Reka twige gusa ibyerekeye Intra-Aortic Balloon Pump (IABP), igikoresho gitanga imbaraga z'inyongera ku mutima.

Hari igihe, bitewe n'indwara ikomeye y'umutima, kubagwa umutima, cyangwa indi ndwara ikomeye, umutima wacu ushobora gucika intege cyane. Kimwe n'umuntu unaniwe kubera gukora cyane, umutima ntushobora kompa amaraso ahagije ngo agere ku mubiri. Mu bihe bigoye nk'ibi, tugiye kuvuga ku gikoresho cyihariye gikoreshwa mu guha umutima ikiruhuko gito no kuwufasha. Iki cyitwa Intra-Aortic Balloon Pump, cyangwa IABP mu magambo ahinnye.

Mu magambo make, iyi IABP ni iki?

IABP ni igikoresho kirekire kandi gito cyo kwa muganga gifite ishusho nk'ibendera. Gishyirwa mu mitsi mikuru y'amaraso y'umubiri wacu kandi cyagenewe kubyimba no gusohora amaraso bitewe n'imikorere y'umutima. Tekereza, iyo umutima wawe ukora cyane kandi udashobora gupompa amaraso, iki kiraba gikora nk'"umufasha" muto uza kugufasha.

Iki kintu gikora gite? Biratangaje!

Biroroshye cyane kumva uko ibi bikora. Umutima wacu ufite imirimo ibiri y'ingenzi, sibyo? Imwe ni ugufunga (gukanda) no kohereza amaraso mu mubiri wose. Indi ni ukuruhuka (kwaguka) no kuzuza amaraso.

Ishusho ya IABP ifasha iyi gahunda neza cyane.

• Iyo umutima uruhutse kandi wuzuye amaraso: Ibara ry'umuhondo rirabyimba . Iyo ibi bibaye, amaraso menshi atembera mu mitsi y'umutima, itanga amaraso mu mutima. Ibi bivuze ko umutima ubona ogisijeni n'intungamubiri byinshi.
• Iyo umutima urimo kwikurura no kohereza amaraso mu mubiri: Imiyoboro y'amaraso irasohoka . Ibi bitera umwuka muke mu mitsi mikuru y'amaraso, bigabanya ubushobozi bw'umutima bwo kohereza amaraso. Ibi bivuze ko umutima ushobora kohereza amaraso mu buryo bworoshye utiriwe ukora cyane.

Iyi baluni igenzurwa neza na mudasobwa ifatanye nayo, igenzura umuvuduko w'umutima wawe kandi igahindura imikorere y'iyo baluni hakurikijwe uko imeze.

Ni ryari IABP ikenewe?

Umuganga yafashe icyemezo cyo gukoresha iki gikoresho mu bihe bikomeye aho umutima udashobora gukora wonyine. Reka turebe ibyo bibazo.

Ese hari abantu ubu buryo bw'ubuvuzi budakwiye?

Yego. Si buri wese ushobora gukora ubu buvuzi. Ntabwo bukoreshwa ku bantu bafite indwara zimwe na zimwe. Urugero:

• Aneurysm cyangwa Gucikamo ibice by'imiyoboro y'amaraso
• Gusubira kw'imitsi mu mutima ni igihe valve y'imitsi idafunga neza kandi amaraso agasubira inyuma.
• Sepsis idagenzurwa (ubwandu bukomeye budashobora gukemurwa)

Abaganga bazagusuzuma neza kugira ngo barebe niba ufite izi ndwara cyangwa udafite mbere yo gufata icyemezo cyo kuvura IABP.

Ni gute washyira iyi baluni mu mubiri?

Ibi bikunze gukorwa mu cyumba cy’ubutabazi bw’ibanze (ETU), mu cyumba cy’indembe (ICU), cyangwa mu cyumba cyo kubaga. Bikorwa mu kugutera ububabare (gutera ikinya) cyangwa mu gusiga ibisebe gusa aho hantu havugwa.

1. Gushyiramo katheteri: Muganga ashyiramo umuyoboro muto (catheteri) mu muyoboro munini w'amaraso uri mu gituza cyawe.

2. Kohereza umupira: umupira wavuyemo amazi woherezwa kuri uwo muyoboro werekeza ku mutima.

3. Gushyira imiterere myiza: Hakoreshejwe ikoranabuhanga risa na X-ray, igikoresho gishyirwa ahantu heza neza ku mutsi mukuru w'umubiri, aorta.

4. Guhuza imashini: Hanyuma, umuyoboro uri ku rundi ruhande rw'ibaluni uhujwe na mudasobwa twavuze mbere.

Kuki gaze ya helium ikoreshwa kuri ibi?

Iki ni ikibazo gikomeye cyane. Heliyumu ikoreshwa mu gutera ibipupe no gusohora amazi mu bipupe. Impamvu ni uko heliyumu ari umwuka woroheje cyane kandi udakora. Iyo umwuka muto uva muri iyo ballon winjira mu maraso, heliyumu ntacyo yangiza cyane. Ariko iyo dukoresheje ikintu nk'umwuka duhumeka, ishobora gukora uduheri tw'umwuka no kuziba imiyoboro y'amaraso (Air Embolism). Ibyo ni akaga gakomeye. Niyo mpamvu heliyumu ikoreshwa mu kurinda umutekano.

Ni iki kibaho nyuma yo kuvurwa? Ese hari ingaruka zishobora guterwa n'iki kibazo?

Nyuma yo gushyirwamo IABP, uzakenera kuguma mu buriri. Ni ngombwa cyane kugumisha ukuguru kuriho ibara rigororotse, kuko iyo ugonze, ibara rishobora kugenda. Nanone, imiti yoroshya amaraso nka heparin ikunze gutangwa kugira ngo hirindwe kubyimba kw'amaraso.

Kimwe no ku buvuzi bwose, hari ingaruka zishobora kubaho. Ariko ibuka ko ibi bikoreshwa gusa iyo bibaye ngombwa kugira ngo umuntu arokore ubuzima.

• Ingaruka: Kuva amaraso, kwandura, kwangirika k'imitsi y'amaraso, guturika kw'inyuma (bidakunze kubaho), cyangwa kwangirika kw'ingingo nk'impyiko bitewe n'inyuma y'inyuma iri ahantu hadakwiye.
• Akamaro nyamukuru: Ibi bishobora kurokora ubuzima bwawe. Mu gihe urwaye indwara y'umutima, bifasha mu gutuma amaraso aguma mu mubiri wose.

Itondere ibi bimenyetso nyuma yo kuvurwa

Ubusanzwe, nyuma y'iminsi mike, iyo imiterere y'umutima irushijeho kuba myiza, abaganga bagabanya buhoro buhoro imikorere y'inyuma y'inyuma bakareba niba umutima ushobora gukora wonyine. Iyo byose bimeze neza, inyuma y'inyuma y'inyuma irakurwaho.

Iyo ugiye mu rugo nyuma yo kuvurwa, ugomba kuvugana na muganga wawe umubwire niba ubonye ibimenyetso by'ingorane. Menya cyane cyane ibimenyetso bikurikira:

• Kubyimba cyane no gutukura ahantu hashyizwe agapira.
• Umuriro nta mpamvu.
• Kumva umutima wawe urimo gutera cyane (gutera cyane).
• Kurushaho kugorwa no guhumeka (dyspnea).
• Kubyimba ahantu nko ku karenge no ku maboko.
• Kongera ibiro birenga ibiro 2-3 mu cyumweru kimwe.

Niba uhuye n'iki kibazo, menyesha muganga wawe ako kanya.