Mu mubiri wawe hari amaraso angahe? Reka twige ibijyanye no gupima ingano y'amaraso mu buryo bworoshye!

Ese wigeze wibaza ingano y'amaraso ufite mu mubiri wawe? Ibi si ukubimenya gusa, rimwe na rimwe bishobora kukubwira amakuru y'ingenzi cyane ku buzima bwawe. Ibyo ni byo twita "Igipimo cy'ingano y'amaraso", ikizamini gipima ingano y'amaraso. Iki mu by'ukuri ni "Igipimo cy'imiti ya kirimbuzi", bivuze ko gikoresha ingano nto y'ibikoresho bya radiyo kugira ngo kirebe imikorere y'umubiri. Ntugahangayike, ibi ni umutekano cyane. Reka tubiganireho birambuye, sibyo?

Mu by'ukuri amaraso asobanura iki?

Nubwo tuvuga "amaraso," harimo ibintu by'ubwoko bwose. Mu by'ukuri, ibi ni ibi:

• Plasma: Iki ni igice cy'amazi mu maraso. Ntugatangare, ni amazi arenga 90%!
• Platelets: Izi ni uturemangingo duto dufasha kuvura amaraso. Ni ingenzi cyane mu guhagarika kuva amaraso iyo ukomeretse.
• Uturemangingo tw'amaraso dutukura: Utwo turemangingo tumeze nk'udupira twizengurutse. Utwo ni two dutwara umwuka wa ogisijeni mu ngingo z'umubiri wose.
• Uturemangingo tw'amaraso: Tumeze nk'abarinzi b'umubiri. Ni bo baturinda mikorobe n'indwara zandura.

Ese wari uzi ko nubwo izi platelets n'uturemangingo tw'amaraso twera ari ingenzi cyane, bigize munsi ya 1% by'ingano y'amaraso yose. "Igipimo cy'ingano y'amaraso" ahanini gipima ingano y'uturemangingo tw'amaraso dutukura n'amaraso . Niyo mpamvu rimwe na rimwe cyitwa "Igipimo cy'ingano y'amaraso" cyangwa "Igipimo cy'ingano y'uturemangingo dutukura".

Ni gute ingano y'amaraso mu mubiri wacu igenzurwa?

Iyi ni uburyo butangaje cyane. Umubiri wacu uhora ukora ukanasenya uturemangingo dutukura tw’amaraso. Umwotsi wacu w’amagufwa ukora uturemangingo dutukura tw’amaraso , kandi umwijima wacu uradusenya. Ariko iyi nzira iragenda buhoro. Tekereza, niba utakaje amaraso menshi bitewe n’indwara, impanuka, cyangwa imvune, bishobora gufata iminsi, wenda amezi, kugira ngo uturemangingo dushya dutukura tw’amaraso.

Ariko kugenzura plasma ni vuba cyane. Kubera ko plasma ahanini ari amazi. Umubiri ubona amazi yayo mu mazi tunywa n'ibyo turya. Amazi nayo atakaza binyuze mu nkari, umwanda, ibyuya no guhumeka. Iyo ufite ubuzima bwiza, impyiko zawe zigumana urugero rw'amazi mu buryo buringaniye.

Ni ibihe bintu bigira ingaruka ku bunini bw'amaraso? Ubusanzwe agomba kuba angahe?

Ubusanzwe umubiri w'umuntu mukuru uba urimo litiro zigera kuri 5 z'amaraso. Ariko, iyi ngano ishobora gutandukana bitewe n'impamvu zitandukanye. Hari igihe ingano y'amaraso ishobora kuba myinshi cyane (Hypervolemia) cyangwa ikaba nke cyane (Hypovolemia).

Ubwinshi bw'amaraso (Hypervolemia)

Ibintu bimwe na bimwe bishobora gutera iyi ndwara ni ibi bikurikira:

• Hari indwara z'umutima (Congestive Heart Failure)
• Kurya umunyu mwinshi (sodium)
• Ingorane z'impyiko, urugero, kunanirwa kw'impyiko n'indwara y'imitsi
• Kunanirwa k'umwijima

Iyo ingano y'amaraso yiyongera (Hypervolemia), ibimenyetso nka:

• Kubyimba inda no kubabara mu nda (Ascites)
• Umutima Utera Kunanirwa Guhagarara
• Umuvuduko ukabije w'amaraso
• Kugorwa no guhumeka bitewe n'amazi yuzuye ibihaha
• Kubyimba (Edema) – Akenshi amaguru, uturenge, amaboko , cyangwa isura birabyimba.

Kugabanuka k'umuvuduko w'amaraso (Hypovolemia)

Hari impamvu ebyiri z'ingenzi zituma amaraso aba make:

• Kuva amaraso (ibikomere, kubagwa, kuva amaraso imbere mu mubiri)
• Kubura amazi mu mubiri - Ibi bivuze ko nta mazi ahagije afite mu mubiri.

Iyo ingano y'amaraso yawe igabanutse cyane mu buryo butunguranye, ushobora kugira ikibazo gikomeye cyitwa "Hypovolemic Shock." Iki ni cyo gihe umubiri wacu ukora ibi bikurikira kugira ngo wishyure uburyo amaraso atembera mu mubiri:

• Igabanya umuvuduko w'amaraso.
• Yongera umuvuduko w'umutima.
• Yongera umuvuduko wo guhumeka.

Iyo ingano y'amaraso ikomeje kugabanuka, bishobora kwangirika bidasubirwaho ku ngingo zacu z'imbere no mu bwonko. Ibi rero si urwenya!

Ese hari isano iri hagati y'ingano y'amaraso n'umuvuduko w'amaraso?

Hari rwose! Umuvuduko uri mu mitsi yacu y'amaraso ni wo utuma amaraso atembera mu ngingo zose z'umubiri. Iyo ingano y'amaraso igabanutse, umuvuduko w'amaraso nawo uragabanuka. Hanyuma umubiri ugerageza kugarura amaraso mu gutuma imitsi y'amaraso igabanuka. Ariko iyo amaraso yatakaye cyane (Hypovolemia ikomeye), umubiri ntushobora kuyigenzura.

Mu buryo nk'ubwo, iyo ingano y'amaraso yiyongera, irambura imiyoboro y'amaraso (imitsi n'imitsi), ibyo byongera umuvuduko w'amaraso. Hypervolemia ikunze kubaho iyo umubiri udashobora kugenzura ingano y'amazi bitewe n'imikorere mibi y'impyiko cyangwa umwijima.

Ni ryari ibi (Ikizamini cy'ingano y'amaraso) bigomba gukorwa?

Abaganga bakoresha iki kizamini, cyane cyane ku barwayi bari mu byumba byita ku barembye cyane . Urugero:

• Abantu batakaje amaraso menshi
• Abantu bafite amazi make mu mubiri
• Abantu bafite ikibazo cy'umutima
• Abantu bafite ikibazo cy'impyiko cyangwa umwijima
• Abantu bafite ubushye bukomeye
• Abantu batangaye cyane

Uretse ibi, hari n'ibindi bihe abaganga bakoresha iki kizamini.

• Suzuma niba ufite amaraso make.
• Shaka impamvu itera gucika intege kenshi (syncope).
• Suzuma umuvuduko w'amaraso ukabije n'igabanuka ry'amaraso mu mubiri.
• Nk'ikizamini cya "Presurgical Screening" mbere yo kubagwa.

Iki kizamini gikorerwa he?

Ibi bishobora gukorwa uri mu bitaro, cyangwa bigakorerwa mu ishami ry’ubuvuzi bwa kirimbuzi ry’ibitaro.

Ibi (Igipimo cy'Ubwinshi bw'Amaraso) bikora bite? Ese biragoye cyane?

Oya, ntabwo bigoye cyane. Mu magambo make, bigenda gutya:

Kugira ngo upime ingano y'amaraso mu mubiri wawe, ingano runaka ya tracer ya iyode irangi iterwa mu mitsi yawe. Tracer nk'izi zemerera abaganga kureba imikorere imwe n'imwe y'umubiri.

Nyuma y'uko iyi "(Tracer)" ivanze neza n'amaraso yawe, muganga akuvura amaraso maze agapima ubukana bw'imirasire iri muri yo.

Ingano y'amaraso yawe ibarwa hakoreshejwe ikigereranyo cyoroheje cy'imibare nk'iki: `C1V1 = C2V2`.

Ibi bivuze:

• `C1` ni ubwinshi bw'imirasire iri muri `(Tracer)` yatewe.
• `V1` ni ingano ya `(Tracer)` yashyizwemo.
• `C2` ni urugero rw'imirasire mu maraso yawe nyuma y'uko `(Tracer)` ivanze neza n'amaraso yawe.
• `V2` ni ingano y'amaraso mu mubiri wawe (icyo turimo kugerageza kubona).

Tekereza, iyo duhaye umubiri umuti uzwi, tubara ingano y'amaraso yose tureba ingano yivanga n'amaraso hanyuma agashonga.

Ariko kugira ngo umenye niba ingano y'amaraso apimwa muri ubu buryo ari isanzwe, iri hejuru cyangwa iri hasi kuri wewe, ugomba kuyigereranya n'ingano y'amaraso yawe isanzwe. Ingano y'amaraso ya buri wese iratandukanye. Ingano y'amaraso yawe isanzwe ibarwa hashingiwe ku burebure bwawe, ibiro byawe, n'igitsina cyawe.

Wakwitegura ute mbere yo gukora ikizamini?

Muganga wawe azakugira inama kuri ibi. Muri rusange, ni byiza kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha make mbere yo gupimwa.

Ku munsi wo kwipimisha, ugomba kwirinda kunywa ibinyobwa birimo kafeyine (nk'ikawa n'icyayi). Kafeyine ni umuti ugabanya amaraso, bivuze ko yongera inkari kandi ikavana amazi mu mubiri. Hari imiti irimo kafeyine. Kubwibyo, ni byiza kuganira na muganga wawe ku miti ufata mbere yo kwipimisha no kumubaza niba ikeneye guhindurwa, nibiba ngombwa.

Ni iki kibaho mbere y'ikizamini?

Umutekinisiye azapima uburebure bwawe n'ibiro byawe. Hanyuma, umurongo wa IV uzashyirwa mu mitsi mu kuboko kwawe, ku kuboko, cyangwa mu nda. Iki ni igikoresho gisa na cannula.

Bigenda bite iyo ukoze ikizamini?

Ibi bikurikira bibaho mu gihe cy'ikizamini:

• Uzategekwa kuryama ku meza yo gusuzuma.
• Umutekinisiye atera umuti witwa Iodine-131 Human Serum Albumin (HSA) binyuze mu murongo wa IV.
• Hanyuma ugomba gutegereza iminota 12 kugira ngo `(Tracer)` yivange neza n'amaraso.
• Nyuma y’ibyo, hafatwa amaraso menshi, hafi buri minota itandatu, hanyuma akoherezwa muri laboratwari.
• Ikizamini cyose gisanzwe kitarenza iminota 90.

Nyuma y'ikizamini?

Umutekinisiye azagukuraho imvange y'amaraso, hanyuma ugataha. Imwe muri iyo mikorobe izasohoka mu nkari zawe, izindi zigasenyuka mu mubiri wawe mu buryo busanzwe.Ugomba kunywa amazi menshi nyuma yo gupimwa, bizafasha icyuma gipima amaraso kuva mu mubiri wawe vuba.

Ese hari ingaruka mbi zihari muri ibi?

• Si byiza gukora iki gipimo niba utwite cyangwa wonsa. Kubwibyo, muganga wawe ashobora gushaka gukora ikizamini cyo gutwita mbere yo gupimwa.
• Hari amahirwe make yo kugira ubwivumbure. Ugomba kubibwira muganga wawe niba ufite ubwivumbure kuri iyode, ifi zo mu bwoko bwa shellfish, cyangwa amagi. Niba ufite ubwivumbure, muganga wawe ashobora guhindura ikizamini kugira ngo wirinde ubwivumbure.
• Iyode ikoresha imirasire ya ""(Tracer)"" ishobora kwangiza thyroid gland yawe. Kugira ngo wirinde ibi, muganga azaguha ikinini cya iyode mbere yo gupimwa. Iyo thyroid gland yawe imaze kwinjiza iyode, ihagarika kwinjiza iyode ikoresha imirasire ya """".

Ibisubizo bivuga iki? Ubikora ute?

Ibisubizo by'ibizamini bizagaragaza niba umubare w'amaraso yawe ari muzima, ari muke cyangwa hejuru. Muganga wawe ashobora gukoresha aya makuru kugira ngo apime indwara yawe kandi afate icyemezo cy'ubuvuzi bukenewe.

Mu magambo make, "Ikizamini cy'ingano y'amaraso" gipima niba ingano y'amaraso mu mubiri wawe ari isanzwe cyangwa atari yo. Impinduka mu ngano y'amaraso zifitanye isano n'indwara nyinshi, kandi zishobora gutera ingorane zikomeye. Iki kizamini gikunze gukorwa ku barwayi bari mu byumba byita ku barembye cyane. Gishobora kubafasha kugarura amazi yabo ku rugero rusanzwe, kandi kikabafasha gukira vuba.

Ubutumwa bwo kujyana mu rugo

• "Igipimo cy'ingano y'amaraso" ni ikizamini gipima ingano yose y'amaraso mu mubiri wawe.
• Ibi ahanini bireba ingano y'uturemangingo tw'amaraso n'amaraso atukura.
• Ubwiyongere bw'umuvuduko w'amaraso (Hypervolemia) no kugabanuka k'umuvuduko w'amaraso (Hypovolemia) byombi bishobora gutera ibibazo by'ubuzima.
• Abaganga bakoresha iki kizamini kugira ngo bapime indwara zitandukanye kandi bateganye uburyo bwo kuzivura, cyane cyane mu bihe byihutirwa.
• Ikizamini gikoresha ingano nto y'ibikoresho bitanga imirasire (Radioactive Tracer), kandi ni cyiza. Ariko, ntikibereye ababyeyi batwite n'abonsa.
• Niba ufite allergie iyo ari yo yose, ntukibagirwe kubibwira muganga mbere y'igihe.

Ibi ni byo bintu by'ingenzi ugomba kumenya kuri `(Gupima ingano y'amaraso)`. Niba ufite ibindi bibazo kuri ibi, ntutinye kubaza muganga wawe, sibyo?

Ubunini bw'amaraso , Ubunini bw'amaraso, Isuzuma ry'ingano y'amaraso, Hypervolemia, Hypovolemia, Plasma, Uturemangingo dutukura tw'amaraso, Ibizamini by'ubuzima