Ese wigeze ubwirwa na muganga gukora "ultrasound y'imitsi" cyangwa "mapping y'imitsi"? Wenda wabazwe bypass cyangwa uri kuri dialyse kubera ko impyiko zawe zirimo gukora nabi. Nubwo izina rishobora kumvikana nk'aho rigoye, mu by'ukuri ni ikizamini cyoroshye cyane kandi kidatera ububabare. Mu by'ukuri, ni "mapping" igaragaza neza imitsi y'amaraso mu mubiri wawe. Reka tubiganireho birambuye.
Mu magambo make, ikarita y'imitsi n'imitsi ni iki?
Ibi bikunze kwitwa 'Vein Mapping'. Mu by'ukuri iyi ni scan ya ultrasound. Ushobora kuba warabonye raporo za scan z'umubyeyi utwite, kandi ni bwo buryo bumwe bukoreshwa hano. Iki kizamini gifata amafoto y'imitsi yawe n'imitsi .
Mu magambo make:
- Imitsi ni imitsi minini itwara amaraso meza iva mu mutima ijya mu bindi bice by'umubiri.
- Imitsi ni imitsi ijyana amaraso mabi mu mutima iturutse mu bice bitandukanye by'umubiri.
Icyo iki kizamini gikora ni ugukora "ikarita" y'imitsi n'imitsi yo mu kuboko kwawe cyangwa ku kuguru kwawe, harimo ubuzima bw'imitsi n'imitsi, umuvuduko w'amaraso yayo, niba yafunzwe ahantu hose, n'ingano yayo. Iyi karita ni ingenzi cyane ku baganga, nk'igitabo cy'amabwiriza.
Kuki tugomba gukora ubwoko bw'ikizamini?
Iki kizamini gikorwa kubera impamvu ebyiri z'ingenzi: Imwe ni ugutegura mbere y'igihe uburyo bwo kubaga , indi ni ugusuzuma neza indwara zimwe na zimwe .
Reka turebe neza ayo mahirwe.
| Igihe | Kuki ikizamini ari ingenzi? |
|---|---|
| Mbere yo kubagwa imitsi y'umutima | Iyo umutsi w'amaraso uri mu mutima ufunzwe n'ibinure byinshi, hagomba gukorwa inzira nshya (yo kunyuramo) kugira ngo uyice. Ibi bikorwa hafashwe umutsi w'amaraso muzima uva mu kindi gice cy'umubiri (akenshi ukuguru) ukawutera. Mbere y'uko ubu bubagwa, iyi karita ni ingenzi kugira ngo haboneke umutsi w'amaraso mwiza, ukomeye kandi ufite ubuzima bwiza wo kuwuteramo. |
| Mbere yo gutangira kuvurwa na dialysis (Dialysis) | Kugira ngo umuntu ufite ikibazo cy’impyiko akoreshwe dialyse, amaraso agomba gukurwa mu mubiri, agasukurwa n’imashini, hanyuma agasubizwa mu mubiri. Ibi bisaba aho amaraso atembera vuba. Kugira ngo ibi bigerweho, abaganga bahuza umutsi n’umutsi mu kuboko kwawe (fistula). Bityo iki kizamini kirafasha cyane mu guhitamo umutsi n’umutsi mwiza kandi ukomeye kuri wo. |
| Kubagwa kw'imitsi yo mu mitsi yo mu mpande | Kimwe n'umutima, imiyoboro y'amaraso yo mu maboko no ku maguru ishobora kuziba kubera ibinure byinshi. Ibi byitwa Indwara y'imitsi yo mu gice cy'imbere (PAD). Muri icyo gihe, kubagwa hakoreshejwe inzira y'amaraso kugira ngo hatabaho kuziba. Iki kizamini kandi gikorwa kugira ngo haboneke umuyoboro w'amaraso muzima. |
| Gusuzuma indwara zimwe na zimwe | Ikoreshwa kandi mu gusuzuma indwara zitandukanye z’imitsi y’amaraso. Urugero, ishobora gusuzuma indwara nko kuba ibinure byinjira mu mitsi (atherosclerosis) ndetse no kuzura kw’amaraso mu mitsi (deep vein thrombosis - DVT). |
Ni nde uri gukora iki kizamini?
Iki kizamini gikorwa n'umuhanga mu ikoranabuhanga rya ultrasound wize cyane ibijyanye no gupima ultrasound. Ni we ufata amashusho akenewe. Hanyuma, umuganga w'imitsi asuzuma amashusho agategura raporo yawe, yohererezwa umuganga ukuvura.
Iki kizamini gikora gite?
Biroroshye cyane. Imashini ikoresha ultrasound yohereza amajwi yo mu bwoko bwa *frequency* menshi tudashobora kumva binyuze mu ngingo z'umubiri. Amajwi yo mu bwoko bwa *sound* arasohoka mu mubiri hanyuma agasubira inyuma (amajwi). Imashini ifata amajwi yo mu bwoko bwa *sound* ikayahindura amashusho kuri mudasobwa.
Gupima imitsi bikubiyemo kohereza iyi miyoboro y'amajwi mu gace imiyoboro y'amaraso yawe iherereyemo. Iyi miyoboro y'amajwi iva mu turemangingo dutukura tw'amaraso tugenda mu miyoboro y'amaraso hanyuma ikagaruka.Iyi mashini ipima umuvuduko w'amaraso atembera kandi igatanga ishusho isobanutse y'imitsi y'amaraso kuri ecran. Ishobora kubona byose uhereye ku bunini bw'imitsi y'amaraso, imiterere yayo, n'umuvuduko w'amaraso atembera.
Ese hari icyo nkeneye gutegura mbere yo gukora ikizamini?
Oya, nta myiteguro yihariye ikenewe. Ushobora kurya no kunywa bisanzwe.
Ariko hari ibintu bike ugomba kuzirikana:
- Uzakenera kwambara ikanzu yo kwa muganga mbere yo kwipimisha.
- Uzagomba kwiyambura imitako yose wambaye, bityo ni byiza kuyisiga mu rugo niba bishoboka.
- Iki kizamini gikunze gukorerwa mu kigo cyihariye gifata amashusho mu bitaro cyangwa ku kigo nderabuzima.
Ubusanzwe, iki kizamini cyose gishobora kumara iminota iri hagati ya 30 na 90 .
Ni iki kibaho mu gihe cy'ikizamini?
Reka turebe ibiri kuba intambwe ku yindi muri iki gihe.
1. Ubwa mbere, uzasabwa kuryama ku meza y'ibizamini.
2. Hanyuma, umutekinisiye ashyira gel ishongesha amazi ku ruhu rw'aho igeragezwa (ukuboko cyangwa ukuguru). Iyi gel ntabwo izangiza uruhu kandi ntizanduza imyenda.
3. Hanyuma, azafata agakoresho gato kitwa transducer akagashyira hejuru y’agace gatwikiriwe na gel hanyuma akagenda agaruka. Aka gakoresho kohereza amajwi kandi kagafata amajwi agaruka. Muri icyo gihe, amashusho y’imitsi yawe y’amaraso akorwa kuri ecran ya mudasobwa.
4. Umutekinisiye azafata iki gikoresho ku ruhu kugeza igihe azaba afite amakuru yose akeneye.
5. Icy'ingenzi: Niba urimo gukora iki kizamini mbere yo kubagwa, umuhanga mu ikoranabuhanga ashobora gushyira ikaramu ku bice bimwe na bimwe by'uruhu rwawe . Ibi bimenyetso bikorwa kugira ngo bifashe umuganga kubaga kumenya neza aho imitsi y'amaraso iri. Ntukabyeze ibi bimenyetso mbere yo kubagwa kubera impamvu iyo ari yo yose . Niba ibi bimenyetso bishira nyuma yo koga, umuganga ashobora kuguha ikaramu akagusaba kongera kuyishyiraho.
Ese hari ingaruka mbi muri ibi?
Oya. Iki ni cyo kintu cyiza kuri iki kizamini. Gupima imitsi nta ngaruka mbi bitera.
Iki ni ikizamini kidasaba ububabare na gato, nta ngaruka mbi kirimo, kandi gifite umutekano. Nta mpamvu rero yo gutinya.
Nta nshinge, amarangi, ikinya cyangwa gukata uruhu bibaho mu mubiri wawe. Nta mirasire ibaho, nk'uko bigenda ku zindi scan, nka X-rays.
Ni ryari nzakira raporo?
Nyuma yo gupimwa, umutekinisiye azahanagura gel ku ruhu rwawe. Hanyuma ushobora kwambara imyenda isanzwe ugataha cyangwa ukajya ku kazi. Nta gihe cyo kuruhuka gisabwa.
Inzobere mu by’imitsi izasuzuma ibizamini byawe, itegure raporo yuzuye, hanyuma ikoherereze umuganga ukuvura. Muganga wawe azajya abona iyi raporo mu minsi mike. Ubutaha uzamubona, azagusobanurira ibisubizo.
Ariko, rimwe na rimwe, iyo hakekwa indwara yihutirwa kandi ishobora gushyira ubuzima mu kaga (nka DVT), muganga ashobora gukora iki kizamini byihutirwa. Muri icyo gihe, uzabasha kumenya ibisubizo ako kanya.
Ubutumwa bwo kujyana mu rugo
- Gupima imitsi n'imitsi ni uburyo bworoshye bwo gusuzuma ibyuma n'imitsi mu buryo bwa ultrasound, bugenzura ubuzima bw'imitsi n'imitsi yawe.
- Ibi birema "ikarita" y'imitsi yawe y'amaraso, ibyo bikaba ari ingenzi cyane ku baganga mu gutegura kubaga no gusuzuma indwara.
- Iki kizamini gishobora kuba ingenzi mbere yo gutangira kuvurwa na dialyse, cyane cyane ku kubagwa umutima .
- Nta ngaruka mbi, cyangwa imirasire iterwa n'iki kizamini, bityo ntugahangayike.
- Nyuma yo gupimwa, ganira na muganga wawe ku buryo bweruye ku bisubizo byawe n'intambwe zikurikiraho. Ntutinye kubaza ikibazo icyo ari cyo cyose ufite.
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