Ese nawe ugira ikibazo cyo kunyara? Ese urethra iracika intege kandi ifunze? Hari igihe wumva utarasohora burundu uruhago rwawe ndetse na nyuma yo kunyara? Ibi bishobora guterwa no kuziba k'urwere rwawe. Ibi ni ukuri cyane cyane niba uherutse kugira impanuka, cyane cyane iyo ifata agace k'ikibuno, cyangwa niba waravuwe kanseri ya prostate. Uyu munsi rero turimo kuvuga ku kubagwa kwihariye ari igisubizo cyiza kuri ibi. Ubwo ni uburyo bwo kubaga Posterior Urethral Reconstruction.
Mu magambo make, ivugurura ry'umuyoboro w'amaraso nyuma y'ururenda ni iki?
Kugira ngo tubisobanukirwe, reka tubanze twige bike kuri ibi bice by'umubiri wacu. Uzi ko urethra ari umuyoboro utwara inkari n'amasohoro mu ruhago rwacu bivanwa mu mubiri. Iyi urethra ifite ibice byinshi.
Umuyoboro w'inkari wo inyuma yerekeza inyuma y'umuyoboro w'inkari, ni ukuvuga igice kiri imbere mu mubiri. Mu by'ukuri, tuvuga igice gito cy'umuyoboro w'inkari, gifite uburebure bwa santimetero imwe cyangwa ebyiri, gituruka hasi mu ruhago, kikanyura muri prostate gland, kikanyura mu mitsi yo hasi mu kibuno.
Rero, Posterior Urethral Reconstruction ni ukubaga kugira ngo hakorwe igice cy'inyuma cy'umuyoboro w'inkari cyangiritse, cyafunze, cyangwa cyagabanutse kubera impamvu runaka.
Ni mu bihe ibihe ubu buvuzi bukenewe?
Impamvu nyamukuru y’ubu buvuzi akenshi ni ukugabanuka cyangwa kuziba k’umuyoboro w’amazi (Urethral Stricture) . Nk’uko umwanda wiyongera mu muyoboro w’amazi ukagabanya amazi, iyo inkovu zivutse mu muyoboro w’amazi zikawugabanya, biragorana kohereza inkari. Hari igihe umuyoboro w’amazi ushobora kuba muto cyane, cyangwa ugahagarara burundu.
Hari impamvu nyinshi z'ingenzi zituma urethra ifunga muri ubu buryo.
| Impamvu | Ibisobanuro n'ingero |
|---|---|
| Ibikomere bikomeye nko kuvunika mu kibuno | Gukomereka gukomeye ku gice cy'ikibuno (igufwa ry'ikibuno) bishobora kwangiza urethra. Urugero:
|
| Uburyo bwo kuvura kanseri ya porositate | Iyi ndwara ishobora no kubaho nyuma yo kuvurwa kanseri ya prostate. Ni ukuvuga:
|
Ni ibihe bipimo bikorwa mbere yo kubagwa?
Mbere y'uko umuganga afata icyemezo cyo kubaga, azakora ibizamini byinshi kugira ngo amenye neza uburyo urethra yawe yazibye n'ingano y'ibyangiritse.
- Retrograde Urethrogram: Hashyirwa amazi yihariye mu muyoboro w'inkari hanyuma hagafatwa amashusho ya X-ray.
- Isuzuma ry’imyanya y’amaraso: Umuyoboro winjizwa mu ruhago, wuzuramo amazi, hanyuma ugafatwa X-ray mu gihe uri kunyara.
- Cystoscopy: Umuyoboro muto cyane ufite kamera unyuzwa mu muyoboro w'inkari kugira ngo usuzume imbere.
- MRI Scan: Hari igihe MRI scan ishobora gukorwa kugira ngo hamenyekane neza icyo gice.
Igikuru ni uko nyuma y’impanuka, abaganga babanza gutegereza ko imvune zihagarara. Muri icyo gihe, umuyoboro muto ushyirwa mu ruhu rw’inda ukajya mu ruhago kugira ngo uvane inkari. Witwa catheter yo mu gice cya suprapubic .
Ni gute wakwitegura kubagwa?
Ni ngombwa gukurikiza amabwiriza ya muganga kugira ngo ugire umutekano mbere yo kubagwa.
| Icyo gukora | Kuki ari uko bimeze? |
|---|---|
| Tubwire ibyerekeye ubwivumbure ubwo aribwo bwose ufite. | Irinde ingaruka z'ubwivumbure ku miti itangwa mu gihe cyo kubagwa. |
| Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti ya Ayurvedic). | Imiti imwe n'imwe ishobora kugira ingaruka ku kubagwa. |
| Niba ufata imiti igabanya amaraso, hagarika by'agateganyo kuyifata nk'uko muganga wawe yabigutegetse. | Hagarika kuva amaraso bitari ngombwa mu gihe cyo kubagwa. |
| Hagarika kurya no kunywa amasaha 8-12 mbere yo kubagwa. | Niba ufite ibiryo mu nda yawe mugihe utazi icyo urya, cyangwa iyo uruka, bishobora kwinjira mu muhogo wawe. Ibyo ni akaga. Niyo mpamvu byitwa gutyo. |
Ushobora kandi guhabwa umuti urwanya udukoko guhera umunsi umwe mbere y’uko ubagwa kugira ngo wirinde kwandura.
Kubagwa bikorwa gute?
Ubwa mbere, umuganga w’indwara zo gusinziriza azagushyira munsi y’ikinya rusange . Ibi bivuze ko uzaba uri mu bitotsi byinshi. Ntuzumva ububabare cyangwa ikindi kintu cyose kugeza igihe abaganga barangije kubaga.
Hanyuma umuganga w’inkari atangira kubagwa. Uburyo bwo kuvura indwara ya Anastomotic Urethroplasty ni bwo buryo bukunze gukoreshwa mu kuvura impanuka nyuma yo gufungana.
Tekereza, ibi ni byo bibaho:
1. Ubwa mbere, hakorwa akantu gato mu gace kari hagati y'amasaro yawe n'ikibuno (perineum).
2. Hanyuma, inkovu z'urugingo zifatiwe mu muyoboro w'inkari zicibwa burundu hanyuma zikavanwaho.
3. Amaherezo, impera ebyiri z'umuyoboro w'inkari usigaye umeze neza zirongera zigahuzwa, hanyuma zigadodwa neza cyane.
Tekereza, rimwe na rimwe iyo igice cy'inkovu gikuweho, icyuho kiri hagati y'ibice bibiri bizima bisigaye gishobora kuba kinini kurushaho. Muri ibyo bihe, abaganga bakora ikintu kidasanzwe cyane. 'Baguza' agace gato k'uruti mu musaya wawe cyangwa mu munwa wawe (buccal mucosa) , buzuza icyo cyuho, hanyuma bakongera kubaka urethra.
Ubusanzwe ubu burwayi bushobora gufata amasaha ari hagati ya atatu na atandatu .
Ni iki kibaho nyuma yo kubagwa?
Iyo abaganga barangije kubaga, icyo gikorwa kizadodwa, kigasukurwa, hanyuma kigapfundikirwa. Byongeye kandi, catheter ya Foley izashyirwa mu ruhago rwawe binyuze mu gitsina cyawe kugira ngo ifashe mu gusohora inkari. Ibi bigamije gufasha inkari kuguma zitembera neza kugeza igihe urethra ikize. Ntugahangayike, ibi ni iby'igihe gito.
Umuyoboro muto wo kubagwa ushobora gushyirwa hafi y'igikomere kugira ngo gikire. Akenshi ukurwamo mbere yuko uva mu bitaro.
Uko ingaruka z'imiti itera gusinzira zigenda zishira, uzongera kugarura ubwenge buhoro buhoro. Uzumva umeze nk'udakomeye mu ntangiriro. Numara kugarura ubwenge, uzahabwa imiti igabanya ububabare kugira ngo igenzure ububabare.
Abaganga bamaze kubona ko ubuzima bwawe bumeze neza, ushobora gutaha. Ariko, ushobora kumara umunsi umwe cyangwa irenga mu bitaro.
Uzahabwa gahunda zo gukurikirana kwa muganga mu mezi make ari imbere. Muri icyo gihe, ibizamini nka X-ray na cystoscopy bishobora kongera gusubirwamo kugira ngo harebwe niba igisebe kiri gukira neza.
Catheter ya Foley izaba iri mu mwanya wayo mu gihe cy'ibyumweru 3-4, kandi inkari zawe zizayinyuramo. Iyo imaze gukurwaho, ugomba kuba ushobora kunyara byoroshye nk'uko wabikoraga mbere yo kuziba.
Ibyiza, intsinzi n'ibyago
Nk’uko bigenda ku kubagwa kose, uku kubagwa gufite inyungu ndetse n’ingaruka nke.
| Igice | Ibisobanuro |
|---|---|
| Ibyiza | Ububabare buterwa no kugumana inkari burashira, kandi ushobora kunyara nta bubabare cyangwa ngo unanirwe. Inshuro nyinshi indwara zo mu nzira y'inkari (UTIs) ziragabanuka. Ni byiza cyane ku buzima bw'impyiko, kuko uruhago rusohora amazi neza. |
| Igipimo cy'Intsinzi | Ubu buvuzi bwagenze neza cyane . Ubushakashatsi bwerekana ko kubagwa nyuma yo gukomereka mu kibuno byagenze neza ku kigero cya 92% kugeza kuri 97% . Nyuma yo kuvurwa kanseri ya prostate, igipimo cyo gutsinda ni 70% kugeza kuri 85% . |
| Ingaruka n'Ingaruka |
Ingaruka zo kutagira impatwe mu nkari ni nke, ariko ziba nyinshi gato nyuma yo kuvurwa kanseri. Impatwe zishobora guterwa n'imvune ya mbere cyangwa kuvurwa kanseri. Ubu buryo bwo kubaga ntabwo buzakiza iyo ndwara, kandi bushobora gusaba ubuvuzi butandukanye. |
Igihe cyo gukira n'ibintu ugomba kumenya
Ubwitange bwawe mu gukira nyuma yo kubagwa nabwo ni ingenzi cyane.
Ububabare
Abantu benshi bashobora kumva ububabare, ariko bushobora kugenzurwa neza n'imiti igabanya ububabare yandikiwe na muganga.
Ibikorwa
- Irinde gutwara imodoka no kwicara igihe kirekire kugeza igihe katheteri ikuweho (ibyumweru 3-4).
- Kugenda no kuzamuka ingazi nta kibazo.
- Ntugaterure ibintu biremereye birenze ibiro 9 (ibiro 20).
- Irinde kwiruka, kuryama hasi, gukora imyitozo ngororamubiri yo kwagura amaguru, ndetse no gukora siporo zisaba kuzenguruka igice cy'ikibuno (nk'umukino wa golf) mu gihe cy'ukwezi kumwe cyangwa abiri.
Igikorwa cy'imibonano mpuzabitsina
Kwirinda burundu imibonano mpuzabitsina cyangwa kwikinisha byibuze ibyumweru umunani .
Gusubira ku kazi/ku ishuri
Niba ukora mu biro, ushobora gutangira mu cyumweru kimwe cyangwa bibiri. Ariko niba ufite akazi gasaba imbaraga nyinshi, uzategereza nibura ibyumweru 6-8.
Amahirwe yose yo guhura na muganga
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gutaha nyuma yo kubagwa, hamagara muganga wawe ako kanya.
| Ibimenyetso by'ibyago - menyesha muganga ako kanya! | |
|---|---|
| - Kudashobora kunyara. | - Amaraso cyangwa amaraso akagenda apfundika mu nkari ndetse n'icyumweru kimwe nyuma yo kubagwa. |
| - Inkari zisohoka muri catheter zigenda buhoro cyane. | - Amazi ameze nk'ibibyimba ava mu gikomere. |
| - Ibimenyetso by'ubwandu nko kugira umuriro, ubukonje, no kuribwa umutwe. | - Ububabare cyangwa ububabare bukomeza kwiyongera nubwo wafashe imiti. |
| - Kubyimba kw'aho bakorewe kubagwa. | |
Biragoye cyane guhangana n'ikintu nk'impanuka cyangwa kanseri. Ni ibisanzwe kumva uhangayitse cyane iyo habayeho ikindi kibazo nko kugabanuka k'umuyoboro w'inkari. Ariko inkuru nziza ni uko Posterior Urethral Reconstruction ari uburyo bwiza cyane bwo kuvura. Ukoresheje ubu buryo bwo kubaga, ushobora kongera kunyara nta ngorane.
Ubutumwa bwo kujyana mu rugo
- Kuvugurura urethral inyuma ni igikorwa cyiza cyane cyo kubaga strictures mu gice cy'inyuma cy'umuyoboro w'inkari.
- Iyi ndwara ikunze kubaho nyuma y’impanuka zikomeye cyangwa kuvurwa kanseri ya prostate.
- Ni ibisanzwe kumva ufite ubwoba n'impagarara ku bijyanye no kubagwa, ariko intego nyamukuru ni ukunoza ubuzima bwawe.
- Mu gihe cyo gukira, ni ngombwa gukurikiza amabwiriza ya muganga neza neza kugira ngo ukire vuba.
- Niba ufite ikibazo cyo kunyara cyangwa ibindi bimenyetso, ntugatinde kubibwira muganga.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.