Ese hari igihe wumva umutima wawe utera vuba cyane ku buryo wumva ufite ubwoba, cyangwa se imivuduko y'umutima wawe isa n'aho idahuye n'igihe? Nk'uko iyo ucuranze ingoma, umutima wawe uhita utangira gutera vuba, buhoro buhoro, cyangwa ugasimbuka umuvuduko. Uyu munsi turimo kuvuga ku buryo bwihariye abaganga bakoresha muri bene ibyo bihe. Ubu buryo bwitwa 'Chimical Cardioversion'. Nubwo izina rigoye gato, ibisobanuro byaryo biroroshye cyane.
Mu magambo make, indwara ya Chemical Cardioversion ni iki?
Uburyo bwo kuvura indwara z'umutima hakoreshejwe imiti butuma umutima usubirana umuvuduko udasanzwe ku muvuduko usanzwe. Ni nk'umupolisi wo mu muhanda uje kugenzura umuvuduko w'imodoka mu buryo butunguranye. Aha ngaha, 'umupolisi wo mu muhanda' ni umuti muganga aguha.
Kugira ngo ubu buvuzi bugende neza biterwa n'ibintu byinshi, urugero nk'igitera umutima wawe utera ku buryo butari bwo, igihe umaze urwaye iyo ndwara, n'ubwoko bw'imiti muganga ahitamo.
Imiti itangwa kuri ubu buvuzi ikora ibintu byinshi by'ingenzi:
- Bifungura imiyoboro y'amaraso yawe gato, bigatuma amaraso atembera neza.
- Iruhura imitsi y'umutima.
- Bigabanya umutwaro ku mutima, ni ukuvuga umutwaro w'umutima.
- Igenzura umuvuduko w'ibimenyetso by'amashanyarazi bigaragaza ko umutima utera.
Ubusanzwe, umutima wacu utangira mu buryo buteguye neza. Iki kimenyetso cy'amashanyarazi gitangirwa na pacemaker karemano mu mutima yitwa node ya sinoatrial. Iki kimenyetso gihita kinyura mu bice by'umutima mu buryo bunoze, bigatuma umutima ufunga neza kandi ugatera amaraso. Iyo habayeho ikibazo mu buryo ibi bimenyetso bigenda, umutima uba utari umeze neza.
Iyo umutima uhungabanye, ntabwo utera amaraso neza mu mubiri wose. Uturemangingo tw’ubwonko bwacu, kimwe n’izindi selile zose, dukeneye ogisijeni. Uyu mwuka utwarwa n’amaraso. Rero iyo amaraso atembera nabi, ibimenyetso nko kuzungera (vertigo), umunaniro, guhumeka nabi, no kubabara mu gatuza birashobora kubaho.
Kuki dukeneye ubu buvuzi?
Niba umutima wawe utera cyane cyangwa ufite umuvuduko udasanzwe, ushobora gukenera ubuvuzi bw'umutima bukoresha imiti. Hari impamvu nyinshi zishobora gutuma umuvuduko w'umutima wawe uhinduka udasanzwe. Tekereza ko inshuti yawe Nimal yatangiye kumva igituza cye gitera cyane. Ni bwo yamenye ko indwara ikomeye yagize ingaruka ku muvuduko w'umutima we.
Kandi hari izindi mpamvu nyinshi:
- Imiti imwe n'imwe ufata: Imiti imwe n'imwe ishobora gutera impinduka mu mikorere y'umutima nk'ingaruka mbi.
- Indwara: Indwara za bagiteri cyangwa virusi zishobora kugira ingaruka ku mitsi y'umutima.
- Indwara y'umutima: Indwara y'umutima ishobora kwangiza amashanyarazi y'umutima.
- Impinduka mu miterere y'umutima: indwara y'umutima yavukanye cyangwa impinduka zibaho nyuma.
- Kuvunika kw'ibihaha: Iki ni ikibazo cyihutirwa.
- Umutima Utera Kunanirwa: Iyo umutima ugize intege nke kandi ubushobozi bwawo bwo kuvoma amaraso bukagabanuka.
- Indwara z'ibihaha: Indwara nka COPD cyangwa Emphysema.
Ni ubuhe bwoko bw'imitsi y'umutima bushobora kuvurwa n'ubu buryo?
Indwara yo kuvura indwara z'umutima ikoreshwa mu kuvura indwara zitandukanye z'umutima zidasanzwe, harimo:
| Izina ry'umutima utari umeze neza (Izina rya Arrhythmia) | Ibisobanuro byoroshye |
|---|---|
| Indwara yo mu bwonko itera atrial fibrillation (Afib) | Indwara ikunze kugaragara aho icyumba cyo hejuru cy'umutima (atria) gitera vuba cyane kandi mu buryo butunguranye. |
| Gutera kw'imitsi mu gice cy'imbere cy'umutima | Ibyumba byo hejuru by'umutima bitera cyane, ariko mu buryo buteguye neza kurusha muri Afib. |
| Tachycardia yo mu mutwe (SVT) | Umutima utera cyane cyane utangirira mu gice cyo hejuru cy'umutima. |
| Tachycardia yo mu mitsi (VT) | Umutima utera cyane utangirira mu byumba byo hasi (ventricles) by'umutima. Ibi bishobora kuba bikomeye. |
Itandukaniro riri hagati y'ihindagurika ry'umutima n'iri
Ushobora kuba warabibonye muri filime, aho batera umutima gushya ubwoba kugira ngo wongere utange imbaraga. Byitwa 'Electrical Cardioversion'. Bikubiyemo kohereza umutima amashanyarazi agenzurwa kugira ngo 'usubize' amashanyarazi. Chemical Cardioversion ikubiyemo gutanga imiti kugira ngo ukore ikintu nk'icyo.
Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura bitewe n’uburwayi bwawe. Urugero, niba umuvuduko w’amaraso yawe uri hasi cyane, muganga wawe ashobora gufata icyemezo cyo kugukorera electrical cardioversion.
Ni iki kibaho mbere yo kuvurwa kandi twagombye kwitegura dute?
Muganga wawe azaguha amabwiriza amwe mbere y'uko ubu buvuzi butangira. Ni ngombwa cyane kuyakurikiza neza.
1. Kwirinda ibiryo n'ibinyobwa: Uzasabwa kwirinda kurya cyangwa kunywa ikintu icyo ari cyo cyose mu gihe cy'amasaha agera ku munani mbere yo kuvurwa.
2. Suzuma niba amaraso afite ibibyimba: Niba umutima wawe umaze iminsi irenga ibiri utari umeze neza, hari amahirwe ko amaraso make ashobora kuzura mu mutima wawe. Niba umutima wawe utera neza nyuma y’ubu buvuzi, niba ibibyimba bicitse bigafata imitsi y’amaraso mu bwonko, bishobora gutera indwara ikomeye nk’indwara yo mu bwonko. Kugira ngo urebe niba hari ibyo byago, muganga wawe ashobora kugusaba gupimwa by’umwihariko byitwa Transesophageal Echocardiogram (TEE) . Ibi bikubiyemo gushyiramo umuyoboro muto mu muhogo wawe no kureba neza inyuma y’umutima wawe kugira ngo urebe niba hari ibibyimba by’amaraso.
3. Imiti igabanya amaraso: Kugira ngo ugabanye ibyago byo kubyimba kw'amaraso byavuzwe haruguru, uzasabwa gutangira gufata imiti igabanya amaraso mu byumweru bitatu mbere yo kuvurwa. Uzakenera gukomeza gufata iyi miti mu byumweru bigera kuri bine nyuma yo kuvurwa.
4. Bwira muganga wawe imiti yose ufata: Ni ngombwa kubwira muganga wawe imiti yose ufata, harimo imiti igabanya ububabare itangwa na muganga, vitamine, n'imiti y'ibimera. Imiti imwe ishobora kugira ingaruka ku miti itangwa kuri ubu buvuzi.
Ni iki kibaho mu gihe cyo kuvurwa?
Ibi si ibintu ushobora gukora uri mu rugo. Uzajya mu bitaro kandi uhabwe ubu buvuzi buri munsi y’ubugenzuzi buhoraho.
- Aho uherereye: Uzajya mu cyumba cy’indembe (ICU) cy’ibitaro cyangwa mu cyumba gisa nacyo aho ushobora gukurikiranirwa hafi. Ntugahangayike, ibi ni ukugira ngo ugire umutekano. Kuko ugomba gukurikiranirwa hafi niba hari impinduka mu mikorere y’umutima wawe iyo uhawe imiti.
- Gukurikirana: Umurongo wa IV (cannula) uzashyirwa mu kuboko kwawe hanyuma uhuzwe na wo. Ibi bizakurikirana buri gihe ECG (imikorere y'amashanyarazi y'umutima), umuvuduko w'amaraso, n'urugero rwa ogisijeni.
- Uburyo bwo gutanga umuti:Uzahabwa umuti waba nk'ikinini cyo kunywera mu kanwa cyangwa ukawushyira mu mitsi unyuze mu murongo wa IV mu kuboko kwawe. Hari igihe, niba urugero rwa mbere rudakora, ushobora guhabwa indi dose.
- Umutekano: Abaganga n'abaforomo bari aho ngaho bari kumwe nawe. Bafite kandi ibikoresho nka defibrillator hafi yawe mu gihe hari indi rhythm idasanzwe. Bityo rero uri ahantu hatekanye cyane.
Ni iyihe miti ikoreshwa kuri ibi?
Imiti muganga wawe aguha izaterwa n'ubwoko bw'umutima utera cyane. Imwe muri iyi miti ikoreshwa mu kuvura umuvuduko ukabije w'amaraso n'indwara z'umutima ziterwa no kugongana kw'imitsi.
Dore bumwe mu bwoko bw'ingenzi bw'imiti ikoreshwa:
- Adenosine
- Amiodarone
- Procainamide
- Ibutilide
- Beta-blockers - urugero nka Metoprolol
- Ibikoresho bifunga imiyoboro ya kalisiyumu - urugero nka Diltiazem
- Flecainide
- Propafenone
Buri muti muri iyi ukora mu buryo butandukanye, bityo muganga wawe ni we wenyine ushobora guhitamo umuti ukubereye.
Bigenda bite nyuma yo kuvurwa?
Nyuma yo guhabwa umuti kandi umutima wawe ugasubira gutera neza, ushobora kuguma mu bitaro andi masaha 24 kugeza kuri 48 ukurikiranwe kugira ngo urebe neza ko ibintu byose bimeze neza. Nyuma y'ibyo, ushobora gutaha.
Abantu benshi bavuga ko bumva bananiwe kandi batamerewe neza n'imiti bahabwa. Ibi ni ibisanzwe, ariko niba ufite ikibazo gikomeye, nyamuneka bwira muganga wawe.
Ni izihe ngaruka n'inyungu z'ubu buvuzi?
Kimwe n'ubundi buryo bwose bwo kuvura, hari ibyiza n'ingaruka. Muganga wawe azagusaba ubu buryo gusa iyo inyungu zirenze ingaruka.
| Ibyiza | Ingaruka/Ingorane |
|---|---|
| Kubasha gusubiza umutima ku murongo usanzwe. | Injyana nshya idasanzweBishobora kubaho cyangwa bikarushaho kuba bibi. |
| Kugabanuka kw'ibimenyetso nko kuzungera, umunaniro, no kubura umwuka. | Hari ibyago bike byo kuvura amaraso agacika bigatera indwara yo mu bwonko (ibi bishobora kugabanuka ukoresheje imiti igabanya amaraso). |
| Ubundi buryo bwo gusimbuza amashanyarazi yo mu mutima (Electrical Cardioversion) | Ingaruka mbi nko kugira isesemi no kunanirwa zishobora kubaho. |
| Imiti imwe n'imwe ishobora kumara amezi menshi kugira ngo ikore. | |
| Iyo ubuvuzi budafashe neza , ubundi buryo bwo kuvura nka Electrical Cardioversion cyangwa Catheter Ablation bushobora kuba ngombwa. |
Ni ryari ugomba kujya kwa muganga byihutirwa?
Iyo ugiye mu rugo nyuma yo kuvurwa, ni ngombwa cyane kumenya ibimenyetso bidasanzwe. Niba ubonye kimwe muri ibi bimenyetso biri hepfo, jya ku bitaro bikuru byita ku barwayi ba ETU (ETU) cyangwa uhamagare 1990.
- Umutima utera cyane
- Isereri ikomeye
- Niba amaso yawe ahindutse ubururu kandi ukumva ufite umutwe ukeye (Lightheadedness)
- Intege nke
- Kubira ibyuya byinshi mu buryo butunguranye (Kubira ibyuya)
- Indwara zo kugira ubwivumbure nko gushyuha no kwishimagura
- Kubabara mu gatuza
- Guhumeka bigoranye
Mbere na nyuma yo kuvurwa, fata imiti yose wahawe na muganga wawe neza kandi ku gihe. Niba ufite gushidikanya ku buryo bwo gufata imiti yawe, ongera ubaze muganga wawe ibisobanuro.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwo kuvura indwara z'umutima hakoreshejwe imiti igabanya ubukana bw'umutima.
- Ibi bikorwa kugira ngo umutekano wawe ube mu bitaro, ukurikiranwe n'abaganga buri gihe.
- Mbere yo kuvurwa, ni ngombwa kumenyesha muganga wawe imiti yose ufata, harimo na vitamine n'imiti ya Ayurvedic.
- Nkuko bigenda ku miti yose, hari ingaruka zimwe na zimwe, ariko muganga wawe arimo kukwandikira ubu buryo kuko inyungu ziruta kure ingaruka.
- Nyuma yo kuvurwa, ni ngombwa cyane gufata imiti, cyane cyane imiti igabanya amaraso, nk'uko byavuzwe.
- Shaka ubufasha bwihuse bwa muganga niba ugize ibimenyetso byihutirwa nko kubabara mu gatuza, guhumeka nabi, cyangwa isereri ikomeye.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.