Ese umwana wawe arwara indwara zo mu nkari kenshi (UTIs)? Muganga ashobora kuba yarakubwiye ko ibi biterwa nuko inkari zitemba ziva mu ruhago zigana mu mpyiko. Mu buvuzi, iyi ndwara yitwa Vesicoureteral Reflux (VUR) . Ntugatinye kumva iri zina ngo utekereze ko ari indwara ikomeye. Iyi ni indwara igaragara mu bana. Ubu hari uburyo bworoshye cyane bwo kuvura, bwizewe kandi bufite akamaro. Uyu munsi, turimo kuvuga ku buryo bwo kuvura bwitwa Deflux .
Deflux ni iki?
Muri make, Deflux ni ikintu cy'amazi kimeze nk'ijeli. Itangwa nk'urushinge. Ikora mu guhagarika inkari gusubira mu miyoboro y'inkari, imiyoboro ijyana inkari mu mpyiko mu ruhago.
Tekereza nk'agace k'amazi kari mu miyoboro iva mu kigega cyacu cy'amazi mu rugo kagenewe kwemerera amazi gutembera mu cyerekezo kimwe gusa. Nanone, iyo iyi Deflux gel ishyizwe mu gace aho urethra ihurira n'uruhago, havuka akantu gato gakora nk'agace karemano. Ibi bituma inkari zitembera mu cyerekezo cyiza, ni ukuvuga zisohoka mu ruhago, kandi bikayibuza burundu gusubira inyuma.
Ubu buvuzi bukorwa n'umuganga w'inzobere mu ndwara z'inkari. Cystoscopy ni uburyo bworoshye bwo gushyiramo umuyoboro w'inkari (cystoscope) mu ruhago.
Ni ibihe bibazo bisaba kuvurwa na Deflux?
Ubu buryo bwo kuvura bukunze gukoreshwa mu kuvura VUR, indwara igaragara mu bana. Ariko, rimwe na rimwe ikoreshwa no ku bantu bakuru. VUR ishobora gutuma inkari zisubira inyuma mu mpyiko. Akaga ni uko ibi bishobora gutera indwara zo mu nzira y'inkari kenshi, inkovu mu mpyiko, n'izindi ngorane uko igihe kigenda gihita.
Ku bana benshi, VUR izakira ubwayo uko bagenda bakura. Ariko, Deflux ni igisubizo cyiza cyo kwirinda kwangirika kw'impyiko mu gihe utegereje ko ikira.
Tekereza umwana wawe arwaye indwara yo mu nzira y'inkari iterwa n'umuriro buri mezi make. Afata imiti buri gihe, ariko igakomeza kugaruka. Iyo muganga akoze ibizamini ni bwo amenya ko afite VUR. Iki ni cyo gihe ubuvuzi bwa Deflux buba ingirakamaro cyane.
| Ingaruka z'indwara ya VUR | Igisubizo cyatanzwe na Deflux |
|---|---|
| Indwara zikunze kugaragara mu nzira y'inkari (UTIs). | Bibuza inkari gutembera inyuma, bikarinda bagiteri kugera mu mpyiko kandi bikagabanya ibyago byo kwandura. |
| Inkovu mu mpyiko uko igihe kigenda gihita. | Irinda impyiko, ikarinda kwangirika n'ingorane z'igihe kirekire. |
| Umwana afite ubushobozi bwo gukira mu buryo busanzwe uko akura. | Ikora nk'uburinzi ku mpyiko kugeza igihe umubiri w'umwana ukize mu buryo busanzwe. |
Iyi Deflux ikozwe n'iki?
Nta kibazo kirimo kuri iki gicuruzwa. Cyakozwe mu bintu karemano kandi bishobora kubora.
- Dextranomer: Iyi ni polysaccharide, karubohidrati igizwe n'isukari. Ikoreshwa kandi mu gukora imiti n'ibicuruzwa bisukura ibisebe.
- Jeli ya aside Hyaluronic: Iyi nayo ni polysaccharide. Ni ikintu kibaho mu buryo busanzwe mu mibiri yacu. Ushobora kuba warumvise ko ikoreshwa cyane mu bikoresho by'ubwiza kuko ifasha mu koroshya uruhu.
Iyi gel isimburwa n'ingingo zacu uko igihe kigenda gihita kandi umubiri ukayinjiramo neza. Ariko, ntabwo bigira ingaruka ku ntsinzi y'ubuvuzi.
Witegura ute kuvurwa kandi bikorwa ute?
Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi. Ubusanzwe, uzasabwa kwiyiriza ubusa amasaha make mbere yo kuvurwa. Ni ngombwa kandi kumenyesha muganga wawe indi miti iyo ari yo yose ufata. Ntugahagarike gufata imiti yawe cyangwa iy'umwana wawe nta nama muganga wawe aguhaye.
Uburyo bwo kuvura buroroshye cyane:
1. Ubwa mbere, umwana ahabwa ikinya rusange . Bityo nta bubabare cyangwa ngo agire ikibazo.
2. Agakoresho ko gusiga ibinure gashyirwa ku muyoboro w'inkari.
3. Hanyuma, umuyoboro muto ufite kamera ifatanye (cystoscope) unyura mu muyoboro w'inkari ukagera mu ruhago.
4. Kugira ngo irebe neza imbere mu ruhago, yuzuyemo umunyu.
5. Hanyuma, urushinge runyuzwa muri uwo muyoboro hanyuma Deflux gel igaterwa mu gace aho urethra ihurira n'uruhago.
6. Iyo akazi karangiye, urushinge n'umuyoboro birakurwaho, hanyuma amazi yose ari mu ruhago arakurwaho.
Igikorwa cyose kimara munsi y'iminota 30. Ubu buryo si ubwo kwa muganga ugiye hanze. Ibi bivuze ko ushobora gutaha ako kanya nyuma yo kuvura.
Ni iki kibaho nyuma yo kuvurwa? Kandi ni iki ugomba kwitondera
Nyuma yo kuvurwa, umwana wawe ashobora kumva afite isereri gato. Ni byiza kuruhuka mu rugo umunsi wose. Muganga ashobora kandi gukora ikindi kizamini (voiding cystourethrogram - VCUG) kugira ngo arebe niba ubuvuzi bwagenze neza.
Ni ibisanzwe kubona ibi bikurikira mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo kuvurwa:
- Kudashaka kunyara cyangwa kunywa ibinyobwa.
- Kuvuga ubushye cyangwa ububabare igihe uri kunyara.
- Kunanirwa kwihagarika cyangwa kunyara ku buriri.
- Ibara ry'umutuku mu nkari.
Ibi bizashira burundu mu munsi umwe cyangwa ibiri. Menya neza ko umwana wawe anywa ibinyobwa byinshi. Nanone, witondere kutarenga amasaha 8 ataranyara.
| Igihe cyo guhamagara muganga wawe ako kanya | |
|---|---|
| Kunanirwa kunyara | Iyo umwana amaze amasaha 8-10 adakora inkari. |
| Ububabare bukabije | Kubabara mu gihe cyo kunyara, cyangwa ububabare bukomeye mu nda, mu mugongo, cyangwa ku mpande, bikomeza iminsi ibiri nyuma yo kuvurwa. |
| Umuriro | Iyo ubushyuhe bw'umubiri buri hejuru ya selisiyusi 38.6 (101.5 Fahrenheit). |
| Ibindi bintu | Kuruka kenshi, kubabara mu ruhago mu gihe kirenga amasaha 24, cyangwa kubabara umugongo/ikibuno. |
Ubuvuzi bwa Deflux bugira igipimo cyiza kiri hagati ya 70% na 93%. Ibisubizo biba byiza cyane cyane mu ntangiriro z'indwara (VUR yo mu rwego rwo hasi).
Ubutumwa bwo kujyana mu rugo
- VUR (retrograde urinary tract infection) ni indwara ikunze kugaragara mu bana. Ishobora gutera indwara zikunze kugaragara mu miyoboro y'inkari no kwangiza impyiko.
- Deflux ni uburyo bwiza bwo kuvura inshinge, bworoshye kandi bufite akamaro.
- Ibi bifata iminota itarenze 30, bikorwa ukoresheje ikinya, kandi ushobora gutaha uwo munsi utagombye kuguma mu bitaro. Igihe cyo gukira ni gito cyane.
- Buri buryo bwo kuvura bufite ibyiza n'ibibi byabwo. Rero, hitamo uburyo bwiza bwo kuvura umwana wawe, vugana na muganga wawe, hanyuma umenye ibisobanuro byose.
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