Ni ibisanzwe kumva uhangayitse cyangwa uhangayitse iyo muganga akugiriye inama yo kubagwa impyiko cyangwa uwo ukunda. Kubera ko impyiko ari ingingo z'ingenzi, impungenge nk'izo zirasobanutse neza. Nyamuneka menya neza ko itsinda ry'abaganga bawe risobanukiwe ibyiyumvo byawe kandi ko riri hano kugira ngo rigufashe. Bazagusobanurira uburyo bwo gukora, ibisubizo witeze, n'inzira yo gukira mu buryo burambuye kugira ngo ugire amahoro.
Heminefrektomi ni iki?
Gucibwa heminefriktomi ni uburyo bwo kubaga aho igice cy'impyiko kidakora gusa ari cyo gikurwaho. Umuganga wawe ntabwo azakuraho urugingo rwose, ahubwo azakuraho igice kitagikora neza.
Ubu buryo busanzwe bukorwa mu gihe cy'indwara ya Duplex Kidney . Ushobora kuba wibaza icyo bivuze.
Ubusanzwe, buri wese muri twe afite impyiko ebyiri. Ubusanzwe, buri mpyiko ifite ureter imwe (umuyoboro ujyana inkari mu ruhago). Ariko, hari abantu bafite ikibazo cyo kuvukana aho impyiko imwe ifitanye isano n'ureter ebyiri; ibi bizwi nka Duplex Kidney .
Menya ko atari abantu bose bafite impyiko ya Duplex bahura n'ibibazo. Abantu benshi babaho ubuzima bwabo bwose batazi ko bafite iyi ndwara. Ariko, rimwe na rimwe bishobora gutera ingorane zimwe na zimwe zisaba ubuvuzi.
Ni izihe ngorane impyiko ya Duplex ishobora gutera?
Impyiko ya Duplex ishobora gutera ingorane eshatu z'ingenzi. Reka turebe ibyo ari byo.
| Imiterere | Mu magambo yoroshye… |
|---|---|
| Gusubira inyuma kw'imitsi mu muyoboro w'amaraso (VUR) | Ibi bibaho iyo inkari ziva mu ruhago zisubira inyuma zigana mu mpyiko. Uko igihe kigenda gihita, ibi bishobora kwangiza impyiko burundu. |
| Ureter yo mu nda ibyara | Ibi bibaho iyo ureter ihujwe n'urundi rugingo rutari uruhago. Uku kutumvikana neza bishobora kwangiza urwo rugingo rukikije. |
| Ureterocele | Igice cyo hasi cy'umuyoboro w'inkari kibyimba nk'agapira k'inkari kari mu ruhago, bigahagarika inzira y'inkari isanzwe. Ibi bituma umuvuduko wiyongera, bikaba byakwangiza impyiko. |
Nubwo izi ndwara zibaho, inzobere yawe muri Nirogi Lanka ikunze gutangira ikurikirana iterambere ryawe. Ariko, niba ukunze kugira indwara zo mu nzira y'inkari cyangwa niba ibyo bibazo byavuzwe haruguru byaratumye igice cy'impyiko yawe kibura burundu , muganga wawe ashobora kukugira inama yo kubaga heminefret.
Wakwitegura ute kubagwa?
Mbere yo kubagwa, umuganga w’inkari azagusobanurira neza uko kubagwa kwawe byagenze kandi akagusaba uburenganzira. Uzakora isuzuma mbere yo kubagwa kugira ngo umenye neza ko ufite ubuzima bwiza buhagije bwo kubagwa. Itsinda ry’abaganga rizaganira kuri ibi bikurikira:
- Amateka yawe yose y'ubuvuzi .
- Imiti yose urimo gufata ubu. Iyi irimo imiti itangwa na muganga, imiti igurishwa mu kigo, inyunganiramirire y’ibimera, na vitamine. Imiti imwe, cyane cyane imiti igabanya amaraso, igomba guhagarara kuko yongera ibyago byo kuva amaraso.
- Allergie iyo ari yo yose izwi ufite.
Uzahabwa amabwiriza asobanutse neza ku gihe cyo guhagarika imiti runaka n'igihe cyo gutangira kwiyiriza ubusa (kwirinda kurya no kunywa) mbere yo kubagwa.
Kubagwa bikorwa gute?
Hari uburyo butatu bw'ibanze: kubaga mu buryo bw'ibanze, kubaga hakoreshejwe laparoscopic, no kubaga hakoreshejwe roboti.
| Uburyo bwo Kubaga | Uburyo n'Ibyiza byabwo |
|---|---|
| Gufungura Heminephrectomy | Umuganga ubaga agabanya uburebure bwa santimetero 25 ku ruhande ruri hagati y’imbavu n’ikibuno, bituma impyiko igera aho igakura igice kidakora. |
| Kubagwa kwa Laparoscopic | Aho gukata rimwe rinini, hakorwa utubuto duto twinshi. Hashyirwamo kamera (laparoscope) n'ibikoresho byihariye kugira ngo bikureho. Ibi bituma inkovu nto zigabanuka kandi zigakira vuba. |
| Kubaga Roboti | Kimwe na laparoscopy, ariko umuganga wawe agenzura amaboko ya roboti mu buryo bunonosoye cyane, bigatuma habaho ubuziranenge bunoze mu gihe cyo kubagwa. |
Mbere yuko ubagwa utangira, umuganga w’inzobere mu gutera ikinya azagutera ikinya rusange , akwemeze ko usinziriye kandi nta bubabare wumva. Hazashyirwaho na catheter y’inkari (Foley catheter) kugira ngo uruhago rugumemo ubusa. Ubusanzwe igikorwa kimara amasaha abiri cyangwa atatu .
Ni iki kibaho nyuma yo kubagwa, kandi igihe cyo gukira ni ikihe?
Uzakurikiranwa mu cyumba cyo gukira kugeza igihe uzaba ukangutse kandi ubuzima bwawe bugahoraho. Imiti yo kugabanya ububabare izatangwa uko bikenewe.
Igihe cyo gukira giterwa n'uburyo bwo kubaga:
- Nyuma yo kubagwa hakoreshejwe laparoscopic cyangwa robotic , ushobora gusubira mu mirimo isanzwe mu byumweru 4-6 .
- Nyuma yo kubagwa ku mugaragaro , gukira burundu bishobora gufata ibyumweru 8-12 .
Mu gihe cyo gukira, muganga wawe azagushishikariza kugenda buhoro kugira ngo wongere amaraso atembera neza kandi wirinde ingorane nk'amaraso apfundika cyangwa umusonga. Ariko, ugomba kwirinda guterura ikintu kiremereye kirenze 4.5kg (hafi galoni imwe y'amazi) .
Ibitekerezo ku mirire
Yego. Mu byumweru bine bya mbere, gerageza kunywa ibirahuri 6-8 by'amazi buri munsi kandi wibande ku biryo byoroshye kandi byoroshye kugogora. Ushobora kugirwa inama yo kwirinda ibiryo bimwe na bimwe kugeza igihe amara asubiye kumera neza.
| Ibyokurya byasabwe | Ibiryo byo kwirinda |
|---|---|
|
Igihe cyo Guhamagara Muganga Wawe Byihuse
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa, nyamuneka hamagara muganga wawe ako kanya cyangwa usure Ishami rishinzwe ubutabazi bwihutirwa riri hafi yawe.
- Guhumeka bigoranye
- Kuva amaraso menshi cyane aho icyicaro cyakorewe
- Gutandukanya impande z'igikomere
- Ibimenyetso by'ubwandu: Ibi birimo gutukura, kubyimba, ibara ry'umuhengeri/umukara/umukara hirya no hino aho byabereye, umuriro, cyangwa kuva amaraso hamwe n'impumuro mbi.
- Ububabare budashobora kwihanganira cyangwa burushaho kwiyongera
- Ububabare mu maguru
- Amaraso mu nkari zawe
Ni ibisanzwe kumva uhangayikishijwe no kubagwa. Ibibazo nk'ibi, "Ese kubagwa bizagenda neza?" cyangwa "Bite se niba ibimenyetso byanjye birushijeho kwiyongera?" ni ibisanzwe. Gerageza kwibanda ku ngaruka nziza: "Ni gute ubuzima bwanjye buzamera neza nyuma y'ibi?" cyangwa "Ese ibi bizarangiza burundu izo ndwara zigaruka?" Guhindura uburyo ubona ibintu bishobora kugufasha kumva umerewe neza mu gihe cyo gukira.
Ibyingenzi Byakuwe muri Nirogi Lanka
- Gucibwa heminefriko ni uburyo bwo gukuraho igice cy'impyiko kidakora neza gusa, bigatuma igice cy'impyiko kigumana ubuzima bwiza.
- Ubu buryo bwo kubaga bukunze gukorwa kugira ngo hakemurwe ibibazo bikomoka ku ndwara umuntu avukana izwi nka Duplex Kidney.
- Bitewe n'ikibazo cyawe cyihariye, kubagwa bishobora gukorwa nk'uburyo bwo gufungura, gukoresha laparoscopic, cyangwa robotic. Igihe cyo gukira kizatandukana bitewe n'uburyo bwakoreshejwe.
- Kurikiza neza amabwiriza y'umuganga wawe nyuma yo kubagwa, cyane cyane ajyanye n'imirire yawe n'amategeko agenga guterura ibintu biremereye.
- Shaka ubuvuzi bwihutirwa niba ubonye ibimenyetso by'umuburo nko kugorwa no guhumeka, kuva amaraso menshi, cyangwa ibimenyetso by'ubwandu.
- Buri gihe vugana n'ikipe y'abaganga bawe ku bibazo cyangwa impungenge ushobora kuba ufite; turi hano kugira ngo tugufashe gukira.
Kubaga Heminephrectomy, Kubaga impyiko, Impyiko zombi, Indwara z'impyiko, Uburyo bwo kubaga, Gusubira mu mitsi yo mu muyoboro w'amaraso, Ureterocele
