Isuzuma rya CT Angiogram kugira ngo umenye neza ibijyanye n'imitsi yawe y'amaraso! Ese twavuga kuri ibi?

Hari igihe abaganga bacu baba bakeneye gusuzuma neza imiyoboro y'amaraso iri mu mibiri yacu. Mu by'ukuri, kureba niba hari ikibazo kiri mu miyoboro y'amaraso, niba hari ahantu hafunganye, niba hari akantu gato kameze nk'agapira. Ni bwo iki kizamini cyihariye cyitwa CT Angiogram kidufasha. Reka turebe icyo ari cyo, uko bikorwa, n'impamvu bikenewe?

Igipimo cya CT Angiogram ni iki?

Mu magambo make, CT angiogram ni ikizamini gifata amashusho arambuye y’imitsi yawe y’amaraso n’ingingo ziyikikije. Ni nk’ifoto, ariko isobanutse neza kurushaho. Iki kizamini gikunze gukorwa kugira ngo harebwe niba hari imitsi ifunganye cyangwa ifunganye mu mitsi itanga amaraso mu mutima wawe, yitwa imitsi y’umutima, cyangwa icyo abaganga bita indwara y’imitsi y’umutima . Kubera iyo mpamvu, rimwe na rimwe cyitwa coronary CT angiogram, cyangwa CCTA.

Ni izihe ndwara zindi CT angiogram ikoreshwa mu gusuzuma?

Iyi angiogramu ya CT ikoreshwa mu gupima ibintu byinshi, atari imitsi y'amaraso y'umutima gusa. Tekereza kuri ibi bibazo:

• Aneurysm: Ibi bibaho iyo umuyoboro w'amaraso, urugero nk'umuyoboro w'amaraso cyangwa umuyoboro w'amaraso mu bwonko bwawe, ubyimbye mu buryo budasanzwe, nk'umupira w'amapine.
• Gucika kw'imitsi yo mu bwonko: Ibi bibaho iyo hari igisebe mu gice cy'imbere cy'urukuta rw'imitsi yo mu bwonko.
• Kumererwa nabi kw'imitsi yo mu mitsi: Iyi ni indwara aho imitsi n'imitsi bihurira, cyane cyane ahantu nk'ubwonko.
• Indwara y'imitsi ifata imitsi ya Carotid: Kuziba kw'imitsi guterwa n'ibinure (plaque) mu mitsi ijyana amaraso mu bwonko.
• Indwara y'imitsi yo mu mpande: Indwara aho plaque yiyongera mu mitsi yo mu maguru cyangwa mu maboko.
• Kuziba kw'amaraso mu bihaha: Kuziba kw'amaraso mu bihaha.
• Gucika kw'imitsi y'umutima mu buryo bwikora (SCAD): Gucika cyangwa gutandukana mu buryo butunguranye mu rukuta rw'imitsi y'umutima mu mutima.
• Gukomereka mu buryo bw'ihungabana: Iyo ikintu gityaye kigukubise mu gituza, mu ijosi, cyangwa mu mutwe, bigatera kwangirika kw'imitsi y'amaraso.

Si ibyo gusa, ahubwo rimwe na rimwe muganga wawe akoresha angiogram ya CT kugira ngo ateganye mbere y’igihe kubagwa cyangwa ubundi buryo bwo kuvura. Urugero, bishobora kugufasha kureba imitsi yawe y’umutima mbere yo gusimbuza utwuma tw’umutima, kubaga umutima, cyangwa gushyiramo stent.

"Mu buryo bwa tekiniki, CT angiogram ni ishusho ikomoka kuri iki kizamini. CT angiography ni bwo buryo bukoreshwa mu gufata aya mashusho. Ariko nkuko tubivuga, yombi akoreshwa mu kizamini ugiye gukora. Hari n'abayita CTA mu magambo ahinnye."

Igipimo cya CT angiography gikora gite?

Ese wari uzi ko na CT scan isanzwe ishobora gufata amashusho arambuye, y’ibice bitatu (3D) by’imbere mu mubiri wacu? Ibyo biterwa nuko scanner ifata amagana y’ibice bibiri (2D), byuzuyemo ibice bibiri. Noneho mudasobwa irahuza aya mashusho yose kugira ngo ikore amashusho meza ya 3D. Ariko, itandukaniro rikomeye riri hagati ya CT scan na CT angiography ni ikoreshwa ry’irangi ritandukanye .

Ubu buryo bwo gupima amaraso hakoreshejwe CT scan, hamwe n'ibikoresho bitanga urumuri, bituma imiyoboro y'amaraso yawe isa nkaho 'yamuritswe'. Muganga ashobora kuzunguruka iyi shusho ya 3D mu mpande zose. Ni nko gufata agakoresho gato k'imiyoboro y'amaraso mu ntoki ze. Ibi bimufasha kubona buri gice cy'imiyoboro y'amaraso mu mpande zitandukanye, kugaragaza ikibazo icyo ari cyo cyose, no gutegura uburyo bwo kuvura.

Igipimo cya CT angiography ntabwo cyinjira cyane mu mubiri kandi gifite ingaruka nke ugereranyije na angiography isanzwe. Muri angiogram isanzwe, umuyoboro muto witwa catheter winjizwa mu mitsi yawe y'amaraso ukayoborwa aho upimirwa. Igipimo cya CT angiogram ntigisaba catheter. Ariko, bitewe n'imyaka yawe n'izindi ndwara, ushobora kuba utari umukandida mwiza wa CT angiogram. Muri icyo gihe, ushobora gukenera gukora uburyo bwa angiography busanzwe bukoreshwa cyane twavuze mbere.

Wakwitegura ute mbere y'iki kizamini?

Umuganga wakugiriye inama yo kwipimisha CT angiogram azakubwira uko wakwitegura. Ubusanzwe, uzakenera kubwira umuganga ibi bikurikira:

• Ku bijyanye n'imiti yose urimo gufata ubu.
• Amateka yawe yose y’ubuvuzi, harimo indwara z’umutima, ibibazo by’impyiko, na aleriji.
• Ese wigeze ugira ubwivumbure bw'umubiri bitewe n'irangi ritandukanye ryakoreshejwe mu isuzuma mbere?
• Waba utwite cyangwa umubyeyi wonsa .

Muganga azaguha amabwiriza amwe n'amwe yo gukurikiza. Aya mabwiriza ashobora kuba arimo ibintu nk'ibi:

• Ni amasaha angahe ngomba kwiyiriza ubusa kugira ngo menyeshe ko ntarya cyangwa ngo nnywe ikintu icyo ari cyo cyose?
• Ese ugomba guhagarika gufata imiti usanzwe ufata mbere yo kwipimisha?

Iyo uje kwipimisha, uzahabwa ikanzu yo kwambara mu bitaro. Uzakenera kandi gukuramo imitako yose ya zahabu cyangwa ifeza wambaye, kuko ishobora kubangamira ikizamini.

Ni iki wakwitega mu gihe cyo gupimwa CT angiogram?

Ubusanzwe isuzuma rya CT angiography ryihuse kandi ntiribabaza . Ariko, catheter ya IV, umuyoboro muto, ishyirwa mu mutsi uri mu kuboko kwawe. Uzaba uri maso kandi ntufite ikinya. Uzaryama ku meza yo gupimisha. Iyi meza ni impeta nini izengurutse, nk'agapfunyika, izenguruka imbere. Ntabwo ufungiranye rwose, nk'uko byagenda mu gihe cyo gupima MRI.

Ugomba gutuza cyane mu gihe cy'ikizamini kugira ngo scanner ibashe kubona amashusho meza. Umuntu wize cyane witwa Radiologic Technologist ni we uzagukorera ikizamini. Azagusobanurira buri ntambwe kandi akubwire icyo gukora (urugero, igihe ugomba gufunga umwuka). Dore ibisanzwe bibaho:

• Uzategekwa kuryama ku meza y'ibizamini.
• Bizagufasha kuguma umerewe neza. Ushobora gukoresha imifariso cyangwa imishumi kugira ngo ugumane ahantu hamwe.
• Uzoshyiramo irangi rya IV mu mitsi yawe kugira ngo riguhe irangi ritandukanye. Iri risanzwe riba riri mu kuboko kwawe cyangwa mu nda yawe. Irangi rya IV riguma aho riri kugeza igihe amashusho azafatirwa. Ushobora kumva ubushyuhe buto uko irangi ryinjira. Ibi ni ibisanzwe, ntugire ikibazo.
• Niba ikizamini ari ukureba imitsi yawe y'umutima, muganga azashyiraho uduce duto (EKG leads) mu gituza cyawe. Ibi bituma muganga afata amafoto akurikije igihe umutima wawe utera.
• Igihe byose bizaba byarangiye, umutekinisiye azajya mu cyumba cyihariye. Azashobora kukubona no kukuvugisha akoresheje sisitemu ya intercom.
• Imbonerahamwe y'ibizamini iragenda igaruka imbere mu ruziga rumeze nk'udupira tw'icyuma gipima. Icyo cyuma gipima gifata amafoto amagana muri iki gihe. Ushobora kumva ijwi ritungura cyangwa ijwi ritungura.
• Umuhanga mu ikoranabuhanga azakubwira igihe cyo gufata umwuka wawe n'igihe cyo kuguma uhagaze. Ndetse no kugenda gato bishobora kugira ingaruka ku ireme ry'amashusho.
• Nyuma yo gufata amafoto ahagije, agapira ka IV karakurwaho hanyuma agatambaro gato gashyirwa hejuru y'aho hantu. Uzafashwa kandi kubyuka ku meza. Hanyuma ikizamini kirarangiye.

Uzaba uri mu cyumba cyo gusuzumisha iminota 20 kugeza kuri 60, harimo n'igihe cyo kwitegura. Uzaba uri muri scanner umunota umwe cyangwa ibiri gusa. Bizarangira vuba cyane. Ariko, muganga ashobora kuba agomba gusuzumisha scanner inshuro zirenze imwe kugira ngo abone amafoto yose akeneye.

Ese hari ingaruka mbi ku gupima indwara ya CT angiogram?

Bitewe n'ibyo ukeneye n'ibibazo byawe, hashobora kubaho ingaruka mbi kuri CT angiography. Muri zo harimo:

• Gukoresha irangi ritandukanya ibara: Iki si ikibazo ku bantu benshi. Ariko, hari igihe ushobora kugira ubwivumbure kuri iri rangi. Niba warigeze kurikoresha mbere, muganga wawe ashobora kuguha umuti wo kunywa mbere yo gupimwa cyangwa akakugira inama yo gukoresha ikindi gipimo.
• Imirasire y'urumuri iterwa n'umuvuduko muto:Ingano y'imirasire ubona mu ikizamini kimwe ni nto cyane. Ariko, kubaho ubuzima bwose uhura n'imirasire bishobora kongera gato ibyago byo kurwara kanseri. Muganga wawe azabisuzuma byose. Muri rusange, izi ngaruka ni nto ugereranyije n'inyungu za CTA.

Ni iki kibaho nyuma yo gupimwa CT angiogram?

Iyo ikizamini cyawe kirangiye, ushobora gusubira mu mirimo yawe isanzwe. Ariko ugomba kunywa amazi menshi n'ibindi binyobwa . Ibi bizafasha irangi ritandukanye kuva mu mubiri wawe vuba.

Ni izihe ngaruka za CTA?

Igipimo cya CT angiography gitanga amashusho arambuye y’imitsi yawe y’amaraso n’uturemangingo tuyikikije, harimo n’imiyoboro y’amaraso. Aya mashusho ashobora kugaragaza ibibazo byinshi mu mitsi yawe y’amaraso, nko kwirema kw’ibinure n’imitsi idafite amaraso. Umuganga w’imitsi areba aya mashusho akayasesengura. Abwira muganga wagusabye ikizamini. Hanyuma muganga azaganira nawe akagusobanurira ibisubizo.

Ushobora gukenera kongera kubonana na muganga wawe (gukurikiraho). Ushobora kandi gukenera gukorerwa ibizamini byinshi. Muganga wawe azakubwira icyo ugomba gukora nyuma. Ntutinye kubaza ibibazo ku bisubizo n'uko bigira ingaruka kuri wewe.

Ni ryari ngomba guhamagara muganga?

Vugana na muganga wawe mu gihe nk'iki:

• Niba ufite ikibazo icyo ari cyo cyose mu gihe witegura CT angiogram yawe.
• Niba ufite ibibazo ku bisubizo by'ibizamini .
• Niba ushaka kuvuga ku ndwara yawe cyangwa uburyo bwo kuyivura .

Uko umuntu yakubwira kose ko ikizamini ari cyihuse kandi nta bubabare, ni ibisanzwe kumva ufite ubwoba gato. Nta kibazo. Ni ibisanzwe kumva ufite ubwoba mbere yo gukora ikizamini icyo ari cyo cyose. Ariko ugomba kwibuka ko CT angiogram ihari kugira ngo igufashe. Ituma umuganga abona ibirimo kuba mu mitsi yawe y'amaraso. Ukoresheje ibyo bisubizo, wowe na muganga mushobora gutegura uburyo bwo kuvura ukeneye ku buzima bwawe.

Ibintu by'ingenzi tugomba kwibuka

Yego, twavuze byinshi kuri CT Angiogram. Nta mpamvu yo gutinya. Iki ni ikizamini cy'ingenzi cyane gikoreshwa mu gusuzuma neza imitsi y'amaraso iri mu mubiri wawe, cyane cyane ahantu nko mu mutima wawe, mu bwonko, no mu maguru. Niba muganga wawe agusabye gukora iki kizamini, bivuze ko ashaka kumenya byinshi ku buzima bwawe. Rero, kurikiza amabwiriza witonze, kandi niba ufite ikibazo, menya neza ko wabaza muganga cyangwa umuhanga mu ikoranabuhanga uri gukora icyo kizamini. Ubufatanye bwanyu ni ingenzi cyane kugira ngo iki kizamini kigire icyo gigeraho.

"Angiogramu ya CT, CT scan, isuzuma ry'imitsi y'amaraso, indwara z'umutima, gusuzuma, irangi ritandukanye, imirasire