Wifuza kumenya ibijyanye n'uburyo bwo gusuzuma lymph node yawe?

Ese muganga yagutegetse ko ugomba gukorerwa biopsy y’uturemangingo tw’amaraso? Cyangwa ni ikintu cyateguwe ku nshuti yawe kandi ukaba ugishishikajwe na cyo? Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo ubyumvise. Ariko niba tubisobanukiwe neza, dushobora kugabanya ubwo bwoba n’ubwoba. Rero, uyu munsi turaganira gusa ku cyo biopsy y’uturemangingo tw’amaraso ari cyo, impamvu ikorwa, uko ikorwa, n’ikizakurikiraho.

Uburyo bwo gusuzuma node ya lymph ni iki?

Muri make, biopsy y’uturemangingo tw’amaraso ni ikizamini cyo gusuzuma ibimenyetso by’indwara, cyane cyane kanseri, mu turemangingo tw’amaraso. Muri iki kizamini, umuganga (ubusanzwe umuganga w’inzobere mu kubaga cyangwa umuganga w’imirasire) akuraho agace kose cyangwa gato k’uturemangingo tw’amaraso tw’amaraso tw’amaraso. Hanyuma, undi muganga w’inzobere witwa pathologist asuzuma ingingo muri laboratwari.

Noneho ushobora kwibaza uti “utu dutsi twa lymph nodes” ni utundi tugingo duto duherereye mu mubiri wacu wose, tungana n’agasatsi. Umurimo watwo w’ingenzi ni ukuyungurura amazi ya lymph `(Lymph)` ava mu turemangingo n’ingingo zacu, no gufata ibintu byangiza n’udukoko tubirimo. Tekereza, udukoko twinjira mu mubiri wacu dufatwa muri utu dutsi twa lymph nodes. Nanone, kanseri nka `(Lymphoma)` ishobora gutangirira mu tutsi twa lymph nodes. Ubundi bwoko bwa kanseri nabwo bushobora gukwirakwira mu tutsi twa lymph nodes.

Rero, dufashe aka gace gato k'umubiri tukagasuzuma, dushobora kubona ibimenyetso bitagaragara neza. Ibisubizo by'iyi '(Lymph Node Biopsy)' bituma abaganga bamenya neza niba indwara ihari, bakamenya ubukana bwayo, hanyuma bagahitamo uburyo bwiza bwo kuyivura.

Ni ryari muganga atanga inama yo gukora biopsy?

Hari impamvu nyinshi z'ingenzi zishobora gutuma muganga wawe agusaba gukora biopsy y'uturemangingo tw'imitsi:

• Kugira ngo bapime kanseri kandi bamenye aho igeze. Abaganga bakora iki kizamini kugira ngo barebe niba kanseri ihari kandi niba yarakwirakwiriye kure y’aho yasanzwe iherereye. Aya makuru akoreshwa mu gutegura uburyo bwo kuyivura. Anaguha igitekerezo cy’uburyo ushobora kwitega mu buvuzi (prognosis).
• Menya icyateye kubyimba k'akaguru. Ni ibisanzwe ko kuguru kubyimba iyo turwaye. Ibi bibaho iyo dufite umuriro cyangwa ibicurane. Ariko rimwe na rimwe, iyo kubyimba kutagabanutse bigakomeza, kandi muganga atabasha kubona impamvu, hashobora kuba ngombwa ko hakorwa biopsy. Bishobora kuba indwara ikomeye , cyangwa se bikaba ari indwara y’ubudahangarwa bw’umubiri nka sarcoidosis.

Iyo uhawe iki kizamini, muganga wawe azagusobanurira indwara akeka n'icyo arimo gupima. Bityo rero ni ngombwa cyane kubaza ikibazo icyo ari cyo cyose ushobora kuba ufite.

Ni ubuhe bwoko bwa biopsy bwa lymph node?

Hari ubwoko butandukanye bwa `(Lymph Node Biopsy)`. Reka turebe ibyo ari byo:

• Isuzuma ry’uturemangingo tw’umusenyi: Ibi bikorwa kugira ngo harebwe niba kanseri yarakwirakwiriye kure y’aho yahoze, ikagera ku turemangingo tw’umusenyi twegereye aho yavuye. Muri ubu buryo, muganga ashakisha uturemangingo tw’umusenyi twegereye ikibyimba (titwa uturemangingo tw’umusenyi tw’umusenyi), akadukuramo, hanyuma akagenzura uturemangingo twa kanseri.

• Gupima urushinge: Hari ibibyimba bimwe biba biri munsi y'uruhu rwacu, ahantu horoshye kuhagera. Muri ibyo bihe, ubu buryo bwo gusuzuma urushinge burakoreshwa. Hariho kandi ubwoko bubiri bw'ibi:
• Gukoresha urushinge rwiza (FNA): Ibi bisaba gukoresha urushinge rwiza cyane kandi rufite ububobere kugira ngo ukureho amazi n'uturemangingo mu kibyimba.
• Gupima urushinge rw'ibanze: Ibi bikubiyemo gukoresha urushinge runini gato kurusha FNA kugira ngo hafatwe icyitegererezo cy'ingingo zitari zangiritse.

• Gupima mu mubiri: Hari igihe, iyo ikibyimba kiri mu mubiri rwagati kandi kidashobora kugerwaho byoroshye binyuze mu ruhu, ubu buryo bwo gupima mu mubiri bukoreshwa. Muri ibi, muganga akora agato (incision) mu ruhu, akagera kuri iki kibyimba, akagikuraho burundu (Excisional Biopsy)) cyangwa igice cyacyo (Incisional Biopsy)).

Hari igihe abaganga bita ubwo bwoko bwa "biopsy" bitewe n'aho ibibyimba biri. Ahantu nyamukuru ni:

• Isuzuma ry'uturemangingo tw'imitsi mu ruhago.
• Isuzuma ry'uturemangingo tw'inkondo y'umura.
• Isuzuma ry'indwara ya lymph node mu gituza.

Ni iki nkwiye kwitega mbere y'ikizamini?

Muganga wawe azakubaza ibibazo bike bijyanye n'ubuzima kugira ngo arebe neza ko nta kibazo kirimo kuri wewe mu gukora iki kizamini. Bazakubaza ibi bikurikira:

• Imiti ufata: Iyi irimo imiti yanditswe na muganga, imiti idatanzwe na muganga, ibyatsi, vitamine, n'inyongeramusaruro. Ugomba kubwira muganga wawe ibi byose.
• Amateka yawe y'ubuzima: Bazashaka kumenya niba ufite ikibazo cyo kuva amaraso (ni ukuvuga kuva amaraso menshi kuruta uko bisanzwe), ubwivumbure ku ndwara yo gusinziriza cyangwa latex, ndetse niba utwite cyangwa ushobora kuba utwite.

Muri icyo gihe, muganga azaguha aya mabwiriza:

• Ni iyihe miti igomba guhagarikwa mu minsi ibanziriza ikizamini?, icyo gukomeza gufata.
• Ese ugomba "kwiyiriza ubusa" kugira ngo ureke kurya no kunywa igihe runaka mbere yo kwipimisha?
• Ese ukeneye umuntu wo kujyana mu rugo akakwitaho? Kuko, bitewe n'isuzuma ryakozwe, bishobora kuba atari byiza gutwara imodoka cyangwa kuba uri wenyine mu masaha 24 ya mbere. Nubwo byaba bitakubujije gutwara imodoka, ni byiza kugira umuntu wo kuguhumuriza mu gihe uva mu bitaro.

Muganga wawe azagusobanurira kandi uko bizagenda ku munsi wo gupimwa. Ntugatinye kubaza ikibazo icyo ari cyo cyose ufite muri iki gihe.

Ni iki kibaho mu gihe cyo gupimwa node y'umura?

Uzategekwa kuryama ku meza yo gusuzuma. Uko ubwoko bwose bwa biopsy buri gukorwa, muganga azaguha ikinya kugira ngo utababara. Niba ikinya kiri hafi y'uruhu, uzakorerwa ikinya gusa, ibyo bigatera ubwoba ako gace. Ariko niba ikinya kiri imbere mu mubiri wawe, uzahabwa ikinya rusange, ibyo bikagusinzira burundu.

Nyuma yo gusinzira cyangwa aho hantu hameze nabi cyane, muganga azakora ibi bikurikira:

• Ikibyimba gikeneye gusuzumwa kiraboneka. Muganga ashobora gukoresha ultrasound, scan ya CT (computed tomography), cyangwa mammogram kugira ngo amenye neza aho kiri. Hari igihe irangi cyangwa tracer byihariye bishobora guterwa. Ibi bizinjira mu bibyimba bigatuma bigaragara neza.
• Ikibyimba gikurwaho cyose cyangwa igice cyacyo. Bagerageza kwangiza uduce duto dushoboka no kugabanya cyangwa gukumira inkovu.
• Isosi izadodwa hanyuma hagashyirwaho igitambaro. Ushobora guhabwa imidozi ishobora kwinjiza, cyangwa ugasabwa kugaruka mu minsi mike kugira ngo imidozi ikureho.

Uburyo bwo gusuzuma lymph node bubabaza bungana iki?

Iyo muganga ateye ikinyabutabire, yumva ameze nk'aho akubiswe urushinge ruto, hanyuma agashya gato. Ariko, ntuzumva ububabare ubwo aribwo bwose mu gihe cyo kubagwa. Ushobora kumva ububabare nyuma yaho. Ariko, ushobora kugenzura ububabare ufata imiti igabanya ububabare (iboneka muri farumasi ifite amabwiriza ya muganga) kugeza igihe igikomere gikize.

Muganga azakugira inama ku miti igabanya ububabare ushobora gufata.

Bifata igihe kingana iki kugira ngo hakorwe isuzuma ry’uturemangingo tw’amaraso?

Gupima urushinge byoroshye bishobora gufata iminota 10 kugeza kuri 30. Gupima ukoresheje urushinge byoroshye bishobora gufata iminota 45. Ibi biterwa ahanini n'uburyo ushobora kubona indurwe yawe byoroshye.

Ni iki kibaho nyuma yo gukorerwa isuzuma ry’uturemangingo tw’amaraso?

Gupima lymph node bikunze kuba igikorwa cyo kwa muganga utari mu bitaro, bivuze ko ushobora gutaha uwo munsi.

Mbere yo gutaha, muganga wawe azasuzuma ibipimo by'ubuzima bwawe (ubushyuhe, umuvuduko w'amaraso mu mutima, nibindi) kugira ngo arebe neza ko nta kibazo kirimo cyo gutaha. Azaguha kandi amabwiriza y'uko wakwitaho aho wakorewe isuzuma ry'indwara n'uko wakwitaho.

Bazakugira inama ku bintu nk'ibi:

• Uburyo igikomere gikwiye gukira. Urugero, ni ibisanzwe kuva amaraso, kubyimba, gukomereka, no kubabara mu minsi mike ya mbere nyuma yo gukorerwa isuzuma rya lymph node. Ariko, iyo kuva amaraso kwiyongera, ububabare bukiyongera, cyangwa aho isuzuma ryakorewe hagahinduka umutuku kandi hakagaragaza ibimenyetso by'ubwandu, ntabwo ari ibisanzwe.
• Uburyo bwo kubungabunga igisebe no kucyitaho. Kugira ngo ugabanye ibyago byo kwandura, ushobora gusabwa kwirinda kwiyuhagira, gukoresha ubwogero bushyushye, ndetse wenda no kwiyuhagira iminsi mike.
• Bazakubwira uko wakwiyitaho, igihe cyo kongera gutangira gufata imiti yawe, n'uko wakwitaho mu gihe ukize. Bashobora kandi kukugira inama yo kwirinda guterura ikintu cyose kiremereye kurusha uburemere runaka.

Mbere yo gutaha, banza umenye neza icyo gukora nyuma yaho. Ni ngombwa kandi kumenya igihe cyo kuvugana na muganga niba igisebe kidakira neza.

Ni izihe ngaruka mbi zo kubagwa mu mitsi?

Gupima lymph node muri rusange ni uburyo bwizewe. Ariko, nta buryo na bumwe bwo kwa muganga butagira ingaruka na gato. Izi zikurikira ni zimwe mu ngorane zidasanzwe zishobora kubaho:

• Kwandura: Ibi ntabwo bikunze kubaho, ariko iyo bibaye, muganga wawe ashobora kukwandikira imiti yica udukoko.
• Kwiyongera kw'amaraso ava aho bapimye: Ibyago byawe byo kuva amaraso biterwa n'ubwoko bwa biopsy n'ingano y'inyama zakuweho na muganga. Bazakubwira ingano y'amaraso ugomba kwitega.
• Kubura ibinya ku gice cya biopsy: Ibi bishobora kubaho iyo umutsi wangiritse mu gihe cyo gukora biopsy. Ubu burwayi bukunze kurangira mu gihe cy'ukwezi kumwe cyangwa abiri.
• Kubyimba hafi y'aho biopsy yakorewe (Lymphedema) : Ibi bishobora kubaho iyo hari ikibazo cy'uko amazi ya lymph atembera nyuma yo gukora biopsy. Ibi ni gake kuko utubyimba duke cyane ni two dukurwaho mu gihe cyo gukora biopsy.
• Indwara yo mu mugongo w'agi (`(Indwara yo mu mugongo w'agi)`) cyangwa `(Cording)`: Nyuma yo gukura inda mu kwaha kwawe, ushobora kubona ishusho isa n'umugozi munsi y'uruhu imbere mu kuboko kwawe. Gufata umugozi ni gake cyane nyuma yo gupimwa. Bigenda kandi bishira uko igihe kigenda.

Ibisubizo ni ibihe? Ibyo bisubizo bivuze iki?

Ibisubizo bya `(Lymph Node Biopsy)` bigaragaza niba ufite indwara runaka (`(Positive)` - bivuze ko ufite iyo ndwara) cyangwa utayifite (`(Negative)` - bivuze ko udafite iyo ndwara).

Urugero, niba ubonye igisubizo cya "positive", bishobora gusobanura ko ufite uturemangingo twa kanseri mu mabya yawe. Muganga azakora ibindi bipimo kugira ngo arebe niba kanseri yaratangiriye mu mabya yawe cyangwa niba yarakwirakwiriye ahandi mu mubiri wawe.

Muganga wawe azakugira inama y'icyo wakora nyuma hashingiwe ku bisubizo byawe.

Ni ryari nzamenya ibisubizo?

Ushobora kubona ibisubizo uwo munsi, cyangwa bigatwara ibyumweru bike.

Mu gihe hakekwa kanseri, ubusanzwe hakorwa biopsy y’uturemangingo tw’imitsi kuri uwo munsi. Nyuma yo kuyisuzuma, muganga ashobora kugusaba gutegereza igihe gito kugira ngo icyitegererezo gishobore gusuzumwa. Niba ibisubizo byawe ari byiza, bivuze ko ufite kanseri, muganga ashobora gukuramo izindi ngingo uwo munsi kugira ngo arebe aho kanseri yakwirakwiriye. Icyo gihe ntuzongera kugaruka ngo usubireyo.

Baza muganga wawe igihe cyo kwitega ibisubizo n'uko uzabyakira (hari abaganga bahamagara, abandi bakabishyira kuri interineti binyuze ku rubuga rw'ibanga rw'abarwayi).

Ni ryari nkwiye kuvugana na muganga?

Ubonye kimwe muri ibi bimenyetso by'ubwandu, hamagara muganga wawe ako kanya:

• Umuriro n'ubukonje.
• Kubyimba, ubushyuhe, gutukura, cyangwa amazi adasanzwe aho bapimye.

Abantu benshi bakira nta kibazo, ariko niba ufite impungenge, buri gihe hamagara muganga wawe.

Amaherezo, ubutumwa bwo kujyana mu rugo

Ni ibisanzwe kumva utazi icyo ukora, uhangayitse, ndetse wenda ukarengerwa n'ibyo ukeneye gukora isuzuma ry'uturemangingo tw'imitsi. Ni ibisanzwe kandi gushaka kubikora vuba bishoboka no kumenya igisubizo.

Mu gihe utegereje ikizamini cyawe (cyangwa ibisubizo), ibuka ibi: Nubwo ikizamini cya biopsy gishobora kugaragaza indwara zikomeye, gishobora no gutanga ubutabazi buhambaye. Urugero, ibisubizo byawe bishobora kugaragaza ko kanseri yawe itarakwirakwira. Bishobora kandi kuguha igitekerezo cy'uburyo bwiza bwo kuvura kanseri mu kurwanya iyi ndwara. Nubwo ibi bishobora kuba bibabaje, amakuru ubona muri biopsy ya lymph node ni ingenzi ku buzima bwawe bw'ejo hazaza n'imibereho myiza.Wibuke ibyo.

` Kugenzura urugingo rwa lymph node, kanseri, kugabanya urugingo, kubyimba urugingo rwa lymph node, kugabanya urugingo rwa sentinel node, kugabanya urushinge, kugabanya urushinge