Ese wasabwe gupimwa impyiko? Ntugire ikibazo, tuzabivugaho birambuye!

Ese wagize ubwoba cyangwa ubwoba gato ubwo muganga yakubwiraga ko ugomba gupimwa impyiko? Benshi muri twe bagira ubwoba gato iyo twumvise ijambo "scan". "Ibi bizakuramo iki?", "Ese ibi biragoye?", "Bashyira ibintu bifite imirasire mu mubiri wawe, si byiza?" Hari ibibazo byinshi biza mu mutwe. Ariko mu by'ukuri, ibi ntabwo biteye ubwoba nkuko ubitekereza. Iki ni ikizamini gitekanye cyane kandi gisanzwe. None rero uyu munsi, reka dukemure gushidikanya kwawe kose kuri iki gipimo cy'impyiko, cyangwa impyiko.

Mu magambo make, Scan y'impyiko ni iki?

Tekereza impyiko zawe nk'utuyunguruzo tubiri tw'amazi mu rugo rwacu. Akazi kazo k'ingenzi ni ukuyungurura no gusukura imyanda iri mu mubiri no kuyisohora mu nkari. Rero, isuzuma ry'impyiko ni ikizamini cyihariye gikorerwa kugira ngo harebwe niba izi mpyiko zikora akazi kazo neza, niba zirimo gutembera neza mu maraso, kandi niba imiterere yazo, ingano yazo, n'aho ziherereye ari byo.

Iyi si isuzuma rya X-ray cyangwa CT scan isanzwe. Iki ni ikizamini cyitwa Nuclear Medicine. Ikibaho hano ni uko agace gato cyane k'ibintu bifite imirasire (radioisotope cyangwa radiotracer) gaterwa mu mitsi iri mu kuboko kwawe. Ntutinye, nubwo ari "radioactive", ntabwo byangiza umubiri wawe. Ni nk'"irangi" ryihariye rifasha gusa mu isuzuma kandi rikava mu mubiri wawe nyuma y'igihe runaka.

Iyo uyu muti unyuze mu mitsi ujya mu mpyiko, kamera yihariye yitwa kamera ya gamma ikoreshwa mu gufata amafoto y'impyiko. Uyu muti utuma impyiko zigaragara neza kuri mudasobwa. Ibi bituma muganga ashobora kubona indwara iyo ari yo yose cyangwa ibyangiritse mu gihe hakiri kare.

Kuki muganga yakubwira ko ufata iyi scan?

Noneho ushobora kwibaza uti "Kuki nagombaga kubikora kandi hari ibindi bipimo byinshi?" Hari impamvu nyinshi zishobora gutuma muganga yohereza umurwayi gupimwa impyiko.

• Bitewe n'ibyavuye mu bindi bipimo: Niba ibizamini byawe by'amaraso cyangwa ibizamini by'inkari bigaragaza ikibazo mu mikorere y'impyiko zawe, iyi scan ishobora kugufasha kuyiga mu buryo bwimbitse.
• Ibara ry’uruhu riterwa na X-ray: Hari X-ray na CT scan zikoresha irangi ryihariye ryitwa "contrast dye." Hari abantu bashobora kugira ubwivumbure kuri aya marangi. Niba ukeneye gusuzumwa impyiko zawe, impyiko isuzuma ni amahitamo yizewe cyane .
• Nyuma yo guterwa impyiko: Niba waratewe impyiko, iki kizamini gikorwa buri gihe kugira ngo harebwe uko impyiko nshya ikora mu mubiri.
• Umuvuduko ukabije w'amaraso (Umuvuduko ukabije w'amaraso):Hari igihe umuvuduko ukabije w'amaraso ugoye kugenzura ushobora guterwa n'ikibazo cy'impyiko. Iyi scan ni ingenzi kugira ngo hamenyekane neza icyabiteye.
• Kuziba kw'inkari: Iyo habayeho gukeka ko hari ikibazo mu gutembera kw'inkari, bizafasha kumenya aho kuziba kw'inkari kuherereye n'uko byaba bigira ingaruka ku mpyiko.

Ni izihe ndwara zishobora kugaragara hakoreshejwe iyi scan?

Gupima impyiko bishobora gutanga amakuru atari ku mikorere y'impyiko gusa, ahubwo no ku ndwara nyinshi zifitanye isano na zo. Reka turebere hamwe izo ari zo.

Ese hari ubwoko bwa Scan y'impyiko?

Yego, ubwoko bwa Renal Scan muganga wawe agusaba bushobora gutandukana bitewe n'ikibazo cyawe. Hari ubwoko bune bw'ingenzi.

1. Indwara ya ACE Inhibitory Renal Scintigraphy: Ibi bikorwa kugira ngo harebwe niba umuvuduko ukabije w'amaraso uterwa no kugabanuka kw'imitsi ijyana amaraso mu mpyiko. Aha, hakorwa isuzuma mbere na nyuma yo guhabwa umuti w'umuvuduko w'amaraso (ACE inhibitor).

2. Isuzuma ry'impyiko rikoresha umwuka utemba: Ibi bikorwa iyo hari amakenga ko hari ikibazo cyo kuziba mu nzira y'inkari. Aha, hatangwa umuti ugabanya amaraso kandi hagasuzumwa uburyo inkari zinyura mu mpyiko.

3. Isuzuma rya "Renal Cortical Scintigraphy": Iri suzuma rireba inyuma y'impyiko ryitwa "renal cortical tissue". Ibi bifasha kumenya niba impyiko yangiritse nyuma yo kubagwa cyangwa niba hari inkovu zitewe n'ubwandu.

4. Gupima uburyo impyiko zitanga amaraso (perfusion) mu maraso: Ibi bipima uburyo impyiko zitanga amaraso (perfusion). Bikoreshwa mu gupima ubugari bw'imitsi y'impyiko n'imikorere y'impyiko.

Ni gute nakwitegura mbere yo gupimwa?

Ibi ni ingenzi cyane. Kugira ngo ibisubizo bya scan bibe by'ukuri, ugomba kwitegura mbere gato.

• Bwira muganga wawe imiti yose ufata, harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro. Ushobora gusabwa kureka gufata imiti igabanya ububabare, cyane cyane imiti idakoresha steroide igabanya ububabare (NSAIDs) nka ibuprofen na aspirine, iminsi mike mbere yo gupimwa.
• Menya neza uburwayi bwawe:
• Niba utwite cyangwa uteganya gutwita , menya neza ko wabibwiye muganga wawe, kuko imirasire ishobora kugira ingaruka ku mwana uri mu nda.
• Niba uri umubyeyi wonsa , na we ubimubwire. Kubera ko ibintu bitera imirasire bishobora kwinjira mu mashereka, ugirwa inama yo kwirinda konsa umwana wawe amasaha make nyuma yo gupimwa.
• Niba ufite aleriji (ku miti, latex, nibindi), nyamuneka ubabwire.
• Niba ufite ubwoba bw'ahantu hato kandi hafunze (claustrophobia), vuga. Kubera ko kamera izaba yegereye gato umubiri wawe, ushobora kuvuga uburyo bwo kwisanzura.
• Niba ufite ubwoba bwo guterwa inshinge (trypanophobia) , bwira abakozi na bo ibyo. Bazagufasha gutuza.
• Nywa amazi: Uzagirwa inama yo kunywa amazi menshi mbere yo gupimwa.
• Kunyara: Uzasabwa gukuramo inshinge yawe (kunyara) mbere yuko isuzuma ritangira.
• Imyenda n'imitako: Ambara imyenda ijyanye neza kandi idafite ishingiro. Kuraho imitako cyangwa indorerwamo z'icyuma. Bishobora kubangamira isuzuma.

Ni iki kibaho mu gihe cyo gupima?

Iyo ugiye mu cyumba cyo gushakisha, izi ni zo ntambwe usanzwe ukurikiza.

1. Inzobere mu ikoranabuhanga mu by’ubuvuzi bwa kirimbuzi izashyira akantu gato k’umutsi (umurongo wa IV) mu mutsi uri mu kuboko kwawe cyangwa mu kiganza cyawe.

2. Hanyuma, umuti wihariye ukoresha imirasire (radiotracer) uterwa mu mubiri unyuze muri kanula. Ntabwo uzumva ububabare muri iki gihe.

3. Uzategekwa kuryama cyangwa kuryama ku meza yo gusuzuma.

4. Hanyuma kamera ya gamma ishyirwa hejuru y'impyiko zawe igatangira gufata amafoto. Iyi kamera ntabwo ikora ku mubiri wawe . Igenda buhoro buhoro hirya no hino cyangwa hejuru y'umubiri wawe.

5. Umuhanga mu ikoranabuhanga azakurikirana aya mashusho kuri ecran ya mudasobwa. Hari igihe uzasabwa kuguma uhagaze, ubundi ugasabwa guhindura aho uhagaze, nko kunama gato.

Ubusanzwe, iki gikorwa cyose gishobora gufata iminota 30 kugeza ku masaha 2 , bitewe n'ubwoko bwa scan urimo gukora.

Bigenda bite nyuma yo gupimwa? Ese hari ingaruka zishobora guterwa?

Iyo scan irangiye, kanula izakurwaho hanyuma ugataha. Ushobora gukomeza imirimo yawe isanzwe y'umunsi.

Ntugahangayikishwe n'umuti wateye mu mubiri wawe. Uko unywa amazi menshi kandi ugakora inkari umunsi wose, umuti uzava hafi ya wose mu mubiri wawe.

Noneho reka turebe ingaruka. Ingaruka ni nke cyane . Mu by'ukuri, ingano y'imirasire ikoreshwa ni nto cyane ugereranyije n'iya X-ray isanzwe.

Izi zikurikira ni ibihe bidasanzwe cyane:

• Allergy: Ni gake cyane kugira allergy kuri uwo muti.
• Ububabare aho cannula yashyizwe: Aho cannula yashyizwe hashobora kuba hatukura gato, habyimbye, cyangwa hakagira ububabare. Niba ibi bitagabanutse mu minsi mike, bwira muganga wawe.

Bigenda bite iyo raporo yakiriwe?

Amashusho yo muri scan asuzumwa neza n'inzobere mu by'imirasire cyangwa impuguke mu by'ubuvuzi bwa kirimbuzi, agategura raporo akayihereza muganga wawe. Hanyuma muganga azaguhamagara kugira ngo agusobanurire ibiri muri iyo raporo n'ibigomba gukorwa nyuma yaho.

Iyo raporo igaragaza ko hari ikibazo, muganga ashobora gusaba ibindi bipimo kugira ngo amenye neza ikibazo. Urugero:

• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound, MRI cyangwa CT scan
• Ibindi bipimo by'imikorere y'impyiko
• Kuvura impyiko

Ntutinye. Ibi byose bikorwa kugira ngo umenye neza ikibazo cyawe kandi uhabwe uburyo bwiza bwo kugikemura.