Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo muganga akubwira cyangwa undi muntu uzi ko ukeneye kubagwa impyiko. Ntabwo bitangaje, cyane cyane ko impyiko ari urugingo rw'ingenzi mu mibiri yacu. Ariko muganga wawe asobanukiwe n'ibyiyumvo byawe. Niyo mpamvu azagusobanurira uko kubagwa, ibisubizo witeze, n'igihe cyo gukira.
Mu magambo make, Heminefrikectomy ni iki?
Heminephrectomy (hemi-nephrec-to-me) ni uburyo bwo kubaga bukuraho gusa igice cy'impyiko yawe kidakora neza. Impyiko yose ntabwo ikurwaho, ahubwo ikurwaho igice kidakora neza.
Ubu buryo bwo kubaga bukunze gukorwa ku bantu bafite indwara yitwa Duplex Kidney . Noneho ushobora kuba wibaza icyo ari cyo.
Tekereza, twese dufite impyiko ebyiri mu mubiri wacu. Ubusanzwe, hari ureter imwe gusa itwara inkari ziva mu mpyiko imwe ikazijyana mu ruhago. Ariko hari abantu bavukana ureter ebyiri mu mpyiko imwe bitewe n'uburwayi bavukanye. Niyo mpamvu tuyita "Duplex Kidney".
Ariko si abantu bose bafite "Duplex Kidney" bazagira ibibazo. Hari abantu babaho batazi ko bafite iyi ndwara. Ariko rimwe na rimwe ishobora guteza ingorane zimwe na zimwe.
Ni ibihe bibazo bishobora guterwa n'impyiko ya Duplex?
Hari ibibazo bitatu by'ingenzi bishobora guterwa n'impyiko ya "Duplex Kidney". Reka turebe ibyo ari byo.
| Ikibazo (Imiterere) | Mu magambo make ... |
|---|---|
| Gusubira inyuma kw'imitsi mu muyoboro w'amaraso (VUR) | Ibi bituma inkari zo mu ruhago zisubira mu mpyiko. Mu gihe kirekire, ibi bishobora kwangiza impyiko. |
| Ureter yo mu nda ibyara | Ikigaragara hano ni uko urethra y'inyongera idahujwe n'uruhago, ahubwo ihujwe n'urundi rugingo ruri hafi aho. Ibi bishobora no kwangiza urwo rugingo. |
| Ureterocele | Urethra, aho yinjira mu ruhago, irabyimba nk'umupira w'inkari, ikabuza inkari gutembera. Ibi bishobora kongera umuvuduko mu mpyiko no kwangiza. |
Nubwo hari ibi bibazo, akenshi, muganga wawe azakugenzura gusa. Ariko, niba ukunze kugira indwara zo mu nkari , cyangwa igice cy'impyiko yawe cyatakaje burundu imikorere yabyo bitewe n'impamvu zavuzwe haruguru, muganga wawe ashobora kukugira inama yo kubaga heminefri.
Wakwitegura ute mbere yo kubagwa?
Mbere yo kubagwa, umuganga wawe w’inkari (urologist) azagusobanurira neza ibijyanye no kubagwa kandi akagusaba uburenganzira. Byongeye kandi, azakora ibizamini byinshi kugira ngo arebe neza ko umeze neza mu gihe cyo kubagwa. Bazakubaza ibi bikurikira:
- Amateka yawe yuzuye y'ubuzima .
- Ugomba kubwira muganga wawe imiti iyo ari yo yose ufata. Iyi miti irimo imiti yanditswe na muganga, imiti igurishwa mu kigo, imiti ikomoka ku bimera, ndetse na vitamine. Imiti imwe n'imwe, nk'imiti igabanya amaraso, ishobora kongera ibyago byo kuva amaraso mu gihe cyo kubagwa.
- Ku bijyanye n'allergie iyo ari yo yose ushobora kuba ufite.
Iminsi mike mbere yo kubagwa, uzabwirwa imiti ugomba gufata, niba ihari, n'igihe ugomba kureka kuyifata. Uzabwirwa kandi igihe ugomba kureka kurya no kunywa (kwiyiriza ubusa) mbere yo kubagwa.
Kubagwa bikorwa gute?
Ubu buryo bwo kubaga bushobora gukorwa mu buryo butatu bw'ingenzi: kubaga mu buryo bw'ibanga, kubaga hakoreshejwe laparoscopic, no kubaga hakoreshejwe robots.
| Ubwoko bw'ukubaga | Uburyo bwo kubikora n'inyungu |
|---|---|
| Gufungura Heminephrectomy | Muganga azagukata inda yawe ya santimetero 3.8, hagati y'imbavu n'ikibuno. Ibi bizatuma umuganga abona neza impyiko. Igice kidakora gishobora gukurwaho n'intoki. |
| Kubagwa kwa Laparoscopic | Ibi bikubiyemo gukata uduce duto twinshi mu nda aho gukata kamwe kanini. Igikoresho gito gifite kamera (laparoscope) gishyirwamo binyuze mu gukata kamwe kugira ngo harebwe impyiko. Ibikoresho byo kubaga bishyirwamo binyuze mu bindi bice kugira ngo bikureho igice kitameze neza. Akamaro k'ibi ni uko inkovu iba nto kandi igakira vuba. |
| Kubaga Roboti | Ibi bisa no kubaga hakoreshejwe laparoscopic, ariko hano muganga agenzura ibikoresho byo kubaga akoresheje amaboko y'imashini ya roboti. Ibi bituma habaho kubaga byoroshye cyane kandi neza. |
Mbere yuko ubagwa utangira, umuganga w’inzobere mu kugabanya ibinure azaguha ikinya rusange (`Anesthesia Rusange`). Bityo ntuzumva ububabare ubwo aribwo bwose, uzaba usinziriye. Hanyuma hazashyirwamo catheter ya Foley kugira ngo ikuremo uruhago rwawe. Ubusanzwe kubagwa bishobora gufata amasaha abiri cyangwa atatu .
Ni iki kibaho nyuma yo kubagwa? Kandi bifata igihe kingana iki kugira ngo umuntu akire?
Nyuma yo kubagwa, uzakurikiranwa mu cyumba cyo gukira kugeza igihe uzabyutse kandi ubuzima bwawe buhagaze neza. Uzahabwa imiti yo kugenzura ububabare bwawe.
Igihe cyo gukira kizatandukana bitewe n'ubwoko bw'ikibagwa wakorewe.
- Nyuma yo kubagwa hakoreshejwe laparoscopic cyangwa robotic, ushobora gusubira mu mirimo isanzwe mu byumweru 4-6 .
- Bishobora gufata ibyumweru 8-12 kugira ngo kire neza nyuma yo kubagwa ku mugaragaro .
Muganga wawe azagushishikariza kugenda gato mu gihe cyo gukira. Kugenda ni byiza ku mubiri wawe kandi bishobora gufasha kwirinda ibintu nk'amaraso afunganye n'umusonga. Ariko ugomba kwirinda guterura ikintu cyose kiremereye kurusha ibiro 3.5 (hafi galoni imwe y'amazi).
Ese ugomba kwitondera ibyo kurya n'ibyo kunywa?
Yego. Mu byumweru bine bya mbere nyuma yo kubagwa, uzagirwa inama yo kunywa ibirahuri 6-8 by'amazi ku munsi no kurya indyo yoroshye kandi yoroshye kugogora. Uzagirwa inama kandi yo kwirinda ibiryo bimwe na bimwe kugeza igihe amara asubiye ku buryo busanzwe.
| Ibintu byiza byo kurya | Ibintu byo kwirinda |
|---|---|
|
Niba ufite ibi bimenyetso, hita ubonana na muganga!
Niba ubonye kimwe mu bimenyetso bikurikira nyuma yo kubagwa, ugomba guhita uhamagara muganga wawe cyangwa ukajya mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) by’ibitaro biri hafi yawe.
- Guhumeka bigoranye
- Kuva amaraso menshi cyane aturutse aho umushongi washyizwe
- Gutandukanya uruhu binyuze mu midomo
- Ibimenyetso by'ubwandu: Ibi birimo gutukura, ibara ry'umuhengeri, umukara, cyangwa umukara hafi y'igikomere, umuriro, amashyira ava mu gikomere, cyangwa impumuro mbi.
- Ububabare bukabije bukomeje kwiyongera
- Kubabara amaguru
- Amaraso mu nkari
Ni ibisanzwe gutinya kubagwa. Ni ibisanzwe kubazwa ibibazo nk'ibi: "Bite se niba kubagwa bitagenze neza?" cyangwa "Bite se niba ibimenyetso byanjye birushijeho kwiyongera?" Ariko tekereza ku byiza. "Ubu buryo bwo kubagwa buzorohereza ubuzima bwanjye gute?" cyangwa "Ese nzashobora gukuraho indwara narwaye?" Gutekereza muri ubu buryo bishobora kugufasha kumva umeze neza cyane.
Ubutumwa bwo kujyana mu rugo
- Heminefrektomi ni ukubaga gukuraho gusa igice cy'impyiko kidakora neza. Impyiko yose ntikurwaho.
- Ubu buryo bwo kubaga akenshi bukorerwa ku bibazo biterwa n'indwara y'impyiko yavukanye yitwa Duplex Kidney.
- Kubagwa bishobora gukorwa mu buryo bwihuse, hakoreshejwe laparoscope, cyangwa hakoreshejwe robotike. Igihe cyo gukira giterwa n'uburyo.
- Kurikiza amabwiriza ya muganga wawe witonze nyuma yo kubagwa, cyane cyane ajyanye n'imirire no guterura ibiremereye.
- Niba ubonye ibimenyetso by'umuburo nko kugorwa no guhumeka, kuva amaraso menshi, cyangwa ibimenyetso by'ubwandu, shaka ubufasha kwa muganga byihutirwa.
- Vugana na muganga wawe nta guhisha ku bibazo cyangwa ubwoba ufite.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment