Abagabo: Uburyo bugezweho bwo kuvura prostate yagutse (Uburyo bwa Rezūm)

Ese nawe usanga bigoye konka uko ugenda usaza? Ese umwobo wawe w'inkari ugenda ugabanuka, kandi ugenda unyara rimwe na rimwe? Cyangwa ugomba kubyuka inshuro nyinshi nijoro kugira ngo wonka? Ibi ni ibibazo abagabo benshi bahura nabyo uko bakura. Impamvu nyamukuru ibi ni prostate gland yagutse, iyo mu buvuzi twita `(Benign Prostatic Hyperplasia - BPH)`. Rero nubwo wafata imiti yo kubikoresha, rimwe na rimwe ntitanga ubutabazi bwuzuye. Abantu benshi batinya kujya kubagwa nk'intambwe ikurikiraho. Niyo mpamvu uburyo bushya bwo kuvura butari ubwo kubaga tuvuga uyu munsi ari ingenzi cyane kuri bene abo bantu. Reka tuvuge kuri ubu buryo bwo kuvura bwa `Rezūm` mu magambo make.

Mu magambo make, ubu buryo bwo kuvura Rezūm ni ubuhe?

`Rezūm` ni uburyo bwo kuvura indwara ya BPH idasaba kubagwa, kandi igabanya ubukana bw’indwara. Bukubiyemo gukoresha igikoresho cyihariye kugira ngo gitere umwuka mwiza w’amazi (umwuka) ahantu hanini ha prostate yawe. Ingufu ziri mu mwuka zisenya uturemangingo twagutse, bigatuma tugabanuka uko igihe kigenda.

Tekereza nko guteka ikintu n'umwuka w'amazi. Ariko ibi bikorwa mu buryo bugenzuwe cyane, gusa ahantu runaka. Iki gikoresho gishyirwa mu muyoboro w'inkari, bityo nta mpamvu yo gukata cyangwa kudoda ahantu hose mu mubiri wawe. Mbere yo kuvurwa, ahantu haraba hameze nabi ku buryo utumvise ububabare, bityo ntugire ikibazo kinini. Ibi kandi byitwa Water Heapor Therapy.

Ubu buvuzi bukwiriye nde? Kandi se ni nde butakwiriye?

Ubu buvuzi bukorerwa ahanini abagabo bafite indwara ya BPH (benign prostatic hyperplasia). Wari uzi ko prostate ari agahu kari hafi y'uruhago rw'inkari ku bagabo? Uko tugenda dusaza, kagenda kakura buhoro buhoro. Uko kagenda kakura, urethra inyuramo itangira gufunga. Ni bwo ibimenyetso byavuzwe haruguru byo kugorwa no kunyara, kunyara kenshi, no kumva ugomba kunyara umaze kurangiza kunyara.

Ariko, si buri wese ushobora kuvurwa ubu buryo. Hari aho abaganga batabwitabira.

• Niba ufite ibibazo bijyanye n'imikorere y'impyiko .
• Niba ufite inshinge yo mu muyoboro w'inkari.
• Niba prostate yawe ari nini cyane (ubusanzwe irenga garama 80).

Muganga wawe azagusuzuma maze arebe niba ufite iyi ndwara cyangwa utayifite.

Uburyo ubuvuzi bukorwa n'igihe bumara

Ubu buvuzi bwa `Rezūm` si ikintu gisaba kumara igihe kirekire mu cyumba kinini cyo kubaga. Ubusanzwe bushobora gukorerwa kwa muganga (uburyo bwo mu biro).

Mbere no mu gihe cyo kuvurwa

Ubwa mbere, muganga azagusaba konka hanyuma ugaruke. Hanyuma, uzahabwa umuti ugabanya ububabare mu muyoboro w'inkari n'agace gakikije prostate kugira ngo utababara cyangwa ngo wumve nabi mu gihe cyo kuvurwa.

Hanyuma, umuganga w’inkari ashyiramo agakoresho karekare, gato kandi gafata mu ntoki kitwa speculum mu muyoboro wawe w’inkari. Urushinge ruto rusohoka mu mpera y’umuyoboro rugatera umwuka ku gasabo ka prostate kagutse mu masegonda make. Ibi ntibikorwa ahantu hamwe gusa, ahubwo bikorwa ahantu henshi uko bikenewe. Ubushyuhe buva muri uyu mwuka busenya uturemangingo tw’inyongera, bigatuma tugabanuka uko igihe kigenda gihita.

Nyuma yo kuvurwa

Nyuma yo kuvura, uzakenera gushyiramo catheter y'inkari mu minsi mike ya mbere. Ibi biterwa nuko ubuvuzi bushobora gutera kubyimba ahantu runaka. Catheter ishyirwamo kuko kubyimba bizagorana kunyara. Nyuma yo kubyimba kugabanuka mu minsi mike, muganga azakuraho catheter.

Ubusanzwe ubuvuzi bwose bumara iminota 30. Bitwara amasegonda 10 gusa kugira ngo umwuka uhinduke ahantu hamwe. Ibi bishobora gukorwa inshuro zigera kuri 15 mu gihe kimwe cyo kuvurwa.

Ibyiza n'intsinzi by'ubuvuzi bwa Rezūm

Ubu buvuzi bufatwa nk'uburyo bwiza kandi bwizewe bwo kuvura BPH. Nanone, ibisubizo biraramba. Reka turebe izindi nyungu bigira.

• Ntabwo ngikeneye imiti ya BPH: Abantu benshi bashobora kureka gufata imiti ya buri munsi nyuma y'ubu buvuzi.
• Ibisubizo byihuse: Urashobora kubona ihinduka ryumvikana mu bimenyetso mu byumweru bike.
• Kubungabunga imikorere y'imibonano mpuzabitsina: Kubagwa gukomeye rimwe na rimwe bishobora kugira ingaruka ku imikorere y'imibonano mpuzabitsina. Ariko, ubu buryo bwo kuvura, ingaruka ziba nke cyane.
• Kuba ubuvuzi bwo hanze: Nta mpamvu yo kuguma mu bitaro. Ushobora gutaha umunsi umwe n'ubuvuzi.
• Nta mpamvu yo gukoresha ikinya rusange: Ntabwo ari ngombwa ko uba utazi neza. Gufata agace gato k'umubiri birahagije.
• Gukira vuba: Ushobora gusubira mu bikorwa bisanzwe mu minsi mike.
• Gusubiramo: Ni gake cyane, iyo ibimenyetso bigarutse nyuma y'igihe runaka, ubu buryo bwo kuvura bushobora kongera kugaruka.

Ibi byagenze neza gute?

Igipimo cy'intsinzi mu kuvura Rezūm kiri hejuru cyane. Ubushakashatsi bwagaragaje ko abantu bari munsi ya 5% bakeneye kubagwa bundi bushya mu myaka 5 nyuma yo kuvurwa. Nanone, abantu bagera kuri 10% gusa ni bo bagomba kongera gufata imiti ya prostate muri icyo gihe. Nubwo ubu ari uburyo bushya bwo kuvura (bwemewe mu 2015), imibare iriho ubu igaragaza ko ibisubizo ari byiza cyane mu gihe cy'imyaka 5 nibura.

Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nto n'ingaruka mbi, ariko inyinshi muri zo ni iz'igihe gito.

Ntugahangayikishwe n'ibi bimenyetso. Ibyinshi muri byo ntibiba kuri buri wese. Nanone, muganga wawe azabikumenyesha mbere y'igihe.

Igihe cyo gukira n'icyo ugomba gukora

Ibi ni ingenzi cyane. Ibimenyetso byawe ntibizahita bikira nyuma yo kuvurwa. Mu by'ukuri, ushobora kumva ko ibimenyetso byawe byiyongereye gato mu byumweru bike bya mbere. Ibyo biterwa no kubyimba. Ariko ntugahangayike. Ibyo ni ibisanzwe.

Abantu benshi babona ko ibimenyetso byabo byarushijeho kuba byiza mu byumweru bike . Ariko, bishobora gufata amezi atatu kugira ngo haboneke umusaruro mwinshi. Bifata igihe kugira ngo umubiri ukire uhereye imbere.

Kora ibi bintu kugira ngo worohereze gukira kwawe

• Kuruhuka: Nyuma yo kuvurwa, guma mu rugo kandi uruhuke neza nibura umunsi umwe cyangwa ibiri. Nubwo ushobora gukora ibintu nko kugenda n'amaguru no gutwara imodoka, irinde gukora imirimo ivunanye nko kwiruka, guterura ibyuma, no kugendera ku igare mu byumweru bike.
• Irinde gukora imibonano mpuzabitsina: Kwirinda gukora imibonano mpuzabitsina cyangwa kwikinisha iminsi mike bizafasha ako gace gukira vuba.
• Nywa amazi menshi: Kunywa amazi menshi umunsi wose bizafasha gusohora amaraso mu nkari zawe (niba ahari) vuba.
• Irinde ibinyobwa bibabaza uruhago: Irinde icyayi kirimo kafeyine, ikawa, ibinyobwa bitanga imbaraga, ibinyobwa birimo karubone (nk'isukari), n'ibinyobwa by'imbuto z'indimu nk'amacunga na za grapefruit igihe gito.

Ni ryari ukwiye kongera kubonana na muganga wawe?

Ugomba kongera kubonana na muganga wawe nyuma y'ibyumweru bibiri cyangwa bitatu nyuma yo kuvurwa. Azagusuzuma uko uhagaze.

Ariko, niba ubonye kimwe muri ibi bikurikira, hamagara muganga wawe cyangwa ujye kwa muganga ako kanya.

• Niba udashobora kunyara na gato .
• Niba hari ububabare bukabije .
• Niba ufite umuriro urenze dogere selisiyusi 38 .
• Niba wumva ubukonje kandi uhinda umushyitsi (Ubukonje).
• Iyo habayeho impiswi (kubabara mu gifu) .

Kugereranya n'ubundi buryo bwo kuvura

`Rezūm` si bwo buryo bwonyine bwo kuvura BPH. Hariho ubundi buryo busa n'ubwo. Reka tugereranye `Rezūm` n'uburyo bubiri muri ubu buryo bw'ingenzi.

Muri make, uburyo bwa `Aquablation` na `TURP` butanga ibisubizo byihuse kandi bikomeye, ariko kandi bufite ibyago byinshi kuko bugomba gukorerwa mu cyumba cyo kubaga. `Rezūm` ni ubundi buryo bwiza hagati yabwo, bufite ibyago bike, kandi butarinze kuguma mu bitaro.