Ese wowe cyangwa umuntu uzi wigeze abwirwa na muganga ibijyanye no gupima intanga? Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo ubyumvise. "Kugira isakoshi bivuze iki?", "Ese nzigera nshobora gusubira uko nari ndi kera?", nibindi. Ushobora kuba wibaza. Ariko ntugahangayike. Ntabwo biteye ubwoba nkuko ubyibwira. Uyu munsi, tuzabivugaho mu buryo bworoshye cyane ushobora gusobanukirwa.
Mu magambo make, colostomy ni iki?
Uburyo bwo kubaga buhindura uburyo umubiri wawe uca mu mwenda. Ubusanzwe, umwenda wacu usohoka unyuze mu kibuno. Ariko iyo igice cy'amara yacu cyangiritse bitewe n'indwara cyangwa impanuka, bishobora kuba ngombwa guha icyo gice ikiruhuko cyangwa kugikuraho burundu, maze hagashyirwaho inzira nshya yo gusohokamo umwenda.
Muri ubu buryo, umuganga ubaga akora umwobo muto, cyangwa umwobo, mu rukuta rw'inda yawe ugaragara ku ruhu. Ibi tubyita stoma . Hanyuma, igice cy'amara yawe manini (colon) kirafatwa kigahuzwa n'iyi stoma.
Rero nyuma yo kubagwa, ntuzakenera kujya mu bwiherero nk'uko bisanzwe. Ahubwo, imyanda yo mu mubiri wawe, ari yo nyiramugengeri yawe, izava mu gifu cyakorewe mu nda yawe ikayikusanyiriza mu gikapu cyihariye (colostomy bag) gifatanye na cyo.
Hari abantu bagira iki kibazo cyo mu nda by'agateganyo, mu gihe cy'amezi make gusa. Ariko hari abantu bagomba kukibana ubuzima bwabo bwose. Ibi byose biterwa n'uburwayi bwawe. Muganga wawe azabigusobanurira birambuye.
Ese hari ubwoko bwa colostomy?
Yego, hari ubwoko bwinshi bwa colostomie. Ubu bwoko bushyirwa mu byiciro hakurikijwe igice cy'amara manini (colon) gifitanye isano n'urukuta rw'inda. Reka turebe ubwoko bw'ingenzi.
| Ubwoko bwa colostomy | Ibisobanuro n'imiterere y'amase |
|---|---|
| Sigmoid Colostomy | Ubu ni bwo bwoko bukunze kugaragara cyane. Muri ubu buryo, igice cya nyuma cy'amara manini (sigmoid colon) gifatanye n'uruhu ruri ibumoso bw'inda. Kubera ko amabyi agenda ndende mu mara agasohoka, akenshi aba akomeye . |
| Igabanuka ry'ururabo rw'amaraso | Aha, igice cy'amara manini ku ruhande rw'ibumoso, hejuru gato y'igice gisa na 'S' (urura rumanuka), gifatanye n'uruhu. Imboro isohoka hano iba ikomeye cyane . |
| Udukoko two mu bwoko bwa "Transverse Colostomy" | Muri ubu buryo, igice cyo hejuru cy'amara manini (transverse colon), gica mu nda, kiba gifatanye n'uruhu. Ibi akenshi bikorwa by'agateganyo. Ibi bikorwa kugira ngo igice cy'amara cyangiritse kiruhuke mu gihe gikira. Amase asohoka hano aba afite amazi kandi yoroshye kuko kimwe cya kabiri cy'amara kiba cyaragenze. |
Muganga wawe n'umuganga uzabaga nibo bazahitamo ubwoko bw'indwara ikubereye.
Kuki umuntu agomba kubagwa indorerwamo z'uruhu (colostomy)?
Hari impamvu nyinshi zishobora gutuma habaho isuzuma rya colostomy. Zimwe ni iz'igihe gito, izindi zikaba iz'igihe kirekire.
Iyo bikenewe ko ubanza gukora isuzuma ry'igihe gito:
- Diverticulitis: Indwara cyangwa ububyimbirwe bw'amara manini.
- IBD (Indwara y'amara abyimba): Indwara zigira ingaruka ku mara, nk'indwara ya Crohn.
- Ibikomere ku mara: Kwangirika ku mara bitewe n'impanuka.
- Kuziba amara: Kuziba kw'aho umwanda unyura ahantu runaka mu mara.
- Fistula yo mu kibuno: Umuyoboro udasanzwe uri hagati y'ikibuno n'uruhu.
- Kubaga amara amwe: Nyuma yo gukuraho igice cy'amara, kugira ngo agace gahabwe umwanya wo gukira mbere yuko ibice bisigaye bihuzwa.
Iyo bikenewe ko ubanza gukora isuzuma ry’uruhu rihoraho:
- Kudashobora kugenzura umwanda udashobora gukira (Fecal Incontinence).
- Kanseri y'inkondo y'umura iteye imbere.
- Iyo agace k'inyuma n'ikibuno bikuweho burundu mu buryo bwo kubaga.
Witegura ute mbere yo kubagwa?
Kubera ko iki ari igikorwa gikomeye cyo kubaga, hari ibintu bike ugomba kwitegura mbere y’igihe.
- Kuganira na muganga wawe: Mbere yo kubagwa, umuganga wawe azakubwira ibijyanye n'uburyo bwo kubagwa, ingaruka zabyo, n'uburyo ubuzima bwawe buzahinduka nyuma yo kubagwa. Bashobora kandi kuganira ku buryo bwo kugabanya ububabare.
- Ibizamini:Bazakora ibintu nko gupima amaraso no gupimwa EKG kugira ngo barebe niba ukwiriye kubagwa.
- Kumenya aho washyira stoma yawe: Umuforomokazi w’inzobere mu kuvura indwara zo mu nda (WOCN) azajya akwigisha uburyo bwo gukoresha stoma yawe n’agafuka kayo. Bazagufasha kandi guhitamo ahantu heza ho gushyira stoma yawe, aho bitazabangamira imyenda yawe cyangwa imirimo yawe ya buri munsi.
- Ku munsi wo kubagwa: Ugomba kwirinda kurya amasaha 6 mbere yo kubagwa. Ugomba kandi kureka kunywa ibinyobwa, nk'amazi, amasaha 2 mbere yo kubagwa. Muganga wawe ashobora kukugira inama yo gufata imiti yo kwisiga amara kugira ngo igufashe gusukura amara yawe.
Ni iki kibaho nyuma yo kubagwa? N'ingorane zishobora kubaho
Nyuma yo kubagwa, uzamara mu bitaro iminsi 3 kugeza kuri 7. Muri iki gihe, uzatangira kurya neza buhoro buhoro. Abakozi b'abaforomo bazakwigisha byose ukeneye kumenya ku bijyanye no kwita ku ibere ryawe no guhindura isakoshi yawe.
Kubaga intanga ngabo muri rusange ni uburyo bwizewe, ariko kimwe n'ubundi buryo bwose bwo kubaga, hari ingaruka zimwe na zimwe.
| Ingorane zishoboka | Ibisobanuro |
|---|---|
| Uburibwe bw'uruhu | Uruhu rukikije stoma rushobora gutukura no kubabara bitewe no gukora ku mwanda. Iki ni ikibazo gikunze kugaragara. Gukoresha ishashi ijyanye neza bishobora gufasha cyane gukemura iki kibazo. |
| Kuziba amara | Inkovu ziva mu mubiri nyuma yo kubagwa zishobora gutuma umwanda ugorana. Ibi akenshi bishobora kuvurwa n'imiti yo mu nda. |
| Impinduka mu gifu | Stoma ishobora kwisubira inyuma (gusubira inyuma) cyangwa ikagera kure cyane y'uruhu (gutembera inyuma). Ibi bishobora gutuma bigorana gushyira agafuka neza. |
| Hernia yo mu nda | Imitsi ikikije stoma iracika intege, bigatuma igice cy'amara gitangira kwinjira. Ibi bisa n'ikibyimba kiri hafi ya stoma. |
Igihe cyo guhamagara muganga wawe
- Kuramba mu impatwe cyangwa impiswi.
- Isesemi cyangwa kuruka.
- Amaraso mu ntebe.
- Impinduka mu ibara cyangwa ingano ya stoma.
- Impumuro mbi ituruka mu gifu cyangwa ikaziba.
- Umuriro cyangwa ububabare bukabije mu gifu.
Niba ufite kimwe muri ibi bimenyetso, ugomba guhita uhamagara muganga wawe . Mu gihe cy’impanuka, jya mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe.
Ubuzima bumeze bute iyo umuntu afite isakoshi?
Iki ni cyo kibazo gikomeye ku bantu benshi.
- Uburyo kujya mu bwiherero bizahinduka: Nyuma yo kubagwa, umwanda uzava mu kibuno. Niba ugifite ikibuno, rimwe na rimwe ushobora kugira ururenda ruto. Ibi ni ibisanzwe. Umucanga mushya uzava mu kibuno. Icy'ingenzi ni uko, bitandukanye n'umura, umucanga udafite imitsi ishobora guhagarika umwanda. Kubwibyo, ntushobora kugenzura uko umwanda unyura. Bibaho mu buryo bwikora.
- Ese buri gihe ugomba kwitwaza isakoshi?
Abantu benshi bambara isakoshi buri gihe. Muri iki gihe amasakoshi ni magufi cyane ku buryo atagaragara hejuru y'imyenda. Bityo rero ushobora kwambara imyenda iyo ari yo yose ushaka. Hari abantu bafite sigmoid colostomy bashobora kumenya igihe bazava mu nda. Bashobora gukoresha isakoshi gusa muri ibyo bihe.
- Ese ibara ry'uruhu ry'agateganyo rishobora guhindurwa?
Yego. Niba colostomy yawe ari iy'igihe gito, ushobora kongera kubagwa kugira ngo wongere umere nk'uko yari imeze mbere igihe ubuzima bwawe buzaba bwiza. Muganga wawe ni we uzagena igihe cyo kubikora. Bishobora gufata amezi make cyangwa umwaka.
Ubutumwa bwo kujyana mu rugo
- Gukoresha imashini yo mu bwoko bwa colostomy ni uburyo bwo kurokora ubuzima, akenshi bukaba ari ngombwa. Ntukagire ubwoba burenze urugero.
- Nyuma yo kubagwa, umwanda ufatwa mu gafuka gafatanye n'umwenge (stoma) wakorewe ku ruhu rw'inda. Ibi ntibishobora gukemurwa.
- Ni ingenzi cyane kugira ngo stoma n'uruhu ruyikikije bisukure. Uzahabwa amabwiriza arambuye kuri ibi mu bitaro.
- Niba ufite ikibazo cyangwa impungenge, vugana na muganga wawe cyangwa abakozi b'abaforomo ku byerekeye icyo kibazo mu buryo bweruye. Ntugatinye.
- Ushobora kubaho ubuzima busanzwe kandi bwuzuye hamwe na colostomy. Ntabwo uri wenyine, hari abandi benshi babayeho batyo.
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