Ni ibisanzwe kumva ufite ubwoba gato iyo umenye ko ufite ikibyimba mu ibere ryawe, cyangwa iyo muganga wawe akubwiye ko hari ikibazo kiri muri mammogram yawe . Ubwo bwoba bushobora kwiyongera kurushaho iyo ubwiwe ko ugomba gukorerwa biopsy . Ariko 'Core Needle Breast Biopsy' tuvuga uyu munsi si ikintu cyo gutinya. Ibi akenshi bikorwa kugira ngo wikureho gushidikanya kuri wewe no kwa muganga wawe.
Ni iki mu by'ukuri gisobanura uburyo bwo gusuzuma ibere ry'inshinge?
Muri make, ubu ni bumwe mu bwoko bukunze kugaragara bwo gusuzuma ibere. Muganga wawe ashobora gutegeka iki kizamini niba akeka ko impinduka mu ibere ryawe, nk'ikibyimba, ishobora kuba ari kanseri y'ibere.
Ibi bikubiyemo inzobere, ubusanzwe inzobere mu by’imirasire, ikoresha urushinge ruto rufite umwobo kugira ngo ikureho agace gato cyane k’urushinge mu gace k’ibere aho ikibyimba kiri. Ni nko gukata agace gato k’umugati ukurikije uburyohe bwawo. Hanyuma, inzobere mu by’indwara isuzuma urushinge ikoresheje mikorosikopi kugira ngo irebe niba rurimo uturemangingo twa kanseri cyangwa ibindi bibazo.
Kuki nakwifuza gukora ubwoko bw'ikizamini?
Hari impamvu ebyiri z'ingenzi zishobora gutuma muganga wawe agusaba gukora iki kizamini:
- Niba wowe cyangwa muganga wawe mubonye ikibyimba mu ibere ryawe.
- Iyo habonetse ikibazo mu gihe cyo gupima, urugero nka mammogram, MRI y'ibere, cyangwa ultrasound y'ibere.
Intego nyamukuru y'iki kizamini ni ukuvanaho gushidikanya no kwemeza neza niba ari kanseri cyangwa indi ndwara idakira.
Ni irihe tandukaniro riri hagati ya Core Needle Biopsy na Fine-Nedle Aspiration?
Byombi ni uburyo bwo gusuzuma indwara hakoreshejwe urushinge. Ariko hari itandukaniro rito. Uburyo bwo gusukura urushinge bufata ingero z'amazi n'uturemangingo tw'umubiri ku giti cyatwo. Uburyo bwo gusuzuma urushinge bushingiye ku ngingo bufata igice kinini cy'umubiri. Ibi biha umuganga w'indwara icyitegererezo cyiza cyo gusuzuma. Bishobora gutanga ishusho isobanutse neza y'indwara.
Ni gute nakwitegura mbere yo gukora ikizamini?
Ibi ntibisaba kwitegura cyane, ariko ni ngombwa kuzirikana ibi bintu:
- Bwira muganga wawe imiti yose ufata. Niba ufata aspirine cyangwa imiti igabanya amaraso (anticoagulants), ushobora gusabwa guhagarika kuyifata iminsi mike mbere yuko ukorerwa biopsy.
- Ambara imyenda ijyanye n'igihe ku munsi w'ikizamini. Nanone, ni byiza kwambara isutiye yoroshye itazagutera igisebe nyuma yo gupimwa.
- Teganya kwirinda gukora imyitozo ngororamubiri irenze urugero mu gihe cy'umunsi umwe nyuma yo gupimwa.
Ni iki kibaho mu gihe cy'ikizamini?
Akenshi, iyi biopsy ikorwa hifashishijwe scanner. Ni ukuvuga ko muganga ashyira urushinge aho ikibyimba kiri mu gihe areba scan. Uburyo butandukanye bwo gupima bukoreshwa kuri ibi.
| Uburyo bwo gushakisha | Ibisobanuro |
|---|---|
| Isuzuma ry'amabere rya stereotactic | Imashini yihariye yo gupima intanga ikoreshwa kuri ibi. |
| Isuzuma rya Ultrasound rikoresheje uburyo bwa Biopsy | Ibi bikoresha isuzuma rya ultrasound ry'ibere. |
| Isuzuma rya Biopsy riyobowe na MRI | Ibi bikoresha scanner ya MRI y'ibere. |
Uko ikizamini gikorwa intambwe ku yindi:
1. Muganga azagufasha koroherwa n'imashini ikoreshwa mu gupima. Urugero, mu gupima umubiri, uzaryama wubitse ku buriri bwihariye bwagenewe ku buryo ibere ryawe riguma rimanitse.
2. Dukoresheje scanner, tubona aho ipfundo riri neza.
3. Hanyuma uruhu ruri muri ako gace rugasukurwa neza hanyuma ugaterwa umuti utera ibisebe muri ako gace . Bityo ntugire ububabare ubwo aribwo bwose wumva.
4. Nyuma yo gucika intege, hakorwa akantu gato cyane ku ruhu hanyuma urushinge rwa biopsy rugashyirwamo.
5. Muganga ashobora gufata ingero nyinshi z'uturemangingo mu gace karimo ikibyimba. Ushobora kumva urusaku ruto n'ijwi rya "click" iyo buri gipimo gifashwe.
6. Iyo icyitegererezo kimaze gufatwa, urushinge rurakurwaho hanyuma agakoresho gato cyane k'icyuma (biopsy marker) gashyirwa imbere kugira ngo kagaragaze aho icyitegererezo cyafatiwe. Ibi bizagufasha kubona aho icyitegererezo cyafatiwe niwaba wakoze scan nyuma.
7. Hanyuma, shyira igitutu kuri ako gace igihe gito kugira ngo amaraso ahagarike hanyuma upfuke igitambaro gisukuye kandi gisukuye .
Ibi birababaza? Bizatwara igihe kingana iki?
Ntugomba kumva ububabare ubwo aribwo bwose, kuko aho hantu hari ibinya. Ariko ushobora kumva igitutu gito iyo uvuyeho. Ariko, niba wumva ububabare ubwo aribwo bwose, bwira muganga ako kanya . Bazaguha indi miti igabanya ibinya.
Uburyo bwo gusuzuma ubwabwo bufata iminota 15-20 kugira ngo bukorerwe, ariko ushobora kumara iminota 60 mu cyumba cy’isuzuma, harimo n’igihe bifata kugira ngo witegure isuzuma.
Ni iki nkwiye kwitega nyuma y'ikizamini?
Ushobora gutaha uwo munsi. Ushobora no gukora imirimo yawe isanzwe. Ariko, ni byiza kwirinda gukora imirimo ivunanye nko kwiruka, gusimbuka, cyangwa guterura ibyuma byibuze amasaha 48. Ni ibisanzwe kubona ibikomere aho bapimye.
Ese hari ingaruka mbi zihari muri ibi?
Iki ni ikizamini cyizewe cyane. Ingaruka ni nke cyane. Ingorane zishobora kubaho zirimo:
- Amaraso yiyongera mu ibere bitewe no kuva amaraso (hematoma y'ibere)
- Kugira ubwandu
- Kwangirika kw'ibihaha (pneumothorax) - Ibi ni gake cyane.
Ibisubizo byanjye bizaba bimeze bite?
Umuganga w’indwara azasuzuma icyitegererezo cy’ingingo yawe kugira ngo arebe niba hari uturemangingo twa kanseri.
- Niba nta turemangingo twa kanseri (Benign): Raporo ibivuga. Ibyo bivuze ko nta kibazo gihari.
- Niba hari uturemangingo twa kanseri (Malignant): Raporo muganga azakira izaba irimo ibi bikurikira:
- Ubwoko bw'ikibyimba: Niba kanseri yibasira (ikwirakwira mu mubiri w'ibere) cyangwa idakwirakwira (itakwirakwira).
- Igipimo cy'ikibyimba: Uburyo uturemangingo twa kanseri twigabanyamo kabiri vuba n'uburyo bisa n'uturemangingo dusanzwe.
- Imiterere ya hormone receptor: Niba imisemburo mu mubiri igira ingaruka ku mikurire ya kanseri.
- Imiterere ya HER2: Niba hari poroteyine (HER2) ifasha uturemangingo twa kanseri gukura.
Bifata igihe kingana iki kugira ngo ibisubizo biboneke?
Ibisubizo bikunze kuboneka mu cyumweru kimwe kugeza ku minsi 10 nyuma yo gupimwa. Hari igihe iki gihe gishobora gutandukana bitewe n'uburyo bwakoreshejwe mu gupima icyitegererezo.
Tuzi ko gutegereza ibisubizo bishobora gutera imihangayiko. Ibyo ni ibisanzwe. Bishobora gufasha gukomeza imirimo yawe ya buri munsi, gukora ibintu ukunda, no kuganira n'uwo ukunda kuri ibi.
Ni ryari ngomba kongera kubonana na muganga?
Ingorane zikomoka kuri iki kizamini ni gake cyane, ariko niba ubonye kimwe muri ibi bimenyetso bikurikira, ugomba guhita uhamagara muganga wawe .
| Shaka inama z'abaganga ako kanya! | |
|---|---|
| Umuriro | Iyo ubushyuhe bw'umubiri buri hejuru ya 101 Fahrenheit (38.4 selisiyusi). |
| Umutuku w'uruhu | Niba uruhu rukikije aho bapimye ari umutuku cyangwa rwirabura kurusha ibara ry'uruhu rwawe. |
| Ububabare bukabije | Iyo hari ububabare bukabije iyo ukoze ku gice cyakoreweho isuzuma ry'umubiri. |
| Gukwirakwiza igikomere | Niba igikomere kiri aho bapimye kiri kugenda kirushaho kwiyongera. |
Ese iki kizamini gishobora gukumira kanseri?
Yego, hari amahirwe make cyane ko ibi bizabaho. Ibi bivuze ko urushinge rwa biopsy rushobora kudafata uturemangingo twa kanseri, ahubwo rushobora gufata gusa uturemangingo twiza turi hafi aho. Ibi byitwa raporo y'"ibinyoma". Ariko, ubushakashatsi bwagaragaje ko ibi bidashoboka cyane ko bibaho iyo habayeho Core Needle Biopsy.Ibyo.
Hanyuma, niba ubonye impinduka mu mabere yawe, uburyo bwiza kandi bwizewe bwo kubimenya ni ugupima inshinge z'amabere. Ibi bizaguha igisubizo gisobanutse neza. Ntugatinye rero ibi. Niba ufite ikibazo, ntutindiganye kubaza muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Gupima ibere mu buryo bw’inshinge ni ikizamini cyizewe kandi cyoroshye gishobora kwemeza neza niba ikibyimba kiri mu ibere ari kanseri cyangwa atari yo.
- Ntuzumva ububabare bwinshi nubikora kuko biba bidafite icyo bitwaye. Uzumva gusa urimo gusunikwa gato.
- Menya neza ko wabwiye muganga wawe imiti iyo ari yo yose ufata, cyane cyane imiti igabanya amaraso (anticoagulants), mbere yo kwipimisha.
- Ni byiza kwirinda gukora imirimo ivunanye mu gihe cy'iminsi ibiri nyuma yo gupimwa.
- Niba ubonye umutuku, umuriro, ububabare bukabije, cyangwa igisebe gikura aho wakorewe ikizamini, hamagara muganga wawe vuba.
- Ni ibisanzwe kumva uhangayitse mu gihe utegereje ibisubizo. Kuganira n'inshuti zawe no gukora ibintu ukunda bizagufasha muri iki gihe.
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