Hari igihe, iyo hari ikibazo ku gice cy'amara yacu, abaganga badusaba kubaga icyo gice kirwaye. Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo wumvise iby'ubu burwayi nk'ubwo. Ariko iyo umaze kubisobanukirwa neza , ubwo bwoba burashira cyane. None rero uyu munsi, reka tuvuge kuri ubu burwayi bukuraho igice cy'amara.
Ileocolectomy na right Colectomy ni iki?
Mu magambo make, ubu ni uburyo bubiri bwo kubaga igice cy’igogora cyawe gifite indwara.
- Ileocolectomy: Muri ubu buryo bwo kubaga, igice cya nyuma cy'amara yawe mato, ileum, n'igice cya mbere cy'amara yawe manini, azamuka mu mara, biracibwamo hanyuma bigakurwamo.
- Gucibwamo intanga mu mara: Aha, uruhande rw'iburyo rw'amara manini (ascending colon) ni rwo rwonyine rukurwaho, hatavuyemo imyenge y'amara mato.
Ubu ushobora kuba wibaza impamvu ubu bwoko bw'ubu bukorwa. Ubusanzwe hari impamvu nyinshi z'ingenzi zituma ukora ubu buvuzi.
- Indwara za kanseri zibaho mu mara.
- Ibibyimba bitari kanseri .
- Kubyimba no kubyimba mu mara biterwa n'indwara nk'indwara ya Crohn .
Igikuru ni uko abaganga bahitamo gukora ubu buryo bwo kubaga nyuma yo gusuzuma neza ikibazo cyawe no kwemeza ko ari bwo buryo bwiza bwo kuvura.
Laparoscopy ni iki?
Mu bihe byashize, ubu bwoko bwo kubaga bwasabaga gukata inda cyane. Ariko ubu, bitewe n'iterambere mu ikoranabuhanga, ubu buryo bukunze gukorwa hakoreshejwe uburyo bwitwa laparoscopy . Ibi kandi byitwa "kubaga mu mwobo w'igifunguzo."
Tekereza, aho gukata inda nini, hakorwa uduce duto cyane (nk'umwobo w'imfunguzo) mu nda, aho kamera n'ibikoresho byoroshye bishyirwa. Ibi bivuze ko wumva ububabare buke, ugakira vuba, kandi ukaba ufite inkovu nke cyane.
Kubagwa bigenda bite? Intambwe 4 z'ingenzi!
Uku kubagwa kugizwe n'intambwe enye z'ingenzi. Nzabisobanura mu buryo ushobora gusobanukirwa.
| Intambwe | Ibiba byoroshye. |
|---|---|
| Intambwe ya 1: Gushyiramo laparoscope | Nyuma yo gusinzira, umuganga ubaga akuramo agace gato cyane (hafi santimetero 1/2) hafi y'ikibuno cyawe (agace k'umukondo). Binyuze muri ibi, igikoresho gifite kamera cyitwa laparoscope gishyirwa mu nda yawe. Amashusho y'iyi kamera agaragara kuri ecran nini (monitor) mu cyumba cyo kubaga. Hanyuma, hakorwa utundi duce duto 5 cyangwa 6 hanyuma ibindi bikoresho byo kubaga bikinjizwamo. |
| Intambwe ya 2: Kubohora amara | Noneho igice cy’amara kirwaye kigomba gutandukanywa n’igice kizima. Amara afatanye n’urukuta rw’inda n’agahu kitwa mesentery . Imiyoboro y’amaraso ikomeye itanga amaraso mu mara inyura muri aka gahu. Muganga aca iyi miyoboro y’amaraso witonze akayifunga. Hanyuma igice cy’amara kirwaye gikurwa muri aka gahu. |
| Intambwe ya 3: Gukuraho igice kirwaye | Kubera ko gukata ari bito cyane mu gihe cyo gupima amara, hakoreshwa uburyo bwihariye bwo gukuraho igice cy'amara cyaciwe. Muganga agabanya kimwe mu bice byabanje agashyiramo agafuka kadasanzwe mu nda anyuzemo. Igice cy'amara cyakuwemo indwara gishyirwa muri ako gafuka hanyuma agakurwamo neza. |
| Intambwe ya 4: Guhuza amara | Nyuma yo gukuraho igice cyarwaye, impera ebyiri z'amara mazima asigaye zirahuzwa. Ibi bikorwa hakoreshejwe agakoresho ko gufunga cyangwa gufunga. Ubu buryo bwo guhuza ibice bibiri by'amara bwitwa anastomose . Amaherezo, umwobo w'inda wogejwe neza, agace gashya gahujwe kakagenzurwa ko nta mazi yavuyemo, kandi icyuho cyose gifungwa. |
Reka twige ku gihe cyo gukira mu rugo
Iyo ugarutse mu rugo nyuma yo kubagwa, ni ngombwa cyane gukomeza ibikorwa byawe bya buri munsi buhoro buhoro.
Kugenda n'amaguru ni wo myitozo ngororamubiri mwiza kurusha iyindi!
Yego, kugenda n'amaguru bishobora gufasha cyane gukira kwawe. Kugenda n'amaguru bikomeza imitsi , binoza urujya n'uruza rw'amaraso, kandi bikarinda amaraso kuziba., kandi binafasha ibihaha byawe kugira ubuzima bwiza . Niba wari umuhanga mu gukora imyitozo ngororamubiri mbere yo kubagwa, ushobora gutangira imyitozo ngororamubiri isanzwe igihe wumva umerewe neza kandi muganga wawe akaguha uburenganzira.
Ariko ibuka ko bidakwiye ko umuntu akora imyitozo ngororamubiri igoye, guterura ibiremereye, ndetse no gukora imyitozo ngororamubiri ishyira igitutu ku nda, nko kwiyicarira mu nda, mu byumweru bitandatu nyuma yo kubagwa.
Indyo imeze ite?
Iyo woherejwe mu rugo uvuye mu bitaro, uzahabwa amabwiriza y'indyo ugomba gukurikiza mu gihe gito. Ubusanzwe uzagirwa inama yo gukurikiza indyo yoroshye . Ibi bivuze ko ushobora kurya ibintu byinshi uretse imbuto n'imboga mbisi. Kurikiza iyi ndyo kugeza ugiye kwa muganga kwisuzumisha nyuma yo kubagwa.
Icy'ingenzi: Niba ugize ikibazo cyo kutagira impatwe bitewe n'iyi ndyo, gisha inama muganga wawe . Ntukivure.
Nubwo kubagwa ari ikintu gikomeye, iyo ufite ubumenyi bukwiye kandi ukurikije inama za muganga, ushobora gukira vuba ugasubira mu buzima bwawe busanzwe.
Ubutumwa bwo kujyana mu rugo
- Ileocolectomy na Right Colectomy ni uburyo bubiri bwo kubaga bukuraho igice cy’amara girwaye. Bukorerwa ku ndwara nka kanseri, ibibyimba bitari kanseri, na Crohn's disease.
- Akenshi, ubu buryo bwo kubaga bukorwa hakoreshejwe uburyo bwa "keyhole" bwitwa laparoscopy. Ibi bituma ububabare bugabanuka kandi bugakira vuba.
- Ugeze mu rugo nyuma yo kubagwa, tangira buhoro buhoro imyitozo ngororamubiri yoroheje, nko kugenda n'amaguru. Ariko irinde guterura ibintu biremereye no gukora imyitozo ngororamubiri igoye mu gihe cy'ibyumweru 6.
- Kurikiza amabwiriza ya muganga wawe neza. Niba ufite ikibazo nko kubura impatwe, ganira na muganga wawe kuri icyo kibazo.
- Niba ufite gushidikanya cyangwa ikibazo, ntutindiganye kubaza muganga wawe.
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