Hari umuntu wo mu muryango wawe cyangwa umuntu uzi washyizwemo stent kubera indwara y'umutima? Cyangwa se stent yashyizweho mu kuvura ububabare bwo mu gatuza? Ibi bimaze kugaragara cyane muri iyi minsi. Nyuma yo gushyirwamo stent, abantu benshi bakunze kumva bameze neza cyane. Ariko, rimwe na rimwe, imitsi yashyizwemo stent ishobora kongera kugabanuka. Uyu munsi, tugiye kuvuga ku buryo bwihariye bwo kuvura bukoreshwa muri bene ibyo bihe.
Mu magambo make, ubuvuzi bwa Coronary Brachytherapy ni iki?
Iri zina rishobora kumvikana nk'irigoye. Ariko reka tubikomeze byoroshye. Ubuvuzi bwa Coronary Brachytherapy ni uburyo bwihariye bwo kuvura imiyoboro y'amaraso itanga amaraso mu mutima (Coronary Arteries). Ibi bikoresha imirasire kugira ngo hirindwe ko imiyoboro y'umutima yongera kugabanuka.
Tekereza ko umutsi w'amaraso uri mu mutima wawe wafunzwe n'ibinure bya cholesterol. Abaganga bashyiramo stent. Stent ni umuyoboro muto umeze nk'umuyoboro. Ishyirwa mu mutsi w'amaraso wagabanutse hanyuma ikongera ikaguka, bigatuma amaraso atembera neza.
Ariko, kuri bamwe, inkovu zitangira kumera hafi y’umuti utera stent. Nk’uko inkovu ibaho iyo twakomeretse. Iyi nkovu ituma agace k’umuti utera stent kaguka kakongera kuba gato. Mu buvuzi, iyi ndwara tuyita in-stent restenosis (ISR) . Ni bwo abaganga batekereza ku buvuzi bwa Coronary Brachytherapy.
Muri ubu buryo bwo kuvura, imirasire ikoreshwa mu buryo buciriritse cyane, igenzurwa n’ibipimo by’imirasire ijya aho inkovu zikorera mu minota mike. Imirasire yangiza uturemangingo tugize inkovu. Bityo aho hantu ntihongere kugabanuka. Ni nko gushyira umuti kugira ngo ibyatsi bibi bitazongera kumera.
Igikuru ni uko ubu buryo bwo kuvura hakoreshejwe imirasire bufite umutekano cyane. Bukoreshwa gusa mu gace kagize ikibazo. Nta kindi gice cy'umubiri cyangiza.
Ni nde ukeneye ubu buvuzi?
Ubuvuzi bwa Coronary Brachytherapy si ubuvuzi bwa buri wese. Ubusanzwe bugirwa inama gusa ku barwayi badasanzwe babanje gushyirwamo stent kandi bakaba barayigizemo agakoko gasubira inyuma (ISR), kandi ubundi buryo bwo kuvura budashobora kugira akamaro nk'ako.
Reba amakuru ari hepfo. Uzamenya neza ibi.
| Igihe ubuvuzi bwa Coronary Brachytherapy bushobora kuba bukwiye | |
|---|---|
| Kuziba kenshi | Iyo stent ifunzwe inshuro zirenze imwe (ISR igaruka) nyuma yo kuyishyiraho. |
| Kugira stent nyinshi | Iyo hashyizwe stent nyinshi mu muyoboro umwe w'amaraso cyangwa iyo hashyizwe stent ndende cyane. |
| Ibindi bibazo by'ubuzima | Ku bafite indwara zishobora kongera ibyago byo kugerwaho n'izindi ndwara, nka diyabete. |
| Imitsi mito y'amaraso | Ku bantu bafite imitsi y'amaraso mu mutima ari mito cyane kandi inanutse. |
Ni nde utagomba guhabwa ubu buvuzi?
Nanone, hari igihe ubu buryo bwo kuvura budakwiye.
- Niba stent yafunzwe bwa mbere .
- Niba warigeze kuvurwa hakoreshejwe imirasire mu gace k'igituza (urugero: kanseri y'ibere).
- Uku kuziba kw'imitsi ntiguterwa n'inkovu, ahubwo biterwa n'ikibazo cy'agapira gakoreshwa mu gihe cyo gupima indwara.
Ese ubu ni bwo buryo bwonyine bwo kuvura iyo stent yongeye kugabanuka?
Oya. Ubu buryo mu by’ukuri ntabwo bukunze gukoreshwa cyane. Iyo stent yongeye gufunga, yitwa in-stent restenosis (ISR), abaganga babanza kugerageza ubundi buryo bwo kuvura.
- Gushyiramo indi stent: Indi stent ishyirwa muri stent yazibye.
- Balloon Angioplasty: Balloon ikoreshwa mu kwagura agace gato. Hari igihe balloon idasanzwe (balloon yo gukata) ikoreshwa mu gukata inyama zirenze urugero.
- Kubagwa imitsi y'umutima: Niba kuziba gukomeye, ushobora koherezwa kubagwa bypass.
- Imiti: Hatangwa imiti nka aspirine yo gukumira kubyimba kw'amaraso na statine zo kugabanya cholesterol.
Muri iyi minsi hari ubwoko bushya bwa stents busohoka.Izi zitwa stent zigabanya ubukana bw'imiti. Izi zirekura umuti buhoro buhoro, kugira ngo hirindwe ko inkovu zigira. Ubu rero stent z'abantu benshi ntabwo zishobora kongera kuziba. Niyo mpamvu Coronary Brachytherapy itagikoreshwa nk'uko bisanzwe.
Uko ubuvuzi bukora - intambwe ku yindi
Ubu si ukubaga gukomeye. Ubu buvuzi bukorwa n'itsinda ry'inzobere mu kuvura indwara z'umutima n'inzobere mu kuvura indwara z'imirasire. Ubu buryo bwose bumara iminota 10. Ariko, ugomba kumara amasaha make mu bitaro.
Mbere yo kuvurwa
Muganga wawe ashobora gukora isuzuma rya ultrasound mu mitsi kugira ngo arebe neza imbere mu mitsi y'umutima wawe. Ibi bishobora kugufasha kumenya neza aho ubuvuzi bugomba kumara n'igihe bugomba kumara.
Mu gihe cyo kuvurwa
Ubu buryo bworoshye cyane. Ntuzumva ububabare bwinshi.
| Intambwe | Ni iki kiri kuba? |
|---|---|
| 1. Gutuza | Ntabwo uzaba usinziriye burundu. Uzahabwa umuti ugufasha kuruhuka no kumva nta bubabare. Hari n'abantu bashobora no guhabwa ikinya rusange. |
| 2. Gushyiramo katheteri (Gukata) | Umuyoboro muto cyane (catheter) unyuzwa mu mitsi y'amaraso iri mu kuboko cyangwa ku kuguru ukagera ku mitsi yazibye mu mutima uyobowe na X-ray. |
| 3. Impumuro ya Balloon Angioplasty | Agapira gato gashyirwa mu gace kari kagabanijwemo umwuka kagashyirwamo umwuka kugira ngo gashobore kwaguka kugira ngo imirasire igere. |
| 4. Imirasire | Noneho, binyuze muri uwo muyoboro muto, isoko y’imirasire igenzurwa neza yoherezwa ahantu hari inkovu. Imara iminota mike gusa. Muri iki gihe, uturemangingo dukora inkovu turangirika. |
| 5. Gufunga | Isoko y'imirasire na catheter birakurwaho, hanyuma hagashyirwa plaster nto hejuru y'aho binjirira kugira ngo bifungwe. |
Nyuma yo kuvurwa
Abantu benshi bashobora gutaha uwo munsi. Ushobora gusabwa kurara mu bitaro ijoro ryose. Umaze gutaha, ugomba kuruhuka kandi ntugire imyitozo ngororamubiri iminsi mike. Ugomba kandi gufata imiti muganga aguha kugira ngo wirinde kubyimba kw'amaraso.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka ntoya.
Akamaro gakomeye ni uko ari igisubizo cyiza ku bantu barwaye stent nyinshi kandi bakagira ibibazo byo kuziba inshuro nyinshi, cyangwa badashobora kubagwa cyane bitewe n'izindi ndwara. Ubu buryo bugabanya ibyago byo kurwara umutima no kunanirwa k'umutima. Bunarinda ko ibimenyetso nk'ububabare bwo mu gatuza (angina), kubura umwuka (dyspnea), no kuzerera.
Tuvuze ku ngaruka , izi ni zo ngaruka zikunze kubaho iyo umuntu afashe catheter y'umutima.
- Ugutera kw'umutima nabi (Arrhythmia)
- Amaraso apfutse
- Kwangirika kw'imitsi y'amaraso
- Indwara zandurira mu mubiri
- Kubabara cyangwa kuva amaraso aho catheter ishyirwa
Izi ngaruka ni nke cyane . Muganga wawe azakubwira ibi byose.
Igihe cyo kubonana na muganga
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gusubira mu rugo nyuma yo kuvurwa, ugomba guhita uhamagara muganga wawe .
- Niba urwaye umuriro mwinshi.
- Niba ufite ububabare bukomeye mu gituza, mu rwasaya, mu maboko, cyangwa mu bitugu.
- Niba ufite ikibazo cyo guhumeka.
- Iyo hari amabyi asohoka aho catheter ishyirwa, impumuro mbi, cyangwa gutukura no kubyimba (ibimenyetso by'ubwandu).
Nyuma yo kuvurwa, ubusanzwe ushobora gusubira mu mirimo yawe isanzwe mu minsi mike. Ariko, si byiza gutekereza ko byose birangiye kubera ko wavuwe. Kugira ngo umutima wawe ukomeze kugira ubuzima bwiza, ni ngombwa gukurikiza imibereho myiza .
- Kurya indyo irimo amavuta make, umunyu n'isukari.
- Reka kunywa itabi burundu.
- Gabanya kunywa inzoga.
- Kora imyitozo ngororamubiri buri gihe nk'uko muganga wawe yabigutegetse.
Ubutumwa bwo kujyana mu rugo
- Ubuvuzi bwa Coronary Brachytherapy ni uburyo bwihariye bwo kuvura imirasire ku barwayi bamwe na bamwe bagira ikibazo cyo kuruhuka mu mubiri nyuma yo gushyirwamo stent.
- Ibi bikubiyemo gukoresha imirasire mike cyane, igenzurwa kugira ngo ihagarike gukura kw'uturemangingo tw'inkovu dutuma habaho kuziba kw'uturemangingo.
- Nubwo ibi bitakunze gukoreshwa muri iki gihe, bishobora kuba ingirakamaro cyane ku bantu bafite ibibazo byo kubura ibyuma bisubira, bafite stent nyinshi, cyangwa izindi ndwara.
- Ubu si ukubagwa gukomeye, kandi ingaruka ni nke cyane. Ushobora gukira vuba nyuma yo kuvurwa.
- Ndetse na nyuma yo kuvurwa, ni ingenzi cyane gukurikiza ubuzima bwiza kugira ngo umutima ukomeze kugira ubuzima bwiza.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.