Reka twige ku buvuzi bufunga umwobo mu mutima? (PFO ifunga)

Ese wigeze wumva "umwobo mu mutima"? Wenda muganga wawe ubwe yarabikubwiye. Mu by'ukuri, twese dufite umwobo muto nk'uyu mu mitima yacu iyo turi mu nda. Ni ikintu gikenewe icyo gihe. Ariko nyuma yo kuvuka, uyu mwobo ukunze kwifunga wonyine. Ariko kuri bamwe, uyu mwobo ugumaho udafunga burundu. Mu buvuzi tuwita Patent Foramen Ovale, cyangwa `(PFO)` mu magambo ahinnye. Iyi ni indwara isanzwe ikunze kugaragara ku muntu umwe gusa muri bane. Ku bantu benshi, ibi ntibitera ikibazo. Ariko, kuri bamwe, bishobora guteza ingorane. Ni bwo tuvuga ku kuvura `(PFO Closure)`.

Mu magambo make, gufunga PFO ni iki?

Gufunga PFO ni ukubaga gato kugira ngo ufunge burundu umwobo muto (PFO) uri hagati y’ibyumba bibiri byo hejuru (atria) by’umutima wawe. Ariko, ntibisaba gukata cyane. Muganga ashyiramo umuyoboro muto cyane kandi woroshye, witwa "catheter", mu mutima wawe anyuze mu miyoboro minini y’amaraso ahandi hantu mu mubiri wawe.

Binyuze muri uyu muyoboro, igikoresho gito cyagenewe kwinjizwa mu mwobo uri mu mutima kigafungwa. Tekereza iki gikoresho nk'agace gato ka yo-yo, cyangwa akabuto gato gafite uruziga rubiri ku mpande zombi. Uruziga rumwe rutwikira uruhande rumwe rw'umwobo, n'urundi ruziga rutwikira urundi ruhande.

Ariko, tuvuge ko PFO yawe irengeje milimetero 25. Muri icyo gihe, muganga wawe ashobora gufata icyemezo cyo kubaga mu buryo bwihuse aho gukoresha ubu buryo bwa `(Catheter)`. Ariko, bene ubwo buryo ni gake cyane.

Ni mu bihe ibihe ubwo buvuzi bukenewe?

Abantu benshi bafite PFO ntibakeneye ubuvuzi ubwo aribwo bwose. Ariko, rimwe na rimwe, cyane cyane iyo amaraso ashobora kuvura mu mwobo akagera mu bwonko agatera ibibazo, muganga ashobora kubagira inama yo kuvura.

Witegura ute mbere yo kuvurwa?

Uzakenera gupimwa inshuro nyinshi mbere y'uko ubu buvuzi butangira.

• X-ray yo mu gituza
• Gupima umutima (Echocardiogram)
• Ikizamini cya ECG (Electrocardiogram)
• Ibizamini byinshi by'amaraso

Byongeye kandi, uzabwirwa gutangira gufata imiti nka aspirine na clopidogrel kugira ngo wirinde kubyimba kw'amaraso. Muganga wawe azakubwira umunsi nyawo ugomba gutangira gufata iyi miti. Mu gihe cyo kuvurwa, uzahabwa indi miti yo gukumira kubyimba kw'amaraso.

Uburyo ubuvuzi bukora intambwe ku yindi

Ubu buvuzi busanzwe bumara isaha imwe cyangwa abiri. Dore uko bigenda iyo bumaze gukorwa:

1. Kutagira ibinya: Ubwa mbere, hatangwa umuti ugabanya ibinya mu gice cyo mu nda aho katheteri izashyirwa. Hari igihe hakoreshwa umuti ugabanya ibinya mu gihe bibaye ngombwa.

2. Gukata gato: Gukata gato cyane mu gice cy'imbere cy'uruhago.

3. Gushyiramo katheta: Katheta ishyirwa mu muyoboro munini w'amaraso binyuze mu gukata.

4. Kwimukira mu mutima: Hanyuma, catheter yimuriwe mu mutima witonze cyane.

5. Gushushanya: Irangi ryihariye rishyirwa mu mutima kugira ngo risuzumwe neza hanyuma hagafatwa amashusho ya X-ray (Angiography). Nanone, gupima imbere mu mutima (Ultrasound) bikoreshwa mu gupima ingano nyayo ya PFO.

6. Pima umwobo:Katheteri ifite agapira kabugenewe irashyirwamo, ikazamurwa umwuka, hanyuma ingano nyayo y'umwobo irapimwa.

7. Gushyiramo igikoresho: Noneho igikoresho cyo gufunga cya PFO gica muri catheter kijya mu mutima hanyuma kigahambirwa ku mpande kugira ngo gifunge umwobo.

8. Kwemeza aho ikibazo kiri: Hakorwa ikindi gikoresho cyo gusuzuma (Transthoracic Echocardiogram) kugira ngo harebwe niba igikoresho kiri mu mwanya wacyo.

9. Kurangiza: Iyo byose bimeze neza, katheteri ikurwamo witonze.

Bigenda bite nyuma yo kuvurwa?

Nyuma yo kuvurwa, uzakenera kuruhuka mu buriri mu gihe cy'amasaha agera kuri 6. Ushobora kuba ushobora gutaha nimugoroba cyangwa mu gitondo cyakurikiyeho. Dore ibintu bimwe na bimwe ugomba kuzirikana nyuma yo gutaha:

• Ushobora kugenda n'amaguru, ariko ntugende vuba.
• Ntugatware imodoka iminsi ibiri.
• Ntugaterure ibiro birenga 10 (hafi 4.5 kg) mu gihe cy'icyumweru.
• Ntugakore imyitozo ngororamubiri igoye mu gihe cy'ukwezi kose.
• Ubusanzwe ushobora gusubira mu mirimo yawe isanzwe mu cyumweru kimwe. Ariko , ni ngombwa kubiganiraho byose na muganga wawe no gukurikiza amabwiriza ye.

Uzandikirwa imiti yo gukoresha mu rugo. Uzakenera gufata aspirine cyangwa indi miti igabanya amaraso buri munsi mu gihe cy'amezi 6 cyangwa arenga. Uzabwirwa gufata imiti igabanya ubukana mbere yo kuvurwa, nko gusukura amenyo. Muganga wawe azagusobanurira ibi byose.

Ni izihe nyungu n'ingaruka z'ibi?

Ibyiza

• Bishobora gukumira indwara zo mu gihe kizaza zitari zaboneka impamvu.
• Ntabwo uzumva iki gikoresho ku mubiri wawe.
• Ntabwo bizasiga inkovu nini.
• Ibikoresho iki gikoresho cyakorewemo byagaragaye ko bifite umutekano mwinshi kuva kera.

Ingaruka

Ubu buryo bwo kuvura ni bwiza cyane iyo bukozwe na muganga w’inararibonye, ​​ariko kimwe no mu buryo ubwo ari bwo bwose bwo kuvura, hari ingaruka zimwe na zimwe zishobora kubaho.

• Umutima utari umeze neza (Atrial Fibrillation).
• Amaraso apfutse.
• Kuva amaraso cyangwa kwandura aho catheter ishyirwa.
• Igikoresho kiva aho cyashyizwe (ibi bibaho gake cyane).
• Abantu barengeje imyaka 60 bafite amahirwe make yo kugira ibibazo.