Okukungula emisuwa egy’amaanyi (radial Artery & Saphenous Vein Harvesting) (RA&SV) .

Ggwe oba omuntu gw’omanyi wali otegeezeddwa omusawo nti omusuwa gw’omutima guzibiddwa era gwetaaga okuyisibwa? Ffenna tuwulidde ekigambo 'bypass'. Teebereza nti waliwo akalippagano k’ebidduka akayitirivu ku luguudo, olwo kino kiringa okuzimba ekkubo eddala mmotoka mwe ziyinza okuyita. Omusuwa ogugaba omusaayi ku mutima bwe guzibikira, ekkubo eppya, kwe kugamba, omusuwa omupya, guyungibwa ku mutima, ekintu ekiyitibwa bulongoofu okuyita mu kulongoosa. Naye wali weebuuzizzaako omusuwa gye gutwalibwa okuzimba ekkubo lino eppya? Ebiseera ebisinga, omusuwa omulamu okuva mu mubiri gwo gwe gukozesebwa ku kino. Eyo y’enkola gye tugenda okwogerako leero, ng’omusuwa ogwo guggyibwa mu kitundu ekimu eky’omubiri ne gusimbibwa mu mutima.

Kitegeeza ki ‘okukungula’ omusuwa gw’omusaayi?

Mu ngeri ennyangu, kino kiringa okukungula omusuwa gw’omusaayi. Okubeera omutuufu, kizingiramu okulongoosa okuggya omusuwa omulamu mu kitundu ky’omubiri gwo (ebiseera ebisinga omukono oba okugulu) n’ogukozesa ng’eky’okuddako mu kifo ky’omusuwa oguzibiddwa mu mutima gwo. Omusuwa ogutwalibwa mu ngeri eno guyitibwa ``graft.''

Enkomerero emu ey’ekikuta kino eyungibwa ku musuwa omukulu era omunene ogw’omubiri, omusuwa gw’omubiri oguyitibwa aorta, ate enkomerero endala eyungibwa ku musuwa oguzibiddwa mu mutima wansi w’omusuwa oguzibiddwa. Olwo, omusaayi gukulukuta okuyita mu musuwa ogwakayungibwa okutuuka ku mutima awatali kiziyiza kyonna, ne guyita ku kitundu ekizibiddwa. Okulongoosa kuno kuyitibwa Coronary Artery Bypass Grafting (CABG) mu ddagala.

Emisuwa gino giva wa?

Waliwo ebika by’emisuwa bibiri ebisinga okukozesebwa mu kulongoosa okuyita mu musaayi.

1. Radial Artery mu ngalo

Guno musuwa munene ogukulukuta okuva munda mu mukono gwo okuva ku nkokola okutuuka ku mukono gwo . Guno gwe musuwa gw’osobola okuwulira ng’owulira omukka gwo. Kisangibwa kungulu nnyo ku lususu.

2. Omusuwa oguyitibwa Saphenous Vein mu Kigere

Guno gwe musuwa ogusinga obuwanvu mu mubiri gwaffe. Guba musuwa ogutwala omusaayi omucaafu okudda ku mutima. Budduka okuva wansi w’omubiri okutuukira ddala mu kisambi. Okugiggyawo tekijja kuleeta buzibu bwonna. Kubanga waliwo enkola y’emisuwa enzito mu kigere. Oluvannyuma lw’okuggyibwako omusuwa gwa saphenous, omulimu gwe gwakola gutwalibwa enkola y’emisuwa emiwanvu.

Kiki ky’okola nga tonnalongoosebwa?

Nga tannasalawo kulongoosa kuno, omusawo ajja kukukebera emirundi egiwerako okuzuula obunene n’ekifo ekituufu ekizibikira mu mutima gwo. Okusinziira ku binaavaamu, ajja kusalawo oba omusuwa ogusinga okutuukira ddala ku bypass guli mu mukono oba ku kigere kyo.

Okugatta ku ekyo, kikulu nnyo okugoberera ebiragiro omusawo by’akuwa nga tonnalongoosebwa.

• Okusiiba (okwewala okulya n’okunywa) okumala essaawa eziwera nga tonnalongoosebwa.
• Bw’oba ​​onywa sigala, mulekere ddala.
• Oyinza okusabibwa okulekera awo okumira eddagala erimu (omuli vitamiini n’eddagala ly’ebimera).

Okulongoosa kukolebwa kutya?

Okulongoosa okuggyamu omusuwa kufaananako n’okulongoosa okuyitira mu musaayi. Oteekebwa wansi w’obujjanjabi obw’okubudamya. Waliwo enkola bbiri enkulu ez’okuggyamu omusuwa.

1. Endoscopic Surgery: Kino kizingiramu okusalako obutundutundu bumu oba bubiri obutonotono ennyo mu lususu lw’omukono oba okugulu.Kizingiramu okuyingiza ekyuma ekigonvu ennyo (endoscope) ekirimu kkamera n’ebikozesebwa mu kulongoosa. Omusawo aggyayo n’obwegendereza omusuwa gw’omusaayi ng’atunuulira monitor. Enkovu ereetebwa kino ntono nnyo.

2. Okulongoosa mu lwatu: Mu kino, omusuwa guggyibwamu nga basala ekituli ekinene era ekiwanvu omusuwa we guli ne guggulawo olususu.

Mu kiseera ky’okulongoosebwa okuyita mu mutima, omutima gwo n’amawuggwe biyinza okukyusibwa okumala akaseera ne bidda mu ``Heart-Lung Bypass Machine.`` Olwo omusawo alongoosa omusuwa omulamu ogwaggyibwako emabegako ``graft`` n’agusimbuliza mu mutima ng’ayita mu kuzibikira.

Birungi ki n’akabi ki ebiri mu nkola eno?

Enkola eno ey’okusimba omusuwa okuva mu mubiri y’ensonga enkulu evuddeko okulongoosa okuyitira mu mubiri okutuuka ku buwanguzi. Waliwo ebirungi ebiwerako ebiri mu kukola kino naddala ng’okozesa enkola ya endoscopic.

Emigaso:

• Okuwona amangu n’obulumi obutono .
• Okukendeeza ku budde bw’amala mu ddwaaliro.
• Tewali nkovu nnene ate nga n'obulabe bw'okukwatibwa obulwadde bukendedde .
• Okukendeeza ku bulabe bw’okuvaamu omusaayi n’okuzimba omusaayi (Hematomas).

Obulabe obuli mu:

Nga bwe kiri ku kulongoosa kwonna, waliwo obulabe obumu, naye buno tebubaawo mu buli muntu.

• Okuvaamu omusaayi oba okunyiga mu kifo we basaliddwa.
• Okuzimba Omusaayi.
• Okuzirika oba okubulwa okuwulira mu kitundu olw’okwonooneka kw’obusimu obwetoolodde ekifo ekisaliddwa.
• Okuzimba (Edema).
• Embeera ezisiigibwa.

Bw’oba ​​weetaaga okulaba omusawo mu bwangu

Bw’odda eka ng’omaze okulongoosebwa, tobuusa maaso buzibu bwonna. Bw’ofuna obubonero bwonna ku buno wammanga, funa amagezi mu bwangu oba genda mu kitongole ky’abalwadde ab’amangu (ETU) mu ddwaaliro erikuli okumpi.

• Obulumi mu kifuba oba okuwulira ng’ekifuba kinywezeddwa (Angina).
• Entuuyo ennyogovu ey'amangu .
• Obuzibu mu kussa (Dyspnea).
• Obubonero obulaga nti omuntu alina obulwadde, gamba ng’amazzi aga kyenvu agakulukuta okuva mu biwundu eby’okulongoosebwa n’omusujja .

N’ekisembayo, okunoonyereza kulaga nti okulongoosa okuyita mu ngeri ey’okuyita mu ngalo (bypass surgery) nga tukozesa omusuwa ogw’omu mabeere (radial artery) oba omusuwa gw’amabeere ogw’omunda (internal mammary artery) buwanguzi nnyo okumala ekiseera okusinga okukozesa omusuwa gwa saphenous. Kino kiri bwe kityo kubanga ebisenge by’emisuwa biba bya maanyi okusinga emisuwa, n’olwekyo tebitera kuddamu kuzibikira. Kyokka omusawo ajja kwetegereza ebiwandiiko byo byonna eby’obujjanjabi okuzuula omusuwa ogusinga okukukwatako n’engeri esinga obulungi ey’okugufunamu.