Umwijima wawe n'umuyoboro wawe bimeze bite? (Isuzuma ry'umwijima n'umuyoboro)

Muraho! Ushobora kuba warumvise ufite ubwoba gato kandi ufite ubwoba ubwo muganga yakubwiraga gukora scan yihariye kugira ngo urebe umwijima wawe n'agace kawe k'impinja, "Liver and Spleen Scan", sibyo? Cyangwa wenda wari ufite amatsiko menshi yo kumenya icyo ibi bivuga. Rero, ntugahangayike. Reka tubiganireho birambuye, mu buryo bworoshye, uyu munsi. Nzasobanura byose mu buryo ushobora gusobanukirwa.

Gupima umwijima n'imyakura ni iki?

Mu magambo make, iki ni ikizamini cyihariye cyo gusuzuma ubuvuzi bwa kirimbuzi . Kireba cyane cyane ingingo ebyiri zitwa umwijima wawe n'umusemburo. Izi ngingo zombi ziherereye mu gice cyo hejuru cy'inda yacu. Icy'ingenzi ni uko iyo hari ikibazo kuri kimwe muri izi ngingo, gishobora no kugira ingaruka ku zindi. Ni nk'inshuti ebyiri magara.

Muri iki kizamini, hashyirwamo ibintu bike bya radiation (tracer ya radiation) mu mubiri wawe. Hanyuma, hakoreshwa igikoresho cyihariye cyitwa kamera ya gamma kugira ngo harebwe uburyo ibintu byinjizwa n'umwijima n'umura wawe. Ibi bituma abaganga babona uburyo ingingo zawe ebyiri zikora neza kandi niba hari icyangiritse kuri zo. Ese si ikoranabuhanga ritangaje?

Kuki nakenera gukora scan nk'iyi?

Noneho ushobora kuba urimo kwibaza uti "Kuki nsabwa gukora ubu buryo bwo gupima?" Hari ubundi bwoko bwo gupima kugira ngo urebe umwijima n'umura. Ariko ikidasanzwe kuri ubu buryo (gupima umwijima n'umura) ni uko bushobora kubona uburyo uturemangingo two mu bice bitandukanye by'ingingo dukora n'uburyo twitabira neza .

Ibi bishobora kugufasha kubona ahantu hadasanzwe mu mwijima wawe cyangwa mu muhogo wawe, hitwa 'ibisebe', aho ingingo zahindutse kandi zidakora neza. Bishobora kandi gushaka ibintu nka fibrosis, kubyimba, impinduka mu gutembera kw'inkondo y'umura, n'impinduka mu gutembera kw'amaraso. Rero, ni ngombwa cyane gusuzuma ibyangiritse ku ngingo.

Iyi scan ikoreshwa iki?

Muganga wawe ashobora kukugira inama yo gukora ubu bushakashatsi kubera impamvu zitandukanye. Reka turebere hamwe ibyo ari byo:

• Reba uko indwara y'umwijima imaze igihe kirekire (`(indwara y'umwijima idakira)`) imeze.
• Mu gihe uvura indwara, reba niba ikiza cyangwa ikongera ukoreshwa.
• Iyo umwijima cyangwa urwagashya byangiritse, nko mu mpanuka, suzuma ingano y'ibyangiritse.
• Menya niba hari ibikomere cyangwa udusebe tudasanzwe (ibisebe) muri izi ngingo.
• Hari igihe tugira ububabare mu nda yo hejuru, ariko ntitubone impamvu. Muri ibyo bihe, ibi bizadufasha kubona impamvu.
• Reba niba hari ibibazo byose bigira ingaruka ku mwijima no ku muhogo.

Ni ubuhe bwoko bw'indwara bushobora kumenyekana hakoreshejwe iyi scan?

Ibisubizo by'iyi scan bishobora gutanga ibimenyetso ku ndwara zitandukanye. Dore ingero nke:

• Kubyimba umwijima, iyo ni yo ndwara twita "hepatitis".
• Inkovu z'umwijima, fibrosis, ndetse n'indwara ya cirrhose.
• Indwara y'umwijima w'ibinure ni ukwiyongera kw'ibinure mu mwijima.
• Ese umwijima waragutse gusa?
• Ese urwagashya rwariyongereye?
• Ese urwagashya rukora cyane, bivuze ko hari indwara yitwa "hypersplenism"?
• Ubwiyongere bw'umuvuduko w'amaraso mu mitsi y'umwijima, uzwi nka "Portal hypertension".
• Indwara yitwa "Budd-Chiari syndrome", aho imitsi yo mu mwijima ifunga cyangwa igafungana.
• Ese hari aneurysm y'imitsi yo mu bwoko bwa splenic (`(Aneurysm y'imitsi yo mu bwoko bwa splenic)`)?
• Ese hari agahu kacitse?
• Ese hari ingingo mu gasabo kapfuye (`(Splenic infarction)`)?
• Ese imikorere y'umwijima irangiritse (`(umwijima unaniwe)`)?
• Ikibyimba icyo ari cyo cyose cyangwa icyiyongera mu mwijima. Urugero, ikibyimba, ikibyimba kitari kibi, umwijima urwaye hemangioma, cyangwa umwijima urwaye cyst.
• Kanseri y'umwijima cyangwa urwagashya.
• Ese kanseri yaturutse ahandi mu mubiri yakwirakwiriye muri izi ngingo (kanseri ya metastasis)?
• Indwara z’uturemangingo nka Gaucher zifata izi ngingo.

Icy'ingenzi: Ntugatinye uru rutonde, sibyo? Iyi scan ntabwo ikorwa kugira ngo harebwe niba ufite izi ndwara zose. Ikorwa hashingiwe ku bimenyetso byawe n'ibyo muganga yikeka.

Uku gupima umwijima n'uduheri bikora gute? Byoroshye cyane!

Tekereza "umutasi" muto ushyizwe mu mubiri wawe. Uyu si umutasi nyawe. Umuti muto, umuti utuma imirasire ituruka ku mirasire ituruka ku mirasire, uterwa mu mitsi iri mu kuboko kwawe. Nubwo ari umurasire, nta cyo ugomba gutinya, ni umurasire muto cyane, ugenzurwa , kandi uva mu mubiri wawe nyuma y'igihe runaka.

Uyu muti unyura mu maraso yawe, ukinjira mu mwijima no mu gifu cyawe. Hanyuma, kamera ya gamma navuze mbere "isoma" imirasire ya gamma isohoka n'uyu muti. Ni ukuvuga ko imenya aho umuti uri n'ingano yawo.

Amashusho yafashwe na kamera ya gamma ahuzwa n'amashusho y'ibice bitatu (`3D`) by'ingingo zawe. Aya mashusho y'ibice bitatu afatwa hakoreshejwe uburyo bwitwa ``SPECT/CT scan``. ``(SPECT)`` bisobanura ``(single-photon emission computed tomography)`` na ``(CT)`` bivuga ``(computed tomography)``. Iyo ibi byose bihujwe, abaganga babona ishusho isobanutse neza y'umwijima wawe n'agasaya kawe.

Ni gute nakwitegura mbere yo gupimwa?

Ibi ntibisaba imyiteguro myinshi.

• Muganga azagusobanurira iki kizamini, hanyuma uzasabwa gusinya icyemezo cyawe.
• Uzagomba kwambara ikanzu yihariye yo kwa muganga.
• Uzakenera gukuraho imitako yose y'icyuma ufite ku mubiri wawe, nk'imikufi, imikufi, n'amaherena, kuko bishobora gufatwa n'icyuma gipima.
• Niba ufite impungenge cyangwa impungenge ku bijyanye n'ibi, ushobora gusaba muganga umuti wo kugabanya ububabare. Ibyo bizagufasha kuruhuka gato.

Iyi scan bifata igihe kingana iki?

Ikizamini cyose gisanzwe kimara isaha imwe .

Nyuma yo guterwa inshinge, utegereza iminota 15 kugeza kuri 30 kugira ngo umuti winjire mu mwijima no mu gifu. Icyo gihe ni bwo utangira gufata amafoto. Bishobora gufata iminota 15-20 gufata amafoto ukoresheje kamera ya gamma, n'indi minota 15-20 gufata amafoto ukoresheje scanner ya `(CT)`.

Ni iki kibaho mu gihe cyo gupima?

Noneho reka turebe neza uko bigenda iyo scan ikozwe.

1. Ubwa mbere, umuhanga mu ikoranabuhanga rya radiyo azatera umuti wihariye ukoresha imirasire (ubusanzwe witwa Tc-99m sulfur colloid) mu mitsi iri mu kuboko kwawe akoresheje urushinge ruto (unyuze muri IV). Uzumva ubabara gato iyo urushinge rushyizwemo, ibi bikaba ari ibisanzwe.

2. Hanyuma, ugomba gutegereza igihe (nk'iminota 15-30) kugira ngo umuti winjire mu mubiri wawe.

3. Hanyuma, uzategekwa kuryama ku buriri muri scanner. Scanner ifite ishusho nk'iy'udupira izashyirwa ku buryo ikwira neza ku nda yawe.

4. Kamera ibanza gusuzuma umubiri wawe wose ikoresheje imirasire ya gamma. Hanyuma izenguruka buhoro buhoro, igafata amashusho y’ibice bitatu (3D).

5. Umutekinisiye ashobora kugusaba guhindukira ugafata amafoto kugira ngo kamera igaragare neza. Icy'ingenzi ni uguhagarara ahantu hose. Ibi bizagufasha kubona amashusho asobanutse neza.

6. Iyo scan irangiye, imashini ya IV izakurwaho. Hanyuma ushobora guhaguruka ukambara imyenda yawe.

Ese hari ingaruka mbi zihari muri ibi?

Ingaruka zikomeye zo gupimwa ni nke cyane. Ariko, ni ngombwa kumenyesha muganga wawe ibi bikurikira:

• Niba utwite: Nubwo ingano y'imirasire ikoreshwa ari nto cyane, ishobora kugira ingaruka ku mwana uri mu nda.
• Niba uri umubyeyi wonsa: Imirasire ishobora kwinjira mu mata yawe. Bityo muganga wawe azakubwira guhagarika konsa mu gihe cy'iminsi mike.
• Niba ufite allergie ku bintu bitera imirasire (sulfur-colloid). Ibi ni gake cyane, ariko niba ubifite, ugomba kubitubwira mbere y'igihe.

Ese hari icyo nshobora kumva?

• Iyo ushyizemo agakoresho ka IV mu ntoki, wumva nk'aho hari urushinge ruto rurimo gushyirwamo.
• Nta kintu na kimwe uzumva mu gihe cyo gupima, ariko hari abantu bashobora kumva batameze neza iyo bagumye batuje igihe runaka.
• Ntuzumva ibintu birimo imirasire bishyirwa mu mubiri wawe. Ariko, kugira ngo bigufashe kuva mu mubiri wawe vuba, ugomba kunywa amazi menshi mu masaha 24 ari imbere nyuma yo gupimwa.

Ugaragaza ute ibisubizo? Ni ibihe "bibanza bishyushye" n' "ibibanza bikonje"?

Nyuma y’uko ikintu cya radiyo ('radionucleotide') kigeze mu mitsi yawe, kijya mu mwijima no mu muhogo wawe. Izi ngingo ebyiri zifata icyo kintu.

Ubu mu mafoto,

• Hari ahantu hamwe hagaragara neza kurusha ahandi. Aha hantu hitwa "hot spots." Ibyo bivuze ko icyo kintu cyaba cyarinjiye neza muri aho hantu.
• Hari ahantu hamwe hagaragara nk'umwijima . Aha hantu hitwa "ibice bikonje." Ibi bivuze ko ikintu kitaragera muri utwo duce neza.

Uyu muhanga mu ikoranabuhanga agereranya kandi ingano y’ibinyabutabire ibi binyabutabire byombi byinjije. Ubusanzwe, umwijima ni wo ugomba kwinjiza ibinyabutabire byinshi kurusha urwagashya.

Ariko, iyo umwijima winjije bike ugereranyije n’uko bikwiye kandi urwagashya rukajya rwinjiza byinshi, byitwa "colloid shift." Ibi bigaragaza ko imikorere y’umwijima yagabanutse.

Bigenda bite nyuma y'uko ibisubizo byanjye bibonetse?

Ibisubizo bya "Liver and Spleen Scan" byawe bimaze kugaragara, muganga azabireba maze afate umwanzuro ku bijyanye n'uko umeze.

• Ibi bisubizo bishobora gutanga igisubizo nyacyo . Niba ari uko bimeze, muganga azakubwira intambwe zikurikira mu kuvura.
• Hari igihe hashobora gukorwa ibindi bizamini kugira ngo byemezwe neza amakuru yavuye muri ubu bushakashatsi.

Ariko, muganga azagusobanurira byose.

Ni ubuhe bwoko bundi bwo gupima buhari kugira ngo harebwe ibibazo by'umwijima?

Uretse iyi `(Isuzuma ry'umwijima n'imyakura)`, hari ubundi bwoko bw'ibizamini byo gusuzuma imiterere y'umwijima n'imyakura. Ingero zimwe ni izi:

• Gupima umwijima (Liver CT scan) (`(Liver CT scan)`)
• Gupima CT y'umusemburo (`(Gupima CT y'umusemburo)`)
• Isuzuma rya ultrasound yo mu nda (`(ultrasound yo mu nda)`)
• Isuzuma ry'umwijima (rizwi kandi nka MRE cyangwa FibroScan® ultrasound).
• Isuzuma rya MRI y'umwijima/umugongo (`(MRI y'umwijima/umugongo)`)

Muganga wawe ni we uzaguhitiramo ikizamini kikubereye.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ubu buryo bwo gusuzuma umwijima n'udusimba ni igikoresho cy'agaciro gifasha abaganga kureba izi ngingo ebyiri zikorana mu buryo bushya no gusobanukirwa uko bikora. Ubu buryo bwo gusuzuma bushobora gufasha kumenya indwara zigira ingaruka ku ngingo zombi, gusuzuma ibyangiritse, kureba niba indwara irimo ikomeza cyangwa igenda buhoro, no gukurikirana iterambere ry'ubuvuzi.

Niba ufite ikibazo cyangwa impungenge kuri iki kizamini cyangwa ibisubizo,Ntutinye kuvugana na muganga wawe. Hanyuma ushobora gusobanura byose. Komeza ubuzima bwiza!

Umwijima , urwagashya, gupima, imiti ya nucleotique, gusuzuma indwara z'umwijima, inda