Ese wabwiwe kugira 'stent yo mu muyoboro w'inkari'? (Stent yo mu muyoboro w'inkari) - Ntugahangayike, reka tubiganireho!

Ushobora kugira ubwoba gato iyo muganga wawe akubwiye ko ukeneye stent yo mu muyoboro w'inkari. Iyo abenshi muri twe dutekereje kuri stent, dutekereza kuri stent ishyirwa mu mutima. Ariko iki ni ikintu gitandukanye rwose. Ni igikoresho gito gifasha impyiko zawe gukora neza. Rero nta mpamvu yo gutinya. Uyu munsi, turaganira kuri ibi mu buryo bworoshye cyane ushobora gusobanukirwa.

Mu magambo make, stent yo mu muyoboro w'inkari ni iki?

Tekereza ku mpyiko ebyiri mu mubiri wacu nk'utuyunguruzo tubiri tw'amazi. Utu twuyunguruzo dufite imiyoboro ibiri mito ijyana inkari (inkari) isukurwa n'utu twuyunguruzo tubiri tujya mu ruhago. Utu twuyunguruzo tubiri ni two twita 'ureters' cyangwa inzira y'inkari.

Istent yo mu muyoboro w'inkari ni umuyoboro muto cyane kandi woroshye ukozwe muri silicone cyangwa polyurethane. Ishyirwa mu muyoboro w'inkari, umuyoboro utwara inkari, kugira ngo ikomeze gufungura no gufungura. Ni nko gushyira umuyoboro muto mu muyoboro w'amazi wafunzwe kugira ngo bifashe gufungura inzira.

Iyi stent ifite uburebure bwa santimetero 10-15. Yakozwe ku buryo impera imwe yayo iguma mu mpyiko n'indi impera mu ruhago. Iyi nanone yitwa 'stent ebyiri-J'.

Kuki tugomba gushyiramo iyi stent?

Impamvu nyamukuru ni uko ureter ifunga kubera impamvu runaka (kubuza ureteral). Iyo ibi bibaye, inkari ntiziva mu mpyiko zijya mu ruhago. Ibi bishobora kwangiza impyiko bigatera indwara. Impumuro ikora mu kureka kuziba no gukora inzira inkari zinyuramo.

Reba imbonerahamwe iri hepfo kugira ngo umenye impamvu nyamukuru zatumye iyi stent ishyirwa.

Ese gushyira stent mu mubiri ni ukubagwa gukomeye? Nakwitegura nte?

Oya, ubusanzwe iki gikorwa si igikorwa gikomeye . Iki gikorwa ni igikorwa gito cyane. Bivuze ko gikorwa binyuze mu mwenge usanzwe, nta gukata igice kinini. Kenshi na kenshi, ushobora gutaha uwo munsi. Ariko, kubera ko uri munsi y'ikinya, uzakenera umuntu wo kugutwara mu rugo.

Mbere yo kubagwa, muganga azakubwira ibi bikurikira:

• Tubwire amateka yawe yose y'uburwayi hamwe n'ibindi byose ushobora kuba ufite.
• Bwira muganga wawe imiti yose ufata (harimo na vitamine) . Imiti imwe ishobora kongera amaraso.
• Bavuga ko bagomba gupima amaraso (eGFR) kugira ngo barebe imikorere y'impyiko.
• Uzasabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose mu masaha agera ku munani mbere yo kubagwa. Niba hari umuti w'ingenzi, uzemererwa kuwunywa n'amazi make.

Uburyo bwo gushyiramo stent bukora bute?

Ibi bikunze gukorwa n'umuganga w'inkari. Uzahabwa ikinya rusange, bityo ntuzumva ikintu icyo ari cyo cyose kandi uzaba usinziriye.

Umaze gusinzira, muganga azakurikiza izi ntambwe:

1. Ubwa mbere, hakoreshwa scan (fluoroscopy cyangwa ultrasound y'impyiko) kugira ngo hamenyekane neza aho ikibazo cyazibye.

2. Hanyuma, igikoresho gito kandi kirekire gifite kamera ifatanye (cystoscope) gica mu muyoboro w'inkari (urethra) kikajya mu ruhago rwawe.

3. Binyuze muri iyi 'cystoscope', igikoresho gisa n'insinga nto cyane (`guidewire`) cyoherezwa mu muyoboro w'inkari wafunze.

4. Istent ishyirwa ahantu hakwiye kuri uwo mugozi uyobora.

5. Iyo stent imaze gushyirwa mu mwanya wayo, insinga y'ubuyobozi na cystoscope bikurwaho witonze. Stent iguma mu mubiri.

Ni iki kibaho nyuma yo gushyirwaho stent? Ni iki umuntu yakwitega?

Nyuma yo kubagwa, uzumva unaniwe gato nubyuka. Uzahabwa imiti yo kugabanya ububabare. Muganga azakubwira kunywa amazi menshi . Ibi bizagufasha gusohora impyiko n'uruhago.

Ibi bintu ni ibisanzwe mu minsi mike ya mbere:

• Amaraso make mu nkari (hematuria): Ibi bizagenda bigabanuka buhoro buhoro.
• Kubabara gato cyangwa gushya mu gihe uri kunyara: Ibi nabyo bizashira mu minsi mike.
• Gukenera kunyara kenshi: Ibi bishobora kubaho kubera ko stent itera imbaraga uruhago.
• Kumva ububabare buto mu gace k'impyiko (ku mpande zombi z'umugongo wo hasi) iyo uri kunyara: Ibi bishobora no kubaho kuri bamwe.

Ubu bubabare bushobora kumara igihe cyose stent ikiri mu mwanya wayo. Ariko, niba ubabara cyane cyangwa uva amaraso menshi , bimenyeshe muganga wawe ako kanya.

Istent igomba kumara igihe kingana iki iri mu mwanya wayo?

Biterwa n'uko urwaye. Akenshi, ibi biba ari iby'igihe gito . Bishobora gusigara mu mwanya wabyo iminsi mike cyangwa ibyumweru bike. Muganga wawe azabikuraho igihe indwara yawe izaba imaze kumera neza.

Ariko, hari abantu bamwe (urugero, abafite imitsi yafunzwe n'ikibyimba) bakeneye kugira stent mu mwanya wayo igihe kirekire. Muri abo bantu, stent ishaje irakurwaho hanyuma hagashyirwaho indi nshya buri mezi 3-6 kugira ngo hirindwe kwandura.

Ni gute wakuraho stent? Ese irababaza?

Gukuraho stent biroroshye cyane.

• Istent ifite umugozi: Hari stent z'igihe gito zifite umugozi ugaragara muganga afata kugira ngo akureho stent.
• Imisemburo idafite insinga: Izi zikurwaho hakoreshejwe cystoscope uko zishyirwamo. Gel ikoreshwa mu gusiga ibinure muri ako gace, kugira ngo utazababara cyane. Ushobora kumva umerewe nabi gato.

Hashobora kubaho ubushye buto cyangwa ububabare mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo kubikuraho. Ibi ni ibisanzwe.

Ni izihe nyungu n'ingorane zishobora kubaho?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza ndetse n'ibibi bito/ingorane.

Ni gute wagabanya ububabare buterwa na stent?

Ubu burwayi bushobora kugenzurwa n'imiti igabanya ububabare. Ariko, ntugafate imiti igabanya ububabare (nka `NSAIDs`) utabanje kubibaza muganga. Hari igihe muganga wawe ashobora kukwandikira umuti wihariye nka `tamsulosin` kugira ngo ugabanye ubu burwayi.

Niba ufite ibi bimenyetso, hita ubonana na muganga!

Niba uhuye n'ibi bikurikira mugihe ufite stent mu mwanya wayo, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku bibazo byihutirwa (ETU) by'ibitaro.

• Umuriro mwinshi cyangwa ubukonje (bishobora kuba ikimenyetso cy'ubwandu).
• Ububabare bukabije mu mpyiko, mu nda yo hasi, cyangwa mu gihe cyo kunyara.
• Amaraso atukura yijimye cyangwa amaraso apfundika mu nkari.
• Kunanirwa kunyara cyangwa kugabanuka k'umusaruro w'inkari.
• Inkari z'umukara wijimye, impumuro mbi .
• Isesemi no kuruka .