Reka twige byose ku bijyanye na CT scan y'umutima mu buryo bworoshye.

Ese wigeze ujya kwa muganga kubera ko warwaye ububabare mu gatuza cyangwa ufite ikibazo cyo guhumeka nabi, bakakubwira ko ugomba gupimwa umutima wawe mu buryo bwa CT? Ushobora kuba waragize ubwoba gato kandi ukaba wifuza kumenya icyo ari cyo, uko bikorwa, ndetse niba bizakubabaza. Witinya, uyu munsi turaganira kuri CT scan y'umutima wawe, cyangwa Cardiac CT scan, mu buryo bworoshye cyane. Iki ni ikizamini giha muganga wawe amakuru menshi y'agaciro ku buzima bw'umutima wawe, kandi si ikintu cyo gutinya.

Igipimo cya CT scan cy'umutima ni iki?

Mu magambo make, iki ni ikizamini cyihariye cya X-ray gifata ishusho y'umutima wawe mu buryo bwa 3D. Ni nko gufata amashusho menshi asobanutse y'umutima wawe, imiyoboro y'amaraso ikomeye iwuhuza, n'ibintu biwukikije byose icyarimwe.

Ibi bikubiyemo kohereza imirasire myinshi ya X-ray mu mubiri wawe mu mpande zitandukanye no guhuza amakuru na mudasobwa kugira ngo hakorwe ishusho isobanutse neza kandi irambuye ya 3D. Hari igihe, kugira ngo ayo mashusho arusheho kuba meza, hashyirwamo amazi yihariye yitwa irangi ritandukanye mu mitsi iri mu kuboko kwawe. Aya mazi atuma imitsi y'amaraso n'ibice by'umutima wawe birushaho kugaragara neza mu gihe cyo gupima. Ubu buryo bushobora gutanga amashusho asobanutse neza kandi meza, ndetse n'ay'umutima wawe utera.

Ni iki mu by'ukuri iyi scan ishobora kubona?

Amashusho azaboneka nyuma y'iki gipimo azafasha muganga wawe kubona ibintu byinshi ku mutima wawe. Iby'ingenzi ni ibi bikurikira:

• Imitsi y'amaraso ya Coronary, itanga amaraso mu mutima wawe: Iyi mitsi y'amaraso ishobora gusuzumwa niba hari plaque, kuziba, cyangwa kugabanuka.
• Ibyumba by'umutima, imitsi n'udupfundikizo: Ingano y'ibyumba by'umutima, imikorere y'imitsi, ndetse niba udupfundikizo dukora neza biragaragara.
• Imitsi y'ibihaha: Ushobora kubona imitsi itwara amaraso mu bihaha ikayajyana mu mutima.
• Umuyoboro w'amaraso wo mu gituza: Uyu ni wo mutsi mukuru w'amaraso utangirira ku mutima kandi ushobora gukoreshwa mu gusuzuma ibibazo, nko kubura amaraso cyangwa gucika k'urukuta rwawo (gucikamo ibice).
• Pericardium: Uruhu rworoshye rukikije umutima rushobora gusuzumwa kugira ngo harebwe niba hari amazi yirundanyije cyangwa niba yarabyimbye (calcification).

Ni mu bihe bingana iki muganga yakubwira gukora iyi scan?

Muganga ashobora gusaba ko basuzuma iyi scan igihe bakeneye kumenya amakuru yimbitse kandi asobanutse neza yerekeye umutima, andi masuzuma adashobora kubona. Urugero:

• Shaka impamvu nyayo itera ububabare mu gituza cyangwa kubura umwuka .
• Reba niba imiyoboro y'amaraso y'umutima wawe ifite kalisiyumu cyangwa ibinure (plaque) , yagabanutse, cyangwa yazibye.
• IbyaweSuzuma uko imiyoboro y'umutima ikora.
• Reba niba hari ikibazo kiri mu muyoboro w'amaraso , urugero nko gucika kw'imitsi cyangwa gucika kw'amaraso .
• Teganya mbere y'igihe kubagwa umutima cyangwa kubagwa hakoreshejwe roboti.
• Tegura uburyo bugezweho bwo kuvura, nk'uburyo bwo gukoresha valve ya transcatheter .
• Teganya mbere y'igihe uburyo bwo kuvura indwara y'umutima idakora neza (arrhythmia ablation) .
• Reba niba hari ingorane zabayeho nyuma yo kubagwa cyangwa kuvurwa byavuzwe haruguru.
• Menya niba ufite ikibazo cy'umutima wavukanye .
• Suzuma ikibyimba cyangwa ikibyimba kiri mu mutima cyangwa hafi yawo hanyuma umenye imiterere yacyo.
• Reba niba amazi yirundanyije cyangwa calcium iri mu gafuka gakikije umutima.

Ni irihe tandukaniro riri hagati ya CT y'umutima na MRI y'umutima?

Abantu benshi batera urujijo ibi bizamini bibiri. Nubwo byombi bishushanya neza umutima, hari itandukaniro hagati yabyo. Reka turebe ibyo ari byo.

Wakwitegura ute mbere yo gupimwa?

Kugira ngo ubone ibisubizo byiza kuri iyi scan, ugomba kwitegura gato umunsi umwe mbere y'uko isuzuma ritangira. Ibitaro bizaguha amabwiriza kuri ibi, ariko reka turebere hamwe ibintu rusange ugomba kumenya.

Ibintu ugomba kwitondera mugihe urya n'unywa

• Ku munsi wo gupimwa, ntukarye ikintu icyo ari cyo cyose amasaha ane kugeza kuri atandatu mbere yo gupimwa. Ariko, ushobora kunywa amazi.
• Ntukanywe ikintu cyose kirimo kafeyine umunsi ubanziriza uwo muganga yasuzumiyeho. Ibi bivuze kwirinda ikawa, icyayi, ibinyobwa bitanga imbaraga, n'ibinyobwa bidasembuye birimo kafeyine burundu. Kafeyine ishobora kongera umuvuduko w'umutima wawe, bigatuma bigorana kubona ishusho isobanutse neza.
• Nanone , niba ukoresha imiti itera imbaraga (ibinini bitanga imbaraga cyangwa ibinini byo kugabanya irari ry'umubiri) , ntukabifate umunsi ubanziriza uwo cyangwa umunsi wo gupimwa.

Ibintu byo kwibuka ku bijyanye n'imiti

• Niba ufite ikibazo cyo gutinya gucika intege, ntugatinye. Bibwire muganga wawe mbere y'igihe. Ashobora kuguha umuti wo kuruhuka kugira ngo ugire icyo ugeraho .
• Ni ingenzi cyane kumenyesha muganga wawe imiti yose ufata (harimo n'iyo ufata udafite muganga wa muganga).
• Niba ufata imiti nka sildenafil (Viagra® cyangwa Revatio®) , ntuyifate umunsi ubanziriza uwo wakoreweho isuzuma. Ibi biterwa nuko ishobora kugira ingaruka ku miti imwe n'imwe itangwa mu gihe cyo gusuzuma. Niba utabizi neza, baza muganga wawe.
• Niba urwaye diyabete , baza muganga wawe uko wafata imiti yawe ku munsi wo kuyisuzuma. Niba wumva igipimo cy'isukari mu maraso yawe kiri hasi, menyesha abakozi ako kanya.

Ni iki wakwitega ku munsi wo gupima?

Mbere yo gupimwa, abakozi bazakubaza ibibazo bike. Ni ngombwa ko ubisubiza neza.

• Uratwite ?
• Ufite aleriji kuri iyode cyangwa ibiryo byo mu mazi.Hari icyo ari cyo cyose?
• Urimo uri kuvurwa hakoreshejwe imirasire ?
• Niba ufite imyaka irenga 60 cyangwa ufite ibibazo by'impyiko , ushobora gukenera gupimwa amaraso kugira ngo urebe imikorere y'impyiko zawe mbere yuko uhabwa irangi ritandukanya impyiko.

Uburyo bwo kwitegura isuzuma

1. Ubwa mbere, ugomba gukuramo imitako yawe yose hanyuma ukambara ikanzu yihariye yatanzwe n'ibitaro.

2. Niba ukeneye kugabanya umuvuduko w'umutima wawe kugira ngo ubone ishusho isobanutse neza, ushobora kuwuha umuti.

3. Niba ugomba gutanga irangi ritandukanye, umuforomo azashyiramo umuyoboro muto (umurongo wa IV) mu mutsi uri mu kuboko kwawe.

4. Hanyuma uzategekwa kuryama ku buriri bwihariye hagati mu mashini ya CT.

5. Ahantu hatatu ho mu gituza cyawe hazasukurwa hanyuma hagashyirwaho udupapuro duto dutatu (electrodes). Ushobora kandi gukuraho umusatsi. Utu dupapuro tuzahuzwa n'imashini ya EKG ifata imikorere y'amashanyarazi y'umutima wawe.

6. Uzakenera gushyira amaboko yawe hejuru y'umutwe wawe mu gihe cyose cyo gupima. Umutwe wawe n'amaguru yawe bizaba biri hanze y'imashini.

Ni iki kibaho mu gihe cyo gupima?

Igikorwa cyose, harimo n'igihe cyo kwitegura, gishobora gufata iminota 30-60, ariko gupima iminota 10 gusa.

• Uzumva uburiri uryamyeho bugenda buhoro buhoro bujya mu mashini isa n'uduti.
• Iyo irangi ritandukanye ritanzwe binyuze muri IV, ni ibisanzwe kumva ubushyuhe n'uburyohe bw'icyuma mu kanwa kawe mu gihe binyura mu mubiri wawe. Ibi bizashira mu masegonda make.
• Kugira ngo ubone amashusho asobanutse neza, ni ngombwa cyane ko uguma utuje . Niba abakozi bakubwira gufata umwuka akanya gato , bikora.

Nyuma yo gupimwa, ushobora gutaha, ukarya, ugakora imirimo yawe isanzwe. Ariko, niba wahawe umuti wo kugabanya ububabare, uzakenera umuntu wo kugutwara mu rugo. Muganga wawe azagusobanurira ibyavuye mu gupimwa, haba kuri uwo munsi cyangwa mu minsi mike.

Ese hari ingaruka zishobora guterwa n'iyi scan?

Gupima CT ni ikizamini gito cyane, ariko hari abantu bashobora kugira ingaruka nke ku irangi ritandukanye cyangwa ibindi bintu bikoreshwa.

• Ingaruka zishobora guterwa n'irangi ritandukanye:Hari abantu bashobora kugira ubwivumbure kuri ibi. Ibi bishobora kuba birimo kuribwa, isesemi, kwitsamura, no kurwara ibisebe. Ibi akenshi bihita bishira nta kuvurwa. Ni gake cyane, ubwivumbure bukomeye (reaction anaphylactic) butuma umuntu ahumeka bigorana. Ibi bishobora gushyira ubuzima mu kaga kandi bigasaba kuvurwa vuba. Niba urwaye diyabete cyangwa indwara y'impyiko, ushobora gusabwa kunywa amazi menshi nyuma yo gupimwa kugira ngo bigufashe gukura iyode mu mubiri wawe. Niba uri umubyeyi wonsa, ni byiza gusohora amashereka mbere yo gupimwa hanyuma wonsa umwana wawe umunsi umwe cyangwa ibiri nyuma yo gupimwa, kuko irangi ryakoreshejwe muri gupimwa rishobora kwinjira mu mashereka yawe.
• Imirasire: Gupima ikoranabuhanga rya CT bikoresha imirasire ya X. Kugaragara kuri iyi mirasire igihe kirekire bishobora kongera ibyago byo kurwara kanseri. Ariko, kugira ngo ugire umutekano, ingano y'imirasire isohoka muri iki kizamini igenzurwa ku rugero ruto. Kubera ko imirasire ya X ishobora kwangiza umwana uri mu nda, iki kizamini nticyasabwa abagore batwite.

Ibisubizo ni ibihe kandi bisobanura iki?

Muganga wawe azagusobanurira ibiri muri raporo uzahabwa nyuma yo gupimwa. Muri rusange, hari ubwoko bubiri bw'ibisubizo.

Hanyuma, ntugatinye gupimwa na CT scan y'umutima, cyangwa imashini ubwayo. Iki ni ikizamini gitanga amakuru y'agaciro ku miterere y'umutima wawe utiriwe ufata inshinge mu mubiri wawe. Kugira ngo ubone ibisubizo byiza, kurikiza amabwiriza atangwa na muganga wawe n'abakozi bo mu bitaro neza.