Ese wigeze ushyirwamo stent mu mutima wawe bitewe n'imitsi yazibye? Abantu benshi barakira nyuma yo kuyifata. Ariko rimwe na rimwe, imitsi itangira kongera kugabanuka aho stent yari yashyizwe. Bisa nkaho indwara ya kera irimo kugaruka. Uyu munsi, tugiye kuvuga ku buryo butandukanye gato, bwihariye bwo kuvura bukoreshwa muri bene ibyo bihe.
Mu magambo make, ubuvuzi bwa Coronary Brachytherapy ni iki?
Nubwo iri zina rigoye, inkuru irasobanutse neza. Ubuvuzi bwa "coronary brachytherapy" ni uburyo bwihariye bwo kuvura imirasire ikoreshwa mu mitsi y'umutima.
Tekereza ku mitsi itanga amaraso mu mutima nk'umuyoboro. Iyo plaque yikubise muri iyi miyoboro ikagabanuka, iyi ndwara y'imitsi y'umutima (CAD). Mu rwego rwo kuvura ibi, abaganga bashyiramo stent, umuyoboro muto w'imitsi, mu muyoboro w'amaraso kugira ngo wongere ukwaguka.
Ariko kuri bamwe, inkovu zitangira kugaragara hafi y’umusemburo. Nk’uko inkovu ibaho iyo tugize imvune. Iyi nkovu ituma imitsi yagutse igabanuka buhoro buhoro ikongera igafunga. Mu buvuzi, ibi twita in-stent restenosis (ISR) .
Mu buryo nk'ubwo, uburyo bwo kuvura indwara ya coronary brachytherapy bukoreshwa mu gukumira ko inkovu zidakora hafi y'umuyoboro w'amaraso (stent) bigatuma imitsi yongera kugabanuka. Ibi bikubiyemo kuyobora imirasire mike cyane, mu buryo bugenzuwe cyane, mu gace kari karinzwe, bigasenya uturemangingo dukora inkovu.
Ni nde koko ukeneye ubu buvuzi?
Ubu buryo si ubuvuzi bwa buri wese. Abaganga babwitangaho inama mu bihe bimwe na bimwe. Niba warashyizwemo stent hanyuma ikongera igafungwa (ISR), ubu buryo bushobora kuba bukubereye.
Reba imbonerahamwe iri hepfo kugira ngo urebe uwo ibi bibereye.
| Abantu bashobora kuba bakwiriye kuvurwa hakoreshejwe brachytherapy | |
|---|---|
| Kuziba kw'amastent agaruka (ISR igaruka) | Iyo ahantu hashyizwe stent inshuro zirenze imwe hagabanutse inshuro nyinshi. |
| Imisemburo myinshi cyangwa stenti ndende | Niba ufite stent nyinshi mu mitsi yawe y'umutima cyangwa niba ufite stent ndende cyane. |
| Izindi ndwara nka diyabete | Ku bantu bafite ibyago byinshi byo kugira ingorane mu gihe cy'ubundi buvuzi (urugero nko kubagwa bypass) bitewe n'izindi ndwara nka diyabete. |
| Imitsi mito y'amaraso | Ku bantu bafite imitsi y'amaraso y'umutima mito cyane ku buryo batabasha kuvura indi miti. |
Ese hari abantu batagomba guhabwa ubu buvuzi?
Yego, ibi ntibikwiriye buri wese. Urugero, niba warigeze kuvurwa kanseri y'ibere cyangwa indi kanseri mu gituza, ubu buryo ntabwo bukorwa. Nanone, niba stent yafunzwe atari kubera inkovu, ahubwo bitewe n'ikibazo cy'agapira kakoreshejwe mu gushyiramo stent, ubu buryo ntabwo ari ngombwa. Inzobere mu ndwara z'umutima niyo izagufata icyemezo cyiza kuri ibi.
Uko ubuvuzi bukora - intambwe ku yindi
Ubu si ukubaga gukomeye. Tubyita uburyo bwo kubaga budatera indwara nyinshi. Ntuzumva ububabare bwinshi. Ubusanzwe igikorwa cyose kimara iminota 10, ariko ugomba kumara amasaha make mu bitaro.
| Intambwe | Ni iki kiri kuba? |
|---|---|
| 1. Kwitegura | Mbere yo kuvurwa, muganga azakora isuzuma, urugero nka ultrasound yo mu mitsi, kugira ngo arebe neza aho umutsi wacitse. |
| 2. Anesthesia | Ntuzaba umeze nk'utazi ubwenge burundu. Uzahabwa imiti igutera gusinzira no kugira ibitotsi. Uzaba umeze nk'utazi ubwenge, ariko nta kintu na kimwe uzumva. |
| 3. Gushyiramo katheteri | Umuyoboro muto cyane (catheter) winjizwa mu mutsi munini wo ku kuboko cyangwa ku kuguru, kandi hifashishijwe imirasire ya X, uyoborwa ku mutsi ufunganye mu mutima. |
| 4. Kwagura umupira w'inyuma | Agapira gato karabyimbirwa imbere mu mitsi, bigatuma habaho umwanya wo kuvura hakoreshejwe imirasire mu gace kari karinzwe. Ibi byitwa angioplasty y'agapira. |
| 5. Gutanga imirasire | Hanyuma, binyuze muri iyo catheter, urugero rw'imirasire rugenzurwa neza rujyanwa ahantu hafunganye mu minota mike. Iyi mirasire isenya uturemangingo tugize inkovu. Ntibigira ingaruka ku tundi duce. |
| 6. Kurangiza | Igikoresho cy'imirasire na catheter bikurwaho witonze. |
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka ntoya.
Ibyiza by'ingenzi
- Gufunga stent mu buryo busubira (ISR) bishobora kwirindwa.
- Bigabanya amahirwe yo kurwara indwara y'umutima mu gihe kizaza.
- Ibimenyetso nko kubabara mu gatuza (angina), kubura umwuka (dyspnea), no kuzerera bishobora gukurwaho.
- Birashoboka kubona igisubizo utiriwe ukorerwa operation ikomeye.
Ingaruka zishobora kubaho
Izi ngaruka ni nke cyane. Izi ni ingaruka zikunze kugaragara mu gikorwa icyo ari cyo cyose cyo gushyiramo catheter mu mutima.
- Ugutera kw'umutima nabi (Arrhythmia)
- Amaraso apfutse
- Ububabare cyangwa kwandura aho catheter ishyirwa
- Kwangirika guto k'umuyoboro w'amaraso
Icy'ingenzi kurushaho, imirasire ikoreshwa muri ubu buryo bwo kuvura ni myiza cyane.Itangwa mu buryo bugenzuwe cyane, gusa ahantu hakwiye, bityo ntigire ikindi gice cy'umubiri cyangirika.
Bigenda bite nyuma yo kuvurwa? Kandi ni ryari nkwiye kujya kwa muganga?
Abantu benshi bashobora gutaha umunsi umwe n'uwo gikorwa cyabereyeho. Ushobora gukenera kurara mu bitaro ijoro ryose. Ni ngombwa kwirinda gukora imyitozo ngororamubiri iminsi mike nyuma yo gutaha. Muganga wawe azaguha imiti yo kwirinda kubyimba kw'amaraso.
Ni inshingano zawe kubungabunga ubuzima bw'umutima wawe nyuma yo kuvurwa.
- Kurya indyo yuzuyemo ibinure bike kandi ifite ubuzima bwiza.
- Reka kunywa itabi burundu.
- Gukora imyitozo ngororamubiri buri gihe.
- Genzura inzoga unywa.
Niba ubonye kimwe muri ibi bikurikira, ugomba guhita uhamagara muganga wawe cyangwa ukajya mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) by’ibitaro bikwegereye.
- Niba urwaye umuriro mwinshi.
- Niba ufite ububabare bukomeye mu gituza, mu rwasaya, mu maboko, cyangwa mu bitugu .
- Niba ufite ikibazo cyo guhumeka.
- Niba hari amabyi asohoka aho catheter ishyirwa, niba hari impumuro mbi, cyangwa niba yabyimbye kandi itukura.
Nubwo ubu buryo bwo kuvura butagikoreshwa cyane (kuko ubwoko bushya bwa stent - stent zikoresha imiti - zagabanyije cyane ibyago byo kongera kuziba), bushobora kuba igisubizo cyiza kandi cy'ingirakamaro ku barwayi bafite indwara zikomeye bahura n'ibibazo byo kuziba stent kenshi.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwo kuvura indwara ya coronary brachytherapy ni uburyo bwo kuvura hakoreshejwe imirasire ikoreshwa mu gukumira inkovu gukora hafi y’aho stent ikorera, bigatuma imitsi y’amaraso yongera kugabanuka (in-stent restenosis).
- Ubu buryo si ubuvuzi bwa buri wese, ariko bukwiriye cyane cyane abantu bafite ikibazo cyo kuziba kw'imitsi mu mubiri, izindi ndwara nka diyabete, cyangwa indwara zikomeye z'umutima.
- Ubu si ukubaga gukomeye, kandi bukubiyemo umuyoboro muto (catheter) ujya mu mutima ugatanga urugero rw'imirasire igenzurwa.
- Ingano y'imirasire ikoreshwa ni nto cyane kandi ni nziza, kandi ntigira ingaruka ku bindi bice by'umubiri.
- Ni ingenzi cyane gukurikiza ubuzima bwiza bw'umutima nyuma yo kuvurwa. Shaka ubufasha bwihuse kwa muganga niba ubonye ibimenyetso by'umuburo nko kubabara mu gatuza cyangwa kubura umwuka.
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