Ese wigeze ukorerwa endoscope? Ahari muganga wawe yagusabye gukora iki kizamini cyo gupima igisebe cyo mu gifu cyangwa ubundi buryo bwo kubabara. Mu gihe ukora iki kizamini, hari igihe muganga abona amaraso ava mu gisebe gito mu gifu cyangwa mu mara yawe, cyangwa habayeho udukoko duto (polyps). Mu bihe byashize, ibi byari gusaba kubagwa gato, ariko hamwe n'ikoranabuhanga rigezweho ry'iki gihe, hari uburyo bwo kuvura ibi bintu hatabayeho no gukata. Ubwo ni bumwe mu buryo bugezweho tuvugaho uyu munsi. Byitwa Argon Plasma Coagulation, cyangwa APC mu magambo ahinnye.
Mu magambo make, APC (Argon Plasma Coagulation) ni iki?
Yego, iri zina rishobora kumvikana nk'irigoye, ariko ibiba muri ibi biroroshye cyane. Tekereza ko hari umwobo muto mu muyoboro uri mu mubiri wacu (nk'inzira y'igogora) urimo kuva amaraso. Muri ubu buryo bwitwa APC, muganga yohereza undi muyoboro muto binyuze mu muyoboro wa endoscope (scope), hanyuma umwuka wihariye witwa 'Argon' ugashyirwamo. Hanyuma, hakoreshwa amashanyarazi make cyane kugira ngo hakonge umwuka. Ubushyuhe bwinshi buterwa n'ibi butwika ahantu hava amaraso kandi bugahagarika kuva amaraso. Nanone, niba hari utubyimba duto tudashaka (polyps), ubu buryo bushobora kubirimbura burundu.
Ibi ni nko gukemura ikibazo kiri imbere mu mubiri, utibagiwe umubiri, ariko ukoresheje ubushishozi bwinshi buturutse inyuma. Ibi bivuze ko nta mpamvu yo kujya kubagwa bikomeye. Ibyo ni byo twita 'bidakunze kugaragara' mu buvuzi.
Ubu buvuzi bukorwa n'inzobere mu ndwara zo mu gifu cyangwa inzobere mu by'imitsi.
Ni mu bihe ibihe ubwo buvuzi bukenewe?
Ubuvuzi bwa APC bukoreshwa kubera impamvu zitandukanye. Reka turebere hamwe icyo bukora cyane cyane.
| Indwara irimo kuvurwa | Ibisobanuro byoroshye |
|---|---|
| Guhagarika kuva amaraso mu mubiri | Ikoreshwa mu kuvura kuva amaraso guterwa n'ibisebe mu gifu no mu mara, kuva amaraso mu mikaya, cyangwa indwara yitwa 'watermelon stomach' (Gastric Antral Vascular Ectasia Syndrome). |
| Gukuraho ingingo/ibibyimba bidakenewe | Ubu buryo bukoreshwa mu gukuraho uduce duto (polyps) cyangwa ingingo zishobora kuba kanseri mu mara. Bushobora kandi gukoreshwa mu kugabanya ikibyimba cya kanseri ku muntu udashobora kubagwa cyane. |
| Kuvura Barrett's Esophagus | Ibi biterwa n'indwara y'igifu (GERD) itera impinduka mu turemangingo tw'umuyoboro w'amaraso. APC zikoreshwa mu gukuraho utwo turemangingo twahindutse mbere yuko tuhinduka kanseri. |
| Kongera ibiro nyuma yo kubagwa | Nyuma yo kubagwa kugabanya ibiro, agace igifu cyari gifatanyeho gashobora kwaguka no kwiyongera uko igihe kigenda gihita. Hanyuma ibiro bizasubizwa. Ubuvuzi bwa APC bukoreshwa mu kongera gukaza no kugabanya ako gace karambuye. |
| Ibibazo by'ibihaha n'iby'ubuhumekero | Ubu buryo bukoreshwa kandi hamwe na bronchoscopy mu kuvura ibibyimba bito cyangwa ahantu hava amaraso mu nzira z'ubuhumekero. |
Ubu buryo bwo kuvura bukora bute?
Hari imyiteguro mike ugomba gukora mbere y'uko ubu buvuzi butangira. Biterwa n'uburyo ushaka kubikora.
- Endoskopi yo hejuru: Ibi bikubiyemo gushyira umuyoboro mu kanwa kugira ngo basuzume igifu n'umuhogo.
- Colonoscopy: Ibi bikubiyemo gushyira umuyoboro mu nzira y'inyuma kugira ngo basuzume amara manini.
- Isuzuma ry'ibihaha: Ibi bikubiyemo gushyira umuyoboro mu mazuru cyangwa mu kanwa kugira ngo urebe ibihaha.
Mbere y'ibi, muganga wawe azagusaba kwirinda kurya cyangwa kunywa amasaha make . Hamwe na colonoscopy, uzahabwa uburyo bwo gutegura amara kugira ngo bigufashe gusukura amara yawe. Nanone, niba ufata imiti igabanya amaraso nka aspirine, ushobora gusabwa kuyihagarika mu minsi mike.
Mu gihe cyo kuvurwa...
1. Uzahabwa ikinya kugira ngo wumve umerewe neza kandi ntugire ububabare ubwo aribwo bwose. Ibi bisaba gushyira umuyoboro muto (IV line) mu mutsi uri mu kuboko kwawe no kuguha imiti inyuramo.
2. Hanyuma uzasabwa kuryama ku buriri bwo kuvurirwamo.
3. Muganga ashyiramo umuyoboro muto kandi woroshye (scope) ufite kamera ifatanye mu mubiri uko bikwiye (unyuze mu kanwa, mu mazuru, cyangwa mu kibuno).
4. Kugira ngo wirinde ko umubiri wawe wangirika n'amashanyarazi, agapapuro kari hasi (agapapuro ko gusimbuza) gashyirwa ku mubiri wawe (ubusanzwe ku itako ryawe).
5. Hanyuma, catheter irimo igikoresho cya APC inyuzwa muri scope ikagera ahantu hakwiye.
6. Gazi ya Argon ibanza guterwa, hanyuma hagakoreshwa amashanyarazi kugira ngo ayitwike. Hanyuma igice cy'umubiri gitwikwa.
7. Muganga arangiza ubuvuzi yimura igikoresho uko bikenewe, agenzura ingano ya gazi n'amashanyarazi.
8. Iyo akazi karangiye, agakoresho ko gupima, katheteri, n'agakoresho ko gusiga hasi birakurwaho.
Ubusanzwe iyi gahunda yose imara iminota 15 kugeza ku isaha .
Ni iki kibaho nyuma yo kuvurwa? Ese hari ingaruka mbi?
Nyuma yo kuvurwa, uzaguma mu cyumba cyo gukira igihe gito hanyuma woherezwe mu rugo nyuma y’uko ingaruka z’ikinya zirangiye. Hari ubwo ushobora kubabara gato.
- Kumva nk'aho inda yawe yuzuye.
- Gusohoka kw'imyuka n'ububabare bworoheje bw'igifu.
- Ndananiwe gato, ndazunguza gato.
Ibi akenshi ni ibisanzwe. Nta cyo guhangayika. Ibyo bibazo bizashira mu masaha make. Ntuzumva ububabare ubwo aribwo bwose mu gihe cyo kuvurwa kuko uzahabwa ikinya.
Uburyo bwa APC ni bwiza cyane. Ingorane ni gake cyane. Ariko, kimwe no mu buryo ubwo ari bwo bwose bwo kwa muganga, hari ingaruka nkeya. Kuva amaraso, ibibazo byo gusinziriza, kugabanuka k'umuyoboro w'amaraso (stenosis), cyangwa gucika kw'imitsi bishobora kubaho gake cyane. Niyo mpamvu ari ngombwa ko ubu buryo bukorwa na muganga w'inararibonye.
Ibimenyetso bisaba ubuvuzi bwihuse
Umaze gusubira mu rugo, niba ubonye kimwe mu bimenyetso biri hepfo, ugomba guhita ujya kwa muganga, cyane cyane Ishami rishinzwe ubutabazi bwihuse (ETU). Ibi bishobora kuba ibimenyetso by'ikintu gikomeye, bityo ni ngombwa kugira icyo ukora vuba.
| Ibimenyetso byo kwitondera! | |
|---|---|
| 🔴 | Ububabare bukomeye mu gifu butagabanuka nubwo haba habayeho gucika umwuka. |
| 🔴 | Kubabara mu gituza . |
| 🔴 | Kugorwa no guhumeka . |
| 🔴 | Kuruka amaraso (atukura cyangwa asa n'ikawa). |
| 🔴 | Kuva amaraso mu maraso (amaraso atukura cyangwa umukara wijimye mu mwanda). |
| 🔴 | Umuriro cyangwa ubukonje. |
| 🔴 | Kugorwa no kumira cyangwa kwiyongera k'ububabare mu muhogo. |
Umaze gutaha, kurikiza amabwiriza ya muganga neza.
- Bitewe n'ingaruka z'umuti utera ikinya, ntugatware imodoka cyangwa ngo ukoreshe imashini ziremereye uwo munsi.
- Zana umuntu wo kugutwara mu rugo. Ni byiza ko umuntu agumana nawe amasaha make nyuma yo kugera mu rugo.
- Irinde kunywa inzoga.
- Muganga azakugira inama ku byo ushobora kurya n'igihe ushobora gutangira kurya nk'uko bisanzwe.
Ubutumwa bwo kujyana mu rugo
- Argon Plasma Coagulation (APC) ni uburyo bugezweho bwo kuvura budakoresha imiti ikoreshwa mu guhagarika kuva amaraso mu mubiri no gukuraho ingirangingo zidakenewe.
- Ibi bikorwa munsi y'ikinya, bityo ntuzumva ububabare ubwo aribwo bwose.
- Nyuma yo kuvurwa, ushobora kugira ububabare buto, nko kubyimba no kubura umwuka, ariko ibi bikunze gushira vuba.
- Iyo ugiye mu rugo nyuma yo kuvurwa, kurikiza amabwiriza ya muganga neza.
- Niba ubonye ibimenyetso by'umuburo nko kubabara mu gifu cyane, kubabara mu gatuza, kugorwa no guhumeka, cyangwa kuruka amaraso, jya ku bitaro byita ku barwayi ba ETU byihutirwa.
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