Hemangioma Y'Umwijima
Incamake
Hemangioma y'umwijima (he-man-jee-O-muh) ni umukemuri utari kanseri (utera ubwoba) uri mu mwijima, ukaba ukozwe n'urujijo rw'imijyana y'amaraso. Izwi kandi nka hemangiomes ya hepatique cyangwa cavernous hemangiomas, ibi bice by'umwijima ni bimenyerewe kandi birabarirwa ko bigera kuri 20% by'abaturage.
Ibimenyetso
Mu bihe byinshi, ihemangioma y'umwijima ntabwo itera ibimenyetso cyangwa ibipimo.
Igihe cyo kubona umuganga
Suzugura umuganga wawe niba ufite ibimenyetso n'ibibonwa bikomeza kukurushya.
Impamvu
Ntabwo birasobanutse icyateza uburwayi bwa hemangioma y'umwijima. Abaganga bemera ko hemangiomas y'umwijima ibaho kuva umuntu avuka (congenital).
Hemangioma y'umwijima isanzwe ibaho nk'agace kamwe kadasanzwe k'imitsi y'amaraso kagera munsi ya santimetero 4 z'ubugari. Rimwe na rimwe, hemangiomas y'umwijima ishobora kuba nini cyangwa ikaba nyinshi. Hemangiomas nini ishobora kubaho mu bana bato, ariko ibi birare.
Mu bantu benshi, hemangioma y'umwijima ntizongera gukura kandi ntizateza ibimenyetso. Ariko mu bantu bake, hemangioma y'umwijima izakura ikateza ibimenyetso kandi ikaba isaba kuvurwa. Ntabwo birasobanutse impamvu ibi bibaho.
Ingaruka zishobora guteza
Ibintu bishobora kongera ibyago byo kuvumbura hemangioma y'umwijima birimo:
- Imyaka yawe. Hemangioma y'umwijima ishobora kuvumburwa mu myaka yose, ariko ikunze kuvumburwa cyane mu bantu bafite imyaka hagati ya 30 na 50.
- Ibitsina byawe. Abagore bafite ibyago byinshi byo kuvumburirwa hemangioma y'umwijima kurusha abagabo.
- Ububata. Abagore babyaranye bafite ibyago byinshi byo kuvumburirwa hemangioma y'umwijima kurusha abagore batabyaranye. Bizwi ko hormone ya estrogen, izamuka mu gihe cyo gutwita, ishobora kugira uruhare mu gukura kwa hemangioma y'umwijima.
- Ubuvuzi bw'imisemburo. Abagore bakoresha imisemburo yo kuvura ibimenyetso byo gucura kw'abagore bashobora kugira ibyago byinshi byo kuvumburirwa hemangioma y'umwijima kurusha abagore batabikoresha.
Ingaruka
Abagore babonye indwara y’ibicurane by’umwijima (liver hemangiomas) bahura n’ingaruka mbi mu gihe batwite. Hormone y’abagore, estrogen, izamuka mu gihe cyo gutwita, bivugwa ko itera ibice bimwe by’umwijima gukura.
Birakomeye cyane ko igice gikura cyatera ibimenyetso n’ibibazo bishobora gusaba kuvurwa, birimo ububabare mu gice cyo hejuru cy’iburyo bw’inda, kubyimba kw’inda cyangwa isereri. Kugira indwara y’ibicurane by’umwijima ntibivuze ko udatwite. Ariko, kuganira n’umuganga wawe ku ngaruka zishoboka bizagufasha gufata umwanzuro ufite amakuru ahagije.
Imiti igira ingaruka ku mpuzandengo y’imisemburo mu mubiri wawe, nka pilule z’ubuzima bw’imyororokere, ishobora gutera ubwonko gukura no gutera ingaruka mbi mu gihe ubonye indwara y’ibicurane by’umwijima. Ariko ibi biracyashidikanywaho. Niba utekereza kuri ubu bwoko bw’imiti, banira ibyiza n’ibibi n’umuganga wawe.
Kupima
Ibizamini bikoresha mu gusobanura hemangioma y'umwijima birimo:
Ibindi bipimo bishobora gukoreshwa bitewe n'imimerere yawe.
- Ultrasound, uburyo bwo kubona amashusho bukoresha ingufu z'amajwi zihuta cyane kugira ngo hamenyekane ishusho y'umwijima
- Computerized tomography (CT) scan, ifatanya uburyo bwo gufata amashusho ya X-ray aturuka mu mpande zitandukanye z'umubiri wawe, ikaba ikoresha uburyo bwa mudasobwa mu gukora amashusho yaciwe (ibice) by'umwijima
- Magnetic resonance imaging (MRI), uburyo bukoresha ikirere cya magnetique n'amajwi ya radio kugira ngo hamenyekane amashusho y'umwijima mu buryo burambuye
- Scintigraphy, ubwoko bwo kubona amashusho hakoreshejwe ingufu za kirimbuzi, bukoresha ibintu byanduye kugira ngo hamenyekane ishusho y'umwijima
Uburyo bwo kuvura
Niba hemangioma yawe y'umwijima ari nto kandi idatera ibimenyetso cyangwa ibipimo, ntuzakenera kuvurwa. Mu bihe byinshi, hemangioma y'umwijima ntizigera ikura kandi ntizigera itera ibibazo. Muganga wawe ashobora guteganya ibizamini byo gukurikirana kugira ngo akurebe hemangioma yawe y'umwijima buri gihe kugira ngo arebe ko ikura, niba hemangioma ari nini.
Uburyo bwo kuvura hemangioma y'umwijima biterwa n'aho hemangioma iherereye n'ubunini bwayo, niba ufite hemangioma nyinshi, ubuzima bwawe muri rusange, n'ibyo ukunda.
Uburyo bwo kuvura bushobora kuba:
- Ubuganga bwo gukuraho hemangioma y'umwijima. Niba hemangioma ishobora gutandukanywa neza n'umwijima, muganga wawe ashobora kugutegurira kubagwa kugira ngo akureho ibyo bibyimba.
- Ubuganga bwo gukuraho igice cy'umwijima, harimo na hemangioma. Mu bihe bimwe na bimwe, ababagisha bashobora gukenera gukuraho igice cy'umwijima hamwe na hemangioma.
- Ibikorwa byo guhagarika amaraso ajya muri hemangioma. Iyo amaraso atahagije, hemangioma ishobora kureka gukura cyangwa igatoya. Uburyo bubiri bwo guhagarika amaraso ni ugupfuka umuyoboro mukuru w'amaraso (hepatic artery ligation) cyangwa gutera imiti mu muyoboro w'amaraso kugira ngo uyufunge (arterial embolization). Imikaya y'umwijima ikozwe neza ntiyangirika kuko ishobora gukurura amaraso ava mu myanya y'amaraso ibiri hafi.
- Kubagwa kw'igitoki cy'umwijima. Mu gihe kitazwi neza ko ufite hemangioma nini cyangwa hemangiomas nyinshi zidashobora kuvurwa n'ubundi buryo, muganga wawe ashobora kugutegurira kubagwa kugira ngo akureho umwijima wawe awusimbuze undi ukomoka ku mutanga.
- Umuti wa radiation. Umuti wa radiation ukoresha imirasire ikomeye y'ingufu, nka X-rays, kugira ngo yangize uturemangingo twa hemangioma. Ubu buryo bwo kuvura bukoreshwa gake kubera uburyo bwo kuvura butekanye kandi bukoranye umusaruro kurushaho.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.