Ese muganga wawe yakubwiye ko ugomba gukuraho akantu gato k'ikibyimba, igisebe, cyangwa uturemangingo tudasanzwe mu ruhago rwawe ukoresheje amashanyarazi? Ushobora kuba waragize ubwoba gato ubwo wumvise ibi byitwa 'Fulguration'. Ni nde utatinya iyo avuze "gutwika amashanyarazi", sibyo? Ariko ibi mu by'ukuri nta cyo ugomba gutinya. Ubu ni uburyo bwo kuvura bugezweho bukorwa mu buryo bugenzurwa kandi bwizewe hatabayeho gukata cyane nko kubaga. Reka tubiganireho neza, mu buryo bworoshye, kandi dukemure ibibazo byose ufite mu mutwe.
Mu magambo make, Fulguration ni iki?
Tekereza uburyo inkuba ikubita ikirere, ikarema urumuri n'ubushyuhe. Ijambo "fulguration" rikomoka ku ijambo ry'ikilatini risobanura "gukubita n'inkuba." Ariko ibi ntabwo biteye akaga nk'inkuba.
Muri make, ubu buryo bukoresha umuganga w’inkari (urologist) akoresheje igikoresho cyihariye kugira ngo akore akantu gato cyane gakoreshwa mu gupima amashanyarazi. Iki gikoresho ntigishyirwa ku ruhu rwawe mu buryo butaziguye. Ahubwo, akantu gakoresha amashanyarazi kanyura mu mwuka uri hagati y’igikoresho n’ingingo zivurwa, kagasenya uturemangingo tudasanzwe. Mu yandi magambo, karatwika, kagamenagura, kakanakuraho utwo turemangingo.
Ubushyuhe buturuka muri ubu buryo bugira ingaruka gusa ku ruhu cyangwa ku rukuta rw'inkari. Bityo, nta kwangirika kw'ingingo z'ingenzi cyangwa ingirabuzima fatizo ziri imbere. Nanone, ubu buryo bushobora guhagarika kuva amaraso.
Muri rusange, niba muganga wawe yagusabye ubu buryo bwo kuvura, ni ngombwa mu buvuzi. Mu bitaro bya leta, nta yandi mafaranga yishyurwa. Mu bitaro byigenga, ubwishingizi bwawe buzabigufashamo. Muganga wawe n'abakozi b'ibitaro bazabikumenyesha.
Kuki ushaka gukora ubu buryo bwo kuvura indwara ya Fulguration?
Ubu buryo bwo kuvura bukoreshwa mu kuvura indwara zitandukanye z'inkari. Ni uburyo bwiza cyane bwo gusenya uturemangingo twa kanseri, uturemangingo tutaratangira kanseri, ndetse n'utubyimba tudahumanye.
| Indwara | Ni gute Fulguration ifasha? |
|---|---|
| Kanseri y'uruhago | Kubaga byitwa TURBT (Transurethral Resection of Abstract Tumor) bikorwa kugira ngo bapime kandi bavure kanseri itarakwirakwira mu mitsi y'uruhago. Gutera impumuro mbi bikoreshwa mu gukuraho uturemangingo twa kanseri no guhagarika kuva amaraso. |
| Indwara ya Cystitis yo mu bwoko bwa Interstitial | Ibi bituma inkuta z'uruhago zibyimba kandi zikababara. Ushobora kandi kubona amaraso mu nkari zawe. Ubu buryo bufasha kugabanya ibimenyetso binyuze mu gukuraho ibisebe bibabaza n'ibisebe bibaho bitewe n'iyi ndwara. |
| Polyps zo mu rukenyerero | Utu duce duto, tutari kanseri. Dushobora gutera ububabare no gukenera kunyara kenshi. Gutera impumuro mbi bishobora gukuraho utwo duce duto byoroshye. |
| UTI zisubira kuba | Ubu buryo bwo kuvura bushobora gukoreshwa mu kugabanya ibyago byo kwandura, cyane cyane ku bagore bafite indwara zidakira zo mu nzira y'inkari zidashobora gukemurwa n'imiti yica udukoko, cyane cyane nyuma yo gucura. |
| Diverticula y'uruhago | Utu ni udufuka duto twibasira urukuta rw'uruhago. Utu dufuka dushobora gutuma bigorana gusohora uruhago rwose no gutera ububabare. Gukuraho utwo dufuka hakoreshejwe fluguration. |
Ni iki kibaho mbere no mu gihe cyo kuvurwa?
Ubu ni uburyo bwo kuvura budatera indwara nyinshi, bityo nta mpungenge ufite.
Menya ibi bintu mbere yo kuvurwa
Muganga wawe azaguha inama ukeneye, ariko ushobora no kubaza no gusobanura ibi bintu:
- Ese hari igihe ngomba kureka kurya no kunywa mbere yo kuvurwa ?
- Ese ngomba guhagarika gufata imiti iyo ari yo yose nsanzwe nywa?
- Ese nshobora gutaha umunsi umwe nyuma yo kuvurwa, cyangwa nzagomba kuguma mu bitaro?
- MpaNi ubuhe bwoko bw'ikinya bukoreshwa? (Ese butuma umubiri wose ucika intege, cyangwa butuma igice cy'umubiri gicika intege gusa?)
- Ese ukeneye umuntu wo kugutwara mu rugo?
Mu gihe cyo kuvurwa
Ubu buryo uzabukorerwa mu cyumba cyo kubaga. Niba uhawe ikinya rusange, nta kintu na kimwe uzumva, uzaba usinziriye. Hari igihe ushobora no guhabwa ikinya cyo mu gace runaka kugira ngo ushire ibisebe ahantu hadakora neza gusa.
1. Ubwa mbere, muganga ashyiramo igikoresho cyitwa cystoscope binyuze mu muyoboro w'inkari. Uyu ni umuyoboro muremure, muto ufite kamera n'urumuri. Ibi bigufasha kubona imbere mu ruhago rwawe.
2. Hanyuma, ahantu hagaragara ingirangingo, ibibyimba, cyangwa ibisebe bidasanzwe.
3. Noneho, hakoreshwa ikindi gikoresho cyitwa resectoscope . Aha niho umuriro w'amashanyarazi ugenzurwa woherezwa unyuze mu mugozi muto.
4. Iyi shashi y'amashanyarazi isenya ingirangingo zidasanzwe. Inafunga imiyoboro y'amaraso yoroshye muri ako gace, igahagarika kuva amaraso.
Igihe bifata kuri ubu buryo bwose giterwa n'ingano y'ingingo zigomba gukurwaho. Nubwo bishobora gufata iminota 5 gusa kugira ngo hangirike ikibyimba gito, bishobora gufata iminota iri hagati ya 15 na 90 iyo bikozwe mu buryo bwo kubaga nka TURBT.
Igihe cyo gukira n'ingaruka mbi nyuma yo kuvurwa
Igihe cyo gukira gitandukana bitewe n'ubwoko bw'umubiri wawe ndetse n'urugero rw'ubuvuzi.
Ingaruka mbi zishobora kubaho
Bimwe muri ibyo cyangwa byose bishobora kubaho, ariko akenshi bishira mu minsi mike.
- Amaraso make mu nkari zawe: Inkari zawe zishobora guhinduka umutuku cyangwa ibara ry'umutuku mu minsi mike. Ibi ni ibisanzwe.
- Ubushye cyangwa ububabare mu gihe cyo kunyara: Ibi nabyo bizashira mu minsi mike. Muganga azaguha imiti ikenewe kuri ibi.
- Kwihagarika kenshi: Ibi bishobora kubaho kuko uruhago rwatangiye kugira ikibazo cyo kwiyumvamo. Ibi nabyo bizashira nyuma y'iminsi mike.
- Kubabara mu ruhago: Ibi nabyo ni iby'igihe gito.
- Indwara y'inkari (UTI): Umuriro, gushya mu gihe uri kunyara, inkari zinuka nabi cyangwa zirimo ibicu bishobora kuba ibimenyetso by'indwara. Muri icyo gihe, menyesha muganga wawe vuba.
Bifata igihe kingana iki kugira ngo umuntu akire?
Iyi ni inzira isa n'uko imibiri yacu ikira iyo twahiye ahantu runaka. Nk'uko igisebe cy'uruhu cyavutse hejuru y'ubushye, kirakura maze uruhu rushya rukamera, imbere mu ruhago na ho gukira muri ubwo buryo.
Igikomere kiri imbere mu mubiri kandi kiri ahantu hatose gifata igihe gito kugira ngo gikire kuruta igikomere gifunguye. Ubusanzwe gishobora gufata iminsi 5-7 cyangwa ibyumweru bibiri kugira ngo gikire neza.
Muri iki giheNi ingenzi cyane kuruhuka bihagije. Irinde guterura ibintu biremereye no gukora imyitozo ngororamubiri isaba imbaraga nyinshi. Ibi bizaha uruhago umwanya wo gukira kandi bigabanye ibyago byo kuva amaraso nyuma.
Witondere ibi bimenyetso!
Niba ubonye kimwe muri ibi bimenyetso bikurikira, bishobora kuba ikimenyetso cy'ubwandu cyangwa ikindi kibazo. Hamagara muganga wawe ako kanya, cyangwa ujye mu bitaro bikuru byihutirwa (ETU) biri hafi yawe.
- Umuriro (urengeje 101°F / 38.3°C)
- Kuva amaraso menshi ku buryo udashobora guhagarika (niba inkari ari umutuku wijimye kandi zirimo ibibyimba)
- Ububabare bukomeye mu gifu
Ese hari ingaruka zishobora guterwa n'ubu buvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nke cyane. Ariko, kubera ko inzobere yawe yatojwe kugabanya izi ngaruka, ingaruka mbi zikomeye ni gake cyane.
- Uburyo bwo kuvura indwara yo kuruhuka: Hari abantu bashobora kugira isesemi no kuruka bitewe n'indwara yo kuruhuka.
- Kwangirika kw'uturemangingo: Ni gake cyane, igikoresho gishobora kwangiza gato uruhago cyangwa urethra.
- Gutobora inkari: Ibi ni gake cyane. Iyo bibaye, ushobora gukenera ubundi bubagwa kugira ngo bikosorwe .
- Kwandura: Izi ngaruka ni nke cyane kuko ingamba zose zikenewe zifatwa kugira ngo hirindwe kwandura mu cyumba cyo kubaga.
Muganga wawe azagufasha byose kandi agufashe kwirinda indwara. Ntugatinye ibi bitari ngombwa.
Ubutumwa bwo kujyana mu rugo
- Gutera imyakura mu ruhago ni uburyo bwiza kandi bwizewe bwo kuvura hakoreshejwe amashanyarazi kugira ngo ukureho imyakura idasanzwe, ibibyimba, cyangwa ibisebe mu ruhago.
- Ibi bikorwa nta gukata cyane, bityo igihe cyo gukira kiba gito.
- Ubu buryo bwo kuvura bukoreshwa mu ndwara zitandukanye, nka kanseri y'uruhago, cystite yo hagati y'inkari, ndetse n'indwara zifata inzira y'inkari zigaruka.
- Ni ibisanzwe kumva amaraso mu nkari no gushya nyuma yo kuvurwa. Ibi bizashira mu minsi mike.
- Shaka inama kwa muganga vuba niba ufite umuriro mwinshi, kuva amaraso menshi, cyangwa ububabare bukabije.
- Gukurikiza amabwiriza ya muganga nyuma yo kuvurwa no kuruhuka bihagije ni ingenzi kugira ngo umuntu akire vuba.
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