Reka twige ku gikoresho cyihariye gitera umutima guhagarara (Biventricular Pacemaker) gishyirwamo abantu bafite imitima idakomeye!

Ese umuganga wawe yakubwiye ko imikorere y'umutima wawe idakora neza, bivuze ko ufite ikibazo cy'umutima? Ese wumva unaniwe cyane kandi uhumeka nabi ku buryo udashobora gukora imirimo yawe ya buri munsi? Umuganga wawe ashobora kuba yarakubwiye kandi ibijyanye na pacemaker. Uyu munsi turimo kuvuga ku gikoresho gisa, ariko gitandukanye gato, gishobora gufasha cyane abantu bafite imikorere y'umutima idakora neza cyane. Icyo ni Biventricular Pacemaker.

Mu magambo make, iyi Biventricular Pacemaker ni iki?

Igikoresho cyo mu mutima gitera umutima gutera umutima imbere mu mitsi yombi ni igikoresho gito gishyirwa mu mubiri, kimwe n'igikoresho gisanzwe cyo mu mutima, kugira ngo gifashe mu kugenzura imivuduko idasanzwe y'umutima (arrhythmias). Ariko, itandukaniro rikomeye ni umubare w'insinga zihujwe na cyo.

Tekereza, pacemaker isanzwe ifite insinga imwe cyangwa ebyiri. Ariko iyi Biventricular Pacemaker ifite insinga eshatu . Ibi ni ingenzi cyane. Kubera izi nsinga eshatu, imwe ihujwe n'icyumba cyo hejuru cy'iburyo cy'umutima (Right Atrium), naho izindi nsinga ebyiri zihujwe n'ibyumba bibiri by'ingenzi (Ventricles) biri hepfo y'umutima.

Noneho, reba, mu ndwara y'umutima, rimwe na rimwe ibice bibiri byo hasi (ventricles) by'umutima wawe ntibihuza icyarimwe, mu buryo bumwe. Ni nk'abantu babiri batwara ubwato aho kujyana mu byerekezo bitandukanye, ariko iyo umuntu umwe arangije kujyana, undi arabufata. Hanyuma ubwato ntibugenda neza, sibyo? Uko ni ko biba bimeze. Iyo ibice bibiri by'umutima bidakorana, biragoye cyane ko umutima utanga amaraso akungahaye kuri ogisijeni umubiri ukeneye.

Ni nde ukeneye iki gikoresho?

Ubusanzwe, muganga atera inama igikoresho nk'iki kubera impamvu runaka. Reka turebe icyo ari cyo.

• Niba udashobora kugenzura ibimenyetso byawe ukoresheje imiti yandikiwe kugira ngo ugenzure indwara y'umutima wawe.
• Niba udashobora gukora imirimo ya buri munsi neza bitewe n'umunaniro ukabije no kugorwa no guhumeka (dyspnea).
• Niba umutima wawe udatanga amaraso ahagije ku mubiri wawe.
• Niba ibizamini nka ECG byemeza ko ibyumba by'umutima bidakorana.
• Iyo muganga asanze hari ibyago byo kurokoka bitewe no guhagarara k'umutima mu buryo butunguranye.

Itandukaniro riri hagati ya CRT-P na CRT-D

Dore ikindi kintu ukwiye kumenya. Hari abantu bashobora no gukenera defibrillator kugira ngo bagenzure umuvuduko w'umutima uteje akaga, hamwe n'iyi Biventricular Pacemaker (CRT-P).Nanone haterwamo ICD. Icyo gikoresho cyitwa CRT-D . Ibi bimenya igihe umutima utera cyane kandi bigatera amashanyarazi make kugira ngo bigarure umuvuduko w'umutima. Ibi bishobora kurokora umuntu urupfu rutunguranye. Muganga wawe ni we uzagufatira icyemezo cy'ubwoko bw'imiti ukeneye.

Ni izihe nyungu n'ingaruka zishobora guterwa no gushyiramo iki gikoresho?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza ndetse n'ingaruka nto. Ni ngombwa kubisobanukirwa neza.

Ese hari aho iki gikoresho kidashobora gushyirwaho?

Yego, ibi bishobora kuba bidakwiye abantu bamwe na bamwe. Urugero, niba hari ubwandu bukabije mu mubiri, indwara yo kuva amaraso, cyangwa indi ndwara ikomeye ishobora gushyira ubuzima mu kaga mu mwaka umwe, muganga ashobora kutagisha inama yo kubagwa.

Ni iki ugomba kwitondera nyuma yo gushyiramo pacemaker?

Ni nk'igice cy'umubiri wawe, bityo ugomba kucyitaho.

Gusuzumwa kwa muganga (Gukurikirana)

Uzakenera kujya kwa muganga wawe inshuro nke mu mwaka. Muri izi ngendo, azasuzuma ubuzima bwawe, arebe neza ko igikoresho cyawe gikora neza, arebe niba bateri ikora, kandi arebe niba hari amakuru mashya kuri porogaramu . Ushobora kandi gusabwa kujya kwisuzumisha buri kwezi uri mu rugo.

Wamenya ute ko hari ikibazo?

Niba ibimenyetso byawe (umunaniro, isereri, gucika intege, guhumeka nabi) bigarutse nk'uko byari bimeze mbere, hamagara muganga wawe ako kanya. Hari igihe igikoresho gishobora kurira. Niba ufite CRT-D, ugomba no kuyimenyesha ako kanya niba wumva amashanyarazi aguteye .

Ibikoresho byo kwirinda

Ibi ni ingenzi cyane. Ugomba kwirinda ibintu bifite imbaraga zikomeye za rukuruzi, kuko bishobora kubangamira ibimenyetso biva kuri pacemaker yawe.

• Terefone zigendanwa na ecouteur: Mu gihe uvugira kuri telefoni, shyira ku gutwi kwerekeye pacemaker. Ni byiza gukoresha telefoni ikoresha indangururamajwi. Ntukigere utwara telefoni cyangwa ecouteur mu mufuka w'ishati.
• Udukoresho two gupima ibyuma: Ibi bishobora gutera amajwi yo kubuza amajwi ahantu nka ku bibuga by'indege. Rero buri gihe gendana ikarita yawe y'umusemburo wo gupima umutima kandi uyigaragaze ku bashinzwe umutekano kugira ngo bagusabe igenzura ryihariye.
• Ibindi bikoresho by'ubuvuzi: Niba ukeneye ubundi buryo bwo kubagwa, gupima MRI, kuvura amabuye y'impyiko, kuvura ububabare bwa TENS, cyangwa kuvura kanseri hakoreshejwe imirasire, ugomba kubimenyesha muganga w'umutima mbere y'igihe.

Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo ubwiwe ko ukeneye pacemaker ku ndwara y'umutima, imiti yonyine idahagije. Ariko ihumure n'inyungu iki gikoresho gishobora kuguha ni byinshi. Niba ufite ikibazo cyangwa impungenge kuri ibi, ntutindiganye kuvugana na muganga wawe.