Gupima VQ ni iki? Kuki iki kizamini ari ingenzi kumenya ku bihaha byawe? (Gupima VQ)

Ese wagize ikibazo cyo guhumeka cyangwa ububabare mu gituza gitunguranye, maze muganga akakubwira gukora scan ya VQ? Ushobora kuba waragize ubwoba gato ubwo yavugaga ibyo. "Iyi scan ya VQ ni iki?" "Imeze ite?" "Irababaza?" Hari ibibazo byinshi bishobora kuza mu mutwe. Ntugahangayike, tuzaganira kuri ibi muri iki gihe mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Mu magambo make, VQ scan ni iki?

Isuzuma rya VQ ni ikizamini kidababaza, gifite ibice bibiri, gifata amashusho y'imikorere y'ibihaha byawe. Cyane cyane kireba uburyo ibihaha byawe bikora neza n'uburyo amaraso yawe atembera muri byo .

Iyi ni yo mvugo y'inyuguti ebyiri ziri mu izina ryayo.

• Inyuguti "V" isobanura guhumeka . Ni inzira umwuka winjiramo ukava mu bihaha iyo uhumeka.
• Inyuguti "Q" isobanura "Perfusion ". Ivuga ingano n'urujya n'uruza rw'amaraso agezwa mu mitsi mito y'amaraso mu bihaha.

Mu magambo make, ibi ni nko kugenzura niba imihanda yo mu mujyi (inzira z'indege) imeze neza kandi niba nta muvuduko w'imodoka muri iyo mihanda (amaraso atembera).

Kuki muganga yagira inama yo gupima VQ?

Impamvu nyamukuru kandi ikunze gutuma muganga atumiza iki kizamini ni iyo bakeka ko amaraso yacitse mu bihaha. Iyi ndwara izwi mu buvuzi nka pulmonary embolism (PE) . Iyi ishobora kuba indwara iteje akaga cyane , bityo ni ngombwa kwisuzumisha no kuvurwa vuba bishoboka.

Byongeye kandi, iyi scan ya VQ ikoreshwa mu bindi bihe bitandukanye:

• Menya indwara yitwa ``Chronic Thromboembolic Pulmonary Hypertension (CTEPH),`` ni indwara yongera umuvuduko w'amaraso mu bihaha.
• Reba imikorere y'ibihaha nyuma yo guterwa ibihaha.
• Mbere yo kubagwa no gukuraho igice cy'ibihaha cyangwa byose, banza urebe imikorere y'ibihaha bisigaye.
• Suzuma imikorere y'ibihaha ku muntu urwaye izindi ndwara z'ibihaha, nka COPD.

Ni iki koko kibaho muri iki kizamini?

Noneho reka turebe ikizaba muri iki kizamini. Ibi bikorwa mu bice bibiri ku munsi umwe, igice kimwe gikorwa ikindi kikimara kurangira.

1. Igice cya Mbere (Guhumeka - kureba uko umwuka ugenda):Muri ibi, wambara igikoresho cyihariye cyo guhumeka (nk'agapfukamunwa). Ugihumeka. Ikintu gito cyane kandi cyizewe cyitwa "tracer" cyongerwa mu mwuka uhumeka. Ibi ni nko gushyira "tag" nto mu kirere. Hanyuma kamera yihariye ifata amafoto. Kubera "tag", ahantu umwuka unyura mu bihaha byawe hagaragara neza mu mashusho.

2. Igice cya 2 (Gusohora amaraso): Muri ibi, ikintu giteye ubwoba nk'iki (tracer) gishyirwa mu mutsi uri mu kuboko kwawe. Iki 'tag' kigendana n'amaraso mu mubiri wawe no mu bihaha byawe. Kamera imwe yakoreshejwe mbere yongera gufata amafoto. Ibi bigaragaza aho amaraso atembera mu bihaha byawe.

Mu kugereranya aya mashusho abiri, muganga azamenya niba hari ikibazo mu bihaha byawe.

Ni gute isuzuma rya VQ ritandukanye na CT scan?

Iki ni ikibazo abantu benshi bibaza. Nubwo scan za VQ na CT scans byombi bifotora ibihaha, hari itandukaniro rikomeye hagati yabyo.

Ese ngomba kwitegura mbere yo gukora ikizamini?

Iki ni cyo kintu cyiza kurusha ibindi. Nta myiteguro yihariye isabwa kugira ngo upime VQ. Ushobora kurya, kunywa, no gufata imiti yawe nkuko bisanzwe. Ariko hari ibintu bike ugomba kubwira muganga wawe:

• Niba utwite cyangwa ukeka ko utwite: Muganga wawe ashobora kukugira inama yo kongera gupima, kuko imirasire ishobora kugira ingaruka ku mwana uri mu nda.
• Niba uri umubyeyi wonsa: Kubera ko imirasire ishobora kwanduza umwana wawe binyuze mu mashereka, ushobora gusabwa guhagarika konsa amasaha make cyangwa umunsi umwe nyuma yo gupimwa no kujugunya amashereka. Muganga wawe azaguha amabwiriza kuri ibi.
• Niba ufite ingorane zo kuguma uhagaze igihe kirekire: Ni byiza kutagenda mu gihe ufata amafoto. Kubikora bizatuma amashusho adasobanutse neza kandi raporo yawe itazagenda neza.

Ubusanzwe, X-ray yo mu gituza ikorwa amasaha 24 mbere y'uko VQ ikorwa. Amakuru aturuka kuri ibi azafasha no gusobanukirwa raporo ya VQ.

Ni iki kibaho mu gihe cy'ikizamini?

Ikizamini cyose kimara hagati y'iminota 30 na 60.

Igice cya mbere: Gupima umwuka uhumeka

Muri ibi, uzaba wicaye ku ntebe cyangwa uryamye ku meza. Uzahabwa agapfukamunwa cyangwa agapfukamunwa ko guhumeka. Hanyuma, kamera izafata amafoto uko uhumeka. Ushobora kandi kuzunguruka mu byerekezo bitandukanye kugira ngo ufate amafoto.

Igice cya Kabiri: Gupima amaraso mu buryo bwa Perfusion Scan

Ibi bizatangira igice cya mbere kirangiye. Ibi bisaba gushyira umutsi mu kuboko kwawe no kuwushyiramo ibintu bifite imirasire. Hanyuma, nk'uko byari bimeze mbere, amafoto afatwa hakoreshejwe kamera.

Bigenda bite nyuma y'ikizamini? Raporo ivuga iki?

Nyuma yo gupimwa, ushobora gukomeza imirimo yawe isanzwe. Imiterere y'imirasire yashyizwe mu mubiri wawe izasiga umubiri wawe mu nkari no mu mwanda wawe mu masaha make cyangwa iminsi mike.

Raporo ikunze kwakirwa mu masaha 24. Reka turebe gusa icyo raporo ivuga.

Ese hari ingaruka mbi muri ibi?

Ingaruka zo gupima VQ ni nke cyane . Ingaruka zishobora kubaho ni izi:

• Guhura n'imirasire: Ibi bikoresha imirasire mike cyane kandi yizewe. Ikurwa burundu mu mubiri mu minsi mike.
• Uburyo bwo kugira ubwivumbure: Ingaruka zo kugira ubwivumbure ku rukingo ni nke cyane, ariko akenshi ni nto.
• Kubabara gake: Hashobora kubaho ububabare buto mu gihe cyo guterwa urushinge no kuguma mu mwanya umwe mu gihe cyo gupimwa.

Ni ryari ugomba kubonana na muganga byihutirwa?

Niba ufite ibimenyetso bikurikira, bishobora kuba ikimenyetso cy'uko amaraso yacitse mu bihaha (Pulmonary Embolism). Muri icyo gihe , jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) by'ibitaro biri hafi yawe.

• Guhumeka nabi cyane mu buryo butunguranye
• Ububabare bukabije mu gituza, ku kuboko, ku rutugu, mu ijosi, cyangwa mu rwasaya
• Gukorora hamwe n'amaraso cyangwa ntayo
• Uruhu rwerurutse n'ibyuya
• Ibara ry'ubururu ry'uruhu, iminwa, cyangwa inzara (Cyanosis)
• Umutima utera cyane
• Kubira ibyuya byinshi