Mu gihe runaka mu buzima bwacu, bitewe n'impanuka, kubagwa, cyangwa indwara runaka, twe cyangwa uwo dukunda dushobora gukenera guterwa amaraso. Ubu buryo ni ingenzi cyane mu buvuzi bushobora kurokora ubuzima. Ariko, nubwo ari bwiza mu bihe byinshi, ni gake cyane, ingorane zishobora kubaho bitewe n'ubu buryo bwo guterwa amaraso . Uyu munsi turimo kuvuga ku ndwara ikomeye gato, ariko twese tugomba kumenya. Iyo ni TACO, cyangwa mu mvugo y'ubuvuzi 'Transfusion-Associated Circulatory Overload'.
TACO ni iki mu by'ukuri?
Mu magambo make, TACO ni igihe amazi mu mubiri wawe yiyongera mu buryo butunguranye nyuma yo gutanga amaraso, kandi ntushobora kuyafata. Tekereza nk'ikigega cy'amazi cyuzuye amazi mu buryo butunguranye.
Iyo dutanze amaraso, hari amazi yongerwa mu mitsi yacu y'amaraso. Ubusanzwe, umutima wacu n'impyiko bishobora gucunga neza aya mazi y'inyongera no gutuma umubiri uhora mu buryo buringaniye. Ariko rimwe na rimwe, cyane cyane iyo utanze amaraso menshi icyarimwe, cyangwa niba umutima wawe cyangwa impyiko zawe zifite intege nke, aya mazi y'inyongera ntashobora gukorwaho. Hanyuma, umuvuduko mu mitsi y'amaraso uriyongera, maze amazi agatangira kwinjira mu ngingo nk'ibihaha . Ibi bituma bigorana guhumeka, umubiri ukabyimba, kandi umuvuduko w'amaraso ukiyongera mu buryo butangaje. Iyi ni indwara ikomeye cyane , bityo ni ngombwa kwihutira gushaka abaganga niba ibimenyetso bigaragaye.
Ni ibihe bimenyetso by'iyi ndwara?
Ibimenyetso bya TACO bishobora kugaragara igihe icyo ari cyo cyose mu masaha 12 cyangwa mu masaha 12 nyuma yo gutanga amaraso. Kubwibyo, tugomba kwitondera cyane umuntu watanze amaraso muri iki gihe. Ibimenyetso by'ingenzi birasobanurwa mu mbonerahamwe iri hepfo.
| Ibimenyetso | Ibisobanuro |
|---|---|
| Kugorwa no guhumeka (Dyspnea) | Iki ni cyo kimenyetso nyamukuru kandi gikunze kugaragara. Ibihaha byuzuyemo amazi, bigatuma guhumeka bigorana. Ibi bishobora kuba bibi cyane cyane iyo uryamye. |
| Inkorora | Hari igihe inkorora ishobora guterwa n'ururenda rw'umutuku rutukura kandi rufite ifuro. |
| Kubabara mu gatuza | Ushobora kumva igituza gifunganye cyangwa ububabare mu gihe umutima ukora cyane. |
| Ibara ry'ubururu ry'uruhu, iminwa, cyangwa inzara (Cyanosis) | Ibi bishobora kubaho iyo umubiri utabonye ogisijeni ihagije. Iki ni ikimenyetso gikomeye. |
| Kubyimba amaguru, utubuto tw'ibirenge, cyangwa ijosi | Uku kubyimba guterwa no kubika amazi mu mubiri. Imitsi yo mu ijosi ishobora no kugaragara nk'aho ibyimbye. |
| Umutima utera vuba (Tachycardia) | Umutima utera cyane kuko umutima ugomba gukora cyane kugira ngo upime amaraso mu mubiri wose. |
| Kuzungera cyangwa guta ubwenge | Iyi ndwara ishobora guterwa no kugabanuka k'umwuka wa ogisijeni ugera mu bwonko. |
| Kuribwa umutwe cyane | Ikindi kimenyetso gishobora kubaho bitewe n'umuvuduko ukabije w'amaraso. |
Igikuru ni uko, niba ubonye kimwe muri ibi bimenyetso, ntukirengagize. Niba uri mu bitaro, banza ubimenyeshe umuforomo cyangwa umuganga ako kanya. Niba uri mu rugo, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.
Ni nde uri mu kaga kurusha abandi?
Nubwo TACO ishobora kugira ingaruka ku muntu uwo ari we wese, hari abantu baba bafite ibyago byinshi byo kwandura. Niba hari kimwe muri ibi bibazo kikureba cyangwa kikureba umuntu uzi, ni ngombwa kuvugisha muganga wawe mbere yo gutanga amaraso.
| Impamvu y'ibyago | Ibisobanuro bigufi |
|---|---|
| Imyaka irenga 60 y'amavuko | Uko tugenda dusaza, imikorere y'umutima n'impyiko ishobora kugabanuka gato mu buryo busanzwe. |
| Kuba ufite amateka yo kurwara indwara z'umutima | Abantu bafite indwara nk'iz'umutima cyangwa indwara z'umutima bahura n'ibyago byinshi. |
| Kurwara impyiko | Iyo impyiko, ari zo ngingo z'ingenzi zigenzura ingano y'amazi mu mubiri, zidakomeye, biragoye gukuramo amazi arenze urugero. |
| Indwara z'ubuhumekero nka COPD | Ku bantu basanzwe bafite intege nke zimwe na zimwe z’ibihaha, nka Chronic Obstructive Pulmonary Disease (COPD), bishobora kugorana guhangana n’amazi yuzuye ibihaha. |
| Gukoresha imiti imwe n'imwe | Niba uherutse gukoresha imiti yongera umuvuduko w'amaraso (Vasopressors) cyangwa imiti ikura amazi mu mubiri (Loop Diuretics). |
| Kuba naratanze amaraso inshuro nyinshi mbere | Ingaruka zishobora kwiyongera gato ku bantu baterwa amaraso kenshi. |
Ni gute umuganga abimenya kandi akabivura?
Iyo ugaragaje ibimenyetso bya TACO, ikintu cya mbere muganga wawe azakora ni ukugusuzuma witonze no kukubaza ibimenyetso byawe. Bazatega amatwi uko uhumeka kandi bapime umuvuduko w'amaraso yawe.
Hanyuma, kugira ngo wemeze ko indwara yanduye, ushobora koherezwa gukorerwa ibizamini nka:
- X- ray yo mu gituza: Ibi bishobora gusuzuma amazi mu bihaha.
- Gupima amaraso : Hari ingero zimwe na zimwe za enzymes zigenzurwa kugira ngo harebwe niba hari icyangiritse ku mutima.
- Echocardiogram: Ibi bishobora gutanga ishusho isobanutse y'imikorere y'umutima n'imikorere yawo.
Mu kuvura, amaraso yawe ahita ahagarara. Hanyuma uhabwa ikiruhuko hanyuma ushyirwa ku buriri kugira ngo bigufashe guhumeka. Uburyo bw'ingenzi bwo kuvura ni imiti igabanya ubushyuhe, ari yo miti ikura amazi menshi mu mubiri. Iyi miti yongera inkari kandi igafasha mu kugenzura urugero rw'amazi mu mubiri .
Iyo guhumeka bigoranye, ubuvuzi bwa ogisijeni bushobora kuba ngombwa. Mu bihe bikomeye cyane, umurwayi ashobora gukenera gushyirwa ku mashini ihumeka y'ubukorano (Mechanical Ventilation).
Ese hari uburyo bwo kwirinda ibi?
Yego, ibi bishobora kwirindwa ku rugero runaka. Niba uri mu itsinda rimwe mu matsinda y’abantu bashobora guhura n’ibibazo byavuzwe haruguru, muganga azakwitaho cyane mu gihe afashe icyemezo cyo kuguha amaraso.
- Kugabanya umuvuduko wo guterwa amaraso: Kugira ngo hirindwe ko amazi menshi yinjira mu mubiri icyarimwe, umuvuduko wo guterwa amaraso uragabanuka cyane.
- Gutanga imiti igabanya ubukana bw'amaraso mbere yo kuvurwa: Mbere yo gutanga amaraso, imiti ishobora gutangwa kugira ngo ikure amazi arenze urugero mu mubiri.
- Gutanga amaraso: Aho gutanga amaraso yose icyarimwe, ushobora kuyatanga mu rugero ruto, ugabanyijemo doze ebyiri ku munsi.
Ni inshingano zawe kubwira muganga wawe amateka yawe yose y’uburwayi (cyane cyane ibibazo by’umutima n’impyiko) nta kintu na kimwe uhisha. Niba warigeze kugira ikibazo icyo ari cyo cyose mu gihe cyo gutanga amaraso mbere, menya neza ko ubivuze.
Gutanga amaraso ni ikintu kirokora ubuzima. TACO ni indwara idakunze kugaragara. Ariko kubimenya bishobora kugufasha kumenya ibimenyetso no gushaka ubuvuzi vuba iyo bibaye.
Ubutumwa bwo kujyana mu rugo
- TACO ni ikibazo gikomeye, ariko kidakunze kubaho, gishobora guterwa no gutanga amaraso.
- Kugorwa no guhumeka, gukorora, kubyimba no kubabara mu gatuza ni byo bimenyetso by'ingenzi by'ingenzi.
- Ibi byago biri hejuru ku bantu bakuze bafite indwara z'umutima, impyiko, cyangwa ibihaha.
- Niba ubonye kimwe muri ibi bimenyetso mu gihe utanga amaraso cyangwa mu masaha 12 nyuma yo gutanga amaraso, hita ubimenyesha abaganga cyangwa ujye mu Kigo cyita ku Buvuzi bw’Ibanze (ETU) cy’ibitaro biri hafi yawe.
- Mbere yo gutanga amaraso, banza ubwire muganga wawe amateka yawe yose y’uburwayi n’ingorane zose wahuye nazo mu gihe cyo gutanga amaraso mbere.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.