Tekereza umutima wawe nk'ipompe y'amazi. Umuyoboro munini, munini kandi ukomeye upompa amazi mu mubiri wawe wose ni aorta . Uyu ni wo utwara amaraso meza kandi akungahaye kuri ogisijeni kuva ku mutwe wawe kugeza ku maguru yawe. Niba rero hari ikibazo kuri uyu muyoboro w'ingenzi, tugiye kuvuga ku kubagwa kugira ngo usanwe. Ni ibisanzwe kumva ufite ubwoba gato iyo wumvise ibi, ariko umaze kubibwirwa neza, ushobora gutsinda ubwo bwoba.
Ni ibihe bibazo by'ingenzi bivuka muri iyi aorta?
Mu magambo make, hari ibibazo bibiri by'ingenzi bigira ingaruka ku muyoboro w'amaraso (aorta).
1. Aneurysm: Tekereza umuyoboro w'amazi ushaje usohoka nk'umupira w'amapine. Muri ubwo buryo, inkuta z'umuyoboro w'amaraso ziracika intege kandi zigasohoka nk'umupira w'amapine bitewe n'umuvuduko w'amaraso unyuramo. Ibi nibyo twita "Aneurysm".
2. Gucikamo ibice: Ibi bitandukanye gato. Urukuta rw'umuyoboro w'amaraso rufite ibice byinshi. Ikiba muri ibi ni uko agace gato k'amaraso kaba mu gice cy'imbere, maze amaraso akava hagati y'ibyo bice bibiri. Iki nacyo ni ikibazo gikomeye cyane.
Iyo iyi aneurysm cyangwa gucikamo ibice bitunguranye, bishobora gutera kuva amaraso menshi mu mubiri kandi bikaba byashyira ubuzima mu kaga. Niyo mpamvu abaganga bagerageza kuyisana no kubagwa mbere yuko igera aho.
Kuki ibintu nk'ibi bibaho?
Hari impamvu nyinshi zibitera, zimwe muri zo dushobora kuzigenzura, izindi tukaba tudashobora kuzigenzura.
| Impamvu z'ingenzi | Ibisobanuro byoroshye |
|---|---|
| Ateriosclerosis | Impamvu nyamukuru ni ukwiyongera kw'ibintu bimeze nka cholesterol mu nkuta z'imiyoboro y'amaraso, bigatuma imiyoboro y'amaraso ikomera kandi igafungana. |
| Umuvuduko ukabije w'amaraso | Umuvuduko ukabije w'amaraso, cyangwa umuvuduko uguma hejuru igihe kirekire, ushobora kwangiza inkuta z'imitsi y'amaraso. |
| Indwara z'imitsi ihuza | Izi ni indwara zikomoka ku maraso. Urugero, abantu barwaye indwara nka Marfan Syndrome bafite ingingo z'umubiri zidakora neza, ibyo bikaba bishobora gutuma umuyoboro w'amaraso ucika intege. |
| Imvune yatewe n'impanuka | Ubu bwoko bw'ibyangiritse bushobora no guterwa n'igituza gikomeye, nk'impanuka ikomeye y'imodoka. |
Kubaga bikorwa gute? Ni ubuhe buryo bw'ingenzi?
Muganga azaguhitiramo uburyo bwo kubaga bukwiye cyane ashingiye ku bintu byinshi, nko kuba indwara yawe ikomeye n'aho aneurysm yabereye. Hari uburyo bubiri bw'ingenzi.
1. Kubagwa mu buryo bw'ibanga
Ubu ni bwo buryo gakondo. Aha, gukorerwa sternotomy hagati mu gituza, cyangwa inda igafungurwa, kugira ngo igere ku gice cyangiritse cy'umuyoboro w'amaraso. Hanyuma igice cyangiritse gikurwaho hanyuma hagashyirwamo agace gakozwe mu bikoresho by'ubukorikori nka Dacron . Iki ni igikorwa gikomeye, kandi bifata igihe kirekire kugira ngo gikire.
2. Kubaga imitsi yo mu nda / kubaga imitsi mito cyane
Ubu ni ikoranabuhanga rigezweho. Nta gukata gukomeye kubaho hano. Gukata gato bikorerwa mu mitsi inyura mu kibuno, hanyuma agace gato k’amaraso kakoherezwa muri yo hifashishijwe catheter (umuyoboro muto) kajya mu gice cyangiritse cya aorta.
Igishishwa cya stent ni iki?
Ibi bimeze nk'umuyoboro muto ukozwe mu cyuma kandi upfutswe n'igitambaro. Iyo ushyizwe imbere aho "(Aneurysm)" iri, amaraso atembera muri uyu muyoboro mushya. Hanyuma amaraso atembera adafashe ku rukuta rw'umuyoboro w'amaraso wacitse intege. Bityo, ahagarika guturika.
Ibyiza by'uburyo bwo kuvura imitsi yo mu nda:
- Iminsi yo kumara mu bitaro iragabanuka.
- Ubu ni uburyo bwiza ku bantu badashobora kwihanganira ibyago byo kubagwa mu buryo bwihuse.
- Kubera ko nta gukata gukomeye gukozwe, igihe cyo gukira ni gito cyane.
Wakwitegura ute mbere yo kubagwa?
Ni ingenzi cyane kwitegura neza mbere yo kubagwa.
- Menya neza ko wabwiye muganga wawe imiti yose ufata (ndetse na vitamine n'imiti y'ibimera). Imiti imwe ishobora kugusaba guhagarika kuyifata iminsi mike mbere yo kubagwa.
- Kora ibizamini byose muganga yagutegetse, nko gupima amaraso, EKGs, na CT scans, bigakorwa ku gihe.
- Mu gihe cyo kuba mu bitaro no mu minsi mike ya mbere nyuma yo gusubira mu rugoShaka umuntu witegure kugufasha.
- Menya neza igihe ugomba kureka kurya no kunywa ijoro ribanziriza kubagwa.
Bigenda bite nyuma yo kubagwa? Bizatwara igihe kingana iki kugira ngo umuntu akire?
Nyuma yo kubagwa, uzabanza kwinjira mu cyumba cy’indembe (ICU). Iyo wongeye kugira ubwenge, ushobora gushyirwamo umuyoboro w’ubuhumekero kugira ngo ufashe guhumeka. Uzawukuramo iyo uzaba ushobora guhumeka wenyine. Iyo uzaba umaze kugenda buhoro, uzahabwa ubwiherero busanzwe.
Igihe cyo gukira gitandukana bitewe n'ubwoko bw'ikibagwa:
- Iyo habayeho kubagwa ku mugaragaro , bishobora gufata amezi agera kuri 2-3 kugira ngo umuntu akire neza.
- Kubagwa imitsi yo mu nda bisaba iminsi ibiri cyangwa itatu mu bitaro no gukira burundu ibyumweru 2-4 .
Ingaruka zo kubagwa n'igihe cyo kubonana na muganga byihutirwa
Nk’uko bigenda kubagwa gukomeye kose, hari ingaruka zimwe na zimwe, ariko izi ntizibaho kuri buri wese.
- Kuva amaraso menshi cyane
- Igisebe cy'imitsi
- Indwara y'umutima
- Kunanirwa kw'impyiko
- Indwara zandurira mu mubiri
- Kubura imikorere y'ukuguru (cyane cyane mu kubagwa mu gituza no mu nda)
Niba ufite kimwe muri ibi bimenyetso nyuma yo gusubira mu rugo, ugomba guhita uhamagara muganga wawe:
- Gutukura, kubyimba, cyangwa amabyi ava mu gikomere cyo kubagwa
- Umuriro nta mpamvu
- Ububabare bukomeye mu gituza
- Guhumeka bigoranye
Igikuru ni uko intsinzi n'umutekano by'ukubagwa byateguwe mbere biri hejuru cyane kuruta kubagwa byihutirwa bikorerwa mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) nyuma yo guturika kwa aneurysm. Kubwibyo, niba muganga agusabye kubagwa, ntugatinye kandi ufate ingamba zikenewe.
Ubutumwa bwo kujyana mu rugo
- Kubaga imitsi yo mu bwonko ni igikorwa cy'ingenzi cyane kandi gifasha mu kurokora ubuzima, bityo ntukitinye bitari ngombwa.
- Intsinzi n'umutekano by'ukubagwa guteganyijwe, aho gutegereza kugeza igihe habaye ikibazo cyihutirwa, ni byinshi cyane.
- Uburyo bugezweho bwa "Endovascular" burakora neza cyane. Ariko, ntibukwiriye umurwayi wese. Muganga wawe azaguhitiramo uburyo bukubereye.
- Gukurikiza amabwiriza y'ubuvuzi nyuma yo kubagwa ni ingenzi kugira ngo umuntu akire vuba.
- Vugana na muganga wawe nta guhishanya ku bibazo cyangwa impungenge ufite ku buzima bwawe, kubagwa, cyangwa igihe cyo gukira.
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