Wenda nyuma yo kubagwa kubera impamvu nka kanseri ya prostate, ese uva inkari utabigambiriye? Niba ibi bibaye iyo useka, ukorora, cyangwa uteruye ikintu kiremereye, ndabyumva ukuntu bishobora kubabaza. Iyi ndwara tuyita kutagira isuku mu nkari. Ariko ntugahangayike, bibaho ku bantu benshi. Ikintu cyiza ni uko hari uburyo bwiza bwo kuvura ibi. Uyu munsi turimo kuvuga ku kubagwa kumwe gukomeye kandi koroshye. Ubwo ni ukubaga 'Male Sling'.
Mu magambo make, kubaga igitsina gabo (Male Sling surgery) ni iki?
Ubu ni uburyo bworoshye cyane bwo kubaga. Mu by'ukuri, butanga ubufasha buto ku muyoboro wawe w'inkari. Tekereza ko muganga afashe kaseti yoroshye, isa n'iy'ubukorano, akayipfunyika neza ku gice cy'umuyoboro wawe w'inkari.
Uyu mukandara uzamura gato umuyoboro w'inkari n'ijosi ry'uruhago, bigatanga ubufasha. Ibi bifasha kugenzura gutembera kw'inkari iyo umuvuduko ku ruhago wiyongereye (nk'igihe ukorora cyangwa useka). Ibi bifasha imitsi yawe ya sphincter kugenzura inkari.
Nyuma y'uku kubagwa, uzaba ushobora kunyara nk'uko bisanzwe, ariko kuva kw'inkari mu buryo butunguranye bizahagarara cyane.
Ni nde usabwa kubagwa?
Abaganga bakunze gutanga inama ku bagabo bafite ibibazo byo kuboneza inkari nyuma yo kubagwa prostate.
Iki ni igisubizo cyiza cyane, cyane cyane niba ufite ikibazo cyo kudakora imibonano mpuzabitsina mu buryo bworoheje kugeza ku buringanire . Ibyo bivuze ko ukoresha pad imwe kugeza kuri eshatu ku munsi, bityo ushobora kuvugana na muganga wawe kuri ubu buvuzi.
Ni ibihe bipimo bikorwa mbere yo kubagwa?
Mbere yuko ukorerwa ubu buvuzi, muganga wawe azakora ibizamini byinshi kugira ngo apime neza ubuzima bwawe. Ibi bizagufasha kumenya uburyo ubu buvuzi bukubereye n'uburyo buzagenda neza.
| Izina ry'ikizamini | Utegereje iki kuri byo? |
|---|---|
| Ikizamini cy'umuyoboro w'amazi (Urodynamic test) | Bapima ibintu nk'uko imitsi n'imitsi yo mu ruhago rwawe no mu muyoboro w'inkari bikora, umuvuduko w'uruhago, n'umuvuduko inkari zisohokamo. |
| Ikizamini cya pad cy'amasaha 24 | Ipima neza umubare w'inkari usohoka mu munsi n'umubare w'inkari ukeneye. |
| Cystoscopy | Bakoresheje umuyoboro muto (endoscope) ufite kamera, basuzuma imbere mu muyoboro wawe w'inkari n'uruhago. |
| Ikizamini cya ECG | Bazagenzura neza ko umutima wawe ukora neza kandi ko ushobora kwihanganira kubagwa. |
| Gupima amaraso | Dusuzuma indwara nk'ibibazo byo kuvura amaraso (urugero: hemophilia), kuko zishobora kongera amaraso mu gihe cyo kubagwa. |
| Isesengura ry'inkari | Suzuma izindi ndwara zishobora kugira ingaruka ku kubagwa, nko kwandura indwara zo mu nzira y'inkari (UTIs), diyabete, n'indwara z'impyiko. |
Ni gute wakwitegura kubagwa?
Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi. Ubusanzwe,
- Bwira muganga wawe imiti yose ufata: Ugomba kubwira muganga wawe imiti yose ufata, harimo na vitamine n'inyongeramusaruro z'ibimera. Imiti imwe, nk'imiti igabanya amaraso, ishobora gukenera guhagarikwa ibyumweru bibiri mbere yo kubagwa.
- Ibiryo n'ibinyobwa: Uzabwirwa kunywa ibinyobwa gusa mu ijoro ryabanjirije kubagwa. Uzabwirwa kandi kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose kuva mu gitondo cyo kubagwa. Ni ngombwa cyane gukurikiza aya mabwiriza neza.
Kubagwa bikorwa gute?
Ubu ni ukubagwa akenshi bifata isaha imwe. Uzahabwa ikinya rusange n'inzobere mu gutera ikinya, bityo ntuzumva ububabare ubwo aribwo bwose. Uzaba usinziriye.
Umaze gusinzira, umuganga w’inkari aza:
1. Hakorwa akantu gato cyane mu gace kari hagati y'amasaro yawe n'ikibuno (perineum).
2. Unyuremo hanyuma ushyire ahagaragara buhoro buhoro urethra.
3. Hanyuma, agakoresho kadasanzwe kavuzwe haruguru gashyirwa hafi y'umuyoboro w'inkari, neza neza mu buryo butanga inkunga ku mitsi igenzura inkari.
Uyu mugozi ufata buhoro buhoro urethra mu mwanya wayo mushya. Ibi bifasha kugenzura inzira y'inkari. Hanyuma umusogoto uradodwa hanyuma ugapfukwa n'igitambaro gisukuye.
Ni iki kibaho nyuma yo kubagwa?
Uzumva umeze nk'ufite ubunebwe nyuma yo kugarura ubwenge. Uzajyanwa mu cyumba cyo gukira, aho uzakurikiranwa kandi uhabwe imiti yo kugenzura ububabare.
Akenshi, ubu buryo ni ubuvuzi bukorerwa hanze y'ibitaro . Ibi bivuze ko ushobora gutaha uwo munsi. Ariko, hari igihe ushobora gukenera kurara mu bitaro. Ibi bigenwa na muganga wawe.
Nyuma yo kubagwa, bishobora kugorana kunyara bwa mbere bitewe no kubyimba. Kubwibyo, uzashyirwamo katheteri y'inkari mu minsi mike. Iyo kubyimba kugabanutse, uzabasha kunyara nk'uko bisanzwe.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Nk’uko bigenda ku kubagwa kose, uku kubagwa gufite ibyiza n’ingaruka nto cyane.
Ibyiza by'ingenzi:
- Umuti mwiza cyane ku kibazo cyo kutagira impatwe. (Igipimo cy'intsinzi kiri hafi ya 80%)
- Kubera ko kubagwa hakoreshejwe akantu gato cyane , igihe cyo gukira ni gito.
- Inkovu ni nto cyane.
- Iyi sleage iri imbere mu mubiri. Ntigaragara inyuma.
- Ibi bimara igihe kirekire, nk'imyaka 10-15.
Ingaruka mbi zishobora kubaho (izi ni nke cyane):
- Kugumana inkari: Iki ni cyo kibazo gikunze kubaho by'igihe gito. Ushobora gukenera gukoresha catheter mu gihe cy'ibyumweru bike.
- Kuva amaraso cyangwa kwandura.
- Uko igihe kigenda gihita, umugozi ushobora kwangirika ukagera mu muyoboro w'inkari (urethra).
- Kubura uburyo bwo kugenzura inkari bigaruka kenshi.
- UTI (indwara y'inkari).
- Ibimenyetso nko kunyara kenshi (guhora inkari zigenda) cyangwa kubyuka nijoro kugira ngo unywe (nocturia).
Icy'ingenzi ni uko izi ngaruka ari nto cyane. Muganga wawe azaganira nawe kuri ibi byose kandi agufashe gufata icyemezo cyiza kuri wewe.
Igihe cyo gukira n'igihe cyo kubonana na muganga
Ubusanzwe uzatangira kumva umeze neza mu cyumweru kimwe. Bishobora gufata ibyumweru byinshi kugira ngo ukire neza.
- Gusubira ku kazi: Niba ufite akazi ko mu biro, ushobora gusubira ku kazi mu minsi mike. Ariko, niba ufite akazi gasaba imbaraga nyinshi nko guterura ibyuma, uzakenera kuruhuka ibyumweru bike.
- Imibonano mpuzabitsina: Baza muganga wawe ibi kandi ukurikize inama ze.
Igihe ugomba guhita ubonana na muganga:
- Niba udashobora kunyara na gato .
- Iyo hari amaraso mu nkari (hematuria) .
- Niba ufite ibimenyetso by'indwara nk'umuriro, ubukonje, cyangwa kubyimba kw'intanga.
Uko byagenda kose, jya kwa muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi ba ETU (ETU).
Ubutumwa bwo kujyana mu rugo
- Kubaga igitsina gabo (Male Sling) ni uburyo bwiza cyane bwo kuvura indwara yo kunanirwa kwihagarika inkari ku bagabo, cyane cyane nyuma yo kubagwa prostate.
- Ubu ni uburyo bworoshye kandi bufite ingaruka nke bukorwa hakoreshejwe uburyo bwo gukata gato cyane.
- Igipimo cyo gutsinda nyuma yo kubagwa kiri hejuru cyane. Kandi kimara igihe kirekire.
- Niba ufite iki kibazo, ntugire isoni cyangwa ngo wihebe, ahubwo vugana n'umuganga w'inkari. Azakugira inama ku buryo bwiza bwo kuvura.
- Niba ugize ikibazo cyo kunyara, kuva amaraso menshi, cyangwa ibimenyetso by'ubwandu nyuma yo kubagwa, shaka ubufasha kwa muganga byihutirwa.
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