Ahari muganga wawe yakubwiye ko ugomba gukorerwa ikizamini cyihariye ku mitsi y'amaraso mu bwonko bwawe. Ese wagize ubwoba gato ubwo yakubwiraga ko izina ry'ikizamini ari 'Cerebral Angiogram'? Cyangwa wagize ikibazo cyo kwiyumvisha uko byari bimeze ubwo wumvaga izina? Nta mpamvu yo gutinya cyangwa guhangayika. Muri iyi nkuru, turaganira neza kandi mu buryo bworoshye ku cyo ari cyo, uko bikorwa, n'impamvu bikorwa.

Angiogramu yo mu bwonko ni iki?

Mu magambo make, angiogram yo mu bwonko ni ikizamini cyihariye gisuzuma ibibazo by’imitsi y’amaraso mu bwonko bwawe. Kimwe n’ikarita y’umujyi, iki kizamini cyemerera abaganga kubona ishusho isobanutse neza, isa n’ikarita y’imitsi y’amaraso ijyana amaraso mu bwonko bwawe.

Iki kizamini gikorwa n'abaganga babyigiye, akenshi kiba ahantu hameze nk'aho ari mu cyumba cyo kubaga. Dore uko bigenda:

1. Muganga ashyira umuyoboro muto cyane wa pulasitiki witwa catheter mu mitsi minini y'amaraso iri mu kuboko kwawe cyangwa mu nda yawe.

2. Hanyuma, hashyirwamo irangi ryihariye , rinyuze muri uwo muyoboro. Iri bara rituma imiyoboro y'amaraso yawe igaragara neza ku mashusho ya X-ray.

3. Mu gihe uryamye ku meza yo gusuzumwa, muganga afata amashusho menshi ya X-ray uko iri bara rinyura mu mitsi yawe y'amaraso.

Amashusho yafashwe hifashishijwe ubu buryo atanga ishusho irambuye kandi isobanutse neza y’imitsi y’amaraso mu bwonko kurusha scan ya CT (Computed Tomography) cyangwa scan ya MRI (Magnetic Resonance Imaging) dusanzwe dukora.

Kuki tugomba gukora iki kizamini?

Hari igihe iki kizamini gikorwa kugira ngo hamenyekane indwara mu by'ukuri. Hari n'igihe gikoreshwa mu kuvura indwara zimwe na zimwe. Ahanini, gikoreshwa mu kwemeza niba hari indwara zidakora neza mu mitsi yo mu bwonko.

Byongeye kandi, iki kizamini gikorwa kubera izindi mpamvu nyinshi:

• Reba uko imitsi yawe y'amaraso imeze mbere yo kubagwa umutwe, ijosi, cyangwa ubwonko.
• Niba hari ikibyimba cyo mu bwonko, menya neza uburyo n'imitsi ivamo amaraso.
• Menya byinshi ku kibazo kigaragara ku kindi gipimo (nk'isuzuma rya MRI cyangwa CT).

Twitegura dute mbere y'ikizamini?

Mbere yo gukora iki kizamini, muganga wawe azagenzura neza ko gikwiye kandi nta ngaruka mbi kirimo. Azagusuzuma, wenda agukorere ibizamini by'amaraso, kandi akubaze ibibazo bijyanye n'amateka y'ubuzima bwawe.

• Tubwire imiti yose urimo gufata ubu: Harimo vitamine, inyongeramusaruro, n'imiti itangwa na muganga (OTC) ufata.
• Tubwire izindi ndwara zose ufite: ndetse n'ikintu nk'umuriro uherutse kugira.
• Niba ufite ibibazo byo kuva amaraso cyangwa ufata imiti igabanya amaraso: Nanone vuga imiti iyo ari yo yose nka NSAIDs.
• Ku bijyanye n'ubwivumbure bwawe: Tubwire niba ufite ubwivumbure ubwo aribwo bwose, cyane cyane ku miti igabanya ububabare, irangi ritandukanye, cyangwa ikindi kintu cyose kirimo iyode.
• Niba utwite cyangwa ukeka ko ushobora kuba utwite:Nanjye ngomba kubimenyesha muganga.

Niba uhawe umuti ugabanya ububabare kugira ngo ugire ubwisanzure mu gihe cyo gupimwa, uzasabwa kwirinda kurya cyangwa kunywa amasaha ane kugeza ku munani mbere yo gupimwa. Nanone, niba uhawe umuti ugabanya ububabare, uzasabwa kuzana umuntu wo kugutwara mu rugo nyuma yo gupimwa. Kurikiza aya mabwiriza yose witonze.

Ni iki kibaho mu gihe cy'ikizamini?

Noneho reka turebe uko ibi bigenda intambwe ku yindi. Ntugahangayike, byose bizakorwa neza kandi nta kibazo kirimo.

1. Ubwa mbere, uzahabwa ikanzu yihariye yo kwambara mu bitaro.

2. Umuforomo cyangwa inzobere mu by'imitsi azashyira cannula (umurongo wa IV) mu mutsi uri mu kuboko kwawe. Aha niho uzahabwa imiti igufasha kuruhuka, nibiba ngombwa. Ibi bizamera nk'aho urimo kuruma inyenzi. Hari abantu bamwe, cyane cyane abana n'abakiri bato, bashobora no guhabwa ikinya cyuzuye.

3. Ibikoresho bizashyirwa ku mubiri wawe kugira ngo bigenzure umuvuduko w'umutima wawe n'umuvuduko w'amaraso mu gihe cyose cy'ikizamini.

4. Uzashyirwa ku meza yo gusuzuma. Umutwe wawe uzahagarara ukoresheje umukandara cyangwa ifuro.

5. Aho katheteri izashyirwa (mu kibuno cyangwa mu kuboko) hasukurwa neza n'umuti wica udukoko.

6. Hanyuma , umuti utera ibisebe uterwa muri ako gace. Iyo uwutewe, ushobora kumva ushyushye gato mu masegonda make, ariko hanyuma ako gace kagatangira kumva ibisebe.

7. Muganga atema gato cyane ku ruhu kugira ngo ashyiremo catheter.

8. Hanyuma, hifashishijwe X-ray, catheter ishyirwa mu mitsi ikoresha umwobo muto cyane wakozwe n'urushinge. Uzumva urimo gusunikwa gato muri iki gihe, ariko ntibizababaza.

9. Ubu muganga azayobora neza catheter mu mitsi yawe ayinyure mu mutsi uri mu ijosi ryawe. Ntuzumva catheter inyura mu mubiri wawe.

10. Iyo katheteri imaze gushyirwaho, irangi ryo kugabanya ibara rishyirwamo. Ushobora kumva ubushyuhe buto uko irangi rinyura mu mubiri wawe, ariko rihita rishira.

11. Iyo irangi rimaze kwinjira mu mitsi y'amaraso mu bwonko bwawe, muganga azafata amashusho menshi ya X-ray. Muri iki gihe, ugomba gufata umwuka wawe ugakomeza gutuza . Ubu ni bwo buryo bwonyine bwo kubona amashusho asobanutse neza.

12. Nyuma yo gufata amafoto yose akenewe, muganga akuramo katheteri witonze.

13. Kugira ngo uhagarike kuva amaraso aho catheter ishyirwa, shyira igitutu aho hantu igihe gito. Ushobora kandi gukoresha icyuma gifunga kugira ngo ufunge umwobo muto.

14. Amaherezo, hazoshyirwa plaster nto kuri ako gace hanyuma kannula iri mu ntoki yawe ikureho.

Ibi bizatwara igihe kingana iki?

Ikizamini cyose gikunze gufata isaha imwe kugeza kuri eshatu . Byongeye kandi, hashobora kubaho igihe cy'inyongera cyo kwitegura ikizamini no kwitegereza nyuma y'ikizamini.

Bifata igihe kingana iki kugira ngo umuntu akire?

Nyuma yo gupimwa, uzaguma mu cyumba cyo gukira amasaha make. Niba byose bimeze neza, ushobora gutaha. Muganga wawe azaguha amabwiriza y'uko wakwitaho uri mu rugo. Uyakurikize neza.

• Ushobora kurya bisanzwe.
• Nyuma y'ikizamini, ugomba kuruhuka neza amasaha 8 kugeza kuri 12. Icyo gihe ni bwo ugomba gutangira akandi kazi.
• Niba uri umubyeyi wonsa, irinde konsa umwana wawe amasaha 24 nyuma yo gusigwa irangi.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nto cyane zishobora guterwa no gushyira catheter mu mitsi ijyana amaraso. Ariko, ugomba kwibuka ko ibi bidakunze kubaho kandi ko abaganga babyitondera cyane.

Muganga wawe azaganira nawe kuri izi ngaruka mbere yo gupimwa. Ntutinye kubaza ikibazo cyangwa impungenge ushobora kuba ufite muri icyo gihe.

Ibisubizo by'ibizamini bivuga iki?

Umuganga w’indwara zo mu bwoko bwa radiyo azakora ubushakashatsi bwitonze ku mashusho yawe ya X-ray maze akore raporo. Iyo umuganga wagutegetse ko ikizamini abonye raporo, azabiganiraho nawe neza.

• Iyo irangi risa n'iri kuva mu mitsi y'amaraso, rishobora kuba ari amaraso .
• Iyo imiyoboro y'amaraso ifunze cyangwa ifunze, impamvu ishobora kuba ibisigazwa bya cholesterol (plaque) cyangwa kubumba amaraso .
• Iyo imiyoboro y'amaraso ibyimbye cyangwa ahantu hadasanzwe, bishobora kuba ari aneurysm , ikibyimba cyo mu bwonko , cyangwa ikindi kintu kidasanzwe.

Niba ikintu nk'iki kibaye nyuma yo gupimwa, hamagara muganga ako kanya!

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gutaha nyuma yo gupimwa, menyesha muganga wawe ako kanya.

• Ubunebwe bw'imitsi cyangwa gucika intege mu maso, mu maboko, cyangwa mu maguru.
• Gusobanya cyangwa gusobanya imvugo .
• Ibibazo byo kutabona neza .
• Ibimenyetso by'ubwandu, nko gushyuha, gutukura, cyangwa kubyimba aho catheter ishyirwa.
• Kuzungera.
• Kubabara mu gituza.
• Kugorwa no guhumeka.
• Uduheri ku ruhu.

Ese iki ni igikorwa cyo kubaga?

Oya. Gupima ubwonko si uburyo bwo kubaga. Ni ikizamini cyo gusuzuma indwara kidakunze kugaragara. Uburyo bwo kubaga ni uburyo umuganga ubaga agabanya akanahindura ingingo mu mubiri wawe. Ubu buryo bukubiyemo gukora umwobo muto cyane wo gushyiramo catheter. Ntabwo buhindura ingingo iyo ari yo yose mu mubiri wawe.

Isuzuma ry’ubwonko (angiogram) ni ikizamini cy’ingenzi cyane kandi cy’ingirakamaro mu gusuzuma indwara zifitanye isano n’imitsi y’amaraso mu bwonko. Niba uteganya gukora iki kizamini, ntutinye kubaza muganga wawe ibibazo byose ushobora kuba ufite.