Kuva mu 2018, uburyo bwo kuvura kanseri hifashishijwe radiothérapie bwafashije abarwayi mu Rwanda kubona ubuvuzi hafi yabo. Mbere yaho, benshi bagombaga kujya kwivuriza muri Uganda cyangwa muri Kenya. Ubu, iyi serivisi itangwa ku Rwanda Cancer Centre (RCC) iri ku Bitaro bya Gisirikare byigisha bya Kanombe, aho ifasha abarwayi bafite ubwoko butandukanye bwa kanseri.
Radiothérapie ikenewe ku rwego mpuzamahanga
Dr. Theoneste Maniragaba, Umuyobozi w’Ikigega cya Kanseri muri Rwanda Biomedical Centre (RBC), yavuze ko ku isi hose hafi 60% by’abarwayi ba kanseri bakeneye radiothérapie mu rugendo rwabo rwo kuvurwa.
“Ishobora kuba ubuvuzi nyamukuru, igakoreshwa ihuje n’operasiyo cyangwa chimiothérapie, cyangwa igakoreshwa mu kugabanya ububabare no kuzamura imibereho myiza y’umurwayi,” yasobanuye.
Kugabanuka kwoherezwa hanze
Mbere ya 2018, abarwayi boherezwaga mu bihugu by’abaturanyi. Isesengura rya Dr. Maniragaba rigaragaza ko radiothérapie yatumye abaganga b’u Rwanda batagikeneye kohereza abarwayi hanze, bityo bigabanya igihe cyo gutegereza ubuvuzi.
Radiothérapie ni ubuvuzi bwibanda gusa ahari kanseri mu mubiri. Ikoreshwa mu kugabanya ibibyimba mbere y’operasiyo, kongerera imbaraga chimiothérapie, no korohereza abarwayi bafite kanseri zigeze kure mu kugabanya uburibwe cyangwa amaraso ava mu nda.
Ubu ikoreshwa mu kuvura kanseri zikunze kuboneka mu Rwanda zirimo: kanseri y’inkondo y’umura, iy’ibere, iy’umwijima, iy’igifu, iy’amara manini, n’iy’igitsina gabo (prostate).
Ubufatanye n’ibikoresho bigezweho
Uyu mushinga watangijwe ku bufatanye bwa Minisiteri y’Ubuzima, RBC, Partners In Health (PIH), n’abandi bafatanyabikorwa mpuzamahanga. U Rwanda rwashyizeho imashini ebyiri za linear accelerator (LINACs) ndetse hatozwa inzobere mu buvuzi n’ikoranabuhanga rikenewe mu gukoresha izo mashini.
Igiciro cy’ubuvuzi n’ubwishingizi
Dr. Maniragaba yavuze ko ikibazo cy’amafaranga cyakomeje kuba inzitizi. Ubu isesiyo imwe igura Rwf 13,600, ariko abafite Mutuelle de Santé bishyura 10% gusa, ni ukuvuga hafi Rwf 1,360.
“Ubusanzwe, isesiyo imwe yaguraga hagati ya Rwf 8,000 na Rwf 9,000, kandi gahunda yuzuye y’isesiyo 30 yaguraga hejuru ya Rwf 270,000. Ubu ibiciro bishya byoroheje serivisi,” yasobanuye.
Yanongeyeho ko chimiothérapie izashyirwa mu bikubiye mu bwishingizi, bikagabanya umutwaro ku miryango.
Imbogamizi zikiriho
U Rwanda rufite imashini ebyiri gusa mu gihugu cyose, kandi zose ziri i Kigali. International Atomic Energy Agency (IAEA) igaragaza ko byibura hakenewe imashini imwe kuri buri bantu miliyoni imwe. U Rwanda rufite abaturage basaga miliyoni 13, bivuze ko hakenewe nibura imashini 13.
Ibi bituma igihe cyo gutegereza ubuvuzi kigera ku mezi atatu, mu gihe intego ari ukugabanya bikagera ku kwezi kumwe. Imashini imwe ishobora kuvura abarwayi 80 ku munsi, ariko iyo hakoreshejwe amasaha y’ikirenga ishobora kugera kuri 120, ndetse ku mikorere y’amasaha 24 yakwakira abarwayi 180 ku munsi.
Gahunda y’uguturuka imbere
Minisiteri y’Ubuzima yashyizeho guhanga gahunda y’imyaka itanu yo kwagura serivisi za radiothérapie. Hazubakwa ibigo bishya i Butaro (Amajyaruguru) no mu Majyepfo, hanyuma hagakomerezwa mu Burasirazuba no mu Burengerazuba.
“Kugeza ubu abarwayi bose bagomba kuza i Kigali, bikaba ikibazo. Ariko niba ibigo bishya byubatswe, bizegereza abaturage serivisi,” Dr. Maniragaba yasobanuye.
Ikindi kibazo ni ubuke bw’abakozi b’inzobere. Minisiteri y’Ubuzima irateganya kongera umubare w’abaganga n’abatekinisiye babishoboye binyuze muri strategiya 4×4.
Igiciro cy’imashini
Imashini imwe ya linear accelerator igura hafi miliyoni $2.5, bingana na miliyari Rwf 3.6, kandi isaba ubungabungi buhoraho.
