Hari igihe, bitewe n'indwara zitandukanye cyangwa nyuma yo kubagwa, dushobora kunanirwa kwihagarika ku giti cyacu. Hanyuma, abaganga bakoresha uburyo bwo gukuramo inkari . Abantu benshi bazi gusa catheter ikunze gushyirwamo binyuze mu muyoboro w'inkari. Ariko se wari uzi ko hashobora gucibwamo gato mu nda yo hasi maze umuyoboro ukajya mu ruhago? Ibyo ni byo twita Suprapubic Catheter .
Catheter ya Suprapubic (SPC) ni iki?
Mu magambo make, Catheter ya Suprapubic (SPC) ni umuyoboro muto kandi woroshye woroshye wo mu rukenyerero cyangwa pulasitiki . Abaganga bayikoresha mu gusohora inkari mu rukenyerero rwawe iyo udashobora kunyara wenyine. Abantu benshi batekereza ko ibi byakorwa gusa binyuze mu kohereza umuyoboro mu muyoboro w'inkari . Ariko muri ubu buryo bwa SPC, muganga wawe akuramo gato mu nda yawe yo hasi hanyuma agashyira umuyoboro mu rukenyerero rwawe.
SPC muri rusange ni nziza cyane, ifite ibyago bike byo kugira ibibazo . Abantu benshi bayikunda kuko byoroshye kuyishyiramo kurusha catheter isanzwe. Nanone, rimwe na rimwe SPC ni amahitamo meza niba catheter idashobora gushyirwamo hakoreshejwe ubundi buryo bitewe n'ikibazo cy'inzira y'inkari.
Kuki umuntu yashaka gushyiraho umuyoboro nk'uyu?
Ushobora gukoresha uyu muyoboro mu gusohora inkari igihe cyose utabasha kunyara wenyine. Dore zimwe mu ndwara zishobora gutera ibi.
| Imiterere cyangwa impamvu | Ibisobanuro byoroshye |
|---|---|
| Kunanirwa kwihagarika inkari | Kunyara iyo utabishaka. |
| Ibibazo bya prostate | Kanseri ya prostate cyangwa kanseri y’indurwe idakomeye. |
| Gukomereka k'umugongo | Indwara y'uruhago iterwa n'imvune zo mu mugongo. |
| Kubaga | Nyuma yo kubagwa prostate cyangwa ibice by'igitsina. |
| Indwara z'imitsi | Indwara nka Multiple Sclerosis (MS) na Parkinson's disease. |
| Uburyo bwo gufunga umuyoboro w'inkari | Kuziba kw'inzira y'inkari bitewe n'ubwandu cyangwa impanuka zabayeho mbere. |
Nigute nashyiramo uyu muyoboro? Ese bizababaza?
Ubu buryo ntabwo bunini nkuko wabitekereza. Ubwa mbere, muganga azasuzuma uruhago rwawe (X-rays cyangwa ultrasound) n'ibirukikije kugira ngo ashake ahantu heza ho gushyiramo umuyoboro. Hari igihe ibice by'amara yacu mato bishobora kunyura hafi y'uruhago.
Hanyuma, uruhu rwo mu nda yo hasi aho umuyoboro uzashyirwa ruzasukurwa neza n'umuti wica udukoko . Hanyuma, aho hantu hazakurwaho ibinure (local anesthétique) kugira ngo utazagira ububabare. Hari igihe ushobora guhabwa ikinya rusange.
Nyuma y'uko agace kamaze kubura ibisebe, muganga akora akantu gato cyane ku ruhu maze agashyira umuyoboro wa SPC mu ruhago. Iyo umuyoboro ukimara gushyirwamo, inkari zitangira kuvamo zikinjira mu gafuka kawufatanyeho. Kugira ngo wirinde ko umuyoboro usohoka, igice gito gisa n'igipupe kiri ku mpera y'imbere gishyirwamo amazi meza. Byongeye kandi, hashyirwaho agakoresho gato mu ruhu kugira ngo umuyoboro ukomeze. Amaherezo, hashyirwa igitambaro ku gikomere kugira ngo birinde kwandura.
Igikorwa cyose kimara iminota iri munsi ya 20. Niba ukeneye gukoresha uyu muyoboro igihe kirekire, muganga wawe cyangwa umuforomo azakwereka cyangwa umwe mu bagize umuryango wawe uburyo bwo kuwuhindura mu buryo butekanye.
Ni gute wakwita kuri iyi catheter yo mu gifu kiri hejuru y'umura wawe mu rugo?
Ikintu cy'ingenzi cyane iyo wambaye uyu muyoboro ni ugusukura ahantu hawukikije .
Gusukura igikomere n'ibikikije
Karaba intoki zawe neza n'isabune n'amazi mbere yo gufata umuyoboro cyangwa guhindura agapfunyika. Ibi bizafasha kwirinda ikwirakwira rya mikorobe. Nibura rimwe ku munsi, sukura witonze agace gakikije umuyoboro n'isabune n'amazi hanyuma wumishe n'igitambaro gisukuye.
Nanone, kuraho igitambaro hanyuma ugisuzume buri munsi niba nta bimenyetso by'ubwandu.
| Ibimenyetso byo kureba mu gihe wanduye | |
|---|---|
| Ububabare | Ububabare budasanzwe aho umuntu yinjiriye n'aho ayishyize. |
| Kubyimba no gutukura | Kubyimba cyangwa guhindura ibara ry'uruhu (umutuku). |
| Ipfuko | Amavuta y'umuhondo cyangwa icyatsi kibisi (ibibyimba) biva mu gisebe. |
Ubonye kimwe muri ibi bimenyetso, hamagara muganga wawe ako kanya.
Uburyo bwo guhindura agafuka ka catheter
Guhindura isakoshi biroroshye cyane. Kurikiza izi ntambwe:
1. Ubwa mbere, karaba intoki zawe neza n'isabune.
2. Suka inkari mu gafuka kakoreshejwe mu musarani.
3. Kugira ngo inkari zidasohoka mu muyoboro, kanda umuyoboro ukoresheje intoki zawe. Hanyuma ukuremo agafuka gashaje.
4. Hanagura impera y'umuyoboro (umuyoboro) n'amazi y'isabune cyangwa agakoresho ko kwihanagura.
5. Sukura impera y'isakoshi nshya muri ubwo buryo hanyuma uyishyire ku muyoboro.
6. Reba niba umuyoboro warazinze cyangwa warafashe ahantu hose.
7. Hanyuma, ongera woge intoki zawe neza n'isabune.
Nkwiye kugumana uyu muyoboro igihe kingana iki?
Biterwa n'uko umeze. Ushobora kuyigumana gusa kugeza ukize. Ariko niba ugomba kuyikoresha igihe kirekire, ugomba guhindura umuyoboro nibura buri byumweru bine .
Nanone, kugira ngo wirinde ko amaraso acikamo ibice imbere mu muyoboro, ugomba koza umuyoboro n'amazi yanduye nibura rimwe ku munsi. Muganga wawe azaguha amakuru arambuye kuri ibi.
Ni izihe nyungu n'ibibi bya catheter yo mu bwoko bwa suprapubic?
Kimwe n'igikoresho cyose cyo kwa muganga, iki gikoresho gifite ibyiza n'ibyago.
| Ibyiza | Ingaruka mbi / Ingaruka mbi |
|---|---|
| Uramutse ukomeje gushyira uruhago rw'inkari ubusa buri gihe, ushobora kwirinda ububabare bukomeye, indwara zo mu nzira y'inkari (UTIs), ndetse no kwangirika kw'impyiko. | Umuyoboro uri kugenda urekura. |
| Biroroshye kandi byoroshye kurusha catheter isanzwe. | Kuva kw'inkari bitewe no kuziba k'umuyoboro w'amaraso. |
| Kuba ushobora gukora imibonano mpuzabitsina wambaye uyu muyoboro. | Kugaragara kwandura indwara zo mu nzira y'inkari (UTIs). |
| Ububabare buterwa no kubyimba kw'imitsi y'uruhago (kubabara k'uruhago). | |
| Kuva kw'inkari hafi y'umuyoboro w'inkari, kuva amaraso no kurema amabuye mu ruhago. |
Ni ryari ngomba kubonana na muganga ako kanya?
Niba ufite ikibazo cyangwa ibibazo kuri iyi miyoboro, vugana na muganga wawe vuba. Shaka inama kwa muganga ako kanya, cyane cyane niba ufite ibimenyetso bikurikira:
| Ibintu bisaba kwitabwaho byihuse | |
|---|---|
| Umuriro | Iyo ubushyuhe bw'umubiri buri hejuru ya 38°C (100.5°F). |
| Kuva kw'inkari | Niba inkari zisohoka hafi y'umuyoboro. |
| Kubabara mu gifu | Niba wumva ububabare bukabije mu nda yawe cyangwa ukumva wuzuye. |
| Amaraso mu nkari | Iyo hari amaraso yapfunditse cyangwa amaraso agaragara mu nkari (hematuria). |
| Kunanirwa kwihagarika | Iyo inkari nke cyane zinjira mu gafuka cyangwa niba zarahagaze burundu. |
| Gukuraho umuyoboro | Niba catheter yo mu gifu isohoka ubwayo. |
Ni irihe tandukaniro riri hagati ya Catheter ya Foley na Catheter ya Suprapubic?
Muri make, catheter isanzwe ya Foley ishyirwa ku muyoboro w'inkari (urethra). Ariko, catheter ya Suprapubic ishyirwa mu gisebe kiri mu nda yo hasi ikagera mu ruhago rwawe.
Ubutumwa bwo kujyana mu rugo
- Catheter yo mu gifu cyo hasi ni umuyoboro winjizwa mu ruhago uturutse mu nda yo hasi ugakoreshwa mu gusohora inkari.
- Ibi biroroshye kandi byoroshye kubikoresha igihe kirekire kurusha uburyo busanzwe.
- Ni ngombwa kubungabunga aho umuyoboro w'amaraso uherereye n'ibiwukikije kugira ngo hirindwe kwandura.
- Kurikiza amabwiriza ya muganga wawe neza. Menya neza uburyo bwo guhindura no gusukura umuyoboro.
- Niba ubonye ibimenyetso by'ubwandu, ububabare bukabije, cyangwa umuyoboro ufunganye cyangwa usohoka, gana muganga vuba.
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