Ese imitsi y'umutima wawe yazibye? Reka twige ibijyanye na Angioplasty mu magambo make

Tekereza ku mitsi ijyana amaraso mu mutima wawe, mu bwonko, no mu ngingo nk'imihanda. Uko igihe kigenda gihita, iyi mihanda iraziba ibinure nka cholesterol , bishobora kugabanya imiyoboro y'amaraso imbere, nko kuziba umuhanda. Ibi tubyita atherosclerosis . Iyo imiyoboro izibye gutya, habaho indwara zikomeye nko kubabara mu gatuza , indwara z'umutima , no gucika kw'imitsi . Rero, angioplasty ni uburyo bw'ingenzi cyane bwo kongera gufungura imiyoboro y'amaraso izibye no gusubiza amaraso mu buryo.

Angioplasty ni iki mu by'ukuri?

Mu magambo make, angioplasty ni uburyo busaba gushyira umuyoboro muto ( catheter ) mu mitsi yazibye nta kubagwa gukomeye, no kwemerera amaraso gutembera neza. Ibi akenshi bisaba gushyira agapira gato ku mpera y'umuyoboro aho wazibye. Ibi bisunika ibinure (ibinure byinjijwe) ku rukuta rw'imitsi, bikongera gufungura umuyoboro wagutse.

Ubu buryo ni bwo bugabanya cyane ingaruka ugereranije n’uburyo bukomeye bwo kubaga nko kubaga hakoreshejwe inzira y’amaraso. Kubwibyo, ingaruka ni nke kandi igihe cyo gukira ni gito. Ubuzima bw’umutima n’imitsi y’amaraso ni ingenzi ku buzima bw’umubiri wacu wose. Kubwibyo, ubu buryo bukunze kuba ngombwa kugira ngo hirindwe ingorane zikomeye nk’indwara z’umutima n’imitsi yo mu bwonko.

Ni ubuhe bwoko n'uburyo bwo gukora angioplasty?

Abaganga bakoresha amazina atandukanye kuri ubu buryo bitewe n'imitsi y'amaraso ivurwa. Hari ubwoko bubiri bw'ingenzi:

• Angioplasty y'imitsi y'umutima: Ubu ni uburyo bwo kuvura imitsi mikuru y'amaraso itanga amaraso mu mutima. Iyi mitsi tuyita imitsi y'umutima. Irindi zina ry'ubu buryo ni `(Percutaneous Coronary Intervention – PCI)`.
• Angioplasty y'imitsi ijyana amaraso mu mutima ikayajyana mu bice bya kure by'umubiri, nko mu maboko no mu maguru.

Hari uburyo butandukanye bwo gukora ubu buvuzi:

• Angioplasty y'ibaluni:Ubu ni bwo buryo bukunze gukoreshwa cyane. Nkuko byavuzwe mbere, umutsi wongera imbaraga binyuze mu gushyiramo agapira gato.
• Angioplasty hamwe na Stenting: Akenshi, nyuma yo kwaguka k'imitsi hakoreshejwe baluni, umuyoboro muto w'imitsi (witwa stent ) ushyirwa burundu mu mitsi kugira ngo ikomeze gufungura. Ibi bigabanya cyane ibyago byo kongera kugabanuka k'imitsi.
• Excimer Laser Angioplasty: Aho gukoresha balloon, hakoreshwa laser beam kugira ngo hashonge kandi hakureho ibinure biri mu mitsi. Ariko, ubu buryo ntibukunze gukoreshwa cyane ugereranyije n'uburyo bwa balloon.

Ni ryari angioplasty iba ikenewe?

Dore zimwe mu bihe ushobora gukenera angioplasty. Niba ufite imwe muri izi ndwara, muganga wawe ashobora kukugira inama yo kuvura.

Witegura ute mbere yo kuvurwa?

Muganga wawe azaguha amabwiriza asobanutse neza y'uko wakwitegura. Ubusanzwe, uzakenera kwitondera ibi bintu:

• Uzasabwa kwirinda kurya cyangwa kunywa (kwiyiriza ubusa) amasaha agera ku 8 mbere yo kuvurwa. Nta kibazo kunywa amazi make.
• Ugomba kubwira muganga wawe imiti iyo ari yo yose ufata, cyane cyane imiti igabanya amaraso . Ashobora kugusaba guhagarika kuyifata iminsi mike.
• Menya neza ko wabibwiye muganga wawe niba warigeze kugira allergie iterwa n'irangi ritandukanye cyangwa imiti igabanya ububabare yakoreshejwe muri X-rays zabanje.
• Ugomba kandi kubamenyesha niba utwite .
• Igikuru ni uko utazashobora gutwara imodoka ku munsi wo kuvurwa. Kubwibyo, niba ugiye gutaha uwo munsi, uzakenera gushaka umuntu uzagutwara . Ushobora gukenera kurara mu bitaro ijoro ryose.

Ni iki kibaho mu gihe cyo kuvurwa?

Nta cyo guhangayika. Izi ni intambwe zikunze kubaho:

1. Uzahabwa ikanzu yo kwambara mu bitaro kandi uzategekwa kuryama ku meza yihariye.

2. Uzahabwa umuti wo kuvura unyuze mu murongo wa IV uzagutera gusinzira gake, ariko uzaba ufite ubwenge buhagije bwo gukurikiza amabwiriza.

3. Mu gihe cyose cyo kuvurwa, imashini zigenzura ibintu nk'umuvuduko w'umutima wawe n'urugero rwa ogisijeni.

4. Agace ka katheteri gashyirwamo (akenshi mu kibuno cyangwa ku kuboko) kaba gafite ikinya cyo mu mutwe . Bityo ntuzumva ububabare ubwo aribwo bwose. Ushobora kumva ubabara gato.

5. Muganga yinjira mu mitsi y'amaraso akoresheje urushinge maze agashyiramo umuyoboro (agatambaro).

6. Hanyuma, insinga na catheter binyuzwa muri uyu muyoboro bijya mu mitsi y'amaraso. Muri iki gihe, imashini ya X-ray (fluoroscopy) irazenguruka hirya no hino, igafasha muganga kubona inzira y'umuyoboro impande zose.

7. Iyo hamaze kugaragara ikibazo cyo kuziba, hashyirwa irangi ryihariye (irangi ritandukanye) binyuze mu muyoboro. X-ray izagaragaza neza amaraso atembera mu mitsi. Muri iki gihe, ushobora kumva ushyushye cyangwa ukumva ukeneye kunyara amasegonda make.Urashobora kuza. Ibyo ni ibisanzwe.

8. Iyo hamaze kugaragara neza aho ikibazo cyazibye, hanyuzwamo insinga nto, hanyuma hanyuzwamo katheteri ifite umuyoboro hejuru.

9. Hanyuma agapira kazabyimba mu masegonda make . Ushobora kubikora inshuro nyinshi.

10. Tuzongera gufata X-ray kugira ngo turebe uburyo amaraso atembera neza.

11. Akenshi, stent, nk'uko byavuzwe mbere, ishyirwa aho hantu . Iyi stent ifasha imitsi kuguma ifunguye ndetse na nyuma yuko ibara rikuweho.

Iyo ubuvuzi burangiye, muganga azakuraho catheter, ashyire igitambaro ku gice cyometseho, hanyuma ayifate umwanya kugira ngo amaraso ahagarike. Niba catheter yashyizwe mu kibuno, uzakenera kuryama mu buriri amasaha make.

Ese hari ingaruka zishobora guterwa n'ubu buvuzi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, angioplasty ifite ibyago bimwe na bimwe. Ariko, ingorane zikomeye ntizikunze kubaho . Ni byiza cyane cyane ko ubu buvuzi bukorerwa mu kigo cy’abaganga b’inararibonye bakora ubu buvuzi kenshi.

Ingaruka zishobora kubaho:

• Kuva amaraso, ububabare, cyangwa kwandura aho catheter ishyirwa.
• Allergie ku irangi cyangwa ikinyabutabire cyakoreshejwe.
• Kwangirika kw'imitsi y'amaraso cyangwa impyiko.
• Kurema kw'amaraso apfutse.
• Umutima utari umeze neza (arrhythmia).
• Iyo stent idashyizwemo, umutsi uzongera kuziba.
• Ni gake cyane, indwara y'umutima cyangwa indwara yo gucika kw'imitsi ishobora kubaho.

Abantu barengeje imyaka 65, abafite indwara y'impyiko, cyangwa abafite imiyoboro myinshi y'amaraso ishobora kuziba bashobora kugira amahirwe menshi yo kugira ibibazo.

Igihe cyo gukira n'igihe cyo kubonana na muganga

Uzakenera kumara amasaha make mu bitaro cyangwa ijoro ryose nyuma yo kuvurwa. Ushobora kumva unaniwe gato iyo ugiye mu rugo. Ruhuka bihagije kandi unywe ibinyobwa byinshi . Muganga wawe azakugira inama yo kwirinda gukora imyitozo ngororamubiri iremereye mu minsi mike. Igikomere aho catheter yashyizwe gishobora kuba cyakomeretse gato kandi cyoroshye mu gihe kingana n'icyumweru.

Ugomba kuba ushobora gusubira ku kazi no gutwara imodoka mu cyumweru kimwe. Ariko, ibi bishobora gutandukana bitewe n'uburyo bw'ubuvuzi wahawe. Baza muganga wawe nabyo.

Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya:

• Iyo aho catheter ishyirwa hari amaraso cyangwa hagaragara ko hari ubwandu (umutuku, wabyimbye, wuzuye amabyi).
• Iyo ibara ry'ukuguru rihindutse .
• Niba wumva ububabare bukabije cyangwa ubushyuhe muri ako gace.
• Niba ubabara mu gatuza cyangwa ukumva bigoye guhumeka, jya ku bitaro byita ku barwayi ba ETU byihutirwa.

Angioplasty, indwara z'umutima, stent, kuziba kw'imitsi y'amaraso, kubabara mu gituza, indwara z'umutima, cholesterol