Kock Pouch (K-pouch) ni iki? Ese ushobora kubaho udafite agakapu ko hanze k'intebe?

Bitewe n'indwara zimwe na zimwe, cyane cyane ibibazo by'amara manini, kubagwa birakenewe kugira ngo icyo gice gikurweho. Hanyuma, hakorwa umwenge muto mu ruhu rw'inda kugira ngo imyanda ishobore gusohoka mu mubiri. Bityo, imyanda ikusanyirizwa mu gafuka gafatanye n'uyu mwenge. Kubana n'aka gafuka bishobora kubangamira abantu bamwe na bamwe. Bishobora kumera nk'imbogamizi mu gihe cyo gusabana, kwambara imyenda no gukora imirimo ya buri munsi. None se byagenda bite iyo hari uburyo bwo gukusanya imyanda mu mubiri udafite aka gafuka ko hanze hanyuma ukayikuramo igihe cyose tubishakiye? Umuti w'ibyo ni agafuka ka Kock tuvuga uyu munsi.

Mu magambo make, iyi paki ya Kock (K-pouch) ni iki?

Tekereza, aho kugira agakapu kamanitse hanze y'umubiri wawe, byagenda bite uramutse ushoboye gukora agakapu gato gashobora gukusanya no kubika imyanda mu mubiri wawe? Ni ko agakapu ka Kock kameze.

Nyuma yo kubagwa, impera y'amara yawe mato, ileum, izanwa ku ruhu rwo mu nda yawe hanyuma hakavuka umwenge muto. Ibi byitwa ileostomy. Uyu mwenge witwa stoma. Ibi bikunze gukorwa ukoresheje agafuka ko hanze kuri stoma.

Ariko mu gikorwa cyo gukoresha agapfunyika ka Kock, umuganga ubaga akoresha igice cy'amara yawe mato kugira ngo akore agapfunyika gato mu mubiri wawe . Aka gapfunyika gahujwe neza n'umwobo (stoma) uri mu nda yawe. Bityo ntukeneye agapfunyika ko hanze kugira ngo ufate umwanda wawe. Iyo ubikeneye, umuyoboro muto (catheter) ushobora gushyirwamo unyuze muri uyu mwobo maze imyanda yakusanyirijwe muri ako gapfunyika irashobora gukurwamo.

Ni iyihe mikoreshereze y'agakapu ka Kock?

Ubu buryo bukoreshwa cyane cyane ku bantu babana n'indwara ya 'ileostomy' ihoraho ariko badashaka gukoresha agapfunyika ko hanze k'isuku. Akamaro kanini k'ubu buryo ni uko bashobora kugenzura aho isuku inyura.

Mu icupa risanzwe rya ileostomy, umwanda ushobora guteranira mu mufuka igihe icyo ari cyo cyose. Ntidushobora kuwugenzura. Ariko ileostomy ifite umufuka wa Kock yitwa ileostomy yo mu bwoko bwa continence. Ibyo bivuze "gucungwa." Muri iki gihe, umwanda uteranira mu mufuka uri imbere, aho kuvamo, bityo ukaba ufite umudendezo wo kuwukuraho igihe cyose ushakiye.

• Amakuru y'inyongera: Agafuka ka Kock kari gakozwe nk'agafuka ko mu nda gakoreshwa mu gukusanya inkari ku barwayi bakuwemo inkari. Ubwo buryo buracyakoreshwa na n'ubu, ariko ubu hari uburyo bushya bwinshi bwakozwe.

Uku kubagwa bikorwa gute?

Umuganga wawe ashobora gukora agapfunyika ka Kock icyarimwe na ileostomy yawe, cyangwa akabikora mu bundi buryo nyuma y’igihe runaka. Ibi bivuze ko niba usanzwe ufite ileostomy, ushobora guhindura ukajya kuri Kock nyuma y’igihe runaka.

Mu magambo make, kubagwa bikorwa ku buryo bukurikira:

1. Gukora agapfunyika: Muganga azafata santimetero 25 z'umusozo w'amara yawe mato maze akayazungurure mu ishusho ya "U". Hanyuma, amara azafungurwa hagati muri uyu mupfunyika hanyuma impande zidoderwe hamwe. Ibi bizarema agapfunyika.

2. Gukora Valve: Iki ni cyo gice cy'ingenzi cyane. Hakoreshejwe amara asigaye ku mpera y'agafuka, hakorwa valve yihariye (`valve y'inzira imwe`). Imeze nk'urugi rufungukira mu cyerekezo kimwe gusa. Iyo imyanda yuzuye imbere, iyi valve ihita ifunga. Muri ubwo buryo, imyanda, amazi n'umwuka ntibisohoka.

3. Guhuza: Amaherezo, impera iriho valve ifatanye n'umwobo (`stoma`) wakorewe mu nda yawe. Muganga azasuzuma kugira ngo arebe neza ko byose bikora neza kandi nta cyuho kirimo.

Bigenda bite nyuma yo kubagwa? Bifata igihe kingana iki kugira ngo umuntu akire?

Nyuma yo kubagwa, uzakenera kumara mu bitaro iminsi itatu kugeza kuri itanu. Muri icyo gihe, imiyoboro itandukanye izahuzwa n'umubiri wawe kugira ngo igufashe gukira vuba.

• umuyoboro wa `IV` wo gutanga umunyu
• `Indyo ya IV` yo ku mirire
• Imiyoboro y'amazi ikura imyanda mu gikomere
• Katheteri y'inkari
• `Pompe y'ububabare` yo kurwanya ububabare

Ntugahangayikishwe n'ibi bintu, byose ni iby'igihe gito.

Katheta ishyirwa mu gituza cyawe izasigara mu mwanya wayo mu gihe cy'ibyumweru byinshi. Ibi bizatuma imyanda isohoka mu gafuka kashya kugeza igihe igikomere gikize. Umuforomo azakwigisha uburyo bwo kwita kuri katheta.

Nyuma yo kujya mu rugo ukaruhuka ibyumweru bike, muganga wawe azagukuraho uyu muyoboro. Hanyuma, umuforomo azakwigisha uburyo bwo gukuramo amazi mu gikapu cyawe ukoresheje umuyoboro usanzwe (catheter).

Ibyiza n'ingorane zishobora guterwa n'agakapu ka Kock

Kimwe n'ubundi buryo bwose bwo kwivuza, hari ibyiza n'ingaruka. Reka tubirebe.

Iyo izi ngorane zibayeho, hari igihe hashobora kuba ngombwa ko habaho ubundi buryo bwo kubaga (`revision surgery`) kugira ngo zikosorwe. Ku bijyanye n'umufuka wa Kock, cyane cyane bitewe n'ibibazo by'imitsi, igipimo cy'ubwo buryo bwo kubaga busubiramo kiri hejuru gato ugereranyije n'ubundi buryo (hafi 30%). Ariko muganga wawe azagusobanurira neza ibi byose.

Ni irihe tandukaniro riri hagati y'agakapu ka Kock n'agakapu ka J?

Nubwo ibi byombi ari ubwoko bw'udusaho tuba mu mubiri, uburyo dukora buratandukanye rwose.

• Kock Pouch (K-pouch): Iyi ikorwa hakoreshejwe `ileostomy`, ari wo mwenge (`stoma`) mu gifu. Imyenge ivanwamo binyuze mu muyoboro (`catheter`) winjijwe mu mwenge uri mu gifu.
• J-Pouch: Iyi ni ubundi buryo bwo gupima imyakura. Aha, agapfunyika gakorwa mu mpera y'amara mato kagahuzwa neza n'umuyoboro w'ikibuno (anus canal). Ibi bikuraho gukenera gusohora stoma (gufungura igifu). Umurwayi ashobora kujya mu bwiherero no kwiyuhagira mu buryo busanzwe.

Kenshi na kenshi, abarwayi bashaka gukurwaho inda zombi z’amara n’iz’amara bahitamo uburyo bwa J-pouch. Ariko, kugira ngo J-pouch igire icyo igeraho, imitsi yo mu nda igomba kuba ikora neza. Ku bantu badashobora kugira J-pouch kubera impamvu runaka, cyangwa ku bantu bafite J-pouch yangiritse, Kock pouch ni amahitamo meza.

Urashaka guhindura indyo yawe?

Yego, kurya indyo yuzuye kandi ifite intungamubiri ni ingenzi cyane kugira ngo wihutishe gukira. Niba ubwiherero bwawe ari bwinshi cyane cyangwa bufite amazi menshi, ushobora guhindura gato imirire yawe. Byaba ingirakamaro cyane gusaba inama ku muganga w’imirire. Muganga wawe ashobora kukwemerera ku muntu ukubereye.