Iyo umuganga wawe akubwiye ko ugomba kubagwa kanseri y'ibere, ni ibisanzwe kumva ufite ubwoba bwinshi, impungenge, no kutizera. Ushobora kuba ufite ibibazo igihumbi mu mutwe wawe, nk'ibi bikurikira: 'Ni ubuhe bwoko bw'ukubagwa nzakorerwa?', 'Ese ibere ryanjye rizakurwaho burundu?', 'Ni iki kizakurikiraho?' Ibi byose ni ibintu byumvikana. Ntutinye rero, uyu munsi turaganira kuri ibi byose, mu rurimi rworoheje rwa Sinhala ushobora kumva, nk'aho uri kuvugana n'inshuti yawe ya hafi.
Intego nyamukuru yo kubaga ni iyihe?
Muri make, intego nyamukuru yo kubaga kanseri y'ibere ni ugukuraho burundu ikibyimba n'uturemangingo duke dufite ubuzima bwiza tuyikikije . Ibi bikorwa kugira ngo hatagira uturemangingo twa kanseri dusigara. Ibi byiringirwa ko bizarinda kanseri kugaruka no gukwirakwira mu bindi bice by'umubiri. Abaganga kandi bagerageza uko bashoboye kose kugira ngo ibere rikomeze kugaragara neza uko bishoboka kose.
Ubwoko bw'ikibyimba uzakorerwa buzaterwa n'ibintu byinshi. Urugero, ingano y'ikibyimba, aho kiri mu ibere, aho kanseri yakwirakwiriye, n'ibitekerezo byawe bwite n'uko wiyumva kuri cyo. Nyuma yo kuganira nawe kuri ibi byose, muganga wawe azaguhitiramo uburyo bwiza bwo kubagwa.
Ubwoko bw'ingenzi bwo kubaga kanseri y'ibere
Kubaga kanseri y'ibere bishobora kugabanywamo ubwoko bubiri bw'ingenzi. Bumwe ni ukubaga bukuraho igice cy'ibere gusa, ubundi ni ukubaga bukuraho ibere ryose. Reka turebe buri kimwe muri ibi ukwacyo.
| Izina ry'Ubwavu | Mu magambo make, ni iki kirimo kuba? | Ni nde ukunze kuyikoresha? |
|---|---|---|
| Kubaga ibisebe (Byitwa kandi Partial Mastectomy) | Ikibyimba cya kanseri n'utundi duce duto tw’umubiri tuzima tuyikikije ni byo bikurwaho, bigatuma igice gisigaye cy’ibere kigumaho. | Ubu ni uburyo bwiza ku bantu bafite kanseri itari nini cyane kandi bashobora guhabwa ubuvuzi bushingiye ku mirasire nyuma yo kubagwa. |
| Kubaga igifu byoroshye/byose | Ibere ryose, harimo n'ibere, rirakurwaho. Hari igihe urugingo rumwe cyangwa nyinshi mu kwaha narwo rushobora gukurwaho. | Ku bafite ibyago bike byo kwandura kanseri igera mu tunyangingo tw'amaraso cyangwa abagiye kubagwa kugira ngo bagabanye ibyago byo kwandura kanseri mu gihe kizaza. |
| Kubaga ibere ryahinduwe | Ibere ryose, ibere ry'umwana, n'ibinure byinshi biri munsi y'amakwapa birakurwaho, ariko imitsi yo mu gituza isigara imeze neza. | Ibi bishobora kuba byiza ku bantu bafite kanseri y'ibere idakira. |
| Kubaga amabere mu buryo bukabije | Ibere ryose, ubwoya bwo mu kwaha, ndetse n'imitsi yo mu gituza iri munsi y'ibere irakurwaho. | Ubu buryo bwo kubaga ubu ni gake cyane kandi akenshi bugirwa inama gusa iyo kanseri yageze mu mitsi yo mu gituza. |
| Kubaga Amabere mu buryo bworohereza uruhu | Nubwo ingingo iri imbere mu ibere ikurwaho, igice kinini cy'uruhu ruri hejuru yarwo kirasigara. Uruhu rusigaye rushobora gukoreshwa mu kubaga ibere. | Bikwiriye abantu bafite uturemangingo twa kanseri tudakunze kwegera uruhu kandi bakaba bagiye kubagwa amabere vuba aha. |
| Kubaga ibere mu buryo bwo kwirinda inshinge | Nubwo inyama z'ibere zikurwaho, ibere n'uruhu rukikije (areola) bisigara byose. Ibi kandi bituma ibere rigaragara neza mu gihe cyo kongera kubaka ibere. | Ibi bishobora kuba byiza ku bantu bafite uturemangingo twa kanseri tutarakwirakwira mu mabere cyangwa ku ruhu rukikije. |
Kuki imiyoboro y'amaraso yo mu kwaha ikurwaho?
Iki ni ikibazo abantu benshi bafite. Tekereza ko ibibyimba ari ahantu ho gupimisha mu mibiri yacu. Iyo uturemangingo twa kanseri dutangiye gukwirakwira mu mubiri wose, tubanza kujya muri ibyo bice byo gupimisha no kubifatiramo. Rero, ukuraho ibibyimba bike munsi y'aho utuye ukabisuzuma, ushobora kumenya neza niba kanseri yarakwirakwiriye hanze y'ibere cyangwa itakwirakwiriye. Aya makuru ni ingenzi cyane kuri muganga wawe kugira ngo agufashe guhitamo ubundi buryo bwo kuvura (urugero: chemotherapy, radiation) ukeneye nyuma yo kubagwa.
Hari uburyo bubiri bw'ingenzi bwo gukuraho ibiheri:
- Kureba uburyo bwo gusuzuma urugingo rwa Sentinel Lymph Node: Ibi bikubiyemo gushaka "ahantu habanza ho kugenzura" cyangwa urugingo rwa sentinel kanseri ishobora kujyaho mu gihe ikwirakwira, no gukuraho urwo rugingo gusa kugira ngo rusuzumwe. Iyo rudafite uturemangingo twa kanseri, izindi nturu ntizigomba gukurwaho. Ubu buryo bugabanya ibyago byo kubyimba mu kuboko (lymphedema).
- Gukuraho Utunyangingo tw’Inkondo y’Umugongo (ALND): Muri ubu buryo, utunyangingo tw’inkondo tw’umugongo tugera ku 10 kugeza kuri 20 munsi y’aho utuye turakurwaho hanyuma tugasuzumwa niba nta tunyangingo twa kanseri dufite.
Kuvugurura amabere
Abagore benshi bakorerwa isuzuma ry’amabere bahitamo kubagwa amabere. Uyu ni umwanzuro w’umuntu ku giti cye.
Ubu buryo bwo kubaga bushobora gukorwa icyarimwe n'ubwo kubaga kanseri, cyangwa bugakorwa nyuma y'amezi cyangwa imyaka. Bushobora gukoreshwa mu gutera amabere cyangwa ingirangingo zakuwe mu kindi gice cy'umubiri wawe (akenshi biva mu nda yawe). Vugana na muganga wawe nta guhishanya ku bijyanye n'amahitamo yawe.
Witegura ute mbere yo kubagwa?
Uko ubwoko bwose bw'ukubagwa bwaba bumeze kose, bisaba kwitegura mbere y'igihe.
Ubwa mbere, umuganga wawe azabaza amateka yawe yose y’ubuvuzi .
- Ugomba kubwira muganga wawe imiti yose ufata (harimo na vitamine n'inyongeramusaruro ).
- Tubwire niba warigeze kugira ubwivumbure ku miti cyangwa ikinya.
- Niba ufite izindi ndwara nk'indwara z'umutima, diyabete, cyangwa umuvuduko ukabije w'amaraso, menya neza ko ubitumenyesheje.
Mu gihe uri hafi kubagwa, muganga azasuzuma niba umubiri wawe witeguye kubagwa.Aravuga ngo nkore ibizamini .
- X-ray yo mu gituza
- Ikizamini cya EKG
- Gupima amaraso n'inkari
- Isuzuma rya CT cyangwa MRI y'ibere rishobora gukorwa kugira ngo harebwe neza ingano n'aho ikibyimba giherereye.
Nzamara mu bitaro igihe kingana iki?
Iminsi uzamara mu bitaro iterwa n'ibintu nk'ubwoko bw'ikibagwa wakoze ndetse n'uko ubuzima bwawe bumeze nyuma yo kubagwa.
- Kubaga ibisebe bikunze gukorwa mu bitaro byo hanze. Ibi bivuze ko uzakurikiranwa amasaha make nyuma yo kubagwa kandi ushobora no gutaha uwo munsi.
- Niba warakorewe ibizamini bya mastectomy cyangwa ALND, uzakenera kumara umunsi umwe cyangwa ibiri mu bitaro.
Uru rugendo si urwawe wenyine. Umuryango wawe, inshuti zawe, cyane cyane itsinda ry'abaganga bawe bari kumwe nawe. Ntutinye kuvugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite.
Ubutumwa bwo kujyana mu rugo
- Ni ibisanzwe kugira ubwoba iyo wumvise iby’ukubagwa kanseri y’ibere. Vugana na muganga wawe nta guhishanya ku bijyanye n’amahitamo yawe.
- Ubwoko bw'ikibagwa gikubereye buterwa n'ibintu byinshi, nk'imiterere n'ubunini bwa kanseri, ndetse n'ibyo ukunda.
- Gusuzuma utunyangingo tw’amaraso mu kwaha ni intambwe y'ingenzi mu kumenya niba kanseri yarakwirakwiriye no gutegura uburyo bwo kuvura mu gihe kizaza.
- Iyo ibere rikuweho burundu, hari uburyo bwo kubaga ibere bundi bushya. Biganireho na muganga wawe.
- Wibuke ko ufite itsinda ry'abaganga bagufasha mbere na nyuma yo kubagwa. Sangiza impungenge zawe nabo.
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