Umuntu afite ibibyimba mu gifu? Ibimenyetso, Impamvu, n'Ubuvuzi

Ibibyimba mu gifu ni udukoko duto, tudasanzwe, dukura ku rukuta rw'imbere rw'igifu cyawe. Utekereza nk'ududomo duto cyangwa ibintu bisa n'ibihumyo bikura iyo selile zo ku rukuta rw'igifu cyawe zikura kurusha uko bikwiye.

Ibibyimba byinshi mu gifu nta cyo bibangamira kandi nta bimenyetso bigira. Abantu benshi babana n'ibi bibyimba ubuzima bwabo bwose batabizi. Ariko rero, gusobanukirwa icyo ari cyo n'igihe bishobora kuba bikenewe kwitabwaho birashobora kugufasha kumva ufite icyizere cyinshi ku buzima bwawe bw'igogorwa.

Ibibyimba mu gifu ni iki?

Ibibyimba mu gifu ni ibice by'umubiri bikura bikava ku rukuta rw'imbere rw'igifu binjira mu gifu. Akenshi biba bito, kuva kuri milimetero mike kugeza kuri santimetero nyinshi.

Urukuta rw'igifu rwawe ruhora rusubiramo, rusimbuza selile zashaje izindi nshya. Rimwe na rimwe, uyu mucyo uba mwinshi cyane ahantu runaka, ugahanga aya makuru mato. Ibibyimba byinshi bikura buhoro buhoro mu mezi cyangwa imyaka, niyo mpamvu akenshi biboneka mu isuzuma rya muganga rusanzwe aho kuba kubera ibimenyetso.

Inkuru nziza ni uko ibibyimba byinshi mu gifu ari intungane, bisobanura ko atari kanseri. Igipimo gito cyane gishobora kuba ikibazo mu gihe kirekire.

Ni izihe ngero z'ibibyimba mu gifu?

Hari ubwoko butandukanye bw'ibibyimba mu gifu, kandi kumenya ubwoko ufite bifasha muganga wawe kumenya uburyo bwiza bwo gukurikirana cyangwa kuvura.

Dore ubwoko nyamukuru ushobora guhura na bwo:

• Ibibyimba bya fundic gland: Ni ubwoko busanzwe cyane, busanzwe buboneka mu gice cyo hejuru cy'igifu cyawe. Akenshi biba nta cyo bibangamira kandi bikunze guhuzwa no gukoresha imiti igabanya aside igihe kirekire.
• Ibibyimba bya hyperplastic: Ibi bikura iyo urukuta rw'igifu rwawe ruhindutse mu gihe kirekire. Akenshi biba nta cyo bibangamira ariko bishobora kuba bikenewe gukurikiranwa niba ari binini.
• Ibibyimba bya adenomatous: Ibi ntabwo bisanzwe ariko ni ingenzi kubikurikirana kuko bifite amahirwe make yo kuba kanseri mu gihe kirekire.
• Ibibyimba by'uburwayi: Ibi bikura mu gusubiza ububabare bw'igihe kirekire mu gifu cyawe kandi akenshi biba nta cyo bibangamira.

Muganga wawe arashobora kumenya ubwoko ufite binyuze mu isuzuma rya microscopic, aho igice gito cy'umubiri cyisuzuma hakoreshejwe microscope. Aya makuru afasha kuyobora gahunda yawe y'ubuvuzi n'igihe cyo gukurikirana.

Ni ibihe bimenyetso by'ibibyimba mu gifu?

Ibibyimba byinshi mu gifu nta bimenyetso bigira. Ibi ni ibisanzwe kandi nta cyo ugomba guhangayikishwa.

Iyo ibimenyetso bibayeho, akenshi bihuriye ku bibyimba binini cyangwa ibyangiritse. Ushobora guhura n'ibimenyetso bimwe na bimwe:

• Kubabara mu nda cyangwa kudakorwa neza kw'inda bikagenda bigaruka
• Kumva ufite ubwinshi vuba mugihe uri kurya, nubwo ari ifunguro rito
• Isesemi, cyane cyane nyuma yo kurya
• Kubabara mugihe ukoresheje igifu cyawe

Mu bihe bidasanzwe, ibibyimba binini bishobora gutera ibimenyetso byinshi:

• Kuruka, cyane cyane niba igitonyanga kibangamiye inzira y'ibiryo
• Ibimenyetso byo kuva amaraso, nko guseba umukara, cyangwa kuruka amaraso
• Igihombo cy'uburemere kitasobanuwe
• Kubabara mu gifu bidashira

Wibuke ko kudafite ibimenyetso ntibisobanura ko nta bibyimba biriho, kandi kugira ibimenyetso ntibisobanura ko ufite ibibyimba. Ibibazo byinshi by'igogorwa bishobora gutera ibyiyumvo bisa, niyo mpamvu isuzuma rya muganga rikenewe.

Ni iki gitera ibibyimba mu gifu?

Ibibyimba mu gifu bikura iyo uburyo busanzwe bwo gukura no gusimbuza selile mu rukuta rw'igifu rwawe buhindutse. Ibintu byinshi bishobora gutera uyu mucyo.

Impamvu zisanzwe cyane zirimo:

• Gukoresha imiti igabanya aside (PPIs) igihe kirekire: Iyi miti igabanya aside ishobora gutera ibibyimba bya fundic gland iyo ikoreshejwe igihe kirekire
• Ububabare bw'igihe kirekire mu gifu: Kugira ikibazo gikomeye gituruka ku bintu bitandukanye bishobora gutera ikibyimba
• Dukoko rya H. pylori: Iri dukoko risanzwe mu gifu rishobora gutera ububabare butera ubwoko bumwe bw'ibibyimba
• Indwara ziterwa na système immunitaire: Indwara nka anemie pernicieuse zishobora kugira ingaruka ku rukuta rw'igifu rwawe

Impamvu zidashimishije ariko zishoboka zirimo:

• Indwara z'umuzuko nka familial adenomatous polyposis (FAP)
• Gastrite y'igihe kirekire iterwa n'ibintu bitandukanye
• Igisubizo cy'igifu cyangwa imvune
• Imiti imwe n'imwe yarenze PPIs

Imyaka na yo igira uruhare, kuko ibibyimba biba byinshi uko ugenda ukura. Abantu benshi bafite ibibyimba mu gifu bafite imyaka irenga 50, nubwo bishobora kubaho mu myaka yose.

Ni ryari ukwiye kubona muganga kubera ibibyimba mu gifu?

Ukwiye kuvugana na muganga wawe niba ufite ibimenyetso by'igogorwa bidashira, nubwo bigaragara ko ari bito. Isuzuma rya hafi rishobora gufasha kumenya ibibazo mbere yuko biba bikomeye.

Shaka ubuvuzi kubimenyetso bikurikira:

• Kubabara mu gifu bidashira cyangwa kudakorwa neza kw'inda bikomeza iminsi irenga mike
• Isesemi idashira cyangwa kuruka
• Kumva ufite ubwinshi vuba hamwe n'ibiribwa bike
• Igihombo cy'uburemere kitasobanuwe
• Guhinduka mu mirire yawe, cyane cyane umukara cyangwa amaraso

Fata ubuvuzi bw'ihutirwa niba ufite:

• Kubabara mu nda bikomeye
• Kuruka amaraso cyangwa ibintu bisa n'ikawa
• Umukara, guseba
• Ibimenyetso byo gucika amazi
• Gucika intege cyangwa guhindagurika hamwe n'ibimenyetso by'inda

Nubwo ibimenyetso byawe ari bito, ntutinye kubivugana na muganga wawe. Bashobora kugufasha kumenya niba isuzuma rya nyuma rikenewe kandi baguha amahoro.

Ni ibihe bintu byongera ibyago byo kugira ibibyimba mu gifu?

Ibintu bimwe na bimwe bishobora kongera amahirwe yo kugira ibibyimba mu gifu. Gusobanukirwa ibi bintu byongera ibyago bishobora kugufasha wowe na muganga wawe gufata ibyemezo byiza bijyanye no gusuzuma no kwirinda.

Ibintu byongera ibyago by'ingenzi birimo:

• Imyaka irenga 50: Ibyago byawe byiyongera uko ugenda ukura
• Gukoresha PPIs igihe kirekire: Gukoresha imiti igabanya aside mu mezi cyangwa imyaka
• Dukoko rya H. pylori: Kugira iri dukoko, cyane cyane niba ritavuwe
• Amateka y'umuryango: Kugira abavandimwe bafite ibibyimba mu gifu cyangwa kanseri y'igifu
• Indwara ziterwa na système immunitaire: Cyane cyane izigira ingaruka ku gice cy'igogorwa

Ibintu byongera ibyago bishobora kugira uruhare birimo:

• Gastrite y'igihe kirekire cyangwa ububabare bw'igifu
• Igisubizo cy'igifu
• Indwara z'umuzuko nka FAP cyangwa Lynch syndrome
• Itabi n'inzoga nyinshi
• Ibiryo byinshi by'ibitunguru n'imboga bike

Kugira ibi bintu byongera ibyago ntibihamya ko uzagira ibibyimba, kandi abantu badafite ibyago bishobora kubyara. Ibintu byongera ibyago bifasha muganga wawe kumenya uko yakurikirana ubuzima bwawe bw'igogorwa.

Ni ibihe bibazo bishoboka by'ibibyimba mu gifu?

Ibibyimba byinshi mu gifu ntibigira ibibazo kandi bikaguma bidakora mu buzima bwawe bwose. Ariko rero, ni ingenzi gusobanukirwa icyo gishobora kubaho kugira ngo ufate ibyemezo byiza bijyanye no gukurikirana no kuvura.

Ibibazo bisanzwe cyane, nubwo bikiri bike, birimo:

• Kuva amaraso: Ibibyimba binini bishobora kuva amaraso buhoro buhoro, bishobora gutera anemie mu gihe kirekire
• Kubangamira: Ibibyimba binini cyane bishobora kubangamira inzira y'ibiryo binyuze mu gifu cyawe
• Ububabare: Ibibyimba bishobora kugira ibikomere ku mubiri wabyo, bigatera ububabare cyangwa kuva amaraso

Ibibazo bikomeye ariko bike cyane birimo:

• Guhinduka kwa kanseri: Ibibyimba bya adenomatous bifite ibyago bike byo kuba kanseri mu myaka myinshi
• Gucika: Bike cyane, ariko ibibyimba binini bishobora gutera umwenda mu rukuta rw'igifu
• Kuva amaraso bikomeye: Bike, ariko bishoboka niba igitonyanga kinini cyangiritse mu mubiri w'amaraso

Icy'ingenzi ni ukwibuka ko gukurikirana buri gihe bifasha gufata impinduka hakiri kare. Muganga wawe arashobora kumenya iterambere rihangayikishije mbere yuko biba ibibazo bikomeye.

Ibibyimba mu gifu bishobora kwirindwa gute?

Nubwo utazi kwirinda burundu ibibyimba mu gifu, ushobora gufata ingamba kugira ngo ugabanye ibyago byawe kandi ushyigikire ubuzima bwawe bw'igifu muri rusange.

Dore uburyo bwiza bwo kugabanya ibyago byawe:

• Koresha PPIs neza: Fata imiti igabanya aside nk'uko byategetswe kandi igihe gito gishoboka
• Vura indwara ya H. pylori: Suzumwa kandi uvurwe niba ufite iri dukoko
• Kurya indyo yuzuye: Koresha imbuto, imboga, n'ibinyampeke byuzuye mugihe ugabanya ibiryo byatunganyirijwe
• Kwirinda itabi: Itabi ryongera ububabare mu gice cy'igogorwa
• Kugabanya inzoga: Kunywa inzoga nyinshi bishobora kubabaza urukuta rw'igifu rwawe

Ubundi buryo bwo gushyigikira burimo:

• Gucunga umunaniro binyuze mu buryo bwiza bwo guhangana
• Kugira ibiro byiza
• Gukora imyitozo ngororamubiri buri gihe
• Gukurikirana na muganga wawe ku bibazo by'igogorwa by'igihe kirekire
• Gukoresha imiti nk'uko yategetswe no kuvugana na muganga wawe ku ikoreshwa ryayo igihe kirekire

Niba ufite ibyago nko kuba ufite amateka y'umuryango cyangwa indwara z'umuzuko, korana na muganga wawe kugira ngo utegure gahunda yo gusuzuma. Kumenya hakiri kare no gukurikirana ni byiza kugira ngo ubuzima bwawe bw'igifu bugume bwiza.

Ibibyimba mu gifu bipimwa bite?

Gupima ibibyimba mu gifu bisanzwe bikubiyemo kureba imbere mu gifu cyawe hakoreshejwe ibikoresho byihariye. Uyu mucyo ni woroshye kandi ugamije kuba woroshye uko bishoboka kose.

Uburyo nyamukuru bwo gupima ni endoscopie yo hejuru, izwi kandi nka EGD (esophagogastroduodenoscopy). Muri uyu mucyo, muganga wawe anyuza umuyoboro muto, woroshye ufite camera binyuze mu kanwa kawe winjira mu gifu cyawe. Uzabona imiti iza kugufasha kuruhuka no kugabanya ububabare.

Dore icyo gupima bisanzwe bikubiyemo:

• Amateka y'ubuvuzi n'isuzuma ry'umubiri: Muganga wawe azakubaza ibibazo bijyanye n'ibimenyetso kandi azasuzume igifu cyawe
• Endoscopie yo hejuru: Uburyo nyamukuru bwo kubona no gusuzuma ibibyimba
• Isuzuma rya microscopic: Ibice bito by'umubiri bishobora gufatwa kugira ngo bimenye ubwoko bw'igitonyanga
• Isuzuma ry'amaraso: Ibi bishobora kugenzura anemie, indwara ya H. pylori, cyangwa izindi ndwara

Mu bihe bimwe na bimwe, ibizamini byongeyeho bishobora gufasha:

• Urukurikirane rw'igifu cyo hejuru (barium swallow) niba endoscopie idashoboka
• CT scan niba hari impungenge zijyanye n'ibibazo
• Isuzuma ry'umuzuko niba amateka y'umuryango agaragaza indwara z'umuzuko

Uburyo bwa endoscopie busanzwe bumaramo iminota 15-30, kandi ushobora gutaha uwo munsi. Abantu benshi babona ko biroroshye kurusha ibyo bari biteze, cyane cyane hamwe n'imiti iza kugufasha kuruhuka.

Ni iki kivura ibibyimba mu gifu?

Kuvura ibibyimba mu gifu biterwa nubwoko bwabyo, ubunini, n'imiterere yabyo. Ibibyimba byinshi bikenera gukurikiranwa gusa, ibindi bishobora kuba bikenewe gukuraho.

Kubibyimba bito, bidakora, uburyo ni "gukurikirana no gutegereza". Ibi bivuze gukurikirana buri gihe hamwe no gusubiramo endoscopie buri myaka 1-3 kugira ngo hagenzurwe impinduka. Muganga wawe azagutegurira gahunda nziza ishingiye ku mimerere yawe.

Uburyo bwo kuvura burimo:

• Gukuraho hakoreshejwe endoscopie: Ibibyimba bishobora gukurwaho muri endoscopie hakoreshejwe ibikoresho byihariye
• Guhindura imiti: Kugabanya cyangwa guhagarika PPIs niba zigira uruhare mu ikura ry'ibibyimba
• Kuvura H. pylori: Antibiyotike yo gukuraho indwara z'udukoko zishobora gutera ububabare
• Gucunga indwara ziriho: Kuvura indwara ziterwa na système immunitaire cyangwa izindi mpamvu

Muganga wawe azagutegurira gukuraho niba ibibyimba ari:

• Binini (akenshi birenga santimetero 1-2)
• Ubwoko bwa adenomatous bufite ibyago bya kanseri
• Biterwa n'ibimenyetso nko kuva amaraso cyangwa kubangamira
• Bikura vuba mugihe cyo gukurikirana
• Byinshi mu mubare bifite ibimenyetso bihangayikishije

Uburyo bwo gukuraho busanzwe bukorwa muri endoscopie imwe ikoreshwa mu gupima. Abantu benshi bashobora gusubira mu mirimo isanzwe mu munsi umwe cyangwa ibiri nyuma y'ubuvuzi.

Urashobora kwita ku buzima bwawe mu rugo ute?

Nubwo ibibyimba mu gifu ubwayo bidakeneye kwitabwaho mu rugo, ushobora gushyigikira ubuzima bwawe bw'igifu muri rusange kandi ukumva wishimye niba ufite ibimenyetso.

Dore uburyo bworoshye bwo kwita ku buzima bwawe:

• Kurya ifunguro rito, rimwe na rimwe: Ibi birashobora kugufasha niba wumva ufite ubwinshi vuba
• Hitamo ibiryo byoroshye kugogora: Ibiryo bisanzwe, byoroshye bishobora kuba byoroshye
• Komeza amazi: Nywa amazi menshi umunsi wose
• Kwirinda ibintu bibabaza: Gabanya ibiryo byo mu nda, inzoga, na kafe niba bikubabaza
• Fata imiti nk'uko yategetswe: Kurikiza amabwiriza ya muganga wawe neza

Kugira ngo ugabanye ibimenyetso, ushobora kubona aya mayeri afasha:

• Kurya buhoro buhoro no kuruma neza
• Kwirinda kuryama vuba nyuma yo kurya
• Gucunga umunaniro binyuze mu buryo bwo kuruhuka
• Kuryama bihagije
• Imikino yoroshye nko kugenda nyuma yo kurya

Wibuke ko kwita ku buzima mu rugo ari ugushyigikira, atari ugukiza. Kurikiza amabwiriza ya muganga wawe yo gukurikirana no kuvura, kandi ntutinye guhamagara niba ufite impungenge cyangwa ibimenyetso bishya.

Wategura gute inama ya muganga wawe?

Gutegura inama yawe birashobora kugufasha kubona ibyiza byinshi mu gihe cyawe hamwe na muganga wawe kandi bikabuza kwibagirwa amakuru akomeye.

Mbere yo gusura, kora ibi bikurikira:

• Urutonde rw'ibimenyetso biriho: Andika igihe byatangiye, uko bikunze kubaho, n'icyo bibafasha cyangwa kibangamira
• Urutonde rwuzuye rw'imiti: Harimo imiti yanditswe na muganga, imiti yo mu maduka, n'ibindi
• Amateka y'ubuvuzi: Ibibazo by'igifu byabanje, ibyabaga, cyangwa ibibazo bikomeye by'ubuzima
• Amateka y'umuryango: Abavandimwe bafite ibibazo by'igifu, ibibyimba, cyangwa kanseri y'igogorwa

Tegura ibibazo nka ibi:

• Ni ubwoko ki bw'ibibyimba mfite, kandi bisobanura iki?
• Nkeneye gukurikiranwa kangahe?
• Hariho impinduka mu mirire nakora?
• Ni ibihe bimenyetso bikwiye kungira ngo mpamagare?
• Nkeneye guhindura imiti yanjye?

Kubera gupima endoscopie, uzabona amabwiriza yihariye yo kwitegura, akenshi harimo no kwirinda kurya amasaha 8-12 mbere yabyo. Tegura kugira umuntu uzakuzana mu rugo nyuma y'ubuvuzi niba uhawe imiti iza kugufasha kuruhuka.

Ntuhangayike kubabaza ibibazo byinshi. Ikipe yawe y'ubuvuzi ishaka ko usobanukirwa uburwayi bwawe kandi ukumva ufite icyizere ku gahunda yawe y'ubuvuzi.

Ni iki cy'ingenzi cyo kuzirikana ku bibyimba mu gifu?

Ibibyimba mu gifu akenshi biba ari ibintu bidakora byinshi abantu bafite batabizi. Benshi muri bo nta bimenyetso bagira kandi bakenera gukurikiranwa gusa kugira ngo bamenye ko baguma bameze neza.

Nubwo ijambo "ibyimba" rishobora gutera impungenge, wibuke ko ibibyimba byinshi mu gifu ari intungane kandi nta cyo bibangamira ku buzima bwawe. Nubwo ibibyimba bikenera kuvurwa, uburyo busanzwe buroroshye kandi bugira ingaruka nziza.

Icy'ingenzi cyane ushobora gukora ni ugukomeza kuvugana na muganga wawe. Kurikiza amabwiriza yo gukurikirana, ubwira ibibazo bishya cyangwa biba bikomeye, kandi ntutinye kubabaza ibibazo bijyanye no kwitabwaho.

Hamwe no kugenzura kwa muganga, abantu bafite ibibyimba mu gifu bashobora kubana ubuzima busanzwe, bwiza. Shyira imbaraga mu kugira ubuzima bwiza muri rusange binyuze mu mirire yuzuye, imyitozo ngororamubiri, no kwitabwaho kwa muganga bikwiye.

Ibibazo byakunze kubaho bijyanye n'ibibyimba mu gifu

Ibibyimba mu gifu bishobora guhinduka kanseri?

Ibibyimba byinshi mu gifu ntibihinduka kanseri. Ibibyimba bya adenomatous bifite ibyago bike byo guhinduka kanseri mu myaka myinshi, niyo mpamvu abaganga babikurikirana hafi. Ibibyimba bya fundic gland n'ibya hyperplastic bike cyane, niba hariho, bihinduka kanseri. Muganga wawe azamenya ibyago byawe byihariye hashingiwe ku bwoko n'imiterere y'ibibyimba byawe.

Nkeneye guhindura imirire yanjye niba mfite ibibyimba mu gifu?

Abantu benshi bafite ibibyimba mu gifu ntibakenera gukurikiza imirire yihariye. Ariko rero, kurya indyo yuzuye irimo imbuto, imboga, n'ibinyampeke byuzuye bishyigikira ubuzima bw'igifu muri rusange. Niba ufite ibimenyetso nko kumva ufite ubwinshi vuba, ifunguro rito, rimwe na rimwe rishobora kuba byoroshye. Muganga wawe ashobora kugutegurira imirire ishingiye ku mimerere yawe.

Nkeneye gukurikiranwa igihe kingana iki kubera ibibyimba mu gifu?

Gahunda zo gukurikirana zitandukanye bitewe nubwoko n'ubunini bw'ibibyimba byawe. Ibibyimba bito, bidakora bishobora kugenzurwa buri myaka 2-3, mu gihe ibinini cyangwa adenomatous bishobora kuba bikenewe kugenzurwa buri mwaka. Ibibyimba bito bya fundic gland bishobora kudakenera gukurikiranwa buri gihe. Muganga wawe azakora gahunda yo gukurikirana ishingiye ku bintu byawe byihariye.

Umunaniro ushobora gutera ibibyimba mu gifu?

Umunaniro ubwayo ntabwo utera ibibyimba mu gifu, ariko umunaniro ukomeye ushobora kugira uruhare mu kubabaza igifu no mu bibazo by'igogorwa. Gucunga umunaniro binyuze mu buryo bwiza bwo guhangana bishyigikira ubuzima bw'igogorwa muri rusange. Niba ufite ibimenyetso by'igogorwa bifitanye isano n'umunaniro, vugana n'abaganga bawe ku buryo bwo gucunga umunaniro.

Ibibyimba mu gifu birasanzwe mu muryango?

Ibibyimba byinshi mu gifu ntibirasanzwe mu muryango, ariko zimwe mu ndwara z'umuzuko zishobora kongera ibyago byawe. Familial adenomatous polyposis (FAP) na Lynch syndrome ni indwara z'umuzuko zidashimishije zishobora gutera ibibyimba byinshi. Niba ufite amateka y'umuryango akomeye y'ibibyimba mu gifu cyangwa kanseri y'igifu, inama y'umuzuko ishobora kugufasha gusuzuma ibyago byawe no kumenya uburyo bwo gusuzuma bikwiye.