Ese wigeze wumva umutima wawe utera cyane nta mpamvu, nk'aho hari ikibazo mu gituza cyawe? Bishobora kuba ikindi kintu. Ariko rimwe na rimwe bishobora kuba ikimenyetso cy'indwara y'umutima yitwa atrial flutter. Ntugahangayike, uyu munsi tugiye kuvuga kuri iyi ndwara n'uburyo ivura neza cyane, yitwa ablation.
Flutter ya Atrial ni iki?
Mu magambo make, iki ni ikibazo ku muvuduko w'umutima. Umutima wacu ufite ibyumba bibiri, icyumba cyo hejuru (atria) n'icyumba cyo hasi (ventricles). Mu mutima muzima, ibi byumba bibiri bitera mu buryo bunoze cyane, mu muvuduko umwe.
Tekereza nk'itsinda ry'abaririmbyi batojwe neza bacuranga indirimbo icyarimwe. Ariko muri Atrial Flutter, icyumba cyo hejuru cy'umutima, cyangwa atria, gitangira gucuranga vuba cyane kandi mu buryo butunguranye. Ni nk'abagize itsinda ry'abaririmbyi benshi bacuranga ingoma ku muvuduko uwo ari wo wose bashaka. Ibi bibangamira imikorere y'umutima muri rusange. Ibi biramutse bikomeje igihe kirekire, ntabwo ari byiza ku mutima.
None se ubu buryo bwo kuvura Ablation ni ubuhe?
Uburyo bwo kugabanya ububabare mu mutima butuma umutima utera vuba kandi mu buryo butunguranye.
Tekereza itara mu nzu rigenda rizimya bitewe n'insinga zidakora neza. Gukoresha uburyo bwo gushaka insinga zidakora neza, kuzimya, no gukemura ikibazo burundu.
Muri ibi, abaganga bakoresha uburyo bwitwa radiofrequency ablation kugira ngo bahagarike uturemangingo twohereza ibimenyetso bitari byo. Hari igihe ibi bikorwa hakoreshejwe ubukonje bukabije (cryoablation). Uko byagenda kose, intego ni uguhagarika ibimenyetso bitari byo no kugarura umuvuduko w'umutima.
Igikomeye ni uko, iki atari ukubagwa umutima ufunguye.
Kuki ukeneye kwiyicarira?
Ubusanzwe umuganga akoresha ubu buryo bwo kuvura iyo indwara idashobora kugenzurwa akoresheje imiti cyangwa uburyo bwitwa cardioversion kugira ngo agarure umuvuduko w'umutima. Muganga wawe ni we uzagena niba ubu buryo bugukwiriye.
Ibintu ugomba kumenya mbere na nyuma yo kuvurwa
Hari ibintu byinshi ugomba kumenya mbere na nyuma y'ubu buvuzi.
Kwitegura mbere yo kuvurwa
- Muganga wawe azakubwira kwirinda kurya cyangwa kunywa amasaha 6-8 mbere y'uko uhabwa imiti.
- Ushobora gusabwa guhagarika gufata imiti imwe n'imwe ufata iminsi mike mbere yo kuvurwa.
- Ariko ibi ni ingenzi cyane: Niba ufata imiti igabanya amaraso, ntuyihagarike ku mpamvu iyo ari yo yose keretse muganga w’indwara z’umutima agutegetse. Ntugasimbuze dose imwe.
Uburyo ubuvuzi bukorwa
Ibi bikunze kubaho muri laboratwari yo gusinzira umutima. Uzahabwa imiti yo kugusinzira (twilight sedation), cyangwa se imiti igabanya ububabare. Hanyuma:
1. Urushinge ruto rushyirwa mu ruhu mu gice cyo mu nda.
2. Binyuze muri yo, imiyoboro myinshi mito yitwa `catheters` ishyirwa mu miyoboro y'amaraso.
3. Catheter ya electrode inyuzwa muri uyu muyoboro ikagera mu mutima wawe.
4. Dukoresheje iyi catheter, dushobora kumenya uturemangingo two mu mutima dutera ikibazo.
5. Hanyuma, ingufu za radiofrequency zikoreshwa mu guhagarika uturemangingo dufite ikibazo.
Iyi gahunda yose ishobora gufata amasaha abiri kugeza kuri ane.
Nyuma yo kuvurwa
Iyo ubuvuzi burangiye, imiyoboro yose yashyizwemo irakurwaho kandi aho yatobowe hagakomezwa. Nyuma y'ibyo, uzasabwa gukomeza kugorora ukuguru kwawe mu gihe cy'amasaha agera kuri 6-8. Ndetse na nyuma yo gutaha, uzakenera gukomeza gufata imiti igabanya amaraso kugeza igihe muganga azakubwiriye.
Intsinzi mu buvuzi, ingaruka mbi, n'ibintu ugomba kwitondera
Kimwe n'ubundi buryo bwose bwo kuvura, hari ibintu bike ugomba kumenya. Reka tubirebe neza.
| Ubwoko bw'amakuru | Icyo ugomba kumenya |
|---|---|
| Igipimo cy'Intsinzi | Ubu buvuzi bufite igipimo cyo gutsinda kirenga 90% . Abantu benshi bongera kugira umutima wabo umeze neza. Ariko, igipimo gito, hagati ya 4% na 6%, gishobora kongera kugaruka. |
| Ingaruka | Ingaruka zo kugira ibibazo ziri munsi ya 1%.Ariko, ingorane zidasanzwe zirimo: kuziba k'umutima, gucika imitsi mu bwonko, gutobora umutima, kwandura indwara, no kuva amaraso menshi. |
| Igihe cyo kujya muri ETU (Ishami rishinzwe Ubuvuzi bwihutirwa) byihutirwa | Iyo igikomere aho urushinge rwashyizwe kibyimba mu buryo butunguranye cyangwa niba kuva amaraso mu gikomere bidashobora gukemurwa. |
| Igihe cyo guhamagara muganga ako kanya | Niba uva amaraso menshi cyane, ufite intege nke, utazi icyo ukora, ugorwa no kuvuga, cyangwa ukumva unaniwe kandi umeze nk'aho ushobora kugwa. |
| Ibindi bintu byo kwitaho | Bwira muganga wawe niba uhura n'ingorane zo guhumeka, kuzungera, kubabara mu gituza, kutagira ibinya mu kuguru kwakomeretse, kubyimba cyangwa gukomereka hafi y'igikomere, umutima utari mwiza, cyangwa ububabare bwo mu gifu. |
Bifata igihe kingana iki kugira ngo umuntu akire?
Ikintu cyiza kuri ibi ni uko bidatinda gukira.
Ushobora gusubira mu rugo ugasubira mu mirimo yawe isanzwe umunsi ukurikiyeho. Ariko, ni byiza kwirinda gukora imirimo ivunanye nko gukora imyitozo ngororamubiri no guterura ibyuma mu gihe cy'iminsi itatu.
Bitewe n'uko indwara yawe imeze, ushobora gukenera gufata imiti igabanya amaraso, yaba iy'igihe gito cyangwa iy'igihe kirekire, nk'uko muganga w'indwara z'umutima abivuga.
Ni ibisanzwe ko umuntu wese agira ubwoba gato iyo yumvise ikibazo cy’umutima utera cyane. Ariko Atrial Flutter ni indwara ivurwa. Ablation ni uburyo bwiza kandi bwizewe bwo kuvura. Rero, ganira na muganga wawe ku bwumvikane kuri ibi hanyuma uhitemo uburyo bwiza bwo kuvura.
Ubutumwa bwo kujyana mu rugo
- Gutera kw'umutima mu maraso ni indwara ishobora kuvurwa iterwa n'uko icyumba cyo hejuru cy'umutima gitera ku buryo butunguranye kandi bwihuse.
- Kuvura indwara yo mu mutima (Ablation) ni bwo buryo bwiza cyane (burenga 90%) kandi bwizewe bwo kuvura ibi. Ntabwo ari ukubaga umutima.
- Ni ngombwa cyane gukurikiza amabwiriza y'abaganga witonze mbere na nyuma yo kuvurwa, cyane cyane ajyanye no gufata imiti igabanya amaraso.
- Itondere ibimenyetso by'umuburo nyuma yo kuvurwa, nko kuva amaraso menshi, gucika intege, no kunanirwa kuvuga. Niba ufite ikibazo, jya kwa muganga wawe cyangwa Ishami rishinzwe ubutabazi bwihuse (ETU) ry'ibitaro bikwegereye.
- Ntugatinye ubu buryo bwo kuvura, ubiganireho weruye n'umuganga w'indwara z'umutima hanyuma ufate umwanzuro.
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