Ese hari igihe wumva umutima wawe utera cyane nta mpamvu igaragara? Nk'aho wirutse cyane? Iki gishobora kuba ikimenyetso cy'indwara ushobora kuba warumvise yitwa 'Supraventricular Tachycardia' cyangwa '(SVT)'. Nubwo ibi bishobora gutera ubwoba, ntugahangayike. Ubu hari uburyo bwiza bwo kuvura ibi. Uyu munsi turimo kuvuga ku bumwe mu buryo bwiza cyane bwo kuvura, 'SVT Ablation'.
Mu magambo make, SVT Ablation ni iki?
`SVT Ablation` ni uburyo bwangiza kandi bugahagarika uturemangingo duke two mu cyumba cyo hejuru cy'umutima wawe tubangamira ibimenyetso by'amashanyarazi bifitanye isano n'umutima. Tekereza ko sisitemu y'amashanyarazi y'umutima wacu ari nk'insinga mu nzu. Ubusanzwe, umutima utera neza gusa iyo ibimenyetso by'amashanyarazi binyura muri izo "ntsinga" mu buryo bunoze.
Ariko kuri bamwe, urujya n'uruza ruto, cyangwa ikintu kimeze nk'uruza, rubaho muri ubu buryo bwa "wire". Hanyuma ruhinduka nk'"urujya n'uruza rugufi" , umuvuduko usanzwe w'umutima urahungabana, maze umutima ugatangira gutera cyane. Mu kuvura "Ablation", umuyoboro muto cyane witwa "catheter" wihariye ukoreshwa kugira ngo winjire mu mutima, ushake "urujya n'uruza rugufi" rwohereza ibimenyetso bitari byo, hanyuma urugahagarika.
Hari uburyo bubiri bwo kubikora:
- Ingufu za radiyo: Hari catheter zohereza ubushyuhe kugira ngo zisenye uturemangingo kandi zigatera inkovu nto.
- Gukonjesha: Hari catheter zimwe na zimwe zikoresha ubukonje bukabije kugira ngo zihagarike utwo turemangingo.
Ubu buryo bwombi bufunga inzira yohereza ibimenyetso by'amashanyarazi bitari byo, bigatuma umutima wongera gutera nk'uko bisanzwe.
Ubusanzwe abaganga batanga inama y'ubu buryo bwo kuvura iyo SVT idashobora kugenzurwa n'imiti, cyangwa niba umuti utera ingaruka mbi. Ariko, rimwe na rimwe, bitewe n'uko umurwayi ameze, kugabanya ububabare bw'umubiri bishobora kuba inama yo kuvura bwa mbere.
Ubu buvuzi bukunze kugaragara gute?
Ugereranyije, abantu babiri kuri buri 1.000 ku isi bashobora kuba bafite SVT. Ariko, umubare munini w'abantu, bari hagati ya 60% na 80%, bakira neza imiti. Bityo, ubu buryo bwo kuvura bwa 'Ablation' akenshi ni igisubizo cyiza cyane ku bantu bigoranye kugenzura imiti.
Ni iki cyakorwa mbere yo kwimura SVT?
Ubu si ukubagwa gukomeye, ariko bisaba kwitegura gato.
- Ubuvuzi busaba kureka kurya no kunywa burundu mu gihe cy'amasaha 6 kugeza kuri 8 (kwiyiriza ubusa).
- Muganga wawe ashobora kuba afite imwe mu miti urimo gufata ubu.(cyane cyane imiti igabanya amaraso) ishobora kugirwa inama yo kureka kuyifata iminsi mike. Muganga wawe azaguha amabwiriza asobanutse kuri ibi.
Ni iki kibaho mu gihe cyo kuvurwa?
Ubu buvuzi bukorerwa ahantu hihariye hitwa `electrophysiology laboratwari`. Reka turebe intambwe ku yindi ibibera muri ibi.
| Intambwe | Ni iki kiri kuba? |
|---|---|
| 1. Gutanga imiti igabanya ububabare | Umurongo wa IV (umurongo wa saline) ushyirwa mu mutsi uri mu kuboko kwawe, hanyuma imiti itangwa binyuze muri wo kugira ngo igufashe kuruhuka no kutiyumvamo ububabare. |
| 2. Gushyiramo catheter | Uruhu rwo mu kibuno cyawe rurahinda umushyitsi kandi umuyoboro muto cyane (catheter) winjizwamo unyuze mu muyoboro munini w'amaraso aho hantu. |
| 3. Urugendo rugana ku mutima | Catheter ifite electrode zidasanzwe inyuzwa muri uyu muyoboro ikagera ku mutima wawe. |
| 4. Kubona ikibazo | Muganga yohereza ibimenyetso bito by'amashanyarazi binyuze muri iyi catheter kugira ngo amenye neza aho "umuvuduko mugufi" uri gutera umutima gutera cyane. |
| 5. Gukuraho | Iyo hamenyekanye neza aho ikibazo kiri, ubushyuhe (ingufu za radiyo) cyangwa ubukonje bikoreshwa mu gusenya utwo turemangingo. |
Warazimiye burundu?
Akenshi, ntuzaba uri maso burundu. Uzahabwa imiti yo gutuma wumva ufite ibitotsi bike, ufite ibibazo bike. Ibi tubyita 'kuruhuka ukoresheje ubwenge'.Muri iki gihe, ntuba uzi neza ibiri kuba iruhande rwawe, kandi ntugira ububabare ubwo aribwo bwose wumva. Ariko, ni gake cyane, mu bihe bimwe na bimwe byihariye, ushobora gukenera guhabwa ikinya rusange. Ibi bifatwa na muganga bitewe n'uko umerewe.
Ibi birababaza?
Mu by’ukuri, ntabwo wumva ububabare iyo ushyushye utwo turemangingo tutari two. Muganga ashyiramo ibinya mu gace karimo kajugujugu. Rero ububabare bwonyine wumva ni ukumva gato kandi gashoka iyo utewe urushinge rwo kubura ibinya (lidocaine).
Bigenda bite nyuma yo kuvurwa?
Nyuma yo kuvura no gukuraho catheter zose, aho catheter iri hafatwa neza kugira ngo amaraso ahagarike. Hari igihe igikoresho gito cyihariye (icyuma gifunga imitsi) gikoreshwa mu gufunga igikomere. Nyuma y'ibyo, ugomba kuryama mu buriri amaguru yawe arambuwe amasaha agera kuri 6 kugeza kuri 8. Nubwo ibi bibabaza gato, ni ngombwa kwirinda ingorane nko kuva amaraso.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka nto cyane.
| Ubwoko | Ibisobanuro |
|---|---|
| Ibyiza | Ubu buvuzi bufite igipimo cyo gutsinda kiri hagati ya 90% na 95% . Ibi bivuze ko abantu 95 kuri 100 babona gukira burundu. Amahirwe yo kongera kuba iki kibazo ni make cyane (hafi 2% - 11%). |
| Ingaruka | Ibi ni ibintu bidasanzwe cyane.
|
Bifata igihe kingana iki kugira ngo umuntu akire?
Ikindi kintu cyiza kuri ibi ni uko ushobora gukira vuba. Ushobora gutaha ugatangira imirimo yawe isanzwe (nk'imirimo yo mu biro, imirimo yo mu rugo) umunsi ukurikiyeho . Ariko, niba ushaka gukora ikintu gisaba imbaraga nke, nko guterura ibyuma, cyangwa gukora imyitozo ngororamubiri, ni byiza gutegereza nibura iminsi itatu .
Ni ryari ukwiye kujya kwa muganga?
Ni ingenzi cyane kwita ku mubiri wawe nyuma yo kuvurwa. Menya ibimenyetso bikurikira.
| Amahirwe | Ibiranga |
|---|---|
| Jya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ry’ibitaro ako kanya. | |
| Ibyihutirwa |
|
| Vugana na muganga wawe. | |
| Ibintu ugomba kwitondera |
|
Kugira umutima utari mwiza bishobora gutera ubwoba. Ariko ntugahangayike, hari uburyo bwiza bwo kuvura. SVT ablation ni bumwe mu buryo bwiza cyane kandi bufite ingaruka nke. Niba ufite ibi bimenyetso, vugana na muganga wawe kugira ngo agufashe kumenya niba ubu buryo bugukwiriye.
Ubutumwa bwo kujyana mu rugo
- SVT ni indwara aho umutima utera cyane bitewe n'ibimenyetso by'amashanyarazi bitari byo bituruka mu cyumba cyo hejuru cy'umutima.
- SVT Ablation ni uburyo bwiza cyane bwo kuvura buhagarika "uruziga rugufi" rwohereza ibimenyetso bitari byo.
- Ibi bikoreshwa mu gihe imiti idashobora kugenzura iyo ndwara, cyangwa rimwe na rimwe nk'uburyo bwa mbere bwo kuvura.
- Igipimo cy'ubu buvuzi kirenga 90%, kandi ingaruka zabwo ni nke cyane.
- Bitwara iminsi mike gusa kugira ngo ukire, kandi ushobora gusubira mu buzima bwawe busanzwe vuba.
- Niba hari ibimenyetso bidasanzwe bigaragaye nyuma yo kuvurwa, menyesha muganga wawe ako kanya.
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