Icyo ukeneye kumenya ku bijyanye n'ubuvuzi bwa Thrombolytic!

Tekereza ko imiyoboro y'amaraso y'umubiri wacu imeze nk'urusobe rw'imihanda mu mujyi uhuze. Amaraso anyura muri iyi mihanda buri gihe kugira ngo agire ibyo agaburira ingingo zacu zose, nk'umutima wacu, ubwonko n'ibihaha. None se, bigenda bite iyo uyu muhanda munini, ni ukuvuga imiyoboro y'amaraso, ufunze mu buryo butunguranye kubera amaraso menshi? Kimwe n'impanuka ikomeye mu muhanda n'umuvuduko w'imodoka, amaraso anyura mu ngingo zacu ashobora guhagarara, bigatera ikibazo gikomeye nko kurwara indwara y'umutima cyangwa indwara yo mu bwonko. Uyu munsi, turimo kuvuga ku buvuzi bw'ingenzi cyane abaganga bakoresha kugira ngo bashongeshe amaraso nk'ayo ashobora kubangamira ubuzima kandi bagarure amaraso atembera neza.

Mu magambo make, ubuvuzi bwa Thrombolytic ni iki?

Ibi bivuze 'ubuvuzi bwo gushonga kw'amaraso mu buryo bworoshye' mu rurimi rwa Sinhala. Muri make, ibi bikubiyemo gutanga imiti ikomeye cyane (thrombolytics) mu mubiri kugira ngo ishongeshe amaraso mu buryo buteje akaga aba yafashe mu miyoboro y'amaraso. Iyo amaraso apfuye, imiyoboro y'amaraso yafunzwe irafungura kandi amaraso ajya mu rugingo rwafashwe agasubirana. Ubu ni uburyo bwo kuvura bufasha mu buzima bukoreshwa mu bihe byihutirwa cyane . Uko ubu buryo butangiye vuba, ni ko burushaho kugira amahirwe yo kugira icyo bugeraho.

Ni nde ukeneye ubu buvuzi kandi ni mu bihe bingana iki?

Ubusanzwe abaganga bafata ubu buryo mu bihe bikomeye kandi byihutirwa nk'ibi bikurikira.

• Infarction y'umutima: Iyo amaraso apfutse umutsi w'umutima utanga amaraso mu mutima, cyane cyane iyo nta hantu na hamwe hashyizweho stent cyangwa ngo habeho kubagwa.
• Ischemic Stroke: Istroke iterwa n'amaraso afunga umutsi ujyana amaraso mu bwonko.
• Guhagarika amaraso mu bihaha: Iyo amaraso yacitse ahandi mu mubiri (akenshi mu maguru) agacika agashyirwa mu mitsi mu bihaha.
• Indwara yo kuvura imitsi miremire (DVT): Amaraso menshi, cyane cyane mu mitsi miremire y'amaguru, atera ingorane nko kugira ubururu bw'amaguru, ububabare bukabije, kandi ntikira imiti isanzwe igabanya amaraso (anticoagulants).
• Kuziba kw'imitsi yo mu gice cy'imbere cy'amaraso: Kuziba kw'amaraso biziba umutsi munini wo mu kuboko cyangwa ukuguru .

Ese hari abantu badakwiye guhabwa ubu buvuzi?

Yego rwose. Kubera ko ibyago by'ingenzi by'ubu buvuzi ari ukuva amaraso, ntabwo buhabwa abarwayi bamwe na bamwe. Kuko kuri bo, ingaruka mbi z'ubu buvuzi zishobora kuba nyinshi kurusha inyungu.

Byongeye kandi, abaganga batekereza kabiri kuri ibi kuko ababyeyi batwite n'abageze mu za bukuru baba bafite ibyago byinshi byo kugira ibibazo.

Ubu buvuzi bukorwa bute?

Hari uburyo bubiri bw'ingenzi bwo kuvura, bitewe n'uko umerewe n'uko byihutirwa.

1. Thrombolysis y'umubiri

Ubu buryo ni bwo bukoreshwa cyane mu bihe byihutirwa (indwara y'umutima, gucika kw'imitsi).

• Ibi bikubiyemo gutanga imiti igabanya amaraso mu buryo butaziguye mu maraso binyuze mu kanula ka IV gashyizwe mu mutsi uri mu kuboko.
• Uyu muti ugendana n'amaraso, ukajya aho amaraso yapfundikiye, ugatangira kuyashongesha.
• Ubu buryo busanzwe bukorerwa mu cyumba cy’indembe (ICU) . Ubu buryo bwose bushobora gufata isaha imwe.

2. Thrombolysis iyobowe na Catheter

Ubu buryo bukunze gukoreshwa mu kuvura byateguwe mbere nka DVT cyangwa PAD.

• Muri ubu buryo, hakorwa umwobo muto unyuze mu ruhu rw'ikibuno, mu ijosi, cyangwa ku kuboko, hanyuma hagashyirwamo umuyoboro muremure cyane witwa catheter unyuze muri wo unyuze mu mitsi y'amaraso.
• Hakoreshejwe ikoranabuhanga rimeze nka X-ray, umutwe w'iyi catheter werekezwa neza aho amaraso yapfundikiye.
• Hanyuma, umuti ushyirwa mu maraso unyuze muri catheter. Hari igihe igikoresho cyihariye kiri ku mpera ya catheter gishobora gukoreshwa mu guca amaraso mu buryo bworoshye (mechanical thrombectomy).
• Ubu buryo bushobora gufata amasaha 48 (iminsi 2) kugira ngo amaraso ashonge burundu. Muri iki gihe, uzaguma mu bitaro kandi ukurikiranwe n'itsinda ry'abaganga.

Ni izihe ngaruka n'ingorane zo kuvurwa?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora guterwa n’uburwayi.

Uretse iki kibazo gikomeye, hari amahirwe make ko ibintu bikurikira bishobora kubaho:

• Ubwivumbure ku muti.
• Kuva amaraso cyangwa gukomereka aho kanula cyangwa catheter byashyizwe.
• Umuvuduko w'amaraso uri hasi (hypotension).
• Agace gato k'amaraso yashongeshejwe karacika maze gafata mu wundi mutsi w'amaraso.
• Kwangirika kw'impyiko (cyane cyane ku bantu barwaye diyabete).
• Amaraso make asohoka mu mazuru, mu mwanda, cyangwa mu nkari.

Muganga wawe azagusobanurira izi ngaruka cyangwa abakuvura mbere yo kuvurwa.

Nyuma yo kuvurwa no gukira

Nyuma yo kuvurwa, muganga azakora ibizamini byinshi, nko gupima angiogram na CT scan, kugira ngo arebe niba amaraso yashongeshejwe burundu.

Uzakenera kuguma mu cyumba cy’indembe (ICU) nibura umunsi umwe, hanyuma undi munsi umwe cyangwa itatu ukurikiranwe mu cyumba rusange.

Umaze gutaha, muganga wawe ashobora kukwandikira imiti yo kugabanya amaraso kugira ngo wirinde ko amaraso yongera kuzura . Ni ngombwa cyane gukurikiza aya mabwiriza neza.

Ibimenyetso by'umuburo byerekana ko ugomba kujya kwa muganga nyuma yo gutaha

Niba ubonye kimwe muri ibi bimenyetso bikurikira,Bimenyesha muganga wawe ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) riri hafi yawe.