Uburyo bwa Mitrofanoff ni iki? Reka tubiganireho mu buryo bworoshye.

Hari igihe tugomba guhura n'ibibazo by'ubuzima tudashobora no kwiyumvisha. Cyane cyane iyo bigeze ku bibazo by'inkari, biragoye cyane kudashobora kunyara nk'uko bisanzwe. Kubana n'ibyo bibazo ni ikibazo gikomeye ku mwana no ku muntu mukuru. Kugira ngo dufashe abantu nk'abo, uyu munsi turimo kuvuga ku kubagwa kudasanzwe gukorwa kugira ngo ubuzima bwabo bworohe. Ibi byitwa Mitrofanoff Procedure. Nubwo izina ritangaje gato, inyungu zabyo ni iz'agaciro cyane.

Mu magambo make, ubu buryo bwo kubaga Mitrofanoff ni iki?

Kubaga Mitrofanoff ni uburyo bwo kubaga bukora umwenge muto (witwa stoma ) mu nda kugira ngo inkari zisohoke mu ruhago. Ubu buryo ni bwihariye cyane kuko abaganga b'inzobere bakoresha igice cy'umubiri wawe kugira ngo bakore uwo mwenge. Uwo ni wo mwenge wawe.

Tekereza, ukoresheje agasabo k'inkari, ugakora umuyoboro muto umeze nk'umuyoboro uva mu ruhago rwawe ukagera mu nda yawe. Hanyuma, iyo ukeneye kunyara, ushobora gushyiramo catheter , umuyoboro woroshye, unyuze muri uyu mwenge (stoma) kugira ngo usukemo uruhago rwawe.

Ubu buryo bwatangijwe bwa mbere mu 1976 na Porofeseri witwa Paul Mitrofanoff. Niyo mpamvu bwahawe izina. Bunatwa `appendicovesicostomy`.

Reka tubanze dusobanukirwe gato kuri ibi bice by'umubiri wacu.

Kugira ngo dusobanukirwe neza ubu buryo bwo kubaga, ni byiza kumenya gato uko uturemangingo tw'inkari n'imiyoboro y'inkari y'umubiri wacu bikora.

• Inkari: Aka ni agafuka k'imitsi gasa n'umupira w'amaguru. Inkari impyiko zacu zikora mu kuyungurura amaraso zinyura mu miyoboro ibiri mito (ureters) zigakusanyiriza muri uru rukenyerero. Iyo rwuzuye, twumva dukeneye kunyara. Hanyuma, inkari zisohoka mu mubiri zinyuze mu muyoboro w'inkari.
• Umugereka: Iki ni igice cy'urusobe rw'igogora. Ni umuyoboro muto uherereye hepfo iburyo bw'igifu cyawe, ufatanye n'igice cya mbere cy'amara manini. Abaganga ntibaramenya indi mirimo ifite. Ariko dushobora kubaho ubuzima bwiza tudafite. Abantu benshi barayikurwamo iyo barwaye appendicitis. Rero, nta kibazo cyo kuyikoresha mu zindi ngaruka nziza.

Tekereza uramutse udafite appendix, bivuze ko yakuweho mu gihe cyo kubagwa mbere, wakora iki? Hari igisubizo kuri ibyo kandi. Muri icyo gihe, umuganga uzakura appendix mu mara yawe mato.Bafata agace gato bakagakora iyi nzira. Yitwa uburyo bwa Monti cyangwa Monti-Yang.

Ni iki mu by'ukuri kibaho mu gihe cyo gukora Mitrofanoff?

Ibi bigufasha kwikuramo uruhago rwawe ubwawe ukoresheje catheter unyuze mu mwenge uri mu nda yawe (stoma). Ibi byitwa self-catheterization .

Mu munsi wose, mu bihe runaka (ubusanzwe buri masaha 3-4), uzakenera gukora ibi bikurikira:

1. Umuyoboro woroshye (catheter) winjizwa unyuze mu mwenge (stoma) wo mu nda hanyuma ukayoborwa mu nzira yakozwe igana ku ruhago.

2. Inkari zose zisukwa mu musarani cyangwa mu gikoresho kiri ku muyoboro.

3. Iyo uruhago rumaze gusa, catheter irakurwaho. Umwobo (stoma) uhita wifunga. Nta nkari zisohoka ziturutse aho.

Ubu buryo bworoshye, ntibubabaza cyane, kandi buroroshye ku bantu benshi kurusha gushyiramo catheter mu muyoboro usanzwe w'inkari.

Ni nde ukeneye ubu buvuzi?

Kubagwa kwa Mitrofanoff bishobora kuba ngombwa ku bana no ku bakuru. Tuzabireba byombi ukwabyo.

Kuki umwana akeneye kubagwa Mitrofanoff?

Hari abana bavukana intege nke zimwe na zimwe mu mitsi yabo. Ibi bituma badashobora kugenzura imitsi y'inkari zabo. Ibi byitwa uruhago rw'imitsi . Nanone, abana bafite ibibazo by'inkari bavukanye bashobora gukenera kubagwa.

Impamvu zisanzwe zituma abana bakeneye ubu bubagwa ni izi:

• Spina Bifida: Intege nke z'umugongo zibaho igihe umuntu avuka.
• Gusohora uruhago cyangwa gusohora uruhago inyuma: Gushyira uruhago inyuma bitewe n'uko urukuta rw'inda rutarakomera neza igihe cyo kuvuka.
• Indwara yo mu bwonko: Indwara igira ingaruka ku mikorere y'umubiri no ku mikorere y'imitsi bitewe no kwangirika k'ubwonko.
• Kugaragara kw'agace gato k'umugongo: Kutagira igice cyo hasi cy'umugongo mu gihe cy'amavuko.
• Gukomereka k'umugongo.

Kuki umuntu mukuru akeneye kubagwa Mitrofanoff?

Abantu bakuru bashobora kandi kudashobora kugenzura uruhago rwabo bitewe n'impamvu zitandukanye.

• Indwara za kanseri: Indwara nka kanseri y'uruhago, kanseri ya prostate, cyangwa kanseri y'inkondo y'umura.
• Kudashobora kugenzura inkari: Kunanirwa cyane kwihagarika inkari.
• Kubyimba k'uruhago (Cystitis).
• Indwara z'imitsi: Indwara z'imitsi ziterwa n'indwara nka sclerosis nyinshi cyangwa indwara ya Parkinson.
• Ibikomere byo mu mugongo, ubumuga, cyangwa ibibyimba by'umugongo.
• Indwara yo mu bwonko (stroke).

Ni iki kibaho mbere, mu gihe cyo kubagwa na nyuma yaho?

Ni ibisanzwe kumva ufite ubwoba gato iyo uvuga iby’ukubagwa gukomeye nk’uku. Ariko kumenya neza uko ibi bintu bibaho bishobora kugabanya ubwo bwoba.

Mbere y'uko igikorwa kirangira

Kugira ngo ugabanye ibyago byo kwandura mu gihe cyo kubagwa, amara yawe agomba kuba arimo ubusa uko bishoboka kose. Ibi bisaba gukurikiza amabwiriza ya muganga wawe neza. Ibi bishobora kuba birimo:

• Kwiyiriza ubusa umunsi umwe mbere yo kubagwa.
• Gufata ikinyobwa cyihariye kugira ngo woze amara burundu (gusukura amara).

Mu gihe cy'igikorwa

Uku kubagwa bikorwa hifashishijwe ikinya rusange . Ibi bivuze ko nta kintu na kimwe uzumva mu gihe cyo kubagwa, kandi uzaba usinziriye burundu.

Umuganga ubaga akurikiza izi ntambwe:

1. Uzakorerwa icyuho mu nda yawe.

2. Umusemburo utandukanye n'amara manini.

3. Impera imwe yayo ifatanye n'agace gato gakorerwa mu ruhago, naho impera yindi ifatanye n'umwobo muto (stoma) ukorerwa mu ruhu rw'inda.

4. Hakorwa imiterere isa n'agakingirizo aho ureter ihuzwa n'uruhago kugira ngo inkari zidasubira inyuma. Iyi vali irakomera kandi igafunga iyo uruhago rwuzuye, ikarinda inkari kuva mu nzira yakozwe.

5. Kugira ngo bigufashe gusohora inkari kugeza igihe uruhago rwawe rukize, umuyoboro w'agateganyo (umuyoboro wa suprapubic) ushyirwa mu ruhago rwawe. Uyu muyoboro ukusanya inkari mu gafuka kari hanze y'umubiri wawe.

6. Hari igihe imiyoboro mito (ureteral stents) ishobora gushyirwa mu miyoboro itwara inkari ziva mu mpyiko zijya mu ruhago (uretera). Ibi si ngombwa kuri buri wese.

7. Amaherezo, igice cy'ingenzi cyakoreshejwe mu kubaga gifungwa n'imidozi ishongeshwa.

Nyuma y'igikorwa

Nyuma yo kubagwa, uzakenera kumara icyumweru kimwe mu bitaro. Muri iki gihe:

• Ntuzemererwa kurya iminsi myinshi. Ahubwo, uzahabwa ibinyobwa biva mu miyoboro y'amaraso. Ibi ni ukugira ngo amara yawe agire umwanya wo gukira.
• Ku munsi wa mbere cyangwa ibiri, uzagomba kuryama neza mu buriri. Uzashobora kwizunguruka no kwimura amaguru yawe, ariko ntuzemererwa kwicara.
• Iyo ugiye mu rugo, katheteri n'umuyoboro w'agateganyo wa 'suprapubic' bizashyirwa mu nzira nshya yakozwe (Mitrofanoff tunnel) kugira ngo bitazafunga. Iyi katheteri izakenera gusigara aho iri mu mwanya wayo mu gihe cy'ibyumweru bigera kuri bine.
• Iyo hashyizweho "stents" zo mu muyoboro w'ubura, hagomba gukorwa ubundi buryo buto bwo kuzikuraho mu byumweru 6-8.
• Ku munsi wigishijwe kwivura indwara ya catheterization, muganga azakuraho imiyoboro yombi y'agateganyo mu biro. Ibi ntibisaba ko habaho kubagwa ukundi.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari inyungu ndetse n'ingaruka zimwe na zimwe.

Gukira n'ubuzima nyuma yo kubagwa

Mu byumweru bike bya mbere nyuma yo kubagwa, ushobora kugira ibi bikurikira:

• Amaraso make mu nkari (hematuria).
• Kubabara imitsi yo mu ruhago (kubabara mu ruhago).

Muganga wawe azakwandikira imiti igabanya ububabare n'imitsi igabanya ububabare.

Nyuma y'ibyumweru bigera kuri 6, uzakenera kubonana na muganga wawe kugira ngo wige uburyo bwo kwiyinjizamo catheter (kwiyinjizamo).

Ariko, ugomba kwitondera imikorere y'inkari zawe. Ugomba gukora ibizamini bikurikira buri mwaka:

• Gupima amaraso kugira ngo harebwe urugero rw'ibinyabutabire bya elegitoroli mu maraso no mu mikorere y'impyiko.
• Cystoscopy (isuzuma ry'imbere mu ruhago).
• Gupima impyiko n'uruhago hakoreshejwe ultrasound.
• Gusuzuma impyiko, uruhago n'umuyoboro w'inkari hakoreshejwe X-ray.

Igihe cyo kubonana na muganga ako kanya

Niba ubonye kimwe muri ibi bimenyetso, ugomba guhita uhamagara muganga wawe :

• Kudashobora gukuramo burundu uruhago.
• Kuva amaraso menshi, kubyimba, cyangwa gukomereka.
• Isesemi no kuruka.
• Ububabare bukomeye.
• Ibimenyetso by'ubwandu, nko kuva amaraso cyangwa umuriro uhumura nabi.

Ni irihe tandukaniro riri hagati ya Mitrofanoff na Urostomy?

Ubu buryo bwombi bukubiyemo kohereza inkari mu mwobo uri mu nda. Ariko, hakoreshejwe urostomy , inzira ikorwa kugira ngo inyure uruhago no gusohora inkari mu mpyiko. Hari abantu bafite urostomy bagomba kwambara agakapu ko gukusanya inkari igihe cyose. Ibi bivuze ko badashobora kugenzura inzira z'inkari zabo. Ariko, iyo ufite Mitrofanoff, ugira ubwisanzure bwinshi kuko ushobora gukuramo gusa uruhago rwawe ukoresheje catheter igihe ubikeneye.

Ese ubu bubagwa buhoraho?

Ibi bishobora guhindurwa. Ni ukuvuga ko umuyoboro ushobora gukurwaho. Ariko, umusemburo ntuba wongeye guhuzwa n'amara, kuko atari urugingo rw'ingenzi. Nyuma yo gukurwaho Mitrofanoff, ushobora gukenera koga ukoresheje urethra, cyangwa ugakenera gushyiramo catheter kugira ngo uvanemo uruhago rwawe, cyangwa ugakenera gukorerwa urostomy. Iki ni ikintu ugomba kuganira na muganga wawe.