Ese wowe cyangwa umuntu uzi watewe pacemaker cyangwa imashini igabanya ubukana bw'umutima (ICD)? Niba ari byo, ushobora kuba warumvise iby'insinga, zizwi nka 'leads.' Hari igihe, iyo habayeho ikibazo kuri iyi lead, igomba gukurwaho. Ibi nibyo abaganga bita 'lead extraction'. Kumva iri zina bishobora gutera ubwoba. Ariko ntugahangayike, tuzabivugaho mu buryo bworoshye kandi busobanutse uyu munsi.
Reka tubanze turebe, 'Lead' ni iki?
Mu magambo make, insinga y'amashanyarazi ni insinga yihariye, ifite ubushyuhe itwara ibimenyetso by'amashanyarazi bivuye kuri pacemaker yawe cyangwa igikoresho cya ICD (Implantable Cardioverter-Defibrillator) ikabishyira ku mutima wawe. Ni nk'insinga ijyana umuriro ku rumuri mu nzu yacu.
Iyo umutima wawe utangiye kugorana (Arrhythmia), ni wo mugozi ubimenya wohereza ikimenyetso cy'amashanyarazi gikwiye ku mutima kugira ngo bifashe kugarura umugozi. Ubusanzwe, hashobora kubaho umwe, babiri, cyangwa batatu nk'abo, bitewe n'igikoresho cyashyizwe mu gituza cy'umuntu. Ibi bihujwe n'uruhande rw'iburyo rw'umutima ku muyoboro w'amaraso (imitsi).
Kuki ari ngombwa gukuramo iyi poroteyine?
Hari impamvu nyinshi zishobora gutuma umuntu akuramo icyuma gikingira. Ariko akenshi impamvu nyamukuru ni ubwandu. Tekereza, iyo mikorobe yinjiye mu maraso (Bacteremia), ubwo bwandu bushobora kunyura muri ubwo buryo ndetse bukanatera indwara mu miyoboro y'umutima (Infective Endocarditis). Muri icyo gihe, igikoresho n'icyuma gikingira bigomba gukurwaho.
Igikuru ni uko ari bibi cyane kureka indwara nk'iyi ikavurwa. Kubwibyo, niba muganga abigiriye inama, ni ngombwa kuyikuraho.
Uretse kwandura, hari izindi mpamvu nyinshi zishobora gukenera gukurwaho urushinge rw'insinga.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Kuvunika cyangwa kudakora neza kw'umugozi | Ibintu nko kuvunika, kuvunika, cyangwa gusubizwa inyuma n'uwakoze icyuma, haba imbere cyangwa hanze yacyo. |
| Kuziba kw'ibisebe biterwa n'inkovu | Uko igihe kigenda gihita, inkovu nyinshi ziyongera ku mutwe w'icyuma. Hanyuma ikimenyetso cy'amashanyarazi kiva kuri icyo gikoresho ntikijya mu mutima neza. Ibi tubyita bloki yo gusohoka . |
| Kuziba kw'imitsi y'amaraso | Amaraso ashobora kuzura cyangwa gufungana kw'inkovu, bigatuma amaraso atembera muri yo. |
| Arrhythmia iterwa n'umutsi ubwawo | Mu bihe bimwe na bimwe bidakunze kubaho, inshinge y'amaraso ishobora guhungabanya umuvuduko w'umutima bigatuma umutima utera nabi. |
Iyi gahunda ikorwa ite?
Ibi biragoye gato kandi bigomba gukorwa n'umuganga w'inararibonye cyane. Kuko nyuma y'igihe runaka, icyiru gishobora gufatanywa cyane n'imitsi y'amaraso bitewe n'inkovu ziyikikije. Kubwibyo, kigomba gukurwaho hakoreshejwe ibikoresho byihariye kugira ngo kitangiza imitsi y'amaraso.
Uku kubagwa bikorwa hakoreshejwe ikinya rusange , bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye.
1. Muganga atema gato munsi y'igufwa ry'umugongo (clavicle) cyangwa mu gice cy'ikibuno (hafi y'imitsi y'abagore) maze akinjira mu mitsi y'amaraso.
2. Hanyuma, umuyoboro wihariye (agatambaro) unyuzwa muri uyu muyoboro w'amaraso kugeza aho icyuma cy'amaraso kiri.
3. Muganga ayobora uyu muyoboro neza mu gice cy'imbere cy'umuyoboro mu gihe areba ku gipimo cyihariye (fluoroscopy) nk'uko X-ray ibivuga.
4. Hakoreshejwe ibikoresho biri ku mpera y'uyu muyoboro, inkovu zikikije icyuma gifunga zigenda zicika buhoro buhoro, icyuma gifunga kivamo icyuma gifunga.
5. Hari n'igihe ikoranabuhanga rya laser rikoreshwa mu gushonga uru rugingo rw'inkovu.
6. Iyo icyuma cy'insinga kimaze gukurwaho burundu, gikurwaho witonze, aho cyaciwe hagafungwa, hanyuma hagashyirwa igitambaro.
Ni ryari umuyobozi mushya azashyirwa ahagaragara?
Biterwa n'impamvu yo gukuraho inshinge. Niba yarakuweho bitewe n'ubwandu, uzabanza gutegereza kugeza igihe ubwandu bukize burundu. Nyuma yaho ni bwo hazashyirwaho inshinge nshya n'igikoresho. Ku zindi mpamvu, hashobora gushyirwaho indi nshya mu gihe cyo kubaga kugira ngo inshinge zikurweho. Muganga wawe azagusobanurira ibi.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Nk’uko bigenda ku kubagwa kose, uku kubagwa gufite inyungu ndetse n’ingaruka zimwe na zimwe.
| ✅ Ibyiza | ⚠️ Ingaruka |
|---|---|
| Kubasha gukiza indwara iyo ihari. | Ingorane ziterwa no gukoresha ikinya. |
| Gusimbuza icyuma gishya cyangiritse cyangwa cyangiritse bizasubiza igikoresho mu buryo bwiza. | Inkingi y'icyuma iracika iyo ikuweho. |
| Imitsi ifungana y'amaraso irakurwaho kandi amaraso agatembera neza. | Kwangirika k'umuyoboro w'amaraso cyangwa umutima. |
| Ituza indwara yo kutagira ubushake bwo kuruhuka iterwa n'umutsi. | Kuva amaraso menshi no gukenera guterwa amaraso. |
Ni ryari ugomba kuvugana na muganga?
Iyo ugiye mu rugo nyuma yo kubagwa, hari ibintu bike ugomba kumenya. Niba ufite kimwe muri ibi bimenyetso, ntugatakaze umwanya kandi uhamagare muganga wawe ako kanya.
- Niba ufite ikibazo cyo guhumeka .
- Niba ufite umuriro urenze dogere Fahrenheit 101 (101°F) .
- Kubyimba aho bakorewe ubuvuzi, kuva amazi adasanzwe nk'amaraso cyangwa amashyira.
- Kubyimba intoki cyangwa amano.
Wibuke ko niba ufite ikibazo cyihutirwa, nko kugorwa no guhumeka cyangwa kubabara cyane mu gatuza, jya ku ishami rishinzwe ubutabazi bwihuse (ETU) riri hafi yawe.
Ubutumwa bwo kujyana mu rugo
- Gukuramo icyuma gipima uburibwe ni uburyo bwo kubaga bukuraho insinga (amasasu) z'icyuma gipima uburibwe cyangwa igikoresho cya ICD.
- Ibi akenshi biterwa n'indwara zandura, ariko bishobora no guterwa no kwangirika kw'insinga cyangwa kudakora neza.
- Ubu ni uburyo bugoye bwo kubaga bugomba gukorwa n'umuganga w'inararibonye cyane, bityo ni ngombwa gushaka ubuvuzi ku muganga w'inararibonye kugira ngo ubone umusaruro mwiza.
- Kurikiza amabwiriza ya muganga neza neza nyuma yo kubagwa.
- Niba ufite ikibazo cyangwa impungenge, ntugatinye kubibwira muganga wawe.
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