Ese ububabare bw'amaguru buterwa no kuziba kw'imitsi y'amaraso? Reka tuvuge ku kubagwa kw'imitsi yo mu mpande z'umubiri (Peripheral Artery Bypass operation)

Ese ujya ugira ububabare mu maguru yawe, cyane cyane mu gice cy'inyana, iyo ugenda? Ese wumva amaguru yawe arimo gutakaza imbaraga nyuma yo kugenda intera ndende, kandi asa n'aho agabanuka iyo uruhuka? Wenda umutsi w'amaraso mu kuguru kwawe urimo gufunga buhoro buhoro. Iyi ndwara twita Indwara y'imitsi yo mu mugongo (PAD). Uyu munsi turimo kuvuga ku kubagwa kwihariye gukorwa iyo iyi ndwara ikomeye kandi idashobora gukemurwa n'ubundi buryo bwo kuvura.

Uburyo bwo gufunga imitsi yo mu muyoboro wa Peripheral Artery Bypass ari bwo busobanura iki?

Mu magambo make, ni nko kubaka inzira nshya yo kunyuramo kugira ngo wirinde imodoka nyinshi mu muhanda. Kolesteroli n'ibindi bintu birimo ibinure byiyongera mu mitsi ijyana amaraso mu mibiri yacu, cyane cyane ku maguru yacu, bigatuma habaho "plaque". Uko igihe kigenda gihita, iyi plaque irakomeza ikanaziba imitsi y'amaraso. Ibi bibuza ingirabuzimafatizo zo mu maguru yacu umwuka n'intungamubiri bakeneye.

Rero, mu kubaga imitsi yo mu mitsi yo mu gice cy’imbere (Peripheral Artery Bypass) , umuganga arema inzira nshya yo kunyura mu mitsi ifunganye. Ibi bikubiyemo gukoresha imitsi y’amaraso idafite indwara iva mu mubiri wawe (akenshi imitsi iva mu kaguru kawe) cyangwa agace k’amaraso gafatana. Ibi bihuzwa hejuru no munsi y’agace kafunganye, bigatuma habaho inzira nshya yo gutemberamo amaraso.

Ni nde koko ukeneye ubu bubagwa?

Ubu buryo bwo kubaga si ubwa buri wese ufite PAD. Muganga wawe azabanza kugerageza imiti, guhindura imibereho (urugero nko kureka kunywa itabi, gukora imyitozo ngororamubiri, no kurya indyo), ndetse wenda n'ubundi buryo bwo kuvura burimo gukata gato (nk'uburoso bwo gukaraba cyangwa gukamura amenyo).

Hari impamvu nyinshi z'ingenzi zo gutekereza kuri ubu buvuzi.

Ni iki wakora mbere yo kubagwa?

Iyo umuganga afashe icyemezo cyo kugukorera ubu bubagizi, azakora ibizamini byinshi kugira ngo arebe ubuzima bwawe muri rusange.

• Electrocardiogram (EKG): Reba imikorere y'amashanyarazi y'umutima.
• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Reba neza aho imiyoboro y'amaraso yazibye n'ubukana bwayo.
• Gupima amaraso: Kureba ibintu nk'isukari mu maraso, cholesterol, n'imikorere y'impyiko.
• Ikizamini cy'umuhangayiko: Iki kizamini rimwe na rimwe gikorwa kugira ngo harebwe uko umutima ukora mu gihe cy'imyitozo ngororamubiri.

Igikuru ni uko niba unywa itabi, ugomba kureka kunywa itabi burundu ibyumweru bike mbere yo kubagwa. Kunywa itabi bigabanya imiyoboro y'amaraso yawe kandi byongera ibyago byo guhura n'ingorane nyuma yo kubagwa. Uzakenera kandi kwirinda kurya cyangwa kunywa nyuma ya saa sita z'ijoro mbere yo kubagwa no kureka gufata imiti iyo ari yo yose muganga yagutegetse guhagarika.

Kubagwa bikorwa gute?

Uzahabwa ikinya rusange (gutakaza ubwenge burundu) kugira ngo utazagira ububabare ubwo aribwo bwose mu gihe cyo kubagwa. Hanyuma, umuganga ubaga azaguciramo ibice bifite uburebure bwa santimetero 1.5 hejuru no munsi y'umuyoboro w'amaraso uzibye. Niba hari umutsi muzima uri mu kuguru kwawe ukoreshwa mu gukora inzira yo kunyuramo, uzaguciramo ikindi gice.

Hanyuma icyo gishishwa gishongeshwa neza ku miyoboro y'amaraso mizima hejuru no munsi y'aho kizibye. Iyo amaraso mashya amaze kuboneka, aho gukata hafungwa hakoreshejwe imidozi cyangwa udupira duto. Igikorwa cyose gishobora gufata amasaha abiri kugeza kuri atandatu, bitewe n'uburyo igikorwa cyo kubaga kimeze.

Ni iki kibaho nyuma yo kubagwa?

Nyuma yo kubagwa, uzakenera kumara iminsi 2-5 mu bitaro. Muri iki gihe, abaganga n'abaforomo bazasuzuma buri gihe imitsi y'amaraso yawe, umuvuduko w'amaraso n'umuriro. Icy'ingenzi kurushaho, bazasuzuma buri gihe kugira ngo barebe ko amaraso atembera neza mu kaguru kabazwe. Bazaguha imiti igabanya ububabare.

Umaze gutaha, muganga azakwandikira imiti myinshi yo gukomeza gufata.

• Imiti yo mu bwoko bwa statin (igabanya cholesterol).
• Imiti nka Aspirine cyangwa Clopidogrel (yo gukumira kubyimba kw'amaraso mu gihe cyo gutera uturemangingo dushya).

Ni ibisanzwe kubura ubushake bwo kurya, kubabara cyangwa kugira ibinya mu myanya yo gukata, kubyimba amaguru, no kubabara imitsi iyo ugenda mu byumweru bike bya mbere nyuma yo gusubira mu rugo. Ibi bizagenda bigabanuka buhoro buhoro uko igihe kigenda. Bishobora gufata ibyumweru 6-8 kugira ngo bikire neza.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nk’uko bigenda kuri buri kubagwa gukomeye, uku kubagwa gufite ibyiza ndetse n’ingaruka zimwe na zimwe.

Abantu benshi ntibagira ibibazo bikomeye. Ariko, abantu barengeje imyaka 70 n'abafite izindi ndwara, nka diyabete cyangwa indwara z'impyiko, baba bafite ibyago byinshi byo kugira ibibazo. Hari igihe n'igishishwa gishya gishobora guhagarara nyuma y'imyaka myinshi. Iyo bibaye, ubuvuzi bushobora kongera gusubirwamo.