Uburyo bwo kuvura kanseri ya prostate: Reka tubyigeho mu buryo bworoshye

Ni ibisanzwe ko abantu benshi bumva bafite ubwoba bwinshi n'impungenge iyo bamenye kanseri ya prostate. Ariko ikintu cy'ingenzi tugomba kwibuka ni uko hari uburyo bwiza bwo kuvura ibi muri iki gihe. Akenshi wagiye wumva ibijyanye no kubaga no kuvura hakoreshejwe imirasire . Ariko uyu munsi tugiye kuvuga ku buryo butandukanye gato, ariko bufite akamaro cyane. Byitwa prostate cryotherapy, cyangwa `(Prostate Cryoablation )`. Hari n'abandi babyita `(Prostate Cryoablation)`.

Cryotherapy ni iki?

Muri make, ibi bikubiyemo gukonjesha uturemangingo twa kanseri two muri prostate no kutwica. Tekereza nk'amazi akonje, ariko ku bushyuhe buri hasi cyane, nka dogere selisiyusi 40, uturemangingo twa kanseri turapfa.

Ubu buvuzi bukorwa n'inzobere mu kubaga uruhago n'inkari ( urologist ). Hari igihe prostate yose ivurwa, ubundi igice cyayo kikaba ari cyo cyavuwe . Ubu buryo bukunze gukoreshwa, cyane cyane iyo kanseri yagarutse nyuma yo kuvurwa hakoreshejwe imirasire . Bushobora kandi kubazwa nk'ubuvuzi bw'ibanze kuri bamwe.

Ni nde ubu buvuzi bukwiriye?

Ubu buryo bwo kuvura ntibukwiriye buri wese. Muganga wawe azasuzuma neza ikibazo cyawe maze afate umwanzuro niba gikwiriye kuri wewe. Ubu buryo bukunze kwitabwaho mu bihe bikurikira:

• Iyo kanseri itarakwirakwira: Iyi ikwiriye kanseri itarakwirakwira hanze ya prostate gland, igenda ikura buhoro buhoro, kandi ifite ibyago bike byo gukwirakwira mu gihe kizaza.
• Niba udashaka kubagwa cyangwa guhabwa imirasire: Hari abantu badashaka kubagwa cyangwa guhabwa imirasire ikomeye. Iyi ni amahitamo meza kuri bo.
• Iyo muganga adatanze ubundi buryo: Niba muganga wawe afashe icyemezo cy'uko kubagwa gukomeye cyangwa kuvurwa hakoreshejwe imirasire bitakubereye bitewe n'izindi ngorane z'ubuzima mu mubiri wawe, ashobora kukugira inama y'ubu buryo.
• Iyo kanseri yongeye kugaruka nyuma yo kuvurwa hakoreshejwe imirasire:Ubu buvuzi bushobora kuba bwiza cyane ku barwayi bafite kanseri yongeye kugaruka nyuma yo kuvurwa hakoreshejwe imirasire mbere.
• Kugabanya ububabare n'ibimenyetso: Hari ubwo ubu buryo bufasha kandi kugenzura ububabare cyangwa ibindi bimenyetso biterwa na kanseri.

Ubu buryo bwo kuvura bukora bute? Ni ikintu gitangaje!

Iki ni ikintu gishimishije cyane gukora. Muganga ashyiramo inshinge zidasanzwe zoroshye, zitwa "Cryoprobes," binyuze mu ruhu zijya mu gasabo ka prostate aho kanseri iri. Bakoresha uburyo bwo gupima bwitwa "Transrectal Ultrasound" kugira ngo bayobore izi nshinge neza aho zigenewe.

Hanyuma, umwuka wihariye witwa argon ushyirwa mu rushinge. Uyu mwuka ukonjesha vuba ingingo zikikije urushinge kugeza ku bushyuhe bwa dogere selisiyusi 40 (-40°C). Ubu bukonje bukabije butuma ibice by'urubura byibumbira mu turemangingo twa kanseri, bigatuma inkuta z'uturemangingo ziturika zikabica. Muganga areba uko uyu 'mupira w'urushinge' ukorwa nyuma yo gupimwa.

Iyo uturemangingo twa kanseri tumaze gukonja neza, indi gaze yitwa helium yoherezwa kongera gushyushya agace. Ibi byitwa 'gukonja-gushonga', bivuze 'gukonja no gushonga'. Iyi cycle ya mbere igabanya cyane uturemangingo twa kanseri. Hanyuma, irakonja inshuro imwe cyangwa ebyiri , hanyuma ikongera gushyuha, igasenya burundu uturemangingo twa kanseri.

Witegura ute mbere yo kuvurwa?

Muganga wawe azaguha amabwiriza asobanutse neza y'icyo wakora mbere yo kuvurwa. Ni ngombwa gukurikiza aya mabwiriza neza kugira ngo ugabanye ingorane. Ushobora gusabwa gukora ibi bikurikira:

• Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha 8 mbere yo kuvurwa (kwiyiriza ubusa).
• Ushobora gusabwa gufata umuti wo koza amara yawe kugira ngo woze neza.
• Ni ngombwa kugira umuntu ugutwara mu modoka nyuma yo kuvurwa, kuko utazashobora gutwara imodoka.
• Ugomba kubwira muganga wawe imiti yose ufata, harimo n'iyo muganga wawe yandikiye, imiti igurishwa mu kigo, vitamine, ndetse n'imiti ya Ayurvedic cyangwa iy'ibimera.

Ni iki kibaho mu gihe cyo kuvurwa?

Nta bubabare uzumva mu gihe cyo kuvurwa.

1. Anesthesia: Ubwa mbere, uzahabwa anesthesia. Ishobora kuba anesthesia rusange cyangwa anesthesia yo mu gace runaka.

2. Gushyiramo katheteri:Hanyuma, umuyoboro witwa catheter ushyirwa mu muyoboro wawe w'inkari. Umuti ushyushye gato unyuzwa muri uyu muyoboro. Ibi birinda umuyoboro w'inkari kwangirika bitewe n'ubukonje bukabije.

3. Gushyiramo urushinge: Hanyuma, nk'uko byavuzwe mbere, hifashishijwe `(Ultrasound)` cyangwa `(MRI)` scan, inshinge zidasanzwe `(Cryoprobes)` zishyirwa mu gasabo ka prostate ahantu nyaho.

4. Gukonjesha no gushonga: Hanyuma, hakoreshejwe imyuka ya argon na helium, uturemangingo twa kanseri turangirika bitewe no gukonjeshwa no gukurwamo imyuka inshuro nyinshi.

Ubusanzwe igikorwa cyose kimara iminota 45. Ariko, ugomba kumara amasaha abiri cyangwa atatu mu bitaro. Akenshi, iki gikorwa kiba ari icy'abarwayi bataha, bityo ushobora gutaha uwo munsi. Ariko, rimwe na rimwe, ushobora kurara mu bitaro ijoro ryose.

Ni izihe nyungu z'ubu buryo?

Mu by'ukuri hari ibyiza byinshi kuri ubu buryo bwo kuvura.

Ese hari ingaruka mbi zishobora kubaho n'ingorane zishobora kubaho?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora kubaho. Ariko ntugahangayike, inyinshi muri zo ni iz'igihe gito.

Izi ngaruka mbi zishobora kubaho cyane cyane iyo wigeze kuvura ubundi buryo, nko kuvura prostate hakoreshejwe imirasire. Ariko inkuru nziza ni uko ku bantu benshi, ubu burwayi buragenda burushaho kuba bwiza mu mezi 12-18 nyuma yo kuvurwa.

Byongeye kandi, ibi bikurikira bishobora kubaho by'agateganyo:

• Kubyimba kw'intanga.
• Gushya cyangwa kubabara iyo uri kunyara.
• Ububabare mu kibuno cyangwa mu nda y'igituza.
• Amaraso make mu nkari.
• Gukenera kunyara kenshi cyangwa vuba.

Ni gake cyane, ingorane zikomeye zishobora kubaho, nko kwangirika k'uruhago cyangwa uruhago, cyangwa se hakagira umwobo udasanzwe (fistula) hagati y'umuyoboro w'inkari n'uruhago. Ariko, ibi ni gake cyane.

Bifata igihe kingana iki kugira ngo umuntu akire? Ubuvuzi bugenda neza gute?

Igihe cyo gukira kiratandukanye bitewe n'umuntu ku giti cye, ariko ugomba gusubira mu buzima busanzwe mu cyumweru kimwe cyangwa kirenga . Muganga wawe azakuraho catheter mu cyumweru kimwe cyangwa bibiri. Baza muganga wawe igihe ushobora kongera gukora imirimo isanzwe.

Intsinzi y'ubu buvuzi ipimwa n'igihe urugero rwa PSA (Prostate-specific antigen - PSA) rwawe rudakomeza kwiyongera n'igihe kanseri idasubira gukura. Ubushakashatsi bwagaragaje ko ubu buvuzi bugenda neza mu bantu 76 kugeza kuri 90 mu 100 nyuma y'imyaka itatu bavuwe. Ibyo ni umusaruro mwiza cyane.

Ni ryari ngomba kubonana na muganga?

Ntukigere utinya kubaza muganga wawe niba ufite ikibazo cyangwa impungenge, mbere cyangwa nyuma yo kuvurwa. By'umwihariko, niba ufite ibimenyetso by'ubwandu, nk'umuriro , amaraso mu nkari, inkari zirimo ibicu cyangwa impumuro mbi, cyangwa ububabare, menyesha muganga wawe ako kanya .