Urashaka kumenya impamvu nyayo itera ububabare bw'ingingo zawe? Byose ku isuzuma rya Arthrogram!

Hari igihe tugira ububabare bukomeye no kunanuka mu ngingo zacu, nko mu bitugu byacu, mu mavi no mu kibuno. Iyo tugiye kwa muganga, bashobora gupimwa X-ray. Ariko, hari igihe bigorana kumenya neza ikibazo gituruka kuri ibyo gusa. Muri ibyo bihe, abaganga batwohereza kuri iki kizamini cyihariye cyitwa arthrogram. Rero, uyu munsi turabivugaho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Arthrogram ni iki? Mu magambo make...

Arthrogram ni ikizamini cyo gupima indwara. Muri iki kizamini, hashyirwamo amazi yihariye (ikintu gitandukanye cyangwa irangi) mu ngingo yawe. Hanyuma, hafatwa amafoto y'ingingo. Aya mazi yemerera muganga kubona utuntu duto cyane imbere mu ngingo, ndetse n'ibibazo bito cyane bitagaragara kuri X-ray isanzwe. Mu yandi magambo, ifata "ishusho irambuye" y'ibiri imbere mu ngingo.

Irindi zina ry'ibi ni arthrography.

Kuki nsabwa gupimwa arthrogram?

Hari impamvu nyinshi zishobora gutuma muganga wawe agutegeka gupimwa arthrogram.

• Ububabare cyangwa gukomera kw'ingingo bitasobanuwe: Niba isuzuma risanzwe cyangwa ibizamini nka X-rays bidashobora kugaragaza impamvu nyayo y'ububabare bw'ingingo zawe, iki kizamini gishobora gutanga igisubizo gisobanutse neza.
• Gutera imiti mu ngingo: Urugero, rimwe na rimwe, biba ngombwa gutera imiti (steroid) mu ngingo. Muri iki gihe, umuti ushobora guterwa hakoreshejwe ikoranabuhanga rya arthrogram kugira ngo urebe neza aho ukeneye. Ibi byitwa arthrography yo kuvura.
• Suzuma nyuma yo kubagwa ingingo zisimbura izindi: Niba warabazwe ingingo zisimbura izindi, iki kizamini kizanafasha kureba uko ingingo ziri muri iyo ngingo zimeze.

Tekereza ko ubabara mu rutugu rwawe, ariko nta kintu kigaragara kuri X-ray. Hanyuma muganga ashobora gukeka ko hari ikintu gisa n'agahinda gato muri kimwe mu bice by'urutugu cyangwa imitsi. Muri ibyo bihe, arthrogram irashobora kubibona neza.

Ni ubuhe bwoko bwa arthrograms?

Hari ubwoko butandukanye bw'iki kizamini, bitewe n'ingingo igeragezwa. Ubwoko bukunze kugaragara ni ubu:

• Agakoresho ko gupima urutugu
• Arthrogram yo mu kibuno
• Agakoresho ko gupima ivi
• Arthrogram yo ku kuboko
• Agakoresho ko gupima akaguru
• Arthrogram y'inkokora

Isuzuma ry'imitsi rikorwa rite?

Iyi ni inzira igizwe n'ibice bibiri.

1. Intambwe ya mbere:Umuganga cyangwa umutekinisiye wabihuguriwe atera umuti wihariye witwa "contrast dye" mu mitsi yawe cyangwa mu ngingo ibabaza. Uyu muti ujya mu ngingo kandi utuma byoroha kubona no mu tundi duto n'ibibazo bitagaragara.

2. Intambwe ya 2: Hanyuma, muganga azafata amafoto y'ingingo yawe. Ibi bishobora gukoreshwa:

• CT scan (CT - scan za tomography zakozwe na mudasobwa)
• Fluoroscopy (ubu ni uburyo busa na X-rays, ariko bushobora gufata amafoto agenda)
• Isuzuma rya MRI (imaging resonance imaging magnetic)
• Ultrasound

Hari igihe ushobora gufata amafoto y'ingingo mbere na nyuma yo guterwa inshinge. Ibi bituma byoroha kugereranya.

Ni gute nakwitegura arthrogram?

Hari ibintu bike byoroshye ushobora gukora mbere y'iki kizamini:

• Ambara imyenda idafite isuku: Ibi bizatuma muganga abasha kugera ku ngingo yawe byoroshye. Ushobora kandi kwambara ikanzu yo kwa muganga, bitewe n'ingingo iri gusuzumwa.
• Menyesha muganga wawe ibyerekeye gutwita kwawe: Niba utwite, cyangwa utekereza ko ushobora kuba utwite, ugomba kubimenyesha muganga wawe , kuko bimwe mu bipimo bikoresha imirasire bishobora kwangiza uruhinja ruri mu nda.
• Hagarika gufata imiti nk'uko byategetswe: Muganga wawe ashobora kukubwira guhagarika gufata imiti imwe n'imwe iminsi mike mbere yo kwipimisha. Kurikiza ayo mabwiriza witonze. Ntugahindure imiti iyo ari yo yose muganga wawe atabikubwiye.

Ni iki kibaho mu gihe cyo gupima arthrogram?

Ushobora gusabwa gukuramo imyenda yawe, bitewe n'uko ingingo ipimwa.

Iki kizamini gikorwa n'inzobere mu by'imirasire. Umutekinisiye wabyigiye ashobora no gufasha mu gufata amashusho. Nkuko byavuzwe mbere, amashusho (nk'amashusho ya X-ray) ashobora gufatwa mbere na nyuma yo guterwa inshinge.

Mu gihe cyo gupimwa arthrogram, muganga aza:

• Uzategekwa kuryama (akenshi ureba hejuru) ku meza afite matelas.
• Uruhu rukikije ingingo rugasukurwa n'umuti wica udukoko.
• Ahantu hakikije hafugijwe igitambaro, hagasigara gusa igice cy’umubiri kigaragara.
• Uruhu rwawe n'agace gakikije ingingo bizacika intege bitewe n'umuti ugabanya ububabare. Ibi bizagufasha kutiyumvamo ububabare bwinshi.
• Uwo muti wihariye (ibintu bitandukanya) ushyirwa mu ngingo cyangwa hafi y’ingingo.
• Amazi azakwirakwira neza mu ngingo zose, kandi ingingo yawe izagenda buhoro buhoro isubira inyuma.
• Urushinge rurakurwaho hanyuma aho bapfumuye hagasukurwa.
• Imirasire ya X, MRI, CT scan, cyangwa ultrasound bikoreshwa mu gufata amafoto y'ingingo zawe.
• Bareba ingingo z'ingingo mu mpande zitandukanye, bagafata amafoto mu gihe bimura ingingo yawe mu buryo butandukanye.

Gupima fluoroscopy na X-ray bikunze gukorerwa mu cyumba kimwe aho ingingo iterwa. Ariko niba ukeneye CT scan cyangwa MRI, uzajyanwa mu kindi cyumba nyuma yo guterwa inshinge hanyuma amashusho agafatwa.

Igikuru ni ugufata amafoto ako kanya amazi akimara guterwa mu ngingo. Bitabaye ibyo, amazi azakwirakwira mu mubiri wose. Nibibaho, amashusho ntazashobora gufata amakuru yihariye yerekeye ingingo.

Mu kuvura indwara ya arthrography, muganga atera umuti nka cortisone mu ngingo. Intego ni ukugabanya kubyimba mu ngingo no kugabanya ububabare.

Ni iki wakwitega nyuma yo gupimwa arthrogram?

Ugomba kuba ushobora gusubira mu mirimo isanzwe nyuma gato y'ikizamini. Hari abantu bashobora kugira ububabare cyangwa kubyimba hafi y'ingingo nyuma yo gupimwa. Ibi bibaye, ni byiza kuruhuka iminsi mike.

Ubu burwayi bugomba gushira mu minsi mike. Niba bitagenze bityo, hamagara muganga wawe kugira ngo akugire inama.

Ni izihe ngaruka zishobora guterwa na arthrogram?

Muri rusange, ingaruka ni nke cyane. Ariko, hari ingaruka nke zishobora kubaho:

• Indwara ya ubwivumbure ku kintu runaka/irangi: Hari ibyago bike byo kugira ubwivumbure kuri ibi. Niba ufite ubwivumbure ubwo aribwo bwose, menyesha muganga wawe mbere yo gupimwa. Niba ufite ubwivumbure kuri iri rangi, ushobora kugira ibibyimba, isereri, cyangwa kubabara mu nda.
• Kuva amaraso cyangwa kwandura: Ni gake cyane, ingorane zishobora kubaho aho urushinge rwashyizwe.
• Guhura n'imirasire: Uburyo bumwe bwo gufata amashusho, nka X-rays, bukoresha imirasire mike. Iyi mirasire ishobora kwiyongera mu mubiri uko igihe kigenda gihita igatera ibibazo by'ubuzima. Ishobora kandi kwangiza umwana uri mu nda. Kugira ngo ugabanye ibi byago, ni ngombwa kubwira muganga wawe amateka y'ubuzima bwawe n'uko ushobora kuba utwite.

Ni ryari nzamenya ibisubizo bya arthrogram yanjye?

Umuganga w’imirasire wagukoreye arthrogram azasuzuma amashusho y’ingingo yawe. Azakoherereza ibisubizo byawe muganga wawe, akenshi mu masaha 24. Niba ikizamini cyawe cyakozwe ku wa gatanu, bishobora gufata igihe kirekire kugira ngo ibisubizo bigaruke.

Muganga wawe azakubwira ibisubizo by'ibizamini. Ashobora gutumiza ibindi bipimo cyangwa akakugira inama yo kuvura bikwiye (nk'uko byabazwe ingingo zisimbura izindi) kugira ngo usane ingingo kandi ugabanye ibimenyetso by'indwara.

Igipimo cy'ububabare kibabaza gute?

Ushobora kumva ubabaye gato iyo muganga aguteye amazi yihariye mu ngingo. Abantu benshi bavuga ko ingingo yumva "yuzuye" cyangwa "ifunganye." Ariko ntabwo ibabaza cyane, kuko hatangwa umuti utuma umuntu ababara.

Ni iki giterwa mu gihe cyo gupimwa arthrogram?

Biterwa n'ubwoko bw'ikizamini cyo gupima ishusho muganga wawe arimo gukoresha. Ibikoresho bibiri bikunze gukoreshwa cyane mu gutandukanya amashusho ni ibitera ibara ry'urukozasoni birimo iyode n'ibitera ibara ry'urukozasoni birimo gadolinium.

Ese nshobora gutwara imodoka ngataha nyuma yo gupimwa arthrogram?

Ubusanzwe, ushobora kwitwara mu modoka ujya mu rugo nyuma yo gupimwa. Ariko, niba ufata imiti igabanya ububabare kugira ngo igufashe kuruhuka, uzakenera kuzana inshuti yawe wizeye cyangwa umuntu wo mu muryango wawe kugira ngo agutware mu rugo uwo munsi kandi agaruke. Baza muganga wawe niba ukeneye iyo miti yo gukoresha arthrogram yawe.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ububabare bw'ingingo ni imbogamizi ikomeye mu buzima bwacu bwa buri munsi. Ariko, kubona impamvu y'ububabare bw'ingingo rimwe na rimwe bishobora kugorana cyane. Iki kizamini, cyitwa arthrography, gishobora gutanga ishusho isobanutse y'ibintu byoroshye cyane n'imiterere yoroshye iri mu ngingo zawe. Ni uburyo bwo gusuzuma butagira ububabare kandi bufite ibyago bike. Niba uhangayikishijwe n'ububabare mu kibuno cyawe, mu rutugu, cyangwa mu yandi magingo, vugana na muganga wawe kuri byo maze umenye ibizamini cyangwa uburyo bwo kuvura bushobora kugufasha kubona ubutabazi. Ntugahangayike, gusuzuma neza ni yo ntambwe ya mbere yo kuvurwa neza!

Arthrogram , ububabare bw'ingingo, gusuzuma, gupima, irangi ritandukanye, ubuzima, ibizamini by'ubuvuzi