Biragoye gusobanura mu magambo ubwoba n'impungenge umubyeyi cyangwa se agira iyo abwiwe ko umwana we muto agomba kubagwa. Bishobora kuba ikibazo kibabaza cyane, cyane cyane iyo umwana adashobora
kwihagarika wenyine. Ariko niba muganga wawe yavuze ku bijyanye no gukaraba amenyo, ntugahangayike. Iki ni igisubizo cyiza kandi cy'igihe gito cyo guhagarika kwangirika kw'impyiko z'umwana wawe. Reka dusubize ibibazo byose ushobora kuba ufite kuri ibi uyu munsi.
Mu magambo make, iyi Vesicostomy ni iki?
Uburyo bwo kubaga umwana butuma ashobora kuva mu ruhago rwe iyo afite ikibazo cyo kwihagarika wenyine. Muri ubu buryo, umuganga ubaga
umwana akora umwobo muto cyane mu nda y'umwana, akenshi munsi y'umukondo. Itandukaniro ni uko inkari zisohoka mu buryo butaziguye mu gikapu, aho kuva mu gafuka gafatanye n'inda. Intego nyamukuru y'ubu buryo ni
ukurinda inkari gusubira mu mpyiko, zikangiza impyiko ndetse zikanatera indwara zo mu nzira y'inkari (UTIs). Igikuru ni uko iki atari igisubizo kirambye. Ni ingamba z'igihe gito gusa kugeza igihe impamvu nyamukuru ituma umwana adashobora kunyara izavurwa.
Kuki umwana muto akeneye gukorerwa vesicostomy?
Iyo uruhago rw'umwana rudasohoka neza, umuvuduko uri imbere muri rwo uriyongera kandi inkari zigatangira kuzamuka zijya mu mpyiko. Ibi bishobora kwangiza impyiko cyane. Hari impamvu nyinshi z'ingenzi zishobora gutuma hakenerwa ubuvuzi bwa vesicostomy.
| Imiterere/Impamvu | Ibisobanuro byoroshye |
|---|
| Uruti rw'umugongo cyangwa uruhago ruterwa n'imitsi | Kunanirwa kunyara neza bitewe n'ubumuga bw'ivuka cyangwa intege nke mu ruti rw'umugongo cyangwa imitsi igenzura uruhago. |
| Gusubira inyuma kw'imitsi mu muyoboro w'amaraso (VUR) | Inkari zitemba ziva mu ruhago zigana mu mpyiko. |
| Kuziba kw'aho inkondo isohoka | Hari imbogamizi mu nzira y'inkari zisohoka mu ruhago. |
| UTI zigaruka kenshi | Kwandura indwara zikunze guterwa no kunyara nabi. |
| Izindi ndwara zo kuvukana | Indwara nka Prune belly syndrome, iterwa n'ubumuga umuntu yavukanye. |
Ubu bubagwa bukunze gukorwa ku bana
bari munsi y'imyaka 5. Ariko, ni gake cyane, bukorerwa ku bana bakuru.
Ni gute wategura umwana mbere yo kubagwa?
Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi.
- Menyesha muganga imiti iyo ari yo yose umwana wawe afata ndetse n'ibindi byose umwana wawe ashobora kuba afite.
- Muganga wawe azakubwira igihe nyacyo cyo guhagarika konsa umwana wawe (harimo n'amashereka n'amata y'ifu ) mbere yo kubagwa. Ni ngombwa cyane gukurikiza aya mabwiriza neza.
Kubagwa bikorwa gute?
Nyuma yo kujyanwa mu cyumba cyo kubagwa, bahabwa
ikinya rusange . Ibi bivuze ko umwana aba asinziriye rwose kandi
nta bubabare yumva. Umuganga ubaga umwana abanza gukata gato mu nda, agafata umwobo muto mu ruhago, agatunganya umwobo kugira ngo usohoke unyuze mu mwobo wakorewe mu nda. Igikorwa cyose kimara
isaha imwe cyangwa abiri . Nyuma yo kubagwa, hari ikintu kimwe gito ushobora gukora. Muganga azakubwira gushyira catheter nto mu mwobo inshuro nyinshi ku munsi
kugira ngo urambuye. Ibi ni ukugira ngo umwobo uhagarike vuba cyane. Ibitaro bizakubwira neza uko wabikora n'igihe ugomba kubikora.
Bigenda bite nyuma yo kubagwa? Ni gute wakwita ku mwana?
Iki ni cyo gice cy'ingenzi cyane ku babyeyi.
Kurara mu bitaro no kubabara
Abana benshi bashobora gutaha amasaha make nyuma yo kubagwa. Hari igihe bashobora kurara mu bitaro kugira ngo bakurikiranwe. Hashobora kubaho ububabare nyuma yo kubagwa. Ibi bishobora koroherwa no gufata imiti igabanya ububabare (nk'imiti ibuprofen cyangwa acetaminophen) yanditswe na muganga. Ububabare bugomba gushira burundu mu minsi mike.
Kwitaho nyuma yo gusubira mu rugo
- Isuku: Gusukura uruhu rukikije aho icyicaro cyabereye n'aho giherereye ni ingenzi kugira ngo hirindwe kwandura indwara.
- Guhindura imyenda: Hindura imyenda buri gihe nk'uko bisanzwe. Koresha imyenda minini bihagije kugira ngo upfuke neza umwobo.
- Allergie y'uruhu : Ni ibisanzwe ko uduheri ku ruhu tugaragara hafi y'umwobo. Ushobora gukoresha amavuta yo kwisiga yagenewe na muganga wawe kuri ibi.
- Ibikorwa: Umwana ashobora gusubira mu ishuri ry’incuke cyangwa mu cyumweru kimwe. Ariko, ibikorwa bishobora kwangiza aho umwana afunguye, nko gukina imikino yo gusiganwa ku magare , no kwiruka bigomba kwirindwa igihe runaka.
Ni ryari ngomba kubonana na muganga ako kanya?
Ubusanzwe nta ngorane zikomeye zibaho, ariko niba ubonye kimwe mu bimenyetso bikurikira, ugomba
guhita uhamagara muganga wawe .
| Igihe cyo gushaka inama z'abaganga byihutirwa |
|---|
| 🌡️ | Iyo umwana afite umuriro mwinshi . |
| 🔴 | Iyo agace gakikije umwobo gatukura cyane, kabyimbye , cyangwa kagaragaza ibimenyetso by'ubwandu. |
| 🩸 | Niba hari amaraso mu nkari. |
| 😫 | Niba ububabare bw'umwana bukomeje nubwo ahabwa imiti. |
| 🚫 | Iyo catheter yatanzwe kugira ngo yongere umwobo, ntabwo ushobora gushyirwamo . |
| ⚠️ | Niba igice cy'uruhago cyavuye mu mwenge (agasabo k'inkari) kandi kidashobora gusunikwa ngo gisubiremo. (Ibi bishobora kubaho mu gihe cyo kuva mu mara, nko mu gihe umwana arimo kuva mu mara. Akenshi bisubiramo ubwabyo. Bitabaye ibyo, ushobora kubyinjiza witonze ukoresheje intoki zisukuye. Ariko niba bitabaye ibyo, vugana na muganga wawe .) |
Ubutumwa bwo kujyana mu rugo
- Gupima impyiko mu buryo bwa vesicostomy nta mpamvu yo gutinya. Ni ukubaga kw'igihe gito kandi kwizewe bikorerwa mu rwego rwo kurinda impyiko z'umwana.
- Nyuma yo kubagwa, ni ingenzi cyane gukurikiza amabwiriza ya muganga wawe neza, cyane cyane kugira ngo icyuho gisukure kandi ugikore neza.
- Ibi ntabwo ari ibintu bihoraho. Nyuma yo kuvura ikibazo cy’umwana, umuganga ubaga azafunga uyu mwanya.
- Niba ufite gushidikanya cyangwa ibibazo, ntukigere utekereza kabiri ku kubaza muganga wawe.
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