Ese hari igihe wumva umutima wawe utera cyane kandi vuba nta mpamvu igaragara? Ese wumva inyoni irimo gukubita amababa yayo mu gituza cyawe? Iki ni ikintu giteye ubwoba cyane. Uku kwiyongera gutunguranye k'umutima byitwa Supraventricular Tachycardia (SVT). Mu bihe nk'ibi, mbere yo gukoresha imiti, hari uburyo bworoshye ariko bufite akamaro cyane bushobora kugufasha kuvugurura umuvuduko w'umutima wawe. Uyu munsi turimo kuvuga kuri 'Vagal Maneuvers'.
Mu magambo make, 'Vagal Maneuvers' ni iki?
Tekereza ko umubiri wawe ufite 'feri' karemano igenzura umuvuduko w'umutima wawe. Iyo feri yitwa 'Imitsi y'Abagina'. Iyi ni imitsi miremire iva mu bwonko bwacu ikagera mu nda yacu. Iyi mitsi ifasha kugenzura ibintu byinshi, harimo umuvuduko w'umutima wacu n'umuvuduko wo guhumeka.
'Vegal mouverneurs' ni imyitozo ngororamubiri imwe n'imwe dukora nkana. Itera imbaraga 'vagas nerve', yohereza ikimenyetso ku gikoresho karemano cy'umutima gipima umutima, bigatuma umutima utera buhoro buhoro. Muri make, ubu ni bumwe mu buryo bwo gukoresha 'feri' karemano y'umubiri wacu kugira ngo dutuze umutima utera vuba. Iki ni ikintu gikorwa uyobowe na muganga. Ntukagerageze ibi wenyine utaganiriye na muganga wawe.
Kuki ubu buryo ari ingenzi cyane?
Iyo abaganga bavura umuntu ufite umuvuduko w'umutima utera cyane (SVT), bakunze gukoresha ubu buryo bwa "vegal mouverneurs" nk'amahitamo yabo ya mbere . Hari impamvu nyinshi zibitera:
- Ingaruka nke: Ubu buryo ntibugira ingaruka mbi cyane nko gutanga imiti cyangwa gutanga amashanyarazi (cardioversion).
- Igiciro gito: Ibi ntibisaba ibikoresho cyangwa imiti idasanzwe, bityo birahendutse.
- Ibisubizo byihuse: Iyo bigenze neza, umutima usubira ku murongo mu minota mike. Igipimo cy'intsinzi ubusanzwe kiri hagati ya 20% na 40%.
- Ubufasha mu gusuzuma indwara: Hari igihe, urebye uburyo umutima wawe witabira ubu buryo, muganga wawe ashobora kumenya neza ubwoko bw'indwara y'umutima (arrhythmia) ufite.
Ubwoko bw'ingenzi bwa 'vegal mouverneurs' bukoreshwa n'abaganga
Hari uburyo bwinshi muri ubwo buryo. Imbonerahamwe iri hepfo igaragaza bumwe mu buryo bukunze gukoreshwa n'abaganga.
| Izina ry'uburyo | Bisobanuwe mu buryo bworoshye |
|---|---|
| Valsalva Maneuver | Gufata umwuka wawe no kwihata nk'aho uri kwituma. |
| Reflex yo koga | Ako kanya yinjiza isura mu gikombe cy'amazi y'urubura. |
| Massage ya Sinus ya Carotid | (Gukorerwa na muganga gusa) Gukanda witonze ahantu runaka ku ruhande rw'ijosi. |
| Gag reflex | Gukangura umuhogo kugira ngo bikurure. |
| Inkorora | Kugira inkorora ikomeye kandi ikabije. |
Ubu buryo ubikora ute?
Dore uburyo butatu busanzwe bwo gukora. Wibuke ko ubu buryo bukorwa uyobowe na muganga.
- Valsalva Maneuver: Uzasabwa kuryama ku buriri, guhumeka umwuka mwinshi, gufunga izuru n'umunwa, no gusohora umwuka mu masegonda 10-30, nk'aho ugerageza guhumeka mu muyoboro wafunze. Hari igihe muganga ashobora no kugonda umutwe w'igitanda akazamura amaguru yawe mu gihe usohora umwuka.
- Gusubira mu mazi mu mazi: Mu gihe wicaye, fata umwuka wawe hanyuma winjize mu maso hawe hose mu gikombe cy'amazi y'urubura. Gumisha mu maso hawe mu mazi igihe kirekire gishoboka. Ubundi buryo, ushobora gufata agapaki k'urubura cyangwa igitambaro gikonje cyometseho amazi mu maso.
- Massage ya Carotid Sinus: Iki ni ikintu umuganga wenyine ashobora gukora. Uzaryamishwa ku buriri, umutwe wawe uhindukire urebe ku ruhande rumwe, maze umuganga akande witonze agace kitwa 'Carotid Sinus' ku ruhande rw'ijosi ryawe akoresheje intoki ze mu gihe cy'amasegonda 5-10.
Ni nde ubu buryo butabereye? (Impamvu z'ibyago)
Ubu buryo ntibukwiriye buri wese. Abaganga ntibakoresha ubu buryo iyo umurwayi afite ikibazo 'kidahamye', bivuze ko iyo afite ibimenyetso bikurikira:
- Umuvuduko w'amaraso uri hasi cyane(Umuvuduko w'amaraso uri hasi)
- Kubabara mu gatuza
- Guhumeka nabi
- Kutabona umwuka wa ogisijeni uhagije mu mubiri
- Indwara aho ingingo zidahabwa amaraso ahagije
Ku muntu nk'uwo udakora neza, indwara y'umutima ikoreshwa mu kugenzura umutima hakoreshejwe imiti cyangwa amashanyarazi, aho gukoresha 'vagal maneuvers'.
Icy'ingenzi: Niba ugize ibimenyetso nko kubabara mu gatuza, guhumeka nabi, cyangwa umutima utera cyane, ni impanuka. Jya ku bitaro byita ku barwayi ba ETU byihutirwa.
Ese hari ingaruka ziterwa n'ubu buryo?
Muri rusange, ingorane ntizikunze kubaho iyo muganga akoreye ubu buryo umuntu ukwiye. Iyo bibaye, inyinshi muri zo ziba iz'igihe gito.
- Umuvuduko w'amaraso uri hasi (Hypotension)
- Umutima utera buhoro cyane (Bradycardia)
- Izindi ndwara z’umutima zishobora kubaho gake cyane zirimo Atrial Fibrillation, Ventricular Fibrillation, na Ventricular Tachycardia.
By’umwihariko, uburyo bwitwa 'Carotid Sinus Massage' ntibushobora gukorwa na buri wese. Ntabwo bukwiye gukorwa n’abafite amateka akurikira:
- Ku bantu babanje kugira stroke cyangwa TIA (indwara y’ihungabana ry’umubiri)
- Ku bafite indwara y'imitsi ifata imitsi ya carotid
- Ku baherutse kugira indwara y'umutima
- Ku bana bari munsi y'imyaka 10
Niyo mpamvu dusubiramo, ntukagerageze ubu buryo, cyane cyane uburyo bwo gusiganwa mu ijosi, wenyine utabanje kugisha inama muganga.
Ubutumwa bwo kujyana mu rugo
- 'Vegal mouverneurs' ni imyitozo ngororamubiri yoroshye ikoreshwa mu kugenzura fibrillation y'umutima (SVT).
- Abaganga bakoresha ibi nk'uburyo bwa mbere bwo kuvura kuko nta ngaruka mbi zigira.
- Ntukagerageze ibi mu rugo keretse muganga wawe abigutegetse. Cyane cyane, massage ya Carotid Sinus igomba gukorwa na muganga gusa.
- Niba ubabara mu gatuza, ukagira isereri, cyangwa uhumeka nabi mu gihe umutima wawe utera cyane, jya kwa muganga wita ku barwayi ba ETU.
- Niba ubu buryo budakoresha uburyo umutima wawe utera cyane, ntugire ikibazo. Muganga wawe ashobora kuba afite imiti cyangwa ubundi buryo bwo kuvura (urugero: gukoresha catheter). Buri gihe kurikiza amabwiriza ye.
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