Ese hari igihe wumva imitsi yawe irakomera mu buryo butunguranye, umubiri wawe ugakonja, kandi ntushobora no kugenda? Kuri bamwe, iki ni ikintu gisanzwe cy'igihe gito, ariko ku bandi, giterwa n'indwara ikomeye. Mu buvuzi, ibi tubyita Spasticity . Kugira ngo bagenzure iki kibazo, abaganga babanza gutanga imiti yo kunywa. Ariko iyo indwara ibaye ikomeye cyane ku buryo idashobora gukemurwa n'iyo miti, uburyo bwihariye bwo kuvura abaganga bavuga ni ubwo bwitwa Baclofen Pump. Sawa, reka tuvuge kuri byose mu magambo yoroheje uyu munsi.
Mu magambo make, iyi Baclofen Pump ni iki?
Tekereza nk'agakoresho gato k'icyuma kizingiye. Aka ni ipompo. Aka ni igikoresho gishyirwa munsi y'uruhu rw'inda yawe mu gihe cyo kubagwa gato. Umuyoboro muto kandi woroshye (twita catheter ) uhujwe n'aka gakoresho ushyirwa mu mazi akikije uruti rw'umugongo (umuyoboro w'umugongo) mu mugongo wawe.
Mu magambo make, iyi pompe ifite ikigega gifata imiti, bateri, n'icyuma gipima mudasobwa. Muganga akoresha igikoresho cya mudasobwa cyihariye gishyirwa ku ruhu rwawe kandi agatanga amabwiriza kuri iyi pompe. Ni ukuvuga ko, mu bihe bitandukanye by'umunsi, ingano y'imiti ukeneye ishyirwa mu mazi akikije umugongo binyuze muri uwo muyoboro mu gihe gikwiye. Ubu buryo kandi twita Intrathecal Baclofen Therapy (ITB) .
None se uyu muti witwa Baclofen ni uwuhe?
Baclofen ni umuti ugabanya imitsi . Iyo uyishyize mu ruti rw'umugongo,
- Igabanya imitsi idafite imbaraga zidasanzwe (imitsi igoramye).
- Bigabanya imitsi idakenewe.
- Binoza imitsi n'imikorere yayo.
Ni ubwoko ki bw'abarwayi ubu bukwiriye?
Ipompo ya Baclofen si iya buri wese. Abaganga bakunze kuyigira inama abantu bafite spasticity ikomeye badashobora kuyigenzura bakoresheje imiti inyobwa. Zimwe mu ndwara zishobora gutera iyi ndwara zirimo:
- Sclerosis nyinshi
- Gukomereka k'umugongo
- Indwara yo mu bwonko itera indwara ya cerebral palsy
- Ibikomere byo mu bwonko bikomeretsa (TBI)
- Igisebe cy'imitsi
Mbere yo gufata icyemezo niba ubu buryo bwo kuvura bukubereye, muganga wawe azagukorera ikizamini cyihariye. Muri iki gikorwa, umuti wa Baclofen uterwa mu mazi akikije uruti rw'umugongo wawe, umubiri wawe ugakurikiranwa amasaha menshi kugira ngo barebe uburyo ipompo ikora neza kuri wewe. Ibisubizo bizagaragaza uburyo ipompo ikora neza kuri wewe.
Kubagwa bikorwa gute kandi ni iki kibaho nyuma yaho?
Ubu ni ukubagwa gukorwa n'umuganga w'imitsi cyangwa inzobere mu kuvura ububabare.
- Mbere yo kubagwa: Uzahabwa ikinya rusange, bityo ntuzumva ububabare ubwo aribwo bwose.
- Mu gihe cyo kubagwa: Muganga azagukata gato mu nda hanyuma ashyiremo ipompo. Hanyuma, azagukata akandi gato mu mugongo wo hasi hanyuma ashyiremo umuyoboro (catheter) uva kuri pompe mu mwanya ukikije uruti rw'umugongo. Amaherezo, pompe izaba yuzuyemo imiti kandi igashyirwaho gahunda yo kurekura umuti uko ubyifuza. Ubusanzwe ubu busanzwe bufata amasaha abiri.
- Nyuma yo kubagwa: Ugomba kumara iminsi mike mu bitaro. Hanyuma, mbere yo gutaha, ushobora koherezwa mu bitaro kugira ngo bigufashe kumenyera ibikoresho byawe bishya n'imikorere isanzwe.
Ni gute wakora neza pompe?
Ntushobora kuyipompa rimwe gusa ngo uyireke. Kimwe no gushyira amavuta mu modoka, iyi pompe igomba kongeramo inshuro zitari nke. Ubusanzwe, ibi bigomba gukorwa buri mezi 1-6. Kugira ngo ibi bigerweho, muganga ashyira urushinge munsi y'uruhu rwawe maze agatera umuti ahantu hihariye kuri pompe (refill port).
Icy'ingenzi kurushaho: Ntugasimbuke gahunda yo kongeramo imiti kwa muganga kubera impamvu iyo ari yo yose. Nubikora, pompe izashira imiti kandi ushobora kugira ibimenyetso bikomeye byo kuyireka.
Ni izihe nyungu n'ibibi by'ubu buryo bwo kuvura?
Nk’uko bigenda ku buryo ubwo ari bwo bwose bwo kuvura, ubu buryo bufite ibyiza n’ibibi. Reka turebe ibyo ari byo.
| Ibyiza | Ingaruka/Ingorane |
|---|---|
| Kugenzura neza imitsi idakora neza. | Kwandura no kuva amaraso aho bakorewe. |
| Ingaruka mbi nkeya kurusha imiti inyobwa. | Amazi yo mu mugongo ava. |
| Umubiri ukomeza kwakira umuti muri ubwo buryo. | Ikosa rya tekiniki rya pompe cyangwa catheter. |
| Kuba ushobora guhindura ingano y'umuti mu bihe bitandukanye by'umunsi, uko bikenewe. | Ibimenyetso byo kureka imiti bigaragara iyo umuti uhagaritswe mu buryo butunguranye. |
| Gushobora gukurwamo mu gihe bibaye ngombwa. | Kurenza urugero bibaho iyo ingano y'imiti yongerewe. |
Ibibazo byihutirwa ugomba kumenya neza!
Iki ni cyo gice cy'ingenzi cyane muri iyi nkuru. Ni ingenzi cyane kuri wewe n'umuryango wawe kumenya ibimenyetso byo kureka kunywa cyangwa kunywa ibiyobyabwenge bitunguranye. Izi ni indwara zikomeye zishobora gushyira ubuzima mu kaga.
| Ikibazo cy'ibiza | Ibimenyetso |
|---|---|
| Kureka Baclofen (Niba ipompo ibuze imiti cyangwa idafite ubushobozi bwo kuyikoresha) |
|
| Baclofen yo mu bwoko bwa Overdose (Bishobora kubaho ako kanya nyuma yo kongeramo imiti cyangwa guhindura gahunda) |
|
Niba hari kimwe mu bimenyetso byavuzwe haruguru kigaragaye, jya ku bitaro bikuru byita ku barwayi ba ETU (ETU) biri hafi yawe vuba! | |
Utundi tuntu duto ...
- Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa? Ubusanzwe bifata ibyumweru 6-8. Muri icyo gihe, ugomba kwirinda gukora imirimo ivunanye.
- Bateri ya pompe: Ubusanzwe imara imyaka 6-7. Iyo bateri igiye kurangira, pompe itanga ikimenyetso kizakumenyesha. Hanyuma hazakenerwa ubundi buryo bwo kubaga kugira ngo pompe isimburwe.
- Ibimenyetso by'ubwandu: Niba aho babagiye ari hatukura, habyimbye, hababaza, hakavamo amazi, cyangwa ufite umuriro, menyesha muganga wawe ako kanya .
Umuganga ukuvura ni we wenyine ushobora gufata icyemezo cyiza ku bijyanye no kumenya niba ubu buryo bw'ubuvuzi bukubereye. Kubwibyo, vugana na muganga wawe mu buryo bweruye kandi buvugitse ku bibazo, impungenge, cyangwa impungenge ushobora kuba ufite kuri ibi.
Ubutumwa bwo kujyana mu rugo
- Baclofen Pump ni uburyo bwihariye bwo kuvura indwara yo kubabara cyane idashobora kugenzurwa n'imiti inyobwa.
- Iki ni igikoresho cyashyizwemo umuti mu buryo bwa "bag", kandi ni ngombwa kongeramo umuti rimwe mu gihe runaka.
- Ntuzigere usimbuka itariki yo kongeramo imiti. Bishobora gutera ibimenyetso bikomeye byo kuyireka.
- Menya ibimenyetso byo kureka kunywa itabi no kunywa ibiyobyabwenge birenze urugero kuri wowe n'umuryango wawe. Nubona kimwe muri ibi bimenyetso, jya mu cyumba cyita ku barwayi b'ingorabahizi (ETU) vuba.
- Ganira na muganga wawe niba ubu buryo bw'ubuvuzi bukubereye ndetse n'ibindi bifitanye isano.
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