Amakuru yavuye mu bushakashatsi bw’igihugu ku bijyanye no gusuzuma ibihaha (NLST) agaragaza ko gupima hakoreshejwe ikoranabuhanga rya 'computed tomography' (CT) bishobora kugabanya impfu ziterwa na kanseri y’ibihaha ku kigero cya 20% ugereranije na X-ray zo mu gituza. Isuzuma rishya ry’ayo makuru ryerekana ko rishobora no kuba ingirakamaro mu bukungu.
Mu mateka, abarwayi ba kanseri y'ibihaha bakorewe isuzuma rya X-ray mu gituza, uburyo buhendutse bwo gusuzuma. Iyi X-ray inyura mu gituza, bigatuma imiterere yose y'igituza igaragara ku ishusho ya nyuma ya 2D. Nubwo X-ray zo mu gituza zifite akamaro kenshi, nk'uko byatangajwe n'itangazo riherutse gusohoka muri Kaminuza ya Brown, ubushakashatsi bukomeye bwakozwe mu myaka ine ishize, NLST, yagaragaje ko X-rays ntacyo zikora na gato mu gusuzuma kanseri.
Uretse kugaragaza ko X-rays idakora neza, NLST yagaragaje kandi ko impfu zagabanutseho hafi 20% ubwo hakoreshwaga scan za CT spiral ku gipimo gito. Intego y'isesengura rishya, ryakozwe n'abahanga mu by'indwara zo mu bwonko muri Kaminuza ya Brown, ni ukumenya niba scan za CT zisanzwe - zihenze cyane kurusha X-rays - zifite ishingiro ku rwego rw'ubuzima, nk'uko itangazo ribitangaza.
Ibibazo nk'ibi ni ingenzi mu rwego rw'ubuvuzi muri iki gihe, aho ikiguzi cyo gukora isuzuma rya CT ku barwayi risanzwe gishobora kutagira icyo gitanga muri rusange.
“Ikiguzi ni ikintu cy’ingenzi cyane, kandi gushyira amafaranga mu gace kamwe bivuze ko hari uwigomwe mu kandi,” nk’uko byatangajwe na Ilana Gareen, umwarimu wungirije w’ibiza mu Ishuri ry’Ubuzima rusange rya Kaminuza ya Brown, mu itangazo rigenewe abanyamakuru.
Ubushakashatsi bwasohotse mu kinyamakuru New England Journal of Medicine bwagaragaje ko gupima CT ku gipimo gito bitwara hafi $1.631 kuri buri muntu. Itsinda ryabaruye ibipimo by’ibiciro biyongera (ICER) hashingiwe ku bitekerezo bitandukanye, bituma ICER igera kuri $52.000 ku mwaka w’ubuzima bwiyongereyeho na $81.000 ku mwaka w’ubuzima bw’umuntu wahinduweho ubuziranenge (QALY). QALY zigaragaza itandukaniro riri hagati yo kubaho mu buzima bwiza no kubaho ufite ibibazo bikomeye by’ubuzima, nk’uko byavuzwe mu itangazo rigenewe abanyamakuru.
ICER ni igipimo kigoye, ariko itegeko ni uko umushinga uwo ari wo wose uri munsi y’amadolari 100.000 ugomba gufatwa nk’ufite agaciro gakomeye. Nubwo ibi bisubizo bitanga icyizere, imibare ishingiye ku bitekerezo byinshi bigira ingaruka ku musaruro. Dukurikije ibi, umwanzuro nyamukuru w’ubushakashatsi ni uko intsinzi mu by’imari ya gahunda nk’izo zo gusuzuma izaterwa n’uburyo zishyirwa mu bikorwa.
Nubwo gupima kanseri y'ibihaha hakoreshejwe CT scan ari ingirakamaro kurusha gukoresha X-rays, ubushakashatsi burakomeje kugira ngo burusheho kunoza CT scans. Vuba aha, inkuru yasohotse kuri Med Device Online yavuze kuri porogaramu ya mudasobwa ishobora gufasha kunoza uburyo bwo kubona utudomo tw'ibihaha.
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Igihe cyo kohereza: Gicurasi-07-2024
