Ese wabonye ko inzira y'inkari zawe idakomeye nkuko byari bimeze mbere? Ese inzira y'inkari zawe yumva ari nto, cyangwa uri kubabara cyangwa urimo gutemba? Niba uhura n'izi ngorane, bishobora guterwa no kuziba k'umuyoboro w'inkari yawe. Mu buvuzi, ibi bizwi nka " urethral stricture" . Ntugahangayikishwe n'iryo jambo; iyi ni indwara ikunze kugaragara ku bantu benshi. Muri Nirogi Lanka, turashaka kukubwira uburyo bworoshye kandi bufite akamaro bwo kuvura iki kibazo.
Mu magambo make, kwaguka k'umuyoboro w'inkari ni iki?
Kwagura urethral ni uburyo bukoreshwa mu kwagura inzira y'inkari . Umuyoboro w'inkari unyuramo witwa urethra . Nk'uko umuyoboro w'amazi wafunzwe ugabanya amazi atembera, iyo urethra yawe igize inkovu zigatera kugabanuka, inkari zawe ziragorana. Iyi ndwara yitwa stricture y'urethra . Kwagura urethra ni uburyo bworoshye bugamije kurambura no kwagura agace gato.
Kuki urethra ifunga?
Hari impamvu nyinshi zishobora gutuma ibi bibaho:
- Indwara: Ziterwa n'indwara zimwe na zimwe zo mu nzira y'inkari.
- Kubyimba: Kubyimba k'umuyoboro w'inkari kubera impamvu zitandukanye.
- Ihungabana: Gukomereka muri ako gace cyangwa ingaruka z'uko umuntu yabanje kubagwa.
- Idiopathic: Hari igihe iyi ndwara ibaho nta mpamvu igaragara neza.
Iyi ndwara ikunze kugaragara ku bagabo kurusha abagore, ahanini bitewe nuko urethra y'abagabo ari ndende.
Ubu buvuzi bukorwa bute?
Mu gihe cyo kubagwa, umuganga w’inkari (inzobere mu bijyanye n’inkari ) azakoresha ibikoresho bito kandi byoroheje (bizwi mu buvuzi nka amajwi ) kugira ngo yongere buhoro buhoro urethra yagabanutse. Ubundi buryo burimo gushyiramo agakoresho gato kameze nk’agapira hanyuma ukagashyiramo umwuka kugira ngo ufungure aho gufungana.
Ubu buryo nk'ubwo bwitwa urethrotomy . Muri ubu buryo, cystoscope - umuyoboro muto ufite kamera - yinjizwa mu muyoboro w'inkari kugira ngo igaragaze neza aho hantu. Agace gato (scalpel) ku isonga ry'igikoresho gakoreshwa mu gukata neza uduce tw'inkovu kugira ngo haveho kuziba kw'inkovu.
Ni ngombwa kumenya ko iyo kuziba kw'imitsi kugarutse nyuma yo kubagwa, amahirwe yo kongera kugaruka aba menshi. Muri ibyo bihe, muganga wawe ashobora kukugira inama yo kubagwa mu buryo burambuye buzwi nka urethroplasty . Muganga wawe azagusobanurira aya mahitamo mu buryo burambuye.
Wagombye kwitegura ute?
Mbere yo kubagwa, uzahura na muganga wawe kugira ngo bamugire inama aho azasuzuma ubuzima bwawe muri rusange, umuvuduko w'amaraso, n'imitsi itera.
- Ibizamini: Ushobora gukorerwa isuzuma rya cystoscopy cyangwa ibindi bizamini byo gufata amashusho kugira ngo umenye neza ingano y'igabanuka ry'ibinure.
- Isuzuma ry'inkari : Hazakorwa isuzuma ry'inkari kugira ngo harebwe niba hari bagiteri . Iyo hagaragaye ubwandu, ushobora gukenera imiti igabanya ubukana mbere yuko igikorwa gitangira.
- Kumenya imiti: Ibi ni ingenzi cyane.Ugomba kumenyesha muganga wawe imiti yose ufata, harimo n'iya diyabete, umuvuduko w'amaraso, imiti igabanya ububabare itangwa na muganga, vitamine, ndetse n'inyongeramusaruro z'ibimera cyangwa Ayurvedic . Imiti nka Aspirine ishobora kongera ibyago byo kuva amaraso.
- Amabwiriza y'imirire: Niba wateganyije ko ufata ikinya , ushobora kubwirwa kwiyiriza ubusa (nta kurya cyangwa kunywa) nibura amasaha 6 mbere y'uko ubagwa. Baza muganga wawe niba ugomba gufata imiti yawe ya buri munsi unywa amazi make.
Ni iki kibaho mu gihe cyo kubagwa no nyuma yaho?
Ubwa mbere, ni ngombwa kumenya ko ubu atari ukubaga gukomeye . Kenshi na kenshi, ni ukubagwa hanze y'ibitaro , bivuze ko ushobora gusubira mu rugo uwo munsi.
Ubusanzwe, igikorwa gikorwa hakoreshejwe ikinyabutabire, bityo ntuzumva ububabare ubwo aribwo bwose. Iyo uri maso mu gihe cyo gukora, gel ikoreshwa mu gusiga amavuta agabanya ububabare ku muyoboro w'inkari kugira ngo igufashe kumva umerewe neza.
Nyuma yo kwagura uburyo bwo kuziba uruhago rwawe, muganga ashobora gukoresha cystoscope kugira ngo asuzume uruhago rwawe kugira ngo arebe neza ko nta kindi kibazo kirimo. Ubusanzwe igikorwa cyose kimara igihe kitarenze isaha imwe .
Nyuma yo kubagwa, ushobora kugira katheta ntoya yo mu nkari kugira ngo worohereze inzira y'inkari mu gihe urethra ikira. Ntugahangayike kuko katheta ikunze gukurwaho nyuma y'iminsi mike, hanyuma ukabasha kunyara neza.
| Icyo wakwitega nyuma yo kubagwa | Ibisobanuro |
|---|---|
| Ububabare | Ushobora kugira ububabare buke cyangwa ububabare mu gihe cyo kwihagarika. Ibi bikunze kugabanuka mu minsi mike. Ushobora gukoresha uburyo busanzwe bwo kugabanya ububabare ukoresheje icyuma cyabigenewe. |
| Catheter | Catheter ishobora kuguma mu mwanya wayo iminsi mike. Ni ibisanzwe kubona amaraso make mu nkari zawe ( hematuria ) cyangwa kumva uruhago rumerewe nabi ( kubabara mu ruhago ). |
| Gusubira ku kazi | Muri rusange ushobora kongera gukora imirimo yoroheje mu minsi mike. Nyamuneka wirinde gukora akazi gakomeye no gukora imibonano mpuzabitsina byibuze icyumweru kimwe cyangwa kugeza igihe muganga wawe azabikwemerera. |
| Igihe cyo guhamagara muganga wawe ako kanya | |
| Ibibazo byihutirwa | Jya mu ishami rishinzwe ubutabazi bwihuse riri hafi yawe cyangwa uhamagare 911 niba ubonye ibi bimenyetso. |
Ubu buryo bwagenze neza gute?
Kwaguka k'umuyoboro w'inkari bigira akamaro cyane mu gihe gito. Ku bipimo biri munsi ya cm 2, hari igipimo cyo gutsinda kingana na 60%. Inyungu y'ibanze ni ukugabanya kuziba kw'inkari, bigatuma ushobora kunyara byoroshye kandi nta kubabara.
Ariko, iki gishobora kuba atari igisubizo gihoraho kuri buri wese. Uko igihe kigenda gihita, kugabanya ububabare bishobora kugaruka. Ibi nibibaho, ushobora gukenera gusubiramo ubu buryo cyangwa ugatekereza ku bundi buryo bwo kuvura. Muganga wawe wo muri Nirogi Lanka azaguha igisubizo cyiza gihuye n'uburwayi bwawe. Nyamuneka ganira n'umuganga wawe ku buntu ku mpungenge zose.
Ubutumwa bwo kujyana mu rugo
👩🏽⚕️ Ibibazo Bikunze Kubazwa
💬 Muganga, ni iki gitera ingorane mu kunyara? Ese ibi ni bibi cyane?
Ingorane zawe zo kunyara zishobora guterwa no kugabanuka k'umuyoboro w'inkari, mu buvuzi bizwi nka 'stricture y'umuyoboro w'inkari.' Ntugahangayike, kuko iyi ni indwara isanzwe. Tekereza nk'umuyoboro wafunze; inkovu ziri mu muyoboro w'inkari zagabanyije inzira, zigahagarika inzira y'inkari. Ibi bishobora guterwa n'indwara zandurira mu mitsi, kubyimba, cyangwa ibikomere byabanje. Hari igihe, impamvu isobanutse ishobora kutamenyekana.
💬 Iyi ndwara ivurwa ite?
Dukoresha uburyo bworoshye kandi budakoresha uburyo bwinshi bwitwa 'Urethral Dilation' kugira ngo twagure buhoro buhoro agace kari kagabanutse. Nk'inzobere, dukoresha ibikoresho bito birushaho kwiyongera buhoro buhoro mu bunini kugira ngo twongere buhoro buhoro urethra. Mu bihe bimwe na bimwe, dushobora gukoresha agapira gato kabigenewe kugira ngo tugere ku musaruro umwe. Ubu buryo bugarura neza inzira y'inkari isanzwe.
