Ese muganga yakubwiye kujya gupimwa CT Urogram? Reka tubiganireho mu buryo bworoshye!

Hari igihe iyo muganga akubwiye gukora ikizamini gifite izina ridasanzwe, ukagira ubwoba gato kandi ugahangayika, si byo se? Cyane cyane iyo ari ikintu kimeze nka "CT scan". Uyu munsi tugiye kuvuga kuri kimwe muri ibyo bizamini, ari cyo "CT urogram" . Iyo wumvise iri zina, ushobora kuba wibaza uti "Mana yanjye, iki kizamini gishya ni iki?" Ariko ntugire ikibazo, tuzavuga kuri byose mu buryo bworoshye kandi busobanutse uyu munsi. Nzabisobanura mu buryo ushobora gusobanukirwa.

CT Urogram ni iki?

Mu magambo make, CT urogram ni scan yihariye ireba uturemangingo tw’inkari zawe - impyiko zawe, uruhago rwawe (agafuka inkari zawe zihuriramo), n’uturemangingo tw’inkari, imiyoboro itwara inkari ziva mu mpyiko zawe zijya mu ruhago rwawe. Ikoresha amazi yihariye yitwa irangi ritandukanye, X-rays , na mudasobwa . Tekereza nko gufata utuntu duto tw’igifu cyawe, imbere mu nda yawe, amagufwa, imitsi, izindi ngingo, n’imitsi y’amaraso. Iyo ushyize hamwe aya mashusho, muganga wawe ashobora kubona uturemangingo tw’inkari zawe mu buryo burambuye, nta kintu na kimwe abuze.

Imashini isanzwe ya X-ray yakoreshaga ifoto y’ibice bibiri (2D) ireba uruhande rumwe gusa. Ariko imashini ikoreshwa muri iyi CT urogram ni nk'agapira kanini. Ifata amashusho yohereza imirasire ya X ku mubiri wawe dogere 360. Hanyuma mudasobwa ihuza aya mashusho yose igatanga ishusho isobanutse y’ibice bitatu (3D) by’imbere mu mubiri wawe. Ibyo bivuze ko igaragara neza nk'aho ufashe ukuboko kwawe ukareba ibirimo.

Kuki muganga yagira inama yo gupimwa CT Urogram?

Noneho ushobora kuba wibaza uti "Kuki muganga wanjye, cyane cyane inzobere mu ndwara z'inkari, yategetse ko hakorwa CT urogram?" Impamvu ni uko, niba ufite ibimenyetso bifitanye isano n'inkari zawe - urugero, amaraso mu nkari zawe, ububabare bukabije ku ruhande rumwe rw'igifu cyawe cyangwa inda yo hepfo, kugorwa no kunyara - iyi scan ishobora kugufasha cyane mu gushaka impamvu nyayo .

CT urogram irashobora gufasha muganga wawe kumenya indwara ziri mu nkari zawe, nko:

• Amabuye mu mpyiko
• Amabuye yo mu muyoboro w'inkari (amabuye ari mu miyoboro itwara inkari )
• Amabuye yo mu rukenyerero
• Kwandura indwara zikunze kugaragara
• Ibibyimba cyangwa indwara zishobora kuba zaratewe na kanseri
• Ibisebe

Iki ni ikizamini cy'ingenzi cyane kugira ngo umenye neza indwara nk'izi no gutangira kuvurwa neza ukeneye.

Ni nde ukora iyi CT Urogram?

Iyi '(CT urogram)' ikorwa n'abantu babihuguriwe by'umwihariko bitwa abahanga mu ikoranabuhanga rya radiyo . Nibo bakora ubu buryo bwo gufata amashusho kandi bagafasha abaganga gusuzuma indwara neza. Ni abahanga cyane kuri ibi, bityo nta kintu na kimwe cyo gutinya.

Witegura ute CT Urogram?

Noneho reka turebe uko wakwitegura iki gipimo cya `(CT urogram)`. Kubikora neza ni ingenzi cyane kugira ngo ubone ibisubizo nyabyo bivuye mu kizamini.

Mbere yo gupimwa, muganga cyangwa umuforomo azagupima ibimenyetso by'ubuzima bwawe (ni ukuvuga ubushyuhe bwawe, umuvuduko w'amaraso, n'umuvuduko w'amaraso). Hanyuma azabaza ibibazo bike by'ingenzi. Ni ngombwa cyane ko uvuga ukuri ku byo uzi byose muri iki gihe, sibyo?

• Ese hari izindi ndwara ufite ubu? (urugero: diyabete, indwara z'umutima)
• Ese ufite ubwivumbure ku mazi yihariye `(irangi ritandukanye)` cyangwa iyode `(iyode)` yavuzwe mbere? (Ese wigeze ugira ubwivumbure ku `(irangi)` kugira ngo urebe `(isuzuma)` mbere?)
• Uratwite ? Cyangwa ufite amakenga make ko utwite? (Iki ni ikintu kigomba kuvugwaho).
• Ese hari imiti urimo gufata ubu? Urugero, imiti nka metformin ivura diyabete, imiti idakoresha steroide igabanya ubushyuhe (NSAIDs) (urugero: ibuprofen, diclofenac), imiti igabanya ubukana bw'amaraso, cyangwa imiti igabanya amaraso nka warfarin. Andika imiti yose cyangwa imiti y'ibimera urimo gufata.

Hari igihe uzasabwa gupimwa amaraso mbere yo gupimwa. Ibi bizatuma muganga asuzuma imikorere y'impyiko zawe no guhitamo irangi rikubereye.

Niba uzi neza ko ufite ubwivumbure ku irangi ritandukanye, ntugire ikibazo. Muganga wawe ashobora kuguha steroide mu ijoro ryabanjirije ikizamini n'igitondo cy'ikizamini. Ushobora kandi guhabwa umuti wo kurwanya indwara ya antihistamine mbere yo gupimwa. Muganga wawe azakwandikira iyi miti yose.

Nanone, umuganga cyangwa abakozi baho bazaguha andi mabwiriza y'uko wakwitegura iyi `(CT urogram)`. Ni ingenzi cyane gukurikiza ayo mabwiriza neza.

Ni iki nakora umunsi umwe mbere y'uko isuzuma ritangira ndetse na mugitondo?

• Ushobora gusabwa kunywa amazi y'inyongera mbere yo gupimwa. Ushobora kandi gusabwa guhagarika kunyara kugeza igihe gupimwa birangiye. Ibi biterwa nuko uruhago rwawe ruzaba rwuzuye kandi rukuze, bigatuma byorohera muganga kurusuzuma neza.
• Ambara imyenda idafite isuku kandi ijyanye neza igihe uje gupimwa.Ni byiza kuza wambaye. Ushobora no kwambara ikanzu yihariye baguhaye.
• Kuraho imitako yose, nk'isaha yawe, umukufi, imikufi, n'amaherena. Niba watoboye amaherena, uzakenera kuyakuraho.
• Niba wambaye amenyo y'ingore cyangwa utumashini dufasha kumva, ushobora gusabwa kuyakuraho mbere yo kuyasuzuma, kuko ibyo bintu by'icyuma bishobora kwangiza amashusho ari muri iyo scan.

Ni iki wakwitega mu gihe ugiye gupimwa CT Urogram?

Noneho reka turebe uko bigenda mu gihe cyo gupimwa ""(CT urogram)". Ntugahangayike, ndagusobanurira.

Uzasabwa kuryama ku meza yihariye isa n'igitanda. Akenshi, uzasabwa kuryama wumye, ariko rimwe na rimwe, bitewe n'uko umeze, ushobora gusabwa kuryama wumye cyangwa ugaramye inda. Ushobora kandi gusabwa gushyira ikintu kimeze nk'umusego munsi yawe kugira ngo umubiri wawe uhore ugororotse kandi umerewe neza. Ibi bizatuma scan ikuryohera kandi igufashe kubona amashusho asobanutse neza.

Hanyuma, umuforomo cyangwa umuhanga mu ikoranabuhanga azashyira urushinge ruto mu mutsi uri ku kuboko kwawe cyangwa ku kuboko kwawe, hanyuma irangi ryihariye ritandukanye rizashyirwa mu mubiri wawe binyuze mu muyoboro uhujwe narwo. Ibi byitwa urushinge rwo mu mitsi (IV) . Uzumva urimo gushyuha gato iyo urushinge rushyizwemo, nk'urushinge, ariko ntabwo rubabaza.

Iyo utewe irangi rya contrast mu mubiri wawe, ushobora kumva ubushyuhe buto , nk'isura yawe ihinduka umutuku iyo ufite isoni. Hari abantu bashobora no kumva bafite isesemi cyangwa barwaye umutwe. Ushobora kandi kumva uburyohe bw'umunyu cyangwa icyuma mu kanwa kawe. Ushobora kandi kumva ushaka kunyara mu buryo butunguranye. Ibi byose bizashira mu masegonda make cyangwa iminota mike, bityo ntugahangayike, ni ibisanzwe.

Iyo scan itangiye, igitanda uryamyeho kizajya gitangira kwinjira buhoro buhoro mu mashini, nk'umugati. Ni ngombwa kuguma utuje uko bishoboka kose muri iki gihe. Niba wimuka, amashusho azaba adasobanutse neza, nk'uko bigenda iyo wimuye kamera. Niba wumva utameze neza cyangwa ukeneye kwimuka kubera ko hari ikintu urimo gukurura, bwira umuhanga mu ikoranabuhanga. Bashobora kugusaba guhagarika umwuka wawe akanya gato mu gihe amashusho arimo gufatwa.

Akamashini gafata amashusho y'ibice by'umubiri wawe muganga ashaka kureba. Iyo kamashini ifata amashusho, ntabwo ikora urusaku rwinshi, ahubwo ikora gusa akantu gato. Kuri bamwe, iki ni ikintu kiruhura cyane, ndetse bamwe bashobora no gusinzira! Ariko, hashobora kubaho urusaku ruto rwa mekanike iyo igitanda cyinjiye cyangwa gisohoka muri kamashini.

CT Urogram bifata igihe kingana iki?

Ubusanzwe, iyi "(CT urogram)" bifata isaha imwe kugira ngo irangire.Witegura, uhabwa isuzuma rya IV, hanyuma ugakorerwa isuzuma, ibyo byose bifata igihe. Bifata iminota 10 kugeza kuri 30 kugira ngo irangi ritandukanye ryinjire mu mubiri wawe rikwirakwire mu nkari zawe, kandi kugira ngo hafatwe amashusho asobanutse neza. Isuzuma rimwe, ni ukuvuga itsinda rimwe ry'amashusho, bifata igihe gito cyane, amasegonda agera kuri 10 kugeza kuri 30. Isuzuma ryose risaba isuzuma ritandukanye, rigafata amashusho mu bihe bitandukanye.

Ni iki kibaho nyuma yo gupimwa CT Urogram?

Nyuma yo gupima no gusuzuma amashusho, umuganga w’imirasire agasuzuma ko amashusho yose ari meza kandi ko yasohotse nk'uko byari byitezwe, azakuramo agapira gato k’umuyoboro w’amaraso mu kuboko kwawe, agashyira agace gato ka kaseti cyangwa agapira k’ipamba hejuru y’aho hantu kugira ngo gakomeze gukoreshwa. Niba wari wambaye ikanzu, ushobora kongera kwambara imyenda yawe. Ushobora gutaha nyuma y’ibyo, kandi nta kintu kidasanzwe ugomba gukora. Ariko, bashobora kukubwira kunywa amazi menshi kugira ngo irangi ritandukanye rive mu mubiri wawe vuba.

Ese hari ingaruka iyo ukoresheje CT Urogram?

Iki gishobora kuba ikibazo gikomeye kiri mu mutwe wawe, "Ese hari ingaruka mbi cyangwa ibyago biri muri ibi?"

Igipimo cya CT urogram muri rusange gifatwa nk'ikizamini cyizewe cyane.

Ariko, kimwe n'ibindi bizamini by'ubuvuzi, hashobora kubaho ingaruka nto cyane:

• Guhura n'imirasire: Isuzuma rya CT rikoresha imirasire mike ya iyonize kugira ngo ifate amashusho. Buri gihe hashyirwaho imbaraga zo gutuma ingano y'imirasire iguma hasi cyane. Bivugwa ko ibi byongera ibyago byo kurwara kanseri mu gihe kirekire ku rugero ruto cyane, ariko ingano y'ubwiyongere ni nto cyane ku buryo idashobora gupimwa neza. Muganga ategeka iki kizamini kuko inyungu z'ikizamini ziruta kure ingaruka ntoya.
• Indwara zo kuvura ibara ry’urukozasoni: Ni gake cyane, hari abantu bashobora kugira ubwivumbure bworoheje cyangwa bukomeye kuri iryo bara ry’urukozasoni. Niyo mpamvu ubanza kubazwa niba ufite ubwivumbure. Ushobora kugira uburyaryate buke cyangwa ukagira ibisebe. Indwara zikomeye zo kuvura ibara ry’urukozasoni ni gake cyane, kandi no muri ibyo bihe, ibitaro bifite ibikoresho byo gutanga ubuvuzi bwihuse.
• Kubyimba cyangwa kubyimba aho urumogi rwabereye: `(IV)` Hashobora kubaho gukomereka cyangwa kubyimba (angioedema) hafi y'aho urumogi rwabereye. Ibi bikunze kugabanuka mu minsi mike.

Niba ugifite impungenge cyangwa gushidikanya kuri izi ngaruka, menya neza ko uganira na muganga wawe ku mugaragaro. Ashobora kuguha ibisubizo bisobanutse ku mpungenge zawe no kugufasha gufata icyemezo gikwiye.

Bifata igihe kingana iki kugira ngo ubone ibisubizo bya CT Urogram?

Ubusanzwe bifata iminsi 1 kugeza kuri 3 kugira ngo ibisubizo bya CT urogram yawe bigaruke. Umuganga w’inzobere mu by’imirasire, witwa radiologist,Azasuzuma isuzuma ryawe maze akore raporo irambuye y'ibyo yabonye n'ibyo yabonye. Hanyuma muganga wawe azaganira nawe kuri iyo raporo, haba kuri telefoni cyangwa aguteganyirije gahunda yo kuza kumureba.

Mu gihe cy’ubutabazi bw’ibanze, urugero nko mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro (ETU) , ibi bisubizo bishobora kuboneka vuba cyane, mu isaha imwe.

Ni ryari ngomba guhamagara muganga ?

Gutegereza ibisubizo bya CT urogram bishobora gutera ubwoba kandi bikagorana kwihanganira, kandi ndabyumva. Ubusanzwe ugomba kumenyeshwa ibisubizo mu minsi mike. Ariko, niba utarabyumva, cyangwa niba ufite ikibazo cyangwa impungenge kuri ibi, nyamuneka ntutindiganye guhamagara muganga wawe.

Ese CT Urogram irababaza?

Oya, CT urogram ntabwo ari ikizamini kibabaza na gato. Ikintu cyonyine uzumva ni ukuruma gato iyo ushyizwemo IV, nk'aho urumwe n'ikimonyo. Uretse ibyo, nta bubabare buhari.

Ni irihe tandukaniro riri hagati ya CT scan isanzwe na CT urogram?

Iki ni ikibazo cy'ingenzi abantu benshi bibaza. `(CT urogram)` ni ubwoko bwihariye bwa `(CT scan)`. Mu by'ukuri, `(CT urogram)` ireba by'umwihariko uturemangingo tw'inkari zawe (impyiko, uruhago, urethra). `(CT scan)` isanzwe ishobora kureba igice icyo ari cyo cyose cy'umubiri wawe, kuva ku mutwe wawe kugeza ku zindi ngingo. Nanone, si buri `(CT scan)` isanzwe ikoresha iyo `(contrast color)`. Ariko `(CT urogram)` ikoresha `(contrast color)` kugira ngo ibone neza uturemangingo tw'inkari.

Ni irihe tandukaniro riri hagati ya CT Urogram na Cystoscopy?

Nubwo ibi byombi ari ibizamini bireba uturemangingo tw'inkari, hari itandukaniro rinini mu buryo bwo gukora. Isuzuma rya cystoscopy ni ikizamini cyinjira cyane kurusha isuzuma rya CT urogram.

Mu gihe cyo gupima cystoscopy, muganga azajya ashyira buhoro buhoro umuyoboro wihariye ungana n'ikaramu, umuyoboro muto ufite urumuri na kamera - witwa cystoscope - binyuze mu muyoboro wawe w'inkari no mu ruhago rwawe. Hanyuma, muganga azashyira amazi y'umunyu mu ruhago rwawe, bityo kamera ikareba mu ruhago no mu muyoboro w'inkari.

Muri ""(CT urogram)", nta bikoresho byinjizwa mu mubiri, ni scan ikorwa inyuma.

Icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, rero ikintu cy'ingenzi ugomba kwibuka mu byo twavuze ni iki:

Igipimo cya CT urogram ni ingirakamaro cyane, muri rusange gifite umutekano, kirimo ibyago bike, kandi nta bubabare gishobora gufasha kumenya ibibazo biri mu nkari zawe.

Ni ibisanzwe kumva ufite ubwoba cyangwa uhangayitse gato iyo muganga agusabye gukora ikizamini nk'iki. Ariko niba ufite ikibazo cyangwa impungenge kuri cyo, ganira na muganga wawe ku bijyanye nacyo mu buryo bwumvikana kandi bweruye. Ntabwo uzasobanukirwa neza ikibazo gusa, ahubwo uzashobora no gutsinda ubwoba bwawe. Gusuzuma neza ni yo ntambwe ya mbere kandi y'ingenzi yo kwihutira kuvurwa no kuvura bikwiye! Kubwibyo, kwitabira ibizamini nk'ibi nta bwoba ni ingenzi cyane ku buzima bwawe.

CT urogram, uturemangingo tw'inkari, indwara z'impyiko, uruhago rw'inkari, scan, irangi ryo kugereranya, X-ray