Ese wowe cyangwa uwo ukunda mukunda guterwa inshinge mu mitsi, guterwa umunyu, cyangwa gukururwa amaraso? Turasobanukiwe ububabare, kumererwa nabi, no kwangirika kw'imitsi bikunze kuzanwa no gukubitwa inshuro nyinshi no guterwa urukingo. Uyu munsi, turimo kuganira ku gikoresho gito, cy'ingenzi mu buvuzi cyagenewe gutuma ubuvuzi bw'igihe kirekire burushaho kumererwa neza kandi bukoroha kuri wewe.
Icyambu cyatewe ni iki mu by'ukuri?
Mu magambo make, agakoresho gato k’ubuvuzi gashyirwa munsi y’uruhu rwawe. Gakora nk'"irembo" rihoraho kandi ryizewe rigana ku mutsi munini mu mubiri wawe, bigatuma byoroshye kubona ubuvuzi. Ushobora kandi kumva kitwa "port-a-cath" cyangwa "mediport".
Umuyoboro ugizwe na disiki nto, ishaje ikozwe mu cyuma cyangwa muri pulasitiki. Hejuru, ifite igice cya silikoni cyifunga cyihariye cyitwa "septum," gishobora gutoborwa n'urushinge. Umuyoboro muto kandi woroshye (catheter) ufatanye na disiki ushyirwa mu mutsi munini hafi y'umutima wawe. Muganga wawe azakora igikorwa cyo kubaga gito kugira ngo ashyire sisitemu yose munsi y'uruhu rwawe. Iyo umuyoboro utagikenewe, ushobora gukurwaho mu gihe cy'ubundi buryo bwo gukora.
Akamaro gakomeye ni uko bikuraho gukenera gukoresha udushinge twinshi kenshi no gukaraba kenshi, bigatuma uburyo bwo kuvura burushaho koroha, butababaza cyane, kandi bukoroha cyane.
Ese hari ubwoko butandukanye bw'ibyambu?
Yego, hari ubwoko butandukanye butandukanye buhari. Imbonerahamwe ikurikira izagufasha gusobanukirwa amahitamo.
| Ubwoko bw'icyambu | Ibisobanuro |
|---|---|
| Lumen imwe | Ifite ahantu hamwe ho kwinjira. Ubu ni bwo bwoko bukunze gukoreshwa mu kwita ku barwayi buri gihe. |
| Ingufu ebyiri | Ifite ahantu habiri hatandukanye ho kwinjira, ibyo bikaba ingirakamaro cyane niba ukeneye guhabwa imiti myinshi icyarimwe. |
| Iterwa n'amashanyarazi | Imbuga nyinshi zigezweho ziri muri iki cyiciro. Zagenewe kwihanganira umuvuduko mwinshi usabwa mu gutera irangi rya contrast mu gihe cyo gupima CT cyangwa MRI. |
Ni nde ukeneye icyambu?
Umuyoboro ni igikoresho cy'ingirakamaro ku muntu wese ukeneye kuvurwa kenshi cyangwa igihe kirekire mu mitsi (IV), guterwa amaraso, cyangwa gukururwa amaraso buri gihe. Muganga wawe ashobora kukugira inama yo gukoresha umuyoboro w'amaraso kuri wowe cyangwa umwana wawe niba urimo guhangana n'indwara nka:
- Kanseri: Iyo ukeneye imiti igabanya ubukana kenshi.
- Indwara zidakira: Niba ukeneye imiti yica udukoko mu mitsi mu gihe cy'ibyumweru cyangwa amezi menshi.
- Kunanirwa kw'impyiko: Ku barwayi bakeneye gukomeza kuvurwa na dialyse.
- Indwara zo mu gifu: Indwara nk'indwara yo kubyimba amara (IBD) aho ushobora gukenera indyo y'imitsi igihe kirekire.
- Ibindi Bikenewe mu Buzima Bigoye: Ikibazo icyo ari cyo cyose gisaba guhabwa imiti kenshi cyangwa gusuzumwa amaraso kenshi.
Icyo wakwitega mbere yo kubagwa
Kubera ko ubu ari uburyo bwo kubaga buto, hari intambwe nke zo kwitegura:
- Menyesha muganga wawe imiti yose n'inyongeramusaruro urimo gufata. Ushobora kugirwa inama yo guhagarika imiti imwe n'imwe iminsi mike mbere y'uko igikorwa kirangira.
- Uzajya ukorerwa ibizamini by'amaraso buri gihe kugira ngo urebe imikorere y'impyiko zawe n'uko amaraso yawe yazibye neza.
- Uzahabwa amabwiriza yo kwiyiriza ubusa (kwirinda kurya cyangwa kunywa) amasaha menshi mbere y'uko igikorwa gitangira.
Icyambu gishyirwamo gute?
Ubusanzwe iki gikorwa kiba ari ukubagwa gato k'isaha imwe, kandi akenshi uzabasha gutaha uwo munsi. Ariko, ugomba kugira umuntu uguherekeza kugira ngo agutware mu rugo amahoro.
Ibyinshi mu bice bishyirwa munsi y'uruhu ku gituza cyo hejuru. Hari igihe muganga wawe ashobora kubishyira imbere mu kuboko cyangwa munsi y'urubavu.
Kugira ngo umenye neza ko wumva umerewe neza, umuganga w’ikinya azaguha imiti igabanya ububabare kugira ngo ukomeze kuruhuka no gusinzira, hamwe n’imiti igabanya ububabare aho wakomerekejwe. Ku bana, imiti igabanya ububabare ikoreshwa mu buryo rusange.
Dore uko muganga wawe akora ubu buryo:
1. Ubuyobozi bwa X-ray: Uburyo bwo gukora bugenzurwa n'ikoranabuhanga rya X-ray ryihariye ryitwa fluoroscopy.
2. Gukata gato: Gukata gato gakorerwa hafi y'ijosi kugira ngo hagere ku mutsi munini (nk'umutsi wo mu bwoko bwa vena cava, umutsi wo mu bwoko bwa jugular, cyangwa umutsi wo mu bwoko bwa subclavian).
3. Gukora Umufuka: Hakorwa agace gato k'agatuza ku gituza cyangwa ku kuboko, aho "umufuka" muto ukorwa munsi y'uruhu kugira ngo ushyiremo umuyoboro.
4. Gushyira icyambu: Icyambu gishyizwe neza muri uyu mufuka.
5. Guhuza Catheter: Umuyoboro muto kandi woroshye witwa catheter uva mu gice cyo hagati ujya mu mitsi yawe unyuze mu ijosi.
6. Igenzura: Hakorwa X-ray yo mu gituza kugira ngo harebwe neza ko aho umuyoboro n'agace kabugenewe biherereye.
7. Gufunga Incision: Amaherezo, incisions zifungwa hakoreshejwe imidomo ishongeshwa.
Inyungu n'Ingaruka: Icyo Ukwiye Kumenya
Nubwo ibyambu byagenewe kunoza ubuzima bwawe, ni ngombwa kumenya ibyiza n'ingaruka zishobora kubaho.
| Ibyiza | Ingaruka |
|---|---|
|
|
Uburyo bwo kwita ku 'port' yawe n'igihe cyo guhamagara muganga wawe
Uruhu ruri hejuru y’umuyoboro wawe nta buvuzi bwihariye busaba buri munsi. Ariko, niba udahabwa ubuvuzi kenshi, umuyoboro wawe ugomba 'gusukurwa' hafi rimwe mu kwezi kugira ngo wirinde kubyimba kw'amaraso. Ibi bikubiyemo gusukura sisitemu ukoresheje amazi yihariye, igikorwa kizakorwa na muganga wawe cyangwa umuforomo wihariye.
Kugira ngo wirinde kwandura, shyira imbere isuku mbere ya byose.
- Koga cyangwa wiyuhagire buri munsi.
- Karaba intoki zawe kenshi n'isabune mu gihe cy'amasegonda 20 nibura.
- Komeza ugire isuku aho utuye n'aho uryamye.
Hamagara muganga wawe ako kanya niba:
Niba ubonye kimwe muri ibi bikurikira, ntutinde kuvugana na muganga wawe cyangwa ngo uhite ujya mu ishami rishinzwe ubutabazi bwihutirwa riri hafi yawe .
- Hari amaraso cyangwa ibintu biva aho byamburiwe.
- Aho hantu hahinduka umutuku, hakabyimba, cyangwa hakamera nk'ubushyuhe iyo ubikozeho.
- Ugira umuriro.
- Ukuboko ku ruhande rw'icyambu gutangira kubyimba.
- Ugira ikibazo cyo guhumeka cyangwa kubabara mu gatuza.
- Ukumva umeze nk'ufite isereri cyangwa unaniwe.
Gutera umuti watewe ni ikintu cyoroshye cyane ku bantu bavurwa igihe kirekire, bigatuma ubuzima bworoha cyane. Ntugahangayike; muganga wawe muri Nirogi Lanka azagusobanurira byose ukeneye kumenya.
Ibintu by'ingenzi byakunzwe
- 'Implanted port' ni igikoresho gito gishyirwa munsi y'uruhu rwawe cyoroshya ubuvuzi bw'igihe kirekire nka chemotherapy, ubuvuzi bw'imitsi iva mu mibonano mpuzabitsina, cyangwa gukurura amaraso.
- Bikuraho ububabare n'ingorane zo gukubitwa inshuro nyinshi kw'inshinge cyangwa gukubitwamo kannula.
- Ishyirwamo hakoreshejwe uburyo bwo kubaga buto kandi ishobora gukurwaho byoroshye igihe itagikenewe.
- Ingorane ikunze kugaragara ni ukwandura; bityo rero, kugira isuku cyane ni ngombwa.
- Shaka abaganga vuba niba ubonye ibimenyetso by'ubwandu, nko gutukura, kubyimba, umuriro, cyangwa ibibazo byo guhumeka.
👩🏽⚕️ Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)
💬 Ububabare bwo mu mugongo wo hasi (Lumbago) ni iki?
Birenze kubabara mu gitondo gusa! Ububabare bwo hasi bw'umugongo buterwa no kubabara cyane, gushya, cyangwa gukomera mu gice cyo hasi cy'umugongo (hejuru y'ikibuno, munsi y'imitsi), bishobora kukubuza kwicara cyangwa guhagarara. Nubwo ari imwe mu ndwara zikunze kugaragara ku isi, rimwe na rimwe ishobora kuba ikimenyetso cy'uko hari ikibazo gikomeye cy'imitsi.
💬 Ni izihe mpamvu z'ingenzi zitera ububabare bukomeye bw'umugongo wo hasi?
Impamvu ikunze kugaragara cyane (hafi 90%) ni ukugorwa kw'imitsi bitewe n'imiterere mibi cyangwa uburyo bwo guterura nabi. Izindi mpamvu zirimo: 1) Imitsi yangiritse cyangwa yacitse intege ikanda imitsi, 2) Sciatica, aho ububabare bunyura mu kaguru, cyangwa 3) Amabuye cyangwa indwara zo mu mpyiko (pyelonephritis).
💬 Ni ryari nkwiye gushaka ubuvuzi bwihutirwa kubera ububabare bw'umugongo wo hasi?
Nubwo ububabare buto bw'umugongo bugabanuka mu byumweru bibiri hamwe no kuruhuka no kuvurwa ubushyuhe/ubukonje, ugomba kwihutira gushaka ubuvuzi bwihutirwa niba uhuye n'ibi bikurikira: 1) Kubura uburyo bwo kugenzura amara cyangwa uruhago cyangwa kugira ibinya mu kibuno (bigaragaza indwara ya Cauda Equina Syndrome, ikaba ari ikibazo cyo kubagwa), 2) Gucika intege mu maguru, cyangwa 3) Ububabare bukomeye bw'umugongo buherekejwe n'umuriro mwinshi.
