Ese hari igihe wumva umubiri wawe ufite intege nke kandi imitsi yawe ikaba ifite intege nke? Ahari muganga wawe yakubwiye ko ushobora kuba ukeneye gupimwa 'Imitsi'? Ugomba kuba waragize ubwoba gato ubwo wumvise iryo zina. "Ese bazanca igice cy'inyama yanjye?" Ugomba kuba waratekereje. Ariko ntugahangayike. Ibi ntabwo biteye ubwoba nkuko bisa. Uyu munsi tuzabiganiraho mu buryo bworoshye, mu buryo buzasubiza ibibazo byose ufite mu mutwe wawe.
Iyi Biopsy y'imitsi ni iki?
Mu magambo make, ibi bikubiyemo gufata agace gato cyane k'imitsi yawe, katarenze urwara rw'urutoki, ukagasuzuma ukoresheje mikorosikopi muri laboratwari. Kimwe no gufata umugozi mu mwenda ukareba ikibazo cyawo, gusuzuma iki gice cy'imitsi bishobora kumenya neza niba ufite indwara (myopathy) igira ingaruka ku mitsi yawe. Iki ni ikizamini cy'ingenzi cyane.
Ni ryari hakenewe isuzuma ry'imitsi?
Muganga ntazahita akwohereza kuri iki kizamini iyo abonye ko imitsi yawe ifite intege nke. Bazabanza gukora ibindi bizamini bike.
- Isuzuma ry'umubiri n'imitsi: Muganga azagusuzuma kugira ngo arebe aho imitsi yawe igeze.
- Ibizamini by'amaraso: Ibizamini by'amaraso, cyane cyane ikizamini cya creatine kinase , ndetse n'ibizamini bimwe na bimwe bya genetike birakorwa.
- Ibizamini byo gupima: Ibintu nka MRI scan.
- Inyigo zo kuyobora imitsi n'imitsi (EMG): Ibi bipima isano iri hagati y'imitsi yawe n'imitsi.
Niba nyuma y’ibi bizamini byose, utarabasha kugera ku mwanzuro uhamye ku kibazo cyawe, muganga wawe ashobora kukugira inama yo gukorerwa biopsy y’imitsi. Hamwe n’amakuru aboneka muri ibi, bizashoboka kumenya neza imiterere y’indwara.
Ni izihe ndwara zishobora kugaragara hakoreshejwe iki kizamini?
Gusuzuma imitsi bishobora gusuzuma neza indwara zitandukanye zifitanye isano n'imitsi. Imbonerahamwe iri hepfo izaguha igitekerezo cyiza.
| Ubwoko bw'indwara | Ingero |
|---|---|
| Kurwara kw'imitsi | Indwara nka Duchenne muscular dystrophy, Becker muscular dystrophy, na myotonic dystrophy. |
| Indwara zandurira mu mitsi | Indwara zigira ingaruka ku mitsi, nka trichinose na toxoplasmose. |
| Indwara z'imitsi itera ububabare | Polymyositis na dermatomyositis. |
| Indwara za Myopathie zishingiye ku mikorere y'umubiri | Indwara zo kubika glycogen nk'indwara ya Pompe. |
| Myopathies yo mu gihe cy'ivuka | Indwara zo mu muryango nk'indwara ya nemaline myopathy. |
| Myopathies iterwa n'ibiyobyabwenge (Myopathies Toxic) | Indwara zishobora guterwa no gukoresha imiti imwe n'imwe, nka steroid cyangwa statins. |
Ni iyihe mitsi yo mu mubiri ifatwamo biopsy?
Kuri iki kizamini, igice cy'imitsi gikunze gukurwa ahantu hamwe muri hatatu ku mubiri wawe.
- Inyama zo mu mutwe (quadriceps): Itsinda rinini ry'imitsi iri imbere y'ikibero cyawe.
- Deltoid: Imitsi ifata ku rutugu rwawe.
- Bicep: Ukuboko kwawe ko hejuru, ni cyo twita igice cy'ukuboko kwawe gifite inyama.
Muganga azahitamo ahantu ho gupimisha yitonze cyane. Icyitegererezo kizafatwa ku mitsi idakomeye cyangwa ifite ibimenyetso . Ariko, niba imitsi idakomeye cyane, urugero nk'iyo iherutse guterwamo urushinge, cyangwa niba hari igikomere muri ako gace,, ntugakore ibi uri ahantu nk'aho. Kuko iyo ubikoze, ibisubizo by'ikizamini (raporo) bishobora kuba atari byo.
Ni gute nakwitegura mbere yo gukora ikizamini?
Muganga wawe azagusobanurira uburyo bwo gukora kandi aguhe amabwiriza y'uko wakwitegura ikizamini. Ni ngombwa cyane gukurikiza aya mabwiriza neza.
- Niba uherutse (mu mezi 6) guterwa inshinge z'imitsi , gupimwa nka EMG , cyangwa gukomereka kw'imitsi, menya neza ko ubibwiye muganga wawe .
- Niba ufata imiti igabanya amaraso cyangwa aspirine , muganga wawe ashobora kugusaba guhagarika kuyifata iminsi mike mbere yo kwipimisha. Ariko, ntuhagarike gufata imiti iyo ari yo yose kugeza igihe muganga wawe azakubwiriye .
- Ushobora kandi gusabwa kwiyiriza ubusa (kutarya cyangwa ngo unywe ikindi kintu kitari amazi) amasaha make mbere yo gupimwa.
- Niba uhawe ikinya cyangwa ikinya gisanzwe mu isuzuma, ni ngombwa ko haboneka umuntu wo kugutwara mu rugo nyuma yo gupimwa.
Ni iki kibaho mu gihe cyo gupimwa kwa biopsy?
Hari uburyo bubiri bw'ingenzi bwo gukora biopsy y'imitsi. Uburyo buhinduka gato bitewe n'uburyo.
1. Uburyo bwo gupima indwara (Biopsy) bufunguye
Ibi ni nk'ukubagwa gato.
1. Ubwa mbere, agace kazafatirwamo icyitegererezo gasukurwa neza n'umuti wica udukoko.
2. Hanyuma, umuti ugabanya ububabare uterwa muri ako gace, kugira ngo utazababara.
3. Muganga atema uruhu gato, rufite uburebure bwa santimetero 4-6.
4. Hanyuma uruhu, ibinure biri munsi y'umubiri, n'imitsi itwikiriye (fascia) biratandukana, bigakomeza ku mitsi iri munsi y'umubiri.
5. Agace gato cyane k'umutsi karacibwa kagakurwaho.
6. Amaherezo, aho gukata hafungwa nanone hakoreshejwe imisumari kandi hagapfukwa neza n'ibitambaro.
2. Uburyo bwo gusuzuma urushinge
Ubu buryo bworoshye gato.
1. Muri iki gihe kandi, banza usukure neza aho hantu.
2. Hanyuma umuti ugabanya ububabare uterwa muri ako gace.
3. Muganga agabanya uruhu gato cyane maze agashyiramo urushinge rwihariye (urushinge rwa biopsy) rungana n'ikaramu.
4. Ubusanzwe, isuzuma rya ultrasound rikoreshwa kugira ngo urushinge rugere mu mitsi ikwiye.
5. Hakoreshejwe igikoresho kiri mu rushinge, uduce duto duto 3 cyangwa 4 tw'imitsi turacibwa hanyuma tugakusanywa.
6. Hanyuma, urushinge rurakurwaho, igikomere gifatwa mu mwanya wacyo hamwe n'igitutu gito kugira ngo amaraso ahagarike, hanyuma igikomere gipfukwe n'igitambaro.
Ese birababaza cyane iyo ubikoze?
Iki ni cyo kibazo gikomeye ku bantu benshi. Mu by'ukuri, niba uhawe ikinya rusange, nta kintu na kimwe uzumva . Niba uhawe ikinya gusa cyo mu gace runaka, uzumva gusa urushinge rukubabaza. Nyuma y'ibyo, ushobora kumva ikintu gikanda cyangwa gikurura, ariko ntibizakubabaza cyane .
Hashobora kubaho ububabare buke mu minsi ibiri cyangwa itatu nyuma yo kubagwa. Iyo hakozwe isuzuma ry’umubiri, ahantu hashobora kubabara mu gihe cy’icyumweru kimwe. Hari igihe ahantu hashobora guhinduka ubururu, nk’igisebe. Muganga wawe azakugira inama y’icyo wakora kugira ngo ucunge ububabare.
Nyuma yo gupimwa no kugeza igihe raporo izabera
Niba warahawe ikinya, uzoherezwa mu rugo mu cyumba cyo gukira kugeza igihe ingaruka z'imiti zirangiye. Ingero z'imitsi zikonjeshwa hakoreshejwe imiti yihariye hanyuma zoherezwa muri laboratwari kugira ngo zipimwe. Aho ngaho, inzobere mu ndwara z'imitsi, inzobere mu ndwara z'imitsi, irazisuzuma ikoresheje mikorosikopi.
Igice kigoye ni ugutegereza raporo y'ibizamini. Ubusanzwe bifata iminsi mike cyangwa irenga icyumweru kugira ngo ibisubizo biboneke. Muganga wawe azabikubwira.
Ni ryari ngomba kongera kubonana na muganga?
Hari amahirwe make ko aho bapimye hashobora kwandura, bityo niba ubonye kimwe mu bimenyetso bikurikira, ugomba guhita uhamagara muganga wawe .
| Ikintu cyo kwitaho | Ibisobanuro |
|---|---|
| Kubyimba cyangwa gutukura | Iyo uruhu rukikije igikomere rwabyimbye, rutukura, cyangwa rwahindutse ibara ritandukanye. |
| Ubushyuhe | Niba uruhu rukikije igikomere rushyushye kurusha ikindi gice cy'aho giherereye. |
| Amashyira cyangwa ibinure | Niba amashyira cyangwa andi mazi arimo kuva mu gikomere. |
| Umuriro | Niba ufite umuriro. |
| Akazi gakomeye | Niba wumva unaniwe bidasanzwe. |
Ni ibisanzwe kumva ufite ubwoba kandi uhangayikishijwe n'uko ugiye gupimwa imitsi. Kandi mu gihe utegereje ibisubizo, uzaba ufite ibintu byinshi mu mutwe wawe. Muganga wawe arabisobanukiwe byose. Bityo rero ntutindiganye kumubaza ikibazo cyangwa impungenge ushobora kuba ufite. Niba ibisubizo byemeza ko ufite ikibazo cy'uburwayi, tekereza ko ari intambwe ya mbere mu rugendo rwawe rwo gukira. Kuva aho, muganga wawe azakorana nawe kugira ngo agukorere gahunda nziza yo kuvura.
Ubutumwa bwo kujyana mu rugo
- Isuzuma ry’imitsi ni ikizamini cyizewe gikoreshwa mu gusuzuma neza indwara ziterwa n’imitsi.
- Iki kizamini gikorwa gusa nyuma y'ibindi bizamini nko gupima amaraso no gupima, iyo bibaye ngombwa kugira ngo hamenyekane neza indwara.
- Ububabare ubwo ari bwo bwose mu gihe cyo gupimwa na nyuma yabwo buragenzurwa neza, bityo ntugahangayike bitari ngombwa.
- Kurikiza amabwiriza ya muganga witonze mbere na nyuma yo gupimwa.
- Niba ugaragaje ibimenyetso by'ubwandu, nko kubyimba, gutukura, amabyi, cyangwa umuriro, aho bapimye, bimenyeshe muganga wawe ako kanya.
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