Birashoboka ko udatekereza cyane ku buryo umubiri wawe ufata inkari. Ubusanzwe, impyiko zikora inkari, zinyura mu miyoboro ibiri (ureters) zijya mu ruhago, aho zibikwa kugeza igihe uzaba witeguye kuzirekura. Ariko se wigeze utekereza ku cyaba kibaye iyo uruhago rwawe ruhagaritse gukora cyangwa rugomba gukurwaho? Muri iyo mimerere, umubiri wawe utakaza aho usohoka bisanzwe. Uyu munsi, turashaka kuvuga ku kubagwa kwihariye gutanga igisubizo cy'ingenzi muri ibi bihe.
Ureterostomy ni iki mu by'ukuri?
Muri make, gupima ureterostomy ni uburyo bwo kubaga aho imiyoboro ibiri (ureters) itwara inkari ziva mu mpyiko zawe zijya mu ruhago rwawe ivanwa mu ruhago hanyuma ijyanwa mu mwenge muto wakorewe ku nda yawe. Uyu mwenge mushya uzwi nka stoma .
Tekereza kuri ibi: tekereza imiyoboro ibiri y'amazi ihujwe n'ikigega. Iyo icyo kigega cyangiritse cyangwa cyakuweho, ukora iki? Unyura mu kigega hanyuma ugakoresha imiyoboro hanze. Ibyo ni byo bibaho hano. Mu gihe unyura mu ruhago, ureter iyoborwa neza ku buso bw'umubiri wawe binyuze mu gifu.
Hanyuma inkari zisohoka mu mpyiko zinyuze muri iyi stoma. Kugira ngo ufate inkari, uzakoresha agafuka ka pulasitiki kabigenewe, cyangwa agafuka , gafatanye na stoma. Uzakuramo iyi shashi kenshi nk'uko bisanzwe ukoresha ubwiherero. Ku bana bato, ubu buryo bushobora gukoreshwa n'ama-diaper.
Intego y'ubu buvuzi ni ugutanga uburyo bwizewe kandi bwizewe bwo gusohora inkari mu mubiri wawe nubwo uruhago rwawe rwaba rutagikora. Akenshi, ubu buryo ni uburyo buhoraho.
Ni nde ukeneye kubagwa?
Muganga wawe ashobora kukugira inama yo gukora ureterostomy niba uruhago rwawe rudashobora kubika cyangwa kurekura inkari neza. Impamvu zisanzwe zirimo:
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Gukuraho inkari | Gukuraho burundu uruhago bitewe na kanseri cyangwa izindi ndwara zikomeye. |
| Kwangirika k'uruhago | Kubura imikorere y'uruhago bitewe n'ibyago cyangwa imvune. |
| Indwara zo mu nda | Indwara zibaho kuva umwana avutse, nka Spina Bifida , zigira ingaruka ku mikorere isanzwe y'uruhago. |
| Gukomereka k'umugongo | Kwangirika kw'imitsi bikubuza kugenzura imitsi y'uruhago. |
Kwitegura kubagwa
Mbere yo kubagwa, muganga wawe azakora ibizamini byinshi kugira ngo apime ubuzima bwawe:
- Ibizamini by'imikorere y'impyiko : Kugira ngo usuzume uburyo impyiko zawe zikora neza.
- Gupima amaraso : Kugira ngo ukurikirane ubuzima bwawe muri rusange n'umutekano wawe mbere yo kubagwa.
- Ibizamini byo Gupima: Gupima X-ray cyangwa ultrasound kugira ngo urebe neza inzira y'inkari yawe.
- Retrograde Pyelogram: Uburyo bwo gutera irangi mu nzira y'inkari kugira ngo imirasire ya X irusheho kugaragara neza.
- CT Scan : Itanga amashusho arambuye y’imikorere y’imbere mu mubiri wawe.
- MRI : Itanga amashusho arambuye y’impyiko n’inkari.
Byongeye kandi, itsinda ry’abaganga rizakorana nawe kugira ngo bagaragaze ahantu heza ho gushyira stoma yawe. Bazahitamo ahantu hashobora kugaragara neza kuri wewe, birinde kwisiga ku myenda (nk'imikandara yo mu kibuno), kandi hakagaragara ahantu heza kandi hatabyimbye ku ruhu .
Uburyo n'uko sisitemu ikora
Mu gihe cyo kubagwa, umuganga wawe azakuramo uturemangingo tw’inkari cyangwa twombi mu ruhago maze atwongerere ku gasabo gashya. Inkari ntizongera kwinjira mu ruhago.
Ni ngombwa gusobanukirwa uburyo iyi sisitemu nshya ikora:
Stoma ibura imitsi ya sphincter (isanzwe igenzura irekurwa ry'inkari). Kubwibyo, ntushobora kugumana inkari zawe ; zizagenda zitemba uko impyiko zibikora.
Dore uko sisitemu yo gukusanya ikora:
1. Gufata agapfunyika: Sisitemu igizwe n'uruzitiro (igice cy'ubudodo gifata neza uruhu) n'agapfunyika gafata. Sisitemu zimwe na zimwe zihuza ibi bice bibiri muri kimwe.
2. Inzitizi: Iki ni igice girambuye gifite umwobo waciwe mbere wo gushyiramo stoma. Kole yacyo yihariye ifunga neza uruhu rwawe, ikarurinda ko nta ruhu rusohoka.
3. Agafuka ko gukusanya: Aka gahuza n'uruzitiro, gatuma inkari zitembera neza mu gafuka.
Ugomba gukuramo ipaki iyo imaze kuzura kimwe cya gatatu kugeza kuri kimwe cya kabiri. Ushobora kuyikuramo mu bwiherero ukoresheje agakoresho gato ko hasi utagombye kuyikuramo yose. Mu ijoro, ushobora gushyiramo agakoresho gakomeye ko kuvoma amazi nijoro kuri iyi valve. Ipaki yagenewe kuba idafite ubwiza kandi idafite aho ihuriye n'imyenda yawe.
Kwita ku gifu cyawe n'agafuka kawe
Nyuma yo kubagwa, itsinda ry’abaganga rizakwigisha neza uburyo bwo kubungabunga stoma yawe, uruhu ruyikikije, n’agafuka kawe. Kugira ngo stoma isuku kandi yumuke ni ingenzi cyane .
Kurikiza izi ntambwe buri munsi:
- Sukura witonze stoma n'uruhu rukikije ukoresheje amazi n'isabune yoroshye kandi idafite impumuro nziza.
- Sukura neza kugira ngo ukureho ibisigazwa byose by'isabune.
- Kanda ahantu humutse neza.
Agafuka kawe kandi gakeneye gusimbuzwa buri gihe, akenshi buri minsi 5 kugeza kuri 7 , kugira ngo urebe ko agapfunyika kaguma gafite umutekano kandi gafite isuku.
Ni izihe ngaruka n'ingorane bifitanye isano n'ubu buvuzi?
Kimwe n'ubundi buryo bwose bwo kubaga, hari ingaruka zishobora kubaho. Ni ngombwa kuganira na muganga wawe mu buryo bwimbitse ku bijyanye n'izo ngaruka mbere yo kubagwa.
- Ingaruka zo kwandura.
- Kuva amaraso .
- Iterambere rya hernia.
- Gutukura k'uruhu, kubyimba, cyangwa ingaruka z'ubwivumbure hafi y'aho stoma ibereye.
- Kunanirwa kugera ku musaruro wifuzwaga wo kubagwa.
- Imiterere y'inkovu.
Ni ryari ugomba kuvugana na muganga wawe?
Ugomba gukurikirana stoma yawe n'uruhu ruyikikije buri gihe. Niba ubonye impinduka, nyamuneka hamagara umuganga wawe ako kanya.
| Ibimenyetso by'umuburo | Ibisobanuro |
|---|---|
| Gutukura cyangwa ibibyimba | Iyo uruhu rukikije stoma rusa n'umutuku cyangwa rusa n'ibibyimba. |
| Gucika cyangwa kwangirika k'uruhu | Iyo uruhu rusa n'urwumye, rwacitse cyangwa rufite ibisebe. |
| Ibisebe by'uruhu | Kuva kw'inkari hagati y'agafuka n'igifu bishobora gutera ibisebe ku ruhu. |
| Impinduka mu nkari | Inkari zifite ibara ryijimye, zifite amaraso, zirimo ururenda rwinshi, cyangwa zifite impumuro mbi cyane. |
| Ibindi bimenyetso | Kubabara umugongo, umuriro, isesemi, kuruka, cyangwa kubura ubushake bwo kurya. |
Niba ubonye kimwe muri ibi bimenyetso, hamagara muganga wawe ako kanya cyangwa ushake ubuvuzi bwihutirwa.
Ese Urostomy, Nephrostomy, na Ureterostomy ni bimwe?
Oya. Nubwo byose uko ari bitatu ari uburyo bwo kubaga butuma inkari zigenda zicika, ni uburyo butandukanye.
- Urostomy: Iri ni ijambo rusange. Ureterostomy ni ubwoko bwa urostomy, ariko hari n'izindi, nko gukora umuyoboro mushya w'inkari hakoreshejwe igice cy'amara mato.
- Nephrostomy: Ibi bikubiyemo gushyira umuyoboro (`catheter`) mu mpyiko kugira ngo inkari zisohoke mu gafuka ko hanze. Ibi bikunze gukorwa ku miyoboro y'inkari yazibye kandi akenshi biba iby'igihe gito.
Uburyo bwo gupima ureterostomy buratandukanye, kuko busaba guhuza ureter n'uruhu.
Kumenyera ubuzima nyuma yo kubagwa bishobora kugorana. Ni ibisanzwe kumva uhangayikishijwe n'uburyo bushya bwo kwihagarika. Nyamuneka vugana na muganga wawe ku mpungenge zawe; bashobora kuguha ubufasha bw'amarangamutima bukenewe cyangwa bakaguhuza n'inzobere mu by'ubuhanga. Wibuke ko utari wenyine—abantu benshi bamaze kumenyera ubuzima bwabo neza bakoresheje ubu buryo. Ubu buryo bwo kubaga bugamije kugufasha kubaho ubuzima bwiza kandi burambye.
Ibintu by'ingenzi byakunzwe
- Ureterostomieni ukubaga kunyura mu ruhago binyuze mu guhuza ureter n'umwenge uri mu ruhu (`stoma`) kugira ngo havemo inkari.
- Ibi akenshi biba ngombwa iyo uruhago rw'inkari rwangiritse bitewe na kanseri, ihungabana, cyangwa indwara zavukanye.
- "Isakoshi" yo hanze ikoreshwa mu gukusanya inkari, zigomba gusukurwa no guhindurwa buri gihe.
- Gukomeza gusukura no kumisha uruhu rw'inkari n'uruhu rukikije ni ingenzi cyane.
- Niba ubonye ibimenyetso bidasanzwe nko gutukura ku ruhu, ibisebe, impinduka mu nkari zawe, cyangwa umuriro, hamagara muganga wawe vuba.
Ureterostomi, stoma, uruhago, kubagwa impyiko, kugabanya inkari, agapfunyika k'inyuma, kubagwa uruhago
