Osteosarcoma ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Osteosarcoma ni ubwoko bwa kanseri y'amagufa ikunda kwibasira abana n'abangavu, nubwo ishobora kugaragara mu myaka yose. Iyi kanseri itangira mu mitsi ikora amagufa yitwa osteoblasts, ishinzwe gukora umutsi mushya w'amagufa uko ukura.

Nubwo kumva ngo "kanseri y'amagufa" bishobora gutera ubwoba, ni ingenzi kumenya ko osteosarcoma ivurwa, cyane cyane iyo imenyekanye hakiri kare. Ubuvuzi bugezweho bwateje imbere cyane ibyavuye mu buvuzi, kandi abantu benshi bakomeza kubaho ubuzima buhamye, bukorwa nyuma yo kuvurwa.

Osteosarcoma ni iki?

Osteosarcoma ni ubwoko bwa kanseri y'amagufa y'ibanze, bivuze ko itangira mu gufa ubwayo aho guturuka ahandi mu mubiri. Akenshi itera mu magufa maremare y'amaboko n'amaguru, cyane cyane hafi y'ivi.

Iyi kanseri ibaho iyo imisemburo ikora amagufa itangiye gukura mu buryo budakwiye. Tekereza ko ari nk'uburyo umubiri wawe ukoramo amagufa buhinduka. Aho gukora umutsi w'amagufa muzima, uteguye neza, iyi misemburo yiyongera vuba kandi ikora ubumara.

Iyi ndwara ikunda kwibasira urubyiruko mu gihe cy'ubukure bwihuse bw'amagufa, akenshi hagati y'imyaka 10 na 25. Ariko kandi, ishobora kugaragara no mu bantu bakuze, akenshi mu magufa yaciwe intege n'izindi ndwara.

Ibimenyetso bya Osteosarcoma ni ibihe?

Ibimenyetso bya mbere bya osteosarcoma bishobora kuba bito kandi bikunze kwitiranywa n'ububabare bw'ubukure cyangwa imvune zo mu mikino. Kumenya ibyo bimenyetso hakiri kare bishobora gutuma habaho itandukaniro rikomeye mu buryo bwo kuvura.

Dore ibimenyetso bikunze kugaragara ushobora kubona:

• Ububabare bw'amagufa bukaza uko bwije n'uko bukeye: Ubu bubabare akenshi butangira nk'ububabare buza bukajya, ariko buhoro buhoro bugenda buzamuka kandi bukabije, cyane cyane nijoro
• Kubyimbagira cyangwa ubumara buboneka: Ushobora kubona kubyimbagira hafi y'igufu cyibasiwe, gishobora kumva gishyushye
• Kugenda nabi: Ikibero kiri hafi y'ubumara gishobora kuba gikaze cyangwa bigoranye kugikoresha uko bikwiye
• Kugendera: Niba ubumara buri ku kaguru kawe, ushobora kugira ikibazo cyo kugendera
• Amagufa asenyukira atabitewe n'impamvu: Amagufa yaciwe intege n'ubumara ashobora kwangirika vuba kurusha uko bisanzwe, rimwe na rimwe adakozweho cyane

Ibimenyetso bito bishobora kuba harimo umunaniro, kugabanuka k'uburemere bitatewe n'impamvu, cyangwa umuriro. Ibi bimenyetso bishobora kugaragara iyo kanseri igeze kure cyangwa ikwirakwira mu bindi bice by'umubiri.

Wibuke ko ibyo bimenyetso bishobora kuba bifite izindi mpamvu nyinshi, kandi akenshi atari kanseri. Ariko rero, niba ufite ububabare bw'amagufa buhoraho budakira iyo uburuhutse cyangwa bugakomeza uko bwije n'uko bukeye, ni byiza kubivugana na muganga wawe.

Uduce twa Osteosarcoma ni utuhe?

Osteosarcoma ifite uduce dutandukanye, buri buce bufite imico yabwo n'uburyo bwo kuvura. Gusobanukirwa ibyo bice bifasha abaganga gutegura gahunda y'ubuvuzi ikwiye kuri buri muntu.

Uduce nyamukuru harimo:

• Osteosarcoma y'ikirego cyinshi: Ni ubwoko bwa kanseri bugaragara cyane kandi bukabije, bugize hafi 80% by'ibyorezo byose. Ikura kandi ikwirakwira vuba ariko ikunze kugira icyo ivura
• Osteosarcoma y'ikirego gito: Ubwoko bw'iyi kanseri bukura buhoro kandi budakunze gukwirakwira, ariko kandi budakunze kuvurwa na chimiothérapie
• Osteosarcoma ya parostéale: Ubwoko buke bw'iyi kanseri butera ku ruhu rw'igufu kandi bukunda gukura buhoro
• Osteosarcoma ya périostéale: Ikindi gice cy'ubumara kiri ku ruhu rufite imikorere iri hagati y'ubwoko bufite ikirego cyinshi n'ubwo bufite ikirego gito

Itsinda ryawe ry'abaganga rizamenya ubwoko bw'iyi kanseri binyuze mu bipimo birambuye, ibyo bikaba bifasha guhitamo uburyo bw'ubuvuzi bukwiye ku kibazo cyawe. Buri bwoko bufite imico yabwo, ariko uduce twose twa osteosarcoma turarwanya uko bikwiye.

Impamvu za Osteosarcoma ni izihe?

Impamvu nyayo ya osteosarcoma ntiyumvikana neza, ariko abashakashatsi bamenye ibintu bimwe na bimwe bishobora gutera iterambere ryayo. Mu bihe byinshi, nta mpamvu imwe isobanuka.

Dore ibintu by'ingenzi bishobora kongera ibyago byo kurwara osteosarcoma:

• Ubukure bwihuse bw'amagufa: Iyi kanseri ikunda kugaragara mu gihe cy'ubukure bw'abangavu iyo amagufa akura vuba
• Ubuvuzi bwa mbere bwakozwe hakoreshejwe imirasire: Ubuvuzi bwakozwe hakoreshejwe imirasire nyinshi ku zindi kanseri bishobora kongera ibyago nyuma y'imyaka
• Indwara zimwe na zimwe z'imiterere: Indwara zirakomeye zirakomoka nk'indwara ya Li-Fraumeni cyangwa retinoblastoma irakomoka bishobora kongera ibyago
• Indwara ya Paget: Iyi ndwara y'amagufa mu bantu bakuze rimwe na rimwe ishobora gutera osteosarcoma
• Infarctus y'amagufa yabayeho mbere: Ibice aho umutsi w'amagufa wapfuye kubera ububura bw'amaraso bishobora kugira ibyago bike byiyongereye

Ni ingenzi gusobanukirwa ko abantu benshi bafite ibyo byago batarwara osteosarcoma. Kugira ikintu cyongera ibyago ntibivuze ko uzahita urwara kanseri. Kimwe n'ibyo, abantu benshi barwara osteosarcoma badafite ibyago bizwi na gato.

Iyi kanseri niterwa n'imvune, indyo, cyangwa imikorere y'ubuzima. Ntabwo ari iyandura kandi ntishobora kwandura umuntu ku wundi binyuze mu bwoko bwose bw'ubuhanganye.

Ni ryari ukwiye kubona muganga kubera Osteosarcoma?

Wagomba kuvugana na muganga wawe niba ufite ububabare bw'amagufa buhoraho budakira iyo uburuhutse cyangwa imiti igabanya ububabare. Ibi ni ingenzi cyane niba ububabare buzamuka uko bwije n'uko bukeye cyangwa bugakubuza gusinzira.

Shaka ubuvuzi vuba niba ubona:

• Ububabare bw'amagufa bumaze ibyumweru birenga
• Ububabare buzamuka nijoro cyangwa budakira imiti isanzwe igabanya ububabare
• Kubyimbagira cyangwa ubumara hafi y'igufu
• Kugendera nabi cyangwa kugorana gukoresha ikibero
• Igufu rirangirika ritakozweho cyane

Ntugatege amatwi niba ibyo bimenyetso bikomeza cyangwa bikaramba. Nubwo bishobora kuba biterwa n'ibintu bisanzwe nk'ububabare bw'ubukure cyangwa imvune zo mu mikino, gusuzuma hakiri kare buri gihe ni byiza.

Muganga wawe ashobora gukora ibizamini bikwiye kugira ngo amenye icyateye ibyo bibazo kandi aguhe amahoro mu mutima cyangwa atangire kuvura niba ari ngombwa.

Ibintu byongera ibyago bya Osteosarcoma ni ibihe?

Ibintu bimwe na bimwe bishobora kongera amahirwe yo kurwara osteosarcoma, nubwo kugira ibyo bintu ntibivuze ko uzahita urwara iyo ndwara. Gusobanukirwa ibyo bintu bishobora kugufasha kumenya ibimenyetso bishoboka.

Ibintu by'ingenzi byongera ibyago harimo:

• Imyaka: Ibihe byinshi bibaho hagati y'imyaka 10-25, mu gihe cy'ubukure bwihuse bw'amagufa
• Ubujyakuzimu: Abana n'abangavu barebire bafite ibyago bike byiyongereye, bishobora kuba biterwa n'ubukure bwihuse bw'amagufa
• Igitsina: Abagabo bafite ibyago byinshi byo kurwara osteosarcoma kurusha abagore
• Ubuvuzi bwa kanseri bwakozwe mbere: Ubuvuzi bwakozwe hakoreshejwe imirasire cyangwa imiti imwe na imwe ya chimiothérapie bishobora kongera ibyago nyuma y'imyaka
• Indwara z'imiterere: Indwara zirakomoka nk'indwara ya Li-Fraumeni, retinoblastoma irakomoka, cyangwa indwara ya Rothmund-Thomson
• Indwara z'amagufa: Indwara ya Paget cyangwa fibrous dysplasia bishobora kongera ibyago mu bantu bakuze

Bimwe mu bintu bike byongera ibyago harimo gusimbuzwa amagufa cyangwa ibikoresho by'ibyuma, nubwo ibyago bikomeza kuba bike. Abantu benshi barwara osteosarcoma badafite ibyago bizwi uretse imyaka yabo.

Kugira ikintu kimwe cyangwa ibindi byongera ibyago ntibivuze ko uzahita urwara osteosarcoma. Abantu benshi bafite ibyago ntibarwara iyo ndwara, mu gihe abandi badafite ibyago bizwi barayirwara.

Ingaruka zishoboka za Osteosarcoma ni izihe?

Gusobanukirwa ingaruka zishoboka bigufasha kumenya icyo ukwiye kwitondera kandi bigaragarira ko kuvurwa vuba ari ingenzi. Ingaruka nyinshi zishobora kwirindwa cyangwa zigacungwa neza hakoreshejwe ubuvuzi bukwiye.

Ingaruka nyamukuru zishobora kubaho harimo:

• Gukwirakwira: Kanseri ishobora gukwirakwira mu bindi bice by'umubiri, cyane cyane mu mwijima cyangwa mu yandi magufa
• Amagufa asenyukira: Ubumara bushobora kugabanya imbaraga z'amagufa, bigatuma asenyukira
• Gukura mu gice kimwe: Ubumara bunini bushobora gukanda imyanya iri hafi, bigatuma kugenda nabi no gukora nabi
• Ingaruka ziterwa n'ubuvuzi: Ingaruka mbi za chimiothérapie, ubuvuzi, cyangwa imirasire
• Ibibazo byo gukoresha amaboko n'amaguru: Bitewe n'ubuvuzi, hashobora kubaho impinduka mu buryo ukora amaboko yawe cyangwa amaguru yawe

Ingaruka nke zishobora kuba harimo kwandura mu myanya yavuwe, ibibazo by'amagufa yasimbuwe cyangwa ibikoresho by'ibyuma, cyangwa ingaruka z'ubuvuzi mu gihe kirekire. Kanseri zindi, nubwo ari nke, rimwe na rimwe zishobora kugaragara nyuma y'imyaka myinshi yo kuvurwa.

Itsinda ryawe ry'abaganga rikorana umwete kugira ngo ririnde ingaruka mbi kandi rizakukurikirana hafi mu gihe cyose cy'ubuvuzi. Kumenya hakiri kare no kuvurwa bigabanya cyane ibyago by'ingaruka zikomeye.

Osteosarcoma ishobora kwirindwa?

Kuri ubu, nta buryo bwo kwirinda osteosarcoma buzwi kuko ibyorezo byinshi bibaho nta mpamvu isobanuka. Bitandukanye n'izindi kanseri, osteosarcoma ntiyihujwe n'imikorere y'ubuzima ushobora kugenzura.

Kubera ko iyi kanseri ikunda kugaragara mu gihe cy'ubukure bw'amagufa mu rubyiruko rufite ubuzima bwiza, ingamba zo kwirinda zikora ku zindi ndwara ntizikora hano. Ariko rero, ushobora gufata ingamba zo gushyigikira ubuzima bw'amagufa yawe muri rusange.

Nubwo ibyo bitazirinda osteosarcoma by'umwihariko, kugira ubuzima bwiza bw'amagufa harimo kubona calcium na vitamine D bihagije, gukora imyitozo ngororamubiri buri gihe, no kwirinda itabi n'inzoga nyinshi.

Ikintu cy'ingenzi cyane ushobora gukora ni ukumenya umubiri wawe no gushaka ubuvuzi kububabare bw'amagufa buhoraho cyangwa ibindi bimenyetso bibangamira. Kumenya hakiri kare, nubwo atari ukwirinda, bigatuma habaho ibyavuye mu buvuzi byiza.

Osteosarcoma imenyekanwa gute?

Kumenya osteosarcoma bisaba intambwe nyinshi kugira ngo hamenyekane kanseri kandi hamenyekane uko ikwirakwira. Muganga wawe azakoresha isuzumwa ry'umubiri, ibizamini by'amashusho, n'isuzuma ry'umutsi kugira ngo akore isuzuma ryizewe.

Uburyo bwo gusuzuma busanzwe burimo:

1. Isuzumwa ry'umubiri: Muganga wawe azasuzumira igice cyibasiwe, asuzume kubyimbagira, ububabare, n'uburyo bwo kugenda
2. Amafoto ya X-rays: Aya mashusho ya mbere ashobora kwerekana impinduka z'amagufa zishobora kugaragaza osteosarcoma
3. Ibizamini bya MRI cyangwa CT: Aya mashusho arambuye afasha kumenya ingano y'ubumara n'aho biherereye
4. Isuzuma ry'amagufa: Iri suzuma rigaragaza niba kanseri ikwirakwira mu yandi magufa y'umubiri wawe
5. Biopsie: Igice gito cy'ubumara gikurwaho kandi gisuzumwa kuri mikoroskopi kugira ngo hamenyekane indwara
6. CT scan y'ibituza: Kubera ko osteosarcoma ishobora gukwirakwira mu mwijima, abaganga basuzumira icyo gice neza

Ibizamini by'amaraso bishobora kandi gukorwa kugira ngo hamenyekane ubuzima bwawe muri rusange kandi harebwe ibimenyetso byihariye. Biopsie ni ikizamini cy'ingenzi kuko aricyo cyonyine gishobora kwemeza osteosarcoma no kumenya ubwoko bwayo.

Uyu mujyo ushobora kuba utera ubwoba, ariko buri kizamini gitanga amakuru y'ingenzi afasha itsinda ryawe ry'abaganga gutegura gahunda y'ubuvuzi ikwiye ku kibazo cyawe.

Ubuvuzi bwa Osteosarcoma ni buhe?

Ubuvuzi bwa osteosarcoma busanzwe burimo guhuza ubuvuzi n'imiti ya chimiothérapie, bigenewe guca burundu kanseri mu gihe hakiriwe ubushobozi bwo gukora.

Uburyo nyamukuru bwo kuvura harimo:

• Chimiothérapie: Imiti ikomeye ihitana imisemburo ya kanseri, ikunze gutangwa mbere n'inyuma y'ubuvuzi
• Ubuvuzi: Gukuraho ubumara n'imiterere iri hafi, hagakorwa ubugororangingo aho bishoboka
• Ubuvuzi butarakaza amaboko n'amaguru: Iyo bishoboka, abaganga bakuraho ubumara mu gihe bakomeza ubushobozi bwo gukora amaboko yawe cyangwa amaguru yawe
• Guca amaboko n'amaguru: Rimwe na rimwe biba ngombwa iyo ubumara bunini cyangwa buri mu gice aho kudakora amaboko n'amaguru bitashoboka
• Ubuvuzi bwakozwe hakoreshejwe imirasire: Ibikoresho by'imirasire ikomeye byangiza imisemburo ya kanseri, bikoresha mu bihe bimwe na bimwe

Chimiothérapie yo mbere y'ubuvuzi, yitwa neoadjuvant therapy, ikunze gutangwa mbere kugira ngo igabanye ubumara kandi ibeho ubuvuzi bugira icyo bukora.

Ubuvuzi bugezweho bukunze guha abaganga ubushobozi bwo gukiza amaboko n'amaguru mu gihe bakuraho kanseri burundu. Iyo guca amaboko n'amaguru bibaye ngombwa, ibikoresho by'ibyuma byateye imbere bishobora gufasha gusubiza ubushobozi bwo kugenda.

Itsinda ryawe ry'abaganga rizaba ririmo abaganga b'indwara z'imisemburo, abaganga b'amagufa, n'abandi bahanga bakorana kugira ngo batange ubuvuzi burambuye mu rugendo rwawe rwo kuvurwa.

Uko wakwitaho iwawe mu gihe ufite Osteosarcoma

Kwitaho iwawe ni igice cy'ingenzi cy'uburyo bwawe bwo kuvurwa. Mu gihe itsinda ryawe ry'abaganga rifasha mu buvuzi bw'ibanze, hari ibintu byinshi ushobora gukora kugira ngo ushyigikire ubuvuzi bwawe kandi wumve neza mu gihe cy'ubuvuzi.

Dore ibice by'ingenzi byo kwibandaho:

• Gucunga ububabare: Fata imiti igabanya ububabare uko yagenewe kandi ukoreshe igikombe cyangwa ubushyuhe uko muganga wawe yabigutegetse
• Ubufasha mu mirire: Funga indyo yuzuye ifite proteine ihagije kugira ngo umubiri wawe ukire kandi ukomeze imbaraga
• Gucunga ibikorwa: Kurikiza amabwiriza ya muganga wawe ku bijyanye n'ibikorwa n'imyitozo ngororamubiri
• Kwimakaza isuku: Komereza ahantu havuwe kandi urebe ibimenyetso by'ubwandu nk'umutuku cyangwa amazi ava mu mubiri
• Ubufasha bwo mu mutwe: Huza n'abajyanama, amatsinda y'abafite ibibazo bimwe, cyangwa inshuti n'abavandimwe wizeye

Komereza kunywa amazi, kuruhuka bihagije, kandi ntutinye kuvugana n'itsinda ryawe ry'abaganga ufite ibibazo cyangwa impungenge. Komereza kwandika ibimenyetso kugira ngo ukomeze kumenya uko wumva n'ingaruka z'ubuvuzi.

Wibuke ko gukira ari inzira, kandi bisanzwe kugira iminsi myiza n'iminsi igoranye. Ibanda ku ntego nto, zishoboka kandi hizihiza iterambere uko bwije n'uko bukeye.

Uko wakwitegura inama yawe na muganga

Kwitunganya mbere y'inama yawe na muganga bishobora kugufasha kugira ngo ubone ibyiza byinshi mu nama yawe kandi ubashe kubona ibisubizo by'ibibazo byawe byose. Gutegura neza kandi bifasha muganga wawe gutanga ubuvuzi bwiza.

Mbere y'inama yawe, kora ibi bintu by'ingenzi:

• Ibimenyetso birambuye: Andika igihe ibimenyetso byatangiye, uko byahindutse, n'icyo biba byiza cyangwa bibabaza
• Amateka y'ubuzima: Zana urutonde rw'imiti ukoresha, ubuvuzi bwakozwe mbere, n'amateka y'umuryango wa kanseri
• Kumenya ububabare: Andika igihe ububabare buza, ubukana bwawo kuri urwego rwa 1-10, n'ibikorwa bibutera
• Urukurikirane rw'ibibazo: Andika impungenge zawe n'ibibazo byawe kugira ngo utabyibagirwa mu nama
• Umuntu ugufasha: Tekereza kuzana umuntu wo mu muryango cyangwa inshuti kugira ngo afashe kwibuka amakuru kandi aguhe ubufasha

Zana amafoto ya X-rays, ibizamini, cyangwa impapuro z'ubuvuzi zivuye ku bandi baganga. Niba wohererejwe n'undi muganga, menya impamvu n'icyo bahangayikishijwe.

Ntuhangayike kubabaza ibibazo byinshi. Itsinda ryawe ry'abaganga rishaka ko usobanukirwa uburwayi bwawe kandi ukumva wishimye na gahunda yawe y'ubuvuzi. Andika ibisubizo cyangwa ubaze niba ushobora kwandika ikiganiro kugira ngo ubisubiremo nyuma.

Icyo ukwiye kumenya cyane kuri Osteosarcoma

Osteosarcoma ni ubwoko bukomeye ariko buvurwa bwa kanseri y'amagufa ikunda kwibasira urubyiruko mu gihe cy'ubukure bwihuse bw'amagufa. Nubwo kuvura bishobora gutera ubwoba, ubuvuzi bugezweho bwateje imbere cyane ibyavuye mu buvuzi ku barwayi benshi.

Ibintu by'ingenzi byo kwibuka ni uko kumenya hakiri kare bigira uruhare rukomeye mu gutsinda ubuvuzi, kandi ubuvuzi burambuye buhuza ubuvuzi na chimiothérapie butanga amahirwe meza yo gukira. Abantu benshi barwara osteosarcoma bakomeza kubaho ubuzima buhamye, bukorwa nyuma yo kuvurwa.

Itsinda ryawe ry'abaganga ni umufasha wawe ukomeye muri uru rugendo. Bafite ubunararibonye bwinshi mu kuvura osteosarcoma kandi bazakuyobora muri buri ntambwe y'uru rugendo. Ntugatege amatwi kubabaza ibibazo, kwerekana impungenge, cyangwa gushaka ubufasha bundi igihe ubikeneye.

Wibuke ko kurwara osteosarcoma ntibikugaragaza cyangwa ntibigabanya amahirwe yawe y'ejo hazaza. Hamwe n'ubuvuzi bukwiye n'ubufasha, ushobora gutsinda iki kibazo kandi ukomeze gukurikirana intego zawe n'inzozi zawe.

Ibibazo Bikunze Kubahwa kuri Osteosarcoma

Osteosarcoma ihitana buri gihe?

Oya, osteosarcoma ntihita ihitana buri gihe. Hamwe n'ubuvuzi bugezweho, hafi 70-80% by'abantu barwaye osteosarcoma iherereye mu gice kimwe barakira. Nubwo kanseri ikwirakwira, abantu benshi baracyavurwa neza. Kumenya hakiri kare no kuvurwa birambuye byongera cyane amahirwe yo gukira burundu.

Osteosarcoma ikwirakwira vuba gute?

Osteosarcoma y'ikirego cyinshi ishobora gukura kandi ikwirakwira vuba, niyo mpamvu kumenya hakiri kare no kuvurwa ari ingenzi. Ariko, umuvuduko utandukana ukurikije umuntu. Osteosarcomas y'ikirego gito ikura buhoro cyane. Itsinda ryawe ry'abaganga rizasesengura ikibazo cyawe kandi rizagutegurira igihe cyo kuvurwa.

Wakomeza gukina imikino nyuma yo kuvurwa osteosarcoma?

Abantu benshi basubira mu mikino n'ibikorwa by'umubiri nyuma yo kuvurwa osteosarcoma, nubwo biterwa n'ubuvuzi bwawe n'uburyo ukira. Hamwe n'ubuvuzi butarakaza amaboko n'amaguru, abarwayi benshi basubiza ubushobozi bwiza bwo gukora. Nubwo guca amaboko n'amaguru, ibikoresho by'ibyuma byateye imbere biha abantu benshi ubushobozi bwo gukina imikino. Itsinda ryawe ry'abaganga n'abaganga b'imyitozo ngororamubiri bazagufasha kumenya ibikorwa bikwiye kuri wowe.

Ese chimiothérapie izatuma ntaka umusatsi?

Gutakaza umusatsi ni ingaruka isanzwe y'imiti ya chimiothérapie ikoreshwa mu kuvura osteosarcoma, ariko ni by'igihe gito. Umusatsi wawe uzasubira gukura nyuma y'amezi make ubuvuzi burangiye. Abantu benshi basanga kwambara imisatsi y'ibyuma, amakariso, cyangwa ingofero bibafasha kumva bameze neza mu gihe cy'ubuvuzi.

Ubuvuzi bwa osteosarcoma bumamaramo igihe kingana iki?

Ubuvuzi bwuzuye bwa osteosarcoma busanzwe bumamaramo amezi 6-12, harimo chimiothérapie yo mbere y'ubuvuzi, ubuvuzi, igihe cyo gukira, na chimiothérapie nyuma y'ubuvuzi. Igihe nyacyo gitandukana ukurikije gahunda yawe y'ubuvuzi, uko ugaragara mu buvuzi, n'ingaruka zishobora kubaho. Itsinda ryawe ry'abaganga rizahora rikumenyesha igihe cyateganijwe mu rugendo rwawe rwose.