Reka twige muri make ibyerekeye Thrombectomy, kubagwa kugira ngo haveho amaraso yapfutse mu mitsi y'amaraso.

Tekereza ko imiyoboro y'amaraso mu mubiri wacu wose imeze nk'urusobe rw'imihanda mu mujyi. Muri iyo mihanda niho amaraso anyura, atwara umwuka n'intungamubiri buri ngirabuzimafatizo mu mubiri wacu zikenera. Iyo ibintu byose bigenda neza, uru rugendo rubaho nta mbogamizi. Ariko se bigenda bite iyo habayeho imbogamizi ikomeye, nk'ibuye rinini, ifunze uyu muhanda munini? Urujya n'uruza rw'abantu ruhagaze burundu, sibyo? Ni kimwe kibaho iyo amaraso apfutse mu miyoboro y'amaraso. Ibi bihagarika urujya n'uruza rw'amaraso, bigatera kwangirika gukomeye ku rugingo rutangwa n'uwo mutsi, ndetse bishobora no gushyira ubuzima mu kaga. Uyu munsi turimo kuvuga ku kubagwa kudasanzwe gukorwa kugira ngo ubuzima burokorwe mu bihe nk'ibi biteje akaga.

Mu magambo make, guterwa kwa Thrombectomy ni iki?

Guca amaraso mu mitsi ni uburyo bwo kubaga kugira ngo amaraso acike neza mu mitsi yawe (yaba imitsi cyangwa imitsi). Ni nko gukuraho ikintu cyazibye mu muyoboro w'amazi hanyuma ukongera gutemba. Intego nyamukuru y'ubu buryo bwo kubaga ni ukugarura amaraso atembera neza yari yafunzwe n'amaraso yacikiye.

Ibi bice by'amaraso bishobora kwirema ahantu hatandukanye mu mibiri yacu. Ibimenyerewe cyane ni ibi bikurikira:

• Mu maguru
• Mu maboko
• Inda
• Mu bwonko
• Mu bihaha
• Mu mutima

Hari igihe ubu buryo bwo kubaga bugomba gukorwa mu masaha make, kuko iyo butakozwe neza, hari amahirwe menshi yo gutakaza urugingo cyangwa ndetse no gupfa.

Ni nde koko ukeneye ubu bubagwa?

Niba ufite ikibazo cyo kuvura amaraso, muganga wawe azabanza kugerageza kuvura akoresheje imiti. Urugero, ushobora guhabwa imiti igabanya amaraso cyangwa imiti igabanya ubukana bw'amaraso. Ariko, iyo iyi miti idategeka kuvura amaraso, cyangwa niba ikibazo cyo kuvura ari kinini kandi mu gihe cyihutirwa, muganga wawe ashobora gufata icyemezo cyo kubaga amaraso.

Impamvu nyamukuru zo kubagwa ni izi zikurikira:

• Irinde ingorane zishobora gushyira ubuzima mu kaga: Iyo amaraso apfunditse mu mitsi minini y'amaraso ijya mu bwonko cyangwa mu mutima, bishobora kwica umuntu.
• Guhagarika burundu kwangirika kw'ingingo: Iyo amaraso agana ku kuboko cyangwa ku kuguru aciwe, ingingo ziri muri urwo rugingo zitangira gupfa. Iyo amaraso adasubijwe vuba, urugingo rushobora guhagarara cyangwa se rugacibwa.
• Irinde ko amaraso yangiritse: Ibi bibaho iyo amaraso yacitse ahantu hamwe, akagendana n'amaraso, maze agafata igice cy'umubiri, urugero, mu bihaha. Iki nacyo ni ikibazo gikomeye cyane.

Ese hari impamvu zo kudakorerwa thrombectomy?

Yego, si buri wese ushobora kubagwa. Hari igihe ingaruka mbi zo gukora ibi zishobora kuba ziruta inyungu. Niba ufite imwe muri izi ndwara zikurikira, muganga wawe ashobora gufata icyemezo cyo kutabikora:

• Iyo amaraso apfutse ahantu bigoye cyane kuhagera ukoresheje uburyo bwo kubaga.
• Iyo amaraso apfundikiye ari mu muyoboro muto cyane w'amaraso , gushyira ibikoresho ahantu nk'aho kugira ngo ukureho amaraso ashobora kwangiza umutsi ubwawo.
• Niba ushobora kugenzura neza amaraso yawe ukoresheje imiti .
• Niba ufite ikibazo cy'amaraso cyari gisanzweho.
• Iyo hari amaraso ava mu bwonko (kuva amaraso mu bwonko) .
• Niba ufite umuvuduko ukabije w'amaraso udashobora kugenzurwa nubwo waba ufite imiti.
• Iyo amaraso amaze iminsi irenga 30 kandi akaba adakira .

Indwara z'ingenzi zivurwa hakoreshejwe uburyo bwo gukata thrombectomy

Ubu buryo bwo kubaga bukoreshwa mu ndwara zitandukanye. Reka turebere hamwe ibyo ari byo.

Ni ubuhe bwoko bw'ubuvuzi bwo gukubagura amenyo (thrombectomy)?

Hari uburyo bubiri bw'ingenzi bwo gukora ubu buvuzi. Reka turebe itandukaniro riri hagati yabwo.

Ni iki wakora mbere yo kubagwa?

Hari igihe ibi bikorwa nk'ukubaga byihutirwa, bityo ushobora kutagira umwanya wo kwitegura. Ariko, niba ari ukubaga guteganyijwe, muganga wawe azakubwira ibi bikurikira:

• Ibizamini byo gupima: Bashobora gutumiza ibizamini nka ultrasound, MRI, cyangwa CT scan kugira ngo barebe ingano nyayo n'aho amaraso yangiritse.
• Kureka kunywa itabi: Niba uri umunywi w'itabi, ugomba kurireka vuba bishoboka mbere yo kubagwa. Kunywa itabi bishobora guteza ingorane nyuma yo kubagwa.
• Guhagarika imiti imwe n'imwe: Ugomba kubwira muganga wawe imiti yose ufata, harimo na vitamine n'imiti y'ibimera. Ushobora gusabwa kureka gufata imiti igabanya amaraso (anticoagulants) iminsi mike mbere yo kubagwa.

Ni iki kibaho mu gihe cyo kubagwa?

Ubu buryo bushobora gutandukana bitewe n'ubwoko bw'ikibagwa urimo kubagwa. Bitewe n'ingano n'aho amaraso apfundikiye, igikorwa gishobora gufata isaha imwe cyangwa amasaha menshi. Muri rusange, ibi ni byo bibaho:

1. Kugabanya ububabare/Gutuza: Uzahabwa ikinya cyangwa umuti woroshye wo kugabanya ububabare kugira ngo utababara.

2. Gukata/gutobora: Mu kubaga uruhu mu buryo butaziguye, uruhu rucibwa aho umuyoboro w'amaraso uri. Mu buryo bwo gukata uruhu mu buryo buto, hakorwa umwobo muto unyuze mu ruhu ugana mu mutsi.

3. Gukoresha Cannulation (Uburyo bwo gupima): Cannula (catheter) n'insinga bishyirwa mu mitsi binyuze mu mwobo hanyuma bikajyanwa aho amaraso yapfundikiwe mu gihe ureba isuzuma.

4. Gukuraho amaraso apfundikiye: Mu kubagwa mu buryo butaziguye, amaraso apfundikiye akurwamo hakoreshejwe kanula ya baluni. Mu bundi buryo, amaraso apfunditse, agashonga, cyangwa agakurwamo hakoreshejwe ibikoresho byihariye.

5. Gufunga: Mu kubaga mu buryo butaziguye, umuyoboro w'amaraso waciwe n'uruhu biradodwa hamwe. Mu bundi buryo, kanula irakurwaho hanyuma umwobo ugafungwa cyangwa hagakoreshwa igikoresho cyihariye (igikoresho cyo gufunga imitsi) kugira ngo gifunge umwobo.

Ni iki kibaho nyuma yo kubagwa? Kandi ni izihe ngaruka zishobora kubaho?

Nyuma yo kubagwa, uzajyanwa mu cyumba cy’indembe kandi ibimenyetso by’ubuzima bwawe (umuvuduko w’amaraso, umuvuduko w’umutima, nibindi) bizakurikiranwa neza. Hari abantu bashobora gutaha uwo munsi. Ariko hari abantu bagomba kumara iminsi mike mu bitaro. Biterwa n’uko umeze.

Mu nzira yo gutaha, muganga azakubwira ibi bintu:

• Uburyo bwo kwita ku nzira yo gukata.
• Imiti yo gufata n'iyo kutafata.
• Ni ryari akazi gasanzwe gashobora kongera gukoreshwa?

Reka turebe ibyiza n'ingaruka nyamukuru.

Ibibazo byihutirwa bisaba kujya kwa muganga

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gutaha uvuye kubagwa, ugomba guhita uhamagara muganga wawe. Cyangwa, ujye mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.

• Kuva amaraso: Iyo hari amaraso ava aho bakorewe.
• Kubabara mu gituza: Iyo ugize ikibazo cy'ububabare mu gituza cyangwa gufungana mu buryo butunguranye.
• Guhumeka nabi (dyspnea): Iyo ugize ikibazo cyo guhumeka gitunguranye.
• Urujijo: Niba wumva umeze nk'ugiye mu mutwe cyangwa ubabaye, cyangwa niba wumva urimo guta ubwenge.
• Kuzungera cyangwa kubura uburinganire: Niba wumva uzungera kandi ukagorwa no kugenda.
• Umuriro: Iyo ufite umuriro, bishobora kuba ikimenyetso cy'ubwandu.
• Ububabare, kubyimba, cyangwa kugira ibinya mu maboko cyangwa amaguru.
• Amazi ameze nk'ibibyimba asohoka mu gice cy'igisebe.

Ibi bimenyetso bishobora kuba ikimenyetso cy'ingorane ikomeye, bityo ntukabirengagize.