Ese muganga yakubwiye ko ufite ikibyimba gito mu mara yawe cyangwa mu muhogo gikeneye gukurwaho? Iyo ubyumvise, benshi muri twe turatinya kandi tugahangayika, tukibaza tuti "Ese, nzagomba kubagwa bikomeye?" Ariko hamwe n'ikoranabuhanga rigezweho ry'ubuvuzi rihari muri iki gihe, hari uburyo butangaje bwo gukuraho ibi bintu udakoze incision nini mu mubiri. Uyu munsi, tugiye kuvuga ku buryo bumwe budasanzwe bwo kuvura, butagira ingaruka nyinshi.
Mu magambo make, Endoscopic Submucosal Dissection (ESD) ni iki?
Ibi biroroshye cyane kubyumva. Ushobora kuba warumvise ikizamini cya ' endoscopy '. Uburyo bwo gushyiramo umuyoboro woroshye ufite kamera binyuze mu kanwa cyangwa mu kibuno kugira ngo usuzume umuyoboro w'ibiribwa . Ibi ni bimwe. Ariko birateye imbere gato.
Muri ESD, umuganga w’indwara z’igifu akoresha endoscope kugira ngo ashyiremo ibikoresho byo kubaga byiza cyane. Hanyuma, ingingo idasanzwe iri mu rukuta rw’inzira y’igifu yawe, igice gisa n’ikibyimba , iracibwamo neza ikayikuraho. Igice cyiza ni uko ibi byose bibaho nta gukata inyuma y’umubiri wawe. Ibi bivuze ko ububabare buba buke ugereranyije n’igihe cyo kubagwa cyane, kandi ushobora gukira vuba.
Ni ubuhe bwoko bw'indwara uburyo bwa ESD bufitiye akamaro?
Ubu buryo bwo kuvura bukoreshwa mu gukuraho ibibyimba bya kanseri cyangwa mbere y’uko kanseri ivuka, polyps , cyangwa ibisebe mu nzira y’igogora. ESD ikora neza cyane ku ndwara zikurikira:
- Umuyoboro wa Barrett : Muri iki kibazo, uturemangingo two mu gice cyo hasi cy'umuyoboro turahinduka mu buryo budasanzwe. Nyuma yaho dushobora guhinduka kanseri.
- Kanseri y'inkondo y'umura
- Kanseri yo mu nda
- Kanseri y'amara mato
- Kanseri y'igifu
Igikuru ni uko ubu buryoUbushobozi bwo gukuraho burundu uturemangingo twa kanseri cyangwa ingingo zidasanzwe mu gice kimwe . Ibi bituma byoroha kwemeza niba indwara yarakuweho burundu.
Ni irihe tandukaniro riri hagati ya ESD na EMR?
Ushobora kuba warumvise ubundi buryo bwitwa `Endoscopic Mucosal Resection (EMR).` Ubu buryo bwombi ni uburyo bwo kuvura bukoresha endoscope. Ariko, hari itandukaniro rito hagati yabwo. Reka turebe icyo ari cyo.
| Ikiranga | Guca Udukoko mu Mucosa (EMR) | Gucamo ibice bya Endoscopic Submucosal (ESD) |
|---|---|---|
| Aho intego iherereye | Ibibyimba biri ku buso bw'imbere mu nzira y'igogora (mucosa) birakurwaho. | Uretse ibibyimba byo hejuru, ibibyimba byagiye byinjira gato mu ruhu nabyo bishobora gukurwaho. |
| Uburyo bwakoreshejwe | Ikibyimba gikurwaho hakoreshejwe inshinge y'amazi munsi yacyo, ukagiterura, hanyuma ukagikata n'ikintu kimeze nk'icyuma gitereye. Hari igihe gikurwamo ibice byinshi. | Hakoreshejwe icyuma cyabugenewe gikoresha amashanyarazi, imbuto zicibwa neza cyane hirya no hino no munsi, zigakurwamo igice kimwe . |
| Ibihe byiza cyane | Ku mbuto ntoya cyane, zo hejuru. | Ku bibyimba binini, birambuye, cyangwa byatangiye gukuriraho gato, cyane cyane mu gihe cy'ibibyimba bya kanseri, ni byiza kubikuraho burundu. |
Witegura ute mbere yo kuvurwa?
Ibi ntibisaba kwitegura cyane. Muganga wawe azaguha amabwiriza nyayo ukeneye.
- Niba endoscope irimo gushyirwa mu kanwa (urugero: mu gifu, mu muhogo): Uzasabwa kwirinda kurya cyangwa kunywa amasaha make mbere yo kuvurwa.
- Iyo bishyizwe mu mara (urugero, mu mara): Uzasabwa "gutegura amara." Ibi bivuze ko uzakenera gufata umuti wo koroshya amara muganga azakwandikira kugira ngo akure neza mu mara yawe. Ibi bizatuma muganga abona neza imbere mu mara yawe.
Ni iki kibaho mu gihe cyo kuvurwa?
Nta mpamvu yo guhangayikishwa n'ibi. Umuganga w'inzobere mu by'imiti azagusinzira burundu (`Anesthesia Rusange`), cyangwa aguhe imiti igufasha kuruhuka no kutababara. Nta kintu na kimwe uzumva muri iki gihe.
Mu gihe cyo kuvurwa, muganga azakurikiza izi ntambwe:
1. Umuyoboro wa endoscope ushyirwamo unyuze mu kanwa cyangwa mu nda.
2. Urebye muri kamera, jya aho iyo kanseri idasanzwe iri.
3. Aho ikibyimba kiri hashyizweho ikimenyetso cyabigenewe.
4. Kugira ngo wirinde kwangiza uturemangingo tw’umubiri turi munsi ya kanseri, haterwa amazi yihariye munsi ya kanseri. Ibi bituma habaho "umusego" munsi ya kanseri, ukazamura iki kibyimba hejuru.
5. Hanyuma, hakoreshejwe icyuma gikoresha amashanyarazi menshi, ikibyimba kiracibwa burundu kikavanwaho.
Ubu buryo bwose bushobora gufata isaha imwe cyangwa eshatu.
Ni iki kibaho nyuma yo kuvurwa? Kandi ni izihe ngaruka zishobora kubaho?
Nyuma yo kuvurwa, uzakurikiranwa mu cyumba cyo gukira kugeza igihe uzabyutse uvuye mu gihe cyo gusinziriza. Uduce twakuweho twoherezwa muri laboratwari kugira ngo dusuzumwe. Aho ngaho, inzobere mu ndwara zirawusuzuma kugira ngo zirebe niba hari uturemangingo twa kanseri kandi niba kanseri yose yarakuweho.
Ushobora gutaha uwo munsi, cyangwa ukaba ugomba kurara mu bitaro ijoro ryose. Icy'ingenzi kurushaho, bifata amasaha agera kuri 24 kugira ngo ingaruka z'ikinya zishire burundu, bityo uzakenera kuza n'umuntu ukamujyana mu modoka.
Nyuma yo kuvurwa hashobora kubaho ububabare buto mu gihe cy'umunsi umwe cyangwa ibiri, ariko hari ibintu bimwe na bimwe ugomba kumenya.
| Ingaruka zisanzwe z'igihe gito (zikira mu minsi 1-2) | Igihe cyo kujya kwa muganga wawe cyangwa Ishami ry’Ubutabazi bw’ibanze (ETU) byihutirwa |
|---|---|
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Ingorane za ESD ni gake cyane, ariko zishobora kuba zirimo kuva amaraso, gutobora igifu, cyangwa gufungana k'umuyoboro w'amaraso. Ibi ni gake cyane.
Bifata igihe kingana iki kugira ngo umuntu akire?
Abantu benshi bashobora gusubira mu mirimo yabo isanzwe nyuma y'iminsi 5. Ariko, niba ufite akazi gasaba imbaraga nyinshi, muganga wawe ashobora kukugira inama yo kuruhuka gato. Gutembera mu mara bishobora kuba bitameze neza mu gihe cy'icyumweru kimwe nyuma yo kuvurwa.
Uzasabwa kongera kubonana na muganga nyuma y'ibyumweru bibiri nyuma yo kuvurwa. Hanyuma mushobora kuganira ku byavuye muri raporo ya laboratwari no kumenya niba ukeneye ubundi buvuzi.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwo kuvura bwa Endoscopic Submucosal Dissection (ESD) ni uburyo bugezweho bwo kuvura bukuraho kanseri zo mu cyiciro cya mbere cyangwa ibibyimba bidasanzwe mu mfunyarazi hatabayeho gukata cyane hanze y'umubiri.
- Ibi bikuraho ingingo idasanzwe mu gice kimwe, bigatuma byoroha kwemeza ko indwara yakuweho burundu.
- Ntibabaza cyane nk'uko bikorwa mu kubaga bisanzwe, gukira vuba cyane, kandi nta nkovu zikomeye zibaho.
- Kurikiza amabwiriza ya muganga wawe witonze mbere na nyuma yo kuvurwa.
- Niba ugize ibimenyetso nko kuva amaraso menshi, kubabara cyane, umuriro, cyangwa guhumeka nabi nyuma yo kuvurwa, menyesha muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe.
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