Ese umuganga wawe yigeze kukubwira ko "amaraso make arimo kuva mu muyoboro w'umutima"? Cyangwa yigeze kukubwira ko iyi ishobora kuba impamvu y'ububabare n'umunaniro wumva? Mu by'ukuri, bumwe mu buryo bwo kuvura bukorwa muri bene ubwo buryo bwitwa 'Annuloplasty'. Ibi bishobora kumvikana nk'ijambo rigoye, ariko mu by'ukuri ni iryoroshye cyane. Muri iyi nkuru, tuzavuga kuri ibi mu buryo bworoshye, mu buryo ushobora kumva.
Annuloplasty ni iki?
Kugira ngo tubisobanukirwe, reka tubanze tuvuge gato ku miyoboro y'amaraso iri mu mitima yacu. Tekereza ko umutima wawe umeze nk'inzu ifite ibyumba bine. Hari inzugi enye hagati y'ibi byumba. Izi nzugi nizo twita imiyoboro y'amaraso. Izi nzugi zifite umwihariko. Zifunguka mu cyerekezo kimwe gusa. Ni ukuvuga ko, nyuma y'uko amaraso ava mu cyumba kimwe ajya mu kindi, uru rugi rurafunga, amaraso agahagarara gusubira inyuma. Ibi nibyo biba mu mutima muzima.
Ariko rimwe na rimwe, izi nzugi, cyangwa valve, ntizifunga neza. Bimeze nk'ingufuri y'urugi yacitse. Bigenda bite se? Amaraso amwe asubira inyuma, cyangwa ava. Mu buvuzi, ibi twita condition valve regurgitation . Iyo ibi bibaye, umutima ugomba gukora cyane kuruta uko bisanzwe. Uko igihe kigenda gihita, ibi ntabwo ari byiza ku mutima.
Muri make, annuloplasty ni ukubaga kugira ngo hakosorwe cyangwa hakomezwe umuyoboro w'umutima nk'uyu.
Muri ubu buryo, umuganga ubaga ashyira impeta cyangwa agapfundikizo kadasanzwe ku mpande zikikije umugozi w'umutima wawe (witwa `annulus`) hanyuma akawukomeza. Tekereza nko gushyira akantu gato ku rugi kadafunga neza. Nyuma yo gushyiramo impeta, utubuto tubiri tw'umugozi dutangira kongera gufunga neza. Ibi bihagarika amaraso kuva hafi burundu.
Impeta ya Annuloplasty ni iki?
Impeta ikoreshwa muri ubu buvuzi ni igikoresho cyihariye. Ishobora gukorwa mu gikoresho gisa n'urushundura, icyuma, cyangwa pulasitiki. Yagenewe guhuza n'uburyo umutima wawe ugenda n'uburyo ugenda.
Iyo ibi bishyizwe mu mutima, biba bihari burundu . Ntibikurwaho. Biba igice cy'umutima ubwawo, bigafasha valve gufungura no gufunga neza.
Ni nde ukeneye ubu buvuzi?
Ubu buvuzi bukenewe cyane cyane ku bantu bafite ikibazo twavuze mbere , aho amaraso ava inyuma anyuze mu mugozi w'umutima (Valve Regurgitation) . Ubu buvuzi bushobora gukorerwa kuri buri mugozi umwe mu ine y'ingenzi mu mutima wacu.
- Uburyo bwo gufunga icyuma cya Mitral Valve: Ubu ni bwo bukunze gukorwa cyane.
- Annuloplasty y'imitsi y'amaraso: Ubu buryo bukoreshwa kandi mu gusana imitsi y'amaraso y'amaraso.
- Uburyo bwo gupima imvange y'imitsi y'ibihaha: Ibi ni gake cyane, ariko bikorwa iyo bibaye ngombwa.
- Ubwikorezi bwo mu bwoko bwa Tricuspid Valve Annuloplasty: Ubu buryo bwo kubaga bwarafashije kandi mu gihe hamenetse imyanda muri ubu bwoko bwa valve.
Muganga wawe azafata icyemezo niba ubu buryo bwo kubaga ari ngombwa cyangwa atari ngombwa akoresheje ibizamini bitandukanye (urugero, echocardiogram) no gusuzuma imiterere y'agapira k'umutima kawe.
Ni irihe tandukaniro riri hagati ya Annuloplasty na Valvuloplasty?
Aya magambo yombi akunze kwitiranywa. Ariko muri iki gihe, hari ibintu bibiri bitandukanye rwose bibaho. Reka dusobanukirwe neza iri tandukaniro.
| Ingingo | Annuloplasty | Valvuloplasty |
|---|---|---|
| Intego nyamukuru | Gufunga/kuziba valve irimo kuva amaraso inyuma. | Gufungura/kwagura valve yazibye cyangwa yagabanutse. |
| Indwara irimo kuvurwa | Gusubiza Valve mu mwanya wayo | Stenose ya Valve |
| Uko wabikora | Gushyira impeta yihariye ku mvange. | Gucishamo agapira mu gasanduku k'amazi no kugashyiramo umwuka kugira ngo ugabanye ikibazo cyo kuziba. |
Hari andi mahitamo?
Yego. Annuloplasty ntikorwa kuri buri valive iva. Urugero, kuri valive iva muri mitral, hari igihe hakoreshwa agace gato kitwa `MitraClip`. Ibi bikorwa binyuze mu kunyuza umuyoboro muto mu mitsi. Rero ni uburyo bworoshye kuruta kubaga. Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura.
Ni iki kibaho mbere na nyuma yo kubagwa?
Mbere yo kubagwa
Muganga wawe azaguha amabwiriza asobanutse neza y'uburyo bwo kwitegura kubagwa.
- Ubusanzwe usabwa kwiyiriza ubusa (kureka kurya no kunywa) mu ijoro ribanziriza kubagwa.
- Niba ufite ibyago byo kuva amaraso (urugero, niba kuva amaraso bifata igihe kirekire kugira ngo bihagarare), ugomba kubimenyesha muganga wawe.
- Niba ufata imiti igabanya amaraso (nk'imiti igabanya amaraso), ushobora gusabwa guhagarika by'agateganyo kuyifata iminsi mike mbere yo kubagwa. Ibi bigomba gukorwa gusa ku nama za muganga.
Mu gihe cyo kubaga
Ubu bubagwa bukorwa n'abaganga babaga umutima. Uhabwa ikinya rusange , bityo ntugire icyo wumva mu gihe cyo kubagwa, uba usinziriye. Ubu bubagwa bushobora gukorwa mu buryo bubiri bw'ingenzi.
| Uburyo bwo kubaga | Uko wabikora |
|---|---|
| Umutima ufunguye Annuloplasty | Muganga atera igisebe kinini mu gatuza. Hanyuma, impeta ishyirwa hafi y'agace karimo ikibazo hanyuma agace karimo gafungwa n'uduti. |
| Annuloplasty igabanya ubukana bw'umubiri (inyuze mu gukata amaguru magufi) | Ibi ntibisaba gukata igice kinini. Hakorwa uduce duto twinshi mu gituza, kandi hagashyirwamo umuyoboro ufite kamera (endoscope). Udukoresho duto two kubaga twinjizwa mu tundi duce, hanyuma impeta igashyirwamo mu gihe ureba amashusho agaragara kuri kamera. Utwo duce duto dufungwa hakoreshejwe imidozi cyangwa ubwoko bwihariye bwa kole yo kubaga. |
Nyuma yo kubagwa
Nyuma yo kubagwa, uzakurikiranwa mu gace koroherwa mu gihe cy'amasaha make. Niba warabazwe gake cyane, uzabasha gutaha mu munsi umwe cyangwa ibiri. Ariko, niba warabazwe umutima, ushobora kumara iminsi irindwi mu bitaro.
Ibyiza, ingaruka, n'igihe cyo gukira by'ubu buvuzi
Ni izihe nyungu?
- Ikomeza valve iva.
- Amaraso atembera neza mu mutima.
- Imbaraga z'umutima zo gupompa amaraso ziragabanuka.
- Kuri benshi, ibi bisubizo bimara ubuzima bwabo bwose .
Hari ibyago ibyo ari byo byose?
Nk’uko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe. Hari ibintu bimwe na bimwe ushobora gukora nyuma yo kubagwa, nko kwandura no kuva amaraso. Ariko ibi ni gake cyane. Ingaruka zawe muri rusange ziterwa n’ubuzima bwawe n’izindi ndwara z’umutima.
Ni byiza kuganira na muganga wawe mu buryo bweruye ku ngaruka zihariye zishobora kubaho ku kibazo cyawe.
Bifata igihe kingana iki kugira ngo umuntu akire?
Ibi kandi biterwa n'ubwoko bw'ikibagwa wakorewe.
- Ni byiza kudakora akazi katoroshye cyangwa imirimo ivunanye byibuze icyumweru kimwe nyuma yo kubagwa.
- Iyo bikozwe mu buryo budakabije, uzabasha gusubira ku kazi mu cyumweru kimwe cyangwa bibiri.
- Ariko niba ukora akazi gasaba imbaraga nyinshi, uzategereza igihe kirekire.
- Muganga wawe azakubwira neza icyo gukora n'icyo utagomba gukora mu gihe cyo gukira. Ni ingenzi cyane gukurikiza ayo mabwiriza neza.
Iyi mpeta yo gusezerana imara igihe kingana iki?
Iki ni ikibazo abantu benshi bafite. Iyi mpeta yagenewe kumara imyaka ibarirwa muri za mirongo, 20 cyangwa 30 nta kibazo . Abantu benshi ntibazongera gukenera kuvurwa kuri iki kibazo mu buzima bwabo.
Igitangaje kuri ibi ni uko uko igihe kigenda gihita, umutima wawe ugenda ukura ukikije iyi mpeta. Uko ni ko bikwiye kumera. Mu by'ukuri, iyi mpeta iba igice cy'umutima wawe.
Ni ryari ngomba kubonana na muganga?
Iyo ugiye mu rugo nyuma yo kubagwa, ugomba kwitondera umubiri wawe cyane. Niba ubonye kimwe mu bimenyetso bikurikira, ugomba guhita uhamagara muganga wawe , cyangwa ukajya mu bitaro bikuru by’ubutabazi bwihuse (ETU) by’ibitaro biri hafi yawe.
- Niba ubabara mu gatuza (angina) .
- Niba urwaye umutwe cyangwa ucika intege (syncope) .
- Niba wumva ufite umuriro cyangwa urimo guhinda umushyitsi kubera ibicurane .
- Niba wumva ufite isesemi cyangwa kuruka .
- Iyo hari ububabare cyangwa kubyimba bidakira aho bakorewe ubuvuzi cyangwa mu maguru.
Ntukirengagize ibi bimenyetso. Kubimenyesha hakiri kare bishobora gukumira ikibazo gikomeye.
Ubutumwa bwo kujyana mu rugo
- Annuloplasty ni uburyo bwo kubaga bwagenze neza kugira ngo hakorwe neza uburyo bwo gusana umugozi wo mu mutima uva amaraso inyuma.
- Muri ibi, impeta yihariye ishyirwa hafi y'agace k'ingufu, ikagatunganya kugira ngo gafunge neza.
- Ubu buryo bwo kubaga bushobora gukorwa nk'uburyo bwo kubaga umutima ufunguye cyangwa binyuze mu gukata amenyo mato (ashobora kubagwa mu buryo budakabije).
- Igihe cyo gukira n'igihe cyo kumara mu bitaro biterwa n'ubwoko bw'ubuvuzi.
- Iyi mpeta yo gusezerana irakomeye kandi izamara imyaka ibarirwa muri za mirongo nta kibazo.
- Nyuma yo kubagwa, kurikiza amabwiriza ya muganga wawe neza. Menya ibimenyetso by'umuburo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment