Ese nawe ufite ikibazo cyo kwiyuhagira? Reka twige ku ikizamini cya Defecography!

Ese ujya mu bwiherero bikugora? Cyangwa rimwe na rimwe uhura n'ikibazo cyo kugumana amara yawe? Cyangwa wumva umerewe nabi udasanzwe iyo ugiye mu bwiherero? Niba ufite kimwe muri ibi bibazo, muganga wawe ashobora gushaka ko ukorerwa ikizamini cyihariye cyitwa defecography kugira ngo amenye impamvu. Mu magambo make, ibi bikorwa kugira ngo harebwe uburyo imitsi n'izindi ngingo ziri mu mubiri wawe bikora iyo ugiye mu gifu.

Defecography ni iki?

Reka turebere hamwe icyo defecography ari cyo. Iki ni ikizamini cya radiology. Kireba uburyo imitsi n'ingingo ziri mu mubiri wawe bikora iyo wiyogeje, cyangwa nk'uko abaganga babyita, "wiyogeje." Ibi bikorwa hakoreshejwe ikizamini cyihariye cya "Fluoroscopic X-ray" cyangwa ikizamini cya "MRI - Magnetic Resonance Imaging". Binyuze muri ubu buryo, abaganga bashobora kubona neza uburyo ibice bitandukanye by'umubiri wawe bigenda n'uko bikora iyo wiyogeje.

Noneho ushobora kuba wibaza niba koko ugomba kwiyuhagira mu gihe cyo gupima. Oya, ntabwo ari byo. Abaganga bazashyiraho ifu idasanzwe isa neza n'ifu mu maraso yawe. Yitwa ifu ya "barium". Iyi "barium" ni "ikintu gitandukanya," ikintu gituma imbere mu mubiri wawe hagaragara neza kuri "X-ray" cyangwa "MRI." Hanyuma uzasohora iyi fu mu bwiherero bwihariye imbere muri scanner. Icy'ingenzi ni uko umuganga w'imirasire atakureba uri mu bwiherero, ahubwo areba amashusho y'imbere yawe kuri ecran ya mudasobwa. Rero nta kintu na kimwe cyo kugira isoni.

Iki kizamini gikenewe ryari?

Intego nyamukuru y'iki kizamini ni ukumenyesha muganga wawe byinshi ku bibera imbere mu gihe wiyuhagiye. Ibi bizamufasha kumenya impamvu nyayo y'ikibazo cyawe no gutanga ubuvuzi bukwiye. Iki kizamini gifasha abaganga kumenya ibintu nka:

• Uburyo imitsi yo hasi mu kibuno ikora kandi ikaruhuka.
• Uko ikibuno cyawe gikora iyo urimo kwituma.
• Uburyo amara yawe, urura, igituba n'inkari bigenda iyo wiyogeje.
• Hari urugingo ruri mu mubiri wawe rwimutse cyangwa rwahinduye imiterere?
• Wenda niba uteganya kubagwa, ni ibihe bintu ugomba kwitondera cyane?

Ni izihe ndwara zishobora kugaragara hakoreshejwe iki kizamini?

Niba umaze igihe kirekire ufite ibimenyetso bitazwi bijyanye n'imyakura yawe, muganga wawe ashobora kukugira inama yo gupima indwara yo kwiyorosa kugira ngo amenye impamvu. Urugero:

• Ububabare mu kibuno.
• Kurya impatwe (bivuze kugorwa no kwituma mu buryo bw'imyanda).
• Kudashobora kugenzura aho umwanda unyura (Kunanirwa kwifata mu ifu).
• Gusohoka mu nzu bidakozwe neza ni ukumva ko intebe itarasohoka burundu.

Iki kizamini kandi gikoreshwa mu kwemeza indwara iyo muganga abikeka. Muri izo ndwara harimo:

• Imikorere mibi y’uruti rw’umugongo: Muri make, imitsi n’imitsi yo mu ruti rw’umugongo ntibihuza neza kandi ntibikora neza iyo wiyogeje.
• Gucika kw'ingingo: Ibi bibaho iyo ingingo yo mu mubiri wawe icitse intege ikagwa, cyangwa ingingo imwe ikagira ikindi. Ingero zimwe ni izi:
• Gutemba kw'imitsi mu buryo bw'inyuma.
• Rectocele ni uburyo uturemangingo tw’amaraso twinjira mu gitsina.
• Enterocele ni urujya n'uruza rw'amara mato rujya mu kibuno.

Ni nde uri gukora iki kizamini?

Isuzuma rya X-ray na MRI rikorwa n'abaganga b'inzobere mu by'imirasire babihuguriwe kandi bemewe. Cyane cyane, isuzuma rya defecography rikorwa n'inzobere ifite ubumenyi bwimbitse ku gice cy'inyuma cy'amaraso n'ingendo zijyana nacyo (Anorectal Motility).

Iki kizamini gikorwa gite?

Gupima indwara y’uruhu bishobora gukorwa hakoreshejwe X-ray cyangwa MRI. Ubwo buryo bwombi bushobora kureba uburyo imikorere y’imbere mu mubiri wawe ikora iyo wiyogeje. Uburyo bwa X-ray ni bwo bukoreshwa cyane, ariko kuri bamwe, imirasire mike itangwa na X-ray ishobora kugira ingaruka mbi, bityo MRI irakwiriye kurushaho.

Tekereza nk'aho ufata amashusho ya X-ray. Aho gufata amafoto rimwe na rimwe, imirasire ya X-ray ikomeza koherezwa mu mubiri. Hanyuma ushobora kureba amashusho menshi agenda kuri ecran mu buryo bwihuse. Ibyo bivuze ko udategereje ko amafoto akorwa, ushobora kureba ingingo zawe zikora nk'amashusho.

Ikizamini cya MRI (Magnetic Resonance Imaging) gikoresha imiraba ya radiyo n'umurima wa rukuruzi. Umuriro w'amashanyarazi unyura mu byuma bizenguruka muri mashini yose kugira ngo hakorwe umurima wa rukuruzi. Ibi bituma atome za hydrogen mu mubiri wawe zigenda. Iyo zisubiye mu mwanya wazo wa mbere, mashini ifata ikimenyetso itanga binyuze mu miraba ya radiyo ikacyerekana nk'ishusho kuri mudasobwa.

Ni iki kibaho mbere y'ikizamini?

Muganga wawe azandika mu buryo burambuye amateka yawe yose y’uburwayi, harimo no kubagwa kose wagize, indwara wagize, imiti ufata, n’ibindi byose wakoze. Hanyuma, azakubaza birambuye uko bigenda iyo wiyogeje.

Hanyuma, tuzaguha ibisobanuro byuzuye by'uko iki kizamini gikorwa. Tuzasobanura kandi uburyo wadufasha kubona ibisubizo bisobanutse neza bivuye mu kizamini. Kuko gutsinda iki kizamini ahanini biterwa n'ubufasha bwawe.

Hari igihe ushobora guhabwa enema yo gukoresha mu rugo kugira ngo igufashe gusukura amara mbere yo kwipimisha. Ushobora kandi gusabwa guhindura indyo yawe, imiti, n'amazi ufata mbere yo kwipimisha. Aya mabwiriza ashobora gutandukana bitewe n'umuntu ku wundi, bityo ni ngombwa gukurikiza amabwiriza ya muganga wawe neza.

Witegura ute ku munsi w'ikizamini?

Waba uri gupimwa X-ray Defecography cyangwa MRI Defecography, ibi bizamini byombi bisaba gukoresha icyuma gipima imiterere y'umubiri gitanga ingingo z'imbere muganga ashaka kubona neza. Ibi bivuze ko iki gipimo kigomba guterwa mu mubiri wawe mbere yo gupimwa.

Kugira ngo barebe igice cya nyuma cy’igogora ryawe - amara, rectum, na anus - neza, itsinda ry’abaganga bazashyira umuti ugabanya isura (Barium Sulfate) mu gishishwa hanyuma bawushyire mu rectum yawe. Barium Enema itangwa ako kanya nyuma yo gusuzuma. Ariko, rimwe na rimwe muganga ashobora gushaka kureba izindi ngingo Enema idashobora kugeraho.

Urugero, niba ukeneye kureba amara yawe mato, ushobora guhabwa umuti wo kunywa ukoresheje contrast. Ibi bishobora gukenerwa ko unywa amasaha make mbere yo gupimwa, kuko bifata igihe kugira ngo umuti unyure mu gifu cyawe. Ikindi gihe, niba ukeneye kureba urukuta ruri hagati y’igitsina cyawe n’inyuma y’umura, ushobora gusigwa umuti wa barium mu gitsina cyawe.

Ubunararibonye bumeze bute mu gihe cyo gupima indwara ya defecography?

Umaze kwambara ikanzu yo kwa muganga, uzajyanwa mu cyumba cyo gupimisha. Aho ni ho uzaryama ku meza. Hanyuma, itsinda ry’abaganga rizashyiramo paste ya barium mu maraso yawe bakoresheje imbunda ifata. Iyi enema ishobora gutuma wumva wuzuye cyangwa ubyimbye gato. Iyo maraso yawe yuzuye, uzumva ushaka kwituma. Icyo gihe uba witeguye gupimwa.

Niba uri mu mashini ya X-ray cyangwa imashini ya MRI ifunguye, ameza uriho arahengamye, kandi hari ubwiherero bwihariye munsi yawe. Ubusanzwe wicara ku bwiherero. Izi mashini zombi zagenewe kuba zidafite aho zibogamiye, zifite umwanya uhagije n'umwuka uhumeka. Ariko niba uri mu mashini ya MRI isanzwe, isa n'umuyoboro, ugomba kuryama hasi ku meza, hanyuma ukajya kwiyahura ukambara ipantaro y'umuntu mukuru. Ushobora kandi gupfukwa n'igitambaro gifite imigozi y'icyuma.

Hari abantu bashobora kumva babangamiwe cyane iyo bari muri mashini isanzwe ya MRI. Ibi nibibaho, ushobora guhabwa umuti wo kuruhuka kugira ngo ufashe kuruhuka. Iyi mashini ifite urumuri rwiza kandi ifite icyuma gikonjesha. Ushobora kandi kuvugana n'umuhanga mu by'ikoranabuhanga ukoresheje intercom. Imashini zifunguye n'izisanzwe za MRI zikora ijwi rikomeye rya "tock tock, click click" iyo amashusho yafashwe. Uzahabwa utumashini two gutega amatwi cyangwa ecouteur mbere yo kubagwa.

Umuganga w’imirasire ukoresha ibikoresho byo gupima azaguha amabwiriza ari hanze y’imashini. Mu gihe bafashe amashusho, bazakubwira gukaza imitsi yawe, kuyifata no kuyiruhura. Iyo urimo gusunika, ugomba gukoresha imbaraga zihagije kugira ngo umutekinisiye ashobore kubona neza uko imitsi yawe ikora. Ugomba kandi kuguma uhagaze cyane mu gihe amashusho afatwa buri gihe - ubusanzwe mu gihe kitarenze umunota umwe.

Ikizamini cyose kimara iminota 30 kugeza kuri 60. Gishobora kugorana gato ndetse wenda no guterwa isoni, ariko si ikizamini kibabaza.

Bigenda bite nyuma y'ikizamini?

Nyuma yo gupimwa, uzajyanwa mu bwiherero bwite aho ushobora kwisukura. Ushobora kubona ikintu cy'umweru gifite ifu cyitwa "Barium" kiva mu mwenda wawe mu gihe cy'iminsi ibiri. Uzahita usubira mu mirimo yawe isanzwe n'ingeso zo kurya.

Ese hari ingaruka cyangwa ingaruka mbi kuri iki kizamini?

Ingano nto y'imirasire itangwa na X-ray ifatwa nk'aho ari umutekano, igihe cyose utajya uyihura kenshi. Gupima MRI ntibitera ingaruka mbi cyangwa ingaruka mbi. Niba utwite, muri rusange ni byiza kwirinda ibizamini byombi uko bishoboka kose, nubwo ibyago byo kwangiza umwana uri mu nda ari bike cyane.

Ingaruka ni izihe? Eva asobanura iki?

Umuganga w’indwara z’imirasire azohereza raporo irambuye kwa muganga wawe w’ibanze. Azakubwira ibisubizo. Raporo izagaragaza niba hari ibibazo bikunze kubaho mu mara. Izakubwira kandi niba muganga wawe w’ibanze yagutegetse ibizamini byihariye.

Tekereza ko muganga wawe yategetse ko upimwa ubwo bwoko bw'ibizamini byo kwiyuhagira, bivuze ko ushobora kuba umaze igihe kinini urwaye iki kibazo. Rero, amakuru aturuka mu kizamini cyawe cyo kwiyuhagira ni ingenzi kugira ngo muganga wawe akore gahunda nziza yo kuvura kugira ngo anonosore uburyo bwawe bwo kwiyuhagira.

Jyana ubutumwa mu rugo

Yego, iki kizamini gishobora gusa n'aho kidasanzwe, ndetse wenda kikakubabaza. Ariko ibuka ko kizagufasha kubona impamvu nyayo y'ikibazo cyawe no gutangira uburyo bukwiye bwo kugikoresha. Amaherezo, iki kizamini gishobora kuguha ihumure rikomeye. Kubwibyo, niba muganga wawe agusabye iki kizamini, ni ngombwa kukiganiraho neza no kugirangiza nibiba ngombwa.

"Kurya impatwe, Gupima imiterere y'umubiri, Kugorana kwituma, Barium, X-ray, MRI, Pelvic hasi