Ese muganga yakubwiye gukora colostomy (Loop Colostomy) ? Wihangayika, tuzabiganiraho.

Iyo umuganga wawe akubwiye ibijyanye no gupima intanga, ushobora kumva ufite ubwoba bwinshi n'imihangayiko. Ushobora kuba ufite ibibazo byinshi mu mutwe wawe, urugero nka "Ese nzagomba kubaho mfite agafuka ku nda?", "Ibi ni ibihe byose?", "Abandi bantu bazatekereza iki?" Ibyo ni ibisanzwe cyane. Ariko ntugatinye. Akenshi, iki ni ikintu cy'igihe gito . Ni igisubizo cy'igihe gito kugeza igihe ikibazo runaka mu mubiri wawe gikize. Uyu munsi, turaganira ku cyo gupima intanga ku mfuruka ari cyo, impamvu ikorwa, n'uko ubuzima bwawe buzaba bumeze nyuma yacyo.

Udupira two mu bwonko (Loop Colostomy) ni iki?

Muri make, colostomy ni uburyo bwo kubaga aho agace k'amara kawe, igice cy'amara yawe manini atwara umwanda, gacibwamo hanyuma hejuru yawo hagahuzwa n'umwenge mushya mu ruhu rw'inda yawe. Uyu mwenge witwa stoma . Aho gusohokera mu kibuno nk'uko bisanzwe, umwanda uterana mu gikapu cyihariye gifatanye n'inda yawe binyuze muri iyi stoma.

Noneho reka turebe icyo "looptomy" ari cyo. Ubu ni bwo bwoko bwa "colostomy" bukunze kugaragara cyane, kandi akenshi bukunze kuba ubw'igihe gito . Muri ubu buryo, umuganga ubaga akura "loop" (igice gisa n'impeta) mu mwenge wakorewe mu nda akawucamo kabiri aho kuwucamo burundu. Ibi bituma byoroha kuyisubiramo nyuma. Niyo mpamvu abaganga bahitamo ubu buryo iyo ukeneye guha amara yawe umwanya muto wo gukira. Ushobora kuguma muri ubu buryo mu byumweru bike, amezi make, cyangwa ndetse n'imyaka mike. Biterwa n'uko umeze.

Ni mu bihe ibihe ubu buvuzi bukenewe?

Hari impamvu ebyiri z'ingenzi: kuyobya imyanda no kugabanya ubukana bw'imyanda.

1. Guhindura imyanda

Tekereza ko igice cy'amara yawe gikeneye gukira nyuma yo gukomereka, kwandura, cyangwa kubagwa. Nk'uko bigenda iyo uri gukora imirimo ikomeye yo mu muhanda kandi ukerekeza imodoka mu wundi muhanda kugira ngo ugabanye urujya n'uruza rw'imodoka, ntabwo twohereza umwanda kure y'aho ugomba gukira, ahubwo tuba tuwureka ukava mu mwenge mushya uri mu nda yawe. Ibi birinda umwanda kwinjira mu gice cyakomeretse, ugakira ugatera ubwandu, kandi bigaha ako gace umwanya wo kuruhuka.

2. Gukuraho igitutu

Tekereza ko hari ahantu hafunganye cyangwa hafunganye mu mara yawe. Hanyuma umwanda ntushobora kumanuka. Uku kubagwa gutuma umwanda usohoka. Hagati aho, abaganga bashobora kuvura umwanda. Nyuma y'uko igice gikize, amara ashobora kongera guhuzwa.

Uku kubagwa gukorwa kugira ngo amara yawe agire uburinzi n'uburinzi akeneye kugira ngo akire. Bishobora kuba ubuvuzi bw'ingenzi kandi burokora ubuzima.

Ni izihe ndwara Looptomy ifasha?

Dore zimwe mu bihe bishobora kuba ngombwa ko ubu buvuzi bukorwa:

• Diverticulitis
• Urwara rw'ibisebe
• Indwara ya Crohn
• Kuziba amara menshi
• Nyuma yo kubagwa igice cy'amaraso
• Ibikomere bikomeye cyangwa indwara zandurira mu maraso cyangwa mu nkengero zayo

Ni irihe tandukaniro riri hagati ya Loop Colostomy na End Colostomy?

Ubu ni bwo bwoko bubiri bw'ingenzi bwo kubaga intanga. Ni ngombwa ko usobanukirwa itandukaniro riri hagati y'ibyo byombi.

Ni iki kibaho mbere na nyuma yo kubagwa?

Mbere yo kubagwa

Mbere yo kubagwa, uzagira amahirwe yo guhura na muganga. Aho niho uzamenyeshwa neza ibijyanye no kubagwa, ingaruka zako, n'impinduka mu mibereho nyuma yo kubagwa. Uzasabwa kwirinda kurya cyangwa kunywa amasaha agera kuri 6 umunsi umwe mbere yo kubagwa. Ushobora kandi guhabwa enema cyangwa umuti wo gusukura amara yawe. Ugeze mu bitaro, uzashyirwa munsi y'ikinya hanyuma kubagwa bizatangira.

Mu gihe cyo kubaga

Bitewe n'uko urwaye, ubu buryo bwo kubaga bushobora gukorwa hakoreshejwe laparoscope (binyuze mu gukata uduce duto ukoresheje kamera) cyangwa nk'uburyo bwo gufungura . Kubaga laparoscope biroroshye kuri wewe kandi bishobora kugufasha gukira vuba. Umuganga ubaga akuraho umwobo w'amara, agatera stoma, akawushyira ku ruhu hanyuma akawudoda.

Nyuma yo kubagwa

Uzakenera kuguma mu bitaro iminsi mike nyuma yo kubagwa.

• Ibiryo: Banza utange ibiryo by'amazi, hanyuma utange buhoro buhoro ibiryo bisanzwe.
• Kwita ku ivuriro ryawe: Iki ni cyo gice cy'ingenzi cyane. Umuforomo wize by'umwihariko kwita ku ivuriro ryawe (Wound Ostomy Continence Nurse - WOCN) azakwigisha byose kuva ku buryo bwo gusukura ivuriro ryawe kugeza ku buryo bwo guhindura isakoshi yawe.
• Ububabare: Hatangwa imiti igabanya ububabare.
• Igituba: Bishobora gufata iminsi mike kugira ngo igituba kive mu gituba. Ntukiganyire.

Ese hari ingaruka n'ingorane bishobora guterwa n'ubu buvuzi?

Nk’uko bigenda ku kubagwa kose, hari ingaruka zimwe na zimwe zishobora kubaho, ariko abaganga bakora uko bashoboye kugira ngo bazicunge.

Ni ryari nshobora guhindura uburyo bwo gupima ibara ry'uruhu rwanjye (colostomy)?

Iki ni cyo cyizere gikomeye ku bantu benshi. Igisubizo kuri ibi giterwa n'ubuzima bwawe. Ugomba gukira burundu kubera kubagwa n'indwara yateye kubagwa. Hari abantu bashobora kubagwa mu byumweru cyangwa amezi make. Ku bandi, bishobora gufata imyaka myinshi. Muganga wawe azagusuzuma buri gihe kandi ateganye gahunda yo kubagwa igihe yumva witeguye.

Ni ryari nkwiye kubwira muganga ibijyanye n'uburyo bwo gukamura intanga (colostomy) yanjye?

Niba ufite kimwe muri ibi bimenyetso bikurikira, menyesha muganga wawe cyangwa umuforomo wawe wa stoma ako kanya.

• Kuramba mu impatwe cyangwa impiswi .
• Isesemi cyangwa kuruka bidashira.
• Amaraso mu ntebe.
• Iyo ubonye impinduka mu bunini busanzwe cyangwa ibara rya stoma.
• Iyo hari impumuro mbi idasanzwe ituruka mu gifu.
• Niba stoma yumva yazibye .