Ese amaguru yawe arababara iyo ugenda? Reka twige ku ikizamini cya PVR (Pulse Volume Recording)

Tekereza ugiye mu iduka cyangwa ugenda n'amaguru gusa. Nyuma yo kugenda n'amaguru make, uhita wumva ububabare bukabije mu kuguru kwawe, nk'aho amaguru yawe arimo gucika intege. Nyuma yo guhagarara akanya gato, ububabare buragabanuka. Iyo wongeye gutangira kugenda, ububabare bumwe buragaruka nyuma yo kugenda n'amaguru make. Ese wigeze ugira ibi? Cyangwa hari umuntu uzi ufite ububabare nk'ubu? Impamvu y'ibi ishobora kuba uburyo bwo kuziba imitsi ijyana amaraso ku maguru. Rero, muri iyo mimerere, uyu munsi tugiye kuvuga ku ikizamini cyoroshye cyane, kidasaba ububabare gishobora gufasha muganga wawe kubona impamvu nyayo. Icyo ni ikizamini cya PVR.

Mu magambo make, Pulse Volume Recording (PVR) ni iki?

Gupima ubwinshi bw'amaraso mu mitsi, cyangwa ikizamini cya PVR mu magambo ahinnye, ni ikizamini gipima uburyo amaraso agenda mu mitsi (imitsi) yo mu maguru yawe, niba amaraso atembera neza, cyangwa niba hari ahantu hafunganye.

Ikintu cyiza kuri ibi ni uko ari ikizamini kidakoreshwa mu gupima indwara kidasaba ububabare, gukomereka, cyangwa inshinge . Mu by'ukuri, gikorwa hakoreshejwe amajwi yo mu bwoko bwa "high-frequency", cyangwa ikoranabuhanga rya `(Ultrasound)`. Rero nta kintu na kimwe cyo guhangayikishwa nacyo. Hari igihe iki kizamini cyitwa `(pulse volume plethysmography)`.

Kuki muganga yakubwira gukora ikizamini cya PVR?

Akenshi, muganga azagusaba iki kizamini kugira ngo amenye niba ufite indwara yitwa Indwara y'imitsi yo mu maraso (PAD) , cyangwa kugira ngo apime aho indwara igeze.

None se iyi PAD ni iki?

Muri make, PAD ni ukugabanuka buhoro buhoro kw'imitsi y'amaraso (imitsi) itwara amaraso meza iva mu mutima wacu ikayageza ku maguru. Impamvu nyamukuru ibitera ni indwara ya atherosclerosis . Ibi bivuze ko uko igihe kigenda gihita, cholesterol n'ibindi bintu birimo ibinure (plaque) byiyongera ku nkuta z'imitsi y'amaraso, bikabuza amaraso gutembera. Iyo amaraso atembera muri ubu buryo, iyo amaguru yawe akeneye amaraso menshi, nko iyo ugenda n'amaguru, ntashobora guhaza icyo cyifuzo. Ni bwo ububabare, nk'uko byavuzwe mbere, butera.

Ikizamini cya PVR gishobora:

• Shaka hafi aho imitsi y'amaraso iri mu maguru yawe.
• Garagaza ahantu hari amaraso afunganye cyangwa andi mazi afunganye.
• Shaka impamvu nyayo itera ububabare bw'amaguru mu gihe ugenda.

Mu bihe bimwe na bimwe bidakunze kugaragara, iki kizamini gishobora no gukoreshwa mu gupima ibibazo by’imitsi yo mu maboko cyangwa intoki ndetse n’indwara nka Thoracic Outlet Syndrome (TOS).

Ese PVR ni bwo buryo bwonyine bwo kumenya PAD?

Oya. PVR ni kimwe mu bipimo by'imitsi bidatera indwara. Muganga wawe ashobora kukugira inama yo gukoresha ibindi bipimo hamwe na PVR. Reka tubirebe.

Ese ukeneye kwitegura mbere y'ikizamini cya PVR?

Nta kintu kidasanzwe cyo kwitegura. Biroroshye cyane. Ariko, muganga wawe ashobora kuvuga ati:

• Ugomba kwirinda kunywa itabi amasaha make mbere yo kwipimisha, kuko kunywa itabi bishobora kugabanya imitsi y'amaraso yawe by'agateganyo.
• Ushobora gusabwa guhagarika gufata imiti imwe n'imwe (nk'imiti y'umuvuduko w'amaraso) mbere gato yo kwipimisha. Ariko, ibi bigomba gukorwa gusa ubanje kugirwa inama na muganga wawe.

Ni iki kibaho mu gihe cy'ikizamini?

Ubu buryo nta bubabare butwara hagati y'iminota 30 na 60. Ntugahangayike, ndakwereka uko bigenda intambwe ku yindi.

1. Kwitegura: Ubwa mbere, uzambikwa ikanzu yo kwa muganga. Uzakenera gukuramo imitako cyangwa ibindi bintu byose biri ku mubiri wawe.

2. Ubumenyi: Hanyuma, niba wigeze kubagwa imitsi y'amaraso, nko kubagwa mu buryo bwa bypass, gushyiramo stent, cyangwa angioplasty, ugomba kubimenyesha umuhanga mu by'ikoranabuhanga urimo gukora ikizamini.

3. Kuryama ku gitanda cyo gupimiraho: Uzategekwa kwicara cyangwa kuryama ku gitanda cyo gupimiraho.

4. Kwambara udupfukamunwa twa BP: Hanyuma, udupfukamunwa twa BP dushyirwa ku maboko yawe, ku matako yo hejuru no hepfo, ku nda, ku birenge, ndetse rimwe na rimwe n'ino rinini. Ni nk'udupfukamunwa twambara iyo dupima umuvuduko w'amaraso yacu.

5. Gushyiramo gel: Hanyuma, gel yihariye ishyirwa ku kuguru igafasha imiraba ya ultrasound kunyura mu ruhu neza.

6. Gupima umuvuduko: Noneho shyiramo umwuka upfutse hanyuma upime umuvuduko w'amaraso yawe. Muri iki gihe, uzumva umuvuduko utangiye gufunga gato, ariko ntuzumva ububabare ubwo aribwo bwose.

7. Gusuzuma ibyuma bipima amaraso: Mu gihe agakoresho ko mu mutwe gafashe neza, umutekinisiye akoresha agakoresho gato gafata mu ntoki (transducer) kugira ngo akashyire ahantu hatandukanye ku kaguru kugira ngo arebe ko amaraso atembera neza.

8. Gukurikirana ibyavuye muri izi ngaruka: Amakuru aturuka kuri izi ngaruka z'amajwi agaragara kuri ecran ya mudasobwa nka "waveforms." Muganga akoresha imiterere y'izi ngaruka kugira ngo amenye uko amaraso yawe agenda.

Hari igihe ushobora gusabwa kugendagenda gato cyangwa guhagarara ku mano. Reba uburyo amaraso yawe agenda ahinduka bitewe n'iyo myitozo.

Bigenda bite nyuma y'ikizamini? Ni ryari nzakira raporo?

Ikizamini cya PVR kirangiye, ushobora gutaha ugakora imirimo yawe yose isanzwe.

Umutekinisiye wakoze ikizamini azakorana na muganga kugira ngo basesengure ibisubizo byawe. Ibi bishobora gufata amasaha make kugeza ku minsi mike. Rero, baza muganga wawe igihe ushobora kwitega kubona raporo.

Raporo ya PVR ivuga iki?

Muganga wawe azagereranya umuvuduko w'amaraso mu maboko no mu maguru yawe .

• Ibisanzwe: Umuvuduko w'amaraso mu maguru y'umuntu muzima ugomba kuba ungana cyangwa hejuru gato y'umuvuduko w'amaraso mu maboko ye.
• Indwara idasanzwe: Niba ku mpamvu runaka umuvuduko w'amaraso mu maguru yawe uri hasi cyane ugereranyije n'uwo mu maboko yawe, bivuze ko hari ahantu hafunganye cyangwa hafunganye mu mitsi ijyana amaraso ku maguru yawe.

Nanone, iyo umuvuduko w’amaraso ugeranyijwe ahantu hatandukanye ku kuguru, muganga ashobora kubona igitekerezo cy’uko ubwo burwayi buzibye mu itako, munsi y’ivi, cyangwa hafi y’akaguru. Ariko, ikizamini cya PVR ntigishobora kumenya neza umuyoboro w’amaraso uzibye . Ibi bishobora gusaba ikindi kizamini, nka Duplex Ultrasound.

Ibibazo byo kubaza muganga

Niba muganga avuze ko hari ikibazo kuri raporo yawe ya PVR, ntugire ubwoba, baza ibi bibazo neza.

• Ese mfite ibyago byo kurwara amaraso bitewe n'iyi ndwara ya PAD?
• Ni gute ibisubizo by'iki kizamini cya PVR ari ukuri?
• Ni ubuhe buryo bwo kuvura mfite? Ese nzakenera guhindura imibereho yanjye, imiti cyangwa kubagwa?
• Ese nzakenera gukora ibindi bizamini nka `(ibizamini byo gushushanya)`?

Ufite ibisubizo by'ibi bibazo, ushobora gusobanukirwa neza ikibazo cyawe, kandi hamwe na muganga wawe, mugahitamo gahunda nziza yo kuvura.