Ese imitsi yo mu ijosi ryawe irafunze? Reka twige byose kuri (Carotid Angiography)!

Ese wigeze wibaza akamaro k'amaraso ajya mu bwonko anyuze mu miyoboro y'amaraso iri mu ijosi ryacu? Hari igihe iyi miyoboro y'amaraso ishobora kuziba. Ni bwo tugiye kuvuga ku isuzuma ridasanzwe rikorwa kugira ngo harebwe neza ibirimo kuba mu miyoboro y'amaraso iri mu ijosi ryawe. Ibi byitwa carotid angiography . Ntugahangayike, tuzabivugaho mu buryo bworoshye kandi mu buryo ushobora gusobanukirwa.

None se, Carotid Angiography ni iki mu by'ukuri?

Mu magambo make, angiografiya ya carotide ni ikizamini kireba uburyo amaraso atembera mu mitsi minini y'amaraso iri ku mpande zombi z'ijosi ryawe cyitwa imitsi ya carotide . Iyi mitsi itwara amaraso mu mutima wacu ikayageza ku mutwe no mu bwonko. Tekereza ko ari yo mitsi y'ingenzi izana ubuzima mu bwonko bwacu.

Hari igihe, iyi miyoboro y'amaraso ifungana n'ibinure, nk'umwanda uri mu muyoboro w'amazi. Abaganga bayita indwara ya Carotid Artery Disease . Impamvu nyamukuru ibitera ni indwara yitwa Atherosclerosis . Muri bene ibyo bihe, iki kizamini cya angiography gikorwa kugira ngo harebwe neza ingano n'aho imiyoboro y'amaraso yazibye. Ibi bikorwa hakoreshejwe X-rays n'amazi yihariye yitwa Contrast Dye kugira ngo hafatwe amafoto y'imiyoboro y'amaraso. Hanyuma muganga ashobora kubona neza ibirimo kuba mu miyoboro y'amaraso.

Ni ryari angiografiya ya carotide ikorwa?

Hari ibihe byinshi aho muganga wawe cyangwa umuforomo ashobora kugusaba gukora iki kizamini:

• Niba akeka ko urwaye indwara y'imitsi ifata imiyoboro ya Carotid .
• Niba warigeze kugira ikibazo cya mini-stroke (cyangwa icyorezo cya Transient Ischemic Attack - TIA) . Iki ni cyo gihe amaraso ajya mu bwonko agabanuka by'agateganyo, bigatera ibimenyetso bisa n'iby'indwara ya stroke (urugero: intege nke zitunguranye ku ruhande rumwe rw'umubiri, kugorwa no kuvuga) hanyuma bigakira nyuma y'igihe gito.
• Niba warigeze kugira ikibazo cyo gucika imitsi .

Mu bihe nk'ibi, iki kizamini ni ingenzi cyane kugira ngo hamenyekane neza imiterere y'imitsi y'amaraso mu ijosi.

Ese hari ikindi kintu ugerageza mbere y'iki kizamini?

Yego, ubusanzwe iyo umuganga atekereje ko ufite ibimenyetso by'indwara y'imitsi ya carotid , abanza gukora ikizamini cyoroshye kandi kitababaza cyitwa carotid ultrasound . Ibi bishobora gutanga igitekerezo gifatika ku mitsi y'amaraso. Ariko, niba amashusho ya ultrasound adasobanutse neza, cyangwa niba umuganga ashaka kureba ibisobanuro birambuye, azagutegeka gupimwa carotid angiography.

Ni nde ukora ubu buryo bwo gupima indwara ya carotid?

Ibi birarangiye.Umuganga w’inzobere mu gukora amashusho y’ubuvuzi. Mu by’ukuri, ni umuganga w’inzobere mu by’imirasire . Ni we ukora akazi koroshye mu mutekano no mu buryo bunoze.

Angiografiya ya Carotid ikora ite? Biroroshye cyane!

Reka turebe uko iki kizamini gikorwa:

1. Ubwa mbere, muganga ashyira umuyoboro muto cyane kandi woroshye witwa "catheter" mu mitsi y'amaraso iri mu kibuno cyawe (cyangwa rimwe na rimwe ku kuboko kwawe). Ntuzumva ububabare bwinshi iyo ushyizwemo, kuko ahantu hazaba hari ibinya.

2. Hanyuma, amazi yihariye yitwa ``Contrast Irangi`` ashyirwa mu miyoboro y'amaraso binyuze muri uyu muyoboro ``(Catheter). Aya mazi ni yo atuma imiyoboro y'amaraso igaragara neza iyo irebewe kuri X-rays ``(X-rays).

3. Hanyuma, hafatwa amashusho ya X-ray. Aya mashusho akoreshwa mu gusuzuma niba imiyoboro y'amaraso yazibye cyangwa yagabanutse.

Hari igihe, aho gukoresha X-ray, hashobora gukoreshwa CT scan (nanone yitwa CT Carotid Angiography) cyangwa MRI (nanone yitwa Magnetic Resonance Angiogram - MRA) . Ibi ni ibya muganga wawe.

Witegura ute iki kizamini?

Hari ibintu bike uzasabwa gukora mbere y'iki kizamini, kandi ni ngombwa cyane ko ubishyira mu bikorwa neza.

• Ibiryo n'ibinyobwa: Muganga wawe azakubwira amasaha ugomba kwiyiriza ubusa mbere yo kwipimisha n'ibyo ugomba kurya cyangwa kutanywa. Ni ngombwa gukurikiza aya mabwiriza.
• Imiti: Ugomba kubwira muganga wawe imiti yose ufata (cyane cyane imiti igabanya amaraso nka aspirine ) n'inyongeramusaruro iyo ari yo yose ukoresha. Muganga wawe azakubwira niba ufata iyi miti cyangwa utafata mbere yo kuyipima.
• Ibintu by'agaciro: Siga ibintu byawe by'agaciro nk'imitako ya zahabu, impeta n'imikufi mu rugo.
• Niba ugiye kurara mu bitaro: Niba ugomba kurara mu bitaro ijoro ryose, zana ibintu uzakenera kugira ngo ugire ubuzima bwiza (urugero: ikanzu, inkweto zo mu gituza).
• Niba uri kubagwa hanze: Uzakenera gushaka umuntu uzagutwara mu modoka nyuma yo gupimwa, kuko bishobora kukugora gutwara imodoka nyuma yo gupimwa.

Ni iki wagombye kwitega mu gihe ugiye mu kizamini?

Iyo ugeze mu kizamini,

• Uzahabwa ikanzu yo kwambara mu bitaro.
• Niba ukoresha indorerwamo cyangwa utumashini dufasha kumva, baza muganga niba ushobora kwambara mu gihe cyo gupimwa.
• Ariko ama-lenses yo mu bwoko bwa contact lensesNtukayambare mu gihe cyo gupima.

Ni ubuhe bunararibonye ubona iyo ukoze ikizamini?

Ubusanzwe, angiografiya ya carotid bifata hagati y'iminota 60 na 90. Muri iki gihe, umuganga n'itsinda ry'abaganga baza:

• Umuyoboro muto witwa "catheter" ushyirwa mu mutsi uri mu kuboko kwawe, maze imiti n'amazi bikenewe bigatangwa mu mubiri wawe binyuze muri wo. Ibi byitwa "IV - Intravenous" .
• Hazatangwa umuti wo kugabanya ububabare kugira ngo ugire ituze kandi wumve usinziriye gato.
• Uduce duto tumeze nk'uduti (electrodes) dufatanye n'igituza cyawe, kandi imikorere y'amashanyarazi y'umutima wawe ikurikiranwa hakoreshejwe imashini ya ECG (Electrocardiogram) mu gihe cyose cy'ikizamini.
• Igituba (cyangwa ukuboko) kiba kidakomeye hakoreshejwe ikinya cyo mu gace k'umubiri . Icyo gihe ntuzumva ububabare ubwo katheteri ishyirwamo.
• Hanyuma, catheter ishyirwa mu muyoboro, hanyuma hagashyirwamo amazi yihariye yitwa "Contrast Irangi" kugira ngo imiyoboro y'amaraso igaragare.

Ese iyi angiography ya carotid irababaza?

Iki kizamini ubusanzwe ntabwo kibabaza. Ikintu cyonyine abantu benshi bumva ni ubushyuhe buto cyangwa kumva urimo gushyuha iyo hashyizwemo amazi yihariye (Contrast Irangi) mu mubiri. Ariko ibi bishira mu masegonda make.

Ariko, niba wumva ikintu nk'iki mu gihe cyo gupimwa , ugomba guhita ubibwira muganga cyangwa umuforomo:

• Kubabara mu gituza cyangwa kubabara mu mutima.
• Uruhu ruryana.
• Numva meze nk'aho ngiye kugira isesemi.
• Ibimenyetso by'ubwivumbure bukomeye (urugero, kumva umuhogo ufunganye, guhumeka bigoranye) - ibi byitwa anaphylaxis .
• Uguhinduka cyangwa impinduka iyo ari yo yose mu kureba.

Witinya, itsinda ry’abaganga riri kukwitegereza, bityo nibibaho ikintu nk’icyo, bazakivura vuba.

Bigenda bite iyo ikizamini kirangiye?

Iyo ikizamini kirangiye,

• Muganga akuramo witonze catheters zose zashyizwemo.
• Hashyirwaho igitutu hanyuma hagashyirwaho igitambaro kugira ngo amaraso ahagarike kuva aho umuyoboro washyizwe.
• Igipimo cy'umutima wawe n'umuvuduko w'amaraso biragenzurwa.
• Uzajyanwa mu cyumba cyihariye kugira ngo uruhuke amasaha make. Muri iki gihe, uzakenera kumara igihe mu buriri.

Nyuma yo gupimwa, muganga wawe azakugira inama yo kunywa amazi menshi n'ibindi binyobwa kugira ngo irangi ritandukanye rive mu mubiri wawe vuba. Ushobora kandi gukenera kunyara cyane kuruta uko bisanzwe. Kurikiza amabwiriza ya muganga wawe witonze ku bijyanye n'uburyo n'igihe cyo kubyuka no gutangira kugendagenda.

Ibisubizo bya angiografiya ya carotid bigaragaza iki?

Muganga wawe ashobora kumenya amakuru menshi y'ingenzi mu bisubizo by'iki kizamini.

• Ese hari imitsi ya carotid ifunganye cyangwa igafungana mu ijosi ryawe?
• Niba ufite ikibazo nk'iki, bishobora kugufasha gusuzuma ibyago byo kurwara indwara yo mu bwonko .
• Hashingiwe kuri ibi bisubizo, abaganga bazagena ubwoko bw'ubuvuzi ukeneye mu gihe kiri imbere, cyangwa impinduka mu mibereho yawe .

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Amashusho yafashwe mu gihe cyo gupimwa asuzumwa n'inzobere mu by'imirasire . Akoresha ayo mashusho kugira ngo amenye indwara iyo ari yo kandi ategura raporo kuri yo. Hanyuma raporo yoherezwa kwa muganga ukuvura. Iyo muganga wawe abonye raporo, azaguhamagara akagusobanurira ibyavuye mu bushakashatsi n'icyo wakora nyuma yaho.

Ni ryari nkwiye guhamagara muganga nyuma yo gupimwa?

Umaze gutaha uvuye kwipimisha, hamagara muganga wawe ako kanya niba uhuye n'ibi bikurikira:

• Niba ubonye ibimenyetso by'uko ufite ubwivumbure bw'uruhu bitewe n'irangi ritandukanye (urugero: gutukura k'uruhu, kubyimba, uburyaryate, no kugorwa no guhumeka).
• Niba utameze neza , niba ufite umuriro.
• Niba ahantu hinjijwemo umuyoboro habyimbye, hatukura, cyangwa hababaza, cyangwa se hakava amaraso menshi aturutse aho.

Ibintu nk'ibi ntibikunze kubaho, ariko iyo bibaye, ni byiza kubimenyesha muganga vuba bishoboka.

Ni gute abaganga bavura indwara y'imitsi ya Carotid?

Niba angiografiya ya carotid isanze imitsi y'amaraso yo mu ijosi ryawe yazibye cyangwa yagabanutse, muganga wawe ashobora kukugira inama yo kuvura ibi bikurikira:

• Gucibwa kwa Carotid Endarterectomy: Ubu ni uburyo bwo kubaga bufungura imitsi y'amaraso yazibye kandi bukavanamo ibinure imbere.
• Gushyiramo icyuma gifunga amaraso mu mitsi ya Carotid: Ibi bikubiyemo gushyira agakoresho gato kameze nk'umuyoboro w'amaraso (Stent) mu mitsi ifunga amaraso kugira ngo umutsi wongere kwaguka. Ibi bikorwa kandi hakoreshejwe catheter, nk'uko angiography ibikora.
• Imiti: Imiti nk'imiti igabanya amaraso n'imiti igabanya cholesterol ishobora kwandikirwa.

Byongeye kandi, muganga akugira inama yo guhindura imibereho yawe, nko kureka kunywa itabi, kurya indyo yuzuye no gukora siporo.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ndizera ko ubu ufite igitekerezo cyiza ku ikizamini cyitwa Carotid Angiography twavuzeho uyu munsi.

Ibi bikorwa kugira ngo hamenyekane niba hari imiyoboro y'amaraso ikomeye iri mu ijosi ryawe yazibye cyangwa yagabanutse.Ni ukubera kuziba nk'uku ari byo bishobora gutera indwara zikomeye nka stroke.

Ntutinye gutekereza kuri iki kizamini. Kirakorwa kugira ngo kigufashe, usobanukirwe neza uko ubuzima bwawe buhagaze, kandi utangire kuvurwa vuba bishoboka bibaye ngombwa. Niba ufite ibindi bibazo kuri ibi, ntutinye kubaza muganga wawe. Azagusobanurira byose mu buryo burambuye. Komeza ugire ubuzima bwiza!

Angiografiya ya Carotide , Angiografiya ya Carotide, Imiyoboro y'amaraso yo mu ijosi, Stroke, Kuziba kw'imiyoboro y'amaraso, X-ray, Irangi ritandukanye, Indwara y'imitsi ya Carotide