Kubaga uruhu rwo imbere mu gifu hakoreshejwe endoskopi

Kubaga uruhu rwo imbere (EMR) ni uburyo bwo gukuraho umubiri utari mwiza uva mu nzira y'igogora. EMR ishobora gukuraho kanseri iri mu ntangiriro, umubiri ushobora kuba kanseri cyangwa indi mubiri itari isanzwe, yitwa ibibyimba. Abaganga bakora kubaga uruhu rwo imbere hakoreshejwe umuyoboro muremure, mwinshi witwa endoscope. Endoscope ifite amatara, camera ya videwo n'ibindi bikoresho. Mu gihe cyo kubaga uruhu rwo imbere mu nzira y'igogora yo hejuru, abaganga bashyira endoscope mu mazuru. Bayobora ibibyimba biri mu munwa, mu gifu cyangwa mu gice cyo hejuru cy'umwijima muto, witwa duodenum.

Kubaga igice cy'imbere mu gifu (Endoscopic mucosal resection) bishobora gukuraho udushoma tw'indwara mu gice cy'imbere mu buryo bw'igogorwa, hatakoreshejwe uburyo bwo kubaga cyangwa gukuraho igice cy'umwijima. Ibi bituma EMR iba uburyo bworoshye bwo kuvura ugereranyije n'uburyo bwo kubaga. Ugereranyije n'uburyo bwo kubaga, EMR ifitanye isano n'ingaruka nke ku buzima ndetse n'amafaranga make. Udushoma dukuruwe na EMR dushobora kuba: Kanseri iri mu ntangiriro. Ibishoma bishobora guhinduka kanseri, bizwi kandi nka lesions precancerous cyangwa dysplasias. Akenshi, umuganga witwa gastroenterologist niwe ukora kubaga igice cy'imbere mu gifu. Uyu muganga niwe ushinzwe gushaka no kuvura indwara zifitanye isano n'igogorwa. Niba ukeneye kubagwa igice cy'imbere mu gifu, gerageza guhitamo gastroenterologist ufite ubunararibonye bwinshi muri ubu buryo bwo kubaga.

Ibyago byo kubaga amara mu buryo bwa endoskopi birimo: Ukuva amaraso. Iki kibazo ni cyo gikunze kugaragara cyane. Abaganga bashobora kubona no gukosora kuva amaraso mu gihe cyo kubaga cyangwa nyuma yaho. Kugabanyuka kw'umuyoboro w'ibiryo. Umuyoboro w'ibiryo ni umuyoboro muremure, muto uherereye mu mazuru ujya mu gifu. Gukuraho igisebe gikikije umuyoboro w'ibiryo bigira ingaruka zo gukomeretsa bishobora kugabanya umuyoboro w'ibiryo. Kugabanyuka kw'umuyoboro w'ibiryo bishobora gutera ibibazo byo kurya, kandi bishobora gusaba ubundi buvuzi. Guturika, bita no gutobora. Hari amahirwe make yuko ibikoresho byo kubaga bishobora gutobora urukuta rw'umuyoboro w'ibiryo. Icyago kiringaniye ukurikije ubunini n'aho igisebe cyakuwe. Hamagara muganga wawe cyangwa ubone ubuvuzi bwihuse niba ubona ibimenyetso bikurikira nyuma yo kubagwa: Umuriro. Gukonja. Kugaragaza, cyane cyane niba bigaragara nk'ikawa cyangwa bifite amaraso atukura. Amafufu y'umukara. Amaraso atukura mu mafufu. Kubabara mu gituza cyangwa mu gifu. Guhumeka nabi. Kugwa. Kugira ibibazo byo kurya cyangwa kubabara mu mazuru bikomeza kuba bibi.

Mbere yuko ukorerwa ubutabire bwo gukuraho umusemburo w'igifu (endoscopic mucosal resection), itsinda ry'abaganga bakwitaho rizakubaza amakuru akurikira: *Imiti yose n'ibindi byongerwamo mu mirire ufata n'umwanya wayo. Urugero, ni ingenzi kuvuga imiti yose ihagarika amaraso, aspirine, ibuprofen (Advil, Motrin IB, n'ibindi), naproxen sodium (Aleve), imiti yongera irindi, n'imiti y'indwara y'umubyibuho, umuvuduko w'amaraso cyangwa uburwayi bw'amagufwa. *Uburwayi ubwo aribwo bwose ufite, harimo indwara z'umutima, iz'ibihaha, diyabete n'indwara zituma amaraso adakama. *Imiterere y'umubiri wawe. *Umuntu wese ufite uburwayi bw'umutima, uburwayi bw'ibihaha, diyabete, cyangwa uburwayi bwo kudakama kw'amaraso. Umuhanga mu by'ubuzima ashobora kukusaba guhagarika imiti imwe igihe gito mbere y'ubwo butabire. Ibi birimo imiti igira ingaruka ku gukama kw'amaraso cyangwa iyo ibuza imiti yitwa sedatives ifasha kuruhuka mbere y'ubwo butabire. Uzabona amabwiriza yanditse yerekeye icyo ukora umunsi umwe mbere y'ubwo butabire. Aya mabwiriza ashobora guhinduka bitewe n'aho ibyago biri cyangwa ibyago bikurwaho. Muri rusange, amabwiriza ashobora kuba arimo: *Isuku y'amara. Niba ubu butabire burimo amara, uzakora intambwe zimwe na zimwe kugira ngo umenye uko amara yawe ameze kandi ukayisukura mbere. Kugira ngo ukore ibi, ushobora kubwirwa gukoresha imiti yitwa laxative liquide. Cyangwa ushobora gukoresha igikoresho cyitwa enema kit cyohereza amazi mu kibuno. Uzanasinya inyandiko yemeza ko wemera. Ibi biha umuhanga mu by'ubuzima uburenganzira bwo gukora ubu butabire nyuma y'aho ibyago n'inyungu byasobanuwe. Mbere yo gusinya iyo nyandiko, baza umuhanga mu by'ubuzima ibyo udasobanukiwe ku bijyanye n'ubwo butabire.

Hari ubwoko butandukanye bwa endoscopic mucosal resection. Baza umuganga wawe ushinzwe indwara z'igifu uko EMR yawe izakorwa. Uburyo busanzwe burimo ibi bice: Kwinjiza endoscope no kuyobora impera yayo aho ikibazo kiri. Kwinjiza umusemburo munsi y'igisebe kugira ngo habeho igice hagati y'igisebe n'umubiri muzima uri munsi ya cyo. Guhagarika igisebe, bishoboka gukoresha igisimba gito. Gukata igisebe kugira ngo gitandukanywe n'umubiri muzima uri hafi ya cyo. Gukuraho umubiri utari mwiza uri mu mubiri. Kugaragaza ahantu havuweho ikirango cya inki kugira ngo gisubirwemo mu bizami bya endoscopic mu gihe kizaza.