Ese ugomba kandi kunyara kenshi? Ese uruhago rwawe rurananiwe, rurahagarara hanyuma rukahagarara? Cyangwa ugomba kubyuka inshuro nyinshi nijoro kugira ngo unywe? Ibi bishobora kuba ibimenyetso by'uko prostate yagutse abagabo benshi bahura nabyo uko bagenda bakura. Uyu munsi tugiye kuvuga kuri imwe mu mbaga z'ingenzi kandi zagenze neza kuri ibi. Ni ukuvuga kubagwa kwa TURP.
Kubaga TURP ni iki?
Muri make, TURP ni ukubaga igice kinini cya prostate gland yawe. Izina ryuzuye ry'ibi ni Transurethral Resection of the Prostate (TURP) .
Tekereza, prostate gland iherereye hafi y'umuyoboro utwara inkari (urethra). Uko ugenda usaza, iyi gland igenda ikura buhoro buhoro. Iyo ikuze, urethra itangira kuziba. Ni bwo ugira ingorane zo kunyara.
Mu gihe cyo kubaga TURP, muganga ashyira igikoresho gito cyane mu muyoboro w'inkari (urethra) yawe, agakoresha amashanyarazi cyangwa laser kugira ngo agabanye kandi akureho prostate gland yagutse. Kubera ko nta nkovu zikorerwa inyuma, nta nkovu zibaho.
Kuki ukeneye kubagwa TURP?
Kubaga TURP ahanini bikorwa mu kuvura indwara yitwa Benign Prostatic Hyperplasia (BPH) . Ibi bivuze "kwaguka kwa prostate bitewe n'impamvu itari kanseri." Iyi ni indwara ikunze kugaragara ku bagabo uko bagenda bakura, bityo nta kintu na kimwe cyo guhangayikishwa na cyo.
Ariko ibimenyetso bya BPH bishobora gutera ikibazo. Nkuko twabivuze mbere, prostate yagutse igabanya umuyoboro w'inkari. Ibi bishobora gutera ibimenyetso nka:
| Ibimenyetso bisanzwe bya BPH | Ibisobanuro byoroshye |
|---|---|
| Kwihuta kw'inkari | Kumva ukeneye byihutirwa bituma wumva ko ugomba kugenda ubu, kandi ko udashobora kwifata. |
| Gukenera kunyara kenshi | Kunyara kenshi, nk'uko bigenda buri masaha abiri. |
| Inkari nke zigabanuka | Inkari zitemba buhoro, zitemba buhoro buhoro, cyangwa zigenda buhoro buhoro. |
| Kubika inkari | Kumva nk'aho hari inkari zisigaye mu ruhago ndetse no nyuma yo kunyara. |
| Kwihagarika cyane nijoro (Nocturia) | Gukanguka inshuro nyinshi nijoro kugira ngo unywe, ndetse no mu gihe usinziriye neza. |
| Kwangirika kw'impyiko | Ibi bigaragara iyo indwara igeze ku rugero runini cyane. Impyiko zishobora kugira ingaruka kuko inkari zidasohoka neza. |
Ubusanzwe, muganga wawe abanza kugerageza kugenzura iyo ndwara akoresheje imiti. Ariko, niba imiti idakora, cyangwa niba ufite izindi ngorane nk'amabuye y'inkari cyangwa ibibazo by'impyiko, kubagwa kwa TURP bishobora kuba igisubizo cyiza.
Ni iki kibaho mbere yo kubagwa?
Nubwo nta gukata TURP ikorerwa, bikorwa hakoreshejwe ikinya rusange cyangwa ikinya cy’umugongo. Bityo rero ntuzumva ububabare ubwo aribwo bwose. Muganga wawe azakubwira uburyo bwo gukata TURP bukubereye.
Mu kwitegura ikinya, uzagirwa inama yo guhagarika kurya no kunywa amasaha make mbere yo kubagwa. Nanone, menya neza ko wabwiye muganga wawe imiti yose ufata (cyane cyane imiti igabanya amaraso) . Baza niba ukeneye guhagarika gufata imwe muri iyi miti mbere yo kubagwa.
Ni iki kibaho mu gihe cyo kubagwa?
Ubu buryo bwo kubaga bukunze gukorerwa mu cyumba cyo kubaga mu bitaro. Ubusanzwe bifata iminota iri munsi ya 90. Dore isesengura ry'ibiba mu gihe cyo kubaga intambwe ku yindi:
1. Gushyiramo igikoresho: Muganga ashyiramo igikoresho gito gisa n'umuyoboro (Rectoscope) gifite kamera ifatanye mu muyoboro wawe w'inkari.
2. Reba hanyuma ukureho ibice:Kamera ireba neza prostate gland, hanyuma ibice byagutse kandi bifunga urethra bicibwa bigakurwaho hakoreshejwe amashanyarazi cyangwa laser.
3. Koza ibice byakuweho: Hanyuma, hakoreshejwe umuti wihariye, ibice byaciwe by'inyama bishyirwa mu ruhago rwawe.
4. Gukuraho uduce: Amaherezo, uduce twose tw’uruhago dukurwa mu muyoboro w’inkari.
5. Gukuraho igikoresho: Iyo akazi karangiye, igikoresho cyari cyarashyizwemo mbere kirakurwaho.
Ni iki kibaho nyuma yo kubagwa?
Nyuma yo kubagwa, uzimurirwa mu kigo cyo gukira. Hari abantu bazamara umunsi umwe cyangwa ibiri mu bitaro. Hari n'abantu bashobora koherezwa mu rugo uwo munsi.
Mu gihe uri mu bitaro, hazashyirwa undi muyoboro (catheter) mu muyoboro wawe w'inkari. Ibi ni ukugira ngo inkari zisohoke nta nkomyi nyuma yo kubagwa. Uyu muyoboro ubusanzwe ukurwaho mbere yo gutaha.
Ni izihe nyungu n'ingaruka mbi zo kubagwa kwa TURP?
Kimwe n'ubundi buryo bwose bwo kubaga, ubu buryo bwo kubaga bufite ibyiza byabwo ndetse n'ingaruka zimwe na zimwe, kandi ni ngombwa kubimenya.
| Ibyiza | Ingaruka / Ingaruka mbi (Ingaruka / Ingorane) |
|---|---|
| Ibisubizo byihuse: Mu minsi mike nyuma yo kubagwa, uzatangira kumva itandukaniro rikomeye no koroherwa mu ngorane zawe zo kunyara. | Kudakora neza kw'intanga ngore: Hari abantu bashobora kugira ibibazo byo guhagarara. |
| Umuti ku bimenyetso bikomeye: Ubu ni uburyo bwiza cyane bwo kuvura ibimenyetso bikomeye bya BPH bidashobora gukemurwa n'imiti. | Gusohora mu buryo bworoshye: Intanga ntisohoka mu gihe cyo kurangiza ahubwo isubira mu ruhago. |
| Umuti ku zindi ngorane: Ubu buryo bwo kubaga bunasabwa ku ndwara nk'amabuye yo mu nkari n'ibibazo by'impyiko biterwa na BPH. | Kunanirwa kwihagarika: Kuva inkari mu buryo butunguranye. |
| UTI: Hari ibyago byo kwandura indwara zo mu nzira y'inkari. | |
| Hematuria: Kuba hari amaraso mu nkari. |
Bifata igihe kingana iki kugira ngo umuntu akire?
Bishobora gufata ibyumweru bine kugeza kuri bitandatu kugira ngo umuntu akire neza. Ugomba kwitonda cyane muri iki gihe.
- Reka guterura ibyuma no gukora imyitozo ngororamubiri igoye.
- Irinde gukora imibonano mpuzabitsina.
- Irinde gutwara imodoka niba ufata imiti igabanya ububabare.
Niba akazi kawe kadasaba imbaraga nyinshi, ugomba kuba ushobora gusubira ku kazi mu byumweru bibiri cyangwa bitatu. Ariko, ni ngombwa kugisha inama muganga wawe kuri ibi byose no gukurikiza amabwiriza ye neza.
Igihe ugomba kubonana na muganga ako kanya
Iyo ugeze mu rugo nyuma yo kubagwa, hari ibimenyetso bimwe na bimwe ugomba kwitondera. Niba ubonye kimwe muri ibi, hamagara muganga wawe cyangwa ujye kwa muganga ako kanya .
- Umuriro.
- Ibimenyetso bishya nko kubura inkari no kunyara kenshi.
- Amaraso atukura yijimye cyangwa amaraso apfundika mu nkari.
- Kutabasha kunyara na gato.
TURP ni uburyo bwiza kandi bwizewe bwo kuvura BPH. Ariko si bwo buryo bwonyine bwo kuvura. Ubu hari uburyo bushya bwo kuvura budasaba kubagwa, budasaba imiti myinshi kandi bwihuse. Ushobora kuganira na muganga wawe ku buryo bwo kuvura bukubereye, hashingiwe ku buzima bwawe n'ibyo ukunda.
Ubutumwa bwo kujyana mu rugo
- TURP ni uburyo busanzwe kandi butanga umusaruro mu kubaga ibibazo by'inkari biterwa no kwiyongera kwa prostate gland (BPH) ku bagabo uko bagenda bakura.
- Muri ibi, nta gukata inyuma bikorwa. Kubagwa bikorwa hifashishijwe igikoresho cyoroshye ku muyoboro w'inkari.
- Mu minsi mike nyuma yo kubagwa, uzatangira kumva uhumurijwe cyane mu gihe uri kunyara.
- Bifata ibyumweru 4-6 kugira ngo ukire neza, kandi muri icyo gihe, ugomba kwirinda guterura ibintu biremereye no gukora imirimo ivunanye.
- Nkuko bigenda ku kubagwa kose, hari ingaruka zimwe na zimwe, bityo rero banza ubiganireho na muganga wawe mbere yo kubagwa.
- Niba ugaragaje ibimenyetso nko kugira umuriro, kuva amaraso menshi, cyangwa kunanirwa kunyara nyuma yo kubagwa, shaka ubufasha bwa muganga ako kanya.
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