Twese tuzi ko ibizamini byo gupima amashusho, harimo X-rays, ultrasound,MRI, ubuvuzi bwa kirimbuzi na X-ray, ni uburyo bw'ingenzi bwo gusuzuma indwara kandi bugira uruhare runini mu kumenya indwara zidakira no kurwanya ikwirakwira ry'indwara. Birumvikana ko ibi ari ko bimeze no ku bagore batwite byemewe cyangwa bitaremezwa..Ariko, iyo ubu buryo bwo gufata amashusho bukoreshejwe ku bagore batwite cyangwa bonsa, abantu benshi bahangayikishwa n'ikibazo, ese cyagira ingaruka ku buzima bw'umwana uri mu nda cyangwa umwana? Ese bishobora guteza izindi ngorane kuri abo bagore ubwabo?
Biterwa n’uko ibintu bimeze koko. Abahanga mu by’imirasire n’abatanga serivisi z’ubuzima bazi ingaruka zo gufata amashusho n’imirasire ku bagore batwite n’abana bakiri bato. Urugero, X-ray yo mu gituza ishyira umwana uri mu nda ku mirasire itatanye, mu gihe X-ray yo mu nda ishyira umugore utwite ku mirasire y’ibanze. Nubwo imirasire ituruka kuri ubu buryo bwo gufata amashusho y’ubuvuzi ishobora kuba nto, gukomeza kuyishyiramo bishobora kugira ingaruka mbi ku mubyeyi n’umwana uri mu nda. Igipimo ntarengwa cy’imirasire abagore batwite bashobora guhura na cyo ni 100.msV.
Ariko nanone, aya mashusho y’ubuvuzi ashobora kugira akamaro ku bagore batwite, agafasha abaganga gutanga ibisubizo nyabyo no gutanga imiti ikwiye kurushaho. N’ubundi kandi, ni ingenzi ku buzima bw’abagore batwite n’abana babo bataravuka.
Ni izihe ngaruka n'uburyo bwo kwirinda indwara butandukanye bukoreshwa mu gufata amashusho??Reka tubisuzume.
Ibipimo
1.CT
CT Bikubiyemo ikoreshwa ry'imirasire ya iyoni kandi bigira uruhare runini mu gutwita, aho gukoresha CT scans byiyongeraho 25% kuva mu 2010 kugeza 2020, nk'uko imibare yemewe ibivuga. Kubera ko CT ifitanye isano no kwiyongera kw'imirasire y'umwana uri mu nda, ni ngombwa gutekereza ku bundi buryo mu gihe utekereza ku ikoreshwa rya CT ku barwayi batwite. Gukingira icyuma gikingira lisansi ni ingamba zikenewe zo kwirinda kugira ngo ugabanye ibyago byo kwandura imirasire ya CT.
Ni izihe nzira nziza zo gusimbura CT?
MRI ifatwa nk'uburyo bwiza bwo gusimbura CT. Nta gihamya kigaragaza ko dose z'imirasire iri munsi ya 100 mGy mu gihe utwite zifitanye isano no kwiyongera kw'ingaruka mbi z'uturemangingo, kubyara abana bapfuye, gukuramo inda, gukura, cyangwa ubumuga bwo mu mutwe.
2.MRI
Ugereranyije na CT, inyungu nini yoMRIni uko ishobora gusuzuma ingingo z’umubiri zimbitse kandi zoroshye idakoresheje imirasire ya iyonizing, bityo nta ngamba cyangwa ibinyuranyo bihari ku barwayi batwite.
Igihe cyose habayeho uburyo bubiri bwo gufata amashusho, MRI igomba kwitabwaho no gukundwa kubera ko igipimo cyayo cyo kutareba neza kigabanuka. Nubwo hari ubushakashatsi bwagaragaje ingaruka z’ibitekerezo ku mwana uri mu nda iyo ukoresha MRI, nko gushyuha kw’uturemangingo, gushyuha kw’uturemangingo, no kwangirika kw’amajwi, nta gihamya kigaragaza ko MRI ishobora kwangiza umwana uri mu nda. Ugereranyije na CT, MRI ishobora gufata ishusho y’uturemangingo tworoshye twimbitse kandi ihagije hatabayeho gukoresha imiti igabanya ubukana bw’uturemangingo.
Ariko, imiti ikomoka kuri gadolinium, imwe mu miti ibiri ikomeye ikoreshwa muri MRI, byagaragaye ko iteza akaga ku bagore batwite. Abagore batwite rimwe na rimwe bagira ingaruka zikomeye ku miti ikoresha ikoranabuhanga, nko kugabanuka kw'izuba mu gihe gito, bradycardia y'umwana ukiri mu nda igihe kirekire, no kubyara igihe kitageze.
3. Gupima hakoreshejwe ikoranabuhanga rya Ultrasound
Ultrasound kandi ntitanga imirasire ya iyoni. Nta raporo z'ubuvuzi zigaragaza ingaruka mbi z'ubuvuzi bwa ultrasound ku barwayi batwite n'abana babo.
Ikizamini cya ultrasound gifasha iki abagore batwite? Icya mbere, gishobora kwemeza niba koko umugore utwite atwite; Kureba imyaka n'imikurire y'umwana uri mu nda no kubara itariki yo kwitegura, no kugenzura umutima w'umwana uri mu nda, imitsi ye, ingendo ze, n'imikurire ye muri rusange. Byongeye kandi, kureba niba umubyeyi atwite impanga, impanga eshatu cyangwa nyinshi, kureba niba umwana ari mu mwanya wa mbere mbere yo kubyara, no kureba niba intanga n'umura by'umubyeyi ari ibisanzwe.
Muri make, iyo imashini n'ibikoresho bya ultrasound byakozwe neza, uburyo bwo gukora ultrasound ntibushyira mu kaga ubuzima bw'abagore batwite n'abana bato.
4. Imirasire ya kirimbuzi
Gufata amashusho y’imiti ikoreshwa mu buvuzi bwa kirimbuzi bikubiyemo gutera umuti ukoresha radiopharma ku murwayi, ugakwirakwira mu mubiri wose ugatanga imirasire ahantu runaka mu mubiri. Ababyeyi benshi bahangayikishwa iyo bumvise ijambo imirasire ikoreshwa mu buvuzi bwa kirimbuzi, ariko imirasire ikoreshwa mu buvuzi bw’uruhinja bitewe n’imiti ikoreshwa mu buvuzi bwa kirimbuzi biterwa n’ibintu bitandukanye, nko gusohora amaraso ku mubyeyi, kwinjiza imiti ikoreshwa mu buvuzi bwa kirimbuzi, n’uburyo imiti ikoreshwa mu buvuzi bwa kirimbuzi ikwirakwira mu mwana, urugero rw’imiti ikoreshwa mu buvuzi bwa kirimbuzi, n’ubwoko bw’imirasire itangwa n’imiti ikoreshwa mu buvuzi bwa kirimbuzi, kandi ntibishobora gusobanurwa muri rusange.
Umwanzuro
Muri make, gupima amashusho y’abaganga bitanga amakuru y’ingenzi ku buzima. Mu gihe cyo gutwita, umubiri w’umugore uhora uhinduka kandi ukaba ushobora kwandura indwara zitandukanye. Gusuzuma no gufata imiti ikwiye ku bagore batwite ni ingenzi ku buzima bwabo n’ubw’abana babo bataravuka. Kugira ngo bafate ibyemezo byiza kandi bifite ubumenyi, abaganga b’imirasire n’abandi bahanga mu by’ubuvuzi bagomba gusobanukirwa neza ibyiza n’ingaruka mbi z’imiterere itandukanye y’ishusho y’ubuvuzi n’ikwirakwizwa ry’imirasire ku bagore batwite. Igihe cyose abarwayi batwite n’abana babo bahuye n’imirasire mu gihe cyo gupima amashusho y’abaganga, abaganga b’imirasire n’abaganga bagomba gutanga amahame mbwirizamuco asobanutse neza muri buri gikorwa. Ingaruka z’umwana uri mu nda zijyanye no gupima amashusho y’abaganga zirimo gukura buhoro no gukura nabi kw’umwana uri mu nda, gukura nabi, imikorere mibi y’ubwonko, gukura kudasanzwe mu bana, no gukura kw’ubwonko. Gupima amashusho y’abaganga bishobora kutagira ingaruka mbi ku barwayi batwite n’abana bari mu nda. Ariko, guhora uhura n’imirasire n’ishusho igihe kirekire bishobora kugira ingaruka mbi ku barwayi n’abana bari mu nda. Kubwibyo, kugira ngo tugabanye ibyago byo gupima amashusho y’abaganga no kwemeza umutekano w’umwana uri mu nda mu gihe cyo gusuzuma amashusho, impande zose zigomba gusobanukirwa urwego rw’ibyago byo gupima amashusho y’abaganga mu byiciro bitandukanye byo gutwita.
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Igihe cyo kohereza: 27 Gashyantare 2024
