Ese nawe wasabwe gukorerwa MRI Prostate Biopsy? (MRI-Guided Prostate Biopsy) Reka tubyige mu buryo bworoshye!

Ese muganga wawe yaba yarakekaga ko ufite ikibazo kuri prostate gland yawe, akakubwira ko ugomba gupimwa (agace gato k'umubiri kagasuzumwa hakoreshejwe MRI scan) kugira ngo umenye neza? Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo wumvise ikintu nk'iki. Ariko iyo uzi neza iki kizamini, uko gikorwa, n'uko wacyitegura, ubwoba bwawe buzashira. Reka tubiganireho mu buryo bworoshye.

Reka tubanze turebe, iyi biopsy ya prostate iyobowe na MRI ni iki?

Muri make, iki ni ikizamini cyihariye cyo kumenya kanseri ya prostate, niba ari uko bimeze, kugira ngo hamenyekane icyiciro igezemo, no gutegura uburyo bwo kuyivura. Ibi bikubiyemo gufata ingero nto cyane z’uturemangingo twa prostate yawe hakoreshejwe ikoranabuhanga rya MRI na ultrasound, bitanga amashusho asobanutse neza . Hanyuma umuganga w’indwara asuzuma izi ngingo akoresheje mikorosikopi kugira ngo amenye niba zifite uturemangingo twa kanseri cyangwa zitarimo.

Prostate gland ni iki?

Prostate yawe ni kimwe mu bigize imikorere y'imyororokere y'abagabo n'inkari. Ni agahu kangana n'imbuto kari imbere y'uruhago rwawe. Gakora amazi y'intanga, ari yo mazi avanga n'intanga iyo usohoye. Aya mazi afasha intanga kugira ubuzima bwiza kandi akagufasha gusama.

Urôre yawe inyura muri prostate gland. Iyo urimo kunyara, inkari ziva mu ruhago zisohoka zinyuze mu gitsina, kandi iyo usohoye, amasohoro asohoka anyuze muri uyu muyoboro.

Ni ubuhe buryo bwo gukora iyi biopsy?

Hari uburyo bubiri bw'ingenzi bwo kubona ingero z'uturemangingo muri prostate. Muganga wawe azagusobanurira uburyo bwiza bujyanye n'ikibazo cyawe.

Reka twige ku ikoranabuhanga rigezweho.

Muri iki gihe, ikoranabuhanga rigezweho rirakoreshwa kugira ngo iki kizamini kirusheho kuba cyiza.

• MRI nyinshi (mpMRI): Ubu buryo bwa MRI bukoresha uburyo bworoshye kandi bugezweho kurusha MRI isanzwe. Bushobora kubona impinduka za kanseri mu gasabo ka prostate neza cyane kurusha MRI isanzwe. Ariko, mpMRI yonyine ntishobora kwemeza 100% ko nta kanseri ihari. Kubwibyo, akenshi ni ngombwa ko hakorwa biopsy.
• Uburyo bwo gupima prostate buyobowe na Fusion: Ubu ni uburyo bushimishije cyane. Bukubiyemo "guhuza" amashusho ya MRI n'amashusho ya ultrasound (TRUS - Transrectal Ultrasound) kugira ngo hakorwe ishusho imwe. Uzabanza upimwe na MRI. Hanyuma, mu gihe cyo gupima, muganga akoresha porogaramu yihariye kugira ngo ahuze amashusho ya MRI n'amashusho ya ultrasound yafashwe icyarimwe. Ibi bituma muganga ashobora kwibasira neza ahantu hakekwa kuri prostate no gufata ingero z'uturemangingo.

Kuki ari ngombwa gukora ikizamini nk'iki?

Abaganga bashobora kwemeza ibintu byinshi binyuze muri iki kizamini.

• Suzuma neza niba ufite kanseri ya prostate cyangwa udafite.
• Niba hari kanseri, menya urwego rwayo/ubukana bwayo.
• Reba niba kanseri yongeye kugaruka nyuma yo kuvurwa mbere.
• Hari igihe izindi ndwara zisa n'ibimenyetso bya kanseri ariko atari kanseri (urugero: imiyoboro y'amaraso yagutse, ubwandu) zishobora kumenyekana zikavanwaho ko ari kanseri.

Ni nde usanzwe akeneye iki kizamini?

Hari ibihe byinshi muganga wawe ashobora kukwohereza muri iki kizamini.

• Niba urugero rwa PSA (Prostate-Specific Antigen) mu maraso yawe ruri hejuru y’ibisanzwe.
• Iyo muganga abonye ikibyimba cyangwa agace gakomeye cyane muri prostate gland mu gihe cyo gupimwa mu buryo bwa digital rectal (DRE).
• Niba hari ikintu giteye amakenga cyakozwe mbere muri MRI.
• Niba urugero rwa PSA yawe rukomeje kwiyongera nubwo isuzuma ryakozwe hakoreshejwe ultrasound risanzwe ritagaragaza kanseri.
• Niba waramaze gupimwa kanseri ya prostate kandi ukaba uri gukurikiranwa nta kuvurwa.

Wakwitegura ute mbere yo gukora ikizamini?

Ibi ni ingenzi cyane. Ugomba gukurikiza amabwiriza ya muganga neza. Akenshi, ibi ni byo bakubwira gukora.

Ni iki kibaho mu gihe cy'ikizamini?

Ugomba kubanza gupimwa na MRI. Ushobora guhabwa amazi yihariye (irangi ritandukanye) binyuze mu mitsi iri mu kuboko kwawe kugira ngo ubone amashusho asobanutse neza.

Ubusanzwe isuzuma rikorwa mu bitaro byo hanze. Ibi bivuze ko ushobora gutaha uwo munsi. Inshinge z'ikinyabutabire zo mu gace gakikije prostate gland ziterwa mu gace gakikije prostate gland. Ibi bizagufasha kumva ububabare buke. Ushobora kandi guhabwa umuti woroshye wo kuruhuka kugira ngo ugire icyo ugeraho. Ni byiza rero kugira umuntu ukujyana mu rugo mu gihe hari ikibazo.

Muganga asanzwe afata ingero z'uturemangingo zigera kuri 12 kugeza kuri 16 mu bice bitandukanye bya prostate. Ushobora kumva ufite umuvuduko muto muri iki gihe, ariko ntugomba kumva ububabare bukabije.

Ni iki wakwitega nyuma y'ikizamini?

Ushobora gutaha amasaha make nyuma yo gupimwa. Ibi bintu ni ibisanzwe mu minsi mike iri imbere.

• Hashobora kubaho kuva amaraso no kubabara gake ahantu hakorewe isuzuma ry’umubiri.
• Ushobora kugira amaraso make mu nkari zawe (hematuria) cyangwa amasohoro (hematospermia) mu minsi mike. Ibi ni ibisanzwe, ntugire ikibazo.
• Ugomba gufata imiti igabanya ubukana yanditswe na muganga nk'uko byategetswe .

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Ingero y'inyama zakuweho izoherezwa muri laboratwari. Ubusanzwe bifata icyumweru kimwe , rimwe na rimwe igihe kirekire kurushaho, kugira ngo ubone ibisubizo.

Hashobora kubaho ubwoko butatu bw'ingenzi bw'ibisubizo:

• Nta selile za kanseri zabonetse. Ariko, ni gake cyane, hashobora kubaho ibitari byo, aho ikizamini cyabura kanseri nubwo ihari. Niba urugero rwa PSA yawe rukiri hejuru, muganga wawe ashobora kugusaba kongera gupimwa mu mezi make.
• Yanduye: Uturemangingo twa kanseri twabonetse. Ibi bivuze ko hari kanseri ya prostate. Muganga azakubwira intambwe zikurikiraho, uburyo bwo kuvura, cyangwa uburyo bwo gukurikirana.
• Birateye amakenga: Ibisubizo ntibisanzwe, ariko ntabwo byemezwa neza niba kanseri ihari cyangwa ntayo. Muri iki gihe, ibizamini bishya cyangwa isuzuma rishya mu mezi make bishobora kuba byiza.

Uburemere bwa kanseri bupimwa bute?

Iyo habonetse uturemangingo twa kanseri mu kizamini, umuganga w’indwara azaha uturemangingo amanota kuva kuri 1 kugeza kuri 5 bitewe n’uko tumeze. Hanyuma, amanota abiri asanzwe yongerwa hamwe kugira ngo habeho agaciro kitwa amanota ya Gleason (ibi bishobora kuva kuri 6 kugeza kuri 10). Kanseri zifite amanota menshi ya Gleason (urugero: 8, 9, 10) zishobora gukwirakwira (metastasize) kurusha kanseri zifite amanota make (urugero: 6). Aya manota ashobora gufasha muganga wawe guhitamo uburyo bwiza bwo kuvura.

Igihe ugomba kujya kwa muganga

Niba ugaragaje ibimenyetso by'ubwandu, nk'umuriro n'ubukonje , nyuma yo gupimwa, ugomba guhamagara muganga wawe ako kanya.

Nanone, niba ibimenyetso bikurikira bikomeje cyangwa bikarushaho kwiyongera, menya neza ko wagisha inama kwa muganga.

• Kuba hari amaraso mu nkari cyangwa mu masohoro.
• Kudakora neza kw'intanga ngore.
• Gukenera kunyara kenshi nijoro (nocturia).
• Kubabara mu gihe cyo kunyara cyangwa gusohora.
• Kugorwa no kugenzura inkari, inzira y'inkari idakora neza cyangwa idakora neza.