Ese wigeze wumva umutima wawe utera cyane kandi utera cyane nta mpamvu igaragara igihe wari ubuze icyo ukora? Ni ibisanzwe kumva ufite ubwoba no guhangayika mu bihe nk'ibi. Imwe mu mpamvu zitera ubu buryo bwihuse bw'umutima ni SVT, bisobanura Supraventricular Tachycardia. Uyu munsi rero tugiye kuvuga ku buryo bwiza cyane bwo kuvura ibi. Ni SVT Ablation.
Mu magambo make, SVT na Ablation ni iki?
Reka tubanze turebe icyo SVT ari cyo. Umutima wacu ni urugingo rutangaje. Ufite uburyo bw'ibimenyetso by'amashanyarazi bikora. Kimwe n'uburyo bw'insinga mu nzu. Iyo ibyo bimenyetso by'amashanyarazi bigenda neza kandi mu buryo buri ku murongo, umutima wacu utera mu buryo bukwiye.
Ariko kuri bamwe, "umuyoboro mugufi" muto ushobora kubaho muri sisitemu y'amashanyarazi mu byumba byo hejuru by'umutima. Tekereza nk'uruziga rw'insinga. Hanyuma ibimenyetso by'amashanyarazi bigomba kugenda neza birahinduka bitewe n'uyu muyoboro mugufi, maze umutima ugatangira gutera vuba cyane. Ibi nibyo twita SVT (Supraventricular Tachycardia) .
Noneho reka turebe icyo Ablation ari cyo. Ubu ni uburyo bwo kuvura "buhagarika" uturemangingo dufite ibibazo dukora iyo miyoboro migufi. Abaganga bakoresha catheters zidasanzwe, imiyoboro mito cyane, kugira ngo binjire mu mutima barebe neza aho ibimenyetso by'amashanyarazi bifite ibibazo bituruka. Hanyuma, bangiza gato aho hantu.
- Ingufu za radiyo: Muri ubu buryo, uturemangingo turashyuha maze hakavuka inkovu nto.
- Guteranya: Muri ubu buryo, ubukonje bukabije (nitric oxide) bukoreshwa mu gukonjesha uturemangingo, bigatera inkovu.
Iyo inkovu ikozwe muri ubu buryo, ikimenyetso cy'amashanyarazi giteye ikibazo ntigishobora kunyuramo. Ibyo bivuze ko umuvuduko mugufi uba wacitse. Hanyuma umutima wongera gutera mu buryo busanzwe.
Abaganga bakunze gukoresha ubu buryo mu gihe iyo ndwara idashobora gukemurwa n'imiti, cyangwa niba umuti utera ingaruka mbi. Ariko, rimwe na rimwe ni byiza kubanza kuyikoresha.
Ni iki kibaho mbere no mu gihe cyo kuvurwa?
Nyuma yo gufata icyemezo cy'umunsi wo kuvura, muganga azaguha amabwiriza yihariye.
- Uzasabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose amasaha 6 kugeza kuri 8 mbere yo kuvurwa (kwiyiriza ubusa) .
- Ushobora kandi gusabwa guhagarika by'agateganyo gufata imwe mu miti ufata. Ugomba kubiganiraho na muganga wawe kugira ngo umenye neza.
Ubuvuzi bukorerwa muri laboratwari ifite ibikoresho byihariye bya elegitoroniki . Reka turebe intambwe ku yindi ibibera aho ngaho:
1. Ubwa mbere, uzahabwa imiti inyuze mu mitsi (IV) kugira ngo igufashe kuruhuka no kutiyumvamo ububabare. Akenshi, uzahabwa icyo bita sedation yo kumva . Ibi bivuze ko utazasinzira neza, ahubwo uzaba utuje kandi usinzire gato.
2. Hanyuma, uruhu rwo mu kibuno cyawe ruracika intege (anesthesia yo mu gace), hanyuma katheteri ntoya ishyirwa mu mitsi y'amaraso. Ntuzumva ububabare bwinshi bitewe n'uko bicika intege.
3. Iyi katheta iyoborwa mu mitsi y'amaraso kugeza ku mutima.
4. Hanyuma, ibimenyetso by'amashanyarazi byoherezwa binyuze muri iyi catheter kugira ngo hamenyekane aho uturemangingo dutera ikibazo turi.
5. Iyo aho hantu hamaze kuba heza, ingufu za radiofrequency twavuze mbere zikoreshwa mu guhagarika utwo turemangingo. Ntabwo uzumva ububabare muri iki gihe.
Bigenda bite nyuma yo kuvurwa? Kandi se ukora iki iyo ugiye mu rugo?
Nyuma yo kuvura, aho catheter iherereye hazafungwa igihe gito kugira ngo amaraso ahagarike. Hari igihe hazakoreshwa igikoresho cyihariye (icyuma gifunga imitsi). Nyuma y'ibyo, uzabwirwa gukomeza kurambura ukuguru kwawe mu gihe cy'amasaha agera kuri 6 kugeza kuri 8.
Umaze gutaha, ushobora gutangira gukora imirimo isanzwe umunsi ukurikiyeho . Ariko, ni ingenzi cyane kwirinda gukora imirimo ivunanye nko kwiruka, gusimbuka, cyangwa guterura ibyuma mu gihe cy'iminsi itatu.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Akamaro gakomeye k'ibi ni uko igipimo cyo gutsinda kiri hejuru cyane . Ku bwoko bwinshi bwa SVT, ubu buryo bwo kuvura bugira ingaruka nziza ku kigero cya 90% - 95% . Ibi bivuze ko ubikoze ku bantu icumi, icyenda bazakira burundu. Ariko, umubare muto cyane (2% - 11%) ushobora kongera kugira iyi ndwara.
Kimwe no ku buvuzi ubwo aribwo bwose, hari ingaruka nto cyane. Reka turebe ibyo ari byo.
| Ingaruka mbi/ingaruka mbi | Ibisobanuro byoroshye |
|---|---|
| Kuva amaraso cyangwa kwandura indwara | Indwara ishobora kubaho aho catheter ishyirwa. Ibi ni gake cyane. |
| Hematoma | Amaraso aterana munsi y'uruhu aho catheter yashyizwe. |
| Amaraso apfutse | Hari ibyago bike cyane byo kuvura amaraso mu mitsi. |
| Tamponade y'umutima | Umwobo ukikije umutima wuzuye amaraso cyangwa amazi. Iki ni ikibazo kidasanzwe. |
| Hakenewe icyuma gifasha mu mugongo | Ni gake cyane, iyo sisitemu y'amashanyarazi isanzwe y'umutima yangiritse, pacemaker ishobora gukenera gushyirwamo kugira ngo igenzure imikorere y'umutima. |
Igikuru: Ugomba kwibuka ko ingaruka nyinshi muri izi ziba nke cyane , kandi ko abaganga bazakuvura bazitondera cyane.
Ni ryari ugomba gushaka inama z'abaganga byihutirwa?
Tugomba kandi kumenya icyo twakora mu gihe habayeho ikibazo nyuma yo kugera mu rugo.
| Guhita wihutira kujya mu ishami ryita ku barwayi ba ETU (ETU) ry’ibitaro. | |
|---|---|
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| Niba ufite ibi bimenyetso, vugana na muganga wawe. | |
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Bishobora gutera ubwoba kumenya ko ufite ikibazo cy’umutima utera cyane. Ariko uzumva uhumurijwe cyane iyo uzi ko hari uburyo bwiza bwo kuvura. SVT Ablation ni bumwe mu buryo bwiza cyane bwo kuvura. Niba ufite ibindi bibazo kuri ibi, ntutindiganye kuvugana na muganga wawe kugira ngo agusobanurire byose.
Ubutumwa bwo kujyana mu rugo
- SVT (Supraventricular Tachycardia) ni indwara aho umutima utera cyane bitewe n'ikibazo cy' "umuvuduko muke" mu buryo bw'amashanyarazi bw'umutima.
- SVT Ablation ni uburyo bwiza cyane bwo kuvura bukoresha catheters zihariye kugira ngo zinjire mu mutima kandi zigatuma uturemangingo dufite inenge tudakora binyuze mu kuzishyushya cyangwa kuzikonjesha, bigasubiza umutima mu buryo bwiza.
- Igipimo cy'intsinzi y'ubu buvuzi kiri hejuru cyane ku kigero cya 90% - 95% .
- Gukira vuba nyuma yo kuvurwa, kandi ushobora gusubira mu buzima busanzwe mu minsi mike.
- Niba igikomere kibyimbye cyane cyangwa kikava amaraso ubudasiba, ugomba guhita ugana Ishami ry’Ubutabazi bw’ibanze (ETU) ry’ibitaro. Niba ubonye ibindi bimenyetso bidasanzwe, menyesha muganga wawe.

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