Ese hari igihe wumva uva inkari nke iyo useka cyane, ukorora, guterura ikintu kiremereye, cyangwa ugakora siporo? Kunanirwa kwihagarika inkari ni ikibazo gikunze kugaragara ku bagabo benshi, cyane cyane nyuma yo kubagwa prostate cyane kuri kanseri ya prostate. Nubwo ari ikibazo giteye isoni kuvugwaho muri sosiyete, ni indwara ishobora kuvurwa. Igisubizo cyiza kandi gigezweho kuri ibi ni ukubagwa kwa Male Sling. Reka tubiganireho neza uyu munsi.
Mu magambo make, kubaga igitsina gabo (Male Sling surgery) ni iki?
Kubaga umuyoboro w'inkari ku bagabo ni uburyo bwo kubaga butagira ingaruka nyinshi bukorerwa ku bagabo mu kuvura ikibazo cyo kudakora inkari. Tekereza ko hashyizweho agakoresho gato gakikije urethra, umuyoboro w'inkari unyuramo, kugira ngo gatange ubufasha. Ibyo nibyo bikora.
Muri ubu buryo, muganga wawe apfunyika kaseti yoroshye kandi ikoze nk'iy'ubukorano ku muyoboro w'inkari, ikaba ari igice cy'umuyoboro w'inkari. Akantu ko mu muyoboro w'inkari kaba gaherereye mu nsi y'igitsina cyawe. Kaseti izamura gato umuyoboro w'inkari n'ijosi ry'uruhago, ikaguha inkunga. Iyi nkunga itanga imitsi ya sphincter igenzura inkari cyane. Ibi bifasha kwirinda ko inkari ziva mu gihe ukorora cyangwa witsamuye.
Ubu buvuzi buzwi kandi ku mazina nka AdVance® sling cyangwa Coloplast Virtue® male sling.
Ni nde uvurwa n'ubu buryo bwo kubaga?
Ubu buryo bwo kubaga bukunze kwitabwaho n'abagabo bafite ikibazo cyo kugenzura inkari zabo nyuma yo kubagwa prostate.
Icy'ingenzi kurushaho, ibi birakwiriye cyane ku bantu bafite ikibazo cyo kudakora neza koroheje kugeza ku rugero . Ibyo bivuze ko abashobora gukoresha pad imwe, ebyiri, cyangwa eshatu ku munsi bashobora kubona umusaruro mwiza babikoresheje.
Ni ibihe bipimo bikorwa mbere yo kubagwa?
Mbere yuko ukorerwa ubu buvuzi, muganga wawe azagutegeka ibipimo byinshi kugira ngo apime neza uko umeze. Ibi bizagufasha kumenya niba uri umuntu mwiza wo kubagwa no kumenya niba uzagira umusaruro mwiza nyuma yo kubagwa.
| Izina ry'Ikizamini | Ubona iki muri ibyo? |
|---|---|
| Isuzuma ry'imiyoboro y'amazi (Urodynamic) | Bagenzura uburyo imitsi n'imitsi yo mu ruhago rwawe no mu muyoboro w'inkari bikora neza. Bapima ibintu nk'umuvuduko uri mu ruhago rwawe n'umuvuduko inkari zisohokamo. |
| Ikizamini cya pad cy'amasaha 24 | Ibi bigufasha gupima neza umubare w'inkari ukeneye n'ingano y'inkari uva mu masaha 24. |
| Cystoscopy | Umuyoboro muto, woroshye ufite kamera iwufatanye unyuzwa mu muyoboro w'inkari, bigatuma muganga abona imbere mu ruhago rwawe. |
| Ikizamini cya ECG (Electrocardiogram) | Iki kizamini gikorwa kugira ngo umenye neza ko umutima wawe ushobora kwihanganira iki gikorwa cyo kubagwa. |
| Gupima amaraso | Uzasuzumwa kugira ngo urebe niba ufite ikibazo cyo kuvura amaraso (urugero: hemophilia). Iyo ubikoze, ushobora kuba ufite ibyago byinshi byo kuva amaraso mu gihe cyo kubagwa. |
| Isesengura ry'inkari | Ibi bifasha kumenya niba hari izindi ndwara zishobora kugira ingaruka ku kubagwa, nko kwandura indwara zo mu nzira y'inkari (UTIs), indwara z'impyiko, cyangwa diyabete. |
Ni gute nakwitegura kubagwa?
Kwitegura kubagwa nabyo ni ingenzi cyane.
- Bwira muganga wawe imiti yose ufata: imiti yanditswe na muganga, imiti idatanzwe na muganga, imiti ya Ayurvedic, vitamine... Bwira muganga wawe ibi byose.
- Reka gufata imiti igabanya amaraso:Uzasabwa kureka gufata imiti igabanya amaraso (anticoagulants), aspirine, n'imiti igabanya ububabare (NSAIDs) icyumweru kimwe cyangwa bibiri mbere yo kubagwa. Ibi bishobora kongera ibyago byo kuva amaraso mu gihe cyo kubagwa. Nta kibazo gufata acetaminophen (acetaminophen) kugira ngo urware umutwe.
- Imiti ushobora gukomeza gufata: Keretse muganga wawe agusabye ukundi, ushobora gukomeza gufata imiti ikurikira.
- Antibiyotike
- Umuti uvura umuvuduko ukabije w'amaraso
- Imiti ikoreshwa mu misemburo
- Umuti uvura indwara z'umutima
- Ibiryo n'ibinyobwa: Uzasabwa kurya ibiryo by'amazi gusa (urugero: isupu, umutobe w'imbuto, jeli) mu ijoro ryabanjirije kubagwa. Uzakenera kureka kurya no kunywa burundu amasaha make mbere yo kubagwa. Ibi bizagufasha kugumana amara meza mu gihe cyo kubagwa, bizagabanya ibyago byo kwandura.
Ni iki kibaho mu gihe cyo kubagwa?
Ubu buvuzi bukorwa n'itsinda ry'inzobere, barimo umuganga w'inzobere mu kubaga uruhago n'inkari (Urologist), umuganga w'inzobere mu gutera ikinya, n'abaforomo.
Ubwa mbere, uzaba utewe ikinya burundu. Ibi bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye burundu.
Hanyuma umuganga ubaga:
1. Hakorwa akantu gato cyane mu gace kari hagati y'amasaro yawe n'ikibuno (perineum).
2. Umuyoboro w'inkari ugenda ugaragara buhoro buhoro.
3. Hanyuma, kaseti yo kubaga (sling) twavuze mbere ishyirwa neza cyane hafi y'agace k'umuyoboro w'inkari.
Iyi kaseti ishyira urethra mu mwanya mushya kandi ukwiye. Ibi byongera umuvuduko muri ako gace kandi bigatanga inkunga nziza ku ijosi ry'uruhago. Ubusanzwe kubagwa bifata isaha imwe.
Ni iki ushobora kwitega nyuma yo kubagwa?
Nyuma yo kubagwa, uzaguma mu cyumba cyo gukira kugeza igihe uzagarura ubwenge kandi ubuzima bwawe bugatuje.
- Akenshi, iyi ni inzira ikorerwa hanze y'ibitaro , ariko rimwe na rimwe, ushobora gukenera kurara mu bitaro.
- Nyuma yo kubagwa, bishobora kugorana kunyara bwa mbere bitewe no kubyimba. Ushobora kuba ukeneye gukoresha catheter y'inkari mu mwanya wayo iminsi mike. Iyo kubyimba kugabanutse, uzabasha kunyara nk'uko bisanzwe.
- Nyuma yo gukira, ugomba kuba ushobora kunyara nk'uko bisanzwe nta kibazo.
Ni izihe nyungu n'igipimo cy'intsinzi cy'ubu buvuzi?
Akamaro gakomeye k'ubu buvuzi ni uko butanga igisubizo cyiza ku kibazo cyo kutagira impatwe mu nkari. Byongeye kandi:
- Ni agace gato cyane, bityo gakira vuba.
- Ntabwo bizasiga inkovu nini.
- Igihe cyo gukira ni gito.
- Iyi sleage iri imbere mu mubiri, bityo ntugaragara inyuma.
Intsinzi n'ubuzima burambye
Ubu buryo bwo kubaga bwagenze neza cyane. Ubushakashatsi buherutse gukorwa bwerekana ko hafi 80% by'abagabo bakorewe ubu buryo bakuyeho burundu cyangwa barushijeho kunoza cyane ikibazo cyo kudakora inkari. Ubusanzwe icyuma gifata inkari kimara imyaka 10 kugeza kuri 15.
Ni izihe ngaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?
Nkuko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe, ariko ingorane ni nke cyane.
| Ingaruka / Ingaruka mbi | Ibisobanuro |
|---|---|
| Kudashobora kunyara (Kubika inkari) | Ikibazo gikunze kubaho nyuma yo kubagwa. Catheter yo mu muyoboro w'inkari ishobora gukenera gusigara mu mwanya wayo mu byumweru bike. Ni gake cyane, hashobora gukenerwa ubundi bubagwa kugira ngo ibi bikosorwe. |
| Kuva amaraso | Hashobora kuva amaraso make aho bakorewe ubuvuzi. |
| Kwandura | Hari ibyago byo kwandura igice cy'inkari cyangwa inzira y'inkari. |
| Kudakora imibonano mpuzabitsina bikunze kubaho | Hari amahirwe make ko ikibazo cyo kunanirwa kwihagarika inkari gishobora kugaruka uko igihe kigenda gihita. |
| Ibimenyetso by'inkari zikora cyane | Ibimenyetso bishobora kuba birimo kwihagarika kenshi (``guhagarara k'inkari``), gukenera kwihagarika mu buryo butunguranye (``guhagarara k'inkari``), cyangwa kubyuka nijoro kugira ngo uhagarike (``nocturia``). |
Gusubira mu buzima no kongera gukora imirimo ya buri munsi
Igihe cyo gukira kiratandukanye bitewe n'umuntu ku wundi.
- Gukira: Abantu benshi batangira kumva bameze neza mu cyumweru kimwe, ariko bishobora gufata ibyumweru byinshi kugira ngo bakire neza.
- Gusubira ku kazi: Niba ufite akazi ko ku meza, ubusanzwe ushobora gusubira ku kazi mu minsi mike. Ariko, niba ufite akazi gasaba guterura ibyuma cyangwa gukora imyitozo ngororamubiri, ushobora gukenera ikiruhuko gito.
- Gukora imibonano mpuzabitsina: Ni ngombwa kubaza muganga wawe igihe ntarengwa cyo kongera gukora imibonano mpuzabitsina nyuma yo kubagwa.
Ni ryari ukwiye kujya kwa muganga?
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gutaha nyuma yo kubagwa, hamagara muganga wawe ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe.
- Niba udashobora kunyara na gato .
- Niba ufite amaraso mu nkari zawe (hematuria).
- Iyo hari ibimenyetso by'ubwandu (nk'umuriro, ubukonje, kubyimba kw'intanga).
- Niba utabonye ibisubizo wari witeze cyangwa ikibazo cyo kunanirwa kwihagarika inkari kikongera kugaruka nyuma y'igihe runaka, ganira na muganga wawe kuri ibyo.
Ubutumwa bwo kujyana mu rugo
- Kubaga igitsina gabo (Male Sling) ni uburyo bwiza kandi bwizewe bwo kuvura indwara yo kunanirwa kwifata mu nkari, cyane cyane nyuma yo kubagwa prostate.
- Ubu ni ukubagwa kudasaba gucibwamo igice kinini kandi bigakira vuba.
- Igipimo cyo kubagwa cyagenze neza cyane (hafi 80%).
- Mbere yo kubagwa, ganira na muganga wawe ku giti cye ku miti yose ufata ndetse n'ibibazo ufite byose.
- Niba ugaragaje ibimenyetso bikomeye nyuma yo kubagwa, nko kunanirwa kunyara, umuriro mwinshi, cyangwa ibimenyetso by'ubwandu, shaka ubufasha kwa muganga byihutirwa.
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