Ese umutima wawe utera cyane mu buryo butunguranye? Ibi bishobora kuba ari CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia)!

Hari igihe, iyo unaniwe cyane, cyangwa iyo wumva ikintu kinini mu mutima wawe, nk'ibyishimo byinshi, agahinda, cyangwa ubwoba, umutima wawe uhita utera cyane kandi igituza cyawe kikumva gifunze? Ahari amaso yawe ahinduka ubururu ukumva uzumva umeze nk'umuhengeri? Ntugatangare, ibi bintu bishobora no kuba ku mwana muto. Uyu munsi tugiye kuvuga ku ndwara idasanzwe ibaho mu mivuduko y'umutima, idasanzwe ariko ni ingenzi cyane kubimenya.

CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia) ni iki?

Mu magambo make, CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia) ni indwara ibaho mu buryo umutima utera. Muri ibi, ibice byo hasi by'umutima wawe, ni ukuvuga ibyumba byo hasi by'umutima, cyangwa nk'uko abaganga babyita, ventricles , bihita bitangira gutera vuba cyane kandi mu buryo budasanzwe iyo ukoze imyitozo ngororamubiri, ukina, cyangwa wumva ufite stress nyinshi, nko kwishima cyane, ubwoba, cyangwa ibyishimo.

Tekereza muri ubu buryo: umutima wacu umeze nk'ipompe y'amazi. Ni wo upompa amaraso mu mubiri wose. Rero, iyo uyu mutima utera cyane, ni ukuvuga mu buryo budasanzwe, biragoye kohereza amaraso neza no kuyashyira mu bice byose by'umubiri. Ibi ni byo bibaho muri CPVT.

Iyi ndwara yitwa CPVT ikunze kugaragara gute?

Mu by’ukuri, iyi ndwara yitwa CPVT ikunze kugaragara gake . Nk’uko abahanga mu by’ubuvuzi babivuga, bivugwa ko umuntu umwe gusa mu bantu ibihumbi icumi (10.000) ari we ufite iyi ndwara. Bityo rero, si buri wese ushobora kuba yarabyumvise.

Kuki iyi CPVT ibaho? Ni iyihe mpamvu?

Abantu benshi bibaza bati: "Kuki ibi bibaho?" Impamvu nyamukuru ya CPVT ni impinduka mu turemangingo twacu, impinduka . Urabizi, buri kintu cyose mu mubiri wacu kigenzurwa n'utu turemangingo.

• Kenshi na kenshi, ushobora kuragwa ubu bwoko bw'uturemangingo bwa nyoko cyangwa se, cyangwa byombi.
• Ariko gake cyane, ni ukuvuga gake cyane, iri hinduka ry’uturemangingo rishobora kubaho mu mubiri w’umuntu mushya ku buryo butunguranye , nta ngaruka z’uturemangingo ziturutse ku babyeyi.

Rero, iyi mpinduka mu miterere y'uturemangingo itera ikibazo mu buryo iyoni za kalisiyumu zigenzurwa mu turemangingo tw'umutima. Iyo ni yo mpamvu nyamukuru ituma umutima utera cyane iyo umutima ufite stress cyangwa mu gihe cy'imyitozo ngororamubiri.

Ni ibihe bimenyetso bya CPVT? Twabimenya dute ?

Ibimenyetso bya CPVT bikunze gutangirira mu bwana, akenshi hagati y'imyaka 7 na 12. Ibimenyetso bikunze kugaragara nyuma yo kwiruka cyane no gukina , cyangwa iyo umuntu afite amarangamutima akomeye , nk'ibyishimo, ubwoba, uburakari, cyangwa ibyishimo.

Dore bimwe mu bimenyetso bishobora kuba ibimenyetso bya CPVT:

• Umuntu urenze umuntu usanzweUshobora gucika intege kenshi, cyangwa ukumva isereri cyangwa ukagira umutwe urembye. Hari igihe ushobora gutakaza ubwenge mu buryo butunguranye nta mpamvu igaragara ukagwa.
• Gutera cyane k'umutima ni ikintu gitunguranye, cyihuta cyane, kandi gitera cyane, wumva nk'aho hari umuntu uri kwiruka mu gituza cyawe.
• Hari n'abantu bashobora kugira indwara nk'iz'igicuri . Ibi bibaho kubera ko ingano y'amaraso agera mu bwonko igabanuka iyo umutima udakompa amaraso neza.

Icy'ingenzi: Niba umwana wawe agize isereri mu buryo butunguranye mu gihe akina, yiruka cyangwa asimbuka, cyangwa se akinubira ko ahumeka nabi, ntukabirengagize gusa. Ni ngombwa gushaka inama kwa muganga vuba.

Ni gute umuganga asuzuma neza CPVT?

Niba wowe cyangwa umwana wawe mufite ibi bimenyetso, muganga azakora ibizamini byinshi kugira ngo yemeze niba mufite CPVT.

• Echocardiogram - ikizamini cya echo: Iki ni nk'isuzuma rya ultrasound ry'umutima. Rikoresha imiraba y'amajwi kugira ngo ribone neza imiterere y'umutima wawe, uburyo inkuta z'umutima zakora neza, niba imiyoboro y'amaraso ikora neza, n'uko amaraso atemba.
• ECG (Electrocardiogram): Iki kizamini gifata imbonerahamwe y'ibimenyetso by'amashanyarazi by'umutima wawe, cyangwa umuvuduko w'umutima. Umuntu urwaye CPVT ashobora kutagaragaza impinduka zikomeye kuri ECG iyo ameze neza.
• Ikizamini cy'imyitozo ngororamubiri: Iki ni ikizamini cy'ingenzi cyane cyo kumenya CPVT. Mu gihe wiruka ku igare cyangwa ugendera ku igare, umutima wawe utera cyane ndetse na ECG bigenzurwa buri gihe. Abantu barwaye CPVT bashobora kugira umutima wihuta cyane muri iyi myitozo.
• Ibindi bipimo byo gupima: Hari igihe, muganga wawe ashobora kukugira inama yo gusuzuma umutima wawe mu buryo bwimbitse, nka MRI (Magnetic Resonance Imaging ), catheterization y'umutima , cyangwa angiography y'umutima .
• Ibizamini bya Genetic: Ibi bizamini bireba impinduka zihariye za genetic (mutations) zitera CPVT mu maraso. Ibi bishobora kwemeza indwara no kumenya niba abandi bagize umuryango bari mu kaga.

Hari igihe muganga wawe ashobora kuguha imashini nto ushobora kwambara iminsi mike cyangwa ibyumweru bike. Iyi mashini yitwa moniteur itwara abantu cyangwa moniteur ya Holter.Ifata amashusho y'imikorere y'umutima wawe umunsi wose (24, 48, cyangwa irengaho) mu gihe ukora imirimo yawe ya buri munsi ndetse no mu mirimo isanzwe yo mu rugo. Ibi biha muganga wawe igitekerezo cyiza cy'uko umutima wawe utera, nubwo nta bimenyetso ufite.

Ni ubuhe buryo bwo kuvura CPVT?

Iyo umutima utangiye gutera cyane mu buryo butunguranye, ni ukuvuga iyo ugiye mu mimerere ya tachycardia y'imitsi (Ventricular Tachycardia) , bishobora gushyira ubuzima mu kaga. Muri ibyo bihe, hashobora kuba ngombwa ko habaho amashanyarazi (Cardioversion cyangwa Defibrillation) kugira ngo umutima ugarure umuvuduko wawo ku buryo busanzwe. Ibi akenshi bikorwa nk'ubuvuzi bwihutirwa.

Ariko mu gihe kirekire, intego nyamukuru yo kuvura CPVT ni ukurinda ko umutima utera vuba mu buryo budasanzwe no kugumana umuvuduko usanzwe. Gahunda yawe yo kuvura ishobora kuba ikubiyemo kimwe cyangwa byinshi muri ibi bikurikira:

• Imiti:
• Beta-blockers: (urugero: Lopressor®, Corgard®) Iyi miti ikora mu kugabanya ingaruka z'imisemburo nka adrenaline ku mutima. Ibi bifasha mu kugenzura umuvuduko w'umutima wiyongera mu gihe cy'imyitozo ngororamubiri cyangwa stress. Uyu ni wo muti w'ingenzi utangwa kuri CPVT.
• Ibifunga imiyoboro ya Calcium: (urugero: Cardizem®, Procardia®) Hari igihe uyu muti ushobora gutangwa hamwe na beta-blockers.
• Indi miti igenzura umuvuduko w'umutima: Hari abantu bashobora guhabwa indi miti, nka flecainide.
• Imashini Itera Impyiko ...
• Gukuraho indwara y'umutima ifata umutima mu buryo bw'ibumoso (LCSD): Ubu buryo bwo kubaga bukuraho imitsi imwe n'imwe ijya mu mutima. Ibi bishobora kugabanya gukangura umutima no kugabanya ibyago byo kugira imitsi itera ubwoba. Ubu buryo bwo kubaga bushobora kwitabwaho ku bantu bafite ICD bakunze gutungurwa cyangwa badakira neza imiti.

Byongeye kandi, uzakenera guhindura ibintu by'ingenzi mu mibereho yawe.

• Imyitozo ngororamubiri isaba imbaraga nyinshi, nko kwiruka vuba cyangwa guterura ibyuma biremereye, igomba kugabanywa.
• Ku mwana ukiri muto urwaye CPVT, ni byiza kwirinda imikino yo guhiganwa , kuko ibyishimo n'igitutu byo gutsinda amarushanwa bishobora gutuma umutima utera cyane.
• Ni ngombwa kandi cyane gukoresha uburyo bwo kugabanya stress.

Ese dushobora gukumira iyi CPVT?

Kubera ko CPVT iterwa n'impinduka mu ngirabuzimafatizo, nta buryo na bumwe bwo kuyikumira burundu . Kuko atari ikintu dushobora kugenzura.

Ariko, iyo CPVT imaze kumenyekana, iyo ivuwe neza, ni ukuvuga iyo imiti muganga yaguze ikoreshejwe neza, hagahinduka imibereho uko byategetswe, kandi hagakorwa ingendo zo kujya kwa muganga buri gihe, ndetse n'umuntu urwaye CPVT ashobora kubaho ubuzima busanzwe kandi bwiza.

Niba hari umuntu wo mu muryango wawe wasanzwemo CPVT, ni ngombwa gutekereza ku gupima imiterere y’umubiri no kugisha inama abandi bagize umuryango, cyane cyane abana. Umujyanama mu by’imiterere y’umubiri ashobora kugufasha gusobanukirwa neza iyo ndwara, akakubwira amahirwe y’uko abana bawe bazayirwara, kandi akaganira ku ngingo z’ingenzi nko ku cyo wakora kuri yo.

Ni iki cyakorwa kugira ngo hirindwe ingorane zishobora guterwa na CPVT?

Iyo CPVT idacunzwe neza, hari ingorane zimwe na zimwe zishobora guteza akaga. Ushobora gukora ibi kugira ngo ugabanye ibyago byawe:

• Vugana na muganga wawe maze ushyireho gahunda y'imyitozo ngororamubiri itekanye ikubereye . Ntabwo ari ngombwa ko uhagarika burundu imyitozo ngororamubiri, ariko ugomba kumenya imyitozo ngororamubiri myiza n'iyitari myiza.
• Gabanya ibinyobwa birimo kafeyine nka ikawa, icyayi, shokora zimwe na zimwe, n'ibindi binyobwa bidasembuye uko bishoboka kose, kuko kafeyine itera imbaraga kandi ishobora kongera umuvuduko w'umutima wawe.
• Buri gihe menya ibimenyetso byawe . Niba wumva uzungera, ufite igituza gifunganye, cyangwa ufite ikibazo cyo guhumeka, ntukirengagize kimwe muri ibi bimenyetso. Hamagara muganga wawe ako kanya.
• Ntuzigere ubura umunsi umwe wo gufata imiti wahawe na muganga, uyifate ku gihe gikwiye kandi mu gipimo gikwiye .
• Ni ingenzi cyane kubonana na muganga ku gihe no gukorerwa ibizamini bikenewe. Iki ni ikintu ugomba gukora mu buzima bwawe bwose.

Ni ubuhe buryo bw'ejo hazaza umuntu urwaye CPVT yiteze?

Iyo itavuwe, CPVT ishobora gutera ibibazo by'ubuzima n'ingorane. Ingorane zimwe na zimwe, nko guhagarara k'umutima mu buryo butunguranye , zishobora gushyira ubuzima mu kaga.

Ariko, inkuru nziza ni uko iyo umuntu avuwe neza kandi akabaho neza, abantu benshi barwaye CPVT bashobora kugumana umutima ugororotse, bakagabanya cyane ibyago byo guhura n’izi ngorane, kandi bakabaho ubuzima bwiza kandi bushimishije.

Niba ufite CPVT, uzakenera kwitabwaho ubuzima bwawe bwose kugira ngo umenye neza ko umutima wawe utera neza.Ni ngombwa. Ibyo bivuze ko ugomba kujya kwa muganga buri gihe no gukorerwa ibizamini bikenewe. Niba ibimenyetso bya CPVT byongeye kugaruka, nko kumva umeze nk'uzumva umeze nk'ufite isereri nyuma yo gukora imyitozo ngororamubiri, hamagara muganga wawe vuba vuba.

Ibintu ugomba kubaza muganga wawe

Niba wowe cyangwa umwana wawe mufite ibi bimenyetso, cyangwa se mukaba mwaramaze gupimwa CPVT, byaba byiza cyane kubaza muganga wawe ibi bikurikira:

• Ni iyihe mpamvu ishoboka cyane y’ibi bimenyetso? Ese ni CPVT?
• Ni ibihe bipimo bindi njye cyangwa umwana wanjye nkwiye kugira kugira ngo nemeze neza niba mfite CPVT?
• Ni ubuhe buryo bwiza bwo kuvura CPVT? Ni ubuhe buryo bwiza bwo kuvura njye/umwana wanjye?
• Ni izihe nyungu n'ingaruka mbi z'ubu buryo bwo kuvura?
• Ni iki wakora hagati yo kujya kwa muganga, kugira ngo umenye ibimenyetso uri mu rugo, cyangwa mu gihe cyihutirwa?
• Ni izihe mpinduka ngomba gukora mu mibereho yanjye (imirire, siporo)?
• Ese hari abandi bagize umuryango bashobora guhura n'ikibazo? Ese nabo bagomba gupimwa?

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Nubwo rero indwara twavuzeho mu buryo burambuye, CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia), ishobora gusa n'aho iteye ubwoba, icy'ingenzi ni ukuyimenya hakiri kare no kuyivura neza.

Iyo ubonye isuzuma rikwiye, ukavurwa nk'uko muganga wawe yabigutegetse, ndetse ugahindura imibereho yawe, ndetse n'umuntu urwaye CPVT ashobora kubaho ubuzima busanzwe, bukora kandi bwuzuye. Wibuke ko niba ufite ibimenyetso, ari ngombwa kujya kwa muganga vuba bishoboka utirengagije. Ntabwo uri wenyine muri uru rugendo, kandi hari abaganga b'inzobere mu by'ubuzima bashobora kugufasha no kukwitaho. Ntutinye rero, hangana n'ibi ufite ubutwari.

CPVT , umuvuduko w'umutima, umutima utera, tachycardia y'imitsi, impinduka mu ngirabuzimafatizo, guhagarara k'umutima mu buryo butunguranye, ubuzima bw'umwana