Muganga wawe ashobora kuba yarakwandikiye 'Cisternogram Scan'. Ushobora kuba waragize ubwoba gato ubwo wumvise izina, sibyo? "Iyi scan yitwa iki kidasanzwe? Kuki ikorwa? Biragoye?" Ushobora kuba wibaza. Ntugahangayike. Ni ibisanzwe kugira ibibazo nk'ibi. Uyu munsi, tuzaganira kuri iki kizamini mu buryo bworoshye cyane, mu buryo ushobora kumva, nk'aho uri kuvugana n'inshuti yawe ya hafi.
Mu by'ukuri, Cisternogram Scan ni iki?
Mbere yuko tubisobanukirwa, reka twige gato ku kintu cy'ingenzi cyane mu mubiri wacu. Tekereza ko ubwonko bwacu n'umugongo wacu ari nk'ibintu by'agaciro by'ikirahure. Kugira ngo birinde ibyo bintu by'agaciro, hari igipfundikizo cy'amazi, umusego, ubikikije. Mu buvuzi, ibi tubyita 'amazi yo mu bwonko' cyangwa Cerebrospinal Fluid (CSF) . Aya mazi ya CSF akora imirimo myinshi y'ingenzi ku mubiri wacu.
- Bitanga intungamubiri: Aya mazi atanga intungamubiri ku bwonko bwacu no ku mugongo unyura ku ruti rw'umugongo.
- Bifasha mu mikorere myiza: Ibi ni ingenzi ku mikorere myiza ya sisitemu yacu y'imitsi yo hagati (CNS).
- Ikuraho uburozi: Ifasha gukuraho no gusukura uburozi budakenewe bwirundanya mu ngingo zikikije.
- Bitanga uburinzi: Iyo twirutse, dusimbuka, cyangwa tugonga umutwe ahantu runaka, bikora nk'umusego urinda ubwonko guhungabana.
Rero, icyo iyi scan ya sitanetogaramu ikora ni ukureba niba amazi ya CSF mu mubiri wawe atemba neza, niba hari ahantu hafunganye, cyangwa niba hari ahantu hamenetse.
Ubu ni ubwoko bw'ikizamini cyitwa "nuclear medicine imaging" . Ibi bivuze ko hari uduce duto tw'ibintu bifite imirasire mu mugongo wawe. Ntugahangayike, ntabwo bizakugirira nabi. Ibi bikoresho bituma inzira y'amazi ya CSF igaragara neza, mu ibara, ku mashusho ya scan.
Ni mu bihe ibihe iki kizamini gikenewe?
Muri make, iki kizamini gisabwa iyo muganga wawe akeka ko amazi ya CSF yawe ava ahantu runaka (CSF leak) cyangwa ko hari menshi cyane mu bwonko bwawe (CSF buildup). Izi ndwara zombi zishobora gutera ibimenyetso bisa.
Reba imbonerahamwe iri hepfo kugira ngo urebe niba ufite kimwe muri ibi bimenyetso.
| Ibimenyetso | Ibi bimera bite? |
|---|---|
| Kuribwa umutwe | Umutwe ukabije urushaho kwiyongera, cyane cyane iyo uhagaze cyangwa uhagurutse. Ushobora gusa n'aho ugabanuka gato iyo uryamye. |
| Ibibazo byo kuzungera no kuringaniza | Kumva udashobora guhaguruka kandi uri kugenda, wumva umeze nk'ufite isereri. |
| Isesemi no kuruka | Kumva igifu kimeze nk'igifu kigurumana kandi kiruka. |
| Kubabara mu ijosi | Kubabara cyangwa kubabara inyuma y'ijosi. |
| Kongera ubushobozi bwo kumva | Kuba umuntu yumva cyane ndetse n'urumuri rusanzwe n'amajwi. Ibi bivuze ko n'urumuri rwinshi cyangwa urusaku ruto bishobora kugorana kwihanganira. |
| Gutakaza ubushishozi | Kubura amatwi cyangwa kumva amajwi atandukanye mu matwi. |
| Gutekereza nabi | Kugorwa no kwibanda ku kintu runaka, kumva ko ubwenge bwawe budasobanutse neza. |
Niba ufite ibi bimenyetso, muganga wawe ashobora kukugira inama yo gusuzuma iki kizamini kugira ngo amenye impamvu nyayo.
Ni gute nakwitegura mbere yo gukora ikizamini?
Akenshi, ibi ntibisaba imyiteguro idasanzwe. Ariko, ni ngombwa cyane gukurikiza amabwiriza atangwa na muganga wawe cyangwa ibitaro byawe neza.
Igikuru ni ukuganira na muganga wawe ku bibazo byawe byose n'ubwoba bwawe. Ntugatinye kuvuga uti "Ndatinya ibi, muganga."
Mbere yo gupimwa, banza umenyeshe muganga wawe ibi bikurikira:
- Allergie: Niba ufite allergie iyo ari yo yose ku miti igabanya ububabare cyangwa indi miti igabanya ububabare, menya neza ko uyivuze.
- Gutwita: Niba ushobora kuba utwite cyangwa wonsa, ni ngombwa cyane kubimenyesha muganga mbere y'igihe, kuko iki kizamini gikoresha ibintu bifite imirasire.
- Imiti urimo gufata: Bwira muganga wawe imiti yose, vitamine, imiti y'ibimera, n'inyongeramusaruro urimo gufata. Imiti imwe, nka aspirine na warfarin , ishobora gukenera guhagarikwa iminsi mike mbere yo gupimwa.
- Inama z'ingirakamaro: Ushobora gusanga bigoye gutwara imodoka nyuma y'ikizamini. Kubwibyo, ni byiza kujyana n'umuntu. Nanone, kubera ko ikizamini kiba iminsi myinshi, tegura ibikorwa byawe uko bikwiye.
Ni iki kibaho mu gihe cy'ikizamini?
Iki kizamini kigizwe n'intambwe ebyiri z'ingenzi: icya mbere, gushyira urushinge mu mugongo, hanyuma ugafata amashusho ya scan.
Intambwe ya mbere: Gutobora lumbar
Nubwo nagize ubwoba ubwo numvaga ibi, ibi bikorwa witonze cyane n'umuganga w'inararibonye.
1. Ubwa mbere, uzaryamishwa ku meza, waba ureba hasi cyangwa uhetamye, amavi yawe arambuye agera ku gituza.
2. Hanyuma, aho watewe urushinge mu mugongo hazaba hasukuwe neza hanyuma ugaterwa ikinya mu gace kawe. Ibi bizatera ububabare aho hantu. Hari abantu bashobora no guhabwa umuti muto wo kugabanya ububabare kugira ngo batuze.
3. Ubu muganga azashyira urushinge ruto hagati y’amagufwa abiri mu gice cyo hasi cy’umugongo wawe witonze cyane. Muri iki gihe, hazakoreshwa uburyo bwa X-ray bwitwa fluoroscopy kugira ngo barebe neza ko urushinge ruri ahantu heza.
4. Iyo urushinge rugeze mu mwanya warwo, ibintu byavuzwe haruguru bishyirwa buhoro buhoro mu mazi ya CSF yawe binyuze mu rushinge.
5. Hanyuma urushinge rurakurwaho witonze hanyuma hagashyirwamo plaster nto kuri ako gace.
Intambwe ya Kabiri: Gufata Amashusho Yasuzumwe
1. Nyuma yo gushyiramo urushinge, uzasabwa kuryama ntuje mu gihe cy'isaha imwe. Ibi ni ukugira ngo ibikoresho bya radiyo bishobore kunyura mu mazi ya CSF.
2. Gusuzuma kwawe kwa mbere bizatwara hagati y'isaha imwe n'esheshatu. Uzajya uryama munsi ya scanner ifite kamera yihariye ya gamma. Hari igihe scan ya CT cyangwa MRI ishobora gukorwa icyarimwe.
3. Ushobora gutaha nyuma yo gupimwa bwa mbere. Ariko, uzakenera kugaruka gupimwa bundi bushya nyuma y'amasaha 24 , kuko bifata umunsi umwe kugira ngo ibintu bikoresha imirasire bigere mu bwonko bwose.
4. Hari abantu bashobora gukenera gupimwa nyuma y'amasaha 48 cyangwa 72. Ibi bizagenwa na muganga wawe.
Igikuru ni uko udakwiye gushyira inshinge mu mugongo wawe igihe cyose ukoze iyi scan. Urushinge rushyirwa ku munsi wa mbere gusa. Mu yindi minsi, icyo ugomba gukora ni ukuza ukaryama munsi ya scanner.
Ese ibi birababaza? Ese hari ingaruka mbi?
- Ububabare: Ushobora kumva ubabara gato iyo utewe umuti utera ibisebe. Ushobora kumva ubabara cyane iyo utewe urushinge mu mugongo, ariko ntibikwiye kubabaza cyane . Niba wumva ububabare ubwo aribwo bwose, bwira muganga cyangwa umuforomo ako kanya. Isuzuma ubwaryo ntabwo ribabaza na gato.
- Ingaruka mbi: Ingaruka mbi zikunze kugaragara ni ububabare buke no kubabara umutwe aho umuntu yatewe urushinge. Hari igihe urugero ruto rwa CSF rushobora kuva aho urushinge rwashyizwe mu mugongo. Ibi bishobora gutuma umuvuduko w'ubwonko ugabanuka gato kandi bigatera umutwe ukomeye. Ibi akenshi bihita ubwabyo mu masaha make cyangwa iminsi ibiri cyangwa itatu. Kunywa amazi menshi no kuruhuka bishobora gufasha.
Ni izihe ngaruka zishobora guterwa n'ikizamini cya cistenogram?
Ingorane zikomeye zituruka kuri iki kizamini ni gake cyane . Ariko, kimwe n'ibindi bizamini byose byo kwa muganga, hari ingaruka ntoya, bityo tugomba kubimenya.
- Ubwivumbure ku bintu bikoresha imirasire cyangwa imiti igabanya ububabare .
- Kuva amaraso mu bwonko cyangwa mu ruti rw'umugongo (kuva amaraso menshi) .
- Kwandura aho urushinge rwashyizwe.
- Kwangirika kw'imitsi ni gake cyane.
- Kura kw'ubwonko (iyi ni indwara idasanzwe cyane. Ni indwara aho ingirabuzima fatizo z'ubwonko zisohoka bitewe n'umuvuduko uri mu gahanga).
Nubwo hakoreshwa ibintu bifite imirasire, uzahura n'imirasire mike cyane . Ntukayitinye bitari ngombwa.
Ibisubizo bivuga iki?
Ushobora kubona ibisubizo byawe (raporo) mu minsi mike cyangwa icyumweru nyuma yo gupimwa bwa nyuma. Umaze kubihabwa, muganga wawe azagusobanurira icyo bivuze kuri wewe.
- Ibisubizo bisanzwe: Iyo raporo yawe igarutse neza, bivuze ko amazi ya CSF yawe atembera neza mu bwonko bwawe no mu ruti rw'umugongo nta mbogamizi cyangwa ngo amazi asohoke.
- Ibisubizo Bidasanzwe: Niba ibisubizo bidasanzwe, bishobora kugaragaza imwe cyangwa nyinshi muri izi ndwara zikurikira.
| Indwara idasanzwe (Indwara) | Bisobanuwe mu buryo bworoshye |
|---|---|
| Kuvunika kwa CSF | Amazi ya CSF ava ahantu runaka. Ibi bishobora kubaho nyuma yo gukomereka bikomeye ku mutwe, kuvunika umutwe, cyangwa kubagwa. |
| Hydrocephalus | Kwiyongera cyane kw'amazi ya CSF mu bwonko, bigatera umuvuduko ku bwonko. |
| Hydrocephalus ikoresha umuvuduko usanzwe (NPH) | Indwara yihariye aho umuvuduko mu bwonko utiyongera nubwo amazi ya CSF yiyongera. |
| Ibibazo bya CSF shunt | Ikibazo ku mikorere y'umuyoboro muto (shunt) ushyirwa mu bwonko mu rwego rwo kuvura indwara ya hydrocephalus. |
| Pseudotumor cerebri | Ubwiyongere bw'umuvuduko ku bwonko nta mpamvu igaragara. Ibi byitwa kandi 'ikibyimba cy'ubwonko cya pseudo-brain'. |
Ubutumwa bwo kujyana mu rugo
- Gupima imashini yitwa “cisternogram” ni uburyo bwihariye bwo gusuzuma uko amazi ya CSF atembera mu bwonko bwawe no mu mugongo.
- Ibi bifasha kumenya niba ibimenyetso nk'umutwe n'izunguza birushaho kwiyongera iyo uhagaze biterwa no kuva amaraso cyangwa kwibumbira hamwe kwa CSF.
- Kuri iki kizamini, urushinge ruto rushyirwa mu mugongo hanyuma hagaterwa ikintu cyihariye. Hanyuma, hafatwa amashusho yo gupima nyuma y'amasaha make n'iminsi mike.
- Ibi ntibibabaza cyane, kandi ingorane zikomeye ni gake cyane.
- Niba ufite ikibazo cyangwa impungenge kuri iki kizamini, vugana na muganga wawe ku mugaragaro. Kumenya amakuru akwiye bishobora kugufasha kugabanya ubwoba butari ngombwa.

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