Ese wumva unaniwe guhumeka cyangwa guhumeka iyo ukora cyane, uzamuka ingazi, cyangwa ukora imirimo isanzwe? Hari igihe impamvu y'ibi ishobora kuba amaraso ashaje amaze igihe kinini mu bihaha byawe. Akenshi, nubwo wagerageza kugenzura iki kibazo ukoresheje imiti, iyo bitagenze neza, abaganga bakohereza kubagwa byihariye bishobora kugufasha kurokora ubuzima bwawe. Uyu munsi turimo kuvuga kuri ubwo bubabare bugoye, ariko bufite akamaro cyane, PTE.
Uku kubagwa kwa PTE ni iki?
Mu magambo make, PTE ni impfunyapfunyo ya Pulmonary Thromboendarterectomy . Ubu ni uburyo bwo kubaga bukuraho amaraso ashaje n'inkovu zafatiwe mu mitsi mikuru y'amaraso (imitsi y'ibihaha) mu bihaha byawe. Ubu buryo ni uburyo bugoye cyane busaba ubumenyi bwihariye. Ariko bushobora gukiza burundu abarwayi bamwe na bamwe.
Ni izihe ndwara zivurwa hakoreshejwe PTE surgery?
Ubu buryo bwo kubaga bukorerwa ahanini mu kuvura indwara yitwa CTEPH (Chronic Thromboembolic Pulmonary Hypertension) . Ushobora gutekereza uti, 'Iryo ni izina rirerire cyane,' sibyo? Reka tubikomeze byoroshye.
Tekereza, umuntu afite amaraso apfutse mu bihaha bye. Tubyita "Pulmonary Embolism (PE)". Akenshi, aya maraso apfutse iyo ahawe imiti igabanya amaraso. Ariko ni gake cyane, kuri bamwe, aya maraso ntapfutse burundu, ahubwo apfutse ku nkuta z'imitsi y'amaraso mu bihaha, kandi uko igihe kigenda gihita, ahinduka inkovu.
Iyo amaraso ashaje apfutse n'inkovu bizibye imiyoboro y'amaraso mu bihaha, umuvuduko w'amaraso uri muri iyo miyoboro uba uri hejuru cyane. Ibyo ni byo twita CTEPH.
Ibi bituma uruhande rw'iburyo rw'umutima rukora cyane kugira ngo rushyire amaraso mu bihaha. Uko igihe kigenda gihita, ibi bishobora gutera indwara zikomeye nko kunanirwa k'umutima no kwangirika kw'ibihaha. Uburyo bwonyine bwo kuvura CTEPH ni ukubaga PTE.
Ni nde ukeneye ubu bubagwa? Ese buri wese ashobora kubugira?
Niba ufite CTEPH, hari ibintu byinshi bizagena niba ushobora kubagwa PTE.
| Kwita ku byo umuntu yakwitaho | Ibisobanuro |
|---|---|
| Ubukana bw'ibimenyetso | Ibimenyetso byawe bikomeye, nko kubura umwuka no guhumeka. |
| Aho amaraso apfundikiye | Kuba amaraso apfutse n'inkovu nabyo biri ahantu bishobora gukurwaho mu buryo bwizewe. |
| Ubuzima bwawe muri rusange | Imyaka yawe, imikorere y'umutima n'ibihaha, ndetse no kumenya niba ufite izindi ndwara nabyo ni ingenzi. |
Abarwayi bose ba CTEPH ntibakwiriye kubagwa. Hafi 40% by'abarwayi ntibakwiriye kubagwa. Impamvu ni uko ari ukubagwa gukomeye cyane.
Kuki kubagwa bigoye cyane?
Tekereza ko mu gihe cyo kubagwa, umutima wawe n'ibihaha byawe bishyirwa ku cyuma gikoresha umutima n'imitsi kugira ngo bigufashe mu kazi kamwe na kamwe. Hanyuma, kugira ngo umuganga ubaga abone imbere mu bihaha byawe, ubushyuhe bw'umubiri wawe bugabanuka bukagera kuri dogere selisiyusi 18 (65°F), kandi amaraso yawe agahagarara akanya gato. Ibi byitwa "deep hypothermic circulatory arrest." Ntugahangayike, ubu buryo bwemerera umuganga ubaga gukuraho amaraso n'inkovu mu buryo bwiza cyane mu gihe arinda ubwonko bwawe kwangirika kose.
Ni gute wakwitegura kubagwa?
Muganga wawe azaguha amabwiriza yose ukeneye mbere yo kubagwa. Akenshi azakubwira kwitondera ibi bintu:
- Imiti: Uzasabwa kureka gufata imiti igabanya amaraso (nka aspirine na warfarin) hamwe n'imiti igabanya ububabare (NSAIDs) iminsi mike mbere yo kubagwa, kuko ishobora kongera ibyago byo kuva amaraso mu gihe cyo kubagwa.
- Ibiryo n'ibinyobwa: Uzasabwa kwiyiriza ubusa (nturye cyangwa ngo unywe) amasaha menshi mbere yo kubagwa. Ni byiza kugira igifu kirimo ubusa igihe uhawe ikinya.
- Kunywa itabi n'inzoga: Niba ukoresheje byombi, ni ngombwa cyane kubihagarika burundu mbere yo kubagwa, kuko bitinza gukira kandi byongera ibyago byo guhura n'ibibazo.
Ni iki kibaho nyuma yo kubagwa?
Nyuma yo kubagwa, uzajya mu cyumba cy’indembe (ICU). Uzagumayo muri iryo joro. Mu gitondo cyakurikiyeho, bazareba niba ushobora guhumeka wenyine hanyuma bakuremo icyuma gifasha guhumeka.
Ubusanzwe uzamara mu bitaro iminsi 7 kugeza ku 10. Muri iki gihe, uzatangira kugenda buhoro buhoro. Uzakorerwa ibizamini kugira ngo urebe niba ukeneye ogisijeni mbere yo gutaha. Ibi ni nk'ibyabaye no gukira nyuma yo kubagwa umutima.
Ni izihe nyungu n'ingaruka byagira?
Nk’uko bigenda mu kubaga kose, PTE ifite ibyiza n’ibyago.
| Ibyiza | Ingaruka |
|---|---|
| Amahirwe yo gukira burundu kubera CTEPH. | Ingaruka zo gupfa mu gihe cyo kubagwa (ubu ziri hasi nka 1%). |
| Iterambere rikomeye mu guhumeka no mu bushobozi bwo gukora imyitozo ngororamubiri. | Ingaruka zo kurwara indwara yo gucika kw'imitsi (1%-2%). |
| Gusubirana ibyangiritse ku ruhande rw'iburyo rw'umutima. | Umuvuduko ukabije w'amaraso mu bihaha (PH) ukomeza ku rwego runaka ndetse na nyuma yo kubagwa. |
| Ubushobozi bwo kubaho ubuzima burambye kandi bufite ubuzima bwiza nyuma yo kubagwa. | Guteranya amazi hirya no hino mu mutima (pericardial effusion). |
Ibyihutirwa!
Niba ugize ububabare butunguranye kandi bukomeye mu gituza, guhumeka nabi cyane, cyangwa gucika intege nyuma yo kubagwa, jya ku bitaro bikuru byita ku barwayi ba ETU (ETU) by’ibitaro biri hafi yawe. Nanone, niba ugaragaje ibimenyetso nko kubyimba, gutukura, amabyi cyangwa umuriro aho ukorewe kubagwa, hita ubonana na muganga wawe.
Igihe cyo gukira kimeze gite?
Bifata amezi agera kuri atatu kugira ngo umuntu akire neza.
- Ibyumweru 6 bya mbere: Nta gutwara imodoka, kujya ku kazi, cyangwa guterura ibiremereye birenga 4.5 kg (10 lbs).
- Icyumweru cya 7 kugeza kuri 12: Ishobora guterura ibiro bigera kuri 11 (ibiro 25).
- Nyuma y'ibyumweru 12: Ubusanzwe nta mbogamizi zibaho.
Ubushobozi bwawe bwo guhumeka no gukora imyitozo ngororamubiri bushobora kwiyongera buhoro buhoro kugeza ku myaka 4 nyuma yo kubagwa.
Ubutumwa bwo kujyana mu rugo
- Nubwo PTE ari igikorwa kigoye cyo gukuraho amaraso ashaje mu bihaha, gishobora gukiza burundu indwara yitwa CTEPH.
- Ubu buryo bwo kubaga si ubwa buri wese. Muganga wawe n'itsinda ry'inzobere nibo bazahitamo niba bukubereye.
- Nubwo igihe cyo gukira ari kirekire gato, ubuzima bwawe, ubushobozi bwo guhumeka, no kugenda bizarushaho kuba byiza nyuma yo kubagwa.
- Nyuma yo kubagwa, uzakenera gufata imiti igabanya amaraso mu buzima bwawe bwose kugira ngo wirinde ko amaraso yongera kuzura.
- Ni ngombwa kubonana na muganga wawe ku gihe no kwipimisha. Ntutinye kuvugana na muganga wawe ku kibazo icyo ari cyo cyose ushobora kuba ufite.
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