Ese wigeze wumva iki gice gito cy'umutima? (Ibumoso bw'igice cy'umutima) Reka tuganire!

Ntabwo tuzi buri rugingo mu mubiri wacu, si byo se? Ndetse n'umutima ni ko umeze. Ese wigeze wumva 'Left Atrial Appendage'? Birashoboka ko utari ubizi kugeza igihe muganga wawe yabikubwiye. Cyane cyane ku muntu ufite umutima utari umeze neza nka Atrial Fibrillation (Afib), kumenya iki gice gito cy'umutima bishobora kuba ingenzi cyane.

Igice cy'ibumoso cya Atrial (LAA) ni iki?

Mu magambo make, iki ni agace gato k'imitsi kameze nk'agafuka gaturuka mu gice cy'ibumoso cy'umutima wawe. Akenshi bivugwa iyo umuganga ashaka kugifunga.

Noneho ushobora kuba urimo kwibaza uti "Kuki bayifunga?" Impamvu ni uko amaraso menshi atera stroke ku bantu bafite indwara y'umutima yitwa Atrial Fibrillation (Afib) avuka muri LAA. Ariko ntugahangayike, umutima wawe uracyashobora gukora neza udafite aka gace gato.

None se koko ni iki kibaho kuri LAA?

Inshingano yayo nyamukuru ni ugufasha gucunga ingano y'amaraso mu mutima. Tekereza, iyo ingano y'amaraso yinjira mu mutima yiyongera kandi inkuta za LAA zigakwirakwira, irekura poroteyine yitwa natriuretic peptides mu maraso.

Izi peptides zigira ibintu bitangaje mu mibiri yacu:

• Bimenyesha impyiko zacu gusohora umunyu n'amazi menshi binyuze mu nkari.
• Binatuma imiyoboro y'amaraso yacu irushaho kugabanuka.

Iyi gahunda ifasha kugabanya umuvuduko w'amaraso.

Noneho ushobora kwibaza uko bigenda kuri izi peptides iyo LAA ikuweho. Igitangaje ni uko amezi agera kuri atatu nyuma yo kubagwa, umubiri urahinduka maze urugero rwa peptides rugasubira ku rugero rusanzwe.

Imiterere n'isura bya LAA ni ibihe?

Ubusanzwe ifite uburebure bwa santimetero 2.5, ingano yayo ingana n'ikarita y'inguzanyo. Ishobora kubikamo utuyiko tubiri tw'amaraso (hafi mililitiro 9).

Ariko LAA ya buri wese si imwe. Hari imiterere itandukanye. Bitewe n'iyi miterere, ibyago byo kurwara indwara yo mu bwonko bishobora gutandukana. Reka turebe imiterere y'ingenzi.

Ni ibihe bintu bigira ingaruka kuri LAA?

Hari ibibazo byinshi by'ingenzi bigira ingaruka kuri LAA:

• Impanuka: Ibintu nk'impanuka z'imodoka bishobora kwangiza cyangwa gusenya LAA.
• Gucika intege kw'imitsi yo mu mutima: Kugabanya umutsi wo mu mutima bigabanya urujya n'uruza rw'amaraso muri LAA. Ibi bishobora kongera ibyago byo kubyimba kw'amaraso.
• Gucika intege mu mutima (Afib): Iyi ni yo tugomba kwitaho cyane. Kuri Afib, atria y'umutima ntifata neza, ahubwo irahinda umushyitsi. Ibi bishobora gutuma amaraso yirundanya muri LAA kandi byongera ibyago byo kubyimba kw'amaraso.

Ni gute wagenzura ubuzima bwa LAA?

Niba umuganga wawe ashaka gusuzuma imiterere ya LAA, hari ibizamini byinshi byihariye kuri ibyo.

• Uburyo bwo gupima umutima hakoreshejwe umuyoboro muto (TEE): Ubu buryo bukoresha umuyoboro muto ushyirwa mu muhogo kugira ngo hafatwe amashusho asobanutse neza y'umutima. Ubu buryo bukunze gukoreshwa mu kureba LAA.
• Isuzuma ry’umutima rya MRI (Magnetic Resonance Imaging) na Cardiac CT (Computed Tomography):Ibi bishobora gutanga amashusho arambuye y'umutima na LAA mu buryo bwa 3D.

Ni ubuhe buryo bwo kuvura LAA?

Uburyo bwo kuvura LAA buterwa n'uko umurwayi ameze.

• Iyo habayeho imvune, irakiranwa hakoreshejwe uburyo bwo kubaga .
• Iyo hari ikibazo cya valve, nka `mitral valve stenosis`, kiravurwa .
• Iyo hari ibyago byo kurwara indwara yo mu bwonko iterwa na Afib, LAA irafungwa, igakurwaho, cyangwa igafungwa kugira ngo amaraso adakomeza kubyimba. Ubu ni uburyo bwiza cyane bwo kuvura. Ibi bishobora kugabanya ibyago byo kurwara indwara yo mu bwonko.

Ni gute nakwita ku mutima wanjye neza?

Ni ngombwa kugira ngo umutima wawe wose ukomeze kugira ubuzima bwiza, atari LAA yawe gusa. Kugira ngo ubigereho, ongeramo ibi bintu byoroshye mu buzima bwawe.

• Imyitozo ngororamubiri nibura iminota 150 mu cyumweru. Ndetse no kugenda n'amaguru vuba birahagije.
• Kurya indyo yuzuye umutima. Shyiramo imbuto, imboga, imboga, inyama n'amafi bidafite ibinure mu ndyo yawe.
• Irinde burundu ibikomoka ku itabi .
• Shaka uburyo bwo gucunga imihangayiko mu buzima bwawe bwa buri munsi. Ndetse no gutekereza ku byo ukora, kumva umuziki, cyangwa kuganira n'inshuti yawe bishobora kugufasha.
• Niba ufite indwara nk'umuvuduko ukabije w'amaraso cyangwa diyabete , kurikiza amabwiriza ya muganga wawe kandi uyagenzure neza.

Nubwo abantu benshi batigeze babyumva, LAA ifite uruhare ruto mu mibiri yacu. Ariko, iyo igushyira mu kaga ko kurwara indwara yo mu bwonko, ni byiza kubaho utayirwaye. Ni ibisanzwe kumva ufite ubwoba gato iyo utekereje kubagwa umutima. Ariko ku muntu urwaye Afib, guhagarika LAA, kwikuramo imiti igabanya amaraso ubuzima bwe bwose, no kubaho udafite ibyago byo kurwara indwara yo mu bwonko ni uburyo bwiza bwo kubaho. Ni byiza kuganira na muganga wawe ku cyakubera cyiza.