Ese nawe ufite ikibazo cyo kunyara vuba nkuko wabikoraga mbere? Ese inkari zawe ziragabanuka? Wenda zirimo kubabara gato? Niba ufite ubu burwayi nk'ubu, impamvu ishobora kuba ari ukuziba k'umuyoboro w'inkari . Mu buvuzi, ibi tubyita (urethral stricture) . Ntugatinye iyo wumvise iri zina, iyi ni indwara ifata abantu benshi. Uyu munsi rero tugiye kuvuga ku buryo bworoshye kandi bufite akamaro bwo kuvura ibi.
Mu magambo make, kwaguka k'umuyoboro w'inkari ni iki?
Kwaguka k'umuyoboro w'inkari ni uburyo bwo kwagura umuyoboro w'inkari . Umuyoboro w'inkari ni umuyoboro w'inkari unyuramo. Nk'uko iyo umwanda ufashe mu muyoboro w'amazi, amazi aratemba, iyo inkovu zitangiye kugaragara mu muyoboro w'inkari kubera impamvu runaka zikaziba, inzira z'inkari nazo ziragabanuka kandi zikagorana. Ibi byitwa uburyo bwo kwaguka k'umuyoboro w'inkari . Bityo ubu buryo bworoshye bwitwa kwaguka k'umuyoboro w'inkari bwongera kwaguka buhoro buhoro ahantu hazibasiwe.
Kuki inzira y'inkari ifungana gutya?
Hashobora kuba hari impamvu nyinshi zibitera.
- Indwara: Biterwa n'indwara zimwe na zimwe mu nzira y'inkari.
- Kubyimba: Kubyimba inzira y'inkari bitewe n'impamvu runaka.
- Ihungabana : Nyuma y'impanuka cyangwa kubagwa muri ako gace.
- Nta mpamvu: Hari igihe iyi ndwara ishobora kubaho nubwo nta mpamvu igaragara yaboneka.
Iyi ndwara ikunze kugaragara ku bagabo kurusha abagore. Ibi biterwa nuko urethra y'abagabo iba ndende.
Ubu buvuzi bukorwa bute?
Muri ibi, umuganga wawe, umuganga w’inzobere mu bijyanye n’imiti y’inkari , akoresha igikoresho kirekire, gito (cyitwa igikoresho cy’amajwi mu magambo y’ubuvuzi) kigenda kirushaho kuba kinini kugira ngo cyongere buhoro buhoro urethra yazibye. Ubundi buryo ni ugushyiramo ikintu kimeze nk’agapira gato hanyuma ukakibutsa buhoro buhoro kugira ngo wongere agace kazibyemo.
Hari ubundi buryo busa n'ubwo bwitwa urethrotomy . Muri ubu buryo, umuyoboro ungana n'ikaramu ifite kamera ku mpera (cystoscope) unyuzwa mu muyoboro w'inkari kugira ngo harebwe neza ibirimo kuba. Iki gikoresho gikoresha icyuma gito (scalpel) kugira ngo gice urethra.Baca kandi bagakuraho inkovu zari zafashwe maze bagakora umuhanda neza.
Ariko hari ikintu kimwe. Iyo ubikoze rimwe ukongera kubyimba, hari amahirwe menshi ko bizongera kubaho nubwo wabikora ukundi. Muri icyo gihe, muganga wawe ashobora kukugira inama yo kubagwa bikomeye kurushaho (urethroplasty) . Muganga wawe azagusobanurira birambuye.
Wakwitegura ute ibi?
Mbere y'ubu buvuzi, uzakenera kujya kwa muganga. Aho niho bazasuzumira ubuzima bwawe muri rusange, umuvuduko w'amaraso, n'imitsi itera.
- Ibizamini: Isuzuma rya cystoscopy cyangwa ikindi kizamini cyo gufata amashusho gishobora gukorwa kugira ngo harebwe neza uburyo urethra yazibye.
- Isesengura ry'inkari : Hazakorwa isuzuma ry'inkari kugira ngo harebwe niba hari bagiteri . Niba hari ubwandu bwa bagiteri, uzakenera gufata imiti yica udukoko mbere y'uko ubu buvuzi butangira.
- Kumenya imiti: Ibi ni ingenzi cyane. Ugomba kubwira muganga wawe imiti iyo ari yo yose ufata, harimo imiti ya diyabete, umuvuduko w'amaraso, imiti igabanya ububabare itangwa na muganga , vitamine, ndetse n'imiti ya Ayurvedic . Imiti imwe, nka aspirine, yongera ibyago byo kuva amaraso.
- Ibiryo n'ibinyobwa: Niba urimo gusinzira muri ubu buryo, uzasabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose nibura amasaha 6 mbere y'uko ubu buryo butangira. Niba ufite imiti ya buri munsi, baza muganga wawe niba ushobora kuyinywa ukoresheje amazi make.
Ni iki kibaho mu gihe cyo kuvurwa na nyuma yaho?
Mbere na mbere, ubu si ukubagwa gukomeye. Kenshi na kenshi, ushobora gutaha umunsi umwe nyuma yo kuvurwa (gukorerwa hanze) .
Ibi bikunze gukorwa mu gihe uryamye (uri mu bitotsi). Bityo ntuzumva ububabare ubwo aribwo bwose. Hari igihe, iyo bikozwe ukiri maso, amavuta agabanya ububabare ashyirwa ku muyoboro w'inkari kugira ngo bigufashe kugabanya ububabare.
Nyuma yo kwaguka kw'aho igitsina kiziba, muganga ashobora gushyiramo umuyoboro wa kamera (cystoscope) mu ruhago kugira ngo arebe ibindi bibazo. Igikorwa cyose kimara igihe kitarenze isaha.
Nyuma yo kuvurwa, hazakoreshwa umuyoboro muto (catheter y'inkari) kugira ngo inkari zisukemo amazi byoroshye kugeza igihe urethra ikize.Bizaguma mu mwanya wabyo. Ntugahangayike. Uyu muyoboro ushobora gukurwaho mu minsi mike. Nyuma y'ibyo, uzabasha kunyara byoroshye.
| Icyo wakwitega nyuma yo kuvurwa | Ibisobanuro |
|---|---|
| Ububabare | Hashobora kubaho ubushye n'ububabare mu muyoboro w'inkari no mu gihe cyo kunyara. Ibi bizashira mu minsi mike. Imiti isanzwe igabanya ububabare irashobora gukoreshwa. |
| Katheteri y'umuyoboro w'inkari (Catheteri) | Ishobora gusigara mu mwanya wayo iminsi mike. Ni ibisanzwe kugira amaraso mu nkari ( hematuria ) no kubabara mu ruhago . |
| Gusubira ku kazi | Akazi koroheje gashobora gusubukurwa mu minsi mike. Ni byiza guhagarika akazi gakomeye n'imibonano mpuzabitsina byibuze icyumweru kugeza igihe muganga azakugira inama. |
| Igihe cyo guhamagara muganga wawe ako kanya | |
| Ibibazo byihutirwa |
|
Ubu buryo bwo kuvura bufite akamaro kangana iki?
Uburyo bwo kuvura inkari mu gihe gito bugira ingaruka nziza cyane. Bugira ingaruka nziza ku kigero cya 60% ku mfuruka iri munsi ya santimetero 2. Inyungu ikomeye ni uko ibimenyetso byo kuziba inkari bishira kandi ushobora kunyara byoroshye kandi nta bubabare.
Ariko, iki gishobora kuba atari igisubizo kirambye kuri buri wese. Uko igihe kigenda gihita, urethra ishobora kongera gufunga. Hanyuma ushobora kongera kuvurwa cyangwa ubundi buryo bukwiye. Muganga wawe azaguha igisubizo cyiza kuri ibi bitewe n'uko umerewe. Rero, ntugire ikibazo na kimwe utekerezaho kandi uganire na muganga wawe kuri byose.
Ubutumwa bwo kujyana mu rugo
- Kwaguka k'umuyoboro w'inkari ni uburyo bworoshye kandi bwihuse bwo kuvura ubwinshi bw'inkari .
- Ubu si ukubagwa gukomeye, kandi ushobora gukira vuba. Ushobora gusubira mu mirimo isanzwe mu minsi mike.
- Ni ibisanzwe kugira ububabare n'ubushyuhe mu nzira y'inkari nyuma yo kuvurwa. Ibi bizashira mu minsi mike.
- Ibi bishobora kuba atari igisubizo gihoraho buri gihe. Kuri bamwe, iyi ndwara ishobora kongera kugaruka uko igihe kigenda gihita.
- Niba ugize ibimenyetso bidasanzwe nko kugira umuriro, ububabare bukabije, cyangwa kunanirwa kwihagarika, menyesha muganga wawe ako kanya.
👩🏽⚕️ Ibibazo Bikunze Kubazwa (FAQ) biturutse kuri Muganga
💬 Muganga, ni iki gitera ubu burwayi bwo kunyara? Ese iyi ni indwara ikomeye?
Impamvu ugira ikibazo cyo kunyara ishobora kuba ari ukugabanuka k'umuyoboro w'inkari. Ibi tubyita 'uburyo bwo kugabanya umuyoboro w'inkari'. Ntugahangayike, iyi ni indwara ikunze kugaragara. Nk'uko umuyoboro w'inkari uzibye ushobora kugabanya umuvuduko w'amazi, ni ko n'inkari yawe ishobora kuba yarafunzwe n'inkovu. Ibi bishobora guterwa n'ibintu nk'ubwandu, kubyimba, cyangwa imvune yabanje. Hari igihe nta mpamvu igaragara ihari.
💬 None se, abaganga, ni ubuhe buryo bwo kuvura ibi? Bikorwa bite?
Ubu buryo bworoshye bwo kuvura ibi bwitwa 'Urethral Dilation'. Ibyo bivuze kwagura buhoro buhoro urethra yazibye. Tubikora nk'umuganga w'inzobere, dukoresha ibikoresho bito birushaho kuba binini buhoro buhoro, kandi buhoro buhoro twagura agace kazibye. Hari igihe ibi bishobora gukorwa ushyizemo ikintu kimeze nk'agapira gato imbere ukakabyaza. Ibi bishobora kugufasha kongera gutemba inkari zawe.
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