Ese wigeze wumva umutima wawe utera cyane, cyangwa se nk'aho hari ikintu kirimo kuguruka mu gituza cyawe, cyangwa nk'aho kirimo gukubita? Hari igihe ibi bishobora kuba ibintu bisanzwe. Ariko, niba ibi bintu bibaho kenshi, bishobora no kuba ikimenyetso cy'ikibazo gito mu mutima wacu. Umutima wacu si umupira w'inyama gusa, ukorana n'uburyo bugoye cyane bw'amashanyarazi. Kimwe n'uburyo bwo 'guhuza insinga' mu rugo rwacu. Rero, niba hari ikibazo muri ubu buryo bw'amashanyarazi, hari abaganga bagisuzuma by'umwihariko bakakivura. Uyu munsi turimo kuvuga kuri abo baganga b'inzobere.
Uyu muhanga mu by'amashanyarazi ni nde?
Mu magambo make,
inzobere mu by'amashanyarazi , cyangwa rimwe na rimwe twita
"umuganga wa EP" mu magambo ahinnye, ni
inzobere mu by'umutima . Ariko umwihariko we ni ukureba mu buryo bw'amashanyarazi bw'umutima n'imikorere mibi y'umutima ibaho, ni ukuvuga
indwara zidasanzwe mu gutera kw'umutima (arrhythmias) . Tekereza muri ubu buryo. Umutima wacu ugenzurwa n'urusobe rw'ibimenyetso by'amashanyarazi. Iyo ibi bimenyetso bigiye ahantu heza kandi mu gihe gikwiye, umutima utera neza. Iyo habayeho ikosa, guhagarara, cyangwa umuvuduko mugufi muri ubu buryo bw'ibimenyetso by'amashanyarazi, umutima utera nabi. Bishobora gutera vuba cyane, cyangwa bigatera buhoro cyane, cyangwa bigatera mu buryo butari bwo. Ibyo ni byo twita inzobere mu by'amashanyarazi (EP) ku muganga ufite ubumenyi mu bibazo by' 'umuvuduko' w'umutima.
Ni iki umuganga w’indwara z’umutima akora?
Aba bahanga basanzwe bakorera mu bitaro binini. Bakoresha ibizamini n'uburyo bwihariye bwo gusuzuma, gusuzuma no kuvura indwara z'umutima. Banatanga imiti n'inama ku bijyanye no guhindura imibereho. Reba imbonerahamwe iri hepfo kugira ngo ubone urutonde rw'indwara nyamukuru bavura.
| Imiterere | Mu magambo make ... |
|---|
| Bradycardia | Imirimo yo gushyuha n'imizigo y'umunsi ni myinshi cyane kuruta uko byari bikenewe . |
| Tachycardia | Umutima utera vuba cyane kurusha uko bikenewe . |
| Indwara ya Atrial Fibrillation | Umutima utera mu buryo budasanzwe, nk'aho uri guhuha . |
| Guhagarara k'umutima | Guhagarara k'umutima mu buryo butunguranye . Ibi bitandukanye n'indwara y'umutima. |
| Izindi ndwara z'umutima | Uretse ibi, hari n'ubundi bwoko butandukanye bw'ibibazo by'imitsi. |
Ni mu bihe ki wakwitwa EP?
Ubusanzwe, ntuzabonana n'inzobere nk'iyi imbonankubone. Umuganga w'umuryango wawe cyangwa umuganga w'umutima usanzwe avura indwara z'umutima azakohereza kwa muganga w'indwara z'umutima. Hari impamvu nyinshi zishobora gutuma ibi bibaho.
- Niba ufite ikibazo cy’umutima ( artrhythmia ) .
- Niba uteganijwe kuvura indwara yitwa cardiac ablation , ibi bikubiyemo gukoresha uburyo bwihariye bwo guhagarika ibice by'umutima byohereza ibimenyetso by'amashanyarazi bitari byo.
- Niba ufite ikibazo cyitwa syncope , ni cyo gihe uhita utakaza ubwenge ugagwa nta mpamvu igaragara.
- Iyo muganga asanze hari ibyago byinshi byo gupfa bitewe n'urupfu rw'umutima rutunguranye.
- Niba ukeneye igikoresho nka pacemaker cyangwa ICD (Implantable Cardiac Defibrillator) . Ibi ni ibikoresho bito bishyirwa munsi y'uruhu kugira ngo bigenzure uburyo umutima utera.
Igikuru ni uko niba muganga wawe agutumye ku muganga w’inzobere nk’uyu, bikora. Ibi bizamufasha gusuzuma uburwayi bwawe mu buryo bwimbitse no guhitamo uburyo bwo kuvura bukubereye.
Bigenda bite iyo uhuye na EP?
Iyo woherejwe kuri EP, azasuzuma ibimenyetso byawe, imiti wakoresheje mbere, n'ibyavuye mu bipimo byawe, kandi nibiba ngombwa, atumize ikindi kizamini cyihariye. Icy'ingenzi muri ibi ni
inyigo ya Electrophysiology (EPS) . Ntugahangayikishwe n'izina. Ibi bikorwa kugira ngo urebe imikorere y'amashanyarazi y'umutima wawe no kumenya neza aho indwara y'umutima itangirira.
Ikizamini cya EPS gikorwa gite?
Iki kizamini gikorerwa muri laboratwari yihariye (EP laboratwari cyangwa Cath laboratwari) mu bitaro. Uraryamishwa (urasinzirizwa), kugira ngo ntugire ububabare ubwo aribwo bwose. Muganga ashyiramo umuyoboro muto cyane, woroshye, witwa
electrode catheter , mu muyoboro munini w'amaraso uri mu gituza cyawe, mu kuboko, cyangwa mu ijosi no mu mutima wawe. Hanyuma muganga yohereza ibimenyetso bito by'amashanyarazi binyuze muri uwo muyoboro bijya mu mutima, maze akandika imikorere y'amashanyarazi y'umutima kuri ecran ya mudasobwa. Ibi ni nko gukoresha 'ikizamini' kugira ngo amenye ikibazo kiri mu nsinga mu nzu yawe. Nyuma y'iki kizamini, muganga azashaka impamvu nyayo y'ikibazo cyawe maze ahitemo uburyo bwiza bwo kuvura.
Ubutumwa bwo kujyana mu rugo
- Umuganga w’umuhanga mu by’amashanyarazi ni inzobere mu bijyanye n’imikorere y’amashanyarazi mu mutima no mu ndwara z’imitsi (arrhythmias).
- Niba ufite ibimenyetso nko gutera k'umutima vuba cyane cyangwa buhoro cyane, kumva uhuze mu gituza, cyangwa kumva unaniwe gusa, ntukabirengagize. Shaka muganga wawe ako kanya.
- Niba muganga wawe agutumyeho EP, bivuze ko ikibazo cyawe gikeneye gukorwaho iperereza ryinshi. Kurikiza iyo nama.
- Nta mpamvu yo gutinya ibizamini nka EPS. Ni byiza, nta bubabare, kandi bifasha cyane mu kumenya impamvu nyayo y’indwara.
Imikorere y'umutima, Electrophysiologist, Inzobere mu by'umutima, Arrhythmia, Heartbeat, Pacemaker, Cardiac Ablation
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