Ni iki cyitwa Radiofrequency Ablation ku Barwayi ba Kanseri? Impamvu, Uburyo & Ibivamo

Radiofrequency ablation (RFA) ni uburyo bwo kuvura butagira ingaruka nyinshi bukoresha imbaraga zishyushye mu kurimbura uturemangingo twa kanseri. Bitekereze nk'uburyo bwihariye, bugamije "guteka" igituntu kuva imbere hanze, hakoreshejwe imbaraga z'amashanyarazi zihinduka ubushyuhe binyuze mu giti cy'urushinge.

Ubu buvuzi butanga icyizere ku bantu benshi barwaye kanseri, cyane cyane iyo kubaga bidashoboka cyangwa iyo ushaka kwirinda uburyo burenzeho. Bifasha cyane ku bituntu bito kandi akenshi bishobora gukorwa nk'uburyo bwo kuvurirwa hanze, bivuze ko ushobora gutaha umunsi umwe.

Ni iki cyitwa radiofrequency ablation?

Radiofrequency ablation ikora itanga ubushyuhe bugenzurwa mu buryo butaziguye mu turemangingo twa kanseri binyuze muri probe yihariye. Ubushyuhe bugera ku bushyuhe bwa 212°F (100°C), bikarimbura igituntu mu gihe bigabanya kwangiza ahantu hazungurutse.

Ubu buryo bukoresha ubwoko bumwe bw'imbaraga zikoreshwa na radiyo, ariko zishyirwa hamwe kandi zikagenzurwa kugira ngo zikore ubushyuhe buvura. Muganga wawe ayobora electrode ntoya binyuze mu ruhu rwawe mu buryo butaziguye mu gituntu akoresheje ubufasha bw'amashusho nka CT scans cyangwa ultrasound.

Uturemangingo twa kanseri twangiritse twinjizwa buhoro buhoro n'umubiri wawe mu byumweru byinshi kugeza ku mezi. Ubu buryo ni busanzwe kandi ni bwiza, kimwe n'uko umubiri wawe ukemura ibindi bice byangiritse.

Kuki radiofrequency ablation ikorwa?

RFA irasabwa iyo ishobora kuvura kanseri yawe neza mu gihe irengera ubuzima bwawe. Akenshi ihitwamo ku bantu batujuje ibisabwa byo kubagwa kubera imyaka, izindi ndwara, cyangwa aho igituntu giherereye.

Muganga wawe ashobora gutanga RFA niba ufite ibituntu mu ngingo nk'umwijima, ibihaha, impyiko, cyangwa amagufa. Bifasha cyane mu kuvura kanseri y'umwijima, ibituntu byambere n'ibyo byakwiriye biva mu bindi bice by'umubiri wawe.

Rimwe na rimwe RFA ikoreshwa hamwe n'izindi nshuti nk'imiti cyangwa radiyo. Irashobora kandi gufasha gucunga ibimenyetso bya kanseri, cyane cyane ububabare bwo mu magufa buturutse ku duheri twakwiriye mu magufa yawe.

Ubu buryo bukora neza ku duheri duto kuruta santimetero 5 z'ubugari. Iduheri rinini rishobora gusaba inshuro nyinshi zo kuvurwa cyangwa guhuza RFA n'ubundi buryo.

Ni iki gikorerwa gukoresha radiofrequency ablation?

Uburyo bwa RFA busanzwe bufata amasaha 1-3 kandi bukorerwa na radiologiste. Uzahabwa imiti igabanya ubwoba cyangwa anesthesia rusange kugirango ugume wumva neza mugihe cyo kuvurwa.

Muganga wawe azamesa kandi atume uruhu rutagira ubwoba aho probe izashyirwa. Akoresheje ishusho y'igihe nyacyo, bazayobora neza electrode banyuze mu ruhu rwawe bakajya mu gice cy'igihuri.

Ibi nibyo bibaho mugihe cyo kuvurwa:

1. Electrode ishyirwa neza imbere mu gihuri
2. Ingufu za radiofrequency zitangwa iminota 10-30
3. Ubushyuhe butuma habaho agace k'igihuri cyangiritse hafi ya probe
4. Imyanya myinshi ya probe irashobora gukoreshwa ku duheri tunini
5. Isesengura rirahamya kuvurwa neza kw'agace kagenewe

Nyuma yo kuvurwa, uzagenzurwa ahantu ho koroherwa amasaha menshi. Abantu benshi bahura gusa n'ububabare buke, bushobora gucungwa hamwe n'imiti igurishwa itagomba kwandikwa na muganga.

Ni gute wakwitegura radiofrequency ablation yawe?

Ukwitegura kwawe bizaterwa n'urugingo rukoreshwa, ariko hariho amabwiriza rusange akoreshwa muburyo bwinshi bwa RFA. Itsinda ryawe ry'ubuvuzi rizatanga amabwiriza yihariye yagenewe uko ubuzima bwawe buteye.

Ubusanzwe uzakenera guhagarika kurya no kunywa amasaha 6-8 mbere yuburyo. Iyi ngamba ifasha kwirinda ingorane niba ukeneye anesthesia rusange cyangwa imiti igabanya ubwoba.

Muganga wawe azareba imiti urimo gufata ubu, ashobora no kukubwira guhagarika imiti imwe n'imwe by'agateganyo, cyane cyane imiti ituma amaraso ataguma mu mubiri nk'umuti wa warfarin cyangwa aspirin. Ntukore izi mpinduka utabanje kugisha inama ya muganga, kuko imiti imwe n'imwe igomba guhagarikwa mbere y'uko bakora icyo gikorwa.

Teganya umuntu uzakujyana mu rugo nyuma yo kuvurwa, kuko imiti igabanya ubushake izagira ingaruka ku bushobozi bwawe bwo gutwara neza. Ugomba kandi guteganya umuntu wo kugumana nawe mu masaha 24 ya mbere nyuma yo kuvurwa.

Jya wambara imyenda yoroshye, yagutse kandi ukureho imitako cyangwa ibintu by'icyuma bishobora kubuza imashini zikoreshwa mu kwifotora gukora neza. Itsinda ry'abaganga bazaguha ikanzu yo kwambarira icyo gikorwa.

Ni gute usoma ibisubizo byawe byo kuvura ukoresheje radiofrequency ablation?

Ibisubizo bya RFA bisuzumwa binyuze mu bushakashatsi bwo gukurikirana bukorwa nyuma y'amezi 1-3 uvujwe. Izi scans zerekana niba selile za kanseri zasenyutse neza kandi zigafasha kumenya niba hari igice cy'umubiri kirimo kanseri gisigaye.

Ubuvuzi bwiza butuma habaho icyo abaganga bita "agace ko gusenya" - ahantu hose selile za kanseri zasenyutse. Mu mafoto, ibi bigaragara nk'agace gasobanutse neza katongera imbaraga n'ibintu bitandukanye.

Muganga wawe azareba ibintu byinshi by'ingenzi bigaragaza ko ubuvuzi bwagenze neza:

• Kutaboneka rwose kw'igice cy'umubiri kirimo kanseri mu gace kavuwe
• Ubunini n'imiterere byiza by'agace ko gusenya
• Nta kimenyetso cya selile za kanseri zisigaye ku mpande
• Ubunini bw'agace kavuwe buguma cyangwa bugabanuka uko igihe kigenda

Niba amashusho yerekana ko ubuvuzi butuzuye, muganga wawe ashobora kugusaba kongera gukoresha RFA cyangwa ubundi buryo bwo kuvura. Ibi ntibisobanura ko icyo gikorwa cyanze - rimwe na rimwe ibibyimba bisaba ubuvuzi bwinshi kugira ngo bigere ku gusenya rwose.

Gukurikirana igihe kirekire bikomeza hamwe n'ubushakashatsi busanzwe bwo kwifotora kugira ngo hakurikiranywe niba kanseri yongeye kugaruka. Inshuro z'izi scans ziterwa n'ubwoko bwa kanseri yawe n'uburyo bwo kuvura muri rusange.

Ni gute radiofrequency ablation ikora neza ku kanseri?

Uburyo RFA ikora neza buratandukana bitewe n'ubunini bwa tumor, aho iherereye, n'ubwoko bwa kanseri, ariko muri rusange ibisubizo birashimishije cyane. Ku duheri duto twa mu mwijima (tutarengeje santimetero 5), uburyo ikora neza akenshi burenza 90% mu kurimbura burundu tumor.

Ubu buryo bukora neza cyane ku kanseri y'umwijima y'ibanze n'imitsi ya kanseri y'umwijima iva muri kanseri y'urugingo rw'amara. Uburyo ikora neza ku duheri two mu bihaha naho ni hejuru, cyane cyane ku duheri duto tutarengeje santimetero 3 z'ubugaramye.

Ibintu byinshi bigira uruhare mu buryo RFA ikora neza ku miterere yawe:

• Ubunini bwa tumor - utuheri duto tugira uburyo bwo gukora neza kurushaho
• Aho iherereye - utuheri turi kure y'imitsi minini y'amaraso twitabira neza
• Ubwoko bwa kanseri - kanseri zimwe na zimwe zihanganira ubushyuhe kurusha izindi
• Ubuzima muri rusange - ubuzima bwiza muri rusange bufasha gukira no koroherwa

N'iyo RFA itarimbura burundu kanseri, akenshi itanga inyungu zigaragara. Abantu benshi bagabanya ibimenyetso, tumor ikagabanya gukura, kandi ubuzima bugatera imbere.

Ubu buryo bushobora gusubirwamo niba bibaye ngombwa, kandi ntibibuza ko wakira izindi nshuti za kanseri mu gihe kizaza. Iyi myumvire ituma RFA iba uburyo bw'agaciro mu kwita ku kanseri muri rusange.

Ni ibihe bintu byongera ibyago byo kugira ingaruka ziterwa na radiofrequency ablation?

Nubwo RFA muri rusange itagira ingaruka, ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ingaruka. Kubisobanukirwa bifasha wowe n'ikipe yawe y'abaganga gufata ibyemezo bifitiye akamaro ku bijyanye n'imiti yawe.

Imyaka n'ubuzima muri rusange bigira uruhare rukomeye mu kumenya urwego rw'ibyago byawe. Abantu barengeje imyaka 70 cyangwa abafite indwara nyinshi bashobora guhura n'ibyago byiyongera gato, nubwo RFA akenshi ikiri nziza kurusha kubagwa gukomeye.

Aho tumor iherereye bigira uruhare rukomeye ku rwego rw'ibyago. Utuheri turi hafi y'imitsi minini y'amaraso, urugingo rw'umubiri ruzwi nka diyafaragime, cyangwa izindi ngingo z'ingenzi bisaba kwitonda cyane n'ubuhanga mu gihe cy'imiti.

Ibintu byihariye byongera ibyago bikwiye kwitabwaho by'umwihariko:

• Kubagwa mu nda mbere bishobora kuba byarateye inkovu
• Uburwayi butuma amaraso avurirana cyangwa gukoresha imiti ituma amaraso atavurirana
• Uburwayi bukomeye bw'umutima cyangwa ibihaha
• Udukoko dukaze cyangwa urugingo rw'umubiri rushinzwe kurwanya indwara rudakora neza
• Gusama (RFA ntikorwa mu gihe cyo gutwita)

Itsinda ryawe ry'abaganga rizasuzuma neza ibi bintu mbere yo kugusaba RFA. Bashobora gutanga inama zindi z'ubwirinzi cyangwa imiti isimbura niba urwego rw'ibyago rwawe ruri hejuru cyane.

Ni izihe ngaruka zishobora guterwa no gukoresha radiofrequency ablation?

Abantu benshi boroherwa na RFA cyane, ariko nk'uko bimeze ku buryo ubwo aribwo bwose bwo kuvura, bifite ibyago bimwe. Inkuru nziza ni uko ingaruka zikomeye zitaba kenshi, zikaba mu buryo butarenze 5% by'abantu bose.

Ingaruka nto zikunda kubaho kandi zikunda gukira vuba bitewe n'uburyo bwiza bwo kwita ku murwayi. Ibi mubisanzwe ntibisaba kujyanwa mu bitaro kandi bishobora gukorerwa mu rugo hifashishijwe ubuyobozi butangwa n'itsinda ryawe ry'abaganga.

Ingaruka nto zisanzwe zirimo:

• Urubavu ruto cyangwa ruringaniye ahantu havuriwe
• Urubavu rw'igihe gito mu gihe cy'iminsi 1-2 nyuma yo kuvurwa
• Umunaniro ushobora kumara iminsi myinshi
• Kuva amaraso make cyangwa gukururuka ahantu hashyizweho urushinge
• Isesemi ry'igihe gito, cyane cyane nyuma yo kuvura umwijima

Ibi bimenyetso ni igice cy'uburyo umubiri wawe ukira kandi mubisanzwe birakira mu minsi mike. Muganga wawe azatanga amabwiriza yihariye yo guhangana n'ububabare ubwo aribwo bwose.

Ingaruka zikomeye ntizisanzwe ariko zisaba ubufasha bwihutirwa bw'abaganga. Nubwo bitaba kenshi, ni ngombwa kumenya ibi bishoboka kugirango ushake ubufasha vuba niba bikenewe.

Ingaruka zikomeye ariko zitaba kenshi zirimo:

• Udukoko twateye ahantu havuriwe cyangwa mu ngingo yavuriwe
• Ukwangirika kw'izindi ngingo zikikije cyangwa imitsi y'amaraso
• Pneumothorax (igifu cy'umutima cyaguye) mugihe cyo kuvura ibihaha
• Ukwangirika kw'umuyoboro w'igifu mugihe cyo kuvura umwijima
• Ukuva amaraso menshi bikaba bisaba ko wongererwa amaraso

Itsinda ryawe ry'abaganga rifata ingamba zikomeye zo kugabanya ibyo byago. Bakoresha uburyo bwo kureba imbere bugezweho kandi bafite uburyo bwo gukemura ibibazo byose bishobora kuvuka.

Ni ryari nkwiriye kubona umuganga nyuma yo gukoresha radiofrequency ablation?

Vugana n'umuganga wawe ako kanya niba wumva ububabare bukomeye butagabanuka n'imiti yagutanzwe, cyangwa niba ugaragaza ibimenyetso by'ubwandu nk'umuriro uri hejuru ya 101°F (38.3°C), ibikonjo, cyangwa umutuku wiyongera ahantu havuriwe.

Ugomba kandi kwihutira kwivuza niba ubonye kimwe muri ibi bimenyetso byo kwitondera:

• Kugorwa no guhumeka cyangwa kubabara mu gituza
• Kuruka bidahagarara cyangwa kudashobora kugumana amazi
• Kuva amaraso menshi cyangwa gukomeretsa ahantu havuriwe
• Kugira intege nke cyane cyangwa kuribwa umutwe
• Umuhondo w'uruhu cyangwa amaso (cyane cyane nyuma yo kuvura umwijima)

Mugukurikiranira hafi, mubisanzwe uzabona umuganga wawe mu byumweru 1-2 nyuma y'uburyo bwakoreshejwe. Uru ruzinduko rubafasha kureba uko ukira no gukemura ibibazo byose ushobora kuba ufite.

Ishyirwaho ryawe risanzwe rizakubiyemo amasomo yo kureba buri gihe kugirango ukurikirane imikorere y'ubuvuzi. Izo gahunda ni ngombwa kugirango ukurikirane iterambere ryawe no gutegura ubundi buvuzi niba bibaye ngombwa.

Ibikunze kubazwa kuri radiofrequency ablation

Q1: Ese radiofrequency ablation irababaza?

Abantu benshi bumva gusa ububabare buke cyangwa buringaniye mugihe no nyuma ya RFA. Uzahabwa imiti igabanya ububabare cyangwa anesthesia mugihe cy'uburyo, bityo ntuzumva ububabare mugihe birimo kuba.

Nyuma yo kuvurwa, ushobora kumva ububabare bumeze nk'ubwo mu mikaya yimbitse ahantu havuriwe. Ibi bikunze kumara iminsi 1-3 kandi bikavurwa neza n'imiti igurishwa idakeneye uruhushya rwa muganga nka acetaminophen cyangwa ibuprofen.

Q2: Ni igihe kingana gute umuntu akira nyuma yo kuvurwa na RFA?

Igihe cyo koroherwa kiratandukana bitewe n'ahantu n'ubunini bwa kanseri yavuwe, ariko abantu benshi basubira mu bikorwa bisanzwe mu minsi 2-7. Ushobora kumva unaniwe mu minsi mike ya mbere, ibyo bikaba bisanzwe.

Kuzamura ibintu biremereye no gukora imirimo ivunanye bigomba kwirindwa mu cyumweru kimwe. Muganga wawe azaguha amabwiriza yihariye ashingiye ku miterere yawe bwite n'ahantu wavuriwe.

Q3: Kanseri yagaruka nyuma yo kuvurwa na radiofrequency ablation?

Nubwo RFA ikora neza cyane, rimwe na rimwe kanseri ishobora kugaruka haba ahantu havuriwe cyangwa ahandi hantu. Kugaruka kwa kanseri ahantu havuriwe bibaho mu byegeranyo bigera kuri 5-10%, bitewe n'ubwoko n'ubunini bwa kanseri.

Gukurikiranwa buri gihe bifasha kumenya kanseri igarutse hakiri kare, igihe ivurwa neza. Niba kanseri igarutse, RFA akenshi irashobora kongera gukorwa, cyangwa izindi nshuro zikoreshwa.

Q4: Ese radiofrequency ablation iruta kubagwa?

RFA no kubagwa bifite inyungu bitewe n'uko umuntu ameze. RFA ntisaba kubagwa cyane, isaba igihe gito cyo koroherwa, kandi akenshi ishobora kongera gukorwa niba bibaye ngombwa. Kubagwa bishobora kuba byiza ku dukanseri tunini cyangwa igihe gukuraho imitsi yose ari ngombwa.

Umuvuzi wawe w'indwara z'umwijima azagufasha gupima inyungu n'ibibazo bya buri kimwe ashingiye ku miterere ya kanseri yawe, ubuzima bwawe muri rusange, n'ibyo ukunda. Rimwe na rimwe guhuza uburyo butanga umusaruro mwiza.

Q5: Ni inshuro zingahe nzavurwa na RFA?

Abantu benshi bakeneye kuvurwa na RFA inshuro imwe gusa kugira ngo kanseri yose irimburwe. Ariko, udusukari tunini cyangwa udusukari twinshi dushobora gusaba inshuro nyinshi ziteranye mu byumweru.

Umuvuzi wawe azagena gahunda nziza yo kuvura yishingiye ku bisubizo by'isuzuma ryawe n'uburyo wumva imiti ya mbere. Abantu bamwe bungukirwa no guhuza RFA n'izindi nshingano kugira ngo babone uburyo bwuzuye.