Ese uherutse kugira indwara y'umutima? Cyangwa se washyizwemo stent mu mitsi yo mu mutima? Muganga wawe ashobora kuba yaragundikiye ubwoko bubiri bw'imiti. Umwe ushobora kuba ari aspirine. Undi ushobora kuba ari ikinini gifite izina ritandukanye. Bityo ushobora kuba wibaza uti "Kuki mpabwa imiti ibiri itandukanye kubera ikibazo kimwe?" Iki ni ikibazo abantu benshi bafite. Uyu munsi, turimo kuvuga kuri DAPT, cyangwa Dual Antiplatelet Therapy, ari uburyo bw'ingenzi kandi burokora ubuzima bwa benshi muri mwe.
DAPT ni iki? Reka tubisobanukirwe mu buryo bworoshye.
Kugira ngo tubisobanukirwe, tugomba kubanza kumenya bike ku maraso yacu. Amaraso yacu arimo uturemangingo dutukura tw'amaraso, uturemangingo twera tw'amaraso, n'utundi duce duto tw'uturemangingo. Ibi byitwa
platelets . Akazi kanini
k'utu dutereko ni uguhagarika kuva amaraso iyo hari igikomere ahantu runaka mu mubiri wacu, maze tukihutira kugera aho twakomeretse, tugafatana, maze tugakora umuyoboro wo guhagarika kuva amaraso. Ni nko gushyira plaster ku muyoboro wavunitse vuba. Ibi ni byo twita
kuvura amaraso . Iki ni igikorwa cy'ingenzi cyane mu kurokora ubuzima bwacu. Ariko, ikibazo gitangira aho uku kuvura amaraso kudakwiye kubaho, ni ukuvuga niba bibayeho mu mitsi yacu imwe. Tekereza uko bigenda iyo amaraso apfutse mu mutsi ujyana amaraso mu mutima? Uwo mutsi w'amaraso uraziba, ugahagarika gutembera kw'amaraso mu mutima bigatera
indwara y'umutima (Myocardial Infarction) . Nanone, niba uku kuvura amaraso kugiye mu bwonko, bishobora gutera
indwara yo gucika imitsi . Rero,
Dual Antiplatelet Therapy (DAPT) ni uburyo bwo kuvura buhagarika ibyo kuvura amaraso biteje akaga mu mitsi. Muri ibi, ubwoko bubiri bw'imiti yitwa
"Antiplatelet" itangwa hamwe. Antiplatelet ni umuti ubuza platelets gufatana, bivuze ko ubuza amaraso kuzura. "Dual" bivuze ebyiri. Ibi rero byitwa Dual Antiplatelet Therapy kuko ubwoko bubiri bw'imiti butangwa hamwe.
Mu magambo make, DAPT ni uruvange rw'imiti ibiri irinda kugaragara kw'amaraso adakenewe mu mitsi yacu.
Ni nde ukeneye ubu buvuzi bwa DAPT?
Abaganga ntibatanga ubu buvuzi kuri buri wese. Buhabwa gusa abantu bafite ibyago byinshi byo kurwara amaraso mu mitsi yabo. Ubu buvuzi bukunze gutangwa mu bihe bikurikira:
| Igihe hakenewe ubuvuzi | Ibisobanuro byoroshye |
|---|
| Nyuma yo Guterwa n'Umutima | Ibi ni ingenzi cyane kugira ngo hirindwe ko amaraso yongera kubyimba no gutera indi ndwara y'umutima ku muntu wagize indwara y'umutima. |
| Nyuma yo kurwara indwara yo mu bwonko cyangwa indwara ya TIA | Ubu buryo bwo kuvura butangwa kugira ngo hirindwe ko indwara yo mu bwonko izongera kugaragara nyuma yo gucika intege bitewe n’amaraso yacitse mu mitsi yo mu bwonko. Indwara ya TIA (Transient Ischemic Attack) ni indwara isa n’indwara yo mu bwonko nto. |
| Nyuma yo gushyiramo stent | Stent ni umuyoboro muto ushyirwa mu mitsi y'amaraso ifunze mu mutima kugira ngo igume ifunguye. Hari ibyago byinshi byo kuzura kw'amaraso muri iyi stent. DAPT ni ngombwa cyane kugira ngo ibi birindwe. |
| Nyuma ya Angioplasty | Ibi bikubiyemo kwagura imitsi y'amaraso yazibye binyuze mu kuzura ikintu kimeze nk'umupira w'amapine. Haracyari ibyago byo kuzura amaraso nyuma y'ibi. |
| Nyuma yo kubagwa imitsi y'umutima | Ndetse na nyuma y’ubu buvuzi, bunyura mu mitsi yazibye mu mutima hanyuma bugatera imitsi mishya y’amaraso, hari igihe ubu buvuzi butangwa kugira ngo hirindwe ko amaraso yazibye muri iyo mitsi mishya. |
Ni iyihe miti itangwa kuri DAPT?
Tuvuga ko ubwoko bubiri bw'imiti butangwa hamwe mu kuvura DAPT. Ubwo bwoko bubiri bw'imiti ni: 1.
Aspirine: Uyu ni umuti benshi muri mwe mwamaze kumva. Nubwo ukoreshwa ku rugero rwo hejuru nk'umuti ugabanya ububabare, utangwa ku rugero rwo hasi cyane kugira ngo hirindwe kubyimba kw'amaraso ku barwayi b'umutima. 2.
Umuti uri mu itsinda rya P2Y12 Inhibitor: Uyu ni umuti wa kabiri. Hari ubwoko bwinshi bw'imiti iri muri iri tsinda.
- Clopidogrel
- Prasugrel
- Ticagrelor
Muganga wawe ni we uzaguhitiramo umuti muri iyi itatu azaguha n'ingano yawo.Biterwa n'ibintu byinshi, nk'uburwayi bwawe, imyaka yawe, ndetse niba ufite izindi ndwara.
Ni izihe nyungu n'ingaruka mbi zo kuvura DAPT?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, ubuvuzi bwa DAPT bufite ibyiza n'ingaruka zimwe na zimwe. Ni ngombwa kubimenya byombi.
| Inyungu nyamukuru | Ingaruka Nkuru |
|---|
| Kurokora ubuzima: Mu gukumira kubyimba kw'amaraso mu mitsi, ibyago byo kurwara indwara z'umutima n'imitsi yo mu bwonko bishobora kwica biragabanuka cyane. Iyi ni yo nyungu ikomeye kandi y'ingenzi y'ubu buvuzi. | Ingaruka zo kuva amaraso: Kubera ko iyi miti ibuza amaraso kuzura, ishobora gutinda mu bice aho amaraso asanzwe azura kandi ikahagarika kuva amaraso. Ibi bishobora kongera ibyago byo kuva amaraso kurusha uko bisanzwe . |
Birenzeho gato ku byago byo kuva amaraso...
Ntugatinye iyo wumvise "ibyago byo kuva amaraso." Ibi bishobora gusobanura ikintu icyo ari cyo cyose, kuva ku bintu bito kugeza ku bintu bikomeye.
- Kuva amaraso make: Kuva amaraso mu ishinya mugihe woza amenyo, kuva amaraso mu mazuru, no guhinduka ubururu vuba nyuma yo gukomereka gato ni ibisanzwe.
- Kuva amaraso menshi: Nubwo bidakunze kubaho cyane, kuva amaraso mu gifu cyangwa mu mara ( kuva amaraso mu nda) bishobora kubaho. Ibi bishobora gutera amaraso mu mwanda cyangwa bigatuma umwanda wijima. Ndetse na gake cyane, kuva amaraso mu bwonko bishobora kubaho.
Icy'ingenzi ni uko muganga wawe aguha ubu buvuzi kuko yasuzumye ko ibyago byo kubyimba kw'amaraso ari byinshi cyane kuruta ibyago byo kuva amaraso. Kubwibyo, ni ngombwa gukurikiza amabwiriza ya muganga wawe.
Ingaruka mbi n'uburyo imiti ikoreshwa n'indi
Bamwe mu bantu bafata DAPT bashobora kugira ingaruka mbi nto.
Nanone, mu gihe ufata DAPT, ugomba kumenyesha muganga wawe indi miti ufata. Kuko hari imiti ishobora kubangamira imikorere ya DAPT. Witondere cyane iyi miti.
- Indi miti igabanya amaraso ( Anticoagulants ): Niba ufata imiti nka Warfarin, ibyago byo kuva amaraso biba byinshi cyane.
- Imiti igabanya ububabare (NSAIDs): Gukoresha imiti nka Ibuprofen na Diclofenac kenshi bishobora kongera ibyago byo kuva amaraso mu gifu.
- Imiti imwe n'imwe ivura ihungabana (Imiti igabanya kwiheba).
- Imiti ivura indwara ya gastritis (Proton Pump Inhibitors): Imiti nka Omeprazole.
Kubwibyo rero, ntukibagirwe
kubwira muganga wawe ibyo unywa byose , harimo ibinini, vitamine, n'imiti gakondo.
Nkeneye gufata uyu muti igihe kingana iki?
Iki kibazo nacyo ni ikibazo ku bantu benshi. Igihe umuntu afata DAPT si kimwe kuri buri wese. Gitandukanye bitewe n'umuntu.
- Hari abantu bashobora kuyitanga mu gihe gito, nk'ukwezi kumwe cyangwa abiri.
- Abantu benshi bagomba kunywa inzoga mu gihe cy'umwaka umwe cyangwa irenga.
- Nubwo wahagarika imiti ya DAPT, muganga wawe ashobora kukubwira gufata aspirine gusa ubuzima bwawe bwose.
Iki gihe kigenwa na muganga wawe. Hari ibintu byinshi bigira ingaruka kuri cyo:
- Ni iyihe mpamvu yatumye utangirira kuri DAPT (indwara y'umutima? Ni ukubera ko hashyizweho stent?).
- Imyaka yawe n'ubuzima bwawe muri rusange.
- Ufite ibyago bingana iki byo kuva amaraso?
- Ibyago byo kongera kurwara indwara y'umutima cyangwa indwara yo gucika imitsi mu gihe kiri imbere.
Ni iki wakora kugira ngo wirinde igihe ufata DAPT?
Ugomba kandi gutekereza ku mutekano wawe mu gihe uri kuvurwa. Dore ibintu byoroshye ushobora gukora kugira ngo bigufashe.
- Fata umuti wawe ku gihe: Fata umuti wawe nk'uko muganga wawe abikubwiye, nta munsi n'umwe urenze . Iyo usibye dose, bishobora gutuma amaraso acika. Ntugahagarike gufata umuti wawe utabanje kubibaza muganga.
- Ambara ikarita y'indangamuntu ya muganga:Niba bishoboka, buri gihe ujye witwaza agapira k'imirimbo cyangwa ikarita yanditseho ko ufata DAPT. Mu gihe cy'impanuka, ibi bizafasha abakuvura kumenya ko ufata imiti igabanya amaraso.
- Bwira abaganga bawe bose: Nubwo waba ugiye kwa muganga w'amenyo cyangwa ugiye kubagwa ukundi, ugomba kubabwira ko urimo gufata DAPT, kuko hari ubwo kubagwa bisaba guhagarika by'agateganyo gufata uyu muti.
Ni ibihe bimenyetso bisaba ubuvuzi bwihuse?
Niba ubonye kimwe muri ibi bimenyetso, gishobora kuba ikimenyetso cyo kuva amaraso menshi. Kubwibyo, ntugatinde kandi
uhamagare muganga wawe ako kanya cyangwa ngo
ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe. Ibimenyetso byo kuva amaraso bisaba kwitabwaho byihutirwa
| ⚫ | Imyanya y'umukara cyangwa amaraso. |
| 🤮 | Kuruka amaraso (nk'ikawa cyangwa ibara ry'umutuku/umukara). |
| 🤕 | Umutwe ukabije cyane, utunguranye |
| 😵 | Kuzungera , kumva ugiye guta ubwenge. |
| 😖 | Kubabara mu gifu cyane. |
| ❓ | Urujijo . |
| 😮💨 | Kugorwa no guhumeka cyangwa kubabara mu gatuza. |
Nanone, niba ukeka ko wafashe imiti myinshi cyane, hamagara muganga wawe ako kanya. Bitabaye ibyo,Ushobora kandi guhamagara
Ikigo cy'Igihugu gishinzwe gutanga amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo ugire inama.
Ubutumwa bwo kujyana mu rugo
- DAPT ni uruvange rw'imiti ibiri irinda kubyimba kw'amaraso. Ubu ni uburyo bwo kuvura bugufasha kwirinda indwara zikomeye nk'indwara z'umutima n'imitsi yo mu bwonko.
- Ingaruka nyamukuru z'ubu buvuzi ni ukuva amaraso menshi, bityo n'igikomere gito gishobora gufata igihe kirekire kugira ngo amaraso ahagarike.
- Fata umuti neza neza nk'uko muganga wawe yabigutegetse, nta munsi n'umwe usimbutse. Ntugahagarike gufata umuti ku mpamvu iyo ari yo yose utabanje kugisha inama muganga wawe.
- Bwira muganga wawe indi miti yose ufata. Nanone, bwira muganga wawe niba ugiye kwa muganga w'amenyo cyangwa ubundi buryo ubwo ari bwo bwose bwo kubagwa.
- Niba ufite ubwiherero bw'umukara, kuruka amaraso, cyangwa umutwe ukomeye, jya ku bitaro byita ku barwayi ba ETU byihutirwa.
DAPT, Ubuvuzi bubiri bwo kurwanya ibyuma bigabanya amaraso, kuvura amaraso, indwara z'umutima, gucika kw'imitsi, stent, aspirine, clopidogrel, Clopidogrel, indwara z'umutima, imiti igabanya amaraso
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