⚡ Interactive Clinical Tool
Renal function (eGFR)
Measure kidney function based on creatinine value
Mu magambo make, gutanga umusatsi ni iki?
Uburyo bwo kuvura kanseri y'impyiko ni ubundi buryo bwo kubaga aho kuvura kanseri y'impyiko. Muri ubu buryo, muganga wawe ashyira agakoresho gato cyane kameze nk'urushinge (probe) mu ruhu rwawe akakanyuza mu gace kanseri iherereyemo. Hanyuma, igikoresho gitanga ubushyuhe bwinshi cyangwa ubukonje ku tunyangingo twa kanseri. Tekereza nk'urushinge nyarwo, ubu buryo bwo kuvura bwica tunyangingo twa kanseri gusa. Akamaro kanini k'ibi ni uko gasiga impyiko nzima zikikije kanseri hafi ya zose . Ibi bivuze ko igice cy'impyiko gifite ubuzima bwiza kiba cyararokotse.Ni nde ubu buvuzi bukwiriye kurusha ubundi?
Ubu buryo bwo kuvura ntibukwiriye buri wese. Muganga wawe azasuzuma indwara yawe maze afate umwanzuro niba ikubereye. Ubu buryo bukunze kugirwa inama mu bihe bikurikira:- Ku bantu badashobora cyangwa badashaka kubagwa: Ku bantu bamwe, bitewe n'imyaka cyangwa izindi ndwara nk'indwara z'umutima cyangwa diyabete , kubagwa bikomeye (nephrectomy) bishobora guteza akaga. Kandi hari n'abantu badashaka kubagwa. Ubu ni uburyo bwiza kuri bene abo bantu.
- Iyo kanseri ari nto: Ubu buryo bukunze kugira akamaro cyane ku tumori twa kanseri turi munsi ya santimetero 3-4 (hafi santimetero 1.5) .
- Ku bafite ibibyimba byinshi bito mu mpyiko imwe cyangwa ibibyimba bito mu mpyiko zombi: Aho kuba ngombwa gukuramo impyiko yose binyuze mu kubagwa, ubu buryo bushobora gusenya ibibyimba gusa no kubungabunga impyiko.
Kubaga gakondo bikubiyemo gukuraho ikibyimba hamwe n'igice cy'ingingo nzima ziyikikije (gucibwa igice cy'imitsi) cyangwa impyiko yose (gucibwa burundu imitsi). Gukuraho imitsi bigabanya ibyo byangiritse.
Ni ubuhe bwoko bw'ingenzi bwo kuvura indwara yo kwituma?
Ubu buvuzi bukorwa ahanini mu buryo bubiri: hakurikijwe ingufu zikoreshwa mu gusenya uturemangingo twa kanseri.| Uburyo bwo kuvura | Ibiba byoroshye. |
|---|---|
| Guteranya | Ibi kandi byitwa cryotherapy. Ibi bikubiyemo gukoresha umwuka ukonje cyane kugira ngo uturemangingo twa kanseri dukonje . Hanyuma uturemangingo tukaremererwa gushonga. Ubu buryo bugabanya amaraso na ogisijeni bijyana ku turemangingo twa kanseri, bigatuma dupfa. |
| Gukuraho imirasire y'amajwi (RFA) | Ibi bikubiyemo gukoresha imiraba ya radiyo (ingufu z'amashanyarazi) kugira ngo habeho ubushyuhe bwinshi kandi hatwikwe uturemangingo twa kanseri. Gukoresha mikoroonde no gukoresha laser ni ubundi buryo bukoresha ubwo bwoko bw'ubushyuhe. |
Ni gute nakwitegura mbere yo kuvurwa?
Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi. Ubusanzwe,- Uragirwa inama yo kwirinda kurya cyangwa kunywa amasaha make mbere yo kuvurwa.
- Ushobora gusabwa guhagarika by'agateganyo gufata imiti imwe n'imwe (cyane cyane imiti igabanya amaraso ), vitamine , cyangwa imiti ya Ayurvedic .
Ni iki kibaho mu gihe cyo kuvurwa?
Hari uburyo bubiri bw'ingenzi bwo kuvura ubu buryo. 1. Gukoresha Laparoscope: Ibi bikorwa na muganga w'inzobere mu mikurire y'amaraso. Uzahabwa ikinya rusange. Hanyuma, hakorwa uduce duto cyane mu nda, kamera (laparoscope) ishyirwamo binyuze muri imwe mu nganda, hanyuma igikoresho cyo gukuramo amaraso gishyirwamo binyuze mu zindi nganda. Nubwo ubu buryo nabwo ari ukubaga, bukira vuba kuko inganda ziba ari nto cyane. 2. Gukoresha uruhu:Ibi bikorwa n'inzobere mu by'imirasire. Ibi bikubiyemo gusiga ibisebe ahantu hagomba kuvurwa (anesthesia yo mu gace) no gushyira urushinge mu ruhu mu kibyimba mu gihe ureba scan (CT cyangwa ultrasound). Ushobora kandi guhabwa imiti igufasha gusinzira. Intambwe zisanzwe mu gihe cyo kuvurwa zirimo:- Gutera ibisebe cyangwa gusinziriza uruhu.
- Umuyoboro w'agateganyo (stent y'inkari) ushobora gushyirwaho kugira ngo worohereze gutembera kw'inkari .
- Agace gato k'ikibyimba cya kanseri gafatwa kugira ngo gapimwe (biopsy). Ibi bishobora gufasha kumenya ubwoko nyabwo bwa kanseri.
- Mu gihe ureba ecran yo gupima, igikoresho cyo gukuramo amaraso gishyirwa muri iki kibyimba, kigatangira gukora, hanyuma uturemangingo twa kanseri turangirika.
Ni iki wakwitega nyuma yo kuvurwa?
Nyuma yo kuvurwa,- Ushobora gutaha uwo munsi, cyangwa ushobora gukenera kumara umunsi umwe mu bitaro .
- Ushobora kumva umunaniro, ububabare, n'ihungabana mu gace kakorewemo ubuvuzi .
- Ushobora kubona amaraso cyangwa ibisebe. Ibi ni ibisanzwe.
Ni izihe nyungu z'ubu buvuzi?
Ubu buvuzi bufite ibyiza byinshi ugereranije no kubagwa bikomeye.- Gukira vuba: Ushobora gukira vuba bitewe n'ububabare buke no kuva amaraso.
- Inkovu nke: Kubera ko bikorwa binyuze mu gukata uduce duto cyane, ntibisiga inkovu zikomeye.
- Kwangirika guke ku mpyiko nzima: Iyi ni yo nyungu nini cyane.
- Kwinjira mu bitaro ntabwo ari ngombwa cyane: akenshi ushobora gutaha mu munsi umwe.
- Ingaruka nke: Hari ibyago bike byo kugira ibibazo kurusha kubagwa bikomeye.
None se nta ngaruka ziba zihari?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nkeya, ariko zishobora kubaho gake cyane ugereranyije no kubagwa bikomeye.- Kuva amaraso cyangwa kubyimba kw'amaraso
- Indwara zandurira mu mubiri
- Gukomereka cyangwa inkovu aho bivurirwa
- Hari amahirwe make yo kwangirika kw'imitsi y'amaraso iri hafi aho, imitsi, cyangwa izindi ngingo.
- Kuziba kw'inkari
Ni ryari ngomba guhamagara muganga?
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kuvurwa, ugomba guhita uhamagara muganga wawe . Cyangwa ujye kwa muganga uri hafi yawe.Jya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU).- Ububabare bukabije cyangwa kuva amaraso menshi.
- Kuruka bidashira.
- Kugorwa no kunyara cyangwa amaraso mu nkari.
- Ibimenyetso by'ubwandu, nk'umuriro .
Ese ubu buvuzi bushobora gukorwa inshuro zirenze imwe? Yego. Iyo kanseri itarashira burundu, niba igarutse, cyangwa niba ibibyimba bishya bivutse, ubu buvuzi bushobora kongera gukorwa.
Ubutumwa bwo kujyana mu rugo
- Gukoresha uburyo bwo kuvura kanseri y'impyiko mu buryo bworoshye kandi butagira ingaruka nyinshi ku mubiri, nk'uburyo bwo kuvura busimbura kubagwa.
- Ibi birakwiriye cyane cyane abafite ibibyimba bito (biri munsi ya cm 3-4) n'abadafite ubushobozi bwo kubagwa bikomeye.
- Ibi bikubiyemo gukoresha ubukonje bukabije (cryoablation) cyangwa ubushyuhe bukabije (RFA) kugira ngo byibasire kandi bishe uturemangingo twa kanseri gusa.
- Ububabare buragabanuka, gukira vuba, kumara igihe gito mu bitaro, kandi nta kwangirika gukomeye kw'impyiko.
- Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka ntoya, ariko ni nkeya ugereranije no kubagwa bikomeye. Uburyo bwiza bwo kumenya niba ubu buvuzi bukubereye ni ukuganira na muganga wawe.
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