Ese uzi aka 'gafuka' gato kari mu mutima wawe? - Imbere y'ibumoso bw'agace k'umutima

Twese tuzi ko umutima wacu ari urugingo rutangaje. Ariko ntabwo tuvuga cyane kuri bimwe mu bice bito by'uyu mutima, si byo se? Uyu munsi tugiye kuvuga ku gice gito ushobora kuba utarumvise byinshi, ariko gishobora kuba ingenzi cyane. Icyo ni "Umugereka w'ibumoso" cyangwa mu Cyongereza `(Umugereka w'ibumoso)`, cyangwa tuzabyita `(LAA)` mu magambo ahinnye. Ntugahangayike, iki ni ikintu cyoroshye kumva.

Iyi Atrial Appendage y'ibumoso ni iki?

Mu magambo make, LAA ni agafuka gato k'imitsi gahuza icyumba cyo hejuru ibumoso cy'umutima wawe, atrium y'ibumoso. Tekereza nk'umufuka muto mu ishati yawe.

LAA ikunze kuvugwaho cyane cyane ku bantu bafite indwara zimwe na zimwe z'umutima, nka Atrial Fibrillation (umutima utari umeze neza, uzwi kandi nka Afib), iyo abaganga basabye gufunga, gukuraho, cyangwa kuziba LAA kugira ngo bagabanye ibyago byo kurwara indwara yo gucika imitsi. Ibi biterwa nuko amaraso menshi afunga mu mutima w'abantu bafite Afib agaragara muri aka gafuka gato kitwa LAA.

Ariko icy'ingenzi hano ni uko nta mpamvu yo gutinya ufite . Kuko iyi '(LAA)' atari ngombwa kugira ngo umutima wawe ukore imirimo yawo ya buri munsi neza. Umutima ushobora gukora neza utayifite.

Ni iki kibaho ku gice cy'ibumoso cy'umutima (LAA)? Akamaro kacyo ni akahe?

Aka gakoko gato ka LAA gafite kandi inshingano zako zidasanzwe. Inshingano yako nyamukuru ni ugufasha gucunga ingano y'amaraso mu mutima, cyangwa ingano y'amaraso. Wabimenya ute ?

Iyo ingano y'amaraso yinjira mu mutima wawe yiyongera, kandi inkuta z'iyi `(LAA)` zigatangira, zirekura ubwoko bwihariye bwa poroteyine yitwa `(Natriuretic Peptides)` mu maraso. Tekereza nk'uburyo bwo gutanga ibimenyetso mu mubiri wacu. Izi nyunganizi z'imiti zitwa `(Natriuretic Peptides)`, iyo ingano y'amaraso yiyongera, zijya mu mpyiko ziti: "Sawa, ubu umubiri ufite umunyu n'amazi byinshi, reka tubikuremo inkari." Nanone, izi ziruhura imiyoboro y'amaraso gato, nko gufunguka umuyoboro muto. Hanyuma amaraso ashobora gutembera byoroshye, kandi umuvuduko w'amaraso nawo ukagabanuka.

Noneho ushobora kwibaza uti, ni iki cyaba ku rugero rw'ibi `(LAA)` turamutse tubikuyeho cyangwa tukabifunga? Ubusanzwe, nyuma yo gukora ikintu nk'icyo, urugero rwa `(Peptide)` rushobora kuba rudasanzwe mu gihe cy'amezi atatu. Ariko nyuma rukongera kumera nk'uko bisanzwe.

Ikindi kintu ni uko iyo urugero rwa `(Natriuretic Peptides)` rwiyongereye cyane mu maraso, rimwe na rimwe bishobora kuba ikimenyetso cy'indwara nka `(Heart Failure)` (atari indwara y'umutima, ahubwo ni intege nke z'imikorere y'umutima). Kubera ko icyo gihe umubiri ugerageza gukuramo amazi arenze, kuko umutima ugorwa no gufata amaraso arenze.

Uyu '(LAA)' aherereye he? Asa ate?

Noneho reka turebe aho iyi `(LAA)` iherereye mu mutima. Iherereye mu mwanya muto umeze nk'umuyoboro uri hagati y'atriyumu y'ibumoso (icyumba cyo hejuru cy'ibumoso) n'ateriyumu y'ibumoso (icyumba cyo hasi cy'ibumoso) y'umutima wawe. Akenshi, iba iri hejuru y'ateriyumu y'ibumoso cyangwa hejuru y'ateriyumu nini y'ibihaha, umuyoboro mukuru utwara amaraso ava mu mutima ajya mu bihaha. Nanone, kimwe n'indi myanya yose y'umutima, iyi `(LAA)` nayo iba iri imbere muri `(Pericardium)`, igipfundikizo kimeze nk'agafuka karinda umutima.

Ku bijyanye n'ibice, LAA igizwe n'umwobo unyuramo amaraso, n'agafuka gakozwe n'imitsi ishobora kwifata. Amaraso anyura muri uwo mwobo.

Mu bunini, LAA isanzwe ifite uburebure bwa milimetero 46 (munsi gato ya santimetero 2). Ariko hari abantu bashobora kuba bafite uburebure bwa milimetero 27 kugeza kuri 60. Tekereza nk'uruhande ruto rw'ikarita yawe y'inguzanyo. Aka gakapu gato gashobora kubikamo mililitiro zigera kuri 9 (hafi utuyiko tubiri) by'amaraso. Umunwa, cyangwa umucyo, wa LAA ubusanzwe uba ufite ishusho y'uruziga. Ariko hari abantu bashobora kuba bazengurutse cyangwa bafite indi miterere.

Ese hari ubwoko butandukanye bwa `(LAA)`? Ese bigira ingaruka?

Yego, biratangaje kubona `(LAA)` ya buri wese atari ko iteye kimwe. Kimwe n'ibikumwe byacu, ifite imiterere itandukanye. Ubusanzwe, `(LAA)` ifite ibice bibiri cyangwa bitatu bito, byitwa `(lobes)`. Ariko hari abantu bashobora kugira agace kamwe gusa, abandi bashobora kugira bine cyangwa birenga. Hari imiterere mike y'ingenzi izwi:

• Imiterere y'amababa y'inkoko: Iyi ni yo miterere ikunze kugaragara cyane. Hari ukugororoka gato hagati mu gice cy'ibanze cy'umubiri. Abantu bafite iyi miterere bivugwa ko bafite ibyago bike byo kurwara indwara yo mu bwonko .
• Imiterere ya Cactus: Iyi ifite agace k'ingenzi gakomeye, kandi andi mashaza asa n'aho aturukamo.
• Imiterere y'inyuma y'inyuma: Iyi ifite agace kamwe gusa karekare, gakomeye.
• Imiterere ya koliflower: Iyi iragoye kurushaho. Irasa n'indabyo nyinshi zingana zifatanye. Iyi ni yo miterere idakunze kuboneka, kandi ifatwa nk'iyo ifite ibyago byinshi byo kurwara indwara ya stroke .

Noneho urabyumva, sibyo? Imiterere y'aka gakoko gato ka `(LAA)` ishobora no kugira ingaruka ku buzima bwacu ku rugero runaka.

Ni izihe ndwara n'indwara zikunze kwibasira (LAA)?

Iyi `(LAA)` rimwe na rimwe ishobora guteza ibibazo bitandukanye. Urugero:

• Impanuka zatewe n'impanuka:Niba ugize impanuka y'imodoka cyangwa ikindi kintu gikomeye cyaguteye, iyi LAA ishobora kwangirika cyangwa gucika.
• Stenose ya Mitral Valve: Iyo valve ya mitral mu mutima igabanutse, amaraso ava mu gice cy'ibumoso cy'umutima agenda buhoro. Kubera iyo mpamvu, amaraso ava muri LAA ashobora no kugenda buhoro.
• Gucika kw'amaraso mu bwonko (Afib): Nkuko byavuzwe mbere, iyi ndwara yongera ibyago byo kuzura amaraso muri LAA. Iyo ibi bice by'amaraso bicitse, bikanyura mu maraso, bikajya mu mitsi yo mu bwonko, bishobora gutera indwara yo mu bwonko. Iyi ni yo ngaruka nyamukuru iterwa na LAA.

Ni gute wasuzuma uko ubuzima bwa `(LAA)` buhagaze?

Abaganga bafite uburyo butandukanye bwo gupima kugira ngo barebe uko LAA imeze. Ubundi buryo bw'ingenzi ni uburyo bwo gufata amashusho.

• Transesophageal Echo (TEE): Iyi nayo ni echocardiogram, ariko muri iki gihe, agakoresho gato kameze nka kamera gashyirwa mu muhogo maze umutima ukagaragara inyuma. Hanyuma LAA irashobora kugaragara neza cyane.
• Ultrasound ikoresheje catheter: Hari igihe LAA ipimwa binyuze mu kohereza imiraba ya ultrasound inyuze mu muyoboro muto (catheter) winjizwa mu mubiri.
• MRI y'umutima (Magnetic Resonance Imaging): Ikizamini gikoresha imbaraga za rukuruzi n'imiraba ya radiyo kugira ngo hakorwe amashusho arambuye y'umutima.
• Isuzuma rya CT y'umutima (Cardiac CT - Computed Tomography): Ibi bikoresha imirasire ya X kugira ngo haboneke amashusho y'umutima mu bice bitandukanye.

Ibi bizamini bishobora guhishura ibintu byinshi kuri LAA, nko ingano yayo, imiterere yayo, ndetse no kumenya niba hari amaraso afunganye muri yo cyangwa ntayo.

Ni ubuhe buryo bwo kuvura ibibazo bifitanye isano na `(LAA)`?

Iyo hari ikibazo kuri LAA, hari uburyo bwinshi bwo kuvura bushobora gukorwa. Ubu buryo bushobora kuba burimo kubagwa, cyangwa bukaba ari uburyo budatera indwara nyinshi.

• Iyo `(LAA)` yakomeretse, ishobora gusanwa .
• Stenose ya Mitral Valve irashobora kuvurwa .
• LAA ishobora gufungwa, gukurwaho, cyangwa kuziba kugira ngo amaraso adakomeza kuzura . Ibi ni ukuri cyane cyane ku bantu barwaye Afib bafite ibyago byinshi byo kurwara indwara yo mu bwonko. Hakoreshwa ibikoresho bitandukanye kuri ibi.

Ni gute nakomeza kugira ubuzima bwiza bwa '(LAA)' (ni ukuvuga umutima wanjye wose)?

Mu by’ukuri, nta kintu kidasanzwe ushobora gukorera `(LAA)` wenyine. Ariko, niba ukomeje kugira umutima wawe wose muzima, `(LAA)` na yo izakomeza kugira ubuzima bwiza. Dore ibintu bimwe na bimwe ushobora gukora kugira ngo umutima wawe ukomeze kugira ubuzima bwiza:

• Gira imyitozo ngororamubiri nibura iminota 150 mu cyumweru.Ibyo bivuze kugenda n'amaguru, kwiruka, cyangwa kugendera ku igare mu gihe cy'iminota 30 ku munsi.
• Kurya indyo yuzuye umutima. Shyiramo imboga, imbuto, ibinyamisogwe, ibiryo bikungahaye kuri fibre, hamwe n'inyama n'amafi bidafite ibinure byinshi mu mirire yawe. Gabanya kurya ibintu biryoshye, umunyu n'ibinure byinshi uko bishoboka kose.
• Hagarika burundu gukoresha ibikomoka ku itabi (itabi, beedis, nibindi).
• Genda ku muhangayiko mu buzima bwawe bwa buri munsi. Ibintu nko gutekereza cyane, yoga, no gukora ibintu ukunda kwidagadura bishobora kugufasha.
• Niba ufite indwara nk'umuvuduko ukabije w'amaraso cyangwa diyabete, zigenzure neza. Kurikiza amabwiriza ya muganga witonze.

Amaherezo, ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Abantu benshi bashobora kuba bataranamenya izina `(Left Atrial Appendage)`. Ariko ubu uzi ko rifite n'imikorere mito mu mutima. Ariko, niba ufite ibyago byo kurwara indwara yo gucika intege bitewe n'iyi `(LAA)`, ibuka ko ushobora kubaho ubuzima bwiza nubwo utarifite .

Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo hari ikintu gikorewe ku mutima, nko kubagwa. Ariko, ku muntu ufite `(Afib)`, guhagarika iyi `(LAA)` bishobora gutuma adakenera imiti igabanya amaraso mu buzima bwe bwose kugira ngo hirindwe indwara yo gucika intege.

Rero, ganira na muganga wawe ku buryo bweruye ku cyakubera cyiza ku ndwara yawe n'uburyo bwo kuyivura bukwiye. Bazagusobanurira byose. Ntutinye kubaza ibibazo. Ni wowe ufata ibyemezo ku buzima bwawe, bityo rero ni ngombwa cyane kumenya byose.

Umutima , Igice cy'ibumoso cy'umutima, Igice cy'ibumoso cy'umutima, LAA, Stroke, Gucika intege mu mutima, Afib, Kuziba kw'amaraso, Ubuzima bw'umutima, Indwara z'umutima