Ese imiyoboro y'umutima wawe yagabanutse? Reka tuvuge kuri valvuloplasty!

Umutima wacu umeze nk'ibyumba bine mu nzu. Hariho inzugi hagati y'ibyo byumba zemerera amaraso gutembera no kujya inyuma. Tuzita "Valve z'umutima". Hari igihe izi nzugi zidafunguka neza kandi zikaba nto. Hanyuma umutima ugomba gukora cyane kugira ngo upompe amaraso. Uyu munsi turimo kuvuga ku buryo bwo kuvura bukoresha ikintu kimeze nk'umupira kugira ngo bwagure valve ifunganye.

Mu by'ukuri, valvuloplasty ni iki?

Muri make, Valvuloplasty ni uburyo bwo kwagura cyangwa kwagura umugozi w'umutima wagabanutse. Ibi bikorwa kugira ngo amaraso ahagarike kuziba mu gihe umugozi w'umutima udakora neza.

Ibi kandi byitwa `Balloon Valvuloplasty`. Impamvu ni uko iyo muganga wawe agukoreye ubu buvuzi, akoresha umuyoboro muto cyane (`Catheter`) ufite agapira gato gafatanye ku mpera. Uyu muyoboro unyuzwa mu muyoboro muto uri mu mutima wawe hanyuma agapira kakazura umwuka. Hanyuma umuyoboro muto uraguka, bigatuma amaraso yongera gutembera mu buryo bworoshye.

Hari n'abantu babyita 'Valvotomy'. Ubu buryo bwo kuvura imbunda bwitwa kandi 'Open-heart surgery' kugira ngo bwagure valve. Ariko uyu munsi turimo kuvuga ku buryo bwo gukoresha imbunda hatarimo kubagwa.

Ni mu bihe ibihe ubwo buvuzi bukenewe?

Valvuloplasty ni uburyo bukorwa kugira ngo umugozi w'umutima waguke iyo wagabanutse (stenosis). Ubu buryo bushobora gukorwa kuri buri mugozi umwe mu ine uri mu mutima wacu. Ariko, bukunze gukorwa kuri mugozi ebyiri, Mitral na Aortic.

Witegura ute mbere yo kuvurwa?

Muganga wawe azaguha amabwiriza asobanutse neza y'uko wakwitegura. Ubusanzwe, uzakenera gukora ibi bikurikira:

• Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose mu ijoro ryabanjirije kuvurwa (kwiyiriza ubusa).
• Niba ufata imiti iyo ari yo yose, nk'imiti igabanya amaraso, uyihagarike nk'uko muganga wawe yabigutegetse.
• Siga imitako y'icyuma n'amenyo y'ingore ashobora gukurwa mu rugo.

Iyo ugiye kwa muganga, itsinda ry’abaganga rizaguha umuti (`anesthesia`) kugira ngo ugire uruhuke. Akenshi, uzaba uri maso muri ubu buvuzi, ariko bazakora ibishoboka byose kugira ngo barebe ko nta kibazo na kimwe wumva.

Uburyo ubuvuzi bukora intambwe ku yindi

Ubu buvuzi bukorwa n'inzobere mu by'umutima. Ubusanzwe bifata isaha imwe cyangwa irenga. Dore bimwe mu bintu bibaho mu gihe cyo kuvurwa:

1. Umuyoboro muto cyane (agatambaro) winjizwa mu muyoboro munini w'amaraso uri mu kibuno cyawe, ku kuboko, cyangwa ku rutugu.

2. Hanyuma, catheter ifite ibara ridafite umwuka ku mpera inyuzwa mu muyoboro wabanje gushyirwa mu mutima.

3. Iyi catheter iyoborwa aho ikwiye, hanyuma hagaterwa amazi yihariye (irangi ritandukanye) mu gihe ureba hakoreshejwe ikoranabuhanga ryo gufata amashusho nka X-rays.

4. Iyo katheteri igeze kuri vali yagabanijwe, baluni irazura umwuka. Vali yagabanijwe irakura.

5. Hanyuma, umwuka uri mu ibara ry'umuhondo uragabanuka hanyuma katheteri n'ibara ry'umuhondo birakurwaho.

6. Amaherezo, aho catheter ishyirwa hafungwa hakoreshejwe umudozi muto cyangwa ubwoko bwihariye bwa kole.

Hari igihe, iyo hari ibyago byo kuva amaraso, agakoresho kari kashyizwemo mbere gashobora gusigara aho kari mu mwanya wako mu gihe cy'amasaha atandatu.

Ni izihe nyungu n'ingaruka byagira?

Kimwe no ku buvuzi ubwo aribwo bwose, hari ibyiza n'ingaruka. Ni ngombwa gusobanukirwa neza byombi.

Ibintu byihariye bishobora kukugiraho ingaruka biterwa n'ubuzima bwawe muri rusange, bityo rero vugana na muganga wawe kandi ubaze ikibazo icyo ari cyo cyose ushobora kuba ufite.

Igihe cyo gukira nyuma yo kuvurwa

Nyuma yo kuvurwa, uzajyanwa ahantu ho gukira. Bandage izashyirwa hejuru y'aho catheter ishyirwa.

Igihe namaze mu bitaro

Niba catheter yashyizwe mu kibuno, ntuzemererwa kunama ukuguru kwawe amasaha menshi. Uzakenera kumara amasaha abiri kugeza kuri atandatu mu buriri. Uzakenera kunywa ibinyobwa byinshi kugira ngo irangi ryakoreshejwe rive mu mubiri wawe vuba. Niba ukeneye kunyara muri iki gihe, uzakenera gukoresha igikoresho cyihariye (inkari/agasanduku ko kuryamaho). Nyuma y'amasaha make, uzabasha guhaguruka no kugenda. Abantu benshi bashobora gutaha umunsi ukurikiyeho.

Nyuma yo gutaha

Igihe cyo gukira giterwa n'ibintu nk'ubuzima bwawe muri rusange.

• Ugomba kwirinda gukora imyitozo ngororamubiri no koga mu gihe cy'iminsi itanu kugeza kuri irindwi.
• Abantu benshi bashobora gusubira ku kazi mu cyumweru kimwe, ariko niba akazi kawe gasaba imyitozo ngororamubiri, ushobora gutegereza igihe kirekire.
• Bishobora gufata ibyumweru bigera kuri umunani kugira ngo wongere ubuzima bwawe busanzwe.
• Hazabaho gukurikiranwa nyuma y'amezi 3-6 nyuma yo kuvurwa. Nyuma y'ibyo, ugomba kujya kwa muganga rimwe mu mwaka.

Igihe cyo guhamagara muganga ako kanya

Umaze gusubira mu rugo, niba ugaragaje kimwe muri ibi bimenyetso bikurikira, ugomba guhita uhamagara muganga wawe . Hari ubwo ushobora gukenera kujya mu bitaro bikuru byita ku buzima bw’abantu (ETU) biri hafi yawe.

• Kubabara mu gatuza
• Ubukonje cyangwa umuriro
• Kuzungera cyangwa gucika intege (`Syncope`)
• Amazi cyangwa kuva amaraso aturutse aho catheter ishyirwa
• Isesemi cyangwa kuruka
• Niba ububabare cyangwa kubyimba birushaho kwiyongera
• Niba ibiro by'umubiri wawe byiyongeraho ibiro birenga 1.5 (ibiro 3) ku munsi

Ku bijyanye no kubaga umutima, ni ibisanzwe kumva ufite ubwoba gato, nubwo atari ukubaga ku mugaragaro. Valvuloplasty irashobora kugufasha gusubika kubaga gusimbuza imiyoboro y'umutima. Ariko si uburyo bumwe bujyanye n'uburyo bwose. Muganga wawe azasuzuma indwara yawe maze aguhitiremo icyo ari cyo cyose.