Ni gute stent ishyirwa mu mitsi ijyana amaraso mu mpyiko? (Kuba stent y'imitsi iryana mu mpyiko)

Ese ufite umuvuduko ukabije w'amaraso? Wenda ukoresha imiti myinshi, ariko uracyafite ikibazo cyo kugenzura umuvuduko w'amaraso? Muri ibyo bihe, impamvu ishobora kuba ifunga ry'imitsi mikuru y'amaraso ijyana amaraso mu mpyiko. Uyu munsi, tugiye kuvuga ku buryo bwihariye bwo kuvura bene ibyo bihe.

Mu magambo make, guterura imitsi y'impyiko (Renal Artery Stenting) ni iki?

Biroroshye cyane. Imitsi migari y'amaraso itanga amaraso mu mpyiko zawe (tuyita imitsi y'impyiko) rimwe na rimwe ishobora kuziba kubera ibinure byinshi. Iyi ndwara yitwa `(Renal Artery Stenosis)`. Bityo `Renal Artery Stenting` ni uburyo busaba gushyiramo umuyoboro muto umeze nk'umuyoboro (ibi byitwa `stent`) mu mitsi y'amaraso yazibye, kongera gufungura agace kazibye no gusubiza amaraso mu muyoboro.

Tekereza nawe, impyiko ni zo ngingo nyamukuru zigenzura ingano y'umunyu n'amazi mu mubiri wacu. Ibi zibikora mu kuyungurura amaraso no gukora inkari. Rero iyo impyiko zitabonye amaraso akenewe, ntizishobora gukora aka kazi neza. Hanyuma amazi n'umunyu bitangira kwirundanya mu mubiri.

Impyiko kandi zikora imisemburo yitwa `(Renin).` Iyi misemburo ifasha umubiri kubika umunyu n'amazi kandi igakomeza imiyoboro y'amaraso. Iyo impyiko zumva ko umuvuduko w'amaraso ugera kuri zo uri hasi, impyiko zitekereza ko umuvuduko w'amaraso mu mubiri uri hasi mu by'ukuri. Hanyuma isohora `(Renin)` nyinshi. Ariko ikibaho mu by'ukuri ni uko imiyoboro y'amaraso ifunganye kandi amaraso ajya mu mpyiko akagabanuka, kandi umuvuduko w'amaraso mu mubiri ukaba mwinshi icyo gihe. Iyo ibi byose bihuye, tuba dufite indwara yitwa `(Umuvuduko ukabije w'amaraso mu mpyiko)` itera umuvuduko ukabije w'amaraso. Ibi bishobora gushyira umuvuduko mwinshi ku mutima no ku zindi ngingo, kandi uko igihe kigenda gihita, bishobora no gutuma impyiko zidakora neza .

Kuki ari ngombwa gushyira stent mu mitsi y'amaraso mu mpyiko?

Muganga wawe aramutse asanze ufite ikibazo gikomeye mu mitsi ijyana amaraso mu mpyiko yawe kandi ikaba igomba kuvurwa, ashobora kukugira inama yo gushyiraho stent. Ibi bifasha kwirinda kwangirika kw'impyiko zawe. Ariko ibuka ko atari ko kuziba kose mu mitsi y'impyiko bisaba stent.

Muri rusange hari ibihe byinshi ushobora gukenera ubu buvuzi:

• Iyo imiyoboro y'amaraso irenga 60% izibye kubera ibinure byinjijwe mu miyoboro y'amaraso (atherosclerosis), kandi ntibishobora kugenzurwa n'imiti.
• Niba ufata imiti itatu cyangwa irenga y'umuvuduko ukabije w'amaraso ku gipimo ntarengwa kandi udashobora kugenzura umuvuduko w'amaraso yawe.
• Iyo imiyoboro yombi y'amaraso ijya mu mpyiko zombi ifunze ku kigero kirenga 60%.
• Niba ufite impyiko imwe gusa, kandi umuyoboro w'amaraso uyijyanamo ukaba ufunganye ku kigero kirenga 60%.
• Niba uhuye n'indwara nka "flash pulmonary edema" aho ibihaha byuzuye amazi mu buryo butunguranye.

Ni iki kibaho mbere yo kuvurwa?

Mbere yo gukora ubu buvuzi, muganga wawe azasuzuma ubuzima bwawe muri rusange kandi akore ibizamini byinshi kugira ngo amenye niba ukeneye stent.

Ugomba kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera) . Imiti imwe, nka aspirine, imiti igabanya amaraso, n'imiti igabanya ububabare, ishobora kongera ibyago byo kuva amaraso. Kubwibyo,Ntugahagarike gufata umuti uwo ari wo wose utabanje kubibaza muganga.

Tubwire kandi ibyerekeye ubwivumbure ubwo aribwo bwose ufite. Ibi birimo ubwivumbure ku miti, imiti imwe n'imwe isukura (nka iyode), n'ibiribwa.

Ni iki kibaho mu gihe cyo kuvurwa?

Ibi ubusanzwe ntibigutera gucika intege burundu. Uzahabwa umuti wa saline unyuze mu mutsi uri mu kuboko kugira ngo bigufashe kuruhuka no gusinzira. Bityo ntuzibagirwa cyane uburyo wavuwe.

Muganga azagukata gato cyane mu kibuno cyawe cyangwa ku kuboko kwawe. Binyuze muri icyo gikato, umuyoboro w'amaraso winjizwa mu miyoboro y'amaraso. Hanyuma, undi muyoboro muto (catheter) unyura muri uwo muyoboro ukajya mu miyoboro y'amaraso yazibye igana mu mpyiko.

Iyo ikiziba kimaze kugera, agapira gato kari ku mpera y'umuyoboro karashyuha kugira ngo kagure ikiziba. Hanyuma, stent y'icyuma twavuze mbere ishyirwa aho hantu ikayifungura. Hanyuma ikanda ku rukuta rw'imitsi y'amaraso, ikuraho ikiziba kandi igafungura inzira amaraso atemberamo. Iyi stent ni ikintu kiba mu mubiri burundu.

Iyo stent imaze gushyirwa mu mwanya wayo, agapira karasohoka maze kateri igakurwaho. Hanyuma agace gashyirwamo karafungwa hakoreshejwe imbaraga cyangwa hakoreshejwe igikoresho cyihariye, hanyuma hagashyirwamo igitambaro.

Bigenda bite nyuma yo kuvurwa?

Nyuma yo kuvurwa, uzakenera kumara amasaha make mu bitaro, wenda ijoro ryose. Abaganga bazakurikirana umuvuduko w'amaraso yawe, ububabare, n'ubuzima bwawe muri rusange. Urashobora guhindurwa imiti wahawe mbere yo gutaha. Ibi bizagusobanurirwa.

Iyo bigaragaye ko ufite ubushobozi bwo gutaha, uzava mu bitaro. Ariko , uzakenera umuntu wo mu muryango wawe cyangwa inshuti yawe kuza kugutwara.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nk’uko bigenda ku buvuzi ubwo aribwo bwose, ubu buvuzi bufite ibyiza n’ingaruka nto.

Bifata igihe kingana iki kugira ngo umuntu akire?

Abantu benshi bumva bameze neza mu minsi mike. Muganga wawe azakugira inama y'uko wagombye gukora siporo mu minsi mike ya mbere.

Uzakenera gufata imiti igabanya amaraso kugira ngo wirinde kubyimba kw'amaraso kugeza igihe stent izakira. Urugero, imiti nka `Aspirin` cyangwa `Clopidogrel`. Bitewe n'uko urwaye, ushobora kuyifata mu gihe cy'ukwezi cyangwa umwaka. Ni ngombwa cyane gufata iyi miti neza neza nk'uko byategetswe kandi ntuyihagarike utabanje kugisha inama muganga.

Abantu benshi bashobora gusubira ku kazi cyangwa imirimo yabo isanzwe mu cyumweru kimwe. Ariko, niba ukora akazi gasaba imbaraga nyinshi, nko guterura ibyuma, bishobora gufata igihe kirekire kugira ngo ukire.

Ni ryari ngomba kongera kubonana na muganga?

Hari igihe hashobora kubaho kuziba gushya ahandi mu mitsi y'amaraso. Bityo rero, jya kwa muganga ku matariki yagenwe kandi urebe muganga.

Nanone, niba ubonye kimwe muri ibi bikurikira , hamagara muganga wawe ako kanya:

• Niba urwaye umuriro.
• Niba ufite ikibazo cyo guhumeka.
• Iyo habayeho uduheri ku ruhu.
• Niba ahantu hinjijwemo umuyoboro ari umutuku, umuhengeri, umukara, wabyimbye, ubabara, cyangwa uva amaraso.
• Niba ukuguru aho umuyoboro winjijwemo kubabara, gukonja, kwera, cyangwa kumva gucitse intege.
• Niba utangiye kugira ububabare bushya mu nda yawe cyangwa ku ruhande rwavuwe.
• Niba wumva uzuzumwe kandi umuvuduko w'amaraso yawe ukaba uri hasi cyane (hypotension).