Ese wowe cyangwa umuntu uzi yabazwe agakoresho ko gusimbuza utwuma tw’umutima? Nyuma y’igihe runaka, uturemangingo dukikije utwuma dushya dushobora gutangira kuva amazi gato. Ibi ni byo twita 'Paravalvular Leak' cyangwa PVL mu buryo bw’ubuvuzi. Ubwo bwoko bw’utwuma bushobora gutera ibimenyetso nko kubura umwuka no kunanirwa. Uyu munsi rero tugiye kuvuga ku buryo bworoshye bwo kuvura bushobora kuziba imyunyu ngugu nk’iyi hatabayeho kubagwa bikomeye ukundi.
Ifungwa ry'ikinyabiziga cya Paravalvular ni iki?
Mu magambo make, ubu ni uburyo bwo kuvura butari ukubagwa. Tekereza ko ufite umugozi w’inzobere washyizwe mu mutima wawe, ariko ubu umugozi urimo kuva amazi gato. Mu bihe byashize, kugira ngo ukosore ikintu nk’iki, wagombaga kongera gufungura igituza cyawe ukongera kubagwa umutima. Ariko si buri wese ushobora kwishyura kongera kubagwa, ni akaga.
Dore igisubizo kuri ibi, uburyo bwo kuvura bwitwa Paravalvular Leak (PVL) Closure bwaragaragaye. Muri ibi, inzobere mu by'umutima ikoresha umuyoboro muto cyane witwa catheter kugira ngo ijye ku mwobo uva mu mutima hanyuma ifunge umwobo n'igikoresho gito (icyuma gifunga). Ni nko gushyira 'agapfundikizo' ku mwobo muto uri mu muyoboro w'amazi.
Kubera ko ubu atari ukubagwa, igihe cyo gukira ni gito, ingaruka ni nke, kandi kumara mu bitaro ni gito cyane.
Ni nde ukeneye ubu buvuzi?
Si abantu bose bafite agakoresho k’ubuvanganzo bazarwara iyi ndwara, kandi si abantu bose bafite akavuyo bazakenera ubu buryo. Ubusanzwe ni byiza ku bantu bafite akavuyo gakomeye kadashobora gukemurwa n’imiti. Muganga wawe ni we uzagena niba ubu buryo bugukwiriye.
Ubu buryo bwo kuvura bushobora kuba bwiza ku muntu ufite indwara zikurikira:
| Imiterere | Ibisobanuro byoroshye |
|---|---|
| Kuva amaraso menshi | Iyo amazi atemba cyane mu cyerekezo kitari cyo. |
| Kugorwa no guhumeka (Dyspnea) | Niba ufite ikibazo cyo guhumeka ndetse no mu gihe cy'imirimo isanzwe. |
| Anemia yo mu maraso | Kubura amaraso bitewe no kwangirika kw'uturemangingo dutukura tw'amaraso mu gihe amaraso anyura mu gace karimo amazi. |
| Abantu barimo kuvurwa indwara ya endocarditis | Niba uri kuvurwa indwara y'imbere mu mutima. |
| Abari mu kaga gakomeye ko kongera kubagwa | Ku bamaze kubagwa inshuro nyinshi kandi badashobora kwiyishyurira ubundi bubagwa. |
Ukora iki mbere yo kuvurwa?
Mbere yo gukora ubu buvuzi, muganga wawe azasuzuma ubuzima bwawe witonze. Azagukorera ibizamini bitandukanye kugira ngo arebe imikorere y'umutima wawe.
- ECG (Electrocardiogram): Reba imikorere y'amashanyarazi y'umutima.
- Echocardiogram: Gupima umutima.
- Echocardiogram ya Transesophageal Echocardiogram (TEE): Iyi ni scan yihariye. Kamera nto inyuzwa mu muhogo kugira ngo ibone neza imiyoboro y'umutima. Ibi ni ingenzi cyane kugira ngo hamenyekane neza aho amazi yavuye.
- Isuzuma rya CT ry'umutima cyangwa MRI: Shaka amashusho arambuye y'umutima mu buryo butatu (3D).
- Gupima amaraso: Kureba niba hari ubwandu.
Ni ingenzi cyane kubwira muganga wawe ibyerekeye ubwivumbure ubwo aribwo bwose ufite n'imiti iyo ari yo yose ufata (cyane cyane imiti igabanya amaraso).
Ni iki kibaho mu gihe cyo kuvurwa?
Ubu buvuzi busanzwe bukorerwa muri laboratwari yo mu bitaro ivura indwara z'umutima. Uzahabwa imiti n'ikinya kugira ngo wirinde ububabare.
Nyuma y'ibyo, inzobere ikurikiza izi ntambwe:
1. Gushyiramo katheteri: Umuyoboro muto cyane kandi woroshye (catheter) winjizwa mu mitsi minini y'amaraso (imitsi yo mu nda) iri mu gituza cyawe.
2. Kumenya aho amazi yamenetse: Hakoreshejwe ikoranabuhanga ryo gupima (nka TEE), insinga inyuzwa mu muyoboro ikayoborwa aho amazi yamenetse mu mutima.
3. Gushyiramo igikoresho:Iyo hamenyekanye neza aho amazi yamenetse, igikoresho gito cyihariye (icyuma gifunga) gishobora gufunga umwobo gica muri catheter, kigashyirwa mu mwanya wacyo, hanyuma kigafungwa.
4. Gukuraho catheter: Iyo akazi karangiye, catheter n'insinga bikurwaho witonze.
Ubusanzwe igikorwa cyose kimara amasaha abiri cyangwa atatu. Uko igihe kigenda gihita, umutima wawe urakura ukikije igikoresho gishya cyashyizwemo, bigatuma uba igice cy'umutima wawe.
Nyuma yo kuvurwa n'ibyiza byabyo
Ubusanzwe, ugomba kumara ijoro rimwe gusa mu bitaro nyuma y’ubu buvuzi. Urashobora gutaha ku munsi ukurikiyeho. Muganga azakugira inama y’uko wagumayo nyuma yo gutaha, icyo wakora n’icyo utagomba gukora. Ubusanzwe, uzongera gusuzumwa mu mezi atatu kugira ngo barebe niba aho amazi yavuye hafunze neza kandi niba valve ikora neza.
Zimwe mu nyungu z'ubu buryo ugereranije no kubaga mu buryo bw'ibanga ni izi:
- Gukira vuba: Kubera ko nta gucika cyane kwabaye, ushobora kongera gukora imirimo yawe isanzwe vuba.
- Ingaruka nke zo kwandura: Kubera ko nta gikomere gikomeye kirimo, ibyago byo kwandura ni bike cyane.
- Guhagarara mu bitaro igihe gito: Ushobora gutaha ijoro ryose.
- Inkovu nto: Umwobo muto mu kibuno, nta nkovu nini iri mu gituza.
Ni ryari wifuza kongera kubonana na muganga?
Nyuma yo kuvurwa, ni ngombwa gukurikiza amabwiriza ya muganga wawe neza no kujya kwa muganga ku matariki yagenwe.
Niba ugize umuriro udasanzwe, ububabare cyangwa kubyimba mu kibuno, cyangwa ikindi kimenyetso kidasanzwe, menyesha muganga wawe ako kanya .
Niba warasimbuwe imashini igabanya ububabare bw'umutima, ni ngombwa cyane kwisuzumisha kwa muganga buri gihe. Kuko rimwe na rimwe ubu bwoko bw'amazi bushobora kubaho. Ariko icyiza ni uko ubu bushobora kuvurwa hatabayeho kubagwa. Vugana na muganga wawe kugira ngo agufashe guhitamo uburyo bwiza bwo kuvura.
Ubutumwa bwo kujyana mu rugo
- Kuvunika kwa Paravalvular (PVL) ni ukuva kw'amaraso hafi y'agace k'umutima k'ubukorano nyuma yo guterwamo.
- Gufunga PVL ni uburyo bwo kuvura butari ubwo kubaga bufunga uku gusohoka kw'amaraso hatabayeho gufungura igituza, hakoreshejwe igikoresho gito gishyirwamo binyuze muri catheter.
- Ubu buryo ni ingirakamaro cyane ku bafite ibyago byinshi byo kongera kubagwa ndetse n'abafite ibimenyetso bikomeye.
- Ubu buvuzi bugira igihe gito cyo gukira, ingaruka nke, kandi bumara igihe gito cyane mu bitaro.
- Menya neza ko uganira n'umuganga w'indwara z'umutima kugira ngo arebe niba ubu buryo bw'ubuvuzi bukubereye.
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