Ese birashoboka gukiza urwego rw'umubiri utaruciye? (Limb Salvage) Reka tubiganireho!

Iyo ugize impanuka ikomeye ku kuboko cyangwa ku kuguru kwawe, cyangwa niba urwaye indwara ikomeye nka kanseri, ni ibisanzwe kugira ubwoba bwo kuyica. Mu by'ukuri, twese turatungurwa cyane mu bihe nk'ibyo. Ariko se wari uzi ko gucibwa ingingo atari cyo gisubizo cyonyine buri gihe? Bitewe n'iterambere ry'ubuvuzi muri iki gihe, hari uburyo bwihariye bwo kubaga bushobora gukiza urugingo nk'urwo utiriwe uruca. Ibyo ni byo twita 'Kubagwa kw'Amagufwa y'Amagufwa'.

Mu magambo make, kubaga Limb Salvage ni iki?

Tekereza, Kamal wacu yakomeretse ukuguru gukomeye mu mpanuka y'igare. Amagufwa yaravunitse, byari imvune ikomeye. Mu bihe byashize, bari kuvuga ko ukuguru kwagombaga gucibwa. Ariko ubu abaganga barimo barareba niba ubu buryo bwa 'Limb Salvage' bushobora gukiza ukuguru.

Muri make, kubaga Limb Salvage ni ukubaga kugerageza gusana no gusubiza ukuboko cyangwa ukuguru kwakomeretse cyane, batiriwe bagukuraho. Muri ibi, abaganga bagerageza kurokora ukuboko cyangwa ukuguru kwawe uko bishoboka kose batabangamiye ubuzima bwawe muri rusange. Ibi byitwa kandi 'kubaga limb-sparing surgery'. Bisobanura "kubaga limb-sparing surgery".

Ni mu bihe ibihe ubu buvuzi bushobora gusuzumwa?

Abaganga bakunze gutekereza kuri ubu buryo bwo kubaga mu bihe byinshi by'ingenzi.

Guca ukuboko/ukuguru? Kubikize? Abaganga bafata bate iki cyemezo?

Iki ni icyemezo kigoye cyane. Umuganga azafata icyemezo cyo kubaga nyuma yo gusuzuma neza ibintu byinshi. Ikintu cy'ingenzi ni ukumenya niba kubaga bizaguha ukuboko cyangwa ukuguru kumeze neza, gukora neza, kandi bisa neza .

Ibintu bibigiraho ingaruka ni ibi bikurikira:

• Ingano y'indwara: Niba ari ikibyimba cya kanseri, niba ari kinini cyane, cyangwa niba cyinjiye mu ngingo z'ingenzi zegereye nk'imitsi n'imitsi, bishobora kudashobora gukurwaho ikibyimba utabanje kugitera kwangirika. Mu buryo nk'ubwo, niba ari ubwandu, niba cyarakwirakwiriye cyane kandi cyangije ingingo nyinshi, bishobora kugorana gukiza urugingo.
• Uburemere bw'imvune: Abaganga bakoresha uburyo bwihariye bwo gupima amanota kugira ngo bapime ingano y'ibyangiritse byatewe n'impanuka. Bapima ibyangiritse ku mitsi, ingirangingo, imiyoboro y'amaraso, n'amagufwa. Iyo hari ibice byinshi bidashobora gusanwa, ntibishoboka gusana buri gice ukwacyo. Icy'ingenzi ni ukugarura amaraso muri buri gice cy'urugingo nyuma yo kubagwa. Iyo amaraso adatembera, ingirangingo zirapfa.

Ni iki kibaho mbere yo kubagwa?

Kubera ko ubu ari ukubagwa gukomeye, ntuhita ujya kubagwa ako kanya. Hari ibyiciro byinshi mbere y'ibyo.

1. Kuvurwa mbere yo kubagwa: Niba ufite imvune ikomeye, ushobora gukenera ubundi buryo bwo kuvurwa kugira ngo ugire ubuzima bwiza mbere yo kubagwa cyane. Niba ari kanseri, imiti cyangwa imiti ivura imirasire bishobora gutangwa mbere yo kubagwa kugira ngo bigerageze kugabanya ikibyimba. Ibi bizoroshya gukuraho.

2. Isuzuma mbere yo kubagwa:Itsinda ry’abaganga rizakora ibizamini byinshi kugira ngo basobanukirwe uko umeze. Ibizamini nka MRI cyangwa CT scan bireba imbere mu rugingo. Ibizamini nka CT angiogram cyangwa Doppler ultrasound bireba uburyo amaraso atembera. Bazasuzuma kandi ubuzima bwawe muri rusange ndetse niba hari izindi ndwara ufite.

3. Ikiganiro mbere yo kubagwa: Igihe cyose bishoboka, itsinda ry’abaganga rizaganira nawe ku kubagwa birambuye. Bazagusobanurira byose bagiye gukora, ingaruka, n’ingaruka zishobora kubaho, kandi bakubwire uburenganzira bwawe. Icyemezo cyo kurokora cyangwa gukata ukuboko/ukuguru bishobora kukugora. Fata umwanya wo kubitekerezaho kandi ubaze muganga wawe ikibazo icyo ari cyo cyose ushobora kuba ufite.

Ni iki kibaho mu gihe cyo kubagwa?

Iyi ni inzira igoye cyane. Ubwa mbere, igice cyarwaye kirakurwaho. Ibyo bivuze gukuraho ikibyimba cya kanseri cyangwa ingingo zanduye. Hanyuma igice gikomeye cyane gitangira - inzira yo kongera gusana.

Ibi bishobora gusaba kubagwa inshuro zirenze imwe, cyangwa se kubagwa inshuro nyinshi. Abaganga bagomba kongera guhuza, gusana, cyangwa kongera gufatanya imiyoboro y'amaraso, imitsi, amagufwa, n'izindi ngingo.

Bumwe mu buryo bukoreshwa muri ibi ni:

• Gusubiza amaraso mu mitsi: Gusubiza amaraso mu gace kangiritse. Kimwe no kuhira igiti cyumye, imiyoboro y'amaraso irongera igakira binyuze mu kubagwa mu buryo bworoshye.
• Kubagwa mikorosikopi: Hari igihe umutsi w'amaraso wangiritse cyangwa imitsi ijyana amaraso mu mubiri wasimbuzwa agace k'umubiri wawe cyangwa umutanga, maze imitsi/imitsi yoroshye igahuzwa hakoreshejwe mikorosikopi.
• Guteranya: Gusimbuza igufwa ryangiritse cyangwa ryakuweho agace k'igufwa cyangwa gusimbuza uruhu rwabuze agace k'igufwa.
• Insimburangingo: Hashyirwamo icyuma giteranyirizwa kugira ngo gisimbuze igufwa cyangwa ingingo yakuweho, bigasubiza imikorere y'urugingo.
• Gutwara amagufwa: Kugira ngo huzuzwa icyuho mu magufwa maremare cyangwa ngo amagufwa abe maremare, hashyirwaho urufatiro rw'icyuma kitagira umugese, nka 'Taylor Spatial Frame' cyangwa 'Ilizarov apparatus', inyuma, bityo bigatera imbaraga gukura kw'amagufwa.

Ni iki kibaho nyuma yo kubagwa? Ni ibihe byiza n'ibibi?

Nyuma yo kubagwa, hari ikindi kibazo gikomeye. Icyo ni ukwiyubaka mu buryo bukomeye. Umuganga w’umubiri azakorana nawe kugira ngo agufashe kugarura imbaraga n’ubushobozi mu rugingo rwawe rwakijijwe. Ibi bisaba igihe, imbaraga, kwihangana, no kwihangana . Mu by’ukuri, rimwe na rimwe bishobora gufata igihe gito kugira ngo umenyere urugingo rwahinduwe ugereranije no gukoresha urugingo rwahinduwe.

Bifata igihe kingana iki kugira ngo umuntu akire?

Igihe bifata kugira ngo ibi bibeho kiratandukanye bitewe n'umuntu ku giti cye. Biterwa n'ibice by'ingingo yawe byasanwe n'uko byakozwe. Nubwo ibikomere bikunze gukira mu byumweru bike, imitsi n'amagufwa bifata amezi menshi kugira ngo bikire. Akenshi uzamara mu bitaro iminsi mike, hanyuma ukaza mu rugo ugasubira ku kazi nyuma y'amezi abiri cyangwa atatu uruhuka. Ariko bishobora gufata igihe kirekire kurushaho kugira ngo wongere gukoresha neza ingingo yawe.