Ureterostomie: Gusobanukirwa uburyo bwo kubaga inkari zigenda zihinduka

Uburyo umubiri wawe ukoresha mu gukuraho inkari ni ikintu dukunze gufata nk'ikintu cyoroshye, si byo se? Inkari zikorwa n'impyiko, zinyura mu miyoboro yitwa ureters, zikinjira mu ruhago, hanyuma zigasohoka iyo bikenewe. Ariko se bigenda bite iyo uruhago rwawe ruhagaritse gukora neza, cyangwa rukeneye gukurwaho burundu? Umubiri utakaza inzira yawo karemano yo gukuraho inkari. Aha niho uburyo bwihariye bwo kubaga butangira gukoreshwa - butanga igisubizo cy'ingenzi.

Ureterostomy ni iki mu by'ukuri?

Mu magambo make, Ureterostomy ni uburyo bwo kubaga aho uturemangingo - imiyoboro itwara inkari ziva mu mpyiko zawe zijya mu ruhago - ivanwa mu ruhago ahubwo igahuzwa n'umwenge muto wakozwe ku nda yawe. Uyu mwenge mushya witwa stoma .

Tekereza kuri ibi: Tekereza imiyoboro ibiri ishyira amazi mu kigega. Noneho, tuvuge ko ikigega cyangiritse cyangwa gikeneye gukurwaho. Umuti waba ugukuraho imiyoboro mu kigega hanyuma ukayiyobora neza. Muri ureterostomie, uruhago ('ikigega') rurarenga, maze ureter ('imiyoboro') zigasubizwa mu nzira binyuze mu gifu zigana hanze y'umubiri.

Nyuma yo kubagwa, inkari zitemba mu mpyiko, zigaca mu miyoboro y'inkari, zikanasohoka mu mubiri binyuze mu muyoboro w'inkari. Kugira ngo izi nkari zikurwe, hashyirwaho agapfunyika ka pulasitiki kitwa agapfunyika gafatanyirizwa hafi y'agapfunyika. Uzakenera gukuramo aka gapfunyika buri gihe, akenshi nk'uko bisanzwe bigenda mu kunyara. Ku bana bato, inkari zishobora gufatirwa mu gitambaro.

Intego nyamukuru y'ubu buvuzi ni ugushyiraho uburyo bwizewe bwo gusohora inkari mu mubiri mu mutekano mu gihe uruhago rutagikora. Akenshi, ubu buryo buba ari uburyo buhoraho.

Ni nde ukeneye ubu buvuzi?

Muganga wawe ashobora kukugira inama yo gukora ureterostomy niba uruhago rwawe rudashobora gukora neza kugira ngo rubike cyangwa rusohore inkari. Impamvu nyinshi zishobora gutera iki kibazo:

Imyiteguro yo mbere yo kubagwa

Mbere yo kubagwa, muganga wawe azagutegeka ibipimo byinshi kugira ngo asuzume neza uburwayi bwawe:

• Ibizamini by'imikorere y'impyiko: Kugira ngo usuzume uburyo impyiko zawe zikora neza.
• Gupima amaraso: Kugira ngo urebe uko ubuzima bwawe buhagaze muri rusange.
• Ibizamini byo Gupima Ishusho (X-ray, Ultrasound): Kugira ngo hamenyekane impyiko n'inzira y'inkari.
• Isuzuma rya Retrograde Pyelogram: Irangi ryihariye rishyirwa mu miyoboro y'inkari, hanyuma hagafatwa irangi rya X-ray kugira ngo harebwe neza uburyo inkari zihagaze.
• CT Scan cyangwa MRI: Ibi bitanga amashusho arambuye y'umubiri kugira ngo birusheho kuba byiza.

Byongeye kandi, itsinda ry’ababaga rizaganira nawe ku hantu heza ho gushyira stoma. Ibi akenshi bitoranywa kugira ngo bigaragare neza, birinde imikandara, kandi bibe ahantu hahanamye kandi hatari iminkanyari.

Kubaga n'uko sisitemu ikora

Mu gihe cyo kubagwa, umuganga akuraho ureter imwe cyangwa zombi mu ruhago maze akazihuza na stoma nshya iri ku nda yawe. Inkari ntizikinjira mu ruhago.

Dore uko sisitemu nshya ikora:

Bitandukanye n'inzira karemano y'inkari, stoma ntabwo ifite imitsi ya sphincter igenzura urujya n'uruza rw'inkari. Kubwibyo, inkari zihora zisohoka mu mpyiko zinyuze mu miyoboro y'inkari no mu miyoboro y'inkari.

Gukusanya inkari bikubiyemo ibi bikurikira:

1. Gufata agapfunyika: Uburyo bwo gupfunyika bugizwe n'ibice bibiri: uruzitiro rw'uruhu rufata ku nda rukikije stoma, n'agapfunyika gafata ku ruzitiro. Hari uburyo bwombi buhurira hamwe mu gice kimwe.
2. Uruzitiro rw'uruhu: Ubusanzwe uru rubaho rufite ishusho y'impandeshatu rufite umwobo ujyanye n'inyuma y'uruhu. Rufata neza ku ruhu, rukarinda inkari kuva.
3. Agafuka ko gukusanya: Aka gafuka gafata ku ruzitiro kandi kagakusanya inkari zisohoka mu nda.

Uzakenera gukuramo amazi mu gakapu iyo kamaze kuzura kimwe cya gatatu cyangwa kimwe cya kabiri. Udukapu twinshi dufite agace gato hepfo, kagufasha gusohora inkari mu musarani udakuyemo agakapu kose. Mu ijoro, ushobora guhuza umuyoboro muremure kuri ka gakapu hanyuma ukagashyira ku gakapu kanini ko gusohora amazi.

Agafuka gasanzwe kambarwa munsi y'imyenda kandi ntikagaragara.

Kwita ku nda n'umufuka

Nyuma yo kubagwa, muganga wawe cyangwa umuforomo azaguha amabwiriza arambuye ku bijyanye no kwita ku nda yawe, uruhu ruyikikije, n'agafuka. Isuku ikwiye ni ingenzi cyane.

Kwita ku buzima bwa buri munsi bikubiyemo:

• Sukura witonze stoma n'uruhu rukikije ukoresheje isabune n'amazi byoroshye.
• Koza neza hanyuma ubyumutse.
• Guhindura agafuka buri gihe, akenshi buri minsi 5 kugeza kuri 7, cyangwa mbere yaho iyo kamenetse cyangwa kakangirika.

Kubungabunga ahantu hasukuye kandi humutse ni ingenzi cyanekugira ngo hirindwe ububabare bw'uruhu n'ubwandu.

Ingaruka zishobora kubaho n'ingorane zishobora kubaho

Nk’uko bigenda mu kubaga kose, gupima ureterostomy bishobora guteza ingaruka mbi. Biganireho na muganga wawe mbere y’uko ubikora neza:

• Kwandura
• Kuva amaraso
• Iterambere rya Hernia
• Kurakazwa n'uruhu cyangwa ingaruka z'ubwivumbure hafi y'igifu
• Kunanirwa kugera ku musaruro wifuza
• Inkovu zivuka mu mubiri

Igihe cyo kuvugana na muganga wawe

Genzura neza stoma yawe n'uruhu ruyikikije. Vugana na muganga wawe vuba niba ubonye:

• Uduheri, uduheri cyangwa uduheri ku ruhu rukikije stoma.
• Gucika kw'uruhu cyangwa ibisebe.
• Impinduka mu miterere y'inkari (ibara ryijimye, amaraso, ifuro rikabije) cyangwa impumuro mbi.
• Ibimenyetso by'ubwandu nko kugira umuriro, ubukonje, kubabara umugongo, isesemi, kuruka, cyangwa kubura ubushake bwo kurya.

Urostomy vs. Nephrostomy vs. Ureterostomy

Aya magambo asobanura ubwoko butandukanye bw'uburyo bwo kubaga inkari:

• Urostomy: Iri ni ijambo rusange rikoreshwa mu kubaga kose gatuma inkari zijya mu ruhago. Ureterostomy ni bumwe mu bwoko bwa urostomy. Ubundi bwoko bushobora kuba bukubiyemo gukoresha igice cy'amara kugira ngo hakorwe umuyoboro.
• Nephrostomy: Muri ubu buryo, umuyoboro (catheter) winjizwa mu mpyiko kugira ngo inkari zisohoke mu gafuka ko hanze. Ibi bikunze gukoreshwa iyo ureter izibye kandi bishobora kuba iby'igihe gito.
• Ureterostomie: Nkuko byasobanuwe haruguru, ibi bikubiyemo cyane cyane guhuza ureter na stoma iri ku rukuta rw'inda.

Kubaho Nyuma yo Kubagwa

Kumenyera ubuzima nyuma yo kubagwa ureterostomy bishobora gufata igihe. Ni ibisanzwe kumva ufite amarangamutima yo kudashobora kunyara mu buryo busanzwe. Vugana na muganga wawe cyangwa umujyanama wawe nta guhisha; bashobora kugufasha no kugufasha.

Wibuke ko utari wenyine. Abantu benshi bashoboye kumenyera kubaho ufite stoma. Ibande ku kuba ubu buvuzi bugufasha kubaho ubuzima bwiza kandi burambye.

Ibintu by'ingenzi byakunzwe

• Ubuvuzi bw'inkari butuma inkari ziva mu mpyiko zinyura mu gifu, zinyura mu ruhago.
• Akenshi biba ngombwa iyo uruhago rukuweho cyangwa rudakora neza bitewe na kanseri, imvune, cyangwa ibibazo by'imyororokere.
• Agafuka kambaye hejuru y'igifu gakusanya inkari, zigakenera gusukurwa no guhindurwa buri gihe.
• Gukomeza gusukura no kumisha uruhu rw'igifu n'urundi rukikije ni ingenzi cyane.
• Witondere ibimenyetso by'ingorane nko kurakara k'uruhu, kwandura indwara, cyangwa impinduka mu nkari, kandi uhite uhamagara muganga wawe.

Icyitonderwa: Iyi nkuru itanga amakuru rusange kuri iyi ndwara kandi ntigomba gusimbura inama za muganga wawe. Buri gihe gisha inama umuganga.

Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)