Ese ugomba kujya mu bwiherero kenshi? Cyangwa wumva ufite isoni zo kujya mu ruhame kubera ibintu nk'inkari cyangwa amabyi utazi ko ufite? Iki ni ikibazo abantu benshi bahura nacyo, ariko bagira isoni zo kuganira n'abandi. Kubera iyo ndwara, hari igihe ushobora kurambirwa ubuzima ndetse ugatinya no kuva mu rugo. Uyu munsi rero turimo kuvuga ku buryo bwihariye kandi bugezweho bwo kuvura bushobora gufasha muri iyo ndwara.
Gukangura imitsi yo mu bwonko bwa Sacral (SNS) ni iki?
Mu magambo make, ikoresha agakoresho gato cyane kashyizwe mu mibiri yacu kugira ngo yohereze amashanyarazi yoroheje cyane ku mitsi igenzura uruhago n'amara. Iyi mitsi ni yo idufasha kugenzura igihe cyo kunyara no kwituma.
Tekereza, ubwonko bwacu n'umugongo wacu ni byo byohereza ibimenyetso mu ruhago no mu mara bivuga ngo "igihe kirageze." Hari igihe, bitewe n'ikibazo runaka muri ubu buryo bwo gutanga ibimenyetso, inkari cyangwa amabyi bishobora gusohoka mu buryo butunguranye. Muri ibyo bihe, iki gikoresho cya SNS "gisubiza" ibyo bimenyetso kandi kikagufasha kongera kubigenzura. Abaganga bamwe na bamwe babyita `(sacral neuromodulation therapy)`.
Ni izihe ndwara ubu buvuzi bufasha?
Ubu buryo bwo kuvura bukoreshwa cyane cyane ku ndwara ebyiri zikurikira zitaravurwa n'ubundi buryo bwo kuvura.
| Indwara | Mu magambo make ... | Ni gute SNS yafasha? |
|---|---|---|
| Kunanirwa kwifata mu mara | Igikorwa cyo kwituma mu gituza utabishaka, utabizi. Ibi bishobora gutera ubwoba n'isoni bihoraho. | Imitsi ya sphincter ifunga ikibuno n'imitsi yo hasi mu kibuno ifasha mu kugenzura inkari. |
| Indwara y'uruhago ikora cyane (OAB) | Gushaka kunyara mu buryo butunguranye, budashobora kwihanganira, inkari zisohoka mu myenda (kunanirwa kwihagarika inkari), kwihagarika kenshi ku manywa na nijoro. | Bigabanya inshuro zo kwihagarika kandi bigafasha kugenzura ko kwihagarika. |
Ni wowe wenyine uzi uburyo ibi bintu bigira ingaruka ku buzima bwawe. Guhorana ubwoba no kugira isoni nabyo bishobora gutera kwiheba. Rero, mu gihe ubundi buryo bwo kuvura, nk'imiti, butagize icyo bugeraho, ubu buryo bwo kuvura bwa SNS bushobora kuguha ihumure rikomeye.
Uburyo bwo kuvura bukorwa bute?
Ibi si ibintu ukora icyarimwe. Mbere yo gushyiramo igikoresho burundu, uzakora igerageza rito kugira ngo urebe niba kikubereye.
Intambwe ya Mbere: Icyiciro cy'Isuzuma
Ibi ni nk'ikizamini. Mbere yuko igikoresho gihoraho gishyirwa mu mubiri wawe, tuzareba niba bigufasha kugabanya ibimenyetso by'indwara.
- Bigenda bite?: Ntabwo uterwa ikinya , ariko ahantu igikoresho kizashyirwa niho honyine hashyirwa ikinya (anesthesia yo mu gace). Hanyuma insinga nto cyane (lead) ishyirwa munsi y'uruhu mu gice cyo hejuru cy'amatako yawe. Iyi nsinga ifatanye n'igikoresho gito cyo hanze cyambarwa ku mukandara munsi y'imyenda yawe.
- Igihe: Iki gihe cy'igerageza gishobora kuva ku cyumweru kimwe kugeza ku byumweru bibiri (iminsi 7-14).
- Icyo ugomba gukora: Muri iki gihe, uzahabwa akamashini gato kagufasha kugenzura urugero rw'ibimenyetso by'amashanyarazi biva mu gikoresho. Muganga azagusaba kandi kwandika ibimenyetso byawe.
Mu mpera z'iki gihe cy'igerageza, niba ibimenyetso byawe byaragabanutse cyane (birenga 50%), ubu buvuzi bwakugiriye akamaro. Hanyuma ushobora gukomeza intambwe ikurikira.
Intambwe ya Kabiri: Icyiciro cyo Gutera Imbuto
Iyo igerageza rigenze neza, umuganga uzabaga azagushyiramo igikoresho gihoraho (neurostimulator) mu mubiri wawe.
- Bigenda bite?: Ubu buryo kandi ni ubworoheje busaba gukata agace gato. Hakorwa ikizamini gito mu gace kamwe aho ikizamini cyabanje cyakorewe, hanyuma agakoresho gato cyane, gafite ingano y'ibiceri bibiri, gashyirwa munsi y'uruhu, mu gice cyo hejuru cy'amatako. Hanyuma gahuzwa n'imitsi hanyuma ikizamini kigafungwa.
- Igihe: Uku kubagwa bifata hagati y'iminota 40 na 60.
- Igikoresho:Iki gikoresho gihoraho ni gito cyane, ubusanzwe gifite uburebure bwa santimetero 2.5 kandi gipima garama 22.
Ni izihe nyungu, igipimo cy'intsinzi, n'ingaruka z'ubu buvuzi?
Akamaro gakomeye ni uko udakwiye guhora utinya ubwiherero. Ibi bizagufasha kongera kugenzura ubuzima bwawe.
Urebye intsinzi, ubushakashatsi bwagaragaje ko ubu buryo ari uburyo bwiza cyane bwo kuvura.
- Nyuma yo gutanga ubu buvuzi ku bantu bafite ikibazo cyo kudafata umwanda, abafite iki kibazo inshuro zigera kuri 6 mu cyumweru basanze ikibazo cyabo kigabanuka kikagera kuri rimwe mu byumweru bibiri.
- Abantu bagera kuri 67% bafite uruhago rukora cyane bagabanutse cyane ibimenyetso nyuma y'imyaka 5.
Iyo tuvuze ku ngorane cyangwa ibyago bishobora kubaho,
- Ikintu cy'ingenzi gishobora kubaho ni uko igikoresho rimwe na rimwe gihagarara gukora.
- Hashobora kubaho ubwandu cyangwa ububabare aho igikoresho cyashyizwe.
- Ni gake cyane, iyo ibimenyetso byongeye kugaruka, muganga azasuzuma igikoresho ndetse wenda akagira icyo ahindura kuri gahunda yacyo yo kugikemura.
Bigenda bite nyuma yo kuvurwa?
Bishobora gufata ibyumweru 2-8 kugira ngo ukire neza nyuma yo kubagwa. Muganga wawe ashobora kukubwira kwirinda ibikorwa nko koga, kwiruka no guterura ibyuma mu gihe runaka muri iki gihe. Uzakenera kwita ku icibwa ryawe kugeza rikize.
Bateri iri muri icyo gikoresho ubusanzwe ishobora gukoreshwa mu gihe cy'imyaka 15. Iyo bibaye ngombwa gusimbuza bateri, bisaba no kubagwa gato. Muganga wawe azakubwira ibi byose.
Iyo ibimenyetso byawe byongeye kugaruka, bishobora gusobanura ko igikoresho kidakora neza. Ibi nibibaho , hamagara muganga wawe ako kanya .
Ubutumwa bwo kujyana mu rugo
- Kuvura imitsi yo mu bwoko bwa Sacral (SNS) ni uburyo bwiza bwo kuvura indwara yo kunanirwa kwifata mu gitsina no gukora cyane kw'inkari zitarakira ubundi buryo bwo kuvura.
- Kugira ngo urebe niba ubu buryo bwo kuvura bukubereye, ugomba gutangira igerageza mbere yuko igikoresho gihoraho gishyirwaho.
- Ubu buryo busanzwe bukorwa hakoreshejwe ikinyabutabire cyo mu gace runaka kandi nta kibazo kirimo.
- Ibi bishobora gutuma ubuzima bwawe burushaho kuba bwiza . Ariko, banza uganire na muganga wawe ibyiza n'ibibi byose mbere yo kuvurwa.
- Niba nawe ufite ikibazo nk'iki, ntubabare wenyine kandi nta kabuza shaka umuganga kugira ngo akugire inama.
👩🏽⚕️ Ibibazo Bikunze Kubazwa (FAQ) biturutse kuri Muganga
💬 Gukangura imitsi yo mu bwonko bwa Sacral (SNS) ni iki?
Mu magambo make, ubu ni uburyo bwo kuvura bukoresha agakoresho gato kashyizwe mu mubiri kugira ngo kohereze ibimenyetso by'amashanyarazi ku mitsi igenzura uruhago n'amara, bityo bigahindura imikorere y'izo ngingo.
💬 Ni ubuhe bwoko bw'indwara ubuvuzi bwa SNS bufasha?
Ubu buryo bwo kuvura bukoreshwa cyane cyane mu gihe ubundi buryo bwo kuvura butatanze ubutabazi. Bugira akamaro cyane cyane ku ndwara nko kunanirwa kwihagarika no gukora cyane mu rukenyerero, ari na byo bituma umuntu akenera kunyara kenshi kandi mu buryo butunguranye.
💬 Igikoresho cya SNS gikora gite?
Iyo habayeho ikibazo mu itumanaho riri hagati y'ubwonko bwacu n'uruhago rwacu cyangwa amara, dushobora gutakaza inkari cyangwa umwanda mu buryo budasubirwaho. Icyo iyi mashini ya SNS ikora ni ukohereza ibimenyetso by'amashanyarazi mu mitsi ijyanye nayo, 'bikosora' ibyo bimenyetso bitari byo no kudufasha kongera kugenzura.
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