Ese nawe ufite ikibazo cyo gukuramo burundu uruhago rwawe? Reka tuvuge ku bijyanye no kubika inkari!

Ese hari igihe wumva udashobora kunyara burundu? Cyangwa unyara gato gusa hanyuma ukumva ugomba kongera kunyara? Ibi ni byo twita gusa kubikwa kw'inkari, cyangwa mu buvuzi byitwa "Kubikwa kw'inkari". Ikibaho muri ibi ni uko uruhago rwawe rudasohoka burundu. Uruhago rwacu rumeze nk'ikigega cy'amazi. Inkari ziyungururwa n'impyiko zivuye mu mazi n'amazi tunywa, zikusanyirizwa muri uru ruhago. Hanyuma zigasohoka zinyuze mu muyoboro w'inkari.

Kugumana inkari ni iki? Hari ubwoko bwazo?

Mu magambo make, kugumana inkari ni igihe uruhago rwawe rudasohoka burundu iyo uri kunyara. Ibi bishobora kubaho mu buryo bubiri bw'ingenzi. 1. Guhorana inkari mu buryo butunguranye: Iyi ni indwara itunguranye kandi itunguranye. Ushobora kudashobora kunyara na gato. Iyi ni indwara isaba ubuvuzi bwihutirwa. 2. Guhorana inkari mu buryo buhoraho: Iyi ni indwara igenda ikura buhoro buhoro uko igihe kigenda gihita. Ibimenyetso nabyo bigaragara buhoro buhoro. Ibi bishobora guterwa n'ibintu nko kuziba inzira y'inkari, imiti imwe n'imwe, n'ibibazo by'imitsi.

Tekereza ibi, nk'igihe ikintu gifatiwe mu muyoboro w'amazi, amazi ahita ahagarara gutemba.

Guhorana inkari mu buryo butunguranye akenshi biba ari ikibazo cyihutirwa . Iyo bibaye, ugomba guhita ubonana na muganga. Guhorana inkari mu buryo burambye bikunze kugaragara ku bagabo bari hagati y'imyaka 60 na 80.

Iyi ndwara ikunze kugaragara gute?

Ubushakashatsi bwerekana ko abagabo barengeje imyaka 70 na 30% by'abagabo barengeje imyaka 80 bashobora guhura n'iki kibazo. Nubwo abagore nabo bashobora kugira ikibazo cyo kutagira inkari, ntabwo gikunze kugaragara cyane ugereranyije n'abagabo.

Ni ibihe bimenyetso byo kugumana inkari?

Ibi bimenyetso bishobora gutandukana bitewe n'uko ufite ibimenyetso by'indwara by'icyorezo cyangwa iby'indwara zidakira.

Ibimenyetso byo Kubika Inkari mu Buryo Bukomeye

Muri iki gihe, ibimenyetso bigaragara mu buryo butunguranye.

• Kunanirwa kunyara, cyangwa inkari nke cyane nubwo uruhago rwuzuye.
• Mu bihe bikomeye, ushobora kugira ububabare mu nda no kubabara mu nda yo hasi. Ibi nibikubaho, ugomba guhita ubonana na muganga.

Ibimenyetso byo Kugumana Inkari mu Buryo Budakira

Ibimenyetso bishobora gutandukana bitewe n'umuntu ku giti cye. Bimwe mu bimenyetso bisanzwe birimo:

• Kugorwa no gutangira kunyara.
• Inkari zigenda gahoro, zigenda gahoro cyangwa zitagenzurwa.
• Kumva ukeneye kongera kunyara ukimara kurangiza kunyara.
• Kumva ukeneye kunyara igihe cyose.
• Kuva inkari nkeya utabizi.
• Gukanguka inshuro nyinshi nijoro kugira ngo unyoye (Nocturia).

Ni izihe mpamvu zituma inkari zigumana?

Hari impamvu nyinshi zishobora gutuma inkari zigumana. Impamvu nyamukuru ni izi:

• Hari ubwoko bw'imbogamizi mu nzira y'inkari zisohoka mu mubiri.
• Hari imiti ufata ku zindi ndwara.
• Ibibazo bifitanye isano n'imitsi bibangamira ihererekanya ry'ubutumwa hagati y'ubwonko n'urwungano rw'inkari .
• Indwara cyangwa kubyimba bibuza inkari.
• Kubagwa (cyane cyane nyuma yo kubagwa bimwe na bimwe).

1. Guhagarika

Iyo hari ikintu kibuza inkari kuva mu ruhago kugera mu muyoboro w'inkari, gishobora gutuma inkari zifunga. Uku kuziba ni yo mpamvu nyamukuru ituma inkari zigumana. Zimwe mu mpamvu zishobora gutera izi nko kuziba ni izi:

• Prostate Yagutse : Ku bagabo, prostate ishobora kwiyongera no gukanda urethra, bigatuma habaho kuziba. Ibi kandi byitwa Benign Prostatic Hyperplasia ( BPH ).
• Kuziba kw'inkari mu rukenyerero: Kuziba kw'inkari aho zisohokera mu rukenyerero (ijosi ry'urukenyerero).
• Kuziba k'umuyoboro w'inkari: Kuziba k'umuyoboro w'inkari bitewe n'amabuye y'inkari, kubyimba kw'amaraso, ibibyimba, cyangwa izindi mpamvu.
• Cystocele : Uruhago rw'umugore rusohoka mu gitsina.
• Rectocele: Indwara aho igice cy'umura ku bagore cyisunika mu rukuta rw'igitsina.
• Kugabanuka k'umuyoboro w'inkari: Kugabanuka k'umuyoboro w'inkari bitewe n'inkovu.

2. Imiti

Imiti imwe na imwe ishobora gutuma inkari ziguma mu mwanya wazo. Urugero:

• Antihistamines (urugero: Benadryl®)
• Imiti igabanya ububabare mu mutwe (urugero: Detrol®)
• Imiti igabanya ububabare mu maraso (urugero: Vicodin®)
• Imiti igabanya ubukana bwa tricyclic (nk'iya Elavil®)

Ibi bishobora guhindura uburyo imitsi y'uruhago ikora. Hari ubundi bwoko bw'imiti burimo:

• Imiti imwe n'imwe igabanya umuvuduko w'amaraso.
• Imiti imwe n'imwe ivura indwara zo mu mutwe (Antipsychotics).
• Imiti iruhura imitsi.

3. Ibibazo by'imitsi

Ushobora kuba utabizi, ariko ubwonko bwacu nabwo bugira uruhare mu kunyara. Ubwonko bwohereza ikimenyetso ku mitsi yo mu ruhago kugira ngo ikomeze, ari na cyo gihe inkari zisohoka. Muri icyo gihe, ubwonko bubwira imitsi ikikije urethra (imitsi ya sphincter) koroherwa. Iki ni cyo gihe inkari zisohoka byoroshye. Rero, niba hari ikibazo muri ubu buryo bwo kuvugana hagati y'ubwonko n'imitsi, ibibazo byo kunyara bishobora kubaho. Impamvu zishobora gutera ibibazo bifitanye isano n'imitsi:

• Indwara yo mu bwonko (stroke) .
• Diyabete `(Diabete Mellitus)`.
• Sclerosis nyinshi (MS).
• Kwangirika k'umugongo cyangwa agace k'ikibuno bitewe n'impanuka cyangwa imvune.
• Gukanda uruti rw'umugongo bitewe n'ikibyimba cyangwa disiki ya herniated.
• Kubyara bisanzwe `(Kubyara mu gitsina)`.
• Hari abaganga bamwe na bamwe bakorewe mu gice cy'ikibuno.

Niba warigeze gukoresha catheter (umuyoboro w'inkari) mu bihe byashize, uba ufite ibyago byinshi byo kugira ibibazo by'imitsi.

4. Kwandura cyangwa kubyimba

Indwara no kubyimba nabyo bishobora kubuza inkari gutembera mu muyoboro w'inkari. Ingero:

• Prostatite: Indwara cyangwa kubyimba kwa prostate, bigatuma ibyimba kandi igakandagira ku muyoboro w'inkari, bigahagarika inzira y'inkari.
• UTI: Indwara mu miyoboro y'inkari ishobora gutuma urethra ibyimba cyangwa uruhago rugacika intege. Ibi byombi bishobora gutuma inkari ziguma mu mwanya wazo.
• Indwara zandurira mu mibonano mpuzabitsina (STIs): Izi ndwara zishobora no gutera kubyimba no kuziba inkari.

5. Kubagwa

Kugumana inkari bishobora no kubaho nyuma yo kubagwa bimwe na bimwe. Urugero, gusimbuza ikibuno cyangwa kubagwa uruti rw'umugongo. Nanone, kugumana inkari by'agateganyo bishobora kubaho bitewe n'ikinya rusange mu gihe cyo kubagwa.

Ni ibihe bintu bishobora gutuma inkari zigumana?

Nubwo kubikwa kw'inkari bishobora kubaho ku muntu uwo ari we wese, bikunze kugaragara ku bagabo . Ibi byago biri hejuru cyane ku bagabo bafite prostate gland yagutse (Benign Prostatic Hyperplasia cyangwa BPH), kuko prostate gland yabo ikandagira kuri urethra ikabuza inzira y'inkari gutembera.

Ni izihe ngorane zishobora guterwa no kugumana inkari?

Iyo iyi ndwara itamenyekanye cyangwa ngo ivurwe, ibibazo bikurikira bishobora kubaho:

• Infection mu nzira y'inkari (UTIs): Iyo inkari zikusanyije mu ruhago, bitera ahantu heza ho gukura bagiteri. Ibi bishobora gutera indwara zo mu nzira y'inkari, zishobora gukwirakwira mu mpyiko.
• Kwangirika k'inkari: Iyo inkari nyinshi zirundanyije mu ruhago, imitsi y'uruhago ishobora kwangirika no kwangirika.
• Kwangirika kw'impyiko:Iyo indwara y’inkari ikwirakwira mu mpyiko, impyiko zishobora kubyimba no kubyimba. Uyu muvuduko ushobora kwangiza impyiko no gutera indwara z’impyiko.
• Kuva inkari mu rukenyerero bitabayeho: Iyo uruhago rwawe rutarimo ubusa rwose, ushobora no kuva inkari zimwe utabizi.
• Amabuye yo mu ruhago: Amabuye yo mu ruhago ashobora kuvuka iyo inkari zirundanyije mu ruhago.

Uburyo bwo kubika inkari bupimwa bute?

Guhagarika inkari cyane ni ikibazo cyihutirwa cy’ubuvuzi . Niba ufite ikibazo gitunguranye cyo kunyara, cyane cyane niba ubabara mu nda cyangwa mu gice cyo hepfo cy’umugongo, ugomba kwihutira gushaka inama kwa muganga . Niba ufite ikibazo cy’uko inkari zidakira, ugomba kujya kwa muganga w’inzobere mu mikurire y’inkari. Azakora ibi bikurikira:

• Bazakubaza ibimenyetso byawe n'igihe umaze urwaye.
• Amateka yawe yose y'ubuvuzi azaboneka.
• Akora isuzuma ry'umubiri.
• Isuzuma ry'inkari rikorwa kugira ngo harebwe niba hari ubwandu.
• Hakorwa isuzuma rya digitale rectal kugira ngo hasuzumwe prostate gland.

Byongeye kandi, muganga ashobora gukora ibindi bipimo kugira ngo amenye impamvu ituma inkari ziguma mu mubiri:

• Ikizamini cy'inkari zisigaye nyuma yo kubura (PVR): Iki gipimo cy'inkari zisigaye mu ruhago rwawe nyuma yo kunyara.
• Cystoscopy: Ibi bikubiyemo gusuzuma imbere mu ruhago n'umuyoboro w'inkari hakoreshejwe cystoscope, umuyoboro ungana n'ikaramu, hamwe n'urumuri na kamera cyangwa lenti.
• Ikizamini cya Urodynamic: Iki kizamini gipima imikorere y'imitsi n'imitsi, umuvuduko mu ruhago no mu nkengero zarwo, n'umuvuduko w'inkari.
• Ikizamini cya PSA: Iki gipimo cy'amaraso gipima kanseri ya prostate gipima urugero rwa Antigen ya Prostate-Specific (PSA).

Uburyo bwo kuvura indwara yo kubika inkari ni ubuhe?

Uburyo bwo kuvura indwara yo kubura inkari buterwa n’uko ufite ikibazo cyo kudakora imibonano mpuzabitsina gikabije cyangwa kirekire, ndetse n’icyabiteye.

Uburyo bwo kuvura indwara yo kubika inkari mu buryo butunguranye

Kubera ko iki ari ikibazo cyihutirwa cy’ubuvuzi, muganga azashyiramo katheteri (umuyoboro) mu ruhago rwawe kugira ngo ayikuremo amazi. Ibi bigomba gutanga ubutabazi bwihuse. Nyuma y’ibyo, icyateye kizamenyekana hanyuma hagatangira kuvurwa neza.

Uburyo bwo kuvura indwara yo kugumana inkari igihe kirekire

Ubuvuzi buterwa n'impamvu. Bushobora kuba buvanze kimwe cyangwa byinshi muri ibi bikurikira:

• Imiti.
• Kubagwa.
• Amahitamo atari ayo kubaga (impinduka mu myitwarire).

Niba ufite ikibazo cyo kugumana inkari, cyane cyane bitewe n'ibibazo by'imitsi, ushobora gukoresha catheter by'agateganyo mu rugo. Niba ari uko bimeze, muganga azakwigisha uburyo bwo kwiyishyurira catheter.

Umuti

Muganga wawe ashobora kukwandikira imiti yo kuvura impamvu nyamukuru ituma inkari zawe ziguma mu myanya ndangagitsina. Urugero:

• Ku ndwara ya prostate yagutse: Imiti nka alpha-blockers na 5-alpha reductase inhibitors igabanya prostate gland cyangwa ikagabanya imitsi iyikikije.
• Ku ndwara: Antibiyotike zitangwa kugira ngo zivure indwara zituma inkari ziguma mu mubiri.

Kubaga

Bitewe n'impamvu, kubagwa bishobora kuba ngombwa kugira ngo havurwe uburyo inkari zigumana. Muganga wawe ashobora kukugira inama yo kubagwa muri ibi bikurikira:

• Prostate yagutse: Hariho ubwoko butandukanye bwo kubaga kugira ngo ibi bivurwe. Urugero, gukata prostate hakoreshejwe transurethral (TURP), gukura urethral mu muhogo, cyangwa gukata prostate hakoreshejwe laser ya holmium (HoLEP). Ubu buryo bwose (n'ubundi) bushobora gukuraho gufungana gutera gufungana.
• Uburyo bwo gufunga urethra: Muganga ashobora gukoresha catheter cyangwa ballon kugira ngo akingure inkovu zitera gufungana. Ubundi buryo ni ukubaga byitwa urethroplasty, bikubiyemo gufungura no gusana urethra.
• Cystocele cyangwa Rectocele: Niba ibimenyetso byawe biterwa n'uruhago cyangwa rectum byacitse cyangwa bisohoka, muganga wawe ashobora kukugira inama yo gukoresha pessary (igikoresho gifata uruhago) cyangwa kubagwa kugira ngo ingingo zisubire mu mwanya wazo. Hari kubagwa ubwoko ubwo aribwo bwose bwo gucika kw'ingingo zo mu kibuno.
• Amabuye yo mu nkari: Muganga wawe ashobora gukoresha uburyo bwitwa cystolitholapaxy kugira ngo amenagure kandi akureho amabuye mu ruhago cyangwa mu muyoboro w'inkari.

Muganga azabanza kugerageza uburyo n'imiti bidatera indwara nyinshi. Ariko, niba ibi bidafashije, hashobora kwitabwaho uburyo bwo gutera indwara nyinshi, nko:

• Gukuraho burundu prostate gland (Prostatectomy).
• Gukangura uruti rw'umugongo.
• Kubagwa k'uruhago.
• Kuvugurura inkari no kuzihindura.

Uburyo bwo kuvura butari ubw'abaganga

Hari igihe, uburyo butari ubwo kubaga bushobora kugabanya ibimenyetso. Ingero:

• Imyitozo ngororamubiri ya Kegel cyangwa ubuvuzi bw'imitsi yo hasi mu kibuno:Imyitozo ngororamubiri ya Kegel n'ubuvuzi bw'umubiri bikomeza imitsi yo hasi mu kibuno.
• Pessary yo mu gitsina: Igikoresho gisa n'impeta gikoreshwa mu gushyigikira uruhago iyo ruguye.
• Kugenzura inkari: Ushobora kugenzura uburyo inkari zibikwa ugenzura igihe ugomba kunyara no gutegura igihe cyo kunywa amazi.

Ese kubikwa kw'inkari bishobora kwirindwa?

Nubwo ibi bidashobora kwirindwa burundu, hari ibintu ushobora gukora kugira ngo ugabanye ibyago:

• Jya mu bwiherero ukimara kumva ukeneye kunyara. Ntugafatire inkari zawe mu mwanya wazo.
• Itondere ingeso zawe zo kwihagarika. Bibwire muganga wawe niba ubonye impinduka.
• Kurya indyo yuzuye, kugira ibiro bizima, no kunywa amazi menshi.

Ese ushobora kunyara nubwo waba ufite ikibazo cyo kubura inkari?

Yego, hari abantu bashobora kunyara gato. Kubika inkari bivuze ko udashobora kunyara na gato, cyangwa uruhago rwawe ntirusohora burundu iyo unyara. Hari igihe uruhago rwuzuye inkari kandi rukazura, bityo inkari zimwe na zimwe zishobora kuva.

Ni iki nkwiye kwitega mu gihe inkari zanjye zigumana?

Niba usanzwe urwaye indwara yo kubura inkari, ni ngombwa gukurikiza gahunda yo kuvura ya muganga wawe neza. Jya gukorerwa ibizamini byo gukurikirana kugira ngo urebe niba ibimenyetso byawe birimo kugenda neza. Ku bantu benshi, ubuvuzi bukwiye buzafasha kugabanya ibimenyetso.

Ni ryari ngomba kujya kwa muganga?

Shaka muganga niba ufite kimwe muri ibi:

• Niba wumva ukeneye kunyara kenshi, cyane cyane ukimara kurangiza kunyara.
• Niba ufite ikibazo cyo gutangira kunyara, cyangwa niba inkari zawe zidakora neza cyangwa zihagaze.
• Niba ubabara mu nda yo hasi, mu gitsina, cyangwa mu mugongo wo hasi.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba ufite ikibazo cyo kubika inkari, ni ibisanzwe kugira ibibazo. Ushobora kubaza muganga wawe ibintu nk'ibi:

• Utekereza ko ari iki cyateye ibimenyetso byanjye?
• Ese uragira inama yo gukomeza gupima?
• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Ni gute nakwitwara neza mu bijyanye n'ibimenyetso byanjye?
• Ese uburyo inkari zanjye zigumana buzaba bukize burundu?

Bishobora kugorana kuganira n'umuryango, inshuti n'abaganga ku bibazo byawe byo kugabanya inkari. Ariko ntabwo uri wenyine. Kubika inkari ni ikibazo gisanzwe kandi gishobora kuvurwa. Niba ubonye impinduka mu ngeso zawe zo kunyara, cyangwa niba udashobora kunyara na gato, gana muganga. Hari uburyo butandukanye bwo kuvura bushobora kugufasha guhangana n'ibimenyetso byawe.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Kugumana inkari ni ikibazo gishobora kubabaza rimwe na rimwe, kandi gishobora kuba gikomeye mu gihe cyihutirwa. Ikintu cy'ingenzi ni ukumenya ibimenyetso no gushaka inama kwa muganga vuba.

• Ibimenyetso byihutirwa: Niba ugize ibimenyetso bitunguranye nko kunanirwa kunyara cyangwa kubabara mu nda yo hasi , jya kwa muganga vuba .
• Niba ufite ibimenyetso bidashira nko kugorwa no gutangira kunyara, inkari zidakora neza, cyangwa gukenera kunyara kenshi, ntugire isoni zo kujya kwa muganga kugira ngo agusuzume.
• Hari impamvu nyinshi zishobora gutera: ibibazo bya prostate, imiti, ibibazo by'imitsi, indwara zandura, n'ibindi. Ni mu gushaka impamvu nyayo gusa ari bwo ubuvuzi bukwiye butangwa.
• Hari uburyo bwo kuvura: Bitewe n'impamvu, iyi ndwara ishobora kuvurwa hakoreshejwe imiti, kubagwa, cyangwa guhindura imibereho.
• Ntukirengagize: Iyo bitavuwe, hashobora kubaho ingorane nko kwangirika kw'impyiko no kwandura indwara.

Niba ufite ubu burwayi nk'ubu, ntutinye kuvugana na muganga. Ushobora kubona ubutabazi mu kuvurwa vuba.