Ese muganga wawe yaba yarakubwiye cyangwa umuntu uzi ko urwaye kanseri y'uruhago? Noneho ushobora kuba ufite ibibazo byinshi ku bijyanye no kubagwa kwa TURBT. Ntutinye kubitekerezaho. Ni uburyo busanzwe kandi butanga umusaruro. Uyu munsi, turaganira muri make ku cyo TURBT ari cyo, uko ikorwa, n'ibyo ukeneye kumenya mbere na nyuma yo kuyikorerwa.

Mu magambo make, TURBT ni iki?

Izina ryuzuye rya TURBT ni Transurethral Resection of Abstract Tumor . Nubwo izina rishobora kumvikana nk'irigoye, mu by'ukuri ni uburyo bworoshye cyane. Ni uburyo bwo gusuzuma no kuvura indwara mu gikorwa kimwe.

Tekereza ko ufite ikibyimba gito mu ruhago rwawe. Ubu muganga arashaka kumenya neza niba ari kanseri, niba ari yo, uburyo yakuriye mu rukuta rw'uruhago (icyiciro), n'uburyo uturemangingo twayo dutandukanye n'uturemangingo dusanzwe (urwego). Niyo mpamvu TURBT ibagwa.

Ibi bikubiyemo gushyira igikoresho kirekire kandi gito gifite kamera ifatanye (cytoscope) mu muyoboro w'inkari (urethra) mu ruhago rwawe, ukabona ikibyimba, hanyuma ukagikata. Ibi ntibisaba gukomereka gukomeye hanze y'umubiri wawe . Ibintu byose bibaho binyuze mu muyoboro w'inkari. Ikibyimba cyakuweho cyoherezwa muri laboratwari kugira ngo gisuzumwe n'umuganga w'indwara.

Ni gute wakwitegura mbere yo kubagwa TURBT?

Muganga wawe azaguha amabwiriza asobanutse neza y'icyo wakora mbere yo kubagwa. Gukurikiza aya mabwiriza neza neza bishobora kugabanya cyane ibyago byo kugira ibibazo bitari ngombwa.

Ni iki kibaho mu gihe cyo kubagwa?

Mbere yo kubagwa, umuganga w’indwara zo gusinziriza azagusuzuma maze afate umwanzuro niba azaguha ikinya rusange, kigutera gusinzira burundu, cyangwa ikinya cyo mu mugongo, kigutera gusa ububabare bw’umugongo wo hasi. Akenshi, uzahabwa ikinya rusange. Ibi bivuze ko nta kintu na kimwe uzumva mu gihe cyo kubagwa.

Mu bihe bimwe na bimwe, muganga ashobora gushyira amazi yihariye (irangi) mu ruhago rwawe anyuze mu muyoboro (catheter) isaha imwe mbere y'uko igikorwa gikorwa kugira ngo afashe kubona neza ikibyimba. Aya mazi arabagirana iyo hakoreshejwe urumuri rwihariye mu gihe cyo kubaga, bigatuma muganga abona neza aho ikibyimba kiri.

Intambwe zo kubagwa

1. Gushyiramo igikoresho: Muganga yitonze ashyiramo cystoscope anyuze mu muyoboro w'inkari no mu ruhago rwawe.

2. Gukuraho ikibyimba: Ikibyimba kiboneka mu ruhago kandi kigacibwamo ibice hakoreshejwe igikoresho gito cyo gukata.

3. Guhagarika kuva amaraso: Niba kuva amaraso kwavuye aho ikibyimba cyakuwe, shyiramo icyuma gito cy'amashanyarazi kugira ngo gihagarike.

4. Gukoresha catheter: Nyuma yo kubagwa, iyo bibaye ngombwa, hashyirwaho catheter yo gusohora inkari n'amaraso mu ruhago. Ibi kandi bifasha kwirinda kubyimba kw'amaraso. Hari igihe umunyu unyuzwa muri uyu muyoboro kugira ngo wogeshe uruhago. Si buri wese ukeneye catheter.

Ni iki kizaba nyuma yo kubagwa?

Nta bubabare uzumva mu gihe cyo kubagwa. Ariko, nyuma yo kubagwa, ushobora kumva ububabare cyangwa ubushye mu gihe cy'icyumweru kimwe cyangwa bibiri, cyane cyane iyo uri kunyara. Ibi ni ibisanzwe. Ushobora kandi kugira amaraso make mu nkari zawe. Ibi nabyo bizashira mu minsi mike.

Ese nkeneye imiti ivura kanseri nyuma ya TURBT?

Hari abantu bazakenera imiti ya chimiotherapie nyuma ya TURBT. Niba kanseri itarakwirakwira hanze y'uruhago, muganga wawe ashobora kukugira inama yo kubaga imiti ya chimiotherapie ishyirwa mu ruhago inyuze mu muyoboro w'amaraso. Igipimo cya mbere gishobora gutangwa icyarimwe n'igihe cyo kubagwa. Niba kanseri yarakwirakwiriye (yarahindutse) mu bindi bice by'umubiri, ushobora gukenera imiti ya chimiotherapie inyuze mu mitsi. Ibi byose bizagenwa hashingiwe ku bisubizo bya biopsy yawe.

Ugomba kuguma mu bitaro?

Uzajya mu bitaro kugira ngo ukurikiranwe amasaha make nyuma yo kubagwa. Catheter izakurwaho mbere yo koherezwa mu rugo. Ariko, niba ikibyimba ari kinini cyangwa niba amaraso menshi ava, ushobora koherezwa mu rugo hamwe na catheter mu gihe cy'iminsi mike.

Nyuma yo gutaha:

• Nywa amazi menshi nk'uko muganga abivuga.
• Ushobora kurya no kunywa nk'uko bisanzwe.
• Hagarika guterura ibyuma no gukora akazi gakomeye mu gihe cy'ibyumweru bike.
• Muganga azaguhamagara igihe raporo yawe ya biopsy izagera. Baza mbere y'igihe n'uko uzayihabwa.

Igihe cyo kuvugana na muganga

Niba ubonye kimwe muri ibi bimenyetso nyuma yo kubagwa, hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi ba ETU (ETU) .

• Umuriro .
• Gushyira amaraso menshi cyangwa amaraso menshi mu nkari.
• Inkari zifite impumuro mbi cyangwa uburyohe bubi .
• Ububabare butunguranye, butunguranye.
• Kugorwa no kunyara.

Hari igihe, nyuma y'ibyumweru 4-6 nyuma yo kubagwa bwa mbere, ushobora gukenera kongera kubagwa ('ishusho ya kabiri ya TURBT') kugira ngo urebe neza ko ikibyimba cyakuweho burundu. Muganga wawe azagusobanurira ibi byose.