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Igeragezwa ryo gushyira umutima mu gikorwa ni uburyo bwo gupima mu buvuzi bwerekana uburyo amaraso agera neza mu mikaya y'umutima wawe igihe uruhutse no mu gihe ukora imyitozo ngororamubiri. Muganga wawe akoresha umubare muto w'ibikoresho bifite imirasire n'amafoto yihariye kugira ngo akore amashusho arambuye y'imitsi y'amaraso y'umutima wawe.
Iri geragezwa rihuza ibintu bibiri by'ingenzi: igeragezwa ryo gushyira umutima mu gikorwa rituma umutima wawe ukora cyane, no gupima hakoreshejwe imirasire bigakurikirana uko amaraso atembera. Icyo bita tracer gifite imirasire gikora nk'ikaramu yerekana, gituma ahantu amaraso atembera neza hagaragara neza ku mashusho mugihe ahantu amaraso atagera neza hagaragara hihishe.
Igeragezwa ryo gushyira umutima mu gikorwa rigenzura uko amaraso atembera mu mutima wawe binyuze mu guhuza imyitozo cyangwa imiti no gupima hakoreshejwe imirasire. Iri geragezwa ryerekana niba imitsi yawe y'umutima ishobora gutanga amaraso afite umwuka wa oxygen uhagije kugira ngo yuzuze ibyo umutima wawe ukeneye igihe ukora imyitozo ngororamubiri.
Mugihe cy'iki gikorwa, uzahabwa umubare muto w'ibikoresho bifite imirasire byitwa tracer binyuze mu murongo wa IV. Iyi tracer igenda mu maraso yawe ikegerana mu mikaya y'umutima wawe, ikemerera amafoto yihariye gufata amashusho arambuye y'uko amaraso atembera.
Iri geragezwa mubisanzwe rifata amasaha 3-4 kugirango rirangire, nubwo igihe kinini cyane kirimo gutegereza hagati y'ibice bitandukanye. Uzafata amashusho igihe uruhutse, hanyuma ukore imyitozo ku mashini ikora imyitozo cyangwa uhabwe imiti kugirango bigaragarire nk'imyitozo ngororamubiri, bikurikirwe no gupima bikomeye.
Muganga wawe ashobora kugusaba igeragezwa ryo gushyira umutima mu gikorwa kugirango amenye indwara y'imitsi y'umutima cyangwa agenzure ibimenyetso by'ububabare mu gituza. Iri geragezwa rifite akamaro cyane kuko rishobora kumenya imitsi yazibye itagaragaza ibimenyetso mugihe ukora ibikorwa bya buri munsi.
Iki kizamini gifasha kumenya niba kubabara mu gituza, guhumeka nabi, cyangwa ibindi bimenyetso bifitanye isano no kugabanuka kw'amaraso ajya mu mikaya y'umutima wawe. Bifitiye akamaro cyane abantu bagira ibimenyetso gusa iyo bakora imyitozo ngororamubiri cyangwa bahuye n'umunabi.
Usibye kumenya indwara, ibizamini byo mu mutima bikoresha imirasire bigenzura uko imiti y'umutima ikora neza nko kubaga umutima, angioplasty, cyangwa imiti. Muganga wawe ashobora kugereranya amashusho mbere na nyuma yo kubona niba imiti yaragize icyo ihindura ku mikorere y'amaraso mu duce twari twarwaye mbere.
Rimwe na rimwe abaganga bakoresha iki kizamini kugirango bagenzure uko umutima wawe umeze mbere yo kubagwa cyangwa kugirango bagenzure umunaniro utumvikana no kutihanganira imyitozo ngororamubiri. Amashusho arambuye afasha kuyobora ibyemezo byo kuvura no kumenya ibyago byose byo mu mutima wawe.
Uburyo bwo gukora ikizamini cyo mu mutima gikoresha imirasire bugizwe n'ibice byinshi bikwirakwira mu masaha 3-4, hamwe n'ibihe byo kuruhuka hagati y'igihe cyose cyo gushushanya. Uzatangira ufite umurongo muto wa IV ushyizwe mu kuboko kwawe kugirango uterwe urushinge rwa radioactive tracer.
Mbere na mbere, uzahabwa urushinge rwa tracer maze utegereze iminota 30-60 kugirango izenguruke mu mubiri wawe. Muri iki gihe cyo gutegereza, urashobora kuruhukira mu ntebe yoroshye kandi ushobora guhabwa ibiryo byoroheje cyangwa amazi.
Ikurikira ni igice cy'amashusho yo kuruhuka, aho uzaryama ku meza mugihe kamera idasanzwe izenguruka mu gituza cyawe. Iyi kamera ifata ibimenyetso bya radioactive biva ku mutima wawe kandi ifata amashusho ku mpande nyinshi mu minota 15-20.
Igice cy'umunabi gikurikira, aho uzakora imyitozo ngororamubiri kuri treadmill cyangwa uhabwe imiti binyuze muri IV yawe niba udashobora gukora imyitozo ngororamubiri. Mugihe cyo gukora imyitozo ngororamubiri kuri treadmill, ubukana buzagenda bwiyongera buri minota mike kugeza ugera ku gipimo cy'umutima wawe cyangwa ubona ibimenyetso.
Niba uhabwa imiti aho gukora imyitozo, imiti nka dobutamine cyangwa adenosine izatuma umutima wawe ukora cyane mugihe uruhukiye ku meza. Ushobora kumva umutima wawe wiruka, kutagira umunezero muke mu gituza, cyangwa guhumeka nabi muri iki gihe.
Nyuma y'igihe cyo gushyirwa mu gihirahiro, uzahabwa inshinge ya kabiri hanyuma utegereze indi minota 30-60 mbere yo gufata ishusho ya nyuma. Izi shusho zishyirwa mu gihirahiro zigereranywa n'ishusho yawe uruhutse kugirango zisuzume itandukaniro ry'imigezi y'amaraso.
Kwitegura ikizamini cyawe cyo gushyira umutima mu gihirahiro gitangira amasaha 24-48 mbere y'igikorwa hamwe no guhindura imirire n'imiti. Muganga wawe azatanga amabwiriza arambuye yagenewe imiterere yawe y'ubuzima.
Uzagomba kwirinda caffeine rwose amasaha 12-24 mbere y'ikizamini, harimo ikawa, icyayi, shokola, n'imiti imwe. Caffeine irashobora kubangamira imiti imwe ishyira umutima mu gihirahiro kandi ikagira ingaruka ku mutima wawe mugihe cy'ikizamini.
Imiti myinshi y'umutima igomba guhagarikwa amasaha 24-48 mbere y'ikizamini, ariko ukurikize amabwiriza yihariye ya muganga wawe yerekeye imiti ugomba guhagarika. Ntukigere uhagarika imiti utagize ubuyobozi bwihariye, kuko imwe muri yo ni ngombwa kugirango ugire umutekano.
Kumurongo w'ikizamini cyawe, wambare imyenda yoroshye n'inkweto zo kugenda zikwiriye imyitozo ya treadmill. Irinde amavuta, amavuta, cyangwa ifu ku gice cy'igituza cyawe, kuko ibi bishobora kubangamira ibikoresho byo gufata amashusho.
Teganya kurya ifunguro ryoroshye amasaha 2-3 mbere yo guhura nawe, ariko wirinde ibiryo biremereye cyangwa birimo amavuta bishobora gutera kutagira umunezero mugihe ukora imyitozo. Ibikorwa bimwe na bimwe bikunda ko wiyiriza amasaha make, bityo wemeze amabwiriza yo kurya mugihe uteganya ikizamini cyawe.
Teganya umuntu uzakujyana mu rugo nyuma y'ikizamini, cyane cyane niba uhabwa imiti yo gushyira umutima wawe mu gihirahiro. Nubwo abantu benshi bumva bameze neza nyuma, bamwe bahura no kunanirwa by'igihe gito cyangwa isereri.
Ibisubizo bya test ya stress ya nukleya bigereranya uko amaraso agera ku mikaya y'umutima wawe mu gihe uruhutse no mu gihe uhanganye n'ibibazo. Ibisubizo bisanzwe byerekana uko umuti wose ufata tracer mu mikaya y'umutima wawe mu mafoto yombi yo kuruhuka no guhangana n'ibibazo, bigaragaza uko amaraso ahagije agera ku mutima.
Ibisubizo bidasanzwe bigaragara nk'ahantu amaraso atagera neza, bita "defects," bigaragaza uko amaraso atagera neza muri utwo turere. Defects zidakuka zigaragara mu mafoto yombi yo kuruhuka no guhangana n'ibibazo zerekana ko umutima wigeze kwangirika cyangwa ko hari ibikomere byatewe n'umutima watewe n'umutima.
Defects zishobora guhinduka zerekana uko tracer ifatwa neza mu gihe uruhutse ariko igafatwa nabi mu gihe uhanganye n'ibibazo, bigaragaza uko imitsi y'amaraso y'umutima yazibye bigatuma amaraso atagera ku mutima neza mu gihe umutima ukora cyane. Ibi bisubizo bigaragaza ko ushobora kuba ufite indwara y'imitsi y'amaraso y'umutima isaba ko wongera gusuzumwa cyangwa kuvurwa.
Umuvuzi w'indwara z'umutima azasobanura amafoto hamwe n'uko wakoze imyitozo, ibimenyetso wagaragaje mu gihe cy'igeragezwa, n'andi makuru ya muganga. Raporo izaba irimo ibisobanuro ku bushobozi bwawe bwo gukora imyitozo, uko umutima wawe utera n'uko umuvuduko w'amaraso yawe witwara, n'ibimenyetso byose wagaragaje.
Ibisubizo bikunze kuboneka mu minsi 1-2, kandi muganga wawe azaganira icyo ibisubizo bisobanuye ku miterere yawe. Bazagusobanurira niba ukeneye izindi igeragezwa, impinduka mu mibereho, imiti, cyangwa uburyo bushingiye ku bisubizo byawe.
Ibisubizo bidasanzwe bya test ya stress ya nukleya ntibisaba ko "gukosorwa" ahubwo bikaba bisaba uburyo bwo kuvura bugenewe uburwayi bwawe. Uburyo bwo kuvurwa kwawe buzaterwa n'uburemere n'ahantu hari ibitagenda neza byagaragaye ku bijyanye n'uko amaraso agera ku mutima.
Niba test yawe yerekana ibitagenda neza bito, muganga wawe ashobora kugusaba guhindura imibereho n'imiti kugira ngo urinde umutima wawe. Ibi bishobora kuba birimo guhindura imirire y'umutima, gahunda z'imyitozo ngororamubiri ya buri gihe, gucunga umuvuduko w'amaraso, n'imiti igabanya cholesterol.
Ibibazo bikomeye bishobora gusaba ibindi bizami nko gukoresha catheter mu mutima kugira ngo imitsi yawe y'umutima igaragarire neza. Iyi nzira ifasha kumenya niba ukeneye uburyo bwo kuvura nka angioplasty hamwe na stents cyangwa kubaga kugira ngo wongere amaraso.
Imiti igira uruhare runini mu kuvura indwara y'imitsi y'umutima yamenyekanye binyuze mu bizami bya nucléaire. Muganga wawe ashobora kugusaba imiti igabanya amaraso, beta-blockers, ACE inhibitors, cyangwa indi miti kugira ngo igabanye umurimo w'umutima wawe kandi itunganye imikorere y'amaraso.
Ubuvuzi buhoraho ni ingenzi hatitawe ku ngaruka zawe z'ibanze. Muganga wawe azagenzura ibimenyetso byawe, ahindure imiti uko bikwiye, kandi ashobora gusubiramo ibizamini kugira ngo agereranye iterambere ryawe kandi yemeze ko gahunda yawe yo kuvura ikomeza gukora neza.
Ibyavuye mu bizami bya nucléaire byiza bigaragaza imikorere isanzwe, ihwanye y'amaraso mu bice byose by'imitsi y'umutima wawe haba mu gihe cyo kuruhuka no mu gihe cyo gukora imyitozo. Ibi bigaragaza ko imitsi yawe y'umutima ifunguye kandi itanga umwuka uhagije ku mitsi y'umutima wawe.
Ibyavuye mu bizami bisanzwe birimo kandi kwihanganira imyitozo myiza, umuvuduko w'umutima ukwiye n'ibisubizo by'umuvuduko w'amaraso, kandi nta bimenyetso nko kuribwa mu gituza cyangwa guhumeka nabi mu gihe cyo gukora imyitozo. Ibi bisobanuro bigaragaza ko umutima wawe ukora neza mu gihe cyo gukora imyitozo.
Byongeye kandi, ibisubizo byiza bigaragaza ko nta bice byangiritse cyangwa ibikomere by'umutima byabayeho, bigaragaza ko imitsi y'umutima wawe ifite ubuzima bwiza. Uku guhuza ibisubizo bitanga icyizere ku buzima bwawe bw'umutima n'uburwayi buke bw'indwara z'umutima mu gihe kizaza.
N'ubwo waba ufite ibisubizo bisanzwe, gukomeza imyitwarire y'ubuzima bwiza bw'umutima biracyakomeye ku buzima bw'umutima burambye. Gukora imyitozo buri gihe, kurya neza, gucunga umunaniro, n'ubuvuzi busanzwe bifasha umutima wawe gukora neza.
Ibintu byinshi bishobora gutuma urwara indwara z'umutima bituma ibizamini byawe by'umutima bitagenda neza, indwara y'imitsi y'umutima ikaba ari yo mpamvu ya mbere. Kumva ibyo bintu bifasha wowe n'umuganga wawe gusobanukirwa ibisubizo byawe.
Imyaka ni ikintu cy'ingenzi cyongera ibyago, kuko imitsi y'umutima isanzwe igira atherosclerosis uko imyaka igenda yiyongera. Abagabo barengeje imyaka 45 n'abagore barengeje imyaka 55 bafite amahirwe menshi yo kugira ibisubizo bitagenda neza, nubwo indwara y'imitsi y'umutima ishobora kubaho ku myaka iyo ari yo yose.
Dore ibintu by'ingenzi bishobora gutuma ibisubizo by'ibizamini by'umutima bitagenda neza:
Ibi bintu byongera ibyago akenshi bikorera hamwe, bikongera amahirwe yawe yo kurwara indwara y'imitsi y'umutima. Inkuru nziza ni uko ibyinshi muri ibyo bintu bishobora guhindurwa binyuze mu mpinduka z'imibereho n'imiti.
Isubizo ry'ibizamini by'umutima ntibipimwa nk'"byinshi" cyangwa "bike" nk'ibizamini by'amaraso, ahubwo nk'imikorere isanzwe cyangwa idasanzwe y'amaraso. Intego ni ukugira imikorere isanzwe, ihwanye yo gufata tracer mu mikaya y'umutima wawe mu gihe cyombi cyo kuruhuka no gukora imyitozo.
Isubizo risanzwe ryerekana imikorere myiza y'amaraso mu bice byose by'umutima wawe, bivuze ko imitsi yawe y'umutima ifunguye kandi ikora neza. Iki ni cyo gisubizo cyiza cyerekana ibyago bike byo kurwara umutima n'ubuzima bwiza bw'umutima n'imitsi y'amaraso.
Ibisubizo bidasanzwe byerekana ahantu umuvuduko w'amaraso wagabanutse, bishobora kwerekana ibibazo byo guhagarika imitsi y'umutima cyangwa kwangirika kw'umutima kwabayeho mbere. Nubwo bishobora guhangayikisha, ibi bisubizo bitanga amakuru y'agaciro afasha muganga wawe gukora gahunda yo kuvura ikwiriye.
Ubukana bw'ibisubizo bidasanzwe buratandukanye cyane, kuva ku ngaruka nto zishobora kuvurwa n'imiti kugeza ku bidahwitse bikomeye bisaba uburyo nka angioplasty cyangwa kubaga umutima. Muganga wawe azasobanura icyo ibisubizo byawe byihariye bisobanura kandi agutere intambwe ikurikira.
Ibisubizo bidasanzwe by'igeragezwa ry'umutima ridasanzwe ubwabyo ntibitera ingaruka, ariko birashobora kwerekana indwara y'imitsi y'umutima irimo ibibazo bikomeye by'ubuzima. Kumva izi ngaruka zishoboka bifasha gutera imbere kuvura no guhindura imibereho.
Ingaruka ikomeye cyane y'indwara y'imitsi y'umutima itavuwe ni umutima utera, uba iyo umitsi yafunze yuzuye igabanya umuvuduko w'amaraso mu gice cy'imitsi y'umutima wawe. Ibi birashobora gutera kwangirika kw'umutima burundu kandi bishobora gutera ingaruka ziteje ubuzima.
Dore ingaruka nyamukuru zifitanye isano n'ibisubizo bidasanzwe by'igeragezwa ry'umutima:
Ibyago by'izi ngaruka biterwa n'uburemere bw'indwara yawe y'imitsi y'umutima n'izindi mpamvu z'ubuzima. Kumenya kare hakoreshejwe igeragezwa ry'umutima rishobora gutuma havurwa vuba bishobora kugabanya cyane ibi byago.
Ibisubizo bisanzwe byo gupima umutima ntibigira ingaruka nyinshi ku buzima kandi muri rusange byerekana ubuzima bwiza bw'umutima. Ariko, ni ngombwa gusobanukirwa ko nta kizamini cyuzuye, kandi ibisubizo bisanzwe ntibisobanura ko utazigera ugira ibibazo by'umutima.
Ibisubizo bisanzwe by'ibinyoma bishobora kubaho rimwe na rimwe, cyane cyane ku bantu bafite indwara yoroheje cyane y'imitsi y'umutima cyangwa abafata imiti igira ingaruka ku buryo umutima witwara. Ibi nibyo bituma muganga wawe azirikana ibimenyetso byawe, ibintu bigushyira mu kaga, n'ibindi bizamini hamwe n'ibisubizo byawe byo gupima umutima.
Abantu bamwe bashobora kumva bafite umutekano w'ibinyoma biturutse ku bisubizo bisanzwe maze bakirengagiza impinduka z'ubuzima z'ingenzi. Gukomeza imyifatire y'ubuzima bwiza bw'umutima biracyakomeye kabone n'iyo ibisubizo by'ibizamini bisanzwe, kuko indwara y'imitsi y'umutima ishobora kwiyongera uko igihe kigenda.
Ibisubizo bisanzwe bishobora kandi gutinda kumenyekana niba ufite ibindi bitari iby'umutima bitera kuribwa mu gituza cyangwa guhumeka nabi. Muganga wawe azatekereza izindi mpamvu zishobora gutera ibimenyetso byawe niba igipimo cyawe cy'umutima gisanzwe.
Gahoro cyane, abantu bafite ibizamini bisanzwe by'umutima baracyashobora guhura n'ibibazo by'umutima niba bafite indwara nka spasm y'imitsi y'umutima cyangwa indwara y'imitsi mito itagaragara kuri ubu bwoko bw'isuzuma. Muganga wawe azakurikiza ibimenyetso byawe bikomeza no kureba uko ubuzima bwawe buhagaze.
Ukwiriye kubona muganga kugira ngo akore isuzuma ry'igipimo cy'umutima niba urimo kuribwa mu gituza, guhumeka nabi, cyangwa ibindi bimenyetso bishobora kwerekana ibibazo by'umutima. Ibi bimenyetso birahangayikisha cyane niba bibaho mugihe ukora imyitozo ngororamubiri cyangwa mu gihe ufite umunabi.
Vugana na muganga wawe ako kanya niba ufite kutumva neza mu gituza kumera nk'igishyitsi, guhina, cyangwa gutwika, cyane cyane niba bigera ku kuboko kwawe, ijosi, cyangwa urushingo. Ibi bishobora kuba ibimenyetso by'indwara y'imitsi y'umutima ikwiriye gupimwa umutima.
Ibi ni ibihe by'ingenzi ugomba kuganiraho na muganga wawe ku bijyanye no gupima umutima ukoresheje imirasire:
Muganga wawe azasuzuma ibimenyetso byawe, amateka yawe y'ubuzima, n'ibintu byongera ibyago kugira ngo amenye niba gupima umutima ukoresheje imirasire bikwiriye kuri wowe. Ashobora kandi gutekereza ku bindi bizamini cyangwa imiti bitewe n'uko ubuzima bwawe bwifashe.
Yego, gupima umutima ukoresheje imirasire bifasha cyane mu kumenya indwara zifata imitsi y'umutima, hamwe n'ubushobozi bwo kumenya indwara ku kigero cya 85-90% mu kumenya ibibazo bikomeye. Iki kizamini gifite akamaro cyane kuko kerekana uko umutima wawe ukora igihe uhanganye n'ibibazo byongera umuvuduko w'umutima, bikagereranya n'ibikorwa bya buri munsi.
Gupima umutima ukoresheje imirasire bishobora kumenya indwara zifata imitsi y'umutima kabone n'iyo ibizamini by'amashanyarazi y'umutima bigaragara ko bisanzwe. Ubufatanye bwo gupima umutima ukoresheje imirasire butanga amakuru arambuye ku bijyanye n'imikorere y'amaraso afasha abaganga kumenya ahantu amaraso atagera neza.
Ntabwo ari ngombwa. Nubwo ibisubizo bitari bisanzwe byo gupima umutima ukoresheje imirasire bikunze kugaragaza indwara zifata imitsi y'umutima, ibindi bintu rimwe na rimwe bishobora gutera ibisubizo bitari bisanzwe. Ibi bishobora kuba birimo imiti imwe n'imwe, ibibazo by'ikoranabuhanga mu kizamini, cyangwa izindi ndwara z'umutima zitari indwara zifata imitsi y'umutima.
Muganga wawe azasobanura ibisubizo byawe mu rwego rw'ibimenyetso byawe, amateka yawe y'ubuvuzi, n'ibindi bisubizo by'ibizamini. Rimwe na rimwe, ibindi bizamini nk'ikoreshwa rya catheter mu mutima birakenewe kugira ngo bemeze niba indwara ya arteri ya koronari ihari.
Icyuma cya radioaktifu gikoreshwa mu bizamini byo gushyira umutima mu gihirahiro ni umutekano mwinshi, hamwe no guhura n'imirasire isa n'ibindi bizamini bisanzwe byo mu buvuzi. Umubare w'imirasire ni muto kandi usohoka mu mubiri wawe mu buryo busanzwe mu minsi mike binyuze mu nzira zisanzwe zo gusohora.
Uburwayi bukomeye bwo kwibasirwa n'ibintu byose ku cyuma ni gake cyane. Icyuma cya radioaktifu cyakoreshejwe mu buryo bwizewe ku barwayi babarirwa muri za miliyoni mu myaka myinshi, kandi inyungu zo kumenya neza indwara y'umutima ziruta cyane ingaruka ntoya z'imirasire.
Abantu benshi bashobora gusubira mu bikorwa bisanzwe nyuma y'ikizamini cyo gushyira umutima mu gihirahiro, nubwo ushobora kumva unaniwe amasaha make. Niba wakoze imyitozo kuri treadmill mu gihe cy'ikizamini, ushobora guhura no kunanirwa nyuma y'imyitozo nk'uko byagenda ku myitozo iyo ari yo yose.
Niba wakiriye imiti yo gushyira umutima wawe mu gihirahiro aho gukora imyitozo, ushobora kumva ubyemerewe cyangwa ugahura n'ingaruka ntoya zasigaye amasaha make. Itsinda ryawe ry'ubuvuzi rizagukurikiranira hafi kugeza izo ngaruka zishize mbere yo kuva mu kigo.
Uburyo bwo gukora ibizamini byo gushyira umutima mu gihirahiro biterwa n'ibintu byawe by'umuntu ku giti cye, ibimenyetso, n'ibisubizo by'ibizamini byabanje. Abantu bafite ibisubizo bisanzwe n'ibintu bike by'akaga muri rusange ntibakeneye gusubiramo ibizamini mu myaka myinshi keretse niba ibimenyetso bishya bigaragara.
Abafite indwara y'imitsi y'umutima cyangwa ibyago byinshi bakeneye gukorerwa ibizamini byongera gukorwa buri myaka 1-3 kugira ngo bakurikirane uko ubuzima bwabo buhagaze n'uburyo imiti ikora. Muganga wawe azagena gahunda ikwiriye yo gukora ibizamini bitewe n'uburwayi bwawe bwihariye n'ibimenyetso bikomeza kugaragara.
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