Iyo umuganga wawe akubwiye ko ugomba kubagwa indorerwamo, ugomba kuba warumvise ubwoba bwinshi n'ihungabana, si byo se? "Mana yanjye, ubuzima bwanjye buzaba bumeze bute kuva ubu?", "Ese sinzashobora gusubira mu buzima bwanjye bwa kera?", "Nzagenda nte n'iyi sakoshi?" Ushobora kuba ufite ibibazo igihumbi mu mutwe wawe. Ariko ntutinye. Ibi ntabwo ari ibintu bikomeye cyangwa ngo bihindure ubuzima nkuko ubitekereza. Ufite ubumenyi n'ubuyobozi bikwiye, ushobora kwihanganira iyi ndwara neza no kubaho ubuzima busanzwe kandi bwishimye. Reka tuvuge kuri byose mu buryo bworoshye.
Mu magambo make, colostomy ni iki?
Mbere na mbere, reka turebe icyo ari cyo. Uduce tw’amara ni kimwe mu bigize sisitemu yacu y’igogora. Muri make, inshingano yatwo nyamukuru ni ukwinjiza imyanda ikorerwa mu mubiri wacu, ni ukuvuga amase, hamwe na zimwe mu ntungamubiri zisigaye. Hanyuma, imyanda ikomeye isohoka mu mubiri inyuze mu kibuno.
Ariko, niba amara manini n'inyuma y'amaraso bidashoboye gukora neza bitewe n'indwara, impanuka, cyangwa kubagwa, cyangwa niba icyo gice gikeneye kuruhuka igihe gito, umubiri wacu ukeneye ubundi buryo bwo gukuraho imyanda.
Colostomy ni umwenge w’ubukorano ukorwa binyuze mu guhuza amara manini n’uruhu ruri hejuru y’inda. Uyu kandi witwa stoma . Uyu ni umwenge imyanda n’umwuka binyuramo mu mubiri. Uyu ushobora kuba uhoraho kuri bamwe, ariko ukaba uw’igihe gito ku bandi.
Ibi bigira ingaruka zite ku buzima bwanjye?
Mu gihe uri mu bitaro nyuma yo kubagwa, umuganga wawe n'abaforomo bazaguha amabwiriza menshi y'uko wayiyitaho, uko wayisukura, n'uko wahindura ibintu byose bikenewe mu mibereho yawe. Yego, ugomba guhindura ibintu bike. Ariko uzamenyera ibyo bintu vuba.
Dore ibintu byoroshye byagufasha muri ibyo:
- Witondere imiti ufata: Hari imiti ishobora gutera impatwe cyangwa impiswi, bityo rero bwira muganga wawe imiti yose ufata.
- Kurya indyo yuzuye: Gabanya ibiryo bitera umwuka, nk'amashu, ibishyimbo, n'imbuto zimwe na zimwe. Ni byiza kuvugana n'inzobere mu by'imirire kuri ibi hanyuma utange urutonde rw'ibiryo bikubereye.
- Baho ubuzima bwawe nk'uko bisanzwe: Wibuke ko gupakira ifu (colostomy) atari iherezo ry'ubuzima bwawe. Imifuka yo muri iki gihe yo gupakira ifu (colostomy) yagenewe ku buryo itagaragara munsi y'imyenda kandi igakwira neza ku mubiri. Ibi bivuze ko abantu benshi bashobora gusubira ku kazi no gukora imirimo yabo ya mbere (harimo n'imibonano mpuzabitsina).
Vugana na muganga wawe nta guhisha ku bibazo cyangwa ubwoba ufite.
Kuhira mu bwoko bwa Colostomy ni iki?
Ubu ni bumwe mu buryo bwo gucunga imikorere y'amara. Mu magambo make, bisaba kohereza amazi mu mara yawe anyuze mu nda yawe hanyuma ukayakuraho yose mu gihe cyagenwe.
Ibi akenshi bikorwa rimwe cyangwa kabiri ku munsi icyarimwe, kugira ngo amara amenyere. Hanyuma, mu bindi bihe, imyanda yirundanyije mu mufuka ishobora kugenzurwa ahanini. Bifata ibyumweru 6 kugeza kuri 8 kugira ngo ibi bikorwe neza.
Ariko, ubu buryo ntibukwiriye buri wese. Ugomba kuvugana na muganga wawe kugira ngo agufashe kumenya niba bukubereye.
| Abashobora kuba bujuje ibisabwa | Abashobora kuba batujuje ibisabwa |
|---|---|
| Abantu bafite ikibazo cy’impiswi gihoraho, cyane cyane abafite stoma mu gice cyo hasi cy’amara manini (drowning/sigmoid colon), kuko ubusanzwe imvune zabo ziba zikomeye. | Abantu bafite indwara nka Irritable Bowel Syndrome (IBS). Abantu bafite izindi ngorane za stoma. Abantu bafite stoma iherereye mu gice cyo hejuru cy'amara manini (ascending/transverse colon). |
Witondere kurya no kunywa ukoresheje imashini igabanya ubukana bw'uruhu
Ugomba kwitondera cyane indyo yawe mu byumweru bike bya mbere nyuma yo kubagwa.
- Aho kurya amafunguro manini atatu ku munsi, jya urya amafunguro magufi agera kuri atandatu .
- Guhekenya ibiryo byawe neza kandi urye buhoro buhoro .
- Nywa nibura ibirahuri 8-10 by'amazi ku munsi.
- Mu byumweru bike bya mbere, jya urya indyo irimo ibinure bike kandi irimo fibre nke .
- Mu gihe wongeramo ibiryo bishya, gerageza kongeramo kimwe kimwe kugira ngo urebe uburyo bigira ingaruka ku mubiri wawe.
| Ibyokurya byo guhitamo | Ibiryo ugomba kwitondera/kwirinda |
|---|---|
| Inyama zitarimo kafeyine, umugati wera, makaroni, umuceri, amazi, icyayi kitarimo kafeyine na kawa. | Inyama zirimo amavuta/ikaranze, ibinyampeke birimo fibre nyinshi nk'ibishyimbo, lentile, imboga zitera umwuka nk'amashu, kafeyine, na alcool. |
Ese ushobora gukora imyitozo ngororamubiri?
Yego, ushobora kubikora rwose. Ariko ugomba gutangira witonze kandi ukurikije amabwiriza ya muganga wawe . Kugenda n'amaguru ni wo myitozo ngororamubiri mwiza kandi wizewe wo gutangira.
Kwiruka
Niba uri umuntu wiruka, ushobora kugira udusebe duto dutukura cyangwa udusebe duto dukikije stoma yawe, wenda bitewe no kwisiga ku gikapu. Ibi bizakira iyo uruhuka gato. Niba bikomeje, bwira muganga wawe.
Imyitozo ngororamubiri yo mu nda (Imiterere y'umubiri n'imitsi yo mu nda)
Imyitozo ngororamubiri ishyira igitutu ku mitsi yo mu nda, nko kuruhuka no gucika intege, no guterura ibiremereye bishobora kongera ibyago byo kurwara hernia hafi y'igifu, cyangwa hernia yo mu kibuno . Kubwibyo , banza uganire na muganga wawe mbere yo gutangira iyo myitozo.
Koga
Koga nabyo ni byiza. Ariko banza ubaze muganga wawe. Hanyuma, mbere yo kujya koga, shyira mu bwogero bwo mu rugo igihe gito kugira ngo urebe neza ko agafuka gafunze neza kandi nta kintu kivamo.
Gutanga amazi
Nywa amazi menshi mu gihe ukora imyitozo ngororamubiri. Niba inkari zawe zigaragara neza cyangwa zifite umuhondo woroshye, bivuze ko ufite amazi menshi. Iyo zijimye, bishobora guteza ibibazo ku nda yawe no ku buzima bwawe muri rusange. Ibi byitwa dehydration .
Ni izihe ngorane zishobora guterwa n'iki kibazo?
Kubana n'indwara yo mu nda bishobora gutera ibibazo bito, kandi ni ngombwa kubimenya.
| Ingorane | Ibisobanuro | Icyo gukora |
|---|---|---|
| Kuvomba | Imyanda iva munsi y'umufuka ijya ku ruhu cyangwa mu mubiri. Indwara z'uruhu zishobora kubaho. | Vugana na muganga wawe ku byerekeye ubundi bwoko bw'udukapu. Ushobora gukenera kubagwa bundi bushya. |
| Gufungana | Uduce tw'ibiryo dufata mu gituza. Ibimenyetso birimo kubura umwanda, kubabara mu gifu, kuruka no kubyimba kw'igituza. | Shaka muganga wawe ako kanya. Iki ni ikibazo cyihutirwa. |
| Gusubira inyuma | Igisebe cy'uruhu kimanuka munsi y'urugero rw'uruhu, ibyo bikaba bishobora gutuma habaho kuva kw'amazi. | Vugana na muganga wawe ku bindi bikoresho. Kubagwa bishobora kuba ngombwa. |
| Hernia | Gusohoka kw'amara munsi y'uruhu rukikije stoma. | Irinde guterura ibintu biremereye no kwinaniza. Ambara umukandara wo gushyigikira. Vugana na muganga wawe. |
Ubutumwa bwo kujyana mu rugo
- Gukoresha indorerwamo y'uruhu si iherezo ry'ubuzima bwawe. Iyo uyobowe neza, ushobora kubaho ubuzima busanzwe kandi bushimishije.
- Buri gihe ganira na muganga wawe ku byerekeye imirire yawe, imyitozo ngororamubiri, n'ibibazo ushobora kuba ufite.
- Witondere cyane cyane ibiryo bitera umwuka n'ibiryo bishobora kuziba stoma.
- Kwirinda imyitozo ngororamubiri no guterura ibiremereye bishyira igitutu ku mitsi yo mu nda bishobora kugabanya ibyago byo kurwara hernia.
- Niba ubonye ibimenyetso by'igifu cyazibye (kubabara mu gifu, kuruka, kunanirwa kwituma), shaka ubufasha kwa muganga vuba vuba.











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