Ese hari igihe wumva ububabare iyo uri kunyara ? Cyangwa wabonye amaraso make mu nkari zawe? Ni ibisanzwe kumva ufite ubwoba gato iyo ubonye ikintu nk'iki. Ariko iyo ufite ibimenyetso nk'ibi, muganga wawe ashobora kugusaba gupima inkari. Urine Cytology ni ikizamini cyihariye gikorwa muri ibyo bihe. Reka turebe icyo ari cyo, impamvu ikorwa, n'icyo ishobora kuboneka.
Igipimo cy’inkari mu buryo bw’umwimerere ni iki?
Muri make, ibi bikubiyemo kureba uturemangingo mu nkari zawe ukoresheje mikorosikopi. Uturemangingo duto duhora dusohoka mu nkuta z'inzira y'inkari zacu hanyuma tugasohokana n'inkari. Muri iki kizamini, umuganga w'inzobere areba niba utwo turemangingo ari uturemangingo tusanzwe, dufite ubuzima bwiza, cyangwa niba hari ibitagenda neza, cyane cyane uturemangingo twa kanseri . Iki ni ikizamini cya mbere cy'ingenzi cyane cyo kumenya kanseri y'inzira y'inkari.
Kuki ukeneye gukora iki kizamini?
Hari impamvu nyinshi z'ingenzi zishobora gutuma muganga wawe ategeka iki kizamini.
Ikintu cy'ingenzi ni ukumenya niba ukeka ko hari kanseri yo mu nzira y'inkari . Iki kizamini gishobora gufasha kumenya ubwoko bukurikira bwa kanseri :
- Kanseri y'uruhago
- Kanseri y'impyiko
- Kanseri y'inkari (kanseri y'imiyoboro itwara inkari ziva mu mpyiko zijya mu ruhago)
- Kanseri y'umura
Byongeye kandi, niba ufite ibimenyetso bikurikira, muganga wawe ashobora kukugira inama yo gupima iki kizamini.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Amaraso mu nkari | Iyi ni yo mpamvu nyamukuru y'iki kizamini. Mu buvuzi, tuyita (Haematuria) . Hari igihe inkari zishobora kuba zifite ibara ry'umutuku, umutuku cyangwa umukara, rishobora kugaragara ku jisho. Hari igihe zishobora kuba ntoya ku buryo zishobora kumenyekana gusa hakoreshejwe ikizamini gisanzwe cy'inkari. |
| Kugorwa no kunyara | Kugorwa no gutangira kunyara, kugabanuka kw'inkari, no kumva ko hari byinshi byo kunyara umaze kurangiza. |
| Kubabara cyangwa gushya iyo uri kunyara | Gushya cyangwa kubabara iyo uri kunyara. Ibi byitwa kandi dysuria . Ibi bishobora kuba ikimenyetso cy'indwara y'inkari, ariko bishobora no guterwa n'izindi ndwara. |
Ni gute neza utanga icyitegererezo cy'inkari kugira ngo zipimwe?
Noneho reka turebe uburyo bwo gutanga icyitegererezo cy'iki kizamini neza. Ibi ni ingenzi cyane, kuko iyo icyitegererezo gitanzwe nabi, bishobora kugira ingaruka ku kuri kwa raporo.
Igikuru ni uko icyitegererezo cya mbere cy'inkari ufata mu gitondo kitari cyiza kuri ibi. Ibi biterwa nuko uturemangingo twamaze ijoro ryose mu ruhago dushobora kuba twarangiritse. Kubwibyo, biragoye kubona igisubizo gisobanutse neza. Icyitegererezo cya kabiri cy'inkari z'umunsi akenshi ni cyo gikwiriye cyane.
Hari uburyo bubiri bw'ingenzi bwo kubona icyitegererezo.
1. Uburyo bwo gufata neza
Ubu ni bwo buryo bukunze gukoreshwa cyane, wikorera ubwawe. Ni ngombwa kurinda icyitegererezo kutanduzwa na mikorobe ku ruhu rukikije urethra . Ni ngombwa cyane gukurikiza amabwiriza atangwa na laboratwari.
- Intambwe ya 1: Ubwa mbere, karaba intoki zawe neza n'isabune.
- Intambwe ya 2: Sukura neza agace gakikije umwobo w'inkari ukoresheje agatambaro kabigenewe gafite igikombe cy'icyitegererezo cyangwa ukoresheje amazi meza.
- Intambwe ya 3: Noneho banza ushyire inkari mu musarani. Nyuma y'amasegonda make, hagarika kunyara.
- Intambwe ya 4: Noneho tangira kongera kunyara hanyuma wongere inkari mu gikombe wahawe. Igikombe kigomba kuba cyuzuye kimwe cya kabiri.
- Intambwe ya 5:Funga umupfundikizo neza, witondere gukora ku gikombe imbere.
- Intambwe ya 6: Menya neza ko igikombe cyanditseho izina ryawe n'amakuru arambuye, hanyuma ugishyikirize laboratwari cyangwa muganga vuba bishoboka.
2. Gukoresha Catheter
Mu bihe bimwe na bimwe, cyane cyane niba ugorwa no gutanga icyitegererezo ubwawe, muganga wawe cyangwa umuforomo ashobora gukoresha umuyoboro muto cyane kandi woroshye witwa catheter kugira ngo afate icyitegererezo cy'inkari. Uyu muyoboro ushyirwa mu muyoboro w'inkari unyuze mu muyoboro w'inkari no mu ruhago rwawe kugira ngo ufate icyitegererezo. Ariko, ubu buryo bufite ibyago bike byo kwandura inzira y'inkari, bityo bukorwa gusa mu bihe bikomeye.
Bigenda bite nyuma y'uko raporo itanzwe? Ese hakenewe ibindi bizamini?
Iki ni ikintu cyo kuzirikana. Ikizamini cya cytology y'inkari cyonyine ntigishobora gusuzuma indwara iyo ari yo yose. Gitanga igitekerezo cy'ibanze gusa. Niba raporo ivuga ko hari "uturemangingo tudasanzwe" cyangwa "uturemangingo dukekwa", ntibivuze ko ufite kanseri. Bivuze gusa ko hakenewe ibizamini byinshi kugira ngo hamenyekane icyayiteye.
Muganga wawe ashobora kukugira inama yo gukora ibindi bipimo bikurikira hashingiwe kuri raporo.
Inyigo zo Gushushanya
Muganga wawe ashobora gushaka kureba amafoto y'inkari zawe. Ibi bishobora kuba birimo gupimwa X-ray cyangwa CT scan (Computed Tomography scan) . CT scan ishobora gufata amashusho y'ibice bitatu (3D) by'ingingo nk'impyiko zawe n'uruhago. Bishobora kugufasha kureba niba hari ikintu nk'ikibyimba mu nzira yawe y'inkari.
Cystoscopy
Iki ni ikizamini cy'ingenzi cyane. Umuyoboro muto cyane kandi woroshye ufite kamera (cystoscope) ushyirwa mu muyoboro w'inkari hanyuma imbere mu ruhago rwawe hagasuzumwa. Ibi bituma muganga areba neza niba hari ibitagenda neza, gutukura, cyangwa utubyimba duto imbere. Iyo bibaye ngombwa, agace gato k'urugingo (biopsy) gashobora gukurwa ahantu hakekwaho ikibazo maze kagasuzumwa.
Hari igihe ikizamini cyitwa ureteroscopy nacyo gikorwa icyarimwe, gikoresha umuyoboro muto cyane kugira ngo gisuzume imiyoboro (ureters) itwara inkari ziva mu mpyiko zijya mu ruhago.
Ubutumwa bwo kujyana mu rugo
- Isuzuma ry’inkari ni ikizamini cy’ingenzi gikoreshwa mu kumenya uturemangingo mu nkari, cyane cyane uturemangingo twa kanseri.
- Amaraso mu nkari (hematuria) cyangwa ibindi bibazo byo kunyara ni yo mpamvu nyamukuru ituma habaho iki kizamini.
- Mu gutanga icyitegererezo cyo gupima, ntugakoreshe inkari za mugitondo cya mbere. Ni byiza gutanga icyitegererezo ukoresheje uburyo bwa "Clean Catch".
- Iyi raporo y'ikizamini yonyine ntishobora gusuzuma indwara burundu. Iyo habonetse ibisubizo bidasanzwe, hashobora kuba ngombwa ko hakorwa ibindi bipimo nka CT scan cyangwa cystoscopy.
- Niba ufite ibimenyetso bidasanzwe bijyanye n'inkari zawe, ntugatinye cyangwa ngo utekereze, ahubwo hita ubonana na muganga wawe kugira ngo akugire inama. Ubwo ni bwo buryo bwiza bwo gukomeza kugira ubuzima bwiza.
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