Ese ukuboko kwawe kuri kubyimba nyuma yo kubagwa kanseri y'ibere? Reka tuvuge kuri Lymphedema!

Ese wabazwe cyangwa waravuwe kanseri y'ibere? Ese wabonye kubyimba cyangwa kuremererwa mu maboko yawe, mu ntoki, cyangwa mu gituza nyuma yaho? Niba ubonye ikintu nk'iki, ntugatekereze ko ari ibisanzwe gusa. Ni ngombwa kubibwira muganga wawe. Iki gishobora kuba ikimenyetso cya lymphedema, indwara ishobora kugaragara ku bagore nyuma yo kuvurwa kanseri y'ibere.

Lymphedema ni iki mu by'ukuri?

Muri make, sisitemu y'imitsi mu mubiri wacu ni nk'uburyo bwo guta imyanda. Irimo amazi yitwa lymph fluid afasha umubiri wacu kugumana isuku binyuze mu gukura imyanda n'udukoko mu mubiri wacu. Aya mazi anyura mu rusobe ruto cyane rwitwa lymph vessels na lymph nodes .

Noneho tekereza, mu gihe cyo kubaga kanseri y'ibere, hari uduce duto tw'imitsi, cyane cyane utwo mu kwaha, tugomba gukurwaho. Hari igihe, ubuvuzi bushingiye ku mirasire bushobora no kwangiza utu duce duto tw'imitsi. Iyo bibaye, amazi ya lymph nta buryo aba ashobora gutembera neza kandi agafata ahantu hamwe. Ibyo ni byo twita lymphedema, itera kubyimba mu maboko, mu ntoki, mu gituza, cyangwa mu maguru make.

Hari ubwoko bubiri bw'ingenzi bw'ibi:

1. Lymphedema y'ibanze: Ibi ni gake cyane. Bivuze ko uvukana inenge mu miyoboro y'amaraso.

2. Lymphedema ya kabiri: Iyi ni yo ndwara ikunze kugaragara cyane. Ibaho iyo sisitemu y'imitsi ihungabanye bitewe n'impamvu nko kubagwa, kwandura, kuvurwa hakoreshejwe imirasire, gukomereka, cyangwa se amaraso akagwa mu mitsi (deep vein thrombosis).

Ni nde uri mu kaga gakomeye kurusha abandi?

Ku bijyanye na kanseri y'ibere, abantu babazwe cyangwa bavuwe ibi bikurikira bafite ibyago byinshi byo kurwara lymphedema:

• Gukuraho imitsi byoroshye hamwe no gukuraho utunyangingo tw’imitsi mu ruhago.
• Gukuraho ikibyimba cya kanseri gusa no gukuraho utunyangingo tw’imitsi mu kwaha (Lumpectomy hamwe no gukuraho utunyangingo tw’imitsi mu gatuza).
• Gukuraho ibere n'inyama nyinshi zikikije hamwe n'udukoko tw'inkondo y'umugongo (Modified radical mastectomy).
• Guhabwa ubuvuzi bwa radiation ahantu hari uduce twa lymph nodes, nko mu ijosi, mu kwaha, cyangwa mu kibuno, hamwe no kubagwa kanseri.

Ni ibihe bimenyetso by'ibi?

Ni ibisanzwe kugira ikibyimba mu byumweru 4-6 bya mbere nyuma yo kubagwa. Ariko, niba ubonye kimwe muri ibi bimenyetso bikurikira, ntukirengagize kandi ubibwire muganga wawe ako kanya. Uko utangiye kuvurwa vuba, niko byoroha kugenzura iki kibazo.

Ni iki twakora kugira ngo twirinde Lymphedema?

Hari ibintu byinshi wakora kugira ngo ugabanye ibyago byo kurwara iyi ndwara. Ni ngombwa kuyigira akamenyero.

Kurya intungamubiri nziza

• Gabanya ibiryo birimo umunyu mwinshi n'amavuta menshi.
• Gerageza kurya nibura imbuto ebyiri n'imboga eshatu ku munsi.
• Kuramo fibre ikomoka ku mugati w'ingano, umuceri, na noodles.
• Nywa amazi menshi.
• Komeza ibiro byawe by'umubiri uko bikwiye. Vugana na muganga wawe kuri ibi.
• Gabanya kunywa inzoga.

Imyitozo ngororamubiri neza.

Menya neza ko wabanje kubaza muganga wawe mbere yo gutangira imyitozo ngororamubiri iyo ari yo yose. Umaze kubimwemerera, ushobora gutangirana imyitozo yoroshye nko kugenda n'amaguru, koga, cyangwa kugendera ku igare. Igamize gukora imyitozo ngororamubiri iminota 30 ku munsi, nibura iminsi 5 mu cyumweru. Niba wumva umunaniro cyangwa ububabare mu kuboko kwawe kwakoreweho imyitozo ngororamubiri, hagarika imyitozo ngororamubiri hanyuma uruhuke uzamuye ukuboko kwawe.

Irinde indwara zandura

Ndetse n'agakomere gato cyangwa igikomere ku ruhu rw'ukuboko ku ruhande rw'aho babazwe bishobora kwandura no gutuma indwara ya Lymphedema irushaho kuba mbi.

• Ambara uturindantoki mu gihe ukora mu busitani cyangwa urimo gukora imirimo yo mu rugo.
• Witondere kugira ngo udakomeretsa uruhu rwawe mu gihe ukata inzara.
• Koresha imiti yica udukoko kugira ngo wirinde udukoko.
• Ni byiza gukoresha icyuma gikoresha amashanyarazi kugira ngo ukureho umusatsi.
• Buri gihe uruhu rwawe rusukuye kandi rwumye. Siga amavuta yo kwisiga kugira ngo uruhu rutimuka.

Izindi ngingo nke z'ingenzi

• Ntukambare imyenda igufashe, inkweto, cyangwa imitako. Ntukambare amasaha cyangwa imitako ku kuboko kwakoreweho ububabare.
• Saba gukoresha ukuboko kutabaye mu gihe cyo gusuzuma umuvuduko w'amaraso, gutera inshinge, cyangwa gufata amaraso.
• Vugana na muganga wawe ibijyanye no guterura ibyuma ukoresheje ukuboko ku ruhande rw'aho ugiye kubagwa.
• Mu gihe ugenda mu ndege, baza muganga wawe niba ukeneye kwambara agatambaro kabigenewe ko gukanda ukuboko cyangwa ukuguru wakoreweho ububabare.

Bite se niba nsanzwe mfite Lymphedema?

Niba usanzwe ufite iyi ndwara, ni ngombwa kurushaho gukurikiza inama zose z’umutekano zavuzwe haruguru. Byongeye kandi, ibi bintu bizagufasha.

• Irinde impinduka zikabije z'ubushyuhe. Ibyo bivuze ko ubushyuhe bukabije n'ubukonje bukabije atari byiza. Ntugakoreshe ibintu nk'amabati ashyushye na sauna.
• Koresha amazi y'akazuyazi aho gukoresha amazi ashyushye mu gihe woga cyangwa woza amasahani.
• Mu gihe ugiye ku zuba, menya neza ko ukoresha uburyo bwo kurinda izuba (nibura SPF 30).
• Mu gihe uryamye cyangwa uruhuka , shyira ukuboko cyangwa ukuguru byafashwe hejuru gato ubishyire ku musego.
• Ntugasinzira ibiro byawe biri ku ruhande rwangiritse igihe kirekire.

Muganga wawe ashobora kukwohereza kwa muganga w’inzobere mu kuvura indwara z’umubiri cyangwa umuhanga mu kuvura indwara z’imitsi (physiotherapist) w’inzobere mu kuvura indwara z’imitsi. Ashobora kukugira inama yo gukora imyitozo ngororamubiri, gupfuka ibipfuko, no gufata imyenda igabanya ubukana bw’imitsi.