Ese ufite agakoresho gato kagushyize munsi y'uruhu rwawe kugira ngo umutima wawe ukomeze gutera neza? Ubusanzwe tubyita pacemaker, ariko hari ubundi bwoko. Rero ibi bikoresho bikora kuri bateri. Kimwe na bateri iri muri telefoni yacu, uko igihe kigenda, iyi bateri nayo itakaza imbaraga. Hanyuma ikenera gusimburwa. Iyo wumvise ibi, ushobora kumva ufite ubwoba uti "Ubundi bubagwa?" Ariko ibi ntabwo ari ikintu cyo gutinya. Uyu munsi tuzaganira kuri byose mu buryo bworoshye cyane, mu buryo ushobora kumva.
Gusimbuza igikoresho cy'umutima bivuze iki?
Mu magambo make, ubu ni uburyo bwo kubaga buto bwo gusimbuza igikoresho cy'ikoranabuhanga (Cardiac Implantable Electronic Device - CIED) gifasha kugenzura umuvuduko w'umutima wawe n'ikindi gishya. Hari ubwoko bubiri bw'ingenzi bw'ibi bikoresho:
1. Imashini ifasha umutima kugumana umuvuduko ukwiye iyo urimo gutera ku buryo budasanzwe.
2. ICD (Implantable Cardioverter Defibrillator): Iyo umutima utera cyane, irawumenya maze igatera umutima guhungabana gato, bigafasha kuwugarura mu buryo busanzwe.
Ubu buryo bwo kubaga akenshi busaba gusimbuza igice cya bateri y'igikoresho gusa. Rero, ubusanzwe si ukubaga gukomeye. Akenshi ntukenera no kuguma mu bitaro. Ushobora kwakirwa mu gitondo, ukabagwa, hanyuma ugataha nimugoroba.
Ni nde ukeneye ubu buvuzi?
Impamvu nyamukuru yo gusimbuza iki gikoresho ni batiri idakomeye. Ariko hari n'izindi mpamvu nyinshi zishobora kubaho. Reka tubirebe neza.
| Impamvu yo guhindura igikoresho | Ibisobanuro byoroshye |
|---|---|
| Igihe cy'ikoreshwa rya bateri kirarangiye. | Iyi ni yo mpamvu ikunze kugaragara. Bateri ziri muri ibi bikoresho akenshi zimara imyaka 6 kugeza ku 10. Kubera ko ujya kwa muganga buri gihe, muganga azasuzuma igikoresho maze akakumenyesha mbere y'igihe igihe bateri igiye gupfa. |
| Hakenewe ibikoresho bigezweho kurushaho | Uko siyansi y’ubuvuzi itera imbere, haza ibikoresho bishya kandi bigezweho. Niba muganga wawe yumva ko ukeneye igikoresho gishya gikwiranye n’uburwayi bwawe, ashobora kukugira inama yo kugihindura. |
| Ikosa ry'ibikoresho | Ni gake cyane, igikoresho gishobora kugira ikibazo cya tekiniki. Muri ibyo bihe, kizasimburwa mbere yuko gihagarara burundu. |
| Kwandura (bidakunze kugaragara cyane) | Iyo habayeho ubwandu aho umuntu yinjiriye cyangwa hafi yaho, igikoresho kizaba gikenewe gukurwaho. Ibi ni gake cyane. |
Wibuke ko ushobora gusimbuza ibi bikoresho inshuro nyinshi mu buzima bwawe. Ibyo ni ibisanzwe.
Ni iyihe myiteguro ikenewe mbere yo kubagwa?
Muganga wawe azaguha amabwiriza yose ukeneye mbere yo kubagwa. Ibi ni byo bibaho:
- Kumenya imiti: Ushobora gusabwa guhagarika gufata imiti imwe n'imwe, cyane cyane imiti igabanya amaraso nka aspirine, iminsi mike mbere yo kubagwa. Menya neza ko wabwiye muganga wawe imiti yose ufata.
- Gupima: Uzahabwa ibizamini byinshi kugira ngo barebe niba ukwiriye kubagwa.
- EKG (Electrocardiogram): Reba imikorere y'amashanyarazi y'umutima.
- Echocardiogram: Videwo yerekana imikorere y'umutima n'ubushobozi bwawo bwo gukompa.
- Gupima amaraso: Reba ubuzima bw'umubiri wawe muri rusange.
Kubagwa biroroshye cyane.
Nkuko twabivuze mbere, akenshi ibi bisaba gusimbuza igice cya bateri (moteri ikora). Insinga (imigozi) zifatanye n'umutima akenshi ntizikorwaho. Rero iki ni igikorwa gito aho kubagwa cyane.
Tekereza nko guhindura batiri mu itara ryacu. Ariko ibi bikorwa witonze cyane, mu cyumba cyo kubaga.
Dore intambwe ziri muri iki gikorwa:
1. Kuruhuka: Ubwa mbere, uzahabwa umuti woroshye wo kuruhuka unyuze mu mitsi (IV sedation). Bityo ntuzumva ububabare ubwo aribwo bwose, kandi uzaba uruhutse, wenda ndetse usinziriye.
2. Agace gato:Uduce duto dukorerwa ku ruhu aho igikoresho kigomba gushyirwa. Ubu buryo bukunze gukorerwa ahantu hamwe n’aho abaganga babanje babaze mbere.
3. Gukuraho ishaje: Hanyuma muganga akuraho witonze moteri ishaje mu nsinga zijya ku mutima maze akayikuraho.
4. Gushyiramo ishya: Fata generator nshya uyihuze n'izo nsinga.
5. Kudoda icyuho: Nyuma y'uko igikoresho gishya gishyizwe munsi y'uruhu, icyuho gifungwa hakoreshejwe umugozi ushongesha cyangwa ubwoko bwihariye bwa kole.
Reka kandi twige kuri Leadless Pacemaker.
Ubu hari ubwoko bushya bwa pacemaker buto cyane kandi budafite insinga. Bushyirwa mu mutima. Niba ufite nk'ubu, inzira yo kubusimbuza iratandukanye gato. Ushobora gusiga ishaje mu mwanya wabwo ugashyiramo indi nshya, cyangwa ushobora gushyiramo umuyoboro muto (catheter) mu mutsi mu kuguru kwawe, ukavanamo ishaje, hanyuma ugashyiramo indi nshya.
Ni izihe nyungu n'ingaruka mbi zo kubagwa?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari inyungu n'ingaruka nto cyane.
| Ibyiza | Ingaruka - Hafi cyane |
|---|---|
| Igikoresho cyizewe ko kizakora neza. | Uburyo bwo kuvura indwara yo kurarana. |
| Bishobora kurinda umutima gutera imitsi mu buryo buteje akaga. | Kuva amaraso menshi cyangwa kubyimba kw'amaraso bivuye mu gucibwamo. |
| Mu bihe bimwe na bimwe, ibi bishobora no kurokora ubuzima. | Kwandura aho igisebe cyakorewe. |
Igikuru ni uko ubu buvuzi bufite umutekano kandi bufite ingaruka nke cyane . Ntukabutinye bitari ngombwa.
Igihe cyo gukira nyuma yo kubagwa kiba gite?
Uzakira vuba kurusha uko wabitekereza.
- Umunsi wa mbere:Kuruhuka gato ku munsi wo kubagwa.
- Icyumweru cya mbere: Irinde guterura ibintu biremereye n'ibikorwa bitera umunaniro mu kuboko (urugero, guterura ibintu ukoresheje amaboko ku ruhande rw'aho igikoresho gishyizwe) mu gihe cy'iminsi mike.
- Ububabare n'ibibyimba: Hashobora kubaho kubyimba no kubabara hafi y'aho hakomeretse mu minsi mike. Ibi ni ibisanzwe. Muganga azaguha imiti ikenewe kuri ibi.
Muganga wawe azaguha amabwiriza asobanutse neza kuri ibi bintu nujya mu rugo:
- Uburyo bwo kubungabunga isuku y'aho icyuho giherereye n'uburyo bwo kuyitaho kugeza gikize.
- Ibintu ugomba kuzirikana mugihe uguze igikoresho gishya.
- Ni ryari ushobora kongera gukora imirimo yawe isanzwe?
Witondere ibi bimenyetso: Igihe cyo guhamagara muganga
Niba ufite ikibazo nyuma yo kubagwa, ni ngombwa kubimenya vuba. Itondere ibimenyetso bikurikira. Niba ufite kimwe muri ibi, hamagara muganga wawe vuba.
| Icyiciro cy'ibimenyetso | Ibintu byo kwitondera |
|---|---|
| Ibimenyetso rusange by'uburiganya |
|
| Ibimenyetso byerekana ko igikoresho kidakora neza |
|
Ubutumwa bwo kujyana mu rugo
- Gusimbuza igikoresho gitera umutima gutera (CIED) ubusanzwe ni uburyo bworoshye kandi bwizewe burimo gusimbuza bateri yacyo.
- Bateri ziri muri ibi bikoresho zigomba gusimburwa buri myaka 6-10. Ibyo ni ibisanzwe.
- Gukira nyuma yo kubagwa ni byihuse cyane, kandi akenshi ushobora gutaha uwo munsi.
- Mbere na nyuma yo kubagwa, kurikiza amabwiriza ya muganga wawe neza.
- Niba ugize ibimenyetso nko kubabara mu gatuza, umuriro, guhumeka bigoranye, cyangwa isereri, ntutinde kandi ubibwire muganga wawe ako kanya.
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