Ufite isereri? Ese wabuze uburinganire? Reka twige ku ikizamini cya ENG (Electronystagmography - ENG)

Ese hari igihe wumva umeze nk'ufite isereri mu buryo butunguranye, nk'aho ibintu byose bikukikije birimo kuzunguruka nk'igitambaro cyo hejuru kizunguruka? Cyangwa uhita utakaza uburinganire bwawe mu gihe ugenda ukumva ugiye kugwa? Hari impamvu nyinshi zibitera. Ariko, uyu munsi tugiye kuvuga ku ikizamini cyihariye gikorwa kugira ngo tumenye niba hari ikibazo ku mitsi igenzura uburinganire mu bwonko bwacu no mu gutwi kwacu. Icyo ni ikizamini cya ENG.

Mu magambo make, iki kizamini cya ENG ni iki?

Izina ryuzuye rya ENG ni Electronystagmography. Nubwo izina rishobora kumvikana nk'irigoye, icyo rikora ni cyoroshye cyane. Muri make, ENG ni ikizamini kigenzura imikorere y'imitsi imwe n'imwe y'ingenzi mu bwonko bwawe (imitsi yo mu mutwe) igenzura izenguruka ry'amaso, kumva, no kuringaniza .

Iki kizamini ahanini kigenzura niba amaso yawe agenda yihuta cyane mu buryo budasubirwaho. Mu buvuzi, iyi ndwara tuyita 'nystagmus' . Mu gusesengura uburyo amaso yawe agenda, iki kizamini gituma muganga wawe abona neza imikorere y'imbere mu gutwi kwawe n'ibice by'ubwonko bwawe bishinzwe kuringaniza.

Ni izihe ngingo z'ingenzi zipimwa hifashishijwe ENG?

Hafi buri mikorere yose mu mubiri wacu igenzurwa n'imitsi ituruka mu bwonko. Hari imitsi ine y'ingenzi cyane ku maso yacu, amatwi, no kuringaniza tuzayibandaho muri iki kizamini cya ENG. Reka turebe ibyo ari byo n'ibiyibaho.

Ni ryari ikizamini cya ENG gikenewe?

Hari impamvu ebyiri z'ingenzi muganga wawe ashobora gutegeka iki kizamini. Imwe ni ukubera ibimenyetso urimo kubona. Indi ni ukumenya niba hari ikibazo cy'uburwayi ukeka.

Ese ufite ibimenyetso nk'ibi?

Niba ukomeje kugira kimwe cyangwa byinshi mu bimenyetso biri hepfo, muganga wawe ashobora kukugira inama yo gupima indwara ya ENG.

• Ibibazo byo kuringaniza: Kumva udakomeye cyangwa uzuzumwe iyo ugenda, akenshi ugwa hasi.
• Kuzungera n'imiterere y'ihungabana: Ibi si ukumva uzunguruka gusa. 'Ihungabana' ni igihe wumva isi ikukikije irimo kuzunguruka vuba nubwo uri ahantu hamwe.
• Kubura amatwi mu buryo butunguranye: Niba ugize ikibazo cyo kutumva gitunguranye cyangwa buhoro buhoro mu gutwi kumwe, iki kizamini gishobora kugufasha kumenya niba impamvu ari ikibazo cy’imitsi yo mu gutwi imbere.

ENG inafasha mu gusuzuma izi ndwara.

Gupima indwara za ENG bitanga amakuru y'ingirakamaro mu gihe cyo gusuzuma cyangwa kuvura indwara zimwe na zimwe.

• Acoustic neuroma: Ikibyimba kitari kanseri gikura ku mitsi iva mu gutwi ijya mu bwonko.
• BPPV (Benign Paroxysmal Positional Vertigo): Isereri ritunguranye kandi rikomeye ribaho iyo umutwe uhinduriwe mu cyerekezo runaka.
Labyrinthite cyangwa vestibular neuritis: Kubura kuringaniza bitewe n'ubwandu cyangwa kubyimba mu gutwi imbere.
• Indwara ya Ménière: Indwara irangwa no kwiyongera k'umuvuduko mu gutwi imbere, bigatera ibimenyetso nko kubabara mu mutwe, kubura amatwi no gucurama mu matwi.
• Usher syndrome: Indwara y’uturemangingo igira ingaruka ku kumva no kureba.

Ni irihe tandukaniro riri hagati ya ENG na VNG?

Muganga wawe ashobora kandi kukugira inama yo gukora VNG (Videonystagmography) aho gukora ENG. Nubwo ibisubizo byitezwe ari bimwe, hari itandukaniro rito mu buryo bikorwamo.

• Mu ikizamini cya ENG: Ingendo z'amaso zipimirwa hakoreshejwe uduce duto tw'icyuma (electrodes) ku ruhu rukikije amaso yawe.
• Mu gihe cyo gupima VNG: Uzahabwa indorerwamo zidasanzwe zikoresha kamera za infrared kugira ngo zifate amajwi y'imyitwarire y'amaso yawe.

Mu magambo make, nubwo hari itandukaniro rito hagati y’uburyo bwombi, bwombi buha muganga amakuru amwe y’ingenzi ku mikorere y’imitsi yawe n’iy’imbere mu gutwi.

Ni gute wakora ikizamini cya ENG?

Ushobora kumva ufite ubwoba gato iyo utekereje kuri iki kizamini. Ariko si ikizamini kibabaza. Reka turebere hamwe ibiba mbere, mu gihe na nyuma yacyo.

Witegura ute mbere yo gukora ikizamini?

Ibi ubusanzwe ntibisaba imyiteguro idasanzwe. Ariko, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe.

• Bwira muganga wawe imiti yose ufata. Ugomba kumubwira ibintu byose ufata, harimo na vitamine n'inyongeramusaruro.
• Muganga wawe ashobora kukugira inama yo guhagarika by'agateganyo gufata imiti imwe n'imwe, cyane cyane imiti igabanya ububabare cyangwa imiti igabanya ububabare, amasaha 24 kugeza kuri 48 mbere yo gupimwa.

Ni iki kibaho mu gihe cy'ikizamini?

Ikizamini cya ENG gikunze gukorwa n'umuhanga mu by'amatwi. Gishobora gufata iminota 90.

1. Gushyiramo electrode: Ubwa mbere, uduce duto tw'icyuma dufata twitwa electrode dushyirwa hejuru, hepfo, no hafi y'impande z'inyuma z'amaso yawe. Indi ishobora gushyirwa ku gahanga kawe.

2. Icyumba cyijimye: Hanyuma uzagirwa umuntu wicaye neza mu ntebe mu cyumba cyijimye.

3. Isuzuma: Aha niho isuzuma ritangirira. Bakora ibintu bike bitandukanye kugira ngo bafate amajwi y'imyitwarire y'amaso yawe.

• Amazi cyangwa umwuka mu matwi: Witondere cyane, amazi make ashyushye cyangwa akonje (cyangwa umwuka) ashyirwa mu matwi yawe rimwe na rimwe. Ibi bitera imbaraga imitsi yawe ya vestibular, ari nayo ituma ugenda neza. Ushobora kumva umeze nk'ufite isereri muri iki gihe, ariko ibi ni ibisanzwe kandi bizashira mu minota mike.
• Kureba urumuri: Bikubwira kureba urumuri rugenda utiriwe uzunguza umutwe.
• Gutembera k'umutwe: Ushobora gusabwa gukora ibintu nko guhaguruka vuba uvuye aho wicaye, cyangwa guhindukiza umutwe wawe vuba uva ku ruhande rumwe ujya ku rundi.

Bigenda bite nyuma y'ikizamini?

Iyo ikizamini kirangiye, ushobora gutaha mu rugo nk'uko bisanzwe ugasubira mu mirimo yawe isanzwe. Isereri cyangwa isesemi ushobora kumva mu gihe cy'ikizamini akenshi bishira burundu mu munsi umwe.

Ese hari ingaruka mbi muri ibi?

Abantu benshi ntibagira ingorane zikomeye. Ushobora kugira ububabare buke mu ijosi cyangwa mu mugongo bitewe n'ingendo zihuse mu gihe cyo gupimwa.

Ni gake cyane, hari amahirwe make ko gushyira amazi mu gutwi bishobora kwangiza gato umugongo w'amatwi yawe. Ariko, niba warigeze gutobora umugongo w'amatwi yawe, itsinda ry'abaganga rizabimenya kandi rikirinda gushyira amazi mu gutwi kwawe. Rero nta mpamvu yo kubihangayikisha.

Ibisubizo by'ibizamini bivuga iki?

Iyo amaso yawe adasezeye nk'uko byari byitezwe mu gihe cy'ikizamini, bishobora kugaragaza ko hari intege nke cyangwa ibyangiritse ku mitsi yo mu bwonko (imitsi yo mu mutwe). Hari impamvu nyinshi zishobora gutera ubu bwoko bw'ibyangiritse by'imitsi.

• Indwara z'imitsi y'amaraso
• Uruhu rukura mu gutwi ko hagati (Cholesteatoma)
• Imiti imwe n'imwe (urugero: imiti igabanya malariya, imiti igabanya ubukana bw'amaraso, cyangwa imiti igabanya ubukana bw'indwara)
• Indwara zo kugenda
• Sclerosis nyinshi
• Indwara nka rubela
• Ibikomere by'ihungabana ku mutwe

Niba ibisubizo byawe bya ENG bidakunze kugaragara, muganga wawe ashobora gusaba ibindi bipimo (nk'isuzuma rya MRI) kugira ngo amenye impamvu nyamukuru. Hanyuma azagena uburyo ukeneye bwo kuvurwa hashingiwe kuri iyo mpamvu.