Ese hari igihe umutima wawe utera cyane nta mpamvu? Wumva nk'ingoma ikubita mu gituza cyawe, nta muvuduko, kandi wumva biteye ubwoba cyane, si byo se? Iyi ndwara ishobora gutuma unanirwa, uzungera, kandi ukumva uhumeka nabi. Ubu bwoko bw'umutima utera nabi, cyane cyane indwara abaganga bita 'Atrial Fibrillation' (AFib), rimwe na rimwe ntigenzurwa neza n'imiti yanditswe kugira ngo iwugenzure. Ni bwo abaganga batekereza ku buryo bwihariye bwitwa 'AV Node Ablation'.
Mu magambo make, AV Node Ablation ni iki?
Yego, iri jambo rishobora gusa nkaho ari rigoye, ariko reka turyumvikane neza.
Ubwa mbere, reka turebe imikorere y'amashanyarazi y'umutima wacu. Tekereza umutima wawe nk'inzu ifite ibyumba bine. Ibyumba bibiri bito hejuru byitwa atria. Ibyumba bibiri binini biri hepfo byitwa ventricles. Kugira ngo umutima ukore neza, ibi byumba bigomba gufungana mu buryo bunoze kandi burangwa n'umuvuduko. Uyu murimo ugenzurwa n'imikorere y'amashanyarazi karemano iri mu mutima.
Mu gihe cy’indwara nka `Atrial Fibrillation` (AFib), ibimenyetso by’amashanyarazi mu byumba bibiri byo hejuru by’umutima (atria) birahungabana, bigatuma bikubita vuba cyane kandi mu buryo butunguranye. Ni nk’itsinda ry’abaririmbyi ridafite umuyobozi, buri wese acuranga indirimbo ye.
Aha, mbere yuko ibyo bimenyetso by'amashanyarazi bihindagurika biva mu byumba byo hejuru bijya mu byumba bikuru (uturemangingo), bigomba kunyura mu "irembo" rito. Iri rembo ni ryo twita "AV node ". Iyi "AV node" imeze nk'umupolisi w'imodoka. Agerageza kugenzura ibintu areka ibimenyetso bike byihuse kandi bihindagurika biturutse hejuru bikinjira.
Ariko rimwe na rimwe iki kibazo kiba gikomeye cyane ku buryo n'agace ka AV kadashobora kukigenzura. Icyo gihe ni bwo abaganga bakora icyo bita `AV Node Ablation.'
`Ablation` bivuze guhagarika igice cy'uruti hakoreshejwe ubushyuhe cyangwa ubukonje bukabije. Bityo rero `AV Node Ablation` bivuze guhagarika nkana "irembo" (agace ka AV) aho ibimenyetso by'akajagari binyura.
Ibi bituma amashanyarazi ahindagurika cyane mu byumba biri hejuru ahagarika burundu kujya mu byumba bikuru byo kuvoma biri hepfo.
Kuki pacemaker ari ngombwa cyane?
Iki ni cyo kintu cy'ingenzi ugomba kumenya kuri ubu buryo bwo kuvura.
Iyo tumaze gufunga burundu irembo ryemerera ibimenyetso biturutse hejuru kumanuka (agace ka AV), ibyumba bibiri (uturemangingo) tw'umutima ntibizongera kubona ikimenyetso cyo gutera. Ese umutima uzahagarara gutera noneho? Oya. Niyo mpamvu abaganga bagushyiramo umuti uhoraho wo mu mutima nk'igisubizo.
Iyi pacemaker ni igikoresho gikoresha batiri nto.Yohereza ibimenyetso by'amashanyarazi mu byumba byo hasi by'umutima kugira ngo bitere mu buryo runaka no ku muvuduko runaka. Muri make, duhagarika igice cy'amashanyarazi karemano cy'umutima kidakora neza, tukagisimbuza icyuma gikoresha amashanyarazi cy'ubukorano gikora neza cyane.
Igikomeye ni uko uburyo bwo kuvura bwitwa AV Node Ablation budasubirwaho kandi buhoraho. Ibi bivuze ko nyuma yo kubikora, uzagomba kubana na pacemaker ubuzima bwawe bwose.
Ni nde usabwa gukoresha ubu buryo bwo kuvura?
Kugabanya ububabare bwa AV Node Ablation si uburyo bwiza ku bantu bose. Hari impamvu nyinshi z'ingenzi zishobora gutuma muganga akugira inama:
- Niba indi miti yose yatanzwe kugira ngo igenzure umutima wawe utera nabi yananiwe.
- Niba udashobora gukomeza gukoresha umuti bitewe n'ingaruka mbi zikomeye .
- Niba ufite pacemaker isanzweho kubera indi mpamvu.
- Niba imikorere y'umutima wawe iri gucika intege bitewe n'uko ufite ikibazo cya `AFib`.
Iki cyemezo gifatwa nyuma yuko umuganga w'indwara z'umutima agusuzumye neza.
Witegura ute mbere yo kuvurwa?
Niba udafite pacemaker, muganga wawe azagutera pacemaker ibyumweru bike mbere yo kuyikoresha, icyarimwe no kuyikoresha, cyangwa nyuma yuko irangiye.
Byongeye kandi, mbere yo gukora `ablation`, abaganga bakora Inyigo ya EP (`Electrophysiology Study`) . Ibi bikubiyemo gushushanya inzira z'amashanyarazi z'umutima kugira ngo hamenyekane aho agace ka AV tugiye guhagarika kari.
Uko ubuvuzi bukora - intambwe ku yindi
Ntutinye kuvuga ko ari ukubaga gukomeye. AV Node Ablation ni uburyo budakoresha imbaraga nyinshi, busanzwe bukorerwa mu mwenge muto mu ruhu, nta gukata cyane. Reka turebe uko bikorwa.
| Intambwe | Ibisobanuro byoroshye by'ibiri kuba |
|---|---|
| 1. Kwitegura | Kanula nto (IV) ishyirwa mu mutsi uri mu kuboko kwawe, hanyuma uhabwa imiti igufasha gusinzira no kuruhuka, kugira ngo utazababara cyane. |
| 2. Kutamenya | Agace k'ikibuno cyawe, ukuboko kwawe, cyangwa ijosi ryawe kazaba gafite ibinure. Aha niho katheteri izashyirwa. |
| 3. Gushyiramo katheteri | Catheters ni imiyoboro mito cyane, miremire kandi yoroshye, iva mu gace kagize ikibazo inyuze mu mitsi igana ku mutima. |
| 4. Gukurikirana | Mu gihe cyose cy'ubuvuzi, abaganga n'abaforomo bakurikirana ibintu nk'umuvuduko w'umutima wawe n'umuvuduko w'amaraso kuri mudasobwa. |
| 5. Kubona node ya AV | Akoresheje X-rays no gupima umutima hakoreshejwe amashanyarazi, umuganga azamenya aho AV node iherereye neza. |
| 6. Guhagarika gukora (guhagarika gukora) | Igikoresho cyihariye kiri ku mpera ya catheter gikoresha ubushyuhe (`radiofrequency energy`) cyangwa ubukonje bukabije (`cryoablation`) kugira ngo kidakora neza. |
Iyi gahunda yose ishobora gufata igihe kiri munsi y'isaha imwe kugeza ku masaha menshi.
Ni izihe nyungu n'ingaruka byagira?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka nto cyane.
Ibyiza by'ingenzi
- Ntabwo uzakenera gufata imiti kugira ngo ugenzure umuvuduko w'umutima wawe (ariko ushobora gukenera gukomeza gufata imiti igabanya amaraso).
- Ibimenyetso nko kuzungera, umunaniro, no kubura umwuka biragabanuka kandi ubuzima burushaho kuba bwiza.
- Uzashobora gukora imyitozo ngororamubiri myinshi kurusha mbere.
- Bigabanya gukenera kujya mu bitaro cyangwa kujya mu ishami ryita ku bibazo by’umutima (ETU) kenshi bitewe n’ibibazo by’umutima.
- Iyi ni intsinzi ikomeye cyane kandi ifite umutekanoKuba uburyo bwo kuvura.
Ingorane zishoboka (zidakunze kubaho cyane)
Ingorane ni gake cyane, ariko ni ngombwa kuzimenya.
- Ukwiyongera kw'amazi mu ruhu rukikije umutima (pericardial effusion).
- Ubundi bwoko bw'umutima utera utari umeze neza.
- Kugabanuka k'imikorere y'umutima wo mu gice cy'ibumoso (ibi bishobora gukosorwa hakoreshejwe icyuma cyihariye gipima umutima).
- Urupfu rutunguranye (ibi ni gake cyane).
Muganga wawe azagusobanurira neza izi ngaruka.
Bigenda bite nyuma yo kuvurwa?
Nyuma yo kuvura, muganga azakuraho catheter hanyuma afate aho bashyize mu mwanya wabo mu gihe cy'iminota 15. Nyuma y'ibyo, uzakenera kuryama mu buriri amasaha make.
Ubusanzwe uzarara mu bitaro hanyuma ugataha umunsi ukurikiyeho. Ni ibisanzwe kumva unaniwe kandi ubabara mu minsi ibiri cyangwa itatu nyuma yo gutaha. Ariko uzashobora gukomeza imirimo yawe isanzwe mu minsi mike.
Uzasabwa kuza gusura umurwayi nyuma y'ukwezi kumwe nyuma yo gushyirwamo pacemaker. Nyuma y'ibyo, uzakenera kwisuzumisha rimwe cyangwa kabiri mu mwaka.
Igihe cyo kubonana na muganga
Nyuma yo kuvurwa, niba ubonye ibimenyetso bikurikira, bimenyeshe muganga wawe ako kanya.
| Amahirwe | Ibintu byo kwitondera |
|---|---|
| Ibimenyetso by'ubwandu | Niba ahantu hashyizwemo pacemaker hari ububabare, habyimbye, hatukura, cyangwa humvikana umuriro cyangwa ubukonje (ibi bishobora kubaho nyuma y'amezi). |
| Niba utekereza ko hari ikibazo kuri pacemaker yawe | Niba uhora uhura n'izunguza, gucika intege, cyangwa guhumeka bigoranye. |
Ese hari ubundi buryo bwo kuvura?
Yego. Ubundi buryo bwo kuvura bufatwa nk'ubundi buryo bwo gusimbura `AV Node Ablation` ni `Pulmonary Vein Isolation` (PVI) .
Ibi bikubiyemo gushaka ahantu ibimenyetso by'amashanyarazi bidasanzwe bitera AFib bitangirira (mu mitsi yo mu bihaha) hanyuma ukabikuraho kugira ngo bihagarare. Nyuma yo kuvurwa na PVI, ubusanzwe ntabwo hakenewe pacemaker. Ariko, muganga wawe ni we uzaguhitiramo uburyo bwo kuvura muri ubu buryo bubiri bukubereye.
Gufata icyemezo cyo gufata AV Node Ablation si ikintu cyoroshye. Ntibishoboka. Kandi hari abantu badakunda igitekerezo cyo kubana n'umuti utera umutima ubuzima bwabo bwose. Ariko, igipimo cy'ubu buvuzi ni hafi 100%. Kandi ihumure n'ubwiza bw'ubuzima bwawe ni byinshi cyane.
Kubwibyo rero, ganira ku bibazo byawe byose n'ubwoba bwawe na muganga wawe mu buryo bweruye. Azagusobanurira byose kandi agufashe gufata icyemezo cyiza ku kibazo cyawe.
Ubutumwa bwo kujyana mu rugo
- AV Node Ablation ni uburyo bwiza bwo kuvura indwara z'umutima zidakora neza (Atrial Fibrillation) bigoye kuzigenzura ukoresheje imiti.
- Ibi bihagarika burundu ibimenyetso by'amashanyarazi biva mu byumba byo hejuru by'umutima bijya mu byumba byo hasi.
- Ubu ni uburyo bwo kuvura budasubirwaho, bivuze ko budashobora gusubizwa inyuma igihe bumaze gukorwa.
- Nyuma yo gukoresha AV Node Ablation, ni ngombwa kwambara pacemaker ihoraho ubuzima bwawe bwose kugira ngo umutima wawe ukomeze gutera neza.
- Ubu buvuzi bufite igipimo cyo gutsinda cyane, bugabanya ibimenyetso kandi bunatuma ubuzima burushaho kuba bwiza.
- Mbere yo gufata icyemezo icyo ari cyo cyose, ganira witonze ku byiza, ibibi, n'uburyo bwo kuvura hamwe n'umuganga w'indwara z'umutima.
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