Reka twige gusa ibijyanye no kuvura indwara ya coronary revascularization (uburyo bwo kuvura busubiza amaraso mu mutima).

Ushobora kuba warigeze kugira ububabare n'ububabare mu gituza buterwa no kudashyira amaraso ahagije mu mutima wawe. Ushobora kuba waratinye indwara y'umutima. Impamvu nyamukuru ibitera ni ukufunga imitsi y'umutima itanga amaraso mu mutima. Ku bw'amahirwe, uyu munsi hari uburyo bugezweho bwo kuvura bushobora gufungura iyi mitsi y'amaraso yazibye no gutuma amaraso atembera neza mu mutima. Uyu munsi, turimo kuvuga kuri ubu buryo bwo kuvura bushobora kugarura umutima.

'Kugarura imitsi y'amaraso mu miyoboro ya coronary' ni iki?

Muri make, ubu ni uburyo bwo kuvura bukoreshwa mu gusubiza amaraso mu mitsi y'umutima wawe iyo utari kubona amaraso ukeneye. Ubu buryo bw'ubuvuzi bwitwa "Ischemia". Ubu buryo bushobora gufasha mu gukumira indwara y'umutima nyuma yo kuba yarabaye, ndetse no ku bantu bafite ibyago byinshi byo kuyirwara.

Ahanini turimo kuvuga ku buryo bubiri bwo kuvura:

• Uburyo bwo kuvura indwara y'umutima (PCI): Ubu si ukubaga. Ni uburyo bwo gushyiramo umuyoboro muto mu mitsi y'amaraso ugakoreshwa mu kwagura agace kafunzwe uvuye imbere, bigasubiza amaraso mu mugongo. Abantu benshi bazi ko ibi ari 'gutera scent'.
• Gushyiramo imitsi y'umutima mu buryo bwa "Coronary Artery Bypass Grafting" (CABG): Ubu ni uburyo bwo kubaga butuma amaraso atembera mu mitsi y'umutima ifunganye, cyangwa inzira yo ku ruhande, kugira ngo amaraso atembera mu mitsi y'umutima.

Kuki ubu buryo bwo kuvura bukoreshwa?

Nk’uko imiyoboro y’amazi yo mu gikoni yacu ikomeza kuzura amavuta n’umwanda uko igihe kigenda gihita, ni ko ibintu bimeze nk’ibinure bitangira kwirundanya mu miyoboro y’amaraso y’umutima wacu. Iyi ni yo ndwara aho plaque yirundanya mu miyoboro y’amaraso ikayigabanya, ari byo byitwa " Atherosclerosis ." Iki ni ikimenyetso gikomeye cy’indwara y’imitsi y’umutima.

Uko igihe kigenda gihita, ubwo bwiyongere bushobora kuba buto cyane mu miyoboro y'amaraso. Hari igihe, iyo bumwe muri ubwo bwiyongere bucitse, amaraso ashobora kwirema no kuziba burundu ubwo bwiyongere. Ibi bituma igice cy'umutima gitakaza amaraso maze uturemangingo turi muri icyo gice tugatangira gupfa. Ibi byitwa indwara y'umutima .

Ubu buryo bwo kuvura bukenewe ku ndwara iyo ari yo yose y'umutima iri mu cyiciro cya ``Acute Coronary Syndrome''. Urugero:

• Indwara y'umutima
• Angina ihoraho - ububabare bwo mu gituza bugabanuka iyo umuntu aruhutse kandi bukarushaho kwiyongera iyo akoze imyitozo ngororamubiri
• Angina idahamye - Ububabare butunguranye bwo mu gituza bugaragara no mu gihe umuntu aruhutse

Ni iki kibaho mbere yo kuvurwa?

Mbere yo gukoresha ubwo buryo bwo kuvura, abaganga bazakora ibizamini byinshi kugira ngo basuzume neza ikibazo cyawe kandi bahitemo uburyo bugukwiriye. Bimwe muri byo ni:

• ECG (Electrocardiogram): Gupima imikorere y'amashanyarazi y'umutima.
• Echocardiogram: Gupima umutima.
• Gupima umutima (Angiogram): Uburyo bwo gutera irangi mu mitsi y'umutima hanyuma hagakoreshwa X-ray kugira ngo harebwe niba hari ibiziba.
• Angiografiya ya X-ray cyangwa Angiografiya ya CT: Gusuzuma imiyoboro y'amaraso hakoreshejwe ikoranabuhanga rya tomography.
• Ibizamini by'amaraso: Umubare w'amaraso yuzuye, Enzymes z'umutima, n'ibindi.

Niba igikorwa atari ikibazo cyihutirwa, muganga wawe azakugira inama yo kwiyiriza ubusa amasaha make mbere yo kubagwa. Nanone, mbere yo gutangira kubagwa, umurongo wa IV uzashyirwa mu mutsi uri mu kuboko kwawe. Ibi bizagufasha gutanga imiti n'amazi bikenewe byoroshye. Mu gihe cyo kubagwa kwa PCI, uzahabwa imiti yo kugutera gusinzira gake, mu gihe mu gihe cyo kubagwa kwa CABG, uzahabwa ikinyabutabire rusange.

Ni iki kibaho mu gihe cyo kuvurwa?

Nubwo intego y'uburyo bwa PCI na CABG ari imwe, uburyo bukorwamo buratandukanye rwose. Reka turebere hamwe uburyo.

Bigenda bite nyuma yo kuvurwa?

Uzakenera igihe cyo gukira nyuma yo kubagwa. Iki gihe giterwa n'ubwoko bw'ubuvuzi wakorewe, ubuzima bwawe muri rusange, ndetse niba byari byihutirwa. Ubusanzwe, bifata iminsi mike gusa kugira ngo ukire PCI. Ariko, bishobora gufata ibyumweru cyangwa amezi kugira ngo ukire neza nyuma yo kubagwa CABG.

Muganga wawe ashobora kukugira inama yo kwitabira gahunda yo kuvura indwara z'umutima . Muri izi gahunda, abaganga, abaforomo, abarimu b'imyitozo ngororamubiri, n'inzobere mu mirire bakorana kugira ngo bakwigishe uburyo bwo gukora imyitozo ngororamubiri ikwiye, kugenzura imirire yawe, no gufata imiti yawe neza.

Nanone, ni ngombwa kongera kujya kwa muganga ku gihe cyagenwe (gukurikirana) no gukorerwa ibizamini. Gukurikiza amabwiriza ya muganga neza bizagufasha kwihutisha gukira.

Ni izihe nyungu z'ubu buryo bwo kuvura?

• Kwirinda indwara z'umutima: Iyo indwara y'imitsi ifata umutima imenyekanye mbere yuko indwara y'umutima ibaho, ubu buryo bwo kuyirinda.
• Kurokora ubuzima: Indwara y'umutima ni ikibazo cyihutirwa gishobora gushyira ubuzima mu kaga. Muri ubwo buryo, ubu buryo bwo kuvura bushobora kurokora ubuzima.
• Kubungabunga imikorere y'umutima: Kuvurwa hakiri kare bishobora gukumira urupfu rw'uturemangingo tw'umutima bitewe no kubura amaraso mu mubiri. Ibi bishobora kugabanya kwangirika burundu k'umutima.

Ese hari ingaruka zishobora guterwa n'ubu buryo bwo kuvura?

Kimwe no ku buvuzi ubwo aribwo bwose, hari ingaruka zishobora guterwa n’uburwayi bwawe n’ubuvuzi urimo kuvurwa.

• Kuri PCI: Hashobora kubaho ibyago bike byo kwangirika kw'imitsi y'amaraso, gutera k'umutima ku buryo budasanzwe (arrhythmias), kuzura kw'amaraso, gucika imitsi, cyangwa kuva amaraso.
• Kuri CABG: Kubagwa bitera ububabare, kuva amaraso, no kwandura indwara.

Ganira na muganga wawe ku kibazo cyangwa impungenge ufite kuri ibi. Azagusobanurira neza ingaruka zishobora kuvuka bitewe n'imimerere yawe.

Ni ryari ukwiye kongera kubonana na muganga?

Nyuma yo kuvurwa, niba ibimenyetso bikurikira byongeye kugaruka , hita ubonana na muganga wawe cyangwa ujye kwa muganga wita ku bibazo byihutirwa (ETU) .

• Kubabara mu gituza cyangwa gufungana (Angina)
• Kugorwa no guhumeka (Dyspnea)
• Kumva umeze nk'uzunguza cyangwa unaniwe
• Kuzinduka

Ni ibisanzwe kugira ubwoba no guhangayika iyo wize ku ndwara z'umutima. Ariko iyo usobanukiwe uburyo bugezweho bwo kuvura nk'ubu, ushobora gutsinda ubwo bwoba, ukabona ubuvuzi bukenewe, kandi ukongera kubaho ubuzima bwiza.