Umuti wo kurwanya pouchitis yo hanze: Icyo ukeneye kumenya ku bijyanye no kubaga Kock Pouch

Niba amara yawe manini agomba kubagwa bitewe n'uburwayi ufite, uzakenera kuba ufite agapfunyika ko hanze (stoma) gafatanye n'umwenge wihariye (stoma) wakorewe mu ruhu rw'inda yawe kugira ngo imyanda (umwanda) isohoke mu mubiri wawe. Kubana n'aka gapfunyika ko hanze buri munsi bishobora kubabaza cyane kandi bigatera imihangayiko kuri bamwe. Ariko se wari uzi ko hari ubundi buryo busimbura ibi? Uyu munsi turimo kuvuga ku gapfunyika kihariye (agapfunyika) gakorerwa imbere mu mubiri.

Iyi Kock Pouch ni iki?

Mu magambo make, Kock Pouch ni agafuka gato umuganga ubaga akora mu mubiri wawe, akoresheje igice cy'amara yawe mato. Ni ubundi buryo bwo gusiga ishashi yo hanze ya ileostomy.

Mu icupa risanzwe rya ileostomy, impera y'amara mato igera ku ruhu rwo mu nda, bigatuma habaho stoma. Kubera ko umwanda uhora usohoka unyuze muri uyu mwenge, ugomba kwambarwa igihe cyose kugira ngo uwufate.

Ariko muri Kock Pouch, kubera ko iyi paki iri imbere mu mubiri, umwanda ntusohoka wose icyarimwe. Ahubwo, uterana imbere muri iyo paki. Ushobora gukuramo iyi paki inshuro nyinshi ku munsi, igihe cyose ushakiye, ushyiramo umuyoboro muto (catheter) unyuze muri `stoma`. Ibi kandi byitwa "Continence Ileostomy" . Ibi bivuze ko ushobora kugenzura inzira umwanda unyuramo. Ubu buryo bwatangijwe bwa mbere n'umuganga w'inzobere witwa Nils Kock. Niyo mpamvu bwitwa Kock Pouch.

Kubaga Kock Pouch bikorwa gute?

Uku kubagwa biragoye gato. Umuganga wawe azabikora gutya:

• Ubwa mbere, fata santimetero 30 z'inkombe y'amara yawe mato (ileum) hanyuma uyashyire mu ishusho ya "U".
• Icya kabiri, igice gipfunyitse gifungurwa hagati hanyuma impande zigahuzwa zigadodwa hamwe. Ibi birema agafuka. Igice gito cy'amara gisigara ku mpera.
• Icya gatatu, kandi cy'ingenzi kurusha ibindi, hakoreshejwe amara asigaye, hakorwa valve imwe hafi y'umunwa w'agapfunyika. Ibi ni ingenzi cyane kuko iyi valve ari yo ibuza imyanda cyangwa umwuka kuva mu gifu igihe agapfunyika kuzuye.
• Amaherezo, impera y'agapira ifatanywa n'imbere mu gapira kaba mu nda. Mu mpera y'iki gikorwa, abaganga bagenzura neza ko agapira gakora neza.

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

Nyuma yo kubagwa, uzamara mu bitaro iminsi itatu kugeza kuri itanu. Muri icyo gihe, hazashyirwamo imiyoboro itandukanye kugira ngo bigufashe gukira vuba.

• Umurongo wa IV (umuyoboro winjizwa mu mutsi) kugira ngo utange umunyu
• Imiyoboro y'amazi y'ibikomere
• Umuyoboro w'imiti igabanya ububabare (Pampu y'ububabare)
• Katheteri y'inkari

Uzakenera kubika catheter mu mwanya wayo mu gihe cy'ibyumweru bike. Ibi bizatuma amazi ari mu gafuka gashya gashobora gusohoka kandi bigatuma igisebe gikira neza. Umuforomo azakwereka uburyo bwo kwita kuri catheter mu rugo.

Nyuma y'ibyumweru bike ugiye mu rugo, muganga azagukuraho umuyoboro. Nyuma y'ibyo, umuforomo azakwigisha uburyo bwo gusohora amazi mu gakapu ukoresheje katheteri isanzwe, uzakoresha kuva ubu.

Mu ntangiriro, ushobora gukenera gukuramo amazi inshuro zigera kuri 8 ku munsi. Ariko ntugahangayike. Nyuma y'amezi make, iyo amazi amaze gukura gato kandi akaba arimo gukira neza, ushobora gukenera kuyakuramo amazi inshuro ebyiri cyangwa enye ku munsi.

Reka kandi twite ku kibazo gikomeye.

Iyo valve ifunguye kandi umwobo w'agakapu ugafunga kandi umuyoboro udashobora gushyirwamo, ni ikibazo cyihutirwa. Muri icyo gihe, ugomba guhita ujya mu bitaro byita ku barwayi ba ETU . Nanone, niba ugomba kubagwa inshuro nyinshi bitewe n'ingorane nk'izo, hari ibyago byo kugabanya uburebure bw'amara mato no kugira ikibazo cy'imirire mibi (Short Arowel Syndrome).

Ni irihe tandukaniro riri hagati y'ikigega cya Kock na J-Pouch?

Ushobora kuba warumvise na J-Pouch. Nubwo byombi ari ubwoko bw'udukapu tw'imbere, dukora mu buryo butandukanye.

• J-Pouch: Ibi bikubiyemo gushyira agafuka ku muyoboro w'inkari. Ibi bivuze ko udakeneye stoma. Urashobora kwituma unyuze mu kibuno nkuko bisanzwe. Abantu benshi bakunda ubu buryo. Ariko, ikibuno cyawe n'imitsi ikikikije bigomba kuba bifite ubuzima bwiza.
• Kock Pouch: Kock Pouch ni yo nzira nziza ku muntu udashobora gukoresha J-Pouch (urugero, niba na anus yarakuwemo) cyangwa ku muntu wagize J-Pouch ariko ikananirwa.

Ese ngomba guhindura indyo yanjye nyuma y'uku kubagwa?

Yego, kurya indyo yuzuye kandi ifite intungamubiri ni ingenzi cyane kugira ngo wihutishe gukira. Mbere yaho, ushobora kuba waragabanyaga ibiryo bimwe na bimwe bitewe n'uburwayi bwawe. Ubu ushobora kongera buhoro buhoro iyo ndyo.

Niba intebe yawe ari nini cyane cyangwa ifite amazi menshi, ushobora kuyikosora uhindura indyo yawe. Ni byiza gusaba inama inzobere mu mirire kuri ibi. Muganga wawe ashobora kukwemerera kuyikoresha.