Ese ufite impungenge ku kibyimba mu mubiri wawe? Reka tuvuge ku bijyanye no gusohora urushinge rwiza (FNA)!

Ese wigeze wumva akantu gato cyangwa ikibyimba ahantu runaka ku mubiri wawe ukumva ufite ubwoba cyangwa ukeka? Cyangwa se muganga yakubwiye gukora ikizamini gito ahantu nk'aho? Ntutinye! Uyu munsi tugiye kuvuga ku kizamini kiba ingirakamaro muri ibyo bihe kandi kikaba ingenzi ku bantu benshi. Icyo ni 'Fine-Nedle Aspiration', ari nacyo twita '(FNA)' mu magambo ahinnye. Mu by'ukuri, iki ni ikizamini gikoresha urushinge ruto kugira ngo gifate urugero rw'uturemangingo.

None se, uburyo bwo kuvura urushinge rwiza (FNA) ni iki mu by'ukuri?

Mu magambo make, `Fine-Nedle Aspiration` cyangwa `(FNA)` ni uburyo abaganga bakoresha kugira ngo bafate icyitegererezo cy'uturemangingo mu kibyimba gikekwa, agahu, cyangwa ikindi gice cy'umubiri wawe gisa n'aho kidasanzwe. Hari n'abantu babyita `Fine-Nedle Biopsy`. Tekereza nk'urushinge ruto cyane rufatanye na syringe nto rukuramo icyitegererezo gito cy'uturemangingo, ingirabuzima fatizo, cyangwa amazi.

Hanyuma, muganga wawe yohereza icyitegererezo muri "laboratoire ya cytology." Aho ngaho, "umuhanga mu by'ikoranabuhanga" asuzuma uturemangingo. Hanyuma, umuganga w'inzobere witwa "umuhanga mu by'indwara" yiga uturemangingo mu buryo bwimbitse, agerageza kumenya ibyo ari byo n'imiterere yabyo. Bombi basuzuma utwo turemangingo bakoresheje uburyo bwitwa "cytology."

``(FNA)`` ni ubwoko bwa biopsy budatera ingaruka mbi ku mubiri, ni ukuvuga ko ari bwo budatera ingaruka mbi cyane (budatera ingaruka mbi cyane) . Ariko, bufite n'imbogamizi zimwe na zimwe.

None se, itandukaniro riri hagati ya Core Biopsy na Fine-incision Aspiration ni irihe?

Ushobora kuba warumvise kandi ibyerekeye 'Core Biopsy'. 'Core Biopsy' na 'Fine-Needle Aspiration' byombi ni ubwoko bwa biopsy bukoresha inshinge.

Ariko, urushinge rwakoreshejwe kuri `Core Needle Biopsy` rurabyibushye gato ugereranyije n'urushinge rwakoreshejwe kuri `(FNA)`. Kubwibyo, `Core Biopsy` ishobora gufata ingano nini y'urushinge kurusha `(FNA)`. Ibi bituma haboneka amakuru menshi ku gace gakekwa.

Mu gihe hakoreshwa uburyo bwo gukamura urushinge (FNA), rimwe na rimwe hakoreshwa uburyo bwo gukamura urushinge rw’ibanze (core biopsy) bisaba gukata gato no gushyiramo urushinge rw’urushinge rufite umusemburo.

Abaganga bakunze gukoresha `Core Biopsy` mu gusuzuma amabere . Ariko, `(FNA)` ikoreshwa ku bice bitandukanye by'umubiri.

Uburyo bwo gukamura urushinge (FNA) bukoreshwa iki?

Hari intego ebyiri z'ingenzi z'ikizamini cya FNA: gusuzuma indwara no kuvura indwara .

Hari igihe abaganga bakoresha FNA mu gutegura uburyo bwo kuvura kanseri iyo yakwirakwiriye aho yatangiriye, yitwa kanseri ifata ibice by’umubiri. Hanyuma umuganga w’indwara ashobora gushaka ibimenyetso bya genetiki cyangwa molekile mu ngero z’uturemangingo kugira ngo arebe uburyo kanseri izakira neza ubuvuzi runaka.

Uburyo bwo gusukura urushinge (Fine-Thream Aspiration) bwo gusuzuma indwara

Igihe cyose abaganga bakeneye gusuzuma indwara neza bakoresheje icyitegererezo cy'ingingo cyangwa amazi, bashobora gukora "Fine-Nedle Aspiration" (izwi kandi nka "fine-nedle biopsy"). Umuganga w'indwara areba uturemangingo twakusanyijwe akoresheje mikorosikopi kugira ngo amenye ubwoko bwatwo n'imiterere yatwo.

""(FNA)"" ni bumwe mu bwoko butandukanye bwa biopsy. Bitewe n'uko urwaye, muganga wawe ashobora guhitamo gukora ""(FNA)"" cyangwa ubundi bwoko bwa biopsy, nka ""excisional"" cyangwa ""incisional".

Gupima urushinge rw'ingufu bishobora kuba ngombwa kugira ngo hamenyekane neza ikibyimba gikekwa. Ibi bishobora gufasha kumenya ibintu nk'ibi:

• Kanseri .
• Indwara za bagiteri , urugero, bursitis (ubwandu bw'agafuka gakikije ingingo) cyangwa septiki rubagimpande (ubwandu bw'ingingo).
• Utubyimba tutari kanseri , urugero, cysts, fibroadenomas (ubwoko bw'utubyimba tutari kanseri dutera mu ibere), cyangwa lipomas (utubyimba tubyibushye).

Abaganga bashobora gukoresha uburyo bwo gukamura urushinge (FNA) hafi ya buri gice cy'umubiri. Ariko, ikunze gukoreshwa mu gusuzuma ibibyimba bishya byagaragaye muri ibi bikurikira:

• Urugero, amabere afite udukoko twinshi.
• Urugero, imiterere ya tiroyide , utunyangingo twa tiroyide.
• Uduce tw'imitsi .
• Uruhu .

Bitewe n'iterambere ry'ikoranabuhanga, ubu hakoreshwa uburyo bwo gukuraho inshinge nto (FNA) mu gukuraho ingirangingo mu bice byimbitse by'umubiri, hifashishijwe ubuyobozi bw'ishusho nka endoscopic ultrasound na computed tomography (CT scans). Urugero:

• Pancreas .
• Uburyo bwo gutera igifu (GI) .
• Umuyoboro w'amaso .
• Trachea .
• Ibihaha .
• Mediastinum (umwanya uri mu gituza cyawe urimo ingingo z'ingenzi nk'umutima wawe).

Gukoresha urushinge rwo kuvura (FNA) mu kuvura

Hari igihe abaganga bakoresha FNA kugira ngo bakure amazi mu tubyimba no kuvura. Urugero:

• Ibibyimba by'uruhu(Ibisebe byuzuye ibibyimba).
• Ibisebe (udufuka twuzuye amazi).
• Seroma (izi ni ikusanyirizo ridasanzwe ry'amazi rikunze kubaho nyuma yo kubagwa kanseri y'ibere no kubagwa pulasitiki).

Ubu buryo bwa `(FNA)` bushobora gukoreshwa aho gukoresha uburyo busanzwe bwa `incision and drainage`, cyane cyane ahantu hashobora kwanduza ubwiza bw'umubiri nko mu mabere. Ariko, `(FNA)` rimwe na rimwe ishobora gukwirakwiza indwara, bityo ntishobora gukoreshwa mu bihe byose.

Ni gute nakwitegura gushyukwa urushinge rwiza (FNA)?

Ubusanzwe nta myiteguro yihariye ugomba gukora ku bijyanye no gusohora urushinge rwiza. Ariko, muganga wawe azakubwira icyo ugomba kwitega n'uko wakwitegura. Rero ntugahangayike .

Ni iki kibaho mu gihe cyo gupima inshinge nto (FNA)?

Gupima FNA bikunze gukorwa kwa muganga wawe cyangwa mu ishami ry’abarwayi bataha mu bitaro, bivuze ko udakwiye kuguma mu bitaro.

Iyi gahunda ishobora gutandukana gato bitewe n'igice cy'umubiri wawe icyitegererezo cyakuwemo. Ariko, muri rusange, ushobora kwitega ikintu nk'iki mu gihe cyo gusohora urushinge rwiza:

• Uzategekwa kuryama cyangwa kwicara ku meza yo kwa muganga.
• Muganga asukura aho urushinge rwashyizwe n'umuti wica udukoko .
• Muganga ashobora gutera ikinyabutabire cyo mu gace runaka kugira ngo agabanye ububabare aho FNA iri gukorerwa. Ariko, ushobora kumva urimo gucika intege cyangwa ukumva utameze neza iyo urushinge rwinjiye mu ruhu. Ibi ni ibisanzwe.
• Iyo icyitegererezo gifashwe mu gice cy’umubiri wawe cyimbitse, muganga azakoresha amabwiriza yo gufata amashusho kugira ngo ayobore urushinge neza aho ruherereye n’icyerekezo rugana. Urugero, gukoresha ultrasound, CT scan, cyangwa mammogram.
• Muganga ashyira urushinge mu gace kagenewe umuti, hanyuma agakoresha syringe kugira ngo akuremo uturemangingo, ingirabuzimafatizo, cyangwa amazi.
• Muganga ashobora gukenera gusuzuma ahantu harenze hamwe cyangwa gufata ingero zirenze imwe. Niba ari uko bimeze, azakoresha urushinge rushya na seringe kuri buri ngero. Urushinge rumwe ntiruzakoreshwa kenshi .
• Iyo ikizamini kirangiye, hashyirwa agatambaro gato ku gace.

Ni iki kibaho nyuma yo gupimwa inshinge nto (FNA)?

Muganga wawe azohereza icyitegererezo kimwe cyangwa byinshi (cyangwa byinshi) muri laboratwari. Aho ngaho, 'umuganga w'indwara' azabisesengura. Azareba uturemangingo akoresheje mikorosikopi kandi ashobora gukora ibindi bizamini kuri icyo cyitegererezo. Umuganga w'indwara azandika raporo y'ibyo yabonye maze ayoherereze muganga wawe, uzakwereka kandi agusobanurire.

Ni izihe ngaruka zo guterwa n'inshinge nto (FNA)?

Ni ibisanzwe kugira ububabare buto cyangwa ibisebe aho urushinge rwashyizwe. Ubusanzwe ibi biba ari bito kandi bizakira mu minsi ibiri cyangwa itatu.

Ingorane ziterwa no gushyuha mu buryo bw'urushinge ni gake cyane , ariko rimwe na rimwe ibi bikurikira bishobora kubaho:

• Kuva amaraso: Ibi byago biri hejuru ku bantu bafite ibibazo byo kuvura amaraso cyangwa abafata imiti igabanya amaraso.
• Udukoko twanduza bagiteri: Niyo mpamvu urushinge rwozwa neza mbere yo kurushyiramo.
• Kwangirika kw'ingingo zikikije: Ibi nabyo ni gake cyane.
• Fistula: Iyi ni isano idasanzwe hagati y’ingingo ebyiri mu mubiri, urugero nk'urugingo, umuyoboro w'amaraso, cyangwa ikindi gice. Ibi nabyo ni gake cyane.

Wibuke ko izi ngaruka ari nto cyane. Muganga arimo kukubwira ko ugomba kwipimisha kuko abona ko inyungu zabyo ziruta kure izi ngaruka nto.

Ni izihe ngaruka zo gupfuka urushinge rwiza (FNA)?

Hari ubwoko bwinshi bw'ibisubizo bishobora kuboneka muri 'Fine-Nedle Aspiration'. Iyo icyitegererezo gisesenguwe, gishobora kugaragaza ibintu nk'ibi:

• Nta turemangingo tudasanzwe tubaho: bivuze ko byose bimeze neza.
• Uruvange rw'uturemangingo tudasanzwe n'uturemangingo dusanzwe: Ushobora gukenera ibindi bipimo kugira ngo wemeze ko indwara yanduye.
• Uturemangingo mbere y’uko turwara kanseri: Utu ni uturemangingo tuba turi ku rwego rwo hejuru mbere y’uko tuba kanseri. Utwo tworoshye kuvura iyo tubonetse hakiri kare.
• Uturemangingo twa kanseri: Ibi nibibaho, muganga wawe azakubwira icyo gukora nyuma.
• Ibimenyetso by'ubwandu bwa bagiteri: Niba ari uko bimeze, bushobora kuvurwa.

Hari igihe laboratwari ishobora gusaba ingero nyinshi kugira ngo itange raporo nyayo. Ariko, muganga wawe azagusobanurira iyo raporo . Hanyuma, mwembi muzafata umwanzuro hamwe icyo gukora nyuma yaho.

Ni ryari ngomba guhamagara muganga wanjye?

Niba ugaragaje ibimenyetso by'ubwandu nyuma yo gupimwa, urugero nk'umuriro , amabyi asohoka aho urushinge rwashyizwe, cyangwa gutukura , hamagara muganga wawe ako kanya. Niba ubonye impinduka zitunguranye mu kibyimba cyawe cyangwa mu tubyimba nyuma yo gupimwa FNA, bibwira muganga wawe nabyo.

Ni ibisanzwe kumva ufite stress no gutinya iyo umenye ko ufite ikibyimba giteye amakenga. Ariko inkuru nziza ni uko gusuzuma, nk'imashini igabanya urushinge, ari bwo buryo bwiza bwo kumenya neza icyo ari cyo. Niba ufite ikibazo cyangwa impungenge ku bijyanye n'imashini igabanya urushinge, ntutindiganye kuvugana na muganga wawe . Barahari kugira ngo bagufashe kandi baguhumurize.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

• `Fine-Nedle Aspiration (FNA)` ni ikizamini cyoroshye, kidakoresha uburyo bworoshye bwo gupima, gifata icyitegererezo cy'uturemangingo mu gace k'umubiri gakekwaho.
• Ibi bishobora kugaragaza indwara zitandukanye , nka kanseri, indwara zandurira mu mubiri, ndetse n'ibibyimba bitari kanseri. Hari igihe bikoreshwa mu gukuramo amazi no kuyavura .
• Nta mpamvu yo kwitegura cyane mbere yo gupimwa, kandi ububabare bukomeye ntibukunze kubaho nyuma yo gupimwa.
• Niba ufite ikibazo cyangwa impungenge, menya neza ko uganira na muganga wawe . Azagusobanurira byose.
• Wibuke ko ubu bwoko bw'ikizamini bukorwa kugira ngo bugufashe gufata ibyemezo byiza ku buzima bwawe.

Rero, niba usabwe gukora ikizamini nk'iki, ntutinye kukirwanya. Tukwifurije gukira vuba!

FNA , Gupima urushinge, Gupima umubiri, Gupima uturemangingo, Gupima ikibyimba, Gusuzuma kanseri, Ibizamini by'ubuvuzi