Ese imitsi y'umutima wawe yazibye? Reka twige neza ibijyanye na Angioplasty

"Umutima ufunganye", "imitsi ifunganye", "ukeneye angioplasty"... Ni ibisanzwe ko umuntu wese yumva afite ubwoba gato iyo yumvise amagambo nk'aya. Wenda wowe cyangwa undi muntu wo mu muryango wawe yaba yarabwiwe ubu buryo na muganga. Rero ushobora kuba ufite ibibazo byinshi mu mutwe wawe, nko kubaga ari iki, ese ni ukubagwa gukomeye, bizababaza, n'ikizaba nyuma yaho? Ntutinye. Uyu munsi, turaganira ku cyo angioplasty ari cyo, mu buryo bworoshye kandi mu buryo ushobora gusobanukirwa.

Mu magambo make, angioplasty ni iki?

Angioplasty si nk'ukubaga umutima ufunguye. Ni igikorwa kidakunze kugaragara cyane gikorerwa hakoreshejwe akato gato. Mu by'ukuri, gikoreshwa mu gukuraho kuziba no gutuma amaraso yongera gutembera neza mu buryo bwihuse iyo imitsi yo mu mubiri wacu, cyane cyane imitsi itanga amaraso mu mutima, yafunzwe cyangwa igafungwa kubera cholesterol n'ibinure byinshi (indwara izwi nka atherosclerosis) .

Tekereza ko hari umuyoboro w'amazi wafunzwe mu nzu yawe. Bisa no kuwusukura no kongera gutemba amazi. Kuri ibi, abaganga bakoresha igikoresho gito gisa n'umupira. Bakoresheje umupira, bakanda urwego rw'ibinure rwafunzwe (plaque) ku rukuta rw'imitsi, bigatuma habaho umwanya imbere mu mitsi.

Ubu buvuzi muri rusange ni bwiza cyane. Ugereranyije no kubagwa gukomeye nko kubagwa hakoreshejwe inzira y'ubutabazi, ingaruka n'igihe cyo gukira ni bike cyane. Ubuzima bw'umutima wacu ni ingenzi cyane ku buzima bw'umubiri wacu wose. Bityo, ubu buvuzi bwa angioplasty bukunze kuba ngombwa kugira ngo hirindwe indwara zikomeye nk'indwara z'umutima na stroke zishobora guterwa n'izi nzitizi.

Ni ubuhe bwoko n'ubuhanga bwa angioplasty?

Abaganga bakoresha amazina atandukanye kuri ibi bitewe n'imitsi y'amaraso iri kuvurwa. Hari ubwoko bubiri bw'ingenzi.

• Angioplasty y'imitsi y'umutima: Iyi ni angioplasty ikorerwa ku mitsi mikuru y'amaraso (imitsi y'umutima) itanga amaraso mu mutima. Irindi zina ry'iyi ni Percutaneous Coronary Intervention (PCI) . Iyi ni yo ndwara ikunzwe cyane muri twe.
• Angioplasty y'imitsi yo mu gice cya peripheral artery: Ibi bivuga kuvura imitsi yo mu gice cya peripheral artery itwara amaraso ava mu mutima ikayajyana mu bice bya kure by'umubiri, nko mu maboko no mu maguru.

Hari uburyo butandukanye bukoreshwa mu gukora ubu buvuzi. Reka tubirebe neza.

Ni ryari angioplasty iba ikenewe?

Hari ibihe byinshi muganga wawe ashobora kukugira inama yo kuvura.

• Indwara y'umutima: Ubu buvuzi butangwa mu buryo bwihutirwa mu gihe cy'indwara y'umutima cyangwa nyuma gato y'indwara. Bufasha kugabanya kwangirika k'umutima. Muri ibyo bihe, ushobora kwakirwa mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) ako kanya kugira ngo uhabwe ubu buvuzi.
• Indwara y'imitsi ifata umutima (CAD): Ibi bikorwa kugira ngo bigabanye ibyago byo kurwara indwara y'umutima mu gihe kizaza niba ufite ibimenyetso nko kubabara mu gatuza (angina) biterwa no kugabanuka kw'imitsi ijyana amaraso mu mutima.
• Indwara y'imitsi yo mu biganza (PAD): Indwara aho imitsi y'amaraso yo mu maboko, amaguru, n'ikibuno ifungana, bigatera ububabare mu maguru iyo umuntu agenda kandi ibikomere bigakira buhoro buhoro. Uburyo bwo kuvura indwara ya angioplasty nabwo bukoreshwa mu kuvura iyi ndwara.
• Indwara y'imitsi ya Carotid: Ubu buryo bwo kuvura bukoreshwa mu kugabanya ibyago byo kurwara indwara yo gucika kw'imitsi, ishobora guterwa no kuziba kw'imitsi ya carotid mu ijosi itanga amaraso mu bwonko.
• Indwara y'impyiko idakira: Hari igihe imikorere y'impyiko ishobora kwangirika bitewe no kuziba kw'imiyoboro y'amaraso ijyana impyiko. Ubu buryo bwo kuvura bushobora no gufasha muri ibyo bihe.

Witegura ute ibi?

Ntugahangayike, umuganga wawe n'abakozi bo mu bitaro bazaguha amabwiriza asobanutse neza y'uko wakwitegura. Ubusanzwe uzahabwa inama nk'izi:

• Uzasabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose mu masaha agera ku munani mbere yo kuvurwa (ni byiza kunywa amazi make).
• Niba ufata imiti imwe n'imwe, nk'imiti igabanya amaraso, ushobora gusabwa guhagarika kuyifata iminsi mike cyangwa guhindura ingano. Menya neza ko wabwiye muganga wawe imiti yose ufata.
• Bazakubaza niba warigeze kugira ubwivumbure ku kintu icyo ari cyo cyose mu bihe byashize (cyane cyane irangi ritandukanye ryakoreshejwe mu bizamini) cyangwa niba waragize ikibazo icyo ari cyo cyose ku bijyanye n'ikinya.
• Niba utwite, ugomba kubimenyesha.
• Icy'ingenzi kurushaho: Ntuzemererwa gutwara imodoka ujya mu rugo ku munsi wo kuvurwa. Kubwibyo, teganya ko hari umuntu uzagutwara ujya mu rugo mbere y'igihe. Ushobora gukenera kumara umunsi mu bitaro.

Ni iki kibaho mu gihe cyo kuvura angioplasty? Reka twige intambwe ku yindi

Icyumba gikorerwamo ibi (Cath Lab) ntabwo ari nk'icyumba gisanzwe cyo kubaga, ahubwo ni ahantu hari imashini nyinshi za X-ray na monitors. Reka turebe intambwe ku yindi ibiba mu gihe cyo kuvurwa.

1. Kwitegura: Uzahabwa ikanzu yihariye yo kwa muganga hanyuma ubwirwa kuryama ku buriri. Uzahabwa umuti wo kuruhura binyuze mu muyoboro wa IV ( nk'umunyu ) kugira ngo bigufashe kuruhuka no kumva usinziriye gato. Ariko ntuzaba usinziriye burundu, kandi uzaba uri maso bihagije kugira ngo wumve icyo muganga akubwira. Uzaba ufite ibikoresho bizapima ibintu nk'umuvuduko w'umutima wawe n'urugero rwa ogisijeni.

2. Uburyo bwo kwinjira: Hanyuma, muganga azahitamo ahantu ho kugera amaraso menshi, haba binyuze mu kuboko cyangwa mu kibuno. Hazaterwa urushinge ruto (anesthesia yo mu gace) kugira ngo agace gashiremo ibisebe. Bityo ntuzumva ububabare ubwo aribwo bwose, ariko ushobora kumva urimo gushyuha gato.

3. Gushyiramo katheta: Noneho, urushinge ruto rushyirwa mu gace karimo ibinure, hanyuma umuyoboro woroshye kandi woroshye (agahu) ushyirwa mu miyoboro y'amaraso unyuze muri wo. Hanyuma, ndetse n'insinga n'imiyoboro mito byitwa katheta binyuzwa muri uyu muyoboro kugeza ku mutsi ufunze mu mutima.

4.Ubuyobozi bwa X-ray: Imashini nini ya X-ray (yitwa fluoroscopy ) irazenguruka hirya no hino yawe, igafasha umuganga kubona inzira ya catheter kuri ecran. Ni nko kureba GPS.

5. Kumenya aho ifunga: Iyo katheteri imaze gushyirwa, hashyirwamo amazi yihariye (irangi ritandukanye) mu mitsi inyuramo. Aya mazi atuma imitsi y'amaraso igaragara neza kuri X-ray. Muri iki gihe, ushobora kumva ubushyuhe mu mubiri wawe, cyangwa ukumva ukeneye kunyara. Ibi bizashira mu masegonda make. Muri aya mashusho niho muganga azasanga aho ifunga ry'imitsi ryabereye.

6. Gufungura umutsi: Noneho, katheteri ifite agapira gato inyuzwa mu gace kafunzwe. Iyo igeze ahantu heza, agapira karashyuha mu masegonda make. Agace k'ibinure kafunzwe gahita gakanda ku rukuta rw'umutsi, bigatuma amaraso atembera. Ibi bishobora gukenerwa gukorwa inshuro nyinshi.

7. Gushyiramo stent: Nyuma yo kugenzura neza ko umutsi ufunguye, muganga akunze gushyiramo stent mu mwenge. Uyu ni umuyoboro muto w'urushundura. Ufasha umutsi ufunguye kuguma ufunguye iteka ryose, ukarinda ko wongera gufungana.

Ibi byose nibirangira, umuganga azakuraho catheter, ashyire plaster aho urushinge rwashyizwe, hanyuma ayifate umwanya kugira ngo amaraso ahagarike. Niba ibi byakozwe mu kibuno, ugomba kuryama ku buriri amasaha make. Ubusanzwe igikorwa cyose kimara iminota 30 kugeza ku masaha 2.

Ni izihe ngaruka mbi zishobora guterwa n'ibi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nke cyane. Ariko ibuka ko ingorane zikomeye zikunze kubaho iyo ubu buryo bukorwa buri gihe, buyobowe n'umuganga w'inararibonye, ​​kandi mu bitaro byiza.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kuvurwa?

Nyuma yo kuvurwa, uzakenera kumara amasaha make mu bitaro cyangwa ijoro ryose. Umaze gutaha, ushobora kumva unaniwe gato. Ruhuka bihagije kandi unywe ibinyobwa byinshi. Muganga wawe azakubwira kwirinda gukora imyitozo ngororamubiri myinshi mu minsi ibiri cyangwa itatu ya mbere. Aho urushinge rwashyizwe hashobora kuba hari udusebe duto kandi tworoshye mu gihe kingana n'icyumweru.

Ubusanzwe uzabasha kongera gutwara imodoka no gukomeza imirimo yawe isanzwe mu cyumweru kimwe. Ariko, ibi bishobora gutandukana bitewe n'uko umeze, bityo buri gihe banza uganire na muganga wawe kandi ukurikize amabwiriza ye.

Umaze gutaha, ugomba guhamagara muganga saa ngahe?

Uzaba ugiye kwitabwaho mu ivuriro rikurikira, bityo rero menya neza ko ugiyeyo. Ariko mbere y'ibyo, niba ubonye kimwe mu bimenyetso biri hepfo, hamagara muganga wawe ako kanya.

• Iyo aho batoboye hari amaraso cyangwa hagaragara ko hari ubwandu (bwabyimbye, butukura, kandi burimo amashyira).
• Iyo ibara ry'ukuboko cyangwa ukuguru rihindutse.
• Niba wumva ubushyuhe cyangwa ububabare bukabije muri ako gace.
• Niba ubabara mu gatuza cyangwa uhumeka nabi .

Ese ubu buryo bwo kuvura bugira ingaruka nziza? Ese birababaza?

Angioplasty ni uburyo bwiza cyane bwo kuvura, ariko kugira icyo bugeraho biterwa n'ibintu byinshi, harimo ubukana bw'imitsi yawe ifungana, ubuzima bwawe muri rusange, n'imyaka yawe. Muganga wawe azagusobanurira birambuye ibisubizo bizavamo hashingiwe ku ndwara yawe.

Ku bijyanye n'ububabare, ntabwo uzumva ububabare bwinshi muri ubu buryo bwo kuvura. Ushobora kugira ububabare buke:

• Iyo ushyizemo agapira ka IV karababaza.
• Ububabare buto wumva iyo utewe umuti utera ibisebe.
• Ushobora kumva umuvuduko mu gituza cyawe cyangwa ukumva utameze neza mu gihe agapira ko mu mitsi yawe kabyimba.

Ntuzumva na catheter inyura mu mitsi yawe. Niba ugize ububabare bukabije mu gihe cyo kuvurwa, bwira muganga wawe ako kanya.

Ni ibisanzwe kumva ufite ubwoba iyo ubwiwe ko ugomba gukora angioplasty. Ariko ni igikorwa gisanzwe, cyizewe kandi gitanga umusaruro kibera ku isi yose. Ntukigere utinya kubaza muganga wawe ikintu cyose udasobanukiwe cyangwa utazi neza. Arahari kugira ngo agufashe.