Reka twige ibijyanye no gusimbuza utwuma tw'umutima mu buryo bworoshye.

Ese muganga yakubwiye ko ufite ikibazo cy’umutima kandi ko uzakenera gusimburwa? Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo wumvise ikintu nk’iki. Ntibitangaje gutekereza uti "Ese, nzagomba kubagwa umutima wanjye?" Ariko mu by’ukuri, iki ni igikorwa kirimo gukorwa neza cyane ku isi no mu gihugu cyacu ubu, kandi bifasha kurokora ubuzima bwa benshi. Reka rero dushake ibisubizo by’ibibazo byose kuri iki kibazo uyu munsi. Reka tuvuge kuri iki gikorwa cyo kubaga mu buryo bworoshye, mu buryo ushobora kumva, sibyo?

Kuki ugomba gusimbuza umugozi w'umutima?

Mu magambo make, umutima wacu ni igice cy'inyama gitangaje. Ni nk'agasanduku gato gatuma amaraso yinjira mu mibiri yacu. Kugira ngo ukore aka kazi, hari ibice bine mu mutima bikora nk'inzugi enye. Utu tugari tw'umutima twita. Utu tugari dufunguka kandi tugafunga mu cyerekezo kimwe gusa, bityo amaraso ahora atembera mu cyerekezo kimwe.

Tekereza amazi yo mu rugo rwawe nk'umuyoboro. Iyo umuyoboro udafunze neza, amazi arava. Iyo udafungutse neza, amazi aratemba. Uko ni ko bigenda iyo utu tunyangingo turwaye.

• Stenose: Hari igihe valve idafunguka neza igacika intege, bigatuma umutima ukora cyane kugira ngo upompe amaraso.
• Gusohora kw'imitsi y'amaraso (Regurgitation): Hari igihe imitsi y'amaraso idafunga neza, amaraso agasubira inyuma. Hanyuma umutima ugakora cyane inshuro ebyiri.

Iyo iki kibazo kibaye gikomeye, ushobora kugira ibimenyetso nko kubabara mu gituza, guhumeka nabi no gucika intege . Icyo gihe abaganga bafata icyemezo cyo gukuraho valve irwaye kandi idakora neza bakayisimbuza nshya kandi ikora neza. Ibi byitwa gusimbuza valve y'umutima .

Ni ubuhe bwoko bwa valve nshya buriho?

Hari ubwoko bubiri bw'ingenzi bwa valves zisimbura, cyangwa valves z'inyongera. Zombi zifite ibyiza n'ibibi. Muganga wawe azagufasha guhitamo ubwoko bukubereye.

Ubu ushobora kuba wibaza uti "Ni iyihe nkwiye guhitamo?" Ntugahangayike. Muganga wawe azasuzuma ibintu byinshi, harimo imyaka yawe, ubuzima bwawe, ibyago byo gufata imiti igabanya amaraso, ndetse n'ubushobozi bwawe bwo kubagwa bundi bushya mu gihe kizaza , kandi azaganira nawe ku mugozi ukubereye. Iki ni icyemezo wowe na muganga wawe muzafatira hamwe.

Kubagwa bikorwa gute? Ni ubuhe buryo bukoreshwa?

Hari uburyo bubiri bw'ingenzi bwo gusimbuza umugozi w'umutima. Ubu buryo ni uburyo gakondo bwo kubaga bufunguye n'uburyo bugezweho bwo gukoresha catheter. Muganga wawe azaguhitiramo uburyo bwiza bitewe n'uburwayi bwawe.

Kubaga Umutima Ufunguye

Ubu ni bwo buryo busanzwe bukoreshwa igihe kirekire. Muri ubu buryo bwo kubaga, hakorwa icyuho hagati mu gituza, umutima ugahagarara, maze akazi k'umutima n'ibihaha kakimurwa by'agateganyo mu mashini ikoresha umutima n'ibihaha . Ingero z'ubu buvuzi bukorwa hakoreshejwe ubu buryo ni SAVR (Surgical Aortic Valve Replacement) .

Uburyo bwo gukoresha catheter

Ubu ni bwo buryo bukoreshwa cyane muri iki gihe, butagora umubiri cyane. Aha, hatabayeho gufungura igituza, hakorwa icyuho gito cyane ahantu nka mu kibuno, hagashyirwamo umuyoboro muto (catheter), hanyuma umunyururu mushya unyuzwa muri uwo muyoboro ukagera ku mutima ugashyirwamo.

Ingero z'uko kubaga byakozwe hakoreshejwe ubu buryo ni:TAVR (Transcatheter Aortic Valve Replacement) na TMVR (Transcatheter Mitral Valve Replacement) .

Muganga wawe azagusobanurira uburyo bwombi kandi amenye uburyo bwiza kandi bwizewe kurusha ubundi bwo kwivuza.

Witegura ute mbere yo kubagwa?

Ibitaro bizaguha amabwiriza umunsi umwe cyangwa ibiri mbere yuko ubagwa.

• Bazakubwira neza igihe cyo kureka kurya no kunywa mbere yo kubagwa.
• Bazakugira inama yo kugena niba ukwiye guhagarika gufata imiti usanzwe ufata (cyane cyane iya diyabete n'umuvuduko w'amaraso).
• Hashobora kubaho ibizamini byinshi bigomba gukorwa mbere yo kubagwa.
• Iyo ugeze mu bitaro, ambara imyenda yoroshye kandi yoroshye kwambara.
• Ni ngombwa kandi gutegura mbere y'igihe ko hari umuntu uzagutwara ku bitaro no kukuvayo.

Ni iki mu by'ukuri kibaho mu gihe cyo kubagwa?

Ubusanzwe kubagwa bifata isaha imwe kugeza kuri ine. Dore uko bigenda muri iki gihe, mu buryo bukurikira:

1. Anesthesia: Ubwa mbere, urasinzira burundu. Bityo ntuzumva ububabare ubwo aribwo bwose. Nta kintu na kimwe uzibuka.

2. Gukata: Bitewe n'ubwoko bw'ikibagwa kiri gukorwa, gukata mu gituza cyangwa mu kibuno ahantu hakwiye.

3. Imashini ikoresha umutima n'ibihaha: Mu kubaga abantu benshi, akazi k'umutima kimukira muri iyi mashini by'agateganyo. Ibi ntabwo ari ngombwa mu buryo bwa catheter.

4. Gusimbuza Valve: Muganga akuramo valve yitonze agasimbuza valve nshya cyangwa iy'ikoranabuhanga. Mu buryo bumwe na bumwe bugezweho, valve nshya ishyirwa muri valve ishaje.

5. Gufunga Incision: Nyuma yo kugenzura neza ko valve nshya ikora neza, incision izadodwa. Hanyuma uzajyanwa mu cyumba cy’ubuvuzi bw’inyongera (ICU).

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Nyuma yo kubagwa, uzabanza gushyirwa mu cyumba cy’ubuvuzi bw’inyongera (ICU). Aho niho abaganga n’abaforomo bazakurikiranira hafi indwara yawe. Umaze gukira gato, uzahabwa ubuvuzi busanzwe.

Igihe cyo gukira kiratandukanye bitewe n'umuntu, ariko akenshi bifata hagati y'ukwezi kumwe n'amezi atatu kugira ngo umuntu akire neza. Iyo kubagwa byakozwe hifashishijwe catheter, igihe cyo gukira gishobora kuba gito.

• Ushobora kumva unaniwe vuba mu byumweru bike bya mbere. Ibyo ni ibisanzwe.
• Muganga akugira inama yo kutagenda mu modoka mu gihe cy'ibyumweru bike.
• Uzagomba kwirinda gukora imirimo ivunanye nko guterura ibiremereye igihe gito.
• Ushobora gukenera kuruhuka ibyumweru bike cyangwa amezi make mbere yo gusubira ku kazi.
• Ushobora koherezwa muri gahunda yo kuvura indwara z'umutima , izagufasha kugarura imbaraga zawe.

Ni ryari ngomba guhamagara muganga?

Umaze gutaha, shyira umutima ku mubiri wawe. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya.

• Niba wumva ufite umuriro cyangwa ufite ibicurane
• Niba umutima wawe wumva utari mu buryo busanzwe
• Iyo igikomere cyo kubagwa cyabyimbye, gitukura, kibabaza, cyangwa kiva amashyira
• Ububabare, gutukura, cyangwa kubyimba mu kaguru ko hasi (iki gishobora kuba ikimenyetso cy'amaraso yapfunditse)
• Niba wiyongereye ibiro mu buryo butunguranye cyangwa amaguru cyangwa utubuto twawe tukabyimba.

Mu gihe utangiye ubuzima bwawe bushya ufite umuvuduko mushya, ushobora kugira amarangamutima atandukanye. Ni ibisanzwe kugira ubwoba, ibyishimo, no kuruhuka. Ariko ibuka ko utari wenyine. Ubu buryo bwo kubaga ubu bumaze kugira icyo bugeraho. Bitewe n'iterambere mu ikoranabuhanga, buri munsi buri gihe bugenda burushaho kuba bwiza. Itsinda ry'abaganga rizaguha ubuyobozi bwose ukeneye muri uru rugendo.