Ni iki cyitwa igeragezwa ryo gushyira ku meza? Intego, Imikorere & Ibivamo

Igeragezwa ryo gushyira ku meza ni uburyo bworoshye, butagira icyo bukora bwo gufasha abaganga gusobanukirwa impamvu ushobora kuba urimo guhura no guta ubwenge cyangwa kuribwa umutwe. Muri iri geragezwa, uzaryama ku meza yihariye ashobora gushyirwa mu mpande zitandukanye mugihe umuvuduko w'umutima wawe n'umuvuduko w'amaraso byagenzurwa neza. Iyi simulation yoroheje ifasha kugaragaza uburyo umubiri wawe witwara ku mpinduka z'imyanya, bishobora gutanga ibisobanuro by'agaciro ku bibazo nka vasovagal syncope cyangwa postural orthostatic tachycardia syndrome (POTS).

Ni iki cyitwa igeragezwa ryo gushyira ku meza?

Igeragezwa ryo gushyira ku meza ni uburyo bwo gupima butuma umuntu agenzura umuvuduko w'umutima wawe n'umuvuduko w'amaraso mugihe wimurwa uryamye hasi ukajyanwa uhagaze. Iri geragezwa rikoresha ameza afite moteri hamwe n'imigozi y'umutekano n'ibirenge kugirango buhoro buhoro buhindure imyanya y'umubiri wawe kuva ku gihagararo kigufi kugeza hafi y'igihagararo, mubisanzwe ku mpande za dogere 60 kugeza kuri 80.

Uku guhinduka kugenzurwa bituma abaganga bareba uburyo sisitemu yawe ya cardiovascular yitwara ku gushyirwa mu gihagararo. Umubiri wawe mubisanzwe ukora impinduka zihuse iyo uhagaze, ariko abantu bamwe bahura n'ibibazo byo kwitwara nk'ibi. Iri geragezwa rishobora kumara iminota 30 kugeza ku isaha, bitewe n'ibimenyetso byawe byihariye n'amateka yawe y'ubuvuzi.

Ubu buryo ntibubabaza na gato kandi bufatwa nk'ubufite umutekano mwinshi. Uzahuzwa n'ibikoresho bigenzura umutima n'imigozi y'umuvuduko w'amaraso mugihe cyose cy'igeragezwa, bityo abakozi b'ubuvuzi bashobore gukurikirana impinduka zose mu gihe nyacyo kandi bakemeza umutekano wawe.

Kuki igikorwa cyo gushyira ku meza gikorwa?

Muganga wawe ashobora kugusaba igeragezwa ryo gushyira ku meza niba umaze igihe uhura no guta ubwenge tutazi impamvu, kuribwa umutwe kenshi, cyangwa kumva umutwe iyo uhagaze. Ibi bimenyetso bishobora kugira ingaruka zikomeye ku buzima bwawe bwa buri munsi kandi bishobora kugaragaza ikibazo cyihishe kigira ingaruka ku buryo imitsi yawe y'amaraso n'umutima bikorana.

Icyo kizamini gifasha cyane mu gusuzuma indwara ya vasovagal syncope, ikaba ari yo mpamvu isanzwe itera umuntu kuruka. Iyi ndwara ibaho igihe umubiri wawe ukabije kwitwara mu buryo runaka, bigatuma umutima wawe ugenda gahoro kandi igitutu cy'amaraso kigabanuka mu buryo butunguranye. Ikizamini cyo gushyira ku meza gishobora kongera ibi bimenyetso ahantu hazwi kandi hatekanye.

Abaganga kandi bakoresha iki kizamini kugira ngo basuzume indwara ya postural orthostatic tachycardia syndrome (POTS), indwara umutima wawe wihutisha cyane iyo uhagurutse. Byongeye kandi, bishobora gufasha kumenya orthostatic hypotension, aho igitutu cy'amaraso kigabanuka cyane iyo uhagurutse, bigatera isereri cyangwa kuruka.

Mu bindi bihe, ikizamini gishobora gutegekwa kugira ngo hakurweho ibibazo by'umutima cyangwa ngo hasuzumwe uburyo imiti ikora neza ku bantu basanzwe barwaye indwara zo kuruka.

Ni iki gikorerwa mu kizamini cyo gushyira ku meza?

Ikizamini cyo gushyira ku meza kibera mu cyumba cyihariye gifite ibikoresho byihutirwa hafi, nubwo ibibazo bikomeye bidasanzwe. Uzagera aho ikizamini kibera maze usabwe kwambara ikanzu y'ibitaro kugira ngo ubone ibikoresho byo gukurikiranira hafi.

Mbere na mbere, abakozi b'ubuvuzi bazashyira ibikoresho byinshi byo gukurikiranira hafi ku mubiri wawe. Ibi birimo ibikoresho bya electrocardiogram (EKG) ku gituza cyawe kugira ngo bakurikirane umuvuduko w'umutima wawe, igitutu cy'amaraso ku kuboko kwawe, rimwe na rimwe n'ibindi bikoresho byo gupima urugero rwa ogisijeni. Hanyuma uzaryama ku meza yo gushyiraho, asa n'igitanda gifite imigozi yo kwirinda n'akaguru.

Igice cya mbere kirimo kuryama hasi mu gihe cy'iminota 15 kugeza kuri 20 mu gihe umuvuduko w'umutima wawe n'igitutu cy'amaraso byandikwa. Iki gihe cyo kuruhuka gifasha gushyiraho agaciro kawe gasanzwe mbere yuko impinduka ziba. Muri iki gihe, ushobora kumva ufite impungenge, ibyo bisanzwe.

Ikindi, ameza azagenda agushyira mu mwanya wo guhagarara, akenshi hagati ya dogere 60 na 80. Uku guhinduka kugenda buhoro buhoro kandi bigenzurwa, bifata amasegonda make kugirango birangire. Uzaguma muri uyu mwanya wunamye iminota 20 kugeza kuri 45 mugihe abakozi bakomeza gukurikirana ibimenyetso byawe by'ingenzi.

Niba nta bimenyetso ubonye mugihe cy'igerageza risanzwe, muganga wawe ashobora kuguha umuti muto witwa isoproterenol binyuze muri IV. Uyu muti ushobora gutuma umutima wawe wumva cyane impinduka z'imyanya kandi ushobora gufasha gutera ibimenyetso niba ufite indwara yo guta umutwe. Icyiciro cy'imiti gikunze kumara iminota 15 kugeza kuri 20.

Muri iki gikorwa cyose, abakozi b'ubuvuzi bazakubaza uko wumva kandi barebe ibimenyetso byose byo kuzungera, isesemi, cyangwa ibindi bimenyetso. Niba ugize guta umutwe cyangwa ibimenyetso bikomeye, ameza azahita asubizwa mu mwanya wacyo wambere, kandi akenshi uzumva umeze neza mumasegonda make.

Ni gute wakwitegura ikizamini cyo gushyirwa ku meza?

Kwitegura ikizamini cyo gushyirwa ku meza biroroshye, ariko gukurikiza amabwiriza ya muganga wawe neza bizafasha kumenya neza ibisubizo. Abaganga benshi bazagusaba kwiyiriza byibuze amasaha 4 mbere y'ikizamini, bivuze ko nta funguro cyangwa ibinyobwa usibye amazi make yo kunywa imiti y'ingenzi.

Muganga wawe ashobora gusuzuma imiti urimo gufata kandi ashobora kukubwira guhagarika by'agateganyo imwe ishobora kugira ingaruka ku bisubizo by'ikizamini. Imiti igabanya umuvuduko w'amaraso, imiti y'umutima, na bimwe mu bitera kwiheba bishobora gukenerwa guhagarikwa amasaha 24 kugeza kuri 48 mbere y'ikizamini. Ariko, ntuzigere uhagarika gufata imiti yandikiwe nta mabwiriza yihariye ava ku muganga wawe.

Ku munsi wo gukorerwa ikizamini, wambare imyenda yoroshye kandi yagutse ishobora gukurwaho byoroshye kuva mu rukenyerero kuzamura. Irinde kwambara imitako, cyane cyane ku ijosi no ku maboko, kuko bishobora kubangamira ibikoresho byo gukurikiranira hafi. Ni byiza kandi guteganya umuntu uzakujyana mu rugo, kuko ushobora kumva unaniwe cyangwa wenda urimo kuribwa umutwe nyuma y'iki gikorwa.

Gerageza gusinzira neza mbere yo gukorerwa ikizamini kandi wirinde caffeine byibuze amasaha 12 mbere y'uko ukora ikizamini. Caffeine ishobora kugira ingaruka ku mutima wawe no ku mitsi y'amaraso, bishobora gutuma ibisubizo bitaba neza. Niba wumva ufite impungenge zidasanzwe ku bijyanye n'iki gikorwa, ntugatinye kuganira ku mpungenge zawe n'ikipe y'ubuvuzi.

Zana urutonde rw'imiti yose urimo gufata ubu, harimo n'ibiyobyabwenge bitangwa ku isoko ndetse na vitamine. Nanone, menyesha muganga wawe indwara zose za vuba aha, kuko kumva wumva wamye amazi cyangwa gukira indwara yatewe na virusi bishobora kugira ingaruka ku bisubizo byawe by'ikizamini.

Ni gute usoma ibisubizo byawe by'ikizamini cyo gupima uko umubiri wihanganira guhindura imiterere?

Kumenya ibisubizo byawe by'ikizamini cyo gupima uko umubiri wihanganira guhindura imiterere birimo kureba uko umutima wawe n'imitsi y'amaraso byitwaye ku mpinduka z'imiterere. Isubizo risanzwe risobanura ko sisitemu yawe y'imitsi y'amaraso yihanganye neza imiterere ihagaze itagize ibimenyetso bikomeye cyangwa impinduka ziteje akaga mu bimenyetso by'ingenzi.

Niba ufite vasovagal syncope, ikizamini gikunze kugaragaza igabanuka ryihuse ry'umuvuduko w'umutima n'imitsi y'amaraso iyo uhagaze. Ubu buryo, bwitwa vasovagal response, akenshi buza hamwe n'ibimenyetso nk'isuka, ibyuya, cyangwa kumva uribwa umutwe. Umuvuduko w'umutima ushobora kugabanuka ukagera ku ntero 60 ku munota, mu gihe umuvuduko w'amaraso ushobora kugabanuka kuva ku ngingo 20 kugeza kuri 30 cyangwa zirenga.

Ku bijyanye na syndrome ya postural orthostatic tachycardia (POTS), ikizamini kigaragaza ukwiyongera guhoraho k'umuvuduko w'umutima byibuze imvura 30 ku munota (cyangwa imvura 40 ku munota niba uri munsi y'imyaka 19) mu minota 10 uhagaze, hatabayeho igabanuka rikomeye ry'umuvuduko w'amaraso. Umuvuduko w'umutima wawe ushobora kuzamuka uva ku mvura 70 ku munota uryamye ukagera kuri 120 cyangwa hejuru iyo uhagaze.

Hypotension ya orthostatic igaragara nk'igabanuka rikomeye ry'umuvuduko w'amaraso mu minota 3 uhagaze, akenshi igabanuka ry'ibice byibuze 20 mu muvuduko wa systolic cyangwa ibice 10 mu muvuduko wa diastolic. Iri gabanuka akenshi ritera isereri, umutwe cyangwa ibimenyetso byo guta ubwenge.

Abantu bamwe bafite icyo bita igisubizo cya

Uburyo bwo gukoresha imbaraga z'umubiri birashobora kugufasha kwirinda kugwa igihe wumva ibimenyetso bigiye kuza. Ibi birimo kwambika amaguru yawe ukongera imitsi yawe, gufunga ibipfunwe byawe, cyangwa gufata amaboko yawe hejuru y'umutwe wawe. Kwiga kumenya ibimenyetso byo kwihanangiriza hakiri kare nk'isuka, ubushyuhe, cyangwa impinduka zigaragara biguha umwanya wo gukoresha ubu buryo.

Niba impinduka z'imibereho zitagize icyo zikora, muganga wawe ashobora kugusaba imiti. Fludrocortisone ifasha umubiri wawe kubika umunyu n'amazi, mugihe beta-blockers ishobora gukumira impinduka z'umuvuduko w'umutima zitera kugwa. Midodrine ni ubundi buryo bufasha kubungabunga umuvuduko w'amaraso igihe uhagaze.

Mu gucunga POTS, kuvura byibanda ku kunoza imikorere y'amaraso no kugabanya ibimenyetso. Imyenda yo gukanda igeza ku rukenyerero ifasha gukumira amaraso kwibumbira mu maguru yawe. Imyitozo ya buri gihe, cyane cyane koga cyangwa gutwara ubwato, birashobora kunoza imikorere yawe y'umutima n'imitsi no kugabanya ibimenyetso uko igihe kigenda.

Kuvura hypotension ya orthostatic biterwa n'icyateye ikibazo. Niba imiti igira uruhare mu kibazo, muganga wawe ashobora guhindura imiti cyangwa akajya mu zindi. Kurya amafunguro mato, akenshi no kwirinda inzoga nyinshi birashobora gufasha gukumira umuvuduko w'amaraso.

Mu bihe bikomeye, imiti ikomeye irashobora gukenerwa. Abantu bamwe bungukirwa no kwitoza gukoresha imbaraga, aho bagenda bongera umwanya bamara bahagaze buri munsi. Mu buryo butavugwa cyane, pacemaker irashobora gushyirwaho ku bantu bafite ibibazo bikomeye by'umuvuduko w'umutima.

Ni ibihe bintu byongera ibyago byo kugira ibisubizo bidasanzwe byo gupima imbonerahamwe?

Ibintu byinshi birashobora kongera amahirwe yawe yo kugira ikizamini cy'imbonerahamwe kidahwitse, kandi kubisobanukirwa birashobora gufasha wowe na muganga wawe gusobanura ibisubizo byawe neza. Imyaka igira uruhare runini, kuko abantu bakuze bashobora kurwara ibibazo byo kugenzura umuvuduko w'amaraso bitewe n'impinduka zisanzwe mu mikorere y'imitsi y'amaraso n'imikorere y'imitsi.

Uburwayi bwo kumagara ni kimwe mu bintu bisanzwe bishobora kugira ingaruka ku bisubizo by'ibizamini. N'ubwo kumagara gake gashobora gutuma imikorere y'umubiri wawe ifite uruhare mu mikorere y'umutima idashobora guhinduka, bishobora gutuma habaho ibisubizo bidasanzwe. Ibi nibyo bituma kunywa amazi mbere y'ikizamini ari ngombwa.

Uburwayi bumwe na bumwe bwongera ibyago byo kubona ibisubizo bidasanzwe. Diyabete ishobora kwangiza imitsi igenzura imikorere y'umuvuduko w'amaraso, mugihe indwara y'umutima ishobora kugira ingaruka ku bushobozi bw'imikorere y'umubiri wawe ifite uruhare mu mikorere y'umutima bwo gusubiza mu gihe habayeho impinduka mu myanya. Abantu bafite indwara yo kunanirwa kw'ibihe byose, fibromyalgia, cyangwa indwara ziterwa n'umubiri zifite kandi umubare munini w'ibizamini bidasanzwe byo gupima imikorere y'umutima.

Imiti ishobora kugira uruhare runini mu bisubizo by'ibizamini. Imiti igabanya umuvuduko w'amaraso, cyane cyane iyo igira ingaruka ku mikorere y'imitsi, ishobora guhindura uburyo umubiri wawe usubiza mu gihe habayeho impinduka mu myanya. Imiti igabanya ubwoba, cyane cyane tricyclics na SSRIs zimwe, ishobora kugira ingaruka ku muvuduko w'umutima no kugenzura umuvuduko w'amaraso.

Uburwayi bwa vuba, cyane cyane indwara ziterwa na virusi, bishobora guhindura by'agateganyo ubushobozi bw'imikorere y'umubiri wawe ifite uruhare mu mikorere y'umutima bwo kugumana umuvuduko w'amaraso igihe uhagaze. Kuruhuka igihe kirekire cyangwa kuba umuntu utagira akazi na byo bishobora gutuma umubiri wawe utamenyera impinduka mu myanya.

Ubwoba n'umunaniro bishobora kugira ingaruka ku bisubizo by'ibizamini, nubwo ibi bitavuze ko hari ikibazo cy'ubuvuzi. Abantu bamwe baragira ibimenyetso mu gihe cy'ikizamini bitewe n'ubwoba aho kuba indwara y'umutima.

Mu bihe bidasanzwe, ibintu by'imiryango bishobora kugira uruhare. Imiryango imwe ifite umubare munini w'indwara zo guta umutwe, bigaragaza uruhare rw'imiryango mu bwoko bumwe na bumwe bw'ibisubizo bidasanzwe byo gupima imikorere y'umutima.

Ni izihe ngaruka zishoboka z'ibisubizo bidasanzwe byo gupima imikorere y'umutima?

Nubwo abantu benshi bafite ibisubizo bidasanzwe byo gupima ameza yegamye bashobora guhangana neza n'indwara zabo, ni ngombwa gusobanukirwa ingorane zishobora kuvuka kugira ngo ukorane n'ikipe yawe y'ubuvuzi mu kuzikumira. Inkuru nziza ni uko ingorane zikomeye zitaba kenshi, cyane cyane hamwe n'imiti ikwiye n'imibereho ihinduka.

Ikibazo cyihutirwa ni imvune iterwa no kugwa mugihe cyo guta ubwenge. Iyo utakaje ubwenge, ntushobora kwirinda gukubita ahantu hakomeye cyangwa ibintu. Iki kaga giteye inkeke cyane cyane niba utwara imodoka, ukoresha imashini, cyangwa ukora ahantu harehare. Abantu bamwe bakeneye guhindura ibikorwa byabo by'agateganyo kugeza igihe indwara yabo igaragara neza.

Guta ubwenge kenshi bishobora gutera impungenge zerekeye igihe igihe kizabera, bigatuma hazamo uruziga aho impungenge zo guta ubwenge zikurura ibindi bihe. Iki gikorwa cyo mu mutwe gishobora kugira ingaruka zikomeye ku mibereho myiza kandi bishobora gusaba inama cyangwa uburyo bwo gucunga impungenge.

Ku bantu bafite POTS, impinduka zihuta z'umutima rimwe na rimwe zishobora gutera kubabara mu gituza cyangwa umutima ukubita cyane biteye ubwoba, nubwo akenshi bidateje akaga. Ariko, imiterere ya POTS irambye irashobora gutera guhinduka, aho imbaraga zawe z'umutima n'imitsi bigenda bigabanuka bitewe no kwirinda ibikorwa bitera ibimenyetso.

Orthostatic hypotension irashobora gutera ibirenzeho gusa. Kugabanuka gukabije kw'amaraso birashobora kugabanya by'agateganyo amaraso ajya mu bwonko, bishobora gutera urujijo cyangwa kugorana kwibanda. Mu bantu bakuze, ibi rimwe na rimwe bishobora kwitiranywa na dementia cyangwa izindi ngorane zo kumenya.

Mu bihe bidasanzwe, abantu bafite vasovagal syncope ikomeye bashobora guteza icyo bita "convulsive syncope," aho imitsi yoroheje ikora mugihe cyo guta ubwenge. Nubwo ibi bisa nkibiteye inkeke, akenshi ntibigira ingaruka kandi birahagarara vuba iyo amaraso yagarutse mu bwonko.

Abantu bamwe bagira ikibazo cyitwa "syncope yo mu bihe runaka," aho kugwa igihumure bibaho bitewe n'ibintu runaka nk'uko bavana amaraso, ibikorwa by'ubuvuzi, cyangwa ndetse n'ibihe by'amarangamutima. Ibi bishobora gutuma kwivuza bisanzwe bigorana kandi bishobora gusaba ingamba zidasanzwe.

Mu buryo butavugwa cyane, ibibazo by'umutima bitagaragarira rimwe na rimwe bishobora kuvumburwa mu gihe cyo gupima kuri "tilt table" bishobora gusaba kuvurwa ako kanya. Ibi bibazo ntibisanzwe ariko bigaragaza akamaro ko gukorerwa iki kizamini mu kigo cy'ubuvuzi gifite ibikoresho byiza.

Ni ryari nkwiriye kubona umuganga ku bijyanye n'ibisubizo byanjye bya "tilt table"?

Nyuma yo gukorerwa ikizamini cya "tilt table", ugomba kuvugana n'umuganga wawe niba ubonye ibimenyetso bishya cyangwa bikomeza, kabone n'iyo ibisubizo byawe bya mbere byari bisanzwe. Umubiri wawe ushobora guhinduka uko igihe kigenda, kandi ibimenyetso bishya bishobora kwerekana ko ikibazo cyawe kigenda cyangwa ko wagize ikindi kibazo.

Shaka ubufasha bw'ubuvuzi bwihutirwa niba ubonye ibihe byo kugwa igihumure bitandukanye n'uko byari bisanzwe. Ibi birimo kugwa igihumure bibaho uryamye, ibihe bimara igihe kirekire kurusha uko byari bisanzwe, cyangwa kugwa igihumure gukurikiranwa n'ububabare mu gituza, kubabara umutwe cyane, cyangwa kugorana kuvuga. Ibi bimenyetso bishobora kwerekana ikibazo gikomeye gikeneye isuzuma ryihuse.

Niba waranzwe n'ikibazo gishingiye ku bisubizo byawe bya "tilt table", ugomba kubona umuganga wawe niba imiti yawe ya none itagabanya ibimenyetso byawe bihagije. Ibi bishobora gusobanura ko imiti yawe ikeneye guhindurwa, cyangwa ushobora kungukirwa n'imiti yiyongera cyangwa guhindura imibereho yawe.

Vugana n'umuganga wawe niba ubonye ibimenyetso bishya nk'ububabare burambye mu gituza, guhumeka cyane, cyangwa kubyimba amaguru cyangwa ibirenge. Nubwo ibi bitajyana na rusange n'ibibazo byamenyekanye no gupima "tilt table", bishobora kwerekana izindi ngorane z'imitsi y'umutima zikeneye kwitabwaho.

Niba ufata imiti ishingiye ku ngaruka z'ibizamini byawe, genzura ingaruka zayo uzajye uzibwira muganga wawe. Imwe mu miti ikoreshwa mu kuvura indwara zo guta igihumeka ishobora gutera ibibazo nk'ukwiyongera k'amazi mu mubiri, kutaringanira kw'amashanyarazi, cyangwa guhura n'indi miti.

Abantu bafite indwara zidakira nka POTS bakwiye kugira gahunda yo gusuzumwa buri gihe, akenshi buri mezi 3-6 mu ntangiriro, hanyuma buri mwaka igihe ibimenyetso byagenzurwa neza. Muganga wawe ashobora gushaka gusubiramo ibizamini bimwe na bimwe cyangwa guhindura imiti ishingiye ku buryo urimo witwara.

Niba uteganya gutwita kandi ufite indwara yamenyekanye binyuze mu bizamini byo gupima ku meza yegamye, biganireho na muganga wawe mbere y'igihe. Gutwita bishobora kugira ingaruka ku ndwara nk'izo, kandi imiti imwe na imwe ishobora gukenera guhindurwa kugira ngo umutekano w'umugore utwite urindwe.

Ibibazo bikunze kubazwa ku bizamini byo gupima ku meza yegamye

Q1: Ese ibizamini byo gupima ku meza yegamye birababaza cyangwa ni akaga?

Ibizamini byo gupima ku meza yegamye ntibibabaza kandi bifatwa nk'ibifite umutekano mwinshi iyo bikorerwa ahantu hakwiye kw'ubuvuzi. Ushobora kumva utameze neza cyangwa ufite impungenge mu gihe cy'igikorwa, kandi ushobora guhura n'ibimenyetso byaguteye kujya mu bizamini, ariko ibi bifasha mu gupima indwara.

Ibyiyumvo bikunze kugaragara ni ukumva ureremba cyangwa uribwa umutwe igihe ameza yegamye, ibyo ni byo neza na neza ibizamini bigamije kumenya. Niba uguye igihumeka mu gihe cy'ibizamini, abakozi b'ubuvuzi bahita baboneka kugira ngo bagusubize mu mwanya w'uburiri, kandi akenshi urumva umeze neza mu gihe gito cyane.

Ibibazo bikomeye ni gake cyane, bibaho mu bizamini bitarenze 1%. Icyumba cy'ibizamini gifite ibikoresho by'ubutabazi n'abakozi bafite imyitozo bashobora guhangana n'ikintu icyo aricyo cyose gishobora kuvuka. Abantu benshi bumva bameze neza nyuma gato y'uko ibizamini birangiye.

Q2: Ese nshobora kugira ibizamini byo gupima ku meza yegamye bisanzwe ariko nkagira ibibazo byo guta igihumeka?

Yego, birashoboka kugira ikizamini gisanzwe cyo gushyira ameza mu mfuruka ariko ugakomeza guhura n'ibihe byo guta ubwenge. Iki kizamini kigana ubwoko bumwe bw'umuvuduko ku mikorere y'umutima wawe, ariko guta ubwenge bishobora guterwa n'impamvu nyinshi zitashobora guterwa n'ibizamini.

Abantu bamwe bata ubwenge gusa bitewe n'ibintu byihariye nk'ukubona amaraso, ububabare bwinshi, cyangwa umuvuduko wo mu mutwe. Abandi bashobora kugira ibihe byo guta ubwenge bifitanye isano no kumuka amazi mu mubiri, isukari nkeya mu maraso, cyangwa ingaruka ziterwa n'imiti zitagaragara neza mu gihe cy'ikizamini.

Niba ikizamini cyawe cyo gushyira ameza mu mfuruka ari ibisanzwe ariko ugakomeza kugira ibihe byo guta ubwenge, muganga wawe ashobora kugusaba ibindi bizamini kugira ngo ashakishe izindi mpamvu. Ibi bishobora kuba bikubiyemo ibizamini by'amaraso, gukurikirana umuvuduko w'umutima, cyangwa ibizamini by'amashusho kugira ngo hakurweho izindi ndwara.

Q3: Ni gute ikizamini cyo gushyira ameza mu mfuruka gikorwa neza mu kumenya indwara zo guta ubwenge?

Ikizamini cyo gushyira ameza mu mfuruka gikora neza mu kumenya ubwoko bumwe bw'indwara zo guta ubwenge, cyane cyane vasovagal syncope na POTS. Muri vasovagal syncope, ikizamini kigaragaza neza iyi ndwara ku bantu bagera kuri 60-70% bayifite, hamwe n'ubushobozi bwo gukora neza iyo imiti ikoreshwa mu gihe cy'ikizamini.

Muri POTS, ikizamini cyizewe cyane iyo ibisabwa byihariye byujujwe, nk'uko umuvuduko w'umutima wiyongera byibura imvugo 30 ku munota mu minota 10 uhagaze. Ikizamini kandi gikora neza mu gukuraho izi ndwara iyo ibisubizo ari ibisanzwe.

Ariko, ikizamini ntigishobora kumenya buri gihe cyo guta ubwenge, cyane cyane niba ibihe byawe biterwa n'ibihe byihariye bitashobora gukorwa mu gihe cy'ikizamini. Ibi nibyo bituma muganga wawe azirikana amateka yawe y'ubuvuzi n'ibimenyetso hamwe n'ibisubizo by'ikizamini mugihe akora isuzuma.

Q4: Nzagomba gusubiramo ikizamini cyo gushyira ameza mu mfuruka?

Abantu benshi bakeneye gusa ikizamini kimwe cyo gushyirwa ku meza kugira ngo bamenye indwara, ariko hariho ibihe aho muganga wawe ashobora kugusaba kukisubiramo. Niba ibimenyetso byawe bihinduka cyane cyangwa niba ugize ibimenyetso bishya byerekana ko ufite indi ndwara, ikizamini cyo gusubiramo gishobora kuba cyiza.

Rimwe na rimwe abaganga basubiramo ikizamini kugira ngo basuzume uburyo imiti ikora neza, cyane cyane niba warakoze uburyo cyangwa watangiye umuti mushya. Niba ikizamini cyawe cya mbere cyari gisanzwe ariko ugakomeza kugira ibimenyetso bibangamye, muganga wawe ashobora kugusaba kukisubiramo, ahari hamwe n'uburyo butandukanye cyangwa imiti.

Mu bushakashatsi, ibizamini byo gushyirwa ku meza rimwe na rimwe birasubirwamo kugira ngo bige uburyo indwara zigenda zikura uko igihe kigenda, ariko ibi ntibisanzwe bikenewe mu kwita ku murwayi. Muganga wawe azakumenyesha niba atekereza ko ikizamini cyo gusubiramo cyaba cyiza mu bihe byawe byihariye.

Q5: Abana bashobora gukorerwa ibizamini byo gushyirwa ku meza?

Yego, abana bashobora gukorerwa ibizamini byo gushyirwa ku meza, kandi ubu buryo muri rusange burizewe ku barwayi bato. Abana n'ingimbi, cyane cyane abakobwa, bashobora kugira indwara zo guta umutwe, kandi ikizamini cyo gushyirwa ku meza gishobora kuba gifasha cyane mu kumenya indwara ku barwayi bato nk'uko bimeze ku bantu bakuru.

Uburyo bukoreshwa ku bana ni bumwe na bumwe nk'ubw'abantu bakuru, nubwo abakozi b'ubuvuzi basanzwe bafata igihe cyinshi basobanura ibiri kuba kandi bagafasha umwana kuguma atuje kandi yishimye. Ababyeyi basanzwe bemererwa kuguma mu cyumba mu gihe cy'ikizamini.

Ibyemezo by'ibisubizo bidasanzwe bitandukanye gato ku bana, cyane cyane kuri POTS, aho umuvuduko w'umutima ugomba kwiyongera nibura ku nshuro 40 ku munota ku barwayi bari munsi y'imyaka 19. Abaganga b'umutima b'abana n'abandi bahanga bafite uburambe mu kuvura abana bafite indwara zo guta umutwe basanzwe bakora ibi bizamini ku barwayi bato.