Ese umutima wawe utangira gutera cyane mu buryo butunguranye? Hari igihe wumva uhuha mu gituza, cyangwa se umutima wawe umeze nabi? Niba warigeze guhura n'iki kibazo, ushobora kuba ufite indwara yitwa 'Atrial Flutter'. Ntugahangayike, ubu hari uburyo bwiza bwo kuvura ibi. Uyu munsi rero tugiye kuvuga ku buryo bumwe mu buryo bwiza kandi bukoreshwa cyane, 'Atrial Flutter Ablation'.
Mu magambo make, Atrial Flutter Ablation ni iki?
Mbere yuko tubisobanukirwa, reka tubanze turebe icyo 'Atrial Flutter' ari cyo. Ibyumba bibiri byo hejuru by'umutima wacu (atria) ni byo bitanga ibimenyetso by'amashanyarazi bitangira umutima. Ubusanzwe, ibyo bimenyetso bisohoka mu buryo buri ku murongo kandi bunoze. Ariko ku muntu ufite 'Atrial Flutter', zimwe mu ngirabuzimafatizo muri ibi byumba byo hejuru zitangira gutanga ibimenyetso by'amashanyarazi bidasobanutse neza kandi byihuse. Ni nk'imwe mu bikoresho byo mu itsinda ry'abaririmbyi ricuranga vuba cyane kandi ritameze neza. Ibi bituma injyana y'umutima ihinduka akajagari kandi umutima ugatangira gutera vuba cyane.
Uburyo bwo kuvura indwara ya Atrial Flutter Ablation ni uburyo bwo kumenya no gusenya cyangwa guhagarika uturemangingo dutera ibimenyetso by'amashanyarazi bidasobanutse neza. Nyuma y'ibi, ibimenyetso bidasobanutse birahagarara maze umutima wongera gutera nk'uko bisanzwe.
Uburyo bubiri bw'ingenzi bukoreshwa muri iki gikorwa:
- Kugabanya ubushyuhe mu maraso: Ibi bikubiyemo gukoresha ubushyuhe mu gusenya uturemangingo dufite ikibazo.
- Kurambura: Ibi bikubiyemo gukoresha ubukonje bukabije (gukonjesha) kugira ngo uturemangingo tuvemo.
Ubu buryo bwombi bukora kimwe: buhagarika ibimenyetso biva mu turemangingo duhungabanya umuvuduko w'umutima.
Kuki ukeneye ubu buvuzi?
Ubusanzwe, umuganga abanza kugerageza kugenzura umuvuduko w'umutima atanga imiti. Ariko hari igihe imiti idashobora kugenzura iyo ndwara. Hanyuma, hari igihe hakorwa ubuvuzi bwitwa "Cardioversion". Ibi bivuze guha umutima icyuma gito cy'amashanyarazi kugira ngo wongere utere.
Rero, niba imiti cyangwa indwara z'umutima bitashobora kugenzura umuvuduko w'umutima wawe , muganga wawe ashobora kukugira inama yo kugabanya umuvuduko w'umutima nk'igisubizo cyiza kandi cyiza.
Witegura ute mbere yo kuvurwa?
Nubwo ubu atari ukubagwa gukomeye, bisaba kwitegura gato.
- Muganga azakubwira kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose mu masaha agera kuri atandatu kugeza ku munani mbere y'uko uvurwa.
- Ushobora gusabwa guhagarika gufata imiti imwe n'imwe urimo gufata iminsi mike mbere y'ubu buvuzi. Muganga wawe azakugira inama isobanutse kuri ibi.
- Icy'ingenzi cyane: Niba ufata imiti igabanya amaraso, ntureke kuyifata nta mpamvu iyo ari yo yose keretse muganga wawe abikubwiye. Ibi ni ingenzi cyane.
Ubu buryo bwo kuvura bukora bute?
Abantu benshi batekereza ko ibi ari "kubaga umutima ufunguye". Ariko siko biri. Ibi bikorwa mu ishami ryihariye ryagenewe indwara z'umutima ("laboratwari yo gupima umutima").
Mu magambo make, ibiba intambwe ku yindi ni ibi bikurikira:
1. Ubwa mbere, uzahabwa umuti wo kugabanya ububabare bwawe no kugusinzira (`twilight sedation`). Hari igihe ushobora no guhabwa ikinya rusange.
2. Hanyuma muganga ashyira urushinge ruto mu ruhu rw'ikibuno cyawe.
3. Binyuze muri yo, imiyoboro myinshi myiza cyane kandi yoroshye (`(Catheters)`) ishyirwa mu miyoboro y'amaraso.
4. Binyuze muri uyu muyoboro, undi muyoboro muto ufite electrode (`electrode catheter`) ujyanwa mu mutima.
5. Hakoreshejwe iyi electrode, hakorwa ikarita kugira ngo hamenyekane neza aho ibimenyetso by'amashanyarazi bifite ikibazo mu mutima bituruka (`mapping`).
6. Iyo uturemangingo dufite ikibazo tumaze kumenyekana, turangirika twohereza ingufu za radiyo (ubushyuhe).
Ubu buryo bwose bushobora gufata amasaha abiri kugeza kuri ane .
Bigenda bite nyuma yo kuvurwa?
Nyuma yo kuvura, imiyoboro yose yashyizwemo izakurwaho. Umuganga uzabaga azashyira igitutu aho urushinge rwashyizwe kugira ngo amaraso ahagarike. Hanyuma uzabwirwa gukomeza kuguru kwawe amasaha atandatu kugeza ku munani .
Ndetse na nyuma yo gutaha, ugomba gukomeza gufata imiti igabanya amaraso (anticoagulant) nk'uko muganga yabigutegetse, nta gusiba dose na imwe. Niba ugize kuva amaraso menshi, hamagara muganga wawe ako kanya.
Ubu buryo bwo kuvura bufite akamaro kangana iki? Kandi ni izihe ngaruka zishobora kubaho?
Iki ni cyo kibazo gikomeye ku bantu benshi. Inkuru nziza ni uko "(Atrial Flutter Ablation)" ari uburyo bwo kuvura bufite igipimo cyo gutsinda kirenga 90% . Umutima w'abantu benshi usubira ku murongo nyuma y'ibi. Ariko, umubare muto cyane w'abantu (hafi 4%-6%) bafite amahirwe yo kongera kugaragara kw'iki kibazo.
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka nke cyane, ariko amahirwe yo kugira ingorane ni munsi ya 1%.
| Ingaruka/Ibibazo bitoroshye | Ibisobanuro byoroshye |
|---|---|
| Umutima ufunganye | Guhagarika uburyo umutima ukoresha amashanyarazi. |
| Igisebe cy'imitsi | Udukoko tw'amaraso tugenda mu bwonko tukabuziba (Imiti igabanya amaraso itangwa kugira ngo ibi bitagenda neza). |
| Gutobora umutima | Kwangirika k'urukuta rw'umutima mu buryo butunguranye mu gihe cyo kuvurwa (bidakunze kubaho cyane). |
| Kwandura | Kwandura aho urushinge rwashyizwe. |
| Kuva amaraso | Kuva amaraso menshi cyane aturutse aho yatobowe. |
Wibuke ko ibi ari ibintu bidasanzwe. Itsinda ry'abaganga bawe ryatojwe neza gucunga izi ngaruka.
Bifata igihe kingana iki kugira ngo umuntu akire?
Ikindi kintu cyiza kuri ibi ni uko igihe cyo gukira ari gito cyane.
- Ushobora kongera gukora imirimo isanzwe ukimara kugera mu rugo.
- Ariko, ni byiza kwirinda gukora imirimo ivunanye nko kwigisha umubiri no guterura ibiremereye mu gihe cy'iminsi itatu .
Bitewe n'inama za muganga w'umutima, ushobora gukenera gukomeza gufata imiti igabanya amaraso, yaba iyo mu gihe gito cyangwa iy'igihe kirekire.
Ni ryari ugomba kujya kwa muganga?
Ni ngombwa cyane ko umenya neza ibi. Menya ibimenyetso biri hepfo.
| Mu gihe hakenewe ubuvuzi bwihutirwa - hamagara 1990 cyangwa ujye kuri ETU ako kanya! | |
|---|---|
| - Niba igikomere cyatewe n'urumogi cyabyimbye mu buryo butunguranye kandi bwihuse. | - Niba kuva amaraso mu gikomere bidashobora guhagarara. |
| - Niba ubabara cyane mu gituza. | - Niba ugize ibimenyetso byo kurwara ubumuga nko kunanirwa kuvuga, kuvuga nabi, cyangwa intege nke ku ruhande rumwe rw'umubiri. |
| Igihe cyo guhamagara muganga wawe | |
| - Kugorwa no guhumeka | - Niba wumva umeze nk'uzuzuwe cyangwa unaniwe. |
| - Niba wumva ufite ibinya mu kuguru kwakomeretse | - Iyo hari ukubyimba cyangwa ibisebe bikomeje kwiyongera hafi y'igikomere |
| - Niba umutima wawe wongeye kumva utari mwiza | - Kubabara mu gifu cyangwa isesemi |
Kugira umutima utari umeze neza bishobora kuba ikibazo kibabaza. Ariko ubu hari uburyo bwiza kandi bufite akamaro bwo kuvura. Gutera indwara ya Atrial Flutter Ablation ni bumwe mu buryo bwiza cyane bwo kuvura. Umuntu mwiza wo kumenya niba ubu buryo bugukwiriye ni muganga wawe. Muganire neza kuri byo kandi umubaze ibibazo byawe byose.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwo kuvura indwara yo mu mutima idakora neza (Atrial Flutter Ablation) ni uburyo bwo kuvura indwara z'umutima zidakora neza, kandi bugira ingaruka nziza ku kigero kirenga 90%.
- Ubu si ukubaga igituza. Bikorwa hifashishijwe umuyoboro muto unyura mu mitsi y'amaraso iri mu kibuno.
- Kurikiza amabwiriza ya muganga wawe witonze mbere na nyuma yo kuvurwa, cyane cyane ku bijyanye n'imiti igabanya amaraso.
- Igihe cyo gukira ni gito cyane. Ushobora gusubira mu buzima busanzwe mu minsi mike.
- Menya ibimenyetso byihutirwa nko kuva amaraso menshi, kubabara mu gituza, no kubyimba bitunguranye. Niba hari kimwe muri ibi kibayeho, shaka ubufasha kwa muganga byihutirwa.
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