Ese ufite impinduka nto nk'iyi mu mutima wawe? Reka tuvuge kuri (Aneurysm ya Atrial Septal)!

Hari igihe tubana n'impinduka nto mu mibiri yacu tutabizi, si byo se? Hari igihe ibi bintu bivumburwa ku bw'amahirwe iyo muganga akoze ikintu nk'icyo "scan" kugira ngo arebe ikindi kintu. Nibyo koko, iyi "Atrial Septal Aneurysm" ni indwara nto y'umutima ivukanwa akenshi idakunda kugaragaza ibimenyetso bikomeye. Reka tubiganireho birambuye uyu munsi, si byo se?

"Aneurysm ya Atrial Septal" ni iki? Mu magambo make...

Mu magambo make, iki ni ikibazo cy’umutima wawe . Urukuta rutandukanya ibyumba bibiri byo hejuru by’umutima wacu, atria (nanone yitwa atria), rufite ubwoko bw’uturemangingo tw’inyongera muri rwo. Mu by’ukuri, igice cy’urwo rukuta kiba gito kandi kibyimba. Hari igihe abaganga bashobora kubibona mu gihe cyo gusuzuma umutima, ari byo gupima umutima. Abaganga banabyita aneurysm y’umutima hagati y’uturemangingo.

Abantu benshi bafite aneurysm y’amaraso mu mutima, ariko ntabwo ibangamira inzira y’amaraso mu mutima kandi ntisaba ubuvuzi bwihariye. Nubwo nta mibare nyayo igaragaza umubare w’abantu bafite iyi ndwara, bivugwa ko idakunze kubaho .

Ese hari ubwoko bw'ibi?

Yego, hari ubwoko butanu bw'ingenzi bwa 'Atrial Septal Aneurysm'. Ubu bwoko bushyirwa mu byiciro hakurikijwe uruhande rw'umutima aho ingingo ziyongera, cyangwa imiterere yazo, zigaragara cyane. Tekereza kuri ibyo, uruhande rw'iburyo rw'umutima, uruhande rw'ibumoso, cyangwa impande zombi.

• Ubwoko bwa 1R: Muri iki gihe, aho isura iherereye haba hagana kuri atrium yawe y'iburyo.
• Ubwoko bwa 2L: Aha ngaha aho indorerwamo igana ku gice cy'ibumoso cy'inyuma.
• Ubwoko bwa 3RL: Inzira igaragara cyane cyane ku ruhande rw'iburyo rwa atrium, ariko hari n'ingano nto ku ruhande rw'ibumoso rwa atrium.
• Ubwoko bwa 4LR: Muri iki gihe, imiterere y'inyuma iba ahanini ku ruhande rw'ibumoso rw'atriyumu, hamwe n'igice gito ku ruhande rw'iburyo rw'atriyumu.
• Ubwoko bwa 5: Aha ngaha, aho imiterere y'inyuma iba imwe haba mu gice cy'iburyo n'ibumoso.

Nubwo iki cyiciro ari ingenzi ku baganga, si ikintu ukwiye guhangayikishwa nacyo. Icy'ingenzi ni uburyo kikugiraho ingaruka.

Ni ibihe bimenyetso by'indwara ya `Atrial Septal Aneurysm`?

Inkuru nziza ni uko abantu benshi bafite aneurysm ya atrium septal nta bimenyetso bafite . Muganga wawe ashobora kubibona ku bw'amahirwe iyo uri gupimwa umutima ku yindi mpamvu.

Ariko, iyi ndwara rimwe na rimwe ishobora guherekezwa n'izindi ndwara z'umutima, nko gutera k'umutima mu buryo butari bwo (arrhythmias), kuzura kw'amaraso, cyangwa patent foramen ovales (PFOs). Ibi nibibaho, ushobora kugira ibimenyetso nka:

• Kubabara mu gituza cyangwa kubabara mu mutima.
• Kumva impinduka mu muvuduko cyangwa umuvuduko w'umutima wawe utera, bizwi nka 'palpitations'.
• Kuzungera.

Kuki iyi "Aneurysm ya Atrial Septal" iba? Ni iyihe mpamvu?

Abashakashatsi ntibaramenya neza icyatera aneurysm y’uturemangingo tw’amaraso two mu bwoko bwa intertrial. Bamwe mu baganga n’abashakashatsi bemeza ko bishobora guterwa n’imiterere y’uturemangingo cyangwa intege nke mu ngingo zihuza umubiri wacu. Ariko, ibi biracyakorerwa ubushakashatsi.

Ese ibi bishobora guteza izindi ngorane?

Niba ufite aneurysm imwe gusa ya atrium septal, ntabwo ari ikibazo gikomeye. Ariko, hari igihe iyi ndwara ishobora kongera ibyago byo kurwara izindi ndwara. Muri zo harimo:

• Ibindi bibazo by'umutima bivukanwa.
• Igisebe ni indwara ituma amaraso agwa mu bwonko.
• Ubudahangarwa bw'imitsi y'umutima (arrhythmias).
• Amaraso apfutse.
• Indwara yitwa `Patent foramen ovale (PFO)` (iyi nayo ni umwobo muto uri hagati y'atriamu y'umutima).
• Indwara yitwa `Atrial septal defect (ASD)` (iyi nayo ni umwobo uri mu rukuta ruri hagati ya atria).

Icy'ingenzi: Izi ngorane ntiziba kuri buri wese, ariko ni ukubera iyi ngaruka abaganga bahangayikishijwe nazo.

Wamenya ute ko ufite `Atrial Septal Aneurysm`?

Ubusanzwe, umuganga ashobora gukora `echocardiogram` kugira ngo arebe niba ari ko bimeze. Nkuko nabivuze mbere, iyo ingingo zisigaye zivuye ku rukuta ruri hagati y'umutima ku burebure bwa milimetero zirenga 10 (bamwe mu baganga bavuga ko ari milimetero 15), abaganga bazasuzuma ko ari `Atrial Septal Aneurysm`.

Hari igihe, niba umuganga wawe ashaka kubisuzuma neza, ashobora kukugira inama yo kubisuzuma byihariye byitwa transesophageal echocardiogram (TEE). Ibi bisaba kohereza igikoresho gito gisa na kamera mu mwobo wawe (umuyoboro w'ibiribwa) kugira ngo ubone neza urukuta ruri hagati y'atrial y'umutima wawe. Ibi bishobora gufasha kumenya aneurysm y'umutima ishobora kubura iyo ukoresheje echocardiogram isanzwe (transthoracic echocardiogram - TTE - ibi bikorwa binyuze mu gituza).

Akenshi, abantu ntibazi ko bafite aneurysm y’imitsi iteranya ibice by’umutima. Akenshi iboneka mu buryo bw’impanuka mu gihe cyo gupima umutima ku yindi mpamvu. Ibi bizamini birimo:

• "CT scan" y'umutima ("Cardiac computed tomography (CT)").
• Isuzuma rya MRI ry'umutima (Umutima MRI).
• Ikizamini cya angiogramu.

Niba muganga agusuzumye abarwayi bafite indwara ya atrial septal aneurysm, ashobora no gusuzuma izindi ndwara z'umutima zifitanye isano nayo, kuko, nk'uko nabivuze mbere, bamwe mu bantu bafite iyi ndwara bashobora no kugira izindi ndwara z'umutima.

Ni ubuhe buryo bwo kuvura ibi?

Niba ufite aneurysm y’umutima ifata atrial septal, ariko udafite izindi ndwara z’umutima cyangwa ibindi bintu bishobora gutera kubyimba kw’amaraso no gucika imitsi, birashoboka ko utazakenera ubuvuzi ubwo aribwo bwose . Ibi ni ukuri ku bantu benshi.

Ariko, kuri bamwe, abaganga bashobora gutanga imiti. Kuvura indwara ya intertrial septal aneurysm bishobora kuba birimo imiti igabanya amaraso (nk'imiti igabanya amaraso cyangwa imiti igabanya amaraso). Iyi miti itangwa kugira ngo hirindwe kubyimba kw'amaraso, kuko bamwe mu bantu bafite iyi ndwara baba bafite ibyago bike byo kubyimba amaraso.

Ku bantu bamwe, cyane cyane abafite patent foramen ovale (PFO) na aneurysm, uburyo bwo gufunga bushobora gufasha kugabanya ibyago byo kurwara indwara yo mu bwonko. Nyuma y'ubu buryo, ushobora gukenera gufata imiti igabanya amaraso yitwa antiplatelets mu gihe cy'amezi menshi, cyangwa ndetse n'ubuzima bwawe bwose (cyane cyane niba warigeze kugira stroke mbere).

Ni gake cyane, ni ukuvuga mu bihe bike cyane, iyi "Aneurysm ya Atrial Septal" igomba gukurwaho hakoreshejwe kubagwa.

`Aneurysm ya Atrial Septal` ikomeye gute?

Kugira ateri aneurysm si cyo kintu cyonyine gitera impungenge . Ni gake cyane bitera ikibazo gikomeye ubwabyo. Ariko, niba ufite ibindi bintu bishobora gutera stroke (nk'umuvuduko ukabije w'amaraso, diyabete, kunywa itabi, cyangwa kugira PFO), ugomba no guhangayikishwa n'ateri aneurysm. Ibi bishobora kongera ibyago byo kurwara stroke kurushaho.

Ese twagombye kugira ubwoba ku buzima bwacu muri iki kibazo?

Muri rusange, igihe abantu bafite `Atrial Septal Aneurysm` cyo kubaho ni kimwe n'icy'abandi bantu bazima . Ibi bivuze ko nta mpamvu yo guhangayikishwa n'uko ibi bizagusubiza igihe cyo kubaho. Si uko abantu bose bameze kimwe. Imiterere yawe bwite ishobora gutandukana bitewe n'izindi ndwara cyangwa indwara ufite. Kubwibyo, ni byiza kuganira na muganga wawe kuri ibi.

Ni iki wakora kugira ngo wite ku buzima bwawe?

Niba muganga wawe akwandikiye umuti wo kwirinda indwara yo gucika intege mu bwonko (nk'umuti woroshya amaraso), ni ngombwa cyane kuwufata neza uko wanditswe, mu gipimo cyagenwe, kandi mu gihe cyagenwe . Ntugahagarike gufata umuti wawe cyangwa ngo uhindure urugero utabanje kuvugana na muganga wawe.

Niba ukorewe ubuvuzi bworoheje cyangwa ukabagwa bikomeye, muganga wawe azagukurikiranira hafi mu gihe runaka . Menya neza ko ukurikiza izi gahunda. Ushobora kandi gukenera gukorerwa ibizamini byo gupima cyangwa gupima.

Ni ryari ugomba kujya kwa muganga mu gihe cy'ubutabazi bwihutirwa?

Ibi ni ingenzi cyane. Niba wowe cyangwa undi muntu uzi arwaye indwara yo mu bwonko , ugomba guhita ujya kwa muganga vuba . Kuvurwa hakiri kare bishobora gufasha gukumira kwangirika gukomeye guterwa n'indwara yo mu bwonko. Ibuka ibi bimenyetso:

• Biba bigoye kuvuga, amagambo arahindagurika.
• Uruhande rumwe rw'umubiri (ukuboko, ukuguru, uruhande rw'isura) ruhita rugira ibinya, ububabare, cyangwa intege nke.
• Mu buryo butunguranye, haza isereri ikomeye.
• Kureba bihita bihinduka ubusa, cyangwa amaso amwe cyangwa yombi akabura.
• Mu buryo butunguranye, kimwe cyangwa byinshi mu byumviro byacu bihagarara gukora (urugero: kumva, guhumurirwa).
• Mu buryo butunguranye, wumva urimo urujijo rwinshi kandi umeze nk'aho wibagiwe aho uri.
• Umutwe ukabije cyane, utunguranye.

Ni ibihe bibazo ugomba kubaza muganga wawe?

Iyo umenye ko ufite `Atrial Septal Aneurysm`, ni ibisanzwe kugira ibibazo byinshi mu mutwe wawe. Ntutinye kubaza muganga wawe ibi bintu:

• "Muganga, ese nkeneye ubuvuzi kuri iyi 'Atrial Septal Aneurysm'?"
• "Ni ryari nkeneye kongera kubonana na muganga (`saha zo gukurikirana`)?"
• "Ese mfite izindi ndwara z'umutima zifitanye isano n'iyi Aneurysm ya Atrial Septal?"
• "Ukurikije uko meze ubu, umuganga atekereza iki ku buzima bwanjye bw'ejo hazaza?"

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Ushobora gutungurwa gato iyo muganga akubwira ko ufite `Atrial Septal Aneurysm`, cyane cyane niba utigeze ugira ibimenyetso mbere. Ariko, akenshi, iki si ikintu cyo guhangayikisha . Abantu benshi babaho ubuzima busanzwe bafite iyi ndwara nta kibazo.

Ariko, niba muganga wawe avuze ko uri mu kaga ko kurwara indwara yo mu bwonko bitewe n'iyi aneurysm, muganire witonze kandi ushyireho gahunda isobanutse neza y'ingamba ugomba gufata kugira ngo wirinde. Ni ngombwa kandi kuganira n'umuryango wawe, inshuti ku kazi, n'abandi ku bimenyetso by'umuburo by'indwara yo mu bwonko kugira ngo bigufashe kugabanya ubwoba bwawe. Kumenya ibi bimenyetso bishobora kugufasha cyane cyangwa ku muntu uzi mu gihe kizaza. Buri gihe kurikiza amabwiriza ya muganga wawe. Hanyuma ushobora gukomeza kugira ubuzima bwiza!

` aneurysm y'umutima, indwara z'umutima, umutima, echocardiogram, echocardiogram, stroke, PFO, ubuzima bw'umutima