Reka twige uburyo bushya (Endovascular Surgery) bukiza imiyoboro y'amaraso idacitse cyane?

Iyo wumvise ijambo "kubaga" cyangwa "kubagwa," uratuza gato? Ni ibisanzwe gutekereza ku gukata cyane, iminsi mike mu bitaro, no kumara igihe kirekire ubabara. Ariko muri iki gihe, ubuvuzi bwateye imbere cyane. Aho gukata cyane nk'uko byari bimeze mu bihe byashize, ubu hariho ikoranabuhanga ritwemerera kujya mu mubiri unyuze mu mwobo muto no kuvura indwara zikomeye. Ibyo nibyo tugiye kuvugaho uyu munsi, uburyo butangaje bwo kuvura imitsi y'amaraso mu mibiri yacu.

Kubaga imitsi yo mu nda ni iki?

Mu magambo make, kubaga imiyoboro y'amaraso mu miyoboro y'amaraso ni uburyo buvura imiyoboro y'amaraso mu mubiri wacu imbere nta gukata cyane. Tekereza umuyoboro w'amazi uri mu nzu yawe ufunze. Aho gusenya urukuta no gusana umuyoboro, ibi ni nko gushyiramo umuyoboro muto ufite kamera unyuze mu mwobo muto hanyuma ugakuraho aho wapfundikiye.

Muri ubu buryo, abaganga bakoresha urushinge ruto kugira ngo bakore umwobo mu miyoboro y'amaraso hanyuma bashyiremo imiyoboro mito cyane kandi yoroshye yitwa catheters . Hanyuma, bakoresheje ikoranabuhanga nka X-rays, iyi miyoboro iyoborwa aho indwara iherereye, ni ukuvuga aho imiyoboro y'amaraso yazibye, yabyimbye, cyangwa yangiritse. Hanyuma, ibikoresho bikenewe binyuzwamo kugira ngo bikize iyo ndwara. Ibi bishobora gusubiza amaraso mu bwonko, mu mutima, mu ngingo no mu bihaha.

Ni irihe tandukaniro riri hagati yo kubaga imitsi yo mu nda no kubaga mu buryo bwihuse?

Ubu buryo bwombi buvura imiyoboro y'amaraso. Ariko uburyo buyifatamo buratandukanye rwose. Kugira ngo usobanukirwe iri tandukaniro, reba imbonerahamwe iri hepfo.

Ni ibihe bibazo bivurwa n'ubu buryo?

Uburyo bwo kuvura indwara z'imitsi n'amaraso bukoreshwa mu kuvura indwara zitandukanye z'imitsi n'iz'umutima. Zimwe mu ndwara z'ingenzi zirimo:

• Aneurysm: Iki ni igihe urukuta rw'imitsi ijyana amaraso rucika intege kandi rukabyimba nk'umupira. Ibi bishobora kubaho muri aneurysm yo mu nda cyangwa muri aneurysm yo mu gituza, ndetse no mu yindi mitsi y'amaraso mu mubiri. Ibi biramutse bicitse, bishobora gushyira ubuzima mu kaga.
• Ateriosclerosis: Ibi bibaho iyo ibintu birimo ibinure, nka cholesterol, biboneka mu byo turya, byikubira ku nkuta z'imitsi y'amaraso, bigafunga buhoro buhoro inzira y'amaraso. Ni nk'ingese ziyongera mu muyoboro w'amazi. Ibi bibangamira amaraso atembera.
• Indwara y'imitsi ifata amaraso mu ijosi: Imitsi ifata amaraso mu ijosi ni yo mitsi ibiri y'ingenzi ijyana amaraso mu bwonko. Iyo ifunzwe n'ibinure byinshi, ibyago byo kurwara indwara yo gucika kw'amaraso mu bwonko biriyongera cyane.
• Kuvura imitsi yo mu mitsi miremire (DVT): Ibi bibaho iyo amaraso apfunditse mu mitsi iri imbere mu mubiri. Ikintu kibi cyane ni uko iyo amaraso apfunditse akanyura mu maraso agafata mu bihaha (Pulmonary Embolism), bishobora kwica.
• Indwara y'imitsi yo mu mpande (PAD):Ibi bibaho iyo imitsi ijyana amaraso mu maboko cyane cyane amaguru ifunze. Ibi bitera ibibazo nko kubabara amaguru iyo agenda ndetse n'ibikomere bidakira.

Ni iki kibaho mbere yo kubagwa?

Mbere yuko ukorerwa ubu bwoko bw'ubuvuzi, muganga wawe azakubwira witonze amateka y'ubuzima bwawe n'ubuzima bwawe muri iki gihe. Hanyuma azagukorera isuzuma ry'umubiri, nibiba ngombwa, agategeka ko ukorerwa ibizamini bikurikira:

• Gupima amaraso hakoreshejwe ultrasound: Bikoresha imiraba y'amajwi kugira ngo harebwe uko amaraso atembera mu miyoboro y'amaraso no kureba niba hari aho yazibye.
• Angiografiya: Irangi ryihariye rishyirwa mu miyoboro y'amaraso hanyuma hagafatwa amashusho ya X-ray. Ibi bishobora kwerekana neza uburyo imiyoboro y'amaraso yagabanutse n'aho iri.
• CT scan na MRI scan: Ibi bishobora gutanga amashusho arambuye y’imitsi y’amaraso n’ingingo ziyikikije.
• ECG na Echocardiogram: Ibi bikoreshwa mu kugenzura imikorere y'umutima.
• Igipimo cy'ikirenge n'ikibuno (ABI): Ikizamini cyoroshye gipima kandi kikagereranya umuvuduko w'amaraso mu maguru no mu maboko kugira ngo hamenyekane niba amaraso yagabanutse mu maguru.

Ni ubuhe bwoko bw'ubuvuzi bwo mu miyoboro y'amaraso buhari?

Bitewe n'uko urwaye, muganga wawe ashobora gukoresha ubwoko butandukanye bw'ubuvuzi bwo kuvura imitsi. Reka turebe bumwe muri bwo.

Ni izihe nyungu n'ingaruka z'ubu buryo?

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

Ibyiza

Akamaro gakomeye k'uburyo bwo kuvura imitsi yo mu nda ni uko bukira vuba . Kubera ko nta gucikamo gukomeye, umubiri ntuba wangiritse cyane. Bityo ugomba kuguma mu bitaro igihe gito, ububabare buke, kandi ushobora gusubira mu buzima busanzwe vuba.

Ingaruka/Ingorane

Nubwo ubu buryo bwo kubaga muri rusange bufite umutekano, hari ingaruka ntoya.

• Kuva amaraso aturutse aho catheter ishyirwa.
• Kwangirika kw'imitsi y'amaraso mu gihe cyo kuvurwa.
• Guca urukuta rw'imitsi y'amaraso.
• Ihinduka ry'amaraso mashya (Trombose) aho yavuriwe.
• Ni gake cyane, ingaruka z'impyiko zishobora kubaho (bitewe n'ubwoko bw'irangi ryakoreshejwe).

Ingaruka z'uko ibintu nk'ibi bibaho ni nke cyane, kandi itsinda ry'abaganga b'inararibonye rihora ryiteguye guhangana n'ikibazo nk'icyo mu gihe cyaba kibaye.

Ni ryari nkwiye kujya kwa muganga ako kanya nyuma yo kubagwa?

Iyo ugiye mu rugo nyuma yo kubagwa, ugomba kwita ku mubiri wawe cyane. Ubusanzwe, ushobora gusubira mu mirimo yawe ya buri munsi nyuma y'ukwezi kumwe. Ariko, ni ngombwa kuvugana na muganga wawe kuri ibi no kukugira inama. Nanone, ugomba kujya kwipimisha ku itariki yagenwe.

Niba ubonye kimwe muri ibi bimenyetso bikurikira, ntutinde ahubwo uhite ubimenyesha muganga wawe cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) biri hafi yawe.