Iyo uruhago rukuweho... Reka twige ku kubagwa bihindura uburyo inkari zitembera (Indwara yo kunyura mu nkari)

Tekereza ko uruhago rwawe rwagombaga gukurwaho kubera impamvu runaka, cyangwa se rudakora neza. None se inkari zikorwa mu mubiri zisohoka gute? Nawe ugomba kuba waragize iki kibazo. Icyo gihe ni bwo abaganga bahindukirira icyo bita 'kubaga inkari' cyangwa ' Uguhindura inkari '. Nubwo ibi bishobora gusa n'ibigoye, uyu munsi turabivugaho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Ubwa mbere, reka turebe uko sisitemu yacu y'inkari ikora.

Kugira ngo tubisobanukirwe, tugomba kubanza gusobanukirwa uburyo inkari zikorwa n’uko zisohoka mu mubiri wacu. Biroroshye cyane.

• Impyiko: Izi ni nk'utuyunguruzo tubiri tw'amazi. Ziyungurura amaraso yacu, zigakuramo imyanda idakenewe n'amazi arenze urugero, kandi zigakora "inkari".
• Uretera: Inkari zikorerwa mu mpyiko zijyanwa mu ruhago zinyuze mu miyoboro ibiri. Iyi miyoboro ibiri yitwa uretera.
• Inkari: Iki ni nk'agapira gato. Ni agafuka gakusanya inkari kakabika.
• Urethra: Iyo uruhago rwuzuye, inkari zisohoka muri uyu muyoboro.

Iyi gahunda yose igenzurwa n'imitsi ihuza ubwonko n'uruhago. Iyo uruhago rwuzuye, ubutumwa buhita bwoherezwa mu bwonko. Ubwonko bubwira uruhago kwifata, imitsi yo mu nzira y'inkari ikaruhuka.

Kuki umuntu yakenera ubwoko nk'ubu bwo kubagwa?

Uku kubagwa ni ngombwa gusa iyo uruhago rudakora neza cyangwa rugomba gukurwaho. Hari impamvu nyinshi zishobora kubitera.

• Kanseri y'uruhago .
• Kwangirika k'uruhago guterwa n'imirasire yo kuvura kanseri.
• Indwara zidakira zo mu ruhago zikunze kugaragara kandi ntizikire.
• Gukomereka cyane ku ntera y'inkari.
• Ubusembwa bw'impinja mu gihe cy'ivuka nka spina bifida.
• Indwara z'imitsi nka Multiple Sclerosis (MS) .
• Kunanirwa kwifata cyangwa ububabare bukabije mu ruhago.

Ubwo bwoko bw'ubu burwayi ni ubuhe?

Mu magambo make, abaganga b'inzobere mu kubaga bakoresha agace gato k'amara yawe kugira ngo bakore inzira nshya yo gusohokeramo inkari. Ibi bikorwa mu buryo bubiri bw'ingenzi. Reka turebe uburyo bubiri mu buryo bworoshye kumva.

Uburyo bwo kudakoresha indonke: Ileal Conduit

Ubu ni bwo buryo bukunze gukoreshwa cyane. Aha ntushobora kugenzura uko inkari zitembera. Zihita zihurira mu gafuka.

• Ibyiza:
• Kubaga biroroshye kurusha ubundi buryo.
• Nta mpamvu yo kwishyira mu kabati.
• Ibibi:
• Hari abantu bashobora kumva batameze neza mu mutwe iyo bambaye agakapu gafata inkari.
• Agafuka gashobora kuva amazi cyangwa kakanuka.

Uburyo bwo kohereza inkari ukoresheje uburyo bwo kuzigenzura

1. Isakoshi ya Indiana

Muri ubu buryo, agapfunyika gakozwe mu mara gashyirwa mu mubiri. Uduce tw'inkari dufatanye natwo. Igice gito cy'amara, gifatanye n'aka gapfunyika, kizanwa mu mwenge muto (stoma) ukorerwa mu nda. Inkari ntizisohoka zonyine. Hafi buri masaha ane, ugomba gushyiramo umuyoboro muto (catheter) unyuze muri uyu mwenge kugira ngo inkari zisuke mu gapfunyika.

• Ibyiza:
• Kubera ko inkari ziba ziri mu mubiri, ntabwo bikenewe ko habaho agapfunyika ko hanze.
• Nta byago byo kuva amazi cyangwa impumuro mbi biba bike kuko nta gikapu kirimo.
• Igifu gishobora kuguma gifunze hakoreshejwe plaster.
• Ibibi:
• Kubagwa bifata igihe kirekire.
• Ugomba gushyiramo umuyoboro no gukuramo amazi mu ruhago rwawe buri gihe, hafi buri masaha ane.
• Hari igihe umwobo ushobora kuziba, inkovu zishobora kuvuka, amabuye ashobora kwirema imbere mu gafuka, cyangwa indwara zishobora kuvuka.
• Icy'ingenzi cyane: Niba ku mpamvu runaka umuyoboro udashobora gushyirwamo kandi agakapu kadashobora gukurwamo, gashobora guturika. Iki ni ikibazo cyihutirwa cy'ubuvuzi. Muri icyo gihe, ugomba guhita ujya kwa muganga wita ku barwayi ba ETU (ETU) mu bitaro.

2. Kurema uruhago rushya (Neobladder)

Iki ni cyo kintu cyegereye inzira isanzwe y'inkari. Aha, uruhago rushya rwakozwe mu mara ruhujwe n'umuyoboro wawe w'inkari wa mbere. Bityo nta mwenge wo hanze (stoma) uba uhari. Iyo ukeneye kunyara, ugomba gufunga imitsi yo mu nda kugira ngo ubikore.

• Ibyiza:
• Uburyo bwo kunyara busa cyane n'uburyo busanzwe.
• Nta mwenge wo hanze (stoma) ugomba kwitabwaho.
• Ibibi:
• Kubagwa bifata igihe kirekire.
• Ushobora kugira ikibazo cyo kudafata indorerwamo mu gihe cy'amezi atandatu nyuma yo kubagwa. Hari abantu bashobora kugira iki kibazo nijoro.
• Hari abantu badashobora gukuramo burundu uruhago rwabo rushya. Bashobora kandi gukenera gushyirwamo umuyoboro unyura mu muyoboro w'inkari, haba by'agateganyo cyangwa burundu, kugira ngo bakuremo inkari zabo.

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Bishobora gufata ukwezi cyangwa abiri kugira ngo umuntu akire neza kandi agarure imbaraga nyuma yo kubagwa nk'uku. Binafata igihe kugira ngo umuntu amenyere sisitemu nshya. Ugomba kwihangana kuri ibyo.

• Akazi: Ubusanzwe ushobora gusubira ku kazi mu gihe cy'ukwezi kumwe cyangwa abiri.
• Ibikorwa: Umaze gukira, ushobora gusubira mu myitozo ngororamubiri no gukora siporo. Ariko, banza uganire na muganga wawe mbere yo gukora siporo yo gukomeretsa cyangwa koga.
• Indyo: Muganga agira inama yo kurya ibiryo byoroshye kandi byoroshye gusya mu kwezi kwa mbere nyuma yo kubagwa.
• Ingendo: Nta mbogamizi zihari ku ngendo. Ariko, nyamuneka uzane ibindi bikoresho (udukapu twa ostomy, catheter) nibiba ngombwa.

Uku kubagwa gushobora kukugiraho ingaruka haba ku mubiri no mu mutwe . Ni ibisanzwe kumva uhangayitse kandi uhangayikishijwe n'ubuzima bwawe bw'imibonano mpuzabitsina ndetse n'imibanire yawe n'uwo mwashakanye muri iki kibazo gishya. Ni ngombwa cyane kubiganiraho na muganga wawe mu buryo bweruye.

Ni ryari ngomba kubonana na muganga?

Niba ubonye ibimenyetso by'indwara zo mu nzira y'inkari, hita ubonana na muganga wawe.

• Umuriro
• Gutitira bitewe n'ubukonje
• Isesemi cyangwa kuruka
• Kubabara umugongo cyangwa mu nda
• Inkari zihindura ibara (zikijima) cyangwa zigira impumuro ikomeye

Byongeye kandi, niba uruhu rukikije stoma yawe ruhindutse umutuku, rukabyimba, rukava amabyi cyangwa inkari, cyangwa niba bigoye kwinjiza catheter, menyesha muganga wawe ako kanya.