Ese wigeze wibaza uko bigenda iyo amaraso anyuze mu mitsi y'amaraso iri mu mibiri yacu maze amaraso agahinduka ahantu runaka mu nzira? Bishobora kuba ikibazo giteye ubwoba kandi cyihutirwa. Kubaga gukuraho amaraso nk'ayo ashobora gushyira ubuzima mu kaga byitwa embolectomy. Uyu munsi, turaganira kuri ibi mu buryo bworoshye ushobora gusobanukirwa.
Mu magambo make, Embolectomy ni iki?
Gukuraho amaraso mu mitsi ni uburyo bwo gukuraho amaraso yangiritse mu mitsi kandi akaba abuza amaraso gutembera neza. Rimwe na rimwe byitwa thrombectomy. Amazina yombi asobanura ikintu kimwe, ari cyo gukuraho amaraso yangiritse.
Hari ubwoko bubiri bw'ibi bice by'amaraso:
1. Embolus: Tekereza amaraso apfutse ahantu nk'ukuguru kwawe, agacikamo, akagendana n'amaraso, maze agafata ahandi, nk'ibihaha byawe. Ibyo ni byo twita embolus , amaraso apfutse aho yashinze agafata ahandi.
2. Thrombus: Ubwo bwoko bw'amaraso afungana butera ibibazo ahantu hamwe. Ibyo bivuze ko butikura kandi ntaho bujya, buguma aho bwatangiriye. Ibi tubyita Thrombus .
Ubusanzwe, kuvura amaraso ni ngombwa kugira ngo amaraso ahagarike iyo twakomeretse. Ariko rimwe na rimwe, nta mpamvu igaragara, amaraso atangira kuzura ahantu mu mubiri aho atagomba kugaragara. Icyo gihe ni bwo abaganga bagomba gukuraho kuvura amaraso.
Ni nde ukeneye ubu buvuzi?
Guca amaraso mu mitsi bikunze kwitabwaho gusa ku ndwara ikomeye. Urugero, amaraso apfundika mu mitsi miremire mu kaguru byitwa Deep Vein Thrombosis (DVT) . Iyo amaraso apfundika mu mitsi yo mu kaguru acitse agatuza mu bihaha, bishobora gutera indwara ikomeye cyane yitwa Pulmonary Embolism . Iyo iyo ndwara idashobora gukemurwa n'imiti, abaganga bahitamo kubaga.
Hari ibintu byinshi bishobora kongera ibyago byo kubyimba kw'amaraso:
- Indwara z'umutima: Iyo imikorere y'umutima idahwitse, hari amahirwe menshi yo kubyimba kw'amaraso.
- Umubyibuho ukabije: Uburemere bwinshi bw'umubiri nabwo byongera ibyago byo kuvura amaraso.
- Gutwita: Ibyago byo kubyimba kw'amaraso byiyongera gato mu gihe cyo gutwita bitewe n'impinduka mu misemburo n'izindi mu mubiri.
- Kanseri: Ubwoko bumwe na bumwe bwa kanseri n'ubuvuzi bwa kanseri bushobora gutera kubyimba kw'amaraso.
- Indwara zimwe na zimwe zo kuvura amaraso:Izi ngaruka kandi ziri hejuru ku bantu bafite ibibazo byo kuvura amaraso mu buryo bw’uturemangingo.
Uburyo bubiri bwo kubaga embolectomy
Bitewe n'ingano y'amaraso yawe apfundikiye n'aho aherereye, abaganga bakoresha uburyo bubiri bw'ingenzi kugira ngo bayakureho. Reka turebere hamwe ubu buryo bubiri.
| Uburyo | Uburyo bwo kubikora (byoroshye) |
|---|---|
| Kubaga Catheter Embolectomy | Ubu buryo ni ubworoheje. Uruhu rwo ku ijosi cyangwa ku nda ruracika intege, hagakorwa icyuho gito, hanyuma umuyoboro muto (catheter) unyuzwamo unyuze mu mitsi y'amaraso ukagera aho amaraso yapfundikiye. Ibi bikorwa hakoreshejwe uburyo busa na X-ray. Hanyuma amaraso yapfundikiye agakurwa muri uwo muyoboro, nk'icyuma gisukura. Ubu buryo busaba icyuho gito, bityo gukira vuba. |
| Kubaga Embolectomy | Ubu ni igikorwa gikomeye. Ubu buryo bukoreshwa cyane cyane iyo amaraso menshi yafashe mu bihaha cyangwa mu mutima. Aha, hakorwa sternotomi hagati mu gituza, umutima n'ibihaha bigahindurwa by'agateganyo muri mashini (Cardiopulmonary Bypass), maze umuganga ubaga agafungura umuyoboro w'amaraso ujyanye na byo agakuramo amaraso n'intoki. |
Kuki wakwitabaza ngo ubagwe? Ese ntibishoboka ukoresheje imiti?
Akenshi, abantu bafite amaraso apfunditse babanza guhabwa imiti igabanya amaraso. Urugero, imiti igabanya amaraso apfunditse (imiti ibuza amaraso kuvura) cyangwa imiti igabanya amaraso apfunditse (imiti ishongesha amaraso apfunditse). Ariko, mu bihe bimwe na bimwe, ubu buryo bwo kubagwa ni ngombwa. Muri ubwo buryo harimo:
- Niba udashobora gufata iyi miti yoroshya amaraso bitewe n'izindi ndwara.
- Niba amaraso adashonga nubwo wahawe imiti cyangwa se ubuzima bwawe bukarushaho kuba bubi.
- Niba ibimenyetso biterwa no kubyimba kw'amaraso bikomeye cyane kandi bisaba kuvurwa byihutirwa.
Ni iki kibaho nyuma yo kubagwa? Kandi ni izihe ngaruka zishobora kubaho?
Nyuma yo kubagwa, uzakenera kumara iminsi mike mu bitaro, wenda mu cyumba cy’indembe (ICU). Abaganga bazagukurikirana kugeza igihe umwuka wawe n’imikorere y’umutima bizongera kumera neza. Niba warabazwe ku mugaragaro, igihe cyawe cyo gukira kizaba kirekire ugereranyije n’igihe wabaga warakorewe kubagwa hakoreshejwe catheter.
Nk’uko bigenda kuri buri gikorwa cyose cyo kubaga, iki gikorwa gifite ingaruka zimwe na zimwe.
- Ingaruka zo gukoresha catheter: Kuva amaraso bitewe no kwangirika k'imitsi y'amaraso, kwangirika k'umutima cyangwa arrhythmia, kudashobora gukuraho burundu amaraso yapfunditse.
- Ingaruka zo kubagwa ku mugaragaro: Kuva amaraso menshi, umutima utera vuba (SVT - Supraventricular Tachycardia), umutima unanirwa, impyiko zinanirwa, ndetse n'ubwandu.
Nubwo hari izi ngaruka, ikintu cy'ingenzi cyo kwibuka ni uko ubu buvuzi bukorwa gusa iyo bibaye ngombwa kugira ngo umuntu arokore ubuzima. Kubwibyo, abaganga bafata iki cyemezo nyuma yo gusuzuma ibyiza n'ibibi.
Igihe cyo kubonana na muganga nyuma yo kubagwa
Ni ingenzi cyane kwita ku mubiri wawe ndetse na nyuma yo gutaha. Niba ubonye kimwe muri ibi bimenyetso bikurikira, ugomba guhita ubimenyesha muganga wawe . Mu gihe bikomeye, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.
- Guhumeka bigoranye
- Icamo rihinduka itoto, ritukura, cyangwa ribyimba (ibimenyetso by'ubwandu)
- Kubabara mu gatuza
- Umutima utera cyane
- Kuva amaraso menshi cyane
Ubutumwa bwo kujyana mu rugo
- Embolectomy ni uburyo bwo kubaga bukuraho amaraso ashobora gushyira mu kaga ubuzima yafatiwe mu mitsi y'amaraso.
- Ibi bikorwa mu buryo bubiri bw'ingenzi: kubagwa gato hakoreshejwe catheter (umuyoboro muto) n'kubagwa gunini hakoreshejwe agatuza gafunguye.
- Abaganga basaba ko iki gikorwa kibagwa gusa mu bihe bikomeye bidashobora kugenzurwa n'imiti.
- Kimwe no kubagwa kose, hari ibyago, ariko ibi bishobora kuba ngombwa kugira ngo umuntu arokore ubuzima.
- Kurikiza amabwiriza ya muganga wawe witonze nyuma yo kubagwa. Shaka inama kwa muganga ako kanya niba ubonye ibimenyetso bidasanzwe.
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