Ese wigeze wumva umuganga avuga ati "Ndumva umutima urimo kurira" iyo agushyize mu gituza? Ushobora kuba warabyumvise ubwawe. Abantu benshi bagira ubwoba iyo bumvise iyi "mururumba." Ni ibisanzwe gutekereza uti "Ese hari ikibazo kiri mu mutima wanjye?" Ariko ntugire ubwoba. Uyu munsi, turaganira ku cyo Holosystolic Murmur ari cyo, impamvu kibaho, n'icyakorwa kuri cyo.
Mu magambo make, iyi Holosystolic Murmur ni iki?
Tekereza amazi atemba neza mu muyoboro w'amazi nta nkomyi. Hanyuma ntukumva urusaku. Ariko iyo hari akantu gato kafunganye cyangwa umwobo ahantu runaka mu muyoboro, iyo amazi atemba, atanga urusaku rudasanzwe nka 's...'. Uko ni ko bimeze.
Holosystolic Murmur si indwara. Ni ikimenyetso . Iyo muganga wawe yumvishije umutima wawe akoresheje stethoscope, ni ijwi ry'inyongera ryumvikana hiyongereyeho ijwi rya 'lub-dub' ry'umutima wawe utera, kuko amaraso adatemba neza. Mu by'ukuri, iri jwi ryumvikana buri gihe mu gihe umutima utera (systole) bityo rikaba ryitwa Holosystolic (yumvikanye mu gihe cyose umutima utera).
Igikomeye ni uko kuba hari uku gutontoma atari byo biteje akaga, ahubwo ni indwara itera iyo ndwara tugomba kuyishaka no kuyivura.
Muganga wawe ashobora kukubwira guha iri jwi inomero (kuva kuri 1 kugeza kuri 6). Ibi bikubwira gusa uburyo ijwi rirenga. Umubare munini ntibivuze ko ari bibi kurushaho. Hari igihe iyo muganga agushyize ikiganza ku gituza, iri jwi rikumva nk'aho ritunguwe. Rinatwa 'ibyishimo'.
Ni izihe mpamvu nyamukuru zitera uru rusaku?
Uzi ko umutima wacu ufite ibyumba bine. Hagati y'ibyo byumba hari ibintu nk'inzugi bifasha amaraso gutembera mu cyerekezo kimwe gusa. Tubyita 'valve'. Iyo izi valve zidafunze neza, amaraso atangira kuva. Ni bwo urusaku rwumvikana cyane.
| Impamvu nyamukuru | Bisobanuwe mu buryo bworoshye |
|---|---|
| Gusubira mu buzima bwa Mitral | Ibi bibaho iyo valve ya mitral iri ibumoso bw'umutima idafunze neza, bigatuma amaraso ava inyuma. Iyi valve ishobora kwangirika bitewe n'indwara nka rubagimpande. |
| Gusubira mu mubiri (Tricuspid Regurgitation) | Ibi bibaho iyo valve ya tricuspid iri iburyo bw'umutima idafunze neza, bigatuma amaraso ava inyuma. |
| Ubusembwa bw'imitsi yo mu miyoboro y'amaraso (VSD) | Uyu ni umwobo uri mu rukuta hagati y’ibyumba bibiri by’ingenzi (ventricles) biri hasi mu mutima. Iyi akenshi iba ari indwara ivukanwa. Havugirwa urusaku mu gihe amaraso atemba muri uyu mwobo. |
Bigenda bite kuri ibi?
Tekereza, ku muntu ufite Mitral Regurgitation, valve ya mitral ntifunga neza, bigatuma amaraso asubira mu cyerekezo yaturutse mu bihaha. Ibi byongera umuvuduko mu mitsi ihuza ibihaha, kandi mu bihe bikomeye, ibihaha bishobora kuzura amazi. Uko igihe kigenda gihita, ibi bishobora gutera umutima guhagarara neza.
Ivurwa ite?
Nkuko nabivuze mbere, ntabwo tuvura ikibazo cyo kurira, ahubwo tuvura indwara itera ikibazo . Muganga wawe azabanza akore ibizamini (urugero, echocardiogram , ariyo scan y'umutima) kugira ngo arebe icyabiteye.
- Iyo amaraso ava mu miyoboro y'amaraso (Regurgitation):
- Imiti: Imiti nka anticoagulants cyangwa diuretics ishobora gutangwa.
- Kubagwa: Niba imiti yonyine idahagije, kubagwa bishobora kuba ngombwa kugira ngo hakorwe valve yangiritse cyangwa hagasimbuzwa valve nshya rwose.
- Niba hari umwobo mu mutima (VSD):
- Imiti ishobora gutangwa kugira ngo igenzure ibimenyetso.
- Akenshi, kubagwa bikorwa kugira ngo iki cyobo kizibwe.
- Iyo valve igabanutse (Stenose):
- Hari igihe umuvuduko ushobora guterwa no kugabanuka k'umuvuduko w'amaraso. Muri ibyo bihe, hakoreshwa uburyo bwitwa Balloon Valvuloplasty . Umuvuduko w'amaraso unyura mu mitsi binyuze mu buryo bwitwa catheterization y'umutima hanyuma ukabyimba imbere mu muvuduko w'amaraso, bigatuma umuvuduko w'amaraso waguka.
Bite ho iyo ushyizemo valve nshya y'umutima?
Hari ubwoko bubiri bwa valve nshya.
| Ubwoko bwa valve | Icyo ugomba kumenya |
|---|---|
| Ubukanishi | Ibi bikozwe mu byuma na pulasitiki. Bimara igihe kirekire. Ariko ugomba gufata imiti igabanya amaraso mu buzima bwawe bwose. |
| Ikoreshwa mu buvuzi bw'umubiri (Bioprosthetics) | Ibi bikorwa mu nyama y'umutima w'ingurube cyangwa inka. Bimara imyaka 10-15. Ariko ntugomba gufata imiti igabanya amaraso mu buzima bwawe bwose. |
| Ibintu ugomba kuzirikana mugihe ushyiramo ubwoko bubiri bwa valves: | |
| |
Ni ibihe bimenyetso bisaba kubonana na muganga?
Hari abantu bagira ikibazo cyo kurira ariko nta bimenyetso bafite. Bashobora no kutamenya ko bagifite. Ariko kuri bamwe, impamvu nyamukuru ishobora gutera ibimenyetso bibabaza. Niba ubonye kimwe muri ibi bimenyetso, jya kwa muganga ako kanya.
- Guhumeka bigoranye
- Kubabara mu gituza cyangwa kumva ufunze
- Kumva umutima wawe urimo gutera cyane (gutera cyane)
- Guhumeka nabi (dyspnea)
- Kubyimba, cyane cyane mu maguru, ku tuguru no ku birenge
Iyo ugiye kwisuzumisha kwa muganga buri gihe, muganga wawe ashobora kubimenya hakiri kare. Ni byiza kumenya indwara iyo ari yo yose mbere yuko irushaho gukomera.
Ubutumwa bwo kujyana mu rugo
- Holosystolic Murmur si indwara, ni ikimenyetso gusa cy'uko hari ikibazo mu mutima wawe.
- Impamvu nyamukuru zibitera ni amaraso ava inyuma ava mu miyoboro y'umutima (regurgitation) cyangwa umwobo mu rukuta rw'umutima (VSD).
- Uburyo bwo kuvura si ubwo kuvuza induru, ahubwo ni ubwo kuvura indwara runaka itera iyo ndwara.
- Niba ufite ibimenyetso nko kugorwa no guhumeka, kubabara mu gatuza, cyangwa kubyimba amaguru, ntubyirengagize kandi uhite ubonana na muganga wawe .
- Gukorerwa ibizamini by’ubuvuzi ku gihe, indwara nk’izi zishobora kumenyekana hakiri kare kandi zikavurwa mbere yuko zikomera.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.