Ese wabwiwe gukoresha Balloon Enteroscopy? Ntugahangayike, reka tubimenye!

Hari igihe bigorana gato kubona impamvu y'ikintu nk'uburibwe bwo mu gifu cyangwa kuva amaraso mu mara, si byo se? Cyane cyane niba ari ikibazo mu mara mato, ari mu buryo bw'igogora, ntabwo gishobora kugaragara hakoreshejwe endoscopy isanzwe. Ni bwo abaganga bakoresha iki kizamini cyihariye cyitwa "Balloon Enteroscopy." Ushobora kumva ufite ubwoba gato iyo wumvise iri zina. Ariko mu by'ukuri iki ni ikizamini cyoroshye cyane kandi gitekanye kurusha uko ubyibwira. Reka tuvuge kuri byose mu buryo busobanutse kandi bworoshye.

Mu magambo make, Balloon Enteroscopy ni iki?

Tekereza amara yawe mato nk'umuhanda muremure kandi uzunguruka. Kamera isanzwe ya endoscope ishobora kubona igice cya mbere cy'uyu muhanda gusa. Ni ukuvuga, irenga igifu ikagera mu gice cya mbere cy'amara mato (duodenum). Ariko niba ikibazo kiri hejuru y'ibyo, ukeneye ubundi buryo bwo kubibona.

Aho niho isuzuma ry’impinja ry’impinja ribera. Iyi ni umuyoboro muremure kandi woroshye. Ifite kamera n’urumuri ku iherezo. Ariko ikintu kidasanzwe ni uko hari umuyoboro umwe cyangwa ibiri ifatanye n’uyu muyoboro. Mu gukurura no gusohora amazi muri izi mpinja, iki gikoresho kigenda buhoro buhoro, nk’umuyoboro w’impinja, kimanuka cyane mu mara mato. Uko kibikora, umuganga ashobora kubona neza imbere mu mara akoresheje kamera. Mu magambo make, ubu ni uburyo bwihariye bukoreshwa mu kwinjira mu mara kurusha uko kamera isanzwe ishobora kubikora, ikabusuzuma, kandi nibiba ngombwa, ikabuvura aho ngaho .

Kuki muganga agusaba gukora ubwoko bw'ikizamini?

Niba muganga wawe yarakugiriye inama yo gukora iki kizamini, hagomba kuba hari impamvu yihariye yacyo. Akenshi bikorwa kugira ngo hakorwe iperereza ku kibazo gikekwa mu mara mato kitabonetse mu bindi bizamini. Dore zimwe mu mpamvu z'ingenzi.

Ese hari ubwoko bw'ibi? Amabaluni y'inyuma n'ay'inyuma ni iki?

Yego, hari ubwoko bubiri bw'ingenzi bw'ubu buryo. Nubwo ihame ry'ibanze rya byombi ari rimwe, hari itandukaniro rito mu buryo bukora.

Enteroscopy y'ibipupe bibiri

Ubu ni bwo buryo bwa mbere kandi bukunze gukoreshwa cyane. Igikoresho cyakozwe nk'aho hari "umuyoboro uri mu muyoboro."

• Umuyoboro w'imbere: Aha niho kamera iherereye.
• Umuyoboro wo hanze/Umuyoboro wo hejuru: Uyu unyura hejuru y'umuyoboro w'imbere.

Hari amabaluni abiri ku mpera z'iyi miyoboro yombi.Hari. Icyo muganga akora ni ugushyiramo umwuka umwe mu ibara ry'umuhondo akawuhagarika ahantu hamwe mu mara. Hanyuma yohereza undi muyoboro imbere gato. Hanyuma ashyiramo umwuka uwo muhondo akawushyiramo umwuka wa mbere. Mu gukwirakwiza umwuka no kuwushyiramo umwuka muri ubu buryo, igikoresho kigenda buhoro buhoro mu mara.

Enteroskopiya y'ibaluni imwe

Ubu buryo ni bushya. Nk'uko izina ribigaragaza, bufite agapira kamwe gusa . Gaherereye mu muyoboro w'inyuma (overtube). Nta gapira kari mu muyoboro w'imbere. Ahubwo, kagenewe kunama ku mutwe no kuruhukira ku rukuta rw'amara. Imikorere y'agapira ka kabiri ikorwa n'ubu buryo bushobora kunama. Nubwo ubu buryo buvugwa ko bwihuta gato, uburyo bukunzwe cyane kandi bukoreshwa cyane ku isi yose no muri Sri Lanka ni uburyo bwo gushushanya agapira kabiri.

Ni gute nakwitegura mbere yo gukora ikizamini?

Kugira ngo iki kizamini kigende neza, amara yawe mato agomba kuba yuzuye kandi asukuye. Iki ni cyo gihe kamera ishobora kubona imbere neza. Kugira ngo ubikore, uzakenera gukora ibi bikurikira:

• Indyo y'amazi: Muganga wawe azakubwira kurya ibinyobwa bidafite isuku gusa umunsi umwe cyangwa ibiri mbere yo gupimwa. Ibi bivuze ibintu nk'umutobe w'icunga, amazi, amazi y'umunyu, icyayi gisanzwe kidafite isukari, n'isupu yayunguruwe. Muganga wawe azakubwira icyo unywa n'igihe cyo gutangira.
• Gutegura amara: Iyo kamera ishyizwe mu nda yawe (munsi y'inda yawe), amara yawe manini n'amara mato bizakenera gusukurwa burundu. Kimwe no muri colonoscopy, uzahabwa amazi yihariye ( laxative ) yo kunywa kugira ngo akufashe gusohora imyanda. Uzakenera kujya mu bwiherero inshuro nyinshi nyuma yo kunywa ibi. Ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza.

Ni iki koko kibaho mu gihe cy'ikizamini?

Ntugatinye ibi na gato, kuko nta bubabare cyangwa kumererwa nabi uzumva biturutse kuri ibi.

Iki kizamini gikorwa hakoreshejwe ikinya rusange . Ibi bivuze ko ibintu byose bibaho usinziriye neza. Iyo ukangutse, byose biba birangiye.

Muganga azagena uruhande kamera izashyirwamo hashingiwe ku bimenyetso byawe n'uko ukeka ko hari ikibazo.

1. Gushyiramo umunwa (Antegrade/Hejuru-Hasi): Iyo hakekwa ikibazo mu gice cyo hejuru cy'amara mato, uyu muyoboro ushyirwamo unyuze mu muhogo.

2. Gushyiramo agace k'inyuma (Gusubira inyuma/Hasi-hejuru):Iyo hakekwa ikibazo mu gice cyo hasi cy'amara mato, gishyirwa mu mara binyuze mu nzira y'umura.

Iyo igikoresho kimaze gushyirwamo, umuganga ahita ashyiramo umwuka buhoro buhoro, agashyiramo umwuka mu mara, akawushyira mu mara. Uko agenda, ashobora kureba amashusho y’imbere mu mara kuri mudasobwa. Iyo abonye ikibazo, ashobora kugikemura ako kanya.

• Ushobora kubona aho kuva amaraso biri no kubihagarika.
• Ikintu nk'ikibyimba cyangwa polyp gishobora gukurwaho.
• Agace gato k'urugingo (biopsy) gashobora gukurwa ahantu hakekwa ko ari heza kugira ngo gasuzumwe.
• Uduce tw’amara twazibye dushobora kwaguka cyangwa hagashyirwaho stent.

Igikorwa cyose gishobora gufata isaha imwe kugeza kuri nyinshi , bitewe n'urugero wifuza kubona mu mara n'ubwoko bw'ubuvuzi wifuza gukora.

Ni izihe nyungu n'ingaruka z'ibi?

Kimwe n'ikizamini cyose cy'ubuvuzi, iki kizaba gifite ibyiza n'ingaruka nto cyane.

Bigenda bite nyuma yo gupimwa? Ese nzakira vuba?

Yego rwose. Gukira nyuma y'ibi byihuta cyane.

• Kubyuka: Bifata isaha imwe cyangwa ebyiri kugira ngo ukanguke neza nyuma yo gusinzira. Muri icyo gihe, uzafungirwa mu cyumba cy’indembe.
• Kumenya ibisubizo: Nyuma yo kongera kugarura ubwenge, muganga azaza kugusura akagusobanurira ibyagaragaye mu gihe cyo gusuzumwa n'uburyo yavuwe.
• Kubabara gake: Niba ikizamini cyakozwe mu kanwa, ushobora kugira ububabare gato mu muhogo mu gihe cy'umunsi umwe. Niba cyakorewe munsi y'uruhu, ushobora kumva urimo kumva wuzuye mu nda. Ibi ni ibisanzwe kandi bizashira burundu mu munsi umwe cyangwa ibiri.
• Gutaha: Akenshi ushobora gutaha nimugoroba .
• Igikuru cyane: Ingaruka zo gusinziriza zishobora kumara amasaha agera kuri 24. Bityo ushobora kumva usinziriye gato kandi ukagorwa no kwibanda ku bintu. Rero, menya neza ko wazanye umuntu wo kugutwara mu rugo. Ntabwo uzashobora gutwara imodoka, gufata ibyemezo bikomeye, cyangwa gukoresha imashini wenyine uwo munsi.
• Ibisubizo bya Biopsy: Niba agace k'uruti rwoherejwe gupimwa, bishobora gufata icyumweru kugira ngo raporo iboneke.

Rero, urabona ko iki atari ikintu cyo gutinya. Ubu buryo bwo gupima indwara ya balloon ni uburyo bw'ingirakamaro cyane bwo kubona ikibazo mu mara mato no kugivura utiriwe unyura mu kintu gikomeye nko kubagwa.