Ese nawe wumva uhaze nubwo umaze kurya ibiryo bike? Cyangwa ukunze kumva ufite isesemi cyangwa ufite ibibazo byo guhaza? Ahari impamvu ibi biterwa n'impinduka mu muvuduko w'ibiryo bisohoka mu nda yawe, ni ukuvuga mu nda yawe. None rero uyu munsi, reka tuvuge ku isuzuma ryihariye rya muganga rikorwa kugira ngo tumenye neza ibi. Iki ni cyo twita `(Inyigo yo Gusohora Ibiryo mu Gifu)`.
Mu magambo make, ubu bushakashatsi bwo gukuramo ibinure mu gifu ni iki?
Iki ni ikizamini cyoroshye cyane. Gipima igihe bifata kugira ngo ibiryo (cyangwa ikinyobwa) binyure mu nda yawe hanyuma bibe byashize burundu. Ubu buryo bwo kwimura ibiryo n'amazi mu nda yawe bwitwa "Gastric Motility". Abaganga bakora iki kizamini kugira ngo barebe niba igifu cyawe kiri kugenda neza. Niba umuvuduko w'ibiryo bishiramo urihuta cyangwa ugatinda kurusha uko bisanzwe, bishobora kuba ikimenyetso cy'uburwayi.
Uburyo bw'ingenzi kandi bukunze gukoreshwa cyane kuri ibi ni ikizamini cyitwa `(Gastric Emptying Scintigraphy - GES)`. Iyo umuganga akubwira iby'iki kizamini, ni cyo aba ashaka kuvuga. Iki ni `(Isuzuma ry'amashusho)` ryo mu bwoko bwa `(Ubuvuzi bwa Nuclear)`, ni ukuvuga, scan. Ikibaho muri ibi ni uko radioactivity mu mubiri wawe irasuzumwa kandi hagakorwa amashusho. Ntugahangayike, ibi ntabwo byakwangiza. Kugira ngo igifu cyawe gishyirwe muri scan, hongerwaho ikintu gito cyane, kitagira ingaruka mbi cya radioactivity `(Radioactive Tracer)` ku biryo urya.
Ese hari ubundi buryo bwo gukora iki kizamini?
Yego, hari ubundi buryo bwinshi uretse ubwo nyamukuru:
- Ikizamini cyo Gukoresha Umwuka mu Gifu (GEBT): Iki gipimo cy'ingano y'umwuka usohora n'uko ibiryo byawe binyura mu mara yawe. Uhabwa ibiryo birimo molekile yihariye ya karuboni yitwa "Karuboni-13". Iyo inyuze mu mara yawe, ikora umwuka wa karuboni uturuka ku mwuka ushobora gupimwa mu mwuka wawe.
- SmartPill™ Wireless Motility Capsule: Ibi bikubiyemo kumira igikoresho gito cy’ikoranabuhanga gisa n’ikinini. Uko kinyura mu buryo bw’igogora, cyohereza amakuru kuri "Receiver" wambaye. Ikinini gisohoka mu gituza cyawe mu munsi umwe cyangwa ibiri. Hanyuma, iyo uhaye "Receiver" muganga wawe, ashobora kureba amakuru akamenya uko umeze.
Ni iki twakwigira kuri iki kizamini?
Iki kizamini kikwereka cyane niba igifu cyawe kirimo kuva amaraso vuba cyane cyangwa buhoro cyane . Kinashobora kumenya aho umuvuduko uri kugabanuka mu gifu cyawe. Ibi bishobora gufasha cyane mu gusobanukirwa impamvu zimwe mu ngorane zo mu gifu cyawe.
| Ibimenyetso bishobora gutuma muganga ategeka iki kizamini | |
|---|---|
| Kumva wuzuye | Kumva uhaze cyane ndetse no nyuma yo kurya ibiryo bike, cyangwa se kugira iyo mitekerereze igihe kirekire nyuma yo kurya. |
| Isesemi no kuruka | Kurwara isesemi kenshi cyangwa kuruka. |
| Ububabare bwo mu nda | Kubabara mu nda yo hejuru. |
| Kuzuza igifu | Kumva ufite umwuka no kubyimba. |
| Ibindi bintu | Kubura ubushake bwo kurya, kugabanya ibiro, kwiyongera no kugabanuka gutunguranye kw'isukari mu maraso, isereri, umutima utera cyane, no kurwara aside idakira. |
Niba ukomeje kugira ibimenyetso nk'ibi, ni byiza kuvugana na muganga wawe.
Ni izihe ndwara zishobora kugaragara hakoreshejwe iki kizamini?
Iyo igifu kirimo kuva amaraso buhoro buhoro, bishobora kuba ikimenyetso cy'uko igifu cyazibye cyangwa indwara aho imitsi n'imitsi yo mu gifu bidakora neza. Ibi byitwa `Gastroparesis` mu buvuzi.
Nanone, iyo igifu kivuyemo vuba cyane, tucyita 'Dumping Syndrome '. Iki kandi ni ikibazo cy'imitsi n'imitsi. Iki kibazo gikunze kugaragara mu bantu babazwe igifu. Ariko, niba utarabazwe, gishobora no kuba ikimenyetso cy'indi ndwara y'inyuma.
Wakwitegura ute mbere yo gukora ikizamini?
Ibi ni ingenzi cyane. Muganga azaguha amabwiriza akenewe mbere yo gupimwa. Ugomba kandi kumubwira imiti ufata n'izindi ndwara zose ufite.
| Ibyo gukora n'ibyo utagomba gukora mbere y'ikizamini | |
|---|---|
| Ibyokurya n'ibinyobwa | Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose nibura amasaha 4 mbere y'uko upimwa. Kubera ko ikizamini gikunze gukorwa mu gitondo, uzasabwa kwiyiriza ubusa kuva mu ijoro ryabanjirije iryo. |
| Niba urwaye diyabete | Niba ufata insuline yo kurwanya diyabete, za insuline yawe n'igipimo cya glucose. Igipimo cy'isukari mu maraso yawe kizapimwa mbere yo gupimwa, hanyuma insuline izaguhabwa kugira ngo uyigenzure nibiba ngombwa. |
| Kunywa itabi | Ntukanywe itabi mbere yo gupimwa. Bishobora gutinda kuva mu nda yawe. |
| Imiti imwe n'imwe | Bitewe n'inama za muganga, ushobora kureka gufata imiti imwe n'imwe (urugero: imiti igabanya ububabare, imiti igabanya ubukana bw'indwara zo mu mutwe, n'indi miti imwe n'imwe ivura indwara ya gastritis) mu gihe cy'iminsi mike. |
| Ibirori byihariye | Niba utwite cyangwa wonsa, menya neza ko wabibwiye muganga wawe. Ikizamini ntigikorwa muri ibi bihe bitewe n'ibintu bitera imirasire. |
Ni iki kibaho mu gihe cy'ikizamini?
Iyi ni inzira yoroshye cyane.
1. Ifunguro: Ubwa mbere, uzahabwa ifunguro ryateguwe byihariye. Ubusanzwe iri rigizwe n'umweru w'igi uvanze n'ikintu kivangwa n'imirasire "(Sulfur Colloid)``, agace k'umugati hamwe na jam, n'ikirahure cy'amazi. IbiUgomba kurangiza kurya mu minota 10 .
2. Gupima: Umutekinisiye azagutwara kuri scanner. Uzasabwa guhagarara nibishoboka, cyangwa uryame nibidashoboka. Kamera yo gupima izareba mu nda yawe kandi ikoreshwe mu gihe cy'umunota umwe.
3. Igihe: Isuzuma rya mbere rifatwa ukimara kurangiza kurya. Hanyuma, uzongera gupimwa mu isaha imwe, amasaha abiri, n'amasaha ane. Ushobora kuva mu cyumba muri ibi bipimo, ariko ugomba kugaruka ku gihe.
Iki kizamini cyose gikunze kumara amasaha 2 na 4. Igihe ntarengwa gitwara kugira ngo igifu kivemo ubusanzwe ni amasaha 4, bityo ugomba gutegereza igihe kirekire. Iyo kivuyemo mbere y’ibyo, ikizamini kizahita kirangira.
Muri iki kizamini ntuzumva ububabare cyangwa ngo ugire ikibazo. Ntuzumva uburyohe cyangwa ngo uhumure ibintu birimo imirasire iri mu biryo.
Ni gute wasobanukirwa ibisubizo by'ibizamini?
Muganga wawe azagusobanurira raporo wahawe nyuma yo gupimwa. Igaragaza ingano y'ibiryo byasigaye mu nda yawe mu masaha 1, 2, na 4.
| Imiterere | Ibisubizo |
|---|---|
| Ibisubizo bisanzwe | |
| Nyuma y'isaha imwe | Ibiryo birenga 30% bigomba kuguma mu nda. |
| Nyuma y'amasaha 2 | Nibura 40% by'ibiribwa bigomba kuba birimo ubusa. |
| Nyuma y'amasaha 4 | Nibura 90% by'ibiribwa bigomba kuba birimo ubusa (hagomba gusigara munsi ya 10%). |
| Ibisubizo Bidasanzwe | |
| Gushira ibiryo buhoro buhoro (Gastroparesis) | - Iyo ibiryo birenga 60% bisigaye mu nda nyuma y'amasaha 2. - Iyo ibiryo birenga 10% bisigaye mu nda nyuma y'amasaha 4. |
| Indwara yo Guta Inda | - Niba ibiryo birenga 70% ari ubusa nyuma y'isaha imwe. |
Nyuma y'iki kizamini, ibintu bya radiyo byinjira mu mubiri wawe bizakurwaho burundu binyuze mu nkari n'imyanda mu minsi ibiri. Kunywa amazi menshi bizafasha kwihutisha iki gikorwa.
Ubutumwa bwo kujyana mu rugo
- Isuzuma ryo "Gusohora Igifu" ni ikizamini cyoroshye kandi kidatera ububabare gipima igihe bifata kugira ngo ibiryo bive mu nda yawe.
- Niba ufite ibimenyetso nko kubyimba inda kenshi, isesemi, no kuribwa mu gifu, iki kizamini gishobora kugufasha kumenya impamvu.
- Ibi bifasha kumenya indwara nka `Gastroparesis` (gutinda gusohora ibiryo) na `Dumping Syndrome` (gusohora ibiryo vuba).
- Ni ingenzi cyane gukurikiza amabwiriza ya muganga (kwiyiriza ubusa, guhagarika imiti imwe n'imwe) mbere gato y'ikizamini.
- Saba muganga wawe gusobanura ibisubizo by'ibizamini mu buryo ushobora kumva.
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