Ese wigeze upimwa imitsi y'amaraso mu ijosi? Reka twige ku isuzuma rya CIMT! (Ubunini bwa Carotid Intima-Media - Isuzuma rya CIMT)

Wigeze wumva ikizamini cya `(CIMT)`? Ahari muganga wawe yakubwiye gukora iki kizamini. Mu by'ukuri ni ikizamini cyoroshye cyane kandi kitababaza. Rero, uyu munsi turaganira ku buryo bworoshye ku cyo iki kizamini cya `(CIMT)` ari cyo, icyo wakwitegaho, n'uwo gifitiye akamaro.

Iki kizamini cya CIMT ni iki?

Mu magambo make, ikizamini cya CIMT gipima ubunini bw'inkuta z'imbere z'imitsi minini y'amaraso mu ijosi ryawe, imitsi ya carotide . Imitsi ya carotide ni imitsi ibiri y'amaraso y'ingenzi cyane ku mpande zombi z'ijosi ryawe itanga amaraso akungahaye kuri ogisijeni mu bwonko bwawe, ku mutwe no mu maso. Ni nk'imihanda ibiri minini.

Ku bijyanye n'urukuta rw'imitsi y'amaraso, rufite ibice byinshi by'ingenzi. Ikizamini cya CIMT kireba ubunini bw'ibice bibiri by'imbere by'urukuta rw'imitsi y'amaraso - "intima" na "media" .

• Intima ni igice cy'imbere cy'umuyoboro w'amaraso gihura n'amaraso.
• Ibitangazamakuru ni urwego ruri munsi, hagati.

Tekereza nk'umuyoboro utwara amazi. Uko urukuta rw'uwo muyoboro rugenda rukomera, inzira y'amazi igenda irushaho kuba nto, ni nako bigenda iyo inkuta z'iyi miyoboro y'amaraso zirushijeho kuba nyinshi.

Ni iki wakwitega mu kizamini cya CIMT?

Intego nyamukuru y'iki kizamini ni ukumenya niba ufite ibinure byirundanyije, byitwa 'plaque' , mu nkuta z'imitsi yawe ya carotid. Ibi bizwi mu buvuzi nka 'atherosclerosis' . Nk'uko umuyoboro w'amazi ugenda uhinduka ingese uko igihe kigenda, ni ko ibintu nk'ibi bishobora kwiyongera mu mitsi yacu y'amaraso.

Iyo plaque yikubise muri ubu buryo, urukuta rw'imitsi y'amaraso rurakomera. Rero, iki kizamini cya ``(CIMT)`` gishobora gupima ubwo bunini no kumenya niba hari ukwiyongera nk'uko, kandi niba ari ko bimeze , ingano y'ubukana bwabyo. Igice cyiza ni uko iki kizamini gishobora gufasha kumenya iyi ndwara hakiri kare, mbere yuko ibimenyetso bigaragara.

Noneho ushobora kuba wibaza uti, bizagenda bite niwabimenya? Akoresheje aya makuru, muganga wawe ashobora gusuzuma ibyago byawe byo kurwara indwara z'umutima n'imitsi nk'indwara z'umutima n'imitsi yo mu bwonko . Ibi bishobora kugufasha gutegura uburyo bwo kwivuza, imiti, n'impinduka mu mibereho yawe kugira ngo ugabanye ibyago byo kurwara indwara.

Ikizamini cya CIMT ni nk'igice kimwe cy'isesengura rinini. Giha muganga wawe ibimenyetso by'ingenzi ku buzima bw'umutima wawe.

Ni nde ushaka gukora ikizamini cya CIMT?

Ubusanzwe muganga agusaba iki kizamini cya ""(CIMT)"" iyo atekereje ko ufite ibyago byo kurwara indwara ya atherosclerosis , ari na yo mpamvu ibinure byiyongera mu mitsi yawe. Ni ibihe bintu bishobora gutera ibyago?

• Hyperlipidemie: Ibyo bivuze ko urugero rwa cholesterol mu maraso yawe ruri hejuru.
• Umuvuduko ukabije w'amaraso : Ibi bivuze ko ufite umuvuduko ukabije w'amaraso, cyangwa niba umuvuduko w'amaraso wawe uri hejuru cyane.
• Hyperglycemia : Ibi bivuze ko urugero rw'isukari mu maraso yawe ruri hejuru cyane (urugero, ku bantu barwaye diyabete).
• Bimwe mu bintu bitera imibereho : Iyi ngaruka iri hejuru ku bantu banywa itabi kandi banywa.

Rero, niba ufite kimwe cyangwa byinshi muri ibi bintu bishobora gutera ibyago, muganga wawe ashobora no kugusaba gukora iki kizamini cya `(CIMT)`.

Ikizamini cya CIMT gikorwa gite?

Iki kizamini cya `(CIMT)` gikorwa hakoreshejwe ikoranabuhanga rya ultrasound . Ushobora kuba warumvise ibya scan zikoreshwa mu kureba abana. Iri koranabuhanga ni ryo rikoreshwa kuri iki. Ni ikizamini kidakoreshwa mu buryo butunguranye . Ibyo bivuze ko nta kintu na kimwe cyinjijwe mu mubiri wawe, nta n'ibikomere bikosoka. Bityo ntukumva ububabare ubwo aribwo bwose .

Iki kizamini gikorwa n'umuhanga mu by'ikoranabuhanga rya ultrasound. Yatojwe by'umwihariko gukora ibi bizamini. Dore uko bikora mu magambo yoroshye:

1. Umutekinisiye azakanda witonze agakoresho gato gafata mu ntoki - kitwa transducer - ku ngingo zitandukanye ku ijosi ryawe.

2. Iyi transducer itanga amajwi menshi cyane (amajwi ya ultrasound).

3. Izi mvururu z'urusaku zinyura mu ijosi ryawe, zigakubita ibintu biri imbere (harimo n'imitsi yawe ya carotid) hanyuma zigasubira inyuma (nk'uko `inyikirizo`).

4. Transducer ubwayo ifata izi ngaruka z'imiraba ikazisubiza kuri mudasobwa.

5. Mudasobwa ipima iyi miraba igakora amashusho yayo. Ayo mashusho akoreshwa mu gupima ubunini bw'urukuta rw'imitsi y'amaraso.

Ni gute nakwitegura iki kizamini?

Mu by’ukuri, nta myiteguro yihariye ikenewe kuri iki kizamini cya `(CIMT)`. Ariko, niba bishoboka, ambara imyenda idafite isuku kandi ijyanye neza . Kubera ko umutekinisiye azagomba kwimura transducer mu ijosi ryawe, biroroha ko akora akazi ke niba yambaye ikintu kimeze nk'ishati ifite umwanya mu ijosi.

Uburyo bwo gukora ikizamini cya CIMT intambwe ku yindi

Ikizamini cyose gikunze gufata iminota 30 kugeza kuri 45. Dore uko bikorwa:

1. Ubwa mbere, umutekinisiye azakubwira kuryama ku meza y'ibizamini. Ugomba kuba ureba hejuru neza.

2. Hanyuma, gel ishyirwa mu ijosi ryawe. Iyi gel ihuza neza uruhu rwawe n'icyuma gihindura imiterere y'umubiri, kandi igafasha amajwi kwinjira mu mubiri.

3. Hanyuma, umutekinisiye azashyira icyuma gihindura ijosi witonze ku bice bitandukanye by'ijosi ryawe maze akizungurutse. Hari igihe uzasabwa kuzunguza umutwe wawe gato kugira ngo wumve neza uko bishoboka kose. Uzumva ubabaye gato, ariko nta bubabare.Niba wumva utameze neza mu buryo ubwo aribwo bwose, bwira umutekinisiye ako kanya.

4. Iyo ikizamini kirangiye, gel iyo ari yo yose isigaye ku ijosi izahanagurwa.

Nibyo rwose! Byoroshye cyane, sibyo?

Bigenda bite nyuma y'ikizamini?

Umutekinisiye amaze kukubwira ko ikizamini cyarangiye, ushobora gutaha. Ushobora gukomeza imirimo yawe ya buri munsi nk'uko bisanzwe.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Iyi ni inkuru nziza cyane! Abashakashatsi ntibabonye ingaruka zijyanye n'ikizamini cya CIMT. Ni ikizamini cyizewe cyane kandi kidatera indwara. Ntigikoresha imirasire. Nta mpamvu yo gutinya rero.

Ni ibihe bisubizo tubona?

Ikizamini cya `(CIMT)` gipima ubunini bw'ibice bibiri by'imbere by'imitsi yawe ya carotid. Iki kizamini gitanga amashusho ndetse n'amakuru y'imibare. Aya makuru arasesengurwa kandi raporo igategurwa n'umuhanga mu by'imirasire . Ni inzobere mu gusoma no gusobanura amashusho y'ubuvuzi, nk'amashusho ya ultrasound.

Umuganga w’indwara z’imirasire azohereza aya makuru kwa muganga wawe w’ibanze cyangwa umuganga w’indwara z’umutima, hanyuma akagusobanurira ibisubizo.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Muganga wawe azakubwira igihe uzabonera ibisubizo by'ibizamini byawe. Ubusanzwe, bizatwara iminsi mike.

Niba ibisubizo bidasanzwe, ni iki ukurikizaho?

Tekereza, niba ibisubizo by'ibizamini byawe bya ``(CIMT)`` bigaragaza ko inkuta z'imitsi yawe y'amaraso zibyimbye gato kandi ko plaque yatangiye kwiyubaka. Niba ari uko bimeze, muganga wawe azakugira inama yo kugabanya ibyago byo kurwara indwara z'umutima na stroke .

Urugero:

• Ushobora guhabwa imiti yo kugenzura umuvuduko w'amaraso yawe.
• Imiti ishobora gutangwa kugira ngo igenzure urugero rwa cholesterol.
• Dushobora gutanga inama yo gukora imyitozo ngororamubiri ushobora gukora buri gihe.
• Ushobora kugirwa inama yo gukurikiza indyo yuzuye umutima (urugero, indyo yo mu nyanja ya Mediterane).

Ibi byose bikorwa kugira ngo urinde ubuzima bwawe bw'ejo hazaza.

Ni ryari ngomba kuvugana na muganga?

Niba ufite ikibazo cyangwa impungenge ku bisubizo by'ikizamini cya CIMT cyangwa gahunda yo kuvura muganga wawe yaguteguriye, hamagara muganga wawe akagusobanurira . Ni uburenganzira bwawe.

Ikintu cy'ingenzi cyane tugomba kwigira kuri ibi

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Ikizamini cyitwa ``(CIMT)`` (Carotid Intima-Media Thickness) gishobora kugaragaza ibimenyetso bya mbere by'ibinure byishyize mu mitsi minini y'amaraso mu ijosi ryawe.
• Ukoresheje aya makuru, muganga wawe ashobora gushyiraho gahunda yo kugabanya ingorane ushobora guhura nazo zikomoka ku ndwara z'umutima n'imitsi mu gihe kizaza.
• Ni ibisanzwe kumva ufite ubwoba gato iyo ugiye kwipimisha. Ariko, ushobora kwizera ko ikizamini cya (CIMT) ari ikizamini cyihuse, kitababaza kandi kitabangamira umuntu .
• Ubumenyi muganga yungukira muri iki kizamini bushobora kuba ingirakamaro bihagije kugira ngo burokore ubuzima bwawe .

Rero, niba muganga agusabye ubwoko bw'ikizamini, ntutinye kugikora, shaka amakuru ukeneye, hanyuma ugikore. Ni ishoramari rikomeye mu buzima bwawe.

` Ikizamini cya CIMT, indwara y'imitsi itera carotid, ubuzima bw'umutima, atherosclerosis, ibyago byo gucika intege mu bwonko, ultrasound, kwirinda