Kuvugurura ibere ukoresheje ibice by'umubiri wawe: Menya ibijyanye no kubaga DIEP Flap

Kurwanya kanseri y'ibere si urugendo rworoshye. Muri urwo rugendo, ushobora kuba warakuwemo ibere ryose cyangwa igice cyaryo. Nyuma y'ibyo, ni ibisanzwe kwibaza uti 'Ese nkwiye kongera gukora ibere?' Iki ni icyemezo cy'umuntu ku giti cye. Rero, kuri mwe mutekereza gufata icyemezo nk'iki, uyu munsi turimo kuvuga ku buryo bugezweho buhari, DIEP Flap surgery.

Kubaga DIEP Flap ni iki?

Mu magambo make, ubu ni ukubagwa aho ukoresha ibice by'umubiri wawe bwite kugira ngo ukore ibere rishya risimbura iryakuweho. DIEP isobanura 'Deep Inferior Epigastric Perforator'. Iri ni izina ry'umuyoboro w'amaraso uri mu nda yawe yo hasi.

Muri ubu buvuzi, umuganga ubaga uruhu, ibinure, n'imitsi y'amaraso mu nda yo hasi akabikoresha mu kongera kubaka ibere.

Mu kubaga TRAM flap, ari bwo buryo bwa kera, ingingo zifatwa hamwe n'imitsi yo mu nda. Ibi bifata igihe kirekire kugira ngo bikire kandi imbaraga z'inda zigabanuka. Ariko, iki kibazo ntikibaho kuri DIEP flap. Kubwibyo, igihe cyo gukira kiba gito kandi imbaraga z'inda zirabungabungwa.

Ni nde ukeneye ubu buvuzi?

Gutunganya amabere ni uburyo bushobora gusuzumwa n'umuntu wese ushaka kongera kubaka amabere nyuma yo kubagwa kanseri y'ibere, haba kubagwa amabere cyangwa kubagwa ikibuno. Ibi bishobora gukorwa icyarimwe n'uko babazwe kanseri, cyangwa nyuma yaho.

Gufata icyemezo cyo kongera kuvugurura amabere ni icyemezo cy’umuntu ku giti cye. Hari abantu bafata iki cyemezo kubera impamvu nka:

• Gira umubiri mwiza kandi ugororotse.
• Gira icyizere kuko imyenda ijyanye neza.
• Ongera agaciro kawe.

Ese ubu ni bwo buryo bwonyine bwo kongera kubaka amabere?

Oya. Hari uburyo bubiri bw'ingenzi bwo kongera kubaka amabere. Niba ufata iki cyemezo, ugomba kuganira witonze ku byiza, ibibi, n'ingaruka za buri buryo na muganga wawe.

Ese hari aho kubagwa kwa DIEP Flap bidashobora gukorwa?

Yego, si bose bakwiriye ubu buvuzi. Hari igihe ubu buvuzi bushobora kutagukwiriye. Dore zimwe mu mpamvu zihari:

• Niba waramaze kubagwa DIEP flap cyangwa TRAM flap: Ushobora gukuramo inyama zo mu nda yawe muri ubu buryo rimwe gusa mu buzima bwawe.
• Niba nta ngingo zihagije z'ibinure ziri mu nda: Niba unanutse cyane, cyangwa niba warigeze kubagwa ibinure byo mu nda (`abdominoplasty` cyangwa `tummy tuck`), ushobora kuba udafite ingingo zihagije.
• Iyo hari ikibazo ku mitsi y'amaraso yo mu gifu: Hari igihe iyi mitsi y'amaraso iba mito cyane, cyangwa ikaba iri ahantu hagoranye kubagwa. Ariko ubu, bitewe n'ikoranabuhanga rigezweho, hari uburyo bwo kubaga iyi mitsi.
• Kubagwa mu nda mbere: Kubagwa mu nda bimwe mu bikomeye (nk'imashini yo gukata inda) bishobora kuba ikibazo. Ariko , kubagwa mu kibuno cyangwa kubagwa mu kibuno mu buryo bw'izuba akenshi si ikibazo. Iki ni ikibazo gikunze kugaragara ku bantu benshi, bityo vugana na muganga wawe kuri iki kibazo.

Witegura ute mbere yo kubagwa?

Muganga wawe azaguha amabwiriza yihariye y'icyo wakora mbere yo kubagwa, ariko dore ibintu rusange ugomba kwitegura:

• Kora imyitozo ngororamubiri yoroheje: Gukora imyitozo ngororamubiri yoroheje mu byumweru bike mbere yo kubagwa bishobora gufasha gukomeza imitsi yawe no kubungabunga ubuzima bwiza bw'umutima.
• Irinde kunywa itabi burundu: Irinde ikintu cyose kirimo nikotine. Ibi ni ingenzi cyane mu gukira kw'ibikomere.
• Hagarika gufata imiti imwe n'imwe: Imiti igira ingaruka ku kuvura kw'amaraso, nka aspirine na NSAIDs (imiti igabanya ubushyuhe itari steroide), ishobora gukenera guhagarikwa igihe runaka ukurikije inama za muganga.

Kubagwa bikorwa gute?

Ubusanzwe kubagwa bifata amasaha ari hagati ya 6 na 8. Ubu ni ukubaga gukomeye kandi kuremereye. Reka turebe gusa uko bigenda.

1. Anesthesia

Mbere yuko ubagwa utangira, uzaba warahawe ikinya cyose, bivuze ko uzaba usinziriye rwose kandi nta bubabare uzumva.

2. Gukata

Muganga azagukata igisebe kirekire mu nda yo hasi, hagati y'amagufwa yo mu kibuno. Ubusanzwe iki gisebe gikorwa mu buryo bushobora kwihisha imyenda y'imbere.

3. Gukuraho ingingo

Hanyuma, agapfundikizo karimo uruhu, ibinure n'imiyoboro y'amaraso gakurwamo witonze kuri iyo ngingo. Nanone, nta mitsi ikurwamo hano.

4. Kwimura ingingo

Noneho iki gice cy'umubiri kijyanwa mu gace k'igituza aho ibere rigomba gukorerwa. Aha niho igice kigoye kandi cy'ingenzi cyane cy'ubu buvuzi gikorerwa. Ni ukuvuga ko imiyoboro mito y'amaraso iri muri icyo gice cy'umubiri ishyirwa mu miyoboro y'amaraso iri mu gituza witonze cyane. Uburyo bwihariye bwitwa 'Microvascular surgery' burakoreshwa kuri ibi.

5. Gushushanya amabere

Iyo amaraso amaze guhuzwa neza, muganga akoresha iyo ngingo kugira ngo akore igituza gishya gihuye n'ikindi gituza kandi gisa n'icya kamere.

6. Gushyira amazi mu mwobo

Nyuma yo kubagwa, imiyoboro mito (imiyoboro y'amazi) ishyirwa mu bisebe byo mu nda no mu gituza kugira ngo amazi yose yakusanyirijwe mu bisebe asohoke. Ibi bikurwaho mu byumweru bike.

7. Gufunga

Amaherezo, ibisebe byo mu gituza no mu nda bifungwa hakoreshejwe imidozi. Iyo uruhu rwo ku nda rukuruwe rukadodwa, bikorwa mu buryo butuma ikibuno cyawe gisigara mu buryo busanzwe. Nk'inyungu yiyongereyeho, uruhu rwo ku nda ruzasa neza gato (rusa n'aho ruri mu nda) nyuma yo kubagwa.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Kimwe n'ibindi byose, hari inyungu n'ingaruka nto.

Ibyiza

• Imiterere n'imiterere karemano: Kubera ko ingirabuzimafatizo zawe bwite zikoreshejwe, ibere rishya rizasa neza kandi rimere nk'iry'umwimerere kuruta iryashyizwemo.
• Nta kwangirika kw'imitsi: Nkuko byavuzwe mbere, kubera ko imitsi yo mu nda idakomeretse, imbaraga zo mu nda ziguma uko zari zimeze.
• Ibisubizo Bihoraho: Ibisubizo ni ibihe byose. Ntabwo bizaturika, ntibikomera, ntibizengurutse nk'ibiterwa, cyangwa ngo bikenera gusimburwa igihe uzaba ukuze/ufite intege nke.
• Ubushobozi bwo kugarura ibyiyumvo: Hari ubwo, urwego runaka rw'ibyiyumvo rushobora kugaruka mu ibere rishya ryavuguruwe.

Ingaruka

Ibi bibaho gake cyane, ariko ni ngombwa kubimenya.

• Hernia: Ni gake cyane, igice cy'amara gishobora gusohoka mu gace gafite intege nke mu mitsi yo mu nda.
• Imiterere y'ibibyimba:Inkovu zishobora kwirema imbere mu ibere rishya zigasa n'ibibyimba bikomeye. Ibi bishobora kwishira ubwabyo, cyangwa bigakurwaho hakoreshejwe kubagwa gato.
• Gupfa kw'uturemangingo (`Necrosis`): Iyo amaraso agana ku turemangingo twatewe adahagije, igice cy'utwo turemangingo gishobora gupfa. Muri icyo gihe, igice cyapfuye kizaba ngombwa ko gikurwaho.

Bifata igihe kingana iki kugira ngo umuntu akire?

Bishobora gufata ibyumweru 6 kugeza kuri 8 kugira ngo ukire neza. Uzasabwa kwambara umwenda wihariye wo gukanda mu gituza no mu nda mu byumweru bike bya mbere. Ugomba kwirinda guterura ibintu biremereye, gukora imirimo ivunanye, n'ibindi bikorwa birimo guterura amaboko hejuru mu byumweru bike bya mbere.

Ushobora kwitega ibi bintu:

• Kubura ibinya: Ushobora kumva ibinya mu ibere ryawe rishya no mu nda. Ibi bishobora gufata umwaka wose kugira ngo bishire burundu.
• Ububabare n'ububabare: Ububabare mu gituza no mu nda buzagabanuka cyane nyuma y'ibyumweru bibiri.
• Kubyimba: Kubyimba hafi y'amabere, mu kwaha no mu nda bishobora kumara ibyumweru byinshi.
• Gukomera k'uruhu: Ushobora kumva uruhu rw'inda yawe n'amabere bikugoye.

Igipimo cy'intsinzi kiri hejuru cyane kigera kuri 96% - 99%. Nta kintu na kimwe cyo guhangayikishwa nacyo.