Ushobora kuba uzi ko umutima wawe ukora nk'ipompo ifite ubushobozi bwo gukora cyane. Muri iyi pompe harimo "amarembo" mato yitwa "valve z'umutima", atuma amaraso atembera mu cyerekezo kimwe gusa. Hari igihe, izi valve zishobora kudafunga neza, bigatuma amaraso ava inyuma aho kujya imbere. Iyi ndwara ishobora gutera ibimenyetso nko kunanirwa guhoraho cyangwa kubura umwuka. Annuloplasty ni uburyo bwihariye bukorwa n'inzobere za Nirogi Lanka mu gusana izi valve ziva.
Annuloplasty ni iki?
Annuloplasty ni uburyo bwo kubaga bugamije gusana cyangwa gukomeza umuyoboro w'umutima. Tekereza nko gufunga urugi rudafunguye mu rugo kugira ngo urugi rwongere rufunge neza. Dukora akazi nk'ako ku mutima wawe.
Mu gihe cyo kubagwa, umuganga wawe ashyira umugozi wihariye cyangwa "impeta" hafi y'agace k'amaraso gasanzwe (agace k'inyuma k'agace k'amaraso gasa n'impeta) kugira ngo awukomeze. Ibi bituma agace k'amaraso kari kamaze gusohoka gafunga neza. Mu guhagarika amaraso gusubira inyuma, umutima wawe urongera gukora neza.
Intego nyamukuru y'ubu buvuzi ni ukugabanya kugabanuka kw'amaraso mu mitsi no kwemeza ko umutima wawe ushobora kohereza amaraso mu mubiri wawe wose nta nkomyi.
Impeta ya Annuloplasty ni iki?
Impeta ni igikoresho cyihariye cy’ubuvuzi, akenshi cyakozwe mu cyuma, icyuma, cyangwa pulasitiki iramba. Yakozwe kugira ngo yigane uko umutima wawe umeze n’uko ugenda. Iyo imaze gushyirwaho, impeta iguma mu mubiri wawe burundu. Uko igihe kigenda gihita, umubiri w’umutima wawe urakura uyikikije, ushyiramo igikoresho mu miterere yawe, ibi bikaba bitanga ubufasha bukenewe kugira ngo valve yawe ikore neza.
Ni nde ukeneye ubu bubagwa?
Ubu buvuzi busanzwe bugirwa inama ku barwayi bafite ikibazo cyo gusubira kwa valve. Bushobora gukorwa kuri iyo vali enye z'ingenzi z'umutima.
- Gusana valve ya Mitral: Gusana valve yawe ya mitral.
- Uburyo bwo gusana valve ya aortic: Gusana valve yawe ya aortic.
- Uburyo bwo gusana valve y'ibihaha: Gusana valve y'ibihaha byawe.
- Gutunganya valve ya tricuspid: Gusana valve yawe ya tricuspid.
Ni irihe tandukaniro riri hagati ya Annuloplasty na Valvuloplasty?
Nubwo uburyo bwombi buvura imiyoboro y'umutima, bufite intego zitandukanye. Nyamuneka reba imbonerahamwe iri hepfo kugira ngo usobanukirwe uburyo butandukanye.
| Uburyo | Bikorwa ryari? |
|---|---|
| Annuloplasty | Gufunga neza valve ivamo amazi . |
| Valvuloplasty | Kwagura valve ya stenotike kugira ngo amaraso atembera neza. |
Annuloplasty si bwo buryo bwonyine bwo kuvura valve irimo kuva. Hari igihe ushobora gushyiramo agapira gato (nka `MitraClip®`) ukoresheje akantu gato ko gukata kugira ngo gafashe valve gukomeza kuyifata. Umuganga w'indwara z'umutima ni we uzagena gahunda ikwiye yo kuvura ijyanye n'ibyo ukeneye.
Ni iki kibaho mbere no mu gihe cyo kubagwa kwawe?
Mbere yo kubagwa, muganga wawe azaguha amabwiriza yose akenewe. Ubusanzwe, uzakenera kwiyiriza ubusa (nta kurya cyangwa kunywa) guhera mu ijoro ryabanjirije iryo. Niba ufata imiti nka 'anticoagulants' zoroshya amaraso, ugomba kubimenyesha muganga wawe.Ukurikije inama za muganga, ushobora gukenera guhagarika iyi miti by'agateganyo iminsi mike mbere y'uko ukorerwa ubu buvuzi.
Kubagwa bikorwa n'abaganga b'inzobere mu kubaga indwara z'umutima. Uzashyirwa munsi y'ikinya rusange, kugira ngo utazagira ikibazo mu gihe cyo kubagwa. Hari uburyo bubiri bw'ibanze.
| Uburyo bwo kubaga | Ibisobanuro by'Inzira |
|---|---|
| Kubagwa umutima ufunguye | Hakorwa icyuho kinini mu gituza kugira ngo kigere ku mutima neza kandi gitere impeta ya annuloplasty. Hanyuma igituza gifungwa n'imigozi. |
| Kubagwa mu buryo budakunze kugaragara | Gutemagura gato mu gituza. Hashyirwamo umuyoboro ufite kamera (endoscope), wemerera umuganga kubaga kuyobora impeta mu mwanya wayo mu gihe areba icyuma gipima. |
Igihe cyo gukira kimara igihe kingana iki?
Nyuma yo kubagwa, uzamara amasaha menshi mu cyumba cyo gukira mbere yo kwimurirwa mu cyumba cyawe. Niba warabazwe gake cyane, ushobora gusezererwa mu minsi 1-2. Kubagwa umutima ufunguye ubusanzwe bisaba iminsi 5-7 mu bitaro.
Igihe cyo gukira mu rugo giterwa n'ubwoko bw'ubuvuzi bwakorewe ndetse n'ubuzima bwawe muri rusange.
- Irinde gukora imyitozo ngororamubiri isaba imbaraga nyinshi nibura icyumweru kimwe .
- Ushobora gusubira ku kazi mu cyumweru kimwe cyangwa bibiri; icyakora, niba akazi kawe kasaba guterura ibintu biremereye cyangwa imirimo y'ingufu, igihe kirekire cyo gukira kirakenewe.
- Muganga wawe azaguha amabwiriza yihariye yerekeye kuruhuka n'igihe byaba ari byiza gusubira mu mirimo yawe ya buri munsi.
Igihe cyo kwihutira gushaka ubuvuzi
Umaze gusubira mu rugo, menya neza umubiri wawe. Niba ubonye ibimenyetso bidasanzwe, nyamuneka witondere cyane. Niba hari ibimenyetso bikurikira by'umuburo bigaragaye, hamagara muganga wawe vuba. Niba ibimenyetso bikomeye, jya mu ishami rishinzwe ubutabazi bw'ibanze ry'ibitaro biri hafi yawe.
| Ibimenyetso by'umuburo bisaba ubuvuzi bwihutirwa |
|---|
| – Kubabara mu gituza cyangwa gufungana `(angina)` |
| – Kuzungera cyangwa gucika intege `(syncope)` |
| – Umuriro cyangwa ubukonje |
| – Kugira isesemi cyangwa kuruka |
| – Kubyimba cyangwa ububabare buhoraho aho hakorewe icyiciro |
Ubusanzwe uburyo bwo gufunga amenyo (Annuloplasty) ni uburyo bwiza cyane kandi bwizewe. Kimwe n'ubundi buryo bwose bwo kubaga, hari ibyago bito nko kwandura cyangwa kuva amaraso, ariko ntugahangayike bitari ngombwa. Muganga wawe azakubwira ingaruka zose zijyanye n'uburwayi bwawe.
Ibintu by'ingenzi byo gufata mu gihe cyo gukira
- Annuloplasty ni uburyo bwo kubaga bugamije gusana umuyoboro w'umutima wavaga, bigasubiza imikorere yawo neza.
- Mu gihe cyo kubagwa, umuganga wawe ashyira impeta yihariye ku mugozi, bigatuma ufunga neza kandi ukarinda gusubira inyuma kw'amaraso.
- Ubu buryo bwo kubaga bushobora gukorwa nk'uburyo bwo gufungura umutima cyangwa hakoreshejwe uburyo budakoresha imbaraga nyinshi, bitewe n'ibyo ukeneye byihariye.
- Igihe cyo gukira kwawe n'igihe cyo kurara mu bitaro bizaterwa n'uburyo bwihariye bwo kubaga bukoreshwa n'itsinda ry'abaganga b'umutima rya Nirogi Lanka.
- Kenshi na kenshi, impeta ya annuloplasty iba yagenewe kumara ubuzima bwose kandi ntabwo izakenera gusimburwa.
- Mu gihe ugize ibimenyetso cyangwa impungenge zidasanzwe nyuma yo kubagwa, nyamuneka hamagara muganga wawe ako kanya cyangwa uhamagare serivisi zihutirwa niba ikibazo cyihutirwa.
Annuloplasty, kubaga umutima, imiyoboro y'umutima, gusubiza imiyoboro y'amaraso mu mitsi, kubaga umutima, indwara z'umutima, gusana imiyoboro y'amaraso mu mitsi, kuva kw'imitsi y'umutima mu mitsi
