Wenda wowe cyangwa undi muntu wo mu muryango wawe wabwiwe na muganga ko uzakenera kubagwa uruhago rwawe, byaba bitewe na kanseri y'uruhago cyangwa indi ndwara izamara igihe kirekire. Ni ibisanzwe kumva ufite ubwoba bwinshi n'impungenge iyo wumvise ijambo 'Cystectomy'. Ariko uyu munsi, reka turusheho kumenya ibi. Uku kubagwa ni iki? Kuki bikorwa? Ni iki kiba nyuma yaho? Reka tubiganireho mu buryo bworoshye.
Ni ubuhe bwoko bw'ubuvuzi bwo kuvanga ururenda?
Muri make,
gucibwamo uruhago ni ukubaga kugira ngo ukureho igice cy'uruhago rwawe cyangwa igice cyose. Nkuko mubizi, uruhago ni urugingo rufite ishusho nk'umupira rukusanya kandi rukabika inkari (inkari) zikorwa n'impyiko zacu. Ubu buryo bwo kubaga bukunze gukorwa mu rwego rwo kuvura kanseri y'uruhago. Ariko, rimwe na rimwe abaganga bafata icyemezo cyo kubaga no ku zindi ndwara zitari kanseri (zitari nziza). Ubu si ukubaga gato, ahubwo
ni ukubaga gukomeye . Kuko bikuraho urugingo rw'ingenzi mu mubiri wacu, uruhago.
Ese birashoboka kubaho udafite uruhago?
Yego, urashobora. Ushobora gutungurwa no kumva ibi, ariko birashoboka kubaho udafite uruhago. Ariko nyuma uzagomba gushaka uburyo bushya bwo gusohora inkari zikorwa n'impyiko zacu. Niba muganga akuvanyeho uruhago rwose, bizagutwara igihe kugira ngo umenyere sisitemu nshya. Ariko ntugahangayike, uzashobora gukora byinshi mu byo wakoraga mbere yo kubagwa, ndetse na nyuma yo kubagwa.
Ni iki ugomba kumenya mbere yo kubagwa cystectomy?
Mbere yo kubagwa, muganga wawe azagusuzuma kandi arebe ubuzima bwawe muri rusange. Azagusobanurira kandi ubwoko bw'ubu buryo bwo kubaga azakorera. Hari ubwoko butandukanye bw'ubu buryo bwo kubaga.
- Gukuraho igice cy’uruhago rwawe: Ibi bikubiyemo gukuraho igice cy’uruhago rwawe cyarwaye gusa. Iyo bikozwe kubera kanseri, utunyangingo tw’imitsi tuyikikije na two turakurwaho hanyuma tukareba niba kanseri yarakwirakwiriye. Igice gisigaye cy’uruhago rwawe gishyirwa hamwe kugira ngo gisubize imikorere yacyo mu buryo busanzwe.
- Gukuraho uruhago gusa (Cystectomy) byoroshye (gukuraho uruhago gusa): Ibi bikubiyemo gukuraho uruhago gusa nta kwangiza ingingo zirukikije. Ibi bikunze gukorwa ku ndwara zitari kanseri . Urugero, ibibazo by'inkari biterwa no kwangirika kw'imitsi ( uruhago ruterwa n'imitsi ), imirasireIndwara nka radiation cystite na fistula yo mu nkari ziterwa no kuvurwa.
- Gukuraho uruhago n'ingingo zirukikije mu buryo bwa radical cystectomy (gukuraho uruhago n'ingingo zirukikije): Muri ibi, uruhago rukurwaho burundu, ndetse n'utunyangingo tw'amaraso turukikije.
- Ku mugabo, imiyoboro y'amaraso ikunze gucibwa, hanyuma prostate n'uturemangingo tw'imisemburo bigakurwaho.
- Ku bagore, nyababyeyi, imiyoboro y'inda, intanga ngabo, n'intanga ngabo bikunze gukurwaho. Hari igihe igice cy'urukuta rw'inda gishobora no gukurwaho.
Ni ngombwa kubwira muganga wawe imiti yose ufata (wandikiwe na muganga, uyihabwa ku giciro cya muganga, ndetse n'ibikomoka ku bimera) mbere yo kubagwa. Imiti imwe, cyane cyane imiti igabanya amaraso, ishobora kongera ibyago byo kuva amaraso mu gihe cyo kubagwa. Bityo rero ntugahagarike gufata imiti iyo ari yo yose utarinze kugisha inama muganga wawe.
Kubagwa bikorwa gute?
Ubu buvuzi bukorwa n'itsinda ry'abaganga bayobowe n'inzobere mu by'imiti. Uzahabwa ikinya rusange, bityo ntuzumva ububabare kandi uzaba usinziriye. Hari uburyo bubiri bw'ingenzi bwo kubaga: 1.
Gukuramo ururenda rw'amaraso: Muri ubu buryo, hakorwa icyuho cya santimetero 1.5 hagati y'umukondo n'umura, aho muganga abaga. 2.
Gukuramo ururenda rw'amaraso mu buryo buciriritse: Ibi bishobora gukorwa hakoreshejwe laparoscopic cyangwa robotic. Ibi bikubiyemo gukata uduce duto cyane 5-6 mu nda, aho kamera n'ibikoresho byoroshye bishyirwa. Akamaro k'ibi ni uko inkovu ziba nke kandi igihe cyo gukira kikaba gito.
Uburyo bwo gukora uburyo bushya bwo kunyara
Nyuma yo gukuraho uruhago rwose, hagomba kubaho inzira nshya yo gusohoka mu mubiri w'inkari. Ibi byitwa 'kubaga ukongera kubaka'. Hari uburyo butatu bw'ingenzi bwo kubigeraho.
| Uburyo bwo kongera kubaka | Ni iki kibaho gusa |
|---|
| Umuyoboro wa Ileal | Agace gato k'amara mato karafatwa hanyuma uturemangingo tugahuzwa ku mpera imwe. Indi mpera ifatanye n'uruhu rw'inda, ikajya mu mwobo witwa stoma. Agafuka k'isuku gashyirwa hejuru y'isuka kugira ngo gakusanyirizwe inkari. |
| Guhindura imiterere y'ibice by'umugabane | Ibice by'amara mato n'amanini bikoreshwa mu gukora agapfunyika gato (ikigega) imbere mu mubiri gakusanya inkari. Ibi kandi bihuzwa n'uruhu rw'inda binyuze mu gifu. Ariko nta gapfunyika ko hanze kabaho. Inshuro nyinshi ku munsi, umuyoboro muto (catheter) ushyirwamo kugira ngo usukemo aka gapfunyika. |
| Indwara y'umura | Agace karekare k'amara mato karafatwa kagakoreshwa mu gukora uruhago rushya (Neobladder). Ibi bihuzwa neza n'umuyoboro w'inkari. Bityo ushobora kunyara bisanzwe. Ariko ugomba gufunga imitsi yo mu nda yawe kugira ngo inkari zisohoke. Hari abantu bakeneye gukoresha catheter kugira ngo bayikuremo burundu. |
Muganga wawe azaganira nawe maze ahitemo uburyo bukubereye.
Ni iki wakwitega nyuma yo kubagwa?
Nyuma yo kubagwa, uzajya mu cyumba cy’ubuvuzi. Ibisebe bizapfundikirwa. Uzahabwa imiti igabanya ububabare. Igihe uzamara mu bitaro kizatandukana bitewe n’ubwoko bw’ikibagwa wakorewe. Ku bisebe bito, uzamara mu bitaro umunsi umwe cyangwa ibiri, naho ku bisebe bifunguye, uzamara mu bitaro mu gihe cy’icyumweru. Muri iki gihe, abakozi b’abaforomo bazakwitaho neza. Niba ufite agasakoshi kabigenewe, uzigishwa uburyo bwo kugakoresha, gukuramo ubusa, no kugahindura. Bishobora gufata
ibyumweru bike kugeza ku mezi make kugira ngo ukire neza.
Ni izihe ngaruka mbi zishobora guterwa n'ubu buvuzi?
Nk’uko bigenda ku kubagwa gukomeye kose, uku kubagwa gufite ingaruka zimwe na zimwe.
- Kuva amaraso
- Kuvura amaraso
- Indwara zandurira mu mubiri
- Ibibazo byo mu mara (kuribwa mu nda, impiswi)
- Kuziba kw'inkari bitewe n'inkovu z'umubiri
- Kwangirika ku zindi ngingo z'umubiri
- Ubwinshi bw'amazi mu gace karimo gucibwamo (seroma)
Abagabo bamwe bashobora kugira ibibazo byo guhagarara. Abagore bashobora kugira ingorane mu mibonano mpuzabitsina iyo igice cy'igitsina gikuwemo. Ntutinye kuvugana na muganga wawe kuri ibi bibazo by'imibonano mpuzabitsina.
Ni ryari ugomba guhita ubonana na muganga?
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa,
menyesha muganga wawe ako kanya cyangwa ujye mu
bitaro bikuru by’ubutabazi bw’ibanze (ETU) .
Ibimenyetso byo kwitondera
| Ibimenyetso by'ubwandu | Umuriro, ubukonje, inkari z'umwijima cyangwa iz'ibicu. |
| Ibibazo ku hantu hakorewe incision | Kuva amaraso menshi, kubyimba, ububabare, cyangwa kwiyongera kw'ibibyimba. |
| Ibibazo by'igifu | Igituza ni umukara, umukara, cyangwa umuhengeri wijimye. |
| Ibindi bimenyetso bikomeye | Isesemi no kuruka bidashira, ububabare bukabije, kunanirwa cyangwa kugorwa no kunyara. |
Ubutumwa bwo kujyana mu rugo
- Kubaga ururenda ni uburyo bukomeye bwo kubaga bufasha mu kurokora ubuzima bukorerwa ku ndwara nka kanseri y'uruhago.
- Birashoboka kubaho udafite uruhago. Hari uburyo butandukanye bwo kongera kubaka umubiri kugira ngo urekure inkari. Vugana na muganga wawe ku buryo bwiza kuri wewe.
- Bifata igihe kugira ngo umenyere impinduka mu mubiri wawe nyuma yo kubagwa. Ibi ni ibisanzwe. Ntugatinye kubona ubufasha bw'amarangamutima n'ubw'umubiri ukeneye.
- Mu gihe cyo gukira, ni ngombwa cyane gushaka inama z'abaganga vuba mu gihe habayeho ibimenyetso by'umuburo.
- Iyo ufashwe neza kandi ukagira imyumvire myiza, ushobora gukomeza kugira ubuzima bwiza ndetse na nyuma yo kubagwa.
Kubaga ururenda, gukuraho uruhago, kanseri y'uruhago, urostomy, ostomy bag, neobladder, kubaga, urology, inkari
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