“Ibitangazamakuru bitandukanya amashusho ni ingenzi cyane ku gaciro k’ikoranabuhanga ryo gufata amashusho,” nk’uko byavuzwe na Dushyant Sahani, MD, mu kiganiro giherutse gukorwa na Joseph Cavallo, MD, MBA, mu kiganiro cyakozwe na MD.
Ku bijyanye na 'computed tomography' (CT), 'magnetic resonance imaging' (MRI) na 'positron emission tomography' (PET / CT), Dr. Sahani yavuze ko 'contrast agents' zikoreshwa mu bizamini byinshi by'isuzuma ry'indwara z'umutima n'imitsi n'amashusho ya kanseri mu mashami y'ubutabazi bwihutirwa.
“Navuga ko 70 kugeza kuri 80 ku ijana by’ibizamini bitazagira ingaruka nziza iyo tudakoresha ibi bikoresho byo kugereranya isura dufite,” Dr. Sahani yagize ati.
Dr. Sahani yongeyeho ko ibikoresho bitandukanya amashusho ari ingenzi cyane mu gufata amashusho agezweho. Nk’uko Dr. Sahani abivuga, gufata amashusho avanze cyangwa ay’umubiri ntibishobora gukorwa hatabayeho gukoresha udukoresho twa fluorodeoxyglucose (FDG) mu gufata amashusho ya PET/CT.
Dr. Sahani yavuze ko abakozi bo ku isi bashinzwe radiology ari “abakiri bato cyane,” avuga ko imiti igabanya ubukana bw’indwara ifasha mu kunoza imikorere y’umubiri, gutanga ubufasha mu gusuzuma indwara ku batanga serivisi zo kohereza abarwayi mu bitaro no korohereza abarwayi kubona ibisubizo byiza.
“Ibitangazamakuru bitandukanya amashusho bituma aya mashusho arushaho kuba meza. Nukuramo igikoresho gitandukanya amashusho muri byinshi muri ubu buryo, (uzabona) itandukaniro rikomeye mu buryo ubuvuzi butangwa (n'imbogamizi zo gusuzuma no gusuzuma nabi indwara,” Dr. Sahani yashimangiye. “[Uzabona kandi] igabanuka rikomeye ry’ikoranabuhanga ryo gufata amashusho.”
Ibura ry’ibikoresho bigabanya ubukana bw’indwara riherutse kugaragara rigaragaza uburyo abaganga b’inzobere mu by’ubuvuzi bishingikiriza kuri ibyo bikoresho kugira ngo bifashe mu gusuzuma no gufata ibyemezo ku barwayi ku gihe. Nubwo Dr. Sahani yasuzumye ikoreshwa ry’ibikoresho byinshi bipima indwara kugira ngo bigabanye imyanda iterwa n’indwara no kongera ikoreshwa rya CT ifite ingufu nyinshi n’ingufu nyinshi kugira ngo bigabanye urugero rw’indwara, gukurikirana no gukwirakwiza ibikoresho bigabanya ubukana bw’indwara ni amasomo y’ingenzi yizwe.
“Ugomba kuba maso mu kugenzura ibyo utanga, ugomba gutandukanya amasoko y’ibyo utanga, kandi ugomba kugirana umubano mwiza n’abacuruzi bawe.” Iyo mibanire igaragara cyane iyo ukeneye ubufasha bwabo,” Dr. Sahani yavuze.
Nk’uko Dr. Sahani yabivuze, ni ingenzi cyane gukomeza umubano mwiza n’abatanga ibikoresho by’ubuvuzi no guteza imbere uburyo butandukanye bwo kubona ibikoresho.LnkMedni umucuruzi kandi wibanda ku rwego rw'ubuvuzi. Ibicuruzwa ikora bikoreshwa hamwe n'ibicuruzwa by'ingenzi by'iyi nkuru - contrast media, ni ukuvuga injectifs zikoresha umuvuduko mwinshi. Contrast agent iterwa mu mubiri w'umurwayi binyuze muri yo kugira ngo umurwayi abashe gukorerwa ibizamini bikurikira. LnkMed ifite ubushobozi bwo gukora ubwoko bwose bwainshinge y'ibice binini by'umuvuduko ukabijeibicuruzwa:Injekteri ya CT imwe ifite umutwe umwe utandukanye, Injekteri ya CT ifite umutwe utandukanye n'indi, Inshinge zo mu bwoko bwa MRI (contrast media injection)naIgikoresho cyo gutera inshinge gikoresha umuvuduko ukabije wa angiography (Injecti ikoresha umuvuduko mwinshi wa DSA). LnkMed ifite itsinda rifite uburambe bw'imyaka irenga 10. Itsinda rikomeye ry’ubushakashatsi n’iterambere n’iry’abahanga mu gushushanya hamwe n’uburyo bukomeye bwo kugenzura ubuziranenge nabyo ni impamvu z’ingenzi zituma ibicuruzwa bya LnkMed bigurishwa neza mu bitaro bikomeye mu gihugu no mu mahanga. Dushobora kandi gutanga inshinge n’imiyoboro byagenewe ubwoko bwose bw’inshinge zikomeye (nka Bayer Medrad, Bracco, Guerbet Mallinckrodt, Nemoto, Sino, Seacrowns). Twishimiye inama zanyu.
“Iyo urebye ingaruka za COVID-19 ku buvuzi, hari imbaraga nyinshi ku bikorwa, bitajyanye n’imikorere myiza gusa ahubwo binajyanye n’ikiguzi. Ibi bintu byose bizagira uruhare mu guhitamo no mu masezerano y’imiti igabanya ubukana bw’imisemburo n’uburyo ikoreshwa muri buri vuriro… Bizagira uruhare runini mu byemezo nk’imiti isanzwe,” Dr. Sahani yongeyeho.
Igikenewe cyo gukoresha ibikoresho bitandukanya amashusho kiracyari gito. Dr. Sahani yavuze ko ubundi buryo bwo gukoresha ibikoresho bitandukanya amashusho bushobora kongera ubushobozi bw'ubuhanga buhanitse bwo gufata amashusho.
“Ku ruhande rwa CT, twabonye iterambere rikomeye mu kubona no kongera kubaka amashusho binyuze muri CT ya spectral ndetse no muri CT yo kubara fotoni, ariko agaciro nyakuri k’ubu buhanga kari mu bikoresho bishya bitandukanya amashusho,” Dr. Sahani yagize ati: “… Turashaka ubwoko butandukanye bw’ibikoresho, molekile zitandukanye zishobora gutandukanywa hakoreshejwe ikoranabuhanga rigezweho rya CT. Hanyuma dushobora kwiyumvisha ubushobozi bwose bw’ubu buhanga bugezweho.”
Igihe cyo kohereza: Mata-09-2024
