Ese wavuze ko ushaka kureba imitsi y'umutima wawe? Reka tuvuge kuri angiogramu y'umutima!

Birashoboka ko muganga yagutegetse ko ugomba kwipimisha angiogram kugira ngo urebe imitsi y'umutima wawe, sibyo? Ni ibisanzwe kumva ufite ubwoba kandi ukagira ubwoba iyo ubibwiwe. Ariko umaze kumenya neza icyo ari cyo, uko bikorwa, n'impamvu bikorwa, ubwoba bwawe n'ubwoba bizagabanuka cyane. None se, reka tubiganireho birambuye uyu munsi, si byo se?

None se, angiogramu y'umutima ni iki?

Mu magambo make, angiogramu y'umutima ni ikizamini cyihariye kireba uburyo amaraso atembera mu mitsi yawe y'umutima , imitsi ijyana amaraso mu mutima wawe. Gikoresha X-rays n'amazi yihariye yitwa irangi ritandukanye . Hari igihe abaganga babyita angiografiya y'umutima , ibyo bikaba ari kimwe.

Iki kizamini gishobora kugaragaza neza niba imitsi y'umutima wawe yazibye cyangwa yagabanutse . Akenshi, ibi biterwa n'indwara yitwa atherosclerosis . Ibi bivuze ko ibintu nka cholesterol byiyongera mu mitsi, bigatuma inkuta z'imitsi zibyimba kandi zigafungana, bigatuma amaraso atembera neza.

Ese uzi ko imitsi y'umutima ari ingenzi cyane ku mutima wacu? Kubera ko iyi mitsi itwara amaraso atanga ogisijeni n'intungamubiri zikenewe kugira ngo imitsi y'umutima ikomeze kubaho no gukora. Rero, niba umwe muri iyi mitsi udakora neza cyangwa ugafunga, hashobora kubaho ikibazo gikomeye nko kurwara indwara y'umutima .

Kuki muganga yategeka iyi angiogram?

Hari impamvu nyinshi zishobora gutuma muganga wawe cyangwa inzobere mu ndwara z'umutima zishobora kukugira inama yo gupimwa indwara z'umutima. Reka turebere hamwe izo mpamvu:

• Niba hari ikibazo mu isuzuma ryawe ry'imihangayiko cyangwa ikizamini cya ECG (Electrocardiogram) .
• Niba ufite indwara y'umutima , umutima unaniwe , cyangwa se warigeze kugira indwara y'umutima mu bihe byashize.
• Niba uteganijwe kubagwa umutima, kandi muganga afite gushidikanya, ugombaBirashoboka ko ufite indwara y'imitsi ifata imitsi y'umutima .
• Niba ubabara mu gatuza (angina) , bishobora kuba ari bishya cyangwa ubwoko bw'ububabare wagize bushobora kuba bwarahindutse.
• Ufite ikibazo kidasanzwe mu gituza cyangwa uhumeka nabi, ariko ibindi bipimo nta na kimwe byagaragaje.

Niyo mpamvu muganga agusaba iki kizamini. Ntukigere utinya kubaza ibibazo kuri cyo. Ni ngombwa cyane kubaza muganga wawe icyo utekereza cyangwa udasobanukiwe.

Ni gute nakwitegura iyi angiogram?

Muganga wawe azaguha amabwiriza asobanutse neza y'uburyo wakwitegura iki kizamini. Azakubwira kandi ibijyanye n'imiti ufata ndetse n'amateka y'ubuzima bwawe. Ubusanzwe, umuganga azakubwira ibintu nk'ibi:

• Uzasabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha umunani mbere yo kwipimisha. Ushobora kunywa amazi gusa. Ibi tubyita 'kwiyiriza ubusa', cyangwa kwiyiriza ubusa.
• Niba ufata imiti igabanya amaraso , imiti ya diyabete, imiti igabanya ubukana bw'amaraso ( diuretics ) (imiti yongera inkari), cyangwa sildenafil (nka Viagra® cyangwa Revatio®), uzahabwa amabwiriza y'uko wayikoresha n'uko wayihagarika mu minsi ibanziriza ikizamini.
• Bazakubaza niba wigeze ugira ubwivumbure bitewe n'irangi ritandukanye cyangwa ikinya cyavuzwe haruguru.
• Niba uri umugore utwite, ugomba kubimenyesha muganga wawe .

Ikindi kintu cy'ingenzi ni uko, ku bw'umutekano wawe, utazemererwa gutwara imodoka yawe ujya mu rugo ku munsi w'ikizamini. Kubwibyo, ni byiza gutegura umuntu uzagutwara uvuye mu bitaro uwo munsi.

Ni iki kibaho mu gihe cyo gupima angiogram?

Noneho reka turebe ibisanzwe bibaho muri iki gikorwa cyo gupima indwara z'umutima. Tekereza nk'ahantu hagaragara muri filime.

1. Ubwa mbere, uzakenera kwambara ikanzu yihariye yo kwa muganga itangwa n'ibitaro. Hanyuma, uzakenera kuryama ku gitanda cyo gupimisha.

2. Umukozi wo kwa muganga azaguha umuti wo kugabanya ububabare binyuze muri IV (ubwoko bw'umuti wa saline ushyirwa mu mitsi iri mu kuboko kwawe). Ibi bizatuma wumva utuje, ariko ntuzasinzira burundu. Uzaba uri maso kandi ushobora kumva amabwiriza ya muganga. Urugero, ushobora gusabwa gukorora cyangwa guhagarika umwuka wawe mu masegonda make.

3. Umutima wawe uzakurikiranwa hakoreshejwe imashini ya ECG (Electrocardiogram) mu gihe cyose cy'ikizamini.

4. Muganga, hari ahantu ushobora kugera ku mutsi munini w'amaraso (imitsi) mu kibuno cyawe cyangwa ku kuboko kwawe?Anesthesia yo mu gace utuyemo. Ibi bivuze ko uzabura imbaraga zo gukoresha umuti gusa. Muri iki gihe, ushobora kumva urimo gushyuha gato, ariko ntuzumva ububabare ubwo aribwo bwose.

5. Nyuma umuganga w’indwara z’umutima akoresha urushinge ruto kugira ngo yinjire mu mitsi inyura aho yatobowe. Hanyuma, agakoresho ko mu gitereko , ari ko kari umuyoboro muto, gashyirwa hejuru y’urushinge no mu mitsi minini.

6. Hanyuma, muganga azashyira insinga nziza cyane na catheter (imiyoboro mito) muri uyu muyoboro mu mitsi y'umutima iri hejuru y'umutima wawe. Ntuzumva umuyoboro unyura mu mitsi yawe y'amaraso.

7. Imashini ya X-ray irakuzenguruka. Ibi byitwa fluoroscopy . Ibi bituma umuganga abona inzira ya catheter impande zose.

8. Iyo catheter imaze kugera mu mutima wawe cyangwa mu muyoboro w'amaraso , muganga azashyira irangi ryihariye muri uwo muyoboro. Hanyuma, bazakoresha X-ray kugira ngo barebe uko irangi rinyura mu mitsi. Muri iki gihe, ushobora kumva ushyushye mu mubiri wawe wose mu masegonda make, cyangwa ukumva ukeneye kunyara. Ibi ni ibisanzwe.

9. Iyo irangi rinyuze mu mitsi y'umutima, muganga ashobora kubona neza niba hari cholesterol cyangwa plaque byibumbiye ahantu runaka mu mitsi y'umutima, bikabuza amaraso gutembera.

Tekereza ibi, ni nko gukoresha kamera ya drone kugira ngo urebe niba hari umuvuduko w'imodoka mu muhanda n'aho uri.

Hari igihe, iyo muganga abonye ko umutsi w'amaraso uzibye, ashobora gushyiramo ibara ry'umuhondo kugira ngo afungure aho wafunzwe. Ibi byitwa angioplasty . Hanyuma, stent , igikoresho gito kimeze nk'umuyoboro, gishobora gushyirwa mu mitsi kugira ngo idasubira kugwa.

Ariko, niba ibyo bidashoboka, cyangwa niba muganga atekereza ko byaba byiza akoze ubundi buryo bwo kuvura nyuma, noneho angiogram y'umutima izakorerwa aho ngaho.

Ikizamini cyose gikunze kumara hagati y'iminota 30 na 50 , ariko rimwe na rimwe gishobora kuba kirekire cyangwa kigufi.

Ni iki kibaho nyuma ya angiogram?

Nyuma yo gusuzuma, muganga akuraho catheter. Hanyuma umwe mu baganga afata urushinge neza kugira ngo amaraso ahagarike.

Abantu benshi bashobora gutaha umunsi umwe ikizamini cyakoreweho, nyuma y'amasaha abiri cyangwa ane.

Ariko, niba ikizamini cyawe kigoye gato, cyangwa niba ikizamini cyarakozwe ku manywa, ni byiza kwitega kurara mu bitaro muri iryo joro.

Ushobora kumva unaniwe gato nyuma yo gupimwa angiogram. Aho urushinge rwashyizwe (igikomere) hazaba hababara mu gihe cy'icyumweru kimwe.Ushobora kuba ufite ubumuga bwo kubabara no kubabara nk'umubyimba. Muganga wawe ashobora kandi kukubwira kugabanya ibikorwa byawe mu minsi mike nyuma yo gutaha.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Ni byiza ko iki kizamini gikorerwa mu kigo cy’ubuvuzi gitanga ingano nyinshi aho umuganga w’inararibonye agikorera buri gihe. Akenshi, ibi bizamini biba bifite umutekano. Ariko, ugereranije n’ibindi bizamini, nka ultrasound, iki ni ikizamini gitera ingaruka mbi. Ingorane zikomeye ni gake cyane.

Ariko, ni byiza kumenya ingaruka zishobora guterwa na angiogram:

• Umutima utari umeze neza (arrhythmia) .
• Allergie ku irangi cyangwa ku muti ugabanya ububabare.
• Kwangirika k'umuyoboro w'amaraso.
• Kurema kw'amaraso apfutse.
• Amazi arundanya hafi y'umutima agashyira igitutu ku mutima (cardiac tamponade) .
• Indwara y'umutima .
• Kwangirika kw'impyiko, bishobora gusaba dialyse kugira ngo amaraso yezwe neza.
• Umuvuduko w'amaraso uri hasi.
• Kubabara, kuva amaraso, cyangwa kwandura aho urushinge cyangwa catheter bishyizwe.
• Indwara yo mu bwonko (stroke) .

Abantu bakurikira bashobora kuba bafite ibyago byinshi byo kugira ibi bibazo:

• Ku bantu barengeje imyaka 65.
• Ku barwayi ba diyabete .
• Ku bafite indwara z'impyiko .

Niba ufite ibindi bibazo kuri izi ngaruka, vugana na muganga wawe.

Ni ryari nzamenya ibisubizo by'ikizamini?

Hari igihe muganga ashobora kukwereka amashusho ya X-ray mu gihe cyo gupima. Ariko, nyuma yo kurangiza angiogram, muganga azagusobanurira icyo ibisubizo bivuze.

Muganga wawe ashobora kuvuga ko ibisubizo bya angiogram yawe ari 'ibisanzwe' cyangwa 'ibidasanzwe'.

• Ibisubizo bisanzwe bivuze ko nta mitsi y'umutima ifunganye kandi ko umutima wawe ubona amaraso ahagije. Ariko, niba ugifite ibimenyetso, hashobora gukenerwa ibindi bipimo kugira ngo hamenyekane icyabiteye.
• Iyo habayeho ibisubizo bidasanzwe , hashobora kubaho kuziba ahantu runaka mu mitsi yawe y'umutima. Muganga wawe azakubwira imitsi yazibye n'aho iherereye. Azasobanura kandi uburemere bwayo. Ashobora no kukubwira ingano y'izizibye.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Niba ibisubizo byawe bitameze neza, muganga wawe azagusobanurira uburyo bwo kuvura bugusaba. Bimwe muri ibyo birimo:

• Angioplasty cyangwa stenting (gushyiramo ibara ryavuzwe haruguru ugashyiraho stent).
• Guhindura ubuzima bwawe bwa buri munsi, urugeroGukora imyitozo ngororamubiri myinshi no guhindura uburyo urya.
• Kubaga imitsi yo mu mutima (CABG) (Coronary artery bypass surgery) .
• Gukoresha imiti.

Ni ryari ugomba kuvugana na muganga ?

Nyuma yo gupimwa, niba ubonye kimwe muri ibi bikurikira aho catheter yashyizwe, hamagara muganga wawe ako kanya:

• Iyo habayeho kuva amaraso menshi cyane, ibyo ntibihagarara.
• Niba ako gace kabyimbye .
• Iyo hari ibimenyetso by'ubwandu (urugero: guhindura ibara ry'uruhu, amashyira).

Nanone, niba ufite ikibazo cyo gutembera kw'amaraso mu maboko cyangwa amaguru, bibwira muganga wawe na byo.

Ese angiogram irababaza?

Ubusanzwe, angiogramu y'umutima ntabwo ibabaza cyane. Ushobora kugira ububabare bw'igihe gito kandi buto mu gihe:

• Iyo bashyizemo umurongo wa IV kugira ngo baguhe umuti woroshye wo gusinzira.
• Mu gihe cyo gutera ikinya mu gace runaka.

Nta bubabare uzumva mu gihe cyo gupimwa bitewe na catheter. Nanone, ntuzumva ubwo bubabare bugenda bunyura mu mitsi no mu mitsi.

Nyuma yo gupimwa, ushobora kumva ububabare aho washyizemo katheteri hanyuma ugashyiramo imashini. Ibi bizashira nyuma y'icyumweru kimwe.

Niba wumva ububabare bukabije mu gihe cyo gupimwa, bibwira muganga ako kanya.

Amaherezo...

Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo ubwiwe ko ugomba gupimwa indwara y'umutima. Ushobora no kwibaza niba ibisubizo bizaba bidasanzwe. Ariko ibuka ko amakuru muganga wawe azagufasha gusuzuma indwara yawe no gutegura gahunda yo kuvura ikubereye. Rero, vugana na muganga wawe ku kintu icyo ari cyo cyose udasobanukiwe cyangwa ufite ikibazo. Arahari kugira ngo agufashe.

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