Ese nawe urashaka kumenya ibyerekeye indwara y'umutima? Reka tubiganireho birambuye!

Uyu munsi tugiye kuvuga ku ngingo ifitiye akamaro abantu benshi, kandi iteye ubwoba gato. Iyo ni indwara y'umutima, cyangwa mu buryo bw'ubuvuzi, indwara yitwa `(Myocardial Infarction)`. Wenda hari umuntu wo mu muryango wawe cyangwa inshuti yawe wigeze kugira iyi ndwara. Cyangwa ushobora kuba warabyumvise mu kinyamakuru cyangwa kuri televiziyo. Ariko, ni ngombwa cyane kugira ubumenyi bukwiye kuri ibi.

Indwara y'umutima ni iki?

Muri make, indwara y'umutima ni indwara iteje akaga cyane ibaho iyo igice cy'imitsi y'umutima wawe kidakora amaraso ahagije. Nk'uko igiti gipfa kidafite amazi, icyo gice cy'umutima na cyo gitangira gupfa buhoro buhoro kidafite amaraso. Hari impamvu nyinshi zishobora gutuma amaraso agabanuka, ariko akenshi biterwa no kuziba kw'imitsi ijyana amaraso mu mutima, yitwa "Coronary Arteries".

Tekereza nk'aho amazi y'umuyoboro w'amazi yazibye mu busitani bwawe. Iyo amaraso aciwe muri ubu buryo, imitsi y'umutima itangira gupfa. Iyo amaraso adasubiwemo vuba, indwara y'umutima ishobora kwangiza umutima burundu, ndetse ikanawuhitana.

Indwara y'umutima ni ikibazo cyihutirwa gishobora gushyira ubuzima mu kaga . Niba utekereza ko wowe cyangwa undi muntu muri kumwe afite indwara y'umutima, hamagara 1990 (serivisi y'ubuvuzi bwihutirwa) ako kanya . Igihe ni ingenzi cyane mu kuvura indwara y'umutima. Nubwo gutinda iminota mike bishobora kwangiza umutima burundu cyangwa urupfu.

Ni iki mu by'ukuri kibaho mu gihe cy'indwara y'umutima?

Iyo urwaye indwara y'umutima, amaraso atembera mu gice cy'umutima wawe burundu cyangwa akaba make cyane ugereranije n'ibisanzwe. Ibi bituma igice cy'umutima cyangirika cyangwa kigapfa. Iyo igice cy'umutima gitangiye gupfa kubera kubura amaraso, bibangamira imikorere y'umutima mu gutera amaraso. Ibi bishobora gutuma amaraso atembera mu bindi bice by'umubiri agabanuka cyangwa agahagarara. Iyo ibi bidavuwe vuba, bishobora kwica.

Ibi ni ibisanzwe gute?

Mu by’ukuri, indwara y’umutima ni indwara ikunze kugaragara hirya no hino ku isi ndetse no mu gihugu cyacu. Indwara nyinshi z’umutima ziterwa na `(Indwara y’imitsi itera indwara ya Coronary Artery)`. Iyi nayo ifatwa nk'intandaro y’impfu nyinshi ku isi. Kubwibyo, ni ngombwa cyane kubimenya.

Ubyumva ute iyo urwaye indwara y'umutima?

Abantu benshi bagira ububabare mu gituza iyo bafite indwara y'umutima. Ibi bishobora kumvikana nk'aho umuntu akandagira, akandagira, cyangwa aremereye mu gituza. Hari igihe ububabare bushobora kuba bukomeye cyane ku buryo umuntu yumva nk'aho igituza kigiye guturika. Ubu bubabare bushobora gutangirira mu gituza bukagera ku kuboko kw'ibumoso (rimwe na rimwe ku maboko yombi), ku rutugu, ku ijosi, ku rwasaya, ku mugongo, cyangwa ku nda.

Igitangaje ni uko abantu benshi bibeshya ko ibi ari indwara ya gastritis cyangwa kuribwa mu gifu .

Hari abantu bashobora kuba badafite ububabare mu gatuza, ariko bashobora kugira ibimenyetso nko kubura umwuka, isesemi, no kubira ibyuya gusa.

Ni ibihe bimenyetso by'indwara y'umutima?

Indwara y'umutima ishobora gutera ibimenyetso bitandukanye, bimwe bikaba bikunze kugaragara kurusha ibindi.

Ibimenyetso bikunze kugaragara ku bantu benshi ni ibi bikurikira:

• Kubabara mu gatuza (`(Angina)`)
• Guhumeka nabi cyangwa kubura umwuka
• Kubura ibitotsi (bishobora kubaho mbere yo kurwara indwara y'umutima)
• Isesemi cyangwa kubabara mu nda
• Kumva umutima utera cyane (`(Umutima utera cyane)`)
• Guhangayika cyangwa kumva ko "hari ikintu kibi kigiye kubaho"
• Kuzungera (vertigo), gucika intege, cyangwa guta ubwenge

Ese ibimenyetso bishobora gutandukana hagati y'abagabo n'abagore?

Yego, iki ni ikintu cy'ingenzi cyane. Abagore bashobora kugira ibimenyetso bitandukanye by'indwara y'umutima ugereranyije n'abagabo. Abagore ntibakunze kugira ububabare busanzwe bwo mu gituza. Ahubwo,

• Guhumeka bigoranye
• Kumva unaniwe cyane
• Kubura ibitotsi mbere yo gutera indwara y'umutima
• Isesemi no kuruka
• Ibimenyetso bikunze kugaragara ni ububabare mu mugongo, mu bitugu, mu ijosi, mu maboko, cyangwa mu nda .

Bityo rero, abagore bagomba kwitondera ibi cyane cyane.

Ni iki gitera indwara y'umutima?

Indwara nyinshi z'umutima ziterwa no kuziba kw'imitsi y'amaraso itanga amaraso mu mutima. Impamvu nyamukuru ibitera ni ukwiyongera kw'ikintu gifata cyitwa `(Plaque)` mu mitsi. Ni nko gusuka amavuta mu gikoni no kuziba imiyoboro. Uku kwiyongera kw'imitsi byitwa `(Atherosclerosis). Iyo `(Plaque)` nyinshi zirundanyije mu mitsi y'amaraso y'umutima, iyo ndwara yitwa `(Indwara y'imitsi y'amaraso ya Coronary)`.

Hari igihe, ibi bisigazwa by’amaraso mu mitsi y’umutima bishobora gucika. Hanyuma amaraso ashobora gucika aho yacitse. Iyo imitsi ifunze burundu n’iyo mitsi, imitsi y’umutima ibura amaraso maze umutima ugatera indwara.

Ese hari impamvu zidasanzwe?

Yego, hari igihe indwara y'umutima ibaho nta `(Plaque)` ituritse, ariko ni gake cyane, ingana na 5% by'indwara z'umutima zose. Zimwe mu mpamvu zibitera ni izi:

• Guturika gutunguranye kw'imitsi y'umutima (`(Coronary Artery Spasm)`)
• Indwara zidasanzwe zitera imiyoboro y'amaraso kugabanuka ku buryo budasanzwe
• Gucika kw'imitsi y'umutima bitewe n'impanuka
• Kuziba kw'ahantu runaka mu mubiri, urugero nk'amaraso apfunditse cyangwa umwuka ufunguye (`(Embolism)`) mu mitsi y'umutima
• Indwara zo kurya zishobora kwangiza umutima uko igihe kigenda gihita ndetse zikanatera indwara y'umutima.
• Imiterere idasanzwe y'imitsi y'umutima ivuka (`(Imitsi y'umutima idasanzwe)`)
• Izindi ndwara aho umutima udahabwa amaraso ahagije (urugero: umuvuduko w'amaraso uri hasi cyane, umwuka wa ogisijeni uri hasi, umuvuduko w'umutima utera cyane igihe kirekire)

Ibintu bishobora gutuma umuntu agira ibyago byo kurwara indwara y'umutima

Hari ibintu byinshi by'ingenzi bigira ingaruka ku byago byo kurwara indwara y'umutima. Ikibabaje ni uko bimwe muri ibyo ari ibintu tudashobora guhindura.

• Imyaka n'igitsina: Ibyago byo kurwara indwara y'umutima biriyongera uko ugenda ukura. Ku bagabo, ibyago biriyongera nyuma y'imyaka 45, naho ku bagore, ibyago biriyongera nyuma y'imyaka 50 cyangwa nyuma yo gucura.
• Amateka y'indwara y'umutima mu muryango: Niba umwe mu babyeyi bawe cyangwa abavandimwe bawe barwaye indwara y'umutima cyangwa indwara y'umutima, cyane cyane bakiri bato, uba uri mu kaga gakomeye kuko uturemangingo twawe gisa n'itwabo.
• Ubuzima: Ingeso z'ubuzima zangiza umutima nazo zongera ibyago byo kurwara indwara z'umutima. Ingero: kunywa itabi, kurya indyo irimo ibinure byinshi, kudakora imyitozo ngororamubiri, kunywa inzoga nyinshi no gukoresha ibiyobyabwenge.
• Hari indwara zimwe na zimwe: Hari indwara zishyira umutima mu kaga kandi zikongera ibyago byo kurwara indwara z'umutima. Izi zirimo:
• Diyabete (`(Diabete Mellitus)`)
• Umubyibuho ukabije
• Umuvuduko ukabije w'amaraso (`(Umuvuduko ukabije w'amaraso)`)
• Kolesteroli nyinshi (`(Hypercholesterolemia)`)
• Indwara zo kurya
• Kugira amateka y'umuvuduko ukabije w'amaraso mu gihe cyo gutwita (`(Preeclampsia)`).

Ingorane zishobora kubaho nyuma yo kurwara indwara y'umutima

Ingorane zitandukanye zishobora kubaho nyuma yo kurwara indwara y'umutima. Izi zirimo:

• Imivuduko idasanzwe y'umutima (`(Arrhythmias)`)
• Umutima unanirwa
• Ibibazo by'imitsi y'umutima
• Igisebe cy'imitsi
• Gufatwa n'umutima mu buryo butunguranye (`(Gufatwa n'umutima mu buryo butunguranye)`)
• Ihungabana n'imihangayiko
• Ihungabana ry'umutima
• Ingorane zishobora kubaho iyo kuvurwa indwara y'umutima bitinze (urugero: Ventricular Septal Defect - umwobo uri hagati y'ibyumba, urukuta rw'umutima rwacitse).

Namenya nte neza ko mfite indwara y'umutima? (Isuzuma)

Ubusanzwe indwara y'umutima ivurwa mu cyumba cy'ubutabazi bw'ibanze mu bitaro. Iyo ufite ibimenyetso by'indwara y'umutima, muganga azagusuzuma . Bazasuzuma umuvuduko w'amaraso yawe, urugero rwa ogisijeni mu maraso, n'umuvuduko w'amaraso, batege amatwi umutima wawe n'ibihaha, kandi bakubaze ibimenyetso byose wagize.

Ni ibihe bizamini bikorwa kuri ibi?

Umuganga akoresha ibi bizamini kugira ngo amenye indwara y'umutima:

• Ibipimo by'amaraso: Uburyo bwizewe bwo gusuzuma indwara y'umutima ni ukureba mu maraso ikinyabutabire cyitwa ``Cardiac Troponin``. Iki kinyabutabire cyirundanya mu maraso uko uturemangingo tw'imitsi y'umutima twangiritse mu gihe cy'indwara y'umutima.
• Electrocardiogram (EKG cyangwa ECG): Iki ni cyo kizamini cya mbere gikorwa iyo ugeze mu cyumba cy’ubutabazi bw’ibanze. Gishobora kumenya ibyangiritse ku bimenyetso by’amashanyarazi by’umutima ndetse n’umutima utera nabi.
• Echocardiogram: Iyi ultrasound ikoresha imiraba mu gufata amashusho y'imbere n'inyuma y'umutima. Ishobora kugenzura uko umutima utera neza ndetse no kureba niba valves zikora neza.
• Angiogramu y'umutima: Iyi ikoresha X-rays n'irangi ryihariye kugira ngo harebwe imitsi y'amaraso mu mutima kandi hamenyekane niba hari ibiziba.
• Isuzuma rya "Heart Computed Tomography" (CT): Iri suzuma rirambuye ry'umutima n'imitsi ijyana amaraso kugira ngo harebwe niba imitsi migari y'umutima ifunganye cyangwa ikomeje gukomera.
• Ishusho ya MRI y'umutima (Magnetic Resonance Imaging): Iyi shusho ikoresha imbaraga zikomeye za rukuruzi n'ikoranabuhanga rya mudasobwa kugira ngo igaragaze ishusho y'umutima. Igaragaza niba hari ibibazo bijyanye n'urujya n'uruza rw'amaraso mu mitsi itanga amaraso mu mutima.
• Ikizamini cy'Imihangayiko mu Mikorere y'Imyitozo ngororamubiri: Mu gihe ukora imyitozo ngororamubiri, uzakorerwa isuzuma rya ECG, echocardiogram, cyangwa isuzuma rya nuclear kugira ngo harebwe niba umutima wawe urimo kubona amaraso ahagije.
• Gupima Umutima mu Nkubi y'Ingufu: Ibi bikubiyemo gutera ibintu bifite imirasire mu maraso no gukoresha ikoranabuhanga rya mudasobwa (nk'imashini ya CT scan) kugira ngo hamenyekane aho amaraso adatembera neza cyangwa aho umutima wangiritse. Ibi bishobora kuba gupima SPECT cyangwa gupima PET scan.

Uvura ute indwara y'umutima?

Kuvura indwara y'umutima bivuze gusubiza amaraso mu mitsi y'umutima yangiritse vuba bishoboka . Ibi bishobora gukorwa mu buryo butandukanye, kuva ku gutanga imiti kugeza kubaga. Akenshi, uburyo bwinshi muri ubu bukoreshwa hamwe.

Gutanga ogisijeni

Abantu bafite ikibazo cyo guhumeka nabi kandi bafite umwuka muke mu maraso bahabwa umwuka w’inyongera hamwe n’ubundi buryo bwo kuvura. Ibi bishobora gutangwa binyuze mu muyoboro uri munsi y’izuru cyangwa binyuze mu gapfukamunwa gapfuka amazuru n’umunwa. Ibi byongera ingano ya ogisijeni mu maraso kandi bikagabanya umuvuduko ku mutima.

Imiti

Ibi bishobora kuba bikubiyemo ibi bikurikira:

• Imiti igabanya amaraso: Aspirine n'indi miti igabanya amaraso.
• Nitroglycerin: Uyu muti ugabanya ububabare mu gituza kandi ukagura imiyoboro y'amaraso, bigatuma amaraso atembera mu buryo bworoshye.
• Imiti igabanya ubukana bw'umutima: Iyi itangwa gusa mu masaha 12 ya mbere nyuma yo gurwara indwara y'umutima.
• Imiti igabanya ubukana bw'umutima: Indwara y'umutima ishobora gutera umutima utera ubudasa (arrhythmias), bishobora gushyira ubuzima mu kaga. Iyi miti ishobora guhagarika cyangwa gukumira ibyo bidasanzwe.
• Imiti igabanya ububabare: Imiti igabanya ububabare ikunze gutangwa mu gihe cy'indwara y'umutima ni `(Morphine).` Ibi bishobora kugabanya ububabare bwo mu gituza.
• `(Beta-blockers)`:Iyi miti igabanya umuvuduko w'umutima kandi igafasha umutima gukira ibyangiritse bitewe n'indwara y'umutima.
• Imiti igabanya umuvuduko w'amaraso: Iyi miti igabanya umuvuduko w'amaraso kandi igafasha umutima gukira ibyangiritse bitewe n'indwara y'umutima.
• Statines: Iyi miti ituma imitsi y'umutima ihagarara neza, ikagabanya ibyago byo guturika kwayo. Inafasha kandi kugabanya cholesterol no kugabanya ibyago byo kongera gutera indwara y'umutima.

Uburyo bwo kuvura indwara ya Percutaneous Coronary Intervention (PCI) cyangwa Angioplasty

Abaganga bagarura amaraso mu mitsi y'umutima yangiritse binyuze mu buryo bwitwa Percutaneous Coronary Intervention (PCI) cyangwa Angioplasty.

Gufungura umutsi w'amaraso ukoresheje catheter ni ingenzi mu gusubiza amaraso mu mugongo. Uko bikozwe vuba, ni ko umusaruro uba mwiza. Abaganga bakoresha igipimo cyitwa "igihe cyo kuvura indwara y'umutima" kugira ngo bapime ubushobozi bwabo bwo kuvura indwara y'umutima. Iki ni cyo gihe gisanzwe gikoreshwa kugira ngo upime PCI nyuma yo kugera mu cyumba cy'ubutabazi bw'ibanze. Niba ufite PCI, muganga wawe ashobora gushyira stent, imiterere mito isa n'iy'imitsi, mu gace karimo kuziba. Stent ifasha imitsi kuguma ifunguye kugira ngo idakomeza kuziba.

Gushyira ku murongo imitsi y'umutima (CABG)

Gushyira imitsi y'umutima mu mitsi (CABG) bikorwa ku bantu bafite imbogamizi zikomeye mu mitsi y'umutima. Ibi bikunze kwitwa kubaga umutima ufunguye cyangwa kubaga bypass.

Ibi bikubiyemo gufata umutsi w'amaraso mu kindi gice cy'umubiri (akenshi uva mu gituza, mu kuboko, cyangwa mu kuguru) no gushyiraho inzira nshya amaraso ashobora kunyuramo umutsi wafunzwe. Ibi bijyana amaraso mu mitsi y'umutima.

Ese hari ingaruka mbi zikomoka ku buvuzi?

Ingaruka mbi zo kuvurwa ziratandukanye bitewe n'uburyo bwo kuvura. Zishobora kuba zirimo:

• Isesemi no kuruka
• Intege nke
• Kuzungera
• Kuva amaraso
• Indwara zandurira mu mubiri
• Kwangirika k'umuyoboro w'amaraso
• Umutima utari umeze neza (`(Arrhythmia)`)
• Ibibazo by'impyiko
• Igisebe cy'imitsi

Nzumva meze neza nyuma y'igihe kingana iki?

Ubusanzwe, ibimenyetso by'indwara z'umutima bigomba kwiyongera uko ugenda uvurwa. Ushobora kumva ufite intege nke kandi unaniwe mu gihe uri mu bitaro no mu minsi mike. Muganga wawe azaguha inama z'uko waruhuka, imiti wafata, n'ibindi byinshi.

Igihe cyo gukira nyuma yo kuvurwa kiratandukana bitewe n'uburyo bwo kuvurwa. Igihe cy'indwara y'umutima isanzwe imara mu bitaro ni iminsi ine kugeza kuri itanu.

• Iyo ufashe imiti gusa: Ubusanzwe ugomba kumara iminsi itandatu mu bitaro.
• Niba ufite PCI: Gukira ukoresheje PCI biroroshye kuruta kubagwa kuko ari igikorwa kidatera indwara nyinshi. Ubusanzwe ugomba kumara iminsi ine mu bitaro.
• Niba ukora `(CABG)`:Kubagwa umutima bifata igihe kirekire kugira ngo bikire, kuko ari igikorwa gikomeye. Ubusanzwe ugomba kumara iminsi umunani kugeza kuri cumi n'ibiri mu bitaro.

Ese indwara y'umutima ishobora kwirindwa? Ingaruka zayo zagabanuka gute?

Muri rusange, hari ibintu byinshi ushobora gukora kugira ngo wirinde indwara y'umutima. Ariko, hari ibintu bimwe na bimwe udashobora guhindura (cyane cyane amateka y'umuryango wawe), bityo indwara y'umutima ishobora kubaho uko wagerageza kose. Ariko, kugabanya ibyago byawe bishobora gutinda indwara y'umutima no kugabanya ubukana bwayo mu gihe ibaye.

Ushobora gukora ibi kugira ngo ugabanye ibyago byawe:

• Suzuma kwa muganga: Shaka muganga w’umuryango (Umuganga w’ibanze - PCP) kugira ngo agusuzumishe nibura rimwe mu mwaka. Ibi bishobora gutuma ubona ibimenyetso byinshi by’indwara z’umutima (nk’umuvuduko w’amaraso, isukari, n’urugero rwa cholesterol ushobora kuba utazi).
• Kureka ibikomoka ku itabi: Ibi birimo kunywa itabi, itabi ridafite umwotsi, n'ibindi bikomoka ku kunywa itabi.
• Imyitozo ngororamubiri buri gihe: Gerageza gukora imyitozo ngororamubiri ku buryo buringaniye mu gihe cy'iminota 30 ku munsi, iminsi itanu mu cyumweru.
• Kurya indyo yuzuye intungamubiri: Urugero, indyo yo mu nyanja ya Mediterane cyangwa DASH. Ni byiza cyane kurya ibikomoka ku bimera aho kurya inyama zatunganyijwe n'ibiribwa birimo ibinure byinshi.
• Komeza kugira ibiro byiza: Baza muganga wawe ku buremere bwiza kandi umusabe ubufasha bwo kubigeraho.
• Genzura indwara zose usanzwe ufite: ibintu nka cholesterol nyinshi, umuvuduko ukabije w'amaraso, na diyabete.
• Gabanya stress: Gerageza ibintu nka yoga, imyitozo ngororamubiri yo guhumeka cyane, no gutekereza cyane.
• Fata imiti yawe uko wabitegetswe: Ntugafate imiti yawe igihe wibuka gusa cyangwa igihe ugiye kubonana na muganga wawe.
• Jya kwa muganga wese: Gusura muganga buri gihe bishobora gufasha kumenya ibibazo by'umutima cyangwa izindi ndwara ushobora kuba utari uzi.

Kwita ku buzima bwawe ntibivuze ko ugomba guhindura ubuzima bwawe wenyine. Baza muganga w'umuryango wawe n'andi matsinda y'ubuvuzi kugira ngo bagufashe. Bashobora kuguha amakuru n'ibikoresho ukeneye.

Niba waramaze kugira indwara y'umutima, muganga wawe ashobora kukugira inama yo kuvura indwara y'umutima . Intego y'iyi gahunda ni ukugabanya ibyago byo kurwara indwara y'umutima ya kabiri. Izi gahunda, zigenzurwa na muganga, zitanga ubujyanama kandi zikibanda ku ngeso nziza z'ubuzima twavuze haruguru.

Ni iki wakwitega mu gihe ugize ikibazo cy'umutima?

Uburyo bwo kuvura indwara y'umutima ntiburangira iyo uvuye mu bitaro. Kubera ko uri mu kaga ko kongera kurwara indwara y'umutima, ni ngombwa gukomeza gufata imiti wahawe no guhindura gahunda zawe za buri munsi.ngomba.

Ni ryari ibikorwa bisanzwe bizashobora kongera gukora?

Gukira indwara y'umutima nyuma yo kuva mu bitaro biterwa n'ibintu nk'uburemere bw'indwara y'umutima, uburyo ubuvuzi bwatangiye vuba, uburyo bwakiriwe, ndetse niba hari indwara warwaye mbere y'uko urwara indwara y'umutima.

Muganga wawe ashobora gusobanura intambwe zikurikira mu gukira kwawe n'icyo wakwitega. Muri rusange, abantu benshi bashobora gusubira ku kazi cyangwa bagasubira mu mirimo isanzwe mu byumweru bibiri cyangwa amezi atatu nyuma yo kurwara indwara y'umutima. Gusubiza umutima mu buryo burambye bifasha abantu gusubira buhoro buhoro kandi mu mutekano ku rwego rwabo rwa mbere rw'imyitozo ngororamubiri.

Ubuzima bw'umuntu wagize indwara y'umutima bumeze bute? (Outlook)

Abantu benshi muri iki gihe barokoka indwara y'umutima. Ariko, ibintu bishobora kuba bibi kurushaho kuri aba bantu:

• Abantu barengeje imyaka 65
• Abantu bafite ikibazo cy'umutima
• Abantu barwaye diyabete
• Abantu bigeze kugira indwara y'umutima mbere

Aba bantu bashobora kuba bafite ibyago byinshi byo kongera kurwara indwara y'umutima cyangwa gupfa mu mezi atandatu ari imbere. Muri ibyo bihe, abaganga bakora cyane kugira ngo bagenzure ibintu bishobora kubatera ibyago.

Ku bagore, abagore bataragera mu gihe cyo gucura bari munsi y'imyaka 45 bagira umusaruro mwiza kurusha abagabo bari mu kigero kimwe. Abahanga mu bya siyansi bemeza ko ibi biterwa n'imiterere y'umusemburo wa estrogen urinda umutima. Ariko, nyuma yo gucura, iyo uburinzi butangwa na estrogen bubuze, abagore baba bamerewe nabi kurusha abagabo. By'umwihariko:

• Abagore bafite indwara y'umutima bari hagati y'imyaka 45 na 65 bafite amahirwe menshi yo gupfa mu mwaka umwe nyuma y'uko bibaye kurusha abagabo bari mu kigero kimwe.
• Abagore barengeje imyaka 65 bafite amahirwe menshi yo gupfa mu byumweru bike nyuma yo kugira indwara y'umutima, bityo abagore bagomba kwitondera cyane ubuzima bw'umutima wabo.

Niyitaho nte? (Kwiyitaho nyuma yo kurwara indwara y'umutima)

Nyuma yo kurwara indwara y'umutima, ushobora gukenera gukomeza gufata imwe mu miti wahawe nk'ubuvuzi bwihutirwa. Muri yo harimo:

• `(Beta-blockers)`
• `(Ibibuza ACE)`
• Asipirine n'indi miti igabanya amaraso
• `(Statines)`

Ni ryari ngomba kubonana na muganga? (Ni ryari ngomba kubonana na muganga - gukurikirana)

Iyo umaze kugira indwara y'umutima, ibyago byo kurwara indi ndwara biriyongera. Muganga wawe azakugira inama yo gukurikirana ibizamini n'imiti kugira ngo wirinde indwara z'umutima mu gihe kizaza. Bimwe muri ibyo birimo:

• Gupima umutima: Kimwe n'uburyo bukoreshwa mu gusuzuma indwara y'umutima, ubu buryo bushobora gusuzuma ingaruka z'indwara y'umutima wawe no kureba niba hari icyangiritse burundu ku mutima wawe. Bushobora kandi gusuzuma ibibazo byose ku mutima wawe no ku miyoboro y'amaraso bishobora kongera ibyago byo kurwara indwara y'umutima mu gihe kizaza.
• `(Ikizamini cy'Umuhangayiko)`:Ibi bizamini by'umutima n'ibipimo byo gupima, bikorwa mu gihe ukora imyitozo ngororamubiri, bishobora kugaragaza ibibazo bigaragara gusa iyo umutima ufite stress.
• Kuvugurura umutima: Izi gahunda zifasha kunoza ubuzima bwawe muri rusange n'imibereho yawe, bishobora gufasha kwirinda ikindi kibazo cy'umutima.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Niba ufite kimwe mu bimenyetso by'indwara y'umutima bivugwa muri iyi nkuru kandi ukaba ubona ko ufite indwara y'umutima, hamagara nimero y'ubutabazi yo mu gace utuyemo (1990 muri Sri Lanka) ako kanya. Mu gihe utegereje ubufasha, baza niba ukeneye gufata aspirine cyangwa undi muti. Ntugatinde guhamagara. Buri munota ubarwa mu gihe cy'indwara y'umutima.

Kuki ugomba guhamagara 1990 aho kujya kwa muganga wenyine?

Niba ufite ibimenyetso by'indwara y'umutima, ni byiza guhamagara 911 cyangwa serivisi yihutirwa. Hari impamvu nyinshi zibitera:

• Abagana ibitaro ba mbere bashobora gukora bimwe mu bipimo bya mbere no kuvura indwara y'umutima mu nzira igana kwa muganga. Ibi bifasha mu kwihutisha gusuzuma no kuvura indwara muri rusange.
• Iyo ugeze kwa muganga ukoresheje imbangukiragutabara, ubusanzwe uzahita ubona ubuvuzi . Buri segonda ribarwa mu gihe cy'indwara y'umutima.
• Indwara y'umutima ishobora gutuma umutima wawe utera nabi cyangwa igahagarara burundu. Kimwe muri ibi gishobora gutuma ucika intege. Iyo ibyo bibaye uri muri ambulance, abashinzwe ubutabazi bw'ibanze bashobora guhita bagufasha no kugutuza. Nanone, ntugomba guhangayikishwa no gucika intege uri mu modoka bigatuma impanuka ikomeye igera kuri wowe cyangwa abandi.

Imitsi ifunganye isaba kuvurwa byihutirwa kugira ngo wirinde kwangirika burundu k'umutima. Niba ibimenyetso byawe bidakomeye, ushobora gutekereza ko udafite indwara y'umutima. Ariko ibimenyetso bishobora kuba byoroheje, bityo ni byiza kwisuzumisha kwa muganga. Guhamagara 911 cyangwa serivisi yihutirwa aho kujya kwa muganga wenyine cyangwa uri kumwe n'undi muntu bishobora kugufasha kurokora ubuzima kurusha uko ubyibwira. Kuzigama igihe bivuze kuzigama imitsi y'umutima, bivuze ko ushobora kugira umusaruro mwiza.

Ni ibihe bibazo ngomba kubaza muganga?

Ibibazo bimwe na bimwe ushobora kubaza muganga wawe ni ibi bikurikira:

• Ni ibihe bikorwa by'umutekano ngomba gukora nyuma yo kurwara indwara y'umutima?
• Ni ibihe bintu by'ingenzi nshobora gukora kugira ngo ngire ubundi burwayi bw'umutima?
• Ni kangahe nkwiye kuza kugusura?
• Ese abandi bo mu muryango wanjye nabo bagomba gupimwa umutima?

Incamake (Ubutumwa bwo kujyana mu rugo)

Nubwo indwara y'umutima ari ikintu gikomeye cyane, ni ngombwa cyane kumenya amakuru ahagije kuri cyo, gufata ingamba vuba ibimenyetso bikigaragara, no kuvurwa neza.Nanone, mu kumenya ibintu bishobora gutera indwara no kubaho ubuzima bwiza, ushobora kugabanya cyane ibyago byo kurwara indwara y'umutima.

Wibuke ko niba wowe cyangwa umuntu uzi afite ibimenyetso by'indwara y'umutima, hamagara 1990 vuba. Bishobora kurokora ubuzima!

Wite ku buzima bw'umutima wawe. Kuko umutima muzima ari wo mufunguzo w'ubuzima bwiza!

Indwara z'umutima , indwara z'umutima, indwara z'umutima, ububabare mu gituza, indwara z'umutima, ubuzima bw'umutima, ubuvuzi bwihutirwa