Ese wigeze ubwirwa ko ufite ikibyimba mu mpyiko? Ntugahangayike, reka tubiganireho!

Ushobora kuba warabonye inyandiko kuri iyo raporo ivuga ngo "Kidney cyst" cyangwa "Renal cyst" iyo ukorewe scan kugira ngo umenye indi ndwara. Ni ibisanzwe ko twumva dufite ubwoba kandi tugahangayika iyo twumvise ijambo "tumor." Ushobora kwibaza uti "Mana yanjye, iyi ni kanseri?" Ariko ntugahangayike. Mu by'ukuri, inyinshi muri izi kidney cysts ntabwo ari mbi. None rero uyu munsi, reka tubiganireho neza, mu rurimi ushobora kumva.

Mu magambo make, indwara zo mu mpyiko (cysts) ni iki?

Tekereza ku mubumbe muto w'amazi. Ni ko cyst y'impyiko iba. Ubusanzwe izi ni udufuka duto twuzuyemo amazi. Uko tugenda dusaza, izi cyst zishobora kwirema hejuru y'impyiko cyangwa mu turemangingo duto twitwa nephrons imbere mu mpyiko.

Noneho ushobora kwibaza uti '(nephrons)' ni iki. Impyiko ebyiri zo mu mubiri wacu zimeze nk'uburyo bwo kuyungurura buhanitse. Akamaro k'impyiko ni ukuyungurura no gutandukanya imyanda n'amazi atari ngombwa mu mubiri no kuyasohora nk'inkari. Twita miliyoni z'ibice byiza cyane bikora uyu murimo wo kuyungurura '(nephrons)'.

Utubuye tw’impyiko dutandukanye mu bunini. Amwe ni mato cyane, ariko andi ashobora gukura kugeza kuri santimetero eshanu. Hari igihe aba manini uko igihe kigenda gihita, cyangwa agakomeza kuba ingano imwe. Umuntu ashobora kugira ibuye rimwe cyangwa menshi. Ashobora no gukura mu mpyiko imwe cyangwa mu mpyiko zombi.

Ese izi mbuto zose ni zimwe? Ese hari ubwoko bwazo?

Yego, hari ubwoko bubiri bw'ingenzi bw'ibibyimba by'impyiko. Ni ingenzi cyane kumenya ubwo bwoko bubiri, kuko bigena niba ubuvuzi bukenewe cyangwa budakenewe. Abaganga bakoresha uburyo bwihariye bwitwa ``Bosniak classification``` kugira ngo babishyire mu byiciro. Reka tubirebe mu buryo bworoshye.

Mu magambo make, niba raporo yawe ivuga ngo "Simple renal cyst," nta mpungenge ifite niba ari ukuri. Ariko niba ivuga ngo "Complex renal cyst," ni ngombwa ko ukorerwa ibizamini n'ikurikirana ry'ibikenewe nk'uko muganga yabigutegetse.

Ese ibi bibyimba bitera ibimenyetso?

Inkuru nziza ni uko akenshi, izi cysts zoroshye nta bimenyetso zitera . Mu by'ukuri, hari abantu babarirwa muri za miriyoni babaho batazi ko bafite cysts z'impyiko.

Ariko, hari igihe iki kibyimba gishobora guteza ibibazo iyo cyaturitse kigatangira kuva amaraso, kikandura, cyangwa kikarushaho kuba kinini kikanikiza izindi ngingo zo mu nda. Ibi nibibaho, ibimenyetso bikurikira bishobora kubaho:

• Kubabara cyangwa kuribwa mu rubavu, mu nda, cyangwa mu mugongo hagati y'imbavu n'ikibuno.
• Umuriro.
• Gukenera kunyara kenshi.
• Amaraso mu nkari cyangwa inkari yijimye.

Bitewe n'aho ikibyimba giherereye, rimwe na rimwe gishobora kugira ingaruka ku mikorere y'impyiko. Nanone, iyo ikibyimba kibujije impyiko kuyungurura amazi menshi mu maraso, umuvuduko w'amaraso ukabije ushobora kubaho.

Kuki ibi bibyimba by'impyiko bibaho?

Abashakashatsi ntibaramenya neza icyabitera. Bikekwa ko izi cysts zigira ingaruka iyo ubuso bw'umuyoboro uhujwe n'uduce tw'impyiko (nephrons) bucitse intege, bukabyimba, kandi bugashyiramo amazi.

Igikuru ni uko izi cysts zoroshye atari umurage . Ni ukuvuga ko zitarazwe n'ababyeyi. Bikekwa ko rimwe na rimwe imvune nto ku mpyiko cyangwa kuziba gato muri izi nzira bishobora kubitera.

Ariko, impyiko zishobora no kurwara bitewe n’indwara zimwe na zimwe. Zitandukanye n’impyiko zisanzwe kandi zoroshye.

• Indwara y'impyiko ya Polycystic - Iyi ni indwara umuntu avukana mu murage.
• Indwara y'impyiko idakira (CKD)
• Indwara ya Von Hippel-Lindau
• Urusobe rw'indwara ya sclerosis iterwa n'ibibyimba (TSC)

Kubera ko ibi ari ibintu bidasanzwe, muganga wawe azabikubwira.

Ni gute ibi bibyimba bimenyekana? Ni ubuhe buryo bwo kuvura?

Akenshi, ikibyimba cy’impyiko kiboneka ku bw’amahirwe. Kiboneka mu gihe cyo gupimwa hakoreshejwe isuzuma ku yindi mpamvu. Iyo ikibyimba nk’icyo kibonetse, muganga wawe ashobora kukugira inama yo gupima ibindi bipimo byinshi kugira ngo amenye niba ari ikintu cyoroshye cyangwa kigoye.

Ibizamini byo kumenya umuntu

• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Ibi bikoresha amajwi menshi kugira ngo bigaragaze neza impyiko. Ni ikizamini cyizewe cyane kidasaba ububabare cyangwa imirasire.
• CT Scan (Computed Tomography Scan): Iyi ikoresha imirasire ya X n'ikoranabuhanga rya mudasobwa kugira ngo hakorwe amashusho y'impyiko mu buryo butatu (3D). Ibi bifasha kwiga imiterere y'ikibyimba mu buryo burambuye.
• MRI (Gupima ishusho ya Magnetic Resonance Scan): Imbaraga zikomeye za rukuruzi n'imirasire ya radiyo bikoreshwa kugira ngo haboneke amashusho asobanutse neza kandi arambuye. MRI ni ingenzi cyane mu gutandukanya ikibyimba cyuzuye amazi n'ikibyimba gikomeye.
• Ibizamini by'imikorere y'impyiko: Ingero z'amaraso n'inkari zishobora gupimwa kugira ngo harebwe uburyo impyiko zawe zikora neza kandi niba zaragizweho ingaruka n'ikibyimba.

Uburyo bwo kuvura

Kenshi na kenshi, ikibyimba cyoroheje cy’impyiko ntigikeneye kuvurwa . Muganga wawe azakubwira gusa ko ugomba kukigenzura. Wenda uzajya ugisuzuma buri mwaka cyangwa ibiri.

Ariko, niba ikibyimba gitera ububabare, niba ari kinini cyane ku buryo kidashobora gukanda ku rundi rugingo, cyangwa niba kibangamiye imikorere y'impyiko, gishobora gukenerwa gukurwaho. Nanone, niba ikibyimba ari ingorabahizi kandi muganga akeka ko kiri mu kaga ko kuba kanseri, ashobora gufata icyemezo cyo kugikuraho.

Uburyo bubiri bw'ingenzi bukoreshwa mu kuvura:

1. Gukoresha uburyo bwo guhumeka no kuvura indwara ya Sclerotherapy: Aha, hifashishijwe icyuma gipima, urushinge ruto cyane rwinjizwa mu ruhu mu gice cy'ikibyimba, maze amazi agasohoka burundu. Hari igihe umuti wihariye, nka alcool, ushyirwa muri icyo kibyimba kugira ngo kidasubira kuzura amazi.

2. Kubagwa:Ubu kubaga hakoreshejwe laparoscopic bikunze gukoreshwa kuri iyi ntego. Ibi bivuze ko kamera n'ibikoresho byoroshye bishyirwa mu mwobo muto cyane mu nda, aho gukatamo igice kinini. Aha, muganga akura amazi muri cyst agaca cyangwa agatwika urukuta rw'inyuma rwa cyst.

Ni ryari ukwiye kujya kwa muganga?

Niba ugaragaje kimwe muri ibi bimenyetso bikurikira nyuma yo kumenya ko ufite ikibyimba mu mpyiko, hita ubonana na muganga wawe. Ibi bishobora kuba ibimenyetso by'ubwandu, guturika, cyangwa izindi ngorane.