Ese ufite uruhago rwavunitse? (Uruhago rwavunitse) Reka tubimenye!

Ese hari igihe wumva udashobora kunyara? Cyangwa wumva uruhago rwawe rwuzuye kandi ruremereye? Iyo iki kibazo kikomeje, ushobora kuba ufite indwara yitwa 'Indaya Ivurunganye'. Ntugahangayike, tuzabiganiraho birambuye.

Uruhago ruvungaguritse ni iki?

Mu magambo make, 'uruhago rworoshye' ni igihe uruhago rwawe, agafuka gafata inkari zawe, kaba kanini kandi kakabyimba kurusha uko bisanzwe. Tekereza nk'umupira. Iyo wuzuye amazi, umupira urabyimba, sibyo? Uko ni ko biba bimeze.

Impamvu nyamukuru ibi ni uko inkari zidatembera neza kandi zikirunda mu ruhago . Mu buvuzi, ibi tubyita 'Urinary Retention'. Ariko, si abantu bose bafite 'Urinary Retention' bafite uruhago rwabyimbye.

Noneho reba, impyiko zacu nizo ziyungurura amazi n'imyanda bidakenewe mu mubiri zigakora inkari. Inkari zikorwa muri ubu buryo zibikwa mu ruhago kugeza igihe tugomba kunyara. Iyo uruhago rwuzuye, rwohereza ubutumwa ku bwonko bwacu buti "Sawa, nkeneye kunyara ubu ngubu."

Kugumana inkari ni igihe uruhago rwawe rwuzuye, ariko ntushobora kurukuraho burundu. Hanyuma bigenda bite? Uruhago rurakura buhoro buhoro rukagenda rukura, cyangwa rukabyimba, kugira ngo rufate inkari nyinshi. Ibyo ni byo twita 'uruhago rwavunitse.'

Ese iki ni ikibazo cyihutirwa cy’ubuvuzi?

Ubusanzwe uruhago rworoshye ntirukunze kuba ikibazo cyihutirwa. Ariko, niba udashobora kunyara na gato, cyangwa urimo gusa inkari nke, kandi bikaba bijyana n'ububabare bukabije, bishobora kuba ikibazo cyihutirwa. Ibi byitwa guhagarara kw'inkari mu buryo butunguranye. Niba udashobora kunyara ufite ububabare bukabije nk'ubwo, ni byiza guhita ugisha inama muganga.

Ni ibihe bimenyetso by'ububyimbirwe bw'uruhago?

Muri iki gihe, ushobora kubona ibimenyetso nk'ibi:

• Inkari zisohoka (ibi kandi tubyita 'kutagira indonke mu nkari').
• Gukenera kunyara byihutirwa kandi bitunguranye.
• Kumva ububabare, igitutu, cyangwa gufungana mu nda yo hasi cyangwa hafi yayo.
• Ibindi bimenyetso byerekana ko inkari ziguma mu myanya yazo birimo gusohora inkari nke cyane, inkari zitagira imbaraga, cyangwa kumva ukeneye kongera kunyara nyuma yo kurangiza kunyara .

Ariko, hari abantu bashobora kutabona ibi bimenyetso by'ingenzi.

Ni iki gitera ibi?

Impamvu nyamukuru ituma inkari zibyimba ni uko inkari zidatembera neza kandi zikiyongera. Hari impamvu nyinshi zishobora kubitera. Reka turebe izo ari zo:

• Kwivanga:
• Amabuye yo mu rukenyerero
• Ikibyimba (`Ikibyimba`)
• Prostate yagutse ku bagabo
• Ibintu nko kutagira impatwe bishobora kuziba inzira y'inkari.
• Iyo uruhago rw'umwana rubyimbye mu nda (`Fetal megacystis`), impamvu nyamukuru ni indwara yitwa ``Lower urinary tract obstructions (LUTOs)``. Ni ukuvuga ko hari closure mu gice cyo hasi cy'inkari.

• Kubyimba (kubyimba):
• Niba hari ububyimbirwe mu ruhago cyangwa mu muyoboro w'inkari (umuyoboro utwara inkari ziva mu ruhago), bishobora kandi kukubuza gusohora inkari zawe neza.
• Ubwo bwoko bw'indwara zo kubyimba bushobora guterwa n'imvune cyangwa indwara zo mu nzira y'inkari.

• Indwara z'imitsi:
• Indwara zimwe na zimwe, nka multiple sclerosis (MS), Parkinson's, Alzheimer's, na stroke, ndetse n'imiti imwe n'imwe (cyane cyane opioids), zishobora gutuma ubwonko budatanga ibimenyetso neza iyo uruhago rwuzuye. Ibi bishobora gutuma bigorana gukuramo uruhago rwawe ku gihe.

• Kubaga:
• Anesthesia, ikoreshwa mu kugabanya ububabare mu gihe cyo kubagwa, rimwe na rimwe ishobora kubangamira ubushobozi bwo gukuramo ubusa mu ruhago.
• Inkovu cyangwa kubyimba biterwa no kubagwa mu kibuno nabyo bishobora gutuma uruhago cyangwa urwa kijyambere biziba.

Ni izihe ngorane zishobora guterwa no kubyimba k'uruhago?

Hari igihe, ndetse na nyuma yo kuvurwa, kubyimba uruhago bishobora gutera ingorane mu kunyara (`Uburibwe bw'uruhago`). Urugero:

• Kubura gato kw'inkari.
• Kumva ukeneye kunyara nubwo utabikeneye.
• Kudashobora gukuramo burundu uruhago.

Ubimenya ute?

Iyo ugiye kwa muganga, azakubaza ibimenyetso byawe kandi akagusuzuma. Ashobora gukanda ku nda yo hasi akakubaza niba hari ububabare ufite. Niba akeka ko uruhago rwawe rwabyimbye, ashobora gusaba ikintu nk'isuzuma rya ultrasound.

Niba uri umubyeyi utwite, ultrasound yo mu gihe cyo kubyara ishobora rimwe na rimwe kugaragaza ko uruhago rw'umwana wawe rwabyimbye.

Ni ibihe bizamini bikorwa kuri ibi?

Abaganga bashobora gusuzuma iyi ndwara bareba uruhago rwawe bakoresheje ultrasound. By'umwihariko, bashobora gukoresha 'ikizamini cy'inkari gisigaye nyuma yo kuvamo ubusa' kugira ngo barebe uburyo usohora neza uruhago rwawe. Ibi bikubiyemo kureba uruhago rwawe ukoresheje imashini ya 'ultrasound' nyuma yo kurangiza kunyara (nyuma yo kuvamo inkari nyinshi uko bishoboka kose). Bishobora kandi gufasha kumenya icyateye ikibazo icyo ari cyo cyose.

Muganga ashobora kandi gukora ibizamini by'inyongera kugira ngo amenye impamvu ituma inkari ziguma mu mubiri.

Ibi bivurwa bite?

Abaganga ahanini bavura ibi bakuraho inkari nyinshi ziba zarundanyije mu ruhago. Niba udashobora kunyara na gato, ikintu cya mbere muganga wawe azakora ni ukuvana inkari mbere yo kugerageza gushaka icyayiteye cyangwa gukora ikindi gipimo.

Hanyuma, impamvu nyamukuru y’iyi ndwara (akenshi ifata inkari) iramenyekana ikavurwa. Ibi bishobora kuba birimo imiti, kubagwa, cyangwa ubundi buryo.

Kubyimba k'uruhago rw'umwana uri mu nda y'umubyeyi (fetal megacystis) rimwe na rimwe bishobora kumera ubwabyo uko umwana agenda akura.

Uburyo bwihariye bwo kuvura kubyimba k'uruhago

Uburyo bukunze gukoreshwa cyane ni "Transurethral bladder catheterization." Ibi bikubiyemo gushyira umuyoboro muto (catheter) unyuze mu muyoboro wawe w'inkari (aho inkari zica) mu ruhago rwawe hanyuma ugasohora inkari. Muganga ashobora gukoresha uyu muyoboro kugira ngo asukemo inkari rimwe, cyangwa akawusiga mu mwanya wawo iminsi cyangwa ibyumweru bike.

Kuvura cyangwa kutavura umwana uri mu nda biterwa n'uko ibintu bimeze. Uburyo bwo kuvura burimo:

• Vesicocentesis: Uburyo umuganga akoresha urushinge kugira ngo akure amazi mu ruhago rw'umwana uri mu nda.
• Vesicoamniotic shunt: Muganga ashyira umuyoboro mu ruhago rw'umwana uri mu nda maze akawusohoramo amazi.

Ingaruka mbi zo kuvurwa

Nyuma yo gukuraho catheter, ushobora guhura n'ibintu nk'ibi:

• Amaraso make mu nkari (`Hematuria`).
• Gukenera kunyara kenshi.
• Umuvuduko w'amaraso uri hasi (hypotension).

Ariko ntugahangayike, akenshi izi ngaruka mbi ziba iz'igihe gito kandi zizagenda zikira mu minsi mike.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Uzatangira kumva uhumurijwe na muganga akimara gukuramo amaraso mu ruhago rwawe. Igihe uzakenera kuvurwa gishingiye ku mpamvu yatumye inkari zawe ziguma mu mubiri.

Ni iki nakwitega mu gihe mfite ububyimbirwe bw'uruhago?

Uruhago rubyimbye rushobora kubabaza, kandi bishobora gusobanura ko utari kunyara bihagije. Ibi bishobora kuvurwa no gushyiramo katheteri kugira ngo uvane amazi mu ruhago. Ushobora kandi gukenera gukomeza kuvurwa impamvu y’intandaro.

Niba utwite kandi umwana wawe uri mu nda afite kubyimba uruhago rw'inkari, vugana n'umuganga wawe wita ku bana batwite kugira ngo ubone amakuru arambuye.

Ese ububyimbirwe bw'uruhago bushobora kwirindwa?

Niba ufite indwara zidakira zishobora gutuma inkari ziguma mu mwanya wazo, kuzifata neza bishobora gufasha kwirinda kubyimba uruhago rw'inkari. Ariko, rimwe na rimwe, nko kubyimba uruhago nyuma yo kubagwa cyangwa se kubyimba uruhago rw'umwana uri mu nda, ntibishoboka kubikumira.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Niba udashobora kunyara kandi ukababara cyane, jya mu cyumba cy’ubutabazi kiri hafi yawe cyangwa ushake inama kwa muganga vuba. Gufata inkari cyane ni ikibazo cyihutirwa. Ntukirengagize.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Bishobora kuba byiza kubaza muganga wawe ibibazo nk'ibi:

• Kuki ibi byambayeho?
• Ni iki nakora kugira ngo ngire icyo kintu nk'iki kitazongera kubaho?
• Ni ubuhe buryo bwo kuvura mfite?
• Ese nkeneye gukomeza kuvurwa?

Amaherezo, ibintu byo kwibuka

Ubusanzwe kubyimba kw'inkari bishobora kuvurwa no gukuramo ubusa mu ruhago. Ariko, ni ngombwa kuvura impamvu nyamukuru ituma inkari ziguma mu mwanya wazo. Niba ufite ikibazo cyo kunyara, cyangwa niba ubabara mu nda yo hasi cyangwa hafi yayo, cyane cyane niba uherutse kubagwa, bwira muganga wawe. Kubyimba kw'inkari si ikibazo cyihutirwa, ariko kunanirwa kunyara na gato bishobora kuba ikibazo. Niba rero ufite impungenge, ntuzigere utinda gushaka inama kwa muganga. Ubuzima bwawe ni ingenzi cyane kuri wewe.

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