Ese hari impinduka mu mabere yawe? Ese twagombye kwiga ibijyanye no gupima ibere mu buryo bw'inshinge?

Hari igihe ushobora kumva impinduka nto mu ibere ryawe, cyangwa ikintu nk'ikibyimba gishya. Cyangwa muganga wawe ashobora kubona ikindi kintu gitandukanye mu gihe cyo gupimwa nka mammogram. Aha niho ikizamini cyitwa 'Core Needle Breast Biopsy' gikorerwa kugira ngo hamenyekane neza niba impinduka ari kanseri cyangwa atari yo. Nta kintu cyo guhangayikishwa nacyo, reka tubiganireho mu buryo bworoshye.

Kuki nkeneye gupimwa inshinge z'ibere?

Ushobora kuba wibaza uti 'Kuki wansaba gukora iki kizamini?' Hashobora kuba hari impamvu nke:

• Niba wowe cyangwa muganga wawe mubona ikibyimba mu ibere ryanyu, hari igihe dushobora kumva ibintu nk'ibi nubwo twabakoraho gusa, si byo?
• Niba muganga wawe abonye ikintu kidasanzwe cyangwa giteye amakenga mu gihe cyo gupima, wakoze, nko gupimwa na mammogram, gupimwa na ultrasound y'ibere, cyangwa MRI y'ibere.

Mu bihe nk'ibi niho abaganga bakubwira gukora iyi biopsy. Ubwo ni bwo buryo bwonyine bwo kumenya neza ibiri kuba.

Iyi Biopsy y'ibere ry'inshinge ikora ite?

Mu magambo make, ibi bikubiyemo gushyira urushinge ruto, rufite umwobo, mu ruhu rw'ibere ryawe. Uru rushinge rufite ubugari bwa milimetero ebyiri, rurenga gato 1/16 cya santimetero. Ntugahangayike, uzahabwa ikinya mbere yuko ibi bikorwa. Ibi bivuze ko ibere ryawe ryonyine ari ryo rizacika intege. Bityo ntuzumva ububabare ubwo aribwo bwose.

Hari igihe umuganga ashobora gukoresha igikoresho gifite umusemburo kugira ngo yinjize urushinge. Ibi bituma urushinge rwinjira mu mubiri vuba cyane hanyuma rukongera rugasohoka. Hari n'igihe hashobora gukoreshwa igikoresho gikurura urushinge. Ibi bifasha gukurura urushinge mu mubiri. Umuganga wawe w’imirasire ashobora kubyita biopsy y’ibanze idafite umwuka .

Ni irihe tandukaniro riri hagati ya Biopsy y'ibere ry'inshinge n'isukari y'inshinge?

Ibi byombi mu by’ukuri ni ugupima urushinge. Ariko hari itandukaniro rito. Mu gukamura urushinge gato , urushinge ruto cyane rukoreshwa mu gukuraho uduce duto tw’umubiri n’amazi. Hanyuma umuganga w’indwara asuzuma uturemangingo, twaba turi mu matsinda cyangwa uturemangingo twihariye, kugira ngo arebe ko hari ibitagenda neza, cyane cyane uturemangingo twa kanseri.

Ariko, Biopsy y'ibere ry'inshinge y'ibanzeMuri bumwe, umuganga w’indwara asuzuma ibice by’uturemangingo twose. Ibi ni ingero nini kurusha ubundi buryo. Bityo bashobora kubona ishusho isobanutse neza kandi nini y’uturemangingo.

Ni gute nakwitegura gukora isuzuma ry'ibere ry'inshinge?

Itsinda ry'abaganga bawe rizakubwira icyo gukora neza, ariko muri rusange, dore ibintu bimwe na bimwe ugomba kumenya:

• Bwira itsinda ry'abaganga bawe imiti yose ufata. Cyane cyane niba ufata imiti nka aspirine cyangwa imiti igabanya amaraso (anticoagulants), ushobora gusabwa kuyihagarika iminsi mike mbere yuko ukorerwa biopsy.
• Ambara imyenda ijyanye n'uruhu rwawe. Ambara isutiye yoroshye itazakubabaza uruhu, cyane cyane aho isuzuma rizakorerwa.
• Teganya koroherwa n'umunsi umwe cyangwa irenga nyuma y'ikizamini. Ntugakore akazi kenshi kuri uwo munsi.

Ni iki nkwiye kwitega mu gihe cyo gupima ibere ry’urushinge rw’ibanze?

Inyinshi mu ndwara zo mu mutwe zikoreshwa mu gupima urushinge rw’ibanze. Ibi bivuze ko umuganga wawe w’imirasire akoresha imashini zitandukanye zifata amashusho kugira ngo amenye aho urushinge rukekwa ruri. Bakoresha kandi izi mashini mu kuyobora urushinge rwa biopsy. Hari uburyo butandukanye bwo gukoresha ikoranabuhanga mu gupima amashusho:

• Isuzuma ry'amabere rya stereotactic: Ibi bikoresha imashini yihariye yo gupima amabere.
• Isuzuma rya Ultrasound riyobowe na Ultrasound: Nkuko izina ribigaragaza, ibi bikoresha Ultrasound y'ibere.
• Biopsy iyobowe na MRI: Iyi ikoresha MRI y'ibere.

Noneho reka turebe ibisanzwe bibaho mu gihe cyo gupima urushinge rw’imbere hifashishijwe ishusho:

1. Umuganga wawe w’amaradiyo azagushyira mu mwanya wawe kugira ngo upime amashusho. Urugero, kugira ngo upime amabere yawe neza, uzaryama wubitse ku meza yo gupimisha ufite umwobo mu ibere ryawe.

2. Hanyuma bakoresha mammogram, ultrasound, cyangwa MRI kugira ngo barebe agace gakekwa.

3. Muganga azasukura uruhu aho igikorwa cyo gupima uruhu kizakorerwa hanyuma atere umuti utera ibisebe mu ibere ryawe.

4. Hanyuma, hakorwa akantu gato ku ruhu hanyuma hagashyirwamo urushinge rw'ibanze.

5. Muganga ashobora gufata ingero z'uturemangingo ahantu henshi mu gace gakekwaho.

6. Ushobora kumva urimo gusunika gato ukumva ijwi rya 'kanda' uko buri rugero rufatwa.

7. Nyuma yo gukuramo urushinge mu ibere, bazashyiramo agakoresho gato k'icyuma (biopsy marker/clip).Biri mu ibere ryawe. Iki kimenyetso kizagaragara ku bizamini byose uzakora nyuma. Muri ubwo buryo, abaganga bashobora kumenya neza aho icyitegererezo cy'ingingo cyakuwe.

8. Amaherezo, muganga akanda aho amaraso yavuye kugira ngo ahagarike kuva amaraso, maze agapfuka agapfundikizo gasukuye kandi kadafite umwanda.

Gupima ibere mu buryo bw'inshinge bibabaza gute?

Mu by’ukuri nta bubabare uzumva uvuye mu isuzuma. Ariko ushobora kumva ubabaye gato iyo muganga afashe icyitegererezo. Ariko, niba wumva ububabare ubwo aribwo bwose, menya neza ko wabibwiye muganga wawe. Hanyuma bazagutera umuti ugabanya ububabare mu gace karimo gukorwamo biopsy.

Gupima inshinge z'ibanze bifata igihe kingana iki?

Ikizamini nyacyo kimara iminota 15 kugeza kuri 20. Ariko, uzaba uri mu cyumba cy’ibizamini mu gihe cy’isaha imwe. Iki gihe gitandukana bitewe n’ubwoko bw’amabwiriza yo gufata amashusho abaganga bawe bakoresha.

Ni iki nkwiye kwitega nyuma yo gupimwa inshinge z'ibere?

Ushobora gusubira ku kazi no mu mirimo yawe ya buri munsi. Ariko, irinde gukora imirimo ivunanye nko kwiruka nibura amasaha 48 nyuma yo gukorerwa ibizamini. Ushobora kandi kubona udusebe aho ibizamini byakorewe. Ibi ni ibisanzwe.

Ni izihe ngaruka mbi zo gusuzuma ibere ry’umuti uterwa n’inshinge?

Gupima urushinge rw'ibanze ni uburyo budatera ingaruka mbi cyane , bivuze ko nta ngaruka zikomeye bigira ku mubiri. Kubwibyo, ingaruka ziba nke cyane. Ariko, ni gake cyane, bamwe bashobora guhura n'ingorane. Urugero:

• Hematoma yo mu ibere ni ikibyimba kiri mu ibere kivuka bitewe no kuva amaraso.
• Hashobora kubaho ubwandu .
• Ni gake cyane , ibihaha byaguye bishobora kubaho.

Ibisubizo byanjye bizaba bimeze bite?

Abaganga b’indwara ni bo bafata ingero z’imitsi y’ibere batanzwe na muganga wawe w’indwara z’imirasire bagashaka ibimenyetso bya kanseri. Iyo nta bimenyetso bya kanseri bihari, muganga w’indwara azabyandika muri raporo ye akabimenyesha muganga wawe.

Ariko, niba ibisubizo bya biopsy bigaragaza ko hari ikibyimba cya kanseri, raporo y'umuganga w'indwara izashyikirizwa muganga wawe izaba irimo ibi bikurikira:

• Ubwoko bwa kibyimba: Ikibyimba gishobora kuba kidakwirakwira cyangwa kidakwirakwira. Ikibyimba kidakwirakwira akenshi ntigikwirakwira mu mabere yegereye. Ariko, ikibyimba gishobora gukwirakwira mu mabere yegereye cyangwa mu bindi bice by'umubiri.
• Igipimo cy'ikibyimba:Ingano y'ikibyimba igaragaza uburyo uturemangingo twa kanseri twigabanyamo kabiri, ndetse n'uburyo uturemangingo twa kanseri dusa n'utundi dusanzwe. Iyi ngano y'ikibyimba igenwa nk'igice cy'uburyo kanseri itera .
• Imiterere y'imisemburo: Ikizamini gishobora gukorwa kugira ngo harebwe niba ikibyimba gikura bitewe n'imisemburo iri mu mubiri wawe. Niba ari uko bimeze, byitwa hormone-receptor positive.
• Imiterere ya HER2: Uturemangingo twa kanseri y'ibere tumwe na tumwe dufite poroteyine yitwa Human Epidermal Growth Factor Receptor 2 (HER2) . Iyi poroteyine ifasha uturemangingo twa kanseri gukura no gukwirakwira.

Ni ryari nzabona ibisubizo bya biopsy?

Ushobora kwitega kubona ibisubizo by'ibizamini mu cyumweru kimwe kugeza ku icumi nyuma yo gupimwa. Ariko, iki gihe gishobora gutandukana bitewe n'uburyo ibizamini bikorwa. Urugero, umuganga w'indwara ashobora gukenera igihe cyo gusuzuma ingero nyinshi.

Ni ukuri ko gutegereza ibisubizo bya biopsy bishobora gutera imihangayiko. Itsinda ry'abaganga bawe rirabyumva kandi ryishimiye gusubiza ibibazo byawe. Bishobora kugufasha gukomeza gahunda yawe isanzwe, gukora ibintu ukunda, no gusangira ibitekerezo byawe n'abandi.

Ni ryari nkwiye kuvugana na muganga wanjye?

Ingorane ziterwa no gupima urushinge rw'ibanze ni gake cyane. Ariko, hari ibyago bike byo kwandura cyangwa gucika kw'amaraso mu ibere aho bapimye. Niba uhuye na kimwe muri ibi bikurikira, menya neza ko wahamagara muganga wawe:

• Niba ufite umuriro urenze dogere selisiyusi 101 (101°F) cyangwa dogere selisiyusi 38.4 (38.4°C).
• Niba uruhu rukikije aho bapimye ari umutuku cyangwa rwirabura kurusha ibara ry'uruhu rwawe.
• Niba wumva ububabare igihe ukoze ku gice cyakoreweho isuzuma ry'umubiri.
• Iyo hagaragaye igisebe kinini kandi gisa n'aho kirimo gukwirakwira.

Ese gupima urushinge rw'ibere bishobora gukumira kanseri?

Yego, hari amahirwe make ko ibi bishobora kubaho. Ibi bivuze ko urushinge rwa biopsy rushobora kubura ikibyimba maze rugafata icyitegererezo mu ngingo nzima ziri hafi aho. Abaganga babyita raporo y'ibinyoma . Ariko, ubushakashatsi bwagaragaje ko ibisubizo by'ibinyoma bidakunze kubaho cyane mu gusuzuma ibere ry'urushinge.

Ibintu by'ingenzi ugomba kwibuka muri iyi nkuru

Tekereza ko mammogram yawe ya buri mwaka igaragaza ikintu gitandukanye. Bishobora kuba atari bibi cyane, ariko wowe na muganga wawe mugomba gukora biopsy y'ibere kugira ngo mumenye neza. Muganga wawe ashobora kukugira inama yo gukora biopsy y'ibere ry'urushinge kugira ngo ufate ingero nke z'imitsi y'ibere. Ibi birakorwa.Ni uburyo bwiza cyane bwo kwemeza niba kanseri ihari cyangwa idahari, hakoreshejwe ikinya cyo mu gace runaka, kandi ntibitinda.

Ndizera ko aya makuru azagufasha kugabanya ubwoba kuri iki kizamini. Rero, ntugire icyo utinya, kandi ubaze ibibazo. Itsinda ry'abaganga bawe risobanukiwe ibiri mu mutima wawe kandi ryishimiye gusubiza ibibazo byose ushobora kuba ufite.

` Isuzuma ry'ibere, isuzuma ry'urushinge rw'ibanze, kanseri y'ibere, isuzuma rya mammogram, icyitegererezo cy'ingingo, inzobere mu by'imirasire, inzobere mu by'indwara