Nk'umubyeyi, biragoye cyane kumva ko umwana wawe akeneye kubagwa. Ni ibintu bibabaza cyane kubona umwana wawe arwana no kunyara. Ariko, niba muganga wawe yavuze ko afashwe mu buryo bwa vesicostomy, ntugire ubwoba. Iki ni igisubizo cy'igihe gito kandi cyizewe cyagenewe gukumira kwangirika kw'impyiko z'umwana wawe mu gihe kirekire. Reka dukemure impungenge zawe kandi dukemure ibibazo byose ushobora kuba ufite uyu munsi.
Mu magambo yoroshye, Vesicostomy ni iki?
Kuvanga inkari ni uburyo bwo kubaga umwana iyo afite ikibazo cyo gukuramo uruhago rwe wenyine. Muri ubu buryo, umuganga ubaga akora umwenge muto cyane mu nda yo hasi, akenshi munsi y'ikibuno, kugira ngo inkari zisohoke neza mu ruhago.
Ikintu cyihariye muri ubu buryo ni uko inkari zisohoka mu gatambaro k'umwana aho kuzishyira mu gafuka ko hanze. Intego nyamukuru ni ukurinda inkari gusubira inyuma zigana impyiko, bityo zikabarinda kwangirika no kugabanya ibyago byo kwandura indwara zo mu nzira y'inkari (UTIs).
Icy'ingenzi kurushaho, iki si igisubizo gihoraho. Ni ingamba z'agateganyo zikoreshwa mu kurinda umwana wawe kugeza igihe impamvu nyamukuru y'ibibazo bye byo mu nkari izavurwa.
Kuki umwana akeneye Vesicostomy?
Iyo uruhago rw'umwana rudasohoka neza, umuvuduko w'imbere ushobora kwiyongera, bigatuma inkari zisubira inyuma zerekeza ku mpyiko. Ibi bishobora kwangiza impyiko cyane. Hari impamvu nyinshi z'ingenzi zishobora gutuma habaho kubagwa amenyo.
| Imiterere/Impamvu | Ibisobanuro byoroshye |
|---|---|
| Uruhu rw'umugongo cyangwa uruhago rw'imitsi | Kunanirwa gukuramo ubusa bw'uruhago bitewe n'ubumuga bwo kuvukana cyangwa ibibazo by'imitsi bigenzura uruhago. |
| Gusubira inyuma kw'imitsi mu muyoboro w'amaraso (VUR) | Inkari zitemba ziva mu ruhago zigana mu mpyiko. |
| Kuziba kw'aho inkondo isohoka | Kuziba inzira aho inkari zisohokera mu ruhago. |
| UTI zigaruka kenshi | Indwara zikunze guterwa no kudasohora neza uruhago rw'inkari. |
| Izindi ndwara zo kuvukana | Indwara nka Prune belly syndrome iterwa n'ibintu bivukanwa. |
Ubu buryo bwo kubaga bukunze gukorwa cyane ku bana bari munsi y'imyaka 5 , nubwo rimwe na rimwe bishobora kuba ngombwa no ku bana bakuru.
Ni gute wagombye gutegura umwana wawe mbere yo kubagwa?
Muganga wawe azaguha amabwiriza asobanutse neza ajyanye n'ibyo umwana wawe akeneye.
- Menyesha muganga imiti yose umwana wawe afata hamwe n'ibindi byose bishobora gutuma agira aleriji .
- Muganga azaguha amabwiriza asobanutse neza y'igihe cyo guhagarika konsa umwana wawe ( amashereka , amata y'ifu , n'ibindi) mbere yo kubagwa. Ni ngombwa gukurikiza aya mabwiriza neza.
Ni iki kibaho mu gihe cyo gukorerwa ubu buvuzi?
Nyuma yo kujyanwa mu cyumba cyo kubagwa, bazahabwa ikinya rusange . Ibi bituma umwana wawe aguma asinziriye kandi ntagire ububabare yumva mu gihe cyo kubagwa.
Umuganga ubaga azaca agace gato mu nda yo hasi, akore umwobo mu ruhago, hanyuma awushyire ku mwenge w'uruhu. Ubusanzwe igikorwa cyose kimara isaha imwe cyangwa ebyiri .
Nyuma yo kubagwa, ushobora gusabwa gukora igikorwa cyoroshye: rimwe na rimwe gushyiramo katheteri nto mu mwenge kugira ngo uyirambure witonze nk'uko muganga yabigutegetse. Ibi bibuza umwenge gufunga imburagihe. Abakozi b'ibitaro bazakwigisha neza uburyo bwo kubikora.
Ni iki kibaho nyuma yo kubagwa? Ni gute wita ku mwana wawe?
Iki ni cyo gice cy'ingenzi cyane ku babyeyi.
Gucumbika mu bitaro no kuvura ububabare
Abana benshi bashobora gutaha amasaha make nyuma yo kubagwa. Hari igihe umuntu ashobora kurara mu rugo kugira ngo abashe kubareba. Hari ubwo umuntu yumva amerewe nabi gato, ariko ashobora gukemurwa n'imiti igabanya ububabare itangwa na muganga (nk'umuti wa ibuprofen cyangwa acetaminophen). Ubu burwayi bukunze kurangira mu minsi mike.
Kwita ku Rugo
- Isuku: Guma ahantu hakikije umwobo hasukuye kandi humye igihe cyose kugira ngo hirindwe kwandura.
- Guhindura ama-diaper: Hindura ama-diaper kenshi nk'uko bisanzwe, urebe neza ko ama-diaper ari manini bihagije kugira ngo ajye mu mwanya ufunguye.
- Kuryarya k'uruhu : Ni ibisanzwe kubona uduheri ku ruhu hafi y'umwobo. Ushobora gukoresha amavuta yo kwisiga yagenewe na muganga wawe.
- Ibikorwa: Umwana wawe ashobora gusubira mu kigo cyita ku bana cyangwa ku ishuri mu cyumweru kimwe. Ariko, ibikorwa bishobora kwangiza umwobo—nk'imikino yo gusiganwa ku maguru, imikino yo gusiganwa ku maguru, cyangwa gutwara amagare —bigomba gufatirwa igihe runaka.
Ni ryari ugomba kwihutira kwivuza?
Ingorane zikomeye ntizikunze kubaho, ariko niba ubonye kimwe muri ibi bikurikira, hamagara muganga wawe cyangwa ushake serivisi zihutirwa z’ubuvuzi.
| Igihe cyo gushaka ubuvuzi bwihutirwa | |
|---|---|
| 🌡️ | Umwana wawe agira umuriro mwinshi. |
| 🔴 | Agace gakikije umwobo karatukura cyane, kabyimbye, cyangwa kagaragaza ibimenyetso by'ubwandu. |
| 🩸 | Hari amaraso mu nkari. |
| 😫 | Ububabare bw'umwana wawe buracyakomeza nubwo anywa imiti. |
| 🚫 | Ntushobora gushyiramo catheter kugira ngo wongere imbaraga. |
| ⚠️ | Igice cy'uruhago gisohoka mu mwenge (bladder prolapse) kandi ntigishobora gusunikwa inyuma. Ibi bishobora kubaho mu gihe cyo kwituma amara. Iyo kidasubiye inyuma ubwacyo, ushobora kugisunika buhoro buhoro ukoresheje intoki zisukuye; bitabaye ibyo, hamagara muganga wawe. |
Ubutumwa bwo kujyana mu rugo
- Gupima impyiko mu buryo bwa vesicostomy nta mpamvu yo gutinya; ni uburyo bwizewe kandi bw'igihe gito bwo kurinda impyiko z'umwana wawe.
- Gukurikiza amabwiriza ya muganga wawe nyuma yo kubagwa ni ingenzi cyane, cyane cyane kubungabunga ahantu hasukuye no gukora imyitozo ngororamubiri ikenewe.
- Ibi si ibintu bihoraho. Iyo ikibazo cyavutse gikemutse, umuganga ubaga azafunga umwobo.
- Ntuzigere utinya kuvugana na muganga wawe niba ufite gushidikanya cyangwa impungenge nkeya.
