Iyo umuganga wawe akubwiye ko ugomba gukoresha 'stoma', agafuka ko mu nda yawe, nyuma yo kubagwa, ushobora kumva ufite ubwoba bwinshi kandi uhangayitse. "Nzasohoka nte ubu?", "Ese abandi bazabyumva?", "Ese sinzashobora kubaho nkuko nahoze?" Ibibazo byinshi bishobora kuza mu mutwe wawe. Ni ibisanzwe cyane. Ariko mu by'ukuri ntabwo biteye ubwoba nkuko ubyibwira. Uyu munsi, reka tuganire gusa ku cyo stoma ari cyo, uko wayiyitaho, n'uko wayibana nayo mu buryo busanzwe.
Mu magambo make, stoma ni iki?
Tekereza ko inzira isanzwe imyanda isohoka mu mubiri wacu, ari yo anus, idashobora kugerwaho bitewe n'uburwayi cyangwa impanuka runaka. Hanyuma tugomba gushaka ubundi buryo bwo gukura imyanda mu mubiri.
Mu magambo make, stoma ni umwobo muto umuganga ubaga akora mu rukuta rw'inda yawe (inda).
Ubu buryo bwo kubaga bwitwa colostomy . Muri ubu buryo, igice cy’amara yawe gifatwa kigahuzwa n’umwenge uri mu nda yawe. Hanyuma, aho gusohoka unyuze mu kibuno, imyanda, cyangwa umwanda, sohoka unyuze muri uyu mwenge wo mu kibuno. Dushyira agafuka kadasanzwe (agafuka) hejuru y’uyu mwenge kugira ngo dukusanye imyanda.
Kuki umuntu akeneye stoma?
Hari impamvu nyinshi zishobora gutuma umuntu abagwa ivuriro ry’umura (colostomy) n’ivuriro ry’umura (stoma). Ibi bikorwa kugira ngo ubuzima bw’umurwayi burokorwe cyangwa ngo ubuzima bwe burusheho kuba bwiza.
Dore zimwe mu mpamvu z'ingenzi:
- Kuziba amara cyangwa gucika: Iyo amara azibye cyangwa agacika kubera impamvu runaka, imyanda nta buryo iba ifite bwo kunyuramo.
- Kanseri: Niba igice cy'amara cyangwa igitsina gikeneye gukurwaho bitewe na kanseri.
- Indwara ya Crohn cyangwa indwara y'ibisebe: Izi ni indwara zikomeye zo kubyimba amara. Hari igihe ibice byangiritse by'amara biba ngombwa ko bikurwaho.
- Ubusembwa bwo kuvuka: Hari abana bashobora kuvukana ibibazo bimwe na bimwe byo mu mara.
- Ibikomere bikomeye ku mara: Iyo amara yangiritse, urugero nko mu mpanuka.
- Diverticulitis: Iyi ni indwara aho udufuka duto twibasira urukuta rw'amara, tukandura hanyuma tukabyimba.
Icy'ingenzi ni uko atari ko stoma zose ziba zihoraho . Hari igihe abaganga bakora stoma z'igihe gito kugira ngo bahe igice cy'amara cyangiritse umwanya wo gukira.Indwara y'igifu irashyirwa. Iyo imaze ibyumweru cyangwa amezi make amara amaze gukira, irakurwaho mu bundi buryo hanyuma igasubizwa mu mara. Ariko, iyo igice kinini cy'amara cyakuweho, stoma ishobora gukenera kubikwa burundu.
Ni gute wakwita ku gifu n'umufuka neza?
Nyuma yo kubagwa, uzamara iminsi mike mu bitaro. Mbere yo gutaha, muganga cyangwa umuforomo azakwereka uburyo bwo guhindura agakapu no gukomeza kugira isuku ku ruhu rukikije stoma. Nubwo bishobora kumera nk'ibidasanzwe mu ntangiriro, nyuma y'igihe runaka, ibi bizaba bimwe mu bikorwa byawe bya buri munsi.
| Intambwe | Icyo gukora |
|---|---|
| 1. Igihe kirageze cyo guhindura isakoshi. | Hindura ishashi imaze kuzura kimwe cya gatatu (1/3). Ntutegereze ko yuzuye burundu. Ibi byongera amahirwe y'uko ishashi izavamo bitewe n'uburemere bwayo n'imyanda yayo ikagera ku ruhu rwawe. |
| 2. Gukuraho isakoshi ishaje | Mu gihe ukanda ku ruhu n'ukuboko kumwe, ukure buhoro buhoro igice gifata cy'umufuka n'ukuboko kumwe. Ntukigere ukurura cyane, kuko bishobora kwangiza uruhu. |
| 3. Gukuraho imyanda | Suka imyanda iri mu gikapu mu musarani hanyuma ujugunye igikapu. Niba ari igikapu gishobora kongera gukoreshwa, oza kandi ugisukure neza. |
| 4. Gusukura uruhu | Hanagura witonze uruhu rukikije stoma ukoresheje igitambaro gisukuye cyangwa agatambaro katose amazi. Niba ukoresha isabune, koresha isabune yoroshye kandi idahumura. Hanyuma ureke yumuke neza. |
| 5. Gushyiramo isakoshi nshya | Kata umwobo w'igikapu gishya kugira ngo gihuze neza n'aho stoma iherereye. Iyo umwobo ari munini cyane, imyanda ishobora kwinjira mu ruhu igatera uruhu kurakara. Hanyuma, fata neza ku ruhu. |
Ibibazo bishoboka n'ibisubizo byabyo
Kubana n'indwara ya stoma bishobora kuzana ibibazo bito. Kubimenya bishobora kugufasha guhangana na byo utiriwe uhangayika.
- Gutukura cyangwa kurakara k'uruhu: Iki ni ikibazo gikunze kugaragara. Ibi bishobora guterwa n'imyanda igera ku ruhu. Igisubizo cyiza ni uguhorana uruhu rusukuye kandi rwumye. Baza muganga wawe amavuta yihariye yo gusiga (amabara y'inzitizi) akingira uruhu.
- Impinduka mu ibara n'ingano ya stoma: Mu minsi ya mbere nyuma yo kubagwa, stoma izaba umutuku wijimye kandi ibyimbye. Uko igihe kigenda gihita, kubyimba bizagabanuka kandi ingano izagabanuka. Izakomeza kuba umutuku cyangwa umutuku mu ibara. Ibi ni ibisanzwe. Uko ingano ihinduka, ibuka kugabanya umwobo w'isakoshi kugira ngo ijyane n'iyo ngano.
- Gazi: Kubera ko ari ibisanzwe kugira umwuka mu mara yawe, rimwe na rimwe agapfunyika gashobora kuzura umwuka. Gabanya ibiryo bitera umwuka, nka amashu, chouflage, ibishyimbo, n'amashu. Hariho kandi udupfunyika dufite akantu gato ko gusohora umwuka.
- Imyanda irimo amazi: Hari igihe imyanda yawe ishobora kuba irimo amazi menshi (nk'impiswi). Ibi bishobora gutuma umubiri wawe utakaza amazi menshi n'imyunyu. Nywa amazi menshi, imitobe, n'umutobe w'icunga. Ibi bizagufasha gusimbuza electrolytes watakaje, nka sodiyumu na potasiyumu.
- Kuva amaraso mu gituza: Ni ibisanzwe ko ibitonyanga bike by'amaraso biva mu gituza iyo ugisukuye. Ariko, niba kuva amaraso bidahagaze, cyangwa niba ubonye amaraso mu gikapu , bwira muganga wawe ako kanya.
- Prolapse: Iyi ni indwara idasanzwe. Iyi ni igihe igice cy'amara gisohoka kinyuze mu nda. Nubona ikintu nk'iki, ntugatinye ujye kwa muganga. Ushobora gukenera kubagwa gato kugira ngo gikorwe.
Igihe cyo kubonana na muganga ako kanya
Niba ufite kimwe muri ibi bimenyetso bikurikira, ntukirengagize kandi uhite ubonana na muganga wawe.
| Ibimenyetso byo kwitondera | |
|---|---|
| 🔴 | Niba uruhu rukikije stoma rutukura, rubabara, rubyimbye, cyangwa rurimo amazi asohoka. |
| 🔴 | Niba ufite umuriro urenze dogere 38.3 z'ubushyuhe bwa Fahrenheit (38.3 selisiyusi). |
| 🔴 | Niba ufite isesemi, kuruka, ububabare bukomeye mu gifu, impatwe ikomeye cyangwa impiswi. |
| 🔴 | Niba ufite ibimenyetso byo kubura amazi mu mubiri: urugero, intege nke zikabije, imitsi irahindana, no kugabanuka k'umuvuduko w'inkari n'ingano yazo. |
| 🔴 | Niba ukomeje kuva amaraso mu gifu cyangwa niba ubonye amaraso mu gipfunyika. |
Ubuzima busanzwe hamwe na stoma ... ese koko birashoboka?
Iki ni cyo kibazo gikomeye ku bantu bose. Igisubizo ni "Yego, birashoboka rwose!"
Imifuka yo muri iki gihe yo mu bwoko bwa stoma ni mito cyane kandi irambuye. Bityo ntawe uzabona ko iri munsi y'imyenda. Nanone, iyi mifuka ikozwe mu buryo butuma impumuro idasohoka. Bityo ntugomba guhangayikishwa no guhumurirwa.
Ntugafate stoma yawe n'umufuka wawe nk'umutwaro, ahubwo tekereza ko ari ibikoresho bibiri bigufasha kandi biguha umudendezo. Bigufasha gusohoka mu bwisanzure, gukora ibyo ukunda, no gusabana n'abandi utiriwe ujya mu bwiherero kenshi.
Ushobora kujya ku kazi, gukora siporo, koga, koga, no kugira ubuzima busanzwe. Niba wumva ufite isoni cyangwa utishimiye ibi, banza uganire na muganga wawe. Hari ibitaro bimwe na bimwe bifite abaforomo babihuguriwe cyane (abavuzi b'amaso) kuri ibi. Hariho kandi amatsinda y'ubufasha aho abantu bagize uburambe nk'ubwo bahurira hamwe. Kwinjira muri ubwo buryo bishobora kuguha imbaraga nyinshi zo mu mutwe.
Ubutumwa bwo kujyana mu rugo
- Stoma ni ikintu cy'ingenzi mu buvuzi kugira ngo ubuzima bwawe buzigame cyangwa bukorohe, si ikintu cyo kugira isoni.
- Gukomeza gusukura no kumisha uruhu rw'inkari n'uruhu ruyikikije ni bwo buryo bwiza bwo kwirinda ibibazo byinshi.
- Ushobora kubaho ubuzima busanzwe kandi bukora neza ufite stoma.
- Niba ufite gushidikanya cyangwa impungenge ku kibazo icyo ari cyo cyose gito, ntugatinye kubibwira muganga wawe.
- Imbaraga zo mu mutwe uhabwa n'umuryango wawe, inshuti, ndetse nibiba ngombwa, n'amatsinda y'abaterankunga zizagufasha cyane muri uru rugendo.
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