Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo muganga wawe akubwira ko ibisubizo bya pap smear bitandukanye gato. Hanyuma, iyo akubwira ko ugomba kubagwa LEEP, ubwo bwoba bushobora kwiyongera kurushaho. Ni ibisanzwe kwibaza uti "Ibi bigiye gukora iki?" Ariko se LEEP ni iki mu by'ukuri? Ese ni akaga? Reka tubiganireho neza, mu buryo ushobora kumva, nk'aho uri kuvugana n'inshuti yawe.
Mu magambo make, LEEP ni iki?
Mu magambo make, LEEP (Loop Electrosurgical Excision Procedure) ni uburyo budakoresha ingufu nyinshi bukuraho uturemangingo tw’uturemangingo tudasanzwe ku buso bw’umura wawe. Kimwe no gukuraho uruhu ku mboga buhoro buhoro, uru rwego rw’uturemangingo tudasanzwe rukurwaho hakoreshejwe umugozi muto ukoresha amashanyarazi.
Noneho ushobora kuba urimo kwibaza uti: "Kuki izi selile zikurwaho?" Niba Pap smear cyangwa colposcopy yawe igaragaje selile zidasanzwe ku mura wawe w'inkondo y'umura, muganga wawe ashobora kukugira inama yo gukora ubu buryo bwa LEEP. Ubu burwayi budasanzwe bw'ingirabuzimafatizo bwitwa cervical dysplasia .
Igikuru ni uko iyi `(Cervical Dysplasia)` atari kanseri. Ariko, iyo itavuwe igihe kirekire, igice gito cy'utu turemangingo gishobora guhinduka kanseri y'inkondo y'umura. Bityo, kuvura LEEP ni uburyo bw'ingenzi cyane kandi bufite akamaro bwo gukuraho ibyago byo kurwara kanseri mbere yuko ikwirakwira . Ikoreshwa kandi mu gukuraho zimwe mu ndwara zo mu nkondo y'umura n'uduheri two mu gitsina.
Witegura ute mbere yo kuvurwa?
Mbere yo gukora ubu buryo, muganga wawe azasuzuma kugira ngo arebe neza ko byose bimeze neza. Urugero, niba ufite indwara yo kubyimba mu kibuno (PID) cyangwa cervicitis, ibi bizakenera kuvurwa mbere yo gukora LEEP.
Ushobora kandi gupimwa kugira ngo barebe niba utwite. Niba utwite, muganga wawe azaguhitiramo igihe gikwiye cyo kuvura. Ubusanzwe, ibi bikorwa ku munsi utari mu mihango.
Ni ngombwa cyane gukurikiza amabwiriza ya muganga mbere yo kuvurwa.
- Irinde gukora imibonano mpuzabitsina no gukoresha amavuta yo kwisiga mu gitsina amasaha 24 mbere yo kuvurwa.
- Zana agakoresho ko kwisukura kugira ngo ukoreshe nyuma yo kuvurwa.
- Niba ufata imiti ibuza amaraso kuzura (nka aspirine), ugomba kubibwira muganga wawe kandi ukamusaba inama.
- Niba muganga wawe abigusabye, fata umuti ugabanya ububabare (nka Panadol) iminota 30 mbere yo kuvurwa.
- Mu gihe wambara imyenda, ambara imyenda ijyanye n'igihe kandi idafite ishingiro ishobora gukurwamo byoroshye.
Ni iki kibaho mu gihe cyo kuvurwa na LEEP?
Ibi ubusanzwe bishobora gukorerwa kwa muganga cyangwa mu bitaro bivura abarwayi bataha. Ubuvuzi bwose bumara iminota 10 kugeza kuri 20 gusa. Muri iki gihe uba uri maso, ariko ntuzumva ububabare bwinshi.
1. Kwitegura: Ubwa mbere, uzasabwa kuryama ku meza yo gusuzumwa, nk'uko wabikora mu isuzuma risanzwe ry'abagore, amaguru yawe arimo gusimbuka. Hanyuma, hazashyirwa agapapuro ko gusimbuza ku bibero byawe. Ibi bizakurinda amashanyarazi akoreshwa mu gihe cyo kuvurwa. Hanyuma, muganga azashyiramo igikoresho cyitwa speculum maze yagure gato imboro yawe kugira ngo umura wawe ugaragare neza.
2. Kumenya uturemangingo tudasanzwe: Hanyuma, hashyirwa amazi yihariye (aside acetic cyangwa iodine) ku mura kugira ngo uturemangingo tudasanzwe tugaragare neza. Igikoresho gisa na kamera cyagutse cyitwa colposcope gishyirwa hafi y'igitsina gabo hanyuma kigasuzumwa. Iki ni igikoresho gishyirwa hanze y'umubiri.
3. Kwaguka k'umura: Iki ni cyo kintu abantu benshi batinya. Ariko nta cyo ugomba gutinya. Muganga azagutera urushinge rworoshye cyane (`(Lidocaine)` hamwe na `(Epinephrine)`) mu mura wawe w'inkondo y'umura akoresheje urushinge rwiza cyane . Bizumva nk'aho urimo gushyuha mu ishinya ryawe iyo ukuwe iryinyo, nk'urushinge ruto rurimo gushyirwamo, hanyuma uzumva ushyushye gato mu masegonda make . `(Epinephrine)` iri mu rushinge ishobora gutuma umutima wawe utera vuba gato kandi ushobora kumva umeze nk'uzumva umeze nk'uzumva . Bizashira burundu mu minota mike, bityo ntugahangayike.
4. Gukuraho ingirangingo zidasanzwe: Nyuma yuko umura w'inkondo y'umura ushizemo ibisebe, muganga azakoresha insinga z'amashanyarazi kugira ngo agabanye ingirangingo zidasanzwe. Ni ngombwa ko uguma uhagaze muri iki gihe. Ushobora kumva urimo gushyuha gato, ariko ntugire ububabare. Hari igihe ibi bishobora gukorwa ku nshuro ya kabiri kugira ngo ukureho ingirangingo zose ziri munsi y'umura w'inkondo y'umura. Ingero y'ingirangingo izoherezwa muri laboratwari kugira ngo ipimwe ingirangingo za kanseri.
5. Guhagarika kuva amaraso: Amaherezo, umuti wihariye (Monsel's paste) ushyirwa ku gikomere kugira ngo uhagarike kuva amaraso no gukumira kwandura.
Ni iki wakwitega nyuma yo kuvurwa?
Nyuma yo kuvura, uzoherezwa mu rugo nyuma yo kuruhuka kugeza igihe uzaba wakize neza (hafi iminota 30-60). Muri iki gihe, ushobora kubaza muganga wawe niba ufite ikibazo icyo ari cyo cyose. Nyuma yo gutaha, hari ibintu bimwe na bimwe ugomba gukurikiza, ndetse n'impinduka mu mubiri wawe mu gihe urimo gukira.
| Ibyo uzahura nabyo | Icyo ukwiye gukora n'icyo udakwiye gukora |
|---|---|
| Kubabara mu nda Ushobora kumva ububabare gato, nko mu gihe cy'imihango, mu minsi mike. | Ufata imiti igabanya ububabare (urugero: Panadol) nk'uko muganga yabigutegetse. |
| Gusohora amaraso mu gitsina Amavuta asa n'icyatsi kibisi cyangwa umuhondo cyangwa umukara, rimwe na rimwe akaba afite impumuro mbi, ashobora kugaragara mu gihe cy'ibyumweru 1-3. Ibi biterwa n'uko umuti wa nyuma ukoreshwa uba ushonga kandi usohoka. | Koresha udupira tw'isuku. Ntugakoreshe tampons cyangwa ikindi kintu cyose cyinjijwe mu gitsina ku mpamvu iyo ari yo yose. |
| Ibikorwa n'imyitozo Ugomba guha umubiri wawe umwanya wo gukira. | Irinde gukora imyitozo ngororamubiri ivunanye mu masaha 48 ya mbere. Irinde gukora imyitozo ngororamubiri nibura mu gihe cy'icyumweru kimwe. |
| Imibonano mpuzabitsina Inkondo y'umura igomba gukira burundu. | Irinde imibonano mpuzabitsina burundu mu gihe cy'ibyumweru 4 nibura . |
| Ubwogero | Ushobora kwiyuhagira nk'uko bisanzwe, ariko wirinde kwinjira mu mazi (muri sinki, mu bwogero, mu nyanja/mu ruzi) kugeza igihe muganga wawe abikubwiye. |
Ese umura w'inkondo y'umura uzongera gukura?
Yego. Uturemangingo twakuweho dusimburwa n'uturemangingo dushya kandi dufite ubuzima bwiza , maze umura w'inkondo y'umura ugasubira ku murongo. Ibi bifata ibyumweru bigera kuri 4-6.
Igihe cyo kubonana na muganga ako kanya
Niba ubonye kimwe muri ibi bimenyetso bikurikira, bishobora kuba ikimenyetso cy'ubwandu. Hamagara muganga wawe cyangwa ujye kwa muganga ako kanya.
- Kuva amaraso menshi arenze urugero rw'imihango isanzwe (kunywa amazi arenze agapira kamwe mu isaha)
- Gukura amaraso menshi mu nda
- Amavuta yo mu gitsina anuka cyane arushaho kwiyongera umunsi ku wundi
- Umuriro
- Ububabare bukabije bwo mu gifu budashobora kwihanganira
Bigenda bite nyuma y'uko ibisubizo bibonetse?
LEEP ni uburyo bwo gusuzuma no kuvura. Akenshi, iyo uturemangingo tudasanzwe dukuweho, iyo ndwara irakira burundu.
Ariko, rimwe na rimwe iyo raporo igaragaza ko hari uturemangingo tudasanzwe ku nkengero z'uturemangingo twakuweho, bishobora kuba ngombwa gukora ubundi buryo bwo kuvura LEEP kugira ngo haveho uturemangingo dusigaye.
Ikindi kintu ugomba kwibuka ni uko impamvu nyamukuru itera izi selile zidasanzwe mu mura w'inkondo y'umura ari virusi yitwa HPV (Human Papillomavirus) . Ubuvuzi bwa LEEP bukuraho gusa selile zidasanzwe ziterwa na virusi, ntabwo ari virusi ubwayo . Kubwibyo, ndetse na nyuma yo kuvurwa, ni ngombwa ko ujya upimwa Pap smears buri gihe nk'uko muganga yabigusabye.
Ubutumwa bwo kujyana mu rugo
- LEEP ni uburyo bwiza kandi bwizewe bwo kuvura bukuraho uturemangingo tudasanzwe dushobora gutera kanseri y'inkondo y'umura mbere yuko ikwirakwira.
- Ibi bikorwa hakoreshejwe uburyo bwo gufunga umunwa w'inkondo y'umura, kugira ngo utazababara cyane. Ushobora kumva umerewe nabi gato iyo utewe urushinge rwo gufunga umunwa.
- Ni ibisanzwe kugira ububabare mu nda yo hasi no kuva amaraso mu gitsina mu byumweru bike nyuma yo kuvurwa.
- Kurikiza amabwiriza ya muganga wawe neza cyane cyane ajyanye no kwirinda imibonano mpuzabitsina no gukora imyitozo ngororamubiri.
- Niba ubonye ibimenyetso nko kuva amaraso menshi, umuriro, cyangwa ububabare bukabije, hita ubonana na muganga.
- Ikibazo cyangwa impungenge ushobora kuba ufite kuri ubu buryo bwo kuvura bigomba kuganirwaho na muganga wawe. Ni uburenganzira bwawe.
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