Ese mu nda yawe hari ubusa buhagije nyuma yo kurya? Reka tuvuge ku bushakashatsi bwo gusohora amaraso mu gifu!

Ese wigeze wibaza igihe ibiryo urya bimara mu nda yawe n'uko bivamo? Hari igihe twumva dushize cyangwa tukagira isesemi nyuma yo kurya. Muri ibyo bihe, ikizamini cyihariye cyitwa 'Inyigo yo Gusohora Ibiryo mu Gifu' kugira ngo harebwe igihe ibiryo bimara mu nda yacu n'uko bisohoka. Ibi bishobora kudufasha kumenya niba hari ikibazo mu mikorere y'igifu cyacu, ni ukuvuga igifu.

Ni iki koko twakwigira kuri iki kizamini?

Tekereza, umaze kurya ibiryo, wumva ibintu nk'ibi:

• Numva mfite ibyishimo byinshi igihe kirekire , kandi ibyo byuzuye bimaze igihe kinini .
• Akenshi numva mfite isesemi no kuruka .
• Mfite ububabare mu nda yo hejuru .
• Inda yanjye iraryoshye, nk'aho yabyimbye .
• Ndatakaza ubushake bwo kurya kandi nkagabanya ibiro .
• Isukari mu maraso irazamuka mu buryo butunguranye hanyuma ikongera ikagabanuka .
• Bimeze nk'izunguza .
• Umva umutima wawe urimo gutera cyane mu buryo butunguranye .
• Hari indwara nko kutagira ingano mu gifu na gastritis .
• Guhora bizamuka mu muhogo (acid reflux idakira) .

Niba ufite ibi bimenyetso, muganga wawe ashobora kukugira inama yo gukora inyigo yo gusohora igifu. Muri make, iki kizamini gipima niba ibiryo biri kugenda buhoro cyane cyangwa vuba cyane . Kishobora kandi kuguha igitekerezo cy'aho umuvuduko mu gifu cyawe ugenda ugabanuka ndetse n'ibice by'igifu cyawe byagizweho ingaruka. Ibi bishobora kugufasha gusobanukirwa impamvu ya bimwe mu bimenyetso by'igifu cyawe (GI) .

Ni ubuhe bwoko bw'indwara ibi bipima?

Noneho reka turebe indwara iki kizamini gishobora kubona.

• Niba igifu cyawe kirimo kuva amaraso buhoro buhoro: Iki gishobora kuba ikimenyetso cy'uko hari ikibazo mu gifu cyawe. Cyangwa, gishobora kuba indwara yitwa gastroparesis, ni indwara aho imitsi n'imitsi yo mu gifu cyawe idakora neza, bigatuma igifu cyawe kidakora neza . Gastroparesis ni ikibazo cy'imitsi n'imitsi yo mu gifu cyawe.
• Iyo igifu cyawe gisohoye vuba cyane: Ibi byitwa dumping syndrome . Ibi bifitanye isano kandi n'imitsi n'imitsi yo mu gifu cyawe. Iyi ndwara ikunze kugaragara nyuma yo kubagwa igifu. Ariko, niba utarabagwa, bishobora kuba ikimenyetso cy'indi ndwara ihishe inyuma.

Ni gute ikizamini cya Scintigraphy cyo gukuramo igifu gikunze gukorwa cyane gikorwa?

Uburyo bw'ingenzi bwo gukora ubu bushakashatsi bwo gusohora amaraso mu gifu bwitwa Gastric Emptying Scintigraphy (GES) . Iri ni ryo zina abaganga benshi bakoresha. Mu by'ukuri iri ni ikizamini cyo gupima ubuvuzi bwa kirimbuzi . Muri make, ikoresha imirasire kugira ngo isuzume umubiri wawe kandi ikore amashusho.

Tekereza nk'aho ari 'X-ray y'imbere n'inyuma'. X-ray isanzwe yohereza imirasire mu mubiri wawe iturutse inyuma. Ariko muri iki gihe, hari agakoresho kadasanzwe k'imirasire kashyirwa mu biryo urya. Iyo aka gakoresho kinjiyemo, gasohora imirasire ya gamma . Hanyuma, kamera ya gamma imenya iyi mirasire ikayihindura ishusho y'ibice bibiri. Uku niko ubona ibiryo urya bigenda mu nda yawe.

Mbere y'iki kizamini, uzahabwa indyo isanzwe ijyanye na buri wese. Irimo ingano imwe na imwe ya fibre, isukari, poroteyine n'ibinure. Ibi biterwa nuko ibi byose bigira ingaruka ku ngendo z'igifu, ni ukuvuga uburyo igifu kigenda . Isotope ya radiyo yongerwa kuri ibi biribwa yitwa Sulfur Colloid (99mTc) . Ibi bigira ingaruka nke ku mubiri, bivuze ko ibyago byo kugira uburozi ari bike cyane .

Ese hari ubundi buryo butandukanye n'ubu?

Yego, hari ubundi buryo bwinshi bwo kugenzura imikorere y'igifu.

• Ikizamini cyo Guhumeka mu Gifu (GEBT): Ibi bikubiyemo gupima umwuka wawe. Ibiryo byihariye unywa birimo molekile ya karuboni yitwa Karuboni-13 . Iyo bigeze mu mara yawe, hakorwa ubwoko bwihariye bwa gaze ya karuboni ipimwa (CO2-13) . Iyo gaze ipimwa mu mwuka wawe kugira ngo harebwe uko ibiryo byihuta.
• SmartPill™ Wireless Motility Capsule: Ibi bikubiyemo kumira igikoresho gito cy’ikoranabuhanga gisa n’ibinini. Uko kinyura mu buryo bw’igogora, cyohereza amakuru mu buryo butaziguye ku cyuma cyakira indwara wambaye. SmartPill™ irasohoka mu gituza cyawe mu munsi umwe cyangwa ibiri. Hanyuma, iyo uhaye muganga wawe cy’indwara, bashobora gusesengura amakuru no gusuzuma indwara.

Ni iki twagombye kumenya mbere y'ikizamini?

Mbere yuko ukora iki kizamini, muganga wawe azakubwira icyo kibazo. Azakubaza izindi ndwara ufite n'imiti ufata, kuko bishobora kugira ingaruka ku bisubizo by'ibizamini.

• Niba ufite isukari nyinshi mu maraso (hyperglycemia) cyangwa isukari nke mu maraso (hypoglycemia), wenda iki kizamini ntikikubereye.
• Ni byiza kwirinda iki gipimo niba utwite cyangwa wonsa . Impamvu yabyo ni ibintu birimo imirasire.
• Niba ufite ukwezi , muganga wawe ashobora kukwifuza ko ufata iki kizamini ku munsi runaka w’ukwezi kwawe, kuko impinduka mu misemburo zishobora kugira ingaruka ku muvuduko w’igifu cyawe cyo gusohora amaraso, ibyo bikaba bishobora guhindura ibisubizo.

Ni gute wakwitegura ikizamini?

Igifu cyawe kigomba kuba kirimo ubusa iyo ukoze iki kizamini. Bityo, muganga wawe azakubwira kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose nibura amasaha ane mbere y'uko upimwa. Akenshi, iki kizamini gikorwa mu gitondo, bityo biroroshye ko utarya cyangwa ngo unywe ikintu icyo ari cyo cyose mu ijoro ryabanjirije icyo kizamini.

• Niba urwaye diyabete kandi ukoresha insuline , uzasabwa kuzana insuline yawe n'icyuma gipima isukari . Mbere yo gupimwa, bazasuzuma urugero rw'isukari mu maraso yawe, babyandike, hanyuma baguhe insuline nibiba ngombwa kugira ngo igaruke ku rugero rukwiye.
• Si byiza kunywa itabi mbere yo gupimwa, kuko bishobora gutinza kuva mu nda.
• Ushobora kandi gusabwa guhagarika gufata imiti imwe n'imwe iminsi mike mbere yo kwipimisha. Urugero:
• Imiti igabanya amaraso
• Imiti imwe n'imwe igabanya ububabare, cyane cyane opioid
• Imwe mu miti igabanya ubukana bw'imitsi
• Ibikoresho bifunga imiyoboro ya kalisiyumu
• Imiti ibuza aside
• Kuvura imisemburo ishingiye ku gitsina gore

Wibuke ko uru rutonde rutari rwuzuye, bityo rero ni ngombwa cyane kubwira muganga wawe imiti yose ufata.

Ni iki kibaho mu gihe cy'ikizamini?

Noneho reka turebe uko bigenda iyo dukoze ikizamini.

• Ubwa mbere, uzahabwa ifunguro ryihariye navuze mbere. Rigizwe n'umweru w'igi ukaranze uvanze na sulfur colloid , agace k'umugati hamwe na jam y'ibishyimbo, n'ikirahure cy'amazi. Ni ngombwa cyane kurangiza ibi byose mu minota icumi .
• Niba bishoboka, uzakenera guhaguruka mu gihe ikizamini kiri gukorwa. Bitabaye ibyo, ushobora kuryama. Umutekinisiye azashyira kamera cyangwa kamera ku nda yawe.
• Imashini isuzuma igifu cyawe mu gihe cy'umunota umwe . Isuzuma mu buryo nk'inshuro enye cyangwa eshanu gutya.
• Isuzuma rya mbere rikorwa ukimara kurangiza kurya . Niba umutekinisiye akeka ko igifu cyawe kirimo kuvamo vuba cyane, azakora irindi suzuma nyuma y'iminota 30. Izindi suzuma zirakorwa.Nyuma y'isaha imwe, amasaha abiri n'amasaha ane.
• Ushobora guhaguruka ukava mu cyumba muri iki gikorwa cyo gupima, ariko ugomba kugaruka ku gihe.

Iki kizamini kimara igihe kingana iki?

Ubusanzwe isuzuma rya Scintigraphy rifata amasaha abiri kugeza kuri ane kugira ngo risohoke. Amasaha abiri ni yo mpuzandengo y'igihe bifata kugira ngo igifu gisohoke. Rero niba igifu cyawe kirimo ubusa muri icyo gihe, kizahagarika gupima icyo gihe. Ariko niba bimara igihe kirekire kirenze icyo, bashobora gupima mu gihe cy'amasaha ane.

Ese ibi birababaza? Ese wumva bikubangamiye?

Oya rwose. Ntuzumva imashini ipima cyangwa ibikoresho bya radiyo na gato . Ntushobora kumenya ikintu kiri mu biryo ukurikije uburyohe cyangwa impumuro. Rero ntugahangayikishwe n'ikibazo icyo ari cyo cyose.

Inyigo yo Gukuraho Ibinure mu Gifu ni iki?

Hari igihe abaganga bagutegeka ikizamini cyihariye cy’ibinyobwa (inyigo yo gusohora amazi mu mubiri) . Ibi bishobora gutanga amakuru y’inyongera ku bijyanye n’uburwayi bwawe. Kubera ko ibinyobwa bitanyura mu nda nk’uko ibiryo bikomeye bigenda, ibisubizo by’iki kizamini bishobora kuba bitandukanye. Muganga wawe ashobora gutumiza iki kizamini cy’ibinyobwa mu gihe kimwe n’ikizamini cy’ibiryo bikomeye. Cyangwa, bashobora gutumiza iki kizamini nyuma y’ikizamini cy’ibinyobwa bikomeye.

Iki ni ikizamini gito . Uzahabwa igikombe cy'amazi arimo koloyide ya sulfur . Hanyuma umutekinisiye azafata amashusho agera kuri atatu mu gihe cy'isaha imwe.

Ese hari ingaruka cyangwa ingaruka mbi zishobora guterwa n'ikizamini cya Scintigraphy cyo gukuramo igifu?

Ingano y'imirasire ishyirwa mu mubiri wawe ni nto cyane , kandi ntabwo ihagije kugira ngo ikugirire nabi. Ariko, niba utwite, hashobora kubaho ingaruka nke ku mwana wawe uri mu nda . Niba uri umubyeyi wonsa, imirasire mike ishobora kwanduza umwana wawe binyuze mu mashereka yawe . Niyo mpamvu ikizamini gisubikwa. Bitabaye ibyo, nta zindi ngaruka mbi zizwi .

Iyi mirasire izakurwaho burundu mu mubiri wawe mu nkari no mu mwanda wawe mu minsi ibiri. Nywa amazi menshi muri iyo minsi, kuko bizagufasha kuva mu mubiri wawe vuba.

Nsobanukirwa nte ibisubizo by'ibizamini byanjye?

Muganga wawe azasuzuma ibisubizo by'ibizamini hanyuma abigusobanurire. Ibisubizo bigaragaza igihe byatwaye kugira ngo ibiryo wariye binyure mu nda yawe. Bizagaragaza aho byageze mu isaha imwe, amasaha abiri, cyangwa amasaha ane. Hanyuma bazagereranya ibisubizo n'impuzandengo. Niba ibisubizo byawe byihuta cyangwa bitinze kuruta ibisanzwe, bivuze ko igifu cyawe kirimo kuvamo vuba cyane cyangwa buhoro cyane.

Ibisubizo bisanzwe bigomba kumera bite?

Ku biribwa bikomeye:

• Mu minota 30:Nibura 70% by'ibiribwa bigomba kuba bikiri mu nda.
• Mu isaha imwe: Nibura 30% by'ibiryo bigomba kuba bikiri mu nda, naho nibura 10% bigomba kuba bidafite.
• Mu masaha abiri: Nibura 40% by'ibiribwa bigomba kuba byashize.
• Mu masaha ane: Nibura 90% by'ibiryo bigomba kuba byashize.

Igihe mpuzandengo cyo gupima amazi ni hagati y'iminota 20 na 25 .

Ni ibihe bisubizo bidasanzwe?

Ushobora kuba ufite gastroparesis niba:

• Iyo ibiryo birenga 60% bikiri mu nda nyuma y'amasaha abiri.
• Iyo ibiryo birenga 10% bikiri mu nda nyuma y'amasaha ane.

Ushobora kuba ufite indwara yo gutakaza amaraso , indwara ituma igifu gisohora amaraso vuba cyane, niba:

• Niba ibiryo birenga 30% byamaze kubura nyuma y'iminota 30.
• Niba ibiryo birenga 70% byamaze kuba ubusa nyuma y'isaha imwe.

Amaherezo, ibintu ugomba kwibuka

Gupima igifu hakoreshejwe uburyo bworoshye, budakoresha ikoranabuhanga rya Scintigraphy, kandi bunoze bwo kugenzura imikorere y'igifu cyawe, cyangwa uburyo igifu kigenda .

Bishobora guhishura byinshi ku mikorere y'amara yawe, nta ngorane, kandi mu masaha make gusa y'igihe cyawe. Wenda umaze igihe kinini ufite ibimenyetso utabona impamvu, kandi impamvu y'ibimenyetso bitagenze neza nyuma yo kuvurwa ishobora kuba isobanutse neza. Ibi bisubizo bizafasha cyane muganga wawe mu gusuzuma indwara yawe nyayo. Kubwibyo, niba muganga agusabye iki kizamini, nta kintu na kimwe ugomba gutinya. Vugana na muganga wawe neza, usobanukirwe byose, kandi upimwe.

Gusohora igifu , inyigo y'uko igifu cyavuyemo, ibizamini byo mu gifu, gastroparesis, indwara yo gutakaza amazi, igogora, scintigraphy