Utinya kubona umugongo? Reka tuvuge kuri iki gisebe cyo mu mugongo (Lumbar Puncture)!

Ese wowe cyangwa undi muntu uzi wabwiwe na muganga wawe gukora ikizamini cya "Spinal Tap"? Abantu benshi bagira ubwoba no kugira ubwoba iyo bumvise iri zina. Ni ibisanzwe ko ibibazo nka "Ese bazanshyira urushinge mu mugongo? Ese bizambabaza? Ese hari ikintu kizagenda nabi?" biza mu mutwe. Ariko iki ni ikizamini cyizewe cyane abaganga bakora kandi ni ingirakamaro cyane mu gufasha gusuzuma indwara nyinshi. Rero, uyu munsi turabivugaho mu buryo bworoshye kugira ngo dukureho ubwoba n'amakenga byose ufite.

Igiti cy'umugongo (Spinal Tap) ni iki mu by'ukuri?

Mu magambo make, iki ni ikizamini. Tekereza ko ubwonko bwacu n'umugongo wacu bitari aho gusa. Birimo kureremba mu mazi yihariye kandi asobanutse neza. Ibi nibyo birinda izi ngingo z'ingenzi ingaruka zitandukanye. Ibi tubyita amazi y'ubwonko bw'umugongo ( Cerebrospinal Fluid - CSF) .

Gukoresha umugongo bikubiyemo gushyira urushinge ruto cyane mu mugongo wawe wo hasi, hagati y’amagufwa abiri, hanyuma ugafata urugero ruto cyane rwa CSF. Uru rugero ruhita rwoherezwa muri laboratwari kugira ngo rupimwe.

Kuki ushaka gukora iki gikorwa cyo gukubita mu mugongo (Spinal Tap)?

Hari impamvu nyinshi zo gukora iki kizamini. Cyane cyane ni ingirakamaro mu gushaka icyateye indwara nk'igicuri ku muntu ufite indwara.

Dore zimwe mu mpamvu z'ingenzi:

• Genzura ko nta ndwara zikomeye zandurira: Hari igihe indwara yo gucika intege ishobora guterwa n’indwara yo mu bwonko cyangwa mu ruti rw’umugongo. Ingero zabyo zirimo indwara ya meningitis na encephalitis . Izi ndwara zishobora gupimwa hakoreshejwe uburyo bwo gupima amazi ya CSF.
• Gusuzuma izindi ndwara z’imitsi: Iki kizamini gifasha kandi gusuzuma izindi ndwara zigira ingaruka ku mitsi yo hagati, nka sclerosis nyinshi na syndrome ya Guillain-Barre .
• Pima umuvuduko wo mu bwonko: Ibi bikoreshwa mu gusuzuma umuvuduko wiyongereye hirya no hino mu bwonko. Ubu buryo rimwe na rimwe bukoreshwa mu kugabanya uyu muvuduko.
• Tanga umuti:Ubu buryo bukoreshwa kandi mu gutanga ikinya cyo mu mugongo, gutera irangi ryihariye rikenewe mu bipimo nka X-rays, no gutanga imiti imwe n'imwe nka Baclofen mu mazi y'umugongo.

Reba imbonerahamwe iri hepfo ku bipimwa mu mazi ya CSF.

Witegura ute mbere yo gukoresha Spinal Tap?

Noneho reka turebe uko twakwitegura. Ni ngombwa gukurikiza izi ntambwe witonze.

• Ibiryo n'ibinyobwa: Nta mpamvu yo kugabanya by'umwihariko ibyo kurya n'ibyo kunywa. Ushobora kurya amafunguro yawe nkuko bisanzwe.
• Bwira muganga wawe imiti yawe: Ibi ni ingenzi cyane. Ugomba kubwira muganga wawe imiti iyo ari yo yose ufata, cyane cyane imiti igabanya amaraso (urugero: aspirine, warfarin), kandi niba unywa inzoga. Muganga wawe ashobora kugusaba guhagarika gufata imiti mu gihe cy'iminsi mike.
• Allergie:Niba ufite allergie kuri latex cyangwa indi miti iyo ari yo yose, bwira muganga wawe.
• Ubwikorezi: Ntuzashobora kwitwara ubwawe nyuma y'ikizamini, bityo uzakenera gushaka umuntu uzagutwara mu rugo cyangwa kugura ikindi kinyabiziga.

Ni iki kibaho mu gihe cyo gukubita mu mugongo (Spinal Tap)?

Ni ibisanzwe kumva ufite ubwoba muri iki gihe, ariko umaze kumenya uburyo bwo kubikora neza, ubwo bwoba buzashira.

1. Uburyo bwo kuryama: Uzasabwa kuryama ku ruhande rumwe rw'igitanda, amavi yawe arambuye ku gituza, kandi akananwa kawe gashyizwe mu gituza. Uzinze nk'agapira gato. Cyangwa uzasabwa kwicara mu ntebe, amaboko n'umutwe wawe biri ku meza, kandi ugaramye imbere. Iyi nzira igamije kongera umwanya uri hagati y'umugongo wawe, bityo byoroshye gushyiramo urushinge.

2. Gusukura: Muganga cyangwa umuforomo azasukura neza agace kari ku mugongo wawe akoresheje umuti wica udukoko.

3. Gucika intege: Hanyuma umuti ugabanya ububabare uterwa mu mugongo wawe. Ushobora kumva ushyushye gato muri iki gihe, ariko bimara amasegonda make gusa. Nyuma y'igihe gito, agace kose kazacika intege.

4e. Gushyira urushinge: Nyuma yuko agace kamaze gucika intege, muganga ashyira buhoro buhoro urushinge ruto cyane ruri hagati y'amagufwa abiri. Ushobora kumva urimo gucika gato muri iki gihe, ariko ntibikwiye kubabaza.

5. Guhumeka amazi: Iyo urushinge rumaze gushyirwa mu mwanya warwo, ibitonyanga bike by'amazi ya CSF bikusanyirizwa mu muyoboro muto. Ibi bifata iminota mike.

6. Gukuraho: Nyuma yo gukuraho amazi, gabanya buhoro buhoro icyuma giteye hanyuma ushyireho agapira gato aho hantu.

7. Ingero y'amaraso: Hari igihe amaraso make afatwa mu mutsi uri mu kuboko kwawe kugira ngo hagereranywe ibikubiye muri CSF yawe n'ibikubiye mu maraso yawe.

Ukora iki nyuma yo gukubita mu mugongo?

Nyuma yo gupimwa, uzakurikiranwa amasaha make. Mbere yo gutaha, umuforomo azagusobanurira kandi aguhe amabwiriza yanditse yo gukurikiza.

Ingaruka mbi n'ibyago

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zibaho, ariko ni nke cyane.

• Umutwe w'umugongo: Hari abantu bamwe (hafi 10% - 20%) bashobora kugira umutwe nyuma yo gupimwa. Umwihariko w'ibi ni uko ububabare bwiyongera iyo uhagaze cyangwa wicaye, kandi bukagabanuka iyo uryamye.
• Kwandura: Ingaruka zo kwandura ni nke cyane kuko ibi bikorwa hakoreshejwe ibikoresho bidafite ubusembwa na gato.
• Kuva amaraso: Hari igihe, iyo urumogi rugeze ku mutsi muto w'amaraso, igitonyanga gito cy'amaraso gishobora gusohoka. Ibi ntibisaba ubuvuzi bwihariye.
• Ububabare:Ubusanzwe nta bubabare bubaho, ariko iyo inzoka ikoze ku mitsi, ushobora kumva ububabare bw'igihe gito, nk'ubw'amashanyarazi.

Bikore ugeze mu rugo.

• Kuruhuka: Irinde gukora cyane cyangwa gukora imyitozo ngororamubiri ku munsi w'ikizamini no ku munsi ukurikira. Shaka ikiruhuko gihagije.
• Nywa ibinyobwa: Ibi ni ingenzi cyane. Nywa litiro 2.5 z'amazi ku munsi kugira ngo wirinde kuribwa umutwe. Nywa ibinyobwa byinshi nk'amazi, ibinyobwa by'imbuto, n'igikoma.
• Niba urwaye umutwe: Guma utuje uko bishoboka kose. Nywa ibinyobwa byinshi. Ariko niba umutwe ukomeje, hamagara muganga wawe.

Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya.

Niba ubonye kimwe mu bimenyetso bikurikira iyo ugiye mu rugo nyuma yo gupimwa, hamagara muganga wawe vuba.