Ese ukeneye gusimbuza valve ya mitral mu mutima wawe? (Gusimbuza Valve ya Mitral) - Reka tuvuge kuri ibi mu buryo bworoshye

Umutima wacu ni imashini itangaje cyane, si byo se? Utubati tune turimo dukora nk'inzugi zifunguka mu cyerekezo kimwe gusa. Imwe muri izi nzugi z'ingenzi ni Mitral Valve. Ni iyi valve yemerera amaraso meza kandi akungahaye kuri ogisijeni kuva mu cyumba kimwe cy'umutima ajya mu kindi. Ariko tekereza uko bigenda iyo hari ikintu kitagenda neza kuri iyi valve? Ni ukuvuga ko iyo amaraso adafunze neza agasubira inyuma, cyangwa iyo adafungutse neza agafunga, umutima ukumva ufite umuvuduko mwinshi. Icyo gihe ni bwo abaganga bafata icyemezo cyo gukuraho iyi valve bakayisimbuza, niba idashobora gusanwa.

Mu magambo make, gusimbuza valve ya mitral ni iki?

Gusimbuza valve ya Mitral ni ukubaga umutima ufunguye . Bikubiyemo gukuramo valve ya mitral irwaye kandi idakora neza hanyuma ukayisimbuza valve nshya. Iyi valve nshya ishobora kuza mu bwoko bubiri.

• Vali za mechanical: Izi ni vali z’ubukorano zikozwe mu byuma nka karuboni n’icyuma.
• Udupira tw’ibinyabuzima/Bioprosthetike: Utu ni utwupira twakozwe mu ngingo z’umutima z’ingurube, inka, ndetse rimwe na rimwe (gake cyane) n’ingingo z’umuntu.

Nubwo ubu buryo bwo kubaga ari igikorwa gikomeye, niba muganga wawe abigusabye, bivuze ko valve yawe irushaho kumera nabi kandi ishobora guteza ibibazo bikomeye niba utabazwe. Bivuze kandi ko idashobora gusanwa.

Kuki ukeneye ubu buvuzi?

Amaraso akungahaye kuri ogisijeni ava mu bihaha byacu yinjira mu gice cy'ibumoso cy'umutima, hanyuma akava aho akanyura muri valve ya mitral akagera muri ventricle y'ibumoso. Iyi ventricle y'ibumoso ishinzwe gusohora amaraso mu mubiri wose. Noneho, niba ufite indwara ya mitral valve, iyi valve ntifungura cyangwa ngo ifunge neza. Ibi bishobora guteza ibibazo bibiri bikomeye.

1. Gusubiza amaraso mu maraso ya Mitral: Amaraso asubira inyuma kuko umugozi udafunga neza.

2. Stenose ya Mitral Valve: Valve ntifunguka neza, ikabuza amaraso gutembera neza.

Ibi bintu byombi bitera umutwaro mwinshi ku ruhande rw'ibumoso rw'umutima. Uko igihe kigenda gihita, ibi bishobora kwangiza umutima n'ibihaha.

Hari impamvu nyinshi zishobora gutuma gusana bidakorwa:

• Endocarditis cyangwa indwara y'umutima ya rubagimpande) byateje ikibazo gikomeye kuri valve.
• Kuzura cyane kwa kalisiyumu cyangwa inkovu kuri valve.
• Kwangirika gukomeye kw'imitsi ya papillary cyangwa chordae ishyigikira valve.

Kubwibyo, ni ngombwa cyane kuganira na muganga wawe ku kibazo cyawe no kumenya amahitamo yawe.

Ni ubuhe bwoko bwa valve duhitamo?

Imyaka yawe, imibereho yawe, n'izindi ndwara zawe bizagira uruhare mu guhitamo ubwoko bw'agapira ugomba kuba warashyizemo. Reka turebe itandukaniro riri hagati y'ubwo bwoko bubiri.

Niba ufite hagati y'imyaka 50 na 65, muganga wawe azagusaba bumwe muri ubu bwoko bubiri bitewe n'uburwayi bwawe. Icy'ingenzi ni ukubiganiraho neza hanyuma ugahitamo ukubereye.

Twitegura dute mbere yo kubagwa?

Itsinda ry'abaganga bawe rizaguha amabwiriza asobanutse neza y'uburyo bwo kwitegura kubagwa. Muri rusange, uzakenera kwitegura ibi bintu.

• Imiti imwe (cyane cyane imiti igabanya amaraso) muganga wawe ashobora kuba agomba kuyihagarika ibyumweru bike mbere yo kubagwa.
• Kunywa itabi no kunywa itabi bigomba guhagarara burundu.
• Mu ijoro ribanziriza kubagwa, uzabwirwa koza umubiri wawe n'isabune yica udukoko .
• Mu ijoro ribanziriza kubagwa, ugomba kureka kurya no kunywa burundu, akenshi nyuma ya saa sita z'ijoro .
• Fata gusa imiti yanditswe mu gitondo cyo kubagwa.

Ni ngombwa kandi gushyiraho imiterere y'urugo rwawe kugira ngo ushobore kumva umerewe neza igihe uzaba ugarutse mu rugo nyuma yo kubagwa. Urugero, ni byiza gutegura mbere y'igihe, nko kubika ibintu uzakenera hafi no gutegura umuntu uzagutwara mu modoka akujyana mu rugo avuye mu bitaro.

Ni iki kibaho mu gihe cyo kubagwa?

Ubu buryo bwo kubaga ni uburyo bugoye busanzwe bufata amasaha abiri kugeza kuri ane. Ariko nta mpungenge ufite. Itsinda ry'abaganga b'inararibonye rizakwitaho neza. Dore intambwe ku yindi y'ibiba mu gihe cyo kubaga.

1. Anesthesia: Ubwa mbere, uzasinzira burundu. Bityo rero nta kintu na kimwe uzumva ku bijyanye no kubagwa kandi ntuzabyibuka nubyuka.

2. Imiterere: Uzahuzwa n'ibikoresho bigenzura uko umutima wawe utera n'uko uhumeka. Uzahabwa imiti yica udukoko binyuze mu mitsi kugira ngo wirinde kwandura.

3. Imashini ikoresha umutima n'ibihaha: Hanyuma, uzahuzwa n'imashini yihariye. Iyi mashini ifata by'agateganyo akazi k'umutima n'ibihaha byawe mu gihe cyo kubagwa. Umutima wawe ntuzatera muri iki gihe.

4. Gukata: Umuganga ubaga azagukata mu gituza kugira ngo agere ku mutima wawe. Ibi akenshi bikorwa binyuze mu gukata sternotomy (gukata hagati mu igufwa ry'igituza cyawe).

5. Gusimbuza valve: Hakorwa icyuho mu gice cy'ibumoso cy'umutima kugira ngo kigere kuri valve ya mitral. Hanyuma, ibice byangiritse bya valve bikurwaho witonze, hanyuma valve nshya ishyirwa mu mwanya wayo hanyuma idodwa neza.

6. Gupima: Reba niba valve nshya ikora neza kandi niba imiryango yayo ifunguka kandi igafunga neza.

7. Gusoza kubagwa: Ibintu byose nibimara kugenda neza, igisebe mu mutima wawe kizafungwa kandi uzakurwa buhoro buhoro mu mashini ikoresha umutima n'ibihaha.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nk’uko bigenda mu kubagwa kose, hari ibyiza n’ingaruka, kandi ni ngombwa kubimenya.

Ntugatinye izi ngaruka. Itsinda ry'abaganga bawe ryahuguwe cyane ku kugabanya ibyago byo kuba izi ndwara no kuzirwanya mu gihe zibayeho.

Bigenda bite nyuma yo kubagwa? Bifata igihe kingana iki kugira ngo umuntu akire?

Nyuma yo kubagwa, akenshi ugomba kumara icyumweru kimwe mu bitaro.

• Ku munsi wa mbere cyangwa ibiri, uzaguma mu cyumba cy’indembe (ICU) kandi ubuzima bwawe buzakurikiranwa cyane.
• Hanyuma uzahabwa ubuvuzi busanzwe.
• Ni ibisanzwe kugira umutima utera nabi nyuma yo kubagwa, kandi ushobora gukenera imiti cyangwa se agakoresho k’igihe gito gafasha mu guhagarara neza kw’umutima.
• Hazatangizwa imiti igabanya amaraso kugira ngo igabanye ibyago byo kubyimba kw'amaraso.
• Uzamenyeshwa gahunda yo kuvura indwara z'umutima izagufasha gukira vuba.

Ubusanzwe bifata hagati y'ibyumweru 4 na 8 kugira ngo umuntu akire neza. Ariko, iki gihe kiratandukanye bitewe n'umuntu ku giti cye. Ibi bigira ingaruka ku bintu nk'ubuzima bwawe mbere yo kubagwa ndetse n'uburemere bw'indwara yawe.

Muganga wawe azakubwira igihe ushobora gusubira mu mirimo nko gutwara imodoka no guterura ibyuma. Ni ngombwa kandi gufata indyo yuzuye umutima, kwirinda kunywa itabi n'inzoga, kugira ibiro bizima, no gukomeza gukora siporo mu buzima bwawe.

Ni ibihe bimenyetso bisaba kwitabwaho byihuse?

Ni ingenzi cyane kwita ku mubiri wawe mu gihe cyo gukira. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byihutirwa (ETU) biri hafi yawe.

Ntukirengagize, wibwira uti: "Iki gishobora kuba ari ikintu gito." Ndetse n'ikimenyetso gisa n'aho ari gito gishobora kuba ikimenyetso cy'ikintu gikomeye. Niba rero ufite gushidikanya, ntutindiganye kuvugana na muganga wawe.