Ese uhora urwaye izuru rifunganye? Cyangwa ubabara impande zombi z'uruhanga rwawe no munsi y'amaso yawe bitewe n'ibibazo bya sinus? Hari igihe ushobora gutakaza impumuro yawe mu buryo butunguranye. Iki ni ikizamini cyihariye abaganga bakora kugira ngo bamenye impamvu nyayo y'ubwo burwayi buhoraho bwitwa Endoscopy y'amazuru. Nubwo izina rivuga ngo 'gushyiramo kamera', ese koko iki ni ikintu cyo gutinya? Ibi bikorwa bite? Reka tubiganireho byose mu magambo yoroheje uyu munsi.
Endoscopy y'izuru ni iki? Mu magambo make...
Mu magambo make, iki ni ikizamini cyo kureba imbere mu mazuru yawe n'aho ujya mu myobo y'izuru ryawe. Rimwe na rimwe byitwa rhinoscopi, ariko ni kimwe.
Tekereza nko gufata kamera mu tuyira duto turi mu mazuru yawe ukayireba. Ibi bikorwa hakoreshejwe igikoresho gito, kirekire kandi cyoroshye kimeze nk'umuyoboro. Ku mpera imwe yayo hari kamera nto cyane n'urumuri rugufasha kubona neza. Iki gikoresho cyihariye cyitwa endoscope .
Muganga ashyira iyi endoscope mu mazuru yawe, akareba imbere, nk'uturemangingo turi mu mazuru yawe n'imiyoboro y'izuru, kuri mudasobwa. Ibi bigufasha kubona neza n'impinduka ntoya ziri imbere.
Ni mu bihe ibihe hakorwa endoscopiyo y'izuru?
Muganga ashobora gufata icyemezo cyo gukora iki kizamini kugira ngo amenye impamvu nyayo y'ibimenyetso bimwe na bimwe umaze igihe kinini uhura nabyo. Ibi bishobora kugaragaza neza ibintu ikizamini gisanzwe kidashobora kubona.
| Impamvu/ikimenyetso | Ibisobanuro |
|---|---|
| Kubura impumuro (Anosmia) | Iyo uhita utakaza impumuro yawe mu buryo butunguranye cyangwa buhoro buhoro, ibi bikorwa kugira ngo urebe mu mazuru yawe icyabiteye. |
| Ububabare mu maso | Shaka impamvu y'ububabare buterwa na sinus, cyane cyane hejuru y'amaso, ku mpande zombi z'agahanga, no mu matama. |
| Kuziba izuru mu mazuru igihe kirekire | Niba umaze igihe kirekire uzimye izuru, udafite ibicurane bisanzwe, reba niba ufite polyps. |
| Kuva amaraso mu mazuru kenshi | Niba ukunda kuva amaraso mu mazuru, menya neza niba impamvu ari imvune yo mu mutima cyangwa ikindi kibazo. |
| Kuribwa umutwe mu nsinu | Menya impamvu nyayo y'umutwe wawe uterwa n'ubwandu bwa sinus. |
| Izindi mpamvu zirimo ibimenyetso | |
| Ku ikizamini cya biopsy | Niba hari agace kadasanzwe cyangwa ikibyimba mu mazuru cyangwa mu nsinu, kuramo agace gato kacyo kugira ngo ugisuzume. |
| Ku kubagwa | Ibi bikoreshwa nk'ubuyobozi mu gihe cyo kubaga sinus nka FESS (Kubagwa kwa Sinus kwa Functional Endoscopic). |
| Gukuraho ikintu cyafatiriwe mu mazuru | Ubu buryo bukoreshwa mu gukura ikintu mu mazuru mu buryo bwizewe, cyane cyane imbuto ya cashew, ikibabi cy'umushino, cyangwa agace k'igikinisho, mu gihe umwana akina, cyane cyane iyo umwana agifashe mu mazuru. |
Ese ukeneye kwitegura iki kizamini mbere y'igihe?
Mu by’ukuri, ibi ntibisaba imyiteguro idasanzwe. Ni nko kujya kwa muganga kwa muganga. Ariko hari ikintu kimwe cy’ingenzi.
Niba ufata imiti igabanya amaraso, nka Aspirine, Clopidogrel, cyangwa Warfarin, banza ubibwire muganga wawe mbere y'igihe.
Hari igihe bazakubwira guhagarika gufata imiti mu minsi mike, ariko ibyo bibaho gake cyane. Uretse ibyo, nta myiteguro yihariye ikenewe.
Ni iki kibaho mu gihe cy'ikizamini?
Iki ni ikizamini gito cyane gikorerwa mu ishami ry’abarwayi bataha. Ikizamini cyose kimara igihe gito cyane, nk'umunota umwe cyangwa ibiri. Igihe ntarengwa ni iminota itanu. Icy'ingenzi ni uko wahawe ikinya, bivuze ko udasinziriye. Uba uri maso rwose. Bityo ushobora kuvugana na muganga.
Intambwe z'ikizamini ni izi zikurikira:
1. Umuti wo kuvura izuru: Ubwa mbere, muganga azatera ikintu kimeze nk'umuti wo kuvura izuru mu mazuru yawe kugira ngo agabanye kubyimba imbere mu mazuru yawe no gufungura inzira.
2. Gutera ubwoba mu mazuru: Hanyuma, hazashyirwa umuti wo gutera ubwoba mu mazuru yawe kugira ngo ugabanye ububabare n'umubabaro. Ibi bizatuma izuru ryawe rigira ubwoba kandi rikaremereye mu gihe gito.
3. Gushyiramo endoscope: Ubu muganga azashyiramo witonze umuyoboro muto ufite kamera (endoscope) navuze mbere muri imwe mu mazuru yawe. Uzayumva uko uyishyiramo. Ishobora kandi kwimurwa gato mu muhogo wawe, kugeza igihe ihagaze hejuru gato y'agasanduku k'ijwi.
4. Isuzuma: Muri iki gihe, muganga areba icyuma gipima amazi hanyuma agasuzuma neza imbere mu mazuru no mu mwobo wa sinus kugira ngo arebe niba hari ibitagenda neza, ibibyimba, kubyimba, cyangwa indwara.
5. Gukora indi mirimo ikenewe: Niba ukeneye gupimwa cyangwa kubagwa mu ruhu icyarimwe, ushobora kubikora wifashishije iki gikoresho.
6. Gusuzuma uruhande rundi: Iyo uruhande rumwe rurangiye, umumonaki akuramo igikoresho muri seeruve, akishyira mu rundi zuru, hanyuma akagenzura urwo ruhande muri ubwo buryo.
Ese Endoscopy yo mu mazuru irababaza? Oya. Akenshi si ikizamini kibabaza. Izuru ryawe rirarambiranye, bityo ntuzumva ububabare ubwo aribwo bwose. Ariko, ushobora kumva igitutu gito iyo ushyizemo igikoresho.
Kubera spray yashyizwe ku mazuru yawe, umunwa wawe n'umuhogo bishobora kumera nk'ibihumye igihe gito. Kubwibyo, nibyiza kwirinda kurya cyangwa kunywa mu gihe cy'isaha imwe nyuma yo gupimwa. Kuko iyo umuhogo wawe umeze nk'ibihumye, birashoboka ko wamira ikintu urya cyangwa unywa.
Ni iki wakwitega nyuma y'ikizamini?
Nyuma yo gupimwa, ushobora kumva ufite ikibazo cyo gushwanyagurika cyangwa kutamererwa neza mu mazuru no mu muhogo. Ushobora kandi kuva amaraso mu mazuru. Ibi ni ibisanzwe, bityo ntugahangayike. Ubu burwayi buzashira ubwabwo mu munsi umwe cyangwa ibiri.
Kurikiza amabwiriza ya muganga wawe n'imiti nkuko aguhaye. Ushobora gusabwa gusubiramo ikizamini ikindi gihe kugira ngo urebe uko umeze.
Ese hari ingaruka mbi zihari muri ibi?
Uburyo bwo gupima amazuru mu mazuru ni uburyo bwizewe cyane mu bihe byinshi. Ariko, kimwe no mu bundi buryo bwose bwo kwa muganga, hari ingorane zimwe na zimwe zishobora kubaho. Urugero:
- Ubwivumbure bushobora kubaho ku miti ikoreshwa mu gupfuka izuru no kuribwa mu mazuru.
- Bamwe bashobora kumva bacitse intege.
- Ni gake cyane, ubwandu bushobora kubaho.
Izi ngaruka ziterwa n'imyaka yawe n'izindi ndwara, bityo rero menya neza ko wabiganiriyeho na muganga wawe mbere yo kwipimisha.
Ni ryari ibisubizo by'ibizamini bizamenyekana?
Igishimishije ni uko akenshi muganga wawe akubwira ibisubizo ikizamini kikimara gukorwa. Kuko abona byose kuri ecran ako kanya. Ashobora no kubigaragaza agasobanura ati: "Hari ikintu nk'iki mu mazuru yawe."
Ariko, niba muganga yumva ko hakenewe amakuru arambuye kugira ngo hakorwe gahunda yo kuvura, ushobora koherezwa mu kindi gipimo, nka CT scan .
Ni ryari ngomba kongera kubonana na muganga?
Niba ufite ikibazo cyangwa impungenge kuri iki kizamini, nyamuneka hamagara muganga wawe igihe icyo ari cyo cyose.
By’umwihariko, niba ugize ububabare bukabije, umuriro, cyangwa ikindi kimenyetso kidasanzwe nyuma yo gupimwa, bimenyeshe muganga wawe ako kanya.
Ni ibisanzwe kumva ufite ubwoba gato iyo ubwiwe ko ugomba gupimwa. Ariko, niba ufite ibibazo by'izuru cyangwa sinus bidashira, endoscopi y'izuru ishobora gufasha muganga wawe kubona icyabiteye no gutanga ubuvuzi bukwiye. Iki kizamini, gifata iminota itanu gusa, gishobora kukubwira byinshi ku buzima bwawe.
Ubutumwa bwo kujyana mu rugo
- Endoscopy yo mu mazuru ni ikizamini cyoroshye gikoresha umuyoboro muto ufite kamera kugira ngo harebwe imbere mu mazuru no mu mazuru.
- Ibi ubusanzwe ntibibabaza, ariko ushobora kumva ufite igitutu gito. Izuru ryawe rizaba ridafite amazi mbere yo gupimwa.
- Ibi bifasha kumenya impamvu y'ibintu nko kuzura izuru mu mazuru, kubura impumuro, no kubabara mu mazuru.
- Ikizamini kimara iminota 5. Nta myiteguro yihariye ikenewe.
- Ushobora kugira ububabare cyangwa kuva amaraso mu mazuru nyuma yo gupimwa, ariko ibi bizashira mu munsi umwe cyangwa ibiri. Niba ugize umuriro cyangwa ububabare bukabije, menyesha muganga wawe ako kanya.
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