Ni ibisanzwe kumva ufite ubwoba no gutungurwa gato iyo muganga wawe akubwira ko urwaye kanseri y'uruhu. Twese turatungurwa iyo twumvise ijambo "kanseri." Ariko ntugahangayike. Hamwe n'ubumenyi bw'ubuvuzi bwateye imbere muri iki gihe, hari uburyo bwiza kandi buvurwa, cyane cyane kanseri y'uruhu. Uyu munsi, tugiye kuvuga ku bumwe muri ubwo buryo, busobanutse neza kandi bufite akamaro cyane. Ubwo ni 'Ubuvuzi bwa Mohs.'
Mu magambo make, Mohs Surgery ni iki?
Tekereza nko gukuraho igice cyaboze cy'igitunguru kinini. Dukuraho igice cyaboze buhoro buhoro, tudataye igitunguru cyose, sibyo? Kubaga Mohs ni uburyo bworoshye cyane.
Ibi bisaba ko umuganga wawe akuramo kanseri mu byiciro. Ubwa mbere, kanseri igaragara n'agace gato cyane k'uruhu kayikikije biracibwa. Hanyuma, igice cyo hasi cy'uruhu cyakuweho n'impande zikikije bisuzumwa hifashishijwe mikorosikopi.
Iyo iki kizamini cyerekanye ko uturemangingo twa kanseri tukiri ku nkengero z'iyo ruhu, muganga aba azi neza aho kanseri isigaye. Hanyuma, hakurwaho urundi ruhu ruto rw'uruhu aho uturemangingo twa kanseri twari turi . Rukongera gusuzumwa hifashishijwe mikorosikopi. Iki gikorwa gisubirwamo kugeza igihe byemejwe 100% ko nta turemangingo twa kanseri turi ku nkengero za buri gice cy'uruhu gikuweho.
Akamaro kanini k'ibi ni uko bikuraho neza gusa uturemangingo twa kanseri, bigabanya kwangirika k'uruhu rwawe ruzima. Niyo mpamvu ubu buryo ari ingirakamaro cyane kuri kanseri y'uruhu igaragara ahantu hashobora kwangirika nko mu maso, mu mutwe, mu matwi, mu biganza, mu birenge no mu myanya ndangagitsina.
Kuki ibi byitwa 'Mohs'?
Ubu buryo bwo kubaga bwavumbuwe kandi butera imbere mu myaka ya 1930 n'umuganga witwa Frederic E. Mohs. Bityo bwitwa 'kubaga Mohs' mu rwego rwo kumuhesha icyubahiro. Nubwo ubu buryo bwari bugoye kandi bubabaza mu ntangiriro, bwarushijeho kuba bwiza uko igihe cyagiye gihita kandi bumaze kuba bwiza cyane muri iki gihe.
Ibi bitandukanye bite no gucibwa ikibyimba cya kanseri bisanzwe?
Iki ni ikibazo abantu benshi bibaza. Ushobora kwibaza uti "Kuki hakoreshwa ubu buryo bwihariye aho gukoresha uburyo busanzwe bwo gukata?" Reka turebe itandukaniro rikomeye riri hagati y'ubu buryo bubiri. Numara gusobanukirwa ibi, uzasobanukirwa akamaro ko kubaga Mohs.
| Aho kugereranya | Uburyo Busanzwe bwo Gukuraho Ibiyobyabwenge | Kubaga Mohs |
|---|---|---|
| Gukuraho uruhu rwiza | Uruhu runini ruzima rukikije kanseri rurapimwa, rugacibwa rukavanwaho. | Agace gato cyane k'uruhu rukikije kanseri ni ko gakurwaho, bigatuma uruhu ruzima uko bishoboka kose. |
| Igenzura ry'inkombe | Igice cyakuweho cyoherezwa muri laboratwari, aho munsi ya 1% by'inkombe yose ikunze gupimwa. | Umuganga ubaga asuzuma 100% by'inkombe zose ziri munsi y'agace kakuwemo n'izikikije ako kanya akoresheje mikorosikopi. |
| Igihe cy'ibisubizo | Bifata iminsi mike kugira ngo ibisubizo bigaruke. Niba uturemangingo twa kanseri tugihari, hazakenerwa ubundi bubagwa. | Ibisubizo bishobora kugaragara mu isaha imwe. Kuvura bikomeza umunsi umwe kugeza igihe kanseri irangiye burundu. |
| Igipimo cyo kugaruza | Kubagwa kwa Mohs kuri hejuru, ariko kuri hasi gato. Hari amahirwe ko kanseri izagaruka. | Ifite igipimo cyo kuvura cyagera kuri 99%. Ni imwe mu miti ivura kanseri y'uruhu neza cyane. |
Ni ubuhe bwoko bwa kanseri bukunze gukurwaho no kubagwa kwa Mohs?
Ubu buryo bwo kubaga bukunze gukoreshwa cyane ku bwoko bubiri bwa kanseri y'uruhu bukunze kugaragara mu gihugu cyacu.
- Kansinoma y'uturemangingo tw'ibanze (BCC)
- Kansinoma y'uturemangingo twa Squamous (SCC)
Uretse ibi, hari igihe abaganga bashobora gutanga inama kuri ubu buryo ku zindi kanseri zikomeye z'uruhu nka melanoma n'izindi kanseri nyinshi zidasanzwe.
Ni iki kibaho mbere yo kubagwa?
Mbere yuko ubagwa Mohs, dermatologist wawe azagusuzuma. Mwembi muzaganira kuri ibi bikurikira:
- Amateka yawe yose y'ubuvuzi, imiti, na vitamine ufata.
- Raporo y'isuzuma ry'uruhu rwawe ryakozwe mbere.
- Bazakubwira neza kanseri y'uruhu rwawe, uburyo bwo kuvura buhari, hamwe n'inyungu n'ingaruka zo kubagwa Mohs.
Iki gihe ni ingenzi cyane. Niba ufite ikibazo icyo ari cyo cyose, ndetse n'ubwoba buto cyangwa gushidikanya, baza muganga kuri byo. Ntugire icyo uhisha.
Bitewe n'ubuzima bwawe n'aho abaganga baherereye, ushobora gusabwa gufata imiti yica udukoko mbere yo kubagwa.
Reka twige intambwe ku yindi uburyo kubagwa bikorwa.
Uzaba uri maso muri iki gikorwa cyo kubagwa, ariko nta bubabare uzumva. Reka turebe uko bizagenda.
1. Kutagira ibinya: Ubwa mbere, muganga azatera umuti ugabanya ububabare mu gace karimo kanseri n'ahayikikije, awutere ibinya burundu. Uzumva igitutu n'amarangamutima muri ako gace, ariko ntuzumva ububabare ubwo aribwo bwose.
2. Gukuraho urwego rwa mbere: Hanyuma, kanseri igaragara n'uruhu ruto cyane ruyikikije biracibwa bigakurwaho.
3. Gushushanya: Kugira ngo uruhu rwakuweho rudasa n'urwo hejuru, hasi, iburyo cyangwa ibumoso, muganga azarushyiramo ikimenyetso cyihariye kandi akore ikarita yarwo. Iyi ni intambwe y'ingenzi cyane.
4. Gusuzuma mikorosikopi: Hanyuma, uruhu ruhita rukonjeshwa muri laboratwari, rugacibwamo uduce duto cyane, rugasigwa ibara, hanyuma rugasuzumwa hifashishijwe mikorosikopi. Ubusanzwe iki gikorwa gishobora gufata isaha imwe.
5. Gukuraho ingingo zisigaye: Mu gihe muganga abonye ko hakiri uturemangingo twa kanseri ku nkengero z'aho hantu, nk'uko bigaragara ku ikarita, azamenya neza aho agomba gukata. Hanyuma azagusubiza mu cyumba cyo kubaga maze akureho urundi rugingo ruto rw'ingingo aho uturemangingo twa kanseri twari turi .
6. Gusubiramo: Igice gishya cyakuweho gisuzumwa hifashishijwe mikorosikopi nkuko byari bimeze mbere. Iki gikorwa kirakomeza kugeza igihe byemejwe ko nta turemangingo twa kanseri turiho.
Uzashobora kuguma mu bwiherero mu gihe ibi bizamini birimo gukorwa. Ufite uburenganzira bwo gusoma igitabo, kumva umuziki, cyangwa gukoresha telefoni yawe muri iki gihe. Ubu buvuzi bushobora gufata amasaha make, cyangwa bugatwara umunsi wose niba kanseri ari nini cyangwa yimbitse.
Wakora iki ku gikomere cyavutse nyuma yo gukurwaho kanseri?
Iyo kanseri imaze gukurwaho burundu, muganga wawe azakubwira uburyo bwiza bwo gukiza igisebe cyawe. Hari amahitamo menshi yo kubikora.
- Gukira mu buryo butunguranye: Iyo igikomere ari gito, hari igihe kikira ubwacyo.
- Imisumari: Ibi bikorwa mu guhuza impande z'igikomere no gusigwa.
- Uruhu rufunga cyangwa rubagimpande: Iyo igisebe ari kinini, igice cy'uruhu cyiza gishobora gukurwa mu bice byegereye kigakoreshwa mu gufunga igisebe. Cyangwa, igice cy'uruhu gishobora gukurwa mu kindi gice cy'umubiri (urugero, inyuma y'ugutwi) kigaterwa.
- Ubufasha bw'inzobere: Hari igihe, cyane cyane iyo igikomere ari kinini, cyane cyane hafi y'amaso cyangwa ahantu nk'izuru, ushobora gukenera ubufasha bw'umuganga uvura indwara zo mu mubiri.
Igihe cyo gukira no kwitabwaho nyuma yo kubagwa
Ububabare bumeze bute nyuma yo kubagwa?
Abantu benshi bagira ububabare bworoheje kugeza ku buringanire . Ubu bubabare buzagenda bugabanuka buhoro buhoro mu minsi mike. Ubu bubabare bushobora kugenzurwa neza n'imiti yoroshye yo kugabanya ububabare nka Paracetamol.
Bifata igihe kingana iki kugira ngo igikomere gikire?
Bishobora gufata amezi 12 kugeza kuri 18 kugira ngo inkovu ikire neza kandi ishire, bityo rero ni ngombwa kwihangana.
Ni gute wakwita ku gikomere uri mu rugo?
Muganga wawe azakugira inama y'uko wakwita ku gikomere nyuma yo kubagwa.
- Nujya mu rugo, uzashyirwa igipfundikizo ku gikomere. Ntukagikureho mu gihe cy'amasaha 24-48.
- Hanyuma, sukura igisebe kabiri ku munsi nk'uko muganga wawe yabigutegetse, ukoresheje isabune yoroheje cyangwa ikindi kintu muganga wawe agusaba.
- Nyuma yo gusukura, siga amavuta ya peteroli (nka Vaseline®) ku gikomere hanyuma ugipfukeho agapfundikizo kadafata. Ibi bizafasha igikomere kugumana ubushuhe, gukira vuba, kandi bigabanye inkovu.
- Irinde gukora imyitozo ngororamubiri iremereye no guterura ibintu biremereye nibura icyumweru kimwe nyuma yo kubagwa.
- Kugira ngo ugabanye kubyimba no gukomereka, shyiramo udupaki tw'urubura mu minsi mike ya mbere. Ariko ntugashyire urubura ku ruhu, ahubwo uhambire mu gitambaro.
- Nubwo igikomere cyamaze gukira, menya neza ko washyizeho amavuta yo kwisiga afite SPF 30 cyangwa irenga iyo ugiye hanze ku gisebe cyangiritse.
Igihe cyo kuvugana na muganga
Ni ngombwa cyane kumenyesha muganga wawe vuba niba uhuye n'ikibazo nyuma yo kubagwa. Menya neza ko uhamagaye muganga wawe niba hari kimwe muri ibi bikurikira kibayeho:
| Ikibazo kirimo | Icyo ukwiye gukora/ibintu ugomba kwitondera |
|---|---|
| Kuva amaraso bitazahagarara | Ni ibisanzwe kuva amaraso make mu masaha make ya mbere nyuma yo kubagwa. Ariko, niba kuva amaraso bidahagaze ndetse no nyuma yo gushyira igitutu ku gikomere, hamagara muganga wawe ako kanya. |
| Ububabare budashobora kwihanganira | Niba gufata acetaminophen (Tylenol®) bidashoboye kugabanya ububabare, niba ububabare butagabanutse nyuma y'iminsi mike, cyangwa niba ububabare bugabanutse hanyuma bukagaruka, bwira muganga wawe. |
| Ibimenyetso by'ubwandu |
|
Ijambo "kanseri" ni ikintu giteye ubwoba kumva. Ariko niba kanseri y'uruhu rwawe igaragaye hakiri kare, mbere yuko ikwirakwira mu tundi duce, uburyo bwizewe bwitwa Mohs Surgery bushobora kugukiza burundu mu munsi umwe. Rero, niba muganga wawe agusabye ubu buryo, ntutinye. Bushobora kuba bwo buryo bwiza bwo kuvura.
Ubutumwa bwo kujyana mu rugo
- Mohs Surgery ni uburyo bwo kuvura kanseri y'uruhu bufite ireme kandi butanga umusaruro ku kigero cya 99% .
- Ibi bikubiyemo gukuraho uturemangingo twa kanseri ku rundi ruhande kugeza igihe tuvuyeho burundu no kutwisuzuma hifashishijwe mikorosikopi.
- Akamaro gakomeye ni uko kanseri ari yo yonyine ikurwaho , bigabanya kwangirika k'uruhu rwiza . Ibi kandi bisiga inkovu nto.
- Kubagwa bikorwa hakoreshejwe ikinyabutabire, bityo ntuzumva ububabare ubwo aribwo bwose. Kandi ubuvuzi bushobora kurangira mu munsi umwe.
- Kurikiza amabwiriza ya muganga wawe witonze ku bijyanye no kwita ku gikomere cyawe nyuma yo kubagwa. Niba uhuye n'ikibazo icyo ari cyo cyose (kuva amaraso, ububabare bukabije, ibimenyetso by'ubwandu), menyesha muganga wawe ako kanya.
- Vugana na muganga wawe nta guhisha ku bibazo cyangwa ubwoba ufite.
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