Ese utinya gukorerwa isuzuma rya colonoscopy? Reka tubiganireho mu buryo bworoshye.

Ese muganga wawe yakubwiye gukora colonoscopy? Ushobora kuba warumvise ufite ubwoba kandi ufite ubwoba ubwo yavugaga ibyo. Ni ibisanzwe gutekereza ibintu nk'ibi ngo "Iki ni iki? Bizababaza? Sinzi icyo nakora." Ariko iki si ikintu cyo gutinya. Iki ni ikizamini cy'ingenzi cyane ku buzima bwawe, cyane cyane kugira ngo kikurinde indwara zikomeye nka kanseri y'inkondo y'umura. Uyu munsi, tuzaganira kuri ibi mu buryo bworoshye, mu buryo ushobora kumva, nk'aho uri kuganira n'inshuti yawe.

Mu magambo make, colonoscopy ni iki?

Tekereza ko muganga ashaka kubona ikintu kiri mu mubiri wawe udashobora kubona inyuma. Isuzuma ry'uturemangingo tw'amaraso ni ryo shingiro. Risuzuma imbere mu mara manini , ari yo mara manini hamwe n'aho anyura n'aho anyura.

Ibi bikorwa hakoreshejwe umuyoboro muto cyane kandi woroshye. Hari kamera nto n'urumuri ku mpera y'uyu muyoboro. Iki gikoresho twita 'colonoscope'. Uyu muyoboro ushyirwa mu kibuno cyawe hanyuma ugahita unyura mu mara manini. Nyuma yaho, muganga ashobora kureba amashusho ya kamera kuri ecran nini. Ni nko kureba ikiganiro kuri televiziyo mu mara yawe. Ubu ni ubwoko bw'ikizamini cyitwa endoscopy . Endoscopy ni ikizamini icyo ari cyo cyose gikubiyemo gushyiramo umuyoboro ufite kamera mu mubiri wawe.

Kuki tugomba gukorerwa isuzuma rya colonoscopy?

Hari impamvu eshatu z'ingenzi zo gukora isuzuma rya colonoscopy. Hari igihe izi mpamvu eshatu zose zishobora kuzuzwa mu isuzuma rimwe.

1. Kwirinda no Gusuzuma Hakiri kare (Gusuzuma): Gutahura indwara ishobora kugaragara mu gihe kizaza, cyane cyane kanseri y'inkondo y'umura, nta bimenyetso na bimwe.

2. Gusuzuma: Shaka impamvu nyayo y'ikimenyetso usanzwe ubona (urugero: kubabara mu gifu, amaraso mu mwanda).

3. Ubuvuzi: Niba hari ikibazo kibonetse mu gihe cyo gusuzuma, givure ako kanya.

Reka turebe buri kimwe muri ibi mu buryo burambuye.

1. Gupima indwara hakiri kare, nubwo zitagaragaza ibimenyetso (Gupima)

Kubera iyo mpamvu, abantu benshi bakora isuzuma rya mbere rya kanseri y'inkondo y'umura. Uko bagenda bakura, ibyago byo kurwara kanseri y'inkondo y'umura byiyongera cyane. Ikintu kibi cyane kuri iyi kanseri ni uko akenshi idatanga ibimenyetso mu ntangiriro . Mu gihe ibimenyetso bigaragaye, bishobora kuba bitinze kuyivura.

Mu bihe nk'ibi, umuganga ashobora kukugira inama yo gukora colonoscopy:

• Niba ufite imyaka irenga 45 kandi utari warigeze ukora iki kizamini mbere.
• Hashize imyaka 10 iki kizamini giheruka gukorwa.
• Niba polyp yarakuweho mu gihe cy'isuzuma rya colonoscopy rya nyuma.
• Niba hari umuntu wo mu muryango wawe (mama, so, abavandimwe) warwaye kanseri y'amara .
• Niba ufite ikibazo cy’uruhererekane rw’indwara (urugero: Familyal Adenomatous Polyposis - FAP cyangwa Lynch syndrome).
• Niba ufite indwara idakira yo kubyimba amara nka IBD (Inflammatory Alarm Disease).

2. Shaka impamvu y'ibimenyetso (Isuzuma)

Hari igihe ushobora kugira ibimenyetso bimwe na bimwe. Muganga wawe akeneye kumenya neza icyabitera. Isuzuma rya colonoscopy rishobora kubona imbere mu mara yawe manini neza kurusha andi masuzuma.

Muganga ashobora kukugira inama yo gukora colonoscopy niba ufite ibimenyetso nk'ibi:

• Amaraso cyangwa andi mavuta ava mu kibuno nta mpamvu igaragara.
• Impinduka zidasobanutse mu mikorere y'amara yawe (urugero: impiswi idashira, kuribwa mu nda).
• Kubabara igifu bidashira nta mpamvu igaragara .
• Kugabanya ibiro nta mpamvu.

Muri iki kizamini, iyo muganga abonye ahantu hakekwa, ashobora gufata agace gato k'uruti (biopsy) akakohereza muri laboratwari. Ibi bishobora gufasha kwemeza neza imiterere nyayo y'indwara.

3. Vura icyarimwe n'ikizamini.

Iki ni kimwe mu byiza bikomeye byo gupima indwara y'imitsi. Niba muganga abonye ikibazo icyo ari cyo cyose mu gihe cyo gusuzuma, ashobora kukivura ako kanya.

• Gukuraho polyps: Polyps ni uduce duto tudasanzwe, duto dukura ku nkuta z'amara. Inyinshi muri zo ntabwo ari kanseri. Ariko, zimwe zishobora kuba kanseri uko igihe kigenda gihita. Kubwibyo, iyo muganga abonye polyp, azayikuraho ('polypectomy'). Ibi bishobora gukumira kanseri mu gihe kizaza.
• Gukira kw'ibikomere: Ahantu hato hava amaraso hashobora gufungwa.
• Urushinge: Ushobora gutera umuti ahantu hakenewe.
• Gukuraho ibiziba mu mara: Ibiziba mu mara bishobora gukurwaho cyangwa kwaguka.

Ni gute wakwitegura ikizamini? (Imyitozo)

Iki ni cyo gice cy'ingenzi cyane mu gikorwa cyose kandi ni na cyo ugomba gukora cyane . Kugira ngo ikizamini kigende neza, amara yawe agomba kuba asukuye neza. Ni nko gukubura no gusukura inzu. Niba hari intebe isigaye mu mara, muganga azayimuvura.Ntuzashobora kubona neza imbere. Ibyo nibibaho, subika ikizamini, hanyuma ushobora kongera kubikora.

Muganga wawe cyangwa ibitaro bizaguha amabwiriza ugomba gukurikiza. Ni ngombwa cyane kuyakurikiza neza. Akenshi, bigenda gutya:

1. Indyo: Uzasabwa kurya indyo irimo fibre nkeya iminsi ibiri cyangwa itatu mbere yo kwipimisha. Ibi bivuze kwirinda kurya ibintu nk'imboga, imboga nyinshi, n'imbuto, no kurya ibintu nk'umugati, umuceri, n'isupu.

2. Indyo y'amazi: Umunsi umwe mbere y'ikizamini, ni byo byonyine byemerewe kuribwa. Urugero, amazi, igikoma kirimo umunyu, isupu y'amazi meza, na smoothies.

3. Gusohora amaraso: Nimugoroba cyangwa nijoro mbere yo gupimwa, uzahabwa amazi yo kunywa. Iki ni cyo kintu kigoye cyane. Umaze kuyanywa, ibintu byose biri mu mara yawe bizahinduka nk'umwanda.

• Yego, uzagomba kujya mu bwiherero inshuro nke. Itegure, fata igitabo cyangwa ikindi kintu, maze uruhuke. Tekereza ibi nk'ikintu ukeneye.

Iyo ubikoze neza, amara yawe azaba asukuye neza ku munsi wo gupimwa.

Ni iki kibaho ku munsi w'ikizamini?

Ntushobora kujya kwa muganga wenyine ku munsi wo gupimwa. Ugomba kuba ufite umuntu ushobora kukujyana mu rugo. Ibi biterwa nuko bifata amasaha agera kuri 24 kugira ngo imiti igabanya ububabare ikoreshwa mu gupimwa ishire burundu. Kubwibyo, ntuzashobora gutwara imodoka.

Iyo ugiye kwa muganga, uzahabwa ikanzu yo kwambara mu bitaro. Hanyuma umuforomo azashyira akantu gato ka cannula (umurongo wa IV) mu mutsi uri mu kuboko kwawe. Hazatangwa imiti igabanya ububabare n'imiti igabanya ububabare binyuze muri yo.

Ese iyo ubikoze uba uri maso? Ese birababaza?

Iki ni cyo kibazo gikomeye ku bantu benshi. Oya, ntuzumva ububabare ubwo aribwo bwose. Ushobora guhitamo ubwoko bubiri bw'ikinya.

• Anesthesia Rusange: Ibi bigutera gusinzira kandi ntuzabimenya kugeza igihe ikizamini kirangiye.
• Kuruhuka mu buryo bworoshye: Ibi bigushyira mu mimerere yo gusinzira nk'aho uri maso. Ushobora kumva uri maso, ariko ushobora kutabyibuka nyuma.

Ariko, ntuzumva ububabare ubwo aribwo bwose, kabone n'iyo igice cy'umubiri cyavanwa mu mara yawe. Ushobora kumva umuvuduko muto n'ibyiyumvo byuzuye iyo umuyoboro w'amazi ushyizwemo kandi umwuka muto ukahuhwamo kugira ngo urebe neza amara yawe. Ariko si ububabare budashobora kwihanganira.

Nyuma y'ikizamini n'ibisubizo

Ikizamini gisanzwe kimara iminota 30 kugeza kuri 45. Bishobora gufata igihe kirekire iyo ikintu nka polyps gikuweho. Nyuma yo kugisuzuma, uzakurikiranwa mu gihe cy'isaha imwe kugeza ubyutse uvuye mu gihe cyo gusinziriza.

Nyuma yo kongera kugarura ubwenge, muganga azaza akakubwira ibyagaragaye mu gihe cyo gusuzuma. Niba hafashwe isuzuma ry’umubiri (biopsy) rikoherezwa kugira ngo ripimwe, bishobora gufata iminsi mike cyangwa icyumweru kimwe cyangwa bibiri kugira ngo ibisubizo bigaruke.

Umaze gutaha, ruhuka neza umunsi umwe cyangwa urenga. Ushobora kumva ufite ikibazo cyo kubyimba no kumererwa nabi mu nda, ariko bizashira nyuma y'igihe runaka. Ushobora kurya bisanzwe ukimara kumva ushonje.

Wibuke ko izi ngaruka ari nto cyane. Inyungu zo gupima colonoscopy ziruta kure izo ngaruka.

Ese nta bundi buryo buriho aho gukoresha colonoscopy?

Yego, hari ubundi buryo bwinshi bwo gupima kanseri.

• Ibizamini by'umwanda: Isuzuma ry'umwanda rikorwa kugira ngo harebwe niba nta maraso cyangwa ADN bifitanye isano na kanseri. Ibi bigomba gukorwa buri mwaka kugeza kuri itatu. Iyo ibi bizamini bigaragaza ikibazo, intambwe ikurikiraho ni ugusuzuma colonoscopy.
• Inkorosikopu yo mu bwoko bwa 'Virtual Colonoscopy':Iyi ni scan yihariye ya CT. Ibi ntibisaba gushyira umuyoboro mu mubiri. Ariko, bisaba no gusukura amara, kimwe n'uko bigenda muri colonoscopy isanzwe. Niba habonetse polyps muri iki gikorwa, uzakenera kongera gukora colonoscopy isanzwe kugira ngo uzikureho.

Nubwo hari ubwo buryo, colonoscopy ifatwa nk' "Igipimo cya Zahabu" kuko,

• Irakomeye cyane . Ishobora kubona itandukaniro n'iryoroheje cyane.
• Isuzuma indwara kandi ikayivura icyarimwe . Iyo ikindi kizamini kigaragaje ikibazo, haracyakenewe isuzuma ry’imitsi kugira ngo ryemezwe kandi rivurwe.
• Niba ibisubizo ari byiza, bishobora gufata imyaka igera ku 10 kugira ngo ugere ku kizamini gikurikiraho .