Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo muganga wawe akubwira ngo "fata agace gato k'umwijima wawe ngo upimwe" (Liver Biopsy). Ni nde udakunda kumva amagambo ngo "gutera urushinge," sibyo? Ariko ibi mu by'ukuri ntabwo biteye ubwoba nkuko tubitekereza. Ibi bishobora kugufasha kumenya neza ikibazo cy'umwijima wawe. Reka tubiganireho kuva mu ntangiriro.
Uburyo bwo gusuzuma umwijima (biopsy) ni iki?
Muri make, gupima umwijima ni uburyo bwo gukuramo agace gato cyane k'umubiri (urugero rw'ingingo) mu mwijima wawe hakoreshejwe urushinge rwihariye. Hanyuma uru rugero rw'umubiri rusuzumwa hifashishijwe mikorosikopi na muganga w'inzobere mu gupima ingingo, witwa inzobere mu ndwara. Iki kizamini gishobora gufasha kumenya neza ubwoko bw'indwara umwijima wawe ufite.
Akenshi, uba uterwa ikinya burundu, bivuze ko udasinzira. Ariko, niba ufite ubwoba cyangwa uhangayitse, ushobora guhabwa umuti wo kuruhuka (umuti) kugira ngo ugire icyo ugeraho. Ibi bizagufasha kubikora utiriwe wumva ubabaye cyane.
Kuki ukeneye isuzuma ry'umwijima?
Muganga ashobora kukwohereza kuri iki kizamini kubera impamvu zitandukanye.
- Niba ibisubizo by'ibipimo by'amaraso yawe bigaragaza ko hari enzymes nyinshi z'umwijima zidakira.
- Niba uruhu rwawe rwahindutse umuhondo nta mpamvu igaragara, bivuze ko ufite indwara y'umuhondo.
- Niba isuzuma ry'umwijima wawe (nk'isuzuma rya ultrasound cyangwa isuzuma rya CT) rigaragaje ko hari ikibazo kirimo, nk'ikibyimba,
- Iyo umwijima wabyimbye kandi ukarushaho kwiyongera nta mpamvu.
Iki kizamini gishobora gusuzuma neza indwara nyinshi ziterwa n'umwijima. Urugero:
- Kanseri y'umwijima
- Indwara y'umwijima urimo ibinure byinshi
- Reba uburyo indwara nk'iz'umwijima wa B na C zikomeye
- Reba niba umwijima wararwaye cirrhose, kandi niba ari uko bimeze, kugeza ku rugero rungana iki.
Nanone, niba umuntu asanzwe avurwa indwara y'umwijima, iki kizamini cya biopsy gishobora gufasha kumenya niba ubuvuzi bwagenze neza.
Ese ibi koko birababaza?
Iki ni cyo kibazo gikomeye ku bwenge bwa buri wese. Ni ibisanzwe gutekereza ku bubabare iyo wumvise ijambo "gutera urushinge ugafata igice." Ariko ukuri ni uko, ntukumva ububabare ubwo urushinge rwa biopsy rwashyizwe mu mwijima.
Muganga azabanza gutera umuti ugabanya ububabare mu gace k'uruhu aho urushinge ruzashyirwa. Ibi bisa no gukaraba ishinya mbere yo gukura iryinyo. Ushobora kumva ushyushye gato iyo utewe urushinge, ariko agace kazaba gashize burundu mu munota umwe. Hanyuma, iyo urushinge rwa biopsy rushyizwemo, uzumva gusa igitutu gito, ntabwo ari ububabare.
Ni ubuhe buryo bwo gukora biopsy y'umwijima?
Hari uburyo bwinshi bwo gupima umwijima. Muganga wawe ni we uzagena uburyo bwiza bujyanye n'ikibazo cyawe.
| Uburyo bwo gusuzuma (biopsy) | Uburyo bwo kubikora mu buryo bworoshye |
|---|---|
| Isuzuma ry'umubiri (Biopsy) ku ruhu | Ubu ni bwo buryo bukunze gukoreshwa kandi bworoshye. Nyuma yo gukaraba uruhu, urushinge rushyirwa mu ruhu rwo mu nda rujya mu mwijima hanyuma hagafatwa agace k'urugingo. |
| Isuzuma ry'ibinyabuzima ryashyizwe mu buryo buziguye | Kimwe n'ibyavuzwe haruguru, ariko nyuma yo gukuraho urushinge, urushinge rushyirwaho gel yihariye. Ubu buryo bukoreshwa ku bantu bafite ibyago byinshi byo kuva amaraso. |
| Uburyo bwo gupima hakoreshejwe Laparoscopic Biopsy | Hakorwa akato gato cyane mu nda, hanyuma hagashyirwamo umuyoboro ufite kamera (laparoscope). Kamera ireba umwijima igafata agace k'uruti mu gace wifuza. Uzaterwa ikinya burundu kuri ibi. |
| Isuzuma ry'imitsi/Transjugular Biopsy | Ubu buryo bukoreshwa ku bantu bafite ibibazo byo kuvura amaraso. Umuyoboro muto cyane (catheter) unyura mu muyoboro munini w'amaraso uri mu ijosi (umutsi wo mu ijosi) ukagera mu mwijima, hanyuma urushinge rwa biopsy rugaca muri uwo muyoboro kugira ngo hafatwe igice cy'uruti. |
Ni gute nakwitegura mbere yo gukora biopsy?
Hari ibintu bike ugomba gukora mbere y'iki kizamini. Ni ngombwa cyane ko ukurikiza neza ibi.
- Bwira muganga wawe byose: Niba utwite, ufite indwara y'umutima cyangwa y'ibihaha, ufite allergie ku miti imwe n'imwe, cyangwa ufite ibibazo byo kuva amaraso, babwire byose mbere y'igihe.
- Tubwire imiti yose ufata:Bwira muganga wawe imiti yose, vitamine, n'inyongeramusaruro ufata. Ni ingenzi cyane kubibwira muganga wawe niba ufata imiti igabanya amaraso, nka aspirine, clopidogrel (Plavix), warfarin (Coumadin), cyangwa apixaban (Eliquis) . Muganga wawe ashobora kugusaba guhagarika gufata iyi miti iminsi mike mbere yuko ukorerwa biopsy.
- Baza ibibazo: Vugana na muganga wawe ku kibazo cyangwa impungenge ushobora kuba ufite kuri ibi.
- Kureka kurya no kunywa: Muganga wawe azakubwira amasaha angahe mbere yo kubagwa ugomba kureka kurya no kunywa. Kurikiza neza icyo gihe.
- Umuntu wo kugutwara mu rugo: Kubera ko utazashobora gutwara imodoka yawe ubwawe nyuma yo gupimwa, zana umuntu wo kugutwara mu rugo.
Ni iki kibaho ku munsi wo gukorerwa isuzuma ry’umubiri (biopsy)?
Ubusanzwe iyi gahunda igenda gutya.
Mbere yo gupimwa (biopsy)
Muganga azagusobanurira uburyo bwose bwo gukora, akubwire ingorane zishobora kubaho, kandi akubwire uburenganzira bwawe. Nibiba ngombwa, azaguha umuti wo kuruhuka kugira ngo agufashe kuruhuka. Bashobora kandi gukora ultrasound kugira ngo babone aho bashyira urushinge.
Iyo isuzuma rya biopsy rirangiye
Uzahabwa ikanzu yo kwa muganga hanyuma usabwe kuryama ku buriri. Akenshi, uzasabwa kuryama ufite ukuboko kw'iburyo munsi y'umutwe wawe n'inkokora y'iburyo irambuye. Ni ngombwa kuguma utuje uko bishoboka kose muri iki gihe. Muganga azasukura aho hantu, atange umuti utuma umuntu ababara, afate agace gato, ashyiremo urushinge rwa biopsy, hanyuma mu masegonda make, akureho agace k'uruti. Igikorwa cyose kimara iminota 15-30.
Nyuma yo gupimwa
Hanyuma uzashyirwa mu cyumba cyo gukira mu gihe cy'amasaha 2-4 kugira ngo urebe niba umuvuduko w'amaraso yawe n'imitsi y'amaraso yawe ari ibisanzwe.
- Ushobora kumva ububabare gato aho watewe inshinge, ndetse ukumva ububabare mu rutugu cyangwa mu mugongo. Imiti igabanya ububabare izatangwa nibiba ngombwa.
- Irinde guterura ibintu biremereye cyangwa gukora imyitozo ngororamubiri iremereye mu gihe cy'icyumweru kimwe nyuma yo gukorerwa ibizamini.
- Ntugafate imiti igabanya amaraso nka aspirine utabanje kugisha inama muganga. Ushobora gufata parasetamol (acetaminophen) bibaye ngombwa.
- Muganga azabigusobanurira igihe azaba yabonye raporo y'ibizamini byawe mu minsi mike.
Ese hari ingaruka mbi zihari muri ibi?
Akenshi nta ngorane zibaho. Ariko, ni byiza kumenya ibintu bidasanzwe bishobora kubaho.
- Kuva amaraso: Ushobora kuba urimo kuva amaraso imbere. Uzakurikiranwa mu bitaro kugira ngo bigenzurwe.
- Kuva kw'inkari: Inkari ishobora kuva mu mwijima cyangwa mu gasabo k'inkari.
- Ibibazo bifitanye isano n'ibihaha:Ni gake cyane, urushinge rwa biopsy rushobora kugera kuri pleura, rukangiza ibihaha (pneumothorax).
Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku buzima.
Niba hari kimwe muri ibi bimenyetso bikurikira kigaragaye mu masaha 72 nyuma yo gupimwa, hamagara muganga wawe ako kanya, cyangwa ujye mu bitaro bikuru byihutirwa (ETU) biri hafi aho.
- Umuriro cyangwa ubukonje
- Kuzungera
- Guhumeka bigoranye
- Kubabara mu gatuza
- Kubyimba inda cyangwa kuzura
- Ububabare bwo mu gifu burushaho kwiyongera
- Gutukura, kubyimba, n'ububabare bukomeye aho umuntu yapfumuwe
Niba ubabara mu gatuza cyangwa ukumva bigoye guhumeka, hamagara 1990 ako kanya.
Ubutumwa bwo kujyana mu rugo
- Gupima umwijima ni ikizamini cyizewe kandi gikunze gukorwa gisuzuma neza ubuzima bw'umwijima wawe.
- Kubera ko uruhu rugira ibinya iyo ubikoze, ntabwo rwumva rubabaza nkuko wabitekereza. Uba wumva gusa urimo gushyuha gato.
- Ni ingenzi cyane kugira ngo umutekano wawe ukurikize amabwiriza ya muganga mbere na nyuma y’ikizamini.
- Niba hari ibimenyetso bidasanzwe (umuriro, ububabare bukabije, guhumeka bigoranye) bigaragaye nyuma yo gupimwa, shaka ubufasha kwa muganga vuba.
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