Ese twafata agace gato k'urugingo mu mura wawe? Reka twige ku bijyanye na biopsy ya endometrial!

Ushobora kuba warabwiwe iby'iki kizamini na muganga cyitwa endometrial biopsy. Cyangwa ushobora kuba warabyumvise ahantu runaka kandi ukaba ushishikajwe no kumenya byinshi. Uko byagenda kose, ndi hano kugira ngo mbivugeho mu buryo bworoshye, mu buryo ushobora kumva. Ntugahangayike, tuzavuga byose neza.

None se iyi biopsy ya endometrial ni iki?

Mu magambo make, isuzuma rya endometrial ni igihe ufata agace gato cyane k'urugingo mu gice cy'imbere cy'umura wawe (twakwita endometrium) ukagasuzuma ukoresheje mikorosikopi. Tekereza nko gufata agace gato k'umugozi mu gitambaro ukareba ibirimo.

Iyo umuganga asuzumye iyi ngingo y'umubiri akoresheje mikorosikopi, ashobora kureba niba hari uturemangingo tudasanzwe cyangwa niba hari uturemangingo dushobora kuba kanseri . Ikizamini cyose kimara iminota iri munsi ya 15. Kandi bikorerwa kwa muganga wawe. Ushobora kumva urimo gucika intege cyangwa ukumva ubabara mu gihe cyo kubagwa. Hari n'abantu bashobora kumva ububabare buto.

Kuki muganga yakugira inama yo kubikoresha?

Muganga ashobora kukugira inama yo kumenya neza icyateye bimwe mu bimenyetso byawe. Nanone, niba muganga akeka ko hari ikintu nyuma yo gupimwa hakoreshejwe ultrasound cyangwa Pap smear , iyi biopsy ishobora kugufasha kurushaho kubyemeza.

Dore zimwe mu mpamvu zishobora gutuma usabirwa gukora biopsy ya endometrial:

• Imihango idahwitse: Ibi birimo kuva amaraso menshi, kuva amaraso iminsi myinshi, kuva amaraso ku buryo budasanzwe, cyangwa guhagarika burundu imihango.
• Kuva amaraso nyuma yo gucura: Ibi bivuze kuva amaraso nyuma y'uko imihango yawe yarangiye burundu.
• Kuva amaraso mu buryo budasanzwe iyo ufata imiti igabanya ubukana nka Tamoxifen.
• Iyo urukuta rw'imbere rw'umura rusa n'aho rwabyimbye.
• Niba ibisubizo by'ikizamini cya Pap bigaragaza ko hari uturemangingo tudasanzwe mu mura w'inkondo y'umura.

Ni nde ushobora (kandi udashobora) gukorerwa biopsy ya endometrial?

Iki ni cyo kizamini cy'ingenzi kandi gikwiye cyo gupima kanseri y'inkondo y'umura mu bihe byinshi. Niba ufite imyaka irenga 35, uba ufite amahirwe menshi yo gukora iki kizamini.

Ariko, iki kizamini ntigishobora gukorwa niba utwite. Ariko, bamwe mu bantu bafite ikibazo cyo gutwita (kutabyara) bashobora kubagwa muri ubwo buryo kugira ngo bamenye niba hari ikibazo kiri mu gice cy'inda yabo gitera ubugumba.

Ni gute neza neza iyi biopsy ikorwa?

Muri ibi, muganga ashyiramo umuyoboro muto cyane unyuze muri nyababyeyi yawe ukagera muri nyababyeyi yawe. Hanyuma, akoresheje umuyoboro, hafatwa icyitegererezo gito cy’uturemangingo muri endometrium yawe hakoreshejwe uburyo bwo gukurura. Ibi bifata igihe kitarenze iminota 15.

Wakwitegura ute ibi?

Nta mpamvu yo kwitegura ibi. Ariko, ugomba kubwira muganga wawe mbere y'igihe ibijyanye n'imiti ufata, inyongeramusaruro ufata, ndetse n'ibindi byose bishobora gutuma urwara. Hanyuma muganga wawe azakubwira niba ukeneye guhagarika gufata imiti iyo ari yo yose mbere yuko ukorerwa biopsy.

Abaganga bamwe bazakubwira gufata umuti urwanya ububabare (NSAID ) mbere yo gupimwa kugira ngo ugabanye ububabare. Muganga wawe ashobora kandi kukugira inama yo gufata umuti ugufasha gutegura nyababyeyi yawe umunsi umwe cyangwa ibiri mbere yo gupimwa.

Igikuru ni ukubaza muganga wawe ibibazo byose ufite mbere yo kwipimisha no kumenya neza ikizakorwa. Gupima endometrial biopsy muri rusange ni ikizamini gito cyane kandi kitekanye.

Ni iki wakwitega mu gihe cyo kubagwa (biopsy)?

Ubusanzwe, gupima uturemangingo tw’amaraso mu nda bikorerwa kwa muganga cyangwa ahandi hantu hakorerwa ivuriro. Ntabwo bikorwa hakoreshejwe ikinyabutabire.

Ikizamini gikorwa gutya:

• Ugomba kwiyambura imyenda kuva mu rukenyerero kugeza hasi hanyuma ukipfuka umwenda.
• Ugomba gushyira amaguru yawe ku nkunga ebyiri zitwa stirrups hanyuma ugarame imbere nk'aho uri gupimwa ikibuno cyangwa Pap smear.
• Muganga azashyira igikoresho cyitwa speculum mu gitsina cyawe kugira ngo agifungure. Iki ni cyo gihe ashobora kubona umura wawe w'inkondo y'umura (ibi bisa n'ibyo bikorwa mu gihe cyo gupimwa Pap smear).
• Hanyuma, muganga azasukura nyababyeyi yawe akoresheje umuti wihariye.
• Hari igihe igikoresho cyihariye cyitwa tenaculum gishobora gukoreshwa mu gufata umura w'inkondo y'umura no koroshya gushyira umuyoboro w'amazi mu mura. Kuri bamwe, iyi ntambwe ni yo ibabaza cyane .
• Amaherezo, muganga ashyiramo katheteri nto cyane inyura muri nyababyeyi yawe mu mura wawe kugira ngo afate icyitegererezo cy'ingingo. Ushobora kumva muganga arimo kwimura igikoresho mu gihe icyitegererezo cy'ingingo gifatwa.
• Hanyuma umuganga yohereza iyi ngingo ku muganga w’indwara , umuganga w’inzobere mu by’uturemangingo, kugira ngo ayisuzume.

Ubu buryo bwose busanzwe butwara iminota itanu kugeza ku icumi, ntarengwa iminota cumi n'itanu .

Ni iki kibaho nyuma yo gukorerwa biopsy?

Nyuma yuko muganga akureho ibikoresho mu gitsina cyawe, ushobora kwambara. Ni byiza kuruhuka gato mbere yo kuva mu cyumba. Ugomba kuba ushobora gutwara imodoka ujya mu rugo wenyine nyuma gato y'ikizamini.

Uzakenera gukoresha agakoresho ko kwisiga ako kanya nyuma yo kubagwa. Kuva amaraso no kubabara mu gitsina ni ibisanzwe kandi ni ibintu byitezwe. Ariko, ntibigomba kurenza iminsi mike. Ushobora gufata umuti ugabanya ububabare ugurishwa na muganga (urugero: ibuprofen, parasetamol) ku bubabare ubwo aribwo bwose.

Muganga wawe azakubwira neza icyo ugomba gukora n'icyo utagomba gukora kugeza ukize. Dore bimwe mu bintu ushobora kubwirwa kudakora:

• Ntugakoreshe tampons mu gihe cy'iminsi irindwi. Nanone, ntugashyire ikintu icyo ari cyo cyose mu gitsina. Gusukura igitsina ntabwo ari igitekerezo cyiza.
• Ntugakore imibonano mpuzabitsina nibura iminsi irindwi, cyangwa kugeza igihe muganga wawe azakubwiriye kutabikora.
• Irinde gukora imirimo ivunanye, guterura ibyuma, koga, gukoresha ubwogero bushyushye, cyangwa kwiyuhagira iminsi mike.

Bifata igihe kingana iki kugira ngo umuntu akire?

Ni ibisanzwe kumva umerewe nabi kandi ubabara mu nda mu gihe cy'amasaha agera kuri 48. Ni byiza kudafata iminsi irenga mike kugira ngo ukire neza nyuma yo gupimwa endometrial biopsy.

Ariko, ugomba kuvugana na muganga wawe niba ufite kimwe muri ibi bimenyetso:

• Niba uva amaraso iminsi irenga ibiri cyangwa itatu.
• Iyo hari amatembabuzi anuka nabi ava mu gitsina.
• Niba ufite ibimenyetso bisa n'ibicurane nko kugira umuriro n'ubukonje.
• Iyo, nyuma y'iminsi ibiri cyangwa itatu, ububabare bukomeje kwiyongera kurusha mu gihe cy'imihango.

Ni izihe ngaruka mbi zishobora guterwa n'ibi?

Ingaruka zishobora guterwa no gupimwa kwa endometrial biopsy ni izi:

• Kwandura indwara.
• Kuva amaraso.
• Kubona ibintu bike no kubabara mu gihe cy'iminsi mike.
• Gutobora cyangwa gucika kw'umura cyangwa inkondo y'umura (ibi bibaho gake cyane).

Ese isuzuma rya endometrial biopsy ribabaza?

Ni ibisanzwe kumva ububabare buke, nk'uko bigenda mu mihango yawe, mu gihe cyo gupimwa na nyuma yaho. Uburyo abantu bose bihanganira ububabare buratandukanye, bityo ushobora kumva ububabare bwinshi cyangwa buke ugereranije n'abandi. Muri rusange abaganga ntibafata uburyo bwo gupima endometrial biopsy nk'uburyo bubabaza cyane.

Ariko niba ugifite ububabare mu nda yo hasi mu minsi mike nyuma yo gupimwa, vugana na muganga wawe.

Ibisubizo bya biopsy bivuga iki?

Niba ibisubizo byawe bigarutse neza , bivuze ko muganga nta turemangingo tudasanzwe yasanzemo.

Niba ibisubizo byawe bitameze neza , bivuze ko muganga yasanzemo uturemangingo tudasanzwe. Ibisubizo bitameze neza bishobora guterwa na:

• Kanseri y'inkondo y'umura.
• Kugira polyps zo mu mura cyangwa fibroids.
• Indwara zo mu rukuta rw'imbere rw'umura.
• Kutagera ku misemburo.

Hari igihe ibisubizo bishobora kuba bitagaragara neza . Niba ari uko bimeze, muganga wawe ashobora kukugira inama yo gukuraho igice kinini cy'urugingo kugira ngo arebe niba hari uturemangingo tudasanzwe.

Ni iki cyakorwa niba ibisubizo bitameze neza?

Muganga wawe azaganira nawe ku bisubizo hanyuma afate umwanzuro w'icyo ugomba gukora nyuma yaho. Kuvura si ngombwa buri gihe. Si buri gisubizo kidasanzwe bivuze ko urwaye kanseri. Rero, ganira na muganga wawe witonze kugira ngo umenye neza ibisubizo by'ibizamini byawe n'icyo bivuze.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Bishobora gufata icyumweru kimwe kugira ngo umenye ibisubizo by'isuzuma ryakozwe na muganga wawe.

Ni ryari ngomba guhamagara muganga wanjye?

Vugana na muganga wawe muri iki gihe:

• Niba ufite ububabare mu gifu cyangwa ubabara iminsi mike nyuma yo gupimwa.
• Iyo kuva amaraso bikomeje amasaha arenga 72 nyuma yo gupimwa, cyangwa niba kuva amaraso ari menshi (bivuze ko agatambaro katoserwamo amazi buri masaha abiri).
• Nubwo ibisubizo bya biopsy yawe ari ibisanzwe, uracyafite ibimenyetso nko kuva amaraso mu buryo butunguranye.

Dore rero bimwe mu bintu by'ingenzi ugomba kwibuka mu byo twavuze:

Isuzuma rya endometrial biopsy ni ikizamini muganga ashobora gukoresha kugira ngo arebe kanseri y'umura (cyane cyane kanseri y'umura) cyangwa kugira ngo amenye icyateye kuva amaraso mu buryo butunguranye. Bifata iminota 15 kandi ni ikizamini gito cyane. Bisaba ko muganga wawe afata urugero rw'uturemangingo tw'umura mu mura wawe akatwohereza muri laboratwari kugira ngo bikorwe isuzuma. Ushobora kwitega ko habaho kubabara no kuva amaraso make, nk'uko bigenda mu mihango yawe, mu minsi mike nyuma yo gupimwa.

Ntutinye kuvugana na muganga wawe ku bijyanye n'iki kizamini igihe icyo ari cyo cyose. Muri ubwo buryo, uzamenya neza icyo witeze mu gihe cyo gupimwa na nyuma yacyo. Muganga wawe azaganira nawe ku bisubizo maze afate umwanzuro niba ukeneye ibindi bipimo cyangwa ubuvuzi.

` Isuzuma rya endometrial, isuzuma rya nyababyeyi, ubuzima bw'abagore, kuva amaraso ku buryo butunguranye, kanseri y'inkondo y'umura, indwara z'abagore, isuzuma rya pap