Kubagwa mu nda? Reka tuvuge kuri laparotomy.

Ese wowe cyangwa umuntu uzi wigeze ubwirwa na muganga "guca igifu" kubera ikibazo cy'igifu? Cyangwa se wigeze wumva ko hakenewe kubagwa gukomeye kugira ngo haboneke ikibazo mu gifu nyuma y'impanuka, cyangwa kugira ngo amaraso ahagarike? Mu buvuzi, ubu buvuzi, bukorwa muri bene ibyo bihe, kugira ngo hafungurwe ikiziba cy'inda no gusuzuma ingingo, bwitwa "laparotomy." Ubu ni ubu buvuzi bukomeye, abantu benshi bashobora kubutinya. Kubwibyo, reka tubiganireho mu buryo bworoshye kandi busobanutse uyu munsi.

Laparotomy ni iki mu by'ukuri?

Muri make, laparotomy ni uburyo bwo kubaga aho umuganga ufungura umwobo w'inda yawe (umwanya wo mu nda yawe) kugira ngo asuzume cyangwa avure ingingo ziri imbere.

Ibi bishobora gukorwa mu buryo bubiri bw'ingenzi:

1. Ku bijyanye no gusuzuma indwara (Exploratory Laparotomy): Hari igihe, nubwo haba hari ikibazo nko kubabara mu nda cyangwa kuva amaraso imbere mu nda, impamvu ntishobora kuboneka nubwo hakoreshejwe scan. Muri ibyo bihe, umuganga ubaga akora iki gikorwa kugira ngo arebe neza kandi asobanukirwe ibirimo kuba mu nda. Muri icyo gihe, nibiba ngombwa, agace k'uruti gashobora gufatwa kakoherezwa mu isuzuma (`Biopsy`).

2. Laparotomy yo kuvura: Hari igihe kubagwa bikorwa nyuma yuko ikibazo kimenyekanye. Urugero, ubu buryo bwo kubaga bukorwa kugira ngo haveho ikibyimba cya kanseri, hakosorwe amara yangiritse, cyangwa haveho akabyimba kabyimbye.

Ni irihe tandukaniro riri hagati ya Laparotomy na Laparoscopy?

Nubwo byombi ari ukubaga inda, hari itandukaniro rinini hagati yabyo. Abantu benshi bitiranya aya mazina yombi. Reka turebe itandukaniro riri hagati yabyo.

Ni mu bihe ibihe biba ngombwa ko uvura indwara ya laparotomy?

Hari impamvu zihariye zishobora gutuma umuganga ubaga ashobora guhitamo laparotomy aho gukoresha laparoscopy. Ubu buryo ni ingirakamaro cyane, cyane cyane mu bihe byihutirwa aho hakenewe ubufasha bwihuse.

Hari ibihe bimwe na bimwe bishobora kuba ngombwa ko ukorerwa laparotomy:

• Kureba niba ingingo z'imbere zangiritse nyuma yo gukomereka cyane mu nda.
• Peritonite (ubwandu bw'inda).
• Gutobora inda cyangwa amara cyangwa kuva amaraso mu buryo budasubirwaho.
• Kugira ngo akureho ikibyimba cyari cyarabyimbye cyane kandi kigiye guturika.
• Gukuraho urwagashya iyo rwaturitse mu mpanuka.
• Gukuraho utunyangingo duto tw'intanga cyangwa endometriomas .
• Gusuzuma no kuvura indwara n'ikwirakwira rya endometriosis .
• Kubagwa gukomeye nko kubagwa kwa Whipple kwa kanseri y'indurwe.
• Kanseri y'intanga ngore cyangwa lymphoma ya HodgkinKugira ngo tumenye aho kanseri, nka Hodgkin lymphoma, yakwirakwiriye mu mubiri (Cancer staging).
• Kubagwa mu buryo buteganyijwe cyangwa bwihutirwa (`kubagwa mu buryo bwa C`).

Ni iki kibaho mbere yo kubagwa?

Kubera ko iki ari igikorwa gikomeye cyo kubaga, hari ibintu byinshi ugomba kwitegura mbere y’igihe.

1. Uruhushya rumaze kumenyeshwa

Umuganga wawe azagusobanurira neza uburyo bwo kubagwa, ingaruka n'inyungu zako, ndetse n'ubundi buryo bwo kuvura. Azabyumva byose kandi aguhe uburenganzira bwanditse. Mu gihe cy'impanuka, ibyemezo bizafatwa mu nama n'uwo mufitanye isano wa hafi niba umurwayi atazi.

2. Isuzumabumenyi ry'umubiri

Muganga azabaza ubuzima bwawe, imiti urimo gufata, n'ubundi bubagwa bwose wigeze kubagwa. Azakora kandi ibizamini by'ibanze, nko gupima amaraso na X-ray, kugira ngo arebe niba umeze neza kugira ngo uhabwe ikinya rusange.

3. Gutegura amara

Bitewe n'ubwoko bw'ikibagwa, ushobora gukenera kuvanamo amara yose mbere yo kubagwa. Ushobora guhabwa formula yo koroshya ububabare cyangwa enema. Ushobora kandi gusabwa kwiyiriza ubusa cyangwa kunywa ibinyobwa gusa umunsi umwe mbere yo kubagwa.

4. Gusukura

Mbere yo kubagwa, ushobora gusabwa koga n'isabune yica udukoko. Cyangwa, abakozi b'ibitaro bakagusukura mu nda. Bashobora no kogosha umusatsi uwo ari wo wose uri muri ako gace.

Ni iki kibaho nyuma yo kubagwa?

Nyuma yo kubagwa, uzajyanwa mu cyumba cy’ubuvuzi nyuma yo kubagwa, aho umutima wawe n’umuvuduko w’amaraso bizakurikiranwa kugeza igihe uzagarura ubwenge. Hanyuma uzajya mu cyumba cy’ubuvuzi kandi uzagomba kumara iminsi mike mu bitaro.

• Imiti igabanya ububabare: Imiti igabanya ububabare itangwa kugira ngo igabanye ububabare bw'igikomere.
• Imiyoboro: Imirongo ya IV na catheter z'inkari zishyirwa mu gihe cyo kubagwa zishobora kuguma mu mwanya wazo iminsi myinshi, bitewe n'uko bikenewe.
• Kugenda n'amaguru: Nubwo waba ubabara, ushishikarizwa guhaguruka no kugenda buhoro buhoro ufashijwe n'abakozi. Ibi ni ingenzi cyane mu kwirinda kubyimba kw'amaraso n'indwara zo mu bihaha.
• Imyitozo yo guhumeka: Imyitozo yo guhumeka cyane yigishwa.
• Ibiryo: Ubwa mbere, hatangwa ibinyobwa, hanyuma ibiryo bisanzwe bigashyirwamo buhoro buhoro. Hari igihe bifata iminsi mike kugira ngo amara asubire ku murongo. Ibi byitwa 'Paralytic ileus' .

Ni izihe ngaruka mbi zishobora guterwa n'ubu buvuzi?

Nk’uko bigenda mu kubagwa gukomeye kose, laparotomy ifite ingaruka zimwe na zimwe.

• Kwangiza izindi ngingo zegereye umuntu ku buryo butagambiriwe.
• Kuva amaraso menshi cyane biturutse ku mitsi y'amaraso yakomeretse.
• Kwandura ibikomere no gukira bitinze.
• Gushira ibinure mu bice bimwe na bimwe bikikije aho icyibasiwe giterwa no kwangirika kw'imitsi.
• Hernia (hernia) ibaho iyo habaye incision.
• Inkovu (imitsi yo mu nda) igaragara mu nda, bigatuma amara aziba mu gihe kizaza.

Bifata igihe kingana iki kugira ngo umuntu akire?

Ibi biterwa n'ubuzima bwawe muri rusange n'uburyo igikorwa cyo kubagwa kimeze.

• Gukira kw'igikomere: Ubusanzwe bifata ibyumweru bitandatu kugira ngo igikomere gikire burundu.
• Inkovu: Inkovu ndende isigara ku nda. Ariko, igenda ishira buhoro buhoro uko igihe kigenda (mu myaka 3-6).
• Gusubira ku kazi: Bitewe n'imiterere y'akazi kawe, ushobora gusubira ku kazi nyuma y'uko imvune ikize. Ariko, ni byiza kudakora ikintu cyose kiremereye, nko guterura ibyuma, mu gihe cy'amezi make.
• Imyitozo ngororamubiri: Bishobora gufata imyaka ibiri kugira ngo imbaraga z'imitsi yo mu nda zisubire ku murongo. Kubwibyo, imyitozo ngororamubiri igomba gutangizwa buhoro cyane kandi iyobowe na muganga .

Umaze gutaha, niba ufite kimwe muri ibi bimenyetso bikurikira, ugomba guhita uhamagara muganga wawe .