Ni iki cyitwa Colonoscopie ya Virtual? Impamvu, Uburyo & Ibivamo

Colonoscopie ya virtual ni isuzuma rishushanya ritagira ibikomere rikoresha CT scans kugirango ikore amashusho arambuye ya colon na rectum yawe. Bitekereze nk'uko ureba neza imbere mu mara yawe utagombye gushyirwamo urushinge rworoshye unyuze muri rectum yawe nkuko bikorwa muri colonoscopie isanzwe.

Ubu buryo bwo gupima buhanitse bushobora kugaragaza polyps, ibibyimba, n'ibindi bidasanzwe mu mara yawe manini. Abantu benshi babona ko birushijeho kuba byiza kurusha colonoscopie isanzwe kuko ntugomba gukoresha imiti ituma utagira ubwenge kandi igihe cyo koroherwa ni gito.

Ni iki colonoscopie ya virtual aricyo?

Colonoscopie ya virtual, yitwa kandi CT colonography, ikoresha scanning ya computed tomography kugirango isuzume colon yawe imbere. Ubu buryo butanga amashusho amagana yerekana ibice byambukiranya bikorwa na mudasobwa bikaba ishusho ya gatatu ya colon yawe yose.

Mugihe cyo gupima, urushinge ruto, rworoshye rushyirwa gake imbere muri rectum yawe kugirango yuzure colon yawe umwuka cyangwa dioxyde ya karubone. Ibi bifasha gufungura inkuta za colon kugirango scanner ibashe gufata amashusho asobanutse y'ibimera byose cyangwa ibidasanzwe.

Uburyo bwose bwo gushushanya busaba iminota 10-15. Uzaryama ku meza yimuka unyuze muri CT scanner, mbere yose uryamye ku mugongo, hanyuma ukaryama ku nda kugirango ubone amashusho yuzuye kuva impande zitandukanye.

Kuki colonoscopie ya virtual ikorwa?

Colonoscopie ya virtual ikora nk'igikoresho cyiza cyo gupima kanseri ya colorectal, cyane cyane kubantu badashobora gukorerwa colonoscopie isanzwe. Birasabwa kubantu bakuru batangirira ku myaka 45-50, bitewe n'ibintu bigushyira mu kaga n'amateka y'umuryango wawe.

Muganga wawe ashobora gutanga igitekerezo cy'iyi test niba ufite ibimenyetso nk'ububabare butasobanuwe mu nda, impinduka mu myifatire y'amara, cyangwa amaraso mu musarani wawe. Bifitiye kandi akamaro abantu bakoze colonoscopies zisanzwe zituzuye kubera ingorane z'ikoranabuhanga.

Abantu bamwe bahitamo gukoresha colonoscopie ya virtual kuko bakunda kwirinda gukoresha imiti ibaryamisha cyangwa bafite indwara zituma colonoscopie ya gakondo iba iy'akaga. Ariko, ni ngombwa gusobanukirwa ko niba habonetse polypes, bishoboka ko uzakenera gukora colonoscopie ya gakondo yo kuzikuraho.

Ni iki gikorerwa muri colonoscopie ya virtual?

Uburyo bwa colonoscopie ya virtual butangirana no gutegura amara, kimwe na colonoscopie ya gakondo. Uzakenera gukurikiza imirire y'amazi meza kandi ukoreshe imiti yagenewe kugirango usukure amara yawe neza mbere yo gukora isuzuma.

Ku munsi wo gukora ubu buryo, uzahindura imyenda ukambare ikanzu yo kwa muganga hanyuma uryame ku meza ya CT. Umutekinisiye azashyira mu buryo bworoheje agati gato, gakora neza gafite santimetero zigera kuri 5 mu rukururane rwawe kugirango yohereze umwuka cyangwa dioxyde de carbone mu mara yawe.

Uburyo bwo gukora isesengura burimo ibi bikurikira:

1. Uzaryama ku mugongo wawe mugihe ameza yimuka mu cyuma cya CT
2. Umutekinisiye azagusaba guhagarika guhumeka mu gihe gito cyo gukora isesengura
3. Hanyuma uzahindukira uryame ku nda yawe kugirango ufotore andi mashusho
4. Gukora isesengura ryose bifata iminota 10-15
5. Nyuma yo gukora isesengura, agati gakurwaho kandi urashobora gusubira mu bikorwa bisanzwe

Abantu benshi bahura no kuribwa gake bitewe no kuzura umwuka, ariko uku kutumva neza bikunda gukemuka vuba nyuma yo gukora ubu buryo. Ntabwo uzakenera imiti iguryamisha, bityo urashobora kwitwara mu rugo kandi ugasubira ku kazi uwo munsi.

Ni gute witegura colonoscopie yawe ya virtual?

Kutegura colonoscopie ya virtual bisaba gukuraho ibintu byose byangiza mu mara yawe, kimwe na colonoscopie ya gakondo. Muganga wawe azatanga amabwiriza yihariye, ariko gutegura bikunda gutangira mbere y'isuzuma ryawe iminsi 1-2.

Uburyo bwo gutegura amara mubisanzwe burimo:

• Gukurikiza imirire y'amazi asobanutse mu masaha 24 mbere yo gupimwa
• Gufata imiti yategetswe yo gukuramo imyanda cyangwa ibisubizo byo gutegura amara
• Kunywa amazi menshi asobanutse kugira ngo ugume ufite amazi ahagije mu mubiri
• Kwimuka ibiryo bikomeye, ibicuruzwa by'amata, n'amazi afite ibara
• Gufata ibikoresho byategetswe byo gutandukanya kugira ngo bifashe kugaragaza imyanda isigaye

Abaganga bamwe bategeka ibikoresho byihariye byo gutandukanya uzanywa mu minsi myinshi mbere yo gupimwa. Ibi bifasha gutandukanya imyanda yasigaye na polyp cyangwa ibitagenda neza mu gihe cyo gupima.

Ukwiye gukomeza gufata imiti yawe isanzwe keretse muganga wawe abigushishikarije. Kubera ko utazabona imiti igabanya ubwenge, ntugomba gutegura gutwara, ariko kugira umuntu uguherekeza birashobora gutanga inkunga yo mu byiyumvo.

Ni gute usoma ibisubizo byawe bya colonoscopy ya virtual?

Ibisubizo bya colonoscopy ya virtual bisanzwe biboneka mu masaha 24-48 nyuma yo gukora ibizamini byawe. Umuganga w'indwara zerekeye imirasire azasuzuma neza amashusho yose hanyuma atange raporo irambuye ku muganga wawe, hanyuma akaganira nawe ku byavuye muri ibyo bizamini.

Ibisubizo bisanzwe bisobanura ko nta polyp, ibibyimba, cyangwa ibindi bitagenda neza byagaragajwe mu mara yawe. Ibi bituma ibyago byawe byo kurwara kanseri y'amara ubu biri hasi, kandi urashobora gukurikiza intera isanzwe yo gupima isabwa na muganga wawe.

Ibisubizo bidasanzwe birashobora kwerekana:

• Polyp nto (ntarenga 6mm) zishobora gukurikiranwa no gusubiramo gupima
• Polyp ziciriritse (6-9mm) zishobora gusaba gukurikiranwa hafi
• Polyp nini (10mm cyangwa nini) zisanzwe zikeneye gukurwaho hakoreshejwe colonoscopy ya gakondo
• Ibice bishidikanywaho cyangwa ibikura bisaba isuzuma ryisumbuyeho
• Uburibwe cyangwa izindi ndwara zitera kanseri zigira ingaruka ku mara yawe

Niba hari ibitagenda neza byagaragaye, muganga wawe azagusaba ibizamini bikurikira, akenshi ni colonoscopie isanzwe ifite ubushobozi bwo gukuraho polypes cyangwa gufata ibizamini by'imitsi. Ibi ntibisobanura ko ufite kanseri, ariko bituma ibintu byose biteye inkeke bikemurwa neza.

Mbese ni izihe nyungu za colonoscopie ya virtual?

Colonoscopie ya virtual itanga inyungu nyinshi zituma ikundwa na benshi. Iyi nzira ntisaba gutuza, bityo ukirinda umunaniro n'igihe cyo koroherwa giherekeza colonoscopie isanzwe.

Inyungu z'ingenzi zirimo:

• Ntabwo bisaba gutuza, bigatuma usubira mu bikorwa bisanzwe ako kanya
• Ibipimo bike byo guhura n'ibibazo nk'amaraso cyangwa gutoboka kw'amara
• Bikundwa n'abarwayi benshi
• Ubushobozi bwo kumenya ibitagenda neza hanze y'amara manini
• Bikwiriye abarwayi batabasha gukorerwa colonoscopie isanzwe

Iyi nzira itanga kandi amashusho y'ingingo zikikije amara manini yawe, bishobora kugaragaza ibindi bibazo by'ubuzima nk'amabuye yo mu mpyiko cyangwa aneurysms yo mu nda. Abarwayi benshi basanga ibi bitera ubwoba buke ugereranije na colonoscopie isanzwe.

Mbese ni izihe mbogamizi za colonoscopie ya virtual?

Nubwo colonoscopie ya virtual ari igikoresho cyiza cyo gupima, ifite imbogamizi zimwe na zimwe ugomba gusobanukirwa. Iki kizamini ntigishobora gukuraho polypes cyangwa gufata ibizamini by'imitsi, bityo ibintu bitagenda neza bisaba colonoscopie isanzwe ikurikira.

Izindi mbogamizi zirimo:

• Birashobora kurengana polypes nto cyane cyangwa ibisebe byoroheje
• Ntishobora gukuraho polypes mu gihe cy'iyi nzira
• Bisaba gutegura amara kimwe na colonoscopie isanzwe
• Bigushyira mu miterere y'urugero ruto rw'imirasire
• Birashobora gutanga ibisubizo byiza by'ibinyoma bisaba ibindi bizamini

Ikizamini gishobora kandi kuvumbura ibintu bitunguranye mu zindi ngingo z'umubiri, bishobora gutera impungenge zinyongera no gupima n'ubwo bitaba bifite akamaro mu buvuzi. Muganga wawe azagufasha gupima ibi bintu n'inyungu zabyo.

Ni ryari nkwiriye kubonana na muganga ku bijyanye na virtual colonoscopy?

Ukwiye kuganira na muganga wawe kuri virtual colonoscopy niba ukeneye gupimwa kanseri y'urugingo rw'igifu n'amara, akenshi bitangira ku myaka 45-50. Iyi ngingo iba ingenzi cyane niba ufite ibintu byongera ibyago nk'amateka y'umuryango ya kanseri y'urugingo rw'igifu n'amara cyangwa indwara zifata amara.

Tekereza guteganya inama niba urimo guhura n'ibimenyetso nk'imihindagurikire ihoraho mu myifatire y'amara, kubabara mu nda bitumvikana, cyangwa amaraso mu musarani wawe. Muganga wawe ashobora kumenya niba virtual colonoscopy ikwiriye kubera uko ubuzima bwawe bumeze.

Ushobora kandi kwifuza kuganira kuri iyi nzira niba waririndaga colonoscopy ya gakondo kubera impungenge cyangwa impamvu z'ubuvuzi. Virtual colonoscopy yashobora gutanga ubundi buryo bworoshye mugihe igitanga gupimwa neza.

Ni izihe ngaruka za virtual colonoscopy?

Virtual colonoscopy muri rusange irizewe cyane, ifite ingaruka nkeya cyane ugereranyije na colonoscopy ya gakondo. Ingaruka zisanzwe ni zoroshye kandi z'agateganyo, zirimo kubabara bitewe no kuzura umwuka no kutumva neza guto mugihe cyo gukora.

Ingaruka zitabaho ariko zishoboka zirimo:

• Urugero rw'amara ruturutse ku kuzura umwuka (ntabwo bikunda, munsi ya 1 kuri 10,000)
• Urugero rwa allergie ku bintu bitandukanye (niba bikoreshwa)
• Kugaragaza imirasire ituruka kuri CT scanning
• Kuvaho kw'amazi biturutse ku gutegura amara
• Kutaringanira kwa electrolyte biturutse ku miti yo gutegura

Kugaragaza imirasire ituruka kuri virtual colonoscopy ni gito, gisa n'imirasire isanzwe wakwakira mu myaka 2-3. Abahanga benshi bemeranya ko inyungu zo kuvumbura kanseri zirenga iyi ngaruka nto ya radiasiyo.

Niba wumva uburibwe bukomeye mu nda, umuriro, cyangwa ibimenyetso byo kumuka nyuma yo gukorerwa iki gikorwa, vugana na muganga wawe ako kanya. Ibi bimenyetso bishobora kwerekana ingorane zikeneye ubufasha bwihuse bw'abaganga.

Ibibazo bikunze kubazwa kuri colonoscopie ya virtual

Q1: Ese colonoscopie ya virtual ifite akamaro nk'aka colonoscopie gakorwa mu buryo busanzwe?

Colonoscopie ya virtual ifite akamaro gakomeye mu kumenya polypes n'indwara ya kanseri nini, ifite ubushobozi bwo kumenya neza ku kigero cya 85-95% kuri polypes nini zirenga 10mm. Ariko, colonoscopie gakorwa mu buryo busanzwe ikigumaho nk'icyitegererezo kuko ishobora kumenya polypes ntoya kandi ikazikuraho mu gihe kimwe.

Mu rwego rwo gupima, colonoscopie ya virtual itanga uburyo bwiza bwo kumenya ibitagenda neza bifite akamaro mu buvuzi. Niba uri mu kaga gasanzwe kandi ushaka gupimwa, colonoscopie ya virtual irashobora kuba uburyo bwiza.

Q2: Ese colonoscopie ya virtual irababaza?

Abantu benshi bumva ububabare buke gusa mu gihe cya colonoscopie ya virtual. Umwuka winjizwa ushobora gutera kuribwa nk'uko bimeze ku gasi, ariko ibi bikunze kumara mu gihe cy'igikorwa gusa kandi bigakira vuba nyuma yaho.

Kubera ko nta miti ikoreshwa yo gutuza, uzaba uri maso kandi ushobora kuvugana n'umuhanga mu by'ikoranabuhanga niba ukeneye kuruhuka. Abarwayi benshi basanga colonoscopie ya virtual iborohera cyane kurusha uko babyiteze.

Q3: Ese colonoscopie ya virtual ishobora kumenya kanseri?

Yego, colonoscopie ya virtual ifite akamaro gakomeye mu kumenya kanseri yo mu mara n'ibibyimba binini bya mbere ya kanseri. Ubushakashatsi bwerekana ko ishobora kumenya kanseri zirenga 90% na polypes nini ziteza akaga gakomeye.

Iki kizamini gishobora kurenganya polypes ntoya cyane, ariko izi ntizikunda kuvamo kanseri mu gihe cyo gupimwa. Niba kanseri imenyekanye, uzakenera colonoscopie gakorwa mu buryo busanzwe kugira ngo bafate ibice by'umubiri no gutegura uburyo bwo kuvura.

Q4: Ni kangahe nkwiriye gukorerwa colonoscopie ya virtual?

Icyo bita virtual colonoscopy gisanzwe gitegetswe buri myaka 5 ku bantu basanzwe badafite ibibazo. Iki gihe gishobora kuba gito niba ufite ibintu bikongerera ibyago nko kuba mu muryango wawe haragaragaye kanseri y'urugingo rw'igifu cyangwa polypes.

Muganga wawe azagena gahunda ikwiriye yo gupima ashingiye ku bintu bigushyira mu kaga wowe ubwawe ndetse n'ibisubizo by'ibizamini byabanje. Abantu bamwe bafite ibyago byinshi bashobora gukenera gupimwa kenshi cyangwa gukoresha uburyo bwa traditional colonoscopy aho gukoresha ubundi buryo.

Q5: Ese ubwishingizi buzishyura virtual colonoscopy?

Ubwishingizi bwinshi, harimo na Medicare, bwishyura virtual colonoscopy nk'ikizamini cyo gupima kanseri y'urugingo rw'igifu. Ariko, politiki yo kwishyura iratandukanye, ni ngombwa rero kubaza umwishingizi wawe mbere yo gutegura igihe cyo gupimwa.

Ubwishingizi bumwe bushobora gusaba uruhushya mbere yo gutangira cyangwa bukagira ibisabwa byihariye by'imyaka. Ibiro bya muganga wawe mubisanzwe bishobora gufasha kumenya niba ubwishingizi bwakwishyura ndetse no gukora ibikenewe byose mbere yo kwemezwa.