Craniotomy: Ntugatinye kubagwa ubwonko, reka tubyigeho mu buryo bworoshye

Iyo twumvise ijambo kubaga ubwonko, buri wese agira ubwoba, si byo se? Bisa nkaho ari ikintu gikomeye cyane kuri twe. Nibyo, si ikintu cyoroshye. Ariko rimwe na rimwe kubaga nk'uko biba bikenewe kugira ngo umuntu arokore ubuzima bwe. Kubaga craniotomy ni uburyo bwo kurokora ubuzima , kandi budasanzwe. Uyu munsi, reka twikureho ubwoba kuri ibi kandi tuvuge gusa icyo ari cyo, impamvu bikorwa, n'uko bibaho.

Mu magambo make, gukorerwa craniotomy ni iki?

Mu magambo make, iki ni igihe umuganga w’indwara z’imitsi akura igice cy’igufwa ry’agahanga kawe by’agateganyo kugira ngo agere ku bwonko bwawe. Ni nko gufungura urugi, ukinjira, ugakora icyo ukeneye gukora cyose, hanyuma ukongera ugafunga urugi. Iyo kubagwa kurangiye, igice cy’agahanga cyakuweho gisubizwa mu mwanya wacyo.

Iki gikorwa ni igikorwa gikomeye. Abaganga bakunze gukoresha iki gikorwa mu bihe bishobora gushyira ubuzima bwabo mu kaga, urugero nk'indwara ya kanseri yo mu bwonko, kuva amaraso mu bwonko, cyangwa imvune yo mu mutwe yatewe n'impanuka ikomeye.

Ni irihe tandukaniro riri hagati ya Craniotomy na Cranioctomie?

Nubwo aya magambo yombi ashobora kumvikana nk'aho asa, hari itandukaniro rito ariko rikomeye cyane hagati y'ubu buvuzi bubiri.

Tekereza ko mu gihe cyo gukorerwa craniotomy , igice cy'igufwa cyakuwe mu gahanga cyongeye gushyirwaho mu gihe cyo kubagwa kimwe. Ariko mu gihe cyo gukorerwa craniotomy , igice cy'igufwa cyakuweho nticyongera gushyirwaho ako kanya. Iyo ubwonko bubyimbye, agahanga gasigara gafunguye kugeza igihe ikibyimba kigabanutse, hanyuma umwanya ugafungwa n'ubundi buryo bwitwa cranioplasty nyuma. Iryo ni ryo tandukaniro rikomeye.

Ese hari ubwoko butandukanye bwo kubaga craniotomie?

Yego, hari ubwoko butandukanye bw'ubu buryo bwo kubaga, bitewe n'aho agahanga gafungurirwa kugira ngo kagere ku kibazo kiri mu bwonko. Nubwo aya mazina ashobora gusa n'atangaje, yerekeza ku gace k'agahanga karimo.

Ni ubuhe bwoko bw'indwara zivurwa hakoreshejwe craniotomy?

Hari impamvu nyinshi zishobora gutuma ubu bubagwa bukorwa, zose zikaba zirimo ibibazo bikomeye byo mu bwonko.

Ni gute nakwitegura mbere yo kubagwa?

Mbere yo kubagwa, muganga wawe azagusuzuma neza kandi ateganye uburyo bwo kubagwa neza. Kugira ngo abigereho, azakenera gukora ibizamini byinshi.

• Isuzuma ry'umubiri
• Gupima amaraso
• Gupima byihariye nka MRI , CT scan , PET scan cyangwa Angiography

Nyuma y'ibi bizamini, muganga wawe azagusobanurira neza uko uzabagwa, ingaruka mbi zishobora kubaho, igihe cyo gukira, kandi aguhe amabwiriza y'icyo wakora mbere yo kubagwa.

• Ugomba kwirirwa ushonje ku munsi wo kubagwa.
• Niba ufata imiti igabanya amaraso , uzasabwa kureka kuyifata iminsi mike mbere yo kubagwa.
• Ushobora gusabwa gutangira imiti, nka antibiyotike, hakiri kare kugira ngo wirinde kwandura.

Ni iki mu by'ukuri kibaho mu gihe cyo kubagwa?

Ku munsi wo kubagwa, uzabanza uhabwe ikinya. Ibi bivuze ko uzahabwa imiti kugira ngo utazagira ububabare. Uzaba usinziriye mu gihe cyose cyo kubagwa.

Hanyuma, mu cyumba cyo kubaga, itsinda rishinzwe kubaga rishyira umutwe wawe mu mwanya ukwiye. Aho kubaga bizakorerwa harogoshwa kandi hasukurwa neza kugira ngo hakureho mikorobe. Hanyuma, muganga atema gato ku ruhu maze akagera ku gahanga.

Noneho, hakoreshejwe ibikoresho byihariye byo kwa muganga, igice cy'agahanga gafite ingano ikwiye kirakurwaho witonze. Iki gice cyakuweho gishyirwa ku ruhande, kugira ngo cyongere gifatanywe igihe abaganga barangije kubaga.

Hanyuma hakaza ikintu cy'ingenzi. Iyo umaze kugera mu bwonko, ukora icyari impamvu yo kubagwa (nk'ugukuraho ikibyimba, gukuraho amaraso apfutse, gukata aneurysm).

Iyo akazi karangiye, agace k'agahanga kakuweho gashyirwa aho kari gasanzwe gakoresheje udupande duto twa titaniyumu n'udupira, hanyuma uruhu rugakorwa hamwe neza.

Ese koko hari igihe ubu bubagwa bukorwa ukiri maso?

Yego, ibyo ni ukuri. Mu bihe bimwe na bimwe byihariye, abaganga bashobora gushaka kureba uko ubwonko bwawe bukora. Cyane cyane niba urimo kubagwa ahantu hagenga imvugo, kureba, cyangwa kugenda, ushobora kuguma uri maso. Ariko ntugahangayike, gusa umutwe wawe uba udafite icyo uvuze icyo gihe. Nta bubabare uzumva.

Ubusanzwe, kubagwa nk'uku bishobora gufata amasaha agera kuri 3-5 , ariko igihe gishobora gutandukana bitewe n'uburemere bw'ibikorerwamo.

Ni iki kibaho nyuma yo kubagwa?

Nyuma yo kubagwa, uzajyanwa mu cyumba cy’indembe (ICU) . Aho ngaho, itsinda ry’abaganga rizakomeza gukurikirana indwara yawe neza. Bazitondera ibintu byose kuva ku gutera k’umutima, umuvuduko w’amaraso no guhumeka.

Mu minsi mike, uzongera kwimurirwa mu cyumba gisanzwe cy’abarwayi kandi uzamara icyumweru kimwe mu bitaro. Muri iki gihe, ikintu cy’ingenzi ugomba gukora ni ukuruhuka mu buriri umutwe wawe uzamuye gato. Nutaha, uzahabwa amabwiriza menshi y’icyo wakora n’uko wakwitaho.

Nk’uko bigenda mu kubaga kose, hari ingaruka zishobora guterwa n’ibi?

Yego, kimwe no kubagwa kose, hari ingaruka zimwe na zimwe. Ariko abaganga bagerageza uko bashoboye kose kugira ngo bazigabanye. Ingaruka zishobora kubaho ni izi:

• Kuva amaraso
• Ububabare
• Kwandura
• Indwara zo mu mutwe
• Igisebe cy'imitsi
• Kwirundanya kw'amazi ku bwonko (Hydrocephalus)
• Koma

Muganga wawe azakubwira neza ibi byose mbere yo kubagwa.

Bifata igihe kingana iki kugira ngo umuntu akire neza?

Ubusanzwe bifata ibyumweru 6 kugeza kuri 8 kugira ngo umuntu akire neza. Ariko, ibi bishobora gutandukana bitewe n'umuntu ku giti cye kandi bitewe n'imiterere y'iki gikorwa cyo kubagwa. Ni byiza kudakora imyitozo ngororamubiri igoye cyangwa ngo ugire icyo ukora kugeza igihe muganga wawe agutegetse. Bazakubwira igihe ushobora gusubira ku ishuri no ku kazi. Kuruhuka ni cyo kintu cy'ingenzi muri iki gihe.

Ese nshobora kubaho ubuzima busanzwe nyuma yo kubagwa?

Iki ni ikibazo abantu benshi bibaza. Igisubizo ni yego! Abantu benshi barakira burundu nyuma y'uku kubagwa kandi bagakomeza ubuzima bwabo nk'uko bisanzwe nta ngaruka mbi. Rero ntugahangayike.

Niba ufite ibi bimenyetso, hita ubonana na muganga!

Umaze kugera mu rugo, hari ibintu bike ugomba kumenya. Niba ufite kimwe mu bimenyetso biri hepfo, shaka ubufasha kwa muganga byihutirwa.