Kubagwa kugira ngo hamenyekane impamvu y'ububabare bwo mu nda: Reka twige ku bijyanye na Laparotomy yo mu Bushakashatsi!

Hari igihe tudashobora kubona impamvu y’ibibazo byo mu nda yacu ndetse no nyuma yo gupimwa inshuro nyinshi. Ese ibyo byaba byarakubayeho? Iyo impamvu y’ikintu nk’ububabare bukabije mu nda cyangwa kuva amaraso mu buryo butari bwo idashobora kuboneka, abaganga bagomba gukata uruhu rw’inda bagasuzuma ingingo zirimo. Ni cyo twita ubu buryo bwo gusuzuma indwara, 'Exploratory Laparotomy' . Mu magambo make, ni ukubaga gukingura inda no kureba indwara.

Laparotomy yo gupima ni iki? Ni mu bihe bihe ikorwa?

'Exploratory laparotomy' ni igikorwa gikomeye abaganga bakora kugira ngo bamenye ibibazo biri mu nda, ni ukuvuga mu gifu. Ubu buryo bwo kubaga bukunze kubazwa iyo ibindi bizamini, nko gupima , bitashoboye kugaragaza ikibazo.

Hari impamvu nyinshi z'ingenzi zishobora gutuma umuganga afata icyemezo cyo kubaga ubu bwoko bw'indwara:

• Ibikomere byo mu nda: Tekereza, niba ufite igikomere gikomeye mu nda, urugero nk'icyatewe n'impanuka y'imodoka. Ubu buryo bwo kubaga bukorwa kugira ngo harebwe niba hari ingingo z'imbere zangiritse cyangwa hari kuva amaraso.
• Kuva amaraso mu buryo butari bwo: Kuva amaraso mu nda, ariko aho cyangwa impamvu bitaboneka.
• Ububabare bukomeye kandi budashobora kwihanganira: Niba udashobora kubona impamvu y'ububabare bukomeye mu gifu mu bundi buryo ubwo aribwo bwose.
• Niba hari ukeka ko kanseri yakwirakwiriye: Menya neza niba kanseri yarakwirakwiriye mu zindi ngingo zo mu nda.

Abaganga bakora iki mu gihe cyo kubaga?

Muri iki gikorwa, muganga atema uruhu rw'inda maze agasuzuma neza ingingo ziri mu nda. Aho ngaho, bashakisha icyateye ububabare cyangwa kuva amaraso. Ingingo z'ingenzi zisuzumwa muri ubu buryo ni:

• Umwijima
• Impyiko
• Igifu
• Umugongo
• Pancreas
• Amara mato n'amanini (Amara)
• Imyanya myibarukiro y'abagore irimo umura, imiyoboro y'inda , n'intanga ngore .
• Umugereka
• Imitsi y'amaraso n'uturemangingo twa Lymph

Hari igihe abaganga bashobora kuvura ikibazo mu gihe cyo kubagwa, iyo habayeho umwobo mu mara, bashobora kudoda cyangwa guhagarika kuva amaraso.

Twakwitegura dute mbere yo kubagwa?

Ubu buryo bwo kubaga rimwe na rimwe bukorwa mu gihe cy’impanuka, urugero nko nyuma y’impanuka. Muri ibyo bihe, nta mwanya wo kwitegura uhari. Ariko, niba muganga yaguhaye umunsi mbere y’igihe kandi akaba arimo gutegura kubagwa, hari ibintu bike ushobora gukora kugira ngo witegure.

• Reka kunywa itabi: Niba unywa itabi, ni ngombwa cyane kubireka ibyumweru bike mbere yo kubagwa. Ibi bizihutisha gukira.
• Kugenzura izindi ndwara: Niba ufite izindi ndwara, nka diyabete cyangwa umuvuduko ukabije w'amaraso, ugomba kuzigenzura mbere yo kubagwa.
• Bwira muganga wawe imiti ufata: Ugomba kubwira muganga wawe imiti yose ufata, yaba iyanditswe na muganga, imiti idatangwa na muganga, vitamine, ndetse n'imiti ya Ayurvedic.
• Vuga ukuri ku bijyanye n'inzoga: Niba ufite akamenyero ko kunywa inzoga, bwira muganga wawe ukuri.
• Bwira muganga wawe ibyerekeye gutwita kwawe: Niba hari amahirwe ko ushobora kuba utwite, menya neza ko ubimenyesheje muganga wawe .

Umunsi umwe mbere yo kubagwa, ugomba gukurikiza igihe muganga wawe akubwira cyo guhagarika kurya no kunywa. Ubusanzwe, bakubwira guhagarika kurya no kunywa amasaha 6-8 mbere yo kubagwa.

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Ubusanzwe bifata hagati y'ibyumweru 4 na 6 kugira ngo umuntu akire neza nyuma yo kubagwa mu buryo bwa laparotomy.

Gukira mu bitaro

Nyuma yo kubagwa ntuzashobora kurya cyangwa kunywa bisanzwe mu minsi mike. Ibi biterwa nuko bifata igihe kugira ngo amara yawe asubire ku murongo. Uzakenera kuguma mu bitaro kugeza igihe uzabasha kurya no kunywa wenyine.

• Uzahabwa imiti yo kugabanya ububabare no gukumira kwandura.
• Umuyoboro ushyirwamo kugira ngo uvane inkari. Tuwita 'catheter' .
• Umuyoboro muto (umuyoboro) ushobora gushyirwaho kugira ngo amazi arenze urugero ava mu gice cy'umuyoboro.

Ubusanzwe, ugomba kumara iminsi 7 mu bitaro nyuma y'uku kubagwa.

Gukira uri mu rugo

Iyo umuganga wawe amaze gufata icyemezo cyo gutaha, ugomba gukurikiza amabwiriza ye yose neza. Fata imiti yose wahawe ku gihe. Umuganga wawe ashobora kandi kukubwira kurya indyo irimo fibre nyinshi kugira ngo amara yawe akomeze gukora neza. Ntugaterure ibiro birenga 2.3 (2.3 kg) mu gihe cy'ibyumweru 6.

Ni izihe ngaruka mbi zishobora guterwa n'ubu buvuzi?

Laparotomy yo gupima ni ukubaga gukomeye. Kimwe n'ubundi kubaga gukomeye kose, hari ingaruka zimwe na zimwe bitera.

Ingaruka rusange:

• Kuva amaraso
• Indwara zandurira mu mubiri
• Uburyo butunguranye bwo kuvura ikinya (imiti igabanya ububabare)
• Gutinda gukira kw'ibikomere

Ingaruka zihariye kuri ubu buvuzi:

• Hari igihe, ndetse na nyuma yo kubagwa , icyateye indwara ntikiboneka . Muri icyo gihe, hashobora kuba ngombwa ko hakorwa ibindi bipimo.
• Hari amahirwe make yo kwangirika kw'amara cyangwa izindi ngingo zo mu nda.
• Indwara ishobora kuvuka aho igisebe cyakorewe.

'Laparoscopy' aho kuba Laparotomy ni iki?

Ubu buryo kandi ni uburyo bwo gushakisha ibibazo mu nda. Ariko bworoshye cyane kurusha Laparotomy. Ibi byitwa 'Exploratory Laparoscopy' .

Ikiba muri ibi ni uko aho gukata inda nini, muganga akora icyuho kimwe cyangwa byinshi bito cyane.Umuyoboro muto ufite kamera ifatanye nawo ushyirwa mu nda. Amashusho ya kamera arebwa kuri ecran kugira ngo asuzume ingingo ziri mu nda. Ibi kandi byitwa 'keyhole surgery'.

Laparoscopy itandukanye na laparotomy mu buryo bukurikira:

• Ubusanzwe iyi ni operation igufasha gutaha uwo munsi utagombye kurara mu bitaro.
• Bifata ibyumweru bibiri kugira ngo umuntu akire.
• Inkovu ni nto cyane.

Ariko, si buri wese ushobora gukora laparoscopy. Muganga wawe ni we uzaguhitiramo uburyo bwo kubagwa bwiza ku ndwara yawe.

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