Ni iki cyo kubaga umwanya w'inyuma? Intego, Uburyo & Gukira

Kubaga umwanya w'inyuma ni uburyo bwo mu buvuzi busana uburwayi aho igice cy'umwanya w'inyuma wanyu gisohoka mu ruyange. Ibi bibaho iyo imitsi n'imitsi isanzwe ifata umwanya w'inyuma mu mwanya wayo bigenda bicika intege cyangwa bigatambuka. Nubwo bisa nk'ibiteye ubwoba, ubu burwayi buravurwa, kandi kubaga birashobora gusubiza imikorere isanzwe no kunoza cyane imibereho yawe.

Ni iki cyo gusohoka k'umwanya w'inyuma?

Gusohoka k'umwanya w'inyuma bibaho iyo umwanya w'inyuma (igice cya nyuma cy'urugingo runini) utakaza ubufasha bwasanzwe bukamanuka mu ruyange. Tekereza nk'isogisi yahindutse imbere hanze. Umwanya w'inyuma ushobora gusohoka gato cyangwa ugasohoka santimetero nyinshi hanze y'umubiri wawe.

Ubu burwayi bugira ingaruka ku bantu b'imyaka yose, nubwo bikunda kubaho ku bantu bakuze, cyane cyane abagore barengeje imyaka 50. Abana nabo barashobora kugira gusohoka k'umwanya w'inyuma, ariko akenshi bikemuka ubwabyo uko bakura. Ubu burwayi ntibuteje akaga, ariko burashobora kuba butari bwiza kandi bugahungabanya ibikorwa byawe bya buri munsi.

Hariho ubwoko butandukanye bwo gusohoka k'umwanya w'inyuma. Gusohoka kwuzuye bisobanura ko uburemere bwose bw'urukuta rw'umwanya w'inyuma rusohoka mu ruyange. Gusohoka k'igice gishingiye ku gice cy'imbere cy'umwanya w'inyuma. Abantu bamwe bahura no gusohoka imbere, aho umwanya w'inyuma wihinduranya imbere ariko ntusohoke mu ruyange.

Kuki kubaga umwanya w'inyuma bikorwa?

Kubaga biba ngombwa iyo gusohoka k'umwanya w'inyuma bigira ingaruka zikomeye ku buzima bwawe bwa buri munsi cyangwa bigatera ibibazo. Muganga wawe azagusaba kubagwa niba gusohoka kutisubiramo ubwabyo, gutera ububabare, cyangwa bikaba byatera ibibazo byo kwituma.

Impamvu nyamukuru zo kubagwa zirimo kutagira umunezero bihoraho, kugorana mu kugenzura imyitwarire yo mu nda, kuva amaraso mu gice cyasohotse, cyangwa igihe prolapse ifashwe kandi idashobora gusubizwa inyuma. Abantu bamwe kandi bahitamo kubagwa kuko iyi ndwara igira ingaruka ku kwigirira icyizere no kuba badashobora kwitabira ibikorwa bisanzwe.

Ubuvuzi butabazwe nk'imyitozo yo hasi y'igituza, impinduka mu mirire, cyangwa ibinyobwa byoroshya imyitwarire yo mu nda bishobora kugeragezwa mbere, cyane cyane ku miterere yoroheje. Ariko, ubu buryo ntibukunda gutanga igisubizo kirambye kuri prolapse yuzuye ya rectal. Kubagwa bitanga uburyo bwizewe bwo gukemura ikibazo no kubuza gusubira.

Ni iki gikorerwa kubagwa kwa rectal prolapse?

Kubagwa kwa rectal prolapse gushobora gukorwa hakoreshejwe uburyo bubiri nyamukuru: binyuze mu nda yawe cyangwa binyuze mu gice cyegereye anus yawe. Umuganga wawe uzahitamo uburyo bwiza bushingiye ku myaka yawe, ubuzima muri rusange, n'uburemere bwa prolapse yawe.

Mugihe cyo kubagwa mu nda, umuganga wawe akora ibice bito mu nda yawe akoresha ibikoresho byihariye byo kuzamura no gushyira mu mwanya wawo rectum yawe. Ubu buryo bukunze gukoresha uburyo bwa laparoscopic, bukoresha kamera ntoya n'ibikoresho bishyirwa binyuze mu gice gito. Umuganga ashobora gushyira rectum yawe mu gice cy'umugongo cyangwa akavana igice cya colon niba kirekire cyane.

Uburyo bwa perineal bukubiyemo gukora binyuze mu gice cyegereye anus yawe hatagize ibice bikorwa mu nda yawe. Ubu buryo bukunze guhitwamo kubarwayi bakuze cyangwa abafite izindi ndwara zishobora gutuma kubagwa mu nda bigira akaga. Umuganga akuraho igice cyasohotse kandi agashimangira imitsi ikikije anus.

Kubagwa kwinshi kwa rectal prolapse bifata hagati yisaha imwe n'eshatu. Uzahabwa anesthesia rusange, bivuze ko uzaba uryamye rwose mugihe cyo gukora. Uburyo bwihariye umuganga wawe akoresha buterwa n'ibintu nk'imiterere yawe, ubwoko bwa prolapse, n'ibyo umubiri wawe ukeneye.

Ni gute witegura kubagwa indwara yo kumanuka k'umura w'inyuma?

Kwitegura kubagwa indwara yo kumanuka k'umura w'inyuma bikubiyemo intambwe nyinshi z'ingenzi zifasha kugira ngo ibisubizo bibe byiza. Muganga wawe azatanga amabwiriza yihariye, ariko kwitegura bikunze gutangira iminsi mike mbere yo kubagwa.

Muganga wawe ashobora kugusaba ko usukura amara yawe mbere yo kubagwa ukoresheje umuti wihariye cyangwa enemas. Iyi ntambwe ni ingenzi kuko igabanya ibyago byo kwandura kandi igaha muganga wawe icyerekezo cyiza cy'ahantu ho kubagira. Uzongera kandi guhagarika kurya no kunywa mu gihe runaka mbere yo kubagwa, akenshi bitangira saa sita z'ijoro mbere y'uko bucya.

Menyesha ikipe yawe y'ubuzima imiti yose urimo gufata, harimo imiti itangwa n'abaganga n'ibiyongera. Imwe mu miti, cyane cyane iyo ifasha amaraso gushyira, ishobora gukenera guhagarikwa cyangwa guhindurwa mbere yo kubagwa. Muganga wawe ashobora kandi kugusaba guhagarika ibiyongera bimwe na bimwe bishobora kugira ingaruka ku kuva amaraso.

Tegura umuntu uzakujyana mu rugo nyuma yo kubagwa kandi agumane nawe umunsi umwe cyangwa ibiri bya mbere. Shyiraho ibiryo byoroshye, byoroshye gucunwa n'ibikoresho byose muganga wawe asaba mu gukira. Kugira byose biteguye mbere bizagufasha kwibanda ku gukira nyuma yo kubagwa kwawe.

Ni gute usoma ibisubizo byo kubagwa indwara yo kumanuka k'umura w'inyuma?

Intsinzi nyuma yo kubagwa indwara yo kumanuka k'umura w'inyuma ipimwa n'uburyo uburyo bwo kubaga bukosora ibimenyetso byawe kandi bugakumira ko kumanuka k'umura w'inyuma gusubira. Abantu benshi bagira impinduka zigaragara mu mibereho yabo mu byumweru bike cyangwa amezi nyuma yo kubagwa.

Muganga wawe azakurikiza uko ukira binyuze mu nama zikurikira, akenshi ziteganijwe mu byumweru bike nyuma yo kubagwa, hanyuma mu gihe kirekire. Muri izi ngendo, muganga wawe azagenzura ko ahantu ho kubagira hakira neza kandi ko utagira ibibazo.

Ibimenyetso byo kubagwa neza birimo ubushobozi bwo kugira imyitwarire isanzwe yo mu mara, kuruhuka kuva ku rubabare cyangwa kutumva neza, no kutagira prolapse igaragara. Muganga wawe azasuzuma niba waragaruye ubugenzuzi busanzwe ku myitwarire yawe yo mu mara, nubwo iri terambere rishobora gufata amezi menshi.

Abantu bamwe bahura n'impinduka z'agateganyo mu myitwarire y'amara nyuma yo kubagwa, nk'imyitwarire y'amara ikunze cyangwa impinduka mu gukomera kw'umwanda. Izi ngaruka mubisanzwe zirushaho uko umubiri wawe ukira. Itsinda ryawe ry'ubuvuzi rizagufasha gusobanukirwa icyo gisanzwe mugihe cyo gukira no igihe cyo gushaka ubufasha bwiyongereye.

Ni izihe mpamvu zishobora gutera prolapse ya rectal?

Gusobanukirwa impamvu zishobora gutera prolapse ya rectal birashobora kugufasha kumenya impamvu iyi ndwara iterwa kandi ninde ushobora kurushaho kuyihura. Nubwo umuntu wese ashobora kurwara prolapse ya rectal, ibintu bimwe na bimwe byongera amahirwe yawe.

Imyaka ni imwe mu mpamvu zikomeye zishobora gutera, iyi ndwara ikaba ikunze cyane kubantu barengeje imyaka 50. Abagore baribwa kenshi kurusha abagabo, cyane cyane abagize imbyaro nyinshi cyangwa kubyara bigoye. Kwaguka no kunanuka kw'imitsi yo mu gatuza mugihe cyo kubyara bishobora gutuma prolapse nyuma y'ubuzima.

Kuguma mu mara no gukoresha imbaraga mugihe cyo kwituma bitera umuvuduko mwinshi kuri rectum kandi bishobora kunaniza imitsi ishyigikira mugihe. Ibihe bitera gukorora guhoraho, nk'indwara y'ibihaha ihoraho, nabyo bishobora kongera umuvuduko mu nda no gutuma prolapse iterwa.

Izindi mpamvu zishobora gutera zirimo kuba warabazwe mbere mu gatuza, ibibazo bimwe na bimwe bya genetike bigira ingaruka kumitsi ihujwe, nibibazo bya neurologique bigira ingaruka kumitsi igenzura rectum. Abantu bamwe bavukana imitsi idakomeye ibatuma barushaho kwibasirwa na prolapse mubuzima bwabo bwose.

Ni izihe ngaruka zishobora guterwa no kubagwa prolapse ya rectal?

Mugihe kubagwa prolapse ya rectal muri rusange bifite umutekano kandi bikora neza, kimwe n'izindi nshingano zo kubaga, bifite ibibazo bimwe na bimwe. Kumva ibi bibazo bishobora kugufasha gufata icyemezo gifitiye akamaro kandi kumenya icyo ugomba kwitaho mugihe cyo gukira.

Ibibazo bisanzwe bishobora kubaho nyuma yo kubagwa harimo kuva amaraso, kwandura ahantu habagiwe, no kugorana by'agateganyo mugihe cyo kwituma. Abantu bamwe bahura n'impinduka mumigenzo yabo yo kwituma, nko kongera ubushake cyangwa kenshi, ibyo bikunda gukira uko umubiri uhinduka.

Ibibazo bikomeye ariko bitabaho kenshi birimo gukomeretsa ibice byegereyeho, nka nyababyeyi, imitsi y'amaraso, cyangwa imitsi. Mu bihe bidasanzwe, prolapse irashobora kugaruka, bisaba kubagwa. Abantu bamwe bagira adhesions (ibice by'imitsi) bishobora gutera ibibazo byo guhagarika mu mara, nubwo ibi bitabaho.

Ibibazo byo gukora imibonano mpuzabitsina rimwe na rimwe birashobora kubaho, cyane cyane hamwe n'inzira zo kubaga mu nda, bitewe no gukomeretsa imitsi. Ariko, abaganga b'inzobere bitaho cyane kurinda iyi mitsi y'ingenzi mugihe cy'inzira. Abantu benshi bakira neza nta bibazo birambye.

Itsinda ryawe ry'abaganga bazagukurikiranira hafi mugihe cyo gukira kandi baguhe amabwiriza asobanutse yerekeye ibimenyetso byo kwitondera. Gushaka ubufasha bw'ubuvuzi bwihuse kubimenyetso byose bibangamiye bishobora gufasha kwirinda ibibazo bito guhinduka ibibazo bikomeye.

Kuki ngomba kubona umuganga kubera prolapse ya rectal?

Ugomba kubona umuganga niba ubonye igice cy'umubiri kiva muri anus yawe, cyane cyane niba kitagaruka cyangwa gitera ububabare. Isuzuma rito n'imiti birashobora kwirinda ko icyo kibazo cyiyongera kandi kigatera imikorere yawe y'igihe kirekire.

Shaka gahunda yo kubonana n'abaganga niba ubona impinduka zihoraho mu myifatire yawe yo kwituma, nk'uko bigoranye kugenzura uko wituma, kuva amaraso igihe cyangwa nyuma yo kwituma, cyangwa kumva ko udashobora gushira neza mu bwogero. Ibi bimenyetso bishobora kwerekana ikibazo cyo kumanuka kw'umwanya w'inyuma cyangwa ikindi kibazo gikeneye ubufasha bw'abaganga.

Shaka ubufasha bw'ubuvuzi bwihuse niba ufite ububabare bukomeye, kuva amaraso menshi, cyangwa niba igice cyamanutse gihinduka umwijima, kikaba gikonje, cyangwa kigahora cyane. Izi mpinduka zishobora kwerekana ko amaraso atagera neza mu gice cy'umubiri, ibyo bikaba bisaba kuvurwa byihutirwa kugira ngo birinde ingaruka zikomeye.

Ntugatinye kuvuga ibi bimenyetso n'umuganga wawe. Ikibazo cyo kumanuka kw'umwanya w'inyuma ni ikibazo gikunze kubaho mu buvuzi, kandi muganga wawe afite imyitozo n'uburambe bwo kugufasha kumva umeze neza mu gihe akemura ibibazo byawe neza.

Ibibazo bikunze kubazwa ku bijyanye no kubagwa umwanya w'inyuma

Q.1 Ese kubagwa umwanya w'inyuma ni byiza mu guteza imbere imibereho myiza?

Yego, kubagwa umwanya w'inyuma bifasha cyane mu guteza imbere imibereho myiza ku bantu benshi. Ubushakashatsi bwerekana ko 85-95% by'abarwayi bagira impinduka zigaragara mu bimenyetso byabo nyuma yo kubagwa. Ubu buryo busanzwe bukuraho ikibazo kigaragara cyo kumanuka kw'umwanya w'inyuma kandi bufasha mu gusubiza imikorere isanzwe y'amara.

Abantu benshi bavuga ko bumva bafite icyizere kandi bameze neza mu mibanire yabo nyuma yo kubagwa. Isoni n'umujinya bifitanye isano n'ibimenyetso byo kwituma bitunguranye bisanzwe bikemuka, bigatuma abarwayi basubira mu bikorwa byabo bisanzwe, imyitozo ngororamubiri, n'imibanire yabo nta mpungenge.

Q.2 Ese kubagwa umwanya w'inyuma bitera ibibazo by'amara by'igihe kirekire?

Kubagwa umwanya w'inyuma muri rusange biteza imbere imikorere y'amara aho gutera ibibazo by'igihe kirekire. Ariko, abantu bamwe bashobora guhura n'impinduka z'igihe gito mu myifatire yabo yo kwituma mu mezi make ya mbere nyuma yo kubagwa igihe umubiri wabo wimenyereza.

Rimwe na rimwe, abarwayi bashobora kugira ibimenyetso bishya nk'ukwiyongera kw'umubare w'imyanda cyangwa kwihutisha, ariko ibi bikorwa mubisanzwe biroroshye kandi bigenda neza uko igihe kigenda. Abantu benshi cyane basanga imikorere y'amara yabo imeze neza nyuma yo kubagwa kurusha uko byari bimeze mbere, hamwe no kugenzura neza no kutagira ibibazo byinshi.

Q.3 Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa prolapse ya rectal?

Igihe cyo gukira gitandukanye bitewe n'uburyo bwo kubaga n'uburyo bwawe bwite bwo gukira. Abantu benshi bashobora gusubira mu bikorwa byoroheje mu gihe cy'ibyumweru 1-2 nyuma yo kubagwa, nubwo gukira neza mubisanzwe bifata ibyumweru 6-8. Uburyo bwo mu nda bushobora gusaba igihe kirekire cyo gukira kurusha uburyo bwo ku gice cy'inyuma.

Ushobora gukenera kwirinda kuzamura ibintu biremereye n'ibikorwa bikomeye mu gihe cy'ibyumweru 4-6 kugira ngo ukire neza. Abantu benshi bashobora gusubira ku kazi mu gihe cy'ibyumweru 2-4, bitewe n'ibisabwa by'akazi kabo. Muganga wawe azatanga amabwiriza yihariye ashingiye ku miterere yawe kandi akurikirane iterambere ryawe mu gihe cyo gukurikirana.

Q.4 Prolapse ya rectal ishobora kugaruka nyuma yo kubagwa?

Prolapse ya rectal irashobora kugaruka nyuma yo kubagwa, ariko ibi bibaho mu byerekeye 2-5% gusa iyo kubagwa bikozwe n'abaganga b'inararibonye. Ibyago byo kugaruka biterwa n'ibintu nk'uburyo bwo kubaga bwakoreshejwe, ubuzima bwawe muri rusange, niba ibintu by'ibanze by'ibibazo bikemurwa.

Gukurikiza amabwiriza ya muganga wawe nyuma yo kubagwa, kugumana imyifatire myiza y'amara, no gukemura ibibazo nk'ukwigunga kw'amara kw'igihe kirekire bishobora gufasha kugabanya ibyago byo kugaruka.

Q.5 Ni ikihe gipimo cy'ubushobozi bwo kubagwa prolapse ya rectal?

Kubagwa prolapse ya rectal bifite ubushobozi bwo hejuru, hamwe na 90-95% by'abarwayi bagira gukemuka kwuzuye kwa prolapse yabo. Iyi nzira ifatwa nk'imwe mu miti y'ubuvuzi yatsinze cyane mu kubaga amara manini, hamwe n'igipimo cyo gushimishwa cyane n'abarwayi n'igipimo gito cy'ibibazo.

Intsinzi ntigeranwa gusa no gukemura ikibazo cy'uburwayi, ahubwo no kunoza imikorere y'amara, kugabanya ububabare, no guteza imbere imibereho myiza. Abantu benshi bavuga ko bagira iterambere rikomeye muri ibyo byose mu mezi make nyuma yo kubagwa, bikaba bituma ari uburyo bwo kuvura bukora cyane kuri iki kibazo.