Ese muganga wawe yavuze ko umuyoboro w'amaraso utwara amaraso afite umwuka wa ogisijeni mu mutima wawe mu mubiri wawe wacitse intege kandi ukagira umubyimba nk'inyuma y'inyuma yawo? Cyangwa wenda bavuze ko ushobora kubagwa? Ni ibisanzwe kumva ibi guhangayika, ariko menya ko iyi ari inzira y'ingenzi yo kurokora ubuzima bwawe. Uyu munsi, turaganira ku buryo bwo gusimbuza imizi ya Aortic ari cyo, uko ikorwa, n'ibindi byose ukeneye kumenya kuri ubu buryo muri Nirogi Lanka.
Mu magambo make, gusimbuza imizi ya Aortic ni iki?
Aorta ni wo mutsi w'amaraso munini kandi w'ingenzi mu mubiri wawe, uhujwe neza n'umutima wawe. Igice cya mbere aho aorta ifata ku mutima wawe kizwi nka "Umuzi w'Aorta." Rimwe na rimwe, urukuta rw'iki gice ruracika intege kandi rugatangira kubyimba nk'umupira w'inyuma. Ibi ni byo twita "Aneurysm".
Ingaruka nyamukuru zo kugira aneurysm ni uko ishobora gucika (gucika) cyangwa guturika (gucika) igihe icyo ari cyo cyose. Ibi bibaye, bishobora gutera kuva amaraso menshi imbere mu mubiri, bikaba ari ikibazo gikomeye gishobora gushyira ubuzima mu kaga.
Mu gihe cyo gusimbuza imizi y’amaraso mu buryo bwa Aortic, umuganga wawe akuramo igice cy’amaraso cyacitse intege kandi gishyushye cy’amaraso mu buryo bwa synthetic graft. Ubu buryo burinda neza izi ngorane zikomeye kandi bufasha kurinda ubuzima bwawe.
Ni ubuhe bwoko bw'ingenzi bw'ubu buvuzi?
Hari uburyo bubiri bw'ingenzi bwo gukora ubu buvuzi. Hashingiwe ku ndwara yawe, umuganga wawe azagena uburyo bukwiye bwo gukira.
| Ubwoko bw'Ubuvuzi | Ibisobanuro |
|---|---|
| Uburyo bwo gusimbuza imizi y'imitsi (ARR) / Bentall | Muri ubu buryo, umuzi wa aorta yawe wangiritse usimbuzwa hamwe na valve ya aorta hakoreshejwe graft ya synthetic hamwe na valve nshya. Ibi ni ibipimo ngenderwaho niba valve ya aorta yawe iva cyangwa irimo gushonga cyane. Iyo ukoresheje valve ya mechanical, uzakenera gufata imiti igabanya amaraso mu buzima bwawe bwose kugira ngo wirinde kubyimba kw'amaraso. |
| Gusimbuza imizi yo mu bwoko bwa Valve (VSRR) | Nk'uko izina ribigaragaza, ubu buryo busimbura igice cy'imitsi cyacitse intege gusa mu gihe bubungabunga umuyoboro wawe w'amaraso umeze neza. Ibi ni byiza ku barwayi bakiri bato cyangwa abafite ibibazo by'imitsi ihuza amaraso (nk'indwara ya Marfan) bafite imiyoboro imeze neza. Inyungu nyamukuru ni uko ubusanzwe udakenera imiti igabanya amaraso ubuzima bwawe bwose. Hari uburyo bubiri bw'ingenzi: uburyo bwa Yacoub na uburyo bwa David. |
Ubwoko bw'uduce twa VSRR
VSRR ikorwa hakoreshejwe bumwe mu buryo bubiri bw'ibanze: uburyo bwa Yacoub na David.
- Uburyo bwa Yacoub: Ibi bikubiyemo kuvugurura umuzi wa aortic kugira ngo uhuze n'umugozi w'umwimerere. Akenshi biberanye neza n'abarwayi bakuze cyangwa abantu bafite aneurysm idaterwa n'indwara za genetiki.
- Uburyo bwa David: Ibi bikubiyemo kongera gushyira valve mu cyuma gikozwe mu buryo bwa synthetic graft. Nubwo ari ikintu kigoye cyane mu buryo bw'ikoranabuhanga, gikoreshwa cyane kandi gisabwa cyane ku barwayi bakiri bato bafite indwara za genetiki nka Marfan syndrome.
Ni nde ukeneye kubagwa kandi ryari?
Iyo umuzi w'umuyoboro w'amaraso (aorta) wawe wagutse, ushobora guhura n'ibyago byo gucika cyangwa gucikamo ibice, ibyo bigatuma kubagwa biba ngombwa. Nubwo ibi bishobora guterwa no gusaza bitewe n'izabukuru, indwara ziterwa n'uturemangingo nka Marfan syndrome cyangwa Loeys-Dietz syndrome zishobora gutuma izi aneurysms zitera akaga zivuka kare cyane mu buzima.
Ibyemezo bijyanye no kubagwa bishingiye ku bunini bw'indwara ya aneurysm n'imiterere y'ibyago byawe:
- Niba nta ngaruka zishingiye ku ngirabuzimafatizo ufite, kubagwa muri rusange ni byiza iyo umurambararo ugeze kuri cm 5.5 .
- Niba ufite indwara ya Marfan, ikigereranyo cy'uburemere ni cm 5.0 .
- Niba ufite indwara ya Marfan hamwe n’amateka y’umuryango w’umuntu wagize ikibazo cyo gucibwamo kw’imitsi, gahunda yo gutwita, cyangwa gukura vuba (birenze milimetero 3 ku mwaka), ushobora kubagwa kuri cm 4.5 .
- Niba ufite valve ya aorta ifite umuvuduko ukabije w’amaraso hamwe n’ibindi bintu bishobora gutera ibyago nko kutagira umuvuduko ukabije w’amaraso, akenshi bifatwa nk’ubugari bwa cm 5.0 .
Icy'ingenzi kurushaho, ibi byemezo ni iby'umuntu ku giti cye. Umuganga wawe wo muri Nirogi Lanka azagena igihe cyiza cyo kubagwa hashingiwe ku myaka yawe, ubuzima bwawe muri rusange, n'amateka y'ubuzima bwawe.
Uburyo bwo Kwitegura Kubagwa Kwawe
Kubera ko iki ari igikorwa gikomeye, kwitegura neza ni ingenzi. Itsinda ry'abaganga rizakora isuzuma ryuzuye:
- Gupima amaraso: Kugira ngo impyiko zawe zikore neza ndetse n'imikorere yazo muri rusange.
- CT cyangwa MRI y'umutima: Kugira ngo ubone ikarita irambuye y'umuyoboro wose w'amaraso.
- Angiografiya y'umutima: Kugira ngo imitsi ijyana umutima wawe imere neza.
- Ultrasound ya Duplex: Kugira ngo urebe ubuzima bw'imitsi yawe ya carotid mu ijosi.
Ugomba kugirana ikiganiro kidaciye ku ruhande na muganga wawe ku bijyanye n'ibi bikurikira:
- Imiti yose: Iyi irimo vitamine, inyunganiramirire y’ibimera, n’imiti igurishwa mu manza, imwe muri yo ishobora gukenera guhagarikwa mbere yo kubagwa.
- Indwara zisanzweho: Indwara nk'umuvuduko ukabije w'amaraso zigomba kwitabwaho neza mbere yo kubagwa.
- Kunywa itabi: Ugomba kureka kunywa itabi nibura ukwezi kumwe mbere yo kubagwa. Baza itsinda ryawe rya Nirogi Lanka niba ukeneye ubufasha mu kurireka.
Mu gihe cyo kuvura no nyuma yacyo
Mu gihe cyo kubagwa, uzashyirwa munsi y’ikinyabutabire rusange. Uzahuzwa n’icyuma gikoresha umutima n’ibihaha , gifata by’agateganyo imikorere y’umutima n’ibihaha byawe, bityo umuganga ubaga agakora ku mutima uhamye kandi uhamye.
Umuganga ubaga azagukata mu gituza, akureho igice cya aorta cyacitse intege, hanyuma agisimbuze agace k’ubukorano. Hanyuma imitsi y’umutima yongera gufatanywa n’agace k’ubukorano mbere yuko agace k’ubukorano gafungwa. Ubusanzwe igikorwa kimara amasaha 4 kugeza kuri 6 .
Nyuma yo kubagwa, uzamara igihe mu cyumba cy’indembe (ICU) mbere yo kwimukira mu cyumba cy’ubuvuzi rusange. Ubusanzwe ibyumweru byose byo kumara mu bitaro bimara, aho uzakurikiranwa witonze kandi uhabwe uburyo bwo kugabanya ububabare n’imiti ikenewe.
Igihe cyo Kugarura Ubuvuzi ni iki?
Gukira neza nyuma y’ubu buryo bukomeye akenshi bifata ibyumweru 6 kugeza kuri 12 , kandi rimwe na rimwe, amezi menshi. Umubiri wawe ukeneye igihe kinini n’ubwihangane kugira ngo ukire neza nyuma y’iki gikorwa gikomeye.
- Mu byumweru 6 bya mbere: Irinde gutwara imodoka, guterura ibintu biremereye, cyangwa gukora imirimo ivunanye.
- Ku mirimo yo ku meza: Ushobora gusubira ku kazi mu byumweru 6-8.
- Ku mirimo isaba imbaraga nyinshi: Uzakenera gutegereza igihe kirekire, nk'uko byasabwe n'itsinda ry'abaganga.
Gukurikiza amabwiriza ya muganga wawe neza no kwitabira gahunda zo kuvura indwara z'umutima bizagufasha cyane gukira vuba kandi neza.
Igihe cyo gushaka ubuvuzi bwihuse
Umaze gusubira mu rugo, niba ubonye kimwe muri ibi bikurikira, hamagara muganga wawe ako kanya.
| Ibimenyetso byo kwitondera | |
|---|---|
| Ibibazo byo Kubaga Gukata: | |
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| Izindi mpungenge: | |
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Uburyo bwo kumenya ikibazo cyihutirwa
Niba ufite aneurysm idakira, ibimenyetso bikurikira bishobora kugaragaza ko irimo gucika cyangwa kwangirika. Mu gihe nk'icyo, shaka ubuvuzi bwihutirwa ugana ishami rishinzwe ubutabazi bw'ibanze riri hafi yawe cyangwa uhamagare 911 (cyangwa serivisi z'ubutabazi bw'ibanze zo mu gace utuyemo).
- Ububabare butunguranye, budashobora kwihanganira mu gituza cyangwa mu mugongo wo hejuru (bukunze kuvugwa nk'aho umuntu acika cyangwa acikagurika).
- Kubira ibyuya byinshi n'uruhu rukonje kandi rushyushye.
- Kugorwa no guhumeka.
- Kuzungera cyangwa gucika intege.
- Umutima utera vuba cyangwa utari umeze neza.
Ibintu by'ingenzi byakunzwe (Nirogi Lanka)
- Gusimbuza imizi y'umutima ni igikorwa cyo kubaga gikorerwa igice cy'ibanze cy'umutima cyacitse intege.
- Hari ubwoko bubiri bw'ibanze bw'ubu buryo bwo kubaga: bumwe busimbura valve ya aortic (ARR) n'ubundi buyibungabunga (VSRR). Umuganga wawe azaguhitiramo uburyo bwiza bwo kubaga.
- Nubwo gukira burundu bifata amezi menshi, igipimo cyo gutsinda no kubaho muri ubu buryo kiri hejuru cyane (hafi 98%-99%).
- Gukurikiza amabwiriza y’ubuvuzi mbere yo kubagwa no nyuma yo kubagwa ni ingenzi cyane kugira ngo umuntu akire neza.
- Ntutindiganye kuganira na muganga wawe ku kibazo icyo ari cyo cyose cyangwa impungenge. Nubwo ubu buryo ari ubusanzwe ku baganga, ni ikintu gikomeye kuri wewe, kandi ni ibisanzwe kugira impungenge.
Gusimbuza imizi y'umutima, Aorta, Kubaga umutima, Aneurysm, Uburyo bwo gukora Bentall, Marfan syndrome, Aortic valve, Indwara z'umutima, Kubaga umutima
