Ese wasabwe gukora biopsy y'ibere? Ntugire ikibazo, tuzaganira kuri byose.

Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo muganga wawe akubwiye ko ugomba gukorerwa isuzuma ry’ibere. Ushobora gutekereza uti "Ese mfite kanseri?" Ariko ikintu cy'ingenzi ugomba kwibuka ni uko kuba usabwa gukorerwa isuzuma ry’ibere bitavuze ko ufite kanseri. Mu by'ukuri, abagore 80 mu 100 bafite ubwo bwoko bwa isuzuma ry’ibere baboneka ko nta kanseri bafite. Reka tubiganireho birambuye nta bwoba.

Mu magambo make, biopsy ni iki?

Muri make, gupima ibere ni uburyo bwo gufata agace gato cyane k'umubiri gakurwa mu gace k'ibere ryawe kagasuzumwa hifashishijwe mikorosikopi. Tekereza ko ufite ikibyimba mu ibere ryawe. Gupima ibere ni bwo buryo bwonyine bwo kumenya neza niba ari kanseri cyangwa atari yo. Nubwo ubundi bwoko bwa scan (Mammogram, Ultrasound) bushobora kuguha igitekerezo, gupima ibere ni byo byonyine bishobora kukubwira neza.

Kuki ukeneye isuzuma rya biopsy?

Mubisanzwe, umuganga azakugira inama yo gukora biopsy kubera imwe cyangwa nyinshi muri izi mpamvu zikurikira:

• Kumva ikibyimba cyangwa ububyimba mu ibere: Iyo ubonye ikibyimba kidasanzwe, ububyimba, cyangwa ububyimba mu ibere, haba mu gihe cyo kwisuzuma cyangwa mu gihe cyo gusuzumwa na muganga wawe.
• Mammogram idasanzwe: Niba raporo ya mammogram yawe igaragaza agace gateye amakenga.
• Ibisubizo bya Ultrasound scan: Iyo scan ya Ultrasound y'ibere igaragaje agace gakekwaho kanseri.
• Impinduka mu ruhu rukikije ibere ryawe cyangwa areola: Impinduka zidasanzwe mu ibere ryawe cyangwa uruhu rwijimye rukikije (areola), urugero, gucika kw'inyuma, gutonyanga, cyangwa kuva amaraso ku buryo budasanzwe.

Ni ubuhe bwoko bw'ibipimo by'ibere buhari?

Hari uburyo butandukanye bwo gukora biopsy y'ibere. Bitewe n'imiterere y'ikibazo kiri mu ibere ryawe, muganga wawe ni we uzagena uburyo bukubereye. Reka turebe ubwoko bw'ingenzi.

Wakwitegura ute mbere yo gukora biopsy?

Mbere yo gukora biopsy, ugomba kubibwira muganga wawe, umuganga ubaga, cyangwa umuganga w’inzobere mu by’imirasire y’amaraso kuri ibi bintu.

• Niba utwite cyangwa ushobora gutwita.
• Niba ufata imiti igabanya amaraso (anticoagulant), muganga wawe ashobora kukugira inama yo guhagarika kuyifata cyangwa guhindura ingano yayo iminsi mike mbere yuko ukorerwa biopsy.
• Niba ufata aspirine cyangwa izindi nyongeramusaruro z'ibimera.
• Ku bijyanye n'izindi ndwara ufite n'uko uherutse kubagwa.
• Allergie ufiteNi ingenzi cyane cyane kuvuga ku byerekeye ubwivumbure buterwa no gusinziriza.

Byongeye kandi, itsinda ry’abaganga bawe rizakugira inama ku bintu nko gukoresha cyangwa kutakoresha deodorant ku munsi wo kubagwa ndetse no kumenya niba ukeneye umuntu wo kujyana iwawe nyuma yo kubagwa.

Ni iki kibaho mbere yuko biopsy ikorwa?

Hari igihe mbere yo gufata agace k'urugingo kugira ngo hakorwe biopsy, hakoreshwa ubundi buryo bwo kugaragaza aho urugingo ruzafatirwa ruri.

Gushaka aho ukwiye ukoresheje scan (Uburyo bwo gukoresha amashusho)

Mu gihe cyo gupima, scanner ishobora gukoreshwa kugira ngo harebwe neza aho urushinge rushyirwa. Ibi byitwa "uburyo buyobowe n'ishusho". Uburyo bukoreshwa muri ibi ni:

• Isuzuma ry'ibere rya stereotactic
• Isuzuma rya Ultrasound riyobowe na biopsy
• Isuzuma rya magnetic resonance (MRI) riyobowe na biopsy

Gushyira aho insinga ziherereye cyangwa zitari insinga

Niba uri kubagwa, uburyo bwitwa "wire localization" bushobora gukoreshwa kugira ngo bufashe umuganga kubaga kubona aho agomba gukura. Ibi bikubiyemo:

1. Ubwa mbere, umuganga w’ibinya azagutera urushinge ruto mu gice cy’ibere ryawe kugira ngo rigire ibisebe.

2. Hanyuma, ayobowe na scan (urugero: ultrasound, MRI), umuganga ubaga ashyira urushinge rwiza cyane kandi rufite umwobo mu gace kagomba gukorerwamo biopsy.

3. Iyo urushinge rugeze ahantu heza, urushinge ruto cyane kandi rudafite uburibwe rushyirwa hagati mu rushinge. Uru rushinge rufite akantu gato ku iherezo, bityo ntiruzenguruke.

4. Hanyuma urushinge rurakurwaho. Insinga gusa ni yo isigara mu gituza. Igice cy'insinga kigaragara.

5. Nyuma yo kubagwa, uru rusinga rurakurwaho burundu.

Mu buryo nk'ubwo, ubundi buryo bugezweho nk'ibikoresho bito bya rukuruzi n'ibikoresho bikoresha imirasire ubu burimo gukoreshwa mu gushyira ikimenyetso ku hantu.

Ni iki kibaho mu gihe cyo gupimwa kwa biopsy?

Ubunararibonye bushobora gutandukana gato bitewe n'ubwoko bwa biopsy ufite.

• Mu gihe cyo gupima uturemangingo (FNA): Muganga azagabanya agace k'umubiri (anesthesia yo mu gace) hanyuma ashyiremo urushinge kugira ngo haboneke icyitegererezo gito cy'uturemangingo n'amazi.
• Isuzuma ry'urushinge rw'ibanze rw'ibere: Umuganga w'imirasire agabanya ububabare aho hantu, wenda agakata gato cyane ku ruhu, agashyiramo urushinge, hanyuma agafata icyitegererezo cy'ingingo. Hanyuma hashyirwaho ikimenyetso gito ('ikimenyetso cya biopsy') kugira ngo hamenyekane aho icyitegererezo kiri. Ibi bituma umuganga ubaga amenya neza aho icyitegererezo kiri niba hakenewe izindi ngero nyuma cyangwa niba hakenewe kubagwa.
• Niba kubagwa (nk'ibagiro rya bumpectomy) ari:Umuganga w’inzobere azagushyira munsi y’ikinya rusange. Hanyuma umuganga azabaga azagukata ibere hanyuma akureho agace k’ingingo kagize ikibazo. Hanyuma icyuho kizafungwa n’udupfundikizo n’igitambaro cy’isuku.

Ibi bifata igihe kingana iki kandi bifata igihe kingana iki kugira ngo bikire?

Ese hari ingaruka n'ingorane biri muri ibi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora kubaho. Ariko ntugahangayike, ingorane zikomeye ni gake cyane .

• Ibintu bisanzwe bishobora kubaho:
• Gukomereka
• Kuva amaraso
• Kubyimba
• Ububabare cyangwa gukira bigoranye
• Kwandura igikomere cyo kubagwa
• Ingorane zidasanzwe cyane:
• Gukusanya amaraso mu ibere (hematoma y'ibere)
• Kwangirika kw'ibihaha (pneumothorax)

Raporo ya biopsy ivuga iki?

Ingero z'ingingo zawe zisuzumwa n'umuganga w'indwara. Bitewe n'ibisubizo, bishobora kumenyekana niba ari nziza, kanseri, cyangwa itarafata kanseri.

Bite ho niba byemejwe ko ari kanseri?

Niba igisubizo ari kanseri, ntugatinye. Muganga wawe azaguha ubufasha bwose n'ubuyobozi ukeneye. Raporo ishobora kuba ikubiyemo ibi bikurikira:

• Ubwoko bw'ikibyimba: Cyaba ``cyangiza`` (gikwirakwira mu ngingo zikikije) cyangwa ``kitangiza`` (kiguma ahantu hamwe ntigikwirakwira).
• Igipimo cy'ikibyimba: Uburyo uturemangingo twa kanseri twigabanyamo umuvuduko n'uburyo bisa/bitandukanye n'uturemangingo dusanzwe.
• Imiterere ya receptor ya hormone: Imisemburo ifasha kanseri zimwe na zimwe gukura. Ibi bikwereka niba kanseri yawe iterwa n'imisemburo, urugero nka estrogen receptor-positive (ER+).
• Imiterere ya HER2: `HER2` ni poroteyine ifasha uturemangingo twa kanseri gukura no gukwirakwira. Ibi bishobora kukwereka niba kanseri yawe ari `HER2-positive` cyangwa atari yo.

Bifata igihe kingana iki kugira ngo ibisubizo bigaruke? Ni ryari nkwiye kuvugana na muganga?

Ubusanzwe bifata icyumweru kimwe kugeza ku byumweru bibiri kugira ngo ubone ibisubizo bya biopsy. Tuzi ko iki gihe gishobora kuba igihe gihangayikishije. Ibyo ni ibisanzwe. Gukomeza gukora ibikorwa byawe bisanzwe, gukora ibintu ukunda, no kuganira ku byiyumvo byawe n'umuntu wizeye bizagufasha muri iki gihe.

Niba ubonye kimwe muri ibi bimenyetso, hamagara muganga wawe ako kanya:

• Umuriro (uri hejuru ya selisiyusi 38.4 / 101 Fahrenheit).
• Uruhu rutukura cyangwa kwijima kudasanzwe ku ruhu hafi y'aho bapimye.
• Kumva ububabare bukabije iyo ukoze kuri ako gace.
• Inkovu zidasanzwe zikwirakwira cyane .

Ni izihe ndwara zindi zisa na kanseri, ariko si kanseri?

Yego, si ko buri kibyimba cyangwa impinduka mu ibere ari kanseri. Hari indwara nyinshi zitari kanseri (zitari mbi) zishobora kugaragaza ibimenyetso bya kanseri.

• Fibroadenoma: Iyi ni ubwoko busanzwe bw'ikibyimba kitari kanseri.
• Gutera kalisiyumu mu mabere: Kalisiyumu yiyongera mu mubiri w'ibere.
• Ibisebe:Ibisebe byuzuye amazi bisa n'ibishishwa. Rimwe na rimwe bishobora kubabaza.
• Fibrose: Imitsi y'ibere irushaho gukomera bitewe n'impinduka mu misemburo.

Rero, iyo muganga agusabye gukora biopsy, ni ukugira ngo wemeze neza indwara ufite muri izi.