Ese uburyo bwo kugenzura uruhago rw'inkari bwabuze bitewe n'ikibazo cy'imitsi? Reka tuvuge ku (Uruhago rw'imitsi)

Ubusanzwe, twumva dushaka kunyara, tukabigenzura tugategereza kugeza tugiye mu bwiherero. Ibi byose bibaho binyuze mu guhuza gutangaje hagati y'ubwonko bwacu, uruti rw'umugongo, imitsi, n'uruhago, bikora nk'uburyo bwa mudasobwa. Ariko tekereza uko byagenda turamutse tubuze uburyo bwo kugenzura uruhago bitewe n'ikibazo cy'imitsi ijyana ubwo butumwa. Ibyo ni byo mu buvuzi twita 'Uruhago rw'imitsi'.

Mu magambo make, ikigero cy'uruhago rw'imitsi ni iki?

Sisitemu y'imitsi yohereza ubutumwa, nk'ibimenyetso by'amashanyarazi, mu mibiri yacu yose. Iyi sisitemu y'imitsi igizwe n'ibice bitatu by'ingenzi:

• Ubwonko
• Umugongo
• Imitsi

Iyi mitsi yohereza ikimenyetso mu bwonko bwawe cyerekana ko uruhago rwawe rwuzuye. Hanyuma, ikimenyetso kivuye mu bwonko bwawe cyohereza ubutumwa mu ruhago rwawe kigira kiti "Iki ni cyo gihe gikwiye cyo kunyara." Iyo iki kimenyetso cyakiriwe, imitsi y'uruhago irakomera kandi inkari zirarekurwa.

Mu ndwara yitwa Neurogenic Blodder, iyi system y'amakuru irahungabana bitewe n'indwara mu bwonko, uruti rw'umugongo, cyangwa imitsi. Ibi bishobora gutuma uruhago rutakaza burundu ubushobozi bwo kugenzura uruhago. Ni ukuvuga ko uruhago rukora cyane cyangwa imikorere yarwo ikagabanuka.

Hari ubwoko bubiri bw'ingenzi bw'uruhago ruterwa n'imitsi:

Indwara y'uruhago iterwa n'imitsi ishobora kugabanywamo ubwoko bubiri bw'ingenzi, bitewe n'imiterere y'ibyangiritse by'imitsi itera. Kubyumva bishobora kugufasha gusobanukirwa neza ibimenyetso byawe.

Ni ibihe bimenyetso by'iyi ndwara?

Ikimenyetso gikunze kugaragara cy’uruhago ruterwa n’imitsi ni ukudashobora kugenzura inkari. Ariko ibimenyetso bishobora gutandukana bitewe n’ubwoko bw’inkari ufite.

Kuki ibi bibaho? Impamvu ni izihe?

Hari ibintu byinshi bishobora gutera uburwayi bw'inkari buterwa n'imitsi. Bimwe bibaho mu buzima, ibindi bikaba biterwa n'indwara cyangwa impanuka zishobora kubaho mu myaka yashize.

Impamvu zishobora gutera umwana kuvukana:

• Spina bifida: Iyi ni ingorane y'umugongo ibaho igihe umwana avuka.
• Indwara yo mu bwonko: Indwara igira ingaruka ku mikurire y'ubwonko.
• Indwara yo kugabanya umuvuduko w'umugongo: Kugabanuka k'ikura ry'igice cyo hasi cy'umugongo.

Impamvu zishobora gutuma indwara itangira nyuma:

• Ibibyimba byo mu bwonko bwo hagati: Kanseri cyangwa izindi kanseri zikura mu bwonko cyangwa mu ruti rw'umugongo.
• Multiple sclerosis (MS): Indwara yangiza imitsi.
• Indwara ya Parkinson: Indwara igira ingaruka ku turemangingo tw'imitsi mu bwonko.
• Stroke: Guhagarika uburyo amaraso anyura mu bwonko.
• Ibikomere by'umugongo: Biterwa no kugwa, impanuka z'imodoka, n'ibindi.
• Diyabete Mellitus: Diyabete idakurikiranywe mu gihe kirekire ishobora kwangiza imitsi.

Ingaruka mbi zishobora kubaho (ingorane)

Iyo uruhago ruterwa n'imitsi rudavuwe neza, rushobora guteza izindi ngorane z'ubuzima.

• Kwangirika kw'impyiko: Umuvuduko mu ruhago uriyongera bitewe no kugumana inkari, kandi uwo muvuduko ushobora kugira ingaruka ku mpyiko.
• Indwara zikunze kugaragara mu nzira y'inkari (UTIs): Kudasohora burundu uruhago bitanga ahantu heza ho gukura bagiteri.
• Amabuye yo mu nkari: Amabuye ashobora kwirema mu ruhago cyangwa mu mpyiko.
• Kugaruka k'umusemburo w'amaraso mu ruhago: Iyi ni indwara iteje akaga aho inkari ziva mu ruhago zijya mu mpyiko zisubira inyuma.

Uretse ibyo bibazo by'umubiri, hari n'ingaruka zikomeye ku mitekerereze . Gutinya ko inkari ziva bishobora gutuma utinya gusabana n'abandi cyangwa kujya mu ngendo. Ibi bishobora gutera kumva ufite impungenge, kwiheba, no kwigunga . Niba ufite ibyo byiyumvo, ntugatinye kubibwira muganga wawe.

Ni gute umuganga asuzuma iyi ndwara?

Iyo ugiye kwa muganga, azagutega amatwi witonze ibimenyetso byawe. Hanyuma, bazagusuzuma. Niba ukeka ko hari ikibazo cy’inkari giterwa n’imitsi, bazagusaba ibizamini byihariye bijyanye n’imitsi n’uruhago.

• Cystoscopy: Gusuzuma imbere mu muyoboro w'inkari n'uruhago hakoreshejwe kamera ntoya, isa n'umuyoboro.
• Ibizamini byo gushushanya:Ibizamini nka CT scans, MRI scans, na ultrasounds.
• Ikizamini cya Urodynamic: Iki ni ikizamini cyihariye. Gipima ingano y'inkari uruhago rwawe rushobora kubika, umuvuduko w'inkari mu ruhago, umuvuduko w'inkari, n'uburyo uruhago rusohora neza.

Nyuma y'ibi bizamini, ushobora koherezwa kwa muganga w'inzobere mu bijyanye n'uruhago n'inkari, umuganga w'inkari .

Ni ubuhe buryo bwo kuvura ibi?

Gahunda yo kuvurwa igenwa n'impamvu y'uburwayi bwawe n'imiterere y'ibimenyetso byawe.

1. Impinduka mu mibereho

Ubwa mbere, umuganga agerageza kubigenzura akoresheje ibintu byoroshye.

• Irinde ibiryo n'ibinyobwa bibabaza uruhago (ikawa, inzoga, ibinyobwa birimo karubone).
• Kugenzura impatwe: Impatwe ishobora no gushyira igitutu ku ruhago.
• Kwitoza inkari: Usabwa kwandika mu ikaye igihe wamaze kunyara, ingano y’inkari, n’igihe cyose wamaze kunyara utabishaka. Ibi bizagufasha kwiga kunyara mu gihe gikwiye.
• Imyitozo ngororamubiri ya Kegel: Iyi myitozo ikomeza imitsi yo hasi mu kibuno kandi ishobora kunoza uburyo inkari zigenzurwa.

2. Imiti

Hari imiti itandukanye ishobora kuruhura imitsi y'uruhago cyangwa igatuma habaho kubyimba kw'inkari. Urugero, muganga wawe ashobora kukwandikira imiti nka Oxybutynin, Tolterodine, na Mirabegron.

3. Gukoresha catheterization

Ubu buryo ni ingenzi cyane niba uruhago rudasohoka neza.

• Kwicaterisha: Uzigishwa uburyo bwo gukuramo burundu uruhago rwawe ukoresheje umuyoboro muto usukuye (catheter) inshuro nyinshi ku munsi. Ibi bishobora kugaragara nk'ibigoye mu ntangiriro, ariko bizagenda byoroha cyane nubimenyera.
• Gukoresha catheter mu buryo buhoraho: Hari igihe hashobora kuba ngombwa gukoresha catheter mu buryo buhoraho.

4. Ubundi buryo bwo kuvura no kubaga

Niba ubundi buryo bwo kuvura budatanga umusaruro, muganga wawe ashobora gusuzuma ibi bikurikira:

• Inshinge za Botox: Botox iterwa mu mitsi y'uruhago kugira ngo ihagarike kwangirika cyane.
• Kubaga:Kubagwa kugira ngo hongerwe ubushobozi bw'inkari (augmentation cystoplasty) cyangwa kubagwa kugira ngo hahindurwe inzira y'inkari (kunyura mu nkari) bishobora kuba ngombwa mu bihe bike cyane.

Muganga wawe azaganira nawe maze ahitemo uburyo bwiza bwo kuvura.