Ushobora kuba urwaye indwara ya diverticulitis, indwara itera ububabare buhoraho mu nda yawe n'umuriro. Iyo indwara yawe igoye kuyigenzura nubwo wafashe imiti n'ubundi buryo bwo kuyivura, muganga wawe ashobora kukugira inama yo kubagwa. Rero ni ibisanzwe kumva ufite ubwoba gato iyo avuze ibyo. Ariko, umaze kumenya neza icyo gikorwa, uko kikorwa, n'uko bigenda nyuma yaho, ubwoba bwawe buzashira. Uyu munsi, reka tuvuge kuri ubu buryo bwo kubaga diverticulitis.
Kuki dukeneye kubagwa indwara ya diverticulitis?
Mu magambo make, diverticulitis ni indwara aho udupfunyika duto (diverticula) twibasira inkuta z'amara yacu, twita diverticula mu buvuzi, twandura cyangwa tukabyimba. Iyo iyi ndwara ibaye ikomeye ni bwo hatekerezwa kubagwa.
Mubisanzwe, muganga wawe azagusaba kubagwa mu bihe bikurikira:
- Iyo indwara idashobora gukemurwa nubwo wafashe imiti n'ubundi buryo bwo kuvura butari ubwo kubaga.
- Iyo iyi ndwara igarutse nyuma yo kuvurwa (recurrent diverticulitis).
- Ihuriro ridasanzwe, nka fistula , riba hagati y'urukuta rw'amara manini n'ingingo zegereye nk'uruhago cyangwa igitsina gore.
Uku kubagwa bikubiyemo gukata no gukuraho igice cy'amara manini cyafashwe n'iyi ndwara. Ibi tubyita "partial colectomy" .
Akenshi, agace ka sigmoid, igice cya nyuma cy'amara manini, karakurwaho. Iyo iki gice gikuweho, ibimenyetso birashira hafi ya byose.
Hari igihe, nyuma yo gukuraho igice cy'amara, umuganga ubaga agomba no gukora ostomi . Reka turebe icyo ari cyo.
Ni ubuhe bwoko bw'ububaji?
Umuganga wawe ashobora guhitamo imwe muri izi operasiyo bitewe n'uburwayi bwawe.
| Ubwoko bw'ukubaga | Ibisobanuro byoroshye |
|---|---|
| Gufungura ivuriro ry'uruhu (Colectomy) | Muri ubu buryo, muganga agukata igisebe kinini mu nda, agakuramo igice cy’amara cyarwaye, hanyuma agahuza ibice bibiri bizima. Ubu buryo ni gakondo. |
| Kuvura hakoreshejwe Laparoscopic/Robotic Colectomy | Ni icyo twita "kubaga imfunguzo." Bikorwa hakoreshejwe gukata uduce duto mu nda no gushyiramo kamera (laparoscope) n'ibikoresho byoroshye. Ntibibabaza cyane, kandi ibikomere bikira vuba. |
| Kubaga amagufwa y'uruhu | Ibi bikorwa iyo igice cy'amara cyakuweho kandi ibindi bice bizima bidashobora guhuzwa icyarimwe. Ibi bikubiyemo gushyiraho umwanya w'agateganyo mu ruhu rw'inda kugira ngo umwanda unyuremo. |
Amakuru arambuye ku bijyanye no kubaga Ostomy
Ntugatinye niwumva ibi. Tekereza nko kubaka umuhanda, gushyiraho undi muhanda w'agateganyo kugira ngo imodoka zinyuremo. Hari ikintu nk'icyo kirimo kubakwa hano. Uyu muhanda w'agateganyo uri kubakwa kugira ngo uhagarike umwanda kunyura mu gace kakorewemo kubagwa amara kugeza igihe ukize.
- Uruhu rw'inda: Igice cy'amara manini gifitanye isano n'uruhu rw'inda, bigatuma habaho umwenge. Uruhu rw'inda rusohoka runyuramo rugateranyirizwa mu gafuka (agafuka k'inda) gafatanye n'inda.
- Ileostomy: Uyu mwenge ukorwa hakoreshejwe igice cy'amara mato (ileum).
Igikuru ni uko ubu buryo bwo kubaga ostomy akenshi buba ari ubw'igihe gito . Mu mezi make, nyuma y'uko ibikomere byo mu nda bikize, ubundi buryo bwo kubaga buto bushobora gukorwa kugira ngo hafunge umwobo kandi hakorwe uburyo bwo koroshya amara.
Witegura ute mbere yo kubagwa?
Uzakenera kwitegura mbere yo kubagwa. Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi. Akenshi, ibi bibaho.
- Izindi scan: Ushobora gusabwa gupimwa hakoreshejwe ikoranabuhanga rya CT (CT scan) cyangwa ibindi bipimo byihariye bya X-ray .
- Isuzuma ry'ubuzima: Ushobora gukenera gupimwa amaraso, gupimwa colonoscopy , gupimwa EKG , n'ibindi. Ushobora kandi guhura n'itsinda rishinzwe gupima ikinya.
- Gutegura amara: Iki ni cyo kintu kigoye cyane. Uzasabwa guhagarika kurya amasaha make mbere yo kubagwa, unywe gusa ibinyobwa nk'amazi n'isupu. Uzahabwa kandi umuti wihariye wo gusukura amara yawe burundu.
Ni iki kibaho mu gihe cyo kubagwa?
Kuri ubu buryo bwose bwo kubaga, uba ufite ikinya burundu (anesthesia rusange), bivuze ko nta kintu wumva, uba usinziriye.
1. Muganga atera icyuho kinini kimwe mu kubagwa ku mugaragaro, cyangwa icyuho gito cyinshi mu kubagwa kwa laparoscopic kugira ngo kigere mu mara manini.
2. Hanyuma igice cy'amara kirwaye gifite diverticulitis kirakurwaho .
3. Ibice bibiri by'amara bizima bihuzwa hakoreshejwe uburyo bwo gufunga cyangwa gufunga.
4. Iyo bibaye ngombwa, hakorwa ostomie kugira ngo igice cy'amara gihuzwe n'uruhu.
5. Amaherezo, ibisebe byakorewe mu nda birafungwa.
Ubusanzwe ubu burwayi bumara amasaha agera kuri atatu kugeza kuri ane , ariko iki gihe gishobora gutandukana bitewe n'uko umeze ndetse n'ubwoko bw'uburwayi burimo gukorwa.
Ni iki kibaho nyuma yo kubagwa? Kandi bifata igihe kingana iki kugira ngo umuntu akire?
Uzakenera kuguma mu bitaro iminsi mike nyuma yo kubagwa. Ibi bizaterwa n'uburyo uzakira vuba. Muri iki gihe:
- Ibiryo n'ibinyobwa: Mu byumweru bike bya mbere, uzakenera kurya ibiryo bifite fibre nke, byoroheje kandi byuzuyemo amazi nk'igikoma n'isupu. Nyuma y'ukwezi kumwe, ushobora kurya icyo usanzwe ukunda.
- Imyitozo ngororamubiri no guterura ibiremereye: Ugomba kwirinda guterura ibiremereye mu gihe cy'ibyumweru 6-8 .
- Gutwara imodoka: Uzashobora gutwara imodoka nyuma yo guhagarika gufata imiti igabanya ububabare.
- Kwita ku bikomere: Abaforomo bazakwigisha uburyo bwo kwita ku gikomere cyawe. Niba ufite ostomie, bazakwigisha kandi uburyo bwo gukoresha agakapu.
Bishobora gufata amezi menshi kugira ngo umuntu akire neza. Ni ngombwa cyane kwihangana.
Ese hari ingaruka zishobora guterwa n'ubu buvuzi?
Nkuko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe. Gusohoka kw'uturemangingo, kuva amaraso, cyangwa kwandura ibikomere bishobora kubaho. Ariko, ibi ni gake cyane. Ubu buvuzi bugira ingaruka nziza cyane , kandi hafi 98% by'abarwayi ntibazongera kurwara diverticulitis.
Igihe cyo kongera kubonana na muganga wawe
Niba ubonye kimwe muri ibi bimenyetso nyuma yo gusubira mu rugo uvuye kubagwa, ugomba guhita uhamagara muganga wawe :
- Ububabare bukomeye mu gifu butagabanuka ndetse no nyuma yo gufata imiti kandi burushaho kwiyongera.
- Kudashobora guca mu gituza.
- Ibimenyetso by'ubwandu, nko kubyimba, gutukura, umuriro, cyangwa kuruka hafi y'igikomere.
Ubutumwa bwo kujyana mu rugo
- Kubaga indwara ya diverticulitis ni uburyo bwiza cyane bwo kuvura indwara zikomeye kandi zigaruka kenshi zidashobora gukemurwa n'imiti.
- Hari ubwoko bubiri bw'ingenzi bwo kubaga: gufunguka no gufunguka hakoreshejwe laparoscopic (umwobo w'urufunguzo). Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kubaga.
- Hari igihe hashobora gukorwa umwobo w'agateganyo (ostomy) kugira ngo umwanda unyuremo. Ibi akenshi biba iby'igihe gito, bityo ntugahangayike.
- Bifata amezi menshi kugira ngo umuntu akire neza nyuma yo kubagwa. Muri iki gihe, ni ngombwa cyane gukurikiza amabwiriza ya muganga neza.
- Vugana na muganga wawe nta guhishanya ku bibazo cyangwa ubwoba ushobora kugira mbere yo kubagwa.

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