Ese ufite agahu k'amatwi gafite icyuho? Reka tuvuge kuri ubu buvuzi! (Myringoplasty)

Hari igihe gukomereka gukomeye mu gutwi, kwandura kw'amatwi, cyangwa ikosa mu gihe cyo gusukura ugutwi bishobora gutuma igituza cy'amatwi yawe gicika. Akenshi, ibi bizakira ubwabyo, ariko kuri bamwe, ntibikira. Ni bwo abaganga bavuga ubu buryo bwo kubaga bwitwa 'myringoplasty.' Reka turebe icyo ari cyo, ababukeneye, n'uko bukorwa.

Myringoplasty ni iki mu by'ukuri?

Muri make, myringoplasty ni ukubaga kugira ngo hakorwe urubavu rw'amatwi rwacitse .

Udusimba tw'amatwi yacu, cyangwa mu buryo bw'ubuvuzi, uturemangingo tw'amatwi, ni uturemangingo duto cyane, turi hagati y'ugutwi kwacu ko hanze n'uko hagati. Ni nk'uruhu rw'ingoma. Iyo amajwi aturutse hanze aguye kuri utwo dusimba, arahinda. Uko guhindagura ni ko kudufasha kumva amajwi.

Iyo rero iyi ngoma y'amatwi itobotse, iba nk'ingoma ifite imbobo, kandi amajwi ntiyumvikane neza. Si ibyo gusa, ahubwo n'amazi na mikorobe byo hanze bishobora kwinjira mu gutwi ko hagati bigatera indwara. Ubu buryo bwo kubaga bukubiyemo gushyira agace gato k'amatwi mu mwobo no gusubiza imboro mu mwanya wayo usanzwe. Ibi ntibituma amatwi arushaho kuba meza gusa, ahubwo bishobora no kugabanya ibyago byo guhura n'ibibazo bikomeye nko kwandura kenshi mu matwi, indwara nka vertigo, n'indwara zo mu igufwa riri inyuma y'ugutwi (mastoiditis).

Ubu ni uburyo busanzwe bwo kubaga bukorwa n'inzobere mu matwi, amazuru no mu muhogo (otolaryngologists). Hari igihe ubu buryo buba bukenewe haba ku bantu bakuru ndetse no ku bana.

Ni nde koko ukeneye ubu bubagwa?

Akenshi, umwobo muto ukira ubwawo mu byumweru bike. Ariko, iki ni cyo gihe muganga afata icyemezo cyo kubaga.

Ni ibihe bikoresho bikoreshwa mu gusana urushinge rw'amatwi? (Grafts)

Abaganga bakoresha ibikoresho bitandukanye kugira ngo bakore agace cyangwa ifunze gafunga umwobo uri mu kanwa k'amatwi yawe. Ibyinshi muri byo bikurwa mu mubiri wawe. Bityo umubiri wawe ntuzabyanga.

• Temporalis fascia: Ubu buryo ni bwo bukunze gukoreshwa cyane. Ubu ni urugingo rukomeye cyane ruri hejuru gato y'ugutwi kwawe, rukikije imitsi ijyana umugongo w'amatwi. Mu gihe cyo kubagwa, hafatwa agace gato karwo kugira ngo hafungwe umwobo uri mu mugongo w'amatwi.
• Perichondrium: Iyi graft ishobora kandi gukorwa hakoreshejwe agace gato k'urukiramende rukikije cartilage mu gahanga k'ugutwi kwacu.
• Ibinure: Hari ubwo agace gato k'ibinure kavanywe mu gahanga k'ugutwi gakoreshwa mu kuziba umwobo. Ibi kandi byitwa myringoplasty y'ibinure.
• Indwara y'uruti rw'umugongo: Hari aho ubu buvuzi bukorwa hakoreshejwe agace gato k'uruti rw'umugongo mu gutwi ubwako.
• Ibikoresho by’ubukorano: Hari igihe ibikoresho by’ubukorano, nk’impapuro zihariye zo kubaga, nabyo bishobora gukoreshwa muri urwo rwego.

Muganga wawe azaguhitiramo uburyo bukubereye cyane bitewe n'uburwayi bwawe.

Witegura ute mbere yo kubagwa?

Nubwo ubu atari ukubagwa gukomeye, hakenewe kwitegura gato.

• Menya neza ko wabwiye muganga wawe imiti, vitamine, cyangwa inyongeramusaruro ufata mbere yo kubagwa.
• Ku munsi wo kubagwa, vugana n'inshuti cyangwa umuntu wo mu muryango uzagutwara kwa muganga hanyuma ugaruke mu rugo.
• Teganya kuruhuka iminsi mike nyuma yo kubagwa, wirinde akazi cyangwa ishuri .

Igitekerezo gito ku buryo kubagwa bikorwa

Akenshi, ubu buryo bwo kubaga bukorwa hakoreshejwe ikinya rusange. Ibi bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye. Mu bihe bimwe na bimwe byoroshye, bushobora gukorwa hakoreshejwe ikinya cyo mu gace runaka, kidatuma ugutwi gusa kumera nabi.

Mu gihe cyo kubagwa, muganga azakurikiza izi ntambwe:

1. Kugera ku mugongo w'amatwi: Hakorwa icyuho gito binyuze mu muyoboro w'ugutwi cyangwa inyuma y'ugutwi kugira ngo ugere ku mugongo w'amatwi.

2. Gutegura umwobo: Agace gakikije umwobo gasukurwa no gukurura gato, gategurwa kugira ngo agace gashya gafate neza.

3. Kubona ishinge: Uduce nk'utundi twavuzwe haruguru twa "Temporalis fascia" tuva mu mubiri wawe.

4. Gushyiramo ishinge: Igice cy'urupapuro cyakuwemo gishyirwamo kugira ngo gifunge umwobo hanyuma gitegurwe.

5. Kuzuza no gupfuka ugutwi: Kugira ngo igitambaro cy'amatwi kidahinduka, hashyirwa ubwoko bwihariye bw'ipamba imbere mu gutwi hanyuma hagashyirwa igitambaro inyuma.

Ubusanzwe iyi gahunda yose imara iminota iri hagati ya 30 na 90 .

Wakwitaho ute mu rugo nyuma yo kubagwa?

Ubusanzwe ushobora gutaha umunsi umwe nyuma yo kubagwa. Dore bimwe mu bintu ugomba kwitaho kugira ngo bigufashe gukira vuba uri mu rugo.

Ubusanzwe ushobora gukira mu cyumweru kimwe cyangwa bibiri. Niba uri umuntu mukuru, ni byiza kumara nibura icyumweru nta kazi. Niba uri umwana, mureke icyumweru cyose atajya ku ishuri.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nk’uko bigenda ku kubagwa kose, uku kubagwa gufite ibyiza n’ingaruka nto cyane.

Ibyiza

• Ubu buvuzi bwagenze neza cyane . Igipimo cyo gutsinda kiri hejuru ya 90%.
• Ku bantu benshi , kumva birarushaho kuba byiza nyuma yo kubagwa.
• Kubera ko abana bato bumva neza, bifasha cyane mu mivugire yabo no mu iterambere ry'ururimi rwabo.
• Indwara zo mu matwi zikunze kugaragara zishobora kwirindwa .

Ingaruka

Ibi ni ibintu bidasanzwe cyane.

• Kwandura indwara.
• Kumva amajwi atandukanye mu matwi (Tinnitus).
• Kuzungera.
• Kubura amatwi by'igihe gito cyangwa burundu.
• Kunanirwa kwa graft. Ibi bivuze ko ingingo yateweho idafatana.
• Kugaruka k'umwobo mu gituza cy'amatwi.

Iyo ukeneye kubonana na muganga byihutirwa!

Niba ubonye kimwe muri ibi bimenyetso uri mu rugo nyuma yo kubagwa, hamagara muganga wawe ako kanya.

• Niba ufite umuriro uri hejuru ya selisiyusi 39.4 (103 Fahrenheit) .
• Niba ufite ububabare bukomeye mu matwi butashira nubwo waba umaze gufata umuti.
• Niba wumva isesemi ikomeye.
• Niba wumva ufite intege nke mu mitsi yo mu maso (nk'aho wipfutse).
• Niba ufite ikibazo cyo guhumeka.
• Iyo ugize isereri cyangwa ukumva urimo gucurama mu matwi (tinnitus), ibyo ntibishira.
• Niba ugutwi kuva amaraso menshi .

Nubwo ibi bintu bibaho gake cyane, ni ngombwa cyane kubyitondera.