Kubaga TEVAR ku ndwara y'imitsi yo mu gituza? (Gusana imitsi yo mu gituza) Reka tubisobanukirwe mu buryo bworoshye.

Ese wigeze utekereza ku muyoboro munini w'amaraso mu mubiri wacu? Kimwe n'umuyoboro w'amazi uzana amazi mu rugo rwacu, umuyoboro w'amaraso ujyana amaraso kuri buri rugingo n'uturemangingo two mu mubiri wacu ni aorta, cyangwa nk'uko tuyita, aorta . Uyu ni umuyoboro ukomeye cyane. Ariko rimwe na rimwe, nk'uko uruhande rw'ipine ishaje y'imodoka rucika intege kandi rukabyimba nk'igifuro, urukuta rw'uyu muyoboro w'amaraso narwo rushobora gucika intege no kwibira ahantu hamwe. Cyangwa urwego rwawo rw'imbere rushobora no gucika. Izi ni indwara zikomeye cyane. Ariko ntugahangayike, bitewe n'iterambere ry'ubumenyi bw'ubuvuzi, ubu hari uburyo bwiza bwo kuvura ibi. Ibyo ni byo tuvuga uyu munsi.

Uku kubagwa kwa TEVAR ni iki?

Muri make, TEVAR (Thoracic Endovascular Aortic Repair) ni uburyo bwo kubaga budakoresha uburyo bwinshi bukoreshwa mu gusana ibyangiritse ku gice cy'umugongo.

Tekereza uburyo ubu bwoko bw'indwara bwavurwaga mu bihe byashize. Abaganga bagombaga gufungura igituza burundu no kubaga bikomeye kugira ngo basane iyi ndwara. Byari bigoye cyane, byafataga igihe kirekire kugira ngo bikire, kandi byari bifite akaga gakomeye.

Ariko mu buryo bwa TEVAR, gukata gukomeye nk'uku ntigukorwa. Ahubwo, gukata guto cyane mu kibuno, umuyoboro muto (catheter) ushyirwamo, hanyuma igikoresho cyihariye kigashyirwa muri uwo muyoboro kugira ngo gisane igice cy'umutima cyacitse intege. Ibi bisa n'uko umuyoboro unyura mu rukuta rw'inzu usenyuka maze umuyoboro muto ugashyirwa mu muyoboro utishe urukuta. Ibi bituma igihe gito cyane cyo gukira kigabanuka, ububabare buke, kandi ibyago bigabanuke.

Ni mu bihe ibihe abaganga bavura TEVAR baba bakeneye kubagwa?

Abaganga bakoresha ubu buryo bwo kubaga kugira ngo bavure indwara nyinshi zikomeye zibaho muri aorta. Reka turebere hamwe izo ari zo.

Witegura ute mbere yo kubagwa?

Niba uhisemo kubagwa muri ubu bwoko, muganga wawe azagusobanurira neza uburyo ugomba kwitegura. Ubusanzwe ushobora gusabwa gukora ibintu nk'ibi:

• Kugenzura umuvuduko w'amaraso na cholesterol: Ushobora guhabwa imiti yo kubigenzura neza.
• Irinde kunywa itabi: Niba uri umunywi w'itabi, ugomba kurireka burundu.
• Guhindura imiti: Ushobora gusabwa guhagarika cyangwa guhindura imwe mu miti urimo gufata igihe runaka mbere yo kubagwa.
• Ibizamini byihariye: Muganga azakenera gukora ibizamini byinshi kugira ngo ateganye kubagwa.

Ibizamini mbere yo kubagwa

Igipimo cy'ingenzi muri ibi ni CT Angiogram . Iki ni CT scan yihariye. Ishobora kwerekana neza ingano n'imiterere y'imitsi yawe n'indi mitsi ikoreshwa mu kubaga.

Tekereza, umuyoboro w’amaraso ushyirwa mu gituza unyuze mu muyoboro w’amaraso uri mu nda. Iyo uwo muyoboro w’amaraso ari muto cyane, cyangwa niba ufunze kubera cholesterol nyinshi, umuyoboro ntushobora kunyuzwamo. Iyi scan ifasha kumenya ibintu nk’ibyo mbere y’igihe.

Nanone, ibipimo byavuye muri iyi scan ni ingenzi cyane mu guhitamo ingano ikwiye ya stent graft ku gace kangiritse muri aorta yawe.

Igishishwa cya stent ni iki?

Uyu ni intwari muri ubu buvuzi. Ishitingi rya stent ni umuyoboro ukozwe mu gitambaro gisa n'igitambaro. Rifite umuyoboro w'icyuma imbere. Rirazingirwa hanyuma rigaca muri aorta. Iyo rigeze ahantu heza, rifunguka nk'isoko maze rigafata neza urukuta rwa aorta.

Icyabaye ni uko amaraso atembera muri uyu muyoboro mushya. Urukuta rw'umuyoboro wa aorta rudakomeye kandi rwabyimbye ntirugira umuvuduko uva mu maraso. Bityo ruhagarika kubyimba. Ni nko gushyira agace gashya mu muyoboro wa aorta.

Kubagwa bikorwa gute?

Ugomba kuba ufite amatsiko menshi kuri ibi. Reka turebe intambwe zoroshye zikoreshwa mu kubaga.

1. Gutera ikinya: Ubwa mbere, uzashyirwa munsi y'ikinya rusange, cyangwa aho kubagwa bizakorerwa niho gusa hazaba hadakomeye, kandi uzahabwa imiti igufasha kuruhuka.

2. Gukata gato: Hanyuma, gukata gato gakorerwa ku ruhu, akenshi mu gice cy'imbere, hanyuma umuyoboro w'amaraso (umuyoboro w'amaraso wo mu gitsina) uherereye aho ngaho ukagerwaho.

3. Insinga y'ubuyobozi: Insinga nto (insinga y'ubuyobozi) inyuzwa muri uyu muyoboro w'amaraso, inyura mu gace kangiritse k'umuyoboro w'amaraso, hanyuma igahagarara.

4. Catheter na stent: Hanyuma, umuyoboro (catheter) unyuzwa mu nsinga. Agace ka stent gapfundikiye kari imbere muri uyu muyoboro. Ibi byose bikorwa hifashishijwe imashini yihariye ya X-ray (fluoroscopy).

5. Gushyira stent: Iyo umuyoboro umaze kugera mu mwanya ukwiye, muganga azashyiramo stent graft witonze. Hanyuma izaguka ubwayo ifatanye n'urukuta rw'aorta.

6. Kurangiza: Nyuma y'ibyo, umuyoboro n'insinga birakurwamo, maze agace gato gakozwe mu kibuno gafungwa n'uduti.

Ubusanzwe, iki gikorwa cyose kimara amasaha abiri.

Ni izihe nyungu n'ingaruka mbi zo kubagwa kwa TEVAR?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka, ariko ibyiza byo kubaga TEVAR ni byinshi cyane.

Muganga wawe azagusobanurira neza izi ngaruka, kandi azafata ingamba zose zishoboka kugira ngo azigabanye.

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Nyuma yo kubagwa, uzaguma mu cyumba cy’indembe (ICU) kugira ngo ukurikiranwe mu gihe cy’umunsi umwe cyangwa ibiri, hanyuma wimurwe mu cyumba rusange. Niba byose bigenze neza, uzabasha gutaha mu minsi mike. Dore ibintu bimwe na bimwe ugomba kuzirikana nyuma yo gutaha:

• Gutwara imodoka: Irinde gutwara imodoka mu gihe cy'icyumweru kimwe cyangwa bibiri.
• Kwiyuhagira: Irinde kwinika mu mwobo w'amazi kugeza igihe igisebe cyo mu kibuno gikize. Kwiyuhagira ni byiza.
• Guterura ibiro: Ntugaterure ibiro birenga 10 (hafi 4.5 kg) mu gihe cy'icyumweru kimwe cyangwa bibiri.

Gukurikirana ubuzima bwose ni ingenzi!

Iki ni cyo kintu cy'ingenzi cyane . Nyuma yo kubagwa kwa TEVAR, ni ngombwa kujya kwa muganga wawe kugira ngo agusuzumishe mu buzima bwawe bwose. Ubusanzwe,

• Ukwezi kumwe nyuma yo kubagwa
• Hanyuma mu mezi atandatu (niba habayeho ikibazo mu isuzuma rya mbere)
• Nyuma y'umwaka umwe
• Hanyuma rimwe mu mwaka

Uzakenera gupimwa. Ibi bikorwa kugira ngo harebwe niba stent iri ahantu heza, niba hari ikibazo kirimo, niba hari amaraso yavuye. Ntukirengagize. Ibi ni ingenzi cyane ku mutekano wawe.

Ni ryari ngomba guhamagara muganga?

Niba ufite ikibazo cyangwa impungenge ku bijyanye n'ubuvuzi bwawe cyangwa igihe cyo gukira, ntutinye kuvugana na muganga wawe. Nanone, niba ugize ibimenyetso by'indwara y'umutima cyangwa indwara yo gucika intege mu buryo butunguranye (urugero: kubabara cyane mu gatuza, guhumeka nabi, kunanirwa kuvuga, cyangwa intege nke ku ruhande rumwe rw'umubiri), jya kwa muganga wita ku barwayi ba ETU (ETU) ako kanya.

TEVAR ni iterambere ritangaje mu bumenyi bw'ubuvuzi. Yafashije mu kuvura indwara zahoze zishyira ubuzima mu kaga, muri iki gihe, zifite ibyago bike cyane kandi zifite ibyago bike cyane. Niba wowe cyangwa undi muntu uzi afite iyi ndwara, ntutinye kuvugana na muganga kugira ngo aguhitiremo uburyo bwiza bwo kuvura.