Ubuzima nyuma yo gukuraho uruhago rw'inkari... Reka tuvuge ku isakoshi ya Indiana

Tekereza ko bitewe n'indwara runaka, wenda kanseri, uruhago rwawe rwose rugomba kubagwa. Iyo bibaye, ushobora gusigara wibaza uti 'Mana yanjye, nzanyara nte ubu?' Ni ikibazo giteye ubwoba. Ariko ntugahangayike. Hari ibisubizo byinshi byiza kuri ibyo mu buvuzi bwa none muri iki gihe. Uyu munsi, tugiye kuvuga ku gisubizo kimwe kidasanzwe. Cyitwa 'Indiana Pouch.'

Mu magambo make, iyi pouch ya Indiana ni iki?

Agafuka ka Indiana ni agafuka gato kari mu mubiri wawe gabika kandi kagasohora inkari. Mu yandi magambo, ni uruhago rw'ubukorano rusimbura uruhago rwawe. Uruhago rwawe rw'inkari ni urugingo ruto rukusanya kandi rukabika inkari. Iyo rukuweho kubera impamvu iyo ari yo yose, agafuka ka Indiana karafata umwanya warwo.

Ibi bikubiyemo kubagwa no gukuramo uruhago rwawe (cystectomy) no gukora aka gafuka mu mwanya wako. Ikintu cyihariye kuri ubu buryo ni uko budahora busohora inkari nk'ubundi buryo bwo kunyara. Kimwe n'uruhago rwawe rwa kera, aka gafuka nako gakusanya inkari. Iyo ubikeneye, ushobora gushyiramo umuyoboro ('catheter') unyuze mu mwenge muto ('stoma') wakorewe mu nda yawe kugira ngo usukemo inkari zakusanyijwe. Iyo agafuka kamaze gushiramo, ushobora gukuramo umuyoboro.

Ni mu bihe ibihe ubu buvuzi bukenewe?

Muganga akunze kukugira inama yo gukuramo uruhago rwawe no gukora agafuka ka Indiana mu bihe bikurikira:

• Kanseri y'inkari: Ubu buryo bwo kubaga akenshi bukorerwa mu rwego rwo kuvura kanseri y'inkari.
• Imitsi y'inkari idakora neza: Hari igihe, bitewe n'ubuvuzi bw'imirasire cyangwa kwangirika kw'imitsi mu bwonko no mu ruti rw'umugongo (uruhago rw'imitsi), imitsi y'uruhago ntishobora gufunga neza kandi inkari ntizishobora gusohoka.
• Indwara zo mu nda: Mu ndwara zidasanzwe zo mu nda nka `Brossle exstrophy`.
• Izindi ndwara zikomeye: Mu ndwara zigira ingaruka zikomeye ku ruhago rw'inkari, nka interstitial cystite, kandi zidakira ubundi buryo bwo kuvura.

Iyi paki ikozwe mu ki?

Ushobora kuba wibaza icyo ibi bikozwemo. Ntugatangare, iyi paki ikozwe hakoreshejwe igice cy'umubiri wawe. Ni ukuvuga igice cy'amara yawe manini.Ibi nibyo bigize aka gafuka k'inkari. Nanone, umwenge muto (`stoma`) aho urethra yinjizwa ukorwa mu gice cy'amara mato .

Witegura ute mbere yo kubagwa?

Mbere y'uko ubagwa, uzakenera guhura na muganga wawe inshuro nyinshi. Azagusobanurira uburyo bwo gukora ndetse n'andi mahitamo yawe. Azasuzuma ubuzima bwawe muri rusange, aganire ku buryo bwo gukora, kandi asubize ibibazo byose ushobora kuba ufite.

• Bwira muganga wawe imiti yose ufata: Waba ufata imiti yanditswe na muganga cyangwa uyigura ku giciro cya muganga, ugomba kubwira muganga wawe imiti yose ufata. Ushobora kandi kubwira muganga wawe imiti iyo ari yo yose ikomoka ku bimera cyangwa Ayurvedic ufata. Ibintu nka aspirine, imiti igabanya ububabare, n'imiti igabanya amaraso bishobora kongera ibyago byo kuva amaraso. Ntugahagarike gufata imiti iyo ari yo yose utabanje kubaza muganga wawe.
• Tubwire ibyerekeye ubwivumbure bwawe: Tubwire ibyerekeye ubwivumbure ubwo aribwo bwose ufite. Ibi birimo ubwivumbure ku miti, imiti isukura uruhu nka iyode, latex, n'ibiribwa.
• Amabwiriza yerekeye ibyo kurya n'ibyo kunywa: Uzabwirwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro mbere yo kubagwa. Niba ukeneye gufata umuti uwo ari wo wose, uzabwirwa kuwufata n'amazi make. Ni ngombwa cyane gukurikiza aya mabwiriza neza.

Reka twige uburyo kubagwa bikorwa.

Kubera ko ubu buryo bwo kubaga bugoye, bukorwa n'itsinda ry'inzobere. Muri iri tsinda ubusanzwe harimo umuganga w'inzobere mu by'imitsi, umuganga w'inzobere mu by'imiti igabanya ububabare, n'abakozi b'abaforomo.

Ubwa mbere, umuganga w’inzobere azagushyira munsi y’ikinya rusange. Ibi bivuze ko uzasinzira cyane kugira ngo utazagira ububabare ubwo aribwo bwose. Hanyuma, inzobere izagukuraho uruhago rwawe. Ibi bishobora gukorwa nk' "kubagwa ku mugaragaro", bikubiyemo gukata inda yawe mu gihe kirekire, cyangwa nk' "kubagwa kwa laparoscopic" cyangwa "robotic", bikubiyemo gukata utuntu duto twinshi.

Nyuma yo gukuraho uruhago rwawe, muganga wawe azafata ibice by'amara yawe abikoreshe mu gukora agapfunyika gashya k'inkari gafite ishusho y'umupira. Hanyuma, uturemangingo tubiri two mu mpyiko zawe tuzahuzwa n'aka gapfunyika gashya. Noneho, inkari zo mu mpyiko zawe zizahita zinjira muri aka gapfunyika. Zizanahuza ibice bibiri by'amara yawe byaciwe. Ibi bizatuma inzira yo kugogora itazahagarara .

Ubu buryo bwose bwo kubaga busanzwe bumara amasaha ari hagati ya 6 na 8.

Ni gute wakoresha kandi ukabungabunga Indiana Pouch?

Iki ni cyo gice cy'ingenzi cyane mu mibereho yawe mishya. Bishobora kuba bidasanzwe mu ntangiriro, ariko nyuma y'igihe runaka uzamenyera.

Uburyo bwiza bwo gushyira inkari mu kabati mu gafuka

1. Ubwa mbere, karaba intoki zawe neza n'isabune.

2. Kuraho plaster cyangwa gauze ikikije stoma yawe (aho ufunguye).

3. Hanagura ubushuhe cyangwa amatembabuzi yose akikije stoma ukoresheje igitambaro gisukuye cy'impapuro.

4. Siga ingano nziza ya jeli itera amavuta kuri katheteri wahawe. Ushobora gukoresha ubwoko bwatanzwe na muganga wawe cyangwa ikindi kintu nka Vaseline™.

5. Noneho shyira buhoro buhoro umuyoboro mu gifu. Hari igihe ushobora kumva ufunze gato. Ibi nibibaho, fata umwuka mwinshi, gabanya imitsi yawe gato, ukuremo umuyoboro gato, hanyuma ugerageze kongera kuwushyira mu mfuruka itandukanye.

6. Iyo umuyoboro umaze gushyirwa mu gafuka, inkari zitangira gusohoka. Reka inkari zikusanyirize mu musarani cyangwa mu gikoresho. Tegereza kugeza igihe agafuka kamaze ubusa.

7. Iyo inkari zihagaritse gutemba, kura umuyoboro buhoro cyane . Iyo uyikuyemo vuba cyane, inkari zimwe zishobora gusohoka.

8. Kura umuyoboro wakoreshejwe.

9. Sukura hafi y'igifu hanyuma ushyireho agatambaro gashya cyangwa igitambaro kugira ngo wirinde kwandura.

10. Ongera woge intoki zawe neza.

Abantu benshi bagomba kunyara inshuro zigera kuri 6 ku munsi. Iyo unyoye ibinyobwa byinshi, nk'amazi, ugomba kunyara kenshi. Ushobora no kubyuka nijoro kugira ngo unywe.

Ni gute wahira Indiana Pouch?

Kubera ko stoma ikorwa mu gice cy'amara, ikora amatembabuzi mu buryo busanzwe. Iyo aya matembabuzi yiyongera, ashobora kuziba umuyoboro, agatera indwara, ndetse agatera amabuye mu mpyiko. Bityo rero ugomba koza agafuka n'umuti wa saline rimwe cyangwa kabiri ku munsi. Ibitaro bizakwereka uko wabikora.

Ni izihe nyungu n'ingaruka z'ubu buryo?

Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu buryo bufite ibyiza n’ibyago.

Gukira n'igihe cyo gushaka inama kwa muganga

Bishobora gufata amezi menshi kugira ngo uruhuke neza kandi umenyere ubuzima bushya nyuma y'uku kubagwa. Muri icyo gihe, itsinda ry'abaganga rizaguha ubufasha bwose ukeneye. Nyuma y'ibyumweru bike, uzabasha gusubira ku kazi no gukora akazi koroheje.

Ese Indiana Pouch na Neobladder ni bimwe?

Oya. Byombi ni imiti isimbura uruhago, ariko bikora mu buryo butandukanye. Ifu y'inkari ifata neza ku muyoboro w'inkari, bityo ushobora kunyara nk'uko bisanzwe mbere yo kubagwa. Ariko, hamwe na Indiana Pouch, ugomba gusohora inkari unyuze mu muyoboro ushyirwa mu gifu cyawe.