Hari igihe, ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo muganga akubwiye ko hari igice cy'amara yawe kigomba gukurwaho bitewe n'uburwayi. "Ese nzashobora kubaho neza nyuma yo gukuraho igice cy'amara yanjye?" "Ese ibiryo ntibizagogorwa?" Ushobora kuba ufite ibibazo byinshi nk'ibi mu mutwe wawe. Niyo mpamvu, uyu munsi, tuzaganira kuri ubu buryo bwo kubaga "amara mato" cyangwa "Small Alarm Resection" mu magambo make.
Muri make, ubu buryo bwo kubaga bukubiyemo kubaga igice cy’amara yawe mato cyangiritse cyangwa cyarwaye. Amara yacu mato ni urugingo rurerure cyane, rugoramye, kandi rutangaje, ubusanzwe rufite uburebure buri hagati ya metero 20 na 30. Niho umubiri ufata intungamubiri nyinshi mu byo kurya. Rero nubwo igice gito cy’amara mato cyakurwaho, umubiri wacu ushobora kumenyera no gukomeza amara gukora neza.
Kuki ari ngombwa kubagwa nk'ubu?
Hari impamvu nyinshi zishobora gutuma igice cy'amara mato gikurwaho. Abaganga bakunze gutanga inama yo kubagwa iyo indwara itaragenzurwa hakoreshejwe imiti cyangwa indyo yihariye. Ariko, mu gihe hari indwara zishobora gushyira ubuzima mu kaga nko kuziba amara, kubagwa bishobora kuba ngombwa ako kanya . Dore zimwe mu mpamvu z'ingenzi zo kubagwa.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Iterambere ridasanzwe | Indwara nk'izitari kanseri mu mara mato, nk'ibibyimba, polyps, cyangwa kanseri y'amara mato. |
| Ibibazo kuva umwana avutse | Indwara nka Meckel's diverticulum cyangwa malrotation y'amara, zibaho kuva umwana avutse. |
| Kwandura indwara z'igihe kirekire | Indwara nk'indwara ya Crohn zituma inkuta z'amara zikomera kandi zigafungana (stricture). |
| Hernia yangiritse | Iyo igice cy'amara gifashwe na hernia, amaraso ajya muri ako gace arahagarara kandi hari ibyago byo gupfa kw'ingingo. |
| Kuziba amara | Kuziba amara mato ni indwara ituma amara afunga burundu bitewe n'impamvu runaka. Iyi ni indwara isaba kubagwa byihutirwa. |
| Impanuka | Kwangirika kw'amara bitewe n'impanuka cyangwa imvune, urugero, gutobora. |
Ni ubuhe buryo bwo kubaga?
Ubu buryo bwo kubaga bushobora gukorwa mu buryo butatu bw'ingenzi. Guhitamo bumwe muri ubu buryo biterwa n'uko urwaye ndetse n'ibyo umuganga ubaga yagusabye.
1. Kubaga Laparoscopic: Ibi ntibisaba gukata inda nini. Ahubwo, hakorwa uduce duto cyane hanyuma hagashyirwamo kamera n'ibikoresho byo kubaga. Akamaro k'ubu buryo ni uko bukira vuba kandi ntibubabaza cyane.
2. Kubaga roboti: Ibi bisa no kubaga laparoscopic, ariko hano umuganga agenzura amaboko y'imashini ya roboti, akabaga neza kandi byoroshye .
3. Kubaga mu buryo busanzwe: Ubu ni bwo buryo gakondo. Aha, hakorwa icyuho kinini mu nda maze amara agakoreshwa. Ubu buryo bukoreshwa iyo ubundi buryo bubiri budakwiye.
Ni iki kibaho mu gihe cyo kubagwa?
Ni ngombwa ko ugira igitekerezo kuri ibi.
Ubwa mbere, uzaterwa ikinya burundu, bityo ntuzumva ikintu icyo ari cyo cyose mu gihe cyo kubagwa.
Hanyuma umuganga ubaga akoresha bumwe mu buryo bwavuzwe haruguru kugira ngo agere ku gice cy’amara cyangiritse. Hanyuma, igice gifatwa ku mpande zombi hakoreshejwe ibikoresho byihariye (clamps) hanyuma igice cyangiritse kigacibwamo.
Intambwe ikurikiraho niyo y'ingenzi cyane.
- Uburyo bwo kugabanya ububabare bw'umubiri (anastomose):Kenshi na kenshi, impera z'ibice bibiri by'amara bizima bisigaye nyuma yo gukuraho igice zirahuzwa zigashyirwa hamwe. Ibi bikorwa hakoreshejwe imidomo cyangwa udupira twihariye. Ubu buryo bwitwa anastomose.
- Ileostomy: Ariko, rimwe na rimwe ntibishoboka guhuza ibice bibiri bisigaye by'amara. Urugero, niba intera iri hagati y'ibice bibiri ari nini cyane, cyangwa niba ubwandu bubuza kongera guhura, muganga azakora ikindi kintu. Muri iki gihe, hakorwa umwenge (stoma) ku buryo impera y'amara mato igaragara ku ruhu rw'inda. Umusemburo usohoka unyuze muri uyu mwenge ukishyira mu gafuka kadasanzwe (ostomy bag) gafatanye n'uruhu. Ibi byitwa ileostomy. Ibi bishobora kuba iby'igihe gito cyangwa burundu.
Bigenda bite nyuma yo kubagwa? Bizatwara igihe kingana iki kugira ngo umuntu akire?
Ugomba kumara iminsi mike mu bitaro nyuma yo kubagwa.
- Kurya: Mu minsi ya mbere, kubera ko amara aba akeneye kuruhuka, ibiryo ntibitangwa mu kanwa. Ahubwo, intungamubiri zitangwa binyuze mu muyoboro (kugaburira umwana mu muyoboro). Uko umwana agenda akira buhoro buhoro, ibinyobwa n'ibiryo byoroshye bishobora gutangizwa no kunwa, nk'uko muganga yabitegetse.
- Kugenda n'amaguru: Mu gihe uri mu bitaro, ndetse no mu gihe umaze gutaha, ni ngombwa cyane kuva mu buriri no kugendagenda gato kugira ngo wirinde kubyimba kw'amaraso .
- Igihe cyo gukira: Bishobora gufata amezi menshi kugira ngo umuntu akire neza, ariko abantu benshi bashobora gusubira mu mirimo ya buri munsi mu byumweru bike.
Ni izihe ngaruka n'ingaruka mbi z'ubu buvuzi?
Nk’uko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe zishobora kubaho, kandi ni ngombwa kubimenya.
| Ingaruka / Ingaruka mbi | Ibisobanuro |
|---|---|
| Gutemba kw'ibinure mu mubiri | Gusohoka kw'inyuma y'inyuma/imisumari. Iyi ni indwara iteje akaga cyane kandi ishobora gushyira ubuzima mu kaga. |
| Impiswi | Impiswi ishobora kubaho mu byumweru bike nyuma yo kubagwa mu gihe umubiri ugenda wimenyereza imimerere mishya. |
| Hernia yo mu gituza | Ibice by'amara bisunikwa binyuze mu gukata kwakozwe mu gihe cyo kubagwa. |
| Izindi ngaruka | Kwandura indwara, kubyimba kw'amaraso, kubura amaraso mu mubiri igihe kirekire, no kwangirika kw'ingingo zegereye nk'umwijima cyangwa pancreas. |
Niba ufite ibi bimenyetso, hita ubonana na muganga!
Iyo ugiye mu rugo nyuma yo kubagwa, ugomba kwita ku mubiri wawe cyane. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe cyangwa ujye kwa muganga ako kanya .
- Kugorwa no kwituma cyangwa kutajya mu nda iminsi myinshi.
- Kugira isesemi no kuruka kugeza aho utabasha kugabanya ibiryo cyangwa amazi mu kanwa.
- Amabyi cyangwa kuva amaraso mu gice cyo kubagwa.
- Ububabare bukomeye butagabanuka ndetse no nyuma yo gufata imiti.
- Ibimenyetso by'ubwandu, nko kugira umuriro, gutukura no gushyuha hafi y'aho hafatiwe.
Wibuke ko niba ufite ibi bimenyetso bigoye, ntugapfushe umwanya ahubwo ujye mu bitaro bikuru bibishinzwe (ETU) by’ibitaro biri hafi yawe.
Ubutumwa bwo kujyana mu rugo
- `Small Arowel Resection` ni ukubaga igice cy'amara mato cyarwaye cyangwa cyangiritse. Ntugatinye ibi.
- Kubera ko amara yacu mato ari maremare cyane, umubiri ushobora gukora neza nubwo igice gito cyayo cyakurwaho.
- Bifata igihe kugira ngo umuntu akire neza nyuma yo kubagwa. Muri icyo gihe, kurikiza amabwiriza ya muganga witonze.
- Menya ibimenyetso bishobora gutera akaga (umuriro, ububabare bukabije, kuruka, amabyi ava mu gice cy'inyuma) nyuma yo kubagwa. Niba ubonye kimwe muri ibi, shaka ubufasha kwa muganga byihutirwa.
- Niba ufite ibindi bibazo kuri ibi, vugana na muganga wawe.
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