Ese umuyoboro w'umutima uva amaraso? Reka twige uburyo bwo kuvura hatari mu kubaga (Paravalvular Leak Closure)

Tekereza ko wabazwe umuti wo gusimbuza utwuma tw’umutima kandi ukaba wizeye ko ibintu byose bizagenda neza. Akenshi, ibintu byose bigenda neza. Ariko, rimwe na rimwe, mu bantu bake cyane, hasigara icyuho gito hagati y’utwuma dushya tw’ubukorano twashyizwemo n’urukuta rw’umutima, maze amaraso make agatangira kuvamo. Ni nk’iyo dufunze umuyoboro w’amazi, amazi make asohoka mu ngingo. Mu buvuzi, ibi tubyita 'Paravalvular Leak' (PVL) . Uyu munsi rero tugiye kuvuga ku buryo bworoshye cyane kandi bugezweho bushobora kuziba ubwo bwoko bw’amazi adafunguye igituza ngo abagwe cyane.

Mu magambo make, Paravalvular Leak Closure ni iki?

Ibi biroroshye cyane. Paravalvular Leak Closure ni uburyo bwo kuvura butari ubwo kubaga. Buhagarika amaraso yavuye nk'uko nabivuze mbere nyuma yo gusimbuza umugozi w'umutima. Ubusanzwe, iyo habayeho amazi nk'aya, ashobora gusanwa no gukora ubundi bubagwa. Ariko tekereza ukuntu ari ibyago ku muntu wigeze kubagwa umutima rimwe kongera kubagwa bikomeye gutyo. Izi ngaruka ziba nyinshi cyane cyane ku muntu ukuze kandi ufite izindi ndwara.

Rero, abaganga b'indwara z'umutima bakoresha ubu buryo bugezweho kugira ngo bagabanye ibi byago.

Kenshi na kenshi, iyo amazi yavuyemo ari make, muganga wawe azakwandikira imiti. Ariko, niba umuti udafashe ingamba zo kugabanya amazi yavuyemo kandi ukumva ko kubagwa bundi bushya ari ikibazo gikomeye, muganga wawe ashobora kukugira inama yo gufunga PVL. Ubu ni uburyo budakoresha imbaraga nyinshi bushobora gusana amazi yavuyemo hafi y’umuyoboro w’umutima no kugabanya ibimenyetso by’indwara zawe cyane.

Ni nde koko ukeneye ubu buvuzi?

Ubu buvuzi si ngombwa kuri buri wese. Ariko hari ibihe bimwe na bimwe byihariye aho ubu buvuzi bushobora kugira akamaro kanini. Reka turebe ibyo ari byo.

Ni iki kibaho mbere yo kuvurwa?

Mbere yo kuvurwa muri ubu buryo, muganga wawe azagusuzuma neza. Azasuzuma ubuzima bwawe n'uko umutima wawe ukora. Ashobora kandi gukora ubushakashatsi butandukanye mu maraso kugira ngo arebe ko nta ndwara y'umutima yandujwe.

Byongeye kandi, hakorwa ibizamini byinshi byihariye kugira ngo harebwe neza aho amazi yavuye, ingano yayo, n'uburyo bwo kuyageraho. Ibi birimo gufata amafoto y'umutima.

• ECG (Electrocardiogram): Ikizamini kireba imikorere y'amashanyarazi y'umutima.
• Echocardiogram: Gupima umutima. Ibi bigufasha kubona neza ibyumba by'umutima, imiyoboro y'amaraso n'uko amaraso atembera.
• Echocardiogram ya Transesophageal Echocardiogram (TEE): Iyi nayo ni echo scan. Ariko, umuyoboro muto ufite kamera ushyirwa mu kanwa, unyuzwa mu mwobo, hanyuma ugafata amashusho meza y'inyuma y'umutima. Ibi ni ingenzi cyane kugira ngo hamenyekane neza aho amazi yavuye.
• Angiogramu: Uburyo bwo gufata amashusho ya X-ray y'imitsi y'umutima binyuze mu kuyiteramo amazi yihariye.
• Isuzuma rya CT y'umutima na MRI y'umutima: Ibi bishobora gutanga amashusho y'umutima arambuye kandi afite ingero eshatu (3D).

Uburyo bwo kuvurwa bukorwa bute kandi witegura ute?

Ubu buvuzi bukorwa n'inzobere mu by'umutima. Afashwa n'inzobere mu gupima umutima. Ibi bikunze gukorwa muri laboratwari yihariye mu bitaro. Tubyita 'Laboratwari yo Gupima Umutima' .

Imyiteguro yawe mbere yo kuvurwa

Muganga azaguha amabwiriza asobanutse neza y'icyo wakora mbere yo kuvurwa.

• Kurya no kunywa: Uzasabwa guhagarika kurya no kunywa amasaha make mbere y'uko uvurwa.
• Imyambaro: Inama ku byo wambara kuri uwo munsi.
• Imiti: Ushobora gusabwa guhagarika by'agateganyo cyangwa guhindura ingano y'imiti imwe n'imwe ufata, cyane cyane imiti igabanya amaraso cyangwa imiti idakoresha steroide igabanya ubushyuhe (NSAIDs).
• Ibintu byo kumenya: Ugomba kubwira muganga wawe ibyerekeye ubwivumbure ubwo aribwo bwose ufite, imiti iyo ari yo yose, cyangwa vitamine ufata.

Uburyo ubuvuzi bukorwa

Ntugatinye iyo ubyumvise, ni inzira yoroshye cyane.

1. Ubwa mbere, uzahabwa umuti wo kugabanya ububabare. Bityo ntuzumva ikintu icyo ari cyo cyose, uzaruhuka.

2. Hanyuma, muganga ashyiramo umuyoboro muto cyane, witwa catheter , mu mitsi mikuru y'amaraso (imitsi yo mu nda) iri mu kaguru ko hejuru, kari mu gituza cyawe.

3. Hanyuma, hifashishijwe ibyuma bipima, insinga nziza kurushaho inyuzwa muri iyi catheter ikagera aho amazi yavuye mu mutima.

4. Iyo amazi amaze kuboneka, igikoresho gito (igikoresho cyo gufunga) gishyirwa ku nsinga, kigafunga burundu icyuho. Ibi ni nko gufunga umwobo ukoresheje icyuma gifunga.

5. Nyuma yo gusuzuma no kwemeza ko akazi kakozwe neza, nyir'umuyoboro akuraho witonze.

Hari igihe, niba ufite uturindantoki tubiri tw’inyongera, aho kutwinjiza mu kibuno, hashobora gucibwamo gato cyane ku ruhande rw’igituza maze katheteri igashyirwamo. Icy’ingenzi ni uko udakwiye gufungura igituza cyawe burundu, nk’uko wabikora iyo ukorewe operation ikomeye.

Kuvurwa bifata igihe kingana iki? Ni iki kibaho nyuma yaho?

Ubusanzwe igikorwa cyose kimara amasaha abiri cyangwa atatu . Ushobora kuba wibaza uko bigenda kuri ako gakoresho gato kashyizwe mu mutima wawe. Uko igihe kigenda gihita, umutima wawe urakura ukikije ako gakoresho, kandi kakaba igice cy’umutima wawe gisanzwe.

Nyuma yo kuvurwa, uzarara mu bitaro kugira ngo ukurikiranwe. Ubusanzwe uzabasha gutaha mu gitondo gitaha. Muganga wawe azaguha amabwiriza asobanutse neza y'uko waguma mu rugo, icyo wakora n'icyo utagomba gukora. Ushobora kubaza muganga wawe igihe ushobora gusubira mu mirimo yawe isanzwe.

Ubusanzwe, nyuma y'amezi atatu nyuma yo kuvurwa, hongera gukorwa isuzuma kugira ngo harebwe niba aho amazi yavuye hafunze neza kandi niba valve ikora neza.

Ni izihe nyungu z'ubu buryo ugereranije n'ubuvuzi gakondo?

Ugereranije no kubaga mu buryo bwihuse, uburyo bwa PVL Closure bufite ibyiza byinshi bisobanutse.

• Gukira vuba: Kubera ko nta gucika cyane kwabaye, igihe cyo gukira ni gito cyane.
• Ingaruka nke zo kwandura: Kubera ko nta gikomere gikomeye kirimo, ibyago byo kwandura ni bike cyane.
• Kumara igihe gito mu bitaro: Kubera ko ushobora gutaha ijoro ryose, ntabwo ari ngombwa ko umara ibyumweru byinshi mu bitaro.
• Udukomere duto n'inkovu: Hasigaye agakomere gato cyane ku mubiri.

Ni ryari ngomba kongera kubonana na muganga?

Ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza no kwitabira gahunda zawe ku gihe. Niba ugaragaje ibimenyetso bidasanzwe nyuma yo kuvurwa, nko kugira umuriro udasobanutse, kubabara mu kibuno, cyangwa kubyimba , menyesha muganga wawe ako kanya.

Niba waragiye usimbuzwa utwuma tw’umutima, ni ngombwa ko ujya kwisuzumisha buri gihe. Hari igihe ndetse n’utwuma dushya dushobora kuva amazi uko igihe kigenda gihita. Iyo bibaye, kuvurwa bishobora kuba birimo imiti, kongera kubagwa, cyangwa uburyo bwo gufunga ikinyabiziga cya Paravalvular twaganiriyeho. Vugana na muganga wawe ku buryo bwiza bujyanye n’ibyo ukeneye n’ubuzima bwawe.