Ese muganga wawe yakubwiye gukora 'Igipimo cy'Umuhangayiko wa Nuclear'? Iyo ubyumvise, ushobora gutekereza ko iki ari ikintu gikomeye kandi giteje akaga kubera ijambo 'Nuclear'. Ariko nta mpamvu yo gutinya. Iki ni ikizamini cy'ingenzi cyane gishobora guhishura byinshi ku buzima bw'umutima wawe. Abantu benshi bafite imyumvire itari yo kuri iki kizamini. None rero uyu munsi, reka tubiganireho neza, mu buryo busobanutse, kandi mu rurimi rworoheje rwa Sinhala ushobora kumva.
Mu magambo make, ikizamini cy’umuvuduko wa kirimbuzi ni iki?
Tekereza umutima wawe nk'uburyo butanga amazi mu nzu. Imitsi y'umutima yakira amaraso (amazi) ikeneye binyuze mu miyoboro (ni ukuvuga imiyoboro y'amaraso) muri ubu buryo. Hari igihe iyi miyoboro ishobora kuziba umwanda n'ingese. Hanyuma amazi akagorana gutemba. Uko ni ko imiyoboro y'amaraso mu mutima iziba.
Ikizamini cy’imihangayiko ya kirimbuzi ni ikizamini cyihariye cyo gusuzuma niba imitsi y’umutima wawe irimo kubona amaraso ahagije kandi niba hari aho amaraso yazibye.
Ibi bikubiyemo gutera umuti muto cyane kandi wizewe ukoresha imirasire mu mubiri wawe. Ntugahangayike, ntabwo bizababaza. Ibi bimeze nk'irangi rishyirwa mu maraso yawe. Rigendana n'amaraso yawe rigashyirwa mu mitsi y'umutima. Hanyuma kamera yihariye ifata amafoto y'umutima wawe.
- Aya mashusho agaragaza neza ibice by'imitsi y'umutima bifata amaraso meza .
- Ariko iyo umuyoboro w'amaraso uzibye kandi hari ahantu amaraso atembera nabi , ibi bintu bike bigera kuri utwo duce. Bityo utwo duce tugaragara mu buryo butandukanye ku mashusho, wenda twijimye.
Uko ni ko abaganga bashobora kumenya niba ufite ikibazo cy'umutima. Abaganga b'umutima bakoresha iki kizamini kugira ngo bamenye indwara nk'indwara y'imitsi itera umutima (CAD) kandi barebe ubukana bwazo. Bishobora kandi kureba niba warigeze kugira indwara y'umutima mbere kandi ukaba warangiritse umutima wawe.
Iki kizamini kandi cyitwa andi mazina menshi:
- PET y'umutima (Positron Emission Tomography)
- Indwara y'umutima (Cardiac SPECT) (Single-Photon Emission Tomography)
- MPI (Ishusho y'impeshyi z'umutima)
- Ikizamini cy'umuvuduko w'umutima wa kirimbuzi
Ese hari ubwoko bw'iki kizamini?
Yego, hari ubwoko bubiri bw'ingenzi. Itandukaniro riri hagati y'ibyo byombi riri mu buryo umutima wawe 'ufite stress'.
1. Ikizamini cy'imyitozo ngororamubiri: Iki ni cyo kizamini gikunze kugaragara cyane. Aha, usabwa kugenda ku igare ritembera cyangwa ku igare rihagaze. Iyo ukora imyitozo ngororamubiri, umutima wawe utera cyane kandi amaraso atembera neza. Ibi ni byo bituma umutima ufunga neza.
2.Ikizamini cy’Imiti: Hari abantu bagira ingorane zo kugenda ku igare ry’imitsi bitewe n’imyaka, ibibazo by’ingingo, cyangwa izindi ndwara. Muri ibyo bihe, aho gukora imyitozo ngororamubiri, haterwa umuti. Uyu muti wongera umutwaro w’umutima, nk’uko bigenda iyo ukoze imyitozo ngororamubiri. Kubwibyo, nta tandukaniro riri mu bisubizo.
Ni mu bihe ibihe muganga yagira inama yo gupima iki kizamini?
Hari impamvu nyinshi zishobora gutuma muganga wawe agusaba iki kizamini.
- Niba ukunda kubabara mu gatuza cyangwa angina .
- Reba uko umutima wawe umeze mbere yo kubagwa bikomeye.
- Suzuma imitsi y'umutima wawe kugira ngo urebe aho amaraso adatembera neza (ischemia) cyangwa inkovu zatewe n'indwara y'umutima wabanje gutera.
- Suzuma uburyo imiti ivura indwara z'umutima ikoreshwa.
Wakwitegura ute mbere yo gukora ikizamini?
Ugomba kwitegura mbere y'iki kizamini. Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi. Gukurikiza ayo mabwiriza ni ingenzi cyane kugira ngo ibisubizo bibe ari ukuri.
Wibuke ko ibi bikurikira ari amabwiriza rusange gusa. Ugomba gukurikiza amabwiriza yihariye atangwa na muganga wawe.
| Uburyo bwo kwitegura | Ibisobanuro by'ingenzi |
|---|---|
| Ibintu birimo kafeyine | Irinde ibinyobwa nka kawa, icyayi, shokora, kola, n'imiti irimo kafeyine mu masaha 24 mbere yo gupimwa. Ibi bishobora kugira ingaruka ku mikorere y'umutima. |
| Ibikomoka ku itabi | Irinde kunywa itabi cyangwa gukoresha ibindi bicuruzwa by'itabi amasaha 8 mbere yo gupimwa. |
| Kwiyiriza ubusa | Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose uretse amazi mu masaha 4-6 mbere yo gupimwa. |
| Ni iyihe miti ufata? | Bwira muganga wawe imiti yose ufata (umuti wanditswe na muganga, imiti igurishwa mu mabwiriza ya muganga, vitamine, imiti ya Ayurvedic). Hari imiti ishobora kugusaba guhagarika kuyifata umunsi umwe cyangwa ibiri mbere yo kwipimisha. Ntugahagarike gufata imiti iyo ari yo yose utabanje kuvugana na muganga wawe. |
| Imyenda | Ambara imyenda myiza kandi idafite inkweto n'inkweto zikozwe mu buryo bworoshye. |
| Guhumeka bigoranye | Niba ufite ikibazo nk'icya asima, menya neza ko wazanye inhaler yawe. |
Ni iki kibaho mu gihe cy'ikizamini?
Iki kizamini gikunze gukorerwa mu bitaro cyangwa ivuriro ryihariye. Umutekinisiye cyangwa umuforomo azagufasha mu gihe cyose.
1. Gushyiramo kanula: Ubwa mbere, kanula nto (umurongo wa IV) ishyirwa mu mutsi uri mu kuboko kwawe. Iterwamo ibintu bitera imirasire (tracer) binyuze muri iyi mitsi. Ushobora kumva ubukonje buto iyo bwinjiye mu mubiri wawe.
2. Amashusho yo kuruhuka: Bifata iminota mike kugira ngo ibikoresho binyure mu mubiri wawe bigere ku mutima wawe. Hanyuma uzaryama ku buriri munsi ya kamera yihariye hanyuma hagafatwa amashusho ya mbere y'umutima wawe. Ni ngombwa ko utimuka muri iki gihe. Aya mashusho afatwa iyo umutima wawe uruhutse.
3. Guhuza ECG: Hanyuma, uduce duto tuzashyirwa ku gituza cyawe, ku maboko no ku maguru. Utwo duce twitwa electrodes . Duhujwe n'icyuma gipima umutima (EKG) binyuze mu nsinga. Ibi bizakurikirana umuvuduko w'umutima wawe mu gihe cyose cy'ikizamini. Hazashyirwa kandi agakoresho ko gupima umuvuduko w'amaraso ku kuboko kwawe kugira ngo uhore upima umuvuduko w'amaraso yawe.
4. Imyitozo ngororamubiri (Igice cy'umuvuduko): Aha niho igice cy'ikizamini cy'umuvuduko gitangira. Uzashyirwa ku imashini yo kwiruka. Tangira buhoro buhoro wongere umuvuduko buhoro buhoro no kumanuka. Ugomba gukora imyitozo ngororamubiri kugeza igihe umutima wawe utera ku rwego runaka. ArikoNiba wumva umerewe nabi, nko kubabara mu gatuza, guhumeka bigoranye, cyangwa kuzerera, ugomba kubimenyesha abantu bari aho. Ushobora kubihagarika igihe icyo ari cyo cyose.
5. Amashusho y'Imihangayiko: Umaze kugera ku rwego rwo hejuru rw'imyitozo ngororamubiri, ukongera guterwamo ibintu bike bya radiyo binyuze muri kanula. Hanyuma, uhita ushyirwa munsi ya kamera hanyuma hagafatwa andi mashusho. Aya mashusho agaragaza uburyo amaraso atembera mu gihe cy'imyitozo ngororamubiri, bivuze igihe umutima uhangayikishijwe.
Iyi gahunda yose ishobora gufata amasaha menshi.
Ese hari ingaruka zishobora guterwa n'iki kizamini?
Nkuko bigenda ku isuzuma ry’ubuvuzi, hari ingaruka nto cyane. Ariko muri rusange, ikizamini cy’imihangayiko ya kirimbuzi ni ikizamini cyizewe cyane.
- Imirasire: Ingano y'imirasire iva mu bikoresho bya radiyo ikoreshwa muri ubu buryo ni nto cyane. Ntabwo itera ingaruka z'igihe kirekire.
- Allergy: Hari abantu bashobora kugira allergy nkeya iyo batewe. Ibi bishobora kuba birimo gutukura, isesemi, no kugorwa no guhumeka gake. Ibi bikunze kugenda vuba.
Ariko, hari ingaruka mbi zikomeye zishobora kubaho gake cyane .
| Ingaruka zidasanzwe | Ibisobanuro |
|---|---|
| Ugutera kw'umutima nabi (Arrhythmia) | Hashobora kubaho impinduka mu mikorere y'umutima, ariko kubera ko EKG ikurikiranwa mu gihe cyose cy'ikizamini, ubuvuzi bushobora gutangwa vuba iyo bibaye. |
| Kubabara mu gituza cyangwa indwara y'umutima | Umuntu ufite indwara ikomeye y'umutima ashobora kubabara mu gituza cyangwa, gake cyane, agarwara umutima iyo umutima ushyizwemo stress. Ibi ntabwo bishoboka cyane. |
| Umuvuduko w'amaraso uri hasi (Hypotension) | Hari abantu bashobora kugira umuvuduko w'amaraso uri hasi kandi bakumva isereri. |
Ese hari abantu badakwiye gukora iki kizamini?
Yego. Iki kizamini ntabwo gikunze gukorwa ku babyeyi batwite cyangwa abonsa kuko imirasire ishobora kugira ingaruka ku mwana. Ntibikwiriye kandi ku bantu bafite indwara z'umutima zitagira ingaruka kandi zikomeye. Urugero:
- Indwara y'umutima ikabije
- Gucika kw'imitsi y'amaraso mu bwonko (aortic dissection)
- Stenosisi y'imiyoboro y'amaraso (aortic stenosis)
- Hypertrophic cardiomyopathy
Muganga wawe azasuzuma ibi byose maze afate umwanzuro niba iki kizamini gikwiye kuri wewe.
Raporo y'ibizamini ivuga iki?
Bishobora gufata iminsi mike kugira ngo umuntu ahabwe raporo, kuko inzobere mu by'umutima cyangwa radiyo yiga neza ayo mashusho akanategura raporo.
- Ibisubizo bisanzwe: Niba amashusho yafashwe uruhuka n'ayafashwe nyuma y'imyitozo ngororamubiri byombi ari meza kimwe, bivuze ko imitsi y'umutima wawe irimo gutembera neza mu maraso. Nta mbogamizi zihari.
- Ibisubizo Bidasanzwe: Niba amaraso atembera neza mu gihe cyo kuruhuka ariko akagabanuka mu gihe cy'imyitozo ngororamubiri, bivuze ko hari ikibazo mu mitsi y'amaraso mu mutima wawe.
- Imitsi yangiritse: Hari igihe igice cy'umutima gishobora kudakora amaraso ahagije, haba mu gihe cyo kuruhuka no mu gihe cy'imyitozo ngororamubiri. Ibi bivuze ko igice cyangiritse burundu, akenshi bitewe n'indwara y'umutima yabanje.
Niba hari ikibazo kuri raporo, ni iki uzakora nyuma yaho?
Iyo raporo yawe igaragaje ikibazo, muganga wawe azagusobanurira icyo gukora nyuma yaho. Ibi bishobora gutandukana bitewe n'imimerere yawe.
- Ibindi bizamini: Ushobora koherezwa mu kindi kizamini, nka angiogram y'umutima, kugira ngo urebe neza aho kuziba kw'imitsi biherereye n'ubukana bwabyo.
- Ubuvuzi: Ubuvuzi butangwa hashingiwe ku kibazo cyagaragaye. Bushobora kuba bukubiyemo ibi bikurikira:
- Guhindura imibereho nko kureka kunywa itabi no kugabanya umunyu.
- Gutangira imiti ivura indwara nk'umuvuduko ukabije w'amaraso na cholesterol.
- Indwara ya angioplasty irakorwa kugira ngo umutsi w'amaraso ufunze ufunguke, hanyuma hagashyirwamo stent .
- Mu bihe bimwe na bimwe bikomeye , kubagwa imitsi y'umutima (CABG) bishobora kuba ari inama.
Ubutumwa bwo kujyana mu rugo
- Ikizamini cy’imihangayiko ya kirimbuzi ni ikizamini cy’ingenzi cyane kandi cyizewe gikoreshwa mu gusuzuma ko imitsi y’amaraso y’umutima yazibye.
- Ntutinye ijambo 'nuclear'. Iri jambo rikoresha ibintu bito cyane kandi bifite umutekano mu mirasire.
- Ni ngombwa cyane gukurikiza amabwiriza ya muganga (ajyanye n'ibyo kurya, ibinyobwa, n'imiti) mbere gato y'ikizamini.
- Hashingiwe ku makuru yavuye muri iki kizamini, niba hari ikibazo ku mutima wawe, gishobora kumenyekana hakiri kare kandi ubuvuzi bukwiye bugatangira. Ibi bishobora gufasha cyane gukumira indwara zikomeye nk'indwara z'umutima.
- Niba ufite ikibazo cyangwa impungenge kuri iki kizamini, vugana na muganga wawe ku mugaragaro.
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