Ese utinya kubagwa mu maraso? Reka twige uburyo bushya, budakoresha imiti myinshi (TEMS)!

Ni ibisanzwe kumva ufite ubwoba iyo muganga wawe akubwiye ko ufite ikibyimba mu mara yawe, igice cyo hasi cy'amara yawe manini. Ushobora kuba utekereza uti "Oh, ngiye gukata igifu cyawe, ngiye kumara iminsi mike mu bitaro, bizakubabaza cyane," sibyo? Ariko ntugire ikibazo. Ikoranabuhanga ryateye imbere cyane muri iki gihe. Uyu munsi, turimo kuvuga ku buvuzi bwa Transanal Endoscopic Microsurgery (TEMS) , uburyo bwihariye bwo kubaga bukuraho ibibyimba nk'ibi udakoresheje incisions mu gifu cyawe, hakoreshejwe ibikoresho bito bishyirwa mu mara yawe.

Mu magambo make, TEMS ni iki?

TEMS ni uburyo bwo kubaga budakoresha uburyo bwinshi bukoreshwa mu gukuraho ibibyimba na kanseri nto mu maraso yawe. Mu bihe byashize, gukuraho ikibyimba mu maraso yawe byasabaga kubagwa mu nda cyane. Muri ubu buryo bwa TEMS, umuganga ubaga ashyiramo igikoresho cyihariye anyuze mu maraso yawe, agakoresha kamera nto n'ibikoresho byo kubaga kugira ngo akureho ikibyimba.

Akamaro kanini k'ibi ni uko kubera ko nta gukomereka ku mubiri inyuma , uzumva ububabare buke cyane, ukire vuba, kandi uzagira ingorane nke ugereranyije n'igihe umaze kubagwa bikomeye.

Ni irihe tandukaniro riri hagati ya TEM na TAMIS?

Ushobora kuba warumvise TAMIS. Ubu buryo bwombi burasa gato, ariko hari itandukaniro rito.

• TEMS (Transanal Endoscopic Microsurgery): Iyi ikoresha igikoresho kirekire, gifite ubunini bumeze nk'umuyoboro witwa ``Rectoscope.'' Kamera n'ibindi bikoresho binyuzwa muri uyu muyoboro.
• TAMIS (Ubuvuzi bwo mu kibuno buto bwo mu kibuno): Ubu bukoresha agace gato, gafite uruziga, gafite uburyo bworoshye bwo koroshya, kameze nk'agahu. Kashyirwa mu kibuno hanyuma ikibyimba kikavanwaho hakoreshejwe ibikoresho bimwe na bimwe bikoreshwa mu kubaga laparoscopic.

Muganga azasuzuma uburwayi bwawe maze ahitemo uburyo bukunogeye akurikije aho ikibyimba kiri.

Ni nde muganga uvura indwara ya TEMS ukwiriye?

Ubu buryo bwo kubaga si ubwa buri wese, ariko rimwe na rimwe ni amahitamo meza cyane.

• Ku bafite ingorane zo kubagwa bikomeye bitewe n'izindi ngorane z'ubuzima (urugero: indwara z'umutima, diyabete).
• Ku bafite kanseri y'impyiko mu gihe cyo hambere.
• Ku rubyiruko rufite ibibyimba bitari kanseri (bitari bibi).
• Ku muntu wese ushaka kwirinda kubagwa bikomeye, niba muganga ahisemo ko biba bikwiye.

Ariko, niba aho umugongo wawe uherereye hatuma bigorana ko igikoresho kigera ku kibyimba, cyangwa niba uturemangingo twawe twagabanutse (stenosis), ubu buryo bushobora kudashoboka. Ibi byose bigenwa n'umuganga wawe.

Indwara zivurwa hakoreshejwe ubuvuzi bwa TEMS

Ubu buryo bwo kubaga akenshi bukorwa kugira ngo haveho ibibyimba mu mara. Bukoreshwa mu kuvura indwara zikurikira:

Witegura ute mbere yo kubagwa?

Kwitegura ibi bisa no kwitegura isuzuma rya colonoscopy. Ikintu cy'ingenzi ni ugusukura amara yawe neza . Ibi bizatuma muganga abona neza imbere mu mara yawe. Kuri ibi, muganga wawe azaguha umuti wihariye wo koroshya amaraso.

Ubusanzwe uzahabwa amabwiriza nk'aya:

• Irinde kurya ibiryo bikomeye umunsi umwe mbere yo kubagwa.
• Nywa ibinyobwa bisukuye gusa (amazi, amazi y'umunyu, Jeevani) amasaha 12-24 mbere yo kubagwa.
• Irinde kurya cyangwa kunywa ikintu icyo ari cyo cyose kuva saa sita z'ijoro ku munsi wo kubagwa.
• Niba ufata imiti igabanya amaraso, menya neza ko wabibwiye muganga wawe kandi ureke kuyifata iminsi mike mbere y'uko uyifata, nk'uko agugiriye inama.

Ni iki kibaho mu gihe cyo kubagwa?

Nta kintu na kimwe uzumva muri iki gikorwa kuko kubagwa bizakorwa hakoreshejwe ikinya rusange, bivuze ko uzaba usinziriye burundu. Dore uko bigenda mu gihe cyo kubagwa:

1. Umuganga w’inzobere mu kubaga ashyira igikoresho ``Rectoscope``` anyuze mu mwenge w’ikibuno ujya mu muhogo.

2. Agace k'umura gashyirwamo umwuka kugira ngo harebwe neza agace gakikije ikibyimba.

3. Kamera n'ibikoresho byoroshye byo kubaga bishyirwamo binyuze muri rectoscope hanyuma ikibyimba cyangwa polyp, hamwe n'uturemangingo tuzima tuyikikije, biracibwa bigakurwamo.

4. Hanyuma icyuho gifungwa hakoreshejwe imidozi ishobora gushonga cyangwa udupira duto tw'icyuma.

Bimeze bite nyuma yo kubagwa?

Ushobora kugira ububabare nyuma yo kubagwa. Mu masaha 24 ya mbere, ushobora kugira ibi bikurikira:

• Umuyoboro (`catheter`) ushyirwa mu ruhago rwawe kugira ngo ufungure inkari.
• Ha umubiri ibinyobwa ukeneye binyuze mu guterwa umunyu (`umurongo wa IV`) mu mutsi uri mu kuboko kwawe.
• Antibiyotike (antibiyotike zo mu ruhu) zitangwa binyuze mu munyu mu gihe cy'amasaha agera kuri 24 kugira ngo hirindwe kwandura.

Ushobora gutangira kurya no kunywa nyuma y'umunsi umwe nyuma yo kubagwa. Ubusanzwe uzashobora gutaha nyuma y'umunsi umwe cyangwa ibiri mu bitaro .

Ni izihe nyungu z'ubu buryo?

Uburyo bwa TEMS bufite ibyiza byinshi ugereranyije na laparotomy. Kubagwa bikomeye rimwe na rimwe bishobora gutera ibibazo byo kugenzura inkari, kudakora neza mu mibonano mpuzabitsina, ndetse no gukenera gukorerwa colostomy ihoraho. Uburyo bwa TEMS bugabanya byinshi muri ibi byago.

Ese nta ngaruka zihari muri ibi?

Nkuko bigenda mu kubagwa kose, hari ingaruka nke, ariko ingaruka ni nke cyane ugereranyije no gupfunyika inda.

• Kuva amaraso
• Kugira ubwandu
• Ububabare bwo mu maraso cyangwa mu nda
• Kugorwa no kunyara ('Kubika inkari')
• Gukenera kwiyuhagira mu buryo butunguranye (`Ubushyuhe bw'amase`)

Iyo habayeho ikintu nk'iki, abaganga baba biteguye kugivura.

Niba ufite ibi bimenyetso, hita ubonana na muganga.

Umaze gutaha, niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi ba ETU (ETU) bo mu bitaro.

• Kuva amaraso menshi cyane
• Umubiri cyangwa kumva urimo ubukonje
• Kugorwa no kunyara
• Ububabare bukabije bwo mu gifu cyangwa mu maraso

Niba ari kanseri, ubwo ni bwo buryo bwonyine bwo kuvura?

Iyo kanseri yo mu mara igaragaye mu ntangiriro zayo, kandi ikibyimba kigakurwaho burundu hakoreshejwe TEMS operation, ubundi buryo bwo kuvura bushobora kuba budakenewe. Ariko, kuri bamwe, bitewe n'imiterere y'ikibyimba, muganga wawe ashobora kukugira inama yo gukoresha imiti ya chimiotherapie cyangwa radiation therapy hamwe n'ubu buvuzi. Ibi byose bizamenyekana nyuma yo gusuzuma uko umeze.