Tekereza ko wavunitse igufwa ryo mu kibuno bitewe n’impanuka, wenda no kugwa uvuye ku igare. Cyangwa waravuwe kanseri ya prostate. Muri ibyo bihe, rimwe na rimwe urethra ku bagabo ishobora kwangirika cyangwa igacika. Iyo bigoye kunyara, ububabare n’ingorane bishobora kubaho iyo bifunze ntibishobora gusobanurwa. Uyu munsi turimo kuvuga ku kubagwa gukomeye kandi kudasanzwe bikenewe muri ibyo bihe.
Mu magambo make, ivugurura ry'umuyoboro w'amaraso nyuma y'ururenda ni iki?
Reka dutangire dusobanura ibi mu buryo bworoshye. Inkari, zikora mu ruhago rwawe, zisohoka mu gitsina cyawe zinyuze mu muyoboro witwa urethra. Ni nk'umuyoboro uva mu kigega cy'amazi.
Iyi urethra nayo ifite ibice. Igice kigufi, gifite uburebure bwa santimetero imwe kugeza kuri ebyiri, gihuza n'uruhago kandi kikanyura muri prostate gland, cyitwa 'Posterior Urethra'. Iyi ni yo ntangiriro y'uruhago.
Gusubiramo uturemangingo tw’inyuma ni uburyo bwo kubaga busubiza ubusugire bw’umuyoboro w’inyuma w’inkari nyuma yo kwangirika, kugabanuka, cyangwa kugabanuka (stricture y’umuyoboro w’inyuma). Ibi bivuze ko igice cyangiritse gikosorwa kandi inkari zigasubira gutembera nta mbogamizi.
Kuki ubu buryo bwo kubaga ari ngombwa?
Hari impamvu ebyiri z'ingenzi zo kubagwa.
1. Imvune zitunguranye: Cyane cyane impanuka zikomeye zivuna igufwa ry'ikibuno. Mu gihugu cyacu, imvune nk'izo zikunze guterwa n'impanuka za moto, zigwa ndende, kandi zigakomereka. Mu mpanuka nk'izo, iki gice cy'umuyoboro w'inkari gishobora kuvunika, gukomereka no gukomereka. Uko igihe kigenda gihita, izi nkovu zishobora gutuma umuyoboro w'inkari ugabanuka bigatuma umuntu adashaka kunyara.
2. Kuvura Kanseri ya Prostate: Nyuma yo kubagwa kugira ngo prostate ikureho (radical prostatectomy) cyangwa ubuvuzi bushingiye ku mirasire, urethra ishobora kugabanuka bitewe n'inkovu zijyanye nayo.
Iyo urethra igabanutse muri ubu buryo, inzira y'inkari ishobora kugabanuka, inkari zishobora kuvamo udutonyanga duto, cyangwa se zigafunga burundu. Iyi ni indwara ibabaza cyane kandi iteje akaga.
Ni gute muganga afata icyemezo niba ukeneye kubagwa?
Niba ufite ibi bimenyetso, ikintu cya mbere muganga wawe azakora ni ugukora ibizamini bike kugira ngo yemeze neza indwara. Kugira ngo babigereho, bashobora gukora kimwe cyangwa byinshi muri ibi bikurikira:
- Retrograde Urethrogram: Iyi ikoresha amazi yihariye (irangi ritandukanye) na X-rays kugira ngo hamenyekane aho n'igihe ikiziba kiri mu muyoboro w'inkari.Kugira ngo tubiteho neza.
- Indwara yo gufunga inkari: Iyi ikoresha kandi irangi ritandukanye kugira ngo harebwe uburyo inkari zisohoka mu ruhago. Ibi bishobora gufasha kumenya ingano y'aho zifunga.
- Cystoscopy: Muri ibi, umuyoboro muto ufite kamera (scope) unyuzwa mu muyoboro w'inkari kugira ngo urebe imbere mu muyoboro w'inkari n'uruhago.
- Isuzuma rya MRI (Magnetic Resonance Imaging): Mu bihe bimwe na bimwe byihariye, isuzuma rya MRI rishobora gukorwa niba hakenewe amakuru arambuye.
Igikuru ni uko iyo ndwara itewe n'impanuka, abaganga bazategereza kugeza igihe ibindi bikomere bikomeye mu mubiri wawe bizakira. Muri icyo gihe, umuyoboro ushobora gushyirwamo uturutse mu nda ujya mu ruhago kugira ngo uvane inkari. Tuyita Suprapubic Catheter .
Wakwitegura ute mbere yo kubagwa?
Mbere yo kubagwa, ugomba no kwitegura. Gukurikiza izi ntambwe ni ingenzi cyane kugira ngo kubagwa kugende neza.
| Ibyo kwitegura | Icyo gukora |
|---|---|
| Imiti igabanya amaraso | Niba ufata ubwoko bw'imiti nk'iyi, ugomba kuvugana n'itsinda ry'abaganga bawe hanyuma ukareka kuyifata by'agateganyo iminsi mike mbere yo kubagwa, nk'uko babigusaba. |
| Ibyokurya n'ibinyobwa mbere yo kubagwa | Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro ku munsi wo kubagwa. |
| Imiti ya mu gitondo | Muganga akwemerera gusa gufata umuti wemewe na we mu gitondo ukanywa amazi make. |
| Antibiyotike | Kugira ngo hirindwe kwandura, muganga ashobora kuguha imiti igabanya ubukana bw'indwara kugira ngo itangire umunsi umwe mbere y'uko ubagwa. |
Kubagwa bibaho gute koko?
Ubu buryo bwo kubaga bukorwa hakoreshejwe ikinya rusange, bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye.
Uburyo bukunze gukoreshwa n'abaganga b'inzobere mu kubaga bwitwa Anastomotic Urethroplasty . Ubu buryo bworoshye cyane.
Igice cyakomeretse, cyangiritse cyangwa cyagabanutse cy'umuyoboro w'inkari kiracibwa kigakurwaho, hanyuma impera zombi zizima zigakozwa hamwe. Ni nko gukuraho igice cy'umuyoboro cyavunitse ugahuza ibice bibiri bisigaye byiza.
Ariko, tekereza ko nyuma yo gukuraho inkovu, icyuho kiri hagati y'inkombe ebyiri zisigaye zimeze neza kiba kinini cyane, bigatuma bigorana kuzidoda. Wakora iki iyo bibaye?
Muri ibyo bihe, umuganga ubaga afata agace gato k'umubiri wawe akagakoresha mu kuziba icyuho. Akenshi, aka ni agace kari mu itama ryawe (buccal mucosa) . Gufata agace gato mu kanwa ntabwo bibabaza cyane. Ni nk'ububabare buto iyo ukomeretse ku itama. Nanone, ibikomere biri mu kanwa bikira vuba cyane, akenshi mu cyumweru kimwe.
Ni iki kibaho nyuma yo kubagwa kandi ni izihe ngaruka zishobora kubaho?
Nyuma yo kubagwa, uzakurikiranwa mu bitaro mu gihe cy'amasaha agera kuri 24. Katheta nto, yoroshye izashyirwa mu ruhago rwawe binyuze mu gitsina kugeza igihe imitsi ikira, bizatwara ibyumweru 3-4. Ibi biragoye gato, ariko ni ngombwa kugira ngo ikira neza. Nyuma y'ibyumweru 3-4, hazafatwa X-ray kugira ngo harebwe niba ikira cyakize, hanyuma katheta ivanweho.
Nk’uko bigenda ku kubagwa kose, ubu buryo bufite ingaruka nke.
- Kuva amaraso
- Indwara zandurira mu mubiri
- Gukomeza guhagarara
Kutagira impatwe mu nkari ni ibyago kandi ni gake cyane iyo habayeho kubagwa. Ariko, ibyago bishobora kwiyongera gato iyo habayeho kubagwa nyuma yo kuvurwa kanseri.
Ikindi kibazo cy'ingenzi ni ikibazo cyo kudakora neza k'uburemba (ED) . Hari abagabo bashobora kuba barahuye n'iki kibazo mbere y'uko babagwa, nyuma yo kuvunika mu kibuno cyangwa kuvurwa kanseri. Ubu buvuzi ntabwo buzakiza ED. Bushobora gusaba ubundi buvuzi nyuma. Vugana na muganga wawe ku mugaragaro.
Intsinzi mu kubagwa no gukira
Iyi ni inkuru nziza cyane. Uku kubagwa kwagenze neza cyane.Ni ukubaga bigira ingaruka nziza cyane, cyane cyane iyo bikozwe n'umuganga w'inararibonye mu kubaga.
- Igipimo cy'intsinzi mu kubagwa kw'ibikomere byakorewe mu mpanuka kiri hagati ya 92% na 97% .
- Igipimo cy'intsinzi mu kubagwa nyuma yo kuvurwa kanseri kiri hagati ya 70% na 85% .
Gusubira mu buzima busanzwe...
- Gutwara imodoka: Ushobora gutangira gutwara imodoka niba udakoresha imiti igabanya ububabare kandi nyuma yuko umuyoboro wa catheter ukuweho.
- Gusubira ku kazi: Abantu benshi basubira ku kazi nyuma yo gukuraho catheter, ariko imirimo yoroheje niyo isabwa gukorwa mu byumweru 6-8 .
- Imyitozo ngororamubiri: Kugenda n'amaguru ni byiza nyuma yo kubagwa, ariko irinde gukora imirimo ivunanye nko guterura ibyuma cyangwa gukina golf mu gihe cy'ibyumweru 6-8 .
- Gukora imibonano mpuzabitsina: Ushobora gusubira gukora imibonano mpuzabitsina nyuma y'ibyumweru 8 nyuma yo kubagwa.
Ubutumwa bwo kujyana mu rugo
- Ubuvuzi bwo kuvura urethral inyuma ni uburyo bwihariye bwo kubaga abagabo bafite urethra yagabanutse bitewe n'ibikomere byo mu kibuno cyangwa kanseri ya prostate.
- Intego y'ubu buvuzi ni ugusana igice cyangiritse cy'umuyoboro w'inkari no gusubiza inzira y'inkari mu buryo busanzwe.
- Ubu ni uburyo bwo kubaga bukunze kugira ingaruka nziza cyane, bityo nta mpamvu yo gutinya.
- Ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe witonze mbere na nyuma yo kubagwa, cyane cyane ku bijyanye na catheter n'ibibujijwe gukora.
- Ntugatinye kuvugana na muganga wawe mu buryo bweruye kandi mu kuri ku bibazo ushobora kuba ufite, nko kunanirwa kwihagarika cyangwa kudakora neza mu mibonano mpuzabitsina. Kubona amakuru n'ubufasha nyabyo ni igice cy'ingenzi mu gukira.
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