Ni ibisanzwe kumva ikibyimba mu muhogo wawe iyo urya. Ariko niba uhora ugorwa no kumira ibiryo kandi ukumva bisa nkaho byafashe mu gituza cyawe, ibi ntabwo ari ibisanzwe. Ibi bishobora guterwa n'ikibazo cy'imitsi yo mu muhogo wawe. Uyu munsi tugiye kuvuga ku buryo bwihariye kandi bufite akamaro cyane bwo kuvura bene ibyo bibazo.
IKIVUGO ni iki?
Ushobora gutungurwa no kumva izina POEM. Risobanura Oral Endoscopic Myotomy . Reka tubisobanure mu buryo bworoshye.
- Mu kanwa: bivuze "binyuze mu kanwa."
- Endoskopi: yerekeza ku kintu cyakozwe hakoreshejwe umuyoboro woroshye kandi ufite kamera witwa endoskopi.
- Myotomi: Ijambo ry'ubuvuzi risobanura "gukata imitsi."
Muri make, POEM ni uburyo bwo gushyira endoscope mu kanwa kawe, udakoze udusebe ku ruhu rwawe, no gukata no kuruhuka imitsi ikomeye yo mu muhogo wawe. Ni nk'ukubagwa, ariko kubera ko nta gukomereka inyuma y'umubiri wawe, igihe cyo gukira kiba gito cyane.
Ni nde ukeneye ubu buvuzi?
Ubu buryo bwo kuvura bukoreshwa cyane cyane ku bantu bafite ibibazo byo kugenda mu muhogo nka achalasia . Muri ibi bihe, imitsi yo hasi mu muhogo ntiruhuka neza. Hanyuma, iyo umize ibiryo, ibiryo bihita bigwa mu muhogo aho kumanuka mu nda. Ibi bishobora gutera ingorane zo kumira, kubabara mu gatuza, no kugaruka mu muhogo. Ubuvuzi bw'imivugo bukora mu kuruhuka iyo mitsi ikomeye, bigatuma ibiryo binyura mu nda nta nkomyi.
Witegura ute mbere yo kuvurwa n'ibisigo?
Ugomba kwitegura mbere y'ubu buvuzi. Ariko ntugahangayike. Muganga wawe azaguha amabwiriza asobanutse neza kuri buri kintu cyose. Icy'ingenzi ni ugukurikiza ayo mabwiriza neza.
Ibi ni byo usanzwe ukora:
- Uzakenera kurya indyo yuzuye amazi mu minsi ibiri mbere yo kuvurwa.
- Ugomba guhagarika burundu kurya no kunywa amasaha 12 mbere y'uko uhabwa imiti.
Wibuke ko gukurikiza aya mabwiriza ari ingenzi cyane kugira ngo ubuvuzi bugende neza.
Ni iki kibaho mu gihe cyo kuvurwa?
Ubu buryo butwara isaha imwe kugeza kuri eshatu. Muri iki gihe, uzahabwa ikinya rusange, bityo uzaba usinziriye burundu. Kubwibyo, ntuzumva ububabare. Reka turebe intambwe ku yindi uburyo ubuvuzi bukorwa.
| Intambwe | Ni iki kiri kuba? |
|---|---|
| 1. Gushyiramo endoscope | Muganga azashyira endoscope mu kanwa kawe no mu muhogo wawe. Kamera iri kuri yo igufasha kubona imbere mu muhogo wawe. |
| 2. Gushyira agace ku ruhu rw'umura | Uduce tw'umuyoboro w'amaraso, utwo mucosa, ducibwamo uduce duto. |
| 3. Gukora umuyoboro w'amazi | Endoscope ishyirwamo binyuze muri iyo casing hanyuma ikanyura mu nzira imeze nk'umuyoboro unyuze mu gice cy'umubiri, urwego rw'inyama ruri hejuru y'urwego rw'imitsi. |
| 4. Gukata imitsi (Myotomy) | Iyo bigiye hasi, agace gafite ikibazo, ni ukuvuga imitsi ifunganye yo mu gice cyo hasi cy'umuyoboro w'amaraso n'igice cyo hejuru cy'igifu, karacibwa kagakurwaho icyuma gito gifatanye n'icyuma gipima. |
| 5. Gufunga aho icyuho cyaciwe | Amaherezo, agace gakorerwa mu mucosa gafungwa n'udupira duke. Hanyuma endoscope irakurwaho. |
Ni iki kibaho nyuma yo kuvurwa kandi bifata igihe kingana iki kugira ngo umuntu akire?
Nyuma yo kuvurwa, uzakenera kumara umunsi umwe mu bitaro. Ibi bizaba ari ukureba niba nta ngorane ufite. Igihe cyawe cyo gukira kizatangira ku munsi ukurikiyeho.
- Ikizamini:Barium X-ray irakorwa kugira ngo harebwe niba imitsi iruhutse neza kandi niba inzira yo kugaburira irasobanutse.
- Ibiryo: Uzakenera kurya ibiryo byuzuye amazi mu minsi ibiri cyangwa itatu ya mbere. Nyuma y'ibyo, ugomba kumenyera kurya ibiryo byoroshye kandi bifite fibre nke mu gihe cy'icyumweru kimwe cyangwa bibiri.
- Gusubira ku kazi: Ushobora gusubira ku kazi mu minsi irindwi. Ariko, niba ukora akazi gasaba guterura ibintu biremereye cyangwa akazi gakomeye, ni byiza kubaza muganga wawe umunsi mwiza wo gusubira ku kazi.
- Gukurikirana: Muganga wawe azagusaba kugaruka nyuma y'iminsi 10 nyuma yo kuvurwa, hanyuma agaruke nyuma y'amezi 3. Mu gihe cy'amezi 3 (esophagram), bazasuzuma niba umwobo wawe urimo kuvamo neza nyuma yo kumira.
Igihe cyo kubonana na muganga ako kanya
Ingorane zituruka ku buvuzi bwa POEM ni gake cyane . Ariko, niba ubonye kimwe mu bimenyetso bikurikira nyuma yo kuvurwa, ugomba guhita uhamagara muganga wawe.
| Ibimenyetso by'umuburo |
|---|
| - Ububabare bukomeye mu gituza |
| - Gukorora amaraso |
| - Umuriro (38.3°C Selisiyusi / 101°F Fahrenheit cyangwa hejuru yayo) |
| - Kunanirwa cyane, gucika intege |
| - Imboro y'umukara cyangwa umutuku |
| - Ububabare bukomeye mu muhogo |
Niba ufite kimwe muri ibi bimenyetso, ntutinde. Shaka muganga wawe vuba bishoboka. Niba bibaye ngombwa, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry'ibitaro biri hafi yawe.
Ubutumwa bwo kujyana mu rugo
- POEM ni uburyo bwiza cyane kandi bugezweho bwo kuvura indwara zo kumira nka achalasia.
- Ibi bikorwa hakoreshejwe endoscope inyuzwa mu kanwa, bityo nta gukata inyuma kw'umubiri bikorerwa.
- Ubushakashatsi bugaragaza ko ubu buryo bwo kuvura bukuraho neza ingorane zo kumira ku bantu bagera kuri 95 kuri 100.
- Nubwo igihe cyo gukira ari gito, ni ngombwa gukurikiza amabwiriza ya muganga ajyanye n'imirire n'ibikorwa nyuma yo kuvurwa.
- Niba hari ibimenyetso by'umuburo bigaragara nyuma yo kuvurwa, menyesha muganga wawe ako kanya.
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