Ese urwaye ikibazo cyo gucika mu kibuno? Reka twige kuri ubu buryo bwo kubaga (Lateral Internal Sphincterotomy)!

Ububabare bwo mu kibuno, cyane cyane ubushyuhe n'ububabare bukabije mu gihe cyo kuva mu mara, ni ikintu abantu benshi badashaka kuvugaho, ariko kibaho cyane imbere. Hari igihe impamvu iba ari agatonyanga gato mu rukuta rw'umuyoboro w'ikibuno cyawe. Mu buvuzi ibi tubyita 'Anal Fissure'. Ubusanzwe, aya marira akira mu byumweru bike hakoreshejwe imiti, amavuta yo kwisiga, no guhindura imibereho. Ariko kuri bamwe, amara amezi menshi, ndetse n'imyaka myinshi. Niyo mpamvu abaganga bavuga ko ari ukubagwa kwitwa 'Lateral Internal Sphincterotomy' ku muntu ufite ubwo bubabare budakira .

Mu magambo make, urwego rw'inyuma rw'impinja (Lateral Internal Sphincterotomy) ni iki?

Nubwo izina rishobora kumvikana nk'irigoye, mu by'ukuri igitekerezo cyoroshye cyane. Gukorerwa uruziga rw'imbere rw'inyuma ni ukubagwa gato gukorerwa kuri imwe mu mpande ebyiri z'imitsi ikikije ikibuno cyawe.

Tekereza, hari imitsi ibiri ikikije ikibuno cyacu.

1. Internal Anal Sphincter: Nta bubasha dufite kuri ibi. Ihora ifunze kandi iruhura gusa mu gihe cyo kuva mu nda.

2. Indabo zo mu kibuno cyo hanze: Dushobora kuzifunga cyangwa kuziruhura igihe icyo ari cyo cyose.

Impamvu nyamukuru ituma imikaya yo mu kibuno ifata igihe kirekire idakira ni ukugongana kw'iyi mpeta y'imbere . Muri ubu buvuzi, umuganga ubaga agabanya gato cyane imikaya y'imbere cyane kandi ikagabanya ubukana bwayo. Ni nko gukata agapira gato k'umukandara ugafunguka. Ibi byitwa (Myotomy), bivuze gukata imikaya.

Kuki ukeneye ubu buvuzi?

Ushobora kuba wibaza uti "Kuki nakenera kubagwa agahu gato?" Dore impamvu.

Iyo havutse ikibazo mu muhogo, imitsi yo munsi iragaragara. Ibi bituma imitsi ikomeza gukaza kenshi kandi mu buryo budasubirwaho. Ibi tubyita gucika intege kw'imitsi. Uku gucika intege guterwa n'ibibazo bibiri by'ingenzi:

1. Kurambura igikomere: Iyo imitsi ikomeje gukomera, impande z'imitsi zirakururana. Nk'uko iyo tugonze ukuboko kwacu kandi dufite igikomere ku nkokora, igikomere kirafunguka. Ibi bigabanya amahirwe yo gukira kw'igikomere.

2. Kugabanuka kw'amaraso: Iyo imitsi ifunze neza, amaraso anyura muri ako gace aragabanuka. Amaraso meza ni ngombwa kugira ngo igikomere icyo ari cyo cyose gikire. Iyo amaraso agabanutse, gukira kurahagarara burundu.

Ibi bituma imitsi ikomera bitewe n'ububabare, kandi imitsi ikomera ituma igisebe kidakira kandi ububabare bukiyongera. Ni nk'uruziga rubi. Kubaga Lateral Internal Sphincterotomy bihagarika urwo rugendo rubi. Iyo imitsi ikomera ku kigero kiri hagati ya 20% na 50%, spasms irahagarara, amaraso akongera gutembera, kandi igikomere gitangira gukira mu buryo busanzwe.

Wibuke ko atari ko imiyoboro yose yo mu kibuno isaba kubagwa. Ariko, hafi 40% by'imiyoboro yo mu kibuno ntikira imiti kandi ishobora kuba akarande. Muri ibyo bihe, kubagwa bifatwa nk'umuti mwiza kandi uhoraho .

Ni iki kibaho mbere no mu gihe cyo kubagwa?

Ubusanzwe ubu si ukubagwa gukomeye. Akenshi ni igikorwa cyo kwa muganga aho ushobora gutaha umunsi umwe nyuma yo kuvurwa.

Kwitegura kubagwa

• Anesthesia: Ubusanzwe ubusanzwe bukorwa hakoreshejwe anesthesia rusange. Ibi bivuze ko nta kintu na kimwe uzumva mu gihe cyo kubagwa. Kubwibyo, ntuzashobora gutwara imodoka nyuma yo kubagwa. Ni ngombwa kugira umuntu ugutwara mu rugo.
• Kurikiza amabwiriza: Kurikiza amabwiriza ya muganga wawe neza, urugero nk'amasaha ugomba kwiyiriza ubusa mbere yo kubagwa.

Mu gihe cyo kubaga

Kubagwa mu by’ukuri bifata iminota 30. Umuganga abanza gukoresha igikoresho gito cyitwa anoscope kugira ngo arebe imbere mu kibuno maze amenye neza aho ikibuno kiri. Hanyuma, hakorwa akantu gato ku ruhande rw'imitsi y'imbere ya sphincter munsi y'ikibuno. Uku gukata bishobora gukorwa hifashishijwe icyuma cyo mu bwoko bwa scalpel cyangwa igikoresho cy'amashanyarazi cyitwa electrocautery. Intego ni ukugabanya gukomera kw'imitsi kugeza ku rwego rwifuzwa no gutuma ikibuno gikira.

Ni iki kibaho nyuma yo kubagwa? Kandi ububabare bumeze bute?

Uzumva ububabare nyuma yo kubagwa, ariko abantu benshi bavuga ko ubu bubabare ari buke cyane ugereranyije n'ububabare bukomeye kandi budashobora kwihanganira bari bafite mbere yo kubagwa . Muganga azaguha imiti igabanya ububabare.

Ni gute wakoroshya kwituma mu buryo bworoshye?

Ushobora kumva ububabare igihe urimo kwihagarika amara nyuma yo kubagwa. Ariko ibi si bishya kuri wewe. Hari ibintu bike ushobora gukora kugira ngo bigufashe muri ibi:

• Imiti yoroshya intebe: Koresha imiti yoroshya intebe (nk'uko muganga yabigutegetse).
• Amazi n'ibiribwa bikungahaye kuri fibre: Nywa amazi menshi. Rya byinshi mu biribwa bikungahaye kuri fibre nk'imbuto, imboga, n'ibinyampeke byuzuye.
• Kwiyuhagira mu mazi ashyushye: Icara mu gikombe kirimo amazi y'akazuyazi mu gihe cy'iminota 10-15. Ibi bizagabanya ububabare kandi bifashe igisebe kuguma gisukuye.
• Guhanagura umwana: Gukoresha udupira tw'umwana aho gukoresha impapuro z'isuku bishobora kugabanya kwangirika kw'igikomere.

Ni izihe nyungu n'ingaruka zishobora guterwa n'ubu buvuzi?

Nk’uko bigenda ku kubagwa kose, uku kubagwa gufite ibyiza n’ingaruka nto cyane.

Akamaro nyamukuru ni uko ushobora gukuraho burundu ububabare bwari bumaze igihe kinini bugutera ibibazo, ku kigero cya 95% . Ibi bizamura cyane ubuzima bwawe.

Ingaruka mbi):

Ibi ni ibintu bikunze kugaragara gake cyane.

• Kunanirwa kwifata mu ijosi: Uko imitsi iruhuka, ushobora kugira umwanda muto cyangwa umwuka usohoka mu gihe cyo gukira. Ibi ni iby'igihe gito ku bantu benshi kandi bizashira burundu mu byumweru bike.
• Kugumana inkari: Hari abantu bashobora kugira ingorane zo kunyara nyuma yo kubagwa. Ibi akenshi bikemura ubwabyo.
• Kwandura cyangwa kuva amaraso: Nk’uko bigenda mu kubagwa kose, hari ibyago bike cyane byo kwandura.
• Kugaruka kw'ibisebe: Ni gake cyane, ibisebe bishobora kongera kugaruka.

Muganga wawe azakubwira ibyo bibazo kandi agufashe gufata icyemezo cyiza kuri wewe.

Igihe cyo kubonana na muganga

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa, bimenyeshe muganga wawe ako kanya:

• Ibimenyetso by'ubwandu nko kugira umuriro, kubyimba, no gutukura kw'igikomere .
• Kuva amaraso menshi cyangwa amabyi anuka nabi.
• Ububabare bukomeye budashobora gukemurwa nubwo haba hari imiti igabanya ububabare.
• Kunanirwa kunyara.

Ese hari ubundi buryo bwo kuvura?

Yego, hari andi mahitamo. Fissurectomy ni ubundi buryo bwo kubaga. Muri ubu buryo, icyuho n'ingingo zikikije bikurwaho nta gukata imitsi. Muri icyo gihe, Botox iterwa kugira ngo imitsi iruhuke. Ariko, Lateral Internal Sphincterotomy ifatwa nk'igipimo cya zahabu kandi imaze igihe kinini ikoreshwa ku gipimo cyo hejuru cy'intsinzi.

Ku muntu umaze amezi menshi arwaye imikaya yo mu kibuno, igitekerezo cyo kubagwa gishobora gutera ubwoba. Ariko mu by'ukuri gishobora kuguha ubutabazi ukeneye. Uzatangira kumva itandukaniro rikomeye mu minsi mike nyuma yo kubagwa.