Ese twavuga ku ikizamini cya IVP (Intravenous Pyelogram) kigufasha kumenya ibijyanye n'impyiko zawe?

Hari igihe abaganga bategeka ibizamini bitandukanye kugira ngo barebe niba hari ikibazo mu mpyiko zacu cyangwa mu nkari zacu, si byo se? Icyo ni kimwe mu bizamini byitwa IVP. Nubwo byakoreshwaga cyane mu bihe byashize, ubu ntibikunze gukorwa kenshi. Ariko ni ingenzi cyane ko umenya iki kizamini cyitwa `Intravenous Pyelogram (IVP).`

IVP ni iki?

Mu magambo make, IVP ni ikizamini cyihariye cya X-ray kireba imbere mu mpyiko zawe n'inzira y'inkari (inzira inkari zinyuramo). Nanone cyitwa Intravenous Urography. Tekereza, umuganga arashaka kureba uko impyiko zawe n'uruhago rwawe bikora kandi niba hari ikibazo kirimo. Icyo gihe iyi IVP irafasha.

Ibi ni byo bibaho. Amazi yihariye yitwa "iyode ifite ibara ry'urunyurane" ashyirwa mu mubiri wawe, ni ukuvuga mu mutsi. Aya mazi agenda mu mubiri wawe yose hamwe n'amaraso, harimo n'impyiko zawe. Hanyuma, uko aya mazi anyura mu mpyiko zawe, mu miyoboro y'amaraso, no mu ruhago, hafatwa amashusho menshi ya X-ray. Kubera ayo mazi yihariye, izi ngingo zisa n'umweru ku mashusho ya X-ray. Icyo gihe ni bwo muganga ashobora kubona neza ibirimo kuba imbere.

IVP yakoreshwaga iki mu bihe byashize?

Mu bihe byashize, mbere y’uko ikoranabuhanga rigezweho ritangira, ikizamini cya IVP cyakoreshwaga mu gusuzuma indwara nyinshi. Dore ingero nke:

• Amabuye yo mu mpyiko: Reba niba ufite aya mabuye yo mu mpyiko, abantu benshi bakuramo, n'aho ari.
• Kurushaho kwaguka kwa prostate ku bagabo: Iyi ni indwara ibaho no ku bagabo uko bagenda bakura.
• Ibibyimba cyangwa udukoko mu mpyiko, mu ruhago, cyangwa mu muyoboro w'inkari: Ibi bishobora kuba ari kanseri cyangwa ntibibe.
• Inkovu ziterwa n'indwara yo mu nzira y'inkari (UTI): Hari igihe indwara yo mu nzira y'inkari (UTI) ishobora gutera inkovu imbere mu mubiri.
• Indwara z’inkari zivukana: Ibi byanafashije mu kumenya indwara cyangwa inenge zivuka mu nzira y’inkari.

Ni iki gisimbura IVP ubu?

Ariko nk'uko nabivuze mbere, abaganga ntibakunze gukoresha ikizamini cya IVP muri iyi minsi, kuko haje uburyo bushya bwiza, bwumvikana neza, ndetse rimwe na rimwe ntibugire ingaruka mbi.

Ubu ikoreshwa cyane:

• Ultrasound: Ibi bigufasha kubona impyiko n'inkari udakoresheje amazi yihariye. Akenshi iki ni cyo kizamini cya mbere gikorwa.
• Scan ya CT (Isuzuma rya mudasobwa - Scan ya CT):Ibi kandi rimwe na rimwe bikorwa hamwe n'irangi ritandukanye rifite iyode cyangwa ritarifite. Ibi bituma habaho amashusho asobanutse neza y'imbere mu mubiri.
• Gupima ishusho ya Magnetic Resonance (MRI): Ibi kandi rimwe na rimwe bikoresha ubwoko butandukanye bw'irangi ryitwa gadolinium contrast dye. MRI ishobora gukora amashusho arambuye kandi afite imiterere itatu (3D).

Abaganga ubu barimo gukoresha iyi myitozo ngororamubiri (IVP) kuko ubu buryo bushya bushobora gupima ibibazo mu mpyiko no mu nkari neza kandi mu buryo burambuye.

Ni ibihe bimenyetso muganga yategeka ko ubwoko bw'ikizamini nk'iki bukoreshwa?

Ubusanzwe, iyo ufite ibi bimenyetso, muganga ashobora gutegeka ko hakorwa isuzuma (ikizamini kireba imbere) kugira ngo arebe impyiko zawe cyangwa uturemangingo tw'inkari, urugero:

• Niba ufite amaraso mu nkari, iki ni ikintu ugomba kubwira muganga.
• Iyo inkari zibaye ibicu.
• Niba ubabara mu nda yo hasi cyangwa mu mugongo wo hasi.
• Niba ufite ububabare mu rubavu rwawe.

Ibimenyetso nk'ibi bigaragaza ko hashobora kuba hari ikibazo mu mpyiko cyangwa mu nkari. Ni bwo hakenewe ibizamini nk'ibi kugira ngo harebwe neza ibirimo kuba.

Ni nde ukora ikizamini cya IVP?

Iki kizamini cya IVP gikunze gukorwa n'abahanga mu bya X-ray n'abahanga mu bya radiyo. Nyuma yo gufata amashusho, umuganga w'ibya radiyo azasuzuma ayo mashusho, akore raporo, hanyuma ayoherereze umuganga ukuvura.

Impyiko zacu n'urusobe rw'inkari byacu byifashe bite?

Iyo tuvuze ku mpyiko n'urwungano rw'inkari, hari ibice bitatu by'ingenzi. Ibi nibyo abaganga bareba bakoresheje IVP (ariko ubu hamwe n'ibindi bikoresho byo gupima).

• Impyiko: Dufite impyiko ebyiri. Izi ni ingingo ziyungurura amaraso yacu, zigakuramo imyanda, zigakora inkari. Zikora nk'akayunguruzo.
• Ureter: Iyi ni imiyoboro ibiri ijyana inkari zikorerwa mu mpyiko mu ruhago.
• Inkari: Aka ni agafuka gato gakusanya inkari kakabika. Iyo kuzuye, twumva dukeneye kunyara.

Rero, ubwo bwoko bw'ibizamini byo gupima amashusho bifasha kumenya niba hari ibibazo muri izi ngingo, nk'amabuye, ibibyimba, cyangwa ibibyimba.

Nigute wakora ikizamini cya IVP (Bikorwa bite?)

Nubwo IVP idakoreshwa cyane muri iki gihe, ni byiza kumenya uko ikorwa. Dore uko isanzwe ikorwa:

1. Ubwa mbere, uzaryama ku buriri munsi y'icyuma gipima X-ray. Hanyuma, hazafatwa ifoto y'inda yawe n'ikibuno mbere yo guterwa irangi ryihariye (irangi ritandukanye).

2. Hanyuma, ayo mazi yihariye ashyirwa mu mitsi yawe.

3. Nyuma yo guterwa amazi, uzaryamishwa ku buriri hanyuma hagafatwa amashusho menshi ya X-ray uko amazi anyura mu mpyiko akamanuka mu miyoboro y'inkari akagera mu ruhago.

4. Hanyuma uzahabwa igihe gito cyo gukuramo imyakura mu ruhago rwawe, ni ukuvuga kunyara .

5. Nzongera kuryama ku buriri hanyuma ufate andi mafoto make.

Uku ni ko ikizamini cya IVP gikora.

Ni izihe ngorane zishobora guterwa n'ikizamini cya IVP?

Nkuko bigenda ku isuzuma rya muganga, hashobora kubaho ububabare buke muri iki gikorwa cyo kuvura icyorezo cya SIDA. Ariko ntugahangayike, akenshi ibi ntabwo biba bikomeye.

Iyo umuntu atewe irangi ryihariye (irangi ritandukanye) mu mubiri, abantu benshi bashobora kugira kimwe cyangwa byinshi muri ibi bimenyetso by'igihe gito:

• Kumva ubushye gato aho watewe inshinge.
• Ndumva nshyushye gato .
• Kumva usharira bidashira .
• Uburyohe bw'icyuma mu kanwa.

Ibi bizashira nyuma y'igihe runaka.

Hari abantu bari hagati ya 3 na 13 kuri 100 bashobora kugira ikibazo gito cy’iyi misemburo. Muri ibyo bihe:

• Umuntu ashobora kugira isesemi .
• Kuruka bishobora kubaho.
• Umuntu ashobora kumva afite amabara menshi, bigatuma mu maso no mu gituza bihinduka umutuku .

Ibi kandi akenshi biba iby'igihe gito.

Ariko, ni gake cyane , ingaruka zikomeye z'ubwivumbure kuri iki kinyobwa zishobora kubaho. Muri izi ngingo harimo:

• Kugorwa no guhumeka.
• Umuvuduko w'amaraso uri hasi.
• Uduheri cyangwa uduheri ku ruhu.
• Kubyimba mu kanwa cyangwa mu muhogo.
• Guhagarara k'umutima.

Ingaruka zikomeye nk'izi ntizikunze kubaho, ariko iyo zibayeho, zigomba kuvurwa vuba.

Urashobora guhura n'ubu bwoko bw'ingaruka mbi iyo ufite imwe muri izi ndwara zabanje kubaho:

• Allergie zitandukanye.
• Umutima Utera Kunanirwa Guhagarara.
• Diyabete (Diabete Mellitus).
• Indwara y'impyiko idakira.

Niyo mpamvu muganga akubaza ibi bibazo byose mbere yo gukora ikizamini nk'iki. Nanone, ibizamini bishya kandi bidakunze kugaragara byagabanyije cyane iyi ngaruka.

Ikizamini cya IVP kimara igihe kingana iki? Bifata igihe kingana iki kugira ngo umuntu akire?

Ikizamini cya IVP gikunze gufata isaha imwe , ariko niba impyiko zawe zikora cyane, bishobora gufata igihe kirekire.

Ntibitinda gukira. Ikintu cy'ingenzi nyuma yo gupimwa ni ukunywa amazi menshi . Muri ubwo buryo, amazi yihariye (irangi ritandukanye) yatewe mu mubiri wawe azahita asohoka mu nkari zawe.

Ni ryari ngomba kubonana na muganga?

Ibimenyetso nababwiye mbere, ni ibi bikurikira:

• Niba hari amaraso mu nkari,
• Iyo inkari zifite ibara ryijimye,
• Niba ufite ububabare mu mugongo wo hasi,
• Iyo hari ububabare ku ruhande rw'ikibuno,

Niba ibi bikomeje, jya kwa muganga, kuko bishobora gusobanura ko hari ikibazo mu mpyiko zawe, mu miyoboro y'inkari, cyangwa mu ruhago.

Nanone, niba ugaragaje ibimenyetso by'ubwivumbure bukomeye (anaphylaxis) (urugero, kugorwa no guhumeka, ibibyimba mu kanwa no mu muhogo), byaba ari irangi ritandukanye cyangwa ikindi kintu icyo ari cyo cyose, ugomba guhita ubonana na muganga cyangwa ukajya mu bitaro byihutirwa.

Wibuke muri make.

Sawa, reka ngusabe kwibuka bimwe mu bintu by'ingenzi twaganiriyeho.

IVP ni ikizamini cya X-ray gikoreshwa mu gusuzuma impyiko n'urwungano rw'inkari. Harimo guterwa amazi yihariye (irangi ritandukanye) mu mubiri.

Ariko, muri iyi minsi, IVP ntikoreshwa gake cyane. Ahubwo, uburyo bwiza kandi budakoresha imbaraga nyinshi nka ultrasound, CT scan, na MRI scan ni bwo bukoreshwa cyane.

Niba ufite ibimenyetso nk'amaraso mu nkari zawe, inkari zijimye, cyangwa ububabare mu mugongo cyangwa mu kibuno, muganga ashobora gutegeka ko hakorwa ibizamini byo gusuzuma indwara mu mpyiko zawe cyangwa mu ruhago rwawe, nk'amabuye cyangwa ibibyimba.

Igikuru ni uko niba ufite ibimenyetso bidasanzwe, ntubyirengagize ahubwo ujye kwa muganga kugira ngo akugire inama.

Impyiko , Uduce tw'inkari, IVP, Pyelogram yo mu mitsi, X-ray, Irangi ryo mu bwoko bwa Contrast, Amabuye yo mu nkari, Isuzuma