Ese wagize ikibazo cyo guhumeka nabi, kubyimba amaguru, cyangwa ikibazo cy'umutima kandi muganga wawe akakubwira ibyerekeye kubagwa byitwa "Pericardiectomy"? Ushobora kugira ubwoba gato iyo wumvise iryo zina, kandi ibyo ni ibisanzwe. Ariko ntugahangayike. Uburyo bwiza bwo guhangana n'ikintu icyo ari cyo cyose ni ukumenya neza ibyacyo. Uyu munsi rero, turaganira kuri ubu kubagwa, impamvu bikorwa, uko bikorwa, n'ibiba nyuma yo kubagwa mu buryo bworoshye cyane ushobora gusobanukirwa.
Mbere na mbere, iyi 'pericardium' ni iki?
Mu magambo make, pericardium ni agafuka karinda umutima wawe. Mu by'ukuri, ni agafuka gafite inkuta ebyiri. Hagati y'izi nkuta ebyiri hari amazi make cyane . Aya mazi afasha umutima gutera neza, nta ngorane, nta gukururana. Mu yandi magambo, akora nk'amavuta yo kwisiga ku mikorere y'umutima.
Ariko se ushobora kubaho udafite iki gipfukisho?
Yego, birashoboka rwose. Iyi 'Pericardium' ntabwo ari ngombwa ku mikorere isanzwe y'umutima. Niba ibihaha byawe n'imitsi minini iri munsi yabyo yitwa diaphragm ari byiza, gukuraho iki gipfundikizo nta kibazo bizatera. Mu by'ukuri, niba ufite indwara nka 'Pericarditis' (kubyimba kwa pericardium), imiterere yo kwisiga ya 'Pericardium' yawe yamaze kubura. Kuyikuraho rero ntibizongera kuba bibi kurushaho.
None se, ni izihe mpamvu zo gukora ubu buvuzi (Pericardiectomy)?
Impamvu nyamukuru kandi ikunze kugaragara yo kubagwa ni indwara yitwa Constrictive Pericardite .
Tekereza, byagenda bite iyo aka gafuka koroshye gakikije umutima wawe kaba kumutse, kanini, kandi kameze nk'igishishwa gikomeye cy'ikokonati? Byagabanya umwanya w'umutima wawe wo gutera neza no kuzura amaraso, si byo se? Ibyo nibyo byitwa 'Constrictive Pericarditis'.
Iyo igice cy'umutima kirushaho gukomera no gukomera gutya:
- Ibyumba by'umutima ntabwo byuzuye amaraso ahagije.
- Amaraso agomba kuvomwa n'umutima atangira gusubira mu bihaha.
- Umutima ntushobora gupompa amaraso mu buryo busanzwe.
- Amaguru n'inda bitangira kubyimba.
- Ibi ni ibimenyetso bisa n'indwara y'umutima.
Mu gihe cy'indwara ikomeye ya `Constrictive Pericarditis`, igisubizo cyiza ni ukubaga no gukuraho iki gipfundikizo cyuzuye.
Imbonerahamwe iri hepfo igaragaza ibintu byinshi bishobora gutera `Constrictive Pericarditis`.
| Impamvu | Ibisobanuro |
|---|---|
| Impamvu zitaramenyekana (Idiopathic) | Akenshi, impamvu yihariye itera iyi ndwara ntishobora kuboneka. |
| Kubagwa umutima mbere | Bishobora kubaho nk'ingaruka mbi zo kubagwa umutima mbere. |
| Uburyo bwo kuvura imirasire mu gituza | Niba warahawe ubuvuzi bwa radiation mu gace k'igituza kubera indwara nka kanseri. |
| Izindi ndwara | Indwara nka Igituntu na Mesothelioma. |
| Indwara za virusi cyangwa bagiteri | Indwara zikomeye zigira ingaruka ku mutima. |
Uretse iyi mpamvu nyamukuru, kubagwa kwa Pericardioctomie bikorwa mu zindi ndwara nyinshi:
- Mu gihe cy'uburwayi bwa pericarditis busubira.
- Bitewe n'ingorane ziterwa n'imiti imwe n'imwe.
- Ni gake cyane, indwara yitwa 'Cardiac Tamponade' ibaho iyo amazi yirundanyije ku mutima agakanda ku mutima.
Uburyo abaganga babazwe n'igihe cyo gukira
Pericardiectomy ni ukubaga umutima ufunguye. Itsinda rishinzwe kubaga:
1. Gukata igufwa ry'igituza (`sternum`) hagati mu gituza cyawe kugira ngo ugere ku mutima. Ubu buryo bwitwa Median Sternotomy .
2. Akenshi uzahuzwa n'imashini ikora akazi k'umutima n'ibihaha by'agateganyo (cardiopulmonary bypass). Ibi bituma abaganga bakuramo neza igice cy'umutima inyuma n'impande zawo.
3. Igipfukisho gikomeye kandi gikomeye gikikije umutima (`pericardium`) gikurwaho witonze.
4. Nyuma yo kubagwa, igice cyo ku nda gishyirwamo insinga hanyuma igice cyo ku nda gifungwa n'imidozi.
Ubusanzwe ubu burwayi bumara amasaha abiri cyangwa atatu . Nyuma yo kubagwa, uzakurikiranwa mu cyumba cy’indembe mu gihe cy’iminsi mike, kandi ubusanzweUgomba kumara iminsi iri hagati ya 5 na 7 mu bitaro.
Bifata hagati y'ibyumweru 6 na 8 kugira ngo umuntu akire neza. Ugomba kwirinda guterura ibintu biremereye muri iki gihe, ariko ushobora gukomeza gukora imirimo isanzwe yo mu rugo buhoro buhoro.
Ni izihe nyungu n'ingaruka mbi zo kubagwa?
Nk’uko bigenda ku kubagwa gukomeye kose, uku kubagwa gufite ibyiza n’ingaruka. Ingaruka zishobora kugabanuka iyo kubagwa bikozwe n’inzobere mu kubaga umutima.
| Ibyiza | Ingaruka |
|---|---|
| Ibimenyetso hafi ya byose birashira. | Ingorane zo kuva amaraso. |
| Bifite amahirwe menshi yo gukira burundu kuruta gukoresha imiti. | Guterwa amaraso. |
| Kurinda kwangirika kw'imitsi y'umutima. | Ugutera kw'umutima nabi (Atrial Fibrillation). |
| Ubwiza bw'ubuzima bwiyongera. | Kwangirika kw'impyiko. |
| Ni gake cyane, kwangirika k'imitsi ifasha mu guhumeka (imitsi ya phrenic) bibaho. | |
| Ni nto cyane, 1% - 2% by'ibyago byo gupfa. |
Ni ryari nkwiye kujya kwa muganga nyuma yo kubagwa?
Umaze gutaha uvuye kwa muganga, ugomba guhita umenyesha muganga wawe niba hari ibimenyetso by'umuburo bigaragaye.
- Niba ubabara cyane mu gituza .
- Niba ufite umuriro .
- Niba hari amazi menshi kuruta uko bisanzwe ava mu gikomere cyo kubagwa.
Ubusanzwe, uzareba muganga w’indwara z’umutima mu cyumweru kimwe cyangwa bibiri nyuma yo kuva mu bitaro. Nanone, hazakorwa echocardiogram nyuma y’ibyumweru 6 kugira ngo barebe uko umutima wawe ukora.
Ubutumwa bwo kujyana mu rugo
- Guca umutima (Pericardiectomy) ni igikorwa gikomeye cyo kubaga gikuraho igipfukisho gikomeye kandi cy’inyuma cy’umutima.
- Ibi bikunze gukorwa nk'uburyo bwo kuvura indwara yitwa 'Constrictive Pericarditis'.
- Nubwo ubu ari ukubaga umutima ufunguye, umusaruro mwiza ushobora kuboneka iyo bikozwe munsi y’ubuyobozi bw’ikipe y’abaganga b’inararibonye.
- Nubwo bifata ibyumweru 6-8 kugira ngo umuntu akire neza nyuma yo kubagwa, abantu benshi bagira ibisubizo byiza cyane mu gihe kirekire.
- Niba ufite ubwoba cyangwa ikibazo ku bijyanye no kubagwa, ganira na muganga wawe mu buryo bweruye. Azaguha amakuru yose n'ubufasha ukeneye.
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