Ese wigeze ukoresha pacemaker cyangwa ICD (Implantable Cardioverter Defibrillator), igikoresho gito gifasha umutima wawe kuguma utera neza? Niba ari uko bimeze, ushobora kuba uzi ko nyuma y'igihe runaka, uzakenera gusimbuza ibice nka bateri. Abantu benshi bagira ubwoba iyo bumvise ibi. Ni ibisanzwe gutekereza ibintu nk'ibi ngo "Ese nzagomba kubagwa bundi bushya? Bizagorana?" Ariko mu by'ukuri ntabwo biteye ubwoba nkuko tubitekereza. Uyu munsi, reka tuvuge ku gusimbuza ibi bikoresho by'umutima mu buryo bworoshye.
Gusimbuza igikoresho cy'umutima bivuze iki?
Mu magambo make, iki nacyo ni ukubaga. Ariko bisaba gusimbuza igikoresho cy'ikoranabuhanga (Cardiac Implantable Electronic Device - CIED) cyamaze gushyirwamo kugira ngo kigenzure umuvuduko w'umutima wawe n'ikindi gishya. Hari ubwoko bubiri bw'ibi bikoresho. Kimwe ni pacemaker (imashini ikora pacemaker ). Ikindi ni ICD (Implantable Cardioverter Defibrillator) .
Akenshi, ubu bubagwa bworoheje budasaba kujya mu bitaro kandi ushobora gutaha uwo munsi . Rero nta mpamvu yo kubihangayikishwa cyane.
Ni nde wakwifuza gusimbuza igikoresho nk'iki?
Impamvu nyamukuru yo gusimbuza igikoresho cy'umutima ni igihe batiri yacyo iri hasi. Ni nk'aho batiri yo muri terefone yacu igenda igabanuka. Batiri yo muri icyo gikoresho ubusanzwe ishobora gukoreshwa hagati y'imyaka 6 na 10. Kubwibyo, ishobora gusimburwa inshuro nyinshi mu buzima bwose.
Ariko ntugahangayike kuri ibi. Muganga wawe azajya asuzuma buri gihe urugero rw'icyuma gipima umuriro (bateri) cy'iki gikoresho iyo ugiye kwa muganga. Bityo bazakubwira mbere y'igihe igihe bateri igiye kurangira.
Uretse kuba bateri irashira, hari izindi mpamvu nyinshi zishobora gutuma ukenera gusimbuza ibi bikoresho. Reka turebe ibyo ari byo.
| Impamvu | Ibisobanuro |
|---|---|
| Batiri irashira | Iyi ni yo mpamvu ikunze kugaragara kandi y'ingenzi. Iyo batiri idakomeye, igikoresho kigomba gusimbuzwa. |
| Kuvugurura igikoresho | Muganga wawe ashobora kukugira inama yo gukoresha igikoresho gishya kandi gifite ubushobozi kurusha icyo ufite ubu. |
| Amakosa ku bikoresho | Iyo igikoresho cyashyizwemo gihuye n'ikibazo cya tekiniki cyangwa kigahagarara burundu, kizagomba gusimbuzwa. |
| Indwara zandura | Ni gake cyane, iyo habayeho ubwandu hafi y'igikoresho, bushobora gukenera gukurwaho. Ibi ntibikunze kugaragara cyane. |
Ni iki kibaho mbere yo kubagwa?
Muganga wawe azaguha amabwiriza yihariye y'uburyo bwo kwitegura ubu bubagwa. Aya mabwiriza ashobora kuba arimo:
- Guhagarika imiti imwe n'imwe: Ushobora gusabwa guhagarika gufata imiti igabanya amaraso (urugero, aspirine ) n'indi miti igabanya ububabare mu gihe cy'iminsi mike.
- Ibipimo by'umutima: Ikintu nka ECG (Electrocardiogram) cyangwa Echocardiogram scan bishobora gukorwa kugira ngo harebwe imikorere y'umutima.
- Gupima amaraso: Hazakorwa ibizamini byinshi by'amaraso kugira ngo harebwe niba ufite ubuzima bwiza mu gihe cyo kubagwa.
Ni iki kibaho mu gihe cyo kubagwa?
Igishimishije ni uko akenshi ubu buryo bwo kubaga busimbura gusa igice cy'umubiri wawe cyitwa generator kirimo bateri, kiri munsi y'uruhu rwawe. Ibi bivuze ko imiyoboro ifitanye isano n'umutima wawe idakurwaho. Ibi bituma iba igikorwa gito aho kuba igikorwa gikomeye.
Ariko, mu bihe bimwe na bimwe, ushobora gukenera gusimbuza igikoresho cyose, harimo n'insinga. Iyo ni inzira igoye gato.
Bigenda bite iyo usimbuye icyuma gisanzwe gitanga moteri:
1. Ubwa mbere, uzahabwa umuti woroshye wo kuruhuka (utuzenguruko) unyuze mu mutsi uri mu kuboko kwawe. Ntuzumva ububabare ubwo aribwo bwose.
2. Hanyuma, hakorwa akantu gato ku ruhu aho igikoresho kizashyirwa.
3. Moteri ishaje ikurwaho no gufunga insinga.
4. Moteri nshya ishyirwa ahantu hamwe kandi igahuzwa n'insinga zimwe n'iza kera.
5. Amaherezo, aho gukata hafungwa hakoreshejwe imidozi cyangwa ubwoko bwihariye bwa kole .
Ni izihe nyungu n'ingaruka z'ibi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka nto cyane.
| Ibyiza | Ingaruka |
|---|---|
| Igikoresho gikora neza cyane. | Kurwara indwara ziterwa n'imiti igabanya ububabare. |
| Kurinda imitsi y'umutima idasanzwe kandi iteje akaga. | Kuva amaraso menshi cyangwa kugabanya amaraso. |
| Kubungabunga ubuzima bwiza bw'umutima no kurinda ubuzima. | Kwandura indwara zikikije aho icyica cyangwa insinga (niba insinga yahinduwe). |
Igikuru ni uko ubu ari ukubaga neza kandi kutagira ibyago byinshi . Ingorane zibaho ni gake cyane.
Ni ryari nkwiye kuvugana na muganga mu gihe cyo gukira?
Uzakenera kumara amasaha make mu bitaro nyuma yo kubagwa. Abakozi bazagukurikirana kandi niba byose bimeze neza, uzahita woherezwa mu rugo uwo munsi. Umaze gutaha , ugomba kwirinda gukora ikintu cyose kiremereye, nko gukora imyitozo ngororamubiri, iminsi mike. Ni ibisanzwe ko incision iba yabyimbye gato kandi ibabara. Muganga azaguha imiti igabanya ububabare kuri ibyo.
Byongeye kandi, muganga wawe azaguha amabwiriza y'uko wakomeza gusukura aho wafashe icyuho, uko wakwita ku gikoresho gishya, n'igihe ushobora kongera gukora imirimo isanzwe.
Ariko, niba ubonye ibimenyetso bikurikira, ugomba guhita uhamagara muganga wawe.
| Shaka inama z'abaganga ako kanya. | |
|---|---|
| Niba ufite ibi bimenyetso: | |
| Kubabara mu gatuza | Umuriro cyangwa ububabare bw'umubiri |
| Kugorwa no guhumeka (Dyspnea) | Ibimenyetso by'ubwandu, nk'amabyi, impumuro mbi, cyangwa gutukura bivuye ku gukata |
| Niba ukeka ko igikoresho kidakora neza (niba ufite ibi bimenyetso): | |
| Kuzungera | Gutakaza ubwenge (gucika intege) |
| Kumva umutima wawe urimo gutera cyane cyangwa buhoro | Ingorane zidashira |
Icy'ingenzi cyane: Niba ubabara cyane mu gituza, ugorwa cyane no guhumeka, cyangwa ucika intege , jya ku bitaro bikuru byita ku butabazi bwihuse (ETU) .
Ubutumwa bwo kujyana mu rugo
- Gusimbuza pacemaker cyangwa igikoresho cya ICD ni igikorwa gisanzwe kandi giteganyijwe. Impamvu nyamukuru ni uko bateri iba yapfuye.
- Ubu ni uburyo bwo kubaga bworoheje kandi bufite ingaruka nke, akenshi butuma ushobora gutaha uwo munsi utagombye kurara mu bitaro.
- Muganga wawe azagenzura buri gihe urugero rw'icyuma gipima bateri kandi akakumenyesha igihe cyo kugisimbuza kigeze.
- Ni ngombwa cyane gukurikiza amabwiriza yose atangwa na muganga mbere na nyuma yo kubagwa.
- Menya ibimenyetso by'umuburo. Niba ufite impungenge, ntutindiganye guhamagara muganga wawe cyangwa kujya kwa ETU mu gihe cy'impanuka.
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