Reka twige ibijyanye no kubaga indwara ya Triple Bypass mu buryo bworoshye.

Ni ibisanzwe kumva ufite ubwoba no guhangayika gato iyo muganga wawe akubwira ko umuntu wo mu muryango wawe cyangwa inshuti yawe akeneye kubagwa bypass. Cyane cyane iyo wumvise ijambo "triple bypass," ubwo bwoba bushobora kwiyongera kurushaho. "Ese triple bypass ni ibyago bikomeye?" "Ese nzashobora kubaho nk'uko bisanzwe nyuma y'ibi?" Ushobora kuba ufite ibibazo byinshi mu mutwe wawe. Reka tubiganireho mu buryo bworoshye kandi bwumvikana kugira ngo dusobanure impungenge zose ufite kuri byo.

Kubaga "gukora triple bypass" ni iki mu by'ukuri?

Uburyo bwiza bwo kubisobanukirwa ni ugutekereza ku muvuduko w'imodoka mu muhanda. Tekereza ko hari imihanda itatu minini aho imodoka zose zihagaze, bigatuma habaho umuvuduko munini w'imodoka. Bityo ntushobora kugera aho ushaka kujya vuba. Ni iki dukora muri iki gihe? Dukoresha imihanda inyura mu nzira kugira ngo twirinde uwo muvuduko w'imodoka, sibyo?

Uku kubagwa ni kimwe. Imitsi mikuru y'amaraso itanga amaraso mu mutima wacu (imitsi y'umutima) irafungwa n'ibinure na cholesterol (ibyo twita 'plaque'). Mu kubagwa kwa 'triple bypass', hashyizweho inzira eshatu nshya zo gutembera kw'amaraso, zinyura muri utwo duce dutatu twafunzwe.

Kugira ngo babigereho, abaganga babaga bafata umuyoboro w'amaraso muzima uva mu kindi gice cy'umubiri wawe (akenshi uva mu kaguru, mu kuboko, cyangwa mu gituza) bakawutera, nk'aho ari 'inzira nshya', uzenguruka agace kafunzwe mu mutima wawe. Ibi bituma imitsi y'umutima yakira amaraso nta nkomyi. Ubu buryo bw'ubuvuzi bwitwa 'Coronary Artery Bypass Graft' cyangwa 'CABG'.

Ni nde usabwa kubagwa?

Ubu buryo bwo kubaga busanzwe bukenewe ku bantu bafite indwara z'imitsi ifata imitsi y'umutima . Si bose, ahubwo ni abafite indwara zimwe na zimwe.

• Iyo hari imitsi migari ifunganye cyane itanga amaraso mu mutima. Urugero, iyo imitsi irenga 50% by'umutsi w'ibumoso cyangwa imitsi irenga 70% by'indi mitsi ifunganye.
• Niba izi mbogamizi zitera ibimenyetso bikunze kugaragara nko kubabara mu gatuza (angina) no kugorwa no guhumeka .
• Niba ufite ibyago byinshi byo kurwara indwara y'umutima.
• Iyo kuziba kw'imitsi gukomeye cyane cyangwa gukomeye ku buryo bitavurwa hakoreshejwe uburyo budatera indwara nko gukoresha angioplasty (uburyo bukoreshwa mu kwagura imitsi no gushyiraho stent),

Ni iki kibaho mbere no mu gihe cyo kubagwa?

Nyuma yo guhitamo umunsi wo kubagwa, muganga wawe azagutegeka ibipimo byinshi kugira ngo amenye neza uko umerewe.

Uzagirwa inama yo kwirinda kurya cyangwa kunywa ikintu icyo ari cyo cyose kuva saa sita z'ijoro mbere y'uko ubagwa. Ushobora kandi kureka gufata imiti imwe n'imwe, nko kugabanya amaraso, mu gihe cy'iminsi mike.

Mu gihe cyo kubaga

Ibi akenshi bikorwa nk' "kubaga umutima ufunguye" . Urasinzirizwa burundu (ugasinzira) hanyuma kubagwa bigatangira. Umuganga ubaga agukata mu buryo buhagaze nka santimetero 1.2 ugana hagati mu gituza cyawe, agacamo igufwa ryo hagati mu gituza cyawe mo kabiri, maze akagera ku mutima. Hanyuma, nk'uko byavuzwe mbere, umutsi w'amaraso muzima wakuwe mu kaguru kawe cyangwa mu kindi gice cy'umubiri wawe ukoreshwa mu guhanga inzira nshya yo kuzenguruka kuziba kw'imitsi. Ubu buryo bwose bushobora gufata hagati y'amasaha 3 na 6 .

Bigenda bite nyuma yo kubagwa? Bifata igihe kingana iki kugira ngo umuntu akire?

Nyuma yo kubagwa, uzaguma mu cyumba cy’indembe (ICU) mu gihe cy’umunsi umwe, aho uzakurikiranirwa hafi. Muri iki gihe, uzaba ufite umuyoboro mu kanwa wawe ugufasha guhumeka, umuyoboro wo gusohora amazi mu mubiri wawe, n’imashini zigenzura ibintu nk’umuvuduko w’umutima wawe n’umuvuduko w’amaraso. Ntugahangayikishwe n’ibi bintu, ibi byose ni ibintu bisanzwe bikorwa ku buzima bwawe.

Uzashobora gusubira mu cyumba rusange nyuma y'umunsi umwe cyangwa ibiri. Ushobora kandi gutangira kugenda buhoro buhoro. Umaze gutaha, bishobora gufata ibyumweru 6 cyangwa birenga kugira ngo ukire neza. Ni ngombwa cyane gukurikiza amabwiriza ya muganga muri iki gihe.

• Gutwara: Irinde gutwara imodoka kugeza igihe sternum yawe ikize (nk'ibyumweru 6).
• Guterura ibintu biremereye: Ntugaterure ikintu kiremereye kirenze ibiro 4-5 (urugero, icupa rya litiro 5 ry'amazi).
• Imiti: Imiti nka `Aspirin`, itangwa kugira ngo irinde kubyimba kw'amaraso, ishobora gukenera gufatwa ubuzima bwose. Indi miti igomba gufatwa nk'uko muganga yabitegetse.
• Kuvura umutima: Uzagirwa inama kandi yo gukora imyitozo ngororamubiri yihariye no kwitoza imibereho myiza uyobowe n'abaganga kugira ngo ukomeze umutima wawe nyuma yo kubagwa. Ibi ni ngombwa.

Ese hari ingaruka zishobora guterwa n'ubu buvuzi?

Nkuko bigenda mu kubagwa gukomeye kose, hari ingaruka mbi. Ariko, abantu barenga 95% babazwe bypass ntabwo bagira ingorane zikomeye. Ingaruka zo gupfa ni munsi ya 1%, cyane cyane iyo babazwe mu buryo buteganyijwe. Ingorane zishobora kubaho zirimo:

• Kugabanuka k'imikorere y'impyiko
• Igisebe cy'imitsi
• Amaraso apfutse
• Kunanirwa k'imitsi y'amaraso yatewe
• Kwandura igikomere cyacitse
• Umutima utari umeze neza (`Atrial Fibrillation`)

Ibintu nk'ibyo bishobora kuba birimo. Ariko amahirwe yo kuba ibi bibaho ni make cyane.

Ni ryari ugomba kujya kwa muganga nyuma yo gutaha?

Niba ugize kimwe muri ibi bimenyetso bikurikira nyuma yo gusubira mu rugo, ugomba guhita ubimenyesha muganga wawe.

• Kuva amaraso cyangwa amashyira mu gisebe
• Umuriro
• Ububabare mu gikomere buri kwiyongera.
• Ukwiyongera k'umuvuduko w'umutima

Nanone, menya neza ko ujya kwa muganga ukabonana na muganga mu minsi yagenwe nyuma yo kubagwa.