Reka twige ku gikoresho gito (Vena Cava Filter) kibuza amaraso kuzura kugera mu bihaha.

Hari igihe amaraso ashobora kuzura mu mitsi yo mu nda y'umubiri wacu, cyane cyane mu maguru. Iyo ibi bicitse aho, bikagendana n'amaraso, bikanyura mu mutima, bigafatana n'imitsi yo mu bihaha, bishobora kuba ibintu biteje akaga cyane bishobora no gushyira ubuzima mu kaga. Uyu munsi rero tugiye kuvuga ku gikoresho gito cyihariye gikoreshwa ku bantu bafite ibyago byo kurwara ibi kandi badashobora gufata imiti igabanya amaraso.

Mu magambo make, iyi Vena Cava Filter ni iki?

Mu by’ukuri iki ni igikoresho gito cy’icyuma. Tekereza nk’umutaka w’umutaka, cyangwa umuyoboro muto. Gishyirwa mu mitsi minini y’amaraso mu mubiri wacu. Inshingano yacyo nyamukuru ni ukubuza amaraso kuzura mu bice byo hasi by’umubiri kuzamukana n’amaraso no kujya mu bihaha. Ni nk’akayunguruzo gashyirwa mu muyoboro w’amazi kugira ngo gahagarike umwanda. Gituma amaraso atembera nta nkomyi, kandi kigafata gusa amaraso kuzura.

Hari ubwoko bubiri bw'ingenzi bw'izi filters:

• Akayunguruzo ka Vena Cava yo hasi (IVC): Aka ni ko gakoreshwa cyane. Akayunguruzo ka Vena Cava yo hasi ni ko gatwara amaraso mu gice cyo hasi cy'umubiri wacu (nk'amaguru n'inda) kayajyana mu mutima. Bityo, akayunguruzo gashyirwa muri aka gafunguzo kugira ngo kabuze amaraso kuzura mu maguru.
• Akayunguruzo ka Superior Vena Cava (SVC): Kakoreshwa gake cyane. Kakoreshwa iyo hari ibyago byo kubyimba kw'amaraso mu mitsi itwara amaraso ava mu gice cyo hejuru cy'umubiri (nk'amaboko, ijosi, cyangwa umutwe) akayajyana mu mutima.

Ni nde ukeneye iyi Filter ya IVC?

Muganga ashobora kukugira inama yo gukoresha icyuma gipima amaraso (IVC filter) bitewe n'impamvu zitandukanye. Si buri wese urwaye indwara yo kubyimba kw'amaraso uzayikenera. Ushobora gutekereza ku kintu kimwe niba ufite kimwe muri ibi bikurikira:

• Niba ufite ikibazo aho amaraso acika mu mitsi yawe, cyitwa Venous Thromboembolism (VTE) , na...
• Niba udashobora gufata imiti igabanya amaraso, bishobora kuba biterwa n'uko ufite indi ndwara yongera ibyago byo kuva amaraso, cyangwa se bitewe n'uko ufite ubwivumbure ku miti.
• Niba ugifite amaraso agabanuka inshuro nyinshi , nubwo waba ufata imiti igabanya amaraso.
• Niba warigeze kugira ikibazo cyo kubyimba kw'amaraso mu mitsi miremire mu kuguru kwawe, ni ukuvuga Deep Vein Thrombosis (DVT) .
• Niba waragize ikibazo cyo kuvura ibihaha , amaraso akagwa mu bihaha, kandi hari ibyago byinshi byo kongera kugaragara.

Uku kubagwa bikorwa gute?

Ubu si ukubaga gukomeye. Ubusanzwe bushobora kurangira mu gihe cy'isaha imwe.

Mbere yo kubagwa

Muganga wawe azabaza amateka y'ubuzima bwawe. Uzakenera kubabwira imiti yose ufata. Bashobora kugusaba guhagarika gufata aspirine cyangwa imiti igabanya amaraso mu minsi mike. Bashobora kandi kukugira inama yo guhagarika kurya no kunywa amasaha make mbere yo kubagwa. Bashobora kandi gukora ibizamini by'amaraso, ECG, na echocardiogram.

Mu gihe cyo kubaga

1. Ubwa mbere, umuti wa saline (IV) uzashyirwa mu mutsi uri mu kuboko kwawe.

2. Nzaguha umuti wo kugutuza no gutuma wumva umeze nk'ufite umutwe.

3. Umuti utera ibisebe uterwa ahantu hazajya hashyirwa akayunguruzo (akenshi mu ijosi cyangwa mu kibuno).

4. Hanyuma, hakorwa icyuho gito cyane, hanyuma umuyoboro muto witwa catheter unyuzwamo unyuze mu mitsi ukagera aho Vena Cava iri.

5. Muganga azakoresha uburyo bwihariye bwa X-ray (fluoroscopy) kugira ngo arebe ko umuyoboro uri ahantu heza. Ashobora kandi gutera amazi yihariye (ibintu bitandukanya) kugira ngo imitsi igaragare neza.

6. Iyo igeze ahantu heza, akayunguruzo gashyirwamo kanyuze muri catheter kagashyirwamo. Akayunguruzo karafunguka imbere kagafata ku nkuta z'imitsi.

7. Iyo akazi karangiye, catheter irakurwaho hanyuma aho gukata hagafungwa n'igitambaro.

Ni izihe ngaruka n'uburyo bwo kwita ku baganga nyuma yo kubagwa?

Nyuma yo kubagwa, uzakenera kumara amasaha make mu bitaro. Niba ufite ububabare, uzahabwa imiti igabanya ububabare. Kenshi na kenshi, ushobora gutaha uwo munsi. Ariko uzakenera umuntu wo kugutwara mu rugo.

Nubwo ubu buryo bwo kubaga butekanye cyane, hari ingaruka zimwe na zimwe zishobora kubaho gake cyane.

• Allergie ku mazi yihariye (contrast) yatewe.
• Kuva amaraso cyangwa kwandura aho icyiciro cyakorewe.
• Kwangirika k'imitsi y'amaraso.
• Kuva aho umuntu ashyira akayunguruzo, ukajya mu mutima cyangwa mu bihaha.
• Kuvunika kw'akayunguruzo .
• Kuziba k'imitsi aho akayunguruzo gashyirwa (IVC thrombosis) .

Izi ngaruka ni nke cyane, ariko ni ngombwa kuzimenya.

Gukira

Akayunguruzo gatangira gukora ako kanya nyuma yo gushyiramo. Hashobora kubaho gukomereka no kubabara aho wakorewe mu gihe cy'iminsi mike. Niba karashyizwemo unyuze mu ijosi, ushobora kongera gukora imirimo isanzwe mu masaha agera kuri 24. Niba karashyizwemo unyuze mu kibuno, muganga akugira inama yo kwirinda ibikorwa nko kuzamuka ingazi, gutwara imodoka no guterura ibyuma mu gihe cy'iminsi ibiri.

Niba ari akayunguruzo k'agateganyo (gashobora gukurwamo), ni ngombwa cyane kukavanaho vuba bishoboka, igihe ibyago byo kubumba amaraso byagabanutse, cyangwa igihe hashobora gutangira imiti igabanya amaraso. Kuko iyo akayunguruzo kasigaye mu mubiri igihe kirekire, ibyago byo kugira ibibazo twavuze mbere biriyongera.