Gutunganya imitsi yo mu bwoko bwa radial artery na saphenous vein harvesting (RA&SV)

Ese wowe cyangwa umuntu uzi wigeze abwirwa na muganga ko umutsi w'umutima ufunze kandi ukeneye inzira yo kunyuramo? Twese twumvise ijambo 'kunyuramo'. Tekereza ko hari urujya n'uruza rw'abantu benshi mu muhanda, hanyuma ibi bikaba bimeze nko kubaka indi nzira imodoka zinyuramo. Iyo umutsi w'amaraso utanga amaraso mu mutima ufunze, inzira nshya, ni ukuvuga umutsi mushya w'amaraso, ihuzwa n'umutima, byitwa kubaga bypass. Ariko se wigeze wibaza aho umutsi w'amaraso ujyanwa kugira ngo hubakwe iyi nzira nshya? Akenshi, umutsi w'amaraso muzima uva mu mubiri wawe ukoreshwa kuri ibi. Iyo ni yo nzira tugiye kuvugaho uyu munsi, aho uwo mutsi w'amaraso uvanwa mu gice kimwe cy'umubiri ukajya mu mutima.

Bisobanura iki 'gusarura' umuyoboro w'amaraso?

Mu magambo make, ibi ni nko gukata umuyoboro w'amaraso. Mu by'ukuri, bisaba kubagwa no gukuramo umuyoboro w'amaraso mu buryo buzima mu gice cy'umubiri wawe (akenshi ukuboko cyangwa ukuguru) ukawukoresha nk'igisimbura umuyoboro w'amaraso wazibye mu mutima wawe. Umuyoboro w'amaraso ufatwa muri ubu buryo witwa "graft."

Impera imwe y'iyi graft ihujwe n'umutsi mukuru w'umubiri kandi munini, aorta, naho indi mpera ihujwe n'umutsi uzibye uri mu mutima munsi y'aho uzibye. Hanyuma, amaraso atembera mu mutsi mushya uhujwe n'imitsi yerekeza mu mutima nta nkomyi, anyura mu gice cyazibye. Ubu buvuzi bwitwa Coronary Artery Bypass Grafting (CABG) mu buvuzi.

Iyi mitsi y'amaraso ituruka he?

Hari ubwoko bubiri bw'imitsi itwara amaraso ikunze gukoreshwa cyane mu kubaga bypass.

1. Umutsi w'amaraso mu ntoki

Uyu ni umutsi munini w'amaraso uva imbere mu kuboko kwawe uva mu nkokora ujya mu kuboko kwawe . Uyu ni wo mutsi ushobora kumva iyo wumva umutsi wawe utera. Uherereye hafi cyane y'uruhu.

2. Umutsi wo mu kaguru ka Saphenous

Uyu ni wo mutsi muremure mu mubiri wacu. Ni umutsi ujyana amaraso yanduye mu mutima. Uva hasi mu mubiri ukagera ku itako. Kuwukuraho nta kibazo bizatera. Kuko hari imitsi yimbitse mu kuguru. Nyuma yo gukuraho umutsi wa saphenous, akazi wakoze gafatwa n'imitsi yimbitse.

Ukora iki mbere yo kubagwa?

Mbere yo gufata icyemezo cyo kubaga, muganga azakora ibizamini byinshi kugira ngo amenye neza ingano nyayo n'aho umutima wawe uzibye. Ashingiye ku bisubizo, azagena niba umutsi ukubereye cyane wo gufunga uri mu kuboko cyangwa ku kuguru kwawe.

Byongeye kandi, ni ingenzi cyane gukurikiza amabwiriza muganga aguha mbere yo kubagwa.

• Kwiyiriza ubusa (kwirinda kurya no kunywa) amasaha menshi mbere yo kubagwa.
• Niba unywa itabi, rireke burundu.
• Ushobora gusabwa guhagarika by'agateganyo gufata imiti imwe n'imwe (harimo na vitamine n'imiti y'ibimera).

Kubagwa bikorwa gute?

Kubaga kugira ngo uvanemo umuyoboro w'amaraso bisa no kubaga hakoreshejwe uburyo bwa "bypass operation". Ubagwa munsi y'ikinyabutabire rusange. Hari uburyo bubiri bw'ingenzi bwo gukuramo umuyoboro w'amaraso.

1. Kubaga Endoscopic: Ibi bikubiyemo gukata rimwe cyangwa abiri mu ruhu rw'ukuboko cyangwa ukuguru.Bisaba gushyiramo umuyoboro muto cyane (endoscope) ufite kamera n'ibikoresho byo kubaga. Muganga akuramo umuyoboro w'amaraso witonze areba icyuma gipima. Inkovu iterwa na byo ni nto cyane.

2. Kubagwa mu buryo bworoshye: Muri ibi, umuyoboro w'amaraso ukurwaho hakoreshejwe icyuho kinini kandi kirekire aho umuyoboro w'amaraso uherereye hanyuma ugafungura uruhu.

Mu gihe cyo kubaga, umutima wawe n'ibihaha bishobora guhindurwa by'agateganyo muri "Heart-Lung Bypass Machine." Hanyuma umuganga ubaga afata "graft" y'amaraso yari imaze gukurwaho, akayishyira mu mutima anyuze mu kuziba kw'amaraso.

Ni izihe nyungu n'ingaruka z'ubu buryo?

Ubu buryo bwo guteranya umutsi mu mubiri niyo mpamvu nyamukuru ituma kubagwa hakoreshejwe inzira y'uburibwe bw'inyuma bigerwaho. Hari ibyiza byinshi byo kubikora, cyane cyane hakoreshejwe uburyo bwa endoscopic.

Ibyiza:

• Gukira vuba kandi ububabare buke.
• Kugabanya igihe cyo kumara mu bitaro.
• Nta nkovu nini kandi ibyago byo kwandura bigabanuka .
• Kugabanya ibyago byo kuva amaraso no kubyimba kw'amaraso (Hematoma).

Ingaruka:

Kimwe no kubagwa kose, hari ingaruka zimwe na zimwe ziterwa, ariko izi ntizibaho kuri buri wese.

• Kuva amaraso cyangwa gukomereka aho icyiciro cyakorewe.
• Amaraso apfutse.
• Kubura ibyiyumvo cyangwa kubura ibyiyumvo mu gace bitewe no kwangirika kw'imitsi ikikije aho icukuwe.
• Kubyimba (Edema).
• Indwara zandura.

Iyo ukeneye kubonana na muganga byihutirwa

Iyo ugarutse mu rugo nyuma yo kubagwa, ntukirengagize ububabare ubwo aribwo bwose. Niba ubonye kimwe muri ibi bimenyetso bikurikira, shaka ubufasha bwa muganga ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bwihuse (ETU) by’ibitaro biri hafi yawe.

• Kubabara mu gituza cyangwa kumva igituza gifunganye (Angina).
• Ibyuya bikonje bitunguranye .
• Kugorwa no guhumeka (Dyspnea).
• Ibimenyetso by'ubwandu, nko kuva amazi y'umuhondo mu bikomere byo kubagwa n'umuriro .

Amaherezo, ubushakashatsi bwagaragaje ko kubaga hakoreshejwe imitsi ikoresha imitsi ya radial cyangwa imitsi y'imbere y'amabere birushaho kugira ingaruka nziza uko igihe kigenda gihita kuruta gukoresha imitsi ya saphenous. Ibi biterwa nuko inkuta z'imitsi ziba zikomeye kurusha imitsi, bityo zikaba zidakunze kuziba. Ariko, muganga wawe azasuzuma inyandiko zawe zose z'ubuvuzi kugira ngo amenye umutsi ukubereye n'uburyo bwo kuwugeraho.