Tekereza ko umaze iminsi myinshi urwaye umuriro, ukumva unaniwe cyane, kandi ukumva nta buzima ufite... Ubusanzwe dutekereza ko iyi ishobora kuba ari umuriro uterwa na virusi. Ariko rimwe na rimwe, inyuma y'ibimenyetso nk'ibi, hashobora kuba hari inkuru ikomeye cyane ihishe. Ni ukuvuga ubwandu bukomeye bugira ingaruka ku mutima ubwawo. Uyu munsi, tugiye kuvuga ku ndwara ikomeye kandi ishobora gushyira ubuzima mu kaga nka 'Infectious Endocarditis' n'igihe isaba kubagwa. Nubwo iyi ngingo igoye gato, ndayigusobanurira mu buryo bworoshye cyane, kugira ngo ubyumve.
Mu magambo make, indwara yandurira mu mutima ni iki?
Iri zina riteye ubwoba gato, si byo se? Ariko reka tubikomeze. Amaraso yacu anyura mu mibiri yacu yose mu mitsi yacu. Hari igihe mikorobe nka bagiteri cyangwa ibihumyo zishobora kwinjira muri uru rwego rw'amaraso. Ubusanzwe, ubudahangarwa bw'umubiri wacu burazirwanya bukazirimbura.
Ariko rimwe na rimwe izi mikorobe, zinyura mu maraso, zigera ku miyoboro y'umutima, aho zifata zikanashinga imizi, bigatera ubwandu bukomeye. Ibyo ni byo twita "Infectious Endocarditis".
Tekereza ku miyoboro iri mu mitima yacu nk'amarembo. Igomba gukingurwa no gufungwa neza kugira ngo amaraso ashobore gutembera mu cyerekezo kimwe gusa. Imiyoboro y'umutima myiza iraryoshye cyane, bityo mikorobe ntishobora kuyifata byoroshye. Ariko iyo imiyoboro y'umutima w'umuntu ifite intege nke kuva akivuka cyangwa yangiritse n'indi ndwara, ubuso bwayo buba bugoye. Nk'urukuta rushaje. Utwo duce duto dushobora gufata mikorobe mu maraso.
Udukoko dushobora kwinjira mu mibiri yacu mu gihe cyo kubagwa amenyo bisanzwe, nko gukuramo amenyo, kubagwa amenyo, no kubagwa mu buryo bwa endoscope. Nubwo ibi bishobora kuba atari ikibazo gikomeye ku muntu muzima, bishobora guteza akaga ku muntu ufite ibibazo by’imitsi y’umutima.
Ni gute iki kibazo bigira ingaruka ku buzima bwawe?
Iyo umugera w’amaraso ugeze mu muyoboro w’umutima, ntuguma aho gusa. Udukoko twigabanya, tugwira, kandi tugakora amatsinda manini. Mu buvuzi, ibi tubyita ibihingwa by’udukoko.
Ibi `(ibimera)` bikora akazi gateye akaga cyane.
1. Kwangirika kwa valve: Izi bagiteri zirekura imiti isa na enzymes zikoreshwa mu gusya ibiryo. Izi bagiteri zirakomeye cyane. Zirashonga buhoro buhoro zikarya ingingo zoroshye z'umutima. Hanyuma valve ntifunga neza, bivuze ko itangira kuva. Ibi tubyita valvular regurgitation.
2. Umutima Unanirwa: Iyo umugozi uva, umutima ugomba gukora cyane kurusha uko bisanzwe kugira ngo wohereze amaraso mu mubiri. Ni nko kuvoma amazi mu ndobo iva. Iyo ukoze munsi y'uyu mutwaro wiyongereye uko igihe kigenda gihita, umutima ushobora gucika intege ndetse amaherezo ukagira ikibazo cy'umutima.
3.Amaraso acika kandi agafunga: Hari igihe uduce duto twa mikorobe zitwa ibimera ducika tugakwirakwira mu mubiri wose hamwe n'amaraso. Iki gice cyacitse tucyita embolus. Ibi bimeze nk'agace k'umuyoboro kava mu ruzi kakareremba mu mazi. Iyo iki gice cy'amaraso gicitse kigafata umuyoboro w'amaraso mu bwonko, gishobora gutera indwara yo mu bwonko. Iyo gifashe umuyoboro w'amaraso mu bihaha, gishobora gutera indwara ikomeye yitwa embolisme y'ibihaha. Nanone, umuyoboro w'amaraso ujya mu gihimba kiri mu nda cyangwa ku kuboko cyangwa ku kuguru ushobora kuziba, bigatuma icyo gice kibura amaraso (ischemia).
Ese urumva ukuntu iki kibazo gikomeye? Niyo mpamvu ari ngombwa cyane kubimenya.
Ivurwa ite? Ese kubagwa ni ngombwa?
Uburyo bwo kuvura buterwa n'ubwoko bw'umugera wateye ubwandu n'uburyo indwara ikomeye.
- Antibiyotike: Iyo indwara igaragaye hakiri kare, hari aho ubwandu bushobora gukira burundu hakoreshejwe antibiyotike zikomeye zitangwa mu mitsi mu gihe cy'ibyumweru byinshi.
- Kubagwa: Ariko, niba ufite ibimera ku mugozi w'umutima wawe, niba umugozi wangiritse cyane, cyangwa niba ufite umugozi w'inyongera washyizweho mbere, imiti yica udukoko yonyine ishobora kuba idahagije. Muri ibyo bihe, kubagwa bishobora kuba ngombwa.
Kubagwa bigomba gukorwa nyuma y'igihe kingana iki?
Igihe cyo kubagwa giterwa n'uburemere bw'indwara yawe. Hari abarwayi bashobora gukenera kubagwa mu minsi mike nyuma yo kumenyekana. Ubu ni ukubagwa byihutirwa. Reka turebe imbonerahamwe iri hepfo kugira ngo turebe igihe kubagwa byihutirwa bikenewe.
| Impamvu zishobora gutuma kubagwa byihutirwa biba ngombwa | Ibisobanuro byoroshye |
|---|---|
| Ukwirema kw'ibibyimba hafi y'agace k'imashini | Ubwandu bwarakwirakwiriye kuva kuri valve ijya hanze, kandi amashyira yarakusanyije. Ibi ni bibi cyane. |
| Kuba hari ibimera binini | Hari ibyago byinshi cyane byo gucika kw'ibi bice no gufatirwa ahantu nk'ubwonko. |
| Umutima unanirwa | Kwangirika kwa valve byatumye umutima ucika intege. Iyo kubagwa bidakozwe vuba, bishyira ubuzima mu kaga. |
| Guturika kwa chordae ya valve | Ibice byoroshye bifata umugozi bifunga umugozi biracika bitewe n’ubwandu, ibyo byongera ibyago byo kuvamo umugozi. |
| Udukoko tugoranye kuvura | Hari ubwoko bumwe na bumwe bw'ibihumyo cyangwa bagiteri bigorana kubigenzura ukoresheje imiti yica udukoko, bityo agace kanduye kagomba gucibwamo no gukurwaho. |
Ese hari igihe kubagwa bitinda?
Yego, hari igihe abaganga bafata icyemezo cyo gutinza kubagwa gato. Hari impamvu ebyiri z'ingenzi zibitera.
1. Ingorane ziterwa n'ubwonko: Niba igice cy'umugera cyacitse kigafunga umuyoboro w'amaraso mu bwonko (stroke ischemic) cyangwa niba hari kuva amaraso mu bwonko (kuva amaraso mu bwonko), ni ikibazo cyo kubaga umutima ako kanya. Ibi biterwa nuko imiti yo kugabanya amaraso itangwa mu gihe cyo kubaga ishobora kongera kuva amaraso mu bwonko. Kubwibyo, kubaga bikorwa gusa ubwonko bumaze guhagarara neza.
2. Indwara ntabwo ari mbi cyane: Iyo ubwandu budakabije kandi ibyago byo kugira ibibazo bikaba bike, muganga abanza kuguha imiti yose ya antibiyotike. Hanyuma, ubwandu buzaba bushize burundu, kandi ushobora kujya kubagwa ufite umubiri usukuye. Bizaguha kandi umwanya uhagije wo gutegura kubagwa.
Ni gute abaganga bafata icyemezo niba nkeneye kubagwa?
Iki si icyemezo gifatwa n'umuganga umwe gusa. Inzobere mu by'umutima n'abaganga b'umutima barahurira hamwe bagafata iki cyemezo bashingiye ku mabwiriza mpuzamahanga. Bakora ibizamini byinshi kuri ibyo.
- Gupima amaraso: Kugira ngo hamenyekane neza bagiteri cyangwa fungus itera ubwandu.
- Isuzuma ry'umutima (Echocardiogram):Iyi ni scan y'umutima. Ireba imiyoboro y'umutima kandi irashobora kumenya neza niba hari ibimera, ubunini bwabyo, n'ingano y'ibyangiritse byakozwe kuri iyo miyoboro. Iyo miyoboro ikorerwa hejuru y'igituza yitwa transthoracic echocardiogram (TTE). Hari igihe, kugira ngo irebe neza, isuzuma rya transesophageal echocardiogram (TEE) rikorwa binyuze mu kanwa.
- Gupima CT: Iki kizamini gifasha kureba niba ubwandu bwarateye ingorane mu bindi bice by'umubiri.
Ni iki kibaho mu gihe cyo kubagwa?
Ubwoko bw'ukubagwa buterwa n'imiterere y'ibyangiritse ku mugozi w'umutima wawe. Umuganga ubaga ashobora gukora kimwe cyangwa byinshi muri ibi bikurikira:
- Gukuraho imyanda: Intambwe ya mbere ni ugusukura neza no gukuraho ingingo zose zanduye n'izapfuye.
- Gusana valve: Iyo ibyangiritse bitabaye byinshi cyane, hazageragezwa gusana valve isanzwe.
- Kubaka imvange: Hari igihe igice cy'imvange gikurwaho hanyuma agace k'urukiramende rukikije umutima (pericardium) kagaterwamo kugira ngo imvange yongere ivurwe.
- Gusimbuza valve: Iyo valvu yangiritse cyane ku buryo idashobora gusanwa, valve irakurwaho burundu hanyuma igashyirwamo valve y'ubukorano mu mwanya wayo.
Ni iki kibaho nyuma yo kubagwa? Ese hari ingaruka zishobora guterwa n'iki kibazo?
Nk’uko bigenda kubagwa gukomeye kose, ubu buvuzi bufite ingaruka zimwe na zimwe. Hari ingaruka nko kuva amaraso, umutima utera nabi (arrhythmia), kuzura amaraso, guhagarara kw’amaraso no kongera kwandura imvange nshya yatewe. Ariko niba muganga yafashe icyemezo cy’uko ukeneye kubagwa, bivuze ko inyungu zo kubagwa ari nyinshi cyane kuruta kutabikora.
Nyuma yo kubagwa, uzakenera kuguma mu cyumba cy’indembe (ICU) iminsi mike. Hanyuma uzahabwa ubuvuzi busanzwe. Uzakenera gufata imiti igabanya ubukana mu mitsi cyangwa mu buryo bw’ibinini mu gihe cy’ibyumweru byinshi kugira ngo uvaneho burundu udukoko twose dusigaye mu mubiri wawe. Uzakenera kandi kuruhuka bihagije nyuma yo gutaha. Ni ibisanzwe kumva unaniwe kandi ubabara. Bishobora gufata amezi menshi kugira ngo ukire neza.
Ni ryari nkwiye kubonana na muganga nyuma yo kubagwa?
Ugomba kwita ku mubiri wawe cyane nyuma yo gutaha. Ni ngombwa kumenya ingorane zose vuba bishoboka. Niba ubonye kimwe mu bimenyetso biri hepfo, ugomba guhita uhamagara muganga wawe .
| Ibimenyetso byo kwitondera | Icyo ibi bishobora gusobanura |
|---|---|
| Umuriro cyangwa ubukonje | Bishobora kuba ikimenyetso cy'uko wongeye kwandura. |
| Gutukura, kubyimba, ubushyuhe, cyangwa amabyi ava mu gikomere cyo kubagwa | Ikimenyetso cy'ubwandu bw'igikomere. |
| Kubabara mu gituza cyangwa kumva ubyibushye mu gituza | Bishobora kuba ikimenyetso cy'indwara yitwa pericardial effusion. |
| Kugorwa no guhumeka, kumva umutima wawe utera cyane | Hashobora kubaho ikibazo mu mikorere y'umutima. |
| Kuva amaraso ku buryo budasanzwe mu gikomere cyangwa kugaragara nk'aho wakomeretse cyane | Hashobora kuba hari ikibazo ku buryo amaraso agwa. |
Ubutumwa bwo kujyana mu rugo
- Indwara yandura yo mu mutima ni indwara ikomeye cyane iterwa na mikorobe zinjira mu miyoboro y'umutima.
- Iyo imiyoboro y'amaraso yangiritse, ibimera binini byaravutse, cyangwa umutima waracitse intege, kubagwa bishobora kuba ngombwa.
- Uku kubagwa gushobora kugenzura ubwandu no gukumira kwangirika gukomeye k'ubuzima.
- Uko indwara imenyekanye vuba kandi uko kubagwa bikozwe vuba, ni ko umusaruro uba mwiza.
- Ni ngombwa cyane ko gukira kwawe gukurikiza amabwiriza ya muganga wawe nyuma yo kubagwa no kumenya ibimenyetso byose bishobora gutera ibyago.
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