Angioplasty ya Koronari na Stents

Angioplasty ya korone (AN-jee-o-plas-tee) ni uburyo bwo gufungura imiyoboro y'amaraso ifunze y'umutima. Angioplasty ya korone ivura imiyoboro y'amaraso, yitwa arteries za korone, itwara amaraso mu mitsi y'umutima. Hariho umupira muto uri ku muyoboro mwato, witwa catheter, ukoreshwa mu kwagura umuyoboro w'amaraso ufunze no kunoza imiterere y'amaraso.

Angioplasty hamwe no gushyiramo stent ikoreshwa mu kuvura umunyu, cholesterol, n'izindi ntungamubiri zitereranira mu bice by'imitsi y'amaraso no ku ruhande rw'ibice byayo, iyi ndwara ikaba izwi nka atherosclerosis. Atherosclerosis ni yo ntandaro ikunze gutera ibibyimba mu mitsi y'amaraso y'umutima. Ibibyimba cyangwa kugabanuka kw'iyi mitsi y'amaraso bizwi nka coronary artery disease. Angioplasty iratera amaraso kugera ku mutima. Itsinda ry'abaganga bawe rishobora kugutekerezaho iri vura mu gihe: imiti cyangwa guhindura imibereho bitaratera impinduka nziza ku buzima bw'umutima. Kubabara mu gituza, bizwi nka angina, biterwa n'imitsi y'amaraso ibyimba bikaba byiyongera. Amaraso agomba kugera vuba ku mutima kugira ngo havurwe ikibazo cy'umutima. Angioplasty si yo nzira yose. Hari igihe kubaga umutima bizwi nka coronary artery bypass grafting biba ari byo byiza. Irindi zina ry'iki kibaga ni CABG — bivugwa ngo “cabbage.” Bituma amaraso agera ahandi mu gihe imitsi y'amaraso y'umutima ibyimba cyangwa igabanutse. Umuganga w'umutima, uzwi nka cardiologist, n'abandi bagize itsinda ry'abaganga bawe bareba uburemere bw'indwara y'umutima wawe n'ubuzima bwawe muri rusange mbere yo gufata umwanzuro ku buryo bwiza bwo kuvura.

Ibyago bya coronary angioplasty hamwe no gushyiramo stent bishobora kuba birimo: Gusubira gupfa kw'umuyoboro w'amaraso. Gusubira gupfa kw'umuyoboro w'amaraso, bizwi kandi nka re-stenosis, bishobora kuba byinshi iyo nta stent ikoreshwa. Niba stent yambaye imiti, hari ibyago bike cyane byo gupfa. Ibisebe by'amaraso. Ibisebe by'amaraso bishobora gukorwa muri stent. Ibi bisebe bishobora gufunga umuyoboro w'amaraso, bigatera ikibazo cy'umutima. Imiti ishobora kugabanya ibyago by'ibisebe by'amaraso. Ukuva kw'amaraso cyangwa kwandura. Mu gihe cy'ubuvuzi, catheter ishyirwa mu muyoboro w'amaraso, ubusanzwe mu kuboko cyangwa mu kuguru. Ukuva kw'amaraso, kwishima cyangwa kwandura bishobora kuba aho catheter yashyizwe. Ibindi byago bike bya angioplasty birimo: Ikibazo cy'umutima. Ibibazo by'umutima biterwa n'ubwangirike bukomeye bw'umubiri cyangwa urupfu ni bike. Kwangirika kw'umuyoboro w'amaraso wa coronary. Umuyoboro w'amaraso wa coronary ushobora gucika cyangwa gusandara mu gihe cya coronary angioplasty no gushyiramo stent. Ibi bibazo bishobora gusaba kubagwa ku mutima byihutirwa. Kwongera kwangirika kw'impyiko. Ibyago biri hejuru iyo izindi ndwara zisanzwe zigira ingaruka ku mikorere y'impyiko. Impanuka y'ubwonko. Mu gihe cya angioplasty, igice cy'amavuta cyangwa plaque gishobora gutandukana, kigenda mu bwonko kikabuza amaraso kugera aho. Impanuka y'ubwonko ni ingaruka zidafite akamaro ka coronary angioplasty. Imiti igabanya amaraso ikoreshwa mu gihe cy'ubuvuzi kugira ngo igabanye ibyago. Gukomera kw'umutima. Mu gihe cy'ubuvuzi, umutima ushobora gukubita cyane cyangwa buhoro. Ibi bibazo by'umuvuduko w'umutima bishobora gusaba kuvurwa imiti cyangwa pacemaker y'igihe gito.

Hari igihe kitaba gihari cyo kwitegura. Rimwe na rimwe, ubuvuzi bwo gukoresha angioplasti ya korona no gushyiramo stent ni ubuvuzi bw'ibibazo byihutirwa byo kuvura indwara y'umutima. Niba ubuvuzi budakenewe vuba bwarateganijwe, hari intambwe nyinshi zo kwitegura. Muganga wahuguwe mu ndwara z'umutima, witwa umuganga w'umutima, akureba kandi agasesengura amateka yawe y'ubuzima. Ibizamini bikorwa kugira ngo barebe ubuzima bw'umutima wawe n'izindi ndwara zishobora kongera ibyago by'ingaruka mbi. Itsinda ry'abaganga bawe riraguha amabwiriza yo kugufasha kwitegura. Ushobora gusabwa gukora ibi bikurikira: Andika imiti yose, ibinyobwa by'ibiryo n'imiti y'ibimera ukoresha. Fata n'ingano. Hindura cyangwa uhagarike gufata imiti imwe mbere y'angioplasti, nka aspirine, imiti igabanya ububabare idafite steroide (NSAIDs) cyangwa imiti igabanya amaraso. Baza itsinda ry'abaganga bawe imiti ukwiriye guhagarika gufata n'imiti ikwiriye gukomeza gufatwa. Ntukirye cyangwa unywe amasaha menshi mbere y'ubuvuzi bwawe. Fata imiti yemewe hamwe n'utunyobwa duke tw'amazi mu gitondo cy'ubuvuzi bwawe. Tegura uburyo bwo gutaha.