Ese wasabwe gukora biopsy y'umusemburo w'amagufwa? Ntugahangayike, reka tuvuge ku mpamvu nyamukuru!

Ahari muganga wawe yabonye ikintu kidasanzwe mu bisubizo by'amaraso yawe maze akakubwira ko ugomba gupimwa umwongo w'amagufwa. Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo wumvise iri zina. Ushobora kuba wibaza uti "Ni nde utatinya iyo avuze ko arimo gufata igice cy'igufwa?" Ariko umaze kumenya neza icyo ari cyo, impamvu bikorwa, n'uko bikorwa, uzumva uhumurijwe cyane. Reka tubiganireho mu buryo bworoshye kandi mu buryo ushobora gusobanukirwa.

Reka tubanze turebe, umwongo w'amagufwa ni iki?

Iyo tuvuze "umusemburo w'amagufwa," hari abantu batekereza ikintu kiri mu bwonko. Ariko si ko bimeze. Mu magambo make, umusemburo w'amagufwa ni igice cyoroshye kandi gifite umusemburo kiri mu magufwa manini mu mubiri wacu, nk'igufwa ry'ikibuno. Kimwe n'umusemburo uri mu giti, umusemburo uri mu magufwa yacu witwa umusemburo w'amagufwa.

Iki gice cy'umusemburo w'amagufwa ni cyo ruganda rukora amaraso mu mubiri wacu . Ubwoko bwose butatu bw'uturemangingo tw'amaraso dukenewe ku mubiri wacu bukorerwa hano.

• Uturemangingo dutukura: Utu turemangingo ni two dutwara umwuka wa ogisijeni mu bihaha tuwujyana mu mubiri wose iyo duhumeka. Utu turemangingo ni ingenzi kugira ngo dukomeze kugira imbaraga no gukora imirimo neza.
• Uturemangingo tw’amaraso: Kimwe n’ingabo zo mu gihugu cyacu, utwo turemangingo tuturinda indwara turwanya mikorobe n’uturemangingo dutera indwara twinjira mu mubiri.
• Platelets: Iyo ugize agasebe gato ugatangira kuva amaraso, izi platelets zihagarika kuva amaraso nyuma y'igihe runaka. Ziraterana zigakora ikibyimba cy'amaraso kandi zigafunga igikomere.

Rero, hari ikindi gice cy'umusemburo w'amagufwa, ari cyo gice cy'amazi. Iki gice cy'amazi kirimo uturemangingo tw'inyuma, ni ukuvuga uturemangingo tw'amaraso dushya. Mu isuzuma rya Bone Marrow Biopsy, igice kinini cy'ingingo gifatwa, kimeze nk'ikirungo. Ikizamini gikoreshwa mu gufata icyo gice cy'amazi cyitwa Bone Marrow Aspiration . Ubusanzwe, muganga wawe azakora ibi bizamini byombi icyarimwe.

Kuki muganga yagira inama yo gupima iki gipimo?

Tekereza, niba ukeka ko hari ikibazo kiri muri moteri y'imodoka, icyo umukanishi akora ni ugufungura agasanduku k'imodoka agasuzuma neza moteri. Muri ubwo buryo, niba raporo y'amaraso igaragaza ko hari ikibazo kiri mu maraso yacu, umuganga agomba kujya mu ruganda rw'amaraso, ni ukuvuga umwotsi w'amagufwa, kugira ngo arebe ikibazo nyakuri kirimo.

Iki kizamini gikorwa ahanini kubera impamvu eshatu:

• Suzuma cyangwa wemeze indwara: Niba ikizamini cy'amaraso yawe kigaragaza umubare muto cyane w'uturemangingo dutukura tw'amaraso, uturemangingo tw'umweru, cyangwa uduce duto tw'amaraso, iki kizamini gishobora gufasha kumenya impamvu. Ibi ni ingenzi mu gusuzuma indwara zimwe na zimwe zifitanye isano n'amaraso, kanseri, n'umuriro udasobanutse.
• Kumenya icyiciro cya kanseri:Iyo umuntu amaze gupimwa kanseri, habanza kumenyekana aho kanseri yageze mu mubiri. Iki kizamini gikoreshwa mu kumenya neza niba kanseri yarageze mu musemburo w'amagufwa.
• Kugira ngo barebe uko umubiri witabira ubuvuzi: Abaganga bakoresha iki kizamini kugira ngo barebe niba ubuvuzi bwagenze neza kandi niba umwongo wo mu magufwa utangiye kongera gukora uturemangingo tw’amaraso tuzima, cyane cyane ku muntu uri kuvurwa indwara nka kanseri.

Ni izihe ndwara zishobora kugaragara hakoreshejwe iki kizamini?

Ikizamini cy'umusemburo w'amagufwa gishobora kugaragaza indwara nyinshi aho umubare w'uturemangingo tw'amaraso uba uri hasi cyangwa hejuru cyane. Ni ingenzi kandi mu gusuzuma kanseri zigira ingaruka ku maraso cyangwa ku musemburo w'amagufwa.

Wakwitegura ute mbere yo gukora ikizamini?

Ubu si ukubagwa gukomeye, bityo nta mpamvu yo kwitegura cyane. Ariko, ni ngombwa gukurikiza amabwiriza ya muganga wawe neza.

• Niba uhawe umuti ugabanya ububabare kugira ngo ugire icyo umara mu gihe cyo gupimwa, ushobora gusabwa kwiyiriza ubusa (kudarya cyangwa ngo unywe) amasaha make mbere yo gupimwa.
• Niba uhawe umuti nk'uwo, ntuzashobora gutwara imodoka nyuma yo gupimwa, bityo rero teganya ko hari umuntu uzagutwara mu rugo mbere y'igihe .
• Igikuru ni ukubwira muganga wawe byose bikwerekeyeho.

Ni iki kibaho mu gihe cy'ikizamini?

Iki kizamini gishobora gukorerwa mu bitaro cyangwa mu ivuriro. Igikorwa cyose kimara iminota 30. Uba ufite ubwenge, ariko agace kari gupimwa karangiritse (anesthesia yo mu gace), bityo ntuzumva ububabare bwinshi.

Dore intambwe zikunze kubaho:

1. Ubwa mbere, uzambikwa ikanzu yo kwa muganga. Hanyuma, uzambikwa ku buriri. Ubusanzwe, iki kizamini gikorerwa inyuma y'igufwa ry'ikibuno (`posterior iliac crest`), bityo uzahindurirwa ku nda cyangwa ku ruhande hanyuma uryame hasi.

2. Hanyuma, umuganga cyangwa umuforomo wabihuguwe azasukura neza aho hantu hagomba gusuzumwa akoresheje umuti wica udukoko. Hanyuma , hazakoreshwa urushinge rwiza cyane mu gutera umuti utera ububabare munsi y'uruhu kugeza igihe ugeze ku igufwa.

3. Umaze kugira ibinure, muganga azagukata gato ku ruhu rwawe maze ashyiremo urushinge rwihariye mu igufwa. Ubwa mbere, hashyirwaho seringe hanyuma hagakurwamo amazi make. Ibi byitwa gupfuka mu magufwa .

4. Hanyuma, hashyirwamo urundi rushinge rufite umwobo imbere hanyuma hagafatwa agace gato k'urushinge rw'inyama zimeze nk'izibagiwe. Ibi byitwa biopsy y'ibanze .

5. Nyuma yo gufata icyitegererezo, urushinge rurakurwaho, hagashyirwaho igitutu igihe gito kugira ngo amaraso ahagarike, hanyuma hagashyirwaho plaster cyangwa igitambaro.

Icyitegererezo cyafashwe cyoherezwa muri laboratwari kugira ngo gipimwe.

Ese ibi koko birababaza cyane?

Iki ni cyo kibazo gikomeye ku ruhu rwa buri wese. Reka tuvugishe ukuri. Kubera ububabare, ntukumva uruhu rucibwa cyangwa urushinge rwinjizwa mu ruhu.

Ariko, iyo igice cy'amazi (aspiration) gikuruwe na syringe, ushobora kumva ububabare bukabije mu masegonda make . Nanone, iyo igice gikomeye cy'umubiri gifashwe (biopsy), ushobora kumva ububabare bukabije cyangwa bukurura kuko igufwa ridashobora gucika intege. Ubu si ububabare budashobora kwihanganira, ariko hari ububabare bukabije.

Ukora iki nyuma yo gukora ikizamini?

Ushobora gutaha uwo munsi. Niba warahawe imiti yo kugutuza, hari umuntu wagombye kugutwara mu rugo. Kurikiza izi ntambwe umaze gutaha.

• Hashobora kubaho ububabare mu gihe cy'umunsi umwe cyangwa ibiri aho ikizamini cyakorewe. Fata umuti ugabanya ububabare nk'uko muganga yabigutegetse.
• Irinde gukora imirimo ivunanye nko gukora imyitozo ngororamubiri no guterura ibyuma byibuze mu gihe cy'amasaha 24 .
• Komeza amazi mu gisebe amasaha 24. Ibi bivuze gupfuka ahantu mu gihe cyo koga.

Ingaruka mbi (ingaruka) n'igihe cyo kuvugana na muganga wawe

Ingorane zikomeye nyuma y'iki gipimo ni gake cyane . Hari igihe habaho kuva amaraso menshi cyangwa kwandura indwara, ariko akenshi ibi birakemuka.

Ariko, niba ubonye kimwe muri ibi bimenyetso bikurikira,Hamagara muganga wawe ako kanya .

Bigenda bite nyuma y'iyi raporo?

Umuganga w’indwara , umuganga w’inzobere mu gupima ingingo, asuzuma icyitegererezo cy’umusemburo w’amagufwa yawe akoresheje mikorosikopi hanyuma agategura raporo.

Hanyuma muganga wawe azasuzuma raporo hanyuma ayigusobanurire mu magambo yoroheje. Ibisubizo bizagena icyo ugomba gukora nyuma. Bashobora kwemeza ko wanduye, bagasaba ko hakorwa ibizamini byinshi, cyangwa bagatangira kuvurwa cyangwa bagahindura ubuvuzi urimo gufata.