Ese hari ikibazo kiri mu nda yawe yo hejuru? (Urutonde rw'ibipimo byo hejuru bya GI) Reka twige ku isuzuma!

Ese rimwe na rimwe ujya ugira ububabare mu gifu, kuribwa mu gifu, cyangwa ukagorwa no kumira? Cyangwa ukagira isesemi cyangwa kuruka? Iyo ufite ibimenyetso nk'ibi, abaganga bacu bashaka kumenya neza niba hari ikibazo mu gice cyo hejuru cy'igogora ryawe. Kimwe mu bizamini byihariye basaba icyo gihe cyitwa Upper GI Series . Reka tubiganireho birambuye, mu buryo bworoshye, sibyo?

(Urukurikirane rwa GI rwo hejuru) ni iki? Reka tubisobanukirwe neza.

Muri make, Upper GI Series ni ikizamini cyihariye cya X-ray kireba ingingo zo mu gice cyo hejuru cy'igogora ryawe. Gikoresha uburyo bugezweho bwa X-ray bwitwa Fluoroscopy.

Tekereza kuri ibi, ifoto isanzwe ya 'X-ray' ni nk'ifoto isanzwe yafashwe ahantu hamwe. Ariko iyi '(Fluoroscopy)' ni nk'amashusho. Ni ukuvuga ko muganga ashobora kubona uko ingingo ziri mu nda yawe zikora, ni ukuvuga uburyo zigenda, binyuze muri 'X-ray'. Ibyo nibyo bidasanzwe kuri ibi. Nanone, ishobora kubona neza ubuso bw'ingingo kurusha 'X-ray' isanzwe.

Noneho ushobora kwibaza uti, "uruhererekane" ni iki? Ni ukuvuga ko muri iki kizamini, amashusho menshi ya `(Fluoroscopy)` `X-ray` afatwa yikurikiranya. Niyo mpamvu yitwa "uruhererekane".

Ni ibihe bintu ureba muri uru (Urukurikirane rwa Upper GI)?

Twavugaga ku "gice cyo hejuru cy'igogora." Mu buvuzi, ibi tubyita Upper Astrointestinal Tract . Bikubiyemo:

• Umwobo wawe - umuyoboro w'ibiryo umanuka iyo tumira.
• Inda yawe - Ahantu ibiryo bibikwa kandi bigatangira gusya.
• Kandi duodenum, igice cya mbere cy'amara mato .

Izi ngingo eshatu ni zo zisuzumwa muri "Upper GI Series". Kuki zose uko ari eshatu zisuzumwa hamwe?

• Kimwe ni uko iki gice kiri hafi y'intera ntarengwa igikoresho cyo kwa muganga gishobora kugeramo iyo gishyizwemo uhereye hejuru.
• Ikindi ni uko iyo unyoye ikintu, kinyura muri ibi bice bitatu vuba cyane, ugereranije n'ibindi bice by'amara, kuko ari birebire.
• Nanone, indwara ifata kimwe muri ibi bice ishobora no gufata ibindi. Rero, nubwo waba ufite ibimenyetso mu gace kamwe gusa, byaba byiza urebye ibice bitatu byose hamwe.

Tekereza nk'umuyoboro w'amazi. Iyo hari ikibazo ahantu hamwe, gishobora kugira ingaruka ahantu mbere n'aho nyuma, sibyo? Uko ni ko bimeze kuri ibi.

Hariho n'ibindi bizamini bya `GI X-ray`. Urugero:

• Ikizamini cya Esophagram cyangwa Barium Swallow kireba gusa umwobo.
• (Small Arowel Series) cyangwa (Small Arowel Follow-Through) bireba amara mato gusa.
• (Urukurikirane rw'amara yo hasi) cyangwaEnema ya barium ireba amara manini n'igice cyo hasi cy'amara mato.

Bityo rero, muganga ni we ufata icyemezo cy'icyo azakoresha kuri ibi bizamini bitewe n'ibimenyetso byawe.

Kuki muganga yakugira inama yo gukora ibi (Upper GI Series)?

Niba ufite ibimenyetso bifitanye isano n'igice cyo hejuru cy'igogora ryawe, muganga wawe azakenera kubireba neza. Upper GI Series yemerera muganga wawe kureba mu muhogo wawe, mu gifu, no mu duodenum, kugenzura impinduka mu ngingo, imiterere, n'imikorere, kandi akenshi ni yo ntambwe ya mbere mu gushaka icyateye ibi bimenyetso.

Muganga ashobora gutegeka iki kizamini niba ufite ibimenyetso bitazwi nka:

• Ibibazo byo kumira .
• Kuribwa mu gituza .
• Ububabare bwo mu nda .
• Isesemi no kuruka .
• Kudashyira mu gifu .

Ni iki ushobora kubona muri (Urutonde rwa GI rwo hejuru)?

Bakoresheje ubu buryo bwa "Fluoroscopy", abaganga bashobora kuvumbura ibintu nk'ibi:

Impinduka mu ngingo:

• Kubyimba cyangwa kwandura ingingo, urugero , indwara y'igifu (gutwita igifu) cyangwa esophagite (kubyimba umwobo).
• Niba ingingo zangiritse bitewe no kuzura aside cyangwa kuzura amenyo .
• Indwara y'ibisebe byo mu gifu .
• (Umwobo wa Barrett) (impinduka mu turemangingo tw'umuyoboro w'amaraso).
• (Guhinduka kw'amara mu gifu) (impinduka mu turemangingo tw'igifu).

Ibibazo by'imiterere y'ingingo:

• (Varices zo mu nda) (kubyimba kw'imitsi yo mu muhogo).
• (Imiterere y'imiyoboro y'amaso ).
• (Hiatal hernia) (igice cy'igifu kiva mu gituza).
• Utubyimba duto (Polyps) .
• Ibibyimba binini cyangwa indwara za kanseri (Ibibyimba) .

Ibibazo ku mikorere y'ingingo:

• Kugorwa no kumira ibiryo (Dysphagia) .
• Ibibazo byo kugenda mu nzira y'igogora , urugero , gastroparesis (gutinda gusohora ibiryo mu gifu).
• Urugero, ikibazo cyo kudakora neza kwa sphincter yo mu nda , Akalaziya , Laryngopharyngeal reflux .
• Ikosa rya valve ya pyloric .
• Kuziba kw'imiyoboro y'ibiribwa .

Ese Upper GI Series ishobora kumenya aside reflux?

Abaganga bakunze gusuzuma indwara ya GERD (Gastroesophageal reflux disease) bashingiye ku bimenyetso. Ariko, Upper GI Series ishobora kureba ibimenyetso bya GERD ku mubiri. Urugero, ishobora kureba ibimenyetso by'ibyangiritse bikomeye ku gice cy'umuyoboro w'amaraso, nk'ibisebe, imitsi, cyangwa kugabanuka k'umuyoboro w'amaraso. Ishobora kandi kureba ibimenyetso by'imitsi ibuza aside yo mu gifu gusubira mu muyoboro w'amaraso.

Ese ibi bishobora no kumenya kanseri?

Upper GI Series ishobora kureba ibibyimba cyangwa impinduka mu ngingo zishobora kuba zifitanye isano na kanseri, niba ari nini bihagije ku buryo umuntu yabibona. Ariko, iki kizamini cyonyine ntigishobora kugaragaza neza niba ari kanseri cyangwa atari yo. Kugira ngo hamenyekane niba ari kanseri, hagomba gufatwa icyitegererezo cy'ingingo no gupimwa muri laboratwari. Ibi byitwa biopsy . Akenshi bikorwa mu gihe cyo gupima Upper Endoscopy.

Ni irihe tandukaniro riri hagati ya Upper GI Series na Upper Endoscopy?

Ibi bizamini byombi bireba igice cyo hejuru cy'urwungano ngogozi. Ariko, uburyo ibi bizamini bikorwamo buratandukanye cyane.

Upper GI Series ni ubwoko bw'ikizamini cyitwa Radiology . Ibi bivuze ko gikoresha ingufu z'imirasire mu gufata amafoto y'imbere mu mubiri. (X-rays, ultrasounds, na CT scans nabyo ni ubwoko bwa Radiology.) Kubera ko ibizamini bya Radiology bidatera indwara, akenshi ni byo bizamini bya mbere abaganga bakoresha kugira ngo bamenye ibirimo kuba mu mubiri.

Ariko, (Upper Endoscopy) (nanone yitwa (Esophagogastroduodenoscopy) ) ni ikizamini kigoye kandi gikoreshwa mu gupima. Muri iki gikorwa, umuyoboro muto ufite kamera witwa (Endoscope) ushyirwa mu muhogo kugira ngo ufate amafoto y'imbere mu mubiri. Ibi akenshi bisaba ko umurwayi aterwa ikinya (`Anesthesia`). ``Endoscopy`` ishobora gutanga amashusho asobanutse neza kandi arambuye kurusha ikizamini cya ``Radiology```. Ishobora kandi gukoresha ibikoresho bifatanye na ``Endoscope``` kugira ngo ifate icyitegererezo cy'ingingo (``Biopsy```) mu buryo butaziguye imbere mu mubiri. Ariko, kubera ko iki ari ikizamini gikoreshwa mu gupima, akenshi gikorwa nyuma y'ikizamini cya ``Radiology```, niba hakenewe amakuru menshi.

Iki kizamini gikorwa gite? Reka tubirebe mu buryo burambuye.

Izi ngingo ni ingenzi kugira ngo usobanukirwe uburyo iki kizamini gikora:

Ikoranabuhanga (X-ray):

Imashini ya X-ray yohereza urumuri rw'imirasire ikora iyoni mu mubiri wawe. Ingirabuzimafatizo zawe, amagufwa yawe, n'ingingo zawe bikura uyu murasire mu buryo butandukanye bitewe n'ubucucike bwabyo. Imirasire yinjizwa n'umubiri wawe ihita igera kuri X-ray detector, ikaba ari yo ikora ishusho. Ibintu binini nk'amagufwa bikura imirasire myinshi, bityo bigasa n'umweru mu ishusho ya X-ray. Ibintu byoroshye nk'ingirabuzimafatizo bisa n'umukara.

Ikoranabuhanga (Fluoroscopy):

Fluoroscopy isa nayo. Ariko, aho kohereza urumuri rumwe rw'imirasire, yohereza urumuri rudasibangana rw'imirasire mu gihe cy'amasegonda make cyangwa iminota mike, bigatuma habaho videwo ngufi. Ibi bikwereka ingano nto y'imirasire. Ariko, mu bihe byinshi, ibi bifatwa nk'urwego rutekanye. Duhura n'imirasire mike ituruka mu bidukikije buri munsi.

(Gutandukanya) bikoreshwa:

Ubusanzwe fluoroscopy ikoresha icyuma gipima itandukaniro kugira ngo igaragaze neza uko bishoboka kose amashusho ya X-ray. Iyo utewe mu mubiri wawe, bifasha imbere mu mubiri wawe kugaragara neza mu mashusho y'umukara n'umweru. Hari igihe uhabwa iki gipimo cyo kunywa, hari n'igihe ugihabwa nk'urushinge. Muri Upper GI Series, amazi yitwa barium akunze gukoreshwa nk'igikoresho cyo gusuzuma itandukaniro.

(Barium) ni iki?

Barium ni ikintu kinini, cyera kandi gisa n'ishwagara. Iyo gishyizwe imbere mu nzira y'igogora, kigaragara ku mashusho ya X-ray. Ntikinjizwa n'igogora ryawe kandi gisohoka mu mubiri wawe. Mu gihe cyo gufata imiti ya GI yo hejuru, uhabwa amazi yitwa barium yo kunywa. Mu gihe uyanyoye, umuganga w'imirasire y'izuba ashobora kureba uko agenda anyura mu nzira y'igogora yo hejuru maze akareba uko ingingo zawe zibyitwaramo.

(Itandukaniro ribiri) ni iki?

Mu bihe bimwe na bimwe, umwuka ukoreshwa nk'ikintu gitandukanya ibintu uretse Upper GI Series. Ibi byitwa inyigo y'uburyo bwo gutandukanya ibintu bibiri . Uwo mwuka ukoreshwa mu gutera no gutandukanya inkuta z'inzira yo hejuru y'igogora, bigatuma ubona neza ibiri imbere. Kubera ko iyo mwuka isa n'umukara ku mashusho ya X-ray, ituma habaho itandukaniro ryiza na barium yera. Kugira ngo ushyire umwuka mu nzira yo hagati y'igogora, ushobora guhabwa ikinini cyangwa ikinyobwa kirimo karubone kugira ngo unywe.

Ni gute wakwitegura (Urutonde rwa GI rwo hejuru)?

Ni ngombwa cyane kwita kuri ibi bintu mbere y'iki kizamini:

• Mbere yo guteganya ikizamini cyawe: Vugana na muganga wawe kuri iki kizamini kandi urebe neza ko nta bindi bintu bishobora kukubuza kugikoresha. Niba uherutse gukorerwa indi X-ray cyangwa ukaba warahuye n'imirasire myinshi, bwira muganga wawe. Muganga wawe ashobora gusubika ikizamini kugira ngo agabanye ibyago byose byo kwangirika kw'imirasire. Nanone, menya neza ko wabibwiye muganga wawe niba utwite . Bazashobora kuguha andi mahitamo. Kwangirika kw'imirasire y'umwana ukiri mu nda bishobora gutera ubusembwa mu gihe cyo kuvuka.
• Mbere yo gupimwa: Ni ngombwa cyane ko igifu cyawe kiba kirimo ubusa mu gihe cyo gupimwa.Uzasabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose mu ijoro ryabanjirije ikizamini n'igitondo cy'ikizamini. Ushobora kandi gusabwa guhagarika by'agateganyo gufata imiti imwe n'imwe, nka aside (imiti ivura igifu).

Ikizamini gikorwa gute neza neza?

Umaze kwambara ikanzu yo kwa muganga, uzajyanwa mu cyumba cyo gupimiramo. Hari ameza ya X-ray ashobora kugorama. Ushobora guhagarara cyangwa kuryamaho. Mbere na mbere uzaba uhagaze, ariko nyuma uzasabwa kuryama ku meza mu buryo butandukanye. Umutekinisiye azaguhambira ku meza. Hanyuma uzahabwa umuti wo kunywa - ushobora kuba uri barium, rimwe na rimwe ukaba warafashe umwuka wa dioxyde de carbone .

Iyi mvange ifite uburyohe kandi iraryoshye. Ariko, kuyinywa si ikintu gishimishije cyane. Uzakenera kuyinywa buhoro buhoro mu gihe cyose cy'ikizamini. Ushobora guhabwa ibinyobwa bitandukanye, byiganjemo cyangwa bike, ahantu hatandukanye mu gihe cy'ikizamini. Muri rusange, uzakenera kunywa ounces 32.

Umuganga w’imirasire azakenera gufata amafoto mu mpande zitandukanye. Bazagusaba kugenda mu buryo butandukanye kugira ngo barium igere aho igomba kujya. Bazagusaba gufata imyanya itandukanye, uhagaze kandi uryamye. Bashobora no kugerageza kureba inda yawe n'ibizingo biri imbere.

Iyi (Upper GI Series) bifata igihe kingana iki?

Iki kizamini gishobora kumara iminota 30 kugeza ku masaha abiri . Kuri bamwe, bishobora gufata igihe kirekire kugira ngo barium inyure burundu muri duodenum.

Uzahindurirwa ute kandi wimurwe mu gihe cy'ikizamini?

Ubusanzwe ushobora guhindukamo imyanya nk'iyi:

• Hagarara ku mfuruka ya dogere 45.
• Garuka inyuma ku nguni ya dogere 45.
• Lara ugororotse ku ruhande rumwe.
• Lara uruhande rumwe, wishingikirize ku gishishwa inyuma yawe, hanyuma uhindukire inyuma gato.

Ese Upper GI Series irababaza?

Ikizamini ntabwo kibabaza . Ariko, niba ubyifuza, ushobora gusaba umuti wo kuruhuka kugira ngo ugire uruhuke. Nyuma y'ikizamini, ushobora kumva ufite kubyimba gato cyangwa ukagira ububabare mu nda kugeza igihe barium ivuye mu mubiri wawe. Niba wahawe double contrast, ushobora kumva ububabare buto buterwa n'umwuka urimo guhumeka. Ibi bimenyetso bizashira mu gihe cy'umunsi umwe.

Ni izihe ngaruka cyangwa ibyago bishobora guterwa n'iki kizamini?

Iki kizamini muri rusange ni cyiza. Ariko, hashobora kubaho ingaruka nto:

• Kudafata: Ingaruka mbi zikunze kugaragara ni impatwe, iterwa n'uko barium isigaye mu mubiri wawe. Uzagirwa inama yo kunywa amazi menshi nyuma yo gupimwa, bizafasha barium gusohoka mu mubiri wawe. Imboro yawe izaba umweru mu gihe kingana n'umunsi umwe. Niba udashobora kujya mu mara, menyesha muganga wawe. Hanyuma bazakwandikira umuti wo kugabanya ububabare.Bitegeka.
• Ingorane z'impyiko: Abantu bafite indwara zikomeye z'impyiko bashobora kuva amaraso mu gifu cyo hejuru. Nanone, ayo mazi ashobora kugira ingaruka ku mikorere y'impyiko zabo.
• Guhura n'imirasire: Ingaruka zo guhura n'imirasire ziyongera uko igihe kigenda gihita. Keretse utwite, ikizamini kimwe cya `(Fluoroscopy)` ntabwo gishobora guteza ingaruka zikomeye. Byagaragaye ko guhura n'imirasire myinshi bitera kanseri. Ikizamini kimwe cya `(Fluoroscopy)` ntabwo gitera kanseri, ariko ibizamini byinshi mu buzima bwose birashobora.
• Allergy: Niba utarahuye n'ibintu biri muri contrast fluid, hari amahirwe make ko ushobora kugira allergy kuri yo.

Ni nde wakwishimira kutabikora (Upper GI Series)?

Iki kizamini ntabwo ari amahitamo meza kuri wewe niba:

• Niba utwite.
• Niba ufite indwara y'impyiko.
• Niba usanzwe ufite impatwe.
• Niba warahuye n'imirasire binyuze mu bundi buryo.
• Niba uzi cyangwa ukeka ko ufite ikibazo cyo gutobora igice cyo hejuru cy'umuhogo wawe.
• Niba ufite ikibazo cyo kumira ibiryo bijya mu bihaha (aspiration).

Muri iki gihe, muganga wawe azagusaba ikindi kizamini gikwiye.

Ibisubizo bimeze bite? Bitubwira iki?

Umuganga wawe w’indwara zo mu maraso azakora ubushakashatsi ku mashusho ya X-ray yawe hanyuma yoherereze muganga wawe ibisubizo. Hanyuma muganga wawe azakubwira ibyavuye mu masuzuma. Hari indwara zishobora kuvurwa n’amashusho ya X-ray ubwayo. Izindi zishobora gukenera ibindi bipimo.

Uburyo bwo gupima indwara ya Upper GI ni uburyo butababaza kandi budatera indwara bufasha muganga wawe kubona imbere mu muhogo wawe, mu gifu no mu mara. Fluoroscopy yemerera abaganga ba radiyo kureba uko ingingo zawe zigenda, uko zakora, ndetse niba hari ibitagenda neza mu miterere yazo. Ibisubizo by'iki kizamini bishobora gufasha muganga wawe kubona impamvu y'ibimenyetso bitarasobanuka. Niba bitabaye ibyo, bishobora kubaha ubuyobozi bwiza bwo gukora iperereza rirambuye.

Amaherezo, ngomba kuvuga... (Ubutumwa bwo kujyana mu rugo)

Twese tugira ubwoba gato iyo tubabara mu nda cyangwa tugorwa no kumira, si byo se? Ariko, ibizamini nka Upper GI Series birahari kugira ngo bidufashe kumenya neza ibiri kuba. Ibi si ikintu cyo gutinya cyane.

• Itegure neza nk'uko muganga wawe abikubwiye. Witondere cyane kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose mbere yo kwipimisha.
• Niba ufite ikibazo icyo ari cyo cyose, ntutinye kubaza muganga cyangwa abakozi bakora ikizamini. Bazagusobanurira byose.
• Nyuma yo gupimwa, kurikiza amabwiriza ya muganga. By'umwihariko, ntukibagirwe kunywa amazi menshi.

Wibuke ko kwita ku buzima bwawe ari cyo kintu cy'ingenzi kurusha ibindi. Niba usabwe gukora ikizamini nk'iki, ni ku bw'inyungu zawe. Rero, ntutinye, ahubwo hangana nacyo ubigiranye ubutwari! Ndakwifurije gukira vuba!

` urukurikirane rw'ibipimo byo hejuru bya gi, inyigo ya barium, fluoroscopy, x-ray yo mu gifu, umwobo, duodenum, urugingo