Reka tuvuge kuri Cryoablation, uburyo "bukonjesha" uturemangingo twa kanseri hamwe n'ubukonje bukabije kandi bukayirimbura.

Iyo twumvise ijambo kanseri, ikintu cya mbere kiza mu mutwe ni ukubagwa kugira ngo ikibyimba gikureho, si byo? Mu by’ukuri, mu bihe byinshi, ni bwo buryo bwiza kandi butanga umusaruro mwiza. Ariko, hari igihe kubagwa bidashoboka buri gihe. Bitewe n’aho kanseri iherereye cyangwa uko ubuzima bwawe buhagaze, kubagwa bishobora guteza akaga. Muri bene ibyo bihe, uyu munsi tugiye kuvuga ku buryo bugezweho kandi bwihariye abaganga bakoresha mu kuvura. Ubu buryo bwitwa Cryoablation .

Mu magambo make, Cryoablation ni iki?

Izina rishobora kumvikana nk'irigoye, ariko ibiba muri uru rubanza biroroshye cyane. Cryoablation ni uburyo bwo kuvura bukoresha ubukonje bukabije, ni ukuvuga ubukonje bukabije nk'urubura, kugira ngo 'bukonje' kandi busenye ingingo zidasanzwe zangiza umubiri wacu, nk'uturemangingo twa kanseri.

Tekereza ko umuganga akoresha igikoresho cyihariye, nk'urushinge, maze akayobora umwuka ukonje cyane muri cyo ukagera kuri kanseri. Ubu bukonje bukabije butuma uturemangingo twa kanseri dukonja, bigatuma dutakaza imikorere yatwo amaherezo tugapfa. Ubu buryo rimwe na rimwe bwitwa ``cryosurgery`` cyangwa ``percutaneous cryotherapy``.

Kubagwa kugira ngo uvaneho ikibyimba cya kanseri akenshi ni bwo buryo bwa mbere. Ariko, niba bidashoboka, muganga wawe ashobora kukugira inama yo kuvura iyi ndwara niba yumva ari bwo buryo bwiza kandi bwizewe kuri wewe.

Ni mu bihe ibihe muganga yagira inama yo kuvura ubu buryo?

Hari inshuro nyinshi muganga wawe ashobora kukubwira ubu buryo bwo kuvura.

• Iyo kanseri iri mu ntangiriro: Ubu buryo bukoreshwa iyo kanseri ikiri nto, ni ukuvuga mu ntangiriro, kandi ikibyimba gishobora kugerwaho hatabayeho gukata cyane.
• Ingaruka zo kubagwa: Hari igihe ikibyimba gishobora kuba kiri ahantu hakomeye cyane. Ibi bivuze ko bishobora kuba ari akaga cyane kukivanaho mu buryo bwo kubaga hatabayeho kwangiza ingingo z'ingenzi zigikikije. Ubu buryo ni ingirakamaro cyane muri bene ibyo bihe.
• Iyo kanseri yakwirakwiriye umubiri wose: Hari igihe kanseri ishobora gukwirakwira no mu zindi ngingo (kanseri ya metastasis). Muri ubwo buryo, ubu buryo bukoreshwa mu kugabanya ububabare buterwa no gukwirakwira kwa kanseri no kugabanya ingano y’ibibyimba. Ibi byitwa palliative cryoablation . Ibi bivuze ko bikorwa kugira ngo bifashe mu kugenzura ibimenyetso n’ububabare, aho gukiza indwara burundu.

Ni ubuhe bwoko bwa kanseri buvurwa n'ubu buryo?

Uburyo bwo kuvura kanseri hakoreshejwe uburyo bwa Cryoablation bushobora gukoreshwa ku bwoko butandukanye bwa kanseri. Imbonerahamwe iri hepfo izaguha igitekerezo cyiza cy'icyo bushobora gukora.

Ubu buryo bwo kuvura bukora bute?

Aha niho habera ikintu gishimishije cyane. Muganga acukura umwobo muto mu ruhu rwawe. Hanyuma ashyiramo agakoresho kadasanzwe kameze nk'urushinge kitwa cryoprobe anyuze muri uwo mwobo maze akayobora aho kanseri iri.

Iyi `cryoprobe` irimo umwuka ukonje cyane imbere. Urugero, ikintu nka `liquid azote`, `liquid nitrous oxide`, cyangwa `compressed argon gas` gishobora gukoreshwa.

Iyo muganga ashyize agace k'iyi 'cryoprobe' kuri iki kibyimba, umwuka ukonje cyane utuma ibice by'urubura byibumbira mu turemangingo twa kanseri. Nk'uko amazi akomera iyo uyashyize muri firigo. Hanyuma, iyo ubukonje bukuweho, uturemangingo dutangira gushonga. Ubu buryo bwo 'gukonjesha-gushonga' bwangiza uturemangingo twa kanseri bigatuma dupfa. Muri ubwo buryo, ikibyimba kiragabanuka buhoro buhoro amaherezo kikabura.

Ni gute nakwitegura mbere yo kuvurwa?

Hari imyiteguro ikenewe mbere yo kuvurwa nk'iyi. Muganga wawe n'itsinda ry'abaganga bazaguha amabwiriza asobanutse neza y'icyo wakora. Ariko hari ibintu bike muri rusange ugomba kwitegura:

• Teganya ko hari umuntu uzagutwara mu rugo: Ushobora kuba udashobora gutwara imodoka nyuma yo kuvurwa, bityo ni ngombwa gutegura ko hari umuntu uzagutwara mu rugo mbere y'igihe.
• Ushobora kuba ugomba guhagarika gufata imiti imwe n'imwe: Niba ufata imiti imwe n'imwe, nka aspirine, imiti igabanya ububabare (NSAIDs), n'imiti igabanya amaraso, muganga wawe ashobora kugusaba guhagarika kuyifata iminsi mike mbere y'uko ufata imiti.
• Imiti yo kugabanya ububabare cyangwa gukumira ubwandu: Muganga wawe ashobora kukugira inama yo gufata imiti imwe n'imwe kugira ngo ugabanye ububabare cyangwa wirinde ubwandu mbere yo kuvurwa.
• Kwiyiriza ubusa: Niba uhawe ikinya rusange, bivuze ko usinziriye burundu, bazakubwira kwirinda kurya cyangwa kunywa amasaha make mbere yo kuvurwa.

Ni iki kibaho mu gihe cyo kuvurwa?

Reka turebe uko iyi gahunda ikora intambwe ku yindi.

1. Anesthesia: Ubwa mbere, umuganga w’inzobere mu by’imiti azaguha umuti ugabanya ububabare kugira ngo utababara. Uyu ushobora kuba anesthesia yo mu gace runaka, cyangwa ushobora gusinzira burundu (anesthesia rusange).

2. Gukora umwobo muto: Muganga acukura umwobo muto cyane mu ruhu aho avurirwa.

3. Gushyiramo cryoprobe: Hanyuma, cryoprobe irimo imyuka ikonje cyane ishyirwa muri uwo mwobo.

4. Gukonjesha kanseri: Muganga akora ku gasongero ka 'cryoprobe' kuri kanseri mu gihe cy'amasegonda make cyangwa iminota mike. Ubukonje bukabije butuma uturemangingo twa kanseri dukonjeshwa hanyuma tukangirika.

5. Kwitegereza binyuze muri Scan: Ibi byose ntibikorwa ku busa. Muganga akoresha ikoranabuhanga nka Ultrasound, MRI (Magnetic Resonance Imaging) cyangwa CT (Computed Tomography) maze akareba ecran kugira ngo arebe niba cryoprobe yegereye ikibyimba neza kandi niba ikibyimba kirimo gukomera neza.

6. Subiramo: Hari igihe iki gikorwa cyo gukora amabuye gishobora gusubirwamo inshuro nyinshi kugira ngo imbuto zose zisenywe.

7. Gukuraho igikoresho: Nyuma yuko uturemangingo twa kanseri twangiritse ku rugero rukenewe, agakoresho ka cryoprobe karakurwaho hanyuma ikintu kimeze nk'igishishwa gishyirwa ku mwobo muto.

Ese ibi bishobora gukorwa nk'ubuvuzi bwa laparoscopic?

Yego, birashoboka. Kubagwa hakoreshejwe laparoscopicUbu ni uburyo bwo kubaga bukoresha kamera n'ibikoresho byihariye kugira ngo bubagwe binyuze mu gukata utuntu duto duto aho gukata kamwe kanini. Ubu buryo bwo kuvura hakoreshejwe uburyo bwa Cryoablation nabwo bushobora gukorwa muri ubu buryo. Ibi bituma cryoprobes nyinshi zikoreshwa icyarimwe kugira ngo zisenye uturemangingo twa kanseri.

Ni iki kibaho nyuma yo kuvurwa kandi ni izihe nyungu?

Niba warahawe ikinya rusange, uzajyanwa mu cyumba cyo gukira aho itsinda ry’abaganga rizakurikirana ibintu nk’uko umutima wawe utera n’umuvuduko w’amaraso.

Abantu benshi bashobora gutaha umunsi umwe nyuma yo kuvurwa. Ariko, hari igihe ushobora gukenera kurara mu bitaro niba ikibazo cyawe gikeneye gukurikiranwa cyane.

Ibyiza byo kuvura indwara ya cryoablation:

• Bishobora gukorwa nta gukata cyane.
• Ingaruka mbi n'inkovu ni gake cyane.
• Kwangirika kw'ingingo nzima zikikije kanseri ni bike cyane.

Ni izihe ngaruka n'ingorane ziterwa n'ibi?

Ubusanzwe uburyo bwo kuvura hakoreshejwe uburyo bwa Cryoablation ni uburyo bwizewe cyane, ariko kimwe n'uburyo ubwo ari bwo bwose bwo gushyira igikoresho mu ruhu, hari ingaruka zimwe na zimwe zishobora kubaho.

Bifata igihe kingana iki kugira ngo umuntu akire?

Abantu benshi bashobora gusubira mu mirimo yabo isanzwe mu minsi ibiri cyangwa irindwi. Ariko, imimerere yawe ishobora gutandukana, bityo rero menya neza ko ubaza muganga wawe icyo udakwiye gukora kugeza igihe uzakira.

Ni ryari ngomba guhamagara muganga?

Muganga wawe azakubwira igihe ugomba kugarukira kwa muganga wawe nyuma yo kuvurwa. Ariko, niba ugaragaje kimwe muri ibi bimenyetso bikurikira, bishobora kuba ibimenyetso by'ubwandu, ugomba guhita uhamagara muganga wawe.

Ni iki kigendekera kanseri nyuma yo kuvurwa?

Iki nacyo ni ikibazo cy'ingenzi. Iyo ubuvuzi burangiye, uturemangingo twa kanseri twakomeretse turashonga buhoro buhoro tugatangira kugabanuka. Uko igihe kigenda gihita, sisitemu y'umubiri wacu ubwayo yo kwisukura ikuraho utwo turemangingo twapfuye. Nk'uko igikomere gikira, umubiri wacu utakaza uruhu rwapfuye. Muri ubwo buryo, kanseri igenda ishira buhoro buhoro.

Niba urwaye kanseri, vugana na muganga wawe kuri ubu buryo bwo kuvura. Ashobora gusubiza ibibazo byawe byose akagufasha guhitamo uburyo bwiza bwo kuvura.