Nkuko mubizi, umutima wacu umeze nk'ipompo ikora neza. Muri iyi pompe, harimo inzugi nto zifasha amaraso gutembera mu cyerekezo kimwe gusa. Izi mashini twita imashini z'umutima. Hari igihe izi mashini zidashobora gufunga neza kandi zishobora gufunguka gato. Hanyuma, aho kujya imbere, amaraso atangira kuva inyuma. Kubera iyi ndwara, ushobora kumva unaniwe vuba kandi ukagorwa no guhumeka. Rero, hano hari kubagwa kwihariye gukorwa kugira ngo hakorwe imashini nk'iyo imashini isohoka, twita Annuloplasty.
Mu magambo make, Annuloplasty ni iki?
Annuloplasty ni ukubaga kugira ngo hakorwe cyangwa hakomezwe umugozi w'umutima. Tekereza ko urugi rw'inzu yawe rufunguye gato kandi urugi ntirufunge neza. Icyo dukora ni ugushyira icyuma kizenguruka urugi hanyuma tukarukomeza. Ibyo ni kimwe n'ibi.
Mu gihe cyo kubaga, abaganga bashyira umugozi wihariye, cyangwa impeta, ku gice cy’umutima gifunga neza. Ibi bituma umugozi wari ufunguye kandi uva, wongera gufunga neza. Ibi bihagarika amaraso gutembera inyuma, maze imikorere y’umutima igasubira uko yakabaye.
Intego nyamukuru y'ubu buvuzi ni uguhagarika gusubira inyuma kw'amaraso (valves regurgitation) no gufasha umutima kohereza amaraso mu mubiri wose nta mbogamizi.
Iyi mpeta yitwa Annuloplasty isa ite?
Iki ni igikoresho cyihariye gishyirwa hafi y'umugozi. Gishobora gukorwa mu cyuma, mu cyuma, cyangwa muri pulasitiki. Iyi mpeta yagenewe guhuza n'uburyo umugozi w'umutima ugenda n'uburyo ugenda neza. Nyuma yo kubagwa, ni ikintu kiguma mu mubiri ubuzima bwose. Uko igihe kigenda gihita, ingingo z'umutima wacu zikura zikikije iyi mpeta, kandi ziba igice cy'umutima ubwawo. Ibi biha umugozi inkunga ikomeye yo gufungura no gufunga neza.
Ni nde ukeneye ubu buvuzi?
Ubu buryo bwo kuvura bukunze kuba bwiza ku bantu bafite ikibazo cyitwa "valve regurgitation". Ubu buryo bwo kubaga bushobora gukorwa kuri vali imwe mu enye z'ingenzi mu mutima wacu.
- Uburyo bwo gusana valve ya mitral: Gusana valve ya mitral.
- Aortic valve annuloplasty: Gusana valve ya aortic.
- Uburyo bwo gusana valve y'ibihaha: Gusana valve y'ibihaha.
- Uburyo bwo gusana valve ya tricuspid: Gusana valve ya tricuspid.
Ni irihe tandukaniro riri hagati ya Annuloplasty na Valvuloplasty?
Nubwo ibi byombi ari uburyo bwo kuvura imitsi y'umutima, byombi bifite intego ebyiri. Reba iyi mbonerahamwe, urashobora kubyumva byoroshye.
| Ubuvuzi | Urimo mu bihe bimeze bite? |
|---|---|
| Annuloplasty | Funga valve ivamo amazi hanyuma uyifunge neza. |
| Valvuloplasty | Kwagura valve ya stenotic no koroshya gutembera kw'amaraso. |
Annuloplasty si bwo buryo bwonyine bwo kuvura imyanda y'imitsi. Hari igihe ushobora gukoresha agapira, nka MitraClip®, gashyirwamo ukoresheje akantu gato, kugira ngo gafunge iyo myanda. Umuganga w'indwara z'umutima ni we uzagena uburyo bwiza bwo kuvura.
Ni iki kibaho mbere no mu gihe cyo kubagwa?
Muganga wawe azaguha amabwiriza yose ukeneye mbere yo kubagwa. Ubusanzwe, ntuzemererwa kurya cyangwa kunywa ikintu icyo ari cyo cyose mu ijoro ryabanjirije kubagwa (kwiyiriza ubusa). Niba ufata imiti idasanzwe, nk'imiti igabanya amaraso, ugomba kubimenyesha muganga wawe. Bitewe n'inama za muganga, ushobora gukenera guhagarika by'agateganyo gufata iyi miti iminsi mike mbere yo kubagwa.
Kubagwa bikorwa n'abaganga b'umutima. Uzahabwa ikinya rusange, bityo ntuzumva ikintu icyo ari cyo cyose mu gihe cyo kubagwa. Hari uburyo bubiri bw'ingenzi bwo kubaga.
| Uburyo bwo kubaga | Ni iki kiri kuba? |
|---|---|
| Kubagwa umutima ufunguye | Icamo rimwe rinini rikorerwa mu gace k'igituza, rigahita rigera ku mutima, hanyuma impeta ya Annuloplasty irashyirwamo. Icamo rigafungwa n'uduti. |
| Kubagwa mu buryo budakunze kugaragara | Hakorwa uduce duto twinshi mu gituza. Hashyirwamo umuyoboro muto ufite kamera (endoscope), hanyuma impeta igashyirwamo hakoreshejwe ibikoresho byihariye mu gihe ureba kuri ecran. |
Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa?
Nyuma yo kubagwa, uzaguma mu cyumba cyo gukira amasaha make mbere yo kwimurirwa mu cyumba cy’abarwayi. Niba warabazwe gato, ushobora gutaha mu munsi umwe cyangwa ibiri. Ariko, niba warabazwe umutima, ushobora kumara iminsi 5-7 mu bitaro.
Igihe cyo gukira nyuma yo gusubira mu rugo giterwa n'ubwoko bw'ikibagwa wakorewe ndetse n'ubuzima bwawe bw'umubiri.
- Ugomba kwirinda burundu gukora akazi gakomeye byibuze icyumweru .
- Uzashobora gusubira ku kazi mu cyumweru kimwe cyangwa bibiri nyuma yo kubagwa. Ariko, niba ufite akazi gasaba guterura ibintu biremereye cyangwa gukora imyitozo ngororamubiri, bishobora gufata igihe kirekire.
- Muganga wawe azaguha amabwiriza asobanutse neza y'igihe ugomba kuruhuka n'igihe ushobora gusubira ku kazi.
Igihe cyo kubonana na muganga ako kanya
Iyo ugiye mu rugo nyuma yo kubagwa, ugomba kwita ku mubiri wawe cyane. Menya neza ikintu cyose kidasanzwe. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe vuba. Niba ibimenyetso byawe bikomeye, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.
| Ibimenyetso byo kwitondera |
|---|
| - Kubabara mu gituza cyangwa gufungana (angina) |
| - Kuzungera cyangwa guta ubwenge (syncope) |
| - Kugira umuriro cyangwa ubukonje |
| - Kugira isesemi cyangwa kuruka |
| - Kubyimba cyangwa ububabare buhoraho aho bakorewe ubuvuzi |
Uburyo bwo gupima amenyo (Annuloplasty) ni uburyo bwizewe kandi bugira ingaruka nziza mu bihe byinshi. Kimwe no kubagwa kose, hari ingaruka nke (nk'ubwandu no kuva amaraso). Ariko ntugahangayike. Muganga wawe azagusobanurira neza ingaruka ziterwa n'imimerere yawe.
Ubutumwa bwo kujyana mu rugo
- Annuloplasty ni ukubaga kugira ngo hakorwe umuyoboro w'umutima wavaga.
- 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 hakoreshejwe uburyo bwo gukata amenyo.
- Igihe cyo gukira n'igihe cyo kumara mu bitaro biterwa n'ubwoko bw'ubuvuzi wakorewe.
- Impeta ya annuloplasty isanzwe imara ubuzima bwose kandi ntigomba gusimburwa.
- Niba ugize ibimenyetso bidasanzwe nyuma yo kubagwa, ntutindiganye kubimenyesha muganga wawe ako kanya.
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