Ese umwana wawe akunda kwandura indwara zo mu matwi? Cyangwa se wenda igituza cy'amatwi cyawe cyangiritse ubwo yakoraga isuku mu matwi cyangwa mu mpanuka runaka, none ubu wumva umeze nk'aho utumva duke? Niba muri icyo gihe muganga akubwira ati "Hari umwobo mu gituza cy'amatwi, kandi ukeneye kubagwa," ntutinye na gato. Uyu munsi tugiye kuvuga ku buryo bwo kuvura, ari bwo kubaga bwitwa Tympanoplasty.
Mu magambo make, Tympanoplasty ni iki?
Tympanoplasty ni uburyo bwo kubaga kugira ngo hakorwe umwobo uri mu matwi yawe. Tekereza kuri ubu buryo: amatwi yawe ameze nk'uruhu rw'ingoma. Iyo amajwi ayikubise, aranyeganyega, bigatuma twumva ijwi. None se, bigenda bite iyo hari umwobo muri aya matwi? Ntiyeganyega neza. Ingaruka ni ukubura amatwi .
Hari impamvu nyinshi zishobora gutuma umwobo nk'uyu uvuka. Ushobora guterwa n'indwara yo mu matwi imaze igihe kirekire, cyangwa ushobora guterwa n'imvune cyangwa impanuka.
Ariko ibuka ko atari ko gutobora kw'amatwi kose bisaba kubagwa. Gutobora guto cyane bikira ubwabyo uko igihe kigenda gihita hamwe n'imiti (ibitonyanga byo mu matwi, imiti irwanya udukoko) yatanzwe na muganga wawe.
Ariko, niba umwobo utarakira nyuma y'amezi abiri cyangwa atatu, muganga ashobora kukugira inama yo kubagwa kugira ngo hirindwe ibibazo bizaza. Ibyo bibazo ni ibihe? Ibintu nko kudakira amatwi, kuva amaraso mu matwi kenshi, no kwandura indwara mu matwi kenshi.
Ubu buvuzi bukorwa n'inzobere mu by'amatwi, amazuru n'umuhogo, witwa ENT (Otolaryngologist) . Azashyira agace ku mwenge uri mu gituza cy'amatwi hanyuma akagafunga. Nubwo iki ari igikorwa gikomeye, akenshi ushobora gutaha uwo munsi.
Witegura ute mbere yo kubagwa?
Nyuma yo gutegura gahunda yo kubagwa, muganga wawe azagusuzuma neza. Reka turebe bimwe mu bintu bizabaho muri iyi gahunda.
| Igenzura/Amabwiriza | Bisobanuwe mu buryo bworoshye |
|---|---|
| Iperereza ku mateka y'ubuvuzi | Muganga azakubaza izindi ndwara ufite, imiti ufata, aleriji, nibindi. Ni ngombwa cyane kuvuga ukuri nta kintu na kimwe uhisha. |
| Gusuzuma amatwi (Otoscope) | Muganga azakoresha igikoresho cyihariye (otoscope) kugira ngo arebe imbere mu gutwi kwawe. Ibi bizamufasha kubona neza uko umwobo uri mu gutwi kw'amatwi ungana, aho uri, ndetse niba hari ubwandu. |
| Ibizamini byihariye | Ushobora gukora ikizamini cyo kumva no gupima imikorere y'igituza cy'amatwi yawe kugira ngo umenye urwego rw'amatwi yawe. |
| Ibisobanuro by'uko kubagwa byagenze | Muganga azagusobanurira neza uburyo kubagwa bizakorwa, igihe bizamara, n'ingorane zishobora kuvuka nyuma yaho. Baza ikibazo icyo ari cyo cyose ushobora kuba ufite muri iki gihe. |
| Amabwiriza y'ingenzi | Bazakubwira neza amasaha mato mbere yo kubagwa ugomba guhagarika kurya no kunywa (kwiyiriza ubusa), imiti urimo gufata ubu ugomba guhagarika, n'ibyo ugomba gukomeza gufata. Bazakwibutsa kandi ko ugomba kugira umuntu wo kugutwara mu rugo nyuma yo kubagwa. |
Kubagwa bikorwa gute?
Ni ibisanzwe kugira ubwoba bwo kubagwa, ariko ubwoba bwawe buzagabanuka numara kumenya uko ubu buryo bukora.
Ubwa mbere, uzasinzira kugira ngo utazagira ububabare ubwo aribwo bwose. Ibi byitwa anesthesia rusange . Bityo rero nta kintu na kimwe uzumva mu gihe cyo kubagwa. Ushobora kandi guhabwa imiti yica udukoko kugira ngo wirinde kwandura.
Umaze gusinzira, muganga azagufata ku gituza cy'amatwi. Hari uburyo butandukanye bukoreshwa muri ibi.
- Transcanal: Ubu buryo ni bwo bukoreshwa cyane. Kubaga bikorwa hifashishijwe ibikoresho byoroshye binyujijwe mu muyoboro w'amatwi, nta gukata.
- Inyuma y'ugutwi (Postauricular): Hakorwa akantu gato ku ruhu ruri inyuma y'ugutwi, kakagera ku gituza cy'ugutwi.
- Hejuru y'ugutwi (Endaural): Gukata igice cy'ugutwi bikorerwa hejuru gato y'agatsi k'ugutwi. Ibi ntibikunze gukoreshwa cyane.
Intambwe ikurikiraho ni ugufunga umwobo. Kuri ibi, muganga akoresha agace gato k'uruti.
1. Kubona ishinge: Iki gice cy'umubiri gikunze gukurwa mu mubiri wawe. Akenshi gikurwa mu gice cy'umubiri kiri hafi y'ugutwi, hafi y'imitsi iri ku ruhande rw'umutwe, cyangwa mu gice cy'umuyoboro uri imbere mu gutwi. Hari n'igihe hakoreshwa n'inyama z'ubukorano.
2. Gushyiramo agace k'uruti: Aka gace k'uruti gashyirwa hejuru cyangwa munsi y'umwobo uri mu gatuza k'amatwi hanyuma kagashyirwamo kole.
3. Gutuza: Kugira ngo agace k'umusatsi kagume mu mwanya wako, gashyigikiwe n'ikintu gisa n'ifuro ku mpande zombi. Aka gace k'umusatsi karinda agace k'umusatsi kugeza igihe habayeho ingingo nshya kandi agatuza k'amatwi kagakira. Uko igihe kigenda gihita, aka gace k'umusatsi kazashonga ubwako.
4. Kudoda icyuho: Iyo hakozwe icyuho inyuma, kiradodwa inyuma kigapfukwa n'igitambaro gisukuye.
Kubagwa bifata igihe kingana iki?
Igihe bifata kuri ubu buvuzi kiratandukanye. Bishobora gufata iminota 30 cyangwa amasaha menshi . Biterwa n'ingano y'aho batoboye ugutwi, aho biherereye, ndetse niba hari ikindi cyangiritse imbere mu gutwi. Urugero, niba amagufwa mato ari inyuma y'agatuza k'ugutwi yangiritse, ashobora no gukenera gusanwa. Hari igihe, aho batoboye agatuza k'ugutwi bishobora gutera imikurire idasanzwe (cholesteatomas) imbere mu gutwi. Ibi bishobora no gufata igihe cy'inyongera kugira ngo bivanweho.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Kubagwa kose bifite ibyiza byabyo ndetse n'ingaruka zimwe na zimwe, kandi ni ngombwa kubimenya.
Ibyiza by'ingenzi:
- Ukumva bisubira ku buryo busanzwe: Uko umwobo ufunga, igituza cy'amatwi gitangira kunyeganyega neza, bityo kumva birushaho kuba byiza.
- Kurinda indwara: Gufunga umwobo birinda mikorobe kwinjira mu gutwi ko hagati ziturutse hanze. Ibi birinda indwara zikunze kwandura mu matwi no gusohoka kw'amazi mu gutwi.
Ingaruka zishobora kubaho (zidakunze kubaho cyane):
Ingorane zituruka kuri ubu buvuzi ni gake cyane . Ingorane ikunze kugaragara ni ukunanirwa kwa graft. Ibi bivuze ko graft idafunga burundu umwobo. Ibi bibaye, umwobo ushobora kongera kwirema. Ni gake cyane, kumva bishobora kumera nabi gato.
Ariko ntugire ikibazo! Ubushakashatsi bwagaragaje ko tympanoplasty ikora neza ku kigero kirenga 90% . Iki gipimo cyo gutsinda gishobora gutandukana gato bitewe n'ingano n'aho umwobo uri.
Nyuma yo kubagwa no gukira
Abantu benshi bashobora gutaha umunsi umwe n'uwo kubagwa kwabo. Muganga ashobora gufata icyemezo cyo kugushyira mu bitaro ijoro ryose.
Ibi bikurikira ni ibisanzwe mu minsi mike ya mbere nyuma yo kubagwa:
- Amaraso make asohoka mu gutwi.
- Kumva ububabare buto cyangwa igitutu mu gutwi.
- Kumva amajwi mato asa n'aya "chit chit" mu gutwi.
- Kumva bishobora kuba bitameze neza gato (ibi bishobora kumara ibyumweru bitandatu, ntugire ikibazo).
Imiti igabanya ububabare itangwa na muganga ishobora gukoreshwa mu minsi mike ya mbere y'ububabare. Ariko, niba ububabare budashobora kwihanganira, menyesha muganga wawe .
Bifata iminsi 10 kugeza kuri 14 kugira ngo umuntu akire neza. Ibyo bivuze ko ububabare bwose n'imibabaro bigomba gukurwaho. Ariko, bishobora gufata amezi atatu kugira ngo kumva bisubire ku murongo .
Niba umwana wawe yabazwe, komeza ukurikirane neza uko amerewe. Ubusanzwe, umwana wawe ashobora gusubira ku ishuri mu minsi itatu cyangwa itanu. Baza muganga wawe inama.
Ni gute wakwirinda uri mu rugo? Ibyo ugomba gukora n'ibyo utagomba gukora
Uburyo wiyitaho mu rugo ni ingenzi cyane kugira ngo igikorwa cyo kubagwa kigende neza. Kurikiza amabwiriza atangwa na muganga wawe neza. Dore ibintu rusange ugomba gukurikiza.
| Ibintu byo gukora (Ibyo gukora) 👍 | Ibintu utagomba gukora (Utagomba gukora) 👎 |
|---|---|
| Fata imiti yawe neza uko wabitegetswe: Koresha ibinini bya antibiyotike cyangwa ibitonyanga byo mu matwi byatanzwe na muganga wawe neza neza kugeza igihe cyagenwe kirangiye. | Irinde gutoragura izuru: Irinde gutoragura izuru ryawe byibuze ibyumweru 3 nyuma yo kubagwa. Niba bibaye ngombwa ko witsamura, fungura umunwa wawe. |
| Guma ugutwi kwumutse: Muganga azakubwira ko utagomba gukaraba umusatsi wawe cyangwa ngo wiyuhagire mu minsi mike ya mbere. Iyo wemerewe kwiyuhagira, siga Vaseline® ku ipamba hanyuma uyishyire mu gutwi kwawe mu gihe wiyuhagira. Ibi bizakurinda amazi kwinjira mu gutwi kwawe. | Irinde guterura ibintu biremereye:Ntugaterure ibiro birenga 5-10 kugeza igihe muganga agutegetse. Abana bagomba kugumishwa hanze y'ishuri mu gihe cy'ibyumweru bibiri. |
| Kuruhuka bihagije: Kuruhuka bihagije bishoboka. Irinde gukora imyitozo myinshi. | Irinde ibintu byongera umuvuduko mu gutwi: Irinde ibintu nko kuguruka cyangwa koga muri pisine mu gihe cy'ukwezi nyuma yo kubagwa. |
| Shyira udupira tw'ipamba kugira ngo ugenzure amava: Niba hari amaraso ava mu gutwi, shyira agapira k'ipamba gasukuye inyuma y'ugutwi kugira ngo kayinjize. Niba kuva amaraso ari menshi kuruta uko byari byitezwe, hamagara muganga wawe. | Ntukinjize ikintu icyo ari cyo cyose mu gutwi: Ntukinjize ipamba cyangwa ikindi kintu cyose mu gutwi kugira ngo ugikureho cyangwa ngo ugisukure. |
Ni ryari ngomba kongera kubonana na muganga?
Uzasabwa kugaruka kwa muganga nyuma y'ibyumweru bibiri cyangwa bitatu nyuma yo kubagwa. Bazasuzuma uko igituza cy'amatwi yawe kirimo gukira. Ushobora guhabwa undi munsi wo gusuzuma uburyo wumva mu mezi abiri cyangwa atatu.
Hagati aho, niba ubonye ibimenyetso bikurikira, hamagara muganga wawe ako kanya.
| Ibimenyetso byo kwitondera | |
|---|---|
| Hamagara muganga wawe niba ufite ibi bimenyetso: | |
| - Amabyi cyangwa kuva amaraso mu gutwi cyangwa mu gukata | - Niba ububabare bw'amatwi yawe cyangwa ububabare bwo kutumva buri kwiyongera |
| - Ibimenyetso by'ubwandu (umuriro, gutukura cyangwa ubushyuhe hafi y'aho hafatiwe) | - Gucuranga mu matwi |
| - Impinduka mu buryohe cyangwa mu maso hadasobanutse neza | |
| Muri iki gihe, jya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ry’ibitaro ako kanya: | |
| - Kugorwa no guhumeka | - Kuzungera cyane cyangwa kudashobora kugenzura uburinganire bw'umubiri |
| - Umutima wihuta cyane | |
Umuntu wese ashobora kugira ikibazo cyo gukomereka k'ugutwi. Bishobora guterwa no gukomereka cyane mu gihe cyo gusukura ugutwi cyangwa indwara yo hagati mu gutwi. Akenshi, ibi bice byo gukomereka bikira ubwabyo. Ariko iyo bitagenze bityo, tympanoplasty ishobora kugufasha kumva neza no gukomeza kumenya isi. Muganga wawe ni we uzagena niba ubu buryo bwiza kuri wewe.
Ubutumwa bwo kujyana mu rugo
- Tympanoplasty ni igikorwa cyiza cyane cyo gusana umwobo mu gituza cy'amatwi. Ntugatinye ibi bitari ngombwa.
- Kurikiza amabwiriza ya muganga wawe witonze nyuma yo kubagwa, cyane cyane ugumisha amatwi yawe yumye kandi wirinde gukuba izuru.
- Bishobora gufata amezi menshi kugira ngo ubumuga bwo kutumva bukire neza nyuma yo kubagwa. Ihangane.
- Niba ugize ibimenyetso bidasanzwe nko kuva amaraso menshi cyangwa amashyira mu gutwi, umuriro, cyangwa ububabare bukabije, menyesha muganga wawe ako kanya.
- Niba ufite impungenge cyangwa ubwoba ku bijyanye no kubagwa, biganireho na muganga wawe mu buryo bweruye.
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