Ibintu ukeneye kumenya kuri Thrombectomy (gukuraho amaraso apfunditse) !

Ese wigeze wumva umuntu avuga ati "Amaraso apfutse"? Ibi bishobora guteza akaga gakomeye. Tekereza imiyoboro y'amaraso mu mubiri wacu nk'uburyo bw'imiyoboro. Iyo agapfutse, kitwa "thrombus", kavutse kandi kagapfutse ahantu hose muri iyo miyoboro, amaraso anyuramo arahagarara burundu. Ibi biramutse bibaye mu mutsi munini utanga amaraso mu bwonko, umutima, cyangwa ukuboko cyangwa ukuguru, urwo rugingo rushobora kwangirika, ndetse bikaba byanashyira ubuzima mu kaga. Mu gihe nk'iki cyihutirwa, tugiye kuvuga ku buvuzi bw'ingenzi cyane bushobora kurokora ubuzima muri iki gihe.

Mu magambo make, guterwa kwa Thrombectomy ni iki?

Guca amaraso mu mitsi ni ugukuraho amaraso yapfutse mu mitsi yacu (imitsi cyangwa imitsi) binyuze mu kubagwa cyangwa ubundi buryo bwihariye busa nabwo. Ni nko gukuraho umwanda wapfutse mu muyoboro w'amazi hanyuma amazi agasubira gutemba.

Ibi bice by'amaraso bishobora kwirema ahantu henshi mu mibiri yacu. Bikunze kuboneka mu maguru, mu maboko, mu mara, mu bwonko, mu bihaha no mu mutima. Hari igihe ibi bice by'amaraso bigomba gukurwaho vuba, mu masaha make. Bitabaye ibyo, bishobora kwangiza burundu urugingo rwangiritse cyangwa bikaba byanashyira ubuzima mu kaga.

Ni nde koko ukeneye ubu buvuzi?

Ubusanzwe, iyo amaraso agize ikibazo cyo kuvura amaraso, hari imiti itangwa kugira ngo irangize. Tuyita anticoagulants (imiti igabanya amaraso) na thrombolytics (imiti igabanya amaraso). Ariko rimwe na rimwe, iyi miti yonyine ntishobora gukuraho ikibazo cyo kuvura amaraso, cyangwa hari aho imiti itaba ihari. Ni bwo abaganga bafata icyemezo cyo kubaga Thrombectomy.

Ubu buvuzi bukenewe cyane cyane kuri:

• Niba hari ibyago byo kwangiza ubuzima .
• Iyo hari ibyago byo kuvura amaraso (thrombus) akava aho yari asanzwe aherereye maze akanyura mu maraso akajya ahandi mu mubiri (urugero, mu bihaha) (embolus).
• Iyo hari ibyago byo kwangirika burundu ku rugingo cyangwa ingingo bireba.

Ubu buryo ni ingenzi cyane kugira ngo amaraso agaruke mu bwonko cyangwa mu mutima vuba, cyane cyane mu bihe byihutirwa nko gucika intege mu bwonko no kurwara indwara z'umutima.

Ni mu bihe ibihe hadakorwa thrombectomy?

Ubu buryo bwo kuvura ntibukorerwa buri maraso yose afite ikibazo cyo kuvura amaraso. Hari igihe hari impamvu zituma ibi bitakorwa cyangwa bitagakwiye gukorwa. Reka turebe ibyo ari byo.

Ni ubuhe buryo bw'ingenzi bwo gukuraho ibi bice by'amaraso?

Hari uburyo bubiri bw'ingenzi bwo kubaga amenyo. Ni nko gucukura umwobo munini wo kubaka umuhanda, cyangwa gucukura umwobo muto ukawusana imbere.

1. Kubagwa mu buryo bw'ibanga (Kubagwa / Kubagwa mu buryo bw'ibanga)

Muri ubu buryo, umuganga ubaga uruhu aruca hejuru y'umutsi urimo amaraso, agafungura umutsi buhoro buhoro, agashyiramo igikoresho cyihariye gisa n'ibendera (catheter y'ibendera) hanyuma agakuramo amaraso. Hanyuma umutsi udodwa neza wongera guhuzwa hanyuma uruhu rugafungwa. Ubu ni bwo buryo gakondo.

2. Gukuraho Thrombectomy yo mu ruhu / Idatera cyane

Ubu ni bwo buryo bukoreshwa cyane kandi bugezweho muri iki gihe. Nta gukata gukomeye kuhari. Ahubwo, hakorwa umwobo muto mu mitsi y'amaraso mu kuboko cyangwa ku kuguru, hanyuma hagashyirwamo umuyoboro muto (catheter).

Hakoreshejwe ikoranabuhanga ryo gufata amashusho nka X-rays, uyu muyoboro uyoborwa aho amaraso yapfundikiye. Hanyuma, ibikoresho byihariye binyuzwa muri uwo muyoboro,

• Uduce tw'amaraso dushobora kuvunjwamo uduce duto hanyuma tugashonga (macerated).
• Ubundi buryo, amaraso ashobora gukurwamo, nk'uko bigenda mu cyuma gisukura (Aspiration Thrombectomy).

Ubu buryo burakora neza cyane, kuko nta gikomere gikomeye gihari, bityo umurwayi ashobora gukira vuba.

Ni izihe ndwara zishobora kuvurwa hakoreshejwe ubu buryo?

Ubu buryo bwo kuvura, bwitwa thrombectomy, bukoreshwa mu ndwara nyinshi z'ingenzi cyane.

• Kuziba kw'imitsi miremire (DVT): Amaraso agwa cyane cyane mu mitsi miremire y'amaguru.
• Stroke: Ifu y'amaraso ifunga imitsi ijyana amaraso mu bwonko.
• Infarction y'umutima: Kuziba kw'amaraso mu mitsi y'umutima itanga amaraso mu mutima.
• Kubumba amaraso mu bihaha: Indwara y'amaraso yavutse ahandi mu mubiri iracika ikajya mu mitsi yo mu bihaha.
• Ischemia y'amagufwa y'amaguru: Kureka gutembera kw'amaraso mu buryo butunguranye mu kuboko cyangwa ku kuguru.
• Kuziba kw'imitsi ijyana amaraso mu mara (Mesenteric Ischemia) cyangwa impyiko (Renal Artery Occlusion).

Ni iki kibaho mbere na nyuma yo kuvurwa?

Mbere yo kuvurwa

Hari igihe ibi bikorwa nk'uburyo bwihutirwa, bityo nta mwanya wo kwitegura uhari. Ariko, mbere yo kubagwa amenyo, muganga wawe ashobora kugusaba:

• Ibizamini byo gupima: Hashobora gutangwa isuzuma rya ultrasound, MRI, cyangwa CT scan kugira ngo hamenyekane ingano nyayo n'aho amaraso yangiritse.
• Kureka kunywa itabi: Niba unywa itabi, ugirwa inama yo kurireka mbere yo kubagwa.
• Kumenya Imiti: Ugomba kubwira muganga wawe imiti yose ufata (harimo imiti igabanya amaraso, igabanya ububabare, na vitamine). Hari imiti ishobora gukenera guhagarikwa mbere yo kubagwa.

Nyuma yo kuvurwa

Nyuma yo kuvurwa, uzajyanwa mu cyumba cy’indezo hanyuma ukurikiranwe kugeza igihe indwara yawe izagarukira. Hari abantu bashobora gutaha uwo munsi. Abandi bashobora gukenera kumara iminsi mike mu bitaro. Ibi biterwa n’aho amaraso yangiritse n’ubwoko bw’ubuvuzi butangwa.

Nyuma yo gutaha,

• Itanga inama z'uburyo bwo kubungabunga igisebe.
• Uzakenera gukomeza gufata imiti igabanya amaraso kugira ngo wirinde ko amaraso yongera kuzura.
• Ushobora kubwirwa kwambara amasogisi yihariye (amasogisi yo gukanda) ku maguru yawe.

Igikuru ni ugukurikiza amabwiriza ya muganga wawe neza.

Ni izihe nyungu n'ingaruka byagira?

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

Igihe cyo gushaka inama z'abaganga byihutirwa

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kuvurwa, hamagara muganga wawe ako kanya cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) by’ibitaro biri hafi yawe.

• Kuva amaraso cyangwa amashyira ava mu gikomere.
• Kubabara mu gituza cyangwa guhumeka bigoranye.
• Umuriro .
• Kuzungera cyane cyangwa kubabara umutwe.
• Urujijo cyangwa guta ubwenge.
• Ububabare bukomeye, kubyimba , cyangwa kugira ibinya mu maboko cyangwa amaguru.

Ntukirengagize ibi bimenyetso. Bishobora kuba ikimenyetso cy'indi ngorane.