Uburyo bwo kuvura impyiko mu rugo? Reka twige ibijyanye na Dialysis ya Peritoneal!

Kunanirwa kw'impyiko, cyangwa 'kunanirwa kw'impyiko', ni ikintu gitera ubwoba umuntu wese. Abantu benshi batekereza ko nyuma y'ibyo, bazagomba kujya mu bitaro ubuzima bwabo bwose kugira ngo amaraso yabo asukurwe. Ariko se wari uzi ko hari uburyo bwihariye bwo gusukura amaraso ushobora gukora uri mu rugo, hamwe n'imirimo yawe ya buri munsi? Ibyo ni byo twita Dialysis ya Peritoneal. Uyu munsi, tuzaganira kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Mu magambo make, Dialysis ya Peritoneal ni iki?

Tekereza impyiko zawe nk'ibiyungurura bibiri binini. Akazi kazo nyamukuru ni ukuyungurura imyanda idakenewe n'amazi arenze urugero mu maraso. Amazi ayungururwa tuyita inkari. Ariko iyo impyiko zinaniwe, aka kayungurura ntigakora neza. Hanyuma imyanda n'uburozi bitangira kwirundanya mu maraso. Iyi ndwara tuyita "uremia". Iyo itavuwe, ibi bishobora gushyira ubuzima mu kaga.

Ni bwo buryo bwo kuvura dialyse bukoreshwa. Dialyse yo mu nda ni bumwe mu bwoko bwa dialyse. Ariko hari ikintu kidasanzwe kibaho muri ubu buryo. Muri ubu buryo, dukoresha akayunguruzo karemano mu mubiri wawe kugira ngo twoze amaraso yawe. Urwo ni uturemangingo duto dukikije ingingo ziri mu nda yawe. Mu buvuzi, ibi tubyita peritoneum.

Mbere yo gutangira ubu buvuzi, umuganga azakora igikorwa gito maze ashyiremo umuyoboro muto cyane woroshye (catheter) unyuze mu ruhu rw'inda yawe. Hanyuma, binyuze muri uwo muyoboro, amazi yihariye yanduye (twita "dialysate") yoherezwa mu nda yawe. Mu gihe aya mazi ari mu nda yawe amasaha menshi, agace k'imbere k'amaraso kwinjiza imyanda n'amazi arenze urugero mu maraso muri ayo mazi. Hanyuma, amazi yuzuyemo imyanda akurwamo binyuze muri uwo muyoboro, hanyuma amazi mashya akongera gushyirwamo. Ushobora gukora iki gikorwa mu rugo, inshuro nyinshi ku munsi, cyangwa ndetse no mu gihe usinziriye nijoro.

Hari uburyo bubiri bw'ingenzi bwo kubigeraho.

Dialyse yo mu nda ikorwa ahanini mu buryo bubiri. Ushobora guhitamo uburyo bukunogeye cyane uganiriye na muganga wawe.

Ariko se kuki ubu buryo butakunzwe cyane?

Nubwo ifite ibyiza byinshi, ntabwo ikunze gukoreshwa cyane nk'uburyo bwo gusukura amaraso mu bitaro. Hari impamvu nyinshi zibitera:

• Kutamenya neza: Abarwayi benshi, ndetse rimwe na rimwe n'abakozi bo kwa muganga, ntibazi neza ubu buryo.
• Kutagira abakozi bahuguwe: Hari abaganga n'abaforomo bake bahawe amahugurwa yihariye muri ubu buvuzi.
• Ibibazo bivuka mu gihe cy’impanuka: Iyo impyiko z’umuntu zipfuye mu buryo butunguranye, si ibitaro byose bifite uburyo bwo gushyiramo uyu muyoboro (catheter). Muri icyo gihe, bagomba gukoresha hemodialysis, ishobora gutangira byoroshye.
• Kugorwa no kubona umuntu wo gufasha: Hari abantu bigora kubikora bonyine. Mu bihe nk'ibi, kubona umuntu wo gufasha bishobora kuba ingorabahizi.

Ni izihe nyungu z'ubu buryo?

• Ubworoherane n'ubworoherane: Ntabwo ari ngombwa ko ujya kwa muganga. Ushobora kubikorera ahantu hasukuye, haba mu rugo, ku kazi, cyangwa mu rugendo.
• Nta mbogamizi zikomeye ku biribwa n'ibinyobwa: Hari amabwiriza make ku biribwa n'ibinyobwa kurusha ubundi buryo bwo gusukura amaraso. Kubera ko imyanda ikurwa mu mubiri hafi ya buri munsi, ingano y'imyanda iterana iba mike.
• Nta mpamvu yo gukoresha inshinge: Mu gihe cyo gukoresha dialyse mu bitaro, inshinge zirakenerwa buri gihe. Ibi ni ihumure rikomeye ku muntu utinya inshinge.

Ese nta ngaruka mbi n'ingaruka mbi bifite?

Kimwe n'ubundi buryo bwose bwo kuvura, hari ingaruka n'ibibi, kandi ni ngombwa kubimenya.

Irinde ibi bintu.

Niba uri kuri dialyse yo mu nda, menya ibi bikurikira:

• Ntugakoreshe imiti nka imiti igabanya ubushyuhe itari iya steroide (NSAIDs) yangiza impyiko utabanje kugisha inama muganga wawe.
• Irinde koga mu mazi adafite chlorine nk'ibidendezi, imigezi n'ibiyaga, kandi irinde kwiyicisha mu bwogero bushyushye. Ibi bishobora gutera mikorobe. Ariko, nta kibazo kiri mu kwiyuhagira buri munsi.

Ni ryari ugomba guhita ubonana na muganga?

Niba urimo guhabwa ubu buvuzi kandi ukabona kimwe muri ibi bimenyetso bikurikira:Ntukirengagize.

• Kubabara cyane mu gifu cyangwa kubyimba inda
• Niba wumva ufite umuriro
• Iyo umutima utera vuba (tachycardia)
• Guhumeka bigoranye (dyspnea)
• Isesemi no kuruka
• Niba amazi uvana mu nda yawe ari ibicu cyangwa afite ibara ritandukanye n’iryo usanzwe ufite (ibi bishobora kuba ikimenyetso cy’ubwandu)
• Ibimenyetso by'umuvuduko w'amaraso uri hasi (hypotension), nko kuzungera no kubabara umutwe

Amaherezo, wowe na muganga wawe mugomba gufata icyemezo hamwe niba Dialysis yo mu nda cyangwa Hemodialysis ari byo byiza kuri mwe. Imiterere y'ubuzima bwanyu, imibereho yanyu, n'ibyo mukunda byose bigomba kwitabwaho kugira ngo hafatwe icyemezo cyiza.