Tekereza ko ufite akantu k'amaraso gapfundikiye ahantu runaka mu mubiri wawe, cyangwa umutsi utanga amaraso ku kibyimba cya kanseri. Mu bihe byashize, wagombaga kubagwa cyane kuri iki kintu. Ariko ubu, hari ikoranabuhanga rigufasha kwinjira mu mubiri unyuze mu mwobo muto cyane ugafunga uwo mutsi w'amaraso. Ibyo ni byo twita Embolization. Ubu ni uburyo bwo kuvura butagira ingaruka nyinshi ku mubiri kandi budasaba gucibwamo cyane. Muri iyi nkuru, tuzabivugaho mu buryo bworoshye.
Ni izihe nyungu zo kuvura indwara ya embolization?
Mu magambo make, ubu buryo bwo kuvura bukubiyemo kuziba umuyoboro w'amaraso runaka mu mubiri by'agateganyo cyangwa burundu. Ibi biduha inyungu nyinshi zikomeye.
- Gukuraho isano ridasanzwe ry’imitsi y’amaraso: Hari igihe, isano ridasanzwe rishobora kuvuka hagati y’imitsi n’imitsi mu mubiri wacu. Gutera imitsi bishobora gufunga iyo mitsi mbere yuko itera ibibazo bikomeye.
- Kugabanya amaraso ajyana ibibyimba na kanseri: Ikibyimba gikenera amaraso kugira ngo gikure. Iyo ubu buryo bwo kuvura bubujije amaraso ajyana ikibyimba, uturemangingo twa kanseri turabura intungamubiri dukeneye maze tugapfa.
- Guhagarika kuva amaraso menshi: Ubu buryo burakora cyane mu guhagarika kuva amaraso mu mubiri bitewe n'impanuka, igifu, cyangwa indi mpamvu iyo ari yo yose.
Ni izihe ndwara ubu buvuzi bukoreshwa?
Gutera inshinge ni uburyo bwo kuvura bushobora gukoreshwa mu kuvura ibibazo bitandukanye hafi ya byose mu gice icyo ari cyo cyose cy'umubiri. Imbonerahamwe iri hepfo igaragaza bimwe muri ibyo bibazo.
| Indwara | Ibisobanuro byoroshye |
|---|---|
| Ubusembwa bw'imitsi itera imitsi (AVM) | Kugira ngo amaraso ahagarike gutembera ahantu imiyoboro y'amaraso ifatanye, urugero nk'aho amapfundo ahurira. |
| Imiterere y'ubwonko (Aneurysms) | Gufunga aho hantu kugira ngo ugabanye ibyago byo guturika k'imitsi y'amaraso. |
| Kanseri n'ibibyimba biva amaraso | Kugira ngo hagabanywe amaraso ajyana kanseri. |
| Kuva amaraso kenshi mu mazuru (Epistaxis) | Iyo kuva amaraso ku buryo budashoboka, umuyoboro muto w'amaraso utuma ufunga. |
| Kuva amaraso mu gifu | Kugira ngo hatagira amaraso ava mu nda bitewe n'indwara nk'ibisebe byo mu gifu. |
| Ibibyimba byo mu mura | Igabanya fibroids igabanya amaraso yazo, bityo ikagabanya kuva amaraso menshi mu gihe cy'imihango. |
| Kubyimba kw'imitsi mu mabya (Varicocele) | Kugira ngo amaraso adatembera mu mitsi yabyimbye. |
| Kuva amaraso imbere mu mubiri bitewe n'impanuka | Guhagarika kuva amaraso guterwa n'ibyago ku ngingo nk'umwijima n'umwobo. |
Ubu buryo bwo kuvura bukorwa bute neza?
Ubu buvuzi bukorwa n'inzobere mu by'imirasire y'amaraso , inzobere ikoresha ikoranabuhanga ryo gufata amashusho nka X-rays kugira ngo iyobore imiyoboro mito mu mitsi y'amaraso iri mu mubiri.
Dore uko ubuvuzi bukora intambwe ku yindi:
1. Kwitegura: Mbere yo kuvurwa, uzakorerwa isuzuma rya CT, MRI, cyangwa ultrasound kugira ngo urebe uko imitsi yawe imeze. Niba ufata imiti igabanya amaraso, uzakenera kuyihagarika by'agateganyo nk'uko muganga wawe yabigutegetse.
2. Gutuza no Kudashira: Mbere yuko ubuvuzi butangira, uzaterwa umuti wo gusinzira. Hanyuma, uzaterwa urushinge rwo gusiga ibisebe ahantu umuyoboro uzashyirwa (akenshi mu kibuno, mu kuboko, cyangwa mu ijosi).
3. Gushyiramo katheta: Muganga acukura umwobo muto mu ruhu aho umuntu atuye maze agashyiramo umuyoboro muto cyane kandi woroshye witwa katheta mu mitsi y'amaraso anyuze muri wo.
4. Kugera ku ntego:Mu gihe areba ikoranabuhanga rya videwo ya X-ray mu buryo bwihuse nka fluoroscopy, muganga ayobora catheter ku mitsi y'amaraso akayigeza aho ubuvuzi bukenewe.
5. Kohereza Embolic Agent: Iyo igeze ahantu heza, ikintu cyangwa igikoresho cyihariye (embolic agent) gikoreshwa mu gufunga umuyoboro w'amaraso cyoherezwa binyuze muri catheter.
6. Kuziba no gufunga: Nyuma yo kugenzura neza ko imitsi y'amaraso yafunzwe burundu n'ibikoresho, muganga akuramo catheter yitonze. Agapfundikizo gato gashyirwa aho yatobowe. Nta gukata cyangwa kudoda gukomeye bikenewe.
Ese ntibitangaje? Uburyo bwo gukemura ikibazo kiri mu mubiri utarinze kugica! Iri ni ryo terambere mu buvuzi bwa none.
Abakora Embolic
Ubwoko butandukanye bw'ibikoresho bikoreshwa mu gufunga umuyoboro w'amaraso. Amahitamo aterwa n'uburwayi bwawe n'imiterere y'umuyoboro w'amaraso.
| Ubwoko bw'Umukozi Utera Indwara | Ibisobanuro |
|---|---|
| Imigozi y'icyuma | Udupira duto tw’insinga dukozwe mu byuma nka platine. Tushyirwa mu mitsi maze tugahagarika gutemba kw’amaraso. |
| Ifuro rya Gelatin | Ikintu kimeze nk'ikironge gifunga imiyoboro y'amaraso by'agateganyo kandi kigashonga mu mubiri mu minsi mike. |
| Kole y'amazi | Ubwoko bw'ishinya yo kwa muganga. Iyo itewe mu mitsi, irakomera vuba kandi igafunga umutsi burundu. |
| Ibikoresho by'udukoko | Uduce duto cyane tw’umubumbe. Ibi bishobora kuziba imitsi mito y’amaraso burundu. |
Ese hari ingaruka zishobora guterwa n'ubu buvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe ziterwa no gutemba. Ariko, amahirwe yo kuba ibi bibaho ni make cyane. Muganga wawe azabiganiraho nawe.
- Irangi ritandukanye n'iry'uruhu: Hari abantu bashobora kugira ubwivumbure ku irangi ryihariye rikoreshwa mu gihe cyo gupima.
- Gukomereka cyangwa kuva amaraso aho umuntu yatobowe: Hari agakomere gato gashobora kugaragara aho umuntu yatobowe.
- Kwandura: Ni gake cyane, ubwandu bushobora kubaho.
- Gusiba imikorere y’imitsi: Ikintu gikoreshwa mu kuziba imitsi y’amaraso gishobora gusohoka kikajya mu wundi mutsi kikawuziba (ibi ni gake cyane).
- Kwangirika kw'ingingo zikikije: Hari amahirwe make ko ingingo nzima zikikije agace zigomba kwangirika bitewe n'uko amaraso atangwa.
Igikuru ni ukudatinya izi ngaruka, ahubwo ni ukuganira witonze na muganga wawe mbere yo kuvurwa no kubaza ibibazo byose ufite.
Nyuma yo kuvurwa no gukira
Nyuma yo kuvurwa, uzakenera kumara umunsi umwe mu bitaro. Ushobora kugira ububabare aho watewe inshinge iminsi mike. Uzahabwa imiti igabanya ububabare kuri ibi.
Hari abantu bashobora kugira indwara yitwa post-embolization syndrome , ikaba ari indwara itera ibimenyetso nko kugira umuriro, isesemi no kuruka. Ibi bikunze kumera neza mu minsi mike.
Nyuma yo gusubira mu rugo:
- Fata ikiruhuko cy'iminsi mike kandi uruhuke neza. Irinde guterura ibintu biremereye cyangwa guterura ibintu biremereye.
- Niba ufite catheter mu kibuno cyawe , ntukajye uzamuka cyangwa umanuka ingazi kenshi.
- Niba ufite ikibazo cyo ku kuboko , hagarika gukora imirimo ivunanye nko kwandika cyangwa kwandika mu minsi mike.
- Komeza ahantu habaye ububabare hasukuye.
Igihe cyo kongera kubonana na muganga wawe
Niba ubonye kimwe muri ibi bikurikira , hamagara muganga wawe ako kanya cyangwa ujye kwa muganga wita ku barwayi ba ETU (ETU).
- Ikibyimba kibabaza cyangwa gikura vuba hafi y'aho cyarumwe.
- Kuva amaraso menshi cyane aturutse aho yatobowe.
- Kugorwa no guhumeka.
- Ibimenyetso by'ubwandu (umuriro, gutukura no gushyuha aho kuvurirwa).
- Gutukura no kubyimba ku kaguru cyangwa mu kibuno (bishobora kuba ikimenyetso cy'amaraso yapfunditse).
- Kugira isesemi no kuruka kugeza aho ntashobora kugumana ibiryo n'ibinyobwa.
Ubutumwa bwo kujyana mu rugo
- Gutera amaraso mu mubiri ni uburyo bwiza cyane bwo kuvura bufunga imitsi runaka y'amaraso mu mubiri hatabayeho kubagwa cyane.
- Ikoreshwa mu guhagarika kuva amaraso menshi, kugabanya amaraso ajyana ku bibyimba bya kanseri, no kuvura ibibazo bidasanzwe by'imitsi y'amaraso nka AVM.
- Kubera ko iki atari ikibazo kinini, ububabare buragabanuka kandi igihe cyo gukira kiragabanuka ugereranije no kubagwa bisanzwe.
- Kimwe n'ubundi buryo bwose bwo kuvura, hari ingaruka zimwe na zimwe, bityo ni ngombwa cyane kubiganiraho neza na muganga wawe mbere yo kuvurwa.
- Kurikiza amabwiriza ya muganga wawe witonze nyuma yo kuvurwa. Nubona ibimenyetso by'umuburo, shaka ubufasha bwa muganga ako kanya.

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