Tekereza ku mimerere aho udashobora kunyara neza bitewe n'ikibazo cy'uruhago rwawe, wenda bitewe na kanseri, impanuka, cyangwa indwara wavukanye. Muri icyo gihe, ukeneye ubundi buryo bwo gukura inkari mu mubiri wawe. Cyangwa impyiko zawe zishobora kwangirika . Uburyo bumwe abaganga batanga muri bene ibyo bihe ni ukubaga bita ureterostomy . Nubwo izina ry'ibi rishobora kumvikana nk'aho rigoye, reka tubiganireho mu buryo bworoshye.
Ureterostomy ni iki?
Muri make, ubu ni uburyo bwo kubaga bukubiyemo gukuraho imiyoboro ijyana inkari mu mpyiko yawe ikayijyana mu ruhago (izwi nka ureters) hanyuma ikayihuza n'umwenge muto uri mu ruhu rw'inda yawe. Uyu mwenge witwa stoma mu buvuzi.
Tekereza, iyo igice kimwe cy'imiyoboro y'amazi gifunze, dushyiramo umuyoboro mushya kugira ngo twirinde kuziba no gukuramo amazi. Nyuma y'uku kubagwa, inkari zawe ntizijya mu ruhago ahubwo zisohoka mu mubiri zivuye mu mpyiko zinyuze muri iyo stoma. Kugira ngo hakusanywe inkari zisohoka, hakoreshwa agafuka kadasanzwe (agafuka) gafatanye na stoma. Iyo aka gafuka kuzuye, dushobora kukavanamo.
Ubu buryo bwo kubaga bukunze gukorwa nk'igisubizo gihoraho. Hari igihe ureteri imwe gusa ari yo ishobora guhuzwa, cyangwa byombi bikaba byahuzwa.
Kuki ukeneye kubagwa nk'ubu?
Hari impamvu nyinshi zishobora gutuma umuganga akugira inama yo kubagwa. Impamvu nyamukuru ni uko uruhago rwawe rudakora neza.
- Mu gihe uruhago rukuweho: Hari igihe, bitewe n'indwara nka kanseri y'uruhago, bishobora kuba ngombwa ko rukurwaho burundu.
- Iyo uruhago rwangiritse: Iyo uruhago rwangiritse bitewe n'impanuka cyangwa indi ndwara kandi rudakora neza.
- Uturemangingo tw’impinja: Hari indwara zimwe na zimwe zivukanwa, nka spina bifida, zishobora gutera imikorere mibi y’uruhago rw’inkari.
- Gukomereka k'umugongo: Gukomereka k'umugongo bishobora kugira ingaruka ku mitsi igenzura uruhago, bigatera kugorwa no kunyara.
Ni bibi ko inkari zifatwa mu mubiri bitewe n'impamvu nk'izi. Bishobora gutera kwihagarika kenshi.Indwara zo mu nzira y'inkari ( UTI ) zishobora kubaho ndetse zikanatera impyiko gucika intege. Bityo ubu buryo bwo kubaga bushobora kugabanya ibyo byago.
Ni ibihe bipimo bikorwa mbere yo kubagwa?
Mbere yo gukora ubu buvuzi, abaganga bazakora ibizamini byinshi kugira ngo basobanukirwe neza uko umubiri wawe umeze.
| Izina ry'Ikizamini | Mu magambo make, ubona iki muri byo? |
|---|---|
| Ibipimo by'imikorere y'impyiko | Reba uburyo impyiko zawe zikora neza. |
| Gupima amaraso | Suzuma ubuzima bw'umubiri muri rusange kandi urebe niba hari ubwandu. |
| Ibizamini byo gupima (X-ray, Ultrasound) | Sobanukirwa neza imiterere n'aho impyiko, uturemangingo tw'inkari n'uruhago biherereye. |
| Pyelogram yo gusubira inyuma | Hashyirwamo amazi yihariye (irangi) binyuze mu muyoboro w'inkari hanyuma hagafatwa X-ray kugira ngo harebwe niba hari imbogamizi mu miyoboro y'inkari. |
| Gupima C. T. (CT scan) | Amafoto y'umubiri afashwe mu bice bitandukanye kugira ngo hamenyekane neza. |
| M. R. I. (MRI) | Haboneka amashusho arambuye y'impyiko n'inzira y'inkari. |
Nanone, mbere yo kubagwa, umuganga cyangwa umuforomo wabyigiye azaganira nawe kugira ngo agufashe kumenya ahantu heza ho gutera stoma. Hagomba kuba ahantu ushobora kubona byoroshye kandi utazafatwa mu myenda yawe (urugero: umukandara) .
Ubuzima nyuma yo kubagwa no kwita ku ivuriro
Nyuma yo kubagwa, uzagomba kumenyera ubuzima bushya, ariko ntabwo bigoye nkuko wabitekereza.
Uko stoma n'umufuka bikora
Stoma si imitsi. Kubwibyo, ntishobora kugenzura inkari . Inkari zikomeza gusohoka buhoro buhoro.
- Uburyo bwo gukaraba: Iki gice gifite ibice bibiri. Kimwe ni uruzitiro rufata ku ruhu. Ikindi ni agafuka gakusanya inkari. Hari igihe ibice byombi bizana.
- Uruzitiro: Uru ni agapapuro k'impandeshatu gafite umwobo hagati kugira ngo gahure n'agace k'inyama. Ishinya yihariye kuri ibi ifasha kwirinda inkari kuva kandi igakomeza gufatana neza n'uruhu.
- Agafuka k'inkari: Aka gafatanye n'agace k'uruhu. Inkari zihurira muri ako gace.
Ubusanzwe, agapfunyika gakwiye gusukurwa iyo gamaze kuba kimwe cya gatatu cyangwa kimwe cya kabiri cyuzuye . Udakuyemo agapfunyika, ushobora gufungura valve iri hasi hanyuma ugasuka inkari mu musarani. Mu ijoro, ushobora gushyira umuyoboro kuri iyi valve hanyuma inkari zigateranywa mu gapfunyika kanini. Kubera ko utu dupfunyika dukwiranye neza n'umubiri, ntabwo tugaragara iyo wambaye imyenda isanzwe.
Kwita ku gifu n'uruhu rukikije
Ni ingenzi cyane kugira ngo stoma n'uruhu ruyikikije bikomeze bisukuye kandi byumye.
- Oza stoma n'uruhu ruyikikije buri munsi ukoresheje isabune n'amazi byoroshye.
- Oza n'amazi kugeza isabune irangiye.
- Hanyuma, reka byumutse neza. Si byiza kugira ubushuhe.
Agafuka n'uruzitiro bigomba guhindurwa buri minsi 5-7 . Ibitaro bizakwigisha uburyo bwo kubikora byose.
Ni ryari ugomba kuvugana na muganga?
Buri gihe wirinde stoma yawe n'uruhu ruyikikije. Nubona impinduka iyo ari yo yose, menyesha muganga wawe ako kanya.
| Ibintu byo kwitondera | Ibisobanuro |
|---|---|
| Ibibazo by'uruhu | |
| Gutukura cyangwa gukomereka | Niba uruhu rukikije stoma rutukura, ruryana, cyangwa rurimo kuzana amazi. |
| Uruhu rushyushye cyangwa imvune | Iyo uruhu rwumye, rwacitse, cyangwa rufite ububobere. |
| Ibimenyetso by'ubwandu | |
| Impinduka mu nkari | Inkari zijimye, amaraso mu nkari, cyangwa impumuro ikomeye. |
| Ibindi bintu | Kubabara umugongo, umuriro, isesemi cyangwa kuruka, kubura ubushake bwo kurya. |
Ubutumwa bwo kujyana mu rugo
- Ureterostomy ni uburyo bwo kubaga bukoreshwa mu gusohora inkari mu mubiri iyo uruhago rudakora.
- Ibi bituma inkari zisohoka mu mpyiko zinyuze mu mwenge (stoma) wakorewe mu ruhu hanyuma zigashyirwa mu gafuka kabigenewe.
- Ni ngombwa cyane kugira ngo uruhu n'ibirukikije bikomeze kumera neza kugira ngo hirindwe indwara n'ibibazo by'uruhu.
- Niba ubonye ibibazo, nk'umuriro, impinduka mu nkari, cyangwa gutukura k'uruhu, bimenyeshe muganga wawe vuba.
- Nubwo ubu buvuzi buzaba impinduka ikomeye mu buzima bwawe, buzarinda kwangirika gukomeye kw'impyiko zawe kandi bugufashe kubaho ubuzima bwiza.
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