Ese amaraso yawe agera ku maguru yagabanutse? Reka tuvuge ku kubagwa kwa Aortobifemoral Bypass

Ese wumva ububabare bukabije cyangwa gufungana mu maguru yawe, cyane cyane mu matako no mu kibuno, iyo ugenda urugendo rugufi? Ububabare burashira nyuma y'igihe, ariko bukagaruka iyo wongeye gutangira kugenda? Cyangwa ukagira ibikomere ku maguru yawe nta mpamvu igaragara kandi bigafata igihe kirekire kugira ngo bikire? Niba ufite ibi bimenyetso, muganga wawe ashobora kuba yarakubwiye ibijyanye no kubagwa. Ushobora kuba waragize ubwoba gato ubwo wumvise izina. Uyu munsi turimo kuvuga kuri iyo, kubagwa kwitwa Aortobifemoral Bypass. Ntugahangayike, reka tubisobanure mu buryo bworoshye.

Mu magambo make, Aortobifemoral Bypass ni iki?

Tekereza ko umuhanda munini mu mujyi wafunzwe burundu kubera imodoka nyinshi. Nta nzira imodoka zibasha kunyuramo. None se wakora iki? Twirinda ako gace kafunzwe maze tukubaka umuhanda mushya wo "kunyura mu nzira" kugira ngo tugere hakurya, sibyo? Ibyo nibyo ubu buvuzi bukora.

Uburyo bwo kubaga imitsi ifata amaraso mu mubiri wacu (Aortobifemoral bypass) ni uburyo bwo kubaga imitsi ifata amaraso mu mubiri wacu. Muri ubu buryo, abaganga b'inzobere mu kubaga bashyiraho inzira nshya, yitwa bypass , yo kunyura mu bice by'imitsi migari y'amaraso mu nda yacu byafunze cyangwa bifunganye. Ibi bisubiza amaraso mu maguru yacu.

Muri ubu buvuzi, abaganga bakoresha umuyoboro w'amaraso w'ubukorano, witwa graft . Ubusanzwe uyu muyoboro ukorwa mu bikoresho nka polyester. Reka dusobanukirwe uko wahawe izina ryawo:

• "Aorto" yerekeza ku mutsi munini w'amaraso mu mubiri wacu, aorta . Itangira ku mutima hanyuma ikanyura mu gituza ikagera mu nda.
• "Femoral" yerekeza ku mitsi yo mu nda, itangirira mu kibuno cyacu ikanyura mu bibero byacu ikagera inyuma y'amavi yacu.
• "Bi" bisobanura "ibiri". Ibyo bivuze ko iyi graft ihuza imitsi yombi y'abagore mu maguru yawe yombi.

Iyi graft isa nka "Y" irambuye. Impera imwe hejuru ifatanye n'igice cyo hasi cya aorta mu nda. Amaguru abiri ya Y afatanye n'imitsi yo mu nda iri mu maguru. Muri ubu buryo, amaraso ashobora kunyura mu kuziba no gutembera mu maguru byoroshye.

Kuki dukeneye ubwoko nk'ubu bwo kubagwa?

Ubu buryo bwo kubaga bukorwa ahanini mu rwego rwo kuvura indwara yitwa Aortoiliac occlusive disease . Nubwo izina rishobora kumvikana nk'irigoye, inkuru irasobanutse neza. Icyabaye ni uko cholesterol n'ibindi binure byiyongera uko igihe kigenda gihita mu miyoboro y'amaraso yo mu nda no mu kibuno. Imiyoboro y'amaraso y'ingenzi yibasirwa muri ubu buryo ni:

• Aorta yo mu nda: Iki ni igice cya aorta imanuka iturutse mu nda yacu.
• Imitsi yo mu nda ya Iliac:Izi zitangirira hafi y'igituba aho umuyoboro w'amaraso wigabanyamo kabiri. Izi ni zo zijya mu gituba zigahinduka imitsi y'abagore.

Iyo plaque yikubise muri iyo mitsi y'amaraso ikayigabanya, ibice byo hasi by'umubiri wacu, nk'amaguru, ibirenge, n'izindi ngingo zo mu kibuno, ntibibona amaraso akenewe arimo ogisijeni. Iyo iki kibazo kibaye gikomeye, hashobora kubaho ingorane zitandukanye.

Ese ubu ni ukubagwa gukomeye? Hari andi mahitamo?

Yego, aortobifemoral bypass ni ukubaga ku mugaragaro bikorwa binyuze mu gukata igice kinini mu nda. Kubwibyo, bifatwa nk'ukubaga gukomeye, cyangwa gukomeye.

Ariko muri iki gihe, bitewe n’iterambere ry’ikoranabuhanga, hari ubundi buryo bwo kuvura ibi. Bumwe mu buryo bw’ingenzi ni uburyo bwitwa aortoiliac stent with bifurcation reconstruction (AISBR) . Ubu buryo buri mu cyiciro cy’ubuvuzi bw’imitsi yo mu nda .

Mu magambo make, ibi bikubiyemo gushyira kanula mu miyoboro y'amaraso unyuze mu mwobo muto uri mu gituza, ukajya ahantu hafunze, ugashyiramo umuyoboro muto umeze nk'umuyoboro (stent) kugira ngo wongere wagure imiyoboro y'amaraso. Ubu buryo bufite ingorane nke zo kubagwa kandi butuma umuntu amara igihe gito mu bitaro.

Muganga wawe ni we uzaguhitiramo uburyo bwiza kuri wewe. Ubusanzwe, gukoresha stent ni byiza ku bantu bafite ibyago byinshi byo kubagwa bikomeye bitewe n'izindi ndwara. Ariko, rimwe na rimwe, bitewe n'uburemere bw'ibanga, kubagwa ku mugaragaro bishobora kuba ngombwa. Bityo rero vugana na muganga wawe ku mahitamo yawe n'ibyiza n'ibibi.

Twitegura dute mbere yo kubagwa?

Kubagwa gukomeye nk'uku bisaba kwitegura cyane. Itsinda ry'abaganga bawe rizaguha amabwiriza akenewe. Muri rusange, ugomba kwita kuri ibi bintu.

• Kureka kunywa itabi: Niba unywa itabi, ugomba kurireka burundu nibura ibyumweru 3-4 mbere yo kubagwa. Kureka kunywa itabi ni ingenzi cyane kugira ngo igikorwa cyo kubagwa kigende neza, ndetse no ku buzima bw'umutima wawe n'imitsi y'amaraso nyuma.
• Bwira muganga wawe imiti iyo ari yo yose ufata: Niba ufata imiti ivura indwara nka diyabete cyangwa umuvuduko ukabije w'amaraso, ugomba kubimenyesha muganga wawe. Imiti imwe ishobora gukenera guhagarikwa cyangwa guhindurwa ingano mbere yo kubagwa.
• Kwiyiriza ubusa mbere yo kubagwa: Uzahabwa amabwiriza yo kwirinda kurya cyangwa kunywa nyuma ya saa sita z'ijoro mbere yo kubagwa. Kurikiza aya mabwiriza neza.
• Guhabwa ibizamini bikenewe: Uzakenera gukorerwa ibizamini byinshi kugira ngo wemeze ubuzima bwawe mbere yo kubagwa.
• Igipimo cy'umuvuduko w'amaraso mu maguru (ABI): Ikizamini gipima umuvuduko w'amaraso mu maguru.
• Ultrasound y'imitsi (Doppler scan): Isuzuma ryimbitse ry'amaraso mu mitsi n'aho afunganye.
• Ibizamini nka ECG na Echo bigenzura ubuzima bw'umutima n'imitsi y'umutima.

Ni iki mu by'ukuri kibaho mu gihe cyo kubagwa?

Nta kintu na kimwe uzumva mu gihe cyo kubagwa, kuko uzaba uri munsi y'ikinya rusange. Itsinda rishinzwe kubaga rizakurikiza izi ntambwe:

1. Anesthesia: Urasinzira cyane.

2. Gukata: Ubwa mbere, hakorwa incision nini (laparotomy) ku burebure bw'inda kugira ngo igere ku muyoboro w'amaraso. Hanyuma, hakorwa izindi ncision ebyiri hejuru y'igituba kugira ngo igere ku mitsi yo mu gitsina.

3. Gushyiramo imashini:Umuganga ubaga afata umuyoboro w'amaraso w'ubukorano ufite ishusho ya "Y" maze awudoda impera yo hejuru hejuru y'aho umuyoboro w'amaraso uzibye. Amaguru abiri yo hasi ya Y adodeshwa munsi y'aho umuyoboro w'amaraso uzibye mu mitsi yo mu gitsina.

4. Gufunga icyuho: Nyuma yo gusimbuka mu buryo bushya, icyuho cyakorewe mu nda no mu nda gifungwa hakoreshejwe imidozi cyangwa udupira duto.

Ubu buryo bwose bwo kubaga bushobora gufata hagati y'amasaha 2 na 6 .

Ni iki kiba mu bitaro nyuma yo kubagwa?

Nyuma yo kubagwa, uzakenera kumara iminsi iri hagati ya 4 na 7 mu bitaro. Muri iki gihe, itsinda ry’abaganga rizakwitaho neza cyane.

• Uzajya ufungirwa mu cyumba cy’indembe cyangwa mu cyumba cyihariye kandi ukurikiranwe hafi y’ibibazo byose, cyane cyane indwara zandurira mu mubiri.
• Ngenzura buri gihe niba amaraso atembera neza mu maguru yawe .
• Bazagufasha kugenda buhoro buhoro. Banza ugire intera ngufi, hanyuma wongere intera umunsi ku wundi.
• Imiti igabanya ububabare itangwa kugira ngo igabanye ububabare.

Ni izihe ngaruka n'ingaruka z'ubu buvuzi?

Ubu buvuzi bwagenze neza cyane. Dukurikije imibare, hagati ya 80% na 95% by'ubu buvuzi butuma amaraso atembera neza mu gihe cy'imyaka 5. Ku myaka 10, igipimo cy'intsinzi kiri hagati ya 74% na 86%.

Nkuko bigenda mu kubagwa gukomeye kose, hari ibyago n'ingorane bishobora kubaho. Mbere yo kugira ubwoba, ibuka ko itsinda ry'abaganga rizakora uko rishoboye kose kugira ngo bagabanye ibyago byo kubagwa.

Ingorane zishoboka:

• Indwara y'umutima
• Igisebe cy'imitsi
• Kuva amaraso menshi cyane
• Amaraso apfutse
• Kwandura ibikomere byo kubagwa
• Kwandura kwanduzanya
• Kunanirwa kw'impyiko
• Kunanirwa kw'ibihaha

Vugana na muganga wawe nta guhishanya ku bijyanye n'izi ngaruka mbere yo kubagwa kandi ubaze ikibazo icyo ari cyo cyose ufite.

Gukira no kwirinda nyuma yo gutaha

Bishobora gufata amezi 2 kugeza kuri 3 kugira ngo ukire neza, ariko ugomba kuba ushobora gusubira gukora imirimo isanzwe buhoro buhoro mu byumweru 4 kugeza kuri 6.

Gutemagura bishobora kubabaza mu byumweru bike bya mbere. Koresha imiti igabanya ububabare muganga wawe yakwandikiye.

• Fata imiti yawe neza uko wabitegetswe: Fata imiti yose wanditswe na muganga wawe ku gihe gikwiye kandi mu gipimo gikwiye.
• Komeza ibikomere bisukuye: Kurikiza amabwiriza ya muganga wawe witonze ku bijyanye no gukaraba no gusiga imiti.
• Imyitozo ngororamubiri:Imyitozo ngororamubiri myiza yo gukora mu ntangiriro ni ugukora urugendo n'amaguru. Ongera buhoro buhoro intera ugendamo buri munsi. Ariko ntugakore cyane kuruta uko muganga agusaba.
• Irinde guterura ibiremereye: Irinde guterura ibiremereye burundu mu gihe cy'amezi make.

Baza muganga wawe igihe ushobora kongera gutangira gutwara imodoka, kujya ku kazi, no gukora imyitozo ngororamubiri igoye.

Ni ryari ngomba guhamagara muganga?

Niba ugaragaje kimwe muri ibi bimenyetso nyuma yo gusubira mu rugo, hamagara muganga wawe cyangwa ujye kwa muganga ako kanya .

Ni iki cyakorwa mu gihe cy'ubutabazi bwihutirwa? (Ibyihutirwa)

Niba ubonye kimwe muri ibi bimenyetso bikurikira by’indwara y’umutima cyangwa indwara yo gucika kw’imitsi , hamagara serivisi y’imbangukiragutabara yo mu 1990 bidatinze cyangwa ujye mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) cy’ibitaro biri hafi yawe.

Ibimenyetso by'indwara y'umutima

• Ububabare, gufungana, cyangwa kumererwa nabi hagati mu gituza.
• Kugorwa no guhumeka.
• Isesemi, kubabara mu nda.
• Umutima utera cyane.
• Umunaniro ukabije.
• Kuzungera, guta ubwenge.
• Kubira ibyuya byinshi.

Ibimenyetso by'indwara yo mu bwonko

• Kubura ibinya cyangwa intege nke ku ruhande rumwe rw'umubiri (mu maso, ku kuboko, cyangwa ku kuguru).
• Kugorwa no kuvuga cyangwa kuvuga amagambo adasobanutse neza.
• Gutakaza ubushobozi bwo kureba butunguranye, kureba rimwe cyangwa abiri.
• Kuribwa umutwe cyane mu buryo butunguranye.
• Kugorwa no kugenda, gutakaza uburinganire.

Guhura n'ikibazo gikomeye cyo kubagwa bishobora kugutera imihangayiko mu byiyumvo. Ibyo ni ibisanzwe. Ganira n'umuryango wawe ku bwoba bwawe n'impungenge zawe, ndetse n'umuganga wawe n'itsinda ry'abaganga. Kubona amakuru yose ukeneye no kuyashyiramo witeguye neza mu mutwe bizagufasha cyane mu nzira yo gukira.