Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo muganga wawe akubwiye ko ugomba gufata icyitegererezo gito cy'inkondo y'umura kugira ngo gipimwe. Ubwo bwoba bushobora kwiyongera iyo wumvise ijambo "cone biopsy." Ariko ntugahangayike. Ubu buryo buto, bukunze kuba bufite umutekano kandi busuzuma kanseri y'inkondo y'umura kandi bukanakuraho uturemangingo twose tudasanzwe. Uyu munsi, tuzabiganiraho mu buryo bworoshye kandi bworoshye kumva.
Mu magambo make, biopsy ya koni ni iki?
Uburyo bwo kubaga bukoresha koni (cone biopsy) ni uburyo bwo kubaga buto bukuraho agace gato k'uturemangingo tudasanzwe mu mura wawe, igice cyo hasi cy'umura wawe gihuza n'igitsina cyawe.
Ubu buryo bwitwa "cone" biopsy kuko icyitegererezo cy'ingingo muganga akura mu mura w'inkondo y'umura kiba gifite ishusho nk'iy'agahu. Uku gukata nk'ingufu bituma muganga ashobora gusuzuma atari gusa ubuso bw'umura w'inkondo y'umura, ahubwo no gusuzuma ibice byimbitse by'uturemangingo. Hanyuma icyo gipimo cyoherezwa muri laboratwari kugira ngo gisuzumwe hifashishijwe mikorosikopi kugira ngo hamenyekane niba hari uturemangingo twa kanseri cyangwa uturemangingo tudasanzwe dushobora guhinduka kanseri ( cervical dysplasia ).
Ubusanzwe ubu buryo bukorerwa hanze y'ibitaro, bivuze ko ushobora gutaha uwo munsi utagombye kuguma mu bitaro. Nta kintu na kimwe cyo guhangayika.
Kuki muganga yakugira inama yo kubagwa?
Hari impamvu nyinshi zishobora gutuma muganga asaba ko habaho biopsy y’ingirabuzimafatizo. Impamvu nyamukuru ni izi:
- Niba ibisubizo byawe bya Pap smear bigaragaza uturemangingo tudasanzwe dushobora kuvamo kanseri y'inkondo y'umura.
- Niba ari ngombwa gukuraho uturemangingo twa kanseri cyangwa tutari twa kanseri mu mura nk'uburyo bwo kuvura .
- Niba ufite kanseri y'inkondo y'umura mu gihe cya mbere cyane (icyiciro cya 0 cyangwa IA1) , yikuremo burundu hanyuma uyikize.
- Hari igihe hakoreshwa ibindi bizamini, nka colposcopy, kugira ngo hamenyekane neza niba impamvu nyayo y’izi mpinduka mu turemangingo idashobora kuboneka.
Uko kubagwa bikorwa n'uburyo witegura
Witegura ute mbere yo kubagwa?
Ibi akenshi bikorwa hakoreshejwe ikinya rusange, bivuze ko usinziriye rwose. Bityo muganga wawe azakubwira kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha make mbere yo kubagwa.Ushobora kandi kugirwa inama yo kwirinda gukora imibonano mpuzabitsina cyangwa gushyira ikintu icyo ari cyo cyose mu gitsina cyawe mu minsi ibanziriza kubagwa. Ni ngombwa cyane gukurikiza aya mabwiriza neza.
Ni iki kibaho mu gihe cyo kubagwa?
Nta bubabare wumva, kuko uba uri mu bitotsi byinshi.
1. Ubwa mbere, uzaterwa ikinya hanyuma uryame ku buriri mu buryo busa n'ubwakorewe Pap smear.
2. Hanyuma muganga ashyiramo igikoresho cyitwa speculum kugira ngo igituba kigume gifunguye.
3. Hanyuma, igikoresho cyitwa colposcope, gishobora gukoreshwa mu gusuzuma umura w'intanga mu buryo bwo kongera ubwinshi, gikoreshwa mu kumenya aho uturemangingo tudasanzwe turi.
4. Hanyuma, hakoreshejwe icyuma cyo gukata, agace k'uruti gafite ishusho nk'iy'umuhondo, hamwe n'urundi ruzima rukikije, biracibwa neza bigakurwaho.
5. Kugira ngo amaraso ahagarike, hakoreshwa imidozi cyangwa gukaraba. Hari igihe ushobora no gushyira ikintu kimeze nk'agatambaro mu gitsina.
Iyi gahunda yose bifata igihe gito cyane, iminota 15.
Icyo wakwitega nyuma yo kubagwa
Uzakomeza gukurikiranwa mu bitaro mu gihe cy'amasaha make nyuma yo kubagwa. Uzemererwa gutaha igihe umuvuduko w'amaraso, imitsi y'amaraso, ububabare, no kuva amaraso bizaba bisanzwe.
Umaze gutaha, ushobora kugira ububabare bworoheje mu gifu, nk'ubwo mu gihe cy'imihango, mu minsi mike. Ushobora gufata imiti igabanya ububabare yandikiwe na muganga wawe kuri ibi. Ni ngombwa kuruhuka neza mu gihe kingana n'icyumweru .
Ni ibisanzwe kuva amaraso cyangwa kuva amaraso mu gitsina muri iki gihe. Mu ntangiriro bishobora kuba bitukura cyangwa umutuku, ariko bishobora guhinduka umukara woroheje nyuma y'iminsi mike. Koresha udupira tw'isuku kuri ibi.
| Irinde rwose ibi bintu mu gihe cy'ibyumweru bigera kuri bine nyuma yo kubagwa! | |
|---|---|
| Icyo utagomba gukora | Ibisobanuro |
| Gushyira ikintu icyo ari cyo cyose mu gitsina | Irinde burundu gukora imibonano mpuzabitsina, gukoresha tampons, gushyiramo intoki, cyangwa kwiyuhagira. |
| Guterura ibiremereye no gukora imyitozo ngororamubiri ikomeye | Irinde guterura indobo ziremereye, silinda za gazi, no gukora imyitozo ngororamubiri igoye. |
| Kuba mu mazi | Irinde koga muri pisine, mu migezi, mu nyanja, no kwiyuhagira mu bwogero (nta kibazo kiri mu koga umubiri wawe nk'uko bisanzwe). |
Muganga wawe azagusaba kugaruka mu byumweru 4-6 . Muri icyo gihe, azagusuzuma kugira ngo arebe niba umura wawe wakize neza. Nyuma y'ibyo, azagusaba gupimwa Pap hafi buri mezi 6. Nyuma y'uko raporo nyinshi zigarutse nk'uko bisanzwe, azakugira inama yo kongera gupimwa Pap nk'uko bisanzwe (urugero, rimwe mu mwaka).
Ingaruka mbi n'ingaruka mbi ni izihe?
Nubwo uburyo bwo gusuzuma ingirabuzimafatizo ari uburyo bwizewe cyane, kimwe n'ubundi buryo bwose bwo kubaga, hari ingaruka nto cyane.
- Ingaruka:
- Kuva amaraso menshi kuruta uko bisanzwe.
- Kwandura indwara.
- Gukomeretsa amenyo y'inkondo y'umura , rimwe na rimwe bishobora gutera ububabare bwinshi mu gihe cy'imihango cyangwa kugorwa no gusama mu gihe kizaza.
- Hari ukwiyongera guke cyane kw'ibyago byo kubyara igihe kitageze mu gihe cyo gutwita.
- Ni gake cyane, kwangirika k'uruhago cyangwa uturemangingo bibaho.
- Ingaruka mbi zishobora kubaho:
- Kubabara mu nda, nk'igihe cy'imihango.
- Ububabare buto cyangwa kubabara.
- Kuva amaraso cyangwa kuva amaraso mu gitsina mu minsi myinshi.
Izi ngaruka mbi zishobora kugaragara cyane mu cyumweru cya mbere, ariko zigenda zigabanuka buhoro buhoro uko igihe kigenda gihita.
Raporo ivuga iki?
Uzahabwa raporo y'isuzuma ry'inyama zawe mu cyumweru kimwe.
- Ibisubizo bisanzwe: Ibi bivuze ko nta kanseri cyangwa uturemangingo twa mbere ya kanseri twabonetse mu mura w'inkondo y'umura.
- Ibisubizo bidasanzwe: Ibi bivuze ko habonetse uturemangingo twa mbere y’uko turwara kanseri cyangwa kanseri. Iyi ndwara ya mbere y’uko turwara kanseri yitwa Cervical Intraepithelial Neoplasia (CIN) . Igabanyijemo ibice 3 bitewe n’uburemere bw’uturemangingo tudasanzwe.
- CIN I: Impinduka nto. Izi zikunze guhinduka kanseri.
- CIN II: Urwego rw'impinduka ruri hagati.
- CIN III: Impinduka zikomeye. Izi zifite amahirwe menshi yo guhinduka kanseri mu gihe zitavuwe.
Igikuru ni ukumenya izi mpinduka hakiri kare. Hanyuma, iyo ndwara ishobora gukira burundu hakoreshejwe uburyo bworoshye bwo kuvura mbere yuko ihinduka kanseri.
Niba ubonye ibi bimenyetso, hita ubonana na muganga!
Niba ubonye kimwe muri ibi bimenyetso bikurikira uri mu rugo nyuma yo kubagwa, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi barembye (ETU).
- Umuriro (101°F cyangwa hejuru yayo).
- Gukonja, guhinda umushyitsi, guhumeka bigoranye.
- Kubyimba cyangwa ububabare bukabije mu maguru (ibi bishobora kuba ikimenyetso cy'amaraso yacitse).
- Kuva amaraso menshi ku buryo ugomba guhindura agakoresho ko kwisiga buri masaha abiri .
- Ndetse no nyuma yo gufata imiti igabanya ububabare, ububabare ntibushobora kwihanganira.
- Amasohoro yo mu gitsina afite impumuro mbi.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwo gusuzuma ingirabuzimafatizo (cone biopsy) ni uburyo busanzwe kandi bwizewe bukoreshwa mu kumenya no gukuramo uturemangingo tudasanzwe mu mura w'inkondo y'umura.
- Ni ibisanzwe kugira ubwoba no guhangayika kuri ibi, ariko iyi ni intambwe y'ingenzi cyane ku buzima bwawe bw'ejo hazaza.
- Kurikiza amabwiriza ya muganga wawe witonze nyuma yo kubagwa, cyane cyane ajyanye no kuruhuka n'ibintu ugomba kwirinda.
- Menya neza ko usubiye kwa muganga ku itariki yagenwe.
- Uburyo bwiza bwo kwirinda kanseri y'inkondo y'umura ni ukwipimisha Pap smear ku gihe cyagenwe, nk'uko muganga agusaba.
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