Reka twige ibijyanye no kubaga roboti hakoreshejwe ikoranabuhanga rya transoral (TORS) mu buryo bworoshye!

Buri wese agira ubwoba gato iyo yumvise ko hagomba kubagwa ahantu nko mu muhogo, inyuma y'umunwa, cyangwa hasi y'ururimi, si byo se? Ariko ubu ikoranabuhanga ryateye imbere cyane. Hari uburyo bwo gukora ubu bwoko bw'ubu buryo bwo kubaga mu kanwa, udakoze incision nini mu ijosi no mu rwasaya nk'uko byari bimeze mbere. Ubu buryo bugezweho, bukorwa hifashishijwe roboti, bwitwa TORS, bisobanura Transoral Robotic Surgery. Uyu munsi, tuzabiganiraho mu magambo yoroshye.

Mu magambo make, TORS ni iki?

TORS ni uburyo umuganga ubaga akoresha sisitemu ya mudasobwa kugira ngo agenzure amaboko ya roboti. Tekereza ko kamera nto n'ibikoresho byo kubaga bishyizwe mu kanwa kawe no mu muhogo wawe. Umuganga agenzura amaboko ya roboti akoresheje icyuma gikoresha mudasobwa mu gihe areba ishusho ya 3D isobanutse neza akoresheje kamera.

Izi ntoki za roboti zimeze nk'inyongera y'amaboko ya muganga. Ariko zagenewe kuba zoroshye, zihamye kandi zoroshye kurusha ukuboko kw'umuntu. Ibi bituma zikuramo ibibyimba bya kanseri mu kanwa, nk'ibyo mu muhogo no mu gice cyo hasi cy'ururimi, ubusanzwe bigoranye kugeraho, hatabayeho gukata inyuma. Ikoranabuhanga rikunze gukoreshwa cyane muri ibi ni ``da Vinci® Surgical System``.

Ni izihe ndwara zivurwa hakoreshejwe TORS surgery?

Nubwo kubaga TORS bikoreshwa cyane cyane ku ndwara zitari kanseri yo mu mutwe no mu ijosi, ubu bikoreshwa cyane no ku ndwara zitari kanseri.

Ni nde ukwiriye kubagwa?

Kubaga TORS si ibya buri wese. Muganga wawe azagufatira umwanzuro niba uri umukandida mwiza kuri byo. Bazasuzuma ibintu byinshi, harimo ubuzima bwawe muri rusange, imiterere y'umutwe wawe n'ijosi ryawe, ndetse n'urugero rwa kanseri .

Ubu buryo bwo kubaga ntabwo busabwa abantu bafite indwara zikurikira:

• Iyo kanseri yakwirakwiriye ku buryo idashobora gukurwaho hakoreshejwe kubagwa.
• Niba ikinya gishobora guteza akaga bitewe n'ingorane zo guhumeka.
• Iyo bigoye kwinjiza ibikoresho bitewe n'uko umunwa ari muto cyane cyangwa ku yindi mpamvu.
• Niba hari ibyago byo kuva amaraso menshi mu gihe cyo kubagwa.

Umuganga ugusuzuma azagusaba gukoresha TORS gusa iyo yizeye ko ari bwo buryo bwiza kandi bwizewe bwo kuvura , nyuma yo gusuzuma ibi byose.

Uburyo abaganga babazwe n'igihe cyo gukira

Kwitegura mbere yo kubagwa

Muganga wawe azagutegeka ibizamini nka scan kugira ngo ateganye kubagwa kwawe. Ushobora kandi gukenera kubonana n'inzobere mu by'indwara z'ururimi kugira ngo agufashe guhangana n'ingorane zo kumira nyuma yo kubagwa. Muganga wawe azaguha kandi amabwiriza yo kutarya cyangwa kunywa nyuma ya saa sita z'ijoro mbere yo kubagwa no guhagarika imiti imwe n'imwe, nko gukoresha imiti igabanya amaraso.

Ni iki kibaho mu gihe cyo kubagwa?

Kubagwa bikorwa mu gihe usinziriye neza (uri mu bitotsi). Bityo ntuzumva ububabare ubwo aribwo bwose. Muganga azashyira kamera ya roboti n'ibikoresho mu kanwa kawe, arebe kuri mudasobwa kugira ngo akureho burundu kanseri. Hari igihe hashobora gucibwa gato mu ijosi kugira ngo barebe niba kanseri yarakwirakwiriye mu tunyangingo tw'imitsi mu ijosi, hanyuma hagakorwa "guca ijosi" kugira ngo hakureho utunyangingo tw'imitsi .

Kubagwa ubwabyo bifata amasaha 1.5 - 2, kandi igikorwa cyose gishobora kumara amasaha 4-5.

Bifata igihe kingana iki kugira ngo umuntu akire?

Iki ni kimwe mu byiza bikomeye bya TORS. Ubusanzwe ushobora gutaha nyuma y'iminsi 2-3 mu bitaro. Ushobora gusubira mu mirimo yawe isanzwe mu byumweru bike.

• Hashobora kubaho kubabara mu muhogo no kugorwa no kumira mu gihe cy'ibyumweru 2-3 nyuma yo kubagwa.
• Muri iki gihe, ushobora gukenera guhabwa intungamubiri ukeneye, kandi ushobora gukenera gushyirwamo umuyoboro w'agateganyo unyuze mu mazuru yawe.
• Gukira biratandukanye kuri buri wese, bityo ni ngombwa kumva umubiri wawe no gufata umwanya wawe wo gukira.

Ni izihe nyungu nyamukuru zo kubaga TORS?

Hari ibyiza byinshi kuri TORS ugereranije no kubaga mu buryo busanzwe.

• Ubuhanga bwo hejuru: Kubera ko ukuboko kwa roboti ari koroshye cyane, gushobora gukuraho uturemangingo twa kanseri gusa mu buryo bunonosoye cyane, bigabanya kwangirika kw'uturemangingo tuzima tuyikikije.
• Gukira vuba no kumara igihe gito mu bitaro: Mu gihe wagombaga kumara icyumweru kimwe cyangwa bibiri mu bitaro, ubu ushobora gutaha mu minsi 2-3.
• Nta nkovu zigaragara: Kubera ko kubagwa bikorerwa mu kanwa hose, nta nkovu zikomeye zigaragara ku ijosi cyangwa mu maso.
• Ingaruka mbi zigabanuka: Ingaruka zo kuva amaraso menshi, ibibazo by'igihe kirekire byo kuvuga no kumira ni nke cyane.
• Kugabanuka k'ubukene bw'inyongera: Ibi bishobora kugabanya cyangwa bigakuraho burundu ingano y'imirasire cyangwa imiti ivura indwara ya kanseri ikenewe nyuma yo kubagwa.

Ingaruka n'igihe cyo kubonana na muganga

Nkuko bigenda mu kubaga kose, TORS ifite ingaruka zimwe na zimwe. Ariko, izi ni nke cyane ugereranije no kubaga mu buryo bw’ibanga. Hari ingaruka zimwe na zimwe, nko kuva amaraso menshi (kuva amaraso menshi), guhumeka ibiryo cyangwa amazi mu bihaha, no kugorwa no guhumeka. Izi ngaruka zirushaho kugabanuka n’umuganga w’inzobere mu kubaga.

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa, menyesha muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe.

• Ibimenyetso by'ubwandu nk'umuriro.
• Ibimenyetso by'umwuma nko kuma mu kanwa no kubura inkari.
• Kuva amaraso mu gace kakoreweho ubuvuzi.
• Kugorwa cyane no guhumeka cyangwa kumira.
• Isesemi no kuruka.
• Kubyimba kudasanzwe.