Ese wigeze ujya kwa muganga, wenda kugira ngo bagupime endoscopy (uburyo bwo gupima aho kamera ishyirwa mu gifu cyawe) kubera ikibazo cy'igifu, maze muganga akavuga ikintu nk'iki? "Hari akantu gato kameze mu mara yawe/igifu. Tugiye kukavanaho." Ni ibisanzwe kumva ufite ubwoba gato iyo wumvise ikintu nk'iki. Ariko ntugatinye. Utu tunyangingo duto ni two twita "Polyps" mu buvuzi. Uburyo bworoshye bwo kubikuraho bwitwa "Polypectomy." Uyu munsi rero, tugiye kuvuga kuri byose mu buryo bworoshye cyane.
"Polpi" ni iki? Kuki igomba gukurwaho?
Mu magambo make, polyp ni ikura rito ry’uturemangingo ritari ryitezwe rikora ku rukuta rw’imbere rw’urugingo mu mubiri wacu, cyane cyane urugingo rufite umwobo imbere (urugero, amara, nyababyeyi, igifu). Tekereza nk’ikibyimba gikura mu mubiri.
Hariho ubwoko butandukanye bw'izi 'Polyps':
- Ibyiza: Ibi ni ibibyimba bisanzwe. Nta ngaruka mbi bigira.
- Kanseri: Hari igihe ibi bibyimba bishobora guhinduka uturemangingo twa kanseri.
- Precancerous: Ibi ni ibibyimba bitari kanseri ubu, ariko bifite amahirwe menshi yo kuzaba kanseri mu gihe kizaza.
Ikibazo ni uko bigoye kwa muganga kumenya neza 100% ubwoko bwa polyp iyo uyirebye inyuma gusa. Uburyo bwiza bwo kubimenya neza ni ukuyikuramo hanyuma ukayohereza muri laboratwari kugira ngo ikorerwe isuzuma (``(Biopsy)``).
Abaganga bakunze kugira inama yo gukuraho polyp ukimara kuyibona, aho gutegereza ko ihinduka ikibazo nyuma.
| Impamvu z'ingenzi zo gukuraho polyp | |
|---|---|
| Impamvu | Ibisobanuro |
| Kugaragara kw'ibimenyetso | Urugero, ibintu nko kubabara mu gifu, kuva amaraso, n'impinduka mu mikorere y'amara. |
| Ingaruka za kanseri | Iyo polyp isa na kanseri cyangwa ikekwa ko ari ubwoko bw'indwara ishobora kuba kanseri. |
| Isuzuma ry'indwara burundu | Kugira ngo bipimwe muri laboratwari kugira ngo hamenyekane neza ubwoko bwa kanseri. |
Ese kubagwa polypectomy ni igikorwa gikomeye? Ese birababaza?
Oya rwose! Ntugatinye kumva ibi. `Polypectomy` akenshi ni ukubaga gato kandi koroshye cyane. Mu buvuzi, ibi tubyita `(Uburyo buto bwo kuvura)`. Ibyo bivuze ko ari ikintu gikorwa mu buryo buto, nta gukata cyane.
Polyps nyinshi zikurwaho mu gihe cy'ikizamini cyitwa colonoscopy (isuzuma ry'amara riyobowe na kamera) cyangwa endoscopy (isuzuma ry'igifu riyobowe na kamera). Mu gihe muganga yinjizaga umuyoboro wa kamera, anyuzamo ibikoresho bito mu muyoboro agakuraho polyp. Ntuzigera unabyumva.
Ariko, rimwe na rimwe, iyo polyp idakunze kuboneka, cyangwa niba ari nini cyane, muganga ashobora gukora laparoscopy, ikubiyemo gukata umwobo muto mu nda. Ibi nabyo bikunze kugaragara muri iki gihe.
Ku bijyanye n'ububabare, ntuzumva ububabare ubwo aribwo bwose. Ibi biterwa nuko uzahabwa ikinyabutabire mbere yo kubagwa. Hari igihe uzasinzira (`(Anesthesia Rusange)`). Cyangwa, uzahabwa umuti uzagutera gusinzira gake (`(Sedation)`). Rero, nubwo uzumva umuvuduko muto, ntuzumva ububabare na gato.
Ni iki kibaho mbere no mu gihe cyo kubagwa?
Kwitegura mbere yo kubagwa
Kenshi na kenshi, nta myiteguro yihariye ikenewe. Ariko, niba urimo gukora "Colonoscopy" hamwe na "Polypectomy", amara yawe agomba kuba asukuye neza. Kugira ngo ubigereho, uzakenera kunywa umuti wihariye w'amazi (``(formula yo gutegura amara)``) muganga wawe azaguha. Hamwe n'ibi, uzagirwa inama yo kugenzura indyo yawe mu gihe cy'iminsi mike. Nanone, niba urimo gufata indi miti iyo ari yo yose, ni ngombwa kuvugana na muganga wawe niba ukeneye kuyihagarika ku munsi wo kubagwa.
Mu gihe cyo kubagwa ...
Iyi ni inzira yoroshye cyane.
1. Anesthesia: Ubwa mbere, uzahabwa umuti wo kuruhura binyuze mu gutonyanga mu mitsi (IV) ukawushyira mu mutsi uri mu kuboko kwawe. Nyuma y'igihe runaka, uzumva uruhutse cyangwa ugasinzira.
2. Gushyiramo endoscope:Hanyuma muganga ashyiramo umuyoboro muremure kandi woroshye (endoscope) ufite kamera ifatanye n'umwenge usanzwe mu mubiri wawe (urugero, unyuze mu kibuno kugira ngo urebe ko hari polyp mu mara, cyangwa unyuze mu kanwa kugira ngo urebe ko hari polyp mu gifu).
3. Gukuraho Polyp: Amashusho ari kuri kamera arebwa kuri ecran kugira ngo amenye aho polyp iherereye. Hanyuma, polyp irafatwa igakurwaho hakoreshejwe igikoresho gito, nka forceps cyangwa wire trash, inyuzwa mu muyoboro.
4. Guhagarika kuva amaraso: Kugira ngo hahagarike kuva amaraso mu gace kakuwemo polyp no gukuraho burundu ibisigaye byose, agace gashyirwamo umuriro w'amashanyarazi (igikoresho cya electrocautery). Ibi byitwa cauterization.
Ni iki kibaho nyuma yo kubagwa? Ese hari ingaruka zishobora guterwa n'iki kibazo?
Uzashobora gutaha nyuma gato yo kubagwa. Ariko, ushobora kumva umeze nk'ufite isereri bitewe n'ingaruka z'ikinya, bityo ni byiza kugira umuntu uri kumwe nawe. Ushobora kumva umerewe nabi kandi ubyimbye iminsi mike. Ibi ni ibisanzwe.
Polyp yakuweho yoherezwa muri laboratwari. Bifata icyumweru kimwe cyangwa bibiri kugira ngo raporo iboneke. Akenshi, bivugwa ko atari kanseri (itari mbi). Iyo habonetse uturemangingo twa kanseri, muganga wawe azakugira inama ku bindi bipimo n'ubuvuzi.
Uburyo bwo guca amenyo bwa polypectomy ni uburyo bwizewe cyane. Ariko, kimwe no mu bundi buryo bwose bwo kwa muganga, hari ingaruka nto zishobora kubaho gake cyane.
- Kuva amaraso.
- Kubaho indwara yandura.
- Umwobo cyangwa igitonyanga mu rukuta rw'urugingo. (`(Gutobora)`)
- Gushya gato ku ngingo guterwa n'igikoresho cya `electrocautery`.
Ibi bintu bibaho gake cyane. Hariho kandi ikindi kibazo kidasanzwe cyitwa `Postpolypectomy coagulation syndrome (PPCS). Iki ni ikibazo gito cy’uturemangingo turi munsi ya `Polyp` aho twatwitswe. Ibi ntabwo ari bibi cyane, kandi bizakira mu minsi mike ukoresheje imiti. Ariko, niba ugize ikintu icyo ari cyo cyose nyuma yo kubagwa, nko kubabara mu gifu, umuriro, cyangwa kuva amaraso menshi , ugomba guhita uvugana na muganga wawe.
Bizatwara iminsi mike gusa kugira ngo ukire. Uzashobora gusubira mu bikorwa bisanzwe mu munsi umwe cyangwa ibiri.
Ubutumwa bwo kujyana mu rugo
- Kuvura indwara ya polypectomy ni uburyo bworoshye kandi bwizewe bwo gukuraho udukoko duto (polyps) tumera mu mubiri.
- Akenshi ntabwo ari kanseri, ariko kugira ngo umenye neza niba ari kanseri cyangwa atari yo, ugomba kuyikuramo no kuyisuzuma.
- Ubusanzwe kubagwa ntabwo bibabaza. Ntuzumva umerewe nabi kuko uzahabwa ikinya.
- Niba ugize ibimenyetso bidasanzwe (ububabare bukomeye mu nda, umuriro, kuva amaraso menshi) nyuma yo kubagwa, menyesha muganga wawe ako kanya.
- Ntugatinye kubikora kuko ari intambwe y'ingenzi yo kwirinda indwara ikomeye mu gihe kizaza. Ganira na muganga wawe impungenge iyo ari yo yose.
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