Ese uracyababara mu gituza nyuma yo kugira stent? Reka tuvuge kuri In-Stent Restenosis!

Ese waba warashyizwemo stent kubera ikibazo cy'umutima? Ushobora kuba warumvise uhumurijwe cyane nyuma yo kubikora. Ibintu nko kubabara mu gatuza no kubura umwuka birangiye, kandi ushobora kuba warumvise umeze nk'aho ufite ubuzima bushya. Ariko se, byagenda bite niba, nyuma y'igihe gito, mu mezi make, iyo ndwara ishaje itangiye kugaruka? Bite se niba igituza cyawe gitangiye kongera kubabara? Bite se niba ufite ikibazo cyo guhumeka? Abantu benshi barahangayika muri iki gihe. Baribaza bati "Kuki ibi bibaho nubwo stent yashyizweho?" Igisubizo cy'icyo kibazo ni indwara tuvuga uyu munsi, yitwa 'In-Stent Restenosis'.

Mu magambo make, In-Stent Restenosis ni iki?

Kugira ngo tubisobanukirwe, reka duhere ku ntangiriro.

Mu magambo make, 'Stenose' bivuze ko ikintu nk'imitsi yacu y'amaraso ifunga cyangwa igafunga. Iyo imitsi y'umutima ijyana amaraso mu mutima ifunganye bitewe n'ibinure byinshi (tubyita Atherosclerosis ) tubyita Indwara y'imitsi y'umutima (CAD) . Angioplasty ni uburyo abaganga bakoresha kugira ngo bongere gufungura iyi mitsi y'amaraso ifunganye.

Muri ibi, agapira gato gashyirwa mu gace kafunzwe maze kagashyirwamo umwuka kugira ngo umutsi w'amaraso waguke. Hanyuma, kugira ngo agace kagutse kadasenyuka ngo kongere gafunge, umuyoboro muto umeze nk'umuyoboro (ibi ni byo twita stent ) ushyirwa mu mitsi. Ibi bituma amaraso yongera gutembera.

Noneho urabyumva. 'Restenosis' ni ijambo rigizwe n'amagambo 're' (nanone) na 'stenosis' (kuziba). Bisobanura, kongera kuziba . Rero, In-Stent Restenosis ni igihe umuyoboro w'amaraso aho stent yashyizwe wongera kuziba, aho stent yari iri. Nubwo ibi bibabaza cyane, ni ngombwa cyane kumenya impamvu ibi bibaho.

Kuki imitsi yongera kuziba nyuma yo gushyirwaho stent?

Ibi ntabwo biterwa n'ikibazo cya stent. Uku niko umubiri wacu ubyitwaramo. Tekereza iyo ufite igikomere ku mubiri wawe, inkovu iravuka uko ikira, sibyo? Ibyo nibyo biba hano.

Istent ni ikintu gituruka hanze y'umubiri wacu. Bityo umubiri uyifata nk' 'igikomere' ukagerageza kuyikiza. Muri iki gikorwa, urwego rushya rw'uturemangingo rurakura hejuru ya stent. Ibi ni ibisanzwe. Uru rwego rushya rw'uturemangingo rukora igice cy'istent cy'urukuta rw'imitsi y'amaraso, bigatuma amaraso atembera neza.

Ariko, imibiri ya bamwe irabyihanganira cyane . Hanyuma urwego rw'uturemangingo tuba hejuru ya stent, rwitwa inkovu, ruba runini cyane kuruta uko byari byitezwe . Kimwe n'uko ibimera bikura mu muyoboro w'amazi bigafunga umwobo mu muyoboro, uru rugingo rwagutse rwongera kugabanya inzira y'amaraso. Ibyo ni byo twita In-Stent Restenosis.

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Nubwo iyi ndwara ishobora kugaragara ku muntu wese ufite stent, hari abantu bafite ibyago byinshi byo kurwara. Reba niba ufite izi ndwara.

Ibindi bintu bike ...

Byongeye kandi, ibi bishobora kwiyongera niba umuyoboro w'amaraso wafunzwe ari muto cyane cyangwa niba kuziba kwawo ari kure cyane . Nanone, niba umuyoboro waguwe hakoreshejwe ibara ridafite stent (Balloon Angioplasty), ibyago byo kongera kuziba kwawo biba byinshi kurushaho.

Ni ibihe bimenyetso by'ibi?

Imwe mu mbogamizi zikomeye hano ni uko abantu benshi barwaye In-Stent Restenosis nta bimenyetso bagaragaza . Ushobora kutagira icyo wumva kugeza igihe imitsi y'amaraso igabanutse cyane. Niyo mpamvu ari ngombwa kujya kwisuzumisha buri gihe nk'uko muganga yabigutegetse nyuma yo gufata stent.

Ariko, hari abantu bagira ibimenyetso bisa cyane n'ibimenyetso by'indwara y'imitsi y'umutima (CAD) wagize mbere yuko ugira stent.

• Kubabara mu gituza cyangwa kubabara mu gituza (Angina): Kumva ufunganye cyangwa ufunganye mu gituza. Ibi bishobora kuba bibi kurushaho iyo uri gukora imyitozo ngororamubiri cyangwa uzamuka ingazi.
• Guhumeka nabi: Kugorwa no guhumeka nubwo wakoresha imbaraga nke.
• Kumva unaniwe bidasanzwe: Kumva unaniwe cyane ku buryo udashobora gukora ibintu wakoraga byoroshye.
• Ububabare bw'urutugu cyangwa ukuboko: Ububabare bwo mu gituza buherekejwe n'ububabare bugera ku rutugu rw'ibumoso cyangwa ku kuboko.
• Ibimenyetso nko kuzungera, kubira ibyuya, no kugira isesemi nabyo bishobora kubaho.

Namenya nte niba ibi bihari?

Iyo utubwiye ibimenyetso byawe, muganga azagukorera ibizamini byinshi kugira ngo abyemeze.

• Ikizamini cy'Imihangayiko mu Mikino (Ikizamini cya Treadmill): Ugomba kugenda cyangwa kwiruka kuri treadmill kandi ECG ikoreshwa mu kugenzura uko umutima wawe ukora iyo ufite stress.
• Gupima umutima (Angiogram): Iki ni cyo kizamini gifatika. Kimwe no gushyira stent mu mubiri, umuyoboro muto unyura mu mitsi y'amaraso ukagera mu mutima, ugaterwa irangi ryihariye, hanyuma hagafatwa X-ray kugira ngo harebwe niba hari stent yazibye.
• Ibindi bizamini: Hari igihe, uburyo bwo gupima nka Intravascular Ultrasound (IVUS) bushobora gukoreshwa mu kureba imbere mu mitsi y'amaraso no gupima neza ingano y'aho yazibye.

Ivurwa ite?

Muganga azagena uburyo bwiza bwo kuvura akurikije ingano y'aho indwara yazibye n'uko imeze.

Ese nta buryo bwo gukumira ibi?

Dore inkuru nziza cyane. Yego, ibi ubu birashoboka cyane kwirindwa.

Impamvu y'ibi ni ubwoko bushya bwa stent yitwa Drug-Eluting Stents (DES) . Izi si mesh z'icyuma gusa. Izi stent zirimo umuti wihariye ugenzura ikorwa ry'inkovu twavuze. Iyo stent ishyizwe mu mubiri, uyu muti urekurwa buhoro buhoro, uhagarika uturemangingo gukura bitari ngombwa.

Ugereranyije na stent za kera za bare metal, ibyago byo kurwara in-stent restenosis ni bike cyane iyo hakoreshejwe izi stent zitera imiti . Ndetse no muri Sri Lanka muri iki gihe, ubu bwoko bushya bwa stent bukunze gukoreshwa cyane.

Ariko, hari ibintu bimwe na bimwe ugomba gukora ku ruhande rwawe.

• Fata imiti yawe uko wabitegetswe: Fata imiti wanditswe na muganga wawe, cyane cyane iyo ibuza amaraso kuzura (urugero: Aspirine, Clopidogrel), nkuko wabitegetswe, nta munsi n'umwe ubura.
• Hindura imibereho yawe: Niba unywa itabi, rireke ako kanya.Genzura cholesterol yawe, diyabete, n'umuvuduko ukabije w'amaraso. Rya indyo yuzuye irimo amavuta make, umunyu n'isukari, hamwe n'imbuto n'imboga nyinshi. Imyitozo ngororamubiri nk'uko muganga yabigutegetse.