Ni iki cyitwa kuvugurura no gusimbuza umubumbe wa tricuspid? Intego, Uburyo & Ibivamo

Kuvugurura no gusimbuza umubumbe wa tricuspid ni kubaga umutima bikemura ibibazo byawe bya tricuspid, umwe mu mibumbe ine yo mu mutima wawe. Umubumbe wawe wa tricuspid uherereye hagati ya atrium y'iburyo n'iburyo bwa ventricle, ukora nk'umuryango w'inzira imwe ugumisha amaraso atemba mu cyerekezo cyiza.

Iyo uyu mubumbe utagikora neza, urashobora kuvuza cyangwa ukaba muto cyane, bigatuma umutima wawe ukora cyane kuruta uko bikwiye. Ubu buryo bufasha gusubiza iseswa risanzwe ry'amaraso kandi rishobora kunoza cyane imibereho yawe.

Ni iki cyitwa kuvugurura no gusimbuza umubumbe wa tricuspid?

Kuvugurura umubumbe wa tricuspid bivuze ko umuganga ubaga akora umubumbe wawe usanzwe kugirango ukore neza. Ibi bishobora kuba bikubiyemo gukaza imirimo y'umubumbe idafashe, gukuraho ibice byinshi, cyangwa kongeramo impeta kugirango ifashe umubumbe gufunga neza.

Gusimbuza umubumbe wa tricuspid bivuze ko umuganga ubaga akuraho umubumbe wawe wangiritse rwose akagushyiraho mushya. Umubumbe mushya urashobora gukorwa mu gice cy'inyamaswa (umubumbe wa biyoloji) cyangwa ibikoresho bya sintetike (umubumbe wa mekaniki).

Abaganga benshi babaga imitima bakunda kuvugurura kuruta gusimbuza iyo bishoboka kuko umubumbe wawe, umaze gukorwa, akenshi umara igihe kirekire kandi ugakora neza kuruta uwa gihanga.

Kuki kubaga umubumbe wa tricuspid bikorwa?

Muganga wawe ashobora kugusaba kubaga umubumbe wa tricuspid iyo umubumbe wawe wangiritse cyane ugatangira kugira ingaruka ku bushobozi bw'umutima wawe bwo gutera amaraso neza. Ibi bikunda kubaho iyo umubumbe uvuzisha amaraso menshi cyane inyuma (regurgitation) cyangwa ukaba muto cyane (stenosis).

Impamvu isanzwe y'ibibazo bya tricuspid ni ugukomereka biturutse ku zindi ndwara z'umutima, nk'ibibazo by'imibumbe y'umutima w'ibumoso cyangwa umuvuduko mwinshi w'amaraso mu muhaha wawe. Rimwe na rimwe indwara zandura, ibibazo by'umutima byavukanye, cyangwa imiti imwe na imwe irashobora kwangiza uyu mubumbe.

Ushobora gukenera kubagwa niba urimo kugira ibimenyetso nk'umwuka mubi cyane, umunaniro ukabije, kubyimba amaguru n'inda, cyangwa niba ibizamini byerekana ko imikorere y'umutima wawe igenda igabanuka cyane.

Ni iki gikorerwa kubagwa umutsi wa tricuspid?

Kubagwa umutsi wa tricuspid mubisanzwe bifata amasaha 3 kugeza kuri 6 kandi bikorerwa munsi ya anesthesia rusange, bityo uzaba uryamye rwose mugihe cyose cyo kubagwa. Umuganga wawe uzakora igikomere mu gituza cyawe kugirango agere ku mutima wawe.

Mugihe cyo kubagwa, umutima wawe uzahagarara by'agateganyo mugihe imashini y'umutima n'ibihaha ifata akazi ko gutera amaraso no kuyongerera umwuka wa oxygen. Ibi bituma umuganga wawe abona neza umutsi wawe wa tricuspid kugirango akore isanwa cyangwa gusimbuza.

Mugihe cyo gusana, umuganga wawe ashobora guhindura imiterere y'imvune, akavana ibice byinshi, cyangwa agashyira impeta hirya no hino ku mutsi kugirango ifashe gufunga neza. Mugihe cyo gusimbuza, bazakuraho neza umutsi wawe wangiritse hanyuma badode mushya mu mwanya wawo.

Nyuma yo gukora isanwa cyangwa gusimbuza birangiye, umuganga wawe azongera gutangiza umutima wawe, akureho imashini y'umutima n'ibihaha, hanyuma afunge igituza cyawe n'insinga n'imishumi.

Ni gute wakitegura kubagwa umutsi wawe wa tricuspid?

Ukwitegura kwawe mubisanzwe bitangira mbere y'ibyumweru byinshi mbere yo kubagwa hamwe no gukora ibizamini byuzuye kugirango wemeze ko witeguye kubagwa. Ibi mubisanzwe bikubiyemo ibizamini by'amaraso, imirasire ya X y'igituza, electrocardiogram, n'amashusho arambuye y'umutima.

Itsinda ryawe ry'abaganga rizasuzuma imiti yawe yose iriho kandi irashobora kukusaba guhagarika imwe, cyane cyane imiti ituma amaraso ataguma, mbere y'icyumweru kimwe mbere yo kubagwa. Ni ngombwa gukurikiza aya mabwiriza neza kuko ubuzima bwawe bushingiye ku kwitegura neza.

Uzaba ukeneye guhagarika kurya no kunywa nyuma ya saa sita z'ijoro mbere yo kubagwa. Teganya kugera mu bitaro kare ku munsi wo kubagwa, kandi utegure abagize umuryango kugirango bagume hafi kuko uzaba uri mu bitaro hafi icyumweru.

Nukora neza ko urugo rwawe rwiteguye kubera gukira kwawe ukuraho ibintu byose byagutera kugwa, ukagura ibiryo byoroshye gutegura, kandi ugateganya ubufasha mu mirimo ya buri munsi mu byumweru bike bya mbere nyuma yo gusubira mu rugo.

Ni gute usoma ibisubizo byo kubagwa umutsi wa tricuspid?

Umuvuzi wawe azasuzuma intsinzi yo kubagwa umutsi wawe wa tricuspid akoresheje ibipimo byinshi, atangiriye ku buryo umutsi wawe mushya cyangwa uvuguruye ugenzura imikorere y'amaraso. Nyuma y'ubuganga ako kanya, bazakoresha echocardiograms kugirango barebe uburyo umutsi wawe ukora neza.

Gusana cyangwa gusimbuza neza byagombye kugaragaza imikorere micye y'amaraso asubira inyuma (regurgitation) n'imikorere isanzwe imbere nta nzitizi. Umuvuzi wawe azanagenzura uburyo ventricle yawe y'iburyo ikira neza nyuma yo kubagwa.

Mu byumweru n'amezi akurikira, ikipe yawe y'ubuvuzi izakurikiza ibimenyetso byawe, kwihanganira imyitozo, n'imikorere y'umutima muri rusange. Abantu benshi babona impinduka zigaragara mu guhumeka kwabo no mu rwego rw'imbaraga mu mezi make nyuma yo kubagwa neza.

Ibyo guhura buri gihe na echocardiograms bizafasha muganga wawe gukurikirana imikorere y'igihe kirekire y'umutsi wawe no gufata ibibazo byose bishoboka hakiri kare.

Ni gute wakora neza gukira kwawe nyuma yo kubagwa umutsi wa tricuspid?

Intsinzi yawe yo gukira iterwa cyane no gukurikiza amabwiriza y'ikipe yawe y'ubuvuzi witonze no kwihangana n'inzira yo gukira umubiri wawe. Abantu benshi baguma mu bitaro iminsi 5 kugeza kuri 7 nyuma yo kubagwa, iminsi mike ya mbere bari muri intensive care.

Mugihe uri mu bitaro, uzagenda wongera urwego rwawe rw'ibikorwa, utangiriye ku myitozo yo guhumeka no kugenda bigufi. Ikipe yawe y'ubuvuzi izagenzura umuvuduko w'umutima wawe, uburinganire bw'amazi, no gukira kw'ibikomere hafi.

Niba umaze gutaha, ugomba kwirinda gukora imirimo iremereye (irenze ibiro 4.5) n'ibikorwa biremereye mu gihe cy'ibyumweru 6 kugeza kuri 8 igihe igufwa ryo mu gituza ririmo gukira. Kugenda gake no gukora imyitozo yategetswe bizafasha gukomeza umutima wawe no kunoza imikoreshereze yawe.

Gufata imiti yawe uko byategetswe ni ngombwa kugira ngo wirinde ingorane kandi wemeze ko valuve yawe ikora neza. Abantu benshi basubira mu bikorwa bisanzwe nyuma y'amezi 3 kugeza kuri 4 nyuma yo kubagwa.

Ni ibihe bintu byongera ibyago byo kugira ibibazo bya valuve ya tricuspid?

Ibintu byinshi bishobora kongera amahirwe yo kugira ibibazo bya valuve ya tricuspid, indwara ya valuve y'umutima yo kuruhande rw'ibumoso ikaba ari yo mpamvu isanzwe. Iyo valuve yawe ya mitral cyangwa aortic idakora neza, bishobora gutera umuvuduko wiyongera amaherezo ukangiza valuve yawe ya tricuspid.

Kumenya ibi bintu byongera ibyago bishobora gufasha wowe na muganga wawe gukurikirana ubuzima bw'umutima wawe neza:

• Indwara ya valuve y'umutima yabanje cyangwa kunanirwa k'umutima
• Umuvuduko ukabije w'amaraso mu muhaha wawe (hypertension ya pulmonary)
• Ubumuga bw'umutima bwo kuva mu gihe cyo kuvuka
• Amateka y'umuriro wa rheumatic cyangwa indwara z'umutima
• Imiti imwe na rimwe, cyane cyane imiti imwe yo kugabanya ibiro cyangwa ibishishikariza
• Gukoresha ibiyobyabwenge binyuze mu nsinga, bishobora gutera indwara ya valuve
• Ubuvuzi bwa radiation mu gatuza
• Carcinoid syndrome, uburwayi butamenyerewe bugira ingaruka ku mikorere y'imisemburo

Nubwo udashobora kugenzura ibi bintu byose byongera ibyago, kugumana ubuzima bwiza bw'umutima binyuze mu gusuzumwa buri gihe bishobora gufasha kumenya ibibazo hakiri kare igihe bivurwa neza.

Ese ni byiza gukora isanwa rya valuve ya tricuspid cyangwa kuyisimbuza?

Isanwa rya valuve ya tricuspid muri rusange rikunzwe kurusha kuyisimbuza iyo valuve yawe ishobora gukorwa neza kuko valuve zisanwe zikunda kumara igihe kirekire kandi zigakora neza kurusha iz'ubukorano. Valuve yawe bwite, umaze gusanwa, ntisaba imiti igabanya amaraso igihe kirekire mu bihe byinshi.

Ariko, gusimbuza biba ngombwa iyo valuve yawe yangiritse cyane ku buryo bitashoboka kuyitunganya neza. Umuganga ubaga azagufatira icyemezo ashingiye ku miterere yihariye ya valuve yawe n'ubuzima bwawe muri rusange.

Valuve zisimbura zikozwe mu binyabuzima (zikoze mu tuntu tw'inyamaswa) ntizisaba imiti ifasha amaraso gucika intege igihe kirekire ariko bishobora gusaba ko zisimbuzwa nyuma y'imyaka 10 kugeza kuri 15. Valuve zikora mu buryo bwa mekaniki zimara igihe kirekire ariko zisaba imiti ifasha amaraso gucika intege ubuzima bwose kugira ngo zirinde amaraso gupfundika.

Imyaka yawe, imibereho yawe, n'izindi ngorane z'ubuzima bizafasha umuganga ubaga kugena uburyo buzagufasha kugira ibisubizo byiza mu gihe kirekire.

Ni izihe ngaruka zishobora guterwa no kubagwa kwa valuve ya tricuspid?

Nubwo kubagwa valuve ya tricuspid muri rusange bifite umutekano kandi bikora neza, kimwe n'izindi nkubito zikomeye z'umutima, bifite ibyago bimwe ugomba gusobanukirwa mbere yo gukomeza. Abantu benshi bagira ibisubizo byiza, ariko kumenya ingaruka zishoboka bifasha kumenya ibimenyetso byo kwitonda hakiri kare.

Ingaruka zisanzwe zishobora kubaho zirimo:

• Gusohoka kw'amaraso bishobora gusaba kubagwa kongera
• Umutima utera mu buryo butari bumwe (arrhythmias)
• Infesiyo ahantu habagiwe cyangwa hirya no hino ku mutima
• Amaraso apfundika ashobora kujya mu muhaha wawe cyangwa mu bwonko bwawe
• Urujijo rw'agateganyo cyangwa ibibazo byo kwibuka
• Ibibazo by'impyiko bitewe n'umunaniro wo kubagwa
• Gukenera igihe kirekire cyo gufashwa n'imashini ifasha mu guhumeka

Ingaruka zitabaho kenshi ariko zikomeye zirimo situroki, guturika k'umutima, cyangwa gukenera kubagwa umutima. Itsinda ry'abaganga bakora akazi kabo neza kugira ngo bagabanye ibyo byago binyuze mu myiteguro ikwiye no gukurikiranira hafi.

Ingaruka nyinshi, iyo zibayeho, zishobora gukemurwa hakoreshejwe ubufasha bwihuse bw'ubuvuzi. Itsinda ryawe ry'abaganga rizakureba neza kugira ngo ribone ibimenyetso byose by'ibibazo mu gihe urimo gukira.

Nzagomba kubona umuganga ryari kubera ibibazo bya valuve ya tricuspid?

Ugomba kuvugana na muganga wawe niba ubonye ibimenyetso bishobora kwerekana ibibazo bya valve ya tricuspid, cyane cyane niba bigenda birushaho uko igihe kigenda. Kumenya no kuvura hakiri kare birinda ingorane zikomeye.

Shaka ubufasha bw'ubuvuzi niba ubonye ibi bimenyetso byo kwitondera:

• Kugufiha guhora kwiyongera, cyane cyane mugihe ukora ibikorwa bisanzwe
• Umunaniro ukabije utagabanuka mugihe uruhutse
• Ukubura mumaguru yawe, mumano, cyangwa munda
• Urubavu rurisha cyangwa umuvuduko
• Umutima utera nabi cyangwa vuba
• Kuribwa umutwe cyangwa kugwa igihumure
• Kugabanuka kw'ubushobozi bwo gukora imyitozo ngororamubiri cyangwa gukora ibikorwa bya buri munsi

Niba warabazwe valve ya tricuspid, vugana na muganga wawe ako kanya niba ufite umuriro, urubavu rurushaho kuribwa, kugufiha bidasanzwe, cyangwa ibimenyetso by'ubwandu ahantu habazwe.

Gusuzumwa buri gihe ni ngombwa nubwo wumva umeze neza, kuko ibibazo bimwe na bimwe bya valve bishobora gutera buhoro buhoro nta bimenyetso bigaragara.

Ibikunze kubazwa kubijyanye no kubagwa valve ya tricuspid

Q.1 Ese kubagwa valve ya tricuspid bifasha mu guhagarika umutima?

Yego, kubagwa valve ya tricuspid birashobora gufasha cyane mu gukemura ibimenyetso byo guhagarika umutima mugihe valve yawe idakora neza igira uruhare muri icyo kibazo. Abantu benshi bafite guhagarika umutima guterwa n'indwara ya valve ya tricuspid bagira ubuhumekero bwiza, imbaraga ziyongera, kandi ubuzima bwabo bukagenda neza nyuma yo kubagwa neza.

Ariko, igihe cyo kubagwa ni ingenzi. Muganga wawe azasuzuma neza niba guhagarika umutima wawe guterwa ahanini n'ikibazo cya valve cyangwa izindi ndwara z'umutima zitashobora gukira no kubagwa valve gusa.

Q.2 Ese gusubira inyuma kwa valve ya tricuspid bitera kugufiha?

Yego, kubura umwuka cyane bitewe no gusubira inyuma kw'amaraso mu gice cya tricuspid akenshi bitera kubura umwuka, cyane cyane igihe ukora imyitozo ngororamubiri cyangwa uryamye ugaramye. Ibi bibaho kuko amaraso asubira inyuma anyuze muri valvule itameze neza agabanya umubare w'amaraso yuzuye umwuka wa oxygène agera mu mubiri wawe.

Kubura umwuka bikunda gutera buhoro buhoro kandi bishobora kujyana no kunanirwa, kubyimba amaguru yawe, cyangwa kumva ko mu nda yawe huzuye igihe umutima wawe urimo uragerageza gukora neza.

Q.3 Igihe gishobora kumara mu kubaga valvule ya tricuspid ni ikihe?

Kubaga valvule ya tricuspid bisaba amasaha 3 kugeza kuri 6, bitewe niba uri gukorwa isanwa cyangwa gusimburwa kandi niba ukeneye izindi nzira zo mu mutima icyarimwe. Ibihe bigoye cyangwa inzira zihujwe bishobora gutwara igihe kirekire.

Umuvuzi wawe azaguha igihe cyihariye gishingiye ku miterere yawe bwite. Igihe cyo kubaga ntikibariyemo igihe cyo kwitegura no gukira mu cyumba cyo kubagiramo, bityo uzamara amasaha menshi utari kumwe n'umuryango wawe ugereranyije n'igihe nyacyo cyo kubaga.

Q.4 Ushobora kubaho neza nyuma yo kubagwa valvule ya tricuspid?

Yego, abantu benshi bashobora gusubira mu buzima busanzwe, bufite imbaraga nyuma yo kubagwa neza valvule ya tricuspid. Abarwayi benshi bavuga ko bumva bameze neza kurusha uko bari bameze mu myaka myinshi bamaze gukira neza iyi nzira.

Urwego rwawe rw'ibikorwa n'imibereho bizaterwa n'ubuzima bwawe muri rusange, intsinzi yo kubagwa kwawe, n'uko ukurikiza neza gahunda yawe yo gukira. Abantu benshi bashobora gusubira mu kazi, gukora imyitozo ngororamubiri, no gutembera mu mezi make nyuma yo kubagwa.

Q.5 Ni ikihe gipimo cy'intsinzi yo gusana valvule ya tricuspid?

Gusana valvule ya tricuspid bifite urwego rwo gutsinda rwo hejuru, hamwe n'ubushakashatsi bwinshi bwerekana ibisubizo byiza kuri 85-95% by'abarwayi iyo bikozwe n'abaganga bafite uburambe. Urwego rwo gutsinda ruterwa n'ikibazo cyihariye kuri valvule yawe n'ubuzima bwawe muri rusange.

Gusana bikunze kuramba kurusha gusimbuza, kandi abantu benshi bishimira imyaka myinshi yo gukora neza kwa valve nyuma yo kubagwa neza. Umuganga wawe ashobora kuguha amakuru arambuye yerekeye urwego rwo gutsinda rishingiye ku miterere yawe bwite.