Tekereza umutima wawe nk'ipompe y'amazi. Akazi kawo k'ingenzi ni ugutanga amaraso mu mubiri wose. Rero, ikizamini cyihariye gipima ubu buryo bwo gusohora, ni ukuvuga uburyo umutima ukora neza, cyitwa MUGA scan. Iri zina rishobora kuba ari rishya kuri wewe. None rero uyu munsi, reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva.
Gupima MUGA ni iki?
Mu magambo make, MUGA scan ni ikizamini cyihariye cyo gusuzuma, cyangwa gipima neza, uburyo umutima wawe urimo gukurura amaraso. Bikubiyemo gutera igice gito cyane cy'ibintu bihumanya ikirere byitwa "radionuclide" mu mitsi yawe. Hanyuma, hakoreshejwe kamera yihariye, hafatwa amashusho y'umutima wawe uko iki kintu kinyura mu mutima wawe hamwe n'amaraso yawe.
Iki kizamini gishobora kuguha ishusho isobanutse y'uburyo imitsi y'umutima wawe ikora kandi ikaruhuka iyo uri mu kiruhuko no mu gihe cy'imyitozo ngororamubiri. Andi mazina y'iki kizamini ni `radionuclide ventriculography (RNVG)` na `equilibrium radionuclide angiocardiography (ERNA)`.
Iyi scan yerekana iki mu by'ukuri?
Ikintu cy'ingenzi ibi bipima ni igice cyawe cyo gusohora (EF) . Noneho ushobora kuba wibaza icyo EF bivuze.
Tekereza umutima wawe wuzuye amaraso, hanyuma ugafunga (ugashyiramo) ugasohora ayo maraso mu mubiri. Icyo twita EF ni ijanisha ry'amaraso yose ari mu mutima asohoka mu gihe cyo kubyimba.
Urugero, niba EF yawe ari 70%, bivuze ko iyo umutima wawe wuzuye amaraso hanyuma ugatera rimwe, utera 70% by'amaraso yose mu mubiri. EF isanzwe y'umuntu muzima iri hagati ya 50% na 75%.
Ni ryari hakenewe gupimwa MUGA?
Muganga wawe ashobora kukugira inama yo gupima niba ufite ibimenyetso by'umutima unaniwe. Guhagarara k'umutima ni igihe umutima udashobora gupompa amaraso neza. Imbonerahamwe iri hepfo igaragaza bimwe mu bimenyetso bisanzwe bishobora kubaho muri iki gihe.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Kubabara mu gatuza (Angina) | Ububabare bukabije bubaho iyo umutima udafite ogisijeni ihagije. |
| Kuzungera | Bishobora guterwa no kugabanuka kw'amaraso ajya mu bwonko. |
| Kumva unaniwe vuba | Uhora wumva unaniwe kubera ko uturemangingo tw'umubiri wawe tutabona umwuka n'intungamubiri bikenewe. |
| Kugorwa no guhumeka (Dyspnea) | Guterana kw'amazi mu bihaha bituma bigorana guhumeka nubwo haba hari imirimo mito. |
| Kubyimba amaboko cyangwa ibirenge (Edema) | Ukwiyongera k'amazi mu ngingo z'umubiri bitera kubyimba, cyane cyane mu maguru no mu tuguru. |
Nanone, muganga wawe ashobora gutegeka iki kizamini mbere cyangwa nyuma yo kuvurwa kanseri. Ibi biterwa nuko bumwe mu buryo bwo kuvura kanseri bushobora kwangiza umutima. Bumwe muri ubu buryo bwo kuvura burimo:
- Gutera umwongo w'amagufwa
- Ubuvuzi bwa Chimiotherapie
- Ubudahangarwa bw'umubiri
- Ubuvuzi bw'imirasire mu gituza
Ni irihe tandukaniro riri hagati ya MUGA scan na Echo test?
Ibi bizamini byombi bitanga amakuru ajyanye n'imikorere y'umutima, ariko uburyo bwo kubipima buratandukanye.
- Echocardiogram: Iki kizamini gikoresha imiraba y'amajwi, nk'uko byakozwe na ultrasound ku mwana utwite. Amafoto afatwa na muganga mu gihe arimo kwimura igikoresho cyihariye (transducer) hejuru y'igituza cyawe.
- MUGA scan: Iki ni ikizamini cyo gufata amashusho ya kirimbuzi. Gikoresha icyuma gipima imirasire.
Igikuru ni uko scan ya MUGA akenshi ishobora gutanga agaciro ka EF gakwiye kurusha ikizamini cya Echo.
Wakwitegura ute mbere yo gukora ikizamini?
Muganga wawe azaguha amabwiriza yihariye mbere y'iki kizamini. Ni ngombwa cyane gukurikiza ayo mabwiriza neza. Muri rusange, harimo:
- Irinde kurya cyangwa kunywa amasaha agera kuri atandatu mbere yo gupimwa.
- Irinde kafeyine (ikawa, icyayi, ibinyobwa bidasembuye) amasaha make mbere yo gupimwa, kuko kafeyine ishobora kongera umuvuduko w'umutima wawe no kugira ingaruka ku bisubizo by'ibizamini.
- Bwira muganga wawe imiti yose ufata . Imiti imwe n'imwe y'umutima (nk'imiti ya nitrate cyangwa digoxin) ishobora gukenera guhagarikwa umunsi umwe cyangwa ibiri mbere y'ikizamini.
Ni iki kibaho mu gihe cy'ikizamini?
Igikorwa cyose gishobora gufata isaha imwe kugeza kuri eshatu. Muri iki gihe, uzaryama ku meza yo gusuzumisha hanyuma ushyire kamera yihariye ku gituza cyawe. Hanyuma, umutekinisiye azakurikiza izi ntambwe:
1. Udukoresho twinshi twa electrode (uduti nk'utwo dukoreshwa kuri ECG) tuzashyirwa ku gituza cyawe. Tuzapima imikorere y'amashanyarazi y'umutima wawe.
2. Indabyo zavuzwe haruguru ziterwa muri umwe mu mitsi yawe.
3. Kamera ifata amashusho y'umutima wawe mu mpande zitandukanye.
Hari igihe uzasabwa gukora imyitozo ngororamubiri mu gihe urimo gufata amashusho. Urugero , gutembera ku igare ry'imitsi . Ibi bikorwa kugira ngo urebe uko umutima wawe wakira imihangayiko.
Bigenda bite nyuma y'ikizamini?
Inkuru nziza ni uko ushobora gukomeza imirimo yawe isanzwe, harimo no gutwara imodoka, ikizamini kirangiye. Ariko ibuka ikintu kimwe: Nywa ibinyobwa byinshi, harimo n'amazi , mu gihe cy'umunsi umwe cyangwa ibiri nyuma y'ikizamini. Ibi bizafasha ibintu bihumanya ikirere kuva mu mubiri wawe vuba.
Ese hari ingaruka mbi muri ibi?
Gupima MUGA ni ikizamini cyizewe cyane ku bantu benshi. Ingano y'ibintu bitera imirasire ni nto cyane, bityo ntabwo ari bibi. Kandi akenshi bikurwa burundu mu mubiri mu masaha 24.
Ariko, niba utwite, utekereza ko utwite, cyangwa urimo konsa, ugomba kubimenyesha muganga wawe , kuko iki kizamini akenshi kidasabwa muri bene ibyo bihe.
Ibintu ugomba kubaza muganga wawe
Niba ufite ibindi bibazo kuri iki kizamini, ntutinye kubaza muganga wawe. Ushobora kubaza ibintu nk'ibi:
- Kuki nkeneye gupimwa na MUGA?
- Iki kizamini kimara igihe kingana iki?
- Ese hari icyo ngomba gukora by'umwihariko kugira ngo nitegure ikizamini?
- Ni izihe nyungu z'iki kizamini?
- Raporo y'iperereza ivuga iki?
- Ni izihe ntambwe nkurikiraho nyuma y'iki kizamini?
Ubutumwa bwo kujyana mu rugo
- Isuzuma rya MUGA ni isuzuma ryizewe cyane ripima imikorere y'umutima wawe mu gusohora amaraso (EF).
- Ikoreshwa mu gusuzuma indwara nk'iz'umutima no gukurikirana ubuzima bw'umutima mu gihe cyo kuvura kanseri.
- Muri ibi, umubiri uterwamo ibintu bike cyane birimo imirasire, ibyo bikaba ntacyo bitwaye kandi bigakurwa mu mubiri mu gihe cy'umunsi umwe.
- Niba utwite, wonsa, cyangwa ufata indi miti iyo ari yo yose, menya neza ko wabimenyesheje muganga wawe mbere yo kwipimisha.
- Muganga wawe azagusobanurira ibyavuye mu kizamini n'ingamba zose ugomba gukora mu gihe kizaza.
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