Iyo umuganga wawe akubwiye ko ugomba gukuramo imwe mu mpyiko zawe burundu, ushobora kumva ufite ubwoba bwinshi no gutungurwa. "Bizambaho bite ningira impyiko ebyiri hanyuma imwe ikakurwamo?" "Ese iki ni igikorwa gikomeye?" Ushobora kuba ufite ibibazo byinshi mu mutwe wawe. Ibyo ni ibisanzwe cyane. None rero uyu munsi, reka tuganire kuri ubu buryo bwo kubaga bwitwa Radical Nephrectomy, hanyuma tubone ibisubizo by'ibibazo byose ufite mu mutwe.
Kuvura indwara ya radical nephrectomy ni iki?
Muri make, ubu ni ukubaga kugira ngo impyiko yawe imwe ikureho burundu . Mu buvuzi, "nephr" bivuga "impyiko." "kuvamo" bivuga "gukuramo." Rero, kuvamo impyiko ni ugukuramo impyiko.
Muri iki gikorwa, umuganga ubaga impyiko yawe yose, hamwe n'ibinure biyikikije. Hari igihe, adrenal gland iri hejuru y'impyiko ndetse n'uturemangingo tw'impyiko na byo bishobora gukenera gukurwaho.
Ariko ibuka ibi: Nubwo twese dufite impyiko ebyiri, dushobora kubaho ubuzima busanzwe nta kibazo dufite impyiko imwe nzima. Indi mpyiko ifata akazi k'impyiko yakuweho ikarushaho kuba nini kandi igakora cyane.
Kuki ukeneye kubagwa nk'ubu?
Impamvu nyamukuru y'ubu buvuzi akenshi ni ugukuraho ikibyimba cy'impyiko cya kanseri. Ariko, muganga wawe ashobora kukugira inama yo kubagwa kubera izindi mpamvu nyinshi.
- Kurwara kanseri y'impyiko: Cyane cyane iyo kanseri ari nini cyane cyangwa hari ibyago byo gukwirakwira hanze y'impyiko.
- Kwandura impyiko kenshi: Iyo impyiko zangiritse bitewe n'indwara zidakira zidashobora kugenzurwa no kuvurwa.
- Kunanirwa kw'impyiko: Iyo impyiko imwe idakora neza bitewe n'impanuka, indwara, cyangwa indi mpamvu.
- Gutanga impyiko: Niba utanga impyiko ku muntu ukunda.
Ubu ni ukubaga gusanzwe kandi gukunze gukorwa, bityo ntugatinye bitari ngombwa.
Ni gute wakwitegura kubagwa?
Kubera ko iki ari igikorwa gikomeye cyo kubaga, uzaba witeguye neza mbere y'igihe.
1. Ibizamini by'ubuvuzi:Muganga wawe azabanza gukora ibizamini by'amaraso. Ibi bizagufasha kumenya imikorere y'impyiko zawe n'ubwoko bw'amaraso yawe. Ibi bizagufasha kumenya uburyo impyiko zawe zisigaye zizakora nyuma yo kubagwa. Ni ngombwa kandi kumenya ubwoko bw'amaraso yawe mu gihe bibaye ngombwa ko utanga amaraso, kabone n'iyo byaba ari impanuka. Bazasuzuma kandi ubuzima bwawe muri rusange, nk'ubushyuhe bwawe, umuvuduko w'amaraso, n'umuvuduko w'amaraso.
2. Kumenyesha muganga imiti ufata: Ni ngombwa kumenyesha muganga imiti yose ufata, yaba iyanditswe na muganga, imiti igabanya ububabare idatangwa na muganga (nka NSAIDs), imiti igabanya amaraso (nka anticoagulants), vitamine, imiti ya Ayurvedic cyangwa imiti y'ibimera. Imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso mu gihe cyo kubagwa.
3. Tubwire ibyerekeye ubwivumbure bwawe: Niba ufite ubwivumbure ku miti imwe n'imwe, latex, cyangwa iyode ikoreshwa mu gusukura uruhu rwawe, ugomba kubitubwira rwose.
4. Ibiryo n'ibinyobwa: Uzahabwa amabwiriza asobanutse neza y'amasaha ugomba kwiyiriza ubusa mbere yo kubagwa n'igihe ugomba kureka kunywa amazi. Niba ufite ibiryo mu nda yawe uri munsi y'ikinyabutabire, ushobora kuruka kandi ibiryo bishobora kwinjira mu bihaha byawe. Ibi ni akaga. Kurikiza amabwiriza neza.
Ni ubuhe buryo bwo gukora ubu buvuzi?
Hari uburyo butatu bw'ingenzi bwo kubaga amenyo y'impyiko. Umuganga wawe azaguhitiramo uburyo bukubereye bitewe n'uburwayi bwawe.
| Uburyo bwo kubaga | Ibisobanuro |
|---|---|
| Kuvura indwara ya Nephrectomy ifunguye | Muri ubu buryo, muganga akora icyuho kinini gifite uburebure bwa santimetero 32 maze akabaga. Ubu buryo bukoreshwa iyo kanseri y'impyiko ari nini cyane cyangwa niba hari umubare munini w'uturemangingo tw'imitsi tuyikikije tugomba gukurwaho. |
| Kubaga Nephrectomy ya Laparoscopic Radical | Muri ibi, aho gukata igice kimwe kinini, hakorwa uduce duto twinshi, dufite ingano ya santimetero 1. Igikoresho gito gifite kamera (laparoscope) gishyirwamo hakoreshejwe agace kamwe, kikarebwa kuri ecran, hanyuma ibikoresho bito bigashyirwamo mu zindi ngeso kugira ngo impyiko ikuremo. Ubu ni bwo buryo bukoreshwa cyane ubu. |
| Kubaga Nephrectomy ya Robotic Radical | Ibi bisa no kubaga hakoreshejwe laparoscopic, ariko hano ibikoresho byo kubaga bikoreshwa n'amaboko ya roboti agenzurwa na muganga. Ibi bituma kubaga bikorwa neza kandi neza. |
Ni iki kibaho mu gihe cyo kubagwa?
Nyuma yo kujyanwa mu cyumba cyo kubaga, umuganga w’indwara zo gusinziriza azaguha ikinya rusange. Ibi bivuze ko utazumva ububabare kandi uzaba usinziriye neza kugeza igihe abaganga barangije kubaga.
Nyuma y'ibyo,
- Uzahabwa catheter yo gukuramo inkari mu ruhago rwawe.
- Mu gihe cyo kubagwa hakoreshejwe laparoscopic cyangwa robotic, hakorwa uduce duto duto maze inda yuzuramo gaze gato ya dioxyde de carbone kugira ngo habeho umwanya hagati y’ingingo z’umubiri.
- Muganga agabanya imitsi y'amaraso ijyanye n'impyiko witonze, hanyuma agakuraho impyiko, ingingo ziyikikije, n'ibindi bice byayo bibaye ngombwa.
- Nyuma yo kubagwa, umuyoboro muto (umuyoboro wo kubaga) ushobora gushyirwaho kugira ngo ukuremo amazi arenze urugero n'amaraso byirundanye imbere.
- Amaherezo, aho batemagura hafungwa hakoreshejwe imidozi cyangwa udukoresho duto.
Iyi gahunda yose ishobora gufata amasaha 3 cyangwa arenga.
Ni iki kibaho nyuma yo kubagwa?
Igihe uzabagwa uzaba urangiye, uzahabwa ubuvuzi bwo mu cyumba cyo gukira. Itsinda ry'abaganga rizagufasha kugeza igihe uzagarura ubwenge kandi ubuzima bwawe bugatuje.
- Kugabanya ububabare: Iyo wumvise ububabare, uhabwa imiti ikenewe.
- Ibiryo: Ibiryo by'amazi gusa ni byo bitangwa ku munsi wa mbere cyangwa ibiri. Hanyuma buhoro buhoro utange ibiryo bisanzwe.
- Kugenda n'amaguru: Uzashishikarizwa kugenda gato uhereye umunsi ukurikira kubagwa. Kugenda n'amaguru byongera gutembera kw'amaraso kandi bigafasha ibikomere gukira vuba. Ni ingenzi cyane kandi kwirinda ingorane nko kubyimba kw'amaraso mu maguru no kurwara umusonga.
- Gutaha: Itsinda ry'abaganga nirimara gufata icyemezo cy'uko umeze neza, uzemererwa gutaha. Kubera ko utazashobora gutwara imodoka, saba umuntu wo mu muryango wawe cyangwa inshuti yawe kujyana nawe. Ni ngombwa kugira umuntu uzakwitaho mu minsi mike ya mbere nyuma yo gutaha.
Bizatwara igihe kingana iki kugira ngo umuntu akire? Kandi se birashoboka ko yongera kumererwa nabi?
Igihe bifata kugira ngo ukire neza giterwa n'ubwoko bw'ikibagwa wakorewe. Nubwo kubagwa ku mugaragaro bifata ibyumweru 8-12, gukira nyuma yo kubagwa laparoscopic byihuta cyane. Ushobora gukenera kwirinda guterura ibintu biremereye no gukora imirimo ivunanye igihe gito.
Ubusanzwe ushobora gusubira ku kazi mu byumweru bigera kuri 4. Ariko, niba ufite akazi gasaba imbaraga nyinshi, ushobora gukenera kuruhuka igihe kirekire. Vugana na muganga wawe kuri ibi kandi umugire inama.
Iyo ubaye kanseri y'impyiko, ni gake cyane iyo kanseri igaruka mu kindi gice cy'umubiri cyangwa hafi y'aho wakorewe. Niyo mpamvu ari ngombwa cyane kujya kwa muganga buri gihe nyuma yo kubagwa.
Igihe cyo kubonana na muganga
Nyuma yo kubagwa, uzasuzumwa ibikomere byawe no gukurwaho imisumari. Niba warabazwe kanseri, uzakenera gupimwa nka CT scans , gupimwa amaraso n'inkari buri gihe kugira ngo urebe niba izongera kugaruka.
Nanone, niba ubonye kimwe muri ibi bikurikira, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) .
| Ibimenyetso byo kwitondera | |
|---|---|
| Kuva amaraso menshi mu gikomere | Iyo hari amaraso adashira aturutse ku gukomereka. |
| Ibimenyetso by'ubwandu | Igikomere kirabyimbye, gitukura, gitanga amazi asa n'ibibyimba binuka, cyangwa gifite umuriro urenze selisiyusi 37.8 (100 Fahrenheit). |
| Amaraso mu nkari (Hematuria) | Niba ufite amaraso mu nkari zawe. |
| Ububabare bukabije | Ububabare bukomeye hafi y'igikomere cyangwa mu nda budashobora gukemurwa nubwo haba hari imiti. |
Ubutumwa bwo kujyana mu rugo
- Kubaga indwara ya radical nephrectomy ni igikorwa gikomeye gikuraho burundu impyiko imwe. Akenshi bikorwa ku ndwara ya kanseri y'impyiko.
- Iyo usigaranye impyiko imwe nzima, ushobora kubaho ubuzima busanzwe kandi bwuzuye uyikoresheje. Impyiko isigaye izakomera uko igihe kigenda gihita.
- Mbere yo kubagwa, ni ngombwa cyane kubwira muganga wawe imiti yose ufata ndetse n'ibindi byose bishobora gutuma urwara indwara.
- Gukira nyuma yo kubagwa laparoscopic na robots byihuta.
- Niba ubonye ibimenyetso by'umuburo nyuma yo kubagwa, nko kugira umuriro, kuva amaraso menshi, cyangwa amashyira mu gisebe, shaka ubufasha bwa muganga vuba.
- Gukurikiza ubuzima bwiza no kujya kwisuzumisha kwa muganga nyuma yo kubagwa ni ingenzi kugira ngo ugire ubuzima bwiza igihe kirekire.
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