Ese hari igihe wumva umutima wawe utera cyane, cyangwa umutima wawe utera cyane, cyangwa utera mu buryo budasanzwe? Hari igihe ibi bishobora kuzanwa no gufungana mu gituza no kuzerera. Mu buvuzi, ubu bwoko bw'imivurungano y'umutima bwitwa 'Arrhythmia'. Nubwo haba hari imiti, iyi ndwara rimwe na rimwe irashobora kugorana kuyigenzura. Ariko ntugahangayike, hari uburyo bwiza cyane bwo kuvura ibi. Ubwo buryo bwo kuvura, ni ukuvuga Cardiac Ablation, ni bwo tugiye kuvugaho uyu munsi.
Mu magambo make, guterura umutima (cardiac ablation) ni iki?
Tekereza ko hari "insinga" ntoya "ngufi" cyangwa "ifite ikibazo" ahantu runaka mu buryo bw'amashanyarazi bw'urugo rwawe. Hanyuma urumuri ntirugumaho ahubwo "rurahuha", cyangwa rukazima mu buryo butunguranye, sibyo? Ibyo ni byo biba mu mitima yacu. Umutima wacu utera hamwe n'uburyo bworoshye bw'ibimenyetso by'amashanyarazi. Iyo ibi bimenyetso by'amashanyarazi bitangirira ahantu habi, cyangwa iyo bigenze nabi, umutima utera uhindagurika.
Indwara yo kuvura umutima (izwi kandi nka Catheter Ablation) ni uburyo bwo kuvura busanga agace gato cyane k'imitsi mu mutima gatera ibimenyetso by'amashanyarazi bidasanzwe hanyuma bukayizimya. Ubu si uburyo bukomeye bwo kubaga. Umuganga w'indwara z'umutima yinjiza umuyoboro muto cyane kandi woroshye (ibi ni byo twita catheter ) mu mutima wawe anyuze mu mitsi minini y'amaraso iri mu gituza cyawe, mu kuboko, cyangwa mu ijosi.
Hanyuma, hakoreshejwe ibikoresho biri ku mpera y'iyi catheter, agace k'imitsi y'umutima karimo ikibazo karavurwa. Hari uburyo butandukanye bwo kubikora:
- Kugabanya ubushyuhe mu maraso: Imirasire y'amajwi (ubushyuhe) ikoreshwa mu gushyushya inyama, bigatuma habaho inkovu nto.
- Kurambura: Hakoreshejwe ubukonje bukabije, igishishwa kirakonjeshwa, bigatera inkovu.
- Pulsed Field Ablation: Ibi bikoresha ingufu z'amashanyarazi ngufi cyane kugira ngo byangize ingingo.
Kubera inkovu ntoya yakozwe muri ubu buryo, ikimenyetso cy'amashanyarazi giteye ikibazo ntigishobora kurenza iyo ngingo. Ni nko gushyira kaseti yo gukingira umwijima ku murongo mu nzu yawe. Hanyuma umutima wawe utera neza. Ntuzumva ububabare ubwo aribwo bwose muri ubu buvuzi. Ushobora guhabwa ikiruhuko cyangwa ikinya rusange.
Ni ubuhe bwoko bw'indwara z'umutima ubu buvuzi buvura?
Gutera umutima mu nda bikoreshwa cyane cyane mu kuvura indwara z’umutima zifata umutima vuba. Iki ni cyo gisubizo cyiza iyo zidashobora kugenzurwa n’imiti cyangwa zishobora gushyira ubuzima mu kaga.
Reba imbonerahamwe iri hepfo kugira ngo urebe uburwayi bw'ingenzi ubu buvuzi bukoreshwamo.
| Imiterere y'indwara (Ubwoko bwa Arrhythmia) | Mu magambo make, ni iki kirimo kuba? |
|---|---|
| Gucika intege kw'umutima mu maraso (AFib) no kugabanuka k'umutima mu maraso (AF) | Muri ibi, ibyumba bibiri byo hejuru by'umutima (atria) bitera cyane kandi mu buryo butunguranye. Nk'aho binyeganyega. Ibi bituma amaraso yirundanya ahantu hamwe aho guhumeka neza, bishobora gutuma amaraso acika. Iyo ibyo bice by'amaraso bigeze mu bwonko, bishobora gutera indwara ikomeye nka stroke. |
| Tachycardia yo mu mutwe (SVT) | Ubu ni ugutera k'umutima mu buryo butunguranye kandi bwihuse cyane (kugeza kuri 300 ku munota). Nubwo ibi bikunze kwikemuka nyuma y'igihe runaka, iyo bikomeje cyangwa bikabaho kenshi, bishobora kwangiza umutima. |
| Tachycardia yo mu mitsi (VT) | Iyi ni indwara iteje akaga. Ibyumba bibiri byo hasi by'umutima (ventricles) bitangira gutera cyane. Ibi bibuza umutima gukompa amaraso neza. Ibi byongera ibyago byo guhagarara k'umutima mu buryo butunguranye. |
Byongeye kandi, ubu buryo bwo kuvura bushobora kuba inama ku bantu bafite ibyago byinshi byo guhagarara umutima mu buryo butunguranye. Hari igihe, kugira ngo bamenye neza aho ikibazo gituruka, abaganga bakora inyigo ya electrophysiology (EP) mbere y'uko bakura amaraso mu mubiri. Ibi bisaba gukoresha catheter kugira ngo bapime ibimenyetso by'amashanyarazi biri mu mutima.
Ni gute nakwitegura mbere yo kuvurwa?
Iyo umuganga wawe amaze gufata icyemezo cyo kugufasha, hari ibintu bike ugomba gukora. Muganga wawe azagusobanurira neza ibi byose.
- Imiti igabanya amaraso: Niba ufata imiti igabanya amaraso (urugero: apixaban, rivaroxaban, warfarin), muganga wawe azakubwira iminsi ingahe mbere yo kuyifata. Ntugahagarike gufata iyi miti udahawe inama na muganga.
- Ibiryo n'ibinyobwa:Uzasabwa kwirinda kurya cyangwa kunywa amasaha make mbere y'uko uvurwa (ubusanzwe guhera saa sita z'ijoro).
- Umuntu uzagutwara mu rugo: Teganya mbere y'igihe umuntu uzagutwara mu rugo nyuma yo kuvurwa.
- Imyenda n'ibikoresho: Ambara imyenda ishimishije iyo ugeze kwa muganga. Ni byiza gusiga ibintu by'agaciro nk'imitako n'amafaranga mu rugo.
- Umurongo wa IV: Ku bitaro, umuyoboro muto (umurongo wa IV) winjizwa mu mutsi uri mu kuboko kwawe. Aha niho uzahabwa imiti ikenewe, umunyu, n'imiti igabanya ububabare.
Ni iki kibaho mu gihe cyo kuvurwa?
Mu by’ukuri ibi ntabwo biteye ubwoba nkuko ushobora kubitekereza. Inzira yose igenda itya:
1. Gutegura: Aho katheteri izashyirwa (akenshi mu kibuno) harogoshwa, hasukurwa, kandi hagakurwaho ibinure.
2. Gushyiramo agakoresho: Umuyoboro muto (agakoresho) ushyirwa mu miyoboro y'amaraso binyuze mu ruhu kugira ngo habeho inzira.
3. Gushyiramo katheteri: Katheteri nziza zifite electrode zishyirwa mu nzira yateguwe. Izi ziyoborwa neza mu mutima nta cyerekezo cya X-ray.
4. Gushushanya ikibazo: Iyo kigeze mu mutima, ibimenyetso biva muri catheter birarebwa kugira ngo hamenyekane aho ibimenyetso by'amashanyarazi bitari byo biri (gushushanya).
5. Kuvura (Ablation): Iyo habonetse ahantu heza, nk'uko byavuzwe mbere, ingingo zivurwa kandi zigakurwaho hakoreshejwe ubushyuhe, ubukonje, cyangwa izindi ngufu.
6. Kurangiza: Nyuma yo kurangiza kuvurwa, catheter n'agapfunyika bikurwaho witonze hanyuma hagashyirwaho agapfundikizo cyangwa umugozi kugira ngo amaraso ahagarike.
Igikorwa cyose gikunze gufata hagati y'amasaha 2 na 4, ariko rimwe na rimwe gishobora kumara igihe kirekire.
Bigenda bite nyuma yo kuvurwa?
Nyuma yo kuvurwa, uzajyanwa mu cyumba cyo gukira mu gihe cy'amasaha make. Umuforomo azakomeza gukurikirana ikibazo cyawe. Bitewe n'uko urwaye, ushobora gutaha uwo munsi, cyangwa ukaba ukeneye kurara mu bitaro ijoro ryose.
Ugiye mu rugo, uzahabwa amabwiriza amwe n'amwe yo gukurikiza uri mu rugo. Ushobora gusabwa gufata imiti igabanya amaraso kugira ngo wirinde kubyimba kw'amaraso. Bitewe n'amateka y'ubuzima bwawe, ushobora gukenera gufata iyi miti mu gihe cy'amezi menshi cyangwa arenga.
Wibuke ko uko ingingo z'umutima zikira mu mezi 3 ya mbere nyuma yo kuvurwa, bimwe mu bimenyetso bya kera bishobora kugaruka. Ibi ni ibisanzwe. Ariko menyesha muganga wawe ibyabyo.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ibi bifite ibyiza n’ingaruka nto.
Ibyiza
- IbiNtabwo ari ukubagwa gukomeye. Ntabwo ari ngombwa ko upfundikirwa igituza. Kugira ngo ubashe gukira vuba.
- Bitanga amahirwe yo gukira burundu indwara z'umutima zidashobora gukemurwa n'imiti.
- Bimwe muri byo bishobora kurokora ubuzima mu bihe bishobora gushyira ubuzima mu kaga.
- Ushobora gukuraho ingaruka mbi z'imiti.
Ingaruka
Ingaruka zo kuvura umutima ni nke cyane. Ingorane ni nke cyane, cyane cyane mu bitaro by’inararibonye bikora ubu buvuzi kenshi. Ariko ni byiza kubimenya.
- Amaraso apfutse
- Kwangirika k'umuyoboro w'amaraso aho catheter yashyizwe
- Kwangirika kw'ingingo z'umutima cyangwa utunyangingo
- Kwandura cyangwa kuva amaraso
- Igisebe cy'imitsi
- Gukenera pacemaker ihoraho (idasanzwe cyane)
Ni ryari nkwiye kongera gukora nk'uko bisanzwe?
Gukira kwawe gushobora gutandukana bitewe n'umuntu ku wundi.
- Gusubira ku kazi: Niba ukora akazi katoroshye, nko guterura ibyuma, ushobora gusubira ku kazi mu cyumweru kimwe.
- Guterura ibiro: Irinde guterura ikintu kiremereye kirenze ibiro 10 (hafi ibiro 4.5) byibuze mu gihe cy'icyumweru.
- Imyitozo ngororamubiri no gutwara imodoka: Baza muganga wawe igihe cyiza cyo gusubira gukora imyitozo ngororamubiri no gutwara imodoka.
Ni ibihe bimenyetso ngomba kubonana na muganga?
Niba ubonye kimwe mu bimenyetso bikurikira iyo ugiye mu rugo nyuma yo kuvurwa, ugomba guhita uhamagara muganga wawe . Hari abarwayi bashobora gukenera kuvurwa byihutirwa mu ishami ry’ubutabazi bwihuse (ETU) ry’ibitaro.
| Ibimenyetso | Icyo gukora |
|---|---|
| Kuva amaraso, kubyimba, ububabare, cyangwa kumva ufite ibibyimba aho catheter ishyirwa. | Vugana na muganga wawe. |
| Kubabara mu gituza, kuzungera, cyangwa kumva ufite isereri. | Vugana na muganga wawe. |
| Isesemi cyangwa kuruka. | Vugana na muganga wawe. |
| Niba ubuvuzi bwakorewe mu kibuno, mu kibuno, mu kubabara, cyangwa mu kubabara mu kuguru. | Vugana na muganga wawe. |
| Jya mu Ishami ry’Ubutabazi bw’Ibanze (ETU) vuba! (Ibimenyetso bya stroke) | |
| Uruhande rumwe rw'isura rurembye, ukuboko kudafite ubuzima. | Ibi bishobora kuba ibimenyetso by'indwara yo mu bwonko. Jya kwa muganga ako kanya. |
| Ibimenyetso bikomeye nko gutera k'umutima cyane, isereri, guhumeka nabi, cyangwa kubabara mu gatuza bibaho cyangwa bikamara amasaha arenga 3. | Jya kwa muganga ako kanya. |
Hanyuma, ni ibisanzwe kumva ufite ubwoba cyangwa impungenge zo kubagwa cyangwa kuvurwa umutima wawe. Ariko, Cardiac Ablation ni uburyo bwizewe kandi bufite ibyago bike, bwakoreshejwe neza mu kuvura abantu benshi bafite ibibazo by'umutima. Niba ufite ikibazo kuri ibi, nyamuneka baza muganga wawe. Numara gusobanukirwa uburyo bukoreshwa, ubwoba bwawe buzagabanuka.
Ubutumwa bwo kujyana mu rugo
- Kuvura umutima (Cardiac Ablation) ni uburyo bwo kuvura bukoresha imbaraga nke cyane bukoreshwa mu gukosora indwara z'umutima zidatera neza (arrhythmias).
- Ibi bikubiyemo gushaka agace gato k'umutima karimo gutanga ibimenyetso by'amashanyarazi bitari byo, kugavura no kugahagarika.
- Ubu ni uburyo bwiza cyane bwo kuvura kandi bufite umutekano, kandi ibyago byo kugira ibibazo ni bike cyane.
- Bishobora gufata ibyumweru byinshi kugira ngo umutima ukire neza nyuma yo kuvurwa, kandi ibimenyetso bimwe na bimwe bishobora kongera kugaruka muri icyo gihe.
- Kurikiza amabwiriza ya muganga wawe witonze nyuma yo kuvurwa, cyane cyane ajyanye n'imiti no kuruhuka.
- Niba ugize ibimenyetso bidasanzwe (cyane cyane ububabare bwo mu gituza, isereri rikomeye, ibimenyetso byo gucika intege mu bwonko), shaka ubufasha bwa muganga byihutirwa.
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