Ese ufite ibibazo by'amara yawe mato? Reka twige ibijyanye na Balloon Enteroscopy!

Hari igihe bigora kubona indwara mu bice bito by'umubiri wacu, si byo se? Cyane cyane ahantu nka amara mato mu buryo bw'igogora ryacu. Ni bwo iki kizamini cyihariye cyitwa 'balloon enteroscopy' kiza kuba ingirakamaro. Reka turebe icyo ari cyo, uko bikorwa, n'impamvu bikenewe.

Reka tubanze turebe icyo iyi balloon enteroscopy ari cyo.

Mu magambo make, ubu buryo bwihariye bukoreshwa mu gushakisha ibibazo biri mu mara yawe mato , rimwe na rimwe ukabivura aho ngaho. Tekereza nk'umuyoboro muto ufite kamera (enteroscope) unyuzwa mu cyuma kimwe cyangwa bibiri kugira ngo usuzume amara yawe mato yose. Ni bumwe mu buryo bwo kureba uturemangingo twose tw'igifu cyawe utiriwe ubagwa .

None se iyi sisitemu ikora ite?

Dore uko bigenda: Umuganga wawe w’indwara z’igifu ashyiramo enteroscope , umuyoboro muremure kandi muto ufite kamera isobanutse neza n’ibikoresho bito ku mpera imwe, mu mara yawe mato haba binyuze mu kanwa kawe cyangwa binyuze mu kibuno cyawe. Hari umuyoboro umwe cyangwa ibiri kuri uyu muyoboro. Utu dupira tuba twuzuye umwuka kandi duto. Ibi bituma umuyoboro ugenda neza mu mara yawe mato. Ibi bituma ugera kure kurusha umuyoboro usanzwe wa endoscope .

Kuki dukeneye uburyo budasanzwe nk'ubu?

Tekereza, amara yawe mato afite uburebure bwa metero 20 ! Ni cyo gice kirekire cyane cy’igogora ryacu. Nanone ni mato cyane, kandi afite imiterere myinshi imbere. Rero, endoscope zisanzwe ntizigira uburebure cyangwa ubushobozi bwo gutwikira ubu burebure bwose. Ariko iyi entoscope ifite uburebure bubiri kurusha isanzwe.

Ni mu bihe ibihe ushobora gukenera enteroscopy y'inyuma y'inyuma?

Akenshi, iki kizamini gikorwa kugira ngo hamenyekane aho amaraso ari mu mara neza kandi avurwe. Iyo ni yo mpamvu nyamukuru.

Hariho izindi mpamvu uretse izo. Reka turebe izo ari zo:

• Suzuma amara yawe mato niba nta polyps , ari zo ngero nto, cyangwa ibindi bibyimba .
• Kumenya no kuvura indwara nk'indwara ya Crohn mu mara mato .
• Hari igihe igice cy'amara gishobora kuziba , ari nacyo giteye ubwoba , cyangwa amara agashobora kugabanuka ku buryo budasanzwe. Shaka ibintu nk'ibyo.
• Niba hari ibindi bizamini, nk'agapira gato k'amara cyangwa endoskopi, bidashobora gukorwa bitewe n'imiterere y'amara yawe idasanzwe.
• Mu mara ku bw'ikosaIbi kandi bikoreshwa mu gukuraho ibintu by'amahanga iyo byafatiriwe.

Ni nde ukora iki gikorwa cyo gupima ibyuma binini (balloon enteroscopy)?

Iki kizamini gikorwa n'inzobere mu ndwara zo mu nda, umuganga wahuguwe muri uru rwego.

Ni gute nakwitegura iki kizamini?

Kwitegura ibi ahanini bikubiyemo gukuramo amaraso mu mara yawe mato . Uburyo bukubereye buzaterwa n'aho enteroscope ishyizwe:

• Ukoresheje umunwa: Ushobora kurya ibiryo by'amazi gusa kuva nyuma ya saa sita umunsi umwe mbere y'ikizamini kugeza amasaha abiri mbere y'ikizamini.
• Gukoresha agakoresho ko mu nda: Ibi bisaba kwiyiriza ubusa mbere yo gupimwa. Ugomba kandi gutegura amara yose , nk'uko byakozwe na colonoscopy . Ibi bivuze ko uzahabwa imiti yo kuruhura n'umuti wa electrolyte wo kunywa umunsi umwe mbere yo gupimwa. Ibi bizatera impiswi kugeza igihe amara yawe azaba asukuye neza.

Uretse iyi miti, ushobora kureka gufata imiti imwe n'imwe, nk'imiti igabanya amaraso , imiti ya diyabete , cyangwa inyunganiramirire y'icyuma , igihe gito. Ugomba kubwira muganga wawe imiti yose urimo gufata. Azakubwira iyo ukwiye guhagarika gufata n'iyo ushobora gukomeza gufata.

Ni iki kibaho mu gihe cyo gupima balloon?

Uzabanza uhabwe umuti ugabanya ububabare , cyangwa ikinya rusange, kugira ngo usinzire. Nta kintu na kimwe uzumva. Hanyuma, inzobere izashyiramo enteroscope inyuze mu kanwa kawe cyangwa mu nda. Hanyuma, agapira kazashyuha kandi kagashiramo umwuka buri gihe. Igihe cyose agapira kazashyuha kandi kagashiramo umwuka, umuyoboro uzagenda imbere gato. Ibi bishobora gufata amasaha abiri kugira ngo usuzume amara mato yose .

Ni ibihe bipimo n'uburyo bwo kuvura nahabwa muri iki gikorwa?

Mu gihe cyo gupima amenyo hakoreshejwe balloon enteroscopy, ibi bikurikira bishobora gukorwa:

• Ura rwawe ruto ruzasuzumwa neza kugira ngo harebwe ibimenyetso, nko kubyimba bidasanzwe .
• Iyo hari amaraso yo mu nda, barayasanga bakayavura.
• Iyo hari umuntu wo mu muryango warwaye kanseri y'amara mato , abarwaye kanseri bakorerwa isuzuma .
• Iyo hari polyps , izindi ndwara zidasanzwe, cyangwa ibintu by’amahanga byagiye mu mubiri ku buryo butunguranye, birakurwaho.
• Agace gato k'urugingo rusa n'aho rudasanzwe karafatwa (biopsy) kakajyanwa muri laboratwari kugira ngo gasuzumwe hifashishijwe mikorosikopi.
• Kuziba mu mara yaweIyo ihari, igikoresho gisa n'umuyoboro (stent) gishobora gushyirwamo kugira ngo cyaguke kandi kidakomeza gufunga.

Ni izihe nyungu n'ingaruka z'ubu buryo bwo gupima indorerwamo imwe cyangwa indorerwamo ebyiri?

Akamaro gakomeye k'ubu buryo ni uko bushobora gukorwa hatabayeho kubagwa mu nda cyane . Ibi birinda ibyago byo kubagwa mu nda cyane, bigabanya igihe cyo gukira, kandi bigufasha gusubira mu mirimo isanzwe vuba.

Ariko, nk'uko bigenda mu buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora guterwa n'ubwo buvuzi. Reka turebere hamwe ibyo ari byo:

• Nyuma yo gupimwa , umwuka mu gifu ushobora gutera ububabare no kumererwa nabi .
• Hari abantu bashobora kurwara pancreatitis .
• Ingaruka zijyanye no gusinziriza zirimo isesemi no kuruka , ubushyuhe buke bw'umubiri , no kuribwa umutwe .
• Ni gake cyane, urukuta rw'amara mato rushobora gutoboka (gutoboka kw'amara) .
• Iyo enteroscope ishyizwemo binyuze mu kanwa, ushobora kumva ububabare mu muhogo nyuma yaho.

Igikuru ni uko amahirwe y'uko ibi byago bibaho aba make cyane. Muganga wawe azagusobanurira ibi byose.

Ni ryari nshobora kumenya ibisubizo by'ibizamini?

Ushobora kubona ibisubizo bimwe na bimwe ukimara gukanguka uvuye mu kinyabutabire . Ariko, niba muganga wawe yarakoze biopsy cyangwa agakuramo polyp , akenshi bifata icyumweru kugira ngo ibisubizo bigaruke.

Igihe cyo gukira kimeze gite nyuma y'iki kizamini?

Uburyo bwo gupima amenyo (Balloon enteroscopy) ni uburyo bwo kuvura umuntu uri hanze . Ibi bivuze ko ushobora gutaha nyuma yo kubyuka uvuye mu kinyabutabire. Ariko, uko waba wumva umeze kose, si byiza gutwara imodoka ku munsi wo kubagwa . Kubwibyo, ugomba gutegura kujya gutaha n'umuntu ufite inshingano mbere y'igihe.

Ni ngombwa kuruhuka bihagije nyuma yo gutaha. Niba waranyoye imiti yo koza amara, kunywa amazi menshi no kurya ibiryo byuzuye intungamubiri. Abantu benshi bashobora gusubira mu mirimo isanzwe umunsi umwe nyuma yo gupimwa.

Ni irihe tandukaniro riri hagati ya Single Balloon Enteroscopy na Double Balloon Enteroscopy?

Ubu buryo bwombi, bwitwa single balloon enteroscopy na double balloon enteroscopy , ni uburyo bwizewe kandi bufite akamaro bwo kureba amara yawe. Muri ubwo buryo bwombi, umuyoboro muto (overtube) ushyirwa mu mara, ari wo enteroscope.Hariho kimwe. Itandukaniro rikomeye riri mu buryo umuyoboro w'amaraso winjira mu mara.

Muri enteroscopy y'ibaluni imwe , enteroscope ifite ibaluni imwe gusa. Igice cy'imbere cy'ibaluni kirahindagurika. Iki gikorwa nk'inkingi iyo umuyoboro unyuze mu mara.

Muri enteroscopy y'ibipupe bibiri , impera y'inyuma isimburana n'indi ballon. Ipupe imwe ikora nk'inkingi, mu gihe indi ballon ifasha mu gutera imbere umuyoboro.

Ubusanzwe, enteroscope y'udupira tubiri ishobora kwinjira cyane mu mara mato kurusha agapira kamwe, bigatuma amara mato yose agaragara neza.

Ikintu cy'ingenzi ugomba kwibuka mu byo twavuze ni

Uburyo bwo gupima indwara zo mu mara, cyangwa "balloon-assisted enteroscopy", ni uburyo bw'ingirakamaro bukoreshwa mu gusuzuma no kuvura indwara zo mu mara mato . Bushobora gufasha mu kubona ibisubizo by'indwara zitandukanye, nko kuva amaraso mu mara na polyps . Icy'ingenzi kurushaho, ubu buryo bworoshye ku mubiri wawe kuruta kubagwa . Kubwibyo, nta kubabara cyane mu gihe cyo gukira, kandi ushobora gusubira mu mirimo yawe ya buri munsi vuba. Niba muganga akubwira iby'ubu bwoko bw'ikizamini, ntutinye. Vugana na we witonze kuri ibyo kandi umubaze ikibazo icyo ari cyo cyose ufite.

` Isuzuma ry'amara, amara mato, isuzuma ry'amara, indwara z'igifu, polyps, indwara ya Crohn