Niba umutima wawe urwaye imitsi y'umutima, ni ukuvuga Atrial Fibrillation (Afib), indwara y'imitsi y'umutima, ikomeje nubwo ufata imiti n'ubundi buryo bwo kuvura, ushobora kumva ko nta gisubizo kirambye gihari kuri ibi? Hari igihe iyi ndwara ishobora no gutuma wumva uhangayitse cyane. Ariko ntugahangayike, bitewe n'iterambere rya siyansi y'ubuvuzi, ubu hari uburyo bwiza bwo kuvura bene ubwo burwayi. Ni kuri bene abo bantu gusa tuvuga kuri ubu buryo bushya bwo kuvura uyu munsi.
Iyi gahunda yo guhuza imikorere ni iyihe?
Mu magambo make, ubu ni uburyo bubiri bwo kuvura. Ni ukuvuga kubagwa gato no gukata igice cy'umubiri (catheter ablation ). Ubu buryo kandi tubwita uburyo bwo kuvura buvanze.
Tekereza nawe, umutima wacu ufite uburyo bw'amashanyarazi. Ibi nibyo bituma umutima utera neza. Muri Afib, ibi bimenyetso birahindagurika, kandi icyumba cyo hejuru (atria) cy'umutima cyohereza ibimenyetso bidasobanutse kandi byihuse. Mu buryo buhuriweho, abaganga b'inzobere mu kubaga n'abaganga b'umutima bakorana kugira ngo bakore uduce duto cyane imbere no hanze y'umutima wawe aho ibyo bimenyetso bidasobanutse bituruka. Ibi bice bihagarika ibimenyetso bidasobanutse by'amashanyarazi kugenda. Ni nko gufunga umuhanda utari wo hanyuma ugasubiza imodoka mu muhanda ukwiye.
Ni nde ubu buvuzi bukwiriye kurusha ubundi?
Ubu buryo bwo kuvura si ubwa buri wese. By'umwihariko bugirwa inama kuri:
- Ku bafite Afib idakira .
- Ku bantu basubira kugira ibibazo bya Afib nubwo bafata imiti kandi bakaba bavurwa hakoreshejwe catheter isanzwe.
Niba ufite ikibazo nk'icyo, ushobora kuvugana na muganga wawe kugira ngo agufashe kumenya niba ubu buryo bw'ubuvuzi bukubereye.
Witegura ute mbere yo kubagwa?
Nk’uko bigenda ku kubagwa kose, hari imyiteguro mike ikenewe.
- Imiti igabanya amaraso (anticoagulants): Niba ufata iyi miti, uzakenera kuyihagarika iminsi mike mbere yo kubagwa. Muganga wawe azakubwira neza iminsi mbere y'uko ubaga n'imiti ugomba guhagarika. Ntugahagarike gufata imiti yawe utabanje kugirwa inama na muganga.
- Kwiyiriza ubusa: Mbere yo kubagwa, uzasabwa guhagarika kurya no kunywa mu gihe runaka (kwiyiriza ubusa). Muganga wawe azakubwira kandi iby'iki gihe.
Hari igihe ibice byombi by'ubu buvuzi bikorwa umunsi umwe. Hari igihe bikorwa mu gihe cy'ibyumweru bine bitandukanye. Itsinda ry'abaganga bawe rizabigusobanurira.
Kubagwa bikorwa gute?
Ubu buvuzi bugizwe n'ibice bibiri by'ingenzi. Reka turebere hamwe ibibera muri buri gice.
| Igice cy'ubuvuzi | Ibiba byoroshye. |
|---|---|
| Igice cya mbere: Kubaga (Kuvura Umutima uhereye hanze) | Nyuma yo gusinzira neza, umuganga w’umutima akora akantu gato cyane, kari munsi ya santimetero 3-4 z’igufwa ry’ibere (sternum). Hanyuma, agace gato gakikije umutima (pericardium) karacibwa hanyuma hagashyirwaho kamera (endoscope). Hanyuma, hakoreshwa umuyoboro wihariye uyobora ingufu (catheter) mu kuvura (gukuraho) ibice biri inyuma y’umutima bitanga ibimenyetso bidasanzwe by’amashanyarazi. Iki gice kimara isaha imwe n’igice. |
| Igice cya Kabiri: Kuvura Catheter (Ubuvuzi buva imbere mu mutima) | Iki gice gikunze gukorwa ku munsi utandukanye, nyuma y'ibyumweru bike. Aha, inzobere mu by'umutima (electrophysiologist) ishyira catheter mu mutima wawe inyuze mu mitsi iri mu gituza cyawe. Hanyuma ikavura imbere mu mutima wawe , mu bice byari bigoye kugeraho mu gihe cyo kubagwa mbere. Uzahabwa ikinya cyoroheje cyangwa rusange muri iki gikorwa. |
Convergent Plus ni iki?
Hari igihe, mu gihe kimwe n'ubu buryo bwo kubaga, abaganga bakora ikindi kintu kugira ngo bagabanye ibyago byo kurwara indwara yo gucika imitsi. Ni ukuvuga ko bafunga igice gito cy'imbere y'umutima (igice cy'ibumoso cy'umutima). Iyo hongeweho izi ntambwe, tuyita "Convergent Plus".
Ni izihe nyungu z'ubu buvuzi?
Hari ibyiza byinshi byihariye by'ubu buryo bwo kuvura:
- Igipimo cyo gutsinda kiri hejuru: Ibi biraruta uburyo busanzwe bwo kuvura hakoreshejwe catheter kuko bivura imbere n'inyuma y'umutima.
- Ingaruka nke:Muri iki gikorwa cyo kubaga, abaganga bashobora kubona neza umwobo, uri inyuma y'umutima, bityo ibyago byo kuwungiza ni bike cyane.
- Ntabwo ari ukubaga umutima ufunguye: Ibi ntibisaba guhagarika umutima wawe no kuwuhuza n'imashini ikoresha umutima n'ibihaha (cardiopulmonary bypass).
Ese hari ingaruka cyangwa ingorane zihari?
Nkuko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe n'ingorane zishobora kubaho. Ariko, akenshi ibi ntibikunze kubaho. Muri byo harimo:
- Inkorora
- Umunaniro
- Guhumeka bigoranye
- Igisebe cy'imitsi
- Kuva amaraso
- Ubwinshi bw'amazi mu mutima (pericardial effusion)
- Kwangirika kw'imitsi
- Igitero cy'icyorezo cy'indwara y'imisemburo (TIA) cy'agateganyo
Nta mpamvu yo guhangayikishwa n'ibi. Muganga wawe azagusobanurira neza byose mbere yo kubagwa.
Bifata igihe kingana iki kugira ngo umuntu akire?
Nyuma y'igice cya mbere cy'ukubagwa, uzakenera kuguma mu bitaro umunsi umwe cyangwa ibiri. Niba igice cya kabiri kigomba gukorwa, birashoboka ko kizakorwa mu mezi atatu.
Uzaba ugiye kongera kubonana na muganga wawe mu gihe cyo gukira. Ibi akenshi biba nyuma y'ibyumweru 3 nyuma yo kubagwa, hanyuma bikongera kuba nyuma y'amezi 3, 6, na 12. Muri icyo gihe, ushobora guhabwa imashini nto (Holter monitor) yambarwa ku gituza mu minsi mike kugira ngo ikurikirane umuvuduko w'umutima wawe.
Ni ryari wifuza kongera kubonana na muganga?
Niba ubonye ibimenyetso bikurikira, bimenyeshe muganga wawe ako kanya.
- Niba ibimenyetso bya Afib (wumva umutima wawe utera cyane, igituza kidakomeye, umunaniro) bigarutse.
- Iyo habayeho kuva amaraso cyangwa kwandura (kubyimba, gutukura, amashyira) aho bakorewe isuku.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwo kuvura indwara ya Convergent ni uburyo bwiza kandi bugezweho bwo kuvura indwara ya Atrial Fibrillation (Afib) y’igihe kirekire idagenzurwa n’imiti cyangwa uburyo busanzwe bwo kuvura.
- Ubu ni uburyo bwo kubaga no kuvura hakoreshejwe catheter, bityo bushobora gukemura ibibazo haba imbere no hanze y'umutima.
- Igipimo cy'ubu buvuzi ni kinini cyane, kandi igihe cyo gukira ni gito cyane.
- Umuntu mwiza wo kumenya niba ubu buryo bw'ubuvuzi bukubereye ni umuganga w'indwara z'umutima. Muganire kuri ibi mu buryo bweruye kandi nta bwoba, hanyuma ufate umwanzuro.
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