Reka twige ibijyanye no kubaga no gucika kw'ijisho (Rectopexy)

Ese hari igihe wumva ufite uburemere mu kibuno cyawe nyuma yo kujya mu bwiherero, cyangwa nk'aho hari ikintu cyavuyemo? Nubwo iyi ari ingingo iteye isoni kandi iteye isoni kuvugaho, mu by'ukuri ishobora kuba ikibazo cy'ubuzima kigira ingaruka ku bantu benshi ku rugero runaka. Iyi ndwara tuyita 'Rectal Prolapse'. Rero, nta kintu cyo gutinya cyangwa isoni gihari. Reka tubiganireho tweruye.

Gutemba kw'inyuma (Rectal Prolapse) ni iki?

Mu magambo make, iki ni cyo gihe igice cya nyuma cy'amara yawe manini, igice gihuza n'ururenda rwawe, gisohoka mu kibuno cyawe. Tekereza nk'ibice bya telesikope byinjira bikanasohoka. Ibi bishobora kubaho uko ugenda ukura, mu gihe utwite cyangwa nyuma yo kubyara, cyangwa bitewe n'impanuka cyangwa indwara.

Iyi si ikibazo cyihutirwa cy’ubuvuzi. Ariko, iyo itavuwe, iyi ndwara ishobora kwiyongera uko igihe kigenda gihita. Kubwibyo, ni byiza kuyivura ukoresheje uburyo bwo kubaga (rectopexy).

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

Ibi ntibikunze kubaho cyane. Bifata igice gito cy'abaturage, bagera kuri 0.5%, kandi bishobora gufata umuntu uwo ari we wese w'imyaka iyo ari yo yose, ariko bikunze kugaragara cyane ku bagore barengeje imyaka 50 .

Iyo abantu bakuru barwaye iyi ndwara, ntibashobora kuyikira batabanje kubagwa. Ariko, iyo ibaye ku bana bato, ibintu biba bitandukanye gato. Ku bana, akenshi iterwa n'ibintu nko kudakira, impiswi, cyangwa indwara ziterwa n'udukoko. Iyo impamvu nyamukuru ivuwe neza , imitsi ifata uturemangingo two mu nda irongera igakomeza gukomera kandi iyo ndwara irakira. Kubwibyo , abana ntibakenera kubagwa gake cyane kugira ngo ibi bibe .

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Ni ubuhe bwoko bw'ubuvuzi bwo kubaga (Rectopexy) buboneka?

Hari ubwoko bubiri bw'ingenzi bwo kubaga kugira ngo hakosorwe uburyo bwo gucika kw'imitsi mu maraso. Muganga wawe azaguhitiramo uburyo bukwiye cyane bitewe n'ubuzima bwawe muri rusange n'urugero rwo gucika kw'imitsi mu maraso.

Uburyo bwo kuvura inda

Ubu buryo bwo kubaga buhora bukorwa hakoreshejwe ikinya rusange .

• Kubagwa mu buryo bwihuse (rectopexy yo mu nda): Muganga agukata mu nda, agakurura igice cy’amara gisohoka inyuma, akagifata ku rukuta rw’inyuma rw’ikibuno akoresheje imidomo ihoraho. Hari igihe hashobora gukoreshwa inyunganizi.
• Laparoscopic rectopexy: Ubu buryo bwo kubaga bukorwa hakoreshejwe uduce duto duto mu nda no gushyiramo umuyoboro muto ukoresheje kamera (laparoscope) n'ibikoresho biyinyuzemo.
• Robotic rectopexy: Ibi bisa no kubagwa laparoscopic, ariko muganga akora kubagwa akoresheje robo.

Hari igihe, iyo ufite impatwe ikomeye, gukurwaho igice cy'amara bishobora gukorwa icyarimwe n'uku kubagwa.

Uburyo bwo kuvura indwara zo mu nda

Ubu buryo bwo kubaga bushobora gukorwa hakoreshejwe ikinya rusange cyangwa hakoreshejwe epidural.

• Uburyo bwo gukora Altemeier: Muri ubu buryo, igice cy’amara gisohoka gikurwa mu kibuno, kigacibwa, kigakurwamo. Hanyuma, ibice bibiri bisigaye by’amara biradodwa hamwe.
• Uburyo bwa Delorme: Ibi bikorwa ku duce duto. Aha, agace k'amara gusa ni ko gakurwaho, urwego rw'imitsi rurazingirwa, hanyuma agace k'amara kagashongeshwa inyuma mu nda. Uku gukomera kubuza amara gusohoka bitewe n'urukuta.

Ni izihe nyungu n'ingorane zishobora guterwa no kubagwa?

Iyo umuntu mukuru agize iyi ndwara, kubagwa ni wo muti wonyine. Iyo kubagwa bitakozwe, ibi bikurikira bishobora kubaho:

• Impatwe ikomeye
• Kunanirwa kwifata mu mara
• Igice cy'amara cyavuyemo kirafata, amaraso arahagarara maze icyo gice kigapfa (Gangrene)
• Ibisebe byo mu maraso n'amaraso agabanuka

Nk’uko bigenda mu kubagwa ukundi, hari ingaruka. Urugero, kuva amaraso, kubyimba kw’amaraso, n’inkovu. Nubwo kubagwa mu nda bifite ibyago byinshi, ibyago byo kongera kubyimba ni bike .

Ingorane zihariye zishobora kubaho nyuma yo kubagwa ni izi:

• Imiyoboro idasanzwe ikikije ikibuno (Anal fistulas)
• Gutemba kw'ibinure mu mubiri
• Kuziba amara
• Imibonano mpuzabitsina idakora neza
• Impatwe zirushaho kwiyongera

Bifata igihe kingana iki kugira ngo ngire gukira kandi nkore iki nyuma yo kubagwa?

Nyuma yo kubagwa, uzakenera kuguma mu bitaro iminsi mike cyangwa icyumweru. Bishobora gufata ibyumweru byinshi kugira ngo wongere umere neza nyuma yo gutaha. Bishobora no gufata amezi menshi kugira ngo amara yawe asubire kumera neza.

Mu gihe cyo gukira, ugomba kwita cyane kuri ibi bintu:

• Irinde impatwe: Kurya ibiryo byinshi birimo fibre (imboga, imbuto n'ibinyamisogwe). Nywa amazi menshi umunsi wose.
• Ntugakore akazi gakomeye iyo ugiye mu bwiherero: Ibi ni ingenzi cyane. Gukora akazi gakomeye bishobora gutuma ikibazo cyongera kubaho.
• Imiti yoroshya ubwiherero: Niba muganga wawe aguhaye imiti, ikoreshe neza neza nk'uko wabitegetswe.

Ni ryari wifuza kongera kubonana na muganga?

Niba ubonye ibi bimenyetso nyuma yo kubagwa, ugomba guhita uhamagara muganga wawe .

• Niba urimo kuva amaraso menshi kuruta uko bisanzwe.
• Iyo impatwe ikomeye yongeye kugaragara.
• Niba ubonye ibimenyetso byerekana ko ikibuno cyongeye kugaragara .
• Niba ubonye ibimenyetso by'ubwandu, nk'umuriro, gutukura, no kubyimba aho wakorewe ubuvuzi .

Abantu benshi batinda gushaka ubuvuzi kubera isoni n'isoni zo kuvuga kuri ibi bintu. Ariko ibuka ko iki atari ikintu kizagenda gikira nta kuvurwa. Bizagenda birushaho kuba bibi uko igihe kigenda gihita. Kubwibyo, niba ufite ibi bimenyetso, kuvugana na muganga nta bwoba no kubona ubuvuzi bukenewe bizagufasha cyane kunoza ubuzima bwawe.