Uburyo bwihariye bwo kuvura kanseri yo mu gifu? Reka tuvuge kuri HIPEC! (Hyperthermic Intraperitoneal Chimotherapy)

Twese tuzi ubwoba n'ihungabana bituruka ku kumva muganga avuga ko umuntu ukunda afite kanseri yakwirakwiriye mu nda, ni ukuvuga mu nda. Ariko, hamwe n'iterambere ry'ubumenyi bw'ubuvuzi, ubu hari uburyo bwo kuvura bushobora gutanga icyizere no mu bihe bigoye nk'ibi. Uyu munsi, tugiye kuvuga ku buryo bumwe budasanzwe kandi bugezweho bwo kuvura. Ubu buryo bwitwa HIPEC.

Mu magambo make, HIPEC ni iki?

Ijambo HIPEC risobanura Hyperthermic Intraperitoneal Chemotherapy . Nubwo izina risa n'irigoye gato, ibiba muri ibi biroroshye cyane. Reka dusesengure aya magambo maze tuyasobanukirwe.

• Ubushyuhe bwinshi - bivuze "gushyuha" .
• Intraperitoneal - bivuze "mu kiziba cy'inda." Mu magambo make, ikiziba cy'inda ni umwanya uri mu nda yacu aho ingingo nk'umwijima, igifu n'amara ziherereye.
• Chimiotherapie - yerekeza ku miti itangwa kugira ngo isenye uturemangingo twa kanseri, nk'uko twese tuyizi, "chimio".

Ni ubuhe bwoko bwa kanseri ubu bukwiriye?

Ubusanzwe, uburyo bwo kuvura HIPEC bukoreshwa ku kanseri zakwirakwiriye mu nda (zimaze kwangirika) ziturutse ahandi mu mubiri. Bunakoreshwa kuri kanseri zimwe na zimwe zitangirira mu nda ubwazo.

Icy'ingenzi: Ubuvuzi bwa HIPEC ntibukiza kanseri burundu. Ariko, bushobora gufasha abarwayi kubaho igihe kirekire, kugabanya ibimenyetso, no kubaho neza . Muganga wawe azagusobanurira birambuye niba ubu buvuzi bukubereye n'ibyiza n'ibibi.

Witegura ute ubu buryo bukomeye bwo kubagwa?

Ubu ni uburyo bukomeye cyane bwo kuvura kandi bugoye. Kubwibyo, ni ngombwa cyane kwitegura uko ushoboye kose, haba ku mubiri no mu mutwe, mbere yuko bibaho. Itsinda ry'abaganga rizagufasha muri ibi. Ibintu bikurikira bishobora kuba ingenzi mu kwitegura:

• Niba unywa itabi, rireke burundu .
• Kureka kunywa inzoga.
• Imyitozo yo guhumeka hakoreshejwe igikoresho cyihariye (inspirateur spirometer) kugira ngo ikomeze ibihaha.
• Jya mu itsinda rishinzwe gufasha abarwayi ba kanseri cyangwa usabe ubufasha bw'inzobere mu by'imitekerereze y'abantu.

Uburyo bwose bwo kuvura bumeze bute?

HIPEC ni igice cya kabiri cy'uburyo bubiri. Uburyo bwose bushobora gufata amasaha ari hagati ya 5 na 10.

Intambwe ya mbere: Kubaga hakoreshejwe uburyo bwa cytoreduction (CRS)

Intambwe ya mbere ni ukubagwa. Uraterwa ikinya, bivuze ko usinziriye rwose. Abaganga bafungura ikiziba cy'inda yawe bakagukuraho ibibyimba byose bigaragara bya kanseri n'ingingo zirwaye .

Intambwe ya Kabiri: Ubuvuzi bwa HIPEC

Ubuvuzi bwa HIPEC bukoreshwa mu gusenya uturemangingo duto cyane twa kanseri tutagaragara n'amaso nyuma yo gukurwaho ibibyimba bya kanseri.

1. Gukoresha catheterization: Abaganga babaga bashyira imiyoboro myinshi (catheter) mu nda yawe. Iyi miyoboro ihujwe n'imashini ishyushya imiti ya chimiotherapie.

2. Gutanga imiti ishyushye ya chemotherapy: Imashini ishyushya imiti ya chemotherapy kugeza kuri dogere selisiyusi 41-42 (108°F) hanyuma ikayishyira mu nda inyuze mu muyoboro.

3. Gutanga imiti ya Chimio: Itsinda ry'abaganga rizazenguruka umubiri wawe buhoro buhoro kuva ku ruhande rumwe ujya ku rundi, rikareba ko umuti wa Chimio ushyushye ugera mu mfuruka zose z'inda yawe. Ibi bizatwara iminota 30 kugeza ku masaha 2.

4. Gukuraho imiti igabanya ubukana: Nyuma y'igihe cyagenwe, amazi ya miti ishyirwa mu nda arakurwamo burundu. Hanyuma agace kogejwemo amazi asukuye neza kugira ngo gasukurwe.

5. Gukata ibikomere: Amaherezo, icyuho cyose cyakorewe mu gihe cyo kubagwa kiradodwa gifunze.

Ni izihe nyungu zidasanzwe zo kuvura HIPEC?

Iyo imiti ya chimiotherapie itanzwe binyuze mu mitsi, inyura mu mubiri wose hamwe n'amaraso. Ariko, kubera uruzitiro rw'inyuma rwitwa peritoneum rukikije umwobo w'inda, biragoye ko imiti ya chimiotherapie yinjira neza mu mwobo w'inda.

Izindi nyungu:

• Uburyo bukomeye bwo kuvura kanseri: Kubera ko imiti ishyushye, igira ingaruka zikomeye ku tunyangingo twa kanseri. Nanone, kubera ko yibasira utwo tunyangingo twa kanseri, irushaho kwica utwo tunyangingo twa kanseri.
• Kuvura inshuro nke: Nta mpamvu yo gutanga imiti myinshi nka chemotherapy isanzwe. Ubu buvuzi bushobora gukorwa mu kubagwa kumwe.
• Ingaruka mbi zigabanuka: Kubera ko imiti ya chimio igarukira cyane mu nda, ingaruka mbi zigira ingaruka ku mubiri wose (gutakaza umusatsi, kuruka cyane) zibaho hakoreshejwe imiti ya chimiotherapie isanzwe zishobora kugabanuka.

Bigenda bite nyuma yo kuvurwa? Bifata igihe kingana iki kugira ngo umuntu akire?

Bitewe n'uko umeze nyuma yo kuvurwa na HIPEC, ushobora gukenera kuguma mu cyumba cy’indembe (ICU) iminsi mike. Ushobora kandi gushyirwaho imashini "ihumeka" kugira ngo igufashe guhumeka.

Kubera ko ubu buryo bwo kuvura bukoresha imiti ikomeye ya chimiotherapie, ushobora guhabwa intungamubiri unyuze mu muyoboro wo kugaburira kugeza igihe amara yawe asubiye gukora neza.

Ingaruka mbi zikurikira zishobora kubaho mu gihe cyo gukira:

• Kuzuza igifu
• Kurya impatwe cyangwa impiswi
• Umunaniro
• Isesemi no kuruka
• Ububabare aho bakorewe ubuvuzi
• Kubyimba umubiri (biterwa n'umunyu wakoreshejwe mu kuvura)

Bishobora gufata ibyumweru 4 kugeza kuri 12 kugira ngo umuntu akire neza. Ibi birimo icyumweru kimwe kugeza kuri bibiri mu bitaro.

Iyo ukeneye kuvugana na muganga byihutirwa

Niba ugize kimwe muri ibi bimenyetso nyuma yo gusubira mu rugo, ugomba guhita uhamagara muganga wawe .

• Iyo umuriro uri hejuru ya 38.3°C (101°F)
• Isesemi no kuruka bidashira
• Kubyimba cyane, gutukura, cyangwa amashyira hafi y'igikomere cyo kubagwa
• Niba ububabare burimo kwiyongera

Ibi bishobora kuba ibimenyetso by'ubwandu cyangwa igikomere kidakira neza, bityo ni ngombwa gushaka ubuvuzi vuba.