri ibi bikurikira, ntutindiganye kubonana na muganga wawe cyangwa umuforomo wita ku matuza (ET nurse) kugira ngo akugire inama. Ni ingenzi cyane ku ihumure ryawe n'ubuzima bwawe.
| Ikibazo | Ibisobanuro |
|---|---|
| Gusohoka | Nubwo wagerageza gute, isakoshi ikomeza kuva amazi. |
| Ibibazo by'uruhu | Iyo uruhu rukikije stoma rutukura, rubabara, rufite ibibyimba, rubyimbye, cyangwa ruryana. |
| Kugorwa no kubona ibikoresho | Niba ufite ikibazo cyo kubona aho kugura ibikoresho ukeneye. |
| Ibibazo byo mu mutwe no mu mibanire | Vuga ku muhangayiko wo mu mutwe uterwa n'iyi ndwara, ingaruka ku mibanire y'abashakanye, cyangwa ingorane zibaho muri sosiyete. |
| Hari ibindi bibazo? | Vugana ku kibazo icyo ari cyo cyose ufite ku bijyanye no gutwita, cyangwa ikindi kintu cyose kikubangamiye kuri byo. |
Ubutumwa bwo kujyana mu rugo
- Gukoresha indorerwamo y'amaraso mu mubiri si iherezo ry'ubuzima, ni intangiriro nshya. Ufite ubumenyi n'imicungire ikwiye, ushobora kubaho ubuzima busanzwe rwose.
- Komeza uruhu rukikije stoma yawe rusukuye kandi rwumye. Bibwire muganga wawe ako kanya niba ubonye ubushye, ubushye, cyangwa umutuku.
- Igihe cyose ugiye mu rugendo, menya neza ko uzanye ibikoresho by'inyongera, cyane cyane isakoshi imwe cyangwa ebyiri z'inyongera. Bishyire mu isakoshi yawe yo gutwara.
- Vugana na muganga wawe cyangwa umuforomo w’inzobere ku bibazo, impungenge, cyangwa ubwoba ufite. Ntugakomereke wenyine. Ntugatinye gusaba ubufasha.
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