Enkola empya ey’okukyusa obuuma bw’omutima nga togguddewo kifuba (Transcatheter Pulmonary Valve Replacement - TPVR)

Oluusi oyinza okuba nga wali owulidde ku mwana eyazaalibwa n’ekika ky’ekizibu ky’omutima ng’akyali muto. Mpozzi omwana oyo yalongoosebwa mu kiseera ekyo era embeera n’etereezebwa. Naye omwana ng’oyo bw’akula katono, bw’atuuka mu myaka emito, ekizibu ky’omutima ekyaliwo mu buto obwo kiyinza okuddamu okulabika mu ngeri ey’enjawulo. Mu mbeera ng’eyo, leero tugenda kwogera ku nkola y’obujjanjabi enkulu ennyo esobola okuwa obulamu amaanyi mangi.

Kale, TPVR kye ki?

Mu ngeri ennyangu, TPVR , oba Transcatheter Pulmonary Valve Replacement , nkola ya njawulo ekyusa vvaalu y’amawuggwe etakola bulungi mu mutima gwo, naye nga togguddewo kifuba kyo. Kino kiwulikika nga kyewuunyisa, si bwe kiri? Ebiseera ebisinga, bwe tulowooza ku ky’okukyusa vvaalu y’omutima, tulowooza ku kulongoosa omutima oguggule, nga kino kizingiramu okusala ekinene wakati mu kifuba. Wabula mu nkola eno eya TPVR, omusawo alongoosa asala akatundu akatono ennyo mu lususu lw’ekisambi kyo n’akola enkola yonna ng’ayita mu lususu lwo.

Valiva y’amawuggwe ye mulyango ogufuga okuyita omusaayi okuva ku mutima gwaffe okutuuka mu mawuggwe gaffe. Singa tekola bulungi, omusaayi ogugenda mu mubiri gwonna gujja kutaataaganyizibwa. Kale ng’oyita mu nkola eno, bw’okyusa vvaalu etali nnungi n’ossaamu empya, obulamu bwo n’omutindo gw’obulamu bwo bijja kweyongera nnyo. Ate era, kijja kuyamba okulwawo oba okwewala ddala obwetaavu bw’okulongoosebwa okw’amaanyi enfunda eziwera.

Kiki ddala ekibaawo ku bujjanjabi buno obwa TPVR?

Lowooza nti mu kulongoosa omutima ogw’ekinnansi, abasawo basala eggumba ly’ekifuba ne bakyusa omulimu gw’omutima okumala akaseera ne bagutwala mu kyuma (ekyuma ekiyita omutima n’amawuggwe), oluvannyuma ne baggyamu vvaalu enkadde ne bateekamu empya. Kino kitwala ekiseera kiwanvu, kitwala ekiseera ekiwanvu okuwona, era kiyinza okuba eky’akabi ennyo eri abalwadde abamu okulongoosebwa okw’amaanyi bwe kuti.

Naye enkola ya TPVR ya njawulo nnyo. Enkola eno etali ya kuyingirira nnyo . Bino bye bigenda mu maaso:

1. Omusawo w’omutima akola ku nsonga z’omutima akola akatundu akatono mu musuwa omunene mu kisambi kyo (omusuwa gw’omu kisambi) n’ayitamu ekyuma ekigonvu ekigonvu, ekiyitibwa catheter .

2. Munda mu kituli kino mulimu vvaalu empya, akapiira akatono akazingibwa.

3. Ng’akozesa obukodyo obw’enjawulo nga X-rays, omusawo alung’amya n’obwegendereza ekituli kino okuyita mu misuwa okutuuka ku kifo ekisenge ky’amawuggwe we kiri mu mutima.

4. Bw’emala okutuuka mu kifo kyayo, bbaatule efuumuulwa. Valiva empya eyabadde ezingibwa, egaziwa n’ekutuka mu kifo vvaalu enkadde we yali.

5. Okuva mu kiseera ekyo, vvaalu empya etandika okukola. Okutambula kw’omusaayi okuva ku mutima okutuuka mu mawuggwe kudda mu mbeera eya bulijjo.

Ekimu ku birungi ebinene ebiri mu kino kwe kuba nti abantu abasinga ababadde bafunye obujjanjabi buno basobola okudda eka amangu ddala. Ekiseera ky’okudda engulu kitono nnyo.

Kale, kiki ekibaawo singa vvaalu eno ey’amawuggwe tekola bulungi?

Waliwo ebizibu bibiri ebikulu ebiyinza okubaawo ku vvaalu y’amawuggwe.

Olw’embeera zino ebbiri, oyinza okufuna obubonero ng’okussa obubi (dyspnea) , okuzimba amagulu n’olubuto (edema) , okulumwa mu kifuba , n’okukuba kw’omutima okutali kwa bulijjo . Obubonero buno bujja kukendeera nnyo oluvannyuma lw’okujjanjabwa TPVR.

Obujjanjabi buno businga kugwanira ani?

Bw’oba ​​wazaalibwa n’obulwadde bw’omutima obw’obuzaale era n’obulongoosa ng’okyali mwana muto, emikisa mingi nti obujjanjabi buno bujja kukukwatako. Kubanga vvaalu eyassibwa mu buto (emirundi mingi homograft) esobola okwonooneka okumala ekiseera. Olwo embeera ezoogeddwako waggulu, gamba nga stenosis oba regurgitation, zisobola okulabika mu myaka emito. Eno y’ensonga lwaki abasawo bagamba nti abantu ng’abo bagamba nti enkola ya TPVR.

Enkola eno ekozesebwa okujjanjaba embeera z’omutima zino wammanga ezizaalibwa:

• Tetralogy of Fallot: Obulema buna obugatta omuli ebituli mu mutima, ekivaako omusaayi omulungi n’omubi okutabula.
• Pulmonary Atresia: Embeera nga valve y’amawuggwe tekolebwa nga ozaalibwa.
• Truncus Arteriosus: Emisuwa emikulu ebiri egy’omusaayi egisibuka mu mutima (aorta ne pulmonary artery) giyungibwa wamu ne gikola gumu.
• Transposition of the Great Arteries: Emisuwa emikulu ebiri gikyusibwa ne giyungibwa ku njuyi enkyamu.

Kiki ekibaawo nga tebannaba kujjanjabwa n’oluvannyuma lw’okujjanjabwa?

Okwetegeka nga tonnafuna bujjanjabi

Okulaba oba osobola okukola TPVR, omusawo ajja kukukebera bulungi era ayinza okukola okukebera situleesi ya dduyiro. Okugatta ku ekyo, ebigezo bino wammanga biyinza okukolebwa:

• Okukebera emisuwa
• Okukebera omutima mu CT
• MRI y’omutima
• Okukebera omutima (echocardiogram).
• Okukebera ECG

Oluvannyuma lw’okulowooza ku bino byonna, omusawo ajja kusalawo kiki ekisinga okukuyamba.

Mu kiseera ky’obujjanjabi

Ojja kubudabuzibwa ng’obujjanjabi tebunnatandika, kale tojja kuwulira bulumi bwonna. Enkola yonna etwala essaawa nga bbiri oba ssatu. Abasawo bajja kuyingiza omusulo, bateeka vvaalu, bakebere enkola yaayo, n’oluvannyuma baggyemu ekituli.

Oluvannyuma lw’okujjanjabwa

Ojja kukuumibwa mu ddwaaliro okwetegereza ekiro era emirundi mingi ojja kusindikibwa awaka enkeera. Ojja kusobola okuddamu okukola emirimu gyo egya bulijjo mu wiiki nga emu.

Migaso ki n’akabi ki?

Nga buli bujjanjabi, buno bulina emigaso n’obulabe obumu.

Tekitera nnyo, ebizibu eby’amaanyi ng’okulwala omutima, okusannyalala oba okufa bisobola okubaawo. N’olwekyo, kyetaagisa okukubaganya ebirowoozo n’omusawo ku birungi n’ebibi ebiri mu bujjanjabi buno nga tonnasalawo.

Ebintu ebirala ebikulu by’olina okumanya

Valiva empya ewangaala bbanga ki?

Kino kisinziira ku bulamu bwo okutwalira awamu n’embeera y’omutima gwo. Abantu abamu bayinza okwetaaga okulongoosebwa omulundi omulala oluvannyuma lw’akaseera. Naye amawulire amalungi gali nti bwe kiba kyetaagisa, osobola okukyusa vvaalu endala n’ogikyusa n’enkola ya TPVR.

Olina okwegendereza ng’ojjanjaba amannyo?

Yee, kino kikulu nnyo. Mu bintu ng’okuggya amannyo n’okuyonja amannyo, obuwuka obuli mu kamwa busobola okuyingira mu musaayi ne buyita mu musaayi ne buleeta embeera ey’amaanyi eyitibwa endocarditis , yinfekisoni y’omusuwa gw’omutima ogwaakasimbibwa. N’olwekyo, nga tonnafuna bujjanjabi bwonna obw’amannyo, olina okutegeeza omusawo w’amannyo nti obadde ofunye TPVR. Oyinza okusabibwa okumira eddagala eritta obuwuka nga tonnafuna bujjanjabi.

Waliwo obuzibu bwonna ku byokwerinda ku kisaawe?

Nedda.Okukebera ku kisaawe ky’ennyonyi n’okukebera eby’okwerinda tebijja kukukola bulabe. Kyokka bw’oba ​​olowooza ku ky’okukebera MRI, sooka oyogere n’omusawo wo.