Byose ku gikoresho gito (Vena Cava Filter) kibuza amaraso kuzura kugera mu bihaha

Ese uzi ukuntu ari akaga gakomeye iyo amaraso afashe mu mitsi y'umubiri wawe, cyane cyane mu maguru yawe, maze agafata mu bihaha byawe? Mu buvuzi, ibi tubyita 'pulmonary embolism'. Ibi bishobora no gushyira ubuzima mu kaga. Uyu munsi rero tugiye kuvuga ku gikoresho gito ariko cy'ingenzi cyane gikoreshwa mu gukumira ikintu nk'iki giteje akaga.

Mu magambo make, iyi Vena Cava Filter ni iki?

Akayunguruzo ka Vena Cava ni igikoresho gito cy'icyuma. Mu by'ukuri, ni nk'akayunguruzo gato, cyangwa akayunguruzo. Inshingano yacyo nyamukuru ni ugufata amaraso apfundikiye mu mitsi y'umubiri no kuyabuza kugera mu bihaha byawe.

Hari ubwoko bubiri bw'ingenzi bw'imitsi y'amaraso mu mubiri wacu.

• Vena Cava yo hasi (IVC): Iyi itwara amaraso mu bice byo hasi by'umubiri (nk'amaguru n'inda) ikayajyana mu mutima.
• Superior Vena Cava (SVC): Iyi itwara amaraso mu gice cyo hejuru cy'umubiri (nk'umutwe n'amaboko) ikayajyana mu mutima.

Iyi filtre ishyirwa cyane cyane muri Inferior Vena Cava (IVC) , umutsi munini utwara amaraso ava mu gice cyo hasi cy'umubiri. Niyo mpamvu izi filtre zitwa `(IVC filters)`. Mu buryo bworoshye, tekereza nkaho dushyira filtre mu muyoboro w'amazi. Twemerera amazi gutembera nta nkomyi, ariko umwanda uri mu mazi uguma muri iyo filtre. Iyi filtre ikora kimwe. Nubwo yemerera amaraso gutembera mu mutima nta nkomyi, ifata amaraso atera akaga aza nayo.

Ni ubwoko ki bw'abantu bakeneye aka kayunguruzo?

Si buri wese ubikeneye. Muganga ashobora kukugira inama yo kuyungurura kubera impamvu zimwe na zimwe. Ushobora kwitabwaho niba ufite amaraso mu mitsi yawe (Vénous Thromboembolism cyangwa VTE) hamwe n'imwe cyangwa nyinshi muri izi ndwara zikurikira:

Ese hari ubwoko bw'izi filters?

Yego, hari ubwoko bubiri ahanini.

1. Akayunguruzo gahoraho: Iyo kamaze gushyirwamo, ubwo bwoko bw'akayunguruzo ntibukurwaho. Bumara ubuzima bwose. Ubusanzwe bushyirwa mu bantu badashobora gufata imiti iyo ari yo yose igabanya amaraso kandi bafite ibyago byinshi byo kugira ingorane z'igihe kirekire.

2. Akayunguruzo k'igihe gito/gashobora gukurwamo: Aka gashyirwa mu bantu bari mu kaga k'igihe gito. Urugero, nyuma yo kubagwa bikomeye. Iyo ibyago birangiye kandi hagatangira gukoreshwa imiti igabanya amaraso, akayunguruzo karakurwaho.

Ni iki kibaho mbere yo kubagwa?

Noneho reka tuvuge ko muganga yafashe icyemezo cyo kugushyiraho aka kayunguruzo. Hari ibintu bike ugomba gutegura mbere y'ibyo.

• Muganga wawe azabaza amateka yawe yose y'ubuzima. Uzakenera gutanga ibisobanuro byuzuye ku miti yose ufata (ndetse na vitamine).
• Imiti imwe ishobora gukenera guhagarikwa iminsi mike mbere yo kubagwa. Urugero:
• Imiti igabanya amaraso mu mubiri
• Asipirine
• Imiti igabanya ububabare (NSAIDs)
• Muganga azakubwira neza amasaha mato mbere yo kubagwa ugomba guhagarika kurya no kunywa. Ubusanzwe, uzasabwa guhagarika kurya amasaha 8 mbere yo kunywa no kunywa amasaha 2 mbere yo kubagwa.
• Ushobora kandi gukorerwa ibizamini byinshi kugira ngo urebe ubuzima bwawe, nko gupima amaraso, gupima umutima (echo)`, na `Electrocardiogram (EKG)`.

Kubagwa bikorwa gute?

Ubu si ukubaga gukomeye ugomba gutinya. Byitwa "uburyo buto bwo gutera indwara". Ibyo bivuze ko nta gukomereka gukomeye kubaho. Ubusanzwe bishobora kurangira mu isaha imwe.

Dore uko bigenda:

1. Ubwa mbere, umuyoboro wa saline (IV) uzahuzwa n'umutsi uri mu kuboko kwawe.

2. Uzahabwa umuti ugabanya ububabare kugira ngo utuze kandi utuze.

3. Hanyuma, agace kazashyirwamo akayunguruzo (mu ijosi cyangwa mu kibuno) karasukurwa maze ako gace gusa kagakurwamo ibinure .

4. Muganga atema gato ahantu hameze nk'ibinure maze ashyiramo umuyoboro muto witwa catheter mu mitsi.

5. Hanyuma, hakoreshejwe ubwoko bwa X-ray yitwa "Fluoroscopy", uyu muyoboro uyoborwa neza n'imitsi ya IVC. Hari igihe, amazi yihariye yitwa "ibintu bitandukanya" ashobora guterwa muri uyu muyoboro kugira ngo imitsi igaragare neza.

6. Iyo igeze ahantu heza, akayunguruzo gashyirwa mu mitsi binyuze muri catheter. Gakingura imbere mu mitsi maze kagafata ku nkuta z'imitsi.

7. Iyo akazi karangiye, kateri irakurwamo hanyuma agapfundikizo gato gashyirwa hejuru y'aho kari kagenewe gufunga.

Bigenda bite nyuma yo kubagwa?

Nyuma yo kubagwa, uzakenera kumara amasaha make mu bitaro. Itsinda ry’abaganga rizakurikirana uko umutima wawe utera n’uko uhumeka, kandi bazaguha imiti igabanya ububabare niba ubabara.

Kenshi na kenshi , ushobora gutaha umunsi umwe n’uwabazwe . Ariko, ntushobora gutwara imodoka yawe ubwawe, ugomba kuba uri kumwe n’inshuti cyangwa umuntu wo mu muryango. Hashobora kubaho ibikomere n’ububabare aho wakomerekejwe mu gihe cy’iminsi mike.

Ese ushobora gukira vuba?

Yego. Akayunguruzo gatangira gukora ukimara kugashyiramo.

• Iyo akayunguruzo gashyizwe mu mutsi uri mu ijosi ryawe , ubusanzwe ushobora gukomeza imirimo yawe isanzwe mu masaha 24.
• Niba akayunguruzo kashyizwe mu mutsi uri mu gituza , ugomba kwirinda ibintu bimwe na bimwe mu gihe cy'iminsi ibiri.

Ariko, muganga wawe azaguha amabwiriza nyayo akureba.

Ese hari ingaruka zishobora guterwa n'ibyo?

Ubu busanzwe bufatwa nk'ukubaga gutekanye cyane. Ariko, kimwe no mu buvuzi ubwo aribwo bwose, hari ingaruka nke cyane. Amahirwe yo kuba ibi bibaho ni make cyane, ariko ni byiza kubimenya.

• Allergie ku bikoresho bitandukanya ibintu byakoreshejwe mu isuzuma.
• Kuva amaraso cyangwa kwandura aho catheter ishyirwa.
• Kwangirika kw'imitsi y'amaraso.
• Kuvunika kw'akayunguruzo.
• Amaraso ashobora kuba yaravuye muri akayunguruzo akajya mu mutima cyangwa mu bihaha.
• Kuziba kw'amaraso mu mitsi ya IVC (IVC thrombosis).

Ibi bintu bibaho gake cyane. Muganga wawe azakora ibishoboka byose kugira ngo agabanye izi ngaruka.

Ni ryari ukwiye kujya kwa muganga?

Ni ingenzi cyane kwita ku mubiri wawe iyo ugiye mu rugo nyuma yo kubagwa. Niba ubonye kimwe muri ibi bimenyetso bikurikira, ugomba guhita uhamagara muganga wawe .