Reka twige kuri Cisternogram Scan: ikizamini cyihariye kireba amazi atembera mu bwonko!

Muraho! Uyu munsi tugiye kuvuga ku ikizamini kigoye gato mu izina, ariko kikaba ingenzi cyane ku bwonko bwacu no ku ruti rw'umugongo. Iki kitwa Cisternogram Scan. Ahari muganga yarabikubwiye, cyangwa wabyumvise ahantu runaka. Noneho, reka turebe mu magambo make icyo ari cyo, impamvu gikorwa, n'uko gikorwa? Ntugahangayike, nzabisobanura mu buryo ushobora gusobanukirwa.

Igikoresho cyo gupima ubushyuhe (cisternogram) ni iki?

Muri make, hari amazi yihariye ameze nk'amazi atemba mu mitwe yacu no mu ruti rw'umugongo. Aya mazi mu buvuzi azwi nka Cerebrospinal Fluid (CSF mu magambo ahinnye). Aya mazi ya CSF akora imirimo myinshi y'ingenzi ku mibiri yacu.

Tekereza kuri ubu buryo:

• Iyi 'CSF' ni nk'umuntu uzana ibyo kurya n'ibyo kunywa, ni ukuvuga intungamubiri, mu bwonko bwacu no mu ruti rw'umugongo.
• Iyi 'CSF' ifasha sisitemu yacu y'imitsi yo hagati (CNS) gukora neza.
• Mu buryo nk'ubwo, aya mazi anafasha mu gusukura no gukuraho ibintu bidakenewe n'uburozi mu ngingo z'ubwonko n'umugongo.
• Ikindi kintu cy'ingenzi ni uko, kimwe n'ibikoresho bigabanya impanuka mu modoka, bikora nk'umusego kandi bikinga ubwonko , bigabanya amahirwe yo kugira ikintu nk'indwara yo mu bwonko mu gihe ubwonko bwacu bwakubiswe ahantu runaka.

Rero, iki kizamini cyitwa cistenogram gikorwa kugira ngo harebwe neza niba amazi ya CSF atembera neza mu bwonko bwawe no mu ruti rw'umugongo, niba hari ahantu hafunganye, cyangwa niba hari ahantu hamenetse.

Ubu ni ubwoko bwa scan yitwa "Nuclear Medicine Imaging". Niyo mpamvu rimwe na rimwe yitwa "Radionuclide Cisternogram." Ikibaho muri ibi ni uko hari ibintu bike cyane bya radioactive byinjizwa mu mugongo wawe. Ntugahangayike, ntabwo bizakubabaza cyane, bikoreshwa gusa mu rugero rwiza . Ni ukubera ubu buryo muganga ashobora kubona neza inzira y'amazi ya "CSF" mu gihe cyo gupima.

Ni ryari iki gikoresho gikenewe gupimwa?

Noneho ushobora kuba urimo kwibaza uti "None se, ni ikihe kibazo umuntu ufite iyi ndwara yakorerwa na sitanetogaramu?" Ubusanzwe, iyo muganga akeka ko ubwonko bwawe cyangwa uruti rw'umugongo wawe birimo kuva amaraso ya CSF (CSF leak) (bivuze ko umuvuduko ku bwonko/urutirigongo rwawe wagabanutse), cyangwa ko aya mazi ya CSF yakusanyije cyane, bivuze ko yazibye (bivuze ko umuvuduko ku bwonko/urutirigongo rwawe wiyongereye), icyo gihe ni byiza ko iyi scan.

Reba niba nawe ufite ibi bimenyetso:

• Ese wumva urimo gutakaza uburimbane bwawe iyo ugenda n'amaguru?
• Ese ukunze kumva umeze nk'ufite isereri ?
• Mu buryo butangajeEse urwara umutwe? Ushobora kumva ububabare burushaho kwiyongera iyo uhagaze.
• Ese wumva ufite ikibazo cyo kutumva cyangwa wumva ikintu gisa n'aho giteye urusaku mu matwi yawe?
• Ufite isesemi no kuruka ?
• Ese wumva ububabare mu ijosi cyangwa gukomera?
• Ese ubasha kumva urumuri rwinshi cyangwa urusaku rwinshi?
• Ese wumva ufite ikibazo cyo gutekereza neza cyangwa kwibanda ku kintu runaka ? Ese kwibuka kwawe bisa nkaho kwangiritse gato?

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, muganga wawe ashobora kugufasha gusuzuma sitanetogaramu.

Ni gute nakwitegura? Ni iki nabwira muganga?

Akenshi, nta kintu na kimwe cyo kwitegura umunsi umwe mbere yo gupima indwara ya cistenogram. Ariko, hari igihe muganga wawe aguha amabwiriza yihariye yerekeye ibyo kurya n'ibyo kunywa mbere yo gupima indwara (urugero, kwiyiriza ubusa amasaha make). Ibi bigomba gukurikizwa neza.

Ariko icy'ingenzi ni ukugira umuntu ujyana mu rugo nyuma yo gupimwa . Kuko hari igihe ushobora kumva umerewe nabi nyuma yo gupimwa, nk'umutwe, bityo si byiza gutwara imodoka uri wenyine.

Ikindi kandi, ugomba kuvugana na muganga wawe kuri ibi bintu, nta kintu na kimwe uhisha :

• Ese wigeze ugira allergie iyo urwaye imiti igabanya ububabare, nko kugabanya ububabare mu gace runaka cyangwa kugabanya ububabare?
• Niba utwite cyangwa ushobora kuba utwite, ugomba kubimenyesha muganga wawe kuko iki kizamini gikoresha ibintu bifite imirasire.
• Bwira muganga wawe imiti yose ufata (atari iyo muganga wawe yagundikiye gusa, ahubwo unabwire imiti igabanya ububabare, vitamine, imiti y'ibimera, n'inyongeramusaruro uguze muri farumasi). Ni ngombwa cyane kubibwira muganga wawe niba ufata imiti igabanya amaraso nka aspirine cyangwa warfarin. Imiti imwe ishobora kongera ibyago byo kuva amaraso. Ibi nibibaho, muganga wawe ashobora kugusaba guhagarika kuyifata iminsi mike mbere yo gupimwa.

Iyi scan ya sitanetogaramu ikorwa ite? Reka tubirebe mu buryo burambuye.

Noneho reka turebe uko twakora iki kizamini. Ntugahangayike, ndagisobanura mu buryo bworoshye. Bikorwa mu ntambwe nke.

Intambwe ya mbere: Ni nko kunywa amazi make mu mugongo wawe - uko ni ko gupfunyika mu ruhu rw'umugongo bisobanura.

Ikintu cya mbere ugomba gukora ni 'Spinal Tap'. Tuyita kandi 'Lumbar Puncture'. Hari n'abantu bayita 'gufata amazi mu mugongo.' Ariko hano, ntibafata amazi, ahubwo batera gusa ayo mazi yihariye.

Ibi ni byo bibaho:

• Ubwa mbere, umugongo wawe wo hasi, aho urushinge ruzashyirwa, uzasukurwa neza hanyuma uterwa ikinyabutabire cyo mu gace kugira ngo ushire ibisebe . Ibi bizakurinda kumva ububabare ubwo aribwo bwose. Hari abantu bashobora no guhabwa umuti utuma baruhuka kandi ugabanye imihangayiko. Ni gake cyane, kandi ni mu bihe bidasanzwe, umuti utuma bashira ibisebe burundu.
• Hanyuma uzasabwa kuryama wubitse ku meza yo gupimisha, cyangwa kuryama uhetamye amavi yawe agana ku gituza, hafi nk'aho wihese . Ibi bituma habaho umwanya munini hagati y'umugongo wawe.
• Hanyuma, muganga ashyira urushinge ruto cyane kandi rufite umwobo mu mugongo wawe. Ibi biyoborwa binyuze mu mitsi yo mu bwonko, mu mwanya aho amazi ya CSF aherereye (witwa umwanya wa subarachnoid). Ibi bikorwa hakoreshejwe uburyo bwitwa fluoroscopy (uburyo bugufasha kubona amashusho ya X-ray). Bityo rero nta mpamvu yo guhangayikishwa n'uko urushinge rujya ahantu hatari ho.
• Ni muri urwo rushinge aho igice gito cy'ibintu byavuzwe haruguru bishyirwa mu mazi ya CSF yawe .
• Iyo uwo murimo urangiye, urushinge rurakurwaho witonze, hanyuma agasate gato gashyirwa muri ako gace.

Hanyuma ushake

Nyuma yo gutobora lumbar hanyuma uterwamo imirasire, ugomba kuyiha umwanya wo kunyura muri CSF ikagera mu bwonko. Bityo ugomba kuryama mu buriri mu gihe cy'isaha imwe kandi ukaruhuka uko bishoboka kose . Hari igihe ushobora kugirwa inama yo kudahindukiza umutwe wawe ku ruhande.

Hanyuma, ubusanzwe nyuma y'isaha imwe n'esheshatu , muganga azatangira gusuzuma uruti rw'umugongo n'umutwe wawe. Ibi bikoresha kamera yihariye (kamera ya Gamma) ishobora kumenya aho ibintu birimo imirasire biherereye. Aya mashusho ashobora kuba ari ayo muri `CT scan (Computed Tomography)` cyangwa `MRI (Magnetic Resonance Imaging`). Ibi nibyo bigaragaza neza amazi ya `CSF` anyuramo.

Nyuma yo gupimwa bwa mbere, ushobora gutaha. Ariko, ubusanzwe ugomba kugaruka mu bitaro nyuma y'amasaha 24 kugira ngo wongere gupimwa . Ibi biterwa nuko bifata umunsi umwe kugira ngo ibintu bikoresha imirasire bikwirakwire mu bwonko (ventricles na tanki). Hari abantu bashobora kongera gupimwa nyuma y'amasaha 48 cyangwa 72. Muganga wawe ni we uzagufata icyemezo. Ariko ntugahangayike, ntuzagomba gupimwa lumbar puncture mbere ya buri gupimwa . Bizakorwa gusa ku munsi wa mbere.

Ese birababaza iyo ubikoze?

Ikibazo gikomeye n'ubwoba abantu benshi bagira ni "Ese bizababaza?". Mu by'ukuri, iyo umuti ugabanya ububabare ushyizwe mu mugongo wawe , ushobora kumva umeze nk'aho uhiye gato, cyangwa nk'aho urimo kurumwa n'inyenzi, mu masegonda make . Nyuma y'ibyo, ahantu hazaba hameze nabi, bityo iyo urushinge rushyizwe mu gice cyo hasi cy'umugongo , uzumva urimo gukandagira gato, ariko nta bubabare buhari.Hari abantu bashobora kutabyumva na gato.

Nta bubabare na buke bubaho mu gihe cyo gupima. Ugomba kuryama gusa ku buriri bw'icyuma gipima.

Hari ingaruka mbi zibaho?

Nkuko bigenda ku isuzuma ryose rya muganga, hari ingaruka nke zishobora kubaho nyuma yo gupimwa na sitanetogaramu. Ariko, ntabwo ari mbi cyane. Ingaruka mbi zikunze kugaragara ni izi:

• Hashobora kubaho ububabare buto cyangwa ibisebe aho watewe urushinge (umugongo) mu minsi mike.
• Kuribwa umutwe . Cyane cyane iyo CSF ​​iva mu gace kakorewemo gutobora mu ruhu (ibi byitwa umutwe uterwa no gutobora mu ruhu cyangwa umutwe uterwa no kubabara mu ruti rw'umugongo), umuvuduko uri mu mutwe ushobora kugabanuka gato, bigatera umutwe ukabije. Ibi bikunze kugabanuka iyo uryamye kandi bikiyongera iyo uhagaze cyangwa uhagaze. Ntugahangayike, ibi ni iby'igihe gito . Bizashira byonyine mu masaha make cyangwa iminsi mike niba unyoye amazi menshi kandi ukaruhuka. Niba utabyihanganira, bwira muganga wawe, hari imiti yo kubikoresha.

Ni izihe ngaruka zishobora guterwa n'ibyo?

Ingorane zikomeye nyuma yo gupimwa mu buryo bwa “cistenogram” ntizikunze kubaho cyane, bivuze ko zidakunze kubaho cyane . Ariko, ni byiza kumenya n'ingaruka ntoya zishobora kubaho. Icyo gihe nta bwoba butari ngombwa buzabaho.

• Ubwivumbure (nk'ubushye, ibisebe) bishobora kubaho ku bintu birimo imirasire cyangwa imiti igabanya ububabare. Ariko kandi, ibi nabyo ni gake cyane.
• Ni gake cyane, indwara yitwa `Brainstem Herniation` (bivuze ko ingirabuzima fatizo z'ubwonko zisohoka bitewe n'umuvuduko uri mu mutwe) ishobora kubaho bitewe n'ikibazo cy'umuvuduko ku bwonko. Abaganga bahangayikishijwe n'iki kibazo.
• Kuva amaraso mu bwonko cyangwa mu ruti rw'umugongo biturutse aho urushinge rwashyizwe bishobora kubaho. Iki ni ikintu abantu bafata imiti igabanya amaraso bagomba kwitondera.
• Indwara ishobora kwinjira mu gace katewemo urushinge. Uburyo bwiza bwo kwirinda ibi ni ukugisukura neza.
• Ni gake cyane , imitsi ishobora kwangirika gato .

Iki kizamini gikoresha ibintu bifite imirasire, bityo uhura n'imirasire mike . Ariko ni dose nke cyane, kimwe n'iyo ufata X-ray nke zisanzwe . Ingaruka zo kwangirika igihe kirekire ni nke cyane. Niyo mpamvu abagore batwite bagirwa inama yo kutabikora.

Bifata igihe kingana iki kugira ngo ibisubizo biboneke? Bavuga iki?

Nyuma yo gupimwa bwa nyuma, umuganga w’inzobere (`Radiyoloji` cyangwa `Umuganga w’Imiti ya Nuclear`) azasuzuma amashusho witonze maze yandike raporo. Ibi bishobora gufata iminsi mike cyangwa icyumweru . Muganga wawe azakubwira igihe ugomba kuza kugira ngo ahabwe ibisubizo.

Noneho reka turebe icyo ibi bisubizo bivuga.

Niba igisubizo gisanzwe...

Tekereza ko ibisubizo bya "cisternogram" byawe byagarutse ari "Normal". Ayo ni amakuru meza cyane! Bivuze ko amazi ya "CSF" yawe atemba neza, ku muvuduko ukwiye, anyura mu bwonko bwawe no mu ruti rw'umugongo . Ibyo bivuze ko nta "CSF" ivamo, nta kuziba, kandi nta kuziba.

Ni iki gishobora kuba igisubizo kidasanzwe?

Noneho, niba ibisubizo bigarutse nk'"Ibidasanzwe," bifasha muganga wawe kumenya icyaguteye ibimenyetso. Ibisubizo bidasanzwe bishobora kugaragaza kimwe cyangwa byinshi muri ibi bikurikira:

• Gusohoka kwa CSF: Iyo scan igaragaje ibintu birimo imirasire biva muri sisitemu ya CSF, byitwa gusohoka kwa CSF. Ibi bikunze kubaho nyuma y'igikomere cyo mu bwonko (TBI), kuvunika umutwe, cyangwa kwangirika kw'inyuma y'umugongo (byitwa dura mater). Bishobora kandi kubaho gake cyane nyuma yo kubagwa ubwonko cyangwa ubundi buryo bwo kwa muganga, nko gupfuka uruhu rwo mu ruhu.
• Ibibazo bya shunt za CSF: Umuyoboro muto (shunt) ushyirwa mu bwonko kugira ngo amazi ya CSF ajye ahandi hantu mu rwego rwo kuvura hydrocephalus (amazi ari ku bwonko). Iyo shunt idakora neza, nko kuba yafunze cyangwa ifite ibindi bibazo, iyi scan ishobora no kubigaragaza.
• Hydrocephalus: Iki ni cyo gihe amazi yo mu bwonko (CSF) yiyongera mu mitsi yo mu bwonko, bigatuma yongera imbaraga zayo kandi igashyira igitutu ku bwonko. Twabyita gusa "hydrocephalus." Ibi bishobora kwemezwa no kureba imiterere y'amazi yo mu bwonko kuri sitanetogramu.
• `Normal-Pressure Hydrocephalus (NPH): Muri iki gihe, amazi ya `CSF` na yo yirundanya mu byobo by'ubwonko, ibyobo birushaho kuba binini, ariko umuvuduko uri mu bwonko ntuzamuka cyane nkuko byavuzwe. Nk'uko izina ribigaragaza, ni "Normal-Pressure". Iyi ndwara igaragara mu bantu bakuze. Ibimenyetso nko kugorwa no kugenda, kugorwa no kugenzura inkari, no kubura kwibuka bishobora kubaho.
• `Pseudotumor Cerebri`: Hari abantu babyita kandi `igisebe cy’ubwonko cy’ikinyoma`. Ni ukuvuga ko hari ukwiyongera k’umuvuduko mu bwonko udafite ikibyimba nyacyo, kandi nta mpamvu igaragara. Abaganga banabyita `Idiopathic Intracranial Hypertension`. Muri iki gihe, na none, cistenogram ishobora gutanga igitekerezo cy’umuvuduko wa `CSF`.

Bityo rero, muganga wawe azajyana ibi bisubizo, ibimenyetso byawe, n'izindi raporo z'ibizamini hamwe kugira ngo amenye uko indwara yawe imeze n'icyo igomba gukorwaho.

Ubutumwa bwo kujyana mu rugo

Sawa, reka dusubiremo ingingo z'ingenzi cyane mu byo twavuzeho:

• Gupima mu buryo bwa “cistenogram” ni ikizamini cyihariye kireba urujya n'uruza rw'amazi y'ingenzi yitwa ‘CSF’ (amazi yo mu bwonko) mu bwonko bwacu no mu ruti rw'umugongo, ndetse no kureba niba hari aho amazi ava cyangwa agafunga ahantu hose.
• Iyo muganga agusabye gukora ibi, bishobora kuba biterwa nuko bakeka ko CSF ​​yava cyangwa amazi yiyongera. Ushobora kuba ufite ibimenyetso bifitanye isano na byo.
• Iki kizamini kigamije gutobora urushinge mu ruti rw'umugongo (urushinge rwinjijwe mu mugongo) hanyuma hagakurikiraho gupima inshuro nyinshi mu gihe cy'umunsi umwe cyangwa myinshi.
• Nubwo bishobora kubaho ububabare buto n'ingaruka mbi, ingaruka zikomeye ni nke cyane.

Niba ufite ibindi bibazo, impungenge, cyangwa gushidikanya kuri iki kizamini, ntugire icyo utinya, ntutinye kubaza muganga wawe. Azagusobanurira byose kurushaho.

Niba ugiye gukorerwa ikizamini nk'iki, ndakwifurije gukira vuba!

Cisternogram , Cisternogram Scan, CSF, Amazi yo mu bwonko, Ibipimo by'ubwonko, uruti rw'umugongo, Imitsi yo mu bwonko