Kubaga Amagufwa yo mu Mutwe: Menya uko umuntu abaho afite agapfunyika k'intebe

Wenda wowe cyangwa undi muntu uzi wigeze kubwirwa na muganga ibijyanye no gutwita ostomie. Ni ibisanzwe kumva ufite ubwoba, ubwoba, ndetse ukagira isoni iyo wumvise ko hari agakapu gashyizwe ku ruhande rw'inda yawe kugira ngo gasohore umwanda cyangwa inkari. Ariko ibi bishobora kurokora ubuzima bwawe, cyangwa bishobora koroshya ubuzima bwawe cyane. Reka tubiganireho mu magambo make, si byo se?

Mu by'ukuri, ostomy ni iki?

Muri make, gukubagura amenyo ni uburyo bwo kubaga butuma imyanda (ni ukuvuga amabyi cyangwa inkari) isohoka mu mubiri wawe mu gihe uburyo busanzwe bwo gukuraho imyanda (ni ukuvuga amabyi cyangwa inkari) butagikora. Ubu buryo bwo kubaga bushobora gukorwa mu gihe igice cy'igifu cyangwa inzira y'inkari yawe cyangiritse, cyangwa niba ukeneye guha icyo gice umwanya wo gukira.

Muri iki gikorwa, umuganga ubaga akora umwobo muto mu nda yawe. Ibi byitwa 'stoma' . Hanyuma, igice cyiza cy'igogora ryawe cyangwa inkari gikora neza gitandukanywa n'igice kidakora neza maze kigahuzwa na stoma nshya yaremwe.

Nyuma y'uku kubagwa, umwanda cyangwa inkari bizava mu nda yawe. Iyi myanda izakusanyirizwa mu gafuka gato gafatanye n'inda yawe. Tuyita agafuka ko gushushanya . Uburyo gakorwa rimwe na rimwe ni ubw'igihe gito, rimwe na rimwe ni ubw'igihe kirekire.

• Ostomi y'igihe gito: Ibi bikorwa kugira ngo amara yawe cyangwa inzira y'inkari yawe bibone amahirwe yo gukira nyuma y'indwara cyangwa kubagwa. Iyo ibyo bice bisubiye mu buryo busanzwe, bishobora gukurwaho binyuze mu bundi buryo bwo kubagwa.
• Ostomi ihoraho: Ostomi ihoraho irakenewe iyo igice cy'igifu cyawe cyangwa uturemangingo tw'inkari cyangiritse ku buryo bukabije, cyangwa niba icyo gice kigomba gukurwaho burundu.

Kuki umuntu akeneye ostomy?

Hari impamvu nyinshi zishobora gutuma ushaka kubagwa ostomi. Iyi ndwara ikunze kugaragara kurusha uko wabitekereza. Reka turebere hamwe imbonerahamwe iri hepfo.

Ni ubuhe bwoko bw'ingenzi bwa ostomie?

Ubwoko bwa ostomy buterwa n'igice cy'umubiri wawe kirimo gucibwamo. Hari ubwoko butatu bw'ingenzi.

• Uduce tw’inda: Ibi bikubiyemo guhuza igice cy’amara manini (colon) n’agace k’inda kaba mu nda yawe. Uduce tw’inda dusohoka binyuze muri ibi.
• Ileostomy: Ibi bikubiyemo guhuza impera y'amara yawe mato (ileum) na stoma. Ibi bituma umwanda unyura.
• Urostomy: Muri ibi, ureter yawe, imiyoboro itwara inkari, iba ihujwe neza na stoma, ikanyura mu ruhago. Inkari zisohoka binyuze muri ibi.

Ni izihe nyungu n'ingaruka zishobora guterwa no kubagwa?

Niba ukeneye gukuramo igice cy'igifu cyangwa inzira y'inkari, cyangwa niba ukeneye kureka kugikoresha, gukorerwa ostomy bishobora kuba uburyo bwo kurokora ubuzima. Bishobora kandi gutuma ubuzima bw'umuntu uhora ababara kandi ari mu musarani burushaho kuba bwiza bitewe n'indwara zimwe na zimwe zidakira.

Dore zimwe mu ngorane zikunze kubaho:

• Kurakazwa n'uruhu: Uruhu rukikije stoma rushobora gutukura no kurakara bitewe n'umwanda cyangwa inkari. Iki ni ikibazo gikunze kugaragara. Ibi bishobora kwirindwa ahanini no gufunga neza agafuka no kugasukura buri gihe.
• Kudahuza kwa Electrolyte: Amara yacu manini niho amazi n'intungamubiri byinjizwa mu mubiri. Kubera ko iki gice kinyura mu icupa rya colostomy cyangwa ileostomy, umubiri ushobora kubura amazi cyangwa ukagira electrolyte imbalances. Muganga wawe azagusobanurira uburyo bwo kwirinda ibi.
• Kuziba: Hari igihe amara ashobora kuziba by'agateganyo bitewe n'inkovu ziva mu mara nyuma yo kubagwa cyangwa bitewe n'ibiryo bitarashyirwa mu nda.
• Hernia yo mu nda: Iyo urukuta rw'inda rukikije stoma rucitse intege, ingingo ziri imbere mu nda zishobora kwisunika, zigahinduka hernia.
• Stoma yavuye mu nda: Hari igihe igice cy'amara gishobora gusohoka mu nda. Akenshi, muganga ashobora kugisubizamo, ariko gake cyane, kubagwa bishobora kuba ngombwa.

Niba ubonye ikintu nk'iki, icyiza wakora ni ukudatinya no kuvugana na muganga wawe.

Ni gute wakwitaho kandi ugahindura isakoshi yawe ya ostomy?

Bishobora gufata ibyumweru bigera kuri 8 kugira ngo igikomere cyawe gikire burundu nyuma yo kubagwa. Muri iki gihe, umuforomo w’inzobere mu kuvura indwara z’ibisebe (WOCN) wahuguwe ku buryo bwihariye azakwigisha uburyo bwo guhindura no gusukura isakoshi yawe.

Abantu benshi bagomba guhindura isakoshi yabo buri minsi 3 kugeza kuri 7. Hari abantu bakunda kuyihindura buri munsi. Ugomba kuzirikana ibi bintu mu gihe uhindura isakoshi yawe.

• Hanagura amatembabuzi yose ari ku gituza.
• Sukura uruhu rukikije stoma neza ukoresheje amazi y'akazuyazi n'isabune yoroheje .
• Sukura neza n'amazi kugira ngo ukureho ibisigazwa by'isabune.
• Kumutsa neza aho hantu.

Ni ryari ugomba guhamagara muganga byihutirwa?

Ni ibihe bimenyetso muganga yabonye nyuma yo kubagwa?Bishobora kugorana kumenya igihe cyo kuvuga. Niba wumva hari ikintu kitagenda neza, ntutindiganye kuvuga. Hamagara muganga wawe ako kanya, cyane cyane niba ufite ibi bimenyetso.

• Iyo hari impumuro mbi ituruka mu gifu
• Niba stoma irimo kuva amaraso menshi cyane
• Niba ugaragaza ibimenyetso by'indwara nko kugira umuriro, isesemi, kuruka
• Niba ufite ububabare bukomeye mu gifu bumara amasaha arenga atatu
• Iyo hari ububyimbirwe, gutukura, cyangwa gushishwa k'uruhu
• Niba ufite umwanda w'amazi mu gihe kirenze amasaha atandatu

Ibibazo bimwe na bimwe bikunze kubazwa

Ese ubu buryo bwo kubaga bushobora gusubizwa inyuma? (Ese bushobora gusubizwa inyuma?)

Yego, rimwe na rimwe birashoboka. Ibi biterwa n'ubuzima bwawe muri rusange n'uburyo igice cyangiritse cy'amara yawe cyangwa uturemangingo tw'inkari cyakize. Niba ibyo bice byongeye gukora neza, ushobora kuvugana n'umuganga wawe ku bijyanye no kubagwa kugira ngo ostomie ivurwe neza.

Wajya mu bwiherero ute ufite agakapu ko gukamura amenyo?

Nubwo wamaze gukorerwa ostoma, ugomba gukoresha ubwiherero. Ariko ntabwo ari mu gihe cyo kwihagarika no kunyara. Tekereza ko wafashwe urostoma. Hanyuma ujya mu gikapu, ariko ujya mu bwiherero kwihagarika. Umuntu ufite colostomy cyangwa ileostomy azajya mu gikapu, ariko akajya mu bwiherero kwihagarika. Ukoresha kandi ubwiherero kugira ngo usukemo amavuta mu gikapu cyawe.

Ese birashoboka kubaho neza ufite ostomy?

Yego rwose. Kugira ostomy ntabwo bigira ingaruka ku buzima bwawe. Nta nubwo bikubuza kubaho ubuzima bwuzuye kandi bukora. Indwara yatumye ukenera ostomy ishobora kugira ingaruka ku buzima bwawe, ariko ostomy ubwayo ntabwo igira ingaruka. Mu by'ukuri, rimwe na rimwe ostomy ishobora kongera igihe cyo kubaho.

Byaba ari iby'igihe gito cyangwa burundu, kugira ostomy ni impinduka ikomeye mu buzima bwawe. Ni ngombwa kubona inkunga mu gihe utangiye uru rugendo. Kuganira n'amatsinda y'abaterankunga n'abantu banyuze muri ubu bunararibonye bishobora kuba isoko ikomeye y'imbaraga.