Ese umutima wawe nawe urwaye iki kibazo? Reka twige ku ndwara ya Giant Cell Myocarditis!

Ese hari igihe wumva umutima wawe urimo gutera cyane, ukubita cyane, cyangwa hari ikintu kidasanzwe mu gituza cyawe? Ibi ni ibintu rimwe na rimwe tutitaho cyane, ariko bishobora kuba ibimenyetso by'indwara zimwe na zimwe z'umutima zidasanzwe. Uyu munsi tugiye kuvuga ku ndwara imwe nk'iyo idakunze kugaragara, ariko ishobora kuba ikomeye. Izina ryayo ni Giant Cell Myocarditis, cyangwa mu Cyongereza `(Giant Cell Myocarditis)`.

Indwara ya Giant Cell Myocarditis ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Muri make, Giant Cell Myocarditis ni ubwoko budasanzwe bw'indwara yo kubyimba kw'imitsi y'umutima . Kubyimba ni ubwoko bwo kubyimba. Ikibaho muri iyi ndwara ni uko zimwe mu 'ngirabuzimafatizo' z'umubiri wacu zihurira hamwe zigakora ubwoko bw'ingirabuzimafatizo nini zitwa 'Giant Cells'. Izi ngirabuzimafatizo nini, kimwe n'abanzi, zitera imitsi y'umutima wawe zigatera inkovu.

Tekereza kuri ibi, umutima wacu umeze nk'ipompo y'amazi. Ni wo upompa amaraso mu mubiri wose. Rero, iyo utwo turemangingo tunini twangiza imitsi y'umutima, umutima ntushobora gukora neza. Ibyo bivuze:

• Bigenda birushaho kugorana gupompa amaraso .
• Iyo umutima ukubita, si ibice byose byawo bihuza icyarimwe .
• Ibimenyetso by'amashanyarazi bigenzura umutima birahungabana , kandi ibyo bimenyetso ntibinyura mu mutima neza.

Kubera ko iyi ndwara ishobora gukomera vuba cyane, abantu barwaye iyi ndwara bakunze kuba bagomba guterwa umutima .

Ni irihe tandukaniro riri hagati ya Myocarditis na Giant Cell Myocarditis?

Myocarditis na yo ni ukubyimba kw'imitsi y'umutima. Ariko, myocarditis nini y'uturemangingo ni ubwoko budasanzwe kandi bwihariye bwa myocarditis. Kimwe n'ubundi bwoko bwa myocarditis, ishobora no gutera indwara z'umutima zidakora neza, cyangwa arrhythmia.

Ubwandu bwa virusi akenshi ni bwo butera indwara ya myocarditis. Nyamara, abashakashatsi baracyagerageza kumenya impamvu iyi ndwara ya myocarditis y’uturemangingo twinshi (GCM) ibaho.

Ni nde wibasirwa cyane n'iki kibazo? Ni iki gikunze kugaragara?

Indwara ya Giant cell myocarditis (GCM) ikunze kugaragara ku bantu bakiri bato n'abari mu kigero cyo hagati . Ariko, ishobora kugaragara ku bantu b'imyaka iyo ari yo yose, hatitawe ku gitsina.

Ku bijyanye n'uburyo ibi bikunze kugaragara, ni gake cyane. Abaganga bapima iyi ndwara mu bantu batageze kuri umwe mu 100.000 buri mwaka. Ibyo bivuze ko igaragara mu bantu bagera kuri 0.13 ku 100.000 .

Ibimenyetso ni ibihe? Twabimenya dute?

Ibimenyetso bya mbere bya giant cell myocarditis (GCM) bishobora kuba birimo:

• Umutima utera cyane (kumva umutima utera cyane cyangwa igituza cyawe gitera cyane)
• Kubabara mu gatuza
• Guhumeka bigoranyecyangwa Kubura umwuka
• Utuguru tw'ibirenge twabyimbye
• Umunaniro ukabije

Akenshi ibi bimenyetso bitangira vuba cyane . Nyuma, indwara zishobora kugaragara mu mikorere y'umutima. Abantu barenga kimwe cya kabiri barwaye iyi ndwara bagira ibibazo bikomeye byo mu mikorere y'umutima (`Ventricular arrhythmias`), bitangirira mu byumba by'umutima . Ibi bishobora gutuma umutima uhagarara mu buryo butunguranye.

Nanone, umuvuduko w'umutima ushobora kuba wihuta cyane cyangwa ugatinda cyane. Ushobora kumva uzuzuwe cyangwa unaniwe . Hari abantu bashobora no kugira indwara ikomeye yitwa "cardiogenic shock," aho umutima udashobora gukompa amaraso neza.

Kuki ibi bibaho? Impamvu ni izihe?

Abashakashatsi ntibaramenya neza icyatera indwara ya giant cell myocarditis (GCM). Barimo gusuzuma ibintu bitandukanye. Urugero, barimo gusuzuma niba indwara zimwe na zimwe, indwara zitameze neza mu budahangarwa bw’umubiri wawe, cyangwa ikintu kimwe mu bigize uturemangingo twawe bishobora gutuma urwara iyi ndwara.

Ikindi kintu ni uko abantu bagera kuri 20% barwara iyi ndwara basanze bafite indwara ziterwa n’ubwiyongere bw’umubiri . Indwara ziterwa n’ubwiyongere bw’umubiri ni igihe ubwirinzi bw’umubiri wacu, ni ukuvuga ubudahangarwa bw’umubiri, bwibasiye uturemangingo tw’umubiri wacu. Bityo, ubwo bwoko bw’indwara bushobora no kuba impamvu cyangwa ikintu gishobora gutera indwara ya GCM.

Ni gute wasuzuma iyi ndwara neza?

Kugira ngo wemeze ko arwaye indwara ya giant cell myocarditis (GCM), muganga wawe azakenera gufata icyitegererezo gito cy'imitsi y'umutima wawe . Ibi byitwa biopsy y'umutima. Icyitegererezo cyoherezwa muri laboratwari kigasuzumwa n'inzobere mu ndwara z'umutima.

Ni ngombwa ko icyitegererezo gisuzumwa n'inzobere nk'iyi kuko ibisubizo bya biopsy ya giant cell myocarditis bishobora gusa n'iby'izindi ndwara zitera kubyimba imitsi y'umutima, nka cardiac sarcoidosis. Kubwibyo, gusuzuma neza ni ngombwa kugira ngo habeho gahunda yo kuvura.

Ubu buryo bwo gupima ni uburyo buteje akaga, ariko ni bwo buryo bwonyine bwo kumenya neza niba ufite iyi ndwara. Zimwe mu ngorane zishobora kubaho iyo ukoresheje uburyo bwo gupima imitsi y'umutima harimo:

• Kuzura kw'amazi mu mutima (uruvange rw'amazi mu gice cy'umutima)
• Tamponade y'umutima
• Gutobora urukuta rw'icyumba cy'umutima (urukuta rw'imitsi)

Mu gihe umuganga afata iki gipimo, ashyiramo umuyoboro muto cyane, witwa catheter, mu mutima wawe anyuze mu mitsi minini y'amaraso iri mu ijosi cyangwa mu nda. Iyi catheter ijyanwa mu mutima hakoreshejwe igikoresho cyihariye (`Imaging`). Hanyuma, igikoresho cyihariye kiri muri catheter gifata agace gato k'imitsi y'umutima.

Hari igihe hashobora gukenerwa `(Biopsy)` zirenze imwe. Ibi biterwa nuko `(GCM)` ishobora kutagira ingaruka ku bice byose by'umutima mu buryo bumwe. Gukora ikintu nk'isuzuma rya `(MRI)` ry'umutima bizafasha umuganga guhitamo neza aho azafatira `(Biopsy)`.

Ni ibihe bizamini bindi ukora?

Kugira ngo umenye neza ko nta yindi ndwara y'umutima ufite, muganga wawe ashobora gutegeka ko ukorerwa ibindi bipimo. Bimwe muri ibyo harimo:

• Isuzuma ry'umutima (Electrocardiogram) (EKG)
• Echocardiogram
• Gushyiramo katheta ku mutima

Ni ubuhe buryo bwo kuvura?

Muganga wawe ashobora kukwandikira imiti itandukanye yo kuvura iyi ndwara. Iyi miti ikubiyemo:

• Bishobora kugabanya ububyimbirwe .
• Bifasha kwirinda ko umutima utera nabi cyangwa umutima unanirwa gukora neza.
• Ushobora guhabwa igihe kinini kugeza igihe uzaba ukeneye guterwa umutima.
• Bifasha kongera igihe cyo kubaho .

Ubundi buryo bwo kuvura indwara ya giant cell myocarditis (GCM) bufasha mu kugenzura kunanirwa k'umutima no kugabanya umuvuduko w'umutima udasanzwe. Ubu buryo bushobora kuba burimo:

• Imiti
• Gukuraho catheter
• Igikoresho gifasha mu guhagarara neza kw'umutima
• Igikoresho cyo gupima umutima gishyirwa mu mubiri (ICD) ni igikoresho gishyirwa mu mubiri kugira ngo gifashe kandi gitere umutima gutera nabi.
• Gutera umutima

Mu gihe utegereje guterwa umutima, ushobora gukenera icyuma gifasha umutima gutera amaraso mu mitsi y'ibumoso (LVAD). Niba ukeneye guterwa umutima, uzakenera gupimwa no kuvurwa mu bitaro bifite ibikoresho byo kubitera.

Ni ubuhe bwoko bw'imiti ikoreshwa?

Uburyo bwo kuvura indwara ya giant cell myocarditis (GCM) burimo imiti igenzura ubudahangarwa bw'umubiri wawe (imiti igabanya ubudahangarwa bw'umubiri). Ni ukuvuga imiti igabanya ubudahangarwa bw'umubiri. Imwe muri iyi irimo:

• Cyclosporine (urugero: Gengraf®, Neoral®)
• Corticosteroids nka prednisone (urugero: Sterapred®, Rayos®)
• Azathioprine (urugero: Imuran®, Azasan®)

Ni ngombwa cyane gutangira iyi miti vuba bishoboka. Iyo hatabayeho iyi miti, gutera umutima bishobora gusabwa mu mezi atatu uhereye igihe ibimenyetso byatangiriye, bitabaye ibyo iyo ndwara ishobora kwica. Ariko, abantu bafata imiti igenzura ubudahangarwa bw'umubiri basanzwe bamara amezi agera kuri 12.

Ese hari ingaruka mbi zikomoka ku buvuzi?

Ingaruka mbi zishobora gutandukana bitewe n'ubwoko bw'imiti ufata. Zimwe mu ngaruka mbi zikunze kugaragara zirimo:

• Ububabare bw'imitsi cyangwa intege nke
• Umutwe
• Isukari nyinshi mu maraso
• Impiswi
• Gusinzira nabi

Niba wumva ikintu nk'iki, ntukibagirwe kubibwira muganga wawe.

Ubuzima buzaba bumeze bute muri iyi ndwara?

Niba ufite indwara ya giant cell myocarditis (GCM), ishobora gutera umutima guhagarara nabi cyangwa kuziba umutima . Iyo izi ndwara zibaye zikomeye (ubusanzwe mu mezi atanu), ushobora gukenera guterwa umutima, niba wujuje ibisabwa. Abantu benshi babura ibimenyetso nyuma yo guhabwa umutima mushya, ariko bazakenera gufata imiti myinshi mishya yo gushyigikira umutima mushya.

Ese indwara ya giant cell myocarditis ishobora kwirindwa?

Nubwo abantu bashobora kubaho igihe kirekire barwaye indwara ya giant cell myocarditis (GCM) kurusha uko byari bimeze mbere, iracyari indwara yica idatewe umutima . Mu myaka ya za 1900, abantu barwaye GCM babayeho igihe kitarenze amezi atatu. Ariko muri iki gihe, iyo iyi ndwara igaragaye hakiri kare kandi ikavurwa n'imiti igenzura ubudahangarwa bw'umubiri, 90% by'abantu barwaye GCM babaho byibuze umwaka. Iyi miti ishobora kugutwara amezi cyangwa imyaka kugeza igihe ukeneye guterwa umutima.

Ni iki giteganyijwe ku ndwara?

Nyuma yo guterwa umutima, abantu bagera kuri 71% barwaye indwara ya giant cell myocarditis (GCM) bararokoka imyaka itanu (82% mu bundi bushakashatsi) . Nyuma y'imyaka icumi batewe umutima, igipimo cyo kubaho ni hafi 68%.

Ariko, uturemangingo tunini dushobora kugaragara hagati ya 10% na 50% by'abantu bahawe umutima mushya. Ibi bishobora kubaho kuva ku byumweru bike kugeza ku myaka icyenda nyuma yo guterwa uturemangingo. Ibi nibibaho, uzakenera gufata imiti ya steroid mu gihe cy'amezi menshi.

Nitwara nte?

Niba ufite indwara ya giant cell myocarditis (GCM), ugomba kwirinda siporo zo guhiganwa byibuze amezi atatu kugeza kuri atandatu . Iyo GCM yawe imaze gukomera, baza muganga wawe niba nta kibazo cyo gusubira buhoro buhoro mu myitozo ngororamubiri.

Ni ryari ugomba kujya kwa muganga?

Niba ugize ingaruka mbi zikomeye ziturutse ku miti yawe, cyangwa niba ibimenyetso byawe bisa n'aho birushaho kwiyongera, hita ubonana na muganga wawe . Ni ngombwa kandi kujya kwa muganga wawe buri gihe kugira ngo ukurikirane uko umerewe.

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ?

Niba ubabara cyane mu gatuza cyangwa ukagira ikibazo cyo guhumeka, hamagara 911 cyangwa ujye mu cyumba cy’ubutabazi bwihuse. Ibi ni ingenzi cyane, kuko ibi bishobora kuba ibimenyetso by’indwara ikomeye.

Ni ibihe bibazo ngomba kubaza muganga?

Ntukibagirwe kubaza ibi bibazo igihe ugiye kwa muganga wawe:

• Ni kangahe ngomba kuza mu gihe cyo gukurikirana?
• Ese hari itsinda ry’abaterankunga abantu bafite iyi ndwara bashobora kwinjiramo?
• Uratekereza ko nzakenera guterwa umutima?

Amaherezo, ikintu cy'ingenzi cyane cyo kwibuka

Noneho rero, ubu ushobora kuba usobanukiwe ko indwara ya Giant Cell Myocarditis ari indwara idakunze kugaragara, ariko ikomeye cyane y'umutima. Ikintu cy'ingenzi ni ukumenya ibimenyetso hakiri kare, gushaka inama kwa muganga, no gutangira kuvurwa neza. Ntugahangayike, kuko hari uburyo bwo kuvura iyi ndwara ubu, kandi igihe cyo kubaho gishobora kongerwa. Kubwibyo, niba wumva ikintu kidasanzwe ku mutima wawe, ntukirengagize ngo urebe muganga. Wite ku mutima wawe!

` Giant Cell Myocarditis, Giant Cell Myocarditis, Indwara z'Umutima, Gutera Umutima, Giant Cell, Indwara z'Umutima, Ubudahangarwa bw'Ubudahangarwa bw'Umubiri, Indwara z'Umutima, Indwara z'Umutima