Ese urwaye indwara yo kubyimba kw'amaraso mu mitsi yawe? Reka tuvuge ku kubagwa Embolectomy!

Ese wigeze wumva iby’amaraso apfutse mu mitsi iri mu mibiri yacu? Mu by’ukuri, iyo imibiri yacu yakomeretse, amaraso apfutse ni ingenzi cyane kugira ngo ahagarike kuva amaraso. Ariko rimwe na rimwe, nta mpamvu, iyo amaraso apfutse mu mitsi, bishobora guteza akaga gato. Kubera ko ayo maraso apfutse ashobora kubuza amaraso gutembera no guteza ibibazo bikomeye. Muri ibyo bihe, kubagwa byihariye kugira ngo amaraso apfutse byitwa Embolectomy. Uyu munsi, tuzaganira kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Mu magambo make, Embolectomy ni iki?

Embolectomy ni ukubaga gukuraho amaraso yapfutse mu mitsi (amaraso). Ibi rimwe na rimwe byitwa thrombectomy. Hari itandukaniro rito hagati y'aya mazina yombi. Reka tubisobanukirwe nabyo.

Tekereza amaraso apfutse mu mitsi minini y'amaraso iri mu kaguru kawe. Niba iki gipfutse gikomeje kuba mu mwanya wacyo, tucyita thrombus . Noneho tekereza agace gato k'iki gipfutse gicika, kigendana n'amaraso, kikajya mu bihaha byawe kigafatirwa mu mitsi mito y'amaraso aho ngaho. Mu buryo nk'ubwo, igipfutse gitangira gukora ahantu hamwe, kikajya ahandi, kikafatirwa cyitwa embolus .

Iki gikorwa gikorwa n'umuganga ubaga cyangwa umuganga watojwe uburyo bwo kwirinda kwandura cyane. Bitewe n'aho amaraso apfundikiye, iki gikorwa gishobora kuba igikorwa cyihutirwa cyane . Iyo amaraso apfundikiye abuza amaraso kugera ku rugingo rw'ingenzi mu mubiri, bishobora gushyira ubuzima mu kaga.

Ni nde ukeneye ubu buvuzi kandi mu bihe bingana iki?

Indwara yo kuvura imitsi miremire ni indwara ituma amaraso acika mu mitsi miremire mu kaguru. Iyo iki gisebe cy'amaraso gicitse kikajya mu bihaha, gishobora gutera indwara ikomeye yitwa Pulmonary Embolism . Iyo iki kibazo kidashobora gukemurwa n'imiti, muganga ashobora gufata icyemezo cyo gukora Embolectomy.

Muri rusange, hari abantu bafite ibyago byinshi byo kurwara amaraso kurusha abandi. Ibi bishobora guterwa n'ibintu byinshi.

• Ku bafite indwara z'umutima
• Ku bafite umubyibuho ukabije
• Mu gihe cyo gutwita
• Mu barwaye kanseri
• Ku bantu bafite indwara zimwe na zimwe zikomoka ku ngirabuzimafatizo zigira ingaruka ku kubumba kw'amaraso

Kuki muganga yagira inama yo kubagwa?

Abantu benshi bafite ikibazo cyo kubyimba kw'amaraso babanza guhabwa imiti yo kugabanya amaraso, ariko kubagwa bishobora kuba ngombwa mu bihe bikurikira:

• Niba udashobora guhabwa imiti igabanya amaraso cyangwa imiti igabanya ubukana bw'amaraso ku mpamvu iyo ari yo yose.
• Iyo, nubwo watanze iyo miti, amaraso adashonga kandi akarushaho kwiyongera.
• Hari ibyago byo kurwara indwara yitwa paradoxical embolism , ari yo mpamvu amaraso ashobora kugabanuka mu mwobo muto mu mutima akajya mu gice cy’ingenzi nk’ubwonko.

Ubusanzwe, icyemezo nk'iki gifatwa n'itsinda ry'abaganga bahurira hamwe bagasuzuma neza uko umurwayi amerewe.

Reka twige intambwe ku yindi uburyo kubagwa bikorwa.

Ubu buryo bwo kubaga bushobora gukorwa mu buryo bubiri bw'ingenzi. Muganga azahitamo uburyo bwiza bitewe n'ingano n'aho amaraso yangiritse.

Ni iki kibaho mbere yo kubagwa?

Mu gihe cyo kugutegurira kubagwa, itsinda ry’abaganga rizagutegurira ibizamini n’ibikoresho bikenewe.

• Iyo habayeho kubagwa ku mugaragaro (Surgical Embolectomy), hazategurwa uburyo bwo gupima umutima hakoreshejwe transesophageal echocardiogram kugira ngo harebwe imikorere y'umutima mu gihe cyo kubagwa.
• Gupima amaraso hakoreshejwe icyuma gipima amaraso (catheter embolectomy) bikoresha imashini ya ultrasound kugira ngo hamenyekane neza aho amaraso yangiritse ndetse n'uburyo bwa X-ray bwitwa angiogram kugira ngo buyobore catheter.

Uburyo bwose bwo kubaga bwakozwe, uzahabwa ikinya kugira ngo utazagira ububabare.

Ni iki kibaho mu gihe cyo kubagwa

Imbonerahamwe iri hepfo izadufasha gusobanukirwa neza itandukaniro riri hagati y'ubu buryo bwombi n'uko bukorwa.

Hari abarwayi bafite igikoresho gito cyitwa vena cava filter cyashyizwemo kugira ngo hirindwe ko amaraso ashobora kuzura mu bihaha mu gihe kizaza.

Ni iki kibaho nyuma yo kubagwa?

Nyuma yo kubagwa, niba warabazwe ku mugaragaro, incisions imbere n'inyuma zizadodwa, kandi uzakurwa mu mashini ikoresha umutima n'ibihaha. Niba warakoresheje catheter, incision nto izafatwa neza kandi ipfundikwe.

Nyuma yo kubagwa, ushobora kugira ibi bikurikira:

• Ugomba gukomeza gufata imiti igabanya amaraso kugira ngo ugabanye amaraso.
• Uzakenera kongera gupimwa (Transthoracic echocardiogram) kugira ngo urebe imikorere y'umutima.
• Ushobora kuba ugomba kumara iminsi mike mu cyumba cy’indembe (ICU).

Reka kandi tuvuge ku byiza n'ibibi (ingaruka)

Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu buvuzi bufite ibyiza n’ibyago.

Ariko, ni ngombwa ko tumenya ingaruka zishobora guterwa n'ubu buvuzi.

Gukira n'igihe cyo kongera kubonana na muganga

Uzakenera kuguma mu bitaro iminsi mike nyuma yo kubagwa. Uzemererwa gutaha igihe umwuka wawe n'imikorere y'umutima wawe bizaba byasubiye ku murongo. Ubusanzwe gukira vuba nyuma yo kubagwa katheteri kuruta nyuma yo kubagwa ku mugaragaro.

Mu bihe byashize, umubare munini w'abantu bakorewe ubu bubagwa barapfuye. Ariko, bitewe n'iterambere ry'ubumenyi bw'ubuvuzi, iyo mimerere yarahindutse cyane . Muri iki gihe, ibyago byo gupfa bivuye kuri ubu bubagwa byagabanutse bigera kuri 5% na 16%. Ubushakashatsi bwagaragaje ko 73% by'abantu bakorewe ubu bubagwa bakiriho kandi bameze neza nyuma y'imyaka itanu.

Witondere ibi bimenyetso!

Niba ubonye kimwe muri ibi bimenyetso nyuma yo gusubira mu rugo, ugomba guhita ubimenyesha muganga wawe .

• Guhumeka bigoranye
• Ibimenyetso by'ubwandu mu gice cy'inyuma (kubyimba, gutukura, gusohora amashyira)
• Kubabara mu gatuza
• Umutima utera cyane
• Kuva amaraso ku buryo budasanzwe

Zisa kimwe, ariko ziratandukanye! (Ubundi buryo bwo kuvura)

Hari andi magambo make asa n'ayakoreshejwe mu gukata amenyo. Reka turebe itandukaniro riri hagati yayo.

Kubaga Embolectomy na Endarterectomy

Gukuraho amaraso mu gice cy'amaraso. Gukuraho amaraso mu gice cy'amaraso mu gice cy'amaraso mu gice cy'amaraso mu gice cy'amaraso mu gihe cyo kubaga ni ugukuraho ibinure byiyongera mu miyoboro y'amaraso. Ibi bikorwa kugira ngo imiyoboro y'amaraso ikomeze kuziba.

Uburyo bwo kuvura indwara zo mu mutwe (Embolectomy) n'uburyo bwo kuvura indwara zo mu mutwe (Thrombolytic therapy)

Embolectomy ni uburyo bwo gukora imyitozo ngororamubiri burimo gukuraho amaraso apfundikiye. Ubuvuzi bwo gukoresha thrombolytic bukubiyemo gutera imiti mu mitsi kugira ngo amaraso apfundike mu mubiri. Uyu muti rimwe na rimwe ushobora gutera kuva amaraso mu bindi bice, nko mu bwonko.

Nkuko mubibona, hari uburyo bwinshi butandukanye bwo kuvura indwara zo kubyimba kw'amaraso. Muganga wawe ni we uzagena uburyo bwiza bwo kuvura kandi butekanye kuri wewe. Niba wowe cyangwa undi muntu uzi ateganijwe kubagwa muri ubwo bwoko bw'indwara, ntutinye kubaza muganga wawe ikibazo icyo ari cyo cyose ushobora kuba ufite kuri ubwo buryo.