Umutsi munini w'amaraso mu mubiri wacu ni aorta, twita "Aorta" mu Cyongereza. Tekereza nk'umuyoboro w'amazi munini mu mubiri wacu. Ni wo ukwirakwiza amaraso ava mu mutima ajya mu mubiri wose. Hari igihe urukuta rw'uyu mutsi w'amaraso rucika intege maze rugatangira kubyimba nk'umupira w'amapine. Ibi nibyo twita "Aneurysm" mu buvuzi. Ikintu giteje akaga cyane ni uko uyu mutsi wiyongera kandi hakabaho amahirwe yo guturika mu buryo butunguranye. Uyu munsi rero tugiye kuvuga ku buryo bugezweho bwo kuvura bushobora kwirinda iki kibazo giteje akaga hatabayeho gukata umubiri cyane kandi nta mbaraga nyinshi.
Mu magambo make, EVAR ni iki?
Igisobanuro cyuzuye cya EVAR ni `(Gusana Endovascular Aneurysm)`. Mu rurimi rwa Sinhala, ni ugusana gukorerwa mu mitsi itwara amaraso. Ubu si ukubaga gukomeye . Ibyo bivuze ko aho kubaga gukomeye ukata inda, ubu buryo bukorwa hakoreshejwe umwobo muto cyane.
Tekereza ko umuyoboro w'amazi ushaje wabyimbye kandi ugiye guturika. Aho gukata umuyoboro no kuwukuramo, ibibera hano bisa no kuwusana bashyiramo umuyoboro woroshye kandi ukomeye imbere muri wo. Abaganga bashyiramo umuyoboro wabugenewe (Stent Graft) mu miyoboro y'amaraso yabyimbye. Ibi bimeze nk'igitambaro cyihariye gikozwe mu mwenda n'icyuma. Iyo bishyizwemo, amaraso anyura muri uwo muyoboro mushya. Hanyuma, nta gitutu gishyirwa ku rukuta rwacitse intege kandi rwabyimbye. Kubwibyo, ibyago byo guturika biravaho burundu.
Kuki dukeneye ubuvuzi bwa EVAR?
Intego nyamukuru kandi rukumbi y'ibi ni ukurinda ko Aneurysm y'umuyoboro w'amaraso wo mu nda idacika . Kuko iyo ibyo bibaye, biba ari indwara ishyira ubuzima mu kaga kandi yica.
Iyo urukuta rw'imitsi itera amaraso rucitse intege, umuvuduko w'amaraso uza buri gutera k'umutima bituma iyo ngingo idakomeye ibyimba. Imeze nk'ikibyimba mu ipine. Ntishobora kwaguka ubuziraherezo. Hari aho iraturika. Iyo bibaye, amaraso menshi ashobora gutembera mu mubiri, kandi urupfu rushobora kubaho mu minota mike.
Rero icyo ubuvuzi bwa EVAR bukora ni ugushyiramo "Stent Graft" (Stent Graft), igahindura imiyoboro y'amaraso, kandi ikagabanya umuvuduko ku rukuta rwabyimbye. Ibyo bihagarika burundu ibyago byo kwangirika.
Mu magambo make, ibi ni nko guhosha igisasu. Ukuraho akaga mbere yuko giturika.
Ni nde ubu buvuzi bwa EVAR bukwiriye?
Ubu buvuzi ntibukorwa ako kanya ku bantu bose bafite ikibazo cyo kubura amaraso mu nda. Muganga wawe azareba ibintu byinshi kugira ngo arebe niba ubu buvuzi bukubereye.
- Niba aneurysm yawe ari nini bihagije , cyangwaNiba scan zigaragaza ko zirimo gukura vuba mu gihe gito.
- Niba udashobora kwihanganira ibyago byo kubagwa bikomeye nko gucika igifu bitewe n'izindi ndwara (nk'indwara z'umutima cyangwa indwara z'ibihaha).
- Niba imiyoboro y'amaraso iri hejuru no munsi y'ikibyimba ari myiza kandi ikomeye (kuko hagomba kubaho ahantu heza ho gushyiramo umuyoboro mushya).
Nyuma yo gusuzuma ibintu nk'ibi, ni bwo muganga afata icyemezo cy'uko ubuvuzi bwa EVAR ari bwo bwiza kuri wewe.
Ni ubuhe buryo bwihariye bwitwa FEVAR?
Umutsi munini wa iliac uri mu nda yacu umeze nk'igiti cy'igiti. Utera amashami mu mitsi mito ijyana amaraso mu ngingo zo mu nda yacu (nk'impyiko n'amara). Hari igihe aneurysm iba hafi cyane y'aho ayo mashami ashamikira. Muri icyo gihe, umuyoboro ugororotse ukoreshwa muri EVAR isanzwe ntushobora gushyirwamo, kuko kubikora byagabanya urujya n'uruza rw'amaraso muri ayo mashami.
Ku ndwara zikomeye cyane, niho hakoreshwa uburyo bwihariye bwitwa FEVAR (Fenestrated Endovascular Aneurysm Repair). Muri `(Stent Graft)` ikoreshwa hano, hakorwa utwobo duto tumeze nk'amadirishya kugira ngo duhuze n'amashami. Nyuma yo gushyiramo umuyoboro munini, hashyirwamo `(Stent)` itandukanye binyuze muri ayo madirishya mu mitsi imeze nk'amashami kugira ngo amaraso atembera neza. Nubwo ibi bigoye gato, ni inyungu ikomeye kuba ushobora gukira `(Aneurysm)` ahantu hagoye nk'aho hatabaye kubagwa cyane.
Ni irihe tandukaniro riri hagati ya EVAR na TEVAR?
Ubu buryo bwombi ni uburyo bwo kuvura busa. Itandukaniro riri aho ubuvuzi buherereye.
- EVAR: Ikorerwa ku ndwara zo mu nda (aneurysms) .
- TEVAR (Gusana Aneurysm yo mu gituza): ikorerwa ku ndwara zo mu gituza (aneurysm) .
Ni izihe nyungu zo kuvura EVAR?
Ugereranyije no kubagwa gukomeye, ubuvuzi bwa EVAR bufite ibyiza byinshi bisobanutse. Ni uburyo budatera indwara cyane.
| Inyungu | Mu magambo make ... |
|---|---|
| Igihe gito mu bitaro | Nubwo igikorwa gikomeye kimara icyumweru kimwe, iki gikorwa kizamara iminsi ibiri cyangwa itatu. |
| Ingano y'amaraso atakaza ni nke. | Kubera ko nta gisebe gikomeye cyabaye, amaraso make cyane ava. |
| Ububabare buke mu gihe cyo gukira | Kubera ko nta gikomere gikomeye gihari, ububabare ni buke cyane. Imiti igabanya ububabare ikenerwa igihe gito gusa. |
| Ushobora gusubira mu buzima busanzwe vuba. | Ushobora gusubira ku kazi mu kwezi kumwe, nta gutegereza amezi menshi. |
| Ingaruka zo kubagwa ni nke. | Ingaruka zo gurwara umutima cyangwa gupfa mu gihe cyo kubagwa ni nke ugereranije no mu gihe cyo kubagwa gukomeye. |
| Igihe cyo kubagwa ni gito. | Ubu buvuzi bushobora kurangira mu gihe gito ugereranije no kubagwa ku mugaragaro. |
Ese hari ingaruka iyo ukoresheje EVAR?
Nubwo EVAR ari uburyo bwiza kandi bwizewe bwo kuvura, kimwe no ku buvuzi ubwo aribwo bwose, hari ingaruka nke zishobora kubaho. Ariko, izi ni gake cyane.
| Ingaruka | Ibisobanuro |
|---|---|
| Kuvura amaraso | Hari ibyago byo kuzura amaraso mu mitsi y'amaraso, cyane cyane mu mitsi yo mu birenge (Deep Vein Thrombosis - DVT). |
| Endoleak | Amaraso make cyane ava hagati y’agace gashya ka stent n’urukuta rw’imitsi ijyana amaraso, bigatuma amaraso yongera kuzura. Iyi ni yo ngorane nyamukuru ishobora kubaho muri ubu buryo bwo kuvura. |
| Izindi ngorane | Indwara z'umutima, indwara zandura, impyiko zinanirwa gukora, no kuva amaraso menshi bishobora kubaho, ariko ibi ni gake cyane. |
Kubaga EVAR bikorwa gute? Intambwe ku yindi
Noneho reka turebe uko ubu buvuzi bukorwa. Numaze gusobanukirwa neza ibi, nta bwoba bukenewe buzabaho.
1. Anesthesia: Ubwa mbere, uzahabwa anesthesia kugira ngo umenye neza ko nta bubabare cyangwa kubabara wumva. Ushobora gusinzira burundu, cyangwa ukaba utazi icyo utekereza.
2. Kubona: Muganga azakoresha imiyoboro y'amaraso yo mu kibuno cyawe (Femoral Arteries). Hazakorwa agato gusa ku ruhu.
3. Gushyiramo katheteri: Hanyuma, umuyoboro muto cyane kandi woroshye (catheter) urimo stent graft ushyirwa mu mwobo ujya mu miyoboro y'amaraso unyuze mu mwobo.
4. Ubuyobozi: Iyi catheter igomba kuyoborwa mu mitsi y'amaraso, kugeza aho aneurysm iri mu nda. Kugira ngo abimenye neza, muganga akoresha ikoranabuhanga ryihariye ryo gufata amashusho nka X-ray (Real-time imaging). Ibi bivuze ko babikora bareba catheter igenda mu mubiri.
5. Gushyira stent graft: Iyo umuganga ageze ahantu heza, azamura stent graft iri muri catheter. Hanyuma izaguka imbere mu mitsi y'amaraso ifatanye neza n'inkuta, bityo habeho inzira nshya kandi ikomeye yo gutemberamo amaraso.
6. Kurangiza: Iyo `(Stent Graft)` imaze gushyirwa neza, catheter ikurwaho witonze. Umwobo uri mu kibuno ni muto cyane ku buryo utagomba no kudodwa . Hari ikintu gisa n'igishishwa gishobora gushyirwaho.
Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa?
Nubwo igihe cyo gukira gishobora gutandukana bitewe n'umuntu ku wundi, ibi ni byo bikunze kubaho.
- Ugomba kumara iminsi mike mu bitaro.
- Nyuma yo gusinziriza, uzabasha kurya no kunywa nyuma gato.
- Babifashijwemo n'abaforomo, bamubwira kuva mu buriri agatangira kugenda vuba bishoboka.
- Uzumva unaniwe gato mu minsi mike ya mbere nyuma yo gutaha, kandi uzakenera gufata imiti igabanya ububabare. Ibyo ni ibisanzwe.
- Ntugatware imodoka kugeza urangije gufata imiti igabanya ububabare .
- Abantu benshi bashobora gusubira ku kazi kabo mu gihe cy'ukwezi kumwe .
- Ugomba kwirinda guterura ibyuma mu gihe cy'ibyumweru 4-6 .
Niba ufite ibi bimenyetso, hita ubonana na muganga!
Umaze gutaha, ni ngombwa kwitondera umubiri wawe. Niba ubonye kimwe mu bimenyetso biri hepfo, hamagara muganga wawe ako kanya.
- Kubyimba, kubabara, cyangwa uruhu rukonje mu maguru, cyane cyane amaguru yo hasi (ibi bishobora kuba ibimenyetso bya DVT).
- Niba wumva umeze nk'uzuzuzuzu cyangwa unaniwe .
- Niba ubabara cyane mu gifu, mu gituza, cyangwa mu mugongo .
- Gutera ubwoba ni igihe wumva umutima wawe utera cyane.
- Niba ugize uburibwe mu kibuno cyangwa ubundi bubabare budasanzwe bw'amaguru .
Uburyo bwo kuvura bwa EVAR ni bwiza cyane kandi budatera ububabare kuruta kubagwa mu buryo busanzwe. Ushobora gukira vuba ugataha. Ariko, ntushobora kwibagirwa ko uburyo bwo kuvura bwagenze neza. Nk'uko muganga abivuga, ni ngombwa kugaruka ku gihe cyagenwe hanyuma ukongera gupimwa. Ni bwo buryo ushobora kugenzura niba `(Stent Graft)` yashyizwemo ikora neza kandi niba hari ibibazo nka `(Endoleak)`.
Ubutumwa bwo kujyana mu rugo
- EVAR ni uburyo bwo kuvura bukoreshwa mu gukumira guturika kw'imitsi itwara amaraso mu nda, aorta.
- Aha, agace k’umuti kashyirwa mu mitsi y’amaraso hakoreshejwe umuyoboro muto witwa catheter, ushyirwa mu kibuno, udakoze incision nini.
- Igihe cyo kumara mu bitaro, ububabare, n'igihe cyo gukira ni gito cyane ugereranije n'igihe cyo kubagwa mu buryo bw'ibanga.
- Ndetse na nyuma yo kuvurwa, ni ngombwa gukomeza kwisuzumisha nk'uko muganga yabigutegetse. Ibi bizafasha kumenya ingorane zishobora kubaho hakiri kare.
- Niba ubonye ibimenyetso bidasanzwe (kubyimba amaguru, ububabare bukabije, isereri) nyuma yo kubagwa, shaka ubufasha bwa muganga byihutirwa.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.