Ni iki cyitwa Coronary Angiogram? Impamvu, Uburyo & Ibivamo

Coronary angiogram ni isuzuma ridasanzwe rya X-ray ryerekana uko amaraso atembera mu miyoboro y'umutima wawe. Bitekereze nk'ikarita y'inzira ifasha muganga wawe kureba niba hari ibiziba cyangwa ahantu hato mu miyoboro y'amaraso atanga umusaruro ku mikaya y'umutima wawe. Iri suzuma rikoresha irangi ryihariye na tekiniki ya X-ray kugirango habeho amashusho arambuye y'imiyoboro yawe ya coronary, riha itsinda ryawe ry'abaganga amakuru y'ingenzi yerekeye ubuzima bw'umutima wawe.

Ni iki cyitwa coronary angiogram?

Coronary angiogram ni uburyo bwo gupima butanga amashusho arambuye y'imiyoboro y'amaraso y'umutima wawe. Muri iri suzuma, agatiro gato, gakora neza kitwa catheter gashyirwa buhoro mu muyoboro w'amaraso, akenshi mu kuboko kwawe cyangwa mu gice cy'igituza. Noneho irangi ritandukanye riterwa muri iyi catheter, ituma imiyoboro yawe ya coronary igaragara ku mashusho ya X-ray.

Ubu buryo ni ubw'itsinda ry'ibizamini byitwa cardiac catheterization. Bifatwa nk'urugero rwa zahabu rwo gupima indwara ya coronary artery kuko itanga ishusho isobanutse, irambuye y'itangwa ry'amaraso y'umutima wawe. Amashusho afasha abaganga kureba neza aho ibiziba bishobora kuba biherereye n'uko bikomeye.

Iri suzuma ritandukanye n'izindi suzuma ry'amashusho y'umutima kuko yerekana uko amaraso atembera mu miyoboro yawe mu gihe nyacyo. Mugihe ibindi bizamini nko gupima umuvuduko cyangwa CT scans bishobora gutanga ibibazo, angiography iha muganga wawe isura y'ibiri kuba imbere mu miyoboro yawe ya coronary.

Kuki coronary angiogram ikorwa?

Muganga wawe ashobora kugusaba coronary angiogram iyo bakeneye kubona ishusho isobanutse y'imiyoboro y'amaraso y'umutima wawe. Ibi bikunda kubaho iyo ibindi bizamini bitanga ibitekerezo ko ushobora kuba ufite indwara ya coronary artery, cyangwa iyo urimo guhura n'ibimenyetso bishobora kwerekana ibibazo by'umutima.

Impamvu isanzwe ituma iki kizamini gikoreshwa ni ukureba ububabare bwo mu gituza cyangwa kutumva neza bishobora kuba bifitanye isano n'umutima wawe. Niba umaze igihe ufite ububabare bwo mu gituza iyo ukora imyitozo, guhumeka nabi, cyangwa ibindi bimenyetso biteye impungenge, muganga wawe ashaka kureba niba imitsi yazibye ariyo ntandaro.

Rimwe na rimwe abaganga basaba iki kizamini nyuma yo kugira umutima utera. Muri ibi bihe by'ubutabazi, angiogram ibafasha kumenya vuba umutsi wazibye kugira ngo bashobore gusubiza amaraso mu mikaya y'umutima wawe vuba bishoboka.

Dore impamvu nyamukuru zituma muganga wawe ashobora gutanga angiogram y'imitsi y'umutima:

• Ububabare bwo mu gituza cyangwa umuvundo wiyongera iyo ukora imyitozo
• Ibisubizo bidasanzwe ku bizamini byo gushyira umutima ku gitutu cyangwa andi masomo y'umutima
• Umutima utera cyangwa gukeka ko umutima utera
• Kugufiha umwuka bishobora kuba bifitanye isano n'umutima
• Gutegura kubagwa umutima cyangwa izindi nzira
• Gukurikirana inzitizi zavuwe mbere
• Gusuzuma ibibazo bya valve y'umutima
• Kureba imikorere y'umutima mbere yo kubagwa gukomeye

Muganga wawe ashobora kandi gukoresha iki kizamini mu gutegura imiti nk'angioplasty cyangwa kubagwa bypass. Amashusho arambuye abafasha gufata icyemezo cy'inzira yakora neza ku miterere yawe yihariye.

Ni iki gikorerwa angiogram y'imitsi y'umutima?

Uburyo bwa angiogram y'imitsi y'umutima busanzwe bufata iminota 30 kugeza kuri 60 kandi bukorerwa mu cyumba cyihariye cyitwa laboratoire ya catheterization y'umutima. Uzaba uri maso mugihe cy'ikizamini, ariko uzahabwa imiti izagufasha kuruhuka na anesthesia yaho kugirango itume ahantu catheter yinjirira mu mubiri wawe.

Mbere yuko igikorwa gitangira, itsinda ryawe ry'abaganga rizasukura kandi rigaterera ahantu hinjirirwa, akenshi urushyi rwawe cyangwa mu gatuza. Hanyuma bazakora umwobo muto mu mutsi wawe hanyuma bakinjiza urushinge ruto, rworoshye rwitwa catheter. Iyi catheter iyoborwa neza mu miyoboro yawe y'amaraso kugirango igerere umutima wawe.

Iyo kateteri imaze gushyirwa neza, muganga wawe azayinjizamo irangi rinyuranya. Iri rangi rituma imitsi yawe y'umutima igaragara ku mashusho ya X-ray, bigatuma muganga wawe abona uko amaraso atembera muri yo. Ushobora kumva ukuntu gishyushye iyo irangi riterwa, ariko ibyo ni ibisanzwe.

Ibi nibyo bibaho mugihe cyo gukora iki gikorwa intambwe ku yindi:

1. Uzarara ku meza ya X-ray yihariye kandi wakire imiti igabanya ububabare
2. Aho kateteri ishyirwa harasukurwa kandi hagahumurizwa imiti yaho
3. Hakorwa agace gato katemwa hanyuma kateteri igashyirwamo
4. Kateteri iyoborwa ku mutima wawe hakoreshejwe X-ray
5. Irangi rinyuranya riterwa kugirango imitsi igaragara
6. Amafoto ya X-ray afatwa mu mpande zitandukanye
7. Kateteri ikurwaho witonze
8. Urugero rushyirwaho kugirango birinde kuva amaraso ahantu hashyizwe kateteri

Mugihe cyo gukora iki gikorwa, umuvuduko w'umutima wawe n'umuvuduko w'amaraso bikurikiranwa buri gihe. Itsinda ryawe ry'abaganga rizakuvugisha intambwe ku yindi, kandi urashobora kubaza ibibazo cyangwa kugaragaza impungenge igihe icyo aricyo cyose.

Ni gute witegura angiogram yawe y'imitsi y'umutima?

Kwitegura angiogram yawe y'imitsi y'umutima bikubiyemo intambwe nyinshi z'ingenzi zifasha kumenya neza ko igikorwa kigenda neza kandi gitekanye. Muganga wawe azaguha amabwiriza yihariye ashingiye ku buzima bwawe bwite, ariko hariho amabwiriza rusange akoreshwa ku barwayi benshi.

Muri rusange ugomba kwirinda kurya cyangwa kunywa amasaha 6 kugeza kuri 8 mbere y'igikorwa. Iki gihe cyo kwiyiriza bifasha kwirinda ingorane niba ukeneye kuvurwa byihutirwa mugihe cyo gupima. Muganga wawe azakubwira neza igihe ugomba guhagarika kurya no kunywa ukurikije igihe cyagenwe cyo gukora iki gikorwa.

Ni ngombwa kuganira imiti yawe yose na muganga wawe mbere y'igihe. Imwe mumiti ishobora gukenerwa guhagarikwa by'agateganyo, mugihe indi igomba gukomeza. Ntukigere uhagarika gufata imiti yategetswe nta burenganzira bwa muganga wawe, cyane cyane imiti y'umutima.

Ibi ni intambwe z'ingenzi ugomba gukurikiza:

• Kuzirikana amasaha 6-8 mbere yo gukorerwa icyo gikorwa
• Kunywa imiti yemewe gusa ukoresheje amazi make
• Gutegura umuntu uzakujyana mu rugo nyuma y'icyo gikorwa
• Kuvana imyenda y'agaciro, amenyo ya ruguru, na contact lenses
• Kwambara imyenda yoroshye kandi itagufashe cyane
• Bwira muganga wawe niba ufite allergie, cyane cyane ku rangi rikoreshwa
• Bwira muganga wawe niba ushobora kuba utwite
• Zana urutonde rw'imiti yose n'ibyongerera imbaraga

Niba urwaye diyabete, muganga wawe azaguha amabwiriza yihariye yerekeye uburyo wita ku isukari yo mu maraso yawe n'imiti ya diyabete. Abantu bafite ibibazo by'impyiko bashobora gukenera gutegurwa by'inyongera kugira ngo barinde impyiko zabo irangi rikoreshwa.

Ni gute usoma ibisubizo bya angiogram yawe ya koronari?

Ibisubizo bya angiogram yawe ya koronari byerekana uburyo amaraso atembera neza mu miyoboro y'umutima wawe niba hariho ibiziba cyangwa ukugabanuka. Muganga wawe azagusobanurira ibyo bisubizo mu buryo burambuye, ariko gusobanukirwa iby'ibanze birashobora kugufasha kumva witeguye neza icyo kiganiro.

Ibisubizo bisanzwe bisobanura ko imiyoboro ya koronari yawe isobanutse kandi amaraso atembera neza mu mikaya y'umutima wawe. Uzabona imitsi y'amaraso yoroshye kandi ihwanye nta kugabanuka cyangwa ibiziba bifatika. Ibi ni inkuru nziza kandi bisobanura ko ibyago byo gufatwa n'umutima biturutse ku ndwara ya koronari ari bike.

Ibisubizo bidasanzwe byerekana ibiziba cyangwa ukugabanuka mu muyoboro umwe cyangwa myinshi ya koronari yawe. Ibi biziba akenshi biterwa no kwiyongera kwa plaque, bigizwe na cholesterol, ibinure, n'ibindi bintu. Ubukana bw'ibiziba bupimwa nk'igipimo cy'uburyo umuyoboro wagabanutse.

Uku niko abaganga basanzwe bashyira mu byiciro ibiziba:

• Ibibazo byoroheje: Kugabanuka kuri munsi ya 50%
• Ibibazo byo hagati: Kugabanuka kuri 50-70%
• Ibibazo bikomeye: Kugabanuka kuri 70-90%
• Ibibazo bikomeye cyane: Kugabanuka kuri 90% hejuru
• Ibibazo byuzuye: Kugabanuka kuri 100% (gufunga rwose)

Ibisubizo byawe bizerekana kandi imitsi yihariye yagizweho ingaruka. Imitsi mikuru itatu y'umutima ni iy'imbere y'ibumoso (LAD), umutsi w'umutima w'iburyo (RCA), n'umutsi w'ibumoso uzenguruka. Buri umwe utanga amaraso mu bice bitandukanye by'umubiri wawe w'umutima.

Mu bihe bidasanzwe, ushobora kugira umutsi w'umutima ugenda, aho umutsi ufungwa by'agateganyo, cyangwa umutsi w'umutima ugenda, aho urukuta rw'umutsi ruracika. Ibi bibazo bisaba kwitabwaho ako kanya n'uburyo bwo kuvura bwihariye.

Ni gute wakemura ibibazo byawe by'imitsi y'umutima?

Uburyo bwo kuvura ibibazo by'imitsi y'umutima biterwa n'ibintu byinshi, harimo aho ibibazo biherereye n'uburemere bwabyo, ubuzima bwawe muri rusange, n'ibimenyetso byawe. Muganga wawe azakorana nawe kugirango ateze imbere gahunda yo kuvura ikwiriye imiterere yawe yihariye.

Kubibazo byoroheje, impinduka z'imibereho n'imiti birashobora kuba bihagije. Ubu buryo bwibanda ku gukumira ibibazo ngo birushaho kuba bibi no kugabanya ibyago byo gufatwa n'umutima. Muganga wawe ashobora kwandika imiti yo kugabanya cholesterol, kugenzura umuvuduko w'amaraso, cyangwa gukumira amaraso gupfundika.

Ibibazo bikomeye cyane akenshi bisaba uburyo bwo gusubiza amaraso mu mutima wawe. Uburyo bubiri nyamukuru ni angioplasty hamwe no gushyiraho stent cyangwa kubaga umutsi w'umutima. Muganga wawe azagusaba uburyo bwiza bushingiye ku buryo bwihariye bw'ibibazo byawe n'ubuzima bwawe muri rusange.

Dore uburyo nyamukuru bwo kuvura ibibazo by'imitsi y'umutima:

• Guhindura imibereho (imirire, imyitozo ngororamubiri, kureka itabi)
• Imiti (statins, imiti ituma amaraso ataguma, imiti igabanya umuvuduko w'amaraso)
• Angioplasty hamwe no gushyiraho stent
• Kubaga imitsi y'umutima
• Kongera imbaraga z'inyuma (ibibazo bidasanzwe)
• Kuvugurura imitsi ya laser ya transmyocardial (bidasanzwe cyane)

Angioplasty ikubiyemo gushyira agafuni gato mu mutsi wazibye no kakarangiza kugirango ufungure iziba. Stent, ariyo tuyobe duto tw'urudodo, akenshi ishyirwaho kugirango umutsi ugume ufunguye. Iyi nzira akenshi irashobora gukorwa ako kanya nyuma ya angiogram yawe niba habonetse ibibazo bikomeye.

Kubibazo bigoye bikubiyemo imitsi myinshi, kubaga bishobora gushoboka. Iyi nzira irema inzira nshya kugirango amaraso atemberere hirya no hino y'imitsi yazibye ukoresheje imitsi y'amaraso y'ibindi bice by'umubiri wawe.

Ni ikihe gishobora kuba igisubizo cyiza cya angiogram y'umutima?

Igisubizo cyiza cya angiogram y'umutima cyerekana imitsi y'umutima isobanutse neza, itunganye nta biziba cyangwa kugabanuka. Ibi bivuze ko amaraso atemberera neza mu bice byose by'umutima wawe, kandi ibyago byawe byo gufatwa n'umutima biturutse ku ndwara y'imitsi y'umutima ni bike cyane.

Mu gisubizo cyiza, imitsi y'umutima itatu y'ingenzi n'amashami yayo asa n'afunguye kandi atunganye. Irangi rinyuranye ritembera vuba kandi kimwe mu mitsi yose, rigera mu gice cyose cy'umutima wawe. Nta bice byo kugabanuka, gukora plaque, cyangwa uburyo butamenyerewe bw'imitsi.

Ariko, ni ngombwa kumva ko kugira ibintu bito bidasanzwe bitavuze ko uri mu kaga ako kanya. Abantu benshi bafite plaque nto itagira ingaruka zikomeye ku itembera ry'amaraso. Muganga wawe azagufasha gusobanukirwa icyo ibisubizo byawe byihariye bisobanura ku buzima bwawe.

N'iyo angiogram yawe yerekana ibibazo byo guhagarara kw'amaraso, aya makuru ni ingirakamaro kuko afasha muganga wawe gukora gahunda yo kuvura kugira ngo arengere umutima wawe. Kumenya no kuvura indwara y'imitsi y'umutima hakiri kare birinda ibitero by'umutima kandi bigufasha kugira ubuzima bwiza kandi bukora.

Ni ibihe bintu byongera ibyago byo kurwara indwara y'imitsi y'umutima?

Ibintu byinshi bishobora kongera ibyago byo kurwara indwara y'imitsi y'umutima, ari byo angiogram z'imitsi y'umutima zigenewe kumenya. Ibintu bimwe byongera ibyago ushobora kugenzura, mu gihe ibindi bidashoboka. Kumva ibyo bintu bifasha gufata ibyemezo bifitiye akamaro ku buzima bw'umutima wawe.

Ibintu byongera ibyago ushobora kugenzura birimo imibereho yawe n'indwara zimwe na zimwe. Gukora impinduka kuri ibyo bintu byongera ibyago bishobora kugabanya cyane amahirwe yo kurwara indwara y'imitsi y'umutima cyangwa gukumira ibibazo bihari kwiyongera.

Ibintu byongera ibyago udashobora guhindura birimo imyaka yawe, igitsina, n'amateka y'umuryango. Nubwo udashobora guhindura ibyo bintu, kubimenya bifasha wowe na muganga wawe gusobanukirwa urwego rw'ibyago byawe muri rusange no gutegura uburyo bukwiye bwo gupima no gukumira.

Dore ibintu byongera ibyago by'indwara y'imitsi y'umutima:

• Umuvuduko mwinshi w'amaraso (hypertension)
• Urugero rwinshi rwa cholesterol
• Ukunywa itabi cyangwa gukoresha itabi
• Indwara ya diyabete cyangwa diyabete yabanje
• Umubyibuho ukabije, cyane cyane umubyibuho wo mu nda
• Kutagira ibikorwa bya fisik
• Indyo itari nziza irimo amavuta menshi yuzuye
• Umuvuduko mwinshi wa buri gihe
• Amateka y'umuryango y'indwara y'umutima
• Imyaka (abagabo barengeje 45, abagore barengeje 55)
• Amateka y'indwara y'umutima yabanje

Ibintu bimwe na bimwe byongera ibyago bitamenyerewe birimo indwara y'impyiko ya buri gihe, indwara zifite ubushyuhe nk'indwara ya rheumatoid arthritis, na sleep apnea. Abantu banduye virusi itera SIDA cyangwa abahawe imiti imwe na imwe ya chemotherapy cyangwa radiyo therapy nabo bashobora kugira ibyago byiyongereye.

Kugira ibintu byinshi byongera ibyago byose kurusha kugira kimwe gusa. Ibi nibyo bituma muganga wawe azirikana ishusho yuzuye yubuzima bwawe mugihe asuzuma niba ukeneye angiogram y'umutima n'izindi igeragezwa ry'umutima.

Ese ni byiza kugira umutima wazibye cyangwa utazibye?

Umutima utazibye cyane buri gihe ni byiza kurusha umutima wazibye cyane. Mubyukuri, urashaka ko nta buziba na buke buhari, ariko niba ubuziba buhari, kugabanuka guto birahinduka cyane kurusha ubuziba bukomeye.

Umuziba woroshye (ugabanuka kuri 50% cyangwa munsi yayo) akenshi ntutera ibimenyetso kandi ntushobora gusaba ibikorwa byihuse. Ibi bikunze gucungwa no guhindura imibereho no gukoresha imiti kugirango birinde gukomeza. Umutima wawe mubisanzwe urashobora gukora neza n'ubuziba bworoshye, cyane cyane niba bigenda bigenda buhoro buhoro.

Umuziba ukomeye (70% cyangwa hejuru yayo) birahangayikishije cyane kuko bigabanya cyane imigezi y'amaraso mumitsi y'umutima wawe. Ubu buziba bushobora gutera kubabara mu gituza, guhumeka bigoranye, no kongera ibyago byo gufatwa n'umutima. Muri rusange bisaba kuvurwa bikomeye nka angioplasty cyangwa kubaga.

N'ubwo hari ubuziba bukomeye, kumenya kare hakoreshejwe angiogram y'umutima bifite akamaro kuko bituma havurwa vuba. Abantu benshi bafite ubuziba bukomeye babaho ubuzima bwiza, bufite imbaraga nyuma yo kuvurwa neza no guhindura imibereho.

Ni izihe ngaruka zishobora guterwa na angiogram y'umutima?

Mugihe angiogram y'umutima muri rusange ifite umutekano mwinshi, kimwe n'ubundi buryo bwo kuvura, ifite ibyago bimwe. Abantu benshi cyane ntibagira ingaruka, ariko ni ngombwa gusobanukirwa ibyago bishoboka kugirango ushobore gufata icyemezo gifitiye akamaro kubyerekeye ubuvuzi bwawe.

Ingorane nyinshi ni nto kandi zibaho igihe gito. Ibibazo bikunze kubaho birimo gukomeretsa cyangwa kuva amaraso ahantu bashyizeho catheter, ibyo bikunda gukira byonyine mu minsi mike. Abantu bamwe barumva bababara cyangwa batameze neza igihe catheter yashyizweho.

Ingorane zikomeye ziraboneka ariko zirashobora kubaho. Izi zishobora kuba zirimo kwangiza umutsi aho catheter yashyizweho, imirimo y'umutima idasanzwe mugihe cy'igikorwa, cyangwa allergie ku rangi rikoreshwa. Itsinda ryawe ry'abaganga ryiteguye guhangana n'ibi bibazo nibiramuka bibaye.

Dore ingorane zishobora kubaho, zashyizwe ku rutonde kuva ku zikunze kubaho kugeza ku zitabaho cyane:

• Gukomeretsa cyangwa kuva amaraso ahantu bashyizeho
• Kutameze neza cyangwa kubabara igihe gito
• Allergie ku rangi rikoreshwa (muri rusange ntirukomeye)
• Imirimo y'umutima idasanzwe mugihe cy'igikorwa
• Kwangirika kw'urukuta rw'umutsi
• Urubumbano rw'amaraso
• Ibibazo by'impyiko biturutse ku rangi rikoreshwa (ntibibaho cyane)
• Situroke (ntibibaho cyane)
• Umutima utera mugihe cy'igikorwa (ntibibaho cyane)
• Allergie ikomeye isaba ubuvuzi bwihutirwa (ntibibaho cyane)

Abantu bafite indwara zimwe na zimwe, nka indwara z'impyiko cyangwa diyabete, bashobora kugira ibyago byiyongereyeho gato. Muganga wawe azaganira nawe ku byago byawe bwite mbere y'igikorwa kandi azakora ibishoboka byose kugirango agabanye ingorane zishobora kubaho.

Ibyago byose by'ingorane zikomeye ni munsi ya 1%. Inyungu zo kubona icyemezo cy'ubuvuzi gikwiye akenshi ziruta ibyago bito bifitanye isano n'igikorwa.

Ni ryari nkwiriye kubona umuganga kugirango nkore isuzuma ry'inyuma ry'angiogram y'umutima?

Ukwiye kubona umuganga wawe kugirango akurikirane ubuvuzi bushingiye ku ngaruka zawe zihariye n'umugambi w'ubuvuzi. Niba angiogram yawe yari isanzwe, ntushobora gukenera inama zikunze kubaho, ariko muganga wawe azashaka gukurikirana ubuzima bw'umutima wawe uko iminsi igenda.

Nyuma y'igikorwa, mubisanzwe uzagira gahunda yo gusuzumwa nyuma y'icyumweru kimwe cyangwa bibiri kugira ngo muganire ku byavuye mu bizamini byawe mu buryo burambuye kandi mutegure imiti yose ikenewe. Iyi gahunda ni ingenzi kugira ngo umenye icyo ibisubizo byawe bisobanuye n'intambwe ukeneye gutera.

Niba wakiriye imiti nka angioplasty cyangwa gushyiraho stent mugihe cyo gukora angiogram yawe, uzakenera gusurwa kenshi. Muganga wawe azashaka gukurikirana uko imiti ikora neza no kureba niba ukira neza.

Ugomba guhita uvugana na muganga wawe ako kanya niba ubonye ibimenyetso bibangamiye nyuma ya angiogram yawe:

• Kubabara mu gituza cyangwa umuvuduko
• Kugufiwa umwuka
• Ukuva amaraso cyangwa kubyimba cyane ahantu bashyizeho urushinge
• Ibimenyetso byo kwandura (umuriro, gutukura, gushyuha)
• Kutagira ubwenge cyangwa guhinduka kw'amabara mu kuboko kwawe cyangwa ukuguru
• Kuribwa umutwe cyangwa guta ubwenge
• Kubabara umutwe cyane

Gukurikiranwa igihe kirekire biterwa n'ibisubizo byawe n'imiti. Abantu bamwe bakeneye kongera gukora angiogram mu gihe kizaza kugira ngo bakurikirane uko ubuzima bwabo buhagaze, mu gihe abandi bashobora gukenera gusa kugenzurwa buri gihe hamwe n'ibizamini bitagira ingaruka nyinshi.

Ibikunze kubazwa kuri angiogram ya koronari

Q.1 Ese ikizamini cya angiogram ya koronari ni cyiza mu kumenya ibiziba by'umutima?

Yego, angiogram ya koronari ifatwa nk'urwego rwa zahabu mu kumenya ibiziba by'umutima. Itanga amashusho y'ukuri kandi arambuye y'imitsi yawe ya koronari, ikemerera abaganga kumenya neza aho ibiziba biherereye n'uko bikomeye. Iki kizamini gishobora kumenya ibiziba bishobora kutagaragara ku zindi ngero z'ibizamini by'umutima.

Ikizamini ni ukuri cyane ku buryo gishobora kumenya ibiziba bito nka 10-20% by'ugufungana, nubwo imiti isanzwe idakenewe kugeza igihe ibiziba bigeze kuri 70% cyangwa birenga. Uku kuri gutuma iba uburyo bwizewe bwo kumenya indwara ya koronari no gutegura imiti ikwiye.

Q.2 Ese gufungana cyane kw'imitsi ya koronari bitera kubabara mu gituza?

Uburwayi bwo guhagarika imitsi y'umutima bushobora gutera kubabara mu gituza, ariko si buri wese ufite uburwayi bukomeye wumva ibimenyetso. Iyo uburwayi bugera kuri 70% cyangwa kurenza, akenshi butera kubabara mu gituza cyangwa umuvundo, cyane cyane mugihe ukora imyitozo ngororamubiri igihe umutima wawe ukeneye amaraso menshi.

Ariko, abantu bamwe bagenda bagira uburwayi buhoro buhoro uko igihe gihita, kandi umutima wabo ukora imitsi mito y'ubundi buryo karemano. Aba bantu bashobora kugira uburwayi bukomeye batagira ibimenyetso bigaragara. Ibi nibyo bituma angiogram y'imitsi y'umutima ifite agaciro kanini - ishobora kumenya uburwayi buteye akaga kabone niyo ibimenyetso bitagaragara.

Q.3 Bimara igihe kingana iki kugira ngo ukire angiogram y'imitsi y'umutima?

Gukira angiogram y'imitsi y'umutima mubisanzwe birihuta cyane. Abantu benshi bashobora gusubira mu bikorwa bisanzwe nyuma y'amasaha 24-48 nyuma y'uburyo. Uzaba ukeneye kwirinda kuzamura ibintu biremereye cyangwa imyitozo ikomeye muminsi mike kugirango ahantu bashyizeho imiti hakire neza.

Niba imiti yashyizwe mu kuboko kwawe, gukira mubisanzwe birihuta kurusha niba byakorewe mu gatuza kawe. Ahantu bashyizeho imiti hashobora kumera nkaho hariho ububabare muminsi mike, ariko ibi ni ibisanzwe kandi bigomba gukira buhoro buhoro.

Q.4 Nshobora gutwara imodoka nyuma ya angiogram y'imitsi y'umutima?

Ntabwo ugomba gutwara imodoka ako kanya nyuma ya angiogram y'imitsi y'umutima kuko bishoboka ko uzahabwa imiti igabanya ubwenge mugihe cy'uburyo. Abaganga benshi basaba gutegereza byibuze amasaha 24 mbere yo gutwara imodoka, kandi uzaba ukeneye umuntu uzagutwara nyuma y'uburyo.

Iyo ingaruka z'imiti igabanya ubwenge zimaze gushira kandi wumva umeze neza rwose, gutwara imodoka mubisanzwe biratekanye. Ariko, niba wakiriye ubuvuzi nk'angioplasty mugihe cya angiogram yawe, muganga wawe ashobora kugusaba gutegereza igihe gito mbere yo gutwara imodoka.

Q.5 Nkishima iki nyuma ya angiogram y'imitsi y'umutima?

Nyuma ya angiogram y'imitsi y'umutima, mubisanzwe ushobora gusubira mu mirire yawe isanzwe umaze kumva umeze neza. Ni ngombwa kunywa amazi menshi kugirango afashe impyiko zawe gutunganya irangi rikoreshwa mugihe cy'uburyo.

Niba angiogram yawe yagaragaje ibiziba, muganga wawe ashobora kugusaba guhindura imirire yorohereza umutima. Ibi bikunze gushingira ku kurya imbuto n'imboga nyinshi, guhitamo ibinyampeke byuzuye, kugabanya amavuta yuzuye, no kugabanya umunyu. Izi mpinduka zirashobora gufasha kwirinda ko ibiziba bihari byiyongera.