Igihe muganga yakubwiraga ko umwana wawe agomba kubagwa 'Glenn' kubera ikibazo cy'umutima, ugomba kuba warumvise ubwoba bwinshi n'ihungabana. Ugomba kuba ufite ibibazo byinshi mu mutwe wawe, nko kuba 'Glenn Procedure' ari iki, ikubiyemo iki, n'impamvu ikorwa. Ntugahangayike. Ibyo byiyumvo ni ibisanzwe. Reka tubiganireho byose mu buryo bworoshye, mu buryo ushobora kumva.
Know your body mass index (BMI) and weight classification
Mu magambo make, ni iki cyakorwa na Glenn Procedure?
Tekereza nawe, umutima wacu ni moteri ipompa amaraso mu mubiri wose. Ufite ibice bine (ibyumba bine). Hari abana bavukana kimwe muri ibi byumba kitarakura neza cyangwa kikaba gito cyane. Muri iki gihe, umutima ntushobora kupompa amaraso neza.
Mu magambo make, uburyo bwa Glenn ni uburyo bwo 'kunyura' bufasha umutima ufite intege nke nk'ubu.
Aha, abaganga babaga bahuza umuyoboro mukuru w'amaraso (superior vena cava), utwara amaraso adasukuye kandi adahumeka neza ava mu gice cyo hejuru cy'umwana, bakayajyana mu mitsi y'ibihaha, aho kuyashyira mu mutima.
Ibi ni nko kubaka umuhanda mushya kandi woroshye gukoresha unyura mu muhanda urimo urujya n'uruza rw'abantu benshi. Ibi bituma amaraso akeneye umwuka wa ogisijeni anyura mu gice cy'umutima gifite ikibazo maze akajya mu bihaha.
Ubusanzwe iyi ni yo ndwara ya kabiri umwana abagwa. Ubundi bubagwa bukorwa nyuma y'imyaka mike kugira ngo haboneke igisubizo kirambye kuri iyi ndwara.
Ni ubwoko ki bw'abana ubu bubagwa bukorerwa?
Kubagwa kwa Glenn ahanini bikorerwa abana bafite ubumuga bw'umutima bavukanye. Ni ngombwa cyane cyane ku bana bato cyane, cyangwa ku bantu umwe mu myanya ibiri y'ingenzi y'umutima (ventricles) idakora neza. Iyi ndwara yitwa 'defect single ventricle'.
Dore zimwe mu ndwara z'umutima zisaba kubagwa kwa Glenn.
| Izina ry'indwara y'umutima (Indwara y'uburwayi) | Ibisobanuro byoroshye |
|---|---|
| Indwara y'umutima y'ibumoso iterwa n'imisemburo ya hypoplastic | Uruhande rw'ibumoso rw'umutima (ventricle y'ibumoso, valves) ntirukura neza. |
| Atresia ya Tricuspid | Valve ya tricuspid, iri hagati y'ibyumba biri iburyo bw'umutima, ntabwo ikora neza. |
| Atresia y'ibihaha | Umugozi w'ibihaha ujyana amaraso mu bihaha urafunze. |
| Injirira ebyiri ibumoso cyangwa iburyo | Ibyumba bibiri byo hejuru by'umutima (atria) bihuzwa n'icyumba kimwe cyo hasi (ventricle). |
Ubusanzwe kubagwa kwa Glenn bikorwa ryari?
Ubusanzwe abaganga basaba ko umwana abagwa iyo afite hagati y'amezi 3 na 6. Akenshi bibagwa bwa kabiri, nyuma yuko umwana abazwe bwa mbere kugira ngo arusheho gutembera neza kw'amaraso (nk'umuti wa Blalock-Taussig (BT) shunt) nyuma yo kuvuka.
Adjustable medical memory-foam backrest, head, knee, and leg elevation wedge system for post-operative recovery, acid reflux, and edema reduction, plus medical scar tape.
View Clinical Details →Ni iki kibaho mbere no mu gihe cyo kubagwa?
Mbere yo kubagwa
Mbere yo kubagwa, muganga wawe azakora ibizamini byinshi kugira ngo amenye neza uko umutima w'umwana wawe umeze.
- Gupima umutima hakoreshejwe catheterization: Iki kizamini gikorerwa gupima umuvuduko n'urugero rwa ogisijeni mu mutima no kureba imiterere y'umutima.
- MRI y'umutima: Ibi bifasha kubona amashusho y'umutima mu buryo burambuye.
- Ni ngombwa cyane kumenyesha muganga imiti yose (harimo na vitamine n'inyongeramusaruro) umwana wawe afata .
Mu gihe cyo kubaga
Kubagwa mu kibuno (c-section) akenshi bifata amasaha ane , ariko iki gihe gishobora gutandukana bitewe n'uko umwana ameze.
Mu gihe cyo kubagwa, umwana ahabwa ikinya, bityo umwana ntagire ububabare ubwo aribwo bwose. Umwana aba ari mu bitotsi byinshi. Hari abana bahujwe n'imashini yihariye ifata by'agateganyo imirimo y'umutima n'ibihaha mu gihe cyo kubagwa. Iyi mashini yitwa cardiopulmonary bypass machine . Hanyuma, nk'uko byavuzwe mbere, umuganga ubaga akora uburyo bwo guhuza imitsi y'amaraso n'ibindi bikorwa byo gusana umutima iyo bibaye ngombwa.
Ibyiza n'ingaruka zishobora guterwa no kubagwa
Kimwe no kubagwa kose, uburyo bwa Glenn bufite ibyiza n'ingaruka. Ni ngombwa ko ababyeyi babimenya.
| Ibyiza | Ingaruka/ingorane zishobora kubaho |
|---|---|
| Kugabanuka k'uburemere bw'icyumba cy'umutima (ventricle) cyonyine gikora. | Kugabanuka k'umuvuduko wa ogisijeni mu maraso. |
| Kurinda umutima kwaguka bitewe no gukora cyane. | Umuvuduko w'amaraso ukabije. |
| Kubagwa kwa Fontan bigiye gukorwa bizoroha. | Kuvubura kw'imitsi mu gice cy'imbere cy'umutima. |
| Amahirwe yo kurokora ubuzima bw'umwana nyuma yo kubagwa Fontan yiyongera. | Gukenera kugaburirwa binyuze mu muyoboro w'amazi bitewe no kugorwa no kurya. |
| Kuba ari ubundi buryo bwo kubaga abana badakeneye cyangwa badashobora kubagwa Fontan. | Kuba agomba kubagwa bundi bushya. |
Igikuru ni uko igipimo cy'ubuzima bw'umwana nyuma yo kubagwa kwa Glenn kiri hejuru cyane. Ni hafi 99% . Iki gikorwa cyagenze neza cyane.
Ni iki kibaho nyuma yo kubagwa?
Nyuma yo kubagwa, umwana azashyirwa mu cyumba cyita ku barwayi barembye cyane (ICU). Ushobora kugira ubwoba iyo ubonye imiyoboro n'ibikoresho bifatanye n'umubiri w'umwana. Ariko ibyo ni ibisanzwe. Itsinda ry'abaganga rizakurikirana umwana cyane.
Umwana azamara mu cyumba cy’indembe mu gihe cy’iminsi itatu, hanyuma ajye mu cyumba gisanzwe. Bishobora gufata ibyumweru byinshi kugira ngo umwana akire neza kandi atahe mu rugo.
Abana benshi, nyuma y'imyaka mike bakorewe Glenn, iyo batangiye kugenda, bazakenera kunyura mu ntambwe ikurikira, ari yo Fontan , itanga igisubizo kirambye ku mikorere y'umutima.
Ni ryari ugomba kujya kwa muganga nyuma yo gutaha?
Ni ngombwa cyane kwita ku mwana wawe neza nyuma yo gutaha. Nubona kimwe muri ibi bimenyetso bikurikira , hamagara muganga wawe ako kanya.
- Niba umwana afite umuriro.
- Niba amaraso cyangwa andi mazi arimo kuva mu gikomere cyo kubagwa.
- Niba ufite ikibazo cyo kunywa amata.
- Niba ufite ikibazo cyo kwiyongera ibiro.
Umwana wawe azagomba kujya kwa muganga w’indwara z’umutima no gufata imiti igihe kirekire. Ibyo ni bimwe mu bigize uru rugendo.
Ubutumwa bwo kujyana mu rugo
- Uburyo bwa Glenn ni uburyo bwo kubaga buteganyijwe, bukorerwa mu cyiciro cya kabiri ku bana barwaye indwara z’umutima bavukanye.
- Ibi bivuze ko amaraso adahumeka neza yoherezwa mu bihaha, bigatuma umutima unyura mu nzira, bigatuma akazi k'umutima kagabanuka.
- Igipimo cy'intsinzi y'ubu buvuzi kiri hejuru cyane (hafi 99%). Ntutinye rero.
- Nyuma yo kubagwa, umwana azakenera gukurikiranwa n'abaganga igihe kirekire ndetse n'imiti, bityo rero ni ngombwa cyane gukurikiza amabwiriza ya muganga.
- Vugana na muganga wawe nta guhisha ku bibazo cyangwa ubwoba ufite. Barahari kugira ngo bagufashe.
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