Icyo ugomba kumenya ku bijyanye no gukuramo icyuma gitwara amabuye y'agaciro

Ese wowe cyangwa umuntu wo mu muryango wawe ufite pacemaker cyangwa ikindi gikoresho cy'umutima? Niba ari byo, ushobora kuba warumvise insinga nto iva kuri icyo gikoresho ikagera ku mutima. Izi nsinga akenshi ziterwa ubuzima bwose. Ariko, mu bihe bimwe na bimwe byihariye, izi nsinga zigomba gukurwaho witonze cyangwa gukurwa ku mutima. Ibi ni byo twita 'gukuramo inshinge' mu buvuzi. Kuki ibi bikorwa? Ese ni akaga? Tuzabivugaho mu buryo bworoshye uyu munsi, mu buryo ushobora gusobanukirwa.

Reka tubanze turebe icyo iyi "lead" bivuze.

Iyo utekereje ku 'lead', ntugatekereze ku 'lead' y'ikaramu! Ibi ni ibintu bitandukanye rwose. Mu magambo make, ni insinga nto cyane ipfundikiye mu buryo bwihariye bwo gukingira. Ituruka ku gikoresho cyawe cya pacemaker cyangwa ICD (implantable cardioverter-defibrillator) ikagera mu mutima wawe.

Urabizi, ibi bikoresho bikoreshwa mu kuvura indwara z’umutima ziterwa n’imivuduko mibi y’umutima, ari byo iyo umutima utera vuba cyane, buhoro cyane, cyangwa mu buryo budasanzwe (arrhythmias). Rero, iyo imivuduko y’umutima igenze nabi, ikimenyetso gito cy’amashanyarazi kiva muri icyo gikoresho kigenda muri uyu murongo kijya mu mutima. Icyo kimenyetso ni cyo gituma umutima wongera gutera neza. Ni nko gufungura televiziyo ukoresheje remote.

None se 'Gukuramo Lead' ni iki?

Mu magambo make, ibi bivuga kubagwa kugira ngo hakurweho insinga imwe cyangwa nyinshi muri izi "zifite icyuma" mu mutima.

Ariko ibi ntabwo byoroshye nkuko bigaragara. Impamvu ni uko nyuma y’uko uru rusinga rushyizwe mu mutima, uko igihe kigenda gihita, umubiri wacu ukora uduce duto tw’inkovu tuwukikije. Uru rugingo rw’inkovu rutuma uru rugingo rufatana neza n’imitsi y’amaraso n’urukuta rw’umutima. Ibi bituma bidashoboka kurukuraho uko bisanzwe. Kubikora bishobora kwangiza imitsi y’amaraso.

Bityo rero, ibikoresho byihariye n'ubuhanga bw'inzobere mu by'umutima ni ngombwa kugira ngo havugururwe neza uru rugingo rw'inkovu no kurekura uru rutsinga bitabangamiye imiyoboro y'amaraso.

None se, kuki ugomba gukuraho izi nsinga mu buryo butunguranye?

Hari impamvu nyinshi zibitera. Zimwe ni izihutirwa, izindi ziteganyijwe mbere y'igihe. Reka turebe impamvu nyamukuru.

Ni gute neza neza ubu buryo bwo kubaga bukorwa?

Hari uburyo bubiri bw'ingenzi bwo gukora ubu buvuzi. Uburyo bukunze gukoreshwa cyane ni ugukoresha umutsi wo mu gice cy'imbere cy'inyuma, uherereye munsi y'igufwa ry'umugongo (clavicle). Niba bidashoboka, bishobora no gukorwa binyuze mu mutsi wo mu kibuno (femoral vein).

Dore ibisobanuro byoroshye intambwe ku yindi by'ibiba mu gihe cyo kubagwa:

1. Anesthesia: Ubwa mbere, uzashyirwa munsi y'ikinya rusange. Ibi bivuze ko nta kintu na kimwe uzumva kugeza igihe operation irangiye, kandi uzaba usinziriye.

2. Gushyiramo umuyoboro wihariye:Hanyuma muganga ashyiramo umuyoboro wihariye witwa 'sheath' muri umwe mu mitsi yawe y'amaraso maze akawuyobora ku 'lead' iri mu mutima wawe.

3. Gupfuka insinga: Hanyuma, insinga ishaje ipfukwa neza n'iyi 'mufuka', nk'uko upfuka umupfundikizo w'ikaramu n'umupfundikizo.

4. Gukoresha X-rays nzima: Ibi byose bikorwa hakoreshejwe amashusho ya X-rays nzima (fluoroscopy). Bityo muganga ashobora kubona neza ibirimo kuba imbere mu mubiri.

5. Kwangiza inkovu: Hakoreshejwe ibikoresho byihariye biri ku mpera y'igitambaro, inkovu zikikije insinga zigenda zicika buhoro buhoro, insinga zigakurwaho. Hari n'igihe imirasire ya laser ikoreshwa muri ibi. Ingufu za laser zihindura ibara ry'inkovu zikarikuraho.

6. Gukuraho insinga: Iyo insinga imaze kuvamo inkovu burundu, ikurwa mu mubiri neza hamwe n'agace k'inkoni.

7. Gufunga igikomere: Amaherezo, aho gukata hafungwa hakoreshejwe imidozi hanyuma hagapfukwa igitambaro.

Uzongera gushyiramo insinga nshya?

Ibi biterwa n'impamvu yo gukuraho insinga. Reka tuvuge ko impamvu ari ubwandu. Muri icyo gihe, ubwandu bugomba kubanza gukira burundu . Ibi bishobora gusaba iminsi mike cyangwa ibyumweru bike imiti yica udukoko. Nyuma y'uko ubwandu bukize ni bwo hazashyirwaho igikoresho gishya n'insinga. Ariko, niba impamvu ari nk'insinga yacitse, hashobora gushyirwaho indi nshya icyarimwe n'igihe cyo kubaga kugira ngo ikureho iya kera.

Ni izihe nyungu n'ingaruka zishobora guterwa n'ubu buvuzi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka. Ingaruka zishobora kugabanuka iyo ubu buvuzi bukozwe n'itsinda ry'abaganga b'inararibonye.

Ese ngomba kuguma mu bitaro nyuma yo kubagwa?

Yego, akenshi uzagomba kumara umunsi umwe cyangwa ibiri mu bitaro. Bishobora kumara igihe kirekire. Muri icyo gihe:

• Kuruhuka: Uzakenera kuryama mu buriri ukaruhuka amasaha menshi, cyane cyane niba kubagwa byakorewe mu kibuno.
• Gutanga imiti yica udukoko: Niba kubagwa byatewe n'ubwandu, imiti yica udukoko iterwa mu mitsi izakomeza.
• Imirasire ya X: Imirasire ya X-ray yo mu gituza ikorwa mu gitondo gikurikiyeho kugira ngo harebwe niba insinga nshya ziri mu mwanya ukwiye.

Nyuma yo gutaha, ni ibihe bihe ugomba kuvugana na muganga?

Ni ingenzi cyane gukurikirana impinduka z'umubiri wawe ndetse na nyuma yo gutaha. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byita ku buzima bw'abantu (ETU) .

• Niba ufite ikibazo cyo guhumeka.
• Niba ugize umuriro (urengeje dogere selisiyusi 101) .
• Iyo hari kubyimba, kuva amaraso menshi, cyangwa amazi ameze nk'ibibyimba ava aho bakorewe ubuvuzi.
• Niba ubonye kubyimba kudasanzwe mu ntoki cyangwa mu mano.

Ntukirengagize ibi bimenyetso. Guvurwa hakiri kare bishobora gukumira ingorane zikomeye.