Kanseri y'amabere yagarutse ni iki? Ibimenyetso, Intandaro, & Ubuvuzi

Kanseri y'amabere yagarutse ibaho iyo seli ya kanseri isubiye nyuma y'aho ubuvuzi bwawe bwa mbere bugaragaye ko bwabaye bwiza. Ibi bishobora gutera ikibazo cyane kandi bigatera ubwoba, ariko gusobanukirwa ibiri kubaho bishobora kugufasha kumva witeguye kandi ufite imbaraga.

Tekereza ko gusubira kugaragara ari seli ya kanseri zari nto cyane ku buryo zitabonetse mu gihe cy'ubuvuzi bwawe bwa mbere ariko ziguma mu mubiri wawe. Izi seli zishobora gukura uko igihe gihita kandi zigatangira kuboneka nyuma y'amezi cyangwa imyaka myinshi. Nubwo aya makuru atari meza kumva, ubu hari uburyo bwinshi bwiza bwo kuvura bushobora gufasha gucunga kanseri y'amabere yagarutse no kubungabunga ubuzima bwawe.

Kanseri y'amabere yagarutse ni iki?

Kanseri y'amabere yagarutse bivuze ko kanseri yasubiye nyuma y'igihe kitariho kanseri yabonetse mu mubiri wawe. Ibi bibaho kuko zimwe muri seli za kanseri zishobora kurokoka ubuvuzi bwa mbere kandi ziguma zidashyushye mbere yo kongera gukora.

Kanseri ishobora gusubira mu buryo butatu butandukanye. Ishobora gusubira mu gice kimwe cy'ibere cyangwa mu gituza aho yatangiriye, abaganga babita gusubira kugaragara mu gice kimwe. Ishobora kugaragara mu mitsi ya lymph hafi cyangwa mu mitsi y'igituza, bizwi nko gusubira kugaragara mu gice runaka. Cyangwa ishobora gukwirakwira mu bindi bice by'umubiri wawe nka amagufwa, umwijima, ibihumekero, cyangwa ubwonko, ibi bikaba byitwa gusubira kugaragara kure cyangwa kanseri y'amabere yagwiriye.

Buri bwoko bwo gusubira kugaragara busaba uburyo butandukanye bwo kuvura. Ikipe yawe y'abaganga izakorana nawe kugira ngo isesengure gahunda nziza ishingiye aho kanseri yasubiye n'ubuzima bwawe muri rusange.

Ibimenyetso bya kanseri y'amabere yagarutse ni ibihe?

Ibimenyetso bya kanseri y'amabere yagarutse biterwa n'aho kanseri yasubiye mu mubiri wawe. Ushobora kubona impinduka zisa n'iz'ubundi ubuvuzi bwawe bwa mbere, cyangwa ibimenyetso bitandukanye rwose bisa ntibijyanye na kanseri y'amabere.

Niba wararwaye kanseri y'amabere mbere, umubiri wawe wakwigishije kwitondera impinduka. Dore ibimenyetso bishobora kwerekana ko kanseri yagarutse mu gice runaka cyangwa mu gice kinini cy'umubiri:

• Ububyimba bushya mu ibere, ku rukuta rw'ibere, cyangwa mu gice cy'umukaya
• Impinduka ku ruhu rw'ibere cyangwa ku gatuza, harimo ubuhumyi, kubyimba, cyangwa kubyimba
• Impinduka mu bunini cyangwa ishusho y'ibere
• Isuka y'amata mu munwa, ishya cyangwa itandukanye n'iya mbere
• Kubabara mu ibere cyangwa mu gatuza igihe kirekire
• Kubyimba mu kuboko, cyane cyane niba warakuweho imiyoboro y'amaraso

Iyo kanseri y'amabere ikwirakwira mu bindi bice by'umubiri, ibimenyetso bishobora kuba bitandukanye cyane. Umubiri wawe ushobora kuba ukubwira ko hari ikintu kitagenda neza mu buryo budahita buhuzwa na kanseri y'amabere.

Dore ibimenyetso bishobora kwerekana ko kanseri yagarutse mu bindi bice by'umubiri:

• Kubabara mu gufata igihe kirekire, cyane cyane mu mugongo, mu kibuno, cyangwa mu mbavu
• Guhumeka nabi cyangwa inkorora idakira
• Umutwe ubabara utakirwa n'imiti isanzwe
• Isesemi, kudashira ipfa, cyangwa kugabanuka k'uburemere bitazwi
• Kubyimba mu nda cyangwa kubabara
• Uburwayi bukabije budakira nubwo waruhuka
• Ibimenyetso by'indwara z'imitsi nka guhindagurika, gucika intekere, cyangwa impinduka z'ububone

Wibuke ko byinshi muri ibi bimenyetso bishobora kuba bifite izindi mpamvu zidafite aho zihuriye na kanseri. Ariko rero, niba ufite ibimenyetso by'igihe kirekire cyangwa bikubangamiye, ni ngombwa kuvugana n'abaganga bawe vuba. Baziranye n'amateka yawe kandi bashobora kugufasha kumenya icyateye ibimenyetso byawe.

Icyateye kanseri y'amabere gusubira?

Kanseri y'amabere gusubira bibaho iyo uturemangingo twa kanseri twarengeje ubuvuzi bwawe bwa mbere kandi tukaba tugikuri mu mubiri utazi. Aya turemangingo ashobora kuba adakora igihe kinini cyangwa imyaka myinshi mbere yuko yongera gukora kandi ikakuramo ubusembwa bushobora kuboneka.

Ubuvuzi bwawe bwambere bwari bugamije kurimbura uturemangingo twose twa kanseri, ariko rimwe na rimwe uturemangingo duto cyane twashobora gucika mugenzura. Aya turemangingo twasigaye akenshi aba afite ubudahangarwa ku buvuzi wakiriye, ari yo mpamvu yashoboye kurokoka. Mu gihe, aya turemangingo arashobora kwiyongera no gukwirakwira mu bice bishya byumubiri wawe.

Ibintu byinshi bishobora kugira uruhare mu mpamvu uturemangingo twa kanseri durokoka kandi tukongera gukora. Ubuzima bw’igitumwe cyawe cya kanseri gifite uruhare runini. Ubwoko bumwe bwa kanseri y’amabere, cyane cyane kanseri y’amabere itafite imiti yihariye (triple-negative breast cancer) na kanseri ya HER2-positive, zifite ijanisha riri hejuru ry’ubugaruka. Ariko kandi, kanseri zifite imiti y’imisemburo (hormone receptor-positive cancers) na zo zishobora kugaruka, rimwe na rimwe nyuma y’imyaka myinshi ubuvuzi bwa mbere bumaze.

Ikigega cya kanseri yawe ya mbere kigira uruhare mu kaga ko kugaruka. Kanseri zikwirakwira mu mitsi (lymph nodes) cyangwa zari nini igihe zimenyekanye bwa mbere zifite amahirwe menshi yo kugaruka. Byongeye kandi, niba uturemangingo twa kanseri byari byaratangiye gukwirakwira mu maraso yawe cyangwa mu mikaya (lymphatic system) igihe wamenyaga bwa mbere, bishobora kwicara mu ngingo za kure kandi bikakura nyuma.

Rimwe na rimwe, ibintu bifitanye isano n’ubuvuzi bishobora gutera ubugira. Niba utashoboye kurangiza ubuvuzi bwawe bwose kubera ingaruka mbi cyangwa ibindi bibazo by’ubuzima, uturemangingo tumwe twa kanseri dushobora kuba twararokotse. Mu bihe bitoroshye, uturemangingo twa kanseri dushobora gutera ubudahangarwa ku buvuzi mu gihe, nubwo ubuvuzi bwa mbere bwari bufite ingaruka nziza cyane.

Ni ryari ukwiye kubona muganga kubera kanseri y’amabere yagarutse?

Wagomba kuvugana n’itsinda ry’abaganga bawe vuba ubonye ibimenyetso bishya cyangwa bikomeza, cyane cyane niba byamaze ibyumweru birenga bike. Kumenya hakiri kare kanseri y’amabere yagarutse kenshi bigira ingaruka nziza ku buvuzi.

Ntutegereze kureba niba ibimenyetso bizagenda ubwabyo. Itsinda ryawe ry’abaganga ryakwishimira gusuzuma ikintu gishobora kuba nta cyo ari cyo kuruta gutakaza uburyo bwo gutabara hakiri kare. Basobanukiwe impungenge zawe kandi ntibazapfobya impungenge zawe nk’ubwoba butagira shingiro.

Shaka ubufasha bwa muganga vuba uramutse ufite ibimenyetso bikomeye nko kugira ikibazo cyo guhumeka, ububabare bukomeye bw’amagufa, kuruka kenshi, cyangwa ibimenyetso by’indwara z’imitekerereze nko kubabara cyane umutwe, guhuzagurika, cyangwa guhinduka kw’ubuhanga. Ibi bishobora kugaragaza ko kanseri yamanutse mu ngingo z’ingenzi kandi ikaba ikeneye kuvurwa vuba.

Gira icyizere icyo umubiri wawe ukubwira. Uzi umubiri wawe kurusha undi muntu wese, kandi niba hari ikintu kidasanzwe cyangwa kitameze neza, birakwiye ko ukijyanisha kwa muganga. Ikipe yawe y’ubuvuzi iri aho kugufasha muri uru rugendo, kandi ishaka kukwumva igihe ufite impungenge.

Ni ibihe bintu byongera ibyago byo gusubiraho kwa kanseri y’amabere?

Ibintu byinshi bishobora kongera ibyago byo gusubiraho kwa kanseri y’amabere, nubwo kugira ibyago ntibisobanura ko gusubiraho bizabaho. Gusobanukirwa ibi bintu bishobora kugufasha wowe n’ikipe yawe y’ubuvuzi gukora gahunda nziza yo kugenzura no gukumira uko ibintu bimeze.

Uko umwimerere w’ubwandu bwawe wari umeze bigira ingaruka zikomeye ku kaga ko gusubiraho. Dore ibintu by’ingenzi bijyanye n’ubwandu bigira ingaruka ku gusubiraho:

• Ubunini bw’ubwandu bukomeye igihe bwakorwaga isuzuma rya mbere
• Kanseri yari yamanutse mu mitsi ya lymph
• Ubusembwa bukomeye bw’ibisebe bikura kandi bigabana vuba
• Ubwoko bwa kanseri y’amabere ya triple-negative
• Kanseri y’amabere ya HER2-positive idafite ubuvuzi buhambaye
• Kanseri y’imisemburo-positive ifite urwego rwinshi rwa proteine zimwe na zimwe
• Kanseri y’amabere y’uburaka

Amateka yawe yo kuvurwa agira ingaruka ku kaga ko gusubiraho. Niba utarangije gahunda yawe yo kuvurwa yagutegetswe, bimwe mu bicurane bya kanseri bishobora kuba byarakize. Byongeye kandi, niba wari ufite imiterere ya hafi cyangwa nziza nyuma yo kubagwa, bisobanura ko hari ibicurane bya kanseri byabonetse ku mpera cyangwa hafi y’impera y’umubiri wakuweho, ibyago byawe bishobora kuba byinshi.

Hari impamvu zishingiye ku muntu zishobora kugira uruhare mu kugaruka kw’indwara. Kuba uri muto igihe ubimenyeshwa, cyane cyane munsi y’imyaka 35, bifitanye isano n’uburyo indwara isubira. Ubuzima bwawe rusange n’imikorere y’ubwirinzi bw’umubiri bigira uruhare mu bushobozi bw’umubiri wawe bwo kurwanya selile zisigaye za kanseri.

Ibintu bijyanye n’ubuzima bushobora kugira uruhare mu kugaruka kw’indwara. Kugira ibiro bikwiye, gukora imyitozo ngororamubiri, kugabanya kunywa inzoga, no kutakura no kudakoresha itabi byose bishobora kugufasha kugabanya ibyago. Ariko rero, ni ingenzi kwibuka ko indwara ishobora gusubira nubwo wakora ibintu byose neza.

Ni iki gishobora kuba ingaruka z’indwara ya kanseri y’ibere isubira?

Kanseri y’ibere isubira ishobora gutera ingaruka zitandukanye bitewe n’aho kanseri yasubiye n’uburyo isubiza ubuvuzi. Gusobanukirwa ibyo bishoboka bishobora kugufasha kumenya ibimenyetso hakiri kare no gukorana n’abaganga bawe kugira ngo mubikemure neza.

Iyo kanseri isubiye mu gice cyangwa mu bice by’umubiri, ingaruka ziterwa n’uburyo imikurire y’ibibyimba igira ku mitsi iri hafi. Ushobora kumva ububabare, kubyimba, cyangwa impinduka mu mikorere y’ukuboko cyangwa igituza. Niba kanseri igira ingaruka ku mitsi, ushobora kurwara lymphedema, itera kubyimba bidashira mu kuboko cyangwa mu gice cy’igituza.

Kugaruka kure bishobora gutera ingaruka zikomeye bitewe n’imigabane y’umubiri yagizweho ingaruka. Dore ibice by’ingenzi aho ingaruka zishobora kugaragara:

• Ingaruka ku magufwa harimo amagufwa asenyutse, ububabare bukabije, n’ubwiyongere bw’umunyu wa calcium
• Ibibazo by’umwijima nka jaundice, kubyimba mu nda, n’ibibazo by’igogorwa
• Ingaruka ku mpyiko harimo kubyimba, kugorana guhumeka, no gukorora bidashira
• Ingaruka ku bwonko nka migraine, gutakaza ubwenge, n’impinduka mu mitekereze cyangwa imyitwarire
• Gusinzira kw’umugongo uterwa no gukanda umugongo, intege nke, cyangwa kubabara

Ingaruka ziterwa n’ubuvuzi nazo zishobora kugaragara mu gihe ubonye ubuvuzi bwa kanseri isubira. Ushobora guhura n’ingaruka mbi ziterwa na chimiothérapie, radiothérapie, cyangwa ubuvuzi bugamije kugenza. Izi ngaruka zishobora kuba harimo umunaniro, isereri, ibyago byo kwandura, cyangwa ingaruka mbi ku mubiri bitewe na gahunda y’ubuvuzi.

Ingaruka zo mu mutwe no mu mubiri ziterwa na kanseri y’amabere isubira ntizigomba kwirengagizwa. Abantu benshi bahura n’umunaniro, agahinda, cyangwa ubwoba ku bijyanye n’ejo hazaza. Ibi byiyumvo ni ibisanzwe kandi byemewe. Ikipe yawe y’ubuvuzi irashobora kukubera umuhuza n’ibigo by’ubufasha kugira ngo bikufashe guhangana n’ibi bibazo.

Ni ngombwa kwibuka ko ubuvuzi bugezweho bwateje imbere cyane ibyavuye mu buvuzi bwa kanseri y’amabere isubira. Ingaruka nyinshi zishobora kwirindwa, gucungwa, cyangwa kuvurwa neza mu gihe zafashwe hakiri kare. Gukurikiranwa buri gihe no kuganira ubutumwa bugufi n’ikipe yawe y’ubuvuzi ni ingenzi mu kubungabunga ubuzima bwawe.

Kanseri y’amabere isubira imenyekanwa gute?

Kumenya kanseri y’amabere isubira bikubiyemo guhuza isuzuma ry’umubiri, ibizamini by’amashusho, n’ibizamini bya laboratoire. Ikipe yawe y’ubuvuzi izakoresha uburyo bumwe bwiza kandi burambuye bakoresheje mu gihe cy’ubumenyi bwawe bwa mbere.

Uyu muhora ubusanzwe utangira isuzuma ry’umubiri aho muganga wawe azasuzumira ibintu, impinduka z’uruhu, cyangwa imiyoboro y’amaraso yabarebye. Azakubaza ibibazo ku bimenyetso wari ufite kandi asubiremo amateka yawe y’ubuvuzi kugira ngo asobanukirwe ibyago byawe.

Ibizamini by’amashusho bifasha ikipe yawe y’abaganga kubona ibiri mu mubiri wawe. Ibizamini byihariye uzakenera bizaterwa n’ibimenyetso byawe n’aho usanga isubira. Ibizamini bisanzwe by’amashusho birimo mammogramme, ultrasound, CT scan, MRI scan, bone scan, cyangwa PET scan. Ibi bizamini bishobora kwerekana niba kanseri yasubiye kandi bigafasha kumenya aho yageze.

Niba ibizamini byo kubona amashusho bigaragaza ko kanseri yagarutse, uzakenera kubagwa kugira ngo hamenyekane neza icyo ari cyo. Mu gihe cyo kubagwa, igice gito cy’umubiri ukekwaho kuba ufite kanseri gikurwaho maze kigasuzumwa hakoreshejwe microscope. Ni bwo buryo bwonyine bwo kumenya neza ko kanseri y’ibere yagarutse.

Itsinda ry’abaganga bazakora ibizamini ku miterere y’uturemangingo twa kanseri kugira ngo bamenye imico yayo. Ibi birimo kureba imyanya y’imisemburo, urwego rwa poroteyine ya HER2, n’ibindi bimenyetso bifasha mu gufata ibyemezo by’ubuvuzi. Igishimishije ni uko kanseri yagarutse rimwe na rimwe ifite imico itandukanye n’ibanze, ibyo bikaba bishobora kugira ingaruka ku buryo bwo kuvura.

Ibizamini by’amaraso bishobora kuba biri mu bizamini byo gusuzuma. Ibi bishobora kureba ibimenyetso bya kanseri, gusuzuma ubuzima bwawe muri rusange, no gufasha itsinda ryawe ry’abaganga kumenya uko umubiri wawe ukora. Igikorwa cyose cyo gusuzuma gifasha mu kubona ishusho yuzuye y’ibyabaye kugira ngo itsinda ryawe ry’abaganga ribashe gutegura gahunda y’ubuvuzi ibereye.

Ubuvuzi bwa kanseri y’ibere yagarutse ni iki?

Ubuvuzi bwa kanseri y’ibere yagarutse biterwa n’aho kanseri yagarukiye, uburyo bwo kuvura wamaze gukorerwa, n’ubuzima bwawe muri rusange. Itsinda ryawe ry’abaganga rizakorana nawe kugira ngo mugire gahunda ibereye igamije kugenzura kanseri mugumana ubuzima bwiza.

Ku kwisubiraho kw’ahantu runaka, ubuvuzi busanzwe burimo kubaga kugira ngo hakureho uburibwe, hagakurikirwa ubuvuzi bwo kurasa imirasire niba utarabona ubuvuzi bwo kurasa imirasire muri ako gace mbere. Niba umaze kubona ubuvuzi bwo kurasa imirasire, itsinda ryawe ry’abaganga rishobora kugutekerezaho ubundi buryo nko kubagwa cyangwa ubuvuzi bwo mu mubiri wose.

Kwongera kugaragara mu gace runaka bisaba uburyo bwo kuvura butandukanye. Ibi bishobora kuba birimo kubaga kugira ngo hakureho imiyoboro y’amaraso yanduye, ubuvuzi bwo kurasa imirasire muri ako gace, n’ubuvuzi bwo mu mubiri wose nko kuvura hakoreshejwe imiti igabanya ubukana, imiti y’imisemburo, cyangwa imiti igenda ku ntego kugira ngo harebwe uturemangingo twa kanseri twaba twaramaze gukwirakwira ahandi.

Gusubira kugaragara kure bisanzwe bivurwa hakoreshejwe imiti ikwirakwira mu mubiri wose. Amahitamo yawe yo kuvurwa ashobora kuba arimo:

• Imiti igabanya imisemburo niba kanseri yawe ifite imisemburo ijyanye nayo
• Imiti igenda ku ntego ihagarika imikorere y’utunyangingo twihariye muri cellules za kanseri
• Ubuvuzi bwa kanseri bwo kwica cellules za kanseri mu mubiri wose
• Ubuvuzi bwongerera imbaraga ubudahangarwa bwawe mu kurwanya kanseri
• Ubuvuzi buhuza uburyo butandukanye hamwe

Intego yo kuvura gusubira kugaragara kure ni ukugabanya kanseri nk’uburwayi buhoraho aho kuyikiza burundu. Abantu benshi babana na kanseri y’ibere imaze gukwirakwira imyaka myinshi bafite ubuzima bwiza. Ikipe yawe izahindura ubuvuzi bitewe n’uko bukora neza n’uko wumva.

Ikipe yawe y’ubuvuzi izibanda kandi ku gucunga ibimenyetso n’ingaruka mbi. Ibi bishobora kuba birimo imiti yo kugabanya ububabare, ubuvuzi bwo gukomeza amagufwa, cyangwa ubuvuzi bwo gufasha umunaniro cyangwa ibindi bimenyetso. Kwita ku muntu ni ingenzi cyane nk’ubuvuzi bwa kanseri mu kugufasha kumva umeze neza.

Igeragezwa rya siyansi rishobora kuba ari amahitamo kuri wowe. Aya masomo apima ubuvuzi bushya bushobora kuba bufite akamaro kurusha ubuvuzi busanzwe. Ikipe yawe y’ubuvuzi irashobora kugufasha kumva niba hari igeragezwa rya siyansi ryaba rikubereye.

Uburyo bwo gucunga kanseri y’ibere yasubiye kugaragara mu rugo?

Gucaunga kanseri y’ibere yasubiye kugaragara mu rugo bisobanura kwita ku buzima bwawe bw’umubiri n’ubw’amarangamutima mu gihe ukorana bya hafi n’ikipe yawe y’ubuvuzi. Uruhare rwawe ni ingenzi mu gutsinda ubuvuzi no mu kugira ubuzima bwiza.

Kunywa imiti yawe ukurikije amabwiriza by’ingenzi kugira ngo ubone umusaruro mwiza mu kuvurwa. Komereza gahunda y’imiti kandi ukoreshe ibikoresho byo kubika imiti cyangwa porogaramu za terefone kugira ngo bikwibutse. Ntucikwe na doze cyangwa uhagarike kunywa imiti udahamagaye itsinda ry’abaganga bawe mbere, n’ubwo waba wumva umeze neza cyangwa ufite ingaruka mbi.

Kwita ku mirire myiza bishobora gufasha umubiri wawe gukora neza mu gihe cy’ivurwa. Ibanda ku kurya indyo yuzuye irimo imbuto nyinshi, imboga, ibinyampeke byuzuye, na poroteyine nke. Niba ivurwa rigira ingaruka ku bwitonzi bwawe cyangwa rigatera isesemi, gerageza kurya ibiryo bike, ariko bikunze kubaho. Itsinda ry’abaganga bawe rishobora kukubera umujyanama mu by’imirire uzi kuvura kanseri.

Gukora imyitozo ngororamubiri uko bishoboka kose bishobora kugabanya umunaniro, kubungabunga imbaraga, no kunoza imimerere yawe. Ibi ntibisobanura ko ugomba kwiruka marathons. Ndetse n’imyitozo myoroheje nko kugenda, kwicara, cyangwa yoga yoroheje bishobora kugira akamaro. Tega amatwi umubiri wawe kandi uruhuke igihe ukeneye, ariko gerageza kuguma ukorera imyitozo ngororamubiri igihe ushoboye.

Kwita ku ngaruka mbi z’ivurwa ni igice cy’ingenzi cyo kwita ku buzima bw’iwacu. Jya uzirikana ibimenyetso byose ugaragaza kandi ubimenyeshe itsinda ry’abaganga bawe. Bakenshi bashobora guhindura imiti cyangwa bagutanga ibitekerezo kugira ngo wumve umeze neza. Ntugerageze kwihangana niba ufite ingaruka mbi zikomeye.

Ubuzima bwawe bwo mu mutwe na bwo bukwiye kwitabwaho. Ni ibintu bisanzwe kumva ubwoba, uburakari, cyangwa agahinda kubera uburwayi bwawe. Tekereza kwinjira mu itsinda ry’abantu bafite ikibazo kimwe, kuvugana n’umujyanama, cyangwa kuvugana n’abandi barwaye kanseri y’amabere. Abantu benshi basanga gusangira ibyabaye bibafasha guhangana neza.

Shyiraho itsinda ry’abantu bagufasha bagizwe n’umuryango n’inshuti bashobora kugufasha mu mirimo ya buri munsi igihe utumva umeze neza. Ntugate umwanya wo gusaba ubufasha mu guteka, gusukura, kujya mu mavuriro, cyangwa gusa kumara igihe nawe igihe ukeneye sosiyete.

Wategura gute uruzinduko rwawe kwa muganga?

Gutegura igihe cyo kujya kwa muganga bishobora kugufasha gukoresha neza igihe cyanyu hamwe kandi bikakwemerera kubona amakuru n’ubufasha ukeneye. Gutegura neza bigufasha kumva ufite icyizere kandi ugenzura ibintu muri iki gihe gikomeye.

Mbere y’igihugu cyawe, andika ibimenyetso byawe byose, harimo igihe byatangiye, ukuntu bikunze kubaho, n’icyo biba byiza cyangwa biba bibi. Jya ugaragaza neza imiterere y’ububabare, umunaniro, cyangwa ibindi bihinduka wabonye. Aya makuru afasha muganga wawe kumva icyaba kiri kuba ku buzima bwawe.

Tegura urutonde rw’imiti yose ukoresha, harimo imiti y’amabwiriza, imiti igurwa mu maduka, imiti y’inyongera, na vitamine. Garagaza umunaniro n’ukuntu uyifata. Ibi bifasha itsinda ry’abaganga bawe kwirinda imiti mibi kandi bakumva icyaba kiri gutera ingaruka mbi.

Andika ibibazo byawe mbere y’igihugu. Biragoye kwibagirwa ibintu by’ingenzi igihe uri mu biro by’umuganga, cyane cyane niba wumva uhangayitse. Baza icyakubangamiye, kuva ku buryo bwo kuvura ku ngaruka kucyo ugomba kwitega mu byumweru biri imbere.

Zana inshuti cyangwa umuryango w’umuryango wizewe mu gihe cyawe niba bishoboka. Bashobora kugufasha kwibuka amakuru, kubaza ibibazo ushobora kutabona, no gutanga ubufasha bwo mu mutwe. Bamwe basanga ari ingirakamaro kwandika ikiganiro n’umuganga wabo babanje kubyemera kugira ngo basubiremo amakuru y’ingenzi nyuma.

Kora dosiye y’ibyemezo by’ubuvuzi, ibisubizo by’ibizamini, cyangwa ibyavuye mu bipimo by’amashusho byavuye mu bindi bigo by’ubuvuzi. Ibi biha muganga wawe ishusho yuzuye y’ubuzima bwawe kandi bifasha kwirinda gusubiramo ibizamini bidakenewe. Niba wabonye abandi bahanga mu bijyanye n’ubuvuzi, zana ibitekerezo byabo n’amagambo y’ubuvuzi.

Mugire ukuri ku itsinda ryanyu ry’ubuvuzi ku byerekeye uko mwumva mu mubiri no mu bwenge. Bagomba kumenya ibyerekeye imiterere y’ububabare, umunaniro, impinduka z’imitekerereze, n’ikibazo icyo ari cyo cyose mugira mu bikorwa bya buri munsi. Aya makuru abafasha gutanga ubufasha n’ubuvuzi bwiza kurushaho.

Ni iki gikuru cyo kwibuka kuri kanseri y’ibere isubira?

Ikintu gikomeye cyo gusobanukirwa kuri kanseri y’ibere isubira ni uko nubwo ari indwara ikomeye, ubu hari uburyo bwinshi bwiza bwo kuvura bushobora gufasha kugenzura indwara no kubungabunga ubuzima bwanyu. Ntabwo uri wenyine muri ibi, kandi hari impamvu zo kwiringira.

Kumenya hakiri kare ko indwara isubiye kugaragara kenshi bituma ibyavuye byiza, bityo kuba maso ku bimenyetso bishya no gukomeza gupima ni ingenzi. Izera icyo umubiri wawe ugukorera kandi ntutinye kuvugana n’itsinda ryanyu ry’ubuvuzi igihe hari ikintu kitameze neza.

Itsinda ryanyu ry’ubuvuzi ni umufatanyabikorwa muri uru rugendo. Bafite ubumenyi n’ibikoresho byo kubafasha guhangana na kanseri y’ibere isubira, ariko bakeneye kandi ibitekerezo byanyu ku byerekeye uko mwumva n’iby’ingenzi kuri mwe. Itumanaho ryiza n’itsinda ryanyu ry’abaganga rifashwa kugira ngo muhabwe ubuvuzi bwiza kurushaho.

Ibuke ko kanseri y’ibere isubira igira ingaruka kuri buri wese mu buryo butandukanye. Urugendo rwawe ruzaba rudasanzwe, kandi kugereranya urugendo rwawe n’urw’abandi bishobora kuba bidafite akamaro. Fata umwanya wo gukorana n’itsinda ryanyu ry’ubuvuzi kugira ngo mureme gahunda yo kuvura ikubereye.

Kwita ku mibereho yawe yo mu mutwe ni ingenzi kimwe no kuvura kanseri ubwayo. Shaka ubufasha mu nshuti, umuryango, amatsinda y’ubufasha, cyangwa abahanga mu buvuzi bwo mu mutwe igihe ubikeneye. Gucunga ibintu byo mu mutwe bya kanseri y’ibere isubira bigufasha guhangana neza n’ubuvuzi no kubungabunga ubuzima bwawe.

Ibibazo bikunze kubaho kuri kanseri y’ibere isubira

Ese kanseri y’ibere isubira ishobora gukira?

Amahirwe yo gukira arafite aho kanseri yasubiye. Gusubira kugaragara mu gice kimwe cyangwa mu gice runaka bishobora rimwe na rimwe gukira hakoreshejwe ubuvuzi bukwiye, cyane cyane niba byafashwe hakiri kare. Gusubira kugaragara kure bisanzwe bitaweho nk’uburwayi buhoraho aho gukira burundu, ariko abantu benshi babaho imyaka myinshi bafite ubuzima bwiza. Ikipe yanyu y’ubuvuzi irashobora kubaha amakuru arambuye ashingiye ku mimerere yanyu.

Umuntu ashobora kubaho igihe kingana iki afite kanseri y’ibere yasubiye?

Kubaho ufite kanseri y’ibere yasubiye bitandukanye cyane bitewe n’ibintu byinshi, birimo aho kanseri yamanutse, uko isubiza ubuvuzi, n’ubuzima bwawe muri rusange. Bamwe babaho imyaka myinshi bafite kanseri y’ibere yasubiye, abandi bakaba bafite igihe gito. Ikipe yanyu y’ubuvuzi irashobora gutanga amakuru arambuye ashingiye ku mimerere yanyu, ariko ibuka ko imibare ari ubuso bwa rusange kandi idateganya ibyavuye ku muntu ku giti cye.

Ese kanseri y’ibere yasubiye izakwirakwira mu bindi bice by’umubiri wanjye?

Si ngombwa. Gusubira kugaragara mu gice kimwe cyafashwe hakiri kare kandi kivuwe neza bishobora kutakwirakwira mu bindi bice by’umubiri wawe. Ariko kandi, kanseri yasubiye ifite ubushobozi bwo gukwirakwira, niyo mpamvu ikipe yanyu y’ubuvuzi izakurinda hafi kandi ishobora kugusaba ubuvuzi bwose nubwo ari gusubira kugaragara mu gice kimwe. Intego ni ukurinda cyangwa kugenzura ikwirakwira igihe kivura kanseri imaze kubaho.

Ndagomba guhindura imibereho yanjye nyuma yo kuvurwa kanseri y’ibere yasubiye?

Kugira imyifatire myiza yo kwita ku buzima bishobora gufasha imibereho yawe muri rusange mugihe cyo kuvurwa, ariko ntukagire ikibazo cyo gukora impinduka zikomeye. Funga amaso ku kurya ibiryo birimo intungamubiri igihe bishoboka, kuguma ukorera umubiri wawe igihe cyose bishoboka ukurikije uko uhagaze, kuruhuka bihagije, no guhangana n’umunaniro. Itsinda ry’abaganga bawe rishobora gutanga ubuyobozi bw’umwihariko ku bijyanye no guhindura imyifatire yo kwita ku buzima bishobora kugufasha mu mimerere yawe. Ibuka ko guhindura imyifatire yo kwita ku buzima gusa bitashobora gukiza kanseri y’ibere isubira, ariko bishobora kugufasha kumva umeze neza mugihe cyo kuvurwa.

Nzingahe nzakenera gupimwa no kugira gahunda z’abaganga mugihe mfite kanseri y’ibere isubira?

Ubwinshi bw’ibipimo n’ibikorwa by’abaganga biterwa na gahunda yawe yo kuvurwa n’uko ugaragara mu kuvurwa. Mu ntangiriro, ushobora kugira gahunda buri cyumweru cyangwa buri kwezi kugira ngo uvurwe kandi ugenzurwe. Uko kuvurwa kwawe bigenda bigenda kandi ubuzima bwawe bugashira, gahunda zishobora kugabanuka. Itsinda ry’abaganga bawe rizategura gahunda yo gukurikirana ikubereye mu mimerere yawe kandi bazayihindura bitewe n’uko uhagaze.