Ese uzi indwara zo mu nda zishobora gutera indwara z’igifu (GI NETs) zishobora kuvuka mu buryo bw’igogora ryawe?

Ese rimwe na rimwe urwara igifu, kubyimba, cyangwa ibindi bimenyetso bisa nkaho bihora bigaruka? Cyangwa ugabanya ibiro nta mpamvu igaragara? Nubwo ibi bishobora kuba ibimenyetso by'indwara zisanzwe, hashobora kubaho indwara idakunze kugaragara inyuma yabyo ugomba kumenya. Uyu munsi tugiye kuvuga kuri imwe muri izo ndwara. Yitwa Gastrointestinal Neuroendocrine Tumors , cyangwa GI NETs mu magambo ahinnye. Ntugahangayike, tuzabivugaho mu buryo bworoshye.

Ibi bibyimba by'igogora mu bwonko (GI NETs) ni ibihe?

Mu magambo make, GI NETs ni ubwoko budasanzwe bwa kanseri butera mu turemangingo tw’imisemburo mu buryo bw’igogora ryawe. Noneho ushobora kwibaza uti selile z’imisemburo y’imisemburo ni iki. Izi ni ubwoko bwihariye bw’uturemangingo duhuza uturemangingo tw’imitsi yacu n’uturemangingo tw’imisemburo. Ni nk’ahantu hato ho gutanga ubutumwa. Izi selile ziboneka ahantu henshi mu mibiri yacu, harimo n’uturemangingo tw’igogora.

Uduce tw’igifu cyawe ni sisitemu ndende, isa n’umuyoboro w’igifu isya ibyo turya, ikanyunyuza intungamubiri, kandi ikavanaho imyanda. Utu tumori twa `GI NET` (twahoze twitwa `carcinoid tumors`) dukunze kugaragara mu mara mato no mu nda . Ariko, dushobora no kugaragara mu gifu, mu nda no mu mwobo. Hari igihe utu tumori dushobora gukwirakwira hanze y’inzira y’igifu, nko mu mwijima .

Ni nde ubangamirwa cyane n'iki kibazo cya GI NET?

Iyi ni indwara idakunze kugaragara. Dukurikije imibare, iyi ndwara yibasira abantu bagera kuri 4 ku bantu 100.000 . Ndetse no mu gihugu nka Leta Zunze Ubumwe za Amerika, abantu bakuru bagera ku 8.000 gusa ni bo basanzwe barwaye iyi ndwara buri mwaka.

Iyi ndwara ikunze kwibasira abantu bari hagati y’imyaka 55 na 65. Ariko, ishobora kugaragara ku bantu bakuru b’imyaka iyo ari yo yose. Abazungu bafite amahirwe make yo kurwara iyi ndwara kurusha abirabura. Nanone, amakuru agaragaza ko abagore bafite amahirwe make yo kurwara iyi "GI NET" kurusha abagabo.

Ni ibihe bimenyetso bya GI NET?

Dore ikintu cy'ingenzi. Hari abantu bashobora kugira ibi bibyimba mu mibiri yabo nta bimenyetso . Hari igihe bivumburwa ku bw'amahirwe iyo hakozwe ikintu nka "scan" ku zindi mpamvu.

Ariko, iyo ibimenyetso bigaragaye, bishobora gusa n'iby'indwara zisanzwe kandi zidakomeye cyane. Niyo mpamvu rimwe na rimwe zishobora kugaragara nyuma y'igihe kirekire. Reba niba ibi bimenyetso bisa n'ibisanzwe kuri wewe:

• Kubabara mu nda: Iki gishobora kuba ikimenyetso cy'uko wafunze amara, bishoboka ko biterwa n'ikibyimba cya GI NET.
• Impiswi:Guhora mu mara kenshi. Iki kimenyetso gikunze kugaragara cyane ku bantu bafite indwara yitwa "Carcinoid Syndrome" (ikindi kimenyetso gifitanye isano na "NET"), cyangwa ku bantu babazwe agasabo k'inkari cyangwa igice cy'amara yabo.
• Isesemi no kuruka: Iyo isesemi no kuruka bikomeje, bishobora kuba ikimenyetso cy'indwara ikomeye.
• Kugabanya ibiro utabigambiriye: Iyo ugabanya ibiro vuba udakoze indyo nto, udakoze siporo, cyangwa nta mpamvu igaragara, ni ikimenyetso gisanzwe cya GI NETs.
• Amaraso mu mwenda: Niba umwanda wawe ari umutuku wijimye cyangwa utebutse, ibi bishobora kuba ibimenyetso byo kuva amaraso mu mara.
• Jaundice: Ibi bituma uruhu rwawe n'umweru by'amaso yawe bihinduka umuhondo.
• Umunaniro: Ibi si ugusinzira gusa. Ni ukumva unaniwe cyane igihe cyose, ntushobora gukora ikintu icyo ari cyo cyose.

Wibuke ko kugira ibi bimenyetso gusa bitavuze ko ufite GI NET. Ariko, niba ibi bimenyetso bikomeje, ni ngombwa kugana muganga kugira ngo akugire inama.

Ni izihe mpamvu zitera GI NET?

Mu by’ukuri, abashakashatsi mu by’ubuvuzi ntibarabasha kubona impamvu nyayo itera GI NETs. Ariko, basanze abantu bafite aside nke mu gifu (hypochlorhydria) bafite isano n’iyi ndwara.

Byongeye kandi, abantu bafite indwara zimwe na zimwe bavukana ndetse n'indwara zimwe na zimwe bashobora kuba bafite ibyago byinshi byo kurwara indwara za GI NETS. Zimwe muri izi ndwara zirimo:

• Indwara nyinshi zo mu misemburo y'amaraso (MEN): Hari ubwoko bubiri bw'ibi. Ubwoko bumwe (MEN1) butuma thyroid, parathyroid, cyangwa adrenal glands zikora cyane cyangwa zikarwara ibibyimba. Urundi bwoko (MEN2) butuma pancreas, pituitary, cyangwa parathyroid glands zikora cyane cyangwa zikarwara ibibyimba.
• Indwara ya Von Hippel-Lindau: Iyi nayo ni indwara idakunze kugaragara. Itera ibibyimba bitari kanseri (bitari byiza) kuvuka mu bice bitandukanye by'umubiri.
• Ubwoko bwa Neurofibromatosis: Iyi nayo ni indwara idakunze kugaragara. Itera ibibyimba ku ruhu no mu mitsi, kandi ishobora no kugira ingaruka ku maso no ku bindi bice by'umubiri.

Ni gute abaganga basuzuma iyi ndwara ya GI NET?

Niba ufite ibimenyetso byavuzwe haruguru, cyangwa niba hari ukekwaho ikindi kintu icyo ari cyo cyose, abaganga bazakora ibizamini bitandukanye.

• X-ray: Ibi bishobora gufata amafoto y'ibiri mu mubiri. Ariko, hari igihe ikibyimba cya GI NET kiba kinini cyane cyangwa gito cyane ku buryo kidashobora kugaragara kuri X-ray. Muri icyo gihe, muganga wawe ashobora kukugira inama yo gukoresha ubundi bwoko bwa scan.
• Gupima hakoreshejwe ikoranabuhanga rya 'computer tomography' (CT scan):Ibi bikoresha mudasobwa n'urukurikirane rwa X-rays kugira ngo habeho ishusho y'ibice bitatu (3D) by'ingingo zawe n'amagufwa yawe. Isuzuma rya CT rishobora kwerekana ibintu nk'ingano y'ikibyimba ndetse niba cyarakwirakwiriye mu mwijima cyangwa ahandi hantu.
• Isuzuma rya Magnetic Resonance (MRI): Iki kizamini gikoresha magnetism, radio waves, na mudasobwa kugira ngo gikore amashusho asobanutse neza y’ingingo zawe n’amagufwa yawe.
• Endoskopi: Muri ubu buryo, abaganga bakoresha endoskopi, igikoresho gito, gisa n'umuyoboro gifite urumuri na kamera imbere, kugira ngo barebe imbere mu gice cyo hejuru cy'igifu cyawe. Uyu muyoboro ushobora gushyirwamo unyuze mu kanwa kawe cyangwa mu nda. Indoskopi ikoreshwa mu kureba igice cyo hasi cy'igifu cyawe.
• Endoscope ultrasound (EUS): Iyi ultrasound ikoresha endoscope n'amajwi afite ingufu nyinshi kugira ngo ifate amashusho y'igogora. Endoscope ishyirwa mu kanwa cyangwa mu nda, hanyuma agakoresho ko gupima ku iherezo kohereza amajwi mu nzira y'igogora. Amajwi aturuka mu ngingo z'imbere akora amashusho yitwa sonograms.
• Isuzuma rya Positron emission tomography (PET): Iki kizamini gipima ibibyimba by'imitsi hakoreshejwe irangi ryihariye (ryagenewe by'umwihariko gupima uturemangingo tw'imitsi y'imitsi).
• Isuzuma ry’indwara: Iki ni cyo kizamini gikunze gukoreshwa cyane kugira ngo hemezwe ko umuntu yanduye. Muri iki gikorwa, agace gato k’urugingo gafatwa mu gace gakekwaho indwara kagasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba hari uturemangingo twa kanseri.

Ese hari ubwoko butandukanye bw'ibibyimba by'ubwonko?

Yego, abaganga bakoresha uburyo bwo gushyira mu byiciro ibi bibyimba. Bibafasha gutegura uburyo bwo kuvura. Icyiciro cy'ikibyimba kigenwa no gusuzuma uturemangingo twa kanseri hifashishijwe mikorosikopi. Bareba umubare w'uturemangingo twigabanyamo ibice, uburyo twigabanyamo ibice vuba, n'uburyo uturemangingo dusa n'uturemangingo twa kanseri kuruta uturemangingo tuzima. Dore ibyiciro bya `GI NET`:

• Icyiciro cya 1 (ikibyimba cyo hasi): Utu turemangingo twigabanya buhoro buhoro. Ibi bivuze ko ikibyimba gikura buhoro buhoro.
• Icyiciro cya 2 (ikibyimba cyo hagati): Igipimo cy'uko utwo turemangingo twigabanyamo ibice kiri hagati.
• Icyiciro cya 3 (ikibyimba cyo mu rwego rwo hejuru): Utu turemangingo twigabanyamo kabiri vuba cyane, bityo ikibyimba gikura vuba cyane.

Ni ubuhe buryo bwo kuvura ibibyimba byo mu nda (GI NETs)?

Hari uburyo bwinshi bwo kuvura kanseri y'igifu. Abaganga bahitamo uburyo bwiza bwo kuvura hashingiwe ku bintu byinshi, harimo urwego rwa kanseri yawe, ingaruka mbi zishobora guterwa no kuvurwa, ubuzima bwawe muri rusange, n'ibyo ukunda. Hari uburyo bwinshi bw'ingenzi bwo kuvura: gukurikirana, kubaga, no kuvura.

Gukurikirana ibikorwa by'ubuhanga ni iki?

Niba ikibyimba kirimo gukura buhoro cyane kandi kikaba gifite ibyago bike byo gukwirakwira mu bindi bice by'umubiri, abaganga bashobora kukugira inama yo kugufasha kwita "gukurikirana neza." Ibi bikubiyemo kugusuzuma buri gihe , aho gutangira kuvurwa cyane ako kanya.

• Ibizamini byo gufata amashusho nka CT scan.
• Gupima amaraso nko kubara amaraso yose (CBC).
• Isuzuma ry'umubiri.

Ni ubuhe bubagwa bukorerwa kuri GI NET?

Ubwoko bw'ikibyimba gikorerwa GI NET buterwa n'ibintu nko aho ikibyimba cyatangiriye ndetse niba cyarakwirakwiriye mu bindi bice by'umubiri.

Ni ingenzi cyane ko mbere yo kubagwa, itsinda ryawe rishinzwe kubaga rimenya niba ufite `(Carcinoid Syndrome)` (indwara igaragaza ibimenyetso bya `neuroendocrine tumors`). Kuko, niba ufite `(Carcinoid Syndrome)`, kubagwa bishobora guteza ingorane zishobora gushyira ubuzima mu kaga. Niba umuganga ubizi, azagerageza gukumira izi ngorane aguha imiti yihariye mbere yo kubagwa, mu gihe cyo kubagwa, na nyuma yaho.

Bumwe mu buryo bukunze gukoreshwa mu kubaga GI NET ni ubu:

• Gucibwa igice cy'igifu: Ibi bikubiyemo gukuraho igice cy'igifu cyawe.
• Guca amara mato: Ibi bikubiyemo gukuraho igice cy'amara mato kirimo ikibyimba. Umuganga ashobora kandi gukora anastomose (kongera guhuza impera ebyiri z'amara yaciwe). Uduce tw'uturemangingo hafi y'amara mato akenshi na two turakurwaho tugasuzumwa hakoreshejwe mikorosikopi kugira ngo barebe niba hari uturemangingo twa kanseri.
• Kubaga Appendectomy: Abaganga bashobora gukuramo appendectomy yawe haba binyuze mu gukata igice kinini cyangwa binyuze mu kubaga laparoscopic (gukata igice gito hakoreshejwe kamera).
• Hemicolectomy: Muri ibi, uruhande rw'iburyo cyangwa ibumoso rw'amara rukurwaho, hamwe n'imitsi y'amaraso yegereye hamwe n'uturemangingo tw'amaraso.
• Guca inyuma igice cy'imbere: Abaganga bakuramo igice cy'inyuma yawe, ariko bakareka ikibuno cyawe cyose. Ibi bigufasha kugira imyakura isanzwe.
• Gukuraho inda (APR): Uku kubaga gukuraho ikibuno cyawe, agace k'umura, n'igice cy'umura wawe . Uku kubaga akenshi biherekezwa no gupima imyakura. Ibi bivuze ko hakorwa umwenge uva mu mara yawe ujya hejuru y'inda yawe kugira ngo imyanda (imyanda yo mu gifu) ibashe kwinjiramo.
• Guca umwijima: Uku kubagwa gukuraho GI NETs zakwirakwiriye mu mwijima.

Ni izihe ngorane cyangwa ingaruka mbi z'uku kubagwa?

Uku kubagwa kose gushobora kugira ingaruka mbi zikomeye . Hari igihe ushobora gukenera ubufasha bw'inyongera mu rugo mu gihe urimo gukira. Baza muganga wawe icyo wakwitega nyuma yo kubagwa runaka ugiye gukora.

Ese kubagwa kwa GI NET bizagira ingaruka ku buzima bwanjye?

Yego, hashobora kubaho ingaruka mbi . Kubera ko ubu buryo bwo kubaga akenshi bukuraho igice cy'igogora ryawe, hashobora kubaho impinduka mu buryo urya n'unywa, ndetse n'uburyo ujya mu bwiherero. Umuganga wawe azagusobanurira neza uburyo kubagwa bizakugiraho ingaruka, n'icyo azakora kugira ngo acunge ibibazo byose byo mu igogora.

Ni ubuhe buryo bundi bwo kuvura buboneka kuri GI NET?

Abaganga bashobora rimwe na rimwe guhuza ubu buryo bwo kuvura no kubaga:

• Chimiotherapie: Iyi miti ikoreshwa mu kwica uturemangingo twa kanseri.
• Ubuvuzi bwibasiwe: Ubu buryo bukoresha imiti cyangwa ibindi bintu byibasira uturemangingo twa kanseri gusa, bitagize ingaruka ku turemangingo tuzima.
• Ubudahangarwa bw'umubiri: Ibi bikoresha ubudahangarwa bw'umubiri wawe bwite kugira ngo bwice uturemangingo twa kanseri cyangwa tubuhagarike gukura.
• Ubuvuzi bushingiye ku mirasire: Ibi bikoresha ingufu nyinshi mu kwica uturemangingo twa kanseri cyangwa kubibuza gukura.
• Somatostatin analogues: Izi ni ubwoko bw'imisemburo ya somatostatin. Somatostatin yawe ikora mu guhagarika umubiri wawe gukora imisemburo myinshi.

Ni izihe ngaruka mbi cyangwa ingorane z'ubu buryo bwo kuvura?

Buri buryo bwo kuvura bugira ingaruka ku muntu mu buryo butandukanye. Kubwibyo, ni ngombwa kuganira neza ku byiza n'ingaruka mbi bya buri buryo bwo kuvura na muganga wawe. Ibi bizagufasha gusobanukirwa uburyo buri buryo bwo kuvura buzagira ingaruka kuri wewe. Muganga wawe azagusaba uburyo bwo kuvura hashingiwe ku buzima bwawe muri rusange n'ibyo ukunda.

Ese ibibyimba byo mu nda bishobora kwirindwa?

Ikibabaje ni uko ubu nta buryo bwo gukumira indwara za GI NETs buhari. Ariko, abashakashatsi mu by'ubuvuzi basanze hari isano iri hagati y'indwara zimwe na zimwe zo mu muryango cyangwa indwara zimwe na zimwe ndetse n'ibyago byo kurwara ibibyimba byo mu misemburo. Vugana na muganga wawe ku mateka yawe y'ubuzima ndetse n'amateka y'ubuzima bw'umuryango wawe. Ashobora kukugira inama yo gukora ibizamini byihariye kugira ngo hamenyekane ibimenyetso bya GI NETs hakiri kare, kugira ngo ibibyimba bishobore gufatwa no kuvurwa hakiri kare.

Niba mfite iyi ndwara, ni iki nkwiye kwitega?

Isuzuma ry'uko kanseri izakwirakwira riterwa n'igihe izasuzumirwa n'igihe izatangirira kuvurwa. Abantu bagera kuri 97% bahabwa ubuvuzi mbere yuko kanseri ikwirakwira mu bindi bice by'umubiri bazarokoka.Nyuma y'imyaka itanu isanzwe igaragaye. Iyo ikibyimba cyakwirakwiriye mu ngingo cyangwa mu tunyangingo tw'imitsi, icyo kigero cy'imyaka itanu cyo kubaho kiragabanuka kikagera kuri 95%. Abantu bagera kuri 67% bafite GI NETS bakwirakwiriye hanze y'inzira y'igogora baba bakiriho nyuma y'imyaka itanu isanzwe igaragara.

GI NET ishobora kugaruka. Bitewe n'ingano, icyiciro, n'aho ikibyimba kiri, ushobora gukenera gukorerwa ibizamini byo gukurikirana buri gihe. Urugero, muganga wawe ashobora kukugira inama yo gukora isuzuma rya CT rimwe mu mwaka mu myaka itatu ya mbere nyuma yo kuvurwa no gupimwa umubiri buri mwaka. Baza muganga wawe ibijyanye no gukurikirana gahunda n'ibizamini bijyanye n'uburwayi bwawe.

Nitwara nte?

Niba ufite ikibyimba cy’indwara y’igifu, ushobora gukenera kubagwa. Abaganga babaga akenshi bakoresha uburyo bwo gukata bunini kurusha uburyo bwo kubaga bwa laparoscopic. Ibi bivuze ko uzakenera kuguma mu bitaro iminsi mike hanyuma ugakira uri mu rugo ibyumweru bike.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Ushobora kugira gahunda ihoraho yo gukurikirana niba kanseri yawe yagarutse. Baza umuganga wawe ibimenyetso nyuma yo kubagwa bishobora kuba ibimenyetso by'indwara ikomeye. Niba ubonye kimwe muri ibi bimenyetso bikurikira, ugomba kwihutira gushaka abaganga:

• Guhumeka bigoranye cyane mu buryo butunguranye.
• Iyo umuriro uri hejuru ya dogere selisiyusi 38.3 (dogere selisiyusi 38.3).
• Niba ububabare bukabije, cyangwa niba budashobora gukemurwa ukoresheje imiti igabanya ububabare.
• Iyo hari amabyi y'icyatsi kibisi kandi anuka nabi asohoka mu gikomere cyo kubagwa, cyane cyane niba agace gakikije igikomere gashyushye ugakoraho, cyangwa niba gatukura cyane.
• Niba uhora uruka cyangwa urwaye impiswi.

Indwara ya kanseri y’imisemburo mu mara (GI NET) ishobora kuba indwara ihindura ubuzima. Ibyo biterwa nuko abantu benshi bafite iyi ndwara bagomba kubagwa kugira ngo bakureho igice cy’igogora ryabo cyangwa igice cyose cy’igogora ryabo. Kubagwa kwawe gushobora guhindura uburyo urya, unywa, n’uburyo ujya mu bwiherero. Itsinda ry’abaganga rizi ko kumenyera izi mpinduka bitaba byoroshye buri gihe. Niba ufite ikibazo cyangwa impungenge, bibwire muganga wawe. Bazasobanukirwa uko ibintu bimeze kandi bagufashe kubona ibisubizo.

Ni ibihe bintu by'ingenzi tugomba kujyana mu nkuru?

• `GI NET` ni ubwoko bwa kanseri ikunze kugaragara cyane, ariko ni ngombwa kubimenya.
• Hari abantu bashobora kubyifatamo badafite ibimenyetso , ariko menya ibimenyetso nko kubabara mu gifu, impiswi, no kugabanya ibiro utabigambiriye.
• Reka ibi bikure.Impamvu nyayo ntiraboneka, ariko hari ibintu bimwe na bimwe byo mu muryango bishobora kugira uruhare muri ibyo.
• Hariho ibizamini bitandukanye byo gusuzuma indwara, nka `CT scan`, `MRI`, `Endoscopy`, na `Biopsy`.
• Uburyo bwo kuvura burimo kubagwa, imiti ivura indwara ya kanseri, no kuvurwa hakoreshejwe imirasire . Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura.
• Gusuzuma indwara hakiri kare no gutangira kuyivura byongera cyane amahirwe yo gukira.
• Niba ufite gushidikanya cyangwa ikibazo kuri ibi, ntutinye kuvugana na muganga wawe . Barahari kugira ngo bagufashe.

` GI NET, Ibibyimba byo mu gifu, Kanseri, Kanseri yo mu mara, Ibibyimba byo mu gifu, Uduce tw'igogora, Ibimenyetso