Ni ibisanzwe kumva ufite ubwoba bwinshi n'impagarara iyo muganga wawe akubwiye ko urwaye kanseri y'uruhu. Cyane cyane iyo kanseri iri ahantu hagaragara, nko mu maso cyangwa mu ijosi, ushobora guhangayikishwa no gusiga inkovu nini nyuma yo kubagwa. Ariko ntugahangayike. Uyu munsi tugiye kuvuga ku buryo bwiza kandi bunoze bwo kuvura kanseri y'uruhu. Ibi bishobora kugabanya kwangirika k'uruhu rwiza no gukuraho kanseri burundu. Ubwo ni ubuganga bwa Mohs.
Mu magambo make, Mohs Surgery ni iki?
Tekereza urimo gukuraho igice gito cyaboze ku mbuto. Urashaka gukata igice cyaboze gusa ugasiga ibice byiza byose. Ibyo ni byo biba muri ubu buvuzi bwa Mohs.
Iki gikorwa cyoroshye cyane. Aha, umuganga akuramo igice gito cyane cy'urugingo mu gace kanseri iri. Hanyuma urugingo ruvanyweho rusuzumwa hifashishijwe mikorosikopi muri laboratwari. Umuganga areba neza impande z'urugingo kugira ngo arebe niba hakiri uturemangingo twa kanseri.
Iyo, mu buryo runaka, uturemangingo twa kanseri tugihari, muganga aba azi neza aho turi. Intambwe ikurikiraho ni ugufata akandi gace gato kuri ako gace hanyuma ukongera ukagasuzuma. Iki gikorwa gisubirwamo kugeza igihe uturemangingo twa kanseri dukuweho 100%.
Akamaro gakomeye k'ubu buryo ni uko bushobora kwibasira no gukuraho uturemangingo twa kanseri gusa nta kwangiza uruhu rwiza. Kubwibyo, ubu ni uburyo bwiza bwo kuvura kanseri mu bice byoroheje nko mu maso, mu matwi, mu mutwe, mu biganza no mu birenge.
Ibi bitandukanye bite n'ukubagwa bisanzwe?
Kugira ngo tugufashe gusobanukirwa iri tandukaniro byoroshye, reka tugereranye ubu buryo bubiri.
| Ikiranga | Kubaga Mohs | Uburyo Busanzwe bwo Gukuraho Ibiyobyabwenge |
|---|---|---|
| Ingano y'urushinge rwakuweho | Kanseri gusa n'uturemangingo duke cyane twiza tuyikikije. | Kanseri n'urugingo rwinshi ruzima ruyikikije birakurwaho. |
| Igenzura ry'inkombe | 100% by'inkombe z'urugingo rwakuweho bisuzumwa hakoreshejwe mikorosikopi. | Hafi ya 1% by'inkombe z'urugingo rwakuweho ni byo bisuzumwa. |
| Ibisigazwa by'uruhu rwiza | Uruhu rwiza rusigara uko bishoboka kose. Inkovu ni nto. | Inkovu ishobora kwiyongera bitewe nuko uruhu rwinshi ruzima rukurwaho. |
| Igipimo cyo kugaruza | Hejuru cyane (kugeza kuri 99%). Amahirwe make yo kongera kurwara kanseri. | Hejuru, ariko hasi gato ugereranije n'ubuvuzi bwa Mohs. |
Ni ubuhe bwoko bwa kanseri y'uruhu ivurwa hakoreshejwe Mohs operation?
Ubu buryo 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, ubu buryo rimwe na rimwe bushobora gukoreshwa ku bundi bwoko bwa kanseri y'uruhu, nka kanseri imwe n'imwe ya melanoma n'izindi kanseri zidasanzwe. Muganga wawe ni we uzagena niba ubu buryo bukwiriye ubwoko bwa kanseri ufite.
Kubagwa bizaba bite? Ese nzagomba kuhaguma umunsi wose?
Ubu ni ukubagwa ku manywa bishobora gukorwa utiriwe ujya mu bitaro. Mbere yo kubagwa, muganga wawe azakubwira amateka y'ubuzima bwawe, imiti ufata, n'ibyiza n'ibibi byo kubagwa.
Dore uko bigenda ku munsi wo kubagwa:
1. Kubabara: Ubwa mbere, muganga azagutera urushinge kugira ngo agace ka kanseri karimo n'ako kayikikije katameze neza. Bityo ntuzumva ububabare ubwo aribwo bwose. Uzaba ufite ubwenge bwuzuye.
2. Gukuraho igice cya mbere: Hanyuma, igice kigaragara cya kanseri n'urugingo ruto ruri munsi yayo biracibwa bigakurwaho.
3. Kohereza igenzura:Igice cyakuwemo gihita gipimwa muri laboratwari. Ibi bishobora gufata iminota 60.
4. Igihe cyo gutegereza: Muri iki gihe, ushobora kuruhuka mu cyumba cyo kubaga cyangwa mu cyumba cyo gutegereza. Ushobora gusoma igitabo, ikinyamakuru, cyangwa gukoresha telefoni yawe.
5. Gucamo ibice (nibiba ngombwa): Iyo ikizamini kigaragaje ko hakiri uturemangingo twa kanseri, muganga azagusubiza mu cyumba cyo kubaga maze akuremo ikindi gice gito muri ako gace .
6. Kugeza igihe birangiye: Iki gikorwa gisubirwamo kugeza igihe byemejwe ko uturemangingo twa kanseri twakuweho burundu. Bitewe n'ingano ya kanseri, ibi bishobora gufata amasaha menshi cyangwa iminsi.
Ni iki cyakorwa ku gikomere nyuma yo kubagwa?
Iyo kanseri imaze gukurwaho burundu, muganga wawe azagusobanurira uburyo bwiza bwo gukiza igikomere. Hari uburyo butandukanye bwo kubikora:
- Igikomere kizakira ubwacyo.
- Gufunga igikomere ukoresheje imisumari (`sutures`).
- Gufunga igikomere ufata uruhu ruri hafi y'igikomere (`urushundura`) cyangwa uruhu ruri mu kindi gice cy'umubiri (`igishishwa`).
Ese hari ingaruka zishobora guterwa n'ubu buvuzi?
Nkuko bigenda mu kubaga kose, hari ingaruka nkeya. Ariko, kubaga Mohs ni uburyo bwizewe cyane. Ingaruka zishobora kubaho ni izi:
- Inkovu zivuka.
- Igikomere ni kinini kuruta uko byari byitezwe.
- Gutinda gukira kw'ibikomere.
- Kuva amaraso menshi cyane.
- Kwandura indwara.
- Kwangirika kw'imitsi (ibi bishobora kuba iby'igihe gito cyangwa burundu).
- Kenshi cyane, kanseri igaruka.
Niba ufite ikibazo icyo ari cyo cyose kuri ibi, vugana na muganga wawe mbere yo kubagwa maze ugikemure.
Ni iki ugomba kwitaho mu gihe cyo gukira nyuma yo kubagwa?
Uruhare rwawe ni ingenzi cyane kugira ngo igikomere gikire neza nyuma yo kubagwa. Kurikiza amabwiriza ya muganga neza.
- Ububabare: Hashobora kubaho ububabare bworoheje mu minsi mike. Muganga wawe ashobora kukugira inama yo gufata imiti igabanya ububabare nka Parasetamol.
- Kwita ku bikomere: Ntukureho agapfundikizo mu masaha 24-48 ya mbere. Nyuma y'ibyo, sukura igikomere, usige peteroli (nka Vaseline®), hanyuma ushyireho agapfundikizo gashya kabiri ku munsi nk'uko muganga yabigutegetse.
- Imyitozo ngororamubiri: Irinde gukora imirimo ivunanye nko guterura ibintu biremereye mu gihe cy'icyumweru kimwe.
- Kubyimba: Ushobora gushyiramo udupaki tw'urubura kugira ngo ugabanye kubyimba no gukomereka. Ariko ntushyire urubura ku ruhu.
| Niba ufite ibi bimenyetso, hamagara muganga wawe vuba! | |
|---|---|
| Kuva amaraso mu buryo budasubirwaho | Niba kuva amaraso bidahagaze nubwo wakandagiye igikomere cyane. |
| Ububabare bukabije | Ububabare budashobora gukemurwa nubwo haba hari imiti igabanya ububabare kandi bukiyongera nyuma y'iminsi mike. |
| Ibimenyetso by'ubwandu | Umuriro, kuvamo amashyira nk'umuhondo mu gikomere, impumuro mbi, gutukura, kubyimba, n'ubushyuhe bukikije igikomere. |
Ubutumwa bwo kujyana mu rugo
- Kubaga Mohs ni uburyo bwo kuvura kanseri y'uruhu isanzwe kandi bufite akamaro.
- Ubu buryo bugabanya kwangirika k'uruhu rwiza, bigatuma rubera rwiza ahantu horoshye nko mu maso.
- Nubwo kubagwa bishobora kurangira mu munsi umwe, bishobora gufata amasaha menshi bitewe n'imiterere ya kanseri.
- Kurikiza amabwiriza ya muganga wawe witonze ku bijyanye n'uburyo bwo kwita ku gikomere cyawe nyuma yo kubagwa.
- Niba ubonye ikintu nk'amaraso ava, ububabare bukabije, cyangwa ibimenyetso by'ubwandu, menyesha muganga wawe vuba.
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