Ese umwana wawe akunda kwandura indwara zo mu nkari ? Cyangwa aracyatoseza ku buriri nijoro nubwo akuze? Ahari muganga yakubwiye ko umwana wawe afite ikibazo gito mu mpyiko ze kandi akeneye kubonana n'inzobere? Ni ibisanzwe ko umubyeyi yumva ibintu nk'ibi agira ubwoba bwinshi kandi agahangayika cyane. Ariko ntugahangayike. Uyu munsi turimo kuvuga ku muganga w'ingenzi cyane ushobora kugufasha wowe n'umwana wawe mu gihe nk'iki. Uwo ni umuganga w'inkari w'abana, cyangwa nk'uko tubivuga mu Cyongereza, "Pediatric Urologist".
Uyu muganga w’inkari w’abana ni nde?
Mu magambo make, umuganga w’inkari mu bana ni umuganga wahawe amahugurwa yihariye mu gusuzuma no kuvura indwara z’inkari n’imyanya ndangagitsina y’abana bato, abana bato n’abana bato . Ibi nibyo twita 'inzira y’imyanya ndangagitsina'.
Tekereza kuri ubu buryo: Uturemangingo tw'inkari zacu tumeze nk'urusobe rw'imiyoboro. Aba bahanga bareba ikibazo icyo ari cyo cyose kiri mu gice icyo ari cyo cyose cy'uru rwego. Ibyo bivuze:
- Impyiko: Urugingo rw'ingenzi mu mubiri wacu ruyungurura amaraso rukayakuramo imyanda nk'inkari.
- Ureters : Imiyoboro ibiri mito ijyana inkari, ikorerwa mu mpyiko, mu ruhago.
- Inkari: Urugingo rumeze nk'agafuka rukusanya inkari kandi rukabika igihe gito.
- Umuyoboro w'inkari : Umuyoboro utwara inkari mu ruhago ukazivana mu mubiri.
- Amasabo y'intanga: Igice cy'imikorere y'igitsina gabo.
- Igitsina : Imyanya ndangagitsina y'inyuma y'abagabo.
- Igituba: Igice cy'imyanya myibarukiro y'abagore.
Ubusanzwe, iyo umwana wawe afite ikibazo gito cyo mu nkari , ubanza kujya kwa muganga w’abana w’umuryango wawe. Uwo muganga akunze kuvura indwara zisanzwe. Ariko, rimwe na rimwe, iyo muganga atekereje ko ibimenyetso cyangwa ikibazo cy’umwana wawe ari ingorabahizi gato, azakujyana kwa muganga w’inkari w’abana . Ibi bivuze ko umwana wawe akeneye ubuvuzi bwimbitse kandi bwihariye.
Ni irihe tandukaniro riri hagati y'umuganga w'inkari rusange n'umuganga w'inkari w'abana?
Iki ni ikibazo cyiza cyane. Byombi byibanda ku ndwara z'inkari. Ariko hari itandukaniro rinini.
Tekereza kuri ubu buryo. Hari abantu babiri badoda imyenda y'abantu bakuru, umwe w'impinja. Bombi bazi kudoda. Ariko imiterere y'umubiri w'umwana, uruhu rwe, n'ibyo akeneye mu ihumure bitandukanye cyane n'iby'umuntu mukuru, si byo se? Aba baganga b'inzobere nabo ni uko.
Umuganga w’inkari w’abana ahabwa amahugurwa amwe n’ay’umuganga w’inkari uvura abantu bakuru. Hanyuma, bahabwa andi masomo y’imyaka myinshi yihariye ku bana bato. Ibi biterwa nuko uburyo inkari z’umwana zikura n’impinduka muri zo bitandukanye rwose n’iz’umuntu mukuru. Urugero, ubushobozi bw’inkari z’umwana n’ubushobozi bwo kugenzura inkari birahinduka uko imyaka igenda ishira.
Aba baganga bafite ubuhanga butangaje, cyane cyane iyo bigeze ku ndwara zo mu muryango, kuko babona kandi bakavura bene izo ndwara igihe cyose.
Ikirenzeho, aba baganga bazi uburyo bwo kuganira n'umwana muto ku ngingo nk'iyi "yihariye". Kuganira ku bijyanye no kunyara no ku myanya ndangagitsina bishobora gutera isoni no kubangamira umwana. Aba bahanga bazi uburyo bwo kuvuga kuri ibi bintu mu buryo bwiza cyane, mu mvugo umwana yumva, nta kumutinya, no kumushyira mu mutuzo.
Kuki umwana wanjye akeneye kujya kwa muganga w’inkari z’abana?
Abaganga b'inkari b'abana bavura indwara iyo ari yo yose igize ingaruka ku mikorere y'inkari z'uruhinja, umwana, cyangwa umwana muto. Zimwe muri izo ngorane zishobora kuba zibaho igihe umwana avuka, izindi zishobora no kugaragara nyuma uko umwana akura.
Dore ubwoko bw'inzobere usanzwe ukeneye kureba kugira ngo uvure indwara nk'izi. Kugira ngo byorohe, reka tubirebe mu mbonerahamwe .
| Indwara cyangwa ikimenyetso | Ibisobanuro byoroshye |
|---|---|
| Ubusembwa bw'inkari mu miterere y'umubiri w'inkari | Urugero, kuzura kw'amaraso mu mitsi , kuzura amazi mu mpyiko cyangwa kubyimba kw'impyiko (hydronephrosis) , cyangwa indwara yo kuvanga imitsi mu bahungu.Indwara nk'izi (varicocele). |
| Amabuye yo mu mpyiko, mu ruhago, cyangwa mu muyoboro w'inkari | Abantu bakuru n'abana bashobora kumera amabuye mu nkari. Ibi bishobora gutera ububabare bukomeye n'amaraso mu nkari. |
| Kwandura indwara zikunze kugaragara mu nzira y'inkari (UTI) cyangwa kuziba kw'imitsi | Niba ukunze kugira indwara zo mu nzira y'inkari n'umuriro, iyi nzobere ishobora kumenya impamvu nyamukuru. |
| Amasaya adasesenguye | Iyo umwana w'umuhungu avutse afite udusabo tw'intanga tutarazamuka, ni ngombwa kumuvura. |
| Impumuro mbi zo mu gituza | Indwara nko kubyimba cyangwa ibibyimba mu gice cy'ikibuno. |
| Amaraso mu nkari (Hematuria) | Kubera ko iki ari ikimenyetso cyo gutinya, ni ngombwa cyane kumenya neza impamvu. |
| Kunyara ku buriri cyangwa kunanirwa kwifata ku manywa | Niba umwana wawe amaze igihe kinini atose ku buriri kurusha uko byari byitezwe cyangwa arimo kwihagarika ku manywa, ugomba kugenzura niba hari impamvu y'uburwayi imuteye. |
| Ibibazo by'inkari biterwa n'indwara z'imitsi | Indwara nka spina bifida, indwara yo kuvukana uruti rw'umugongo, zishobora kugira ingaruka ku mikorere y'uruhago rw'inkari. |
Iyo muganga w'umwana wawe agutumye kwa muganga w'inzobere nk'uyu, azakora ibizamini bikenewe, apime indwara nyayo, kandi aguhe inama yo kuvura neza. Ubu buvuzi bushobora kuba bukubiyemo imiti, cyangwa rimwe na rimwe kubagwa.
Ni iki wakwitega iyo ugiye kwa muganga?
Ubwa mbere, muganga azabaza wowe n'umwana wawe (niba bashobora kuvugana) ibimenyetso . Bazababaza ibisobanuro byose, nko kumenya uko umwana wawe yumva, igihe amaze afite iki kibazo, n'ibizamini byakozwe mbere.
Hanyuma, umwana asuzumwa umubiri . Ibi bikorwa witonze cyane kandi mu buryo butuma umwana adahangayika.
Hanyuma, muganga azafata icyemezo niba hakenewe ibindi bipimo kugira ngo amenye neza indwara. Ibi bipimo bishobora kuba birimo:
- Gupima : Ibintu nka MRI (imaging magnetic resonance) cyangwa gupima ultrasound kugira ngo harebwe imbere mu ngingo nk'impyiko n'uruhago.
- Ibizamini by'inkari: Hafatwa icyitegererezo cy'inkari kugira ngo harebwe niba nta bwandu, amaraso, cyangwa ibindi bibazo.
- Ikizamini cya Urodynamic: Iki ni ikizamini cyihariye. Gipima ibintu byinshi, harimo ingano y'inkari uruhago rushobora kubika, umuvuduko w'inkari, n'umuvuduko w'inkari mu ruhago.
Nyuma yo gukora ibi byose no gushaka impamvu nyayo y’indwara, muganga azagusobanurira gahunda yo kuvura. Bishobora kuba ibinini , kubagwa, cyangwa byombi. Aba bahanga nibo ndetse bakora n’ibikenewe kubagwa.
Ni ibisanzwe kumva ufite ubwoba iyo muganga w’abana w’umwana wawe agutumye kwa muganga w’inzobere. Biragoye ku mubyeyi kubona umwana we ari mu bubabare. Ariko ibuka ko aba bahanga babihuguriwe cyane kandi bazi neza ibibazo nk’ibi by’abana. Bazakora uko bashoboye kose kugira ngo wowe n’umwana wawe murusheho kumererwa neza.
Ubutumwa bwo kujyana mu rugo
- Umuganga w’inkari z’abana ni umuganga wahawe amahugurwa yihariye ku ndwara z’inkari n’imyanya ndangagitsina y’abana bato n’abana.
- Batandukanye n'inzobere mu kuvura indwara z'inkari (urologist) ivura abantu bakuru kuko bafite ubumenyi n'amahugurwa yihariye mu mpinduka ziba mu mubiri no mu bitekerezo by'abana.
- Bazibanda ku kuvura indwara nko kurwara indwara zo mu nzira y'inkari zisubira, kunyara ku buriri, udusabo tw'inkari tutarazamuka, n'ibibazo by'inkari zivukana.
- Ntugahangayike niba muganga w’abana agutumye kuri ubwo bwoko bw’inzobere. Bivuze ko barimo gukora kugira ngo bahe umwana wawe ubuvuzi bwiza kandi bwihariye bushoboka.
- Niba ufite gushidikanya cyangwa ibibazo ku nkari z'umwana wawe, ntuzigere ubihisha kandi uganire na muganga wawe ku mugaragaro.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 👨⚕️ Ni nde mu by'ukuri witwa 'Urologist'?
Mu magambo make, 'Urologist' ni umuganga w’inzobere mu ndwara zijyanye n’urusobe rw’inkari zacu. Ashobora kuvura ibibazo byose, nk’amabuye n’indwara zandurira mu mpyiko, uruhago, n’imyanya myibarukiro y’abagabo, binyuze mu kubagwa cyangwa imiti.
💬 👶 None se 'Pediatric Urologist' itandukanye ite n'umuganga usanzwe?
Imibiri y'abana itandukanye cyane n'iy'abantu bakuru. Abaganga b'inzobere mu kuvura indwara nko kuvukana ibibazo, indwara zikunze kugaragara mu nzira z'inkari (UTIs), no kunyara ku buriri bakoresheje uburyo bwihariye ku bana.
💬 🤔 Ni ibihe bimenyetso umwana wanjye agomba kubona mu gihe afite ubwo bwoko bw'inzobere (urologist)?
Niba umwana wawe avuze ko ababara iyo arimo kunyara, niba afite amaraso mu nkari, niba ubonye ibitagenda neza mu myanya ndangagitsina ye, cyangwa niba isuzuma ryagaragaje ikibazo mu mpyiko ze, ni ngombwa kubonana na muganga w’inkari y’abana vuba bishoboka kugira ngo akugire inama.
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