Ese hari ikibazo kiri ku mikorere y'amashanyarazi y'umutima wawe? Reka twige byinshi ku bushakashatsi bwa EP! (Ubushakashatsi bwa Electrophysiology)

Ese hari igihe wumva umutima wawe urimo gutera cyane, igituza cyawe kirimo gutera cyane, cyangwa wumva ufite intege nke cyangwa uzumva umeze nk'ufite isereri? Ibi bintu bishobora guterwa n'akabazo gato mu buryo bw'amashanyarazi bw'umutima wawe. Iki ni cyo gihe muganga wawe ashobora kukubwira gukora inyigo ya EP. Reka tubiganireho uyu munsi mu buryo bworoheje.

Mu magambo make, Inyigo ya EP ni iki?

Inyigo ya EP, cyangwa Electrophysiology, ni isuzuma ryimbitse ry’imikorere y’amashanyarazi y’umutima wawe. Umutima wacu umeze nk’ipompo ifite sisitemu nto y’amashanyarazi. Umutima utera neza iyo ibyo bimenyetso by’amashanyarazi bitembera neza kandi mu buryo bunoze.

Tekereza, dufite sisitemu y'insinga mu nzu yacu. Kugira ngo itara rifunguke iyo rifunguye, insinga zigomba kuba zihujwe neza. Ni nako bimeze ku mutima. Hari igihe habaho ikibazo gito mu nzira y'ibi bimenyetso by'amashanyarazi, cyangwa ikimenyetso gishya gishobora gutangirira ahantu hatari ho, cyangwa ikimenyetso gishobora kugenda vuba cyangwa buhoro kurusha uko bikwiye. Ibi tubyita umutima utari umeze neza (arrhythmia).

Inyigo ya EP ikubiyemo gushyira imiyoboro mito cyane kandi yoroshye (catheters) mu mutima kugira ngo umenye neza aho ibyo bimenyetso by'amashanyarazi bituruka, aho bijya, n'aho ikibazo kiri. Ni nk'umuhanga mu by'amashanyarazi asanze hari ikibazo mu nsinga mu rugo rwawe. Muri ubu buryo, ushobora kubona amakuru menshi mu mutima kuruta ECG, ari yo sticker ushyira ku gituza cyawe.

Kuki ukora inyigo ya EP? Izasangamo iki?

Iyo umuganga wawe akeka ko ufite umutima utari mwiza (arrhythmia), ahita akwohereza muri iki kizamini kugira ngo akore ubushakashatsi burambuye. Inyigo ya EP ishobora kugaragaza amakuru menshi adakunze kuboneka mu bizamini nka ECG, Holter monitor, cyangwa stress test.

Witegura ute Inyigo ya EP?

Muganga wawe azakugira inama y'uko wakwitegura iki kizamini, ariko muri rusange, wibuke izi ngingo.

Imyiteguro rusange

• Gutwara imodoka: Ntushobora gutwara imodoka amasaha 24 nyuma y'ikizamini, bityo rero teganya ko hari umuntu uzagutwara akakujyana mu rugo.
• Imyambaro: Ambara imyenda yoroheje kandi ishimishije iyo ugeze mu bitaro.
• Imitako n'ibintu by'agaciro: Kuraho imitako yose, nk'impeta, imikufi, n'amasaha, ubireke mu rugo.
• Kuraho amavuta yose yo ku nzara n'imitako.
• Allergie: Niba ufite allergie ku bintu nka latex, cyangwa niba ufite ikibazo cyo gusinziriza, menyesha muganga wawe hakiri kare.

Inama ku miti n'imirire

• Imiti ufata: Bwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera). Ushobora gusabwa guhagarika gufata imiti imwe n'imwe iminsi mike mbere yo gupimwa.Ntugahagarike gufata imiti utabanje kubibaza muganga.
• Diyabete: Niba urwaye diyabete, baza muganga wawe neza uko wafata imiti yawe ku munsi wo gupimwa.
• Ibiryo n'ibinyobwa: Ujye urya bisanzwe mu ijoro ribanziriza ikizamini. Ariko, ntukarye, ntunywe, cyangwa ngo uhekenya ishinya nyuma ya saa sita z'ijoro. Ibi ni ingenzi cyane ku mutekano wawe. Ujye ufata umuti n'amazi make gusa niba ukeneye, kandi ubikore gusa ari uko muganga akubwiye.

Ni iki kibaho ku munsi w'ikizamini?

Iki kizamini gikorerwa mu cyumba cyihariye, cyitwa laboratwari ya EP cyangwa laboratwari yo gushyiramo catheter.

Umaze kuryama ku buriri,

1. Gushyiramo umurongo wa IV: Umutsi muto (umurongo wa IV) uzashyirwa mu mutsi uri mu kuboko kwawe. Aha niho imiti n'amazi bikenewe bizatangwa mu gihe cyo gupimwa.

2. Gusukura: Aho bashyira catheter (akenshi igice cyo mu kibuno) birakogoshwa, nibiba ngombwa, hanyuma bigasukurwa neza n'umuti wica udukoko.

3. Gukuraho udukoko: Uzapfukwa igitambaro gisukuye. Amaboko yawe azapfundikirwa umugozi kugira ngo adakora ku gice gisukuye.

Mu gihe cy'ikizamini

Muganga azatera umuti utera ibisebe ahantu hazajya hashyirwa catheter. Hanyuma, imiyoboro myinshi yoroheje cyane (catheters) izanyuzwa mu mitsi ijya mu mutima. Ntuzumva ububabare ubwo aribwo bwose. Muganga azakoresha X-ray monitor (fluoroscopy) kugira ngo ayobore izi catheter neza neza mu byumba by'umutima.

Utwuma dupima kuri izi catheter twandika ibimenyetso by'amashanyarazi by'umutima. Hanyuma,

• Gutera imbere: Ijwi rito ry'amashanyarazi ryoherezwa binyuze muri catheter kugira ngo umutima wawe utere vuba. Ushobora kumva igituza cyawe gitera muri iki gihe. Ntugahangayike, ibi byose bikorwa mu buryo bugenzuwe cyane.
• Kumenya ikibazo: Muri ubu buryo, ushobora guhindura umuvuduko w'umutima, ugatera ikibazo cy'umutima udafite aho uhuriye n'igihe, kandi ukagerageza kumenya neza aho gihera.
• Ubuvuzi: Iyo bibaye ngombwa kandi bikwiye, ikibazo kimaze kugaragara, gucana catheter , uburyo bwo kuvura busenya uturemangingo twohereza ibimenyetso by'amashanyarazi bitari byo, bushobora gukorwa icyarimwe.

Bigenda bite nyuma y'ikizamini?

Nyuma y’uko ikizamini kimara isaha imwe kugeza kuri ine kirangiye, muganga akuraho katheteri, akayifata umwanya kugira ngo amaraso ahagarike, hanyuma agashyiraho plaster nto.

• Niba catheter yashyizwemo inyuze mu kibuno, uzakenera kuruhuka mu buriri amaguru yawe agororotse mu gihe cy'amasaha make.
• Ubusanzwe, ushobora gutaha nimugoroba. Ariko, hari igihe ushobora kumara umunsi mu bitaro bitewe n'ibisubizo.
• Ushobora kongera gukora imirimo isanzwe umunsi ukurikiyeho, ariko wirinde guterura ibintu biremereye mu gihe cy'icyumweru kimwe.
• Komeza ahantu hashyirwa catheter hasukuye kandi humye.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Nkuko bigenda ku isuzuma ry’ubuvuzi, hari ingaruka nto cyane. Ariko, bifatwa nk'ikizamini cyizewe cyane . Impamvu y'ibibazo ni nke cyane.

• Kuva amaraso cyangwa kwandura aho catheter ishyirwa.
• Kwangirika guto ku mutsi w'amaraso cyangwa umutima.
• Ihinduka ry'amaraso apfutse.
• Indwara y'umutima.

Umuganga n'itsinda ry'abaganga bari kwitonda cyane kugira ngo bagabanye izi ngaruka zose. Bityo rero nta mpamvu yo guhangayikishwa cyane n'ibi.

Igihe cyo kubonana na muganga

Niba ugaragaje kimwe mu bimenyetso bikurikira nyuma yo gusubira mu rugo, hamagara muganga wawe ako kanya.

• Kubyimba, gutukura, cyangwa amazi asa n'ibibyimba ava aho catheter iri.
• Kubura imbaraga muri uko kuboko cyangwa ukuguru.
• Kumva ufite ubukonje cyangwa ibara ryahindutse muri icyo kiganza cyangwa ukuguru.
• Kubabara mu gituza.
• Kuruka.