Ese ufite ubwoba bwo kubagwa Triple Bypass? Reka tubiganireho mu buryo bworoshye.

Nubwo wumva ibyerekeye kubagwa umutima, ni ukuvuga kubagwa bypass, wumva ufite ubwoba kandi ukagira ubwoba, si byo se? Cyane cyane iyo muganga avuze ko ugomba gukora "triple bypass." Ariko iyo usobanukiwe neza icyo ari cyo, impamvu bigomba gukorwa, n'uko ubuzima buzaba bumeze nyuma y'ibi, ubwo bwoba mu mutima wawe buzashira cyane. Uyu munsi, turaganira kuri ibi mu buryo bworoshye, mu buryo ushobora kumva, nk'aho uri kuvugana n'inshuti yawe.

Mu magambo make, kubagwa inshuro eshatu bypass ni iki?

Tekereza ko umuyoboro w'amazi ujya mu nzu yawe wuzuyemo ivumbi ahantu hatatu, kandi amazi akaba yarafunzwe cyane. None se twakora iki? Niba tudashobora gukuraho aho hantu hafunzwe, dushobora kubaka umurongo mushya dushyiramo ibice bishya by'imiyoboro kugira ngo tuyice, sibyo? Ibyo nibyo ubu buvuzi bukora.

Imitsi y'amaraso itanga amaraso mu mutima wacu (iyi twita imitsi y'umutima) iraziba ibinure na cholesterol. Mu buvuzi, iyi mitsi twita plaque. Iyi mitsi ibuza amaraso gutembera. Mu "guca mu buryo butatu," imitsi y'amaraso iraziba ahantu hatatu h'ingenzi .

Icyo umuganga ukora ni ugufata umutsi w'amaraso muzima uturutse ahandi hantu mu mubiri wawe (akenshi uva ku kaguru, ku kuboko, cyangwa mu gituza cyawe) maze agashyiraho "inzira nshya" ikikije agace kafunzwe. Ni nk'aho umuntu anyura mu nzira. Ibi bituma imitsi y'umutima yongera kubona amaraso ikeneye. Ubu buryo bwo kubaga bwitwa kandi Coronary Artery Bypass Graft, cyangwa CABG.

Ni nde wakwifuza kubagwa?

Ubu bubagwa si ubwa buri wese. Muganga abwifuza kubera impamvu runaka. Ahanini, ni ngombwa ku bantu bafite indwara z'imitsi ifata imitsi y'umutima.

• Niba ufite imitsi irenga 50% ifunganye mu mutsi munini w'ibumoso utanga amaraso mu mutima wawe.
• Iyo hari imitsi irenga 70% ifunganye mu yindi mitsi.
• Iyo imitsi ifunganye cyane kandi igoye ku buryo inzira nke cyane nka angioplasty (ibi ni byo dukunze kwita "gushyiramo stent") idashobora gukorwa.
• Niba ukunda kubabara mu gatuza (angina), guhumeka bigoranye , cyangwa ufite ibyago byinshi byo kurwara umutima bitewe n'izi mbogamizi.

Mu bihe nk'ibi, uburyo bwiza bwo kwirinda kwangirika k'umutima ni ukubagwa hakoreshejwe uburyo bwa "bypass operation".

Ni iki kibaho mbere yo kubagwa?

Nyuma yo guhitamo umunsi wo kubagwa, muganga azakora ibizamini byinshi kugira ngo asuzume neza uko umerewe. Ntugahangayike, byakozwe kugira ngo kubagwa bigire umutekano kandi bigende neza uko bishoboka kose.

Muganga wawe azakugira inama yo guhagarika by'agateganyo gufata imiti imwe n'imwe (cyane cyane imiti igabanya amaraso) iminsi mike mbere yo kubagwa. Azakubwira kandi guhagarika kurya no kunywa kuva saa sita z'ijoro umunsi umwe mbere yo kubagwa.

Ni iki kibaho mu gihe cyo kubagwa?

Kubagwa bizatangira nyuma yo guhabwa ikinya rusange (`(Anesthesia Rusange)`) no gusinzira. Bityo ntuzumva ububabare ubwo aribwo bwose. Kubagwa bishobora gufata hagati y'amasaha 3 na 6.

Ibi bikunze gukorwa nk'ikibagiro cy'umutima gifunguye.

1. Gukata: Umuganga ubaga azakata agace gahagaze ka santimetero 1.5 munsi y'igituza cyawe.

2. Kugera ku mutima: Igufwa ry'igituza (igufwa ry'igituza) riri hagati mu gituza rigabanywamo kabiri witonze kugira ngo rigere ku mutima. Nyuma yo kubagwa, iri gufwa ryongera gushyirwaho insinga zidasanzwe, hanyuma nyuma y'igihe gito rikongera gukira neza.

3. Gufata umutsi mushya w'amaraso: Hanyuma, umutsi w'amaraso ukenewe kugira ngo habeho inzira nshya uzavanwa mu kuguru kwawe, mu kuboko, cyangwa imbere mu gituza cyawe.

4. Guhanga inzira nshya: Amaherezo, impera imwe y'umuyoboro w'amaraso ifatanye n'umuyoboro mukuru utwara amaraso mu mutima, muri aorta, naho indi impera ifatanye n'agace kari hepfo kafunzwe. Muri "guca mu buryo butatu," inzira eshatu nshya ziraremwa.

Hari igihe abarwayi batoranijwe cyane bashobora kubagwa hakoreshejwe uduce duto. Ariko, ntabwo bikwiriye buri wese, kandi muganga wawe ni we uzaguhitiramo uburyo bukubereye.

Igihe cyo gukira nyuma yo kubagwa kiba gite?

Nyuma yo kubagwa, uzajya mu cyumba cy’indembe (ICU). Ubusanzwe uzarara aho ngaho. Muri icyo gihe, uzaba ufite umuyoboro mu kanwa kugira ngo ufashe guhumeka, ariko uzakurwaho nyuma y’amasaha make. Igipimo cy’umutima wawe n’umuvuduko w’amaraso bizakurikiranwa buri gihe n’imashini.

• Guhora mu bitaro: Nyuma yo kuba mu cyumba cy’indembe, uzajya mu cyumba rusange. Uzakomeza kuba mu bitaro indi minsi 3 kugeza kuri 5.
• Nyuma yo gusubira mu rugo: Bishobora gufata ibyumweru 6 kugira ngo umuntu akire neza. Hari abantu bashobora kumara igihe kirekire cyangwa munsi yacyo.
• Kugenda n'amaguru: Mu gihe uri mu bitaro, uzasabwa kuva mu buriri ukagendagenda nyuma y'umunsi umwe cyangwa ibiri. Ibi bizagufasha gukira vuba.
• Gutwara imodoka: Ugomba kwirinda gutwara imodoka mu gihe cy'ibyumweru 6, kuko bifata igihe kugira ngo sternum ikire.
• Guterura ibintu biremereye: Nanone, si byiza guterura ikintu kiremereye kirenze ibiro 4-5 (urugero, icupa rinini ry'amazi, ikiziga gito cya gazi) muri iki gihe.
• Kuvura umutima: Nyuma yo gutaha, muganga wawe ashobora kukugira inama yo gukora imyitozo ngororamubiri yihariye no kuguha inama kugira ngo bigufashe gukomeza umutima wawe. Ni ingenzi cyane kubigiramo uruhare.

Ni izihe nyungu n'ingaruka z'ubu buvuzi?

Nk’uko bigenda ku kubagwa gukomeye kose, uku kubagwa gufite ibyiza byako ndetse n’ingaruka zimwe na zimwe zoroheje.

Ibyiza

• Birinda kwangirika k'umutima binyuze mu gusubiza amaraso mu mitsi y'umutima.
• Ibimenyetso nko kubabara mu gatuza kenshi no kubura umwuka biragabanuka cyane.
• Ubuzima bwawe buzarushaho kuba bwiza.Ushobora gukora no gutembera nta mananiza.
• Ku barwayi bafite ikibazo gikomeye cyo kubura imikorere, byongera amahirwe yo kubaho igihe kirekire kurusha ubundi buryo bwo kuvura.

Ingaruka

Mbere na mbere, abantu barenga 95% bakorewe operasiyo yo kubaga badafite ubumuga ntibagira ibibazo bikomeye. Ubu buryo bumaze imyaka ibarirwa muri za mirongo bukorwa neza hirya no hino ku isi. Ariko, abarwayi bamwe (cyane cyane abafite izindi ndwara cyangwa abakorerwa operasiyo yihutirwa) bashobora kugira ibyago bimwe na bimwe.

• Impyiko zidakora neza
• Igisebe cy'imitsi
• Amaraso apfutse
• Gufunga umutsi w'amaraso wakoreshejwe byongeye kubaho
• Indwara mu gace kakorewemo icyiciro
• Ugutera kw'umutima nabi (Atrial Fibrillation)

Ubusanzwe, ibyago byo gupfa bivuye mu kubagwa inshuro eshatu biri munsi ya 1%. Itsinda ry’abaganga rizakora ibishoboka byose kugira ngo bagabanye izi ngaruka.

Ni ryari ugomba kujya kwa muganga nyuma yo gutaha?

Ugomba kwita cyane ku mubiri wawe mu gihe cyo gukira nyuma yo gutaha. Ni ngombwa kuba maso mu gihe ugaragaje ibimenyetso by'ubwandu.

Nanone, menya neza ko ujya mu nama zose zo gukurikirana muganga wawe akubwira ko ukwiye kujyamo nyuma yo kubagwa. Ni ingenzi cyane kureba niba urimo gukira neza kandi niba umuti ukora neza.

Ubuzima nyuma yo kubagwa ...

Ikibazo abantu benshi bibaza ni iki: "Ushobora kubaho igihe kingana iki nyuma yo kubagwa bypass?" Hari igisubizo cyiza kuri iki kibazo. Ndetse n'imyaka 10 nyuma yo kubagwa bypass, abarwayi barenga 75% baracyariho kandi bameze neza.

• Kureka burundu kunywa itabi no kunywa itabi.
• Kurya indyo yuzuye, amavuta make n'isukari nke, hamwe n'imboga n'imbuto byinshi.
• Kora imyitozo ngororamubiri buri gihe nk'uko amabwiriza ya muganga abiteganya.
• Gufata imiti yandikiwe na muganga (cholesterol, umuvuduko ukabije w'amaraso, imiti igabanya amaraso) ku gihe.
• Kugenzura imihangayiko.

Iyo ubikoze neza, ushobora kubaho ubuzima bwiza kandi ukora akazi kenshi nyuma yo kubagwa.