Ese ujya ubona bigoye guhumeka nubwo wagenda vuba cyangwa ukazamuka ingazi? Ese wumva igituza cyawe cyuzuye umwuka kandi ntukibasha guhumeka? Iki ni ikibazo gikunze kugaragara ku bantu benshi bahura na emphysema , ubwoko bukomeye bwa COPD (Indwara y'ibihaha idakira). Ariko ntugahangayike, hari uburyo bugezweho bwo kuvura bushobora kugufasha guhangana n'iki kibazo. Uyu munsi, tugiye kuvuga ku bumwe mu buryo bwihariye nk'ubwo bwo kuvura.
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BLVR ni iki? Reka tubisobanukirwe mu buryo bworoshye.
BLVR, bisobanura Bronchoscopic Lung Volume Reduction , ni uburyo bwo kuvura, mu magambo make, butuma umwuka ufungiye mu bihaha byawe bidakenewe usohoka.
Tekereza ibihaha byawe nk'udupira tubiri. Mu gihe cyo kubura umwuka, umwuka ushobora kwinjira mu bice bimwe na bimwe by'ibihaha byawe ariko ntushobore gusohoka neza. Ibice byangiritse bihita bihinduka umwuka, bigatuma umwanya uhari kugira ngo ibice by'ibihaha byawe bikore neza. Ibi bituma guhumeka bigorana, kandi ukumva unaniwe kandi udafite umwuka uhagije.
Muri ubu buryo bwo kuvura bwa BLVR, abaganga bashyiramo bronchoscope , umuyoboro muto ufite kamera, mu muhogo wawe no mu bihaha byawe. Hanyuma, bashyiramo urukurikirane rw'udutsi duto tw'inzira imwe mu bice by'ibihaha byagutse bidasanzwe.
Izi valve zemerera umwuka ufunze gusohoka iyo uhumeka, ariko iyo wongeye guhumeka, zibuza umwuka kwinjira mu bice byangiritse.
Uko igihe kigenda gihita, ibi bigabanya ingano y'umwuka ufungiye mu bihaha byawe, bigatuma ibihaha byawe bigabanuka gato, bigatangira gukora neza. Ibi bizagabanya cyane kubura umwuka no kunanirwa kwawe.
Igikuru ni uko BLVR atari umuti wo kuvura indwara ya emphysema cyangwa ngo ivurwe igihe kirekire. Intego nyamukuru ni ukugenzura ibimenyetso no kunoza ubuzima bwawe.
Ni nde koko ubu buvuzi bukwiriye?
Ubuvuzi bwa BLVR si ubwa buri wese. Hari ibintu byihariye bisabwa kuri ibi. Muganga wawe azagusuzuma neza kugira ngo arebe niba wujuje ibyo byangombwa.
| Kwita ku byo umuntu yakwitaho | Ibisobanuro |
|---|---|
| Imyaka | Muri rusange, ugomba kuba uri munsi y'imyaka 75. |
| Ubukana bw'ibimenyetso | Kubura umwuka mwinshi no kunanirwa biracyakomeza nubwo hari imiti ikwiye n'ibihaha bivurwa neza. |
| Indwara y'ibihaha | Ibihaha bigomba kuzura cyane kandi umwuka ugafatwa. Nanone, umwuka ntugomba kuba unyura mu nzira zidasanzwe mu bihaha (nta mwuka uhumeka ugomba kubaho). |
| Kunywa itabi | Ntugomba kunywa itabi ubu, kandi ugomba kwirinda kunywa itabi byibuze amezi ane. |
| Gahunda zo gusana | Ugomba kuba ushobora kwitabira gahunda zo kuvura ibihaha mbere na nyuma yo kuvurwa. |
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Kugira ngo amenye niba uri umukandida mwiza kuri ubu buvuzi, muganga wawe azagukorera isuzuma ryuzuye ry’umubiri kandi aguhe ibizamini byinshi. Bimwe muri byo ni:
- Gupima amaraso
- X-ray yo mu gituza
- Isuzuma rya CT rifite ubushobozi bwo hejuru
- Ibizamini by'imikorere y'ibihaha
- Ikizamini cy'imyuka mu maraso yo mu mitsi
- Ikizamini cya Echocardiogram gisuzuma imikorere y'umutima
- Ikizamini cyo kugenda n'amaguru cy'iminota itandatu - Iki gipima imikorere y'umutima n'ibihaha byawe.
Witegura gute kuvurwa?
Muganga wawe azaguha amabwiriza y'uko wakwitegura kuvurwa. Ni ngombwa cyane gukurikiza aya mabwiriza neza kugira ngo ugabanye ingorane.
- Irinde kurya cyangwa kunywa ikintu icyo ari cyo cyose mu masaha 8 mbere yo kuvurwa (kwiyiriza ubusa).
- Ushobora kuba ugomba guhagarika gufata imiti imwe cyangwa guhindura igihe. Vugana na muganga wawe kuri ibi.
- Kubera ko uzaba uri mu bitaro iminsi mike nyuma yo kuvurwa, tegura mbere y'igihe ko hari umuntu uzagutwara mu rugo.
Uburyo ubuvuzi bukorwa n'ibyiza n'ibibi byabwo
Iki si igikorwa gikomeye. Nta gukomeretsa gukorerwa. Urasinzirizwa. Muganga ashyira bronchoscope mu muhogo wawe, ashyiramo utubati tune mu bihaha byangiritse, hanyuma akuramo bronchoscope. Igikorwa cyose kimara iminota 30 kugeza kuri 60 gusa.
| Ibyiza | Ingaruka |
|---|---|
| Nta gukomereka ku mubiri. | Ingaruka zishobora kubaho iyo umuntu afashwe n'ikinya. |
| Igihe gito cyo gukira. | Pneumothorax . |
| Ubushobozi bwo gukuraho cyangwa gusimbuza valves bibaye ngombwa. | Indwara nk'umusonga . |
| Ingorane nke ugereranyije n'ubuvuzi busanzwe. | Kurwara kwa COPD. |
| Ubwiza bw'ubuzima bwarushijeho kuba bwiza cyane. | Ingorane zikomeye nko kuva amaraso, gucika imitsi , no kurwara indwara z’umutima (akenshi zikunze kugaragara). |
Bigenda bite nyuma yo kuvurwa?
Nyuma yo kuvurwa, ugomba kumara nibura iminsi 3 mu bitaro. Itsinda ry'abaganga rizagukurikiranira hafi. Umaze gutaha, uzasabwa gutangiza gahunda yo kuvura ibihaha mu byumweru 4-6. Ibi bizagufasha cyane mu gucunga ubuzima bwawe.
Ni ryari ngomba kubonana na muganga?
Niba ufite ikibazo cyangwa impungenge mbere cyangwa nyuma y’ubuvuzi bwawe, ntutinde kuvugana na muganga wawe. Nanone, niba ubonye kimwe muri ibi bimenyetso bikurikira, jya ku bitaro bikuru by’ubutabazi bw’ibanze (ETU) bikwegereye.
- Umuriro nta mpamvu.
- Kubabara cyane mu gituza.
- Guhumeka bigoranye cyane.
- Ibara ry'ubururu ry'uruhu, iminwa, cyangwa inzara (Cyanosis) .
Nta muti uhari wo kuvura indwara yo mu mutwe, ariko uburyo bwo kuvura nka BLVR bushobora kugufasha guhumeka neza no kubaho neza. Vugana na muganga wawe kugira ngo agufashe kumenya niba ari bwo buryo bwiza bwo kuvura.
Ubutumwa bwo kujyana mu rugo
- BLVR ni uburyo bugezweho bwo kuvura indwara ikomeye yo mu bwonko idakunze kugaragara.
- Nubwo ibi bidakiza indwara, birushaho kunoza ubuzima binyuze mu koroshya guhumeka.
- Ubu buryo bwo kuvura ntibukwiriye buri wese kandi busaba ubumenyi bwihariye.
- Nkuko bigenda ku buvuzi bwose, hari ingaruka zimwe na zimwe, ariko ni nkeya ugereranije n'ubuvuzi busanzwe.
- Ganira n'inzobere mu by'ubuhumekero niba ubu buryo bugukwiriye n'ibyiza n'ibibi byabwo.
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