Hari igihe tugomba kubagwa amara cyane, sibyo? Ushobora kuba warumvise ko nyuma yo kubagwa gutyo, havuka umwenge muto, witwa `(stoma)`, ku ruhu rwo mu nda. Ni ibisanzwe kumva ibi utinya gato no kugira ubwoba. Uyu munsi tugiye kuvuga ku kintu na cyo kigoye gato, ariko gifite akamaro cyane. Ni ukuvuga `Mucous Fistula` ni iki n'impamvu ikenewe.
Fistula y'umukara ni iki?
Mu magambo make, fistula y'umukara ni umwobo muto ukorwa no kubagwa ugahuza igice cy'amara yawe cyakuweho by'agateganyo n'uruhu rw'inda yawe.
Tekereza nawe, amara yacu si umuyoboro gusa. Ahora akora ururenda rwitwa ururenda kugira ngo yirinde kandi rufashe ibintu kugenda byoroshye. Noneho, reka dufate ko igice cy'amara cyakuweho bitewe n'uburwayi, cyangwa ko cyatandukanye n'ikindi gice cy'umubiri kuko gikeneye kuruhuka. Hanyuma, icyo gice cy'amara kidakora gikomeza gukora urwo rurenda.
Rero, iyo iyi mitobe idafite aho ijya, ishobora kwirundanya mu mara igatera ububabare, kubabara no kwandura. Icyo fistula y'umukara ikora ni ugutanga uburyo iyo mitobe isohoka mu mubiri mu buryo bworoshye kandi mu mutekano.
Ubusanzwe, uzagira imyobo ibiri (stoma) muri ubu bwoko bw'ikibagwa.
1. Stoma nyamukuru (Colostomy cyangwa Ileostomy): Aha niho ibiryo n'amase bigogorwa bisohokera. Haba hari agafuka gafatanye na ko.
2. Fistula y'imitsi: Iyi ni ntoya ugereranyije n'indi. Imitsi twavuze iva muri iyi.
Kuki dukeneye fistula y'umukara?
Ibi bikunze gukorwa hamwe n'ubundi buryo bwo kubaga amara. Bishobora kuba ngombwa cyane cyane ku bantu bafite indwara zo kubyimba amara (IBD). Hari n'izindi mpamvu nyinshi.
| Imiterere/Impamvu | Ibisobanuro byoroshye |
|---|---|
| Indwara ya Crohn na colitis y'ibisebe | Izi ni indwara zitera kubyimba amara igihe kirekire. Ubu buryo bwo kubaga bukorwa kugira ngo igice cy'amara cyangiritse gihabwe umwanya wo gukira. |
| Kanseri y'inkondo y'umura | Ubu buryo bukoreshwa by'agateganyo kugeza igihe ibice by'amara bihuriye hamwe nyuma yo gukuraho ikibyimba cya kanseri. |
| Diverticulose | Kwandura uduce duto tumeze nk'udufuka dukura mu nkuta z'amara. |
| Kuziba amara cyangwa impanuka | Ubu buryo bukoreshwa iyo igice cy'amara cyafunzwe cyangwa cyangiritse mu mpanuka kugeza gikize. |
Kuki abana bato bakeneye ibi?
Hari igihe n'abana bavutse bagomba kubagwa muri ubu buryo.
- Inyo idafite impyiko: Hari abana bavuka badafite umwenge mu nyo. Ibi bivuze ko nta buryo bwo gucamo umwanda. Hakorwa imashini igabanya umwanda mu gihe gito kugira ngo umwanda unyuremo, hagakorwa fistula y'umukara kugira ngo umwanda unyuremo kugeza umwana agize imbaraga zo kubagwa.
- Kuziba kw'amara: Hari abana bafite kuziba cyangwa gucika kw'amara. Iyo ibi bidashobora gusanwa no kubagwa rimwe, hashobora kuba hakenewe fistula y'agateganyo.
Uku kubagwa n'ibikorwa bijyana nabyo bigenda bite?
Ibi bikunze gukorwa n'umuganga w'inzobere mu kubaga amara manini cyangwa amara mato.
Mbere yo kubagwa
Muganga wawe azagusobanurira neza icyo ugomba gukora mbere yo kubagwa. Ibi ni byo uzakenera gukora:
- Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha menshi mbere yo kubagwa (kwiyiriza ubusa).
- Hagarika by'agateganyo gufata imiti imwe n'imwe (cyane cyane igabanya kuvura kw'amaraso) nk'uko muganga yabigutegetse.
- Niba unywa itabi, ni ngombwa kurireka nibura ibyumweru bike mbere yo kubagwa. Kunywa itabi byongera ibyago byo kugira ingorane nyuma yo kubagwa kandi bigatinda gukira kw'ibikomere.
- Sukura amara yawe neza kandi woze neza unywa ikinyobwa cyihariye (prepair ale) gitangwa na muganga wawe.
Mu gihe cyo kubaga
Uku kubagwa bikorwa hakoreshejwe ikinya rusange. Ibi bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye. Umuganga ubaga azakora ibi bikurikira:
1. Hakorwa icyuho ku ruhu rwo mu nda kugira ngo kigere ku gice cy’amara kijyanye nacyo.
2. Igice cy'amara kirwaye cyangwa igice gikeneye kuruhuka kiratandukanye.
3. Impera imwe y'igice cy'amara gikora ihujwe n'umwobo munini ukorerwa mu nda (stoma). Ibi byitwa ileostomy cyangwa colostomy.
4. Undi mwenge muto ukorwa ugahuzwa n'impera imwe y'igice cy'amara gifite ubumuga. Uyu ni umuyoboro wa fistula .
5. Hanyuma agace k'ingenzi karadodeshwa.
6. Imifuka yihariye (udufuka twa ostomy) ifatanye n'imyobo yombi.
Ibyiza, ingaruka, n'igihe cyo gukira
Nk’uko bigenda ku kubagwa kose, uku kubagwa gufite ibyiza n’ibyago.
| Ibyiza | Ingaruka zishobora kubaho |
|---|---|
| Irinde ko ibibyimba byiyongera mu mara adafite ubushobozi bwo gukora neza no kubireka bisohoke neza. | Kwandura cyangwa gukomereka ku ruhu rukikije umwobo. |
| Kurinda ububabare, kumererwa nabi, n'ubwandu buterwa no kwibumbira mu mavuta. | Stoma ishobora kwisubira inyuma (gusubiza inyuma) cyangwa gusohoka (gutembera inyuma) ku ruhu. |
| Guha igice cy'amara cyangiritse igisigaye gikeneye kugira ngo gikire. | Hernia hafi y'aho igitereko gitangiriye. |
| Amaraso cyangwa ibicurane biva mu maraso (Diversion proctitis). |
Igihe cyo gukira
Uzakomeza kuba mu bitaro mu gihe cy'icyumweru kimwe nyuma yo kubagwa. Muri iki gihe, abakozi b'abaforomo bazakwigisha uburyo bwo gusukura no guhindura stoma n'udufuka twawe, ndetse n'uburyo bwo kwita ku ruhu rubikikije. Mu ntangiriro, stoma zishobora kugaragara nk'izinini, zijimye kandi zitose, ariko uko igihe kigenda gihita zizagabanuka kandi zigahinduka.
Mu ntangiriro, hari ururenda rwinshi ruturuka mu gice cy'ururenda cya fistula.Irashobora gusohoka. Bityo rero ugomba kwambara agakapu gato kuri ibyo. Ariko uko igihe kigenda gihita, iyi misemburo izagabanuka cyane. Hari igihe igabanuka kugeza aho ishobora gupfukwa n'agace gasanzwe ka gatambaro.
Ese ibi ni ibya burundu?
Kimwe mu bintu bitera ubwoba abantu benshi ni uko iyi ndwara izaba ubuzima bwabo bwose. Inkuru nziza ni uko akenshi ibi biba iby'igihe gito. Ibi bikorwa kugira ngo igice cy'amara cyangiritse gishobore kuruhuka no gukira. Ubu buryo bwo gukira bushobora gufata ibyumweru, amezi, cyangwa imyaka. Niba muganga wawe ahisemo kubikora, ashobora kubagwa agashyiramo igice cy'amara mu buryo busanzwe kandi akagufasha gukora imyitozo ngororamubiri isanzwe.
Igihe cyo guhamagara muganga ako kanya
Umaze gutaha, niba ubonye kimwe muri ibi bimenyetso, ugomba guhita uhamagara muganga wawe . Cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.
- Niba hari amaraso mu gitereko.
- Niba uva amaraso menshi kandi adasanzwe.
- Niba ukunze kugira isesemi no kuruka.
- Niba ufite ibimenyetso by'ubwandu, nko kugira umuriro, ubukonje, no guhinda umushyitsi.
- Niba ufite ikibazo cyo kunyara cyangwa kwituma (kuva mu gifu kinini).
Kubana n'indwara ya stoma bishobora kugorana mu ntangiriro. Ariko umaze kumenya uburyo bwo kuyifata, ushobora kubaho ubuzima busanzwe rwose. Ganira na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite.
Ubutumwa bwo kujyana mu rugo
- Fistula y'umura ni umwenge urinda utuma urumogi rukorwa n'igice cy'amara kidakora neza rukurwa mu mubiri nyuma yo kubagwa amara.
- Ibi bikunze gukorwa hamwe n'ubundi buryo bukomeye bwo kubaga (colostomy cyangwa ileostomy).
- Kenshi na kenshi, iki ni igisubizo cy'agateganyo . Iyo amara amaze gukira, ashobora kubagwa akagaruka uko yakabaye.
- Ni ngombwa cyane kwita ku nda yawe n'uruhu ruyikikije. Ibitaro bizaguha inama kuri ibi.
- Niba ugize ibimenyetso bidasanzwe nko kuva amaraso menshi, umuriro, cyangwa kuruka , hamagara muganga wawe vuba.
- Vugana na muganga wawe ku mpungenge cyangwa ibibazo ushobora kuba ufite kuri ibi. Azagufasha.
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