Iyo muganga wawe akubwiye gukora ultrasound ya transrectal, ushobora kumva ufite ubwoba kandi ukumva utameze neza iyo ubyumvise gusa. Ibyo ni ibisanzwe. Ariko mu by'ukuri ni ikizamini gisanzwe, gitekanye kandi kidatera ububabare. None rero uyu munsi, reka dushake ibisubizo by'ibibazo byawe byose kuri cyo.
Mu magambo make, transrectal ultrasound (TRUS) ni iki?
Ultrasound ni uburyo bwo gukoresha imiraba y'urusaku kugira ngo urebe ingingo ziri mu mibiri yacu. Ni nk'uburyo bwa sonar bw'ubwato. Nta mirasire isohora.
Ijambo "transrectal " risobanura "kunyura mu kibuno." Muri iki kizamini rero, muganga ashyiramo igikoresho gito, kingana n'urutoki (probe) anyuze mu kibuno cyawe. Amajwi y'urusaku rwo hejuru asohoka muri iki kibuno akubita ingingo ziri mu mubiri wawe hanyuma agasubira inyuma. Amashusho y'urusaku ahinduka amashusho agaragara kuri mudasobwa.
Iki kizamini gikoreshwa cyane cyane mu gusuzuma prostate gland ku bagabo. Hari n'igihe gikoreshwa mu gusuzuma umwobo w'ikibuno n'imyanya myibarukiro ku bagore.
Ni nde usabwa gukora iki kizamini?
Muganga wawe ashobora kukugira inama yo gukoresha iki gipimo mu bihe bikurikira:
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Ibintu bidasanzwe mu kizamini cya DRE | Iyo muganga yumvise ikibyimba kidasanzwe cyangwa impinduka mu gasabo k'inkari mu gihe cyo gupimwa mu buryo bwa digitale rectal (DRE). |
| Kuzamuka k'urugero rwa PSA | Iyo urugero rwa poroteyine yitwa PSA (Prostate-Specific Antigen) mu maraso ruri hejuru y’ibisanzwe. |
| Ibimenyetso bya prostate | Niba ugaragaza ibimenyetso bya kanseri ya prostate, nko kugorwa no kunyara cyangwa gukenera kunyara kenshi. |
| Kuvura indwara isanzweho | Nk'ubuyobozi mu kuvura indwara za kanseri cyangwa izitari kanseri za prostate. |
| Ubugumba | Gusuzuma ibibazo by'imyororokere ku bagore n'abagabo. |
| Ibindi bipimo bya kanseri | Gusuzuma indwara nka kanseri y'inyuma cyangwa kanseri y'ikibuno. |
Ikizamini cya TRUS gikora gite koko?
Kumenya iki gikorwa bizagufasha kugabanya ubwoba bwawe. Reka tubirebe buhoro buhoro.
Ni iki wakora mbere yo gukora ikizamini?
Muganga wawe azaguha amabwiriza yihariye.
- Bwira muganga wawe ibyerekeye ubwivumbure ubwo aribwo bwose , indwara z'umutima, indwara z'ibihaha, n'imiti iyo ari yo yose ufata.
- Ushobora gusabwa guhagarika gufata imiti ya aspirine na NSAIDs (urugero: ibuprofen, naproxen) igabanya ububabare n'imiti igabanya amaraso mu gihe cy'iminsi mike.
- Uzasabwa gukoresha enema amasaha make mbere yo gupimwa kugira ngo woze uruhu rwawe rw'imbere n'urw'amara yo hasi. Ibi bizagufasha kubona amashusho asobanutse neza.
- Ushobora kandi gusabwa kunyara no gukuramo amaraso mu ruhago mbere yo gupimwa.
Ni iki kibaho mu gihe cy'ikizamini?
Ubusanzwe iki gikorwa kimara munsi y'iminota 30.
1. Uzaryamishwa ku buriri, uhindukirizwe uruhande rumwe, amavi yawe akurikiwe agera ku gituza .
2. Muganga azashyira buhoro buhoro agakoresho gafite amavuta, gafite ingano y'urutoki mu kibuno cyawe. Muri iki gihe, uzumva umuvuduko nk'uwo wumva iyo ugomba kujya mu kiraro.
3. Nyuma yo gushyira icyuma gipima amaraso mu mwanya wacyo, muganga azajya areba amashusho y'ingingo zawe kuri ecran ya mudasobwa.
Bite ho iyo hafashwe biopsy?
Akenshi, muri iki kizamini cya TRUS, agace gato k'umubiri (biopsy) gafatwa mu gasabo ka prostate kugira ngo harebwe uturemangingo twa kanseri.
Witinya! Ahantu hazaba hatameze neza mbere yuko hakorwa isuzuma ry'umubiri.
- Muganga abanza gutera umuti ugabanya ububabare muri prostate kugira ngo agace k'umubiri gashiremo ibisebe.
- Hanyuma, urushinge ruto kandi rufite ububobere rushyirwa iruhande rw'icyuma gipima amaraso, hanyuma hagafatwa ingero nyinshi z'uturemangingo muri prostate gland.
Bigenda bite nyuma y'ikizamini?
Ushobora gutaha umunsi umwe nyuma yo gupimwa. Muganga wawe ashobora kukwandikira imiti yica udukoko kugira ngo wirinde kwandura. Icyitegererezo cya biopsy cyoherezwa muri laboratwari kandi bishobora gufata iminsi mike cyangwa icyumweru kugira ngo raporo igere. Iyo raporo imaze kwakirwa, muganga wawe azaguhamagara kugira ngo abisobanure.
Ni izihe nyungu n'ingaruka z'ibi?
Ibyiza:
- Nta kwibasirwa n'imirasire.
- Ishobora kubona amashusho asobanutse neza y’uturemangingo tworoshye kurusha X-ray.
- Ushobora kureba amashusho ako kanya mu gihe ikizamini kiri gukorwa.
Ingaruka:
Nta ngaruka zizwi zijyanye no gupima TRUS. Ariko, ingorane z'igihe gito zikurikira zishobora kubaho iyo hakozwe biopsy . Izi ngorane akenshi zirashira burundu mu minsi mike cyangwa ibyumweru bike.
- Amaraso mu masohoro (Hematospermia)
- Amaraso mu nkari (Hematuria)
- Kuva amaraso make mu maraso
- Kubabara iyo uri kunyara (Dysuria)
- Ububabare n'ububabare mu gace karimo gusuzumwa
- Indwara - Imiti igabanya ubukana itangwa kugira ngo hirindwe ibi.
- Kudakora neza kw'intanga ngore (ED) - Iyi ni indwara idakunze kubaho, akenshi iba igihe gito.
Gukira n'igihe cyo kubonana na muganga
Niba warakorewe TRUS gusa nta biopsy, ushobora guhita usubira mu mirimo yawe isanzwe. Niba warakorewe biopsy, ni byiza kuruhuka iminsi ibiri cyangwa itatu. Niba ubabara , kwiyuhagira mu mazi ashyushye bishobora kugufasha. Nywa ibirahuri 6-8 by'amazi ku munsi mu minsi mike.
Hamagara muganga wawe vuba niba ubonye ibimenyetso bikurikira:
- Umuriro
- Amaraso apfundika mu nkari
- Kuva amaraso mu nkari bidahagarara iminsi myinshi
- Kunanirwa cyangwa kugorwa cyane no kunyara
- Ububabare bukomeye butagenzurwa nubwo haba hari imiti
Niba ubonye kimwe muri ibi bimenyetso, ntutindiganye kujya mu bitaro bikuru by’ubutabazi bw’ibanze (ETU).
Ubutumwa bwo kujyana mu rugo
- Ultrasound ya Transrectal (TRUS) ni ikizamini cyizewe kandi kidakoresha amajwi.
- Ibi bikoreshwa cyane cyane mu gusuzuma no kuvura ibibazo bya prostate ku bagabo.
- Kurikiza amabwiriza ya muganga wawe witonze mbere na nyuma yo gupimwa.
- Ingaruka zonyine zijyanye n'ikizamini ni uko hakozwe isuzuma rya biopsy, kandi ndetse ibyo akenshi biba iby'igihe gito.
- Niba ugifite ibibazo kuri ibi, ntutinye kuvugana na muganga wawe akabikemura.
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