Ese hari igihe wumva ububabare, gucika intege, cyangwa kumva gusa ufite ibinure mu maguru yawe iyo ugenda? Ese amaguru yawe atangira kubabara nyuma yo kugenda intera ndende, kandi ububabare bukagabanuka nyuma yo guhagarara gato? Hanyuma imwe mu mpamvu nyamukuru zibitera ishobora kuba ari uko imitsi ijyana amaraso ku maguru yawe iba yazibye ibinure. Iyi ndwara tuyita Indwara y'imitsi yo mu mugongo, cyangwa PAD mu magambo ahinnye. Uyu munsi rero turimo kuvuga ku buryo bwihariye kandi bugezweho bwo kuvura busukura iyi mitsi yazibye kandi bugasubiza amaraso mu mugongo. Byitwa Aterectomy.
Mu magambo make, Ateriomezi ni iki?
Nk’uko umuyoboro w’amazi mu nzu yacu uzungwa n’umwanda n’ingese uko igihe kigenda gihita, ni nako ibinure nka cholesterol na byo bishobora kwiyongera mu mitsi y’umubiri wacu uko igihe kigenda gihita. Uru ruhererekane rw’ibinure rukomeza kwiyongera buhoro buhoro kandi rukagabanya umwanya uri imbere mu mitsi. Mu by’ukuri, rugabanya imitsi. Mu buvuzi, iyi nzira tuyita Atherosclerosis . Rero PAD ni indwara ya Atherosclerosis ituma imitsi yo mu ngingo, cyane cyane amaguru, ifungana.
Guca amenyo ni uburyo bwo gushyiramo umuyoboro muto cyane (catheter) mu mitsi yazibye, hanyuma hakoreshejwe icyuma gito cyangwa umuyoboro wa laser ku mpera y'umuyoboro, agace gakomeye kagacibwa kagakurwaho. Ni nko gusukura agace gato k'umwanda kari mu muyoboro hakoreshejwe igikoresho cyihariye.
Nyuma y’ibi, kuziba kw’imitsi y’amaraso kurakurwaho, kandi amaraso ashobora gutembera neza. Hari igihe, nyuma yo gukuraho uru rurenda rw’ibinure, abaganga bashobora gukora angioplasty kugira ngo imitsi ikomeze gufungura, haba mu gushyiramo agapira cyangwa stent .
Ni ubuhe bwoko bw'ingenzi bwo kuvura indwara ya "atheroctomie"?
Hari ubwoko bwinshi bw'ingenzi bwo kuvura indwara ya atherosctomie, bitewe n'igikoresho cyakoreshejwe mu gukuraho uru rubavu rwa plaque. Muganga wawe azahitamo uburyo bukubereye cyane akurikije ibintu nk'ubwoko bw'imitsi yawe yazibye ndetse n'imiterere y'urubavu rwa plaque.
| Izina ry'uburyo bwo kuvura (Ubwoko bwa Ateriokemi) | Uko bikora |
|---|---|
| Uburyo bwo kubaga indwara ya Ateri (Excisional Atherectomy) | Ibi bikubiyemo gukata no gukuraho urwego rwa plaque ku ruhande rumwe ukoresheje igikoresho gifite icyuma gito. |
| Uburyo bwo kubaga hakoreshejwe laser (Atherectomy) | Nk'uko izina ribigaragaza, ibi bikoresha umuyoboro wa laser ukoresha ingufu nyinshi kugira ngo ushongeshe, uhindure umwuka, kandi ukureho urwego rwa plaque. |
| Kubaga indwara ya orbital ateriosi | Ibi ni nko gukuraho ingese ukoresheje sandpaper. Igikoresho gifite umutwe wa diyama uzenguruka ku muvuduko mwinshi gikoreshwa mu gukurura no gusya plaque. |
| Kuvura indwara ya Rotational Atherectomy | Muri iki gihe, igikoresho gifite ibyuma bito byinshi bizenguruka ku muvuduko mwinshi gikoreshwa mu gukata, gusya no gukuraho urwego rwa plaque. |
Ni iki nkwiye gukora mbere y'ubu buvuzi?
Mbere y'uko umuganga wawe afata icyemezo cyo kugufasha, azagutegeka ibizamini byinshi kugira ngo arebe ingano y'imitsi yawe yazibye n'aho iherereye.
- Angiografiya: Ibi bikubiyemo gutera irangi ryihariye mu mitsi yawe y'amaraso no gufata amashusho ya X-ray y'amaraso atembera muri yo. Ibi bigufasha kubona neza aho hari ibiziba.
- Ultrasound y'imitsi: Ibi ni nko gupima buri gihe. Bikoresha amajwi kugira ngo bipime umuvuduko w'amaraso atembera mu mitsi no kumenya aho yazibye.
Hashingiwe ku bisubizo by'ibi bizamini, muganga wawe azagena niba ukwiriye kubagwa Ateri. Hanyuma muganga azaguha amabwiriza asobanutse y'uburyo bwo kwitegura kuvurwa.
- Ibiryo n'ibinyobwa: Ushobora gusabwa kwirinda kurya cyangwa kunywa amasaha make mbere yo kuvurwa.
- Imiti: Ni ngombwa kubwira muganga wawe indi miti iyo ari yo yose ufata, cyane cyane imiti igabanya amaraso (anticoagulants) cyangwa aspirine. Ushobora gusabwa guhagarika kuyifata iminsi mike.
Iyo ugiye kwa muganga ku munsi wo kuvurwa, uzahabwa ikanzu yo kwa muganga kandi ushyiremo umuyoboro muto mu mitsi yo ku kuboko kwawe kugira ngo uhabwe ikinya. Ntugahangayike, ibi byose bikorwa kugira ngo utumvise ububabare cyangwa ngo wumve nabi.
Uburyo bwo kuvura bukora bute?
Noneho reka turebe uko ubu buvuzi bukorwa. Ubu si ukubagwa gukomeye, bityo ntabwo bitera ikibazo gikomeye ku mubiri wawe.
1. Ubwa mbere, uzahabwa umuti ugabanya ububabare n'umuti wo kugabanya ububabare kugira ngo wumve usinze gato. Bityo ntuzumva ububabare ubwo aribwo bwose, ahubwo uzaba ufite ubwenge.
2. Hanyuma, muganga azagukata gato ku ruhu kugira ngo ashyiremo umuyoboro muto (catheter) muri umwe mu mitsi yawe (ubusanzwe mu kibuno cyangwa ku kuboko).
3. Hanyuma, umuyoboro uyoborwa neza unyuze mu mitsi, uyobowe na X-ray, hanyuma woherezwa aho plaque yikusanyirije kandi igafungwa.
4. Amaherezo, igikoresho cyihariye (icyuma cy'icyuma, laser, cyangwa umutwe uzenguruka) kiri ku mpera y'umuyoboro kirakora, urwego rwa plaque ruracibwa, rugakurwaho, hanyuma ibice bikurwamo binyuze muri uwo muyoboro.
Ibi bishobora gukenerwa gukorwa inshuro nyinshi kugeza igihe amaraso agarutse neza. Ubusanzwe igikorwa cyose kimara amasaha abiri.
Bigenda bite nyuma yo kuvurwa?
Nyuma yo kuvura neza, uzakenera kuryama mu buriri amasaha make (ubusanzwe amasaha 4-6) kugira ngo wirinde kuva amaraso mu gice cy’umuti wa catheter. Muri iki gihe, abaforomo bazasuzuma buri gihe umuvuduko w’amaraso yawe, uko umutima wawe utera, n’uko umutima wawe utera.
Akenshi, ibi bikorwa nk'uburyo bwo kuvura hanze, bivuze ko ushobora gutaha nimugoroba. Ariko, rimwe na rimwe, bitewe n'uko umeze, ushobora kumara umunsi umwe mu bitaro.
Ubusanzwe ushobora gusubira mu bikorwa byawe bisanzwe mu minsi mike. Ariko, kubera ko igihe cyo gukira cya buri wese gitandukanye, ni byiza kubaza muganga wawe igihe cyiza cyo gusubira mu bikorwa byawe.
Ibyiza n'ingaruka zo kuvura indwara ya atherectomy
Nkuko bigenda ku buvuzi ubwo aribwo bwose, uburyo bwo guca ububabare (atheroctoma) bufite ibyiza byabwo ndetse n'ingaruka zimwe na zimwe nto cyane. Ni ngombwa kubimenya.
| Ibyiza | Ingaruka/Ingorane |
|---|---|
| Itanga ihumure ryihuse ku bimenyetso bya PAD (nk'ububabare bw'amaguru). | Iyo uciye plaque, agace gato kayo gashobora gucika kagafata undi mutsi muto uri imbere yawe. |
| Ubu si ukubaga gukomeye. Umwobo muto ni wo ukorwa mu ruhu. (Ushobora kwangiza uruhu) | Hari igihe igikoresho gishobora kwangiza umuyoboro w'amaraso, bigatera umwobo. |
| Ubusanzwe ubuvuzi bumara igihe gito, nk'amasaha abiri. | Kuva amaraso cyangwa kwandura bishobora kubaho aho umuyoboro w'amaraso ushyizwe. |
| Ushobora gukira vuba ugasubira mu buzima busanzwe. | Hari amahirwe make ko icyapa gishobora kongera kugaragara ahantu hamwe. |
Ariko ugomba kwibuka ko izi ngaruka zidakunze kubaho. Abaganga b'inararibonye ni abahanga mu gukumira ibi bibazo no kubikemura mu gihe bibaye.
Ni ryari ugomba kuvugana na muganga?
Iyo ugiye mu rugo nyuma yo kuvurwa, ni ngombwa kwitondera impinduka zose mu mubiri wawe. Niba ubonye kimwe mu bimenyetso biri hepfo, ugomba kuvugana na muganga wawe vuba .
| Niba ufite ibi bimenyetso nyuma yo kuvurwa, bimenyeshe muganga wawe ako kanya. |
|---|
| - Ububabare bukomeye kandi budashobora kwihanganira mu gice cy'ikibuno cyangwa ukuguru byavuwe. |
| - Kubyimba amaguru (Edema) . |
| - Gutukura cyangwa kumva ushyushye mu gace kavuwe. |
| - Ukuguru kwavuwe kuba gukonje cyangwa kuba gukomeye kurusha ukundi kuguru. |
Gukoresha uburyo bwo kuvura indwara y'imitsi yo mu maraso (PAD) ni uburyo bwiza kandi bwizewe bwo kuvura indwara y'imitsi yo mu maraso. Niba ufite ibi bimenyetso, ntutinye kujya kwa muganga no kugisha inama. Kubera uburyo bugezweho bwo kuvura, ubu twashoboye guhangana n'izi ndwara neza.
Ubutumwa bwo kujyana mu rugo
- Gukoresha uburyo bworoshye bwo kuvura indwara ya atheri ni uburyo bworoshye bwo kuvura bukuraho kandi bugakuraho ibinure (plaque) byagiye byinjira mu mitsi bitewe na PAD.
- Kubera ko ubu atari ukubagwa gukomeye, ushobora gukira vuba ugasubira mu buzima busanzwe.
- Nkuko bigenda ku buryo bwose bwo kuvura, hari ingaruka nto, ariko ni gake cyane kandi zishobora gukemurwa n'abaganga b'inararibonye.
- Niba ugize ububabare budasanzwe, kubyimba, gutukura, cyangwa kuribwa mu kaguru nyuma yo kuvurwa, hamagara muganga wawe vuba .
- Imibereho yawe, nko kurya no gukora imyitozo ngororamubiri, ni ingenzi cyane kugira ngo ubu buvuzi bugende neza kandi wirinde kongera kurwara.
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