Urashaka kumenya ibijyanye no kubaga urostomy? Reka tubiganireho!

Ushobora kuba waratinye ijambo 'Urostomy'. Cyangwa wenda iyo muganga avuze kuri ubu bwoko bw'ubu buvuzi, hakaza ikibazo kimwe ku kindi. Mu by'ukuri, iki si ikintu cyo gutinya. Ubu ni uburyo butuma umuntu ufite ikibazo mu mubiri we cyo gusohora inkari mu buryo busanzwe. Mu magambo make, ubu ni uburyo bwo gufasha umubiri wacu. Rero, uyu munsi turaganira kuri ibi mu buryo bworoshye, mu buryo ushobora kumva.

Mu magambo make, gupima urostomy ni iki?

Urostomy ni uburyo bwo kubaga butuma inkari zinyuramo gato mu nda. Uyu mwenge witwa 'stoma' mu buvuzi. Ibi bivuze ko inkari zikorerwa mu mubiri wawe, aho gusohoka mu buryo busanzwe, zisohoka binyuze muri uyu mwenge mushya. Ibi byitwa 'urinary diversion' .

Kugira ngo dukusanye inkari zisohoka gutya, dukoresha agapfunyika kadasanzwe (urostomy bag) gafatanye na stoma. Hanyuma dushobora gukuramo inkari zikusanyije muri ako gapfunyika byoroshye.

Ni mu bihe ibihe ubu buvuzi bukenewe?

Hari impamvu nyinshi zishobora gutuma habaho gukorerwa urostomy. Reka tubirebe mu mbonerahamwe iri hepfo.

Impamvu iyo ari yo yose, kubagwa urostomy bitanga inzira nshya kandi yizewe yo gusohora inkari mu mubiri.

Ese hari ubwoko bw'ubuvuzi bw'inkari (urostomy)?

Yego, hari uburyo butandukanye bwo gukora ubu buvuzi. Bwitwa hakurikijwe uburyo inzira nshya y'inkari yaremwe.

Umuyoboro wa Ileal - Uburyo bukunze gukoreshwa cyane

Ubu ni bwo buryo bukunze gukoreshwa cyane. Aha, umuganga ubaga afata agace gato k'amara yawe gato akagakoramo umuyoboro. Impera imwe y'uyu muyoboro ihujwe n'agasabo k'inkari kaba karakorewe mu nda yawe. Impera yindi ihujwe n'imiyoboro ibiri itwara inkari mu mpyiko zawe (ureters). Inkari zikorerwa mu mpyiko zawe zica muri uyu muyoboro mushya zigasohoka mu gasabo.

Umuyoboro w'Ikoroni

Ibi bisa cyane n'uburyo bwavuzwe haruguru, uretse ko igice cy'amara manini (colon) gikoreshwa mu gukora umuyoboro aho gukora amara mato.

Ureterostomie

Muri ubu buryo, umuyoboro ntukorwa mu gice cy'amara nk'icyo. Ahubwo, uturemangingo tw'inkari two mu mpyiko duhuzwa neza n'agahu kaba mu nda.

Witegura ute mbere yo kubagwa?

Mbere yo kubagwa, umuganga wawe n'ikipe yawe bazaganira nawe witonze. Bazagusobanurira ibi bikurikira:

• Kuki ukeneye ubu buvuzi?
• Ni iki kibaho mu gihe cyo kubagwa?
• Ni iki wakwitega nyuma yo kubagwa?
• Ni izihe ngaruka zijyanye n'ibi?

Bazakugira inama kandi ku gihe cyo kureka kurya no kunywa mbere yo kubagwa, ndetse no ku bijyanye no kureka gufata imiti usanzwe ufata. Menya neza ko wabwiye muganga wawe imiti yose, vitamine, n'inyongeramusaruro ufata.

Mbere yo kubagwa, itsinda ry’abaganga rizagufasha guhitamo ahantu heza ho gukora stoma ku nda yawe. Hagomba kuba ahantu harambuye ushobora kubona, kugera no kugera byoroshye.

Ni iki kibaho mu gihe cyo kubagwa?

Uzashyirwa munsi y'ikinya rusange cyo kubagwa. Bityo rero ntuzumva ububabare ubwo aribwo bwose . Umuganga ubaga azatera stoma ahantu yatoranijwe mbere mu nda yawe maze ayihuze n'imiyoboro y'amaraso.

Hari igihe, cyane cyane mu gihe cy'indwara ya kanseri, igice cyose cy'uruhago gishobora gukenera gukurwaho icyarimwe. Nanone, nibiba ngombwa, ingingo nka appendix, lymph nodes, cyangwa prostate gland ku bagabo cyangwa nyababyeyi ku bagore zishobora gukenera gukurwaho. Ubu buryo bwo kubaga bushobora gufata amasaha agera kuri 6 .

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Nyuma yo kubagwa, ubanza kujyanwa mu cyumba cy’ubuvuzi gifasha gukira hanyuma woherezwe mu cyumba cy’ubuvuzi.

• Hazashyirwaho umuyoboro umwe cyangwa myinshi kugira ngo hakuremo amazi yirundanyije mu mubiri.
• Hazatangwa imiti ijyanye n'ububabare ikenewe.
• Uzashishikarizwa kwicara ku buriri vuba bishoboka, kwimura amaguru yawe, no kugenda n'amaguru ufashijwe n'abaganga. Ibi bishobora gufasha kwirinda indwara nko kubyimba kw'amaraso n'umusonga .
• Ushobora gutangira kurya no kunywa nk'uko bisanzwe mu minsi mike.

Ubusanzwe ugomba kumara iminsi iri hagati ya 3 na 7 mu bitaro. Muri icyo gihe, uzigishwa uburyo bwo kwita ku ivuriro ryawe n'uko wakoresha agafuka k'inkari zawe. Nyuma yo gusubira mu rugo, bishobora gufata amezi abiri kugira ngo usubire mu mirimo isanzwe (akazi, ishuri).

Ni ryari ngomba guhamagara muganga?

Niba ufite ikibazo cyangwa impungenge ku bijyanye n'uburemba bwawe, vugana na muganga wawe. Menya neza ko ushaka inama kwa muganga, cyane cyane niba ufite kimwe muri ibi bimenyetso:

• Umuriro
• Kuva amaraso ku buryo budasanzwe
• Ububabare bukabije
• Ingorane zo gukoresha agasakoshi k'uburostomy
• Ihinduka ry'ibara ry'inkari cyangwa impumuro ikomeye

Ibibazo bikunze kubazwa ku bijyanye no kubana n'indwara yo mu nda

Ushobora kuba ufite ibibazo byinshi ku buzima nyuma y'ubu bubagwa. Reka tubisubize.

Stoma isa ite? Imeze ite?

Iyo urebye stoma yawe bwa mbere, ishobora kubyimba gato, itukura yijimye, kandi isa n'aho yakomeretse. Ibi ni ibisanzwe. Uko igihe kigenda gihita, kubyimba bizagabanuka, bihinduke ibara ryoroheje ry'umutuku, kandi bigabanuka. Ishobora kuba ifite ishusho y'uruziga cyangwa iy'umuhondo.

Icy'ingenzi kurushaho, stoma ntabwo igira imitsi. Kubwibyo, stoma ntabwo yumva ikintu icyo ari cyo cyose cyangwa ngo ikomereke . Nubwo agace kayikikije gashobora kumva ububabare kugeza igihe igikomere cyo kubagwa gikize, stoma ubwayo ntiyumva ububabare.

Agasakoshi k'umura gakwiye guhindurwa kangahe?

Gukuraho ubusa ishashi no kuyihindura burundu ni ibintu bibiri bitandukanye.

• Gukuramo ubusa mu gikapu: Nk'uko wakora inkari mbere yo kubagwa, ugomba gukuramo ubusa mu gikapu buri masaha make. Ntutegereze ko igikapu cyuzuye neza. Ni byiza kugikuramo ubusa igihe cyuzuye kimwe cya gatatu (1/3) cyangwa kimwe cya kabiri (1/2). Ibi bizafasha kwirinda ko igikapu kivamo amazi no gutera indwara z'uruhu. Iyo usinziriye nijoro, ushobora guhuza iki gikapu n'ikigega kinini (igikoresho cyo gukurura amazi). Ibi bizagufasha gusinzira udakangutse nijoro.
• Guhindura isakoshi: Ibi biterwa n'ubwoko bw'uburyo bwo gupfunyika ukoresha. Bumwe bugomba guhindurwa buri munsi, ubundi bushobora gukoreshwa iminsi 3 cyangwa icyumweru.