Ese urambiwe kuva amaraso menshi mu gihe cy'imihango yawe ya buri kwezi, ububabare bumara iminsi myinshi, cyangwa umuvuduko ukabije mu nda yawe yo hasi? Muganga wawe ashobora kuba yarakubwiye ko impamvu ari fibroids zo mu nda , ubwoko bw'ikibyimba kitari kanseri gikura mu nda ya nyababyeyi. Uyu munsi rero turimo kuvuga ku buryo bwo kuvura bushobora kugufasha gukira vuba udafite ubuvuzi bukomeye. Ibi byitwa Uterine Artery Embolization, cyangwa UAE mu magambo ahinnye.
Mu magambo make, ubu buryo bwo kuvura muri UAE ni ubuhe?
UAE ni uburyo bwihariye bwo kuvura bukorwa hatabayeho gukata cyane, ahubwo bugakorwa binyuze mu mwobo muto gusa. Ibi bikubiyemo kuziba imiyoboro y'amaraso itanga amaraso mu mura wawe no mu miyoboro y'amaraso. Ni nko kuziba umuyoboro w'amazi. Iyo amaraso abuze, imiyoboro y'amaraso ntibona intungamubiri. Hanyuma igenda igabanuka buhoro buhoro ikagabanuka. Ibi bifasha kugabanya ibimenyetso by'indwara, nko kuva amaraso menshi no kubabara.
Akenshi dukoresha amagambo UAE na UFE (Embolization ya Uterine Fibroid) mu buryo bumwe. Ariko, hari itandukaniro rito hagati y’ibi byombi. UFE ni uburyo bwo kuvura fibroids by’umwihariko. Ariko, UAE ishobora kandi gukoreshwa mu kugenzura kuva amaraso menshi nyuma yo kubyara, kuva amaraso bitewe n’ibibyimba bya kanseri, cyangwa kuva amaraso bitewe n’impanuka, hiyongereyeho fibroids.
Ni ubuhe bwoko bw'indwara zivurirwa muri UAE?
Si abantu bose bafite fibroids bazakenera ubu buvuzi. Muganga wawe azagusaba ubu buvuzi gusa iyo ufite ibimenyetso bimwe na bimwe bikomoka kuri fibroids. Reka turebe ibyo ari byo.
| Ibihe aho ubuvuzi bushobora kuba ngombwa cyangwa budakenewe muri UAE | |
|---|---|
| Ushobora gutekereza kuri UAE niba ufite ibi bimenyetso: | |
| Kuva amaraso menshi | Kuva amaraso menshi no kubyimba kw'amaraso mu gihe cy'imihango. |
| Umuvuduko wo hasi/ububabare mu nda | Kuremererwa n'ububabare buhoraho mu nda yo hasi. |
| Gukenera kunyara kenshi | Kunyara kenshi bitewe n'umuvuduko w'umura ku ruhago. |
| Impatwe | Kurya impatwe bitewe n'uko ikibyimba gikandagira ku mara. |
| Ububabare mu gihe cy'imibonano mpuzabitsina | Kubabara mu gihe cy'imibonano mpuzabitsina. |
| Ubuvuzi bwo muri UAE ntibukwiriye mu bihe bikurikira: | |
| Niba utwite | Ubu buvuzi ntibukorwa niba utwite. |
| Niba nta bimenyetso bihari | Nubwo waba ufite fibroids, niba zitagutera ububabare, nta buvuzi bukenewe. |
| Kwandura indwara zo mu gituza | Iyo hari ubwandu mu kibuno. |
| Ibara ritandukanye ry'ubwivumbure | Niba ufite ubwivumbure ku irangi runaka ukoresha mu gihe cyo kuvurwa. |
Ni iki kibaho mbere, mu gihe cyo kuvurwa na nyuma yaho?
Nubwo ubu atari ukubagwa gukomeye, hari imyiteguro mbere y'uko urwara. Reka tuvuge kuri izo ntambwe.
Kwitegura mbere yo kuvurwa
Muganga wawe azafata icyemezo cyo kukuvura muri UAE nyuma yo gusuzuma amateka y’ubuzima bwawe no gukora ibizamini byinshi bikenewe.
- Amateka y'ubuvuzi: Muganga wawe azakubwira ibyerekeye ubwivumbure bwawe, imiti ufata, amakuru ajyanye n'ukwezi kwawe, cyane cyane niba wifuza kubyara mu gihe kizaza, kuko ubu buryo bushobora kugira ingaruka ku burumbuke .
- Ibizamini: Kugira ngo hamenyekane impamvu nyayo itera kuva amaraso, hakorwa ibizamini nka MRI scan, ultrasound scan , cyangwa hysteroscopy (gusuzuma nyababyeyi hakoreshejwe kamera).
- Isuzuma ry'umubiri: Hari igihe agace gato k'umubiri gashobora gukurwa mu gice cyo hagati cy'umura kugira ngo harebwe uturemangingo twa kanseri.
- Imiti n'ibiribwa: Uzasabwa guhagarika gufata aspirine, imiti igabanya ububabare (NSAIDs), n'imiti igabanya amaraso iminsi mike mbere yo kuvurwa. Uzakenera kandi kwirinda kurya cyangwa kunywa amasaha make mbere yo kuvurwa. Muganga wawe azaguha amabwiriza yihariye kuri ibi.
Mu gihe cyo kuvurwa
Ubu buvuzi busanzwe bukorerwa hanze y'ibitaro. Igikorwa cyose kimara isaha imwe n'igice.
1. Inzobere mu by’imirasire: Ubu buvuzi bukorwa n’umuganga w’inzobere ukoresha uburyo bwo gufata amashusho nka scan kugira ngo ayobore ubuvuzi. (Interventional Radiologist).
2. Kwitegura: Uzajya uryama ku meza yo gupimisha hanyuma ugahuzwa n'imashini zizapima ibintu nk'umuvuduko w'umutima wawe n'umuvuduko w'amaraso. Uzahabwa urushinge rwo kugabanya uruhu mu gice cy'imitsi.
3. Kuruhuka: Umuti utera ububabare utangwa mu mitsi hamwe n'umunyu kugira ngo wumve utuje kandi usinziriye. Ibi bizakurinda kumva ububabare cyangwa ubwoba ubwo aribwo bwose.
4. Gushyiramo katheteri: Hakorwa umwobo muto mu ruhu rw'ikibuno, hanyuma umuyoboro muto cyane (catheter) ushyirwamo unyuze muri wo ujya mu mitsi imwe y'amaraso yawe.
5. Ubuyobozi: Hakoreshejwe uburyo bwihariye bwa X-ray bwitwa fluoroscopy na contrast dye (amazi amurika kuri X-rays), umuyoboro muto uyoborwa mu mitsi itanga amaraso mu mura.
6. Kuziba: Iyo umuyoboro ugeze aho ukwiye, uduce duto (uturemangingo tw’amaraso) nk’uduce tw’umucanga dushyirwa mu miyoboro y’amaraso. Utwo duce turagenda kandi tugafunga imiyoboro y’amaraso.
7. Kurangiza: Iyo akazi karangiye, kateteri irakurwaho hanyuma hagashyirwa plaster nto ku mwobo.
Nyuma yo kuvurwa
Uzakenera kuruhuka amasaha make nyuma yo kuvurwa. Abantu benshi bashobora gutaha uwo munsi.
- Ububabare: Ushobora kugira ububabare bukomeye mu nda (kuribwa mu nda) mu masaha 24 ya mbere. Ibi ni ibisanzwe. Muganga wawe azakwandikira imiti igabanya ububabare kuri ibi.
- Amasohoro yo mu gitsina:Amasohoro asa n'amazi cyangwa nk'ay'ururenda ashobora kubaho mu gihe cy'ibyumweru byinshi. Kuri bamwe, ibice by'imitsi ya fibroid nabyo bishobora kunyura mu gitsina.
- Imihango: Imihango ishobora guhagarara amezi make. Iyo yongeye gutangira, kuva amaraso mu ntangiriro bizagabanuka, ariko buhoro buhoro bizasubira uko bisanzwe (biruta mbere yo kuvurwa).
- Gukira: Ushobora gusubira mu bikorwa bisanzwe mu cyumweru kimwe cyangwa bibiri . Bishobora gufata amezi atatu kugira ngo ibimenyetso bishire burundu. Abantu benshi bumva bakize burundu mu mezi atandatu.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari inyungu n'ingaruka nto muri UAE. Ni ngombwa kubiganiraho na muganga wawe mu buryo bweruye.
| Ibyiza | Ingaruka |
|---|---|
| Abantu hafi 90% bahura n'ibibazo by'uburwayi cyangwa bakumva ko ibimenyetso byabwo birangiye burundu. | Hari amahirwe make yo kwandura aho catheter ishyirwa. |
| Igikomere kinini, gikira vuba kuko nta midomo ihari. | Hari amahirwe make cyane ko uduce duto dushobora kujya mu mitsi idakwiye y'amaraso maze tukangiza ingirabuzima fatizo. |
| Nta kuva amaraso menshi. | Ubwivumbure buterwa n'irangi ritandukanye cyangwa imiti igabanya ububabare. |
| Nta ndwara nyinshi ziterwa n'imibonano mpuzabitsina nko kubaga igitsina cyangwa kubaga myomectomy . | Hagati ya 1-5% by'abantu bafite amahirwe yo guhagarika burundu imihango yabo. |
| Kubasha kwirinda ingaruka mbi zo kuvurwa imisemburo. | Ingaruka zishobora kugira ku burumbuke (ubushobozi bwo kubyara). |
Icyo ugomba kumenya by'umwihariko ku bijyanye no kubyara abana
Nubwo hari abagore babyaye abana bazima nyuma yo kuvurwa na UAE, nta makuru yuzuye araboneka ku buryo ubu buryo bugira ingaruka ku burumbuke. Kubwibyo, ubusanzwe ubuvuzi bwa UAE ntibukunze kwitabwaho ku bagore bateganya kubyara mu gihe kiri imbere. Bazajya bagirwa inama na muganga wabo ku bijyanye n'uburyo nka myomectomy. Ni ngombwa cyane kuganira na muganga wawe neza ku byerekeye gahunda zawe z'ejo hazaza.
Ni ryari nkwiye kujya kwa muganga nyuma yo kuvurwa?
Ni ibisanzwe kugira ububabare, kumererwa nabi, no kugira umuriro muke mu minsi mike ya mbere nyuma yo kuvurwa. Ariko, niba ugifite ububabare bukabije cyangwa kumererwa nabi nyuma y'ibyumweru bibiri , bwira muganga wawe ako kanya. Nanone, niba ugaragaje ibimenyetso by'ubwandu, nko kugira umuriro mwinshi cyangwa kuzana amacandwe mu gitsina, shaka inama za muganga ako kanya.
Ubutumwa bwo kujyana mu rugo
- UAE ni uburyo bwo kuvura bugabanya ubukana bw'amaraso menshi n'ububabare buterwa na fibroids zo mu mura.
- Ubu buryo bwo kuvura ntibukwiriye buri wese. Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura hashingiwe ku bimenyetso byawe, imyaka yawe, n'ibyiringiro byawe ku bana bawe b'ejo hazaza.
- Ni ibisanzwe kugira ububabare mu nda yo hasi mu minsi mike ya mbere nyuma yo kuvurwa, kandi igihe cyo gukira akenshi kiba gito cyane nk'icyumweru kimwe cyangwa bibiri.
- Niba wifuza kubyara, menya neza ko uganira na muganga wawe ku ngaruka z'ubu buryo bwo kuvura n'ubundi buryo bwo kuvura.
- UAE ni uburyo bwiza cyane bwo kuvura. Ariko mbere yo gufata icyemezo ku kintu icyo ari cyo cyose, menya neza, vugana na muganga wawe, kandi ufate umwanzuro ushingiye ku makuru.
Guhagarika imitsi yo mu nda, UAE, Fibroids zo mu nda, Fibroids zo mu nda, kuva amaraso menshi, Indwara z'abagore, kubagwa hifashishijwe ikoranabuhanga rya Hysterectomy, Myomectomy, Gynecology
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.