Ese wigeze wumva umutima wawe utera cyane cyangwa urushaho kwihuta kurusha uko bisanzwe? Ese hari igihe wumva ikintu kirimo kuzenguruka mu gituza cyawe bikakugora guhumeka? Uyu munsi tugiye kuvuga ku buryo bwihariye abaganga bakoresha kugira ngo bagarure umutima umeze neza (arrhythmias) mu bihe nk'ibi. Ibi byitwa cardioversion.
Mu magambo make, indwara ya Cardioversion ni iki?
Indwara yo kuvura umutima ni uburyo abaganga bakora kugira ngo basubize umutima wawe ku murongo udasanzwe. Tekereza nko gusubiza igikoresho cyatakaje umuvuduko. Ibi bishobora gukorwa mu buryo bubiri. Bumwe ni ugukoresha igikoresho cy'ikoranabuhanga. Ubundi ni ukuguha imiti. Mu bihe bimwe na bimwe byihutirwa, nko gutera k'umutima vuba (ventricular arrhythmia), ubu buryo bushobora kurokora ubuzima bwawe. Mu bindi bihe, bikorwa kugira ngo hirindwe ingorane zizaza.
Ni ubuhe bwoko bw'ingenzi bw'ubuvuzi bw'umutima bukoreshwa?
Nkuko twabivuze mbere, ibi bikorwa mu buryo bubiri bw'ingenzi. Reka tubisobanukirwe neza.
| Ubwoko bw'ubuvuzi | Uko bikora |
|---|---|
| Indwara y'umutima ikoresha amashanyarazi | Ibi bikubiyemo gutanga ingufu z'amashanyarazi (shock) mu gituza cyawe hakoreshejwe igikoresho cyihariye cyitwa defibrillator . Ibi bikorwa binyuze mu dupapuro tubiri twihariye (electrode patches) dushyirwa ku gituza no mu mugongo. Ibi bikorwa umaze gusinzira, kugira ngo utazagira ububabare ubwo aribwo bwose. Ku bantu bafite ibyago byinshi byo kugira ibibazo by'umutima biteje akaga, igikoresho gito cyitwa Implantable Cardioverter-Defibrillator (ICD) nacyo gishobora gukoreshwa. |
| Binyuze mu miti (Imiti ivura indwara z'umutima) | Ibi bikubiyemo kuguha imiti yaba nk'ikinini unywa cyangwa ukoresheje iv ishyirwa mu mitsi iri mu kuboko kwawe. Iyi miti ishobora gufata iminota, amasaha, cyangwa iminsi kugira ngo ikore. Ubu buvuzi akenshi bukorerwa mu bitaro kuko imikorere y'umutima wawe igomba gukurikiranwa. Niba ufata imiti yawe mu rugo, ni ngombwa kuguma hafi ya muganga wawe. |
Ni izihe ndwara zo kuvura umutima zikoreshwa?
Ubu buryo bwo kuvura bukoreshwa mu gukosora imivuduko myinshi y'umutima yihuta cyangwa idasobanutse neza. Bimwe muri ibyo birimo:
- Gucika intege mu mutima no kugabanuka k'umutima: Izi ni zo ndwara ebyiri zikunze kuvurwa cyane n'indwara y'umutima.
- Tachycardia yo mu mutima
- Tachycardia yo mu mitsi
- Gucika intege kw'imitsi yo mu miyoboro y'amaraso: Iyi ni indwara yihutirwa cyane kandi ishobora gushyira ubuzima mu kaga.
Kuki nkeneye kuvurwa indwara y'umutima?
Kugira ngo umutima wawe ushobore kohereza amaraso mu mubiri wawe ku rugero rukwiye, ugomba kugira umuvuduko ukwiye n'umuvuduko ukwiye. Iyo umuvuduko w'umutima wawe utari usanzwe, ushobora kugira ibimenyetso nk'ibi:
- Igituza cyanjye gihita kimera nk'aho kirimo gukubita cyane, nk'aho ndimo gukubitwa amande.
- Kugorwa no guhumeka.
- Kubabara mu gituza cyangwa kubabara.
- Kumva umeze nk'uzunguza cyangwa unaniwe cyane.
Ibi bimenyetso bivuze ko umutima wawe udatanga amaraso ahagije mu mubiri wawe. Nubwo utabibona, iyo bitavuwe, uba ufite ibyago byinshi byo kurwara indwara zikomeye nko kurwara umutima cyangwa indwara yo gucika imitsi mu gihe kizaza.
Witegura ute umunsi wo kuvurwa?
Itsinda ry'abaganga bawe rizaguha amabwiriza arambuye kuri ibi, ariko hari ibintu bimwe na bimwe ugomba kuzirikana.
Umunsi wabanjirije uwo kuvurwa n'igitondo cyo kuvurwa
- Gutwara imodoka: Ntuzashobora gutwara imodoka amasaha 24 nyuma yo kuvurwa. Kubwibyo, ni ngombwa ko ugira umuntu ugutwara mu rugo.
- Ibiryo n'ibinyobwa: Ujye urya bisanzwe mu ijoro ribanziriza kuvurwa kwawe. Ariko, ntukarye, ntunywe, cyangwa ngo uhekenya ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro. Ibi birimo amazi, gum, cyangwa ments. Nanone, witondere kumira amazi mu gihe woza amenyo yawe.
- Imiti: Niba ufata imiti igabanya amaraso cyangwa imiti igabanya ubukana bw'amaraso (anticoagulant) cyangwa diyabete, banza ubaze muganga wawe uko wayifata ku munsi wo kuvurwa. Fata indi miti isanzwe nk'uko bisanzwe ukoresheje amazi make, keretse muganga wawe akubwiye ko utabikora.
Ni iki wakora ugeze mu bitaro?
- Imyenda:Uzajye wambaye imyenda ijyanye n'igihe cyo kuvurwa, yoroshye kwambara no gukuramo. Uzasabwa kwambara ikanzu yo kwa muganga mu gihe cyo kuvurwa.
- Isuku: Ntukambare amavuta yo kwisiga cyangwa gusiga inzara. Nanone, ntugashyireho deodorant, ifu, cyangwa amavuta mu gituza cyangwa mu mugongo. Ibi bishobora kubangamira udupira two gufatisha dukoreshwa mu kuvura.
- Ibintu by'agaciro: Siga imitako yose, amasaha, n'ibintu by'agaciro mu rugo, harimo n'impeta z'ubukwe.
Ni iki kibaho mu gihe cyo kuvurwa na nyuma yaho?
Kwitegura mbere yo kuvurwa
Uzashyirwa ku buriri hanyuma umurongo wa IV (umurongo wa intravenous) uzashyirwa mu mutsi uri mu kuboko kwawe. Aha niho uzakira imiti n'amazi akenewe mu gihe cyo kuvurwa. Hanyuma, udupapuro twa EKG na pad za Cardioversion bizashyirwa ku gituza no mu mugongo. Niba hari ubwoya buri muri utwo duce, bizakurwaho.
Ushobora kandi gukenera ikizamini cyitwa Transesophageal Echocardiogram (TEE) mbere yo kuvurwa indwara z'umutima. Ibi bikubiyemo gufunga umuhogo no gushyira umuyoboro muto mu muhogo kugira ngo ufate amafoto y'umutima wawe kugira ngo urebe niba amaraso afite ibibyimba, bishobora guteza akaga iyo bicitse mu gihe cyo kuvurwa.
Ndi maso?
Oya. Uhabwa imiti binyuze mu gutera imiyoboro y'amaraso (IV) hanyuma ugasinzira. Bityo ntugire icyo wumva, nta bubabare.
Mu gihe cyo kuvurwa
Mu gihe usinziriye, muganga wawe akoresha imashini ikoresha cardioverter kugira ngo atange ingufu z'amashanyarazi zigenzurwa (shock) ku mutima wawe binyuze mu dupapuro. Izi ngufu zihagarika imikorere y'amashanyarazi idahwitse kandi zigatuma usubira ku murongo usanzwe. Ibi bishobora gukenerwa gukorwa inshuro nyinshi kugira ngo wongere ugarure imikorere y'umutima.
| Ibintu n'ibikoresho byo gukurikirana mu gihe cyo kuvurwa | |
|---|---|
| Igikoresho | Umukoro |
| Umuti ugabanya ububabare bw'umutima / Defibrillator | Gutanga ingufu z'amashanyarazi ku mutima. |
| Electrocardiogram (ECG/EKG) | Gukurikirana buri gihe imikorere y'amashanyarazi y'umutima. |
| Umuvuduko w'amaraso ukoreshwa mu gupima umuvuduko w'amaraso | Pima umuvuduko w'amaraso yawe. |
| Oximetero | Gupima urugero rwa ogisijeni mu maraso hakoreshejwe agakoresho gato gafatanye n'urutoki. |
Nyuma yo kuvurwa
Nyuma yo kuvurwa, uzabyuka buhoro buhoro. Uzumva usinziriza bitewe n'imiti wahawe. Igituza cyawe gishobora kubabara gato no kubura ibisebe mu minsi mike. Niba muganga wawe abikwemereye, ushobora gukoresha amavuta nka 'Hydrocortisone' kuri ibi. Iyo uzaba uri maso, muganga wawe azakubwira ibyavuye mu miti ndetse n'uburyo uzavurwa mu gihe kizaza.
Ni izihe nyungu n'ingaruka z'ubuvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari inyungu ndetse n'ingaruka nke cyane.
- Ibyiza: Ibyiza by'ingenzi ni ugukora neza kw'umutima, kugabanya ibimenyetso, no gukora neza mu gutera umutima.
- Ingaruka: Ingorane zikunze kubaho gake, ariko zishobora kuba zirimo gutukura aho udupira dufatanye n'uruhu, gukomereka aho agapira kashyizwemo, amaraso mu mutima agacika agatera indwara yo mu bwonko (ibi ni byo ikizamini cya TEE gikorerwa kugira ngo hirindwe), kugabanuka k'umutima, cyangwa se kugira allergie ku miti.
Ubusanzwe ushobora gutaha uwo munsi. Ariko ntugomba gutwara imodoka amasaha 24. Ushobora kurya no kunywa bisanzwe nyuma yo kuvurwa. Vugana na muganga wawe kugira ngo aguhe igihe ushobora gusubira ku kazi.
Ubutumwa bwo kujyana mu rugo
- Indwara y'umutima ni uburyo bwiza kandi bwizewe bwo kuvura indwara z'umutima ziterwa n'imitsi.
- Ibi bikorwa mu kugusinzira burundu, kuguha ingufu z'amashanyarazi zigenzurwa, cyangwa gukoresha imiti. Ntabwo uzumva ububabare ubwo aribwo bwose.
- Kurikiza amabwiriza ya muganga wawe witonze mbere yo kuvurwa, cyane cyane ibijyanye n'ibiribwa, ibinyobwa, n'imiti igabanya amaraso.
- Kubera ko udashobora gutwara imodoka amasaha 24 nyuma yo kuvurwa, ni ngombwa kugira umuntu ujyana nawe mu rugo.
- Niba ufite ibimenyetso nko gufungana mu gatuza, guhumeka bigoranye, cyangwa kuzungera, ntukabirengagize. Shaka muganga wawe ako kanya.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment