Incamake
Ishami rya Otorhinolaryngology (ENT) (Indwara z'Amatwi, Izuru n'Umuhogo) rigize kimwe mu bigize Ishami ry'Ububaga (Department of Surgery) mu Bitaro bya Ruhengeri Level Two Teaching Hospital (RL2TH). Ni ishami ryihariye kandi rigari ryita ku ndwara zifata igice cy'umutwe n'ijosi, cyane cyane indwara zifata amatwi, izuru n'umuhogo. Mu myaka ishize, iri shami ryagutse cyane mu bijyanye n'ubumenyi n'ubushobozi, bitewe n'ishyirwaho rya gahunda y'amahugurwa y'abaganga b'inzobere mu ndwara z'amatwi, izuru n'umuhogo (ENT Residency Program) muri Kaminuza y'u Rwanda mu mwaka wa 2010, ndetse no gukomezwa n'ubufatanye n'Ishyirahamwe ry'Abaganga b'Indwara z'Amatwi, Izuru n'Umuhogo mu Budage ndetse na Boston Children’s Hospital.
Umuganga w'inzobere mu kubaga ENT akora isuzuma kandi akavura indwara zifata amatwi, izuru (harimo n'imyanya ihumekamo yo mu maso - sinuses), n'umuhogo (harimo ibibazo by'ijwi no kuvuga). Iri shami kandi ryita ku ndwara za kanseri zifata umutwe n'ijosi ndetse rigakora ubuvuzi bwo kubaga ku barwayi bafite ikibazo cyo guhagarara guhumeka igihe basinziriye (Obstructive Sleep Apnea).
Kubaga Ibice by'Umutwe n'Ijosi (Head and Neck Surgery)
Hakorwa ubuvuzi bwo kubaga ibibyimba byiza n'ibya kanseri bifata:
- Imvubura z'amacandwe (Salivary glands)
- Imvubura ya Thyroid na Parathyroid
- Mu kanwa (Oral cavity)
- Inyuma y'izuru (Nasopharynx)
- Umuhogo wo hejuru (Oropharynx)
- Umuyoboro w'ijwi (Larynx)
- Utubyimba two mu ijosi (Cervical lymph nodes)
Mu kuvura kanseri z'umutwe n'ijosi hakoreshwa uburyo bwo gukorera hamwe kw'inzobere zitandukanye kugira ngo umurwayi ahabwe isuzuma n'ubuvuzi bwuzuye.
Ubuvuzi bw'Amatwi (Otology)
Hatangwa serivisi zo kuvura no kubaga indwara z'amatwi ziba igihe gito cyangwa igihe kirekire, harimo:
- Ubwandu bukomeye cyangwa budakira bw'amatwi
- Cholesteatoma
- Mastoiditis
- Otitis media itera gusohoka kw'amashyira mu gutwi
Iri shami kandi risuzuma kandi rigakurikirana abarwayi bafite ikibazo cyo kutumva neza cyangwa guhora bazungera umutwe (Vertigo).
Ubuvuzi bw'Izuru n'Imyanya Ihumekamo yo mu Maso (Rhinology and Paranasal Sinuses)
Hatangwa serivisi zo gusuzuma no kuvura:
- Ibibyimba byo mu zuru no mu myanya ihumekamo yo mu maso
- Sinusite idakira
- Ubumuga cyangwa guhinduka kw'agace kagabanya imyanya y'izuru (Septal deformities)
Hakorwa uburyo bugezweho bwo kubaga harimo:
- Functional Endoscopic Sinus Surgery (FESS)
- Uburyo bwo kubaga binyuze mu kanwa bugana inyuma y'izuru (Transpalatal approaches to the nasopharynx)
Hatangwa kandi serivisi zo gusuzuma no kuvura indwara ziterwa na allergie zo mu zuru (Allergic Rhinitis).
Ubuvuzi bw'Umuhogo n'Ijwi (Laryngology and Speech)
Iri shami risuzuma kandi rikavura ibibazo bifata ijwi no kuvuga, harimo gukoresha uburyo bwo kureba imbere mu muhogo hakoreshejwe Video Laryngoscopy.
Hakorwa kandi kubaga mu buryo bwo kureba imbere (Endoscopic surgery) cyangwa kubaga bisanzwe (Open surgery) ku ndwara zitandukanye zifata umuyoboro w'ijwi n'uw'umwuka (Laryngotracheal surgeries).
Ubuvuzi bw'Indwara za ENT ku Bana (Pediatric Otolaryngology)
Hatangwa serivisi zo gusuzuma no kubaga indwara zifata amatwi, izuru n'umuhogo ku bana, harimo:
- Indwara y'udusabo two mu muhogo (Tonsillitis) zigaruka kenshi cyangwa zidakira
- Amazi mu gutwi hagati (Otitis media with effusion)
- Ibibazo by'imyanya y'umwuka ku bana
Hanavurwa kandi ibibazo abana bavukana birimo:
- Lymphangiomas
- Utubyimba (Cysts)
- Gufunga inzira y'inyuma y'izuru (Choanal atresia)
Ibikorwa bisanzwe bikorwa birimo:
- Gukuraho udusabo two mu muhogo (Tonsillectomy)
- Gushyiramo utuyoboro two guhumeka mu gutwi (Ventilation tubes)
- Microlaryngobronchoscopy (MLB) yo gusuzuma imyanya y'umwuka no gukuramo ibintu byinjiye mu nzira y'umwuka.
Ubuvuzi bwo Gusuzuma Kumva n'Ibibazo byo Kuzungera Umutwe (Audiology - Hearing and Vertigo)
Serivisi za Audiology zifasha mu gusuzuma no kuvura:
- Kutumva neza
- Kuzungera umutwe
- Ibibazo byo kuringaniza umubiri biterwa n'imikorere mibi y'ugutwi kw'imbere (Vestibular dysfunction)
Hakorwa ibizamini birimo:
- Isuzuma ryimbitse ry'ubushobozi bwo kumva (Comprehensive audiological assessments)
- Ibizamini by'imikorere y'ugutwi kw'imbere
- Ikizamini cya Dix-Hallpike maneuver
Hatangwa kandi ubuvuzi bwo gukosora ikibazo cyo kuzengera umutwe, harimo uburyo bwo kwimura utubumbe two mu gutwi (Canalith repositioning maneuvers).
Kubaga Ibikomere Byihutirwa (Acute Trauma Surgery)
Nk'Ibitaro bya Ruhengeri Level Two Teaching Hospital, iri shami ritanga ubuvuzi ku bikomere bitandukanye, kuva ku bikomere byoroheje by'uruhu kugeza ku kuvunika gukomeye kw'amagufa yo mu maso (Maxillofacial fractures), ku bufatanye n'Ishami ry'Ububaga bwo mu Kanwa no mu Maso (Oral and Maxillofacial Unit).
Serivisi zitangwa kandi zirimo kuvura:
- Ibikomere byo mu ijosi byinjiyemo ikintu cyangwa bitinjiyemo
- Ibibazo byihutirwa by'imyanya y'umwuka
Imiterere y'Ishami
Serivisi z'Abarwayi Bivuriza Hanze (Outpatient Department - OPD)
Ivuriro rya ENT rikora kuva ku wa Mbere kugeza ku wa Gatanu, guhera saa mbiri za mu gitondo (8:00 AM) kugeza saa kumi n'imwe z'umugoroba (5:00 PM), ku barwayi bataryamye mu bitaro.
Rifite ibyumba bitatu byo kwakiriramo abarwayi no kubasuzumiramo, bifite ibikoresho birimo:
- Ibikoresho byo gusuzuma no kuvura
- Microscope yo gusuzuma amatwi
- Flexible endoscopy
- Video otolaryngoscopy
Iri shami kandi rifite icyumba cya Audiology kirimo ibikoresho byo gupima kumva (Pure-tone audiometer) n'icyo gupima imikorere y'urukuta rw'ugutwi (Tympanometer), ndetse n'icyumba cyo gutangiramo ubuforomo no gukora ibikorwa bito byo kuvura hakoreshejwe ikinya cyo ahantu hamwe (Local anesthesia).
