Isuzuma ryihariye ryo kumenya ibijyanye n'umutima wawe! (Cardiac Computed Tomography - CT Scan) Reka tubiganireho?

Uyu munsi tugiye kuvuga ku isuzuma ryihariye rishobora kukwereka amakuru menshi yerekeye umutima wawe. Ryitwa Cardiac Computed Tomography (CT scan). Muganga wawe ashobora kuba yarakubwiye kubikora, cyangwa ushobora kuba warigeze kubyumva ahantu runaka. Reka turebere hamwe icyo ari cyo, uko bikorwa, icyo ugomba kumenya mbere yo kubikora, n'ibyiza n'ibibi.

Igipimo cya CT scan cy'umutima ni iki?

Mu magambo make, CT scan y'umutima ni ubwoko bwihariye bw'ikizamini cya X-ray gikoresha imirasire myinshi ya X-ray iturutse mu byerekezo bitandukanye kugira ngo haboneke amashusho asobanutse neza y'umutima wawe, imiyoboro minini iwuhuza, hamwe n'ingingo ziwukikije.

Abaganga bakoresha ikoranabuhanga rigezweho rya CT kugira ngo bakore ubu buryo bwo gupima umutima bwa CT. Hari igihe, umutsi wawe uterwamo amazi yihariye (ingufu zinyura mu mitsi (IV) contrast / irangi) . Ibi bituma imiterere y'umutima n'imitsi ihujwe na wo igaragara neza. Ubu buryo bwo gupima ibice byinshi butuma abaganga babona amashusho meza cyane y'umutima wawe ugenda n'imitsi minini y'amaraso.

Ni iki CT scan y'umutima ishobora gupima?

Muganga wawe ashobora gusobanukirwa neza ibintu byinshi ku mutima wawe binyuze muri iyi scan. Urugero:

• Imiterere y'imitsi y'umutima itanga amaraso ku mutima wawe.
• Uko ibyumba by'umutima, imitsi y'umutima, n'imitsi y'umutima bikora.
• Imiterere y'imitsi y'ibihaha .
• Niba hari ikibazo ku muyoboro w'amaraso wo mu gituza ndetse rimwe na rimwe n'umuyoboro w'amaraso wo mu nda .
• Agafuka karinda umutima (pericardium) .

Kubera ko ibi byose bigaragara neza kuri iyi scan, bizafasha cyane muganga gufata icyemezo cyiza ku buzima bw'umutima wawe.

Ni ryari hakenewe gupimwa indwara y'umutima (CT scan)?

Gupima umutima hakoreshejwe CT scan bishobora gutanga amakuru arambuye kandi asobanutse neza kurusha ibindi bipimo by'amashusho. Hari impamvu nyinshi zishobora gutuma muganga wawe ategeka ko isuzuma rikorwa. Reka turebe ibyo ari byo:

• Menya icyagutera kubabara mu gatuza cyangwa kubura umwuka.
• Suzuma imitsi y'umutima wawe kugira ngo urebe niba hari calcium cyangwa plaque byibumbiye , ko igabanuka, cyangwa ko hari aho ifunganye.
• Suzuma imikorere y'imitsi y'umutima wawe.
• Reba niba hari ikibazo kiri mu muyoboro wawe w'amaraso, urugero nko gucika kw'imitsi cyangwa gucika kw'amaraso .
• Kubagwa umutima cyangwaTeganya kubagwa umutima mu buryo buciriritse/bukoresheje roboti.
• Teganya uburyo bwo gukora transcatheter/percutaneous valve .
• Teganya uburyo bwo gukuraho arrhythmia mu gihe umutima utari umeze neza .
• Suzuma ingorane zishobora kubaho nyuma yo kubagwa cyangwa kuvurwa nk'uko.
• Reba niba ufite ikibazo cy'umutima wavukanye .
• Menya niba hari ikibyimba cyangwa ikibyimba mu mutima cyangwa hafi yawo n'imiterere yawo.
• Suzuma agafuka kazengurutse umutima (pericardium) kugira ngo urebe niba amazi yiyongera (`fluid`) cyangwa calcium (`calcification`).

Tekereza, nyirarume wawe ahora ababara mu gatuza, kandi abaganga ntibashobora kumenya neza icyabitera. Muri iki gihe nk'iki, gupima `CT` bishobora gutanga amakuru menshi y'ingirakamaro.

Ni nde ukora isuzuma rya CT ry'umutima?

Akenshi, umuganga w’umutima azagusaba ko wakwifashisha CT scan y’umutima. Ariko, hari itsinda ryihariye ry’ubuvuzi aho isuzuma rikorerwa kugira ngo rigufashe. Abo ni:

• Abatekinisiye: Aba ni abantu bakoresha icyuma cya CT scanner bakabona amashusho.
• Abaforomo: Nibiba ngombwa, abaforomo bazashyira umurongo wa `IV` mu mutsi mu kuboko kwawe hanyuma baguhe imiti.
• Abaganga: Abaganga bakurikirana isuzuma, bagasesengura amashusho, kandi bagatanga raporo (`gusobanura isuzuma`).

Kugira ngo ubone iyi scan, ugomba kujya mu bitaro cyangwa ahantu hizewe mu ikoranabuhanga ryo "gufata amashusho y'ubuvuzi".

Isuzuma rya CT ry'umutima rikora gute?

Biroroshye cyane. Uryamye ku buriri bw'icyuma gipima, urumuri rwa X-ray rurazenguruka hirya no hino. Ariko ntirugera ku mubiri wawe. Ushobora kumva urusaku ruto cyangwa gukanda uko icyuma gikora. Mudasobwa ihuza aya mashusho yo gupima kugira ngo ikore ishusho y'umutima wawe ifite imiterere itatu (3D).

Ni irihe tandukaniro riri hagati ya MRI y'umutima na CT y'umutima?

Ushobora kuba warumvise ikizamini cya MRI y'umutima . MRI y'umutima na CT y'umutima byombi bishobora gutanga amashusho arambuye y'umutima, ariko hari itandukaniro rito hagati y'ibyo bizamini byombi. Reka turebere hamwe ibyo ari byo.

• Iyo winjiye muri mashini, imashini ya CT iba ifunguye cyane kurusha imashini ya MRI. Ibi bivuze ko hari abantu bumva badafunze cyane iyo bari muri mashini ya MRI.
• Gupima MRI bifata igihe kirekire kurusha gupima CT.
• Isuzuma rya CT rikoresha imirasire ya X-ray , ariko MRI ntikoresha imirasire.
• Imashini ya CT iratuje kurusha imashini ya MRI.
• Iyo uhawe uburyo bwo gupima imiterere y’umubiri (contrast medium), CT scan ikoresha uburyo bwo gupima imiterere y’umubiri bufite iyode , mu gihe MRI ikoresha uburyo bwo gupima imiterere y’umubiri bushingiye kuri gadolinium .

Rero, ni umuganga ugena uburyo bwo gupima bukwiriye kuri wewe.

Ni gute nakwitegura iki kizamini?

Ugomba gukurikiza amabwiriza ya muganga wawe ku munsi ubanziriza uwo wakoreweho isuzuma ry’umutima rya CT scan, ajyanye n’ibyo kurya n’ibyo kunywa, n’imiti yo kureka gufata.

Ku bijyanye n'ibiribwa n'ibinyobwa

• Ku munsi wo gupimwa, ntukarye ikintu icyo ari cyo cyose amasaha ane kugeza kuri atandatu mbere y'igihe cyagenwe. Urashobora kunywa amazi gusa.
• Ntukanywe ibinyobwa birimo kafeyine umunsi ubanziriza uwo wakoreweho ikizamini cyangwa ku munsi wacyo. Ibi bivuze ko utanywa ikawa, icyayi cyangwa ibinyobwa bitanga imbaraga.
• Ntugakoreshe ibinini bitanga imbaraga cyangwa ibinini byo kugabanya irari ry'umubiri umunsi ubanziriza uwo wakoreweho ikizamini cyangwa ku munsi wo gupimwa. Niba ufite ikibazo kuri ibi, baza muganga wawe.

Ibyerekeye imiti

• Niba uri umuntu wumva ufite ubwoba uri ahantu hato, baza muganga wawe umuti ushobora kugutuza mu gihe cyo gupimwa.
• Menyesha muganga wawe imiti yose ufata, ndetse n'indi miti idasaba muganga.
• Ntugafate Sildenafil (Viagra® cyangwa Revatio®) cyangwa indi miti isa nayo umunsi wabanjirije uwo uzakorerwaho ikizamini, kuko ishobora kugira ingaruka ku miti uzahabwa mu gihe cyo gukora ikizamini. Baza muganga wawe nawe ibi.
• Niba urwaye diyabete , baza muganga wawe uburyo bwo guhindura imiti yawe ku munsi wo kwipimisha. Niba ubona isukari iri hasi mu maraso yawe, bimenyeshe muganga wawe ako kanya.

Ni iki wakwitega ku munsi w'ikizamini?

Mbere yo gupima umutima wawe hakoreshejwe CT scan, muganga wawe azakenera kumenya ibi bintu:

• Uratwite?
• Ese ufite ubwivumbure kuri iyode cyangwa ifi y'isambaza , cyangwa indi miti?
• Ese ubu uri guhabwa ubuvuzi bushingiye ku mirasire ?
• Niba ufite imyaka irenga 60 , cyangwa warigeze kugira ibibazo by'impyiko mu gihe cyashize, ushobora gukenera gupimwa amaraso kugira ngo urebe imikorere y'impyiko zawe mbere yuko uhabwa icyuma gitandukanya impyiko n'izindi.

Kwitegura gupimwa CT scan

• Kuraho imitako yawe uyireke mu rugo.
• Ibidasanzwe uhabwa n'ibitaroUgomba kwambara ikanzu y'ibitaro.
• Wenda muganga ashobora kuguha umuti ugabanya umuvuduko w'umutima wawe .
• Iyo uhawe umuti utandukanya irangi (contrast), umuforomo azashyira umurongo wa IV mu mutsi mu kuboko kwawe. Uyu muti ni wo utuma imitsi y'amaraso n'umutima byawe bigaragara neza ku mashusho ya scan.
• Uzategekwa kuryama ku buriri bwihariye, kandi uburiri buzimurwa buhoro buhoro bujya mu mwenge uzunguruka uri hagati muri scanner ya CT.
• Muganga azasukura ibice bitatu by'igituza cyawe maze abishyireho uduce duto tw'amashanyarazi dufatana. Kugira ngo urebe neza ko aya ma-electrode afashe neza, ushobora gukenera gukata umusatsi umwe kuri icyo gice cy'igituza cyawe.
• Izi electrode zihujwe na monitor ya electrocardiogram (EKG) , ifata imikorere y'amashanyarazi y'umutima wawe mu gihe cy'ikizamini.
• Uzasabwa kuryama ku gitanda cyo gupima , amaboko yawe ari hejuru y'umutwe wawe kugeza igihe ikizamini kirangiye. Umutwe wawe n'amaguru yawe bizaba biri hanze yacyo.

Icy'ingenzi kurushaho: Ni ngombwa cyane kuguma uhagaze muri iki gihe no gukurikiza amabwiriza witonze. Icyo gihe ni bwo uzabasha kubona amashusho asobanutse neza.

Ni iki kibaho mu gihe cy'ikizamini?

Gupima umutima wose hakoreshejwe CT scan bishobora gufata hagati y'iminota 30 na 60 , harimo n'igihe cyo kwitegura. Ariko, CT scan ubwayo ifata igihe kirekire, hafi iminota 10 .

• Uzumva scanner ifite ishusho nk'iy'ifu iri kwimukira mu buriri uryamyeho.
• Iyo uhawe umuti ugabanya ubushyuhe, umuganga azawutera mu muyoboro wa IV. Ni ibisanzwe kumva ushyushye gato mu gihe uwo muti unyura mu mubiri wawe. Hari abantu bashobora kumva uburyohe bw'icyuma mu kanwa mu masegonda make.
• Kugira ngo ubone amashusho asobanutse neza, ni ngombwa cyane ko uguma uhagaze kandi ugakurikiza amabwiriza neza .
• Ushobora kuvugana n'itsinda ry'abaganga. Bashobora kandi kugusaba guhagarika umwuka wawe igihe gito cyane .

Bigenda bite nyuma y'ikizamini?

Nyuma yuko muganga amaze kwemeza ko afite amashusho yose akeneye, azakuraho umurongo wa IV. Hanyuma ushobora guhindura ugataha.

Nyuma yo gupimwa, ushobora gukora imirimo yawe isanzwe ukarya ukanywa. Ariko, niba wafashe umuti wo kugabanya ububabare, hakenewe umuntu uza kukujyana mu rugo.

Muganga wawe azakubwira ibyavuye mu bipimo kuri uwo munsi cyangwa mu minsi mike.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Gupima CT ni uburyo budatera ingaruka mbi . Ariko, hari abantu bashobora kugira ibibazo bito ku bijyanye n'amazi yo mu bwoko bwa contrast fluid cyangwa ibindi bintu byakoreshejwe mu isuzuma.

Ibara ry'ibara ritandukanye

• Ni gake cyane, hari abantu bashobora kugira ingaruka mbi ku mazi agabanya ubukana bw'umubiri (akunze kuba arimo iyode). Hari abantu bashobora kugira uburyaryate, isesemi, kwitsamura, cyangwa kurwara uduheri ku ruhu nyuma yo guterwa ayo mazi. Ibi bimenyetso akenshi birashira nta muti. Ariko, bishobora kugenzurwa hakoreshejwe imiti igabanya ubukana bw'umubiri, imiti igabanya ubukana bw'umubiri, imiti igabanya ubukana bw'umubiri, imiti igabanya ubukana bw'umubiri, imiti igabanya ubukana bw'umubiri, n'imiti igabanya ubukana bw'umubiri .
• Ni gake cyane, habaho ubwivumbure bukomeye (reaction anaphylactic) . Bishobora gutera kugorwa no guhumeka. Ibi bishobora gushyira ubuzima mu kaga, bityo hakenewe ubuvuzi bwihuse n'imiti kugira ngo hagenzurwe ibi bimenyetso.
• Niba urwaye diyabete cyangwa indwara y'impyiko , ushobora gusabwa kunywa ibinyobwa byinshi nyuma yo gupimwa kugira ngo bigufashe gukura iyode mu mubiri wawe.
• Kubera ko uburyo bwo gupima imiterere y'umubiri bukoreshwa mu gupima umutima bushobora kwinjira mu mashereka yawe, niba wonsa, ni byiza konsa amashereka mbere yo kuyapima. Hanyuma ushobora konsa umwana wawe ayo mashereka mu gihe cy'umunsi umwe cyangwa ibiri nyuma yo kuyapima.

Imirasire

Imashini zipima CT zikoresha imirasire ya X. Hari ibyago bike cyane byo kurwara kanseri bivuye kuri iyi mirasire uko igihe kigenda gihita. Ku bw'umutekano wawe, imirasire igabanuka cyane. Ariko, imirasire ya X ishobora kwangiza umwana uri mu nda, bityo iki kizamini nticyakwemerwa niba utwite . Nibiba ngombwa, muganga wawe azashyiraho gahunda yo kurinda umwana wawe.

Imiti igabanya umuvuduko w'umutima

Niba warahawe umuti wo kugabanya umuvuduko w'umutima wawe mu isuzuma, cyangwa niba ufite indwara nka asima, umutima unanirwa, cyangwa indwara idakira yo mu bihaha (COPD) , ushobora kugira ikibazo cyo guhumeka mu gihe cyo gupimwa. Ni ngombwa cyane kubibwira muganga wawe niba ufite imwe muri izi ndwara.

Ibisubizo ni ibihe? Bisobanura iki?

Hashobora kubaho ubwoko bubiri bw'ibisubizo nyuma yo gupimwa: ibisubizo bisanzwe n'ibisubizo bidasanzwe.

Ibisubizo bisanzwe

• Umutima wawe n'imitsi yawe bisa neza .
• Igipimo cya kalisiyumu yawe ni zeru (`0`). Ibyo bivuze ko udafite indwara y'imitsi itera umutima , kandi ufite ibyago bike byo kurwara indwara y'umutima.

Ibisubizo bidasanzwe

• Hari ibinure byinshi (plaque) n'ibinure bigabanuka (stenosis) mu mitsi y'umutima.
• Kugira amanota menshi ya kalisiyumu bivuze ko ufite indwara ya atherosclerosis y'imitsi y'umutima .
• Igipimo cya kalisiyumu kingana na 100 cyangwa munsi yacyo kigaragaza ibimenyetso byoroheje by'indwara y'imitsi ifungana.
• Iyo iri hejuru ya 400 , bigaragaza ibimenyetso byinshi by'indwara y'imitsi ifata imitsi.
• Iyo iri hagati ya 100 na 400 , hari imiterere iri hagati.
• Akenshi, urugero rwa kalisiyumu yawe rutangwa nk'amanota y'ijana , akwereka aho uhagaze ugereranije n'abandi bantu bo mu kigero cyawe, igitsina cyawe, n'ubwoko bwawe bakoze ikizamini.
• Imikorere y'umutima cyangwa imiyoboro y'amaraso ntabwo ikora neza .
• Indwara y'umutima - kwiyongera k'amazi mu gafuka gakikije umutima (`effusion`) no kubyimba kwa pericardium (`pericarditis`).
• Hari ikibyimba cyangwa ikibyimba .
• Hari ikibazo cy'umutima wavukanye .
• Umutsi w'amaraso waragutse (aneurysm) , ufite gucikamo ibice , cyangwa ukaba muto (stenosis/coarctation) .

Muganga wawe azagusobanurira neza ibi bisubizo.

Ni ryari ngomba guhamagara muganga?

Niba wumva ufite ikibazo cyo kuvura indwara ya contrast fluid cyangwa imiti wahawe mu gihe cy'ikizamini, cyangwa niba utarabona ibisubizo bya CT scan y'umutima nyuma y'iminsi mike, hamagara muganga wawe.

Ibintu by'ingenzi ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Ntugatinye gupimwa umutima cyangwa imashini ya CT. Iki ni ikizamini kidakoreshwa mu gutera indwara giha muganga wawe amakuru menshi y'ingirakamaro ku bibera mu mutima wawe n'imiterere yawo.

Kugira ngo ubone ibisubizo byiza, kurikiza amabwiriza ya muganga wawe yerekeye kurya no kunywa mbere yo kwipimisha. Nanone, menya neza ko uhagaze neza kandi ufashe umwuka wawe mu gihe cyo kwipimisha.

Iki kizamini gishobora kukubwira byinshi ku buzima bw'umutima wawe, bityo ntugatinye kugikora nibiba ngombwa. Vugana na muganga wawe ku bibazo cyangwa impungenge ushobora kuba ufite.

` Isuzuma rya CT y'umutima, umutima, imitsi y'umutima, isuzuma, indwara z'umutima, isuzuma rya CT, amashusho ya 3D