Ushobora kuba ubabara cyane bitewe n'indwara imaze igihe kirekire mu mara yawe. Wenda, nubwo waba ufite imiti, iyo ndwara iragoye kuyigenzura. Muri iyo mimerere, muganga ashobora kukugira inama yo kubaga amara manini arwaye no gukora agafuka kadasanzwe mu mubiri gashobora gukusanya imyanda. Ibyo ni byo twita agafuka ka ilial. Reka tuvuge kuri byose mu buryo bworoshye.
Mu magambo make, agapfunyika ka ileal ni iki?
Tekereza ko amara yawe yose manini (inkondo y'umura) n'inyuma y'umura bikurwaho kubera indwara. Ubu buryo bwo kubaga bwitwa "Total Proctocolectomy". Rero nyuma yo kubikuramo, ukeneye ahantu ho gukusanya no kubika imyanda (umwanda) ivuka nyuma yo gusya ibiryo mbere yuko biva mu mubiri.
Icyo gihe ni bwo abaganga b'inzobere mu kubaga bakoresha impera y'amara yawe mato (ileum) kugira ngo bakore agafuka gato mu mubiri wawe. Ibi byitwa agafuka ka ileal .
Akamaro gakomeye k'ibi ni uko udakenera kwambara agafuka ko hanze/agafuka kugira ngo ukure imyanda hanze y'inda yawe. Ushobora gukomeza kugenzura amara nk'uko bisanzwe.
Ni mu bwoko ki bw'indwara iyi operation igomba gukorwa?
Si buri wese ubikora. Abaganga batekereza kuri ubu buryo cyane cyane iyo hari indwara zimwe na zimwe zidashobora kugenzurwa n'imiti. Ubu buryo bwo kubaga, bwitwa `(Ileal Pouch-Anastomosis - IPAA)`, bukunze gukoreshwa mu bihe bikurikira:
- Ulcerative Colitis: Iyi ni indwara itera kubyimba no kubyimba amara manini igihe kirekire. Iyi ni yo nzira nziza iyo imiti idakora.
- Indwara ya Adenomatous Polyposis (FAP) iterwa n'abantu benshi, ikaba itera udukoko duto cyane (polyps) mu mara, dushobora kuvamo kanseri.
- Kanseri y'inkondo y'umura/inkondo y'umura: Mu bihe bimwe na bimwe bya kanseri.
- Kanseri yo mu maraso: Kuri kanseri zimwe na zimwe zigaragara mu gice cyo hejuru cy'amaraso, aho kuba mu gice cyo hasi.
Hari ubwoko bungana iki bw'iyi mifuka?
Yego, hari ubwoko butatu bw'ingenzi bw'iyi mifuka y'imbere abaganga babaga bakora.
| Ubwoko bw'agafuka | Ibisobanuro byoroshye |
|---|---|
| Isakoshi ya J | Ubu ni bwo bwoko bukunze gukoreshwa cyane . Agafuka gakorwa no kuzingira amara mato mu ishusho y'inyuguti 'J'. Gahuzwa neza n'ikibuno, bityo ushobora kwituma mu buryo busanzwe. |
| Isakoshi ya S | Ibi bikozwe mu ishusho y'inyuguti 'S'. Bisa cyane n'agakapu ka J. Binafatanye n'ikibuno. |
| Isakoshi ya Kock / isakoshi ya K | Ubu bwoko ni buke cyane . Bukorerwa abantu badashobora kugira ubundi bwoko bubiri. Aha, agafuka gafatanye n'umwobo (stoma) wakorewe ku ruhu rw'inda. |
None se ubu buvuzi bukwiriye nde n'ubukwiriye nde?
Kugira ngo ubu buvuzi bugire icyo bugeraho, hari ibice bimwe na bimwe by'umubiri wawe bigomba kuba bikora neza. Nanone, bishobora kuba bidakwiriye abantu bafite indwara zimwe na zimwe.
| Abakandida beza kuri ubu Buvuzi | Abatagirwa inama yo kubagwa (Bashobora kuba badafite uburenganzira bwo kubagwa) |
|---|---|
| Abasigaye mu gice cy'igogora bakora neza. | Abantu barwaye indwara ya Crohn (kuko iyi ndwara ishobora no kugira ingaruka ku gapfunyika gashya kavutse). |
| Abantu bafite imitsi ya sphincter yo mu kibuno ikora neza kandi bafite ubushobozi bwo kugenzura imikorere y'amara yabo. | Abantu basanzwe bafite ikibazo cyo kudafata umwanda . |
| Abantu batigeze bangirika ku mitsi yo mu kibuno. | Abantu bafite umubyibuho ukabije (umubyibuho ukabije wo mu cyiciro cya gatatu) . |
| Ibisubizo biratanga umusaruro mwiza cyane ku bantu bari hagati y'imyaka 20 na 50. Ariko abantu bafite ubuzima bwiza barengeje imyaka 50 nabo bashobora kubikora. | Abantu bafite kanseri y'impyiko nkeya . |
Ni iki wakwitega nyuma yo kubagwa?
Ubu si ukubagwa inshuro imwe gusa. Ubusanzwe bikorwa mu byiciro bibiri cyangwa bitatu . Nyuma yo kubagwa, ugomba kumara icyumweru kimwe mu bitaro.
Mu ntangiriro, agapfunyika k'agateganyo kazashyirwa hanze y'inda yawe mu gihe agapfunyika gashya kamaze gukira. Ibi bishobora kumara amezi atatu kugeza kuri atandatu. Hanyuma, hazabagwa gato kugira ngo kavanwemo maze agapfunyika k'imbere gatangire gukora. Muri iki gihe, itsinda ry'abaganga rizakwitaho cyane. Ntutinye kuvugana na bo niba ufite ikibazo.
Ese ibi byagenze neza gute? Ese hari ingaruka?
Ubu bubagwa bwagenze neza cyane. Igipimo cy'intsinzi ni hafi 95% . Uko igihe kigenda gihita, ubuzima bwawe buzarushaho kuba bwiza cyane. Urugero, umuntu warwaye `(Ulcerative Colitis)` ntazongera kugira icyifuzo gitunguranye cyo kujya mu bwiherero nk'uko yabikoraga mbere.
Ugereranyije, ugomba kwiyuhagira inshuro zirindwi ku munsi. Ariko icy'ingenzi ni ukubasha kubigenzura utiriwe uhubuka igihe bibaye ngombwa.
Ariko, nk'uko bigenda ku kubagwa gukomeye kose, hari ibyago n'ingorane.
- Pouchitis: Iyi ni yo ngorane ikunze kugaragara cyane. Ni ukubyimba cyangwa kwandura kw'agafuka gashya.
- Izindi ngorane:
- Gusohoka kw'ipaki nyuma yo kubagwa.
- Kuziba amara mato.
- Kuziba kw'amaraso cyangwa kuva amaraso.
- Kubaho k'isano idasanzwe (fistula) hagati y'agafuka n'urundi rugingo.
- Kubabara uruhu rukikije ikibuno bitewe no kwihagarika amara kenshi.
Ingaruka z'izi ngorane ziri hagati ya 5% na 10%. Ibi bibaye, ushobora gukenera kongera kubagwa cyangwa gutakaza stoma burundu. Kubwibyo, ni ngombwa kubiganiraho na muganga wawe byose.
Ni ryari ugomba kujya kwa muganga byihutirwa?
Ni ngombwa cyane gushaka inama z'abaganga vuba mu gihe ubonye ibimenyetso bishya cyangwa bidasanzwe nyuma yo kubagwa. Niba ufite kimwe muri ibi bimenyetso, bimenyeshe muganga wawe vuba.
| Ibimenyetso byo kwitondera |
|---|
| Kubyimba cyangwa kuribwa mu nda bimara amasaha arenga abiri kugeza kuri atatu. |
| Kuva amaraso. |
| (Niba hari agafuka k'agateganyo) impinduka cyangwa imvune ku gifu. |
| Ingorane mu kwituma mu buryo bw'imyanda. |
| Gutemba cyane. |
| Ububabare bukomeye. |
| Isesemi ikomeye, kuruka, cyangwa impiswi. |
Bizatwara igihe kingana iki kugira ngo umuntu asubire mu buzima busanzwe? Bite se ku byerekeye ibyo kurya n'ibyo kunywa?
Ubusanzwe ushobora gusubira ku kazi no mu bikorwa mu byumweru bine kugeza ku munani . Umaze gukira, muganga wawe azakora pouchoscopy (kamera nto ireba imbere mu gakapu) buri mwaka cyangwa ibiri kugira ngo arebe neza ko byose bimeze neza.
Ku bijyanye n'ibiribwa , ushobora kuba ukeneye guhindura imirire yawe kugira ngo uhuze n'uburyo bushya bwo kugogora. Ni byiza kugisha inama inzobere mu by'imirire. Ariko abantu benshi bazashobora kurya icyo bashaka cyose.
Ku bijyanye no gutwita , ubu buryo bwo kubaga ntabwo bukunze kugira ingaruka ku bushobozi bwawe bwo kubyara. Ariko, kugira ngo wirinde kwangirika kw'imitsi yo mu nda mu gihe cyo kubyara, muganga wawe ashobora kukugira inama yo kubagwa .
Ubutumwa bwo kujyana mu rugo
- Kubagwa mu mufuka wa Ileal ni amahirwe meza ku bafite ibibazo by'amara yo kubaho ubuzima busanzwe badafite umufuka mu nda.
- Ubu ni uburyo bwo kubaga bufite igipimo cyo gutsinda kinini cyane (95%) kandi butuma ubuzima burushaho kuba bwiza.
- Ariko, ubu ni ukubagwa gukomeye kandi nta ngaruka mbi ku buzima. Ingorane ikunze kugaragara ni indwara yitwa pouchitis.
- Bifata igihe kugira ngo umuntu akire nyuma yo kubagwa, kandi kwisuzumisha buri gihe kwa muganga ni ingenzi kugira ngo agire ubuzima bwiza igihe kirekire.
- Niba ufite ikibazo icyo ari cyo cyose kuri ibi, ntutinye kubaza muganga wawe.
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