Ese ufite umuvuduko udasanzwe w'umutima? Reka tuvuge ku buvuzi bwitwa Cardiac Ablation!

Ese wigeze wumva umutima wawe utangiye gutera cyane, cyangwa ko urimo gutera cyane? Cyangwa wumva umeze nk'ikinyugunyugu kiri mu gituza cyawe? Mu magambo y'ubuvuzi, iyi ndwara tuyita 'Arrhythmia' cyangwa umutima utari umeze neza. Uyu munsi turimo kuvuga ku buryo bwihariye, ariko bugezweho cyane abaganga bakoresha mu gihe ubu buryo budashobora kugenzurwa n'imiti.

Mu magambo make, guterura umutima (cardiac ablation) ni iki?

Indwara yo gutera umutima (Cardiac Ablation) ni uburyo bwo kuvura imitsi idasanzwe y'umutima (arrhythmias). Tekereza ko umutima wacu ufite sisitemu y'amashanyarazi, kandi ni ibimenyetso ubona bituma utera neza. Hari igihe uduce duto tw'iyi sisitemu y'amashanyarazi dushobora gutanga impulses zidasanzwe z'amashanyarazi. Ubu buryo bushakisha uduce tw'imitsi twohereza izo mpuruza zidasanzwe hanyuma "tukazimya."

Iki si igikorwa gikomeye. Gikorwa n'inzobere mu by'umutima. Ashyiramo umuyoboro muto cyane (catheter) mu mutima wawe anyuze mu mutsi uri mu gituza cyawe, mu kuboko, cyangwa mu ijosi. Hanyuma, ubushyuhe (radiofrequency ablation), ubukonje bukabije (cryoablation), cyangwa imiraba migufi y'ingufu (pulsed field ablation) binyuzwa muri uyu muyoboro, bigatera inkovu nto mu ngingo aho ibimenyetso bidasanzwe bituruka. Izi nkovu zihagarika ibimenyetso bidasanzwe by'amashanyarazi kugenda, kandi umutima ugasubira ku murongo.

Ni ubuhe bwoko bw'indwara ubu buvuzi buvura?

Gutera umutima ku mutima ni uburyo bwo kuvura indwara z’umutima zitera vuba cyane (tachyarrhythmias). Ariko, akenshi ntabwo bitangwa nk'uburyo bwa mbere bwo kuvura. Muganga wawe ashobora kukugira inama yo kuvura iyi ndwara gusa iyo arrhythmia yawe idashobora kugenzurwa n'imiti. Muganga wawe azasuzuma umutima wawe neza n'ubuzima bwawe muri rusange mbere yo gufata icyemezo niba ubu buryo bugukwiriye.

Ubu buryo bwo kuvura bukunze gukoreshwa cyane mu ndwara zikurikira.

Byongeye kandi, ubu buryo bwo kuvura bushobora kandi gutangwa ku bantu bafite ibyago byinshi byo kurwara indwara zishobora gushyira ubuzima mu kaga nko guhagarara k'umutima mu buryo butunguranye cyangwa Ventricular Fibrillation (V-Fib).

Witegura ute mbere yo kuvurwa?

Mbere y'ubu buryo, uzakenera gukora ibi bikurikira:

• Hagarika gufata imiti igabanya amaraso: Niba ufata imiti nka aspirine cyangwa warfarin, ushobora gusabwa kuyihagarika mu minsi mike. Ariko ibi bikore nk'uko muganga wawe yabigutegetse, kandi kuva umunsi agutegetse. Ntugahagarike igihe cyose wumva ushaka.
• Irinde kurya cyangwa kunywa: Uzasabwa guhagarika kurya cyangwa kunywa amasaha make mbere y'uko igikorwa kirangira, akenshi nyuma ya saa sita z'ijoro. Muganga wawe azaguha amabwiriza yihariye kuri ibi.
• Umuntu uzagufasha gutaha: Teganya mbere y'igihe ko hari uzagutwara mu rugo nyuma yo kubagwa.
• Umurongo wa IV ushyirwa: Umurongo wa IV (nk'umuyoboro ukoreshwa mu kuguha saline) ushyirwa mu mitsi iri mu kuboko kwawe. Aha niho uzahabwa imiti ikenewe n'ikinya.
• Imyenda n'ibikoresho: Ambara imyenda ishimishije. Ni byiza gusiga imitako n'ibindi bikoresho by'agaciro mu rugo.

Ni iki kibaho mu gihe cyo kuvurwa?

Dore isesengura ry'intambwe ku yindi ry'ibiba mu gihe cyo gutanga umusatsi:

1. Ubwa mbere, aho catheter izashyirwa (akenshi mu kibuno) hasukurwa kandi uruhu rugacika intege.

2. Hanyuma, umuyoboro muto (agatambaro) winjizwa mu mitsi y'amaraso, bigatuma catheter yinjira.

3. Catheter nziza zifite electrode zinyuzwa mu gitambaro no mu mitsi y'amaraso ikagera ku mutima. Ibi bikorwa hifashishijwe uburyo bwa X-ray.

4. Iyo zigeze mu mutima, izi catheter 'zigaragaza' imikorere y'amashanyarazi y'umutima kandi zikerekana aho ibimenyetso by'ubusa bituruka.

5. Iyo agace k'ikibazo kamaze kuboneka, ubushyuhe, ubukonje, cyangwa ingufu zoherezwa ziturutse ku mutwe wa catheter kugira ngo zivure urugingo kandi zihagarike ibimenyetso bitari byo kwinjira.

6. Amaherezo, katheteri n'agapfunyika bikurwaho witonze.

Ubu buryo bwose bushobora gufata amasaha abiri kugeza kuri ane, rimwe na rimwe bukamara igihe kirekire kurushaho.

Bigenda bite nyuma yo kuvurwa?

Nyuma yo kubagwa, uzajyanwa mu cyumba cyo gukira. Uzakenera kuhaguma amasaha make. Umuforomo azakomeza gukurikirana uko umerewe, uko umutima wawe utera, n'umuvuduko w'amaraso. Bitewe n'uko umerewe, ushobora gutaha uwo munsi, cyangwa ukaba ukeneye kurara mu bitaro ijoro ryose.

Nujya mu rugo, uzahabwa amabwiriza asobanutse neza yo gukurikiza uri mu rugo. Muganga wawe azaguha aspirine cyangwa undi muti woroshya amaraso kugira ngo wirinde kubyimba kw'amaraso. Uyu muti ushobora gukenerwa gufatwa amezi menshi cyangwa arenga.

Ibyiza n'intsinzi y'ubuvuzi

Ubu buryo bugabanya cyane ingaruka ku mubiri, budasaba kumara igihe kinini mu bitaro, kandi bushobora gufasha kugarura umutima umeze neza udashobora kugenzurwa n'imiti. Hari ubwo bushobora kurokora ubuzima .

Iyo bigenze neza, biterwa n'ubwoko bwa arrhythmia ufite.

• Ibihe nk'ibya SVT bifite igipimo cyo gutsinda kiri hagati ya 90% na 95% .
• Ku bijyanye n'indwara nka Afib na VT, igipimo cy'intsinzi kiri hagati ya 60% na 80% .

Ni izihe ngaruka n'ibintu ugomba kumenya?

Ingaruka zo guterwa no gufunga umutima ni nke cyane. Ingorane ni nke cyane, cyane cyane mu bitaro aho ubu buryo bwo kuvura bukorerwa buri gihe. Ariko, hari zimwe mu ngaruka zishobora kubaho ugomba kumenya:

• Amaraso apfutse
• Kwangirika kwa catheter ku mitsi y'amaraso cyangwa imiyoboro y'umutima
• Kwandura cyangwa kuva amaraso
• Igisebe cy'imitsi
• Gukenera guterwa pacemaker ihoraho

Niba uri umubyeyi utwite, vugana na muganga wawe niba ubu buryo bwo kuvurwa bushobora gusubikwa kugeza umwana avutse.

Gukira n'igihe cyo kubonana na muganga

Bishobora gufata ibyumweru byinshi kugira ngo ukire neza. Irinde guterura ibiro birenga 5 cyangwa gukora imyitozo ngororamubiri igoye nibura icyumweru kimwe nyuma yo kubagwa. Baza muganga wawe igihe ushobora gusubira ku kazi no gutwara imodoka.

Uramutse ubonye kimwe muri ibi bikurikira, hamagara muganga wawe ako kanya.