Reka twige ku ikizamini cya Wada gikorwa mbere yo kubagwa ubwonko.

Birashoboka ko muganga yagutegetse ko ugomba gupimwa WADA mbere yo kubagwa ubwonko. Ibyo bishobora kumvikana nk'ibiteye ubwoba gato, sibyo? Ariko mu by'ukuri iki ni ikizamini cy'ingenzi cyane ku mutekano wawe. None rero uyu munsi, reka tuganire kuri iki kizamini cya WADA mu buryo bworoshye ushobora gusobanukirwa.

Iki kizamini cya Wada ni iki?

Mu magambo make, ikizamini cya Vodka ni ikizamini cyihariye muganga wawe akora, cyane cyane mbere yo kubagwa igicuri cyangwa ikibyimba cyo mu bwonko. Kibafasha gusubiza ibibazo bibiri by'ingenzi:

1. Ni uruhe ruhande rw'ubwonko rugenzura ubushobozi bwawe bwo kuvuga? (Ni ukuvuga uruhande rw'ibumoso cyangwa uruhande rw'iburyo.)

2. Ni mu buhe buryo buri ruhande rw'ubwonko rufite akamaro mu kwibuka kwawe?

Aya makuru ni ingenzi cyane ku muganga ukuvura ubwonko, umuganga w’indwara z’imitsi, kuko abafasha gusuzuma mbere y’igihe ingaruka imvugo yawe cyangwa kwibuka bishobora kugira nyuma yo kubagwa.

Iki kizamini cyakozwe bwa mbere mu 1949 na Dr. Juhn Wada. Niyo mpamvu cyitwa ikizamini cya Wada. Hari igihe andi mazina akoreshwa kuri cyo, kandi muganga wawe ashobora kucyita:

• Ikizamini cya Intracarotide amobarbital
• Ikizamini cya sodium amytal
• Inyigo ya Amytal

Mbere yo kubagwa igicuri, abaganga bashobora gukoresha ubundi bwoko bw'ibizamini, urugero:

• Isuzuma ry'imikorere rya "magnetic resonance imaging scan" (fMRI)
• Gukangura imbaraga za magnetic mu mutwe (`Gukangura imbaraga za magnetic mu mutwe`)
• Gupima indwara zo mu mutwe

Ni uruhande uruhe rw'ubwonko rugenzura ururimi?

Ku bantu benshi, ni ukuvuga ko abenshi muri twe abantu bakoresha ukuboko kw'iburyo, ururimi n'ubushobozi bwo kuvuga bigengwa n'uruhande rw'ibumoso rw'ubwonko. Ariko, si ko bimeze kuri buri wese. Ibi rimwe na rimwe bishobora gutandukana, cyane cyane ku bantu bakoresha ukuboko kw'ibumoso. Niyo mpamvu ari ngombwa gukora ikizamini cya Voda no kumenya neza.

Ni gute kwibuka bigenzurwa?

Impande zombi z'ubwonko zishobora kugenzura kwibuka. Ubusanzwe, abantu bayobora ubwonko bw'ibumoso mu rurimi bagira uruhande rwabo rw'ibumoso rukenewe cyane mu kwibuka amagambo, naho uruhande rwabo rw'iburyo rukagira akamaro cyane mu kwibuka ibintu bifatika, aribyo kwibuka ibintu nk'amashusho. Ikizamini cya Vodka gishobora gufasha muganga wawe kumenya uruhande rw'ubwonko rushoboye kwibuka neza.

Ni nde ushobora gukora iki kizamini?

Ikizamini cya Voda gishobora gukorwa ku bantu bakuru ndetse no ku bana. Ariko, niba ari umwana, agomba kuba akuze bihagije kugira ngo yinjire muri iki kizamini, ashobora kuvuga no kumva ibintu. Tekereza, umwana muto ntabwo yumva amagambo agaragara muri iki kizamini. Kubwibyo, ibi bikunze gukorwa ku bana bakuru gato kandi bafite imyaka yo gusobanukirwa.

Ni nde ukora ikizamini cya Voda? (Itsinda ry'inzobere)

Iki si ikintu umuntu umwe akora. Ikizamini cya Voda gikorwa n'itsinda ry'abaganga b'inzobere. Abo ni:

• Umuganga w’indwara z’igicuri: Uyu ni umuganga w’indwara z’imitsi wihariye mu kuvura igicuri.
• Inzobere mu by’imitsi n’amatwi: Uyu ni umuganga w’inzobere mu gupima hakoreshejwe catheter. Azashyira catheter mu mitsi yawe ya carotid kugira ngo aguhe ikinya mu bwonko bwawe mu gihe cyo gupima VODA.
• Inzobere mu by'imitekerereze y'abantu: Umuntu w'inzobere mu kugena uburyo ubwonko bugira ingaruka ku myitwarire yawe n'ubushobozi bwawe bwo gutekereza.

Witegura ute ikizamini cya Voda?

Muganga wawe ashobora kukubwira guhagarika gufata imiti imwe n'imwe mu byumweru bibiri mbere yo gupimwa. Urugero, aspirine, imiti igabanya ubukana idakoresha steroide (NSAIDs), n'imiti igabanya amaraso . Ariko, ugomba gukomeza gufata indi miti iyo ari yo yose muganga yakwandikiye igihe cyose akubwira. Ni ngombwa cyane kubibwira muganga wawe mbere y'igihe niba ufite ubwivumbure ku miti iyo ari yo yose.

Ni iki kibaho mbere y'ikizamini cya Voda?

Mbere yo gupimwa, uzasabwa kwambara ikanzu yo kwa muganga. Hanyuma, umusatsi uzakurwa mu kwaha kwawe, kuko ariho hazashyirwa umutsi w'amaraso. Mu cyumba cyo gupimwa, hazashyirwa electrode ku mutwe wawe kugira ngo bigutegurire electroencephalogram (EEG). Iyi EEG ipima imikorere y'ubwonko bwawe mu gihe cyo gupimwa.

Hanyuma, muganga azatera ibisebe ku ruhu rwawe mu gice cy'imitsi. Iyo igice cy'imitsi kigize ibisebe, azashyira urushinge mu mitsi y'amaraso iri mu kuguru kwawe. Hanyuma, azashyiramo umuyoboro muremure kandi muto witwa catheter muri uwo mutsi w'amaraso. Catheter izashyirwa ku mutsi munini w'amaraso uri mu ijosi ryawe witwa carotid artery. Mu gihe ibi birimo kuba, ushobora kumva uburyohe bw'icyuma mu kanwa kawe n'ishusho ishyushye. Bishobora kumva nk'aho bibabaza gato, ariko ntibikwiye kuba bibabaza.

Mbere yo gupimwa na Voda, uzakorerwa angiogram. Angiogram igenzura uko amaraso atembera mu bwonko bwawe kugira ngo urebe neza ko nta kibazo kirimo gukora ikizamini cya Voda.

Nigute wakora ikizamini cya Voda neza?

Noneho hagiyeho igice cy'ingenzi. Inzobere mu by'imitsi yo mu bwonko izatera umuti ugabanya ububabare binyuze muri catheter mu mitsi yawe ya carotide y'ibumoso cyangwa iburyo, igatera ubwoba uruhande rumwe rw'ubwonko bwawe by'agateganyo. Tekereza ko iyo umuti ujya mu mitsi yawe ya carotide y'iburyo, uruhande rw'iburyo rw'ubwonko ntirwashoboraga kuvugana n'uruhande rw'ibumoso rw'umubiri wawe.

Muri iki gihe, ushobora kubona inyenyeri, ukumva igitutu inyuma y'amaso yawe, kandi ukumva isura yawe ishyushye. Nanone, uruhande rw'umubiri wawe rurebana n'uruhande rwari rwanyoye umuti ruzashiraho igihe gito. Ibi bivuze ko utazashobora kwimura amaguru n'amaboko yawe. Abaganga bazareba amashusho ya EEG kugira ngo bemeze niba urwo ruhande rw'ubwonko bwawe rwarasinziriye.

Iyo byemejwe ko uruhande rumwe rw'ubwonko rwasinziriye, umuganga w'igicuri cyangwa inzobere mu by'imitsi azapima ubushobozi bwawe bwo kuvuga. Bazakwereka kandi amakarita yanditseho amagambo n'amashusho. Bazakubwira kugerageza kwibuka ibyo ubona. Muri iki gihe, ushobora kumva ufite intege nke kandi ukagorwa no kuvuga. Ibi ni ibisanzwe. Ushobora no gusinzira.

Bite se niba ntashobora kuvuga mu gihe cyo gukora ikizamini?

Hari igihe ushobora kudashobora kuvuga mu gihe cy'ikizamini. Nanone, rimwe na rimwe, inyungu z'iki kizamini zishobora kugabanuka:

• Niba abana bari munsi y'imyaka 10.
• Iyo habayeho icyorezo mu gihe cyo gupima.
• Abafite igipimo cy'ubwenge (IQ) kiri munsi ya 70.

Ariko ntugahangayike, niba wumva ufite ubwoba cyangwa impungenge, abaganga n'abaforomo barahari kugira ngo bagufashe.

Ingaruka z'ikinyabutabire zirashira mu minota mike, hanyuma uruhande rw'ubwonko bwawe rwari rufite ibinyabutabire rwongera kubyuka. Icyo gihe, muganga azakubaza icyo wibuka. Niba utibuka, bazongera kukwereka amakarita rimwe rimwe kandi bakubaze niba warigeze kuyabona mbere. Nta kibazo niba utibuka ibyari ku makarita, ni ibisanzwe.

Nyuma y'igihe gito, abaganga bashyize urundi ruhande rw'ubwonko bwawe mu buryo nk'ubwo. Basubiza catheter inyuma gato bakayishyira mu mutsi wa carotide uri ku rundi ruhande. Bakora ikindi gipimo cya angiogram. Bongera kukwereka andi makarita. Iyo ubyutse neza, bongera kukubaza icyari kiri ku makarita.

Ese wari maso igihe wakoraga ikizamini cya Voda?

Yego, uzaba uri maso muri iki kizamini cyose. Abaganga bazabikora bavugana nawe.

Iki kizamini kimara igihe kingana iki?

Igihe gikoreshwa mu gupima Voda gishobora gutandukana gato bitewe n'ibitaro, ariko akenshi bifata amasaha atatu kugeza kuri ane. Akenshi, impande zombi z'ubwonko zipimwa mu isuzuma rimwe. Uruhande rumwe rurakorwa, hanyuma utegereza igihe kugeza ukize neza mbere yo gukora urundi ruhande.

Bigenda bite nyuma y'ikizamini?

Nyuma yo gupimwa, uzakenera kuruhuka mu cyumba cyo gukira. Abaganga n'abaforomo bazaza rimwe na rimwe kugira ngo barebe ko amaguru yawe yashyizwemo catheter. Bazareba kandi igitambaro gipfutse igikomere mu kibuno cyawe, kandi barebe neza ko ibyumviro byawe byo gukoraho byagarutse neza. Ibi byose bikorwa kugira ngo amaraso atembera mu kirenge cyawe ari meza.

Ubusanzwe uzemererwa gutaha nimugoroba. Abaganga bazakubwira kwirinda gukora imirimo ivunanye amasaha 24 kugeza kuri 48 nyuma yo gutaha.

Ese ikizamini cya Voda cyaba kirimo ingaruka mbi? Ese hari ingaruka mbi cyangwa ingaruka mbi?

Ikizamini cya VODA muri rusange ni cyiza kandi gifite ingaruka nke . Niba ugize ingaruka mbi, zishobora kuba ububabare runaka aho catheter ishyirwa (kuko umuti utuma umuntu adakora neza ugenda ushira). Ariko, hari ingorane nke cyane zishobora kubaho:

• Gufatwa n'indwara.
• Ubushobozi bwo gukora nabi mu bwonko (Encephalopati).
• Indwara isa n'indwara yo mu bwonko.

Kubera ko ubu buryo ari uburyo bukoreshwa mu kuvura indwara nyinshi, hari ibyago bike byo kuva amaraso no kwandura. Ibi bishobora kuba byinshi gato, ariko bikaba bike, mu bihe bikurikira:

• Niba ufite imyaka irenga 65.
• Niba ufite indwara ya atherosclerosis (gukomera kw'imitsi y'amaraso).
• Niba ufite cholesterol nyinshi.

Ibisubizo by'ikizamini cya Voda bivuga iki?

Ikizamini cya Voda gishobora gufasha itsinda ryawe kumenya neza uruhande rw'ubwonko bwawe rushinzwe ururimi n'uruhande rushinzwe kwibuka. Bagereranya aya makuru n'ibizamini byabanje bigaragaza aho igicuri cy'ubwonko bwawe giherereye. Hamwe n'aya makuru yose, umuganga wawe ashobora gufata icyemezo niba kubagwa ubwonko bishobora gushyira ururimi rwawe n'ubwibuke mu kaga.

Igicuri gishobora gutera ubwoba, kandi kubagwa ubwonko bishobora gutera ubwoba kurushaho. Ariko, ku bw'amahirwe, abaganga bawe bafite ibikoresho n'ubumenyi byo kugufasha kwirinda ibibazo mu rurimi rwawe no mu kwibuka. Ikizamini cya Vodka ni kimwe mu bikoresho by'ingenzi bakoresha. Niba ufite ikibazo kuri iki kizamini, ntutindiganye kuvugana na muganga wawe.

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

Noneho rero usobanukiwe neza ikizamini cya Wada. Muri make:

• Iki ni ikizamini cy'ingenzi gikorwa mbere yo kubagwa ubwonko kugira ngo hamenyekane amakuru yerekeye ururimi rwawe n'ubushobozi bwawe bwo kwibuka .
• Ibi bituma abaganga bateganya kugabanya ingaruka mbi zishobora guterwa no kubagwa.
• Uzaba uri maso mu gihe cy'ikizamini, bityo nta kintu na kimwe cyo gutinya.
• Nubwo muri rusange ari ikizamini cyizewe , kimwe no mu buryo ubwo ari bwo bwose bwo kwa muganga, hari ingaruka ntoya, muganga wawe azagusobanurira.
• Niba ufite ikibazo, ubwoba, cyangwa gushidikanya , biganireho na muganga wawe kandi ubikemure.

Wibuke ko ibi byose ari ukugira ngo ubuzima bwawe n'umutekano wawe bibe byiza.

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