Icyo ugomba kumenya ku bijyanye no kubagwa kugira ngo uzibe umwobo mu mutima (Atrial Septal Defect - ASD)

Ni ibisanzwe kumva ufite ubwoba kandi ugatungurwa iyo muganga w'umwana wawe akubwira ko hari umwobo mu mutima we. Ushobora kuba wibaza uti "Mana yanjye, ni iki cyabaye ku mwana wanjye?" Ariko ntugahangayike. Iyi ndwara ikunze kugaragara mu buvuzi. Uyu munsi tugiye kuvuga kuri uyu mwobo mu mutima, ari wo twita `(Atrial Septal Defect - ASD)` mu buvuzi, n'uburyo bwo kuwuvura, ari wo `(ASD Closure)`.

Mu magambo make, ASD ni iki?

Umutima wacu ufite ibyumba bine by'ingenzi. Ibyumba bibiri byo hejuru byitwa atria. Hari urukuta (septum) hagati y'ibi byumba bibiri by'imbere. Indwara ya Atrial Septal Defect (ASD) ni umwobo udasanzwe muri uru rukuta.

Tekereza kuri ibi, hafi ya buri mwana wese avuka afite umwobo muto muri uru rukuta. Ibyo ni ibisanzwe. Uyu mwobo wifunga wonyine mu byumweru bike cyangwa amezi make umwana avutse. Ariko rimwe na rimwe, uyu mwobo ushobora kwiyongera gato, cyangwa ntushobore kwifunga wonyine. Niho tuwita ASD.

Ese uyu mwobo ugomba gufungwa? Ni nde ukeneye kuvurwa?

Iyo umwobo ari muto cyane , ushobora kutagira ikibazo. Wenda nta muti ukenewe. Ariko niba umwobo ari munini, ushobora kuba ikibazo.

Icyabaye ni uko kubera uyu mwobo, amaraso ava mu cyumba kimwe cy'umutima atangira kuva mu cyumba kitari cyo. Hanyuma umutima n'ibihaha bigomba gukora cyane kurusha uko bisanzwe. Uko igihe kigenda gihita, ibi bishobora gutera ingorane zitandukanye.

Ingorane nyamukuru zishobora guterwa n'iyi ndwara ni izi:

• Imivuduko y'umutima idasanzwe, izwi kandi nka `(Arrhythmia)`. Urugero, `(Atrial Fibrillation)` cyangwa `(Atrial Flutter)`.
• Kwagura umutima.
• Ingaruka zo gucika intege k'umutima.
• Umuvuduko ukabije w'amaraso mu bihaha (Umuvuduko ukabije w'amaraso mu bihaha).
• Kugorwa no guhumeka.
• Ingaruka zo kurwara indwara yo mu bwonko.

Niba wowe cyangwa umwana wawe mufite ibyago byo kugira izi ngorane, muganga wawe ashobora kukugira inama yo kuziba umwobo (ASD Closure). Nanone, niba urimo kubagwa indi ndwara y'umutima, muganga wawe ashobora gufata icyemezo cyo kuziba umwobo icyarimwe. Ubu buryo bwo kubaga akenshi bukorerwa abana bato kugira ngo hirindwe kwangirika k'umutima mu gihe kizaza.

Uburyo bwo gufunga umwobo ni ubuhe? Hari uburyo bubiri bw'ingenzi!

Hari uburyo bubiri bw'ingenzi bukoreshwa mu kuziba uyu mwobo: kubaga umutima ufunguye n'uburyo butarimo kubaga hakoreshejwe catheter. Umuganga w'indwara z'umutima ni we uzagena uburyo bwiza bujyanye n'ikibazo cyawe.

Birenzeho gato ku bijyanye no gufunga Transcatheter

Iyo umwobo uri mu mutima wawe ari muto kandi nta zindi ndwara z'umutima ufite, ubu buryo bukunze gutorwa. Muri ubu buryo, umurwayi aba atarasinziriye burundu. Hakoreshwa uburyo bwo kuruhuka bworoheje. Muganga akoresha catheter ishyirwamo binyuze mu gukata gato mu kibuno kugira ngo ayobore catheter mu mutima akoresheje uburyo bwa X-ray na echocardiogram. Igikoresho gifunga umwobo gishyirwa neza hanyuma catheter igakurwaho. Gukira vuba cyane muri ubu buryo.

Bigenda bite nyuma yo kuvurwa? Bifata igihe kingana iki kugira ngo umuntu akire?

Bitewe n'ubuvuzi uhabwa, ushobora gukenera kumara umunsi umwe cyangwa irenga mu bitaro. Itsinda ry'abaganga rizagukurikiranira hafi.

• Niba warabazwe ku mugaragaro , ugomba kwirinda gukora imirimo ivunanye nko guterura ibintu biremereye mu gihe cy'ibyumweru bike.
• Niba warakorewe igikorwa cyo gupima katheteri , ushobora gusubira mu mirimo yawe isanzwe mu cyumweru kimwe.

Nyuma yo kuvurwa, imiti yo gukumira kubyimba kw'amaraso mu gihe cy'amezi agera kuri 6Uzagomba kuyifata. Nanone, cyane cyane niba uri kuvurwa amenyo, muganga wawe azakugira inama yo gufata imiti yica udukoko kugira ngo wirinde kwandura.

Igikuru ni ukumenya neza ko ugiye kwa muganga ku matariki yagenwe. Uzakenera gukorerwa ibizamini byinshi, nka "Echocardiogram" na "Electrocardiogram - ECG", kugira ngo urebe niba ubuvuzi bwagenze neza.

Ese hari ingaruka zishobora guterwa n'ubu buvuzi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka ntoya. Ariko, muri rusange ni uburyo bwiza kandi bwizewe bwo kuvura. Ingaruka zishobora kubaho ni izi:

• Allergie ku bintu bikoreshwa mu kuvura.
• Ugutera kw'umutima kutumvikana neza (Arrhythmia).
• Kuva amaraso.
• Kwangirika kw'imitsi y'umutima cyangwa imiyoboro y'amaraso (ibi bibaho gake cyane).
• Ubwandu bukikije aho icyicaro cyangwa igikoresho cyafunze umwobo.
• Igitero cy'indwara ya Stroke cyangwa Ischemic y'igihe gito.

Muganga wawe azakubwira ibyo bibazo. Nta kintu cyo guhangayikishwa nacyo, akenshi ibi bintu ntibibaho.

Ni mu bihe ibihe ugomba kubonana na muganga byihutirwa?

Niba ubonye ibimenyetso by'umuburo nyuma yo kuvurwa, ugomba guhita uhamagara muganga wawe cyangwa ukajya mu bitaro bikuru byita ku buzima bw'abantu (ETU) biri hafi yawe.

Mu gusoza, ASD Closure ni uburyo bw'ingenzi cyane bwo kuvura burinda ubuzima bw'umutima n'ibihaha, bifasha wowe cyangwa umwana wawe kubaho ubuzima burambye kandi bufite ubuzima bwiza.