Nubwo bitavugwaho cyane mu bantu bacu, kanseri y'inkondo y'umura ni indwara ishobora gukwirakwira bucece. Ariko inkuru nziza ni uko iyo ibonetse hakiri kare, ishobora gukira burundu, ndetse rimwe na rimwe ikaba yakwirindwa mbere yuko ihinduka kanseri. Uburyo bwiza kandi bwonyine bwo kubikora ni ukwipimisha mu gihe gikwiye. Nk'uko tugenzura umuvuduko w'amaraso na cholesterol, ibi bizamini nabyo ni ingenzi cyane uko imyaka igenda ishira. Uyu munsi, tuzaganira kuri ibi mu buryo ushobora gusobanukirwa, nk'inshuti.
Kuki ibi bizamini byo gusuzuma ari ingenzi cyane?
Muri make, kanseri nyinshi z'amara ntizikura icyarimwe. Zitangira ari uturemangingo duto (polyps) dukurira mu mara. Ntabwo ari utwo turemangingo twose tuba kanseri, ariko hari ubwoko bumwe na bumwe bushobora gukura bukavamo kanseri uko igihe kigenda gihita.
Dore ikintu cy'ingenzi: Iyo dukora ibi bizamini, abaganga bashobora kubona ibi bimera mbere yuko biba kanseri hanyuma bakabikuraho aho ngaho. Ibyo bivuze ko duhagarika amahirwe yo kwandura kanseri aho ngaho. Nanone, nubwo kanseri yavuka, ishobora kugaragara hakiri kare cyane, bityo amahirwe yo gukira burundu aba menshi cyane.
Ikizamini nyamukuru kuri ibi ni isuzuma rya colonoscopy , rikubiyemo gusuzuma imbere mu mara yawe yose ukoresheje umuyoboro muto kandi woroshye ufite kamera.
Ni imyaka isanzwe ikoreshwa kugira ngo umuntu atangire gupima?
Inama zitangwa n'ibigo by'ubuzima byemewe hirya no hino ku isi ni uko umuntu wese udafite ibimenyetso byihariye by'impanuka agomba gutangira gupimwa kanseri y'amara ku nshuro ya mbere afite imyaka 45 .
Ariko, ibi ni iby'abantu badafite ibyago byihariye. Hari abantu bashobora gukenera gutangira kwipimisha hakiri kare. Reka turebe abagwa muri icyo cyiciro cy' 'ibyago byihariye'.
Ese uri mu kaga gakomeye? Reka turebe.
Niba hari kimwe muri ibi bikurikira kikureba, ushobora kuba uri mu kaga gakomeye kurusha umuntu usanzwe. Kubwibyo, ugomba gutekereza kwipimisha mbere y'imyaka 45.
- Niba warigeze kugira polyps mu mara yawe: Niba polyps zarakuweho mu gihe cyo gupimwa colonoscopy mbere, uba uri mu kaga gakomeye.
- Niba ufite indwara yo kubyimba amara: Niba muganga yagusuzumye indwara nka ``indwara ya Crohn'' cyangwa ``indwara yo mu nda itera ulcerative``.
- Niba hari umuntu wo mu muryango wawe wigeze kurwara kanseri y'amara cyangwa polyps: cyane cyane mama wawe, so, abavandimwe bawe, abana baweUrugero, niba umuntu wo mu muryango wa hafi cyane yararwaye izi ndwara mbere y'imyaka 60, cyangwa niba abantu babiri bo mu muryango wa hafi barazirwaye mu myaka iyo ari yo yose.
- Niba ufite amateka yo kurwara kanseri mu muryango wawe: Izi ni indwara zidasanzwe, ziterwa n'uturemangingo. Urugero, niba uzi umuntu wo mu muryango wawe ufite indwara nka `Familial Adenomatous Polyposis (FAP)` cyangwa `Heroditary Non-polyposis Colon Cancer (HNPCC).`
- Niba warigeze guhabwa ubuvuzi bushingiye ku maraso mu nda cyangwa mu kibuno: Niba warigeze guhabwa ubuvuzi bushingiye ku maraso muri utwo duce nk'ubuvuzi bw'indi kanseri.
Niba ufite kimwe muri ibi bintu bishobora gutera ibyago, nyamuneka ubiganireho na muganga wawe, ni we uzagufatira gahunda nziza yo kwipimisha.
Gahunda yo gupima isabwa ku matsinda yihariye y’abantu bashobora guhura n’ibibazo
Niba uri mu itsinda ry’abantu bafite ibyago byinshi byo kwandura, inshuro zo gupima indwara ya colonoscopy ziratandukanye. Ibi biragoye gato, reka tubice mu mbonerahamwe. Ariko wibuke ko izi ari inama rusange gusa. Umuganga w’indwara zo mu nda ni we wenyine ushobora kugena gahunda nyayo ikubereye.
| Itsinda ry'Ibibazo | Uburyo bwo gukora Colonoscopy (Gahunda yo Gusuzuma) |
|---|---|
| Abantu bahoze bafite polyps |
|
| Abantu babazwe kanseri y'amara | Mu mwaka umwe nyuma yo kubagwa. Niba ari ibisanzwe, bizongera kubaho mu myaka 3. Niba nabyo ari ibisanzwe, bisubireho buri myaka 5 . |
| Abantu bafite amateka yo kurwara kanseri mu muryango wabo | Ku myaka 40 cyangwa 10 mbere y'imyaka umuvandimwe wa hafi yarwaye kanseri (icyo ari cyo cyose cyabanje). Niba ari ibisanzwe, icyo gihe buri myaka 5 . |
| Abafite umuryango uzwi nka FAP | Gusuzuma bigomba gutangira ku myaka 10-12 kandi bigomba gukorwa buri mwaka . Iyo byemejwe n'ibizamini bya genetiki, gukata amara bishobora kwitabwaho kuko ibyago byo kurwara kanseri ari byinshi cyane. |
| Abantu bafite HNPCC yo mu muryango | Guhera ku myaka 20-25 cyangwa imyaka 2-5 mbere y'imyaka uwo muvandimwe wa hafi yarwaye kanseri (icyo ari cyo cyose cyabanje), na buri mwaka cyangwa ibiri . |
| Abantu bafite indwara yo kubyimba amara (IBD) | Gutangira imyaka 8 nyuma y’uko indwara itangiye, buri mwaka cyangwa ibiri . |
Akamaro ko kuvugana na muganga wawe
Ushobora kumva utazi neza iyo ubonye iyi mbonerahamwe. Ibyo ni ibisanzwe. Icy'ingenzi ni ukuganira na muganga w'umuryango wawe cyangwa inzobere mu ndwara z'igifu, aho kwishingikiriza kuri aya makuru ari mu mutwe wawe no gufata ibyemezo wenyine.
Ni we uzagena igihe nyacyo uzakenera gupimirwa nyuma yo gusuzuma ibintu byinshi, nko mu mateka y’ubuzima bwawe bwite, amateka y’umuryango wawe, n’uburyo witeguye neza amara yawe mbere yo gupimwa colonoscopy.
Ubutumwa bwo kujyana mu rugo
- Gusuzuma kanseri y'amara hakiri kare no gukuraho polyps bishobora kurokora ubuzima, bityo ntugatinye ibi bizamini.
- Niba udafite ibintu byihariye bishobora gutera ibyago, vugana na muganga wawe ku bijyanye no gutangira kwisuzumisha ufite imyaka 45.
- Niba hari umuntu wo mu muryango wawe wigeze kurwara kanseri y'amara cyangwa polyps, menya neza ko wabibwiye muganga wawe. Ibi ni ingenzi kugira ngo bigufashe kumenya imyaka ugomba gutangira kwisuzumisha.
- Gahunda yo gusuzuma abantu bafite ibyago byinshi ishobora kugorana, bityo buri gihe banza ubaze muganga wawe kugira ngo amenye gahunda ikubereye.
- Gupima indwara mu maraso ni amahirwe y'agaciro gakomeye yo kwirinda indwara. Ntukagire ubwoba, tekereza ku buzima bwawe kandi ufate ingamba zikenewe.
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