Ese nawe ufite umutima utera nabi? Reka tumenye byinshi ku buryo bwa Maze bwo kurwanya Atrial Fibrillation!

Ese wigeze wumva umutima wawe utera cyane kandi mu buryo budasanzwe? Iyi ndwara, wumva nk'aho hari ikintu kirimo guhindagurika mu gituza cyawe, mu buvuzi izwi nka Atrial Fibrillation. Iyo ibi bidashobora gukemurwa n'imiti, tuvuga uburyo bwo kuvura bugoye ariko bufite akamaro cyane bukoreshwa nk'igisubizo. Ubwo ni bwo buryo bwa Maze.

Iyi gahunda ya Maze ni iyihe?

Mu magambo make, ni nk'ikimenyetso cy'amabara. Ushobora kuba warakinnye n'amabara y ...

Ugutera k'umutima wacu kugenzurwa n'ibimenyetso by'amashanyarazi. Mu gihe cyo gutera kw'umutima mu buryo bwa "atrial fibrillation", ibimenyetso by'amashanyarazi mu byumba bibiri byo hejuru by'umutima, byitwa "atria", birahindagurika bigatangira kohereza ibimenyetso bitari byo. Hanyuma umutima utangira gutera mu buryo butunguranye.

Muri gahunda ya Maze, umuganga ubaga inkovu akora uduce tw’inkovu mu buryo bworoshye cyane kandi buteganyijwe mu gice cy’umutima. Iyi nkovu ikora nk'uruzitiro, ikabuza ibimenyetso by’amashanyarazi bitari byo kunyura mu mutima. Ariko, isigira inzira ibimenyetso bikwiye gusa bikenewe kugira ngo umutima utere neza. Nk’uko hari inzira imwe gusa ikwiye muri iyo maze. Ibi bituma umutima wongera gutera nk’uko bisanzwe.

Uburyo bubiri bukoreshwa mu gukora uru rugingo rw'inkovu:

• Kurambura: Guhagarika gukora kw'inyama hakoreshejwe ubukonje bukabije (gukonjesha).
• Kugabanya inshuro zikoreshwa mu gushyushya: Gushyushya ingingo hakoreshejwe ubushyuhe bwinshi (imiraba ya radiyo).

Ubu buryo bwo kubaga bushobora gukorwa nk'uburyo butandukanye, cyangwa bugakorwa icyarimwe n'uburyo bwo kubaga hakoreshejwe uburyo bwa bypass cyangwa uburyo bwo kubaga utwuma tw'umutima.

Kuki ubu buryo bwo gukora Maze buri gukorwa?

Ubu buryo bwo kubaga ntibwagenewe buri wese. Hari ibihe byinshi muganga wawe ashobora kukugira inama yo kuvura:

• Niba imiti yandikiwe ivura indwara ya atrial fibrillation idakora kuri wewe cyangwa ufite ingaruka mbi zikubuza kuyifata.
• Niba iyi ndwara yatumye amaraso acika mu mubiri wawe kandi hakabaho indwara zikomeye nka stroke .
• Niba urimo kubagwa umutima ukundi (urugero: bypass, gusimbuza valve) kandi ukaba ufite atrial fibrillation.
• Niba uburyo bwo kuvura bwabanje nka `(Catheter Ablation)` butaragenze neza.

Ni iki kibaho mbere no mu gihe cyo kubagwa?

Kubera ko iki ari igikorwa gikomeye cyo kubaga, uzasuzumwa witonze mbere yuko gitangira.

Uburyo bubiri bwo kubaga

Hari uburyo bubiri bw'ingenzi bwo kubaga. Itsinda ry'abaganga niryo rizahitamo uburyo bukubereye.

1. Kubaga mu buryo bw'ifungura (Uburyo bwa Sternotomi): Muri ubu buryo, kubaga bikorwa binyuze mu gukata igufwa rya santimetero 1.8 hagati mu igufwa ry'igituza.

2. Kubaga mu buryo budakoresha uburyo bwa "Thoracoscopic": Muri ubu buryo, aho gukata igice kinini mu gituza, hakorwa uduce duto twinshi hagati y'imbavu na kamera, hanyuma hagashyirwamo ibikoresho byoroshye. Igihe cyo gukira ni gito muri ubu buryo.

Gukuraho igice cy'ibumoso cy'atrial

Ikindi gice cy'ingenzi cyane muri ubu buryo bwo kubaga ni ugufunga cyangwa gukuraho igice gito cyitwa Left Atrial Appendage . Iki ni agafuka gato, gafite ishusho nk'iy'ugutwi gafatanye n'atrium y'ibumoso y'umutima.

90% by'amaraso afunganye atera indwara yo gucika kw'imitsi mu barwayi bafite ikibazo cyo kubura amaraso mu nda (atrial fibrillation) agaragara muri aka gafuka gato.Byaragaragaye ko. Kubera ko umutima udatera neza, amaraso arundanya muri ako gace maze agafunga. Iyo aka gatsinsino k'amaraso kacitse kakajya mu bwonko, habaho stroke. Rero, mu gihe cyo gukora Maze, aka gace gafungwa hakoreshejwe imisumari, udupira two gupfuka, cyangwa igikoresho cyihariye. Ibi bishobora kugabanya cyane ibyago byo kurwara stroke.

Ni iki kibaho nyuma yo kubagwa?

Nyuma yo kubagwa, uzaguma mu cyumba cy’indembe (ICU) kugira ngo ukurikiranwe mu gihe cy’umunsi umwe cyangwa ibiri, hanyuma wimurwe mu cyumba gisanzwe. Niba warabazwe gake cyane (thoracoscopic), uzabasha gutaha mu minsi 4. Niba warabazwe ku mugaragaro, uzaba uri mu bitaro mu gihe cy’icyumweru kimwe.

Uzakomeza gufata ubwoko butandukanye bw'imiti mu gihe cy'amezi menshi nyuma yo gutaha.

• Imiti igabanya amaraso (Anticoagulants): Uzakenera gufata imiti nka `Warfarin` cyangwa `Apixaban` byibuze amezi 3 kugira ngo wirinde kubyimba kw'amaraso. Nyuma y'ibyo, muganga wawe ni we uzagufatira umwanzuro niba ukeneye gukomeza kuyifata.
• Imiti igabanya umuvuduko w'umutima: Kugenzura gutera k'umutima mu buryo budasanzwe bishobora kubaho mu ntangiriro z'uko umutima ukira.
• Imikorobe: Igabanya amazi menshi mu mubiri.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Bifata igihe kingana iki kugira ngo ngire gukira kandi ni ryari ngomba kongera kubonana na muganga?

Subira mu bikorwa byawe bisanzwe nkuko bisanzwe.Bishobora gufata hagati y'ibyumweru 3 na 6. Niba kubagwa byakozwe hakoreshejwe uburyo budakoresha imiti myinshi, igihe cyo gukira kiba gito cyane.

Nyuma yo kubagwa, uzakenera kubonana na muganga ku gihe cyagenwe.

• Nyuma y'icyumweru kimwe avuye mu bitaro.
• Nyuma y'ukwezi kumwe avuye mu bitaro (inzobere mu by'umutima).
• Ibizamini bya ECG ku mezi 3, 6, na 12.
• Ikizamini cya `Holter Monitor` (igikoresho gikurikirana umutima w'amaraso mu gihe cy'amasaha 24) ku mezi 6 na 12.

Ni ngombwa kugira ngo ubuzima bwawe burusheho kuba bwiza kwitabira ibi bizamini byose n'inama.