Agahu ni urugingo ruto, rungana n'igipfunsi ruherereye ibumoso bw'inda yawe, hejuru gato y'imbavu zawe. Ushobora kuba utarabyumva, ariko ni igice cy'ingenzi cyane cy'ubudahangarwa bw'umubiri wacu. Muri make, inshingano nyamukuru y'agahu ni ukurema uturemangingo tw'amaraso twera turwanya indwara, no kuyungurura uturemangingo tw'amaraso twangiritse. Rero, niba agahu kadashoboye gukora iyi mirimo neza, byaba bitewe n'impanuka cyangwa indwara, bishobora kuba ikibazo ku buzima bwawe. Icyo gihe ni bwo abaganga bafata icyemezo cyo kubaga agahu (splenectomy).
Ese birashoboka kubaho udafite agahu?
Iki kibazo gishobora kuba cyarakubayeho nawe. Yego rwose birashoboka. Nyuma yo gukuraho agahu, akazi kenshi kakozwe gafatwa n'umwijima n'umusokoro w'amagufwa yacu. Kubwibyo, nta mbogamizi ihari yo kubaho ubuzima busanzwe, bufite ubuzima bwiza kandi bwuzuye.
Ariko hari ikintu kimwe. Agahu ni umusirikare ukomeye urwanya indwara zandura. Rero iyo kavuyeho, ubushobozi bw'umubiri wacu bwo kurwanya indwara buragabanuka gato. Bityo tugomba kwitonda kurusha uko bisanzwe.
Ibyo bivuze ko tugomba kwitondera cyane ibintu nko kubona inkingo ku gihe no kuba maso ku bimenyetso by'ubwandu.
Kuki ukeneye gukuraho iyi shaza?
Hari impamvu nyinshi zishobora gutuma urwagashya rukurwaho. Kuva ku mpanuka kugeza ku ndwara y'igihe kirekire, hari impamvu nyinshi zibitera. Reka turebe impamvu nyamukuru.
| Impamvu | Ibisobanuro |
|---|---|
| Impatwe yacitse | Iki ni cyo kibazo gikunze kugaragara cyane. Tekereza ko wakubiswe cyane ibumoso bw'inda yawe, byaba bivuye ku mpanuka y'imodoka, kugwa uvuye uburebure, cyangwa uri mu gihe ukina siporo. Ibi bishobora kwangiza urwagashya rwawe no kuva amaraso imbere. Ibi bishobora gushyira ubuzima mu kaga kandi bigasaba kubagwa byihuse. |
| Indwara z'amaraso | Uduheri dukurwaho iyo ubundi buryo bwo kuvura bunaniwe ku ndwara zimwe na zimwe zifitanye isano n'amaraso. Urugero: Idiopathic Thrombocytopenic Purpura (ITP), Polycythemia Vera, Thalassemia, Sickle Cell Anemia, na Autoimmune Hemolytic Anemia. |
| Ubwoko bwa Kanseri | Iyo urwagashya rubaye rwinshi kandi rukababara bitewe na kanseri nka Hodgkin Lymphoma na Non-Hodgkin Lymphoma, rushobora gukenera gukurwaho. Hari igihe urwagashya rukurwaho mu gihe cyo kubaga kanseri ya pancreas. |
| Splenomegali | Iyo agahu kaguwe nta mpamvu igaragara kandi kagatera ibimenyetso nko kubabara mu nda, agahu gashobora gukurwaho kugira ngo hamenyekane impamvu no kugenzura ibimenyetso. |
| Indwara zandurira mu mubiri | Ni gake cyane, iyo ikintu kimeze nk'ikibyimba cyavutse mu gasabo, hakenewe kubagwa kugira ngo gikureho. |
Ni iki wakora mbere yo kubagwa?
Niba ubu buryo bwo kubagwa atari ubutabazi bwihutirwa, ahubwo ari ubuteganyijwe, uzaba ufite umwanya wo kwitegura. Muganga wawe azagusobanurira ibi bintu.
- Gukingirwa: Ibi ni ingenzi cyane. Kubera ko ibyago byo kwandura indwara biba byinshi nyuma yo gukuraho urwagashya, ni ngombwa kubona inkingo zikenewe zo kurinda izo ndwara ibyumweru bike mbere yo kubagwa. Muri ubwo buryo, ubudahangarwa bw'umubiri wawe buzaba buri ku rwego rwo hejuru igihe uzabagwa.
- Irinde kunywa itabi: Niba unywa itabi, kurireka mbere yo kubagwa bishobora gufasha cyane ibikomere byawe gukira vuba.
- Ibizamini by'ubuvuzi: Muganga wawe azagusuzuma, agukorere ibizamini by'amaraso, akore isuzuma, n'ibindi bizamini kugira ngo arebe neza ko umubiri wawe umeze neza kugira ngo ubagwe.
- Andi mabwiriza: Muganga wawe azakugira inama ku gihe cyo kureka kurya no kunywa umunsi umwe mbere yo kubagwa, ndetse niba ukeneye guhagarika by'agateganyo gufata imiti imwe n'imwe, nk'imiti igabanya amaraso.
Kubagwa bikorwa gute?
Hari uburyo bubiri bw'ingenzi bwo kubaga kugira ngo ukureho uruhago. Muri ubwo buryo bwombi, ushyirwa munsi y'ikinya rusange, bityo ntugire icyo wumva kandi usinziriye.
Kubagwa kwa Laparoscopic
Ubu buryo ni bwo bukoreshwa cyane muri iki gihe. Nanone bwitwa "kubaga imyobo y'urufunguzo." Aho gukata inda nini, kubaga bikorwa binyuze mu gukata 3 cyangwa 4 bito cyane, aho kamera (laparoscope) n'ibikoresho byoroshye byo kubaga bishyirwa. Umuganga w'inzobere mu kubaga akora igikorwa cyo kubaga areba amashusho ya kamera kuri ecran. Muri ubu buryo, gukata ni bito, bityo ububabare buragabanuka, gukira vuba , kandi igihe gito mu bitaro.
Kubaga mu buryo bugaragara
Iyo urwagashya ari runini cyane cyangwa ruri kuva amaraso mu buryo budasubirwaho, bishobora kugorana kurukuraho hakoreshejwe laparoscope. Icyo gihe ni bwo abaganga bahitamo kubaga mu buryo bwihuse. Ibi bisaba gukata inda mu buryo bunini gato .
Ni iki kibaho nyuma yo kubagwa?
Uzashobora gutaha mu minsi ibiri cyangwa itatu niba warabazwe laparoscopic, kandi mu minsi itanu kugeza kuri irindwi niba warabazwe ku mugaragaro. Mbere yo gutaha, itsinda ry’abaganga rizagusobanurira birambuye ibintu ugomba kwitaho mu gihe udafite uruhago.
- Kubona inkingo zikwiye: Uzahabwa gahunda yihariye yo gukingira. Izi zirimo inkingo zirwanya Pneumococcus, Meningococcus, Haemophilus influenzae type b (Hib), n'urukingo rw'ibicurane n'urukingo rwa COVID. Ni ngombwa kubona izi nkingo ku gihe.
- Antibiyotike: Hari abantu bamwe, cyane cyane abana bari munsi y'imyaka 5 n'abafite ubudahangarwa bw'umubiri budakomeye, bashobora guhabwa imiti igabanya ubukana bwa antibiyotike buri munsi. Byongeye kandi, muganga wawe ashobora kuguha imiti igabanya ubukana bwa antibiyotike yo gufata mu gihe ufite ibimenyetso by'indwara, nk'umuriro cyangwa inkorora.
- Indangamuntu yo kwa muganga: Ni ngombwa cyane guhora witwaje ikarita cyangwa umukandara w'indangamuntu yo kwa muganga uvuga ko urwagashya rwawe rwakuweho. Ibi bizafasha cyane abakuvura mu gihe cy'impanuka.
- Mu rugendo: Niba ugiye mu rugendo rurerure, cyane cyane mu gace gakunze kugaragaramo indwara nka malariya, jya kwa muganga wawe ibyumweru bike mbere yuko ugenda kugira ngo ubone inama n'inkingo bikenewe.
Ibintu ugomba kwitondera n'igihe ugomba gushaka inama kwa muganga
Ku muntu udafite urwagashya, ndetse n'ubwandu buto bushobora gukomera vuba. Bityo rero, menya neza ibi bimenyetso. Ibi bizwi kandi nk' "ibimenyetso by'ibendera ritukura."
| Niba ufite ibi bimenyetso, jya ku ishami rishinzwe ubutabazi bwihutirwa (ETU) riri hafi yawe vuba! | |
|---|---|
| Umuriro (urengeje 101°F / 38.5°C) | Gutitira bitewe n'ubukonje |
| Kuva mu gisebe cyo kubagwa bisa n'ibibyimba | Ugutukura no kubyimba hafi y'igikomere |
| Inkorora no guhumeka bigoranye | Kubabara cyane mu gifu, isesemi no kuruka |
| Niba inyamaswa yakurumwe (cyane cyane imbwa, injangwe) | Ububabare budashira nubwo wafashe imiti igabanya ububabare |
OPSI (Infection ikabije nyuma yo kubagwa) ni indwara ikomeye ibaho nyuma yo kubagwa. Ibi bishobora gushyira ubuzima mu kaga iyo bidavuwe vuba. Kubwibyo , niba ubonye kimwe muri ibi bimenyetso byavuzwe haruguru, ntugapfushe ubusa kandi ujye kwa muganga wita ku barwayi ba ETU ako kanya.
Ubutumwa bwo kujyana mu rugo
- Splenectomy ni ukubaga kugira ngo urwaga rw'inkari rukureho. Nubwo iki ari igikorwa gikomeye, ushobora kubaho ubuzima bwuzuye kandi buzira umuze udafite irwaga rw'inkari.
- Udafite urwagashya, ubushobozi bw'umubiri wawe bwo kurwanya indwara buragabanuka. Rero kwirinda indwara ni cyo kintu cy'ingenzi kurusha ibindi.
- Fata inkingo zose zanditswe na muganga wawe ku gihe, nta n'imwe uzisibye.
- Niba ugaragaje ibimenyetso by'ubwandu, nko kugira umuriro, ubukonje, cyangwa kubyimba kw'igikomere, ntukirengagize. Shaka inama kwa muganga ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) riri hafi yawe.
- Ukurikije amabwiriza ya muganga wawe neza, ushobora kuguma ufite umutekano kandi ufite ubuzima bwiza.
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