Ese muganga yakubwiye gukora biopsy y'umwijima? Reka tuvuge kuri ibi mu buryo bworoshye (Biopsy y'umwijima)

Ubwo muganga yakubwiraga ko ugomba gupimwa umwijima, wagize ubwoba gato kandi ukagira ubwoba, si byo se? "Kuki ari byo?", "Ese bizababaza cyane?", "Ese ni ukubagwa gukomeye?" Ibibazo byinshi bigomba kuba byaraje mu mutwe. Ntutinye, ibi ntabwo ari binini cyangwa biteye ubwoba nkuko ukunze kubitekereza. Reka tubiganireho birambuye kandi uyu munsi.

Mu magambo make, ni iki gikorwa cyo gusuzuma umwijima (biopsy)?

Gupima umwijima ni uburyo bwo gukora ubuvuzi buto aho agace gato cyane k'umubiri (ingero y'uturemangingo) gafatwa mu mwijima wawe hakoreshejwe urushinge rwihariye. Nk'uko dufata amaraso kugira ngo dupime indwara, muri iki gihe, agace gato k'umwijima ubwako karafatwa kagasuzumwa.

Icyitegererezo cy'ingingo yoherezwa muri laboratwari, aho inzobere mu ndwara , umuganga w’inzobere mu gusuzuma ingingo no gupima indwara, ayireba akoresheje mikorosikopi kugira ngo amenye neza ubwoko bw'indwara y'umwijima.

Kuki tugomba gukora Biopsy y'umwijima?

Hari impamvu ebyiri z'ingenzi zibitera.

1. Gusuzuma: Hari igihe isuzuma ryawe rya scan cyangwa amaraso rishobora kwerekana ko hari ikibazo mu mwijima wawe. Ariko bishobora kuba bitaramenyekana neza 100% . Muri ibyo bihe, abaganga bavuga ko iki kizamini cya biopsy ari bwo buryo bwiza bwo kwemeza indwara zimwe na zimwe z'umwijima (urugero rwa zahabu).

2. Gupima imiterere y'indwara: Niba urwaye umwijima udakira, iki kizamini kinakoreshwa mu kumenya aho cyakwirakwiriye n'uko umwijima wangiritse. By'umwihariko, gishobora gutanga amanota (F0 kugeza kuri F4) y'urugero rwa fibrosis , ni ukuvuga kurema inkovu zidakira. Uku ni ko imiti, uburyo bwo kuvura, n'uburyo indwara izabaho bigenwa.

Ni izihe ndwara zishobora kumenyekana hifashishijwe iki kizamini?

Isuzuma ry'umwijima rishobora gusuzuma indwara zitandukanye zifitanye isano n'umwijima.

Uburyo bwo gusuzuma umwijima bukorwa gute? Ni ubuhe buryo?

Hari uburyo butatu bw'ingenzi bwo kubikora. Muganga wawe azahitamo uburyo bukwiye cyane bitewe n'imimerere yawe.

1. Isuzuma ry'umwijima uva ku ruhu

Ubu ni bwo buryo bukunze gukoreshwa kandi bworoshye cyane. 'Percutaneous' bivuze 'kunyura mu ruhu.' Muganga afata icyitegererezo ashyira urushinge ruto mu ruhu ruri iburyo bw'inda yawe, munsi y'imbavu zawe, mu mwijima.

2. Gupima umwijima uva mu mitsi

Ubu buryo bukoreshwa iyo ufite ibyago byo kuva amaraso, cyangwa niba ufite indwara nka ascites. 'Transvenous' bivuze 'kunyura mu mutsi'. Aha, umuyoboro muto (catheter) ushyirwa mu mutsi munini uri mu ijosi (umutsi wo mu ijosi), hanyuma urushinge runyuzwa muri uwo muyoboro rujya mu mwijima.

3. Kubaga umwijima (Biopsy)

Hari igihe igice cy'umwijima gishobora gukurwaho mu gihe cyo kubagwa mu nda (kubagwa mu buryo bufunguye cyangwa hakoreshejwe laparoscopic) bitewe n'indi mpamvu.

Ni gute wakwitegura mbere yo gukora biopsy?

Hari ibintu bike ugomba gukora mbere y'ibi.

• Kuganira na muganga wawe: Vugana na muganga wawe ku mateka y'ubuzima bwawe n'imiti urimo gufata. Ushobora gusabwa guhagarika gufata imiti imwe n'imwe, nk'imiti igabanya amaraso, hafi icyumweru kimwe mbere y'uko bitangira.
• Ibizamini by'amaraso: Hazakorwa ikizamini cy'amaraso kugira ngo harebwe ubushobozi bwo kuvura amaraso. Iyo habayeho ikibazo, gishobora kuvurwa mbere yo gupimwa.
• Kwiyiriza ubusa: Ubusanzwe usabwa kwirinda kurya cyangwa kunywa amasaha agera ku munani mbere yo kwipimisha. Ariko, kurikiza amabwiriza ya muganga wawe neza.
• Tegura mbere y'igihe: Niba ugiye guhabwa umuti ugabanya ububabare, teganya ko hari umuntu uzagutwara akagutwara akagutwara mu rugo mbere y'igihe. Nanone, itegure icyumweru cyo kuruhuka nyuma yo kubagwa.

Ni iki kibaho ku munsi wo gukorerwa isuzuma ry’umubiri (biopsy)?

Ikizamini kimara iminota 15-30, ariko nyuma yacyo ugomba kumara amasaha menshi mu bitaro ukurikiranwa.

Mu gihe cyo gukora ikizamini:

1. Uzaryamishwa ku buriri, kandi aho urushinge ruzashyirwa (iburyo bw'inda cyangwa ijosi) hazaba hasukuwe neza kandi hagashyirwamo umuti wica udukoko.

2. Hanyuma , umuti ugabanya ububabare uterwa muri ako gace. Uzumva ushyushye gato iyo ubishyizeho, ariko agace kazashira mu munota umwe.

3. Nyuma yuko agace kamaze kubura ibisebe, muganga akora akantu gato maze agashyiramo urushinge rwa biopsy.

4. Ushobora gusabwa guhagarika umwuka wawe igihe gito. Nta bubabare bubaho iyo urushinge rwinjiyemo, ariko ushobora kumva umuvuduko muto imbere .

5. Nyuma y'amasegonda make, icyitegererezo kirafatwa hanyuma urushinge rugakurwaho. Hanyuma hagashyirwa plaster aho hantu.

6. Nyuma yo kubagwa, uzahindurirwa uruhande rwawe rw'iburyo igihe gito. Ibi bizafasha gushyira igitutu ku mwijima ukurikije uburemere bwawe bwite kandi bifashe guhagarika kuva amaraso.

Ese hari ingaruka zishobora guterwa nyuma yo gupimwa?

Muri rusange iki kizamini ni cyiza cyane. Ingorane zikomeye ni gake cyane (hafi 0.1%). Ariko, hari ingorane nkeya zishobora kubaho.

• Ububabare: Ushobora kugira ububabare bworoheje mu gice cy'iburyo cy'inda yawe cyangwa mu rutugu rw'iburyo nyuma yo gupimwa. Ibi ubusanzwe bishobora kugenzurwa n'imiti igabanya ububabare.
• Umuvuduko w'amaraso uri hasi: Hari abantu bashobora kumva bameze nk'izuba. Ibi bikunze kugenda nyuma y'igihe runaka.

Ariko, niba ubonye ibimenyetso bikurikira nyuma yo gusubira mu rugo, ugomba guhita uhamagara muganga wawe .

• Umuriro mwinshi
• Gucika intege cyane cyangwa gucika intege
• Guhumeka bigoranye
• Umutima utera cyane
• Ibara ry'umuhondo mu maso cyangwa ku ruhu (Jaundice)
• Ububabare bukabije
• Kubyimba inda