Ese hari ibitagenda neza mu isuzuma ry'inkondo y'umura wawe? Reka tumenye byinshi kuri Cone Biopsy.

Ushobora kugira ubwoba gato iyo umenyeshejwe na muganga ko ugiye gupimwa "Cone Biopsy." Iyo twumvise ijambo "biopsy," duhita dutekereza ku kintu gikomeye. Ariko, mu by'ukuri, iki ni ikizamini cy'ingenzi cyane n'ubuvuzi bukunze gukorwa ku bw'inyungu zawe. Reka tubiganireho mu buryo burambuye. Mu buryo ushobora gusobanukirwa, mu buryo bworoshye.

Kureba koni (Cone Biopsy) ni iki?

Mu magambo make, isuzuma rya koni ni uburyo buto aho agace gato k'umubiri gakurwa mu mura wawe mu buryo bumeze nk'ibuye ry'inkondo y'umura. Ibi rimwe na rimwe byitwa konizasiyo. Tekereza nko guteka umugati ugakata agace gato imbere kugira ngo urebe uko gasa. Uko ni ko bikora.

Inkondo y'umura ni igice cy'umubiri wawe aho igice cyo hejuru cy'igitsina cyawe gihurira n'igice cyo hasi cy'umura wawe. Iyi biopsy y'ingirabuzimafatizo ishobora gusuzuma gusa ubuso bw'inkondo y'umura wawe, ahubwo no gusuzuma utunyangingo turi hasi gato. Uduce dukuwe muri ubu buryo twoherezwa muri laboratwari kugira ngo barebe niba hari uturemangingo tudasanzwe, uturemangingo twa kanseri, cyangwa impinduka mu tunyangingo zishobora gutera kanseri (dysplasia yo mu mura).

Ubu buryo ni uburyo bwo kuvura hanze, ubusanzwe bukorerwa mu bitaro cyangwa mu cyumba cyo kubaga.

Kuki hakorwa biopsy y'ingirabuzimafatizo (cone biopsy)?

Akenshi, muganga aragira inama yo gukora biopsy y’inyuma kubera impamvu zikurikira:

• Niba ibisubizo bya Pap smear bigaragaza ko hari impinduka zidasanzwe mu turemangingo tw’inkondo y’umura wawe , izi mpinduka zishobora kuba imbarutso ya kanseri.
• Niba ukeneye gukuraho uturemangingo tudasanzwe, turwaye kanseri, cyangwa tudafite kanseri mu nkondo y'umura.
• Niba urwaye kanseri y'inkondo y'umura hakiri kare cyane (icyiciro cya 0 cyangwa IA1), gukuraho aka gace k'uturemangingo ni uburyo bwo kuvura .

Rimwe na rimwe, iyo ""Colposcopy"" yabanje (isuzuma ry'inkondo y'umura hakoreshejwe kamera) cyangwa ""Punch Biopsy""" (gufata agace gato k'urugingo) bitashoboye kugaragaza impamvu y'izi mpinduka mu turemangingo, hashobora gukorwa "cone biopsy" nk'intambwe ikurikiraho.

Icy'ingenzi: Ibi ntibikuraho gusa uturemangingo tudasanzwe, ahubwo binagaragaza neza utwo turemangingo n'imiterere yatwo. Ibi bivuze ko ari ingenzi haba mu gusuzuma no mu kuvura .

Ni nde ukora iyi biopsy y’ingirabuzimafatizo?

Ubu buvuzi bukorwa n'umuganga w'abagore (Ob/Gynologist) ufite uburambe bwinshi muri uru rwego.

Twitegura dute ibi?

Muganga wawe azakugira inama y'uko wakwitegura. Ibi akenshi bikorwa ukoresheje ikinya rusange.(Ibi bivuze ko uzasinzira burundu) kandi uzasabwa guhagarika kurya cyangwa kunywa amasaha make mbere yo kubagwa. Ushobora kandi kugirwa inama yo kwirinda imibonano mpuzabitsina no kudashyira ikintu icyo ari cyo cyose mu gitsina cyawe mu minsi ibanziriza kubagwa.

Ese tuba turi maso mu gihe cyo kubagwa intanga?

Akenshi si ko bimeze. Akenshi, uzahabwa ikinya rusange muri ubu buryo. Ariko, ni gake cyane, muganga wawe ashobora kukugira inama yo gukoresha ikinya cyo mu gace runaka ( nk'imitsi ifunga) igatuma igice kiri munsi y'ikibuno kidakora neza. Ariko, ntuzumva ububabare ubwo aribwo bwose muri ubu buryo.

Ni iki kibaho mu gihe cyo kubagwa? Ntugahangayike, ibi nibyo bibaho!

Gusuzuma ingingo y’umura bikubiyemo gukoresha agakoresho ko mu mutwe kugira ngo bace igice cy’ingingo idasanzwe imeze nk’iy’umura. Hanyuma ingingo yoherezwa muri laboratwari, aho umuganga w’indwara (umuganga w’inzobere mu gusuzuma ingingo) ayireba akoresheje mikorosikopi kugira ngo arebe niba irimo kanseri cyangwa uturemangingo tutarabyara kanseri.

Kubagwa ubwabyo bifata iminota 15, ariko kwitegura mbere no gukira nyuma yo kubagwa bishobora gufata amasaha menshi.

Dore uko ibintu bigenda bikurikirana:

1. Anesthesia: Ubwa mbere, uzaterwa ikinya.

2. Aho uherereye: Hanyuma, uzashyirwa aho wagombaga kuba uri mu isuzuma rya Pap, amaguru yawe ari ku nkunga ikwiye.

3. Gushyiramo Speculum: Hanyuma, muganga azashyiramo igikoresho cyitwa speculum mu gitsina cyawe. Ibi bizakwirakwiza inkuta z'igitsina cyawe kandi bigufashe kubona neza umura wawe.

4. Colposcope: Hanyuma, igikoresho cyitwa colposcope, gifite urumuri n'indorerwamo, gishyirwa mu gitsina kugira ngo gisuzume umura w'intanga. Ibi bikoreshwa mu kugenzura neza agace gakwiye gukurwamo.

5. Gukuraho igice cy'ingingo: Hanyuma, umuganga ubaga akuraho igice cy'ingingo kidasanzwe, hamwe n'igice kimwe cy'ingingo zisanzwe zikikije, mu ishusho y'agace k'umubiri.

6. Guhagarika kuva amaraso: Hanyuma, hakoreshwa uburyo butandukanye kugira ngo hahagarike kuva amaraso. Hari igihe hashobora gushyirwaho imiyoboro, cyangwa "Cauterization" (gutwika imiyoboro y'amaraso hakoreshejwe amashanyarazi cyangwa ubushyuhe) . Hari igihe ushobora no gushyira ikintu kimeze nk'agatambaro mu gitsina kugira ngo uhagarike kuva amaraso.

Umuganga w’indwara asuzuma ingingo zakuweho kugira ngo arebe niba umuganga yaba yarakuyemo ingingo zose zidasanzwe cyangwa niba hasigaye ingingo zisanzwe gusa.

Nkuko byavuzwe mbere, ubu ni ukubagwa umunsi umwe. Numara gukira bihagije, uzoherezwa mu rugo uvuye mu bitaro cyangwa mu kigo cy’ubuvuzi.

Ni iki wakwitega nyuma yo kubagwa ku gasabo k'inkari?

Uzajya ukurikiranwa mu bitaro cyangwa mu cyumba cyo kubagwa amasaha make nyuma yo kubagwa. Umuvuduko w'amaraso yawe, ugutera kw'amaraso, kuva amaraso, n'ububabare bizasuzumwa, kandi uzavanwa mu rugo numara gukira bihagije kugira ngo utahe. Niba ufite agatambaro mu gitsina cyawe, kazakurwamo mbere yo gutaha.

• Ububabare: Ushobora kugira ububabare mu nda yo hasi mu gihe cy'iminsi mike, nk'uko bigenda mu gihe cy'imihango. Ushobora gufata imiti igabanya ububabare kuri ibi. Muganga wawe ashobora kukwandikira imiti igabanya ububabare, cyangwa akenshi ushobora kugenzura ubu bubabare ukoresheje imiti igabanya ububabare itangwa na farumasi.
• Imirimo yo mu rugo ya buri munsi: Ugomba kuba ushobora gusubira mu mirimo isanzwe mu cyumweru kimwe. Ariko, ni byiza gusaba inshuti n'umuryango ubufasha mu mirimo iremereye yo mu rugo (nk'isuku no kumesa imyenda) mu cyumweru cya mbere.
• Amaraso n'ibitonyanga: Muri iki gihe, ni ibisanzwe kuva amaraso mu gitsina no kuva amaraso hamwe no kubabara mu nda yo hasi. Koresha udupapuro tw'isuku kuri ibi. Ni ibisanzwe kandi ko ibi bitonyanga biba bitukura cyangwa umutuku mbere, hanyuma bigahinduka umukara woroshye.

Muganga wawe azaguha urutonde rw'ibintu utagomba gukora kugeza igihe uzahurira na muganga. Ibi bishobora kuba birimo:

• Ntukinjize ikintu icyo ari cyo cyose mu gitsina mu gihe cy'ibyumweru bine. Ibi bivuze ko utagomba gukora imibonano mpuzabitsina, gukoresha tampons, gushyiramo intoki, cyangwa kuziba imisatsi.
• Irinde guterura ibyuma cyangwa gukora imyitozo ngororamubiri igoye.
• Ntukajye wiyuhagira mu mazi (koga, koga mu bwogero).

Muganga wawe azaguteganyiriza gahunda yo gukurikirana nyuma y'ibyumweru bine kugeza kuri bitandatu nyuma yo kubagwa kugira ngo arebe neza ko byose byagenze neza kandi ko ibikomere bikize neza.

Nyuma yo gupimwa na cone biopsy, ushobora gusabwa gukora Pap test buri mezi atandatu. Nyuma y’uko ibizamini byinshi bya Pap bigarutse bisanzwe, uzasubizwa kuri gahunda isanzwe ya Pap test (urugero, rimwe mu mwaka). Iyi gahunda ishobora gutandukana bitewe n’imyaka yawe n’amateka y’ubuzima bwawe.

Ese hari imidozi nyuma yo gupimwa ku gasabo k'inyuma?

Hari igihe. Umuganga wawe ashobora gukoresha amadode, ariko akenshi akoresha agapfunyika ko mu gitsina. Aka ni nk'agapfunyika cyangwa agace kanini kazinze.

Ese nshobora gusubira ku kazi nyuma yo kubagwa intanga?

Ushobora gusubira ku kazi mu minsi mike, igihe wumva umerewe neza. Ariko, niba akazi kawe gasaba guterura ibintu biremereye cyangwa amasaha menshi uhagaze, ushobora gukenera kuguma mu rugo mu gihe cy'ibyumweru bibiri.

Ni izihe ngaruka mbi zishobora guterwa n’iyi biopsy y’ingirabuzimafatizo?

Gufata intanga ngore muri rusange ni uburyo bwizewe , ariko kimwe no kubagwa ukundi kose, bishobora kugira ingaruka zimwe na zimwe. Vugana na muganga wawe ku ngaruka n'ibyiza by'ubu buryo kugira ngo usobanukirwe neza icyo ugomba kwitega.

Zimwe mu ngorane zishobora guterwa n’ibyo:

• Kuva amaraso
• Amaraso apfutse
• Kwandura
• Stenose y'inkondo y'umura
• Ingaruka zo kubyara igihe kitageze mu gihe cyo gutwita ziyongera
• Kwangirika kw'ingingo zegereye nk'uruhago cyangwa uturemangingo

Gupima inkovu bishobora gutera inkovu ku mura w'inkondo y'umura, bishobora kugorana kwa muganga kubona uturemangingo tudasanzwe mu bizamini bya Pap bizakurikiraho.

Ni izihe ngaruka mbi za Cone Biopsy?

Ingaruka mbi zikunze kugaragara cyane ni izi:

• Kubabara nk'imihango
• Kubabara cyangwa ububabare buto
• Kuva amaraso cyangwa kugaragara mu gitsina

Izi ngaruka zishobora kuba zikomeye cyane mu cyumweru cya mbere nyuma yo kubagwa, ariko zizagenda zigabanuka buhoro buhoro uko igihe kigenda gihita. Niba ugifite ububabare buri hagati y’ibyumweru bibiri no kuva amaraso, hita ubonana na muganga wawe.

Ese biopsy ya koni ishobora gukuraho kanseri?

Yego, iyi biopsy y’ingirabuzimafatizo ishobora gukuraho uturemangingo twa kanseri mu ntangiriro za kanseri y’inkondo y’umura.

Ni ryari mbona ibisubizo bya biopsy ya koni?

Muganga wawe agomba kubona ibisubizo bya biopsy mu gihe cy'icyumweru kimwe. Ariko, iki gihe gishobora gutandukana bitewe na laboratwari. Ni byiza kubaza muganga wawe igihe bizatwara kugira ngo ahabwe ibisubizo.

Ibisubizo bya biopsy ya koni bitubwira iki?

Ingero y'uturemangingo twakuwe mu nkondo y'umura irasuzumwa hakoreshejwe mikorosikopi muri laboratwari. Ibisubizo by'ibizamini byawe bizafasha muganga wawe kumenya niba uturemangingo ari ibisanzwe, niba tutararwara kanseri, cyangwa niba turwaye kanseri.

• Ibisubizo bisanzwe bivuze ko nta tunyangingo twa mbere ya kanseri cyangwa kanseri twabonetse mu mura wawe.
• Ibisubizo bidasanzwe bivuze ko uturemangingo tw’inkondo y’umura twabonetse mbere y’uko turwara kanseri cyangwa kanseri. Utwo turemangingo twitwa Cervical Intraepithelial Neoplasia (CIN) . CIN ihabwa amanota kuva kuri 1 kugeza kuri 3, bitewe n’ingano y’uturemangingo tw’inkondo y’umura turimo utwo turemangingo tudasanzwe.

• CIN I: Kudakora neza k'umura w'inkondo y'umura. Hari akantu gato kadasanzwe mu turemangingo.
• CIN II: Uturemangingo tw’umura duto cyane kugeza ku twagaragaye. Uturemangingo ntabwo tumeze neza.
• CIN III:Kurwara cyane kwa kanseri yo mu maraso cyangwa kanseri isanzwe (intambwe ya mbere ya kanseri). Uturemangingo tuba tudasanzwe cyane kandi dufite amahirwe menshi yo kurwara kanseri.

CIN I ntabwo ikunze kurwara kanseri. CIN II na CIN III birashoboka cyane ko zikenera kuvurwa kugira ngo hirindwe kanseri.

Ni ryari ngomba kubonana na muganga wanjye?

Niba ubonye kimwe muri ibi bikurikira , hita ubonana na muganga wawe :

• Umuriro (101°F cyangwa hejuru yayo)
• Kumva ufite ubukonje no guhinda umushyitsi, guhumeka bigoranye, kumva umeze nk'uzunguza
• Kubyimba amaguru cyangwa kubabara mu maguru (ibi bishobora kuba ikimenyetso cy'amaraso yacitse)
• Kuva amaraso bihagije kugira ngo uhindure agakoresho ko kwisukura buri masaha abiri
• Iyo ububabare budashira nyuma yo gufata umuti
• Amasohoro yo mu gitsina afite impumuro mbi

Ni irihe tandukaniro riri hagati ya Cone Biopsy na LEEP?

Uburyo bwo gupima no gupima imiterere y'inkondo y'umura (Conization / Cone Biopsy) na LEEP (Loop Electrosurgical Excision Procedure) ni uburyo bwombi bukoreshwa mu gukuraho ingirangingo zidasanzwe mu mura w'inkondo y'umura.

• LEEP ikoresha umugozi muto w’insinga ukoresha amashanyarazi kugira ngo ikate kandi ikureho ingirabuzima fatizo zitameze neza.
• Gupima ingirangingo bikubiyemo gukoresha icyuma cyo kubaga kugira ngo uce igice cy'urugingo rw'umura gifite ishusho nk'iy'ingirangingo, kinini kuruta gupima ingirangingo. Gupima ingirangingo ni uburyo bugoye gato kuruta gupima ingirangingo, kandi bukorwa hifashishijwe ikinya rusange. Igihe cyo gukira ni kirekire kandi ingaruka zabyo ziri hejuru gato ugereranyije no gupima ingirangingo.

Bisiporamu y'inyuma y'inyuma ishobora gukorwa kangahe?

Hari igihe, iyo uturemangingo tudasanzwe tugumye ku nkengero z'urugingo rwakuweho, cyangwa iyo uturemangingo dushya tudasanzwe tuvutse, hashobora kuba ngombwa ubundi buryo bwo gusuzuma ingirabuzimafatizo cyangwa ubundi buryo bwo kuvura. Bitewe n'ibisubizo by'ibizamini byawe, muganga wawe azakubwira ingaruka n'ibyiza byo gukora ubundi buryo bwo gusuzuma ingirabuzimafatizo.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Uburyo bwo gusuzuma ingirabuzimafatizo (cone biopsy) ni uburyo bw'ingenzi bushobora gufasha mu kumenya no kuvura uturemangingo tudasanzwe dushobora gutera kanseri y'inkondo y'umura. Ni ibisanzwe kumva ufite ubwoba kandi ufite ubwoba mbere y'ubu buryo. Shaka ubufasha ku muryango wawe, inshuti, n'itsinda ry'abaganga. Ntutindiganye kubaza ikibazo icyo ari cyo cyose ufite ku bijyanye n'uburyo bwo gusuzuma cyangwa ibisubizo byawe.

Akenshi, isuzuma rya cone biopsy rigira ingaruka nziza, kandi nta ngaruka mbi z'igihe kirekire zibaho. Uburyo bwiza bwo kumenya uturemangingo tudasanzwe ku mura wawe hakiri kare ni ugukomeza kwipimisha Pap smears. Rero menya neza ko ubyitayeho.

"Inkondo y'umura, biopsy y'umura, ikizamini cya pap, ubuzima bw'abagore, kanseri y'inkondo y'umura, CIN, gynecology