Ubwo muganga wawe yakubwiraga ko urwaye kanseri, yaba yarakubwiye ibyerekeye kubagwa kwa RPLND? Ushobora kuba warumvise ufite ubwoba gato kandi uremerewe n'izina. Ariko ntugire ikibazo. Ubu ni igikorwa cy'ingenzi cyane gikorwa kugira ngo uhagarike ikwirakwira ry'uturemangingo twa kanseri mu mubiri wawe. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva.
Kubaga RPLND ni iki?
Mu magambo make, RPLND (Retroperitoneal Lymph Node Dissection) ni igikorwa cyo kubaga gikuraho imiyoboro y'amaraso mu gace runaka k'umubiri wawe. Aka gace kitwa agace ka 'retroperitoneal'.
Tekereza kuri ubu buryo: umwanya uri mu nda yawe inyuma y'ingingo zawe z'ingenzi, nk'umwijima n'amara. Ako gace ni ko twita agace ka retroperitoneal.
Noneho reka turebe ibyo utu tunyangingo tw’umubiri (lymph nodes) ari byo. Mu by’ukuri utu ni uturemangingo duto cyane dufasha ubudahangarwa bw’umubiri wacu kugumana ubuzima bwiza. Tumeze nk’abarinzi b’umubiri wacu. Hari amagana yatwo akwirakwiriye mu mibiri yacu.
Rero, nyuma yuko umuganga wawe (umuganga w’inzobere mu kubaga) akureho utunyangingo tw’amaraso mu gihe cyo kubagwa, atwohereza kwa muganga w’indwara kugira ngo asuzumwe. Aho ngaho, bareba utunyangingo tw’amaraso bakoresheje mikorosikopi kugira ngo barebe niba hari uturemangingo twa kanseri. Hari igihe abaganga bita ubu buvuzi 'retroperitoneal lymphadenectomy'.
Kuki ngomba kubagwa muri RPLND?
Hari impamvu nyinshi zishobora gutuma muganga wawe agusaba kubagwa. Reka turebe ibyiza by'ubu kubagwa.
| Impamvu nyamukuru | Mu magambo make ... |
|---|---|
| Kumenya icyiciro cya kanseri | Gukuraho no gusuzuma utunyangingo tw’amaraso bishobora gufasha kumenya neza aho kanseri yakwirakwiriye mu mubiri. Ibi byitwa kumenya icyiciro cya kanseri. |
| Hagarika ikwirakwira rya kanseri | Iyo uturemangingo twa kanseri twinjiye muri lymph nodes, dushobora kunyura mu miyoboro ya lymph nodes tukagera mu bindi bice by'umubiri. Ibi byitwa metastasis. Bityo, gukuraho utwo tugingo twa lymph nodes bishobora gufasha guhagarika ikwirakwira ryabyo. |
| Gabanya ibyago byo kugaruka kwa kanseri | Gukuraho utunyangingo tw’imitsi turimo uturemangingo twa kanseri bishobora kugabanya cyane ibyago byo kongera kurwara kanseri mu gihe kizaza. |
| Nk'uburyo bwo kuvura kanseri iyo igarutse | Hari igihe kanseri igarutse nyuma yo kuvurwa, ubu buryo bwo kubaga bukorwa kugira ngo haveho utunyangingo tw’imitsi turimo uturemangingo twa kanseri. |
By’umwihariko, RPLND rimwe na rimwe ikorerwa haba mu rwego rwo gupima no kuvura kanseri y’intanga ngore . Ikorerwa kandi no ku zindi kanseri, nka kanseri y’impyiko, kanseri zimwe na zimwe zo mu myanya myibarukiro y’abagore, ndetse n’ubwoko bumwe na bumwe bwa sarcomas.
Abaganga bamenya bate ko nkeneye RPLND?
Niba ibizamini byawe byerekana ko utunyangingo tw’amaraso inyuma y’inda yawe twabyimbye, muganga wawe ashobora kukubwira iby’ubu buvuzi. Muri ubu bwoko bw’ibipimo birimo:
- gupima CT (CT scan)
- Gupima MRI
- gupima PET
Muganga wawe ashobora kukugira inama yo kubagwa ikindi gihe mu rugendo rwawe rwo kuvura kanseri. Muganga wawe ni we muntu mwiza wo gusobanura impamvu ukeneye kubagwa. Ni we uzi neza uko ikibazo cyawe kimeze. Ntutinye kumubaza ikibazo icyo ari cyo cyose ushobora kuba ufite.
Uku kubagwa kwa RPLND gukorwa gute?
Mbere yuko ubagwa utangira, uzaba warahawe ikinya cy’ububabare. Ibi bivuze ko uzaba usinziriye burundu. Bityo rero ntuzumva ububabare ubwo aribwo bwose.
Hanyuma umuganga ubaga akuramo igisebe mu nda yawe maze akagukuraho witonze utunyangingo tw’imitsi turi hafi ya kanseri.
Intego nyamukuru y'ubu buvuzi ni ugukuraho utunyangingo twose dushobora kuba turimo uturemangingo twa kanseri no guhagarika burundu ikwirakwira rya kanseri. Kugira ngo iyi ntego igerweho, rimwe na rimwe hari ibindi bintu bishobora gukenerwa gukurwaho usibye utunyangingo.
- Izindi node nyinshi za lymph ziturutse mu kindi gice cy'umubiri.
- Urundi rugingo, nk'impyiko.
- Izindi ndwara cyangwa ingirangingo muri ako gace.
Muri iki gihe, ibitaro bimwe na bimwe bikora ubu buryo bwo kubaga bwa laparoscopic, bukorwa binyuze mu gukata uduce duto, cyangwa hakoreshejwe robot surgery. Muganga wawe azagusobanurira uburyo bukubereye.
Ubu buryo bwo kubaga bwa RPLND bushobora gufata amasaha kuva kuri atatu kugeza ku icumi .
Ni iki wakwitega nyuma yo kubagwa?
Uzakenera kumara iminsi ine kugeza kuri irindwi mu bitaro nyuma yo kubagwa. Ni ibisanzwe kugira ububabare nyuma yo kubagwa. Muganga wawe azaguha imiti igabanya ububabare ikenewe kuri ibyo. Rero ntugahangayikishwe n'ububabare.
Ni izihe ngaruka mbi zishobora guterwa n'ubu buvuzi?
Nk’uko bigenda kubagwa gukomeye kose, kubagwa kwa RPLND bifite ingaruka zimwe na zimwe. Muganga wawe azagusobanurira ibi byose mbere y’igihe.
| Ingaruka | Ibisobanuro |
|---|---|
| Kwangirika kw'imitsi y'amaraso | Umuganga arimo kubaga hafi cyane y’imitsi minini y’amaraso yo mu mubiri. Kubwibyo, mu bihe bidasanzwe, iyi mitsi ishobora kwangirika kandi hakavuka andi maraso. |
| Ingaruka ku burumbuke | Ibibazo byo gusohora bishobora kubaho nyuma yo kubagwa. Ibi biterwa nuko imitsi igenzura gusohora inyura mu gace kakorerwamo kubagwa. Akenshi, abaganga b'inzobere mu kubaga barinda iyi mitsi kwangirika. Ariko, rimwe na rimwe indwara yitwa anejaculation ishobora kubaho. |
| Kwiyongerana kw'amazi yo mu maraso (Lymphocele) | Amazi ya lymphatic ashobora kwirundanya mu mwanya usigaye nyuma y’aho utudomo twa lymphatic dukuwe. Kugira ngo umuganga akureho aya mazi y’inyongera, ashobora gushyira umuyoboro muto (amazi) mu nda yawe. |
| Izindi ngorane | Nkuko bigenda mu kubagwa kose, hari ibyago bike byo kwandura, guhumeka nabi, kwangirika kw'izindi ngingo, kubabara mu nda yo hasi, no kuribwa mu nda. |
Ni iki kiri muri raporo nyuma yo kubagwa?
Muganga wawe azagusobanurira raporo y'indwara wabonye nyuma yo gusuzuma utunyangingo twa lymph.
Ushobora gukoresha amagambo "meza" cyangwa "atari meza" muri yo.
- Ibisubizo byiza bivuze ko hari uturemangingo twa kanseri mu tunyangingo twakuwemo.
- Ibisubizo bibi bivuze ko nta turemangingo twa kanseri twari dufite.
Byongeye kandi, raporo ivuga kandi umubare w’uturemangingo twakuwemo uturemangingo twa kanseri mu mubare wose.
- Ubwoko bwa kanseri.
- Uburyo uturemangingo twa kanseri dutandukanye n’utundi tunyangingo dusanzwe (urwego).
- Igipimo cy'uko uturemangingo twa kanseri twigabanya (igipimo cya mitotic).
Raporo ishobora kuba irimo andi makuru y'ingenzi, nka:
Ni iki gikurikiraho nyuma yo kubona ibisubizo?
Hashingiwe ku byavuye muri raporo yawe, itsinda ry'abaganga rizafata icyemezo cy'icyo rizakora nyuma. Bishobora kuba nk'ibi:
- Kwitegereza / gukurikirana nta kuvurwa
- Ubuvuzi bwa Chimiotherapie
- Ubuvuzi bushingiye ku mirasire
Ni ryari ngomba guhamagara muganga?
Umaze kugera mu rugo, ugomba kwita cyane ku gukira kwawe. Witondere cyane uburyo igikomere cyawe cyabazwe gikira. Niba ufite kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya.
| Ibimenyetso by'umuburo - menyesha muganga ako kanya | |
|---|---|
| Isesemi cyangwa kuruka | Niba urimo kuruka cyane ku buryo udashobora kubika amazi make mu nda yawe. |
| Ububabare bwo mu nda yo hasi | Niba wumva ububabare bukabije, ububabare bukabije, cyangwa ububabare iyo ukoze ku nda yo hepfo. |
| Nta kubyimba cyangwa ngo imihango yo mu nda igende neza | Niba udashobora gusohora umwuka cyangwa kwituma. |
| Amashyira ava mu gikomere | Iyo hari amazi ameze nk'ibibyimba asohoka mu gikorwa cyo kubaga. |
| Ububabare bukabije | Niba ufite ububabare bukomeye budashobora gukemurwa nubwo waba ufite imiti igabanya ububabare. |
Kubagwa kose gutera ubwoba, cyane cyane iyo bifitanye isano na kanseri. Ariko ibuka ko RPLND ari uburyo bwo kurokora ubuzima buha abaganga amakuru y'ingenzi ku buzima bwawe kandi bugahagarika ikwirakwira rya kanseri.
Niba ugifite gushidikanya cyangwa ubwoba bwo kubagwa gukomeye nk'uku, nta kibi kirimo mu gushaka undi muganga w'inzobere. Wenda kuvugana n'undi muganga bizaguha amahoro menshi yo mu mutima kandi biguhe imbaraga zo mu mutwe ukeneye kugira ngo uhangane n'iki gikorwa cyo kubagwa.
Uku kubagwa ni intambwe ikomeye mu buzima bwawe. Ariko bishobora kurokora ubuzima bwawe. Itsinda ry'abaganga bawe riri hano kugufasha. Bityo rero vugana nabo ku bibazo cyangwa impungenge ufite.
Ubutumwa bwo kujyana mu rugo
- RPLND ni igikorwa gikomeye cyo kubaga gikuraho imitsi iri inyuma y'ingingo zo mu nda.
- Ibi bikorwa cyane cyane kugira ngo harebwe niba kanseri yarakwirakwiriye, ihagarikwe gukwirakwira, kandi ikumire kanseri kugaruka.
- Kimwe no kubagwa kose, hari ibyago, nko kuva amaraso n'ingaruka ku burumbuke. Muganga wawe azabikubwira.
- Bifata igihe kugira ngo umuntu akire nyuma yo kubagwa. Ni ngombwa cyane kumenya ibimenyetso by'ubwandu (umuriro, amashyira ava mu gisebe, ububabare bukomeye).
- Ganira n'itsinda ry'abaganga bawe ku byerekeye ubwoba bwawe n'impungenge zawe. Ntugatinye kubona undi muntu wo kugufasha mu gihe bibaye ngombwa.
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