Iyo muganga wawe akubwiye ko ugomba gupimwa ikintu runaka, hari igihe wumva ufite ubwoba kandi ukagira ubwoba iyo wumvise izina ryacyo, si byo? Cyane cyane iyo izina rigoye gato. "Ultrasound ya Transrectal" ni rimwe muri ayo mazina. Abantu benshi, cyane cyane abagabo, bumva batameze neza iyo bumvise iri zina. Uyu munsi rero tugiye gusubiza ibibazo byose n'ubwoba ufite kuri iki kizamini mu buryo bworoshye. Ni nk'aho inshuti cyangwa umuntu wo mu muryango arimo kubigusobanurira.
Mu magambo make, transrectal ultrasound (TRUS) ni iki?
Reka dusobanure neza iri zina. Ushobora kuba warumvise "ultrasound". Rikoreshwa mu gusuzuma umugore utwite, ndetse no kureba imbere mu mibiri yacu. Rikubiyemo kohereza amajwi afite imbaraga nyinshi (tudashobora kumva) mu mubiri hanyuma tukayagarura kugira ngo dukore ishusho kuri ecran ya mudasobwa. Ni nk'uko udusimba dukoresha ayo majwi kugira ngo tuguruke nijoro. Nta mirasire itanga, bityo ni uburyo bwizewe cyane.
Noneho reka turebe igice cyitwa "transrectal." "Trans" bivuga "kunyura." "Rectal" bivuga ikintu gifitanye isano na "rectum." Rero transrectal ultrasound ni isuzuma rya ultrasound rikorerwa mu nda y'umura .
Muri ibi, muganga yinjiza buhoro buhoro igikoresho cyihariye (probe) kingana n'urutoki rwawe mu gasanduku k'amaraso. Iki gikoresho gitanga amajwi. Agasanduku ka prostate ku bagabo kaba gaherereye hafi cyane y'agasanduku k'amaraso. Kubwibyo, iyo ugenzuye muri ubu buryo, ushobora kubona ishusho isobanutse neza kandi irambuye y'agasanduku ka prostate. Ibi rimwe na rimwe byitwa `(Endorectal ultrasound - ERUS)`.
Ni nde usanzwe akeneye iki kizamini?
Hari impamvu nyinshi zishobora gutuma umuganga agutegeka iki kizamini. Tekereza ibi: Ugiye kwa muganga kuko ufite ikibazo cyo kunyara. Muganga ashobora kugusuzuma akakohereza kuri iki kizamini niba abona ari ngombwa gukora iperereza rirambuye.
Reka tubisobanure neza mu mbonerahamwe iri hepfo.
| Impamvu yo koherezwa gupimwa | Ibisobanuro byoroshye |
|---|---|
| Ibintu bidasanzwe mu gusuzuma igitsina cy'umwana mu mara (DRE) | Iyo muganga ashyize urutoki mu mura kugira ngo asuzume prostate gland (ibi byitwa DRE), iyo yumvise ikintu gisa n'ikibyimba cyangwa kubyimba, akora ubu buryo bwo gusuzuma kugira ngo arebe neza. |
| Kuzamuka k'urugero rwa PSA | PSA (antigen yihariye ya prostate) ni isuzuma ry'amaraso. Iyo iki gipimo cyiyongereye, iki gipimo ni ingenzi cyane kugira ngo hamenyekane icyabiteye. |
| Ibimenyetso bya kanseri ya prostate | Niba ufite ibimenyetso nko kugorwa no kunyara, kunyara kenshi, cyangwa amaraso mu nkari zawe, reba niba impamvu ari ikibazo cya prostate. |
| Ubugumba | Iki kizamini rimwe na rimwe gikoreshwa mu gushaka impamvu y’ubugumba ku bagabo. Gishobora kandi gukoreshwa mu gusuzuma ingingo zo mu kibuno ku bagore, kandi gake cyane niba ubundi buryo budakwiye. |
| Kuvura no gukusanya ingingo | Iyo hakekwa ko hari kanseri ya prostate, iyi scan ikoreshwa nk'ubuyobozi bwo gufata ingero nto y'uturemangingo (biopsy) muri ako gace. Ifasha kandi kuyobora uburyo bumwe na bumwe bwo kuvura. |
Wakwitegura ute mbere yo gukora ikizamini?
Ubu si ukubagwa gukomeye, ariko bisaba kwitegura gato kugira ngo ikizamini gikorwe neza.
- Bwira muganga wawe byose: Ugomba kubwira muganga wawe ibyerekeye ubwivumbure ubwo aribwo bwose, indwara z'umutima, indwara z'ibihaha, n'imiti iyo ari yo yose ufata ubu.
- Ushobora kuba ugomba guhagarika gufata imiti imwe n'imwe: Niba ufata imiti igabanya ububabare cyangwa imiti igabanya ububabare nka aspirine cyangwa ibuprofen, muganga wawe azakubwira guhagarika kuyifata iminsi mike mbere yo kwipimisha. Ntugahagarike gufata imiti iyo ari yo yose utabanje kubaza muganga wawe.
- Gusukura amara manini:Amasaha make mbere yo gupimwa, ushobora gusabwa gukoresha enema kugira ngo usukure umwijima wawe n'amara yo hasi. Ibi bizafasha gupima neza.
- Gusohora amaraso mu ruhago: Muganga azagusaba konka no gukura amaraso mu ruhago mbere yo gupimwa.
Aya mabwiriza ashobora gutandukana gato bitewe n'ibitaro, bityo ni ngombwa gukurikiza amabwiriza ya muganga wawe neza.
Ni iki mu by'ukuri kibaho mu gihe cy'ikizamini?
Noneho reka turebe uko bizagenda ku munsi w'ikizamini. Kubimenya bizagufasha kugabanya ubwoba bwawe cyane.
1. Guhindura imyenda: Uzahabwa ikanzu yo kwambara mu bitaro.
2. Uburyo bwo kuryama: Uzasabwa kuryama ibumoso bw'igitanda, amavi yawe ahengamye yerekeza ku gituza.
3. Gushyiramo igikoresho: Muganga azashyira buhoro buhoro agakoresho ka ultrasound gakozwe muri anus yawe. Ni ingano y'urutoki gusa. Muri iki gihe, ushobora kumva umeze nk'aho ugomba kwituma. Ibi ni ibisanzwe. Ntabwo bizaba bibabaza cyane, ariko ushobora kumva umerewe nabi gato.
4. Gupima: Iyo igikoresho gishyizwe mu mwanya wacyo neza, muganga aragihindura buhoro buhoro yitegereza neza amashusho ya prostate agaragara kuri ecran ya mudasobwa.
Ubusanzwe iyi gahunda yose imara munsi y'iminota 30.
Bite ho iyo hafashwe biopsy?
Hari igihe, iyo muganga abonye ikintu giteye amakenga kuri scan, ashobora gukenera gufata agace gato cyane k'urugingo muri ako gace kugira ngo apimwe. Ibi byitwa biopsy . Ibi bishobora gukorwa icyarimwe na scan ya TRUS.
- Kutagira ibinya: Mbere yo kubagwa, umuti ugabanya ububabare uterwa mu gace gakikije prostate yawe kugira ngo uyitere ibinya, bityo ntuzumva ububabare bwinshi.
- Gufata ingero z'uturemangingo: Hanyuma, urushinge ruto cyane rushyirwa hamwe n'igikoresho cyo gupima, hanyuma hagafatwa ingero nyinshi z'uturemangingo mu bice bikekwaho. Ushobora kumva urushinge rutoshye iyo urushyizemo.
Ingero z'uturemangingo twabonetse muri ubu buryo zoherezwa muri laboratwari kugira ngo zisuzumwe hifashishijwe mikorosikopi kugira ngo hemezwe niba uturemangingo twa kanseri turimo cyangwa tudahari.
Bigenda bite nyuma y'ikizamini?
Ikizamini kirangiye, ushobora gutaha uwo munsi.
- Baza muganga niba ushobora gutwara imodoka cyangwa niba ukeneye umuntu wo kugutwara.
- Iyo hakozwe isuzuma ry’umubiri (biopsy), uzahabwa imiti igabanya ubukana bw’indwara mu gihe cy’iminsi mike. Ugomba kuyifata neza nk’uko byategetswe.
- Bavuga ko udakwiye gufata imiti igabanya amaraso nka aspirine mu minsi mike.
- Nywa amazi menshi. Kunywa nibura ibirahuri 6-8 by'amazi ku munsi bifasha mu kubungabunga inkari.
Bishobora gufata iminsi mike cyangwa icyumweru kugira ngo ibisubizo bya biopsy bigaruke. Iyo ibisubizo bibonetse, muganga azaguhamagara agashyiraho igihe cyo kubiganiraho.
Ni izihe nyungu n'ingaruka z'iki kizamini?
Nkuko bigenda ku isuzuma ry’ubuvuzi iryo ari ryo ryose, hari ingaruka ndetse n’inyungu, ariko TRUS ni ikizamini cyizewe cyane.
| Ibyiza | Ingaruka/Ingorane |
|---|---|
| Nta mirasire ikoreshwa (bitandukanye na X-rays). | Niba ufite scan ya TRUS gusa: Uko tubizi, nta ngaruka cyangwa ingorane bihari. |
| Amashusho asobanutse neza y'uturemangingo tworoshye ashobora kuboneka. | Ibintu bishoboka (by'igihe gito) bishobora kubaho iyo hakozwe biopsy: |
| Ushobora kubona imikorere y'ingingo mu kanya gato. |
|
Igikuru ni uko ibimenyetso byinshi nyuma yo gupimwa biba iby'igihe gito kandi bikagenda burundu mu minsi mike cyangwa icyumweru kimwe cyangwa bibiri.
Ni ryari nkwiye kujya kwa muganga ako kanya nyuma yo gupimwa?
Nubwo ubusanzwe atari ikibazo gikomeye, 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.
- Umuriro mwinshi n'ubukonje.
- Ububabare bukomeye budashobora gukemurwa nubwo haba hari imiti.
- Kunanirwa kwihagarika kunyara.
- Amaraso apfundika mu nkari.
- Kuva amaraso bidashira mu muyoboro w'inkari cyangwa mu nda ibyara.
Ibi bimenyetso bigaragaza ko hari ubwandu cyangwa ikindi kibazo gishobora kubaho, bityo ntukabirengagize.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwa ultrasound bwa transrectal (TRUS) ni ingenzi cyane, bwizewe kandi butababaza bukoreshwa mu gusuzuma prostate gland.
- Ibi bikubiyemo kohereza amajwi mu maraso kugira ngo afate ishusho y'agasabo ka prostate. Nta mirasire ibaho.
- Ikizamini ntigifata iminota irenga 30. Hari ububabare buke, ariko nta bubabare bwinshi burimo.
- Iyo hakekwa ko hari kanseri, hashobora gufatwa biopsy (igice cy'urugingo) mu gihe kimwe n'iki kizamini.
- Ni ibisanzwe kugira amaraso make mu nkari cyangwa amasohoro nyuma yo gupimwa, kandi azashira mu minsi mike.
- Niba ufite ikibazo icyo ari cyo cyose, ntutinye kubaza muganga wawe. Ni uburenganzira bwawe.
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