Kubagwa imvura mu gitsina: Intego, Uburyo & Ibivamo

Imvura mu gitsina ni igikoresho cy'ubuvuzi gishyirwa mu gitsina kugira ngo gifashe abagabo kugira imvura igihe izindi nshuti zo kuvura kutagira imvura zitagize icyo zikora. Bitekerezeho nk'igisubizo cya mekaniki gihishe rwose imbere mu mubiri wawe, kikakwemerera kugira umwanya wihariye n'umukunzi wawe. Ubu buvuzi bwafashije ibihumbi by'abagabo kongera kwigirira icyizere no kwegera abakunzi babo mu mishyikirano yabo igihe imiti, inshinge, cyangwa izindi nshuti zitagize icyo zikora.

Imvura mu gitsina ni iki?

Imvura mu gitsina ni igikoresho cya prostetike gisimbura uburyo karemano umubiri wawe ukoresha kugira ngo ugire imvura. Iyi mvura igizwe na silindiri zishyirwa imbere mu byumba by'imvura by'igitsina cyawe, hamwe na sisitemu ya pompe ikwemerera kugenzura igihe ufite imvura. Imvura ya none igamije kumva karemano kuri wowe no ku mukunzi wawe mu gihe cy'imishyikirano.

Hariho ubwoko bubiri bukuru buriho uyu munsi. Iya mbere yitwa imvura ifunguka, ikoresha pompe kugira ngo yuzuze silindiri n'amazi igihe ushaka imvura. Ubwoko bwa kabiri ni imvura ya semi-rigid, ikomeza igitsina cyawe gikomeye bihagije kugira ngo kigende ariko kigoreka kugira ngo gihishwe munsi y'imyenda.

Iki gikoresho ni imbere rwose kandi ntigishobora kugaragara hanze. Nta muntu ushobora kumenya ko ufite imvura urebye gusa, kandi abakunzi benshi ntibashobora kumenya itandukaniro iryo ariryo ryose mu gihe cy'imishyikirano igihe umaze gukira kubagwa.

Kuki kubagwa imvura mu gitsina bikorwa?

Abaganga basaba imvura mu gitsina igihe kutagira imvura bigira ingaruka zikomeye ku mibereho yawe kandi izindi nshuti zitatanze ibisubizo bishimishije. Uku kubagwa bikunze gufatwa nyuma yo kugerageza imiti nka sildenafil, ibikoresho bya vacuum, cyangwa ubuvuzi bwo guterwa inshinge bitagize icyo bikora. Urologist wawe ashaka kumenya neza ko wabanje gushakisha uburyo butavuna mbere yo kwimukira mu kubagwa.

Ushobora kuba umukandida niba ufite imitsi yangiritse bitewe na diyabete, ibibazo by'imitsi y'amaraso, cyangwa ibikomere bituma imibonano mpuzabitsina idakora neza. Abagabo bavuwe kanseri ya prostate, bakomeretse umugongo, cyangwa bafite indwara ya Peyronie bakunze gusanga ibikoresho byongera ubushobozi bwabo bwo gukora imibonano mpuzabitsina neza iyo ibindi byose byananiranye.

Intego si ugukora imibonano mpuzabitsina gusa ahubwo ni n'imibereho myiza y'amarangamutima. Abagabo benshi bavuga ko bumva bameze nk'uko bari mbere yo kubagwa, bafite icyizere gishya mu mibanire yabo no kunyurwa n'ubuzima muri rusange.

Ni iki gikorerwa mu kubagwa ibikoresho byongera ubushobozi bwo gukora imibonano mpuzabitsina?

Kubaga ibikoresho byongera ubushobozi bwo gukora imibonano mpuzabitsina bikorwa hakoreshejwe imiti ituma umuntu atagira ubwoba kandi bikamara iminota 45 kugeza ku masaha 2, bitewe n'ubwoko bw'ibikoresho n'imiterere y'umubiri wawe. Umuganga wawe azakora agace gato ku gice cy'igitsina cyawe cyangwa mu nda hasi, agahitamo uburyo bukora neza ku mubiri wawe. Iki gikorwa gikorerwa mu buryo bwo kubagwa umuntu akajya mu rugo ku munsi umwe mu bihe byinshi.

Ibi nibyo bibaho mugihe cyo kubagwa, intambwe ku yindi:

1. Umuganga wawe akora umwanya imbere mu byumba byongera ubushobozi bwo gukora imibonano mpuzabitsina akoresheje uburyo bwo gushyira igitsina mu buryo bwiza
2. Ibyuma byongera ubushobozi bwo gukora imibonano mpuzabitsina bishyirwa neza muri ibyo byumba
3. Kubikoresho byongera ubushobozi bwo gukora imibonano mpuzabitsina bikoresha umwuka, agapompe gato gashyirwa mu gice cy'igitsina cy'umugabo n'urugero rushyirwa mu nda hasi
4. Ibice byose bihurizwa hamwe n'imiyoboro ihishe rwose imbere mu mubiri wawe
5. Agace gakorerwagaho kubaga gafungwa hakoreshejwe imitsi isenyuka

Itsinda ry'abaganga bakurikirana neza imikorere yawe mugihe cyo gukira mbere yo kuguha amabwiriza arambuye yo kwitaho. Abagabo benshi bumva bababara ariko ntibababarira cyane, kandi umuganga wawe azandika imiti ikwiye yo kugufasha kumva umeze neza.

Ni gute witegura kubagwa ibikoresho byongera ubushobozi bwo gukora imibonano mpuzabitsina?

Kwitegura bitangirana n'ibiganiro by'ukuri na muganga wawe ku byo witeze, impungenge zawe, n'amateka yawe y'ubuvuzi. Uzaba ukeneye guhagarika imiti imwe nka ya ifasha amaraso gutembera neza mbere y'icyumweru kimwe mbere yo kubagwa, kandi muganga wawe azaguha urutonde rwuzuye rw'ibyo ugomba kwirinda. Iyi gahunda yo kubagwa ifasha kugera ku musaruro mwiza ushoboka ku buryo bwawe.

Uburyo bwawe bwo kwitegura bugomba gukubiyemo iyi ntambwe z'ingenzi:

• Kuzuza ibizamini byose by'amaraso mbere yo kubagwa n'ibyangombwa by'ubuvuzi muganga wawe ategeka
• Gutegura umuntu wo kukujyana mu rugo no kugumana nawe amasaha 24 nyuma yo kubagwa
• Kuzana imyenda yoroshye yo kwambara n'imyenda y'imbere yo mu gihe cyo gukira
• Kuzuza umuti wawe wo kurwanya ububabare mbere y'igihe kugira ngo ube witeguye igihe ugeze mu rugo
• Gutegura uburyo bwo kuryama neza kuko ushobora gukenera kuryama witeguye mbere na mbere

Muganga wawe ashobora kandi gushimangira isabune idasanzwe irwanya mikorobe yo gukaraba mbere yo kubagwa kugira ngo agabanye ibyago byo kwandura. Gukurikiza izi ntambwe zo kwitegura neza bigushyira mu nzira yo gukira neza no kubona ibisubizo byiza.

Ni gute usoma ibisubizo byawe byo gushyiraho igikoresho mu gitsina gabo?

Kugera ku ntsinzi hamwe n'igikoresho gishyirwa mu gitsina gabo bipimirwa n'ubushobozi bwawe bwo kugera ku gitsina gishyushye gihagije kugira ngo gishobore kwinjiramo no kunyurwa kwawe muri rusange n'ibikorwa byegereye. Abagabo benshi bashobora kwitega gukoresha igikoresho cyabo mu bikorwa by'imibonano mpuzabitsina hafi y'ibyumweru 6 kugeza kuri 8 nyuma yo kubagwa, igihe gukira kwa mbere kurangiriye. Muganga wawe azakuyobora mu kwiga gukoresha sisitemu ya pompe niba ufite igikoresho gihumeka.

Uzamenya ko igikoresho cyawe gikora neza iyo ushoboye kugera ku gitsina gishyushye gihamye kumva gisanzwe kandi gishimishije kuri wowe no kuwo mwashakanye. Igitsina gishyushye kigomba kuba gihamye bihagije kugira ngo gishobore kwinjiramo ariko ntigikomere cyane, kandi ugomba gushobora kugikomeza igihe cyose ubyifuje mu gihe cy'ibihe byegereye.

Muganga wawe azateganya gahunda zo gusubira kwa muganga kugira ngo arebe uko ukira kandi yemeze ko igikoresho gikora neza. Ntugatindiganye kuvugisha itsinda ryabakugizeho ibibazo niba ubonye ububabare budasanzwe, kubyimba, cyangwa kugorana gukoresha igikoresho mu gihe cyo gukira.

Ibikorwa byiza byo kubagwa igikoresho cyo mu gitsina gabo ni ibihe?

Ibigikoresho byo mu gitsina gabo bitanga urwego rwo hejuru rwo kunyurwa hagati yuburyo bwose bwo kuvura kutagira ubushobozi bwo gushyira igitsina gabo mu buryo, hamwe n'ubushakashatsi bwerekana ko abagabo barenga 90% n'abafatanyabikorwa babo bavuga ko bishimiye ibyavuye muri ibyo. Bitandukanye n'imiti isaba gutegura mbere, igikoresho kiguha umwanya wo gukora imibonano mpuzabitsina igihe cyose umwanya ubonetse. Ubu bwigenge akenshi butuma imibanire irushaho kuba myiza kandi ikongera icyizere cy'umuntu.

Iki gikoresho gitanga imitsi yizewe kandi ihoraho idashingiye ku mikorere y'amaraso yawe, imikorere y'imitsi, cyangwa urugero rw'imisemburo. Ibi bivuze ko indwara nka diyabete, indwara z'umutima, cyangwa imiti yabanje yo kuvura kanseri ntizabangamira ubushobozi bwawe bwo gukomeza imibanire yawe mu gihe kizaza.

Abagabo benshi kandi bashimira ko igikoresho gihishwe rwose kandi ntigisaba ibikoresho byo hanze cyangwa imiti. Iyo umaze gukira, gukoresha igikoresho biba nk'ibisanzwe, kandi abafatanyabikorwa benshi ntibashobora kumenya itandukaniro ry'umwuka mugihe cyo gukora imibonano mpuzabitsina.

Ni ibihe bintu bigira uruhare mu kugira ibibazo byo kubagwa igikoresho cyo mu gitsina gabo?

Indwara zimwe na zimwe zirashobora kongera ibyago byo kugira ibibazo, nubwo ibibazo bikomeye bidakunze kubaho hamwe n'uburyo bwa none bwo kubaga. Abagabo barwaye diyabete, abafite ubudahangarwa bw'umubiri butameze neza, cyangwa abafite imirasire yabanje yo mu gatuza bafite ibyago byiyongera gato ko umuganga azabiganiraho neza mbere yo gukomeza. Itsinda ryabakugizeho ibibazo rifata ingamba zidasanzwe niba ufite izi ndwara kugirango zigabanye ibibazo bishoboka.

Ibintu bishobora kongera ibyago byawe birimo:

• Indwara ya diyabete itagenzurwa cyangwa urugero rw'isukari mu maraso
• Ubu burwayi bw'inkari cyangwa indwara z'imyanya myibarukiro
• Umunyunguru, ugabanya gukira kandi ukongera ibyago byo kwandura
• Ubuvuzi bwo mu gatuza bwa mbere cyangwa radiyo
• Indwara zituma amaraso ava cyangwa gukoresha imiti ituma amaraso atavura vuba
• Urumuri rukomeye ruturutse ku buvuzi bwa mbere bwo kutagira ubushobozi bwo gushyira igitsina mu buryo

Umuvuzi wawe azakorana nawe kugirango agabanye ibi byago mbere yo kubaga igihe bibaye ngombwa. Urugero, bashobora kukubwira kureka umunyunguru cyangwa kugenzura neza diyabete yawe kugirango urusheho gukira neza nyuma yo kubagwa.

Ni izihe ngaruka zishobora kubaho nyuma yo kubaga igitsina?

Kimwe n'ubundi buvuzi bwose, ubuvuzi bwo gushyira igitsina mu buryo bufite ibyago, nubwo ingaruka zikomeye zifata abantu batarenze 5% iyo bikozwe n'abaganga bafite ubunararibonye. Ikibazo gikomeye ni ukwandura, bishobora gusaba gukuraho igitsina by'agateganyo mugihe ukira. Itsinda ryawe ry'abaganga bakoresha ibikoresho byihariye bifite imiti yica mikorobe hamwe n'uburyo bwo gukora isuku kugirango bagabanye cyane ibi byago.

Ingaruka zishobora kubaho zirimo:

• Kwandura bisaba kuvurwa n'imiti yica mikorobe cyangwa rimwe na rimwe, gukuraho igitsina
• Ibibazo bya mekaniki hamwe n'ibikoresho bishobora gukenerwa gusanwa
• Kwangirika aho igitsina cyangirika mu gice cy'umubiri
• Impinduka mu burebure bw'igitsina cyangwa kumva, akenshi by'agateganyo
• Urumuri rwo mu mubiri rushobora kugira ingaruka ku mikorere y'igitsina
• Ibikorwa bifitanye isano no gutera urugimbu, nubwo bidasanzwe cyane

Ingaruka nyinshi, niba zibayeho, zirashobora kuvurwa neza nta bibazo bihoraho. Umuvuzi wawe azasobanura ibimenyetso byo kwitondera kandi atange amabwiriza asobanutse yo kumenya igihe cyo gushaka ubufasha bwihuse bw'ubuvuzi mugihe ukira.

Nkwiriye kujya kwa muganga ryari kubera ibibazo byo gushyira igitsina mu buryo?

Vugana na muganga wawe ubahejeje kubaga ako kanya niba urwaye umuriro, ububabare bukomeye burushaho kwiyongera aho kugabanuka, cyangwa ibimenyetso by’ubwandu nk’umutuku, ubushyuhe, cyangwa ibivuye aho bakubagira. Ibi bimenyetso bishobora kwerekana ingorane zikeneye ubufasha bwihuse bwa muganga kugira ngo birinde ibibazo bikomeye. Itsinda ry’abaganga bakubaze rishaka gukemura ibibazo byose vuba na bwangu kugira ngo barengere ubuzima bwawe n’imikorere y’igikoresho cyashyizwe mu mubiri wawe.

Ugomba kandi kuvugana niba ugize ingorane zo gukoresha igikoresho cyo mu mubiri wawe gishobora guhinduka, kubyimba bidasanzwe bitagabanuka iyo uruhutse, cyangwa ibibazo byose by’imashini by’igikoresho. Rimwe na rimwe ibi bibazo bisaba guhindura byoroshye, ariko ni ngombwa kubisuzuma aho kubigerageza wenyine.

Kugira ngo ukurikiranwe buri gihe, muganga wawe azategura amasuzuma ya buri gihe kugira ngo akurikirane imikoreshereze yawe n’imikorere y’igikoresho cyashyizwe mu mubiri wawe. Izi gahunda ni ngombwa kugira ngo umenye ibibazo byose bikiri mu ntangiriro kandi wemeze ko urimo kubona ibisubizo byiza bishoboka kuva mu kubagwa kwawe.

Ibikunze kubazwa ku bijyanye n’ibikoresho byashyizwe mu gitsina

Q.1 Ese kubagwa igikoresho cyo mu gitsina ni byiza ku kutagira ubushobozi bwo gushyira mu gitsina bukomeye?

Yego, ibikoresho byashyizwe mu gitsina bifatwa nk’ubuvuzi bwiza bwo kutagira ubushobozi bwo gushyira mu gitsina bukomeye butitabira ubundi buvuzi. Ubushakashatsi buhora bwerekana urwego rwo kunyurwa ruri hejuru ya 90% ku barwayi n’abo bashakanye, bigatuma iki kiba cyiza iyo imiti, inshinge, n’ubundi buvuzi bitatanze ibisubizo bihagije.

Kubagwa ni byiza cyane cyane ku bagabo kutagira ubushobozi bwo gushyira mu gitsina biva ku mpamvu z’umubiri nk’indwara ya diyabete, indwara y’umutima, cyangwa kwangirika kw’imitsi kuva mu kubagwa urugimbu. Bitandukanye n’ubuvuzi bushingiye ku mikorere y’amaraso yawe karemano cyangwa imikorere y’imitsi, igikoresho gitanga imishyikirano yizewe hatitawe kuri izi ngorane zishingiye ku buzima.

Q.2 Ese kugira igikoresho cyo mu gitsina bigira ingaruka ku gushimishwa cyangwa kumva?

Abagabo benshi bagumana ubushobozi bwo kugera ku byishimo byo mu mibonano mpuzabitsina kandi bakumva ibyiyumvo bishimishije nyuma yo kubagwa kugira ngo bashyiremo igikoresho cyo mu gitsina. Iki gikoresho kigira ingaruka ku bushobozi bwawe bwo kugira imboro ihagaze, ntabwo kigira ingaruka ku miyoboro y'imitsi ishinzwe ibyishimo byo mu mibonano mpuzabitsina cyangwa kurangiza. Ariko, abagabo bamwe basanga hariho impinduka ntoya mu byiyumvo bikunda gukira uko gukira kurushaho mu mezi menshi.

Ubushobozi bwawe bwo kurangiza buterwa n'inzira z'imitsi zisigara zidakozweho na rimwe mugihe cyo kubagwa. Abagabo benshi bavuga ko umunezero wabo muri rusange mu mibonano mpuzabitsina urushaho gutera imbere kuko bashobora kwibanda ku bumwe batagombye guhangayika ku bijyanye no kugumana imboro ihagaze.

Q.3 Igihe ibikoresho byo mu gitsina bikunda kumara?

Ibikoresho byo mu gitsina bya none byateguwe kugira ngo bimare imyaka 15 kugeza kuri 20 cyangwa irenga iyo bikoreshejwe neza, nubwo bimwe bishobora gukenera gusimburwa mbere y'igihe bitewe no kwangirika kw'imashini cyangwa impinduka mu mubiri wawe. Ibikoresho byuzuzwa umwuka bifite ibice byinshi bishobora gukora nabi uko imyaka igenda, mugihe ibikoresho bya semi-rigid bikunda kugira ibibazo bike bya mashini ariko bishobora gutera kwangirika kwinshi ku bice bikikije.

Uburyo igikoresho cyawe kimara igihe kiterwa n'uburyo ukoresha kenshi ndetse n'ubuzima bwawe muri rusange. Umuganga wawe azagenzura igikoresho mugihe cyo kugenzura buri gihe kandi aganire ku buryo bwo gusimbuza niba ibibazo bivutse nyuma y'imyaka myinshi.

Q.4 Uwo tubana ashobora kumenya ko mfite igikoresho cyo mu gitsina?

Abafatanyabikorwa benshi ntibashobora kumenya ko ufite igikoresho mugihe cyo gukorana imibonano mpuzabitsina umaze gukira neza nyuma yo kubagwa. Iki gikoresho cyateguwe kugira ngo kigire uko kimeze, kandi abashakanye benshi bavuga ko ibyiyumvo byabo bya hafi bimeze neza rwose. Abafatanyabikorwa bamwe bashobora kubona ko imboro yawe imezeho gato, ariko ibi ntibigira ingaruka ku buryo bishimisha cyangwa kwishimira.

Pompe y'ibikoresho byuzuzwa umwuka ishyirwa mu gice cy'igitsina cy'abagabo aho bigoye kubona mugihe cy'ibikorwa bisanzwe cyangwa imibonano mpuzabitsina. Hamwe n'igihe n'imikurire, ndetse n'iki gice kigenda kigaragara cyane uko umubiri wawe uhinduka ukurikije igikoresho.

Ibibazo 5. Mbese ni iki kibaho nkeneye izindi nzira zo kuvurwa nyuma yo gushyirwamo igikoresho?

Gushyirwamo igikoresho mu gitsina ntibibuza kwakirwa izindi nshingano z'ubuvuzi zikenewe, harimo ibizamini bya MRI, inzira zerekeye prostate, cyangwa kubagwa muri rusange. Ariko, ni ngombwa kumenyesha abaganga bose bakuvura ibyerekeye igikoresho cyawe kugira ngo bafate ingamba zikwiye mu gihe cy'izindi nzira zizakurikira.

Zimwe mu nzira z'ubuvuzi zishobora gusaba impinduka z'agateganyo ku buryo igikoresho cyawe gikoreshwa, ariko ibi ntibitera ibibazo birambye. Urologist wawe ashobora guhuza n'abandi bahanga kugira ngo yemeze ko igikoresho cyawe gikomeza kuba cyiza kandi gikora neza mu gihe cy'izindi nshingano z'ubuvuzi ushobora gukenera.