Wigeze wumva ibyuzura amazi hirya no hino mu mutima? Bisa nkaho biteye ubwoba gato, si byo se? Iyi ndwara ishobora kuba iteje akaga rimwe na rimwe. Ariko ntugahangayike, hari uburyo bwihariye bwo kuvura bushobora no kurokora ubuzima mu bihe nk'ibyo. Ubwo ni bwo buryo tugiye kuvugaho uyu munsi.
Pericardiocentesis ni iki? Reka tubisobanukirwe mu buryo bworoshye
Pericardiocentesis ni uburyo bukuraho amazi arenze urugero mu gafuka gakikije umutima wawe (bwitwa pericardium mu magambo y'ubuvuzi). Ubu ni uburyo bw'ingenzi cyane, kuko ubwo bwoko bw'amazi rimwe na rimwe bushobora gutuma umutima uhagarara.
Tekereza ko umutima wacu uri mu gafuka karinda umubiri. Ubusanzwe muri aka gafuka haba hari amazi make afasha umutima kunyeganyega no gutera. Ibyo ntabwo ari ikibazo. Ariko niba ku mpamvu runaka aya mazi yiyongera cyane, tuyita Pericardial Effusion .
Uku kwiyongera kw'amazi ni nko gushyira umutima wawe mu ibara ry'amazi hanyuma ukawuzuzamo amazi menshi. Buhoro buhoro, umutima utakaza ubushobozi bwo gutera, maze umutima ukazamo umubyimba.
Uku kuziba kw'imitsi ni ko guteye akaga cyane. Tubyita Cardiac Tamponade . Iki ni ikibazo cyihutirwa cy'ubuvuzi. Kuko gishobora gutuma umutima uhagarara gukora, kandi urupfu rushobora kubaho mu masaha make cyangwa iminota mike.
Rero, mu kuvura Pericardiocentesis, urushinge ruto rushyirwa mu gituza, mu gafuka gakikije umutima, hanyuma amazi arenze akavanwaho. Hari igihe umuyoboro ushobora gushyirwaho kugira ngo ukuremo amwe mu mazi.
Ni nde ukeneye ubu buvuzi? Impamvu ni izihe?
Hari impamvu nyinshi zishobora gutuma amazi yiyongera ku mutima muri ubu buryo. Dore zimwe mu mpamvu nyamukuru zishobora gutuma ubu buvuzi buba ngombwa.
| Impamvu | Ibisobanuro |
|---|---|
| Imiterere ya kanseri | Cyane cyane kanseri zikomeye na kanseri y'umutima. |
| Indwara y'umutima | Mu bihe nk'igihe urukuta rw'umutima rwacitse bitewe n'indwara y'umutima. |
| Indwara zandurira mu mubiri | Kwandura agasaho gakikije umutima guterwa n'igituntu, indwara za bagiteri cyangwa virusi (nka COVID-19, VIH). |
| Indwara z'ubudahangarwa bw'umubiri | Indwara nka Lupus na Rumatizime. |
| Izindi ndwara | Kunanirwa k'umutima cyangwa impyiko, hypothyroidism. |
| Izindi mpamvu | Imiti imwe, imiti ivura imirasire, cyangwa rimwe na rimwe nta mpamvu ihari. |
Ni iki kibaho mbere yo kuvurwa?
Bitewe n'uko iki ari ikibazo cyihutirwa cyangwa atari cyo, uburyo bwo kwitegura bushobora gutandukana gato. Iyo atari ikibazo cyihutirwa, muganga wawe azaguha umunsi n'igihe. Akenshi, uzasabwa guhagarika kurya no kunywa amasaha 8 mbere y'uko igikorwa kirangira.
Reka turebe bimwe mu bintu bikunze gukorwa mbere yo kuvurwa.
- Gushyiramo umurongo wa IV: Umuyoboro muto (umurongo wa IV) winjizwa mu mitsi yawe kugira ngo ibintu nk'umunyu cyangwa imiti bishobore gutangwa.
- Gutegura uruhu: Aho urushinge ruzashyirwa harogoshwa kandi aho hantu hasukurwa neza n'umuti wica udukoko. Ibi bikorwa kugira ngo hirindwe kwandura.
- Gukurikirana ibimenyetso by'ingenzi: Hazashyirwaho utwuma two gusuzuma umuvuduko w'amaraso yawe, guhumeka kwawe, umuvuduko w'umutima wawe, n'urugero rwa ogisijeni . Uzahuzwa kandi na ECG (electrocardiogram) kugira ngo ukurikirane imikorere y'amashanyarazi y'umutima wawe.
- Gutanga ogisijeni: Iyo bibaye ngombwa, ogisijeni itangwa binyuze mu muyoboro muto ushyizwe mu mazuru.
Ni iki kibaho mu gihe cyo kuvurwa?
Ubu buvuzi bukorwa n'itsinda ry'abaganga, abaforomo, n'abandi batekinisiye.
Gukoresha ikoranabuhanga ryo gufata amashusho kugira ngo bifashe
Mbere yo gushyira urushinge, muganga akoresha ikoranabuhanga ryo gufata amashusho.Muganga akoresha urushinge kugira ngo amenye neza aho amazi akikije umutima ari. Ultrasound (echocardiogram) ikunze gukoreshwa kuri ibi. Ibi bikoreshwa kugira ngo hamenyekane ahantu hizewe kandi horoshye ho gushyira urushinge. Ibi bigabanya cyane ibyago byo kwangirika k'umutima cyangwa izindi ngingo.
Uburyo bwo gushyiramo urushinge
Keretse iyo ari ikibazo cyihutirwa, umuti ugabanya ububabare uzaterwa mu gace urushinge rwashyizwemo. Bityo ntuzumva ububabare ubwo aribwo bwose. Ushobora kumva umuvuduko muto.
Hari ahantu henshi ushobora gushyira urushinge. Ahantu hakunze kugaragara cyane ni munsi y'igufwa ryo hagati ry'igituza (sternum). Kuva aho, rushobora kwinjira mu gafuka gakikije umutima byoroshye.
Iyo urushinge rumaze gushyirwa mu gafuka neza, muganga akoresha syringe kugira ngo akuremo buhoro buhoro amazi. Ibi akenshi bifata iminota 10-20. Iyo hari amazi menshi, umuyoboro muto (catheter) ushobora gushyirwamo kugira ngo uyakuremo amazi mu gihe cy'umunsi umwe cyangwa ibiri.
Nyuma y'akazi, agapira cyangwa umuyoboro birakurwaho hanyuma agace gato ka sima gashyirwamo kugira ngo gatwikire aho hantu.
Bigenda bite nyuma yo kuvurwa?
Ikipe y'abaganga izakwitaho neza nyuma yo kuvurwa.
- Gupima amazi: Icyitegererezo cy'amazi yakuwemo cyoherezwa muri laboratwari kugira ngo hamenyekane icyateye amazi kwirundanya.
- Gusubiramo gupima: Hazakorwa isuzuma rya ultrasound (echocardiogram) kugira ngo harebwe niba amazi yose yakuwemo.
- Gukira: Uzabwirwa kuruhuka amasaha agera kuri 12-24. Uzatangira kumva umeze neza nyuma gato y'uko amazi akuweho.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Ibyiza
- Ishobora kurokora ubuzima: Ubu ni uburyo bwo kuvura burokora ubuzima mu gihe cy’impanuka nka Cardiac Tamponade.
- Impamvu irashobora kuboneka: Mu gusuzuma amazi, impamvu nyamukuru y'uburwayi irashobora kuboneka. Ibi ni ingenzi cyane mu kuvurwa mu gihe kizaza.
- Byihuse kandi byoroshye: Ibi ni byihuse kurusha kubagwa bikomeye. Kubera ko nta gucika cyane, igihe cyo gukira kiba gito.
Ingaruka
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora kubaho. Ariko ibuka ko izi ngaruka ari nke cyane kuko ikoranabuhanga nka ultrasound rikoreshwa.
- Kwangirika kw'ingingo zegereye nk'umutima, ibihaha, cyangwa umwijima biva mu gishishwa (ibi ni gake cyane).
- Indwara yo kutagira umutima ibaho iyo amashanyarazi y'umutima yagizweho ingaruka.
- Kwandura aho urushinge rwashyizwe.
- Kwangirika k'umuyoboro munini w'amaraso.
Ariko ugereranije n'ingaruka zishobora guterwa no kutavurwa, izi ngaruka ni ntoya. Muganga wawe azasuzuma ibi bintu byose maze ahitemo icyakubera cyiza.
Igihe cyo kongera gushaka inama z'abaganga
Niba ubonye ibimenyetso nyuma yo gusubira mu rugo nyuma yo kuvurwa, ugomba guhita ujya mu cyumba cy’ubuvuzi bwihutirwa (ETU) cy’ibitaro .
| Ibimenyetso bisaba kwitabwaho byihuse | |
|---|---|
| Ibimenyetso bya Tamponade y'umutima | |
| |
| Ibimenyetso by'ubwandu (Sepsis) | |
|
Ese ubu buryo bwo kuvura bubabaza?
Nta bubabare uzumva kuko urushinge rwatewe umuti utera ibisebe. Ushobora kumva umuvuduko muto iyo urushinge rwinjiyemo, ariko ntabwo rubabaza.
Ubutumwa bwo kujyana mu rugo
- Pericardiocentesis ni uburyo bwo kuvura bufasha mu kurokora ubuzima, rimwe na rimwe bugakuraho amazi adakenewe akikije umutima.
- Uku kwirundanya kw'amazi (pericardial effusion) bishobora gutera tamponade y'umutima, bikaba ari ikibazo cyihutirwa.
- Ubu buryo bwo kuvura ni bwiza cyane kuko bukorwa hakoreshejwe ikoranabuhanga nka ultrasound .
- Niba ugaragaje ibimenyetso nko kubabara mu gatuza, kugorwa no guhumeka, cyangwa umuriro nyuma yo kuvurwa , hita ubonana na muganga cyangwa ujye mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ry’ibitaro.
- Niba ufite ikibazo icyo ari cyo cyose kijyanye n'ubu buryo bwo kuvura, ntutindiganye kubaza muganga wawe.
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