Urashaka kumenya ibijyanye no gucibwa kwa cyst? Ntutinye, reka tuganire!

Iyo wumvise ko uruhago rwose ruzakurwaho, abantu bose bagira ubwoba, sibyo? "None se nzanyara nte?", "Ese nshobora kubaho nta ruhago mfite?" Ibibazo byinshi bishobora kuza mu mutwe wawe. Ariko ntugahangayike. Ibi ntabwo biteye ubwoba nkuko ubitekereza. Kubera ko siyansi y'ubuvuzi yateye imbere, hari ibisubizo kuri ibi byose. Reka tuvuge kuri byose mu buryo bworoshye, intambwe ku yindi.

Gukuraho ururenda rw'ikibyimba (cystectomy) ni iki?

Muri make, gucibwamo uruhago ni ukubaga kugira ngo ukuremo uruhago rwawe. Uruhago rwawe ni urugingo rworoshye, rumeze nk'umufuka rushobora gushyiramo ibikombe bibiri (mililitiro 500) by'inkari. Ubu buvuzi bukunze gukorwa mu rwego rwo kuvura kanseri y'uruhago. Ariko, bushobora no kuba igisubizo ku zindi ndwara z'uruhago.

Ikibazo gikomeye ushobora kuba wibaza ubu ni iki: "Ese ushobora kubaho udafite uruhago?"

Ni nde ukeneye ubu buvuzi?

Hari impamvu nyinshi z'ingenzi zituma habaho kubagwa cystectomy. Ubu buryo bwo kubagwa bushobora gukorerwa indwara za kanseri ndetse n'izindi ndwara zitari kanseri.

Ni ubuhe bwoko bw'ubuvuzi bwo kubaga cystectomy?

Bitewe n'uko umeze, igice cy'inkari yawe cyangwa igice cyose gishobora gukurwaho. Hari ubwoko butatu bw'ingenzi bwo kubaga.

Gukuraho igice cy'uruhago (Partial Cystectomy)

Ibi bikubiyemo gukuraho igice cy’uruhago gifite indwara gusa. Igice gisigaye gishobora gukoreshwa mu gukusanya inkari. Ariko, nyuma yo kubagwa, uruhago ruzaba ruto ugereranije na mbere. Ubu si ukubaga gusanzwe.

Gukuraho uruhago gusa (Simple Cystectomy)

Uku kubaga uruhago gusa, ntabwo ari ukuvanaho izindi ngingo zirukikije. Ubu kubaga akenshi bukorerwa indwara zitari kanseri.

Gukuraho uruhago n'ingingo zirukikije mu buryo bwa radical cystectomy (gukuraho uruhago n'izindi ngingo zirukikije)

Ubu ni bwo bwoko bw'ubuvuzi bukunze gukoreshwa cyane, cyane cyane kuri kanseri. Bukubiyemo gukuraho uruhago hamwe n'izindi ngingo n'imitsi birukikije. Ibi bishobora kwangiza imitsi igera hafi y'uruhago, ibi bikaba byagira ingaruka ku mikorere y'imibonano mpuzabitsina.

• Iyo ubu bubagwa bukorewe ku mugabo , muganga ashobora gukuramo ibice nk'uruhago, igice cy'umuyoboro w'inkari, prostate gland, vesicles z'imisemburo, na vas deferens.
• Iyo umugore akorewe ubu bubagwa, uruhago rwe, umuyoboro w'inkari, igice cy'igitsina cye, umura, inkondo y'umura, n'intanga ngore bishobora gukenerwa gukurwaho. Ariko, abaganga bagerageza kurokora imboro, umura, n'intanga ngore igihe cyose bishoboka. Ni ngombwa kuganira na muganga wawe ku cyakubera cyiza.

Uburyo bwo kubagwa bukorwa n'uburyo bushya bwo kunyara

Kubaga cystectomy ni ukubaga gukomeye bifata amasaha agera kuri 3-6. Bishobora gukorwa nk'ukubaga ku mugaragaro cyangwa nk'ukubaga mu buryo budakunze kugaragara cyangwa nk'ukubaga mu buryo bwa roboti.

Nyuma yo kubagwa, hashyirwaho uburyo bushya (guhindura inkari) kugira ngo inkari zisohoke mu mubiri. Hari uburyo bwinshi bw'ingenzi bwo kubigeraho:

• Umuyoboro w'amaraso wa Ileal: Ubu ni bwo buryo bukunze gukoreshwa cyane. Muri ubu buryo, igice cy'amara mato gifatwa, kigahinduka umuyoboro, hanyuma uturemangingo tw'amaraso tuva mu mpyiko tugahuzwa na wo. Hanyuma impera y'amara ifatanywa n'umwobo muto (stoma) ukorerwa mu ruhu rw'inda. Inkari zisohoka mu mwobo zikinjira mu gafuka kadasanzwe (urostomy bag) gafatanye na wo.
• Guhindura ibice by'umubiri: Aha, agapfunyika kaba kakozwe mu mubiri uhereye mu gice cy'amara gikusanya inkari. Aka gapfunyika kandi gahujwe n'umwobo (stoma) ku ruhu. Ariko, inkari ntizisohoka zonyine. Buri masaha 4-6, ugomba gushyiramo catheter hanyuma ugakuraho agapfunyika.
• Neobladder (kurema uruhago rushya): Iyo urethra yawe imeze neza, uruhago rushya rushobora gukorwa mu gice cy'amara hanyuma rugashyirwa ahantu hamwe n'aho uruhago rwa kera rwari ruri. Hanyuma rugahuzwa n'uruhago. Hanyuma ushobora kunyara nk'uko bisanzwe. Ariko, rimwe na rimwe ushobora gukenera gukoresha catheter kugira ngo uvane inkari zawe zose.

Gukira no kwitabwaho nyuma yo kubagwa

Uzakenera kumara iminsi igera kuri 5-7 mu bitaro nyuma yo kubagwa. Bishobora gufata ibyumweru cyangwa amezi menshi kugira ngo ukire neza. Hari ibintu bike ugomba kumenya muri iki gihe.

• Nywa amazi menshi: Komeza umubiri wawe ugire amazi menshi. Ni byiza kandi gufata ikinyobwa nka ORS hamwe n'amazi.
• Fata urugendo rworoheje: Kugenda buhoro buri munsi nyuma yo kubagwa ni byiza ku gutembera kw'amaraso kandi bigufasha gukira vuba.
• Komeza amara yawe akore: Nyuma yo kubagwa, amara yawe ashobora kugabanuka gato (ileus). Ikintu cyiza cyo gukora kuri ibi ni ukunywa amazi no kugendagenda.
• Koresha umusego mu gihe ukorora: Niba igikomere cyawe cyo kubagwa kikubabaza iyo ukorora cyangwa witsamuye, shyira umusego witonze ku nda yawe. Ibi bizagufasha kugabanya ububabare.
• Gusinzira neza: Kuruhuka ni ingenzi kugira ngo umuntu akire vuba.
• Shaka ubufasha bwo mu mutwe: Kuganira n'umuntu wakorewe ubu bwoko bw'ubu burwayi bishobora kuba isoko ikomeye y'imbaraga. Baza muganga wawe inama kuri ibi.

Ingaruka zo kubagwa n'igihe cyo kubonana na muganga

Nk’uko bigenda mu kubagwa gukomeye kose, gucibwamo cyst bigira ingaruka zimwe na zimwe. Muri zo harimo kuva amaraso, kwandura no kwangirika kw’ingingo zikikije. Hari kandi n’ingorane zishobora kubaho, nko kwandura indwara zo mu nzira y’inkari (UTIs), kuribwa mu nda cyangwa impiswi, ibibazo byo kwinjiza intungamubiri nka vitamine B12, ndetse n’impinduka mu mikorere y’imibonano mpuzabitsina.