Reka tuvuge muri make kuri Rectal Prolapse and Surgery (Rectopexy)

Ese hari igihe wumva ikibyimba cyangwa uburemere mu maraso yawe nyuma yo kujya mu bwiherero? Ese wumva hari ikintu cyasohotse imbere? Ibi ni byo twita gucika kw'amagufwa mu maraso . Nubwo ari ingingo igoye kandi iteye isoni kuyivugaho, ni ingenzi cyane ku mibereho yawe myiza. Reka tubiganireho tweruye.

Iki ni iki mu by'ukuri? Mu magambo make...

Tekereza nawe, igice cya nyuma cy'amara yawe cyitwa rectum. Ubusanzwe, gifatwa n'imitsi iri mu kibuno cyawe. Ariko rimwe na rimwe, iyo iyi mitsi icitse intege, rectum imanuka gato ikagerageza gusohoka mu kibuno cyawe. Ni nk'isogisi ihindukirira imbere. Ibi ni byo twita Rectal Prolapse.

Iyi ndwara si ikibazo cyihutirwa cy’ubuvuzi. Ariko, iyo itavuwe , ishobora kwiyongera uko igihe kigenda gihita. Ibi bishobora gutera ububabare, ibibazo by’amara (kuribwa mu nda cyangwa kudakora imibonano mpuzabitsina), n’izindi ngorane.

Ni nde ufite amahirwe menshi yo guhura n'iki kibazo?

Iyi si indwara ikunze kugaragara cyane. Nubwo ishobora kugaragara ku muntu uwo ari we wese, ikunze kugaragara ku bagore barengeje imyaka 50. Ishobora no kubaho nyuma yo gutwita, ku bantu bafite impatwe igihe kirekire, cyangwa nyuma yo gukomereka.

Ni ubuhe bwoko bw'ububaji buhari kuri ibi?

Uburyo bwonyine bwo kuvura Rectal Prolapse ku muntu mukuru ni ukubagwa. Ubu buryo bwo kubaga bwitwa Rectopexy . Hari ubwoko bubiri bw'ingenzi bwo kubaga. Muganga wawe azaguhitiramo uburyo bwiza bukurikije ubuzima bwawe, imyaka yawe, n'uburemere bw'ikibazo.

Uburyo bwo kuvura inda

Muri iki gihe cyo kubagwa, uzashyirwa munsi y'ikinya rusange. Hari uburyo butandukanye bwo kubikoresha:

• Kubagwa mu buryo bwihuse (Abdominal Rectopexy): Muganga agukata mu nda igihe kirekire, agakurura agace k'umura kari karashotse, akagafata ku rukuta rw'inyuma rw'ikibuno cyawe (sacrum) akoresheje imigozi ihoraho cyangwa rimwe na rimwe agapfundikira imigozi. Uko igihe kigenda gihita, inkovu zirakora kandi zikagumaho burundu. Hari igihe, gukata amara (kubagwa kugira ngo haveho igice cy'amara) bishobora gukorwa kugira ngo bigabanye impatwe.
• Laparoscopic Rectopexy: Aho gukata inda nini, ubu buryo bwo kubaga bukorwa hakoreshejwe uduce duto duto hanyuma ugashyiramo umuyoboro muto ufite kamera (laparoscope) n'ibindi bikoresho.
• Robotic Rectopexy: Ibi bisa no kubaga imfunguzo, ariko igikoresho cya roboti gikoreshwa mu gufasha umuganga.

Uburyo bwo kuvura indwara zo mu nda

Ubu buryo bwo kubaga bukunze gukorwa ku bantu bakuze cyangwa abafite izindi ndwara zituma bigorana kubagwa cyane. Bushobora gukorwa hakoreshejwe ikinya rusange cyangwa hakoreshejwe epidural.

• Uburyo bwa Altemeier: Muri ubu buryo, muganga akuramo agace k'umura kavuyemo amaraso n'igice cya nyuma cy'amara abinyujije mu kibuno, akabikata, hanyuma agasubizamo agace k'umura gasigaye ku mara.
• Uburyo bwa Delorme: Ibi bikunze gukorwa ku gucika gato k'umura. Aha, niho hakurwaho igice cy'umura gusa, imitsi irazingirwa, hanyuma igasubizwa mu muyoboro w'ikibuno. Ibi bikomeza urukuta rw'imitsi kandi bigahagarika umura kudasohoka mu mwanya wayo.

Witegura ute mbere yo kubagwa?

Ni ngombwa gukurikiza amabwiriza ya muganga wawe witonze mbere yo kubagwa. Ubusanzwe, uzasabwa gukora ibi bikurikira:

• Kurya ibinyobwa gusa umunsi umwe mbere yo kubagwa.
• Hagarika gufata imiti imwe n'imwe (cyane cyane imiti igabanya amaraso) igihe gito.
• Fata imiti yoroshya amara kugira ngo woze neza amara.

Ni iki ushobora kwitega nyuma yo kubagwa?

Uzakenera kuguma mu bitaro iminsi mike nyuma yo kubagwa. Niba wabazwe unyuze mu nda, ushobora kumara icyumweru kimwe. Muganga wawe azagukurikirana kugeza igihe uzaba ushobora kongera kurya neza, gusohora umwuka, no kuva mu nda. Ibi ni ukugira ngo urebe neza ko igogora ryawe ryongeye gukora neza.

Dore ibimenyetso bimwe na bimwe bikunze kugaragara mu minsi mike ya mbere nyuma yo kubagwa:

• Kumva ububabare cyangwa gufungana mu kibuno no mu gice cy'inyuma.
• Kuva amaraso make cyangwa amaraso make mu gitereko.

Ni gute wahitamo uburyo bwo kubaga bukubereye?

Ibi bigenwa na muganga wawe. Hari ibintu byinshi bigira ingaruka kuri ibi.

Ese nta ngaruka zishobora guterwa n'ubu buvuzi?

Nkuko bigenda mu kubagwa kose, hari ingaruka. Urugero, kuva amaraso, kuvura amaraso, no kwandura. Nubwo kubagwa mu nda bifite ibyago byinshi, ibyago byo kongera kugaruka ni bike cyane iyo bikozwe . Kubagwa mu nda bifite ibyago bike, ariko ibyago byo kongera kugaruka ni byinshi.

Ingorane zimwe na zimwe zijyanye no kubagwa zishobora kuba zirimo:

• Fistula yo mu kibuno
• Gutemba kw'ibinure mu mubiri
• Kuziba amara
• Ibibazo by'imikorere y'imibonano mpuzabitsina
• Impatwe zirushaho kwiyongera

Igihe cyo gukira nyuma yo gusubira mu rugo

Bishobora gufata ibyumweru cyangwa amezi menshi kugira ngo ukire neza nyuma yo gusubira mu rugo uvuye mu bitaro. Bizafata igihe kugira ngo amara yawe asubire ku murongo. Muri iki gihe, ugomba kwita ku bikurikira:

• Irinde impatwe: Kurya ibiryo byinshi birimo fibre (imboga, imbuto). Nywa nibura ibirahuri 8-10 by'amazi ku munsi.
• Irinde kugorama: Ntuzigere ugorama cyane mu gihe uri mu bwiherero.
• Imiti yoroshya ubwiherero: Niba muganga wawe abigusabye, koresha imiti yoroshya ubwiherero.

Ni ryari wifuza kongera kubonana na muganga?

Niba ubonye kimwe muri ibi bikurikira, menyesha muganga wawe ako kanya:

• Kuva amaraso menshi mu maraso.
• Kubabara impatwe cyane cyangwa bidashira.
• Ibimenyetso byo gucika kw'uturemangingo (kumva uremereye, ufite ibibyimba).
• Ibimenyetso by'ubwandu (umuriro, gutukura kw'aho hacitse, kubyimba).

Ushobora kumva ufite isoni zo kuvugana na muganga ku kintu nk'iki. Ariko ibuka ko indwara yo mu bwoko bwa Rectal Prolapse atari indwara ishobora gukira idakorewe kubagwa. Uko utinda gushaka ubuvuzi, niko ikibazo gishobora kwiyongera. Niba rero ufite ibi bimenyetso, ntutinye kujya kwa muganga no kumuvugisha. Muri ubwo buryo, ushobora gukira vuba no kongera kubaho neza.