Kubaga ureterostomy: Menya uburyo bwo kohereza inkari nta ruhago

Inkari ni igice gisanzwe cy'umubiri wawe, ikintu tudatekerezaho cyane, sibyo? Inkari, zikorwa n'impyiko, zinyura mu miyoboro ibiri zikishyira mu ruhago, aho zirekurwa iyo bikenewe. Ariko tekereza uko bigenda iyo uruhago rwawe ruhagaritse gukora kubera impamvu runaka, cyangwa niba rugomba gukurwaho? Nta buryo bwo ko inkari ziva mu mubiri. Uyu munsi tugiye kuvuga ku kubagwa kwihariye bizagufasha mu gihe nk'iki.

Mu magambo make, gupima ureterostomy ni iki?

Muri make, ureterostomy ni uburyo bwo kubaga aho imiyoboro ibiri itwara inkari mu mpyiko zawe ikajya mu ruhago rwawe (izwi nka 'ureters') ikurwa mu ruhago rwawe, ahubwo igahuzwa n'umwobo muto uri mu ruhu rwawe cyangwa mu nda. Uyu mwenge mushya witwa stoma . Ni uku. Tekereza imiyoboro ibiri y'amazi ihujwe n'ikigega cy'amazi. Noneho ikigega cyarangiritse. Dukora iki? Dukuraho ikigega tukazana imiyoboro ibiri y'amazi neza. Ni nako bigenda hano. Tunyura mu ruhago (ikigega cy'amazi) maze imiyoboro y'inkari ('ureters') igasohoka mu mubiri binyuze muri iyo 'stoma'. Hanyuma, inkari ziva mu mpyiko zigasohoka mu mubiri binyuze muri iyi 'stoma'. Kugira ngo hakusanywe izi nkari, hashyirwa agafuka ka pulasitiki kihariye, kitwa agafuka, gakikijwe na stoma. Uzakenera gukuramo akantu kenshi nk'uko usanzwe unyara. Ku mwana muto, izi nkari zishobora no gukusanywa mu gitambaro.

Ni nde ukeneye ubu bubagwa?

Muganga wawe ashobora kukugira inama yo kubagwa niba uruhago rwawe rudashobora gusohora inkari mu buryo busanzwe. Hari impamvu nyinshi zishobora kubitera.

Ukora iki mbere yo kubagwa?

Mbere yo kubagwa, muganga azakora ibizamini byinshi kugira ngo amenye neza uko umubiri wawe umeze.

• Ibizamini by'imikorere y'impyiko : Reba uburyo impyiko zawe zikora neza.
• Gupima amaraso : Menya ubuzima bw'umubiri muri rusange.
• Ibizamini byo gupima: Ikizamini nka X-ray cyangwa ultrasound gifata amafoto y'impyiko n'urwungano rw'inkari.
• Pyelogram yo gusubira inyuma: Muri ibi, hashyirwamo amazi yihariye (irangi) mu muyoboro w'inkari hanyuma hagafatwa X-ray.
• Gupima CT : Ibi bishobora gufata amashusho y'umubiri mu bice bitandukanye kandi bigatanga ishusho isobanutse neza.
• MRI : Ibi bishobora kandi gutanga amashusho asobanutse neza y’impyiko n’inzira y’inkari.

Byongeye kandi, umuganga cyangwa umuforomo azakubwira mbere yo kubagwa kugira ngo aguhe ahantu heza ho gushyira stoma. Akenshi ishyirwa ahantu ushobora kuyibona byoroshye, ntuyifate mu myenda yawe (urugero: umukandara), kandi nta ruhu rufite imipfundikizo .

Kubagwa bibaho gute kandi ubu buryo bukora bute?

Mu gihe cyo kubagwa, umuganga w’inkari azatandukanya urethra yawe imwe cyangwa zombi n’inkari yawe maze azihuze na 'stoma' nshya. Noneho, inkari ntizijya mu ruhago. Noneho reka turebe uko iyi sisitemu nshya ikora. 'Stoma', ni ukuvuga umwobo, ntabwo ifite imitsi ('sphincter') ibuza inkari gusohoka, nk'iyo mu ruhago rwacu. Kubera iyo mpamvu, umutsi urimo urethra utuma inkari zidasohoka.Inkari ntizishobora kugenzurwa. Zikomeza gutemba mu mpyiko. Uku ni ko inkari zikusanywa: 1. Agapfunyika gashyirwa hejuru ya stoma: Iyi sisitemu ya 'pouching' ifite ibice bibiri. Kimwe ni 'inzitizi'. Ikindi ni 'icyuho cyo gukusanya'. Hari igihe ibi byombi bihuzwa. 2. 'Inzitizi': Iki ni igikoresho gifite ishusho kare gifite umwobo hagati ujyana na 'stoma'. Gishyirwa ku ruhu hakoreshejwe kole yihariye. Kubwibyo, inkari ntizisohoka. 3. 'Ipfunyika': Iki gipfunyika gifatanye na 'inzitizi'. Ubu inkari zituruka mu mpyiko zishyirwa muri iki gipfunyika. Ubusanzwe, igipfunyika kigomba gusukurwa iyo cyuzuye kimwe cya gatatu cyangwa kimwe cya kabiri. Ushobora gusukura inkari zawe mu musarani utiriwe ukuramo agapfunyika ufungura agapfunyika gato kari hepfo y'agapfunyika. Mu ijoro, ushobora guhuza umuyoboro kuri iyi valve hanyuma inkari zigakusanyirizwa mu gipfunyika kinini. Iki gipfunyika kiba cyihishe munsi y'imyenda yawe kugira ngo kitagaragara.

Ni gute wakwita ku gifu n'agafuka?

Nyuma yo kubagwa, muganga wawe cyangwa umuforomo azakwigisha uburyo bwo kubungabunga stoma yawe, uruhu ruyikikije, n'agafuka kayo. Bazakwigisha kandi uburyo bwo guhindura agafuka. Ni ngombwa cyane kubungabunga stoma yawe kandi yumye igihe cyose. Ugomba gukora ibi bikurikira buri munsi:

• Oza stoma n'uruhu ruyikikije ukoresheje isabune n'amazi byoroshye.
• Oza n'amazi kugeza isabune irangiye.
• Hanyuma ureke byumutse neza.

Agapfunyika kandi gakeneye guhindurwa mu gihe gikwiye. Ubusanzwe, agapfunyika gashaje gagomba gukurwaho burundu hanyuma hagashyirwamo akandi gashya nyuma y'iminsi 5 kugeza kuri 7 .

Ni izihe ngaruka n'ingorane bishobora guterwa no kubagwa?

Kimwe no kubagwa kose, hari ingaruka zimwe na zimwe zishobora kubaho. Biganireho na muganga wawe mbere yo kubagwa.

• Kwandura indwara.
• Kuva amaraso .
• Hernia.
• Gutukura , kubyimba, cyangwa izindi ndwara ziterwa n'ubwivumbure hafi y'igifu.
• Kunanirwa kugera ku musaruro witezweho mu kubagwa.
• Imiterere y'inkovu.

Ni ryari ugomba kuvugana na muganga?

Ugomba kwitondera stoma yawe n'uruhu ruyikikije. Nubona impinduka, bwira muganga wawe ako kanya.

Impinduka z'uruhu zikikije stoma: Ibimenyetso by'ubwandu

Ibintu byo kwitondera	Ibisobanuro
Uruhu rutukura cyangwa uduheri	Iyo uruhu rukikije stoma rutukura kandi rugasa n'izuba.
Uruhu rushyushye cyangwa uruhu rucitse	Iyo uruhu rusa n'urwumye, rwacitse cyangwa rwakomeretse.
Ibisebe by'uruhu	Udusebe tw'uruhu dushobora guterwa n'inkari zisohoka hagati y'agafuka n'igifu.
Impinduka mu nkari	Inkari zijimye, amaraso mu nkari, amatembabuzi menshi, cyangwa impumuro ikomeye.
Ibindi bimenyetso	Kubabara umugongo, umuriro, isesemi cyangwa kuruka, kubura ubushake bwo kurya.

Niba ufite kimwe muri ibi bimenyetso, hita ubonana na muganga wawe .

Ese Urostomy, Nephrostomy, na Ureterostomy ni bimwe?

Oya. Nubwo ibi byose uko ari bitatu ari ukubaga bihindura uburyo inkari zisohoka, biratandukanye.

• Urostomy: Iri ni izina risanzwe. Ureterostomy na yo ni ubwoko bwa urostomy. Ariko, hari ubundi buryo bwa urostomy. Urugero, gufata agace k'amara mato no gukora urethra nshya.
• Nephrostomy: Ibi bikubiyemo gushyira umuyoboro (catheter) mu mpyiko, ushyira inkari hanze y'umubiri mu gakapu. Ibi bikunze gukorwa ku bantu bafite ureter zifunze. Ibi akenshi biba iby'igihe gito.

Uburyo bwo gupima ureterostomy ni ubundi buryo butandukanye, aho urethra ihuzwa neza n'uruhu. Bishobora kugorana gato kumenyera ubuzima nyuma yo kubagwa. Ushobora kumva utekanye kubera ko utashobora kunyara nk'abandi bantu. Ariko ganira na muganga wawe ku mugaragaro. Ashobora kuguha inkunga y'amarangamutima ukeneye cyangwa akaguhuza n'abantu bashobora kugufasha. Wibuke ko utari wenyine. Hari abandi bantu benshi bakorewe ubu buryo bwo kubagwa. Nanone, tekereza ubu buryo bwo kugufasha kubaho ubuzima bwiza kandi burambye.

Ubutumwa bwo kujyana mu rugo

• Uburyo bwo kubaga bunyura mu ruhago, bugahuza ureter iva mu mpyiko n'umwobo (stoma) mu ruhu kugira ngo inkari zisohoke.
• Ibi akenshi biba ngombwa iyo uruhago rudashoboye kubagwa bitewe na kanseri, impanuka, cyangwa ubumuga umuntu yavukanye.
• Agafuka gafatanywa inyuma y'umubiri kugira ngo gakusanyirize inkari, kandi gakwiye gusukurwa no guhindurwa buri gihe.
• Ni ingenzi cyane kugira ngo stoma n'uruhu ruyikikije bikomeze bisukuye kandi byumye**.
• Niba ubonye ibimenyetso bidasanzwe nko gutukura ku ruhu, ibisebe, impinduka mu nkari, cyangwa umuriro, bimenyeshe muganga wawe vuba.

Ureterostomy, ureterostomy, stoma, stoma, uruhago, kubaga impyiko, kugabanya inkari, agafuka k'inyuma, kubaga uruhago