Ese muganga wawe yavuze ko hari ikibazo kiri mu isuzuma rya Pap yawe? Cyangwa rimwe na rimwe ujya ubona udutonyanga duto tw'amaraso tuva mu nkondo y'umura? Ibi bintu bishobora gutuma ugira ubwoba no guhangayika. Ariko ntugahangayike. Akenshi, ibi bintu ntabwo bikomeye. Uburyo bworoshye abaganga batanga muri ibi bihe ni 'cryosurgery'. Nubwo izina rishobora kumvikana nk'ikintu gikomeye, mu by'ukuri ni ikintu cyoroshye cyane. Mu by'ukuri, bikubiyemo gukoresha ubukonje bukabije, nk'urubura, kugira ngo usenye uturemangingo tudasanzwe. Reka tubiganireho mu buryo bwumvikana kandi bworoshye.
Mu magambo make, kubaga indwara ya cryosurgery ni iki?
Reka tubisobanukirwe n'urugero rworoshye cyane. Tekereza ufite agahu gato ku kuboko kwawe. Hari igihe abaganga bakoresha amazi akonje cyane kugira ngo bakureho agahu. Ubukonje bwica uturemangingo turi mu gahu. Ibyo ni nako bibaho mu kubaga umura w'inkondo y'umura.
Ikibaho hano ni uko muganga akoresha imiti ikonje cyane, nka azote y'amazi, kugira ngo 'akonje' cyangwa akonjeshe uturemangingo tudasanzwe turi hejuru y'umura wawe. Ubukonje bukabije butuma uturemangingo dupfa. Hanyuma, inzira karemano y'umubiri wacu yo gukira yemerera uturemangingo dushya kandi dufite ubuzima bwiza gukura muri ako gace. Ubu buryo bwo kuvura bwitwa kandi cryotherapy.
Mu bihe byashize, ubu buryo bwari buzwi cyane mu gukuraho uturemangingo tudasanzwe mu mura w'inkondo y'umura. Ariko ubu, muri Sri Lanka n'ahandi henshi ku isi, hakoreshwa uburyo bushya kandi bufite akamaro nka LEEP (Loop Electrosurgical Excision Procedure). Ariko, mu bihe bimwe na bimwe byihariye, ibitaro bimwe na bimwe biracyakora ubu buryo bwo kuvura indwara z'inkondo y'umura.
Ni nde ukeneye ubu buvuzi?
Hari ibihe byinshi muganga ashobora kukugira inama yo kuvura. Reka turebe ibyo ari byo.
- Uturemangingo tudasanzwe mu mura w'inkondo y'umura: Niba ikizamini cya Pap cyawe cyagaragaje ko uturemangingo twawe tw'inkondo y'umura tudasanzwe, cyangwa dufite ibyago byinshi byo kwandura kanseri (dysplasia yo mu mura w'inkondo y'umura), ubu buryo bushobora kuba inama yo gukuraho utwo turemangingo.
- Cervicitis: Hari igihe umura w'inkondo y'umura ushobora kwandura, kubyimba no gutukura. Ubu buryo bukoreshwa mu bihe bimwe na bimwe bidakira imiti.
- Ibibyimba mu gitsina: Ubu buryo bwo kuvura bushobora kandi gukoreshwa mu gukuraho ibibyimba biba ku buso bw'umura bitewe na virusi ya HPV.
- Kuva amaraso mu mura bidasobanuwe: Hari igihe kuva amaraso muke bishobora guterwa n'imitsi mito y'amaraso iri hejuru y'umura. Hari igihe ubu buryo bwo kuvura bukorwa.
Ni iki kibaho mbere yo kuvurwa?
Ubu si ukubagwa gukomeye. Ntabwo bizagusaba kuguma mu bitaro. Bishobora gukorerwa mu cyumba cya muganga (OPD). Bikorwa ukiri muzima. Nta mpamvu yo gukoresha ikinya rusange.
- Kubura ibisebe: Hari igihe muganga ashobora gutera agace gato k'ikinya mu mura w'inkondo y'umura. Ariko akenshi, ibyo si ngombwa kuko umura w'inkondo y'umura utagira uburyo bwo kumva imitsi.
- Gutuza: Niba ufite ubwoba bwinshi kandi uhangayitse, ushobora guhabwa umuti muto wo kugutuza.
- Kwitegura: Muganga wawe azakubwira kwirinda gukora imibonano mpuzabitsina kandi ntukinjize ikintu icyo ari cyo cyose mu gitsina cyawe mu masaha 24 kugeza kuri 48 mbere yo kuvurwa.
Ni iki kibaho mu gihe cyo kuvurwa? Intambwe ku yindi
Igikorwa cyose kimara iminota itarenze 10 , bityo nta mpamvu yo guhangayika. Bisa nkaho ari nko kwipimisha Pap smear.
1. Uburyo bwo kuryama: Ubwa mbere, uzasabwa kuryama ku buriri, ubusanzwe bukoreshwa mu gusuzuma abagore, amaguru yawe arambuye ku mpande.
2. Gushyiramo Speculum: Hanyuma, wibuka igikoresho ukoresha iyo ukorewe Pap smear? Igikoresho nk'icyo (speculum) gishyirwa mu gitsina hanyuma kigasunika buhoro buhoro inkuta z'igitsina kugira ngo umura w'inkondo y'umura ugaragare neza.
3. Cryoprobe: Hanyuma, muganga ashyira igikoresho kirekire, cyoroheje, gisa n'ikaramu mu gitsina (cyitwa cryoprobe). Amazi akonje cyane anyura muri iki gikoresho, bigatuma umutwe w'igikoresho ukonja nk'urubura.
4. Gukonjesha uturemangingo: Ubu muganga ashyira agace k'icyuma gikonje cyane aho uturemangingo tudasanzwe turi ku mura wawe maze akagafata aho ngaho mu gihe cy'amasegonda make cyangwa iminota mike. Ubu bukonje bukabije (nka dogere selisiyusi -20 kugeza -50) bukonjesha uturemangingo.
5. Kuraho icyuma hanyuma ugisubize: Hanyuma ukureho igikoresho hanyuma ureke aho hantu hakonje gato. Niba bibaye ngombwa, ongera ukonjeshe uturemangingo muri ubwo buryo. Nguko uko.
Akenshi, ibi ntibibabaza. Ushobora kumva umerewe nabi gato, nk'ububabare bwo mu gihe cy'imihango, mu nda yo hasi. Ariko ntugomba kumva ububabare ubwo aribwo bwose. Hari abantu bashobora kumva bameze nk'izuba nyuma yo kuvurwa.
Ni iki wakwitega nyuma yo kuvurwa?
Ushobora gutaha ubuvuzi burangiye. Nta mpamvu yo kuguma mu bitaro.
- Amasohoro arimo amazi: Nyuma yo kuvurwa, ushobora gutangira kuvamo amazi, rimwe na rimwe amaraso, mu gitsina cyawe mu gihe cy'ibyumweru bike . Ibi ni ibisanzwe cyane, rero ntugahangayike.Ibi bibaho kubera ko uturemangingo twakonje dupfa, tugashonga, tugasohoka mu mubiri. Ushobora gukoresha udupira tw'isuku kuri ibi. Ntugakoreshe tampons ku mpamvu iyo ari yo yose .
- Ububabare: Niba ubabara mu gifu gato, ushobora gufata imiti igabanya ububabare rusange nka parasetamol.
- Ibintu ugomba kwirinda: Irinde gukora imibonano mpuzabitsina kugeza igihe umura wawe ukize neza, bizatwara ibyumweru 2-3 . Nanone, irinde gushyira ikintu icyo ari cyo cyose mu gitsina cyawe (urugero: tampons, douches). Ibi bishobora gufasha kwirinda kwandura.
- Gukurikirana: Ibi ni ingenzi cyane . Muganga azaguha umunsi wo kugaruka. Muri icyo gihe, azasuzuma niba uturemangingo tudasanzwe twarazimiye burundu kandi niba umura warakize neza. Muri icyo gihe, ushobora kongera gupimwa Pap cyangwa, nibiba ngombwa, gupimwa biopsy.
Ni izihe nyungu n'ibibi by'ubu buryo bwo kuvura?
Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu buryo bwo kuvura indwara y’ibicurane bufite ibyiza n’ibibi. Reka tubirebe neza.
| Ibyiza | Imbogamizi |
|---|---|
| Ntabwo ari ukubagwa: Kubera ko nta gukomeretsa umubiri bibaho, ibyago byo kubabara, kuva amaraso, n'ingorane ni bike cyane. | Ntibishoboka gupima uturemangingo: Kubera ko uturemangingo twangiritse, igice cyakuweho ntigishobora koherezwa muri laboratwari kugira ngo harebwe niba hari uturemangingo twa kanseri. |
| Byihuse kandi byoroshye: Bifata iminota 10 kugira ngo birangire. Nta mpamvu yo kuguma mu bitaro. | Ntabwo ari ukuri cyane: Ntabwo ari ukuri nk'ubundi buryo (nka LEEP). Hari igihe uturemangingo tudasanzwe dushobora kubura. |
| Igiciro gito: Igiciro kiri hasi ugereranyije n'ibindi bikorwa byo kubaga. | Ntabwo nshobora kwibanda cyane:Ikora neza gusa ku tunyangingo turi hejuru y'umura w'inkondo y'umura. Ubu buryo ntibukora iyo utwo tunyangingo twinjiye cyane mu mura w'inkondo y'umura. |
| Nta ngaruka ku burumbuke: Ubu buryo muri rusange ntibugira ingaruka ku bushobozi bwo gutwita mu gihe kiri imbere. | Ntabwo bikwiriye indwara zikomeye: Ubu buryo ntibukwiriye mu gukuraho uturemangingo dufite ibyago byinshi byo guhinduka kanseri (urugero: CIN 3). |
Ubu buryo bwo kuvura bufite akamaro kangana iki?
Ubu buryo bwo kuvura bufite akamaro ka 90% . Bivuze ko mu bantu 90 mu 100 bavuwe, uturemangingo tudasanzwe ntituzongera kugaruka. Ariko, umubare muto cyane w'abantu ushobora kongera kugira uturemangingo tudasanzwe. Iyo bibaye, bazakenera ubundi buryo bwo kuvura, nka LEEP.
Ni ryari ugomba kuvugana na muganga?
Nubwo ari ibisanzwe kugira ikibazo cyo kubabara no kuva amaraso menshi nyuma yo kuvurwa, ibimenyetso bimwe na bimwe bishobora kuba ikimenyetso cy'ubwandu cyangwa izindi ngorane. Niba ufite kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya. Cyangwa ujye mu ishami rishinzwe ubutabazi bw'ibanze (ETU) riri hafi yawe.
| Ibimenyetso byo kwitondera | |
|---|---|
| 🌡️ Umuriro | Niba ubushyuhe bw'umubiri ari 100.4 Fahrenheit (38 Selisiyusi) cyangwa hejuru. |
| 🩸 Kuva amaraso menshi | Niba uva amaraso menshi kuruta uko bisanzwe mu mihango yawe ya buri kwezi. |
| 😖 Ububabare bukomeye mu nda | Ububabare bukabije mu nda yo hasi butagabanuka nubwo umuntu yafata parasetamol. |
| 👃 Amavuta anuka nabi | Niba amatembabuzi mu gitsina afite impumuro mbi (iki ni ikimenyetso cy'ubwandu). |
Muri make, kubaga indwara y'inkondo y'umura ni uburyo bushaje cyane, ariko buracyari uburyo bworoshye, bwizewe kandi bufite akamaro bukoreshwa rimwe na rimwe. Niba muganga wawe agusabye ubu buryo, ntutinye kubikora. Wibuke amakuru ari muri iyi nkuru, kandi uvugane na muganga wawe nta guhisha niba ufite ikibazo. Wowe na muganga wawe ni mwe mufata ibyemezo ku buzima bwanyu hamwe.
Ubutumwa bwo kujyana mu rugo
- Ubuvuzi bworoshye bukoresha ubukonje bukabije kugira ngo busenye uturemangingo tudasanzwe mu mura w'inkondo y'umura.
- Ubu si ukubagwa gukomeye. Bitwara iminota 10. Nta mpamvu yo kuguma mu bitaro.
- Ubuvuzi ntibubabaza cyane. Ushobora kumva ubabara gato, nk'uko bigenda mu gihe cy'imihango.
- Ni ibisanzwe rwose kuva amazi mu gitsina cyawe nyuma y'ibyumweru bike nyuma yo kuvurwa. Ntugahangayike.
- Irinde imibonano mpuzabitsina no gukoresha tampons kugeza igihe ikize neza (ibyumweru 2-3).
- Menya neza ko ugiye kwa muganga gukurikirana ikibazo . Ni ingenzi cyane.
- Niba ufite umuriro mwinshi, kuva amaraso menshi, ububabare bukabije, cyangwa kuva amaraso mu mubiri binuka, menyesha muganga wawe ako kanya.
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