Kubaga gukuraho uruhago (Cystectomy)? Impamvu, Uko bikorwa & Gukira

Kubaga gukuraho uruhago, bita cystectomy, ni uburyo abaganga bakuramo igice cyangwa uruhago rwose. Uku kubaga biba ngombwa iyo uruhago rwawe rwangiritse cyane kubera kanseri, indwara zikomeye zandura, cyangwa izindi ndwara zititabira izindi nshuti.

Nubwo gutekereza kubaga uruhago bishobora gutera ubwoba, gusobanukirwa ibibera muri ubu buryo birashobora koroshya impungenge zawe. Uburyo bwa none bwo kubaga bwatumye cystectomy iba nziza kandi gukira biroroshye kurusha mbere.

Ni iki kubaga gukuraho uruhago (cystectomy)?

Cystectomy ni uburyo bwo kubaga bukuraho igice cy'uruhago rwawe (partial cystectomy) cyangwa uruhago rwawe rwose (radical cystectomy). Tekereza nk'uburyo ikipe yawe y'abaganga ikoresha mu gukuraho imitsi irwaye itera akaga gakomeye ku buzima bwawe.

Mugihe cya partial cystectomy, abaganga bakuraho gusa igice cyangiritse cy'uruhago rwawe. Imitsi isigaye y'uruhago rwawe ikomeza gukora, nubwo ishobora gufata inkari nkeya kurusha mbere. Ubu buryo bukora neza iyo ikibazo kigaragara ahantu hamwe gusa mu ruhago rwawe.

Radical cystectomy ikubiyemo gukuraho uruhago rwawe rwose hamwe n'imitsi ya lymph iri hafi. Ku bagabo, ibi bishobora kuba harimo prostate na seminal vesicles. Ku bagore, bishobora kuba harimo uterus, ovaries, n'igice cya vagina. Nyuma yo gukuraho uruhago rwose, abaganga barema uburyo bushya umubiri wawe ubika kandi ukanyuzamo inkari.

Kuki kubaga gukuraho uruhago bikorwa?

Abaganga bagira cystectomy iyo uruhago rwawe rufite indwara ikomeye itera akaga ku buzima bwawe kandi ntigitabira uburyo butavuna cyane. Impamvu isanzwe ni kanseri y'uruhago yakuriye mu rukuta rw'imitsi y'uruhago rwawe cyangwa yagarutse nyuma yo kuvurwa bwa mbere.

Ikipe yawe y'abaganga ishobora kandi gutanga igitekerezo cyo kubaga kubera izindi ndwara zikomeye zigira ingaruka zikomeye ku mibereho yawe:

• Ubukana bwa kanseri y'inkari yateye imitsi ituma ikura itarageze mu zindi ngingo
• Kanseri y'inkari yo ku rwego rwo hejuru ikomeza kugaruka nubwo ivuwe
• Ukwangirika gukabije kw'inkari kubera imirasire yakoreshejwe mu kuvura kanseri mbere
• Udukoko tw'inkari tw'igihe kirekire dutera ububabare buhoraho kandi budakira
• Ubumuga bwo kuvuka bugira ingaruka zikomeye ku mikorere y'inkari
• Inkari zidakora neza ziteza kwangirika kw'impyiko

Mu buryo butajegajega, abaganga bashobora gushyiraho cystectomy kubera indwara zitavugwaho rumwe nka cystitis ikaze idasubiza ku bundi buvuzi ubwo aribwo bwose. Umuganga wawe uzabitekereza iyo kubaga bikomeye byerekana neza ko inyungu ziruta ibyago by'ubuzima bwawe.

Iyo izindi nshingano zitagize icyo zigeraho

Mbere yo gutekereza cystectomy, itsinda ryawe ry'ubuvuzi risanzwe rigerageza izindi nshingano mbere. Izi zirimo imiti ivura kanseri, imirasire, immunotherapy, cyangwa imiti yo kugenzura imikorere y'inkari.

Kubaga bibaye uburyo bwemewe iyo izi nshingano zitagira icyo zigeraho mu kurwanya indwara cyangwa iyo uburwayi bwawe butera ibyago byihuse ku mpyiko zawe cyangwa ubuzima muri rusange. Muganga wawe azasobanura impamvu izindi nzira zitakwiriye urubanza rwawe rwihariye.

Ni iki gikorerwa kubaga kugirango bakureho inkari?

Kubaga kugirango bakureho inkari bisanzwe bifata hagati y'amasaha 4 kugeza kuri 8, bitewe niba ukeneye gukuraho igice cyangwa cyose. Itsinda ryawe ry'abaganga bazakoresha kubaga gakondo cyangwa uburyo butuma umuntu atavunika cyane nka laparoscopic cyangwa kubaga na robot.

Mugihe cyo kubaga, uzaba uri munsi ya anesthesia rusange, bityo ntuzumva ububabare ubwo aribwo bwose cyangwa wibuke kubaga. Umuganga wawe azakora ibikomere kugirango agere ku nkari zawe hanyuma akureho neza igice cyanduye mugihe arinda ibice byegereye n'ibice by'umubiri.

Intambwe mugihe cya partial cystectomy

Mugihe cyo gukuraho inkari igice, umuganga wawe akurikiza urukurikirane rwitondewe kugirango arinde igice cyinshi cy'inkari zifite ubuzima bushoboka:

1. Gukora agace gato mu nda yawe yo hasi
2. Kumenya no gutandukanya igice cyanduye cy'urugingo rwawe rw'inkari
3. Gukuraho urugingo rwanduye hamwe n'igice cy'urugingo ruzima
4. Kureba mu duce twa lymph hafi yaho niba harimo ibimenyetso by'indwara
5. Kongera kubaka urugingo rwawe rw'inkari ukoresheje imitsi isigaye
6. Gushyiraho catheter kugirango ifashe urugingo rwawe rw'inkari gukira neza

Ubu buryo bubungabunga ubushobozi bwawe bwo kubika no kunyara, nubwo ubushobozi bw'urugingo rwawe rw'inkari bushobora kugabanuka. Abantu benshi bamenyera neza izi mpinduka uko igihe kigenda.

Intambwe mugihe cyo gukuraho urugingo rw'inkari rwose

Gukuraho urugingo rw'inkari rwose bisaba kubagwa cyane no kongera kubaka kugirango habeho uburyo bushya umubiri wawe ukoresha mu kunyara:

1. Gukora agace kanini kuva ku gatuza kugeza mu gice cyawe cy'ibanga
2. Gukuraho urugingo rwawe rw'inkari witonze ku bice by'umubiri bikikije
3. Gukuraho urugingo rwawe rw'inkari rwose n'uturanduriro twa lymph twegeranye
4. Gukuraho izindi ngingo niba kanseri yarakwiriye hafi yaho
5. Gukora inzira nshya yo kunyara ukoresheje igice cy'urwungano rwawe rw'amara
6. Guhuza ureters yawe n'inzira nshya yo kunyara

Umuvuzi wawe azakora imwe mu bwoko butatu bwo kunyara bitewe n'ubuzima bwawe, imyaka yawe, n'ibyo ukunda. Buri kimwe gifite inyungu zitandukanye n'ibitekerezo ikipe yawe y'ubuvuzi izaganiraho nawe mbere y'igihe.

Ubwoko bwo kongera kubaka inzira y'inkari

Nyuma yo gukuraho urugingo rw'inkari rwose, abaganga bakora uburyo bushya umubiri wawe ukoresha mu gukusanya no gukuraho inkari. Uburyo butatu nyamukuru buri kimwe gikora mu buryo butandukanye kandi bisaba uburyo butandukanye bwo kwita ku buzima.

Uburyo bwa ileal conduit bukoresha igice gito cy'urwungano rwawe rw'amara kugirango habeho inzira iva mu mpyiko zawe ikagera ku mwobo (stoma) ku nda yawe. Inkari zitemba buri gihe mu gikapu cyo gukusanya ukora ubusa umunsi wose. Akenshi iyi ni yo nzira yoroshye ku barwayi bakuze cyangwa abafite izindi ndwara.

Igikombe cyo ku ruhu gikora igikombe cyo imbere kivuye mu gice cy'amara gifite umwanya muto ku nda yawe. Ushyiramo urushinge ruto (catheter) binyuze muri uyu mwanya inshuro nyinshi ku munsi kugirango uvane inkari. Ubu buryo bukuraho icyifuzo cyo gukoresha umufuka wo hanze ariko bisaba ko ukora catheterizations buri gihe.

Ubwubatsi bushya bwa neobladder bukora uruhara rushya ukoresheje igice cy'amara yawe gihuza mu buryo butaziguye na urethra yawe. Ibi bituma ushobora kunyara mu buryo busanzwe binyuze mu mfuruka yawe isanzwe, nubwo ushobora gukenera gukoresha imitsi yo mu nda kugirango usukure rwose kandi ushobora guhura no kuvuza amazi mbere na mbere.

Ni gute wakitegura kubagwa kugirango bakureho uruhara rwawe?

Kutegura cystectomy bikubiyemo intambwe nyinshi z'ingenzi zifasha kumenya neza umusaruro mwiza. Itsinda ryawe ry'abaganga rizagufasha mu cyiciro cyose cyo kwitegura, akenshi ritangira hafi icyumweru bibiri mbere y'itariki yo kubagwa.

Muganga wawe azabanza gukora ibizamini birambuye kugirango amenye neza ko ufite ubuzima bwiza buhagije bwo kubagwa gukomeye. Ibi akenshi bikubiyemo ibizamini by'amaraso, ibizamini by'imikorere y'umutima, ibizamini by'imikorere y'ibihaha, n'ibizamini byo gushushanya kugirango barebe ibibazo by'ubuzima bihishe.

Imyiteguro y'ubuvuzi mbere yo kubagwa

Intambwe nyinshi z'ubuvuzi zifasha kunoza umubiri wawe kubera inzira iri imbere no kugabanya ibyago byo guhura n'ibibazo:

• Guhagarika imiti imwe n'imwe yongera ibyago byo kuva amaraso
• Gucunga diyabete cyangwa umuvuduko w'amaraso hamwe n'imiti ihinduka
• Gufata imiti igihe cyose cy'indwara ziterwa na antibiyotike
• Guhabwa ibizamini by'amaraso kugirango barebe imikorere y'impyiko n'umwijima
• Guhura n'umutima niba ufite indwara z'umutima
• Guhererana n'umuganga w'indwara z'ibihaha kugirango baganire ku micungire y'ububabare

Itsinda ryawe ry'abaganga bazatanga amabwiriza yihariye yerekeye imiti yo gukomeza no guhagarika. Ntukigere uhagarika imiti yanditswe utabanje kubisuzuma na muganga wawe, kuko imwe igomba gukoreshwa buhoro buhoro.

Imyiteguro y'imibereho

Gukora impinduka zimwe na zimwe mu mibereho yawe mbere yo kubagwa birashobora gufasha cyane mu gukira kwawe. Umubiri wawe ukira neza iyo uri mu bihe byiza mbere yo kubagwa.

Niba unywa itabi, kureka nibura mu byumweru bibiri mbere yo kubagwa bigabanya cyane ibyago byo guhura n'ibibazo byo guhumeka kandi bifasha ibikomere byawe gukira vuba. Muganga wawe ashobora kugusaba imiti cyangwa akagusaba gahunda zigufasha kureka by'agateganyo cyangwa burundu.

Kurya indyo yuzuye ifite intungamubiri nyinshi bifasha umubiri wawe kubaka ibikoresho ukeneye kugira ngo ukire. Jya wibanda ku nyama zitarimo amavuta, amafi, amagi, ibishyimbo, n'imbuto n'imboga nyinshi. Guma ufite amazi ahagije keretse muganga wawe aguha amabwiriza yihariye yo kugabanya amazi.

Imyitozo yoroheje nk'ukugenda irashobora kunoza imikorere y'amaraso yawe n'imikorere y'ibihaha mbere yo kubagwa. Ariko, irinda ibikorwa bikomeye bishobora gutera imvune. Umuganga wawe w'imyitozo ngororamubiri ashobora kukwigisha imyitozo yo guhumeka kugira ngo wirinde umusonga nyuma yo kubagwa.

Kutegura amara

Kubera ko umuganga wawe ashobora gukoresha igice cy'amara yawe mu kubaka, uzakenera gukora isuku mu mara yawe mbere yo kubagwa. Ubu buryo, bwitwa gutegura amara, akenshi butangira umunsi umwe cyangwa ibiri mbere yo kubagwa kwawe.

Itsinda ryawe ry'ubuvuzi rizatanga amabwiriza yihariye yo kurya ibinyobwa bisobanutse neza n'imiti ituma umuntu yituma. Nubwo gutegura amara bishobora kuba bitari byiza, gukurikiza aya mabwiriza neza bifasha kwirinda indwara kandi bikemeza ko umuganga wawe afite ahantu hakora hasukuye.

Biteye gute igihe cyo gukira nyuma yo gukuraho uruhago?

Gukira nyuma yo kubagwa kugira ngo bakureho uruhago akenshi bifata amezi menshi, abantu benshi basubira mu bikorwa bisanzwe mu byumweru 6 kugeza kuri 12. Igihe cyo gukira kwawe giterwa n'ibintu nk'ubuzima bwawe muri rusange, ubwoko bw'ubuvuzi wagize, n'uburyo ukurikiza gahunda yawe yo gukira.

Iminsi ya mbere nyuma yo kubagwa ibera mu bitaro, aho itsinda ry'abaganga rikukurikirana imikoreshereze yawe kandi rigacunga ububabare bwawe. Abantu benshi bamara mu bitaro iminsi 5 kugeza kuri 10, bitewe n'uburyo kubagwa kwabo byagenze n'uburyo ibice by'umubiri wabo bitangira gukora neza.

Ibyo witegura mu bitaro

Kugaruka kwawe kwihuse kwibanda ku gufasha umubiri wawe guhuza n'impinduka no gukumira ingorane. Mu gihe uri mu bitaro, inzira nyinshi z'ingenzi zo gukira zirabera.

Uzaba ufite imiyoboro myinshi na kateteri bifasha kuvana amazi kandi bigatuma ahantu habagiwe hakira neza. Ibi bishobora kuba harimo kateteri y'inkari, imiyoboro yo kuvana amazi hafi y'ahaciwe, ndetse n'umuyoboro wa nasogastric wo kuruhura sisitemu yawe yo mu gifu. Nubwo ibi bishobora kumvikana ko bidashimishije, ni ngombwa kugira ngo ukire neza.

Gucunga ububabare ni ikintu cy'ingenzi cyane mu gihe uri mu bitaro. Itsinda ry'abaganga bazakoresha imiti itandukanye kugirango bagufashe kumva umeze neza mugihe bagufasha kwimuka no kwitabira gukira kwawe. Abantu benshi basanga ububabare bwabo bugabanuka cyane buri munsi.

Gusohoka mu gitanda no kugenda intera ngufi mubisanzwe bitangira umunsi ukurikira kubagwa. Uku kwimuka bifasha gukumira amaraso, umusonga, n'izindi ngorane. Abaforomo bawe na physiotherapistes bazagufasha buhoro buhoro kongera urwego rwawe rw'ibikorwa.

Kugaruka mu rugo

Niba uri mu rugo, gukira kwawe birakomeza no kongera buhoro buhoro ibikorwa no kwiga gucunga sisitemu yawe nshya y'inkari. Ibyumweru bya mbere bisaba kwihangana kuko umubiri wawe uhinduka cyane.

Uzaba ukeneye ubufasha mu bikorwa bya buri munsi mu cyumweru cya mbere cyangwa bibiri uri mu rugo. Tegura abagize umuryango cyangwa inshuti kugirango bagufashe guteka, gusukura, no kugutwara kujya mu biganiro by'ubuvuzi. Irinde kuzamura ikintu cyose kiremereye kirenze ibiro 10 byibuze mu byumweru 6.

Ibyo muhura na muganga wako bya nyuma bibaho kenshi mu ntangiriro, hanyuma bigakwira uko ukira. Uru ruzinduko rutuma ikipe yawe y'ubuvuzi ikurikirana uko umera, ikuraho imitsi cyangwa ibyuma, kandi igakemura ibibazo byose ushobora kugira.

Kwigira gucunga impinduka z'inkari

Niba waravanyweho uruhago rwose, kwiga gucunga sisitemu yawe nshya y'inkari bibaye igice cyingenzi cyo gukira. Abaforomo b'inzobere bita abaforomo ba ostomy cyangwa urology bazakwigisha ubuhanga ukeneye.

Ku bantu bafite ileal conduit, kwiga guhindura no gusuka umufuka wawe wo gukusanya bibaho buri gihe mu byumweru bike. Ibikoresho biragaragara, kandi abantu benshi basubira mu bikorwa byabo byose bisanzwe, harimo koga no gukora imyitozo ngororamubiri.

Abafite ibigega bya kontinent bamenya gushyira catheter no gusuka umufuka wabo wimbere inshuro nyinshi kumunsi. Ubu buhanga bufata imyitozo ariko bukabaho mu gihe. Abantu benshi bishimira kutagira umufuka wo gukusanya hanze.

Abantu bafite neobladders biga uburyo bushya bwo kunyara n'imyitozo yo hasi ya pelvic kugirango barusheho kugenzura. Gukomeza byuzuye birashobora gufata amezi menshi kugirango bigerweho, kandi abantu bamwe bakeneye kwambara ibikoresho byo kurinda.

Ni izihe ngaruka n'ibibazo bya cystectomy?

Kimwe n'ibikorwa byose bikomeye, cystectomy ifite ibyago bisanzwe bigira ingaruka ku barwayi benshi n'ibibazo bidasanzwe bibaho kenshi. Kumva ibi bishoboka bifasha gufata ibyemezo bifite ishingiro no kumenya ibimenyetso bikeneye ubuvuzi bwihutirwa.

Ikipe yawe yo kubaga ifata ingamba nyinshi zo kugabanya ibi byago, kandi abantu benshi barakira nta ngaruka zikomeye. Ariko, kumenya ibibazo bishoboka bifasha kwitabira cyane mu gukira kwawe no gushaka ubufasha igihe bibaye ngombwa.

Ibyago bisanzwe byigihe gito

Ibibazo byinshi birashobora kubaho muminsi niminsi ikurikira ako kanya kubagwa, nubwo byinshi bigenzurwa n'ubuvuzi bukwiye:

• Gushirwa amaraso bishobora gusaba ko wongererwa amaraso
• Udukoko twateye ahakorewe iseswa cyangwa mu nzira yawe y'inkari
• Amabara mu maguru yawe ashobora kujya mu bihaha byawe
• Umuvumo uterwa no guhumeka gake nyuma yo gukoresha imiti ituma utumva
• Kutagaruka vuba kw'imikorere isanzwe y'amara
• Kuvamo kw'amazi ava mu byakoreweho iseswa, akenshi bikira nyuma y'igihe

Itsinda ry'abaganga bakurikirana umubiri wawe hafi kugira ngo barebe ibi bibazo kandi bakabivura vuba niba bibaye. Byinshi muri ibi bibazo bigabanuka cyane uko ugenda ugenda ukora imirimo yawe isanzwe kandi imikorere y'umubiri wawe igasubira mu buryo busanzwe.

Ibibazo by'igihe kirekire byo kwitondera

Ibibazo bimwe na bimwe bishobora kuvuka nyuma y'amezi cyangwa imyaka nyuma yo kubagwa, bisaba gukurikiranwa buri gihe n'imiti yongereweho rimwe na rimwe. Kumenya ibi bishoboka bifasha kugumana ubuzima bwiza bw'igihe kirekire.

Ibibazo by'impyiko bishobora kuvuka niba inzira yawe nshya y'inkari idasohoka neza cyangwa niba udukoko tujya hejuru kuva mu nzira yawe y'inkari. Inama zisanzwe zikubiyemo ibizamini byo gukurikirana imikorere y'impyiko zawe no gufata ibibazo hakiri kare.

Kubura vitamine B12 bishobora kubaho kuko kubagwa bikuraho igice cy'urura rwawe risanzwe rifata iyi vitamine. Muganga wawe azakurikirana urwego rwa B12 kandi akwandikire imiti niba bikenewe. Ibi bikorwa byoroshye hamwe n'inkingo zisanzwe cyangwa imiti yo kunywa ifite urugero rwo hejuru.

Imikorere y'imibonano mpuzabitsina ihinduka igira ingaruka ku bantu benshi nyuma yo gukuraho uruhago, cyane cyane abagabo bashobora guhura n'ikibazo cyo kutagira ubushobozi bwo gushyira mu bikorwa. Abagore bashobora kugira umwuma mu gitsina cyangwa kutumva neza. Itsinda ryawe ry'abaganga rishobora kuganira ku miti n'uburyo bwo gukemura ibi bibazo.

Ibibazo bidakunze kubaho ariko bikomeye

Nubwo bitamenyerewe, ibibazo bikomeye bisaba ubufasha bwihuse bw'abaganga kandi bishobora gukenera kubagwa kwiyongera kugira ngo bikosore:

• Ukuva amaraso menshi adahagarara n'imiti isanzwe
• Kubura burundu kw'inzira yawe y'inkari
• Uburwayi bukomeye bwiyongera mu mubiri wawe wose
• Umutima utera cyane cyangwa igihuhwe mugihe cyangwa nyuma yo kubagwa
• Urugero rukomeye rw'uburwayi kubera imiti yo gutera urugimbu cyangwa imiti
• Gukomereka kw'izindi ngingo zegeranye mugihe cyo kubagwa

Ibi bibazo ni gake, bibaho kuri 5% gusa by'abarwayi, ariko kumenya ibimenyetso byabyo bifasha gushaka ubufasha bwihuse nibibaye. Uburambe bw'ikipe yawe yo kubaga hamwe n'uburyo bwo gukurikirana bwa none byatumye ibi bibazo bikomeye bitabaho cyane nkuko byari bimeze mbere.

Kuki nkwiriye kubona umuganga nyuma yo gukuraho uruhago?

Kumenya igihe cyo kuvugana n'ikipe yawe y'ubuvuzi nyuma yo kubagwa uruhago bifasha kumenya neza gukira no gukumira ibibazo bito bituma biba ibibazo bikomeye. Abaganga bawe barashaka kukumva niba ufite impungenge izo arizo zose, uko zaba zisa kose.

Ukwiriye guhamagara umuganga wawe ako kanya niba ugize umuriro uri hejuru ya 101°F (38.3°C), kubabara cyane mu nda kudakira n'imiti yategetswe, cyangwa kuva amaraso menshi ku gice cyangwa inzira yawe y'inkari. Ibi bimenyetso bishobora kugaragaza uburwayi cyangwa izindi ngorane zikeneye kuvurwa vuba.

Ibimenyetso bikeneye ubufasha bwihuse bw'ubuvuzi

Ibimenyetso bimwe na bimwe bisaba ubuvuzi bwihutirwa kuko bishobora kugaragaza ingorane zikomeye zishobora gushyira ubuzima bwawe mu kaga:

• Kubabara mu gituza cyangwa guhumeka bigoranye bishobora kugaragaza amaraso yiziritse
• Kutagira inkari mu masaha arenga 6
• Isesemi ikomeye no kuruka bikubuza kugumana amazi
• Ibimenyetso byo kumagara cyane nk'izunguruka cyangwa urujijo
• Kubabara cyane mu nda yawe cyangwa mu mugongo
• Itukura, gushyuha, cyangwa gushoka kw'amazi ku gice cyawe

Ntugahweme guhamagara 911 cyangwa kujya mu cyumba cy'ubutabazi niba wumva ibi bimenyetso. Kuvura hakiri kare ibibazo akenshi birinda ibindi bibazo bikomeye kandi bigufasha gusubira mu nzira yo gukira.

Igihe cyo gutegura gahunda yo gusuzumwa buri gihe

Ibyo guhura na muganga buri gihe ni ngombwa kugira ngo ukurikirane ubuzima bwawe bw'igihe kirekire kandi umenye ibibazo bishobora kuvuka mbere yuko bikomera. Itsinda ryawe ry'abaganga rizagena izi gahunda zo gusura mu gihe runaka hashingiwe ku byo ukeneye.

Gahunda isanzwe yo gusuzumwa irimo gusura nyuma y'ibyumweru 2, ibyumweru 6, amezi 3, amezi 6, hanyuma buri mwaka. Izi gahunda zirimo ibizamini by'umubiri, ibizamini by'amaraso kugira ngo barebe imikorere y'impyiko zawe, n'ubushakashatsi bwo kwifashisha amashusho kugira ngo bakurikirane niba kanseri yongeye kugaruka.

Ugomba kandi kuvugana na muganga wawe niba ubonye impinduka buhoro buhoro mu mikorere y'inkari zawe, ububabare buhoraho busa nkaho burushaho kuba bubi aho kuba bwiza, cyangwa ibindi bimenyetso bishya bikubabaje. Itsinda ryawe ry'abaganga rihari kugira ngo rigushyigikire mu rugendo rwawe rwo gukira.

Ibibazo bikunze kubazwa ku bijyanye no kubaga kugira ngo bakure uruhago

Q.1 Ese gukuraho uruhago ni bwo buryo bwonyine bwo kuvura kanseri y'uruhago?

Gukuraho uruhago ntabwo buri gihe ari uburyo bwa mbere cyangwa bumwe bwo kuvura kanseri y'uruhago. Itsinda ryawe ry'abaganga rizatekereza ibintu byinshi birimo urwego rwa kanseri, aho iherereye, n'ubuzima bwawe muri rusange mugihe cyo gutanga ibisubizo byo kuvura.

Kubera kanseri y'uruhago yo mu ntangiriro itarakura mu rukuta rw'imitsi, abaganga bakunze kugerageza uburyo bwo kuvura nka chemotherapy, immunotherapy, cyangwa radiyo therapy mbere. Ubu buryo butagira ingaruka nyinshi burashobora kugira akamaro kanini kubwoko runaka bwa kanseri y'uruhago. Kubaga biba igisubizo cyemewe iyo kanseri yakuze cyane mu rukuta rw'uruhago cyangwa iyo ubundi buryo bwo kuvura butagize icyo bugeraho mu kurwanya indwara.

Q.2 Ese nshobora kubaho ubuzima busanzwe nyuma yo kubagwa kugira ngo bakure uruhago?

Yego, abantu benshi basubira mu buzima bwuzuye, bukora nyuma yo kubagwa kugira ngo bakureho uruhago, nubwo hariho ibintu byo gukora. Ikintu cyingenzi ni ukwiga gucunga sisitemu yawe nshya y'inkari no gukora impinduka zimwe na zimwe z'imibereho.

Abantu benshi basubira mu kazi, urugendo, imyitozo, kandi bakishimira ibikorwa byabo nkuko babikoraga mbere yo kubagwa. Imikino, koga, n'ibindi bikorwa by'umubiri mubisanzwe birashoboka umaze gukira rwose. Imibanire mpuzabitsina irashobora gusaba impinduka zimwe na zimwe, ariko abashakanye benshi babona uburyo bwo gukomeza umubano ushimishije bafashijwe n'ikipe yabo y'ubuvuzi.

Q.3 Imyanya y'inkari imara igihe kingana iki?

Imyanya y'inkari yaremwe mugihe cya cystectomy yagenewe kumara ubuzima bwawe bwose hamwe n'ubwitange bukwiye no gukurikiranwa. Uburyo bwa none bwo kubaga butanga imikoranire irambye idasaba gusimburwa.

Ariko, nkuko sisitemu y'umubiri wose, imyanya y'inkari irashobora gukenera gukorwa buri gihe cyangwa guhindurwa uko igihe kigenda. Abantu bamwe bashobora guteza imbere imiterere (kugabanya) bisaba uburyo buto bwo gukosora. Inama zisanzwe zo gukurikirana zifasha gufata no gukemura ibi bibazo hakiri kare, zikemeza ko sisitemu yawe y'inkari ikomeza gukora neza mumyaka myinshi.

Q.4 Nzagomba kurya ibiryo byihariye nyuma ya cystectomy?

Abantu benshi barashobora gusubira mu mirire isanzwe, yuzuye ubuzima nyuma yo koroherwa na cystectomy, nubwo ushobora gukenera gukora impinduka zimwe na zimwe zishingiye ku bwoko bwawe bw'imyanya y'inkari. Ikipe yawe y'ubuvuzi izatanga ubuyobozi bwihariye bwimirire bushingiye ku miterere yawe.

Niba igice cy'urwungano rwawe cyakoreshejwe mugusana, ushobora gukenera kwirinda ibiryo bimwe na bimwe bishobora gutera ibibazo cyangwa gasi nyinshi. Abantu bafite imiyoboro ya ileal bashobora gukenera kugabanya ibiryo byuzuye oxalates kugirango birinde amabuye mu mpyiko. Umuganga wawe wimirire azagufasha gukora gahunda yo kurya ishyigikira ubuzima bwawe mugihe ukwemera kwishimira ibiryo bitandukanye.

Q.5 Ni izihe mfashanyigisho zishoboka kubarwayi ba cystectomy?

Hari ubufasha bwinshi bushobora kugufasha mu buzima nyuma yo kubagwa uruhago. Ibitaro byawe bishobora kuba bifite abaforomo b'inzobere bigisha uburyo bwo kwita ku nzira z'inkari kandi bakaguhuza n'amatsinda yo gufashanya.

Imiryango ikomeye ku rwego rw'igihugu nka United Ostomy Associations of America itanga ibikoresho by'uburezi, forume kuri interineti, n'amatsinda yo gufashanya y'ibanze aho ushobora guhura n'abandi bafite ibibazo bisa. Abantu benshi babona ihumure rikomeye n'inama zifitiye akamaro mu kuvugana n'abandi bashoboye guhinduka mu buzima nyuma yo kubagwa uruhago. Umukozi wawe ushinzwe imibereho myiza ashobora kugufasha guhura n'izi mfashanyamake z'agaciro n'ubufasha bw'imari ushobora gukenera.