Ese ukeneye gusimbuza umugozi w'umutima? Utinya kubagwa bikomeye? Noneho reka twige kuri TAVR! (Gusimbuza umugozi w'umutima wa Transcatheter)

Ushobora kugira ubwoba gato iyo muganga wawe akubwiye ko ufite ikibazo cy'umugozi mu mutima wawe kandi ko ugomba kuwusimbuza. Ushobora kuba wibaza uti "Ese iki ni igikorwa gikomeye kizafungura igituza cyawe?" Ni ukuri ko kubagwa nk'uko ari ibintu bikomeye kandi bifata igihe kirekire kugira ngo bikire. Ariko uyu munsi tugiye kuvuga ku ikoranabuhanga rigezweho rigufasha gusimbuza umugozi w'umutima udafite icyo gikorwa gikomeye, ariko ukoresheje gusa icyuho gito cyane. Ibi byitwa TAVR.

TAVR ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Igisobanuro cyuzuye cya TAVR ni Transcatheter Aortic Valve Replacement . Hari igihe yitwa TAVI (Transcatheter Aortic Valve Implantation). Ibi ni kimwe.

Mu magambo make, ibi bikubiyemo gusimbuza valve nkuru iri mu mutima wawe, valve ya aorta, udafunguye igituza cyawe.

Tekereza umutima wawe nk'ipompe y'amazi mu nzu. Nk'uko iyi pompe yohereza amazi mu nzu yose, umutima wohereza amaraso meza kandi akungahaye kuri ogisijeni mu mubiri wose. Irembo nyamukuru aya maraso anyuramo mu mutima ni valve ya aorta . Ibi bimeze nk'urugi rufunguka inzira imwe gusa. Rufungura iyo amaraso avuye, kandi rugafunga iyo rugerageje kugaruka. Iki ni igikorwa cy'ingenzi cyane.

Ni ubuhe bwoko bw'indwara busaba kubagwa TAVR?

Impamvu nyamukuru yo gukora TAVR ni indwara yitwa Aortic Stenosis . Ibyo bivuze ko valve ya Aortic twavuze ifunze cyangwa igafungana . Ni nk'aho inzugi ebyiri zidafunguka neza, ahubwo zifunguka gato gusa.

Hari impamvu nyinshi z'ingenzi zituma valve ishobora gufatirwa muri ubu buryo:

• Gusaza: Uko ugenda urushaho gusaza, urengeje imyaka 70, umuyoboro w'amaraso ushobora kwiyongera kandi ntugire icyo ukora neza bitewe n'umunyungugu wa kalisiyumu. Iyi ni yo mpamvu ikunze kugaragara.
• Izindi ndwara: Kuri bamwe, iyi valve ishobora gucika intege vuba bitewe n'indwara z'umutima nk'indwara y'umutima yavukanye (urugero: Bicuspid Aortic Valve) cyangwa indwara y'umutima ya rubagimpande ikura mu bwana.

Bigenda bite iyo valve ifunze gutya? Umutima ugomba gukora cyane kugira ngo upompe amaraso mu mubiri wose. Ni nko gushyira umutwaro w'inyongera kuri moteri kugira ngo upompe amazi anyuze mu muyoboro wafunze. Iyo ibi bibaye igihe kirekire, imitsi y'umutima iracika intege, amaherezo bigatera umutima guhagarara nabi.

Ni iki gikwiye gukorwa mbere yo kugira TAVR?

Iyo uhisemo gukoresha TAVR, muganga wawe azakora ibizamini byinshi mbere y'igihe kugira ngo asuzume neza imiterere y'umutima wawe no kugira ngo amenye neza ibibazo bishobora kuvuka mu gihe cyo kubagwa.

Nyuma y'ibi bizamini, muganga azakubwira ibijyanye no kubagwa, imiti yo gusinziriza, kandi agusubize ibibazo byose ushobora kuba ufite. Uzasabwa guhagarika kurya no kunywa amasaha 4-6 mbere y'uko ubagwa.

Kubaga TAVR bikorwa gute?

Kubera ko ubu atari ukubaga amabere, ntugomba kuba utazi neza. Kenshi na kenshi, uzahabwa umuti ugufasha gusinzira gake (gusinzira). Bityo ntuzumva ububabare ubwo aribwo bwose.

Kubagwa bikorwa intambwe ku yindi ku buryo bukurikira:

1. Umuganga w’indwara z’umutima akuramo agace gato cyane mu itako ryo hejuru (cyangwa ahandi mu ijosi cyangwa mu gituza).

2. Umuyoboro muto cyane kandi woroshye witwa catheter unyuzwa mu gice cy'amaraso, unyuze mu mitsi minini y'amaraso, ukagera mu mutima.

3. Muri uyu muyoboro niho valve nshya ipfunyikwamo agace gato igashyirwa mu mutima aho valve ishaje kandi yazibye iri.

4. Iyo imaze gushyirwaho, valve nshya iragurwa. Hanyuma ihita ijya mu mwanya wayo. Valve ishaje ntabwo ikurwaho , ahubwo ishyirwa ku ruhande na valve nshya.

5. Reba niba valve nshya ikora neza kandi niba hari amaraso yavuye.

6. Amaherezo, catheter irakurwamo, agace gato gafungwa n'umushongi umwe cyangwa ibiri, hanyuma hagashyirwa igitambaro.

Igikorwa cyose gikunze gufata isaha imwe cyangwa ebyiri .

Ni izihe nyungu n'ingaruka mbi zo kubagwa kwa TAVR?

TAVR ifite ibyiza byinshi ugereranyije no kubaga umutima mu buryo busanzwe.

Ibyiza by'ingenzi

• Nta gukata gukomeye: Nta mpamvu yo gukata igufwa ry'igituza cyangwa gukuraho imbavu. Hariho gukata guto cyane.
• Gukira vuba: Kubera ko nta gikomere gikomeye kibaho, ububabare buragabanuka, umuruho ku mubiri uragabanuka, kandi gukira vuba.
• Gumara igihe gito mu bitaro: Akenshi , ushobora gutaha umunsi umwe nyuma yo kubagwa. Ushobora gukenera kumara iminsi ibiri cyangwa itatu.
• Bikwiriye abarwayi bafite ibyago byinshi: Ubu buryo ni amahitamo meza cyane ku bantu bakuze cyane, bafite izindi ndwara nyinshi, kandi badashobora kwihanganira kubagwa bikomeye.

Ibibazo by'ingorabahizi

Nkuko bigenda ku buvuzi ubwo aribwo bwose, TAVR ifite ingaruka nke. Ariko, bitewe n'ikoranabuhanga rigezweho muri iki gihe, amahirwe yo kuba ibi bibaho ni make cyane .

• Imiterere y'amashanyarazi y'umutima irangirika, birashoboka ko bisaba gushyiraho pacemaker .
• Amaraso make arimo kuva mu mpande z'agace gashya k'amaraso.
• Ingaruka nto zo kurwara indwara yo mu bwonko.
• Kuva amaraso cyangwa kwandura aho icyiciro cyakorewe.
• Kwangirika kw'impyiko cyangwa imiyoboro y'amaraso.

Muganga wawe azakubwira ibi byose kandi agusobanurire uburyo bigira akamaro ku kibazo cyawe n'ingaruka zabyo.

Gukira nyuma yo kubagwa n'uburyo bwo kwirinda

Nyuma yo kubagwa, uzaguma mu buriri amasaha make kugira ngo uruhuke. Imitsi y'amaraso aho yaciwe izahambirwa kugira ngo amaraso ahagarike kuva. Uzahabwa imiti yo kwirinda kwandura no guhagarika kubumba amaraso.

Umaze gutaha, irinde guterura cyangwa gukora imirimo ivunanye mu gihe cy'icyumweru kimwe cyangwa bibiri. Ushobora gusubira mu mirimo yawe isanzwe mu byumweru bibiri. Bishobora gufata ibyumweru 6 kugeza kuri 10 kugira ngo ukire neza.

Byongeye kandi, uzahabwa gahunda yo kuvura umutima , ikaba ari nk'imyitozo ngororamubiri idasanzwe yatanzwe na muganga kugira ngo akomeze umutima wawe.

Niba ufite ibi bimenyetso, hamagara muganga wawe vuba!

Niba ugize kimwe muri ibi bimenyetso bikurikira nyuma yo gusubira mu rugo, menya neza ko ubimenyesheje muganga wawe.