Ese muganga wawe yakubwiye ko ugomba guterwa impyiko bitewe n'ikibyimba cy'impyiko, ubwandu, cyangwa ikindi kibazo? Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo wumvise ikintu nk'iki. Ariko ntugahangayike. Muri iki gihe cy'ubumenyi buhanitse mu buvuzi, kubaga nk'uku gushobora gukorwa neza cyane. Uyu munsi, turaganira kuri iki cyitwa 'Partial Nephrectomy', cyangwa kubaga igice cy'impyiko, mu buryo bworoshye ushobora gusobanukirwa.
Mu magambo make, uburyo bwo kubaga igice cya Nephrectomy ni iki?
Gucibwa igice cya Nephrectomy ni uburyo bwo kubaga aho igice cy’impyiko imwe cyarwaye, cyangiritse, cyangwa cya kanseri ari cyo cyonyine gikurwaho, hanyuma igice cy’impyiko gisigaye gikira neza kigasubizwamo.
Tekereza nawe, impyiko ni zo yungurura ry’ingenzi mu mubiri wacu. Izi mpyiko ebyiri ziyungurura imyanda mu mubiri kandi zigatuma tugumana ubuzima bwiza. Intego nyamukuru y’ubu buvuzi ni ugukuraho igice cy’indwara gusa, tudakuyeho impyiko yose, no kuzigama impyiko nyinshi zimeze neza uko bishoboka kose. Kubera ko imikorere y’impyiko ari ingenzi ku buzima bwacu, ni ngombwa cyane kurinda ibice byayo bizima.
Kuki ukeneye kubagwa nk'ubu?
Muganga wawe ashobora kukugira inama yo kubagwa ku ndwara zitandukanye. Impamvu nyamukuru zirimo:
- Kanseri y'impyiko: Ubu buryo bukunze gukoreshwa mu gukuraho ibibyimba bito bya kanseri, cyane cyane ibikura mu mpyiko.
- Indwara zisubira: Indwara zikomeye zigarukira ku gice kimwe cy'impyiko kandi ntizivurwe n'imiti.
- Kwangirika guterwa n'amabuye y'impyiko: Iyo igice cy'impyiko cyangiritse cyangwa cyarangiritse bitewe n'amabuye y'impyiko.
- Gukomereka: Iyo igice cy'impyiko cyangiritse bitewe n'impanuka.
- Ubusembwa bwo kuvuka: Iyo hari inenge mu gice kimwe cy'impyiko igihe cyo kuvuka.
- Umuvuduko ukabije w'amaraso: Uku kubagwa rimwe na rimwe bishobora kuba ngombwa kugira ngo hagenzurwe umuvuduko ukabije w'amaraso uterwa n'ikibazo cy'imitsi itanga amaraso mu mpyiko.
Ni ubuhe buryo bw'ingenzi bwo kubaga?
Muri rusange hari uburyo bubiri bw'ingenzi bwo gukora ubu buvuzi. Bitewe n'uko urwaye, muganga wawe ni we uzagena uburyo bukubereye.
| Uburyo bwo kubaga | Ibisobanuro |
|---|---|
| Gukuraho igice cy'ubwonko mu maraso | Ubu ni bwo buryo gakondo. Gukata igice kinini (rimwe na rimwe kikagera kuri santimetero 3.5) bikorerwa mu nda cyangwa ku ruhande ruri hagati y'imbavu n'ikibuno, bigatuma umuganga ubaga abona neza impyiko no kuyikora n'intoki. Ubu buryo bugirwa inama ku bibyimba binini cyangwa ibyateye impyiko. |
| Kuvura igice cya Nephrectomy/Robotic Partial Nephrectomy | Ubu buryo bugezweho kandi butagira ingaruka nyinshi. Muri ubu buryo , hakorwa utubuto duto cyane 2-4 mu nda. Igikoresho gito gifite kamera (laparoscope) gishyirwamo binyuze muri kimwe mu bice kugira ngo harebwe imbere mu mubiri. Ibikoresho bito bikenewe mu kubaga bishyirwamo binyuze mu bindi bice. Iyo hakoreshejwe ikoranabuhanga rya robotike, umuganga ugenzura ukuboko kwa robotike akoresheje ecran ya mudasobwa kandi akabaga neza cyane. Ubu buryo ni bwiza ku tubyimba duto no ku bantu bashobora kurwara impyiko. |
Mu kubaga imyobo y'urufunguzo (Laparoscopic/Robotic), incisions ziba nto, bityo ububabare buragabanuka, kumara mu bitaro ni guke, kandi ushobora gukira vuba ugasubira mu buzima busanzwe.
Ni iki kibaho mbere yo kubagwa?
Nyuma yo gutegura gahunda yo kubagwa, uzakenera kubonana na muganga. Aho ngaho,
- Ubuzima bwawe muri rusange buzasuzumwa. Ibintu nk'umuvuduko w'amaraso n'imitsi bizapimwa.
- Ni ngombwa kubwira muganga wawe imiti yose (wandikiwe na muganga cyangwa uyihabwa mu gihe kitazwi), vitamine, n'inyongeramusaruro z'ibimera urimo gufata. Imiti igabanya amaraso, nka aspirine, ishobora gukenera guhagarikwa mbere yo kubagwa. Ariko, ntugahagarike gufata imiti iyo ari yo yose utabanje kuvugana na muganga wawe.
- Menyesha ibyerekeye ubwivumbure ubwo aribwo bwose ufite (imiti, imiti isukura uruhu, latex, ibiryo).
- Uzagirwa inama yo kutarya cyangwa kunywa ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro mbere y'uko ubagwa. Niba ukeneye gufata imiti y'ingenzi, ushobora kuyifata n'amazi make. Muganga azabikubwira kandi.
Ni iki kibaho mu gihe cyo kubagwa?
Iki gikorwa ni igikorwa cy'ikipe. Muri iki kipe ubusanzwe harimo umuganga w'inzobere mu kubaga impyiko (Urologist), umuganga w'inzobere mu gutera ikinya, n'abakozi b'abaforomo.
Ubwa mbere, umuganga w’inzobere mu by’imiti azagushyira munsi y’ikinya rusange. Ibi bivuze ko utazumva ububabare ubwo aribwo bwose mu gihe cyo kubagwa, kandi uzaba usinziriye. Hanyuma, hazashyirwamo catheter y’inkari.
Hanyuma, kubagwa bikorwa hakurikijwe uburyo bwatoranijwe.
- Mu kubaga ku mugaragaro: Muganga atemagura cyane agafunga by'agateganyo imiyoboro y'amaraso ijyana amaraso mu mpyiko no kuyavanayo akoresheje agapira. Hanyuma, hashyirwa urubura ku mpyiko kugira ngo bigabanye ubushyuhe bw'impyiko. Ibi bikorwa kugira ngo bigabanye kwangirika kw'ingingo z'impyiko mu gihe amaraso ahagaze. Igice cyarwaye gikurwaho hanyuma impyiko igakira.
- Kubaga Robotic: Kamera n'ibikoresho bishyirwamo binyuze mu gukata gato, maze mu nda huzuzwa umwuka wa dioxyde de carbone. Ibi bitanga umwanya imbere mu nda, bigatuma muganga agera ku mpyiko byoroshye. Hanyuma, hakoreshejwe amaboko ya robotic, igice cyarwaye gikurwamo neza cyane maze impyiko igasanwa.
Mu mpera y'iki gikorwa cyo kubaga, aho batemagura hafungwa hakoreshejwe imidozi cyangwa udukoresho duto two gufunga. Hari igihe imiyoboro mito ya silicone ishobora gushyirwaho kugira ngo amazi cyangwa amaraso bishobora guterana imbere. Ibi bikurwaho nyuma y'iminsi mike. Ubusanzwe kubaga bifata amasaha 3-4 .
Ni iki kibaho nyuma yo kubagwa? Kandi bifata igihe kingana iki kugira ngo umuntu akire?
Nyuma yo kubagwa, uzajyanwa mu cyumba cyo gukira. Uzaba ufite ubwenge ariko ukagira uburibwe buto. Uzahabwa imiti yo kugabanya ububabare. Ushobora kumva ufite isesemi bitewe n'ikinya, kandi n'imiti izatangwa kuri ibyo.
- Ibiryo: Uzahabwa ibiryo by'amazi gusa ku munsi wa mbere cyangwa ibiri. Hanyuma uzajya utangira kumenyerezwa ibiryo bisanzwe buhoro buhoro.
- Kugenda n'amaguru: Igitangaje ni uko uzashishikarizwa kuva mu buriri no kugendagenda umunsi umwe nyuma yo kubagwa. Kugenda n'amaguru bishobora gufasha kwihutisha gukira, kunoza itembera ry'amaraso, gukumira kubyimba kw'amaraso, no gukumira ingorane nk'umusonga.
- Kwinjira mu bitaro: Nyuma yo kubagwa mu buryo bwa roboti, akenshi ugomba kumara iminsi 1-2 mu bitaro. Nyuma yo kubagwa ku mugaragaro, ugomba kumara iminsi 3-4 .
- Igihe cyo gukira: Ushobora gusubira mu bikorwa bisanzwe mu byumweru 4-6 nyuma yo kubagwa roboti. Bishobora gufata ibyumweru 8-12 nyuma yo kubagwa ku mugaragaro. Niba akazi kawe gasaba imbaraga nyinshi, ni byiza gufata igihe kirekire kugira ngo ukire.
Ni ryari ugomba guhita uhamagara muganga?
Umaze gutaha, uzakenera kubonana na muganga wawe ku gihe wagennye. Ariko, niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) riri hafi yawe.
| Ibimenyetso byo kwitondera | |
|---|---|
| Umuriro | Ubushyuhe bw'umubiri buri hejuru ya 38°C. |
| Amaraso mu nkari | Amaraso mu nkari (Hematuria). |
| Aho gukata | Icamo riri kuva amaraso menshi, rigasohora amazi yahinduye ibara, rifite impumuro mbi, cyangwa imitako irimo kwangirika. |
| Ububabare | Niba ububabare burimo kwiyongera. |
| Izindi ngorane | Indwara nko kwibumbira mu mazi (Seroma) no kugabanya amaraso (Hematoma) aho bakorewe ubuvuzi. |
Ubutumwa bwo kujyana mu rugo
- Guca impyiko igice kimwe ni igikorwa cy'ingenzi cyane gikuraho igice cy'impyiko cyarwaye gusa ariko kikabungabunga ibice bizima, hatabayeho gukuraho burundu impyiko.
- Kubaga urufunguzo (Robotic/Laparoscopic) bimara igihe gito cyo gukira kandi ububabare buke. Ariko, bishobora kuba bidakwiye kuri buri wese. Muganga wawe ni we uzaguhitiramo uburyo bwiza.
- Kurikiza amabwiriza ya muganga witonze mbere na nyuma yo kubagwa, cyane cyane ku bijyanye n'imiti n'imirire.
- Gutangira kugenda vuba nyuma yo kubagwa bifasha cyane mu gukira.
- Umaze kugera mu rugo, menya ibimenyetso by'umuburo byavuzwe haruguru. Niba ufite impungenge, shaka ubufasha kwa muganga byihutirwa.











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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.