Hari ikintu gishya muri raporo yawe y'ibizamini by'inkari? Reka tuvuge kuri Cytology y'inkari!

Ese wigeze wumva ibyerekeye ' ikizamini cya 'Urine Cytology '? Ushobora kuba waragize ubwoba gato ubwo muganga yagusabaga gukora iki kizamini. Ariko ntugire ikibazo, akenshi bikorwa kugira ngo byemezwe ikintu runaka. Muri make, iki kizamini kigizwe no gufata icyitegererezo cy'inkari zawe no gusaba inzobere kuzisuzuma kugira ngo barebe niba zirimo uturemangingo twa kanseri cyangwa uturemangingo dushobora guhinduka kanseri.

Cytology y'inkari ni iki mu by'ukuri?

Noneho, reka tubanze turebe icyo "Cytology" ari cyo. Cytology ni inyigo y'uturemangingo duto twakuwe mu ngingo cyangwa mu mazi ari mu mibiri yacu. Muri ibi, umuganga wabyigiye, witwa "Cytopathologist," areba utu turemangingo akoresheje mikorosikopi kugira ngo arebe niba hari ibitagenda neza cyangwa impinduka muri two.

Rero, uburyo bwo gusuzuma imiterere y'inkari ni ikizamini gifata uturemangingo mu nkari zawe, kikatureba hifashishijwe mikorosikopi, hanyuma kikagenzura niba nta kibazo na kimwe kirimo, cyane cyane uturemangingo twa kanseri.

Iki kizamini (Urine Cytology) gikorwa ryari?

Iki kizamini (Urine Cytology) gikoreshwa cyane cyane mu gufasha gusuzuma kanseri zo mu buryo bw'inkari . Ni ukuvuga:

• Kanseri y'uruhago
• Kanseri y'umuyoboro w'inkari, umuyoboro muto utwara inkari ziva mu mpyiko zijya mu ruhago
• Kanseri y'umuyoboro w'inkari, umuyoboro muto utwara inkari ziva mu ruhago zijya hanze y'umubiri
• Indwara nka kanseri y'impyiko .

Ariko ibuka ko abaganga badakunze gukora iki kizamini (Urine Cytology) bagahita bemeza ko hari kanseri. Akenshi, bakora n'ibindi bizamini byinshi.

Byongeye kandi, iki kizamini cytology cytology cytology gishobora no gupima indwara za virusi nka cytomegalovirus (ibarirwa mu muryango wa virusi ya herpes).

Ese uburyo inkari zipimwa n'ikizamini rusange cy'inkari (urinalysis) ni kimwe?

Yego, nubwo ibi byombi ari ibizamini bikorerwa hakoreshejwe inkari, hari itandukaniro rinini hagati yabyo byombi.

Isuzuma ry’inkari ni ikizamini cyihariye cyane. Gikubiyemo kureba uturemangingo mu nkari hifashishijwe mikorosikopi. Umuganga w’indwara areba cyane cyane uturemangingo twa kanseri.

Ku rundi ruhande, isuzuma ry'inkari ni isuzuma ry'ibanze ry'inkari abaganga bakoresha mu gusuzuma no kuvura indwara zitandukanye, nko kwandura indwara z'inkari (UTIs) , indwara z'impyiko, na diyabete .

Isuzuma ry’inkari risanzwe risuzuma uko inkari zisa, ingano yazo n’ingano yazo. Rishobora kumenya niba hari uturemangingo, ibice by’uturemangingo, cyangwa kristu, poroteyine na glucose (isukari) mu nkari.

Muganga ashobora gusaba ko habaho isuzuma ry’inkari bitewe n’impamvu runaka, ariko akenshi ni isuzuma risanzwe, wenda rimwe mu mwaka. Ibizamini bya cytology y’inkari ntibikorwa kenshi, kandi bikorwa gusa iyo hari impamvu zihariye.

Ni ryari muganga azakubwira gukora iki kizamini (Urine Cytology)?

Niba umuganga wawe akeka ko ufite ibimenyetso bya kanseri y'inkari, ashobora gusaba ko upimwa indwara y'inkari. Ibimenyetso birimo:

• Amaraso mu nkari (hematuria) .
• Kumva ububabare buri gihe iyo uri kunyara.
• Kumva ubushyuhe mu gihe cyo kunyara.

Nubwo ibizamini bya cytology y'inkari bishobora gufasha mu gupima ubwoko bumwe na bumwe bwa kanseri, bifite n'imbogamizi. Kuba ikizamini cya cytology y'inkari kitabona uturemangingo twa kanseri ntibivuze ko umuntu adafite kanseri. Niyo mpamvu abaganga bakunze gukora ibindi bizamini byinshi hamwe n'iki kizamini, ndetse bashobora no kongera gukora ikizamini cya cytology y'inkari nyuma y'igihe runaka.

Muganga ashobora kugusaba gutanga icyitegererezo cy'inkari kugira ngo upime indwara y'inkari kubera izindi mpamvu. Urugero:

• Niba warigeze kugira kanseri y'uruhago mbere kandi ukaba warigeze kuvurwa, reba niba yagarutse.
• Niba urwaye UTI isubira, genzura bagiteri ziri mu nkari zawe.
• Reba indwara zimwe na zimwe ziterwa na virusi.

Ni nde ukora iki kizamini (Urine Cytology)? Icyitegererezo gifatwa gute?

Kenshi na kenshi, umuntu ukora ikizamini cytology cytology y'inkari akusanya inkari mu gikombe cyanduye mu bwiherero bwihariye. Ibi byitwa "icyitegererezo cy'inkari zisukuye." Rimwe na rimwe, kugira ngo umurwayi cyangwa umuganga afate icyitegererezo cy'inkari, agomba gushyiramo umuyoboro muto witwa catheter unyuze muri urethra mu ruhago.

Mu gihe cyo gupima inkari, umuganga ashobora kandi gufata icyitegererezo cy’inkari kugira ngo apime cytology y’inkari, uburyo bwo gupima cystoscopy, aho umuganga akoresha igikoresho gito gifite kamera kugira ngo asuzume imbere mu ruhago no mu muyoboro w’inkari.

Hanyuma umuganga wohereza icyitegererezo cy'inkari muri laboratwari. Inzobere mu ndwara cyangwa inzobere mu ndwara ziterwa n'imitsi isanzwe isuzuma uturemangingo tw'inkari akoresheje mikorosikopi hanyuma agategura raporo.

Wakwitegura ute mbere yo gukora ikizamini?

Ugomba gutanga inkari zo gupima inkari nyuma yo kunyara bwa mbere mu gitondo.Impamvu ni uko uturemangingo tw’inkari tumaze igihe kinini mu ruhago, ni ukuvuga ijoro ryose, dushobora kwangirika buhoro buhoro. Bitabaye ibyo, biragoye ko umuganga w’indwara asuzuma neza uturemangingo akoresheje mikorosikopi. Kubwibyo, icyitegererezo utanga cyo gupima (Urine Cytology) ntikigomba kuba ikintu cya mbere mu gitondo.

Birashoboka cyane ko uzakenera gufata gahunda yo kujya kwa muganga cyangwa muri laboratwari kugira ngo utange icyitegererezo cy'inkari.

Ni izihe ntambwe zisabwa mu gukora ikizamini cy’inkari?

Muri rusange hari intambwe enye z'ingenzi mu isuzuma ry'inkari:

1. Gukusanya icyitegererezo cy'inkari.

2. Gutegura uturemangingo mu nkari.

3. Kugenzura uturemangingo mu nkari.

4. Kumenyesha ibyavuye mu bushakashatsi.

Sawa, reka turebe izi ntambwe mu buryo burambuye.

Gukusanya icyitegererezo cy'inkari

Kenshi na kenshi, icyitegererezo cy’ikizamini cy’inkari gifatwa n’umuntu ukora ikizamini.

Mbere yo gufata icyitegererezo cy'inkari zawe, muganga wawe ashobora kuguha agakoresho kabigenewe. Gashobora kuba karimo umuti n'udupira two gusukura imyanya ndangagitsina yawe. Ibi ni ukubuza mikorobe zitagera hanze y'inkari yawe, nk'uruhu rwo ku gitsina cyawe cyangwa igitsina, kwinjira mu nkari. Ni ngombwa cyane gukurikiza amabwiriza yo gukoresha utu dupira two gusukura neza. Hanyuma uzakenera korora mu musarani hanyuma ugafata ibisigaye mu gikombe gisukuye. Muganga wawe azakubwira ingano y'inkari ukeneye kugira ngo upime.

Mu bihe bimwe na bimwe, wowe cyangwa muganga wawe mushobora gukenera gushyiramo catheter no gufata icyitegererezo cy'inkari.

Muganga ashobora kandi gufata icyitegererezo cy'inkari mu gihe cyo gupima indwara ya cystoscopy .

Muganga wawe azohereza iki gipimo cy'inkari muri laboratwari.

Gutegura uturemangingo dukoresheje icyitegererezo cy'inkari

Nyuma yo gukusanya icyitegererezo cy'inkari, umuganga w'indwara cyangwa umuhanga mu bya laboratwari ashobora gukoresha imashini yitwa centrifuge kugira ngo itandukane uturemangingo dushaka kureba n'inkari. Centrifuge izunguruka icyitegererezo vuba cyane, itandukanya uturemangingo n'amazi. Hanyuma umuganga w'indwara ashyira uturemangingo kuri microscope hanyuma akadusiga irangi ryihariye. Iri bara rituma umuganga w'indwara abona neza bimwe mu biranga uturemangingo iyo turebewe muri microscope.

Gusuzuma utunyangingo turi mu rugero

Nyuma yuko umuganga w’indwara cyangwa umutekinisiye wo muri laboratwari ateguye kandi agasiga ibara ku tunyangingo tw’inkari, areba utwo tunyangingo akoresheje mikorosikopi kugira ngo arebe niba hari utwo tunyangingo tudasanzwe. Iyo babonye utwo tunyangingo tudasanzwe, bashyira akamenyetso ku duce turi ku gice cy’aho utwo tunyangingo twari turi bakoresheje ikaramu yihariye. Hanyuma umuganga w’indwara akora raporo.

Imenyekanisha ry'ibyavuye mu bushakashatsi

Nyuma yuko umuganga w’indwara ateguye raporo, izoherezwa kwa muganga wawe.Izoherezwa. Muganga wawe azaganira nawe ku bisubizo hanyuma afate umwanzuro w'icyo gukora nyuma.

Bigenda bite nyuma y'ikizamini?

Bishobora gufata igihe kugira ngo ibisubizo by'ibizamini byawe bigaruke. Kubera ko ibizamini by'inkari bifite aho bigarukira, muganga wawe ashobora gutegeka ibindi bipimo byinshi kugira ngo arebe kanseri mu nzira y'inkari. Kubera iyo mpamvu, muganga wawe ashobora gushaka kukubwira buri gisubizo cy'ibizamini uko bizagenda. Muganga wawe azakubwira uko inzira izagenda, harimo no kumenya ibisubizo no kukumenyesha.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Abantu benshi bakora ibizamini by'inkari bashyira inkari mu gikombe cyanduye, bityo nta ngaruka cyangwa ingaruka mbi bitera.

Ariko, niba muganga wawe akoresha catheter (umuyoboro muto winjizwa mu muyoboro wawe w'inkari) kugira ngo akure inkari, ufite ibyago bike byo kurwara indwara ya UTI . Ariko, UTI ni indwara zisanzwe kandi zishobora kuvurwa.

Ibisubizo by'ikizamini cya Urine Cytology bisohoka bite? Bisobanura iki?

Abaganga b'indwara bashobora gukoresha amagambo atandukanye muri raporo y'inkari. Muganga wawe azagusobanurira ibisubizo. Ntutinye kubaza ibibazo.

Ubusanzwe, ibisubizo bigaragaza niba uturemangingo turi mu nkari ari nta bimenyetso cyangwa niba ari nta bimenyetso ku turemangingo tudasanzwe, uturemangingo twa mbere y’uko turwara kanseri, cyangwa uturemangingo twa kanseri.

Raporo y'ibyavuye mu bushakashatsi bwawe ishobora kuba irimo amagambo nka:

• Ingero idashimishije: Ibi bivuze ko hashobora kuba nta tunyangingo duhagije mu nkari zawe kugira ngo umuganga w’indwara abone. Uzakenera gutanga indi ngero y’inkari niba ari uko bimeze.
• Iyi kanseri y’inkari yo mu rwego rwo hejuru: Ibi bivuze ko umuganga w’indwara atabonye uturemangingo twa kanseri cyangwa uturemangingo tudasanzwe mu nkari zawe.
• Uturemangingo tw’inkari tudasanzwe: Ibi bivuze ko umuganga w’indwara yasanze hari ibintu bitameze neza mu nkari zawe, ariko uturemangingo ntabwo tumeze nk’uturemangingo ku buryo twafatwa nk’indwara ya kanseri.
• Birakekwa ko kanseri y'inkari yo mu rwego rwo hejuru: Ibi bivuze ko umuganga w'indwara yasanze uturemangingo tudasanzwe mu nkari zawe dushobora kuba kanseri.
• Ifite ingaruka nziza ku ndwara ya kanseri y’inkari yo mu rwego rwo hejuru: Ibi bivuze ko umuganga w’indwara yasanze uturemangingo twa kanseri mu nkari zawe.

Uturemangingo tudasanzwe mu nkari zawe na two dushobora kuba ikimenyetso cy'uko inzira y'inkari yawe yabyimbye . Niba warakorewe ubuvuzi bw'imirasire hafi y'uruhago rwawe, ushobora no kugira uturemangingo tudasanzwe mu nkari zawe.

Ikizamini cya cytology y'inkari gishobora gufasha gusa gusuzuma kanseri. Abaganga ntibagikoresha gusa kugira ngo bamenye niba ufite kanseri yo mu nzira y'inkari. Niba inkari zawe zirimo uturemangingo tudasanzwe, dukekwaho, cyangwa tugize kanseri, muganga wawe ashobora gutegeka ko hakorwa ibindi bipimo, nka cystoscopy cyangwa CT scan, kugira ngo basuzume uruhago rwawe n'umuyoboro w'inkari.

Bizantwara igihe kingana iki kugira ngo menye ibisubizo?

Igihe bifata kugira ngo ibisubizo by'ibizamini bya Urine Cytology bigereho biterwa n'ibintu byinshi:

• Kubaza umuganga w’indwara niba akeneye kureba izindi ngero.
• Niba ikizamini gisaba amabara cyangwa uburyo bwihariye bwo kuvura.
• Waba ukeneye igitekerezo cya kabiri cya muganga wawe cyangwa inzobere mu ndwara.
• Ese hari ikindi gikorwa cyo gupima wakoze?
• Igihe cyo gutunganya icyitegererezo.

Kubera ko imimerere ya buri wese itandukanye, muganga wawe azaguha igitekerezo cyiza cy'igihe ushobora kwitega ibisubizo.

Ikizamini cya cytology y'inkari ni ikihe?

Ubuvuzi bw'inkari bufasha cyane mu gutahura ibibyimba byo mu rwego rwo hejuru ( uturemangingo twa kanseri dukura kandi tugakwirakwira vuba) na kanseri isanzwe (itsinda ry'uturemangingo tudasanzwe dusigara aho twatangiriye). Ifite igipimo cya 95% cy'ukuri mu kumenya ibi bibazo bibiri.

Ariko, uburyo bwo gusuzuma kanseri y’inkari ntabwo butanga umusaruro mwinshi mu gupima kanseri y’urwego rwo hasi (uturemangingo twa kanseri dukura kandi tugakwirakwira). Ifite igipimo cy’ukuri kiri hagati ya 10% na 50% kuri kanseri nk’izo. Ifite kandi igipimo gikomeye cy’uburiganya kuri iyi ndwara. Ni ukuvuga ko ibisubizo by’uburyo bwo gusuzuma kanseri y’inkari bishobora kugaragaza ko umuntu adafite kanseri y’urwego rwo hasi, ariko ibindi bizamini bishobora kugaragaza ko umuntu afite kanseri y’urwego rwo hasi.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ibipimo bya cytology y'inkari bishobora kuba igikoresho cy'ingirakamaro mu gusuzuma kanseri y'inkari. Ikintu cy'ingenzi ugomba kwibuka ni uko niba muganga wawe akeka ko urwaye kanseri y'inkari, uzakenera gukora ibirenze ikizamini cya cytology y'inkari gusa. Mu gihe utegereje ibisubizo by'ikizamini cyo gusuzuma bishobora kugutera imihangayiko, menya ko itsinda ry'abaganga rihari kugira ngo rigufashe uko ibisubizo bizaba bimeze kose. Ntutinye kubaza muganga wawe ibibazo muri iki gikorwa cyose.

` Isuzuma ry'inkari, Isuzuma ry'inkari, Kanseri, Kanseri y'inkari, Kanseri y'impyiko, Isuzuma ry'uturemangingo