Niba muganga akubwira ko ufite "ikibyimba" ahantu runaka mu mubiri wawe, umubiri wawe wose ntuba urimo gukonja? Ikintu cya mbere kiza mu mutwe ni ubwoba bwo kuvuga ngo "Iyi ni kanseri?" Ariko si ibibyimba byose ari kanseri. Uyu munsi tugiye kuvuga ku bwoko bw'ikibyimba kitari kanseri, ariko gikeneye kwitabwaho. Iyo ni adenoma.
Adenoma ni iki mu by'ukuri?
Mu magambo make, adenoma ni ikibyimba kitari kanseri (kitari kibi) . Kiba mu bice by'umubiri, gitwikira ingingo n'imitsi y'umubiri wacu. Ibi bibyimba bikunze gukura mu matsinda. Iyo urebye neza, bisa n'ibihumyo bito bifite agati gato.
Adenoma ni ubwoko bw'ikura ryitwa polyp. Hari igihe abaganga bayita polyp idafite adenomatous .
Igikuru ni uko adenoma atari kanseri. Ariko, rimwe na rimwe, cyane cyane adenoma nini, zishobora guhinduka kanseri uko igihe kigenda gihita. Niyo mpamvu ari ngombwa cyane gukurikiranwa na muganga kuri ibi.
Ni ubuhe bwoko bwa adenomas?
Adenomas ahanini ikura mu ngirabuzimafatizo z'umubiri wacu. Ingirabuzimafatizo zikora kandi zigasohora imiti yitwa imisemburo ikenewe cyane mu mikorere y'umubiri wacu. Kubera iyo mpamvu, hari ubwoko butandukanye bwa adenomas. Reka turebe ubwoko bw'ingenzi.
| Ubwoko bwa adenoma | Aho byabereye n'ibisobanuro bigufi |
|---|---|
| Adenoma ya adrenal | Ibi bikorerwa mu ngirabuzimafatizo z'intanga ziherereye hejuru y'impyiko zacu. |
| Adenoma y'inkondo y'umura | Izi ni ubwoko bwa polyp zigira uruhare mu gice cy'amara. Izifite ubunini burenga mm 10 kandi zisa nka cauliflower zitwa 'advanced adenomas'. |
| Adenoma ya parathyroid | Ibi bikorerwa mu ngirabuzimafatizo za parathyroid, ziherereye hafi y’ingirabuzimafatizo za tiroyide. Ibi bishobora gutuma habaho imisemburo myinshi ya parathyroid. |
| Adenoma y'umuyoboro w'amaraso | Ibi bikura mu gasabo k'ubwonko ka pituitary. Ifite ubunini buri munsi ya cm 1 yitwa microadenomas, naho inini iri hejuru ya cm 1 yitwa macroadenomas. |
| Adenoma ya Pleomorphic | Ibi bikorerwa mu ngirabuzimafatizo zacu z'amacandwe. |
| Adenomas zo mu ruhu (adenomas zo mu ruhu) | Ibi biba mu turemangingo dukora amavuta ku ruhu. |
Byongeye kandi, adenoma zishobora kuba "zikora" cyangwa "zidakora." Adenoma ikora neza ikora imisemburo myinshi irenze iyo ikenewe. Adenoma ikora neza ntabwo ikora imisemburo. Niba rero ufite adenoma idakora neza, ushobora kutagira ibimenyetso.
Izi mbuto nazo zishyirwa mu byiciro hakurikijwe uburyo zikura.
Abaganga kandi bashyira izi adenoma mu byiciro babireba bakoresheje mikorosikopi hanyuma bakabishyira mu byiciro bakurikije imiterere y’uturemangingo. Ibi ni ingenzi mu kugena uburyo bwo kuvura.
| Imiterere y'ikura | Isura n'imiterere |
|---|---|
| Indwara y'umugongo | Zikura zigira ishusho y'uruziga cyangwa iy'uruziga. Zikunze kugaragara cyane mu turemangingo duto cyane kurusha santimetero 0.5. |
| Ubugome | Zikura mu buryo buzunguruka kandi buhindagurika, nk'indabyo z'amashu. Ubu buryo bukunze kugaragara mu ndwara nini zifata amashu. |
| Tubulovillous | Uruvange rw'imiterere yombi yavuzwe haruguru. |
| Imboro y'urusenda | Ikura nta gishishwa, ifite ishusho irambuye, ifite urufatiro runini. |
| Yashyizwemo ibisuguti | Iyo urebye hifashishijwe mikorosikopi, igishushanyo gisa n'amenyo y'umukero kiragaragara. |
Ni ibihe bimenyetso by'indwara ya adenoma?
Ibimenyetso biterwa n'aho adenoma iherereye n'ingano yayo. Adenoma zimwe na zimwe nto zishobora kuba zidafite ibimenyetso na gato. Ariko hari ibimenyetso bimwe na bimwe bisanzwe bishobora kugaragara:
- Kubabara mu nda
- Umunaniro ukabije w'umubiri
- Umutwe
- Kubura amaraso mu mubiri bitewe no kubura icyuma
- Intege nke z'imitsi
- Isesemi cyangwa kuruka
- Kuva amaraso mu maraso
Kuki turwara adenoma?
Ibi biterwa nuko uturemangingo mu mubiri wacu dutangira gukura no kwigabanyamo ibice mu buryo butunguranye. Ubusanzwe, uturemangingo mu mubiri wacu tubwirwa gupfa mu gihe runaka. Ibi byitwa urupfu rw’uturemangingo rwateguwe . Iyo iki gikorwa kigenze nabi, uturemangingo turaterana tugakora ibibyimba. Uturemangingo twa kanseri na two turakura muri ubu buryo. Ariko, adenoma ntiziba zikomeye nk’uturemangingo twa kanseri kandi zikura buhoro buhoro.
Ibintu byongera ibyago
Hari ibintu bimwe na bimwe bishobora kongera ibyago byo kurwara adenoma.
- Imyaka: Abantu bari mu kigero cy'imyaka 30 na 40 bafite amahirwe menshi yo kurwara adenomas y'ubuhumekero bw'umura.
- Impinduka mu miterere y'uturemangingo: Hari indwara zimwe na zimwe ziterwa n'uturemangingo, nka Multiple Endocrine Neoplasia type 1 (MEN1), zishobora gutera adenoma. Izi ndwara ziravukanwa.
- Indwara z'uturemangingo: Familyal Adenomatous Polyposis (FAP)Indwara zimwe na zimwe, nk'iziba mu miryango, nazo zongera ibyago byo kurwara adenoma.
- Igitsina: Abagore bafite amahirwe abiri yo kurwara parathyroid adenomas kurusha abagabo.
Ni gute muganga abimenya?
Muganga wawe azabanza kugusuzuma no kukubaza amateka y'ubuzima bwawe. Hanyuma, ashobora gutumiza ibizamini kugira ngo byemezwe.
- gupima CT (CT scan)
- Gupima MRI
- gupima PET
Ikizamini cy'ingenzi ni biopsy . Ibi bikubiyemo gufata agace gato k'urugingo mu kibyimba ukakohereza muri laboratwari kugira ngo harebwe niba ari adenoma cyangwa ikindi kintu.
Ni ubuhe buryo bwo kuvura?
Uburyo bwo kuvura buratandukanye bitewe n'ubwoko, ingano, n'aho adenoma iri.
- Imiti: Niba adenoma itera ibibazo by'imisemburo, muganga azaguha imiti yo kuyirwanya.
- Kubagwa: Adenoma nini muri rusange zishobora guhinduka kanseri. Kubwibyo, ibintu nka polyps nini kuruta mm 5 bikurwaho mu buryo bwo kubaga. Nanone, kubagwa bishobora kubazwa niba ikibyimba gitera izindi ngorane z'ubuzima.
- Gukurikirana byimazeyo: Niba adenoma ari nto cyane kandi nta kibazo cy’ubuzima itera, muganga wawe ashobora gufata uburyo bwo "gutegereza no gutegereza". Ibi bivuze kutayivura, ahubwo guhora ukurikirana ikibyimba kugira ngo arebe niba cyahindutse.
Ese ibi bishobora kwirindwa ko bitabaho?
Kubera ko tudashobora kugenzura ibintu bigize imiterere y’uturemangingo bigira uruhare mu iterambere rya adenoma, ntidushobora kubikumira 100%. Ariko, ikintu cyiza twakora ni ugusuzuma kanseri buri gihe. Baza muganga wawe inshuro ugomba gukora ibi bipimo, cyane cyane niba ufite ibyago byo kurwara adenoma.
Byongeye kandi, ibi bintu bizafasha mu kubungabunga ubuzima bwiza muri rusange:
- Kwirinda kunywa itabi
- Kurya indyo ikungahaye ku mbuto, imboga n'ibinyampeke byuzuye
- Kongera imyitozo ngororamubiri
- Kugabanya ikoreshwa ry'inzoga
Ubutumwa bwo kujyana mu rugo
- Adenoma ni ikibyimba kitari kanseri, ariko ubwoko bumwe na bumwe, cyane cyane bunini, bushobora kuba kanseri.
- Ibimenyetso ntibikunze kugaragara, bityo ibizamini bya muganga ku myaka ikwiye, nka colonoscopy, ni ingenzi cyane.
- Ntugatinye niba usanze ufite ikibyimba. Vugana na muganga wawe ku buryo bweruye icyo ari cyo n'icyo wakora kuri cyo.
- Iyo habayeho kuvurwa no gukurikiranwa neza, adenoma iba indwara icungwa neza.
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