Ni iki cyitwa Splenectomy? Impamvu, Uburyo bwo kubaga & Gukira

Splenectomy ni ugukuraho urugingo rw'umubiri rwawe rwitwa spleen, urugingo ruboneka mu gice cyo hejuru cy'igifu cyawe cy'ibumoso rufasha kurwanya indwara no gukora isuku mu maraso yawe. Nubwo gutakaza spleen yawe bishobora gutera ubwoba, abantu benshi babaho ubuzima bwuzuye, bwiza nyuma y'iyi nzira iyo biba ngombwa mu by'ubuvuzi.

Spleen yawe ikora nk'urugero rwo gukora isuku ridasanzwe kandi rufasha ubudahangarwa, ariko rimwe na rimwe birakenewe ko ikurwaho kubera imvune, indwara, cyangwa izindi ngorane z'ubuvuzi. Inkuru nziza ni uko izindi ngingo z'umubiri wawe zishobora gusimbura imirimo yayo myinshi, nubwo uzakenera gufata ingamba zidasanzwe kugirango ugume mu buzima bwiza.

Ni iki cyitwa splenectomy?

Splenectomy ni uburyo bwo kubaga aho abaganga bakuraho spleen yawe rwose. Spleen yawe ni urugingo rungana n'urushyi ruri inyuma y'imbaragasa ku ruhande rw'ibumoso rw'umubiri wawe, munsi gato ya diyagarama.

Uru rugingo mubisanzwe rutunganya uturemangingo tw'amaraso twashaje mu maraso yawe kandi rufasha ubudahangarwa bwawe kurwanya ubwoko runaka bwa bagiteri. Iyo spleen yangiritse, irwaye, cyangwa yagutse birenze urugero rw'umutekano, gukuraho biba uburyo bwiza bwo kuvura.

Kubaga birashobora gukorwa hakoreshejwe uburyo bwo kubaga busanzwe cyangwa uburyo bwo kubaga bworoshye bwa laparoscopic. Abantu benshi bakira neza nyuma y'iyi nzira, nubwo uzakenera gufata izindi ntambwe zo kwirinda indwara nyuma yaho.

Kuki splenectomy ikorwa?

Abaganga basaba splenectomy iyo spleen yawe itera ibibazo byinshi ku buzima bwawe. Ibi bikunda kubaho iyo urugingo rwangiritse cyane, rurwaye, cyangwa rutangira kurimbura uturemangingo tw'amaraso twiza.

Reka turebe impamvu zisanzwe zishobora gutuma ukeneye kubagwa, twibuke ko muganga wawe azahora agerageza izindi mvura mbere na mbere uko bishoboka.

Ukwangirika bikabije: Uko kwangirika bikabije mu nda biturutse ku mpanuka z'imodoka, imvune zo mu mikino, cyangwa kugwa bishobora gutuma urwagashya ruturika, bigatuma amaraso ava imbere mu mubiri bikaba byateza akaga gakomeye. Iyo kwangirika kuba gukabije ku buryo bitagishoboka gukosorwa, gukuraho urwagashya byihutirwa biramira ubuzima.

Indwara z'amaraso: Indwara nka idiopathic thrombocytopenic purpura (ITP) ituma urwagashya rwangiza uturemangingo tw'amaraso twiza, bigatuma habaho ibibazo by'amaraso bishobora guteza akaga. Hereditary spherocytosis ituma urwagashya rwangiza uturemangingo tw'amaraso tw'umutuku vuba cyane, bigatuma habaho anemia ikabije.

Uruwagashya rwagutse (splenomegaly): Iyo urwagashya rugutse cyane bitewe n'indwara nka portal hypertension cyangwa kanseri zimwe na zimwe, rushobora gukanda izindi ngingo kandi bigatuma habaho ububabare cyangwa ibibazo.

Ibyuririzi byo mu rwagashya cyangwa ibibyimba: Ibyuririzi binini cyangwa ibibyimba byombi byiza n'ibibi byo mu rwagashya bishobora gusaba gukurwaho, cyane cyane niba biteza ibimenyetso cyangwa bikaba byateza kanseri.

Kanseri zimwe na zimwe: Kanseri z'amaraso nka lymphoma cyangwa leukemia rimwe na rimwe zisaba gukuraho urwagashya nk'igice cy'ubuvuzi. Ibi bifasha abaganga kumenya uko kanseri imeze cyangwa gukuraho isoko y'uturemangingo tudasanzwe.

Impamvu zitavugwa cyane zirimo splenic abscesses zititabira imiti yica mikorobi, indwara zimwe na zimwe ziterwa n'umubiri ubwawo, cyangwa ibibazo biva mu bindi bikorwa by'ubuvuzi.

Ni iki gikorerwa gukuraho urwagashya?

Uburyo bwo gukuraho urwagashya bushobora gukorwa hakoreshejwe uburyo bubiri nyamukuru, kandi umuganga ubaga azahitamo uburyo bwiza bushingiye ku miterere yawe. Ubu buryo bwombi burizewe kandi bufite akamaro iyo bukorwa n'abaganga bafite uburambe.

Kubagwa kwawe bizatwara isaha 1-3, bitewe n'uburyo ikibazo cyawe kigoye kandi n'uburyo umuganga wawe akoresha.

Kubaga umwijima ukoresheje imashini ntoya: Ubu buryo butagira ingaruka nyinshi bukoresha ibice bito byinshi (nka santimetero imwe n'igice) mu nda yawe. Muganga wawe ashyiramo kamera ntoya n'ibikoresho byihariye binyuze muri utwo twobo duto kugira ngo akureho umwijima wawe witonze.

Uburyo bwo gukoresha imashini ntoya akenshi bisobanura kubabara guke, ibikomere bito, no gukira vuba. Abantu benshi bashobora gutaha mu rugo nyuma y'iminsi 1-2 kandi bagasubira mu bikorwa bisanzwe vuba kurusha uko byagenda iyo babaze mu buryo busanzwe.

Kubaga umwijima mu buryo busanzwe: Ubu buryo bwa kera busaba igikomere kinini mu gice cyo hejuru cy'inda yawe y'ibumoso. Muganga wawe afungura umwanya wo mu nda kugira ngo agere ku mwijima wawe akureho.

Kubaga mu buryo busanzwe bishobora kuba ngombwa niba umwijima wawe ari munini cyane, niba ufite ibikomere biva mu kubagwa kwabanje, cyangwa mu bihe by'ubutabazi. Gukira akenshi bifata igihe gito kirekire, hamwe no kumara mu bitaro iminsi 3-5.

Mugihe cyo kubaga, muganga wawe azatandukanya umwijima wawe n'imitsi y'amaraso n'izindi ngingo zikikije mbere yo kuwukuraho rwose. Bazareba kandi niba hari imijimwa y'inyongera (uduce duto tw'umwijima) bishobora gukenerwa gukurwaho.

Ni gute witegura kubagwa umwijima?

Kwitegura kubagwa umwijima bikubiyemo intambwe zingenzi kugira ngo wizere umusaruro mwiza kandi ugabanye ibyago byo guhura n'ibibazo. Itsinda ryawe ry'abaganga rizagufasha mu ntambwe zose zo kwitegura witonze.

Uburyo bw'ingenzi bwo kwitegura burimo kwirinda indwara zandura, kuko umwijima wawe usanzwe ufasha kurwanya mikorobe zimwe na zimwe.

Gahunda yo gukingira: Uzakenera inkingo zihariye byibuze mu byumweru 2-3 mbere yo kubagwa niba bishoboka. Izi zirimo inkingo za pneumococcal, meningococcal, na Haemophilus influenzae type b kugira ngo zirinde mikorobe umwijima wawe usanzwe urwanya.

Isuzuma ryo kwa muganga: Muganga wawe azakora ibizamini by'amaraso, isuzuma rishingiye ku mashusho, n'isuzuma ryuzuye ry'umubiri. Bazanasuzuma imiti yose ufata kandi bashobora guhindura cyangwa guhagarika imwe mbere yo kubagwa.

Amabwiriza mbere yo kubagwa: Uzaba ukeneye guhagarika kurya no kunywa amasaha 8-12 mbere yo kubagwa. Itsinda ryawe ry'abaganga rizagutera igihe runaka rishingiye ku gahunda yawe yo kubagwa.

Imicungire y'imiti: Bwira muganga wawe imiti yose, ibiyobyabwenge, n'imiti y'ibyatsi ufata. Imwe mu miti igabanya amaraso cyangwa indi miti ishobora gukenerwa guhagarikwa iminsi myinshi mbere yo kubagwa.

Gutegura gukira: Teganya umuntu uzakujyana mu rugo kandi akagufasha mu minsi mike nyuma yo kubagwa. Uzakenera ubufasha mu bikorwa bya buri munsi mugihe ukira.

Niba uri kubagwa byihutirwa kubera urugomo, zimwe muri izi ntambwe zo gutegura zishobora gukenerwa kugufiizwa cyangwa gusimbuka, ariko itsinda ryawe ry'abaganga rizakomeza gushyira imbere umutekano wawe.

Ni gute usoma ibisubizo byawe byo gukuraho urwagashya?

Nyuma yo gukuraho urwagashya, ntuzagira

Impinduka mu mubare w'amaraso: Bisanzwe ko umubare w'uturemangingo tw'amaraso twera wiyongera nyuma yo gukuraho urwagashya, rimwe na rimwe bikaguma uko iteka. Umubare w'uturemangingo tw'amaraso dutukura na wo ushobora kwiyongera, ibyo muganga wawe azakurikirana kugira ngo yirinde ibibazo byo gupfundika kw'amaraso.

Gukurikirana indwara zandura: Kubera ko urwagashya rwagufashaga kurwanya indwara zandura, ikipe yawe y'abaganga izakurikirana hafi ibimenyetso byose by'uburwayi. Uzasobanukirwa no kumenya ibimenyetso bisaba ubufasha bwihutirwa bw'abaganga.

Gukurikiranwa igihe kirekire: Uzakenera kujya kwa muganga buri gihe kugira ngo ukurikirane ubuzima bwawe muri rusange kandi wemeze ko izindi ngingo zawe zikora neza mu mwanya w'urwagashya rwawe.

Umuvuzi wawe kandi azasuzuma ahantu bakugiriyeho urukonda mu gihe cyo gusuzumwa kugira ngo yemeze ko bikira neza nta bimenyetso byo kwandura cyangwa izindi ngorane.

Ni gute wakwitwara nyuma yo gukuraho urwagashya?

Kubaho udafite urwagashya bisaba impinduka zimwe na zimwe, ariko abantu benshi barabimenyera neza kandi bakagira ubuzima bwiza cyane. Ikintu cy'ingenzi ni ukumenya uko wakwirinda indwara zandura mu gihe ukomeza gukora ibikorwa byawe bisanzwe kandi ufite ubuzima bwiza.

Uburyo bwawe bwo kwirinda indwara buzagenda buhinduka uko igihe kigenda, urwungano rwawe rw'umwijima n'imitsi ifata amazi bikaziba imirimo myinshi y'urwagashya rwawe, nubwo uzahora ukeneye kwitonda ku ndwara zimwe na zimwe zandura.

Kwirinda indwara zandura: Fata imiti yose yandikiwe yo kwirinda indwara uko byategetswe. Abantu bamwe bakeneye imiti ya buri munsi ubuzima bwabo bwose, mu gihe abandi bashobora kuyikeneye gusa igihe barwaye cyangwa mbere yo kuvurwa amenyo.

Gahunda yo gukingira: Guma ku murongo w'inkingo za buri mwaka z'ibicurane n'izindi nkingo zose ziteganijwe. Muganga wawe ashobora kugusaba izindi nkingo cyangwa izongera imbaraga ugereranije n'abantu bafite urwagashya.

Kumenya ibimenyetso by'umuburo: Menya kumenya ibimenyetso bya mbere byo kwandura bikomeye, harimo umuriro, guhinda umushyitsi, kunanirwa cyane, cyangwa ibimenyetso bisa n'ibicurane biza vuba. Ibi bisaba ubufasha bwihutirwa bw'abaganga.

Ingamba zo kujya mu rugendo: Mu gihe cyo kujya mu rugendo, cyane cyane mu turere dufite ibyago byinshi byo kwandura indwara, ganira n'umuganga wawe ku ngamba zindi zongereweho. Ushobora gukenera inkingo zindi cyangwa imiti irinda.

Icyimenyetso cy'uburwayi bwihutirwa: Wambare agasanduku kerekana ko wakuwe urwagashya cyangwa witwaze ikarita yerekana ko wakuwe urwagashya. Ibi bifasha abaganga b'ibanze gutanga ubuvuzi bukwiye niba urwaye.

Abantu benshi basubira mu bikorwa byabo bisanzwe nyuma y'ibyumweru 4-6 nyuma yo kubagwa, nubwo ugomba kwirinda kuzamura ibintu biremereye no gukina imikino ikorana mu gihe cyo gukira.

Ni ibihe bintu byongera ibyago byo kugira ibibazo byatewe no gukurwaho urwagashya?

Nubwo gukurwaho urwagashya muri rusange bifite umutekano, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ibibazo mu gihe cyangwa nyuma yo kubagwa. Kumva ibi bintu byongera ibyago bifasha itsinda ry'abaganga gutegura uburyo bufite umutekano kuruta ubundi kubera imiterere yawe yihariye.

Ubuzima bwawe muri rusange, imyaka yawe, n'impamvu yo gukurwaho urwagashya byose bigira uruhare runini mu gushyiraho urwego rw'ibyago byawe.

Ibyiciro bifitanye isano n'imyaka: Abana bato cyane n'abantu bakuze bashobora guhura n'ibyago byinshi. Abana bari munsi y'imyaka 5 bafite uburyo bwo kwirinda butarakura neza, mugihe abantu bakuze bashobora kuba bafite izindi ndwara zigoye gukira.

Indwara zishingiye ku buzima: Indwara nka diyabete, indwara z'umutima, cyangwa uburyo bwo kwirinda butameze neza bishobora kongera ibyago byo kubagwa no gutinda gukira. Indwara z'amaraso zatumye gukurwaho urwagashya na zo zishobora kugira ingaruka ku gukira.

Kubagwa byihutirwa: Iyo gukurwaho urwagashya bikenewe byihutirwa kubera urugomo, ibyago biriyongera kurusha uko byari bimeze mu kubagwa kwateguwe. Ibihe byihutirwa ntibitanga umwanya wo kwitegura neza.

Ubunini bw'urwagashya n'imiterere yarwo: Urwagashya runini cyane cyangwa rurwaye cyane rushobora gutuma kubagwa bigora kandi bikongera ibyago byo kugira ibibazo. Imitsi myinshi y'imvune yatewe no kubagwa mbere na yo yongera ibintu bigoye.

Uburyo bwo kubaga: Nubwo kubaga hakoreshejwe imashini (laparoscopic) n'uburyo bwo kubaga busanzwe byombi bifite umutekano, kubaga bisanzwe muri rusange bifite ibyago byinshi byo kwandura, kuva amaraso, no gutinda gukira.

Umuvuzi wawe azaganira ku byago byihariye ufite n'uko bateganya kugabanya ingaruka zishobora kubaho bitewe n'uko ubuzima bwawe bumeze.

Ni izihe ngaruka zishobora guterwa no gukuraho urwagashya?

Kimwe n'ubundi bwoko bwose bwo kubaga, gukuraho urwagashya bifite ibyago bimwe, nubwo ingaruka zikomeye zitaba kenshi iyo bikozwe n'abaganga bafite ubunararibonye. Kumva ingaruka zishobora kubaho bifasha gufata ibyemezo bifitiye akamaro no kumenya ibibazo hakiri kare.

Abantu benshi bakira neza nyuma yo gukuraho urwagashya nta ngaruka zikomeye, ariko kumenya icyo ugomba kwitaho bituma uvurwa vuba igihe hari ibibazo bibayeho.

Ingaruka zihutirwa zo kubaga: Kuva amaraso, kwandura ahakorewe ubuganga, no kwitwara nabi kwa anesiteziya bishobora kubaho mu kubaga uko ariko kose. Itsinda ryawe ry'abaganga rirakurikirana cyane ibi bibazo mugihe uri mu bitaro.

Ukwangirika kw'ingingo: Mu bihe bidasanzwe, kubaga bishobora gutera kwangirika kw'ingingo zegeranye nk'igifu, urura runini, cyangwa ipankereya. Ibi bishobora kuba cyane iyo urwagashya runini cyane cyangwa iyo hari imitsi myinshi yangiritse.

Urubumbiro rw'amaraso: Ibyago byawe byo kurwara urubumbiro rw'amaraso mu maguru yawe cyangwa mu muhogo bishobora kwiyongera nyuma yo kubagwa, cyane cyane niba ufite ubushobozi buke bwo kugenda mugihe ukira.

Kwandura bikabije nyuma yo gukuraho urwagashya (OPSI): Iyi ngaruka idasanzwe ariko ikomeye ishobora kubaho nyuma y'amezi cyangwa imyaka nyuma yo kubagwa. Bakiteri zimwe na zimwe zishobora gutera indwara zikomeye, zikwirakwira vuba zisaba kuvurwa ako kanya.

Ibibazo byo kubara amaraso: Abantu bamwe bagira umubare munini w'amasahani y'amaraso nyuma yo gukuraho urwagashya, bishobora kongera ibyago byo gupfuka. Abandi bashobora guhura n'impinduka mu mubare w'uturemangingo tw'amaraso twera.

Ingaruka z'igihe kirekire ziterwa n'indwara: Utagira urwagashya, urushaho kwibasirwa n'indwara ziterwa na mikorobe zifite igikombe nk'izo mu bwoko bwa pneumococcus na meningococcus mu buzima bwawe bwose.

Inkuru nziza ni uko ibibazo byinshi birinda cyangwa bigakira igihe byamenyekanye hakiri kare, ni yo mpamvu gukurikiza amabwiriza ya muganga nyuma yo kubagwa ari ngombwa cyane.

Ni ryari nkwiriye kujya kwa muganga nyuma yo gukurwaho urwagashya?

Kumenya igihe cyo kwitabaza ubuvuzi nyuma yo gukurwaho urwagashya bishobora kurokora ubuzima, kuko abantu badafite urwagashya barushaho kwibasirwa n'indwara zimwe na zimwe. Itsinda ryawe ry'abaganga rizakwigisha kumenya ibimenyetso by'umuburo bisaba ubuvuzi bwihutirwa.

Nubwo ibimenyetso byinshi nyuma yo kubagwa bisanzwe mu gukira, ibimenyetso bimwe birerekana ibibazo bikomeye bisaba kuvurwa vuba.

Ibimenyetso by'uburwayi byihutirwa bisaba ubuvuzi bwihutirwa: Umuriro uri hejuru ya 101°F (38.3°C), guhinda umushyitsi cyane, umutima utera cyane, guhumeka bigoranye, cyangwa kumva utameze neza cyane vuba. Ibi bishobora kwerekana indwara ikomeye.

Ibibazo by'ahaciye icyuma: Kwiyongera kw'umutuku, gushyuha, kubyimba, cyangwa amashyira hafi y'ahaciye icyuma byerekana indwara. Ahaciye icyuma hasubiye gufunguka cyangwa hava amaraso cyane na byo bisaba ubuvuzi.

Ibibazo byo mu nda: Kubabara mu nda cyane cyangwa bikomeza, kuruka no kuribwa bidahagarara, cyangwa kutabasha kurya cyangwa kunywa neza bishobora kwerekana ibibazo.

Ibimenyetso by'amaraso avunda: Kubyimba amaguru, kuribwa, cyangwa gushyuha, cyane cyane iyo biherekejwe no guhumeka bigoranye cyangwa kubabara mu gituza, bishobora kwerekana amaraso avunda ateje akaga.

Ukuva amaraso bidasanzwe: Gukomereka byoroshye, amazuru ava amaraso, cyangwa gushishuka kw'ishinya bishobora kwerekana ibibazo by'imibare y'amaraso bisaba isuzuma.

Ibyo ari byo byose by'indwara: N'ubwo bisa nk'ibimenyetso bito by'ibicurane cyangwa grip, bikwiriye kwitabwaho na muganga, kuko indwara zishobora kwiyongera vuba utagira urwagashya.

Ntugatinye kuvugana na muganga wawe ufite ibibazo cyangwa impungenge. Buri gihe ni byiza kuganira n’ikipe yawe y’ubuvuzi kuruta gutegereza kandi bikaba bishobora guteza ibibazo bikomeye.

Ibibazo bikunze kubazwa ku birebana no gukuraho urwagashya

Q.1 Ese gukuraho urwagashya ni byiza ku ndwara z’amaraso?

Yego, gukuraho urwagashya birashobora kugira akamaro kanini ku ndwara zimwe na zimwe z’amaraso, cyane cyane iyo urwagashya rwawe rwangiza uturemangingo tw’amaraso twiza vuba kurusha uko umubiri wawe wabikora. Indwara nka idiopathic thrombocytopenic purpura (ITP) na hereditary spherocytosis akenshi zikora neza cyane nyuma yo gukuraho urwagashya.

Muri ITP, gukuraho urwagashya mubisanzwe byongera umubare wa platelet kandi bigabanya ibyago byo kuva amaraso kuri 70-80% by’abarwayi. Muri hereditary spherocytosis, gukuraho urwagashya birinda kwangirika kw’uturemangingo tw’amaraso tutameze neza, mu by’ukuri bikavura anemia.

Ariko, abaganga bakunze kubanza kugerageza izindi nshuti, kuko kubaho udafite urwagashya bisaba kwirinda ubuzima bwose indwara. Icyemezo giterwa n’uko ibimenyetso byawe bikomeye bingana iki n’uko witwara neza ku zindi nshuti.

Q.2 Ese gukuraho urwagashya bitera kongera ibiro?

Gukuraho urwagashya ubwabyo ntibitera kongera ibiro, ariko abantu bamwe bashobora guhinduka ibiro mugihe cyo gukira kubera impamvu zitandukanye. Kubagwa ntiguhindura imikorere y’umubiri wawe cyangwa urugero rw’imisemburo igenzura ibiro.

Abantu bamwe bongera ibiro by’igihe gito mugihe cyo gukira kubera urwego rwo gukora ibikorwa bike mugihe bakira. Abandi bashobora gutakaza ibiro mbere kubera kugabanya ubushake bwo kurya cyangwa guhindura imirire nyuma yo kubagwa.

Niba ubonye impinduka zikomeye z’ibiro nyuma yo gukuraho urwagashya, ganira kubyerekeye ibi na muganga wawe. Barashobora gufasha kumenya niba bifitanye isano no gukira kwawe, imiti, cyangwa izindi mpamvu zishobora gukenera kwitabwaho.

Q.3 Ese urashobora kubaho ubuzima busanzwe nyuma yo gukuraho urwagashya?

Yego, abantu benshi babaho ubuzima busanzwe, bukora nyuma yo gukuraho urwagashya, nubwo uzaba ukeneye kwitonda cyane kurwanya indwara zandura. Abantu benshi basubira ku kazi, bakora imyitozo buri gihe, bagenda, kandi bitabira ibikorwa byabo byose bisanzwe.

Itandukaniro rikuru ni uko uzaba ukeneye kuba maso cyane mu kurinda no kumenya indwara zandura. Ibi bivuze kuguma ku murongo w'inkingo, gufata imiti irinda iyo bigomba, no gushaka ubuvuzi bwihuse ku bimenyetso byose by'uburwayi.

Abakinnyi basanzwe bashobora gusubira mu mikino, nubwo muganga wawe ashobora kugusaba kwirinda imikino ikoranwa, ishobora gutera imvune mu nda. Abantu benshi basanga izi ngamba ziba kamere ya kabiri kandi ntizigira ingaruka zikomeye ku mibereho yabo.

Q.4 Bikorwa gute nyuma yo gukuraho urwagashya?

Igihe cyo gukira gitandukanye bitewe niba warabazwe mu buryo bwo gukoresha imashini cyangwa kubagwa, ariko abantu benshi bumva bameze neza cyane mu byumweru 2-4. Kubagwa hakoreshejwe imashini mubisanzwe byihutisha gukira, abantu benshi basubira mu bikorwa byoroheje mu cyumweru.

Mubisanzwe uzaguma mu bitaro iminsi 1-5 nyuma yo kubagwa, bitewe n'uko ubuzima bwawe bumeze. Gukira neza kw'imyenda yo imbere bifata ibyumweru bigera kuri 6-8, muri icyo gihe ugomba kwirinda kuzamura ibintu biremereye n'ibikorwa bikomeye.

Abantu benshi bashobora gusubira ku kazi mu byumweru 1-3 niba bafite akazi ko ku meza, nubwo abafite akazi gakomeye bashobora gukenera ibyumweru 4-6. Umuganga wawe uzaguha igihe cyihariye gishingiye ku iterambere ryawe ryo gukira n'ubwoko bw'akazi.

Q.5 Ni izihe nkingo nkeneye nyuma yo gukuraho urwagashya?

Nyuma yo gukuraho urwagashya, uzakenera inkingo nyinshi zihariye zo kurinda bagiteri urwagashya rwari rusanzwe rufasha kurwanya. Izi nkingo ni ngombwa mu kurinda indwara zikomeye mu buzima bwawe bwose.

Ukeneye inkingo za pneumococcal (zose PCV13 na PPSV23), inkingo za meningococcal (zikubiyemo amatsinda A, C, W, Y, na B), na urukingo rwa Haemophilus influenzae type b. Ukeneye kandi inkingo z'ibicurane buri mwaka ubuzima bwawe bwose.

Igihe cyo kuzihabwa kirafite akamaro - byaba byiza, wagombye guhabwa izi nkingo byibuze mu byumweru 2-3 mbere yo kubagwa igihe bishoboka. Niba wagizweho kubagwa byihutirwa, uzazihabwa mbere yo kuva mu bitaro cyangwa nyuma gato yo gusezererwa. Muganga wawe azaguha gahunda yihariye yo gukingirwa ijyanye n'ibyo ukeneye.