Ese urethra yawe irafunze? Reka twige byose ku bijyanye no kugabanya umuyoboro w'inkari mu buryo bworoshye!

Ese wigeze ugira ububabare bukomeye mu mugongo, haba munsi y'imbavu zawe cyangwa ku mpande zombi z'umugongo wawe? Cyangwa wigeze wumva ububabare iyo urimo kunyara, nk'aho udashobora kunyara? Hari igihe ibi bintu bishobora kuba ibimenyetso by'ikibazo gikomeye mu mubiri wawe, nubwo tutabyitayeho cyane. Uyu munsi tugiye kuvuga ku ndwara ushobora gukeka ko hari igihe nk'iyi, ariko abantu benshi ntibayizi. Iyo ni Ureteral Obstruction, cyangwa `(Ureteral Obstruction)`.

Mu magambo make, Kuziba k'umuyoboro w'inkari ni iki?

Kugira ngo tubisobanukirwe neza, reka tubanze turebe uko iyi gahunda mu mubiri wacu ikora. Dufite impyiko ebyiri mu mubiri wacu, sibyo? Akamaro k'ingenzi k'izi mpyiko zombi ni ukuyungurura amaraso, gutandukanya imyanda itari ngombwa na yo, no gukora inkari. Ni nk'akayunguruzo k'amazi.

Inkari zikorwa muri ubu buryo zikurwa mu mpyiko zijya mu ruhago (urugingo dukoresha kugira ngo tumenye igihe twuzuye inkari). Iyi miyoboro ibiri yitwa "Ureters". Hari imwe kuri buri mpyiko. Inkari ziteranira mu ruhago zisohoka mu mubiri iyo tunyara.

Noneho tekereza, bigenda bite iyo uyu muyoboro (Ureter) utwara inkari ziva mu mpyiko zijya mu ruhago uzibye cyangwa uzibye kubera impamvu runaka? Ibyo ni byo twita Ureteral Obstruction. Ni nk'aho agace k'umwanda gafatiwe mu muyoboro w'amazi, amazi ahagarara gutemba.

Iyo inkari zihagaze muri ubu buryo, inkari zitangira gusubira inyuma zikinjira mu mpyiko. Ibi bishobora gutuma impyiko zibyimba zikangirika. Nanone, amahirwe yo kwandura aba menshi cyane bitewe n'inkari ziguma ahantu hamwe. Iyo ibi bidavuwe vuba, bishobora gutera indwara zikomeye nko kunanirwa kw'impyiko cyangwa kwandura cyane (sepsis). Ariko ntugahangayike, iyi ndwara ishobora gusuzumwa no kuvurwa hakiri kare.

Ni nde ushobora kugira iyi ndwara kurusha abandi?

Mu by’ukuri, iyi ndwara ishobora kubaho mu myaka iyo ari yo yose, ku muntu uwo ari we wese. Ndetse n’abana bato bashobora kuyirwara bitewe n’impamvu zimwe na zimwe bavukanye.

Ariko, iyi ndwara ikunze kugaragara ku bagabo barengeje imyaka 60. Impamvu nyamukuru ibitera ni uko prostate igenda yiyongera uko tugenda dusaza. Iyi prostate iba munsi y'uruhago. Rero iyo ikuze, irushaho gufunga no kuziba urethra.

Ni ibihe bimenyetso by'ibi? Twabimenya dute?

Ibimenyetso by'uko inzira y'inkari yazibye bishobora gutandukana bitewe n'umuntu ku giti cye. Binatandukana bitewe n'icyateye kuziba ndetse n'umuvuduko byabyo. Urugero, iyo ibuye ry'impyiko ritangiye kwinjira mu muyoboro w'inkari, ububabare burakomera cyane. Ariko, iyo umuyoboro w'inkari ugiye kuziba buhoro buhoro bitewe n'indi mpamvu, ibimenyetso bikura buhoro buhoro.

Dore ibimenyetso bimwe na bimwe ugomba kumenya:

Ni iki gitera kuziba kw'inzira y'inkari nk'iyi?

Hari impamvu nyinshi zishobora kugira ingaruka kuri ibi. Zimwe ziba imbere mu mubiri, izindi zikaba ziterwa n'igitutu cyo hanze.

Ibibangamira umubiri:

• Amabuye yo mu muyoboro w'inkari: Iyi ni yo mpamvu ikunze kugaragara. Amabuye agaragara mu mpyiko agendana n'inkari maze agafata muri uyu muyoboro muto witwa ureter.
• Benign Prostatic Hyperplasia (BPH): Nkuko twabivuze mbere, ku bagabo bakuze, prostate gland ishobora kwaguka no gukanda urethra.
• Inkovu: Inkovu zishobora kwibasira urethra bitewe no kubagwa mbere, kwandura indwara, cyangwa impanuka, bikabuza inzira y'inkari gutembera. Hari igihe izi nkovu zishobora kugaragara mu gihe cyo kuvuka.
• Ibibazo bituruka ku ivuka:
• `Ureteropelvic Junction Obstruction`: Iyi ni ifunga ry’impyiko n’inkari bivukana.
• `Ureterocele`: Ibyimbitse nk'ibendera ry'umuhondo rifunga urethra aho ihurira n'uruhago.
• Ureter yo mu nda: Ureter ifata ahantu hatari mu ruhago.

Ibibangamira umubiri biterwa n'igitutu giturutse hanze y'umubiri:

• Ibibyimba cyangwa Ibibyimba: Ibibyimba cyangwa Ibibyimba: Ibibyimba cyangwa Ibibyimba bikura mu nda cyangwa mu gice cy'ikibuno, byaba kanseri cyangwa ibitari kanseri, bishobora gusohoka mu muyoboro w'inkari bikawufunga. (Urugero: Kanseri y'inkondo y'umura, kanseri y'urura runini)
• Indwara z'igogora: Indwara nk'indwara ya Crohn na diverticulitis zishobora gutuma amara abyimba, kandi ibyo bibyimba bishobora gutera igitutu ku muyoboro w'inkari.
• Impamvu zihariye ku bagore:
• Gutwita: Uko nyababyeyi igenda yiyongera bitewe n'umwana uri gukura, urethra ishobora gukandamizwa.
• Endometriosis: Uturemangingo twinjira mu nda y'umura dukurira hanze y'umura, bigatuma tumera dukikije urethra bigatuma tuyifunga.
• Gutemba kw'umura: Umura ushobora kumanuka ukava mu mwanya wawo usanzwe, bigatera igitutu ku ruhago no ku muyoboro w'inkari.

Ni gute umuganga asuzuma neza iyi ndwara?

Iyo ugiye kwa muganga ufite ibimenyetso byawe, abanza kukubaza ibibazo, akagusuzuma, hanyuma agategeka ibizamini byinshi kugira ngo yemeze ko ari indwara.

• Gupima amaraso no gupima inkari: Ibi bishobora kugenzura imikorere y'impyiko zawe (cyane cyane urugero rwa creatinine) no kureba niba hari ubwandu cyangwa amaraso mu nkari zawe.
• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Iki ni ikizamini cyoroshye cyane kandi kidatera ububabare. Gishobora kwerekana neza niba impyiko zabyimbye cyangwa zarazibye.
• Gupima CT: Ibi bishobora gutanga amashusho asobanutse neza kandi y’imbere mu mubiri. Ibi bishobora gufasha kumenya neza aho ikibazo kiri n’icyabiteye (urugero: ibuye cyangwa ikibyimba).
• Gupima inkari mu rukenyerero: Ibi bireba niba uruhago rwawe rumaze gusohora burundu nyuma yo kunyara, cyangwa niba hari inkari zisigaye.

Ivurwa ite?

Uburyo bwo kuvura buterwa n'impamvu yaguteye kuziba, ingano y'iziziba, ndetse n'ubuzima bwawe muri rusange. Hari intambwe ebyiri z'ingenzi mu kuvura.

1. Intambwe ya mbere: Gukuramo inkari (gukuraho aho zifunganye)

Ikintu cya mbere cyo gukora ni ugukura inkari mu mubiri kugira ngo impyiko zihagarare kwangirika. Hari uburyo bwinshi bwo kubikora.

• Umuyoboro w'inkari: Umuyoboro muto kandi woroshye (stent) ushyirwa mu ruhago ukamanuka mu muyoboro w'inkari ukagera mu mpyiko. Uyu muyoboro ufungura umuyoboro wafunzwe kandi utuma inkari zitembera byoroshye.
• Umuyoboro wa Nephrostomy: Hari ubwo umuyoboro muto winjizwa mu mpyiko binyuze mu ruhu, aho inkari zishyirwa mu gafuka.
• Gukoresha catheter: Iyo ikiziba kiri hafi y'uruhago, catheter ishyirwa mu ruhago inyuze mu muyoboro w'inkari kugira ngo ikuremo inkari.

2. Intambwe ya Kabiri: Kuvura Impamvu ya Kuziba Indwara

Iyo inkari zimaze kugaruka, muganga azatangira kuvura impamvu nyamukuru yazibye.

• Imiti: Ku ndwara nka benign prostatic hyperplasia (BPH), imiti ishobora gutangwa kugira ngo igabanye ingirabuzimafatizo cyangwa iruhure imitsi iyikikije.
• Kubaga:Akenshi, igisubizo gihoraho ni ukubaga. Ariko ntugatinye kuvuga "kubaga." Dukurikije ikoranabuhanga rya none, akenshi, kubaga bikorwa binyuze mu gukata uduce duto (Minimally Invasive).
• Iyo ari ibuye ry’inkari, rishobora gushwanyaguzwa hakoreshejwe uburyo bwa shockwave lithotripsy cyangwa rikavanwaho hakoreshejwe uburyo nka endoscopy hifashishijwe igikoresho gito kirimo kamera.
• Iyo hari ikibyimba, inkovu, cyangwa kuziba kw'umubiri, kubagwa bizakuraho icyo gice maze bigasubiza umuyoboro mu buryo bushya.

Muganga wawe azagusobanurira birambuye uburyo bwo kuvura bukubereye.

Ese hari icyo twakora kugira ngo hirindwe iki kibazo?

Hari impamvu zimwe na zimwe, cyane cyane ibibazo twavukanye, zidashobora kwirindwa. Ariko hari ibyo dushobora gukora kugira ngo tugabanye ibyago byacu. Ibi bintu bishobora gufasha gukumira impamvu ikunze kugaragara cyane, cyane cyane amabuye y'inkari.

• Nywa amazi menshi: Ni ngombwa cyane kunywa nibura litiro 2-3 z'amazi ku munsi. Ibi bigabanya inkari kandi bigabanya ibyago byo kurema amabuye.
• Gumana ibiro byiza: Ni ngombwa kugenzura ibiro by'umubiri wawe.
• Gabanya umunyu urya: Gabanya umunyu wongera mu biryo byawe. Ibiryo byo mu macupa, inyama zatunganyijwe, n'isosi birimo umunyu mwinshi.
• Kubona kalisiyumu ihagije: Hari abantu batekereza ko kugabanya kalisiyumu bizagabanya ibyago byo kurema amabuye. Ariko ibyo si byo. Kubona ingano ikenewe ya kalisiyumu (hafi miligarama 1000-1200) mu byo kurya buri munsi.