Ese wigeze wumva umutima wawe utera cyane nta mpamvu, cyangwa wumva umeze nk'ibinyugunyugu mu gituza cyawe? Ubwo bwoko bw'impinduka mu mikorere y'umutima (umutima utari usanzwe) rimwe na rimwe ni ikintu cyo kwitabwaho. Uyu munsi, tugiye kuvuga ku buryo bwihariye abaganga bakoresha mu kuvura ubwo bwoko bw'umutima utari usanzwe.
Mu magambo make, indwara ya Chemical Cardioversion ni iki?
Muri make, ubuvuzi bwo kuvura indwara z'umutima hakoreshejwe imiti igabanya umuvuduko w'umutima (chemical cardioversion) ni ugukoresha imiti kugira ngo umutima wawe usubire ku murongo usanzwe cyangwa utari mwiza. Kugira ngo ubu buvuzi bugende neza biterwa n'impamvu y'umutima wawe utari mwiza, igihe umaze uhari, n'ubwoko bw'umuti muganga aguhitiyemo.
Ibi kandi tubyita Pharmacologic Cardioversion. Imiti itangwa muri ubu buvuzi ikora ibintu byinshi by'ingenzi:
- Iruhura imitsi y'amaraso yawe.
- Bitanga impumuro ku mitsi y'umutima.
- Bigabanya umutwaro w'akazi ku mutima.
- Igenzura umuvuduko w'amajwi y'amashanyarazi abwira umutima gutera.
Tekereza umutima wacu nk'inzu ifite urujya n'uruza rw'amashanyarazi rugoye. Ifite icyuma gikuru, mu buvuzi twita node ya sinoatrial. Ikimenyetso cy'amashanyarazi gituma umutima utera gitangira aho. Hanyuma icyo kimenyetso kinyura mu byumba byo hejuru by'umutima (Atrio) kikagera ku yindi ihuriro (node ya Atrioventricular). Amaherezo, iki kimenyetso kigera mu byumba byo hasi by'umutima (Ventricles). Iyo habayeho ikosa muri iyi nzira y'ikimenyetso, umuvuduko w'umutima ushobora guhungabana.
Iyo umutima uhagaze nabi, ntushobora gusohora amaraso ahagije mu mubiri wose. Buri turemangingo two mu mubiri wacu, cyane cyane ubwonko, dukeneye umwuka uhoraho uva mu maraso. Iyo amaraso atembera nabi muri ubwo buryo, ushobora kugira ibimenyetso nko kuzungera, umunaniro, guhumeka nabi, no kubabara mu gatuza .
Kuki ubu buryo bukoreshwa kandi ni izihe ndwara?
Niba umutima wawe wihuta cyane cyangwa utari mu buryo busanzwe, ushobora gukenera ubuvuzi bw'umutima bukoresha imiti. Hari impamvu nyinshi zishobora gutuma umutima wawe utera nabi.
- Imwe mu miti ukoresha
- Indwara zandura nka pneumonia
- Indwara y'umutima
- Impinduka mu miterere y'umutima
- Guhagarika imitsi y'ibihaha
- Kunanirwa k'umutima mu gihe cy'ihungabana
- Indwara z'ibihaha nka COPD cyangwa Emphysema
Indwara y'umutima ikoreshwa cyane cyane mu kuvura indwara z'umutima zikurikira zidasanzwe:
| Izina ry'uburwayi (Imvugo y'Icyongereza) | Ibisobanuro byoroshye |
|---|---|
| Indwara yo mu bwonko itera atrial fibrillation (Afib) | Indwara yo gutera umutima mu buryo butunguranye ni indwara aho ibice byo hejuru by'umutima bitera cyane kandi mu buryo butunguranye. Iyi ni yo ndwara ikunze kugaragara cyane mu gutera umutima mu buryo butunguranye. |
| Gutera kw'imitsi mu gice cy'imbere cy'umutima | Ibyumba byo hejuru by'umutima bitera cyane ariko kenshi gato kuruta mu gutera kwa fibrillation. |
| Tachycardia yo mu mutwe (SVT) | Umutima utera cyane cyane utangirira hejuru y'ibyumba byo hasi by'umutima. |
| Tachycardia yo mu mitsi (VT) | Umutima utera cyane utangirira mu byumba byo hasi by'umutima. Ibi rimwe na rimwe bishobora guteza akaga. |
Ni iki kibaho mbere yo kuvurwa?
Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura (umuti cyangwa amashanyarazi yo kuvura umutima). Niba umuvuduko w'amaraso yawe uri hasi cyane, muganga wawe ashobora guhitamo amashanyarazi yo kuvura umutima.
- Ibiryo n'ibinyobwa: Uzagirwa inama yo kwirinda kurya cyangwa kunywa amasaha agera ku munani mbere y'ubu buvuzi.
- Ibizamini: Niba umutima wawe utera nabi (atrial arrhythmia) mu gihe kirenga iminsi ibiri, muganga wawe ashobora kugukorera ikizamini cyitwa Transesophageal Echocardiogram (TEE) . Ibi ni ukureba niba amaraso afite ibice biri mu mutima. Ibi bishobora gutera stroke niba ibice biri mu mutima byacitse mu gihe cyo kuvurwa.
- Umuti: Hafi ya buri muti ufata, harimo imiti igurishwa mu kigo cya leta, vitamine, ndetse n'imiti ya Sinhala.Ugomba kubimenyesha muganga wawe. Ushobora kandi gusabwa gutangira gufata imiti igabanya amaraso ibyumweru bitatu mbere yo kuvurwa kugira ngo ugabanye ibyago byo kubyimba kw'amaraso.
Ni iki kibaho mu gihe cyo kuvurwa?
Ubu buvuzi bukunze gukorerwa mu cyumba cy’indembe (ICU) cy’ibitaro cyangwa mu cyumba cyihariye cyabigenewe. Ibi biterwa nuko hari ibyago bike byo gutera indwara z’umutima zidakora neza iyo uhawe umuti, bityo ugomba gukurikiranirwa hafi.
Muri iki gihe ntabwo uri wenyine. Abaganga n'abaforomo bari iruhande rwawe, bakurikirana umuvuduko w'amaraso yawe n'umuvuduko w'umutima wawe (ECG). Ibikoresho byose bikenewe (nk'icyuma gifasha mu kuvura indwara) biriteguye mu gihe cy'impanuka.
Umuti uhabwa nk'ikinini umira cyangwa unyuze mu mutsi wo mu kuboko kwawe . Hari igihe, iyo urugero rwa mbere rw'umuti rudakora, ushobora guhabwa indi doze.
Imiti ikoreshwa cyane
Ubwoko bw'imiti uhabwa buzatandukana bitewe n'uburwayi bwawe. Imwe mu miti ikoreshwa cyane ni iyi:
- Amiodarone (Cordarone®)
- Procainamide
- Ibutilide
- Flecainide
- Propafenone (Rythmol®)
- Sotalol (Betapace®)
- Beta-blockers nka metoprolol (Lopressor®)
- Ibikoresho bifunga imiyoboro ya calcium nka diltiazem (Cardizem®)
- Adenosine (Adenocard®)
Ni ibihe byiza n'ibibi by'ubuvuzi?
Ushobora kuguma mu bitaro kugira ngo ukurikiranwe nyuma y'amasaha 24 kugeza kuri 48 nyuma yo kuvurwa. Hari abantu bashobora kumva bananiwe cyangwa batamerewe neza n'uyu muti.
Ibyiza:
- Umutima ushobora kugaruka ku murongo usanzwe.
- Ibimenyetso nk'izunguza n'umunaniro biragabanuka.
- Ishobora gukoreshwa nk'uburyo bwo gusimbura amashanyarazi mu kuvura indwara z'umutima.
Ingaruka n'ingorane:
- Gutangira k'umutima utera utari usanzwe cyangwa kwiyongera k'umutima wari usanzweho.
- Udukoko tw'amaraso dushobora gucika bigatuma umuntu arwara indwara yo mu bwonko .
- Ingaruka mbi nko kugira isesemi no kunanirwa.
- Imiti imwe n'imwe ishobora kumara amezi menshi kugira ngo ikore.
- Niba ubu buryo bwo kuvura budafashe neza, ushobora gukenera gukoresha ubundi buryo bwo kuvura nko gukoresha amashanyarazi cyangwa gukoresha catheter ablation.
- Imiti ntikora kimwe kuri buri wese. Hari igihe igipimo cy'intsinzi mu gihe kirekire kiba hafi 50%.
Ni ryari ugomba gushaka inama z'abaganga byihutirwa?
Niba ubonye kimwe muri ibi bimenyetso bidasanzwe nyuma yo kurwara indwara y'umutima iterwa na chemical, jya ku bitaro bikuru byita ku buzima bw'abantu (ETU) bikwegereye vuba:Cyangwa hamagara serivisi y'imbangukiragutabara mu 1990. Ntugafate ibi nk'ibi byoroshye.
- Umutima utera cyane
- Isereri ikomeye
- Ubuhanga bworoshye
- Gucika intege k'umubiri
- Kubira ibyuya bitunguranye
- Kubabara mu gatuza
- Guhumeka bigoranye
- Ibimenyetso by'ubwivumbure nk'imitsi
Fata imiti yose muganga yakwandikiye, haba mbere na nyuma yo kuyivura, neza kandi ku gihe. Niba ufite ikibazo icyo ari cyo cyose, ntugatinye kubaza muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwo kuvura indwara z'umutima hakoreshejwe imiti igabanya ubukana bw'umutima butuma umutima utera nabi.
- Muganga wawe ni we wenyine ushobora gufata icyemezo niba ubu buryo bw'ubuvuzi bukubereye.
- Ibi bikorwa mu bitaro, bigenzurwa cyane n'abaganga, bityo nta mpamvu yo gutinya.
- Nubwo ibi bitanga inyungu nyinshi, bishobora no guteza ingaruka zimwe na zimwe.
- Niba ugize ibimenyetso nko kubabara mu gatuza, isereri rikomeye, cyangwa guhumeka nabi nyuma yo kuvurwa, hita ujya kwa muganga wita ku barwayi ba ETU.
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