Reka twige ibijyanye na Catheterization y'umutima mu buryo bworoshye!

Ese wigeze ujya kwa muganga kubera ububabare mu gatuza cyangwa kugorwa no guhumeka maze bakakubwira ko ukeneye 'Catheterization y'umutima'? Ushobora kuba waragize ubwoba gato ubwo wumvise iri zina. Ni ibisanzwe kumva ufite ubwoba iyo wumvise ijambo 'gushyira ikintu mu mutima wawe'. Ariko mu by'ukuri ntabwo ari ikintu gikomeye nkuko tubitekereza, kandi si ikintu cyo gutinya. Reka tubiganireho mu buryo bworoshye uyu munsi, kandi ubone ibisubizo by'ibibazo byose ufite mu mutwe wawe.

Catheterization y'umutima ni iki?

Mu magambo make, iki si ukubaga umutima. Iki ni ikizamini cyihariye cyo kugenzura uko umutima wawe ukora. Ni nko kureba imbere mu mutima wawe.

Muri ubu buryo, umuganga ashyiramo umuyoboro muto cyane kandi woroshye (catheter) binyuze mu mutsi uri mu kuboko kwawe cyangwa mu gituza no mu mutima wawe. Uyu muyoboro utuma umuganga abona neza imiterere y'imitsi y'umutima, imitsi ijyana amaraso mu mutima, n'ibyumba by'umutima.

Ese hari ubwoko bw'iki kizamini?

Yego, hari ubwoko bubiri bw'ingenzi. Biterwa n'imitsi y'amaraso aho catheter yinjizwa n'igice cy'umutima kirimo gusuzumwa.

Kuki muganga yagira inama yo gupima iki gipimo?

Hari impamvu nyinshi zishobora gutuma muganga wawe agusaba iki kizamini.

• Menya impamvu nyayo itera ububabare bukabije mu gituza cyangwa umutima utera mu buryo budasanzwe .
• Reba niba imitsi y'amaraso y'umutima yazibye cyangwa niba hari ibibazo ku mitsi y'umutima .
• Fata agace gato k'imitsi y'umutima kugira ngo upimwe (biopsy) .
• Reba indwara zituma imitsi y'umutima icika intege (cardiomyopathy) .
• Suzuma niba umuvuduko w'amaraso uri hejuru mu mitsi ijyana n'ibihaha (hypertension y'ibihaha) .
• Shaka amakuru atashoboraga kuboneka mu bindi bizamini (nk'ibizamini bya ECG, Echo).
• Iki kizamini ni ingenzi kugira ngo hamenyekane uburyo bwiza bwo kuvura. Urugero, niba ari ugukora angioplasty , gushyira stent mu mwanya wayo, cyangwa gukoresha imitsi y'umutima (CABG) kugira ngo havurwe imitsi yazibye.

Ibi bikora bite? Ni iki kiba imbere?

Iyo catheter iri hafi y'umutima, hashyirwamo amazi yihariye (ibintu bitandukanya) mu miyoboro y'amaraso binyuze muri wo. Kubera ko aya mazi agaragara neza kuri X-rays, muganga ashobora kureba uko amaraso atembera mu miyoboro y'amaraso y'umutima kuri videwo za X-ray zafashwe icyarimwe (ibi byitwa coronary angiogram ).

Uhereye kuri izi shusho za X-ray, muganga ashobora:

• Shaka neza aho umuyoboro w'amaraso uzibye cyangwa wafunganye .
• Suzuma ingano n'imiterere y'ibyumba by'umutima n'imitsi y'amaraso.
• Reba niba hari utwobo tudasanzwe cyangwa amaraso yamenetse ahantu hose mu mutima.

Hari igihe muganga ashobora no gukora ubundi buryo bwo kuvura mu gihe akora iki kizamini. Ibi bivuze ko niba ikibazo kibonetse, bishoboka gutanga igisubizo ako kanya.

• Angioplasty: Kongera gufungura umuyoboro w'amaraso wafunzwe ukoresheje ikintu kimeze nk'umupira w'amapine.
• Gushyiramo stent: Gushyiramo agakoresho gato kameze nk'umuyoboro mu mitsi y'amaraso ifunguye kugira ngo idafunga ukundi.
• Valvuloplasty: Gufungura umugozi w'umutima wagabanutse.

Ibi bizatwara igihe kingana iki?

Ikizamini ubwacyo kimara iminota 30 gusa. Ariko kandi bifata igihe kugira ngo witegure ikizamini no gukurikiranwa nyuma y’ikizamini. Muri rusange, ushobora kumara amasaha 5-9 cyangwa arenga mu bitaro. Rero, teganya kuba uri mu bitaro umunsi wose ku munsi uzakora iki kizamini.

Ni iki wakwitega mbere, mu gihe cyo gukora ikizamini na nyuma yacyo?

Ni ngombwa cyane ko umenya iki gikorwa mbere y'igihe.

Mbere y'ikizamini

• Uzagirwa inama yo kwirinda kurya cyangwa kunywa amasaha 6-8 mbere yo gupimwa.
• Muganga wawe ashobora kukubwira guhagarika by'agateganyo cyangwa guhindura urugero rw'imiti imwe n'imwe ufata (cyane cyane imiti igabanya amaraso).
• Bwira muganga wawe ibyerekeye ubwivumbure ubwo aribwo bwose ufite n'imiti yose ukoresha.
• Iyo ugiye kwa muganga, uzahabwa imyambaro yihariye yo kwambara.
• Kanula (umurongo wa IV) ishyirwa mu mutsi uri ku kuboko kugira ngo itange imiti n'amazi.
• Kugira ngo urebe uko umutima wawe utera, electrode, nk'izifata amajwi, zishyirwa ku gituza cyawe. Izi zihujwe na mashini ya EKG .
• Bazaguha umuti woroshye wo kuruhuka kugira ngo uruhuke. Ariko urabizi kandi urashobora kumva icyo muganga avuga.

Mu gihe cy'ikizamini

• Agace kazashyirwamo katheteri (ukuboko cyangwa ikibuno) kaba gafite urushinge ruto.
• Hanyuma catheter inyuzwa mu mitsi ikagera ku mutima. Ushobora kumva umuvuduko muto muri iki gihe, ariko nta bubabare buzaba buhari .
• Iyo uteretseho contrast fluid kugira ngo urebe imbere mu mutima, ushobora kumva ubushyuhe bucye . Ibi bizashira mu masegonda make.
• Uzasabwa gufata umwuka wawe akanya gato mu gihe ufata X-ray.
• Iyo ikizamini kirangiye, katheteri irakurwaho.

Nyuma y'ikizamini

• Katheteri ishyirwamo hanyuma agace kayo kagahambirwa neza kugira ngo amaraso ahagarike kuva.
• Iyo bikozwe n'intoki: Ugomba kugumana ukuboko kwawe kugororotse mu gihe cy'isaha imwe. Ushobora kugenda n'amaguru.
• Niba byarakorewe mu kibuno: Uzakenera kuryama mu buriri ukuguru kwawe kugororotse mu gihe cy'amasaha menshi (hafi 2-6) kugira ngo wirinde kuva amaraso.
• Ugomba kunywa amazi menshi kugira ngo ufashe amazi yo mu bwoko bwa contrast kuva mu mubiri wawe vuba.
• Ubusanzwe ushobora gutaha uwo munsi, ariko hari igihe ushobora gusabwa kurara mu bitaro.
• Ntushobora gutwara imodoka iyo ugiye gutaha , ukeneye umuntu wo kugutwara.
• Ugomba kwirinda guterura ibintu biremereye no gukora akazi katoroshye mu minsi mike.
• Ushobora kwiyuhagira, ariko si byiza kwinika igisebe mu mazi (urugero: kwiyuhagira, koga) mu gihe cy'icyumweru.

Ni izihe ngaruka mbi zishobora guterwa n'ibi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora kubaho, ariko ibuka ko ingorane zikomeye zikunze kubaho gake cyane .

• Uburyo bwo kugira ubwivumbure ku mazi anyuranyije n'imiti cyangwa indi miti.
• Kuva amaraso, gukomereka, cyangwa kwandura aho catheter ishyirwa.
• Umutima utari usanzwe.
• Umuvuduko w'amaraso uri hasi.
• Hari ibyago bike cyane byo kubyimba amaraso, indwara z'umutima, cyangwa indwara zo mu bwonko.
• Kwangirika kw'impyiko (cyane cyane ku bantu barwaye impyiko mbere).

Iyo ukeneye kubonana na muganga vuba

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gusubira mu rugo, bimenyeshe muganga wawe ako kanya .

• Niba urwaye umuriro .
• Niba wumva umeze nk'ufite isereri cyangwa unaniwe.
• Iyo agace karimo kabyimba, kababara, cyangwa amaraso cyangwa andi mazi aturuka aho .
• Niba utangiye kubabara mu gatuza cyangwa guhumeka nabi .
• Niba ugize ibara ry'uruhu, umwijima, cyangwa ubukonje mu kuboko cyangwa ku kuguru kwawe (ku ruhande aho catheter yashyizwe).

Niba ufite ibimenyetso bisa n'indwara y'umutima cyangwa indwara yo gucika kw'imitsi, ntugapfushe umwanya ahubwo ujye kwa muganga wita ku barwayi ba ETU.