Ese urethra yawe yumva yazibye? Reka tuvuge kuri Posterior Urethral Stenosis (PUS)

Ese nawe wumva bigoye cyane iyo uri kunyara ? Ese umwobo w'inkari uba ufunganye? Cyangwa wumva uruhago rutarasohoka burundu ndetse na nyuma yo kwihagarika ? Ibi si ibimenyetso byiza byo kwirengagiza. Uyu munsi turimo kuvuga ku ngingo y'ingenzi cyane abantu benshi badashaka kuvugaho. Iyo ni indwara yitwa Posterior Urethral Stenosis.

Mu magambo make, uburwayi bwa Posterior Urethral Stenosis (PUS) ni iki?

Ibi bishobora kumvikana nk'izina rya siyansi, ariko mu by'ukuri biroroshye kubyumva. Posterior Urethral Stenosis (PUS) , rimwe na rimwe yitwa Urethral Stenosis cyangwa Urethral Stricture , ni indwara aho igice cy'umuyoboro w'inkari (posterior urethra) cyegereye uruhago gifungana, cyangwa kikafungwa neza kurushaho.

Nk’uko iyo ikintu gifatiwe mu muyoboro w’amazi, amazi agenda agabanuka, kandi ibi ni byo bibaho iyo inkari zacu zifunze. Hari igihe uku kuziba kw’inkari bishobora kuba bikomeye ku buryo bigorana cyane kunyara , ndetse rimwe na rimwe bishobora no gutuma umuntu atabasha kunyara na gato.

Iyi ndwara ikunze kugaragara ku bagabo kurusha abagore. Impamvu ni uko urethra y'abagabo ari ndende cyane kurusha iy'abagore. Mu gihe urethra y'umugabo ifite uburebure bwa santimetero 25-28, iy'umugore ifite uburebure bwa santimetero 1.5. Bityo, igice cya santimetero 1-2 cy'urethra y'abagabo, cyegereye uruhago, gishobora kuziba muri ubu buryo. Iki gice kirimo kandi igice kinyura muri prostate gland.

Iyi ndwara ikunze kugaragara gute?

Stenose y'umuyoboro w'amaraso mu gihe cyo kubyara ntabwo ikunze kugaragara cyane. Akenshi, iyi ndwara ibaho nk'ingaruka mbi zo kuvurwa indi ndwara muri ako gace. Ni gake cyane, iyi ndwara ishobora kugaragara igihe umuntu avuka (avukanye). Ni gake cyane ku bagore.

Ese nawe ufite ibi bimenyetso?

Umuntu ufite iyi ndwara ashobora kugaragaza kimwe cyangwa byinshi mu bimenyetso bikurikira. Reba niba nawe ufite kimwe muri ibi.

Kuki ibi bibaho? Impamvu nyamukuru ni izihe?

Nkuko twabivuze mbere, iyi ndwara ikunze kugaragara cyane mu gihe cyo kuvuka. Ariko akenshi iterwa n'impanuka cyangwa ubuvuzi bukorerwa muri ako gace.

Dore zimwe mu mpamvu z'ingenzi:

• Gucika kw'inyuma: Impanuka ikomeye itera kwangirika kw'igufwa ry'ikibuno cyawe no gukomereka k'umuyoboro w'inkari.
• Uburyo bwo kuvura kanseri ya prostate: Iyi ndwara ishobora kubaho nyuma bitewe n'uburyo bwo kuvura kanseri ya prostate nko kuvura hakoreshejwe imirasire, brachytherapy, EBRT, no kubaga prostate (prostatectomy).
• Kubaga BPH:Iyi ndwara ishobora guterwa no kubagwa nka TURP (Transurethral Resection of the Prostate) kubera Benign Prostatic Hyperplasia (BPH).

Bigenda bite iyo idavuwe?

Iki ni cyo kintu cy'ingenzi cyane. Niba utekereza ko "bizagenda neza ubwabyo" nubwo waba ufite ibi bimenyetso, ibintu bishobora kwiyongera. Iyo bibaye, ingorane zikomeye nka:

• Indwara zikunze kugaragara mu nzira y'inkari (UTIs).
• Kwangirika burundu k'uruhago.
• Inkari zitemba ziva mu ruhago zigana mu mpyiko (vesicoureteral reflux).
• Kwangirika kw'impyiko.

Muganga, ni gute usuzuma ibi?

Iyo ugiye kwa muganga, abanza gutega amatwi witonze ibimenyetso byawe. Azabaza kandi amateka y'ubuzima bwawe. Hanyuma azakora isuzuma ry'umubiri. Kugira ngo yemeze neza imiterere y'uburwayi bwawe, ashobora no gukora ibizamini byinshi, nko:

• Ibipimo bya X-ray
• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound
• Cystoscopy (gusuzuma urethra hakoreshejwe umuyoboro muto ukoresheje kamera)
• Retrograde urethrograma
• Isuzuma rya VCUG (Voiding cystourethrogram)

Ese iyi ndwara ishobora gukira burundu?

Yego rwose. Hari uburyo bwo kuvura ibi. Si indwara ishobora kuvurwa n'imiti. Ariko, ishobora kuvurwa hakoreshejwe uburyo bubiri. Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura hashingiwe ku miterere y'indwara yawe, ingano y'inkovu, n'igihe yazibye.

1. Kwaguka k'umuyoboro w'inkari

Ibi bikubiyemo kwagura igice cy’umuyoboro w’inkari cyazibye hakoreshejwe ibikoresho byihariye (nk'udukoni ture turerire kandi duto) cyangwa agapira k’inyuma. Ubu buryo ni ubworoshye. Ariko, si igisubizo kirambye. Ushobora gukenera kuvura ubu buryo inshuro nyinshi.

2. Kubaga (Urethroplasty)

Ubu ni bwo buryo bwiza kandi burambye. Muri ubu buryo bwo kubaga, igice cyangiritse kandi cyazibye cy’umuyoboro w’inkari kirasanwa cyangwa igice gishya kigaterwa. Igipimo cy’intsinzi cy’ubu buryo bwo kubaga kiri hejuru ya 80%.

Bigenda bite nyuma yo kuvurwa?

Nyuma yo kwaguka k'umuyoboro w'inkari, ubusanzwe utangira kumva umeze neza mu cyumweru kimwe. Nyuma yo kubagwa uretroplasty, bishobora gufata ibyumweru bibiri kugeza kuri bitatu kugira ngo ukire neza.

Igikuru ni uko, iyi mimerere rimwe na rimweBishobora kongera kugaruka ndetse na nyuma yo kuvurwa. Rero, ntukibagirwe kujya kwa muganga nk'uko muganga wawe abikubwira. Muri ubwo buryo, ashobora gukurikirana ikibazo cyawe no kumenya ikibazo cyose hakiri kare.

Ese hari uburyo bwo kwirinda ibi?

Impamvu zose twavuze mbere ntizishobora kwirindwa. Urugero, biragoye kwirinda ibi nyuma yo kuvurwa kanseri. Ariko, ushobora kugabanya ibi byago wirinze gukomereka mu kibuno.

• Ambara umukandara wawe igihe cyose ugenda mu modoka.
• Niba ukina imikino ikomeye nka hockey cyangwa umupira w'amaguru , ambara imyenda n'ibikoresho byo kwirinda bikwiye .
• Kurya ibiryo bikungahaye kuri kalisiyumu na vitamine D, bikomeza amagufwa.
• Kora imyitozo yo gukomeza amagufwa (cyane cyane iyo guterura ibiremereye).
• Reka kunywa itabi no kunywa inzoga nyinshi . Ibi bigira ingaruka ku bucucike bw'amagufwa yawe.
• Niba bibaye ngombwa, baza muganga wawe ku miti yongerera amagufwa imbaraga (bisphosphonates).

Ni ryari nkwiye kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU)?

Ibi ni ingenzi cyane. Niba ufite kimwe muri ibi bimenyetso bikurikira, ntugapfushe umwanya kandi ujye mu bitaro bikuru by’ubutabazi bwihuse (ETU).

Ni ibihe bibazo ugomba kubaza muganga?

Iyo tugiye kwa muganga, hari igihe twibagirwa icyo dushaka kubaza. Rero, andika ibi bibazo ku rupapuro.

• Kuki muganga atekereza ko mfite iyi ndwara?
• Impamvu y'uburwayi bwanjye ni iyihe?
• Uburyo bw'inkari zanjye buziba bungana iki?
• Ni ubuhe buryo bwiza bwo kuvura kuri njye?
• Ni izihe nyungu n'ibibi bya buri buryo bwo kuvura?
• Nkwiye kwiyitaho nte nyuma yo kuvurwa?
• Nkwiye kugaruka nyuma y'igihe kingana iki kugira ngo nkurikirane?
• Utekereza ko ibi bintu bizongera kumbaho?
• Hari icyo nakora kugira ngo mburize ibi kongera kubaho?
• Ese ngomba kubonana n'inzobere (urologist) kuri ibi?