Ese ufite imitsi yazibye mu maguru yawe? Reka twige ibyerekeye PAD na Atherectomy!

Ese wumva ububabare cyangwa ububabare mu maguru yawe, cyane cyane mu gice cy'inyuma, iyo ugenda? Ese ubu bubabare buriyongera iyo ugenda kure gato bukagabanuka iyo uhagaze? Niba ufite ibi bimenyetso, nawe ushobora kugira ingaruka kuri iyi ndwara. Ntugahangayike, iyi ni indwara ifata abantu benshi. Uyu munsi, reka tuganire ku mpamvu itera iyi ndwara ndetse n'uburyo bugezweho bwo kuvura bwitwa Atherectomy.

PAD ni iki? Kuki imitsi ifungana?

Mu magambo make, PAD isobanura indwara y'imitsi yo mu bwoko bwa Peripheral Artery Disease . Mu rurimi rwa Sinhala, ni ukufunga imitsi ijyana amaraso mu ngingo za kure nko mu ngingo z'umubiri wacu. Tekereza ko uko igihe kigenda gihita, ibintu nk'ingese n'umwanda bifatwa mu muyoboro w'amazi. Muri ubwo buryo, "plaque" ishobora gushyirwa mu mitsi yacu y'amaraso. Iyi plaque ni urwego rukorwa no kwirundanya kw'ibintu nka cholesterol, ibinure, na kalisiyumu. Mu buvuzi, ibi tubyita (Atherosclerosis) .

Uko imitsi y'amaraso igenda igabanuka buhoro buhoro bitewe n'uku kuziba, ni ko amaraso anyuramo agabanuka. Iyo ukora imyitozo ngororamubiri cyangwa ugenda n'amaguru, imitsi yo mu maguru yawe ikenera amaraso menshi, bivuze umwuka mwinshi. Ariko kubera ko imitsi iziba, ntabwo ibona amaraso menshi ikeneye. Ni bwo ububabare n'ibinure biza.

Ni ubuhe buryo bwo kuvura bwitwa "atherectomy"?

Guca amaraso mu buryo bwa Ateri ni uburyo bwihariye bwo kuvura bukuraho cyangwa bukuraho plaque yikubise mu mitsi y'amaraso yazibye. Ubu si uburyo bukomeye bwo kubaga. Bikubiyemo gushyiramo umuyoboro muto cyane (catheter) unyuze muri umwe mu mitsi yawe y'amaraso ukayiyobora aho ifunze. Ku mpera y'uyu muyoboro hari icyuma gito cyane, gityaye cyangwa igikoresho gitanga urumuri rwa laser.

Iki gikoresho gica kandi kigakuraho plaque ikomeye. Hari igihe ubu buryo bwo kuvura bushobora kuba busaba uburyo bwo gufunga imitsi y'amaraso kugira ngo ikomeze gufungura imitsi cyangwa stent kugira ngo idafunga ukundi. Muganga wawe azagusobanurira birambuye.

Hari ubwoko bungana iki bwo gucibwamo (atheroctomie)?

Yego, abaganga bakoresha uburyo butandukanye bwo guca amaraso bitewe n'imiterere n'aho imitsi y'amaraso yazibye. Hari ubwoko bwinshi bw'ingenzi.

Ni iki nkwiye gukora mbere y'ubu buvuzi?

Mbere yuko uhabwa ubu buvuzi, muganga wawe azagutegeka ibizamini byinshi kugira ngo arebe neza uburyo imiyoboro y'amaraso yawe yazibye.

• Angiografiya: Ikizamini aho irangi ryihariye rishyirwa mu mitsi hanyuma hagafatwa X-ray kugira ngo hakorwe ikarita y'imitsi.
• Ultrasound y'imitsi: Isuzuma rikoresha imiraba y'urusaku kugira ngo harebwe uko amaraso atembera mu mitsi no kugira ngo harebwe aho yazibye.

Umunsi umwe mbere y'uko uvurwa, uzahabwa amabwiriza yihariye.

• Igihe kirageze cyo kureka kurya no kunywa.
• Ku bijyanye no gufata cyangwa guhagarika imiti ufata, cyane cyane imiti igabanya amaraso .

Ni ngombwa cyane gukurikiza ibi byose neza neza nk'uko muganga wawe abikugiramo inama.

Ni iki kibaho mu gihe cyo kuvurwa?

Iyo ugiye kwa muganga, uzahabwa ikanzu yihariye yo kwambara. Hanyuma, uzahabwa umuti wo kugutera ibisebe kugira ngo utazagira ububabare ubwo aribwo bwose mu gihe cyo kuvurwa. Ibi akenshi bikorwa ukiri muzima, ariko ukanaruhuka gato.

1. Muganga azatobora umwobo muto mu mitsi y'amaraso mu kibuno cyawe cyangwa ku kuboko, hanyuma ashyiremo umuyoboro muto (catheter).

2. Hanyuma, mu gihe ureba ecran ya X-ray, umuyoboro uyoborwa witonze aho umutsi wafunzwe uri.

3. Umaze kugera aho uruziga ruziba, koresha igikoresho (icyuma cyangwa laser) ku mpera y'umuyoboro hanyuma ukureho cyangwa ukate urwego rw'umuhondo.

4. Iki gikorwa gishobora gusubirwamo inshuro nyinshi kugeza igihe nta mbogamizi zihari ku gutembera kw'amaraso.

Ubusanzwe, iki gikorwa cyose kimara amasaha abiri.

Ni iki wakwitega nyuma yo kuvurwa?

Nyuma yo kuvurwa, uzakenera kuryama mu buriri amasaha menshi (ahari amasaha agera kuri 6) kugira ngo wirinde kuva amaraso mu gice cy’umuti wa catheter. Muri iki gihe, abaforomo bazajya basuzuma umuvuduko w’amaraso n’imitsi y’amaraso yawe buri gihe.

Kenshi na kenshi, ubu ni uburyo bwo kuvura butuma ushobora gutaha uwo munsi utagombye kumara mu bitaro. Ariko, hari abantu bashobora kumara umunsi umwe mu bitaro. Biterwa n'uko umeze. Uzashobora kongera gukora imirimo isanzwe mu minsi mike. Ariko, ni byiza gusaba inama muganga wawe.

Ni izihe nyungu z'ibi?

Akamaro gakomeye ko gucibwamo amenyo ni uko bishobora gukorwa binyuze mu gukata gato aho kubagwa mu buryo bukomeye . Ibi bituma igihe cyo gukira kigabanuka, ububabare bugabanuka, kandi inkovu zigagabanuka.

Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hashobora kubaho ingaruka zimwe na zimwe.

• Iyo agace k'umuhondo gakuweho, agace gato kako gashobora gucika kagafata undi mutsi muto imbere.
• Ni gake cyane, igikoresho cyo gukurura gishobora kwangiza urukuta rw'imitsi, bigatera gushwanyagurika cyangwa umwobo.

Ariko ibi ntibikunze kubaho. Abaganga b'inararibonye bafata intambwe zose zikenewe kugira ngo bagabanye izi ngaruka.

Ni ryari wifuza kongera kubonana na muganga?

Iyo ugiye mu rugo nyuma yo kuvurwa, ugomba guhita uhamagara muganga wawe niba ugaragaje ibimenyetso bishya cyangwa niba hari ibimenyetso bihari birushijeho kwiyongera. Witondere cyane ibi bikurikira:

• Ububabare bukomeye mu kibuno cyangwa ukuguru kuvurwa.
• Kubyimba amaguru (edema) .
• Gutukura cyangwa kumva ubushyuhe mu gace kavuwe.
• Kumva ufite ibicurane cyangwa udafite icyo uryamye mu kuguru kwavuwe.

Niba wumva ikintu nk'iki, ntukirengagize. Shaka inama kwa muganga ako kanya.