Ese hari ingaruka zishobora guterwa no gufata amashusho y'umutima?

Mu myaka ya vuba aha, indwara zitandukanye z’umutima n’imitsi zariyongereye cyane. Dukunze kumva ko abantu badukikije bakorewe isuzuma ry’umutima. None se, ni nde ugomba gukora isuzuma ry’umutima?

1. Angiografiya y'umutima ni iki?

Isuzuma ry’umutima (cardiac angiography) rikorwa hifashishijwe gutobora imitsi y’umutima iri ku kuboko cyangwa ku gice cyo hasi cy’ikibero, kohereza catheter aho isuzuma rikorerwa nko mu mitsi y’umutima, atrium, cyangwa ventricle, hanyuma ugatera igikoresho cyo gutandukanya amaraso muri catheter kugira ngo X-ray ibashe gutembera mu mitsi y’amaraso. Iyo ndwara igaragazwa kugira ngo hasobanuke imiterere y’umutima cyangwa imitsi y’umutima kugira ngo hamenyekane indwara. Ubu ni bwo buryo bukunze gukoreshwa mu gusuzuma umutima.

2. Isuzuma rya angiografiya y'umutima rikubiyemo iki?

Angiografiya y'umutima irimo ibintu bibiri. Ku ruhande rumwe, ni angiografiya y'umutima. Catheter ishyirwa ku mwenge w'imitsi y'umutima hanyuma hagaterwa umuti ugabanya ubukana bw'imitsi y'umutima hifashishijwe X-ray kugira ngo humve imiterere y'imbere y'imitsi y'umutima, niba hari stenosis, plaque, indwara zitameze neza mu mikurire, n'ibindi.

Ku rundi ruhande, angiografiya ya atria na ventricles ishobora no gukorwa kugira ngo humve imiterere ya atria na ventricles kugira ngo hamenyekane indwara ya cardiomyopathy yagutse, kwaguka k'umutima mu buryo budasobanutse, n'indwara z'umutima za valvular.

3. Ni mu bihe bihe biteganijwe ko isuzuma ry'umutima (cardiac angiography) rikorwa?

Angiografiya y'umutima ishobora gusobanura ubukana bw'indwara, igasobanukirwa urwego rwa stenosis y'imitsi y'umutima, kandi igatanga ishingiro rihagije ryo kuvurwa nyuma. Muri rusange ikoreshwa mu bihe bikurikira:

1. Ububabare budasanzwe mu gituza: nk'indwara yo kubabara mu gituza;

2. Ibimenyetso bisanzwe bya angina ishaje. Niba hakekwa angina ishaje, angina ishaje cyangwa angina ishaje itandukanye;

3. Impinduka zidasanzwe mu gupima umutima hakoreshejwe ikoranabuhanga;

4. Kudasobanutse neza: nko kutagira imikorere mibi ikunze kubaho;

5. Kudakora neza k'umutima bitasobanuwe: nko kwaguka k'umutima;

6. Intracoronary angioplasty: nka laser, nibindi;

7. Indwara y'umutima ikekwaho; 8. Izindi ndwara z'umutima zigomba gusobanurwa neza.

4. Ni izihe ngaruka zo gupima umutima (cardiac angiography)?

Gupima indwara z'umutima muri rusange ni byiza, ariko kubera ko ari ikizamini cy’indwara nyinshi, haracyari ibyago bimwe na bimwe:

1. Kuva amaraso cyangwa hematoma: Isuzuma rya angiografiya y'umutima risaba gutobora imitsi, kandi kuva amaraso no gutobora ibice bishobora kubaho.

2. Kwandura: Iyo kubagwa bidakwiye cyangwa umurwayi ubwe akaba afite ibyago byo kwandura, kwandura bishobora kubaho.

3. Thrombose: Bitewe no kuba ukeneye gushyiramo catheter, bishobora gutuma habaho thrombose.

4. Kudatera neza kw'umutima: Gupima umutima bishobora gutera kudatera neza kw'umutima, bishobora kugenzurwa binyuze mu kuvura imiti.

5. Indwara zo kurwara indwara: Umubare muto cyane w'abantu bagira ubwivumbure ku muti ugabanya ubwivumbure wakoreshejwe. Mbere yo gufata amashusho, muganga azakora ikizamini cy'ubwivumbure kugira ngo arebe neza ko nta kibazo kirimo.

5. Nkwiye gukora iki mu gihe habonetse ibitagenda neza mu gihe cyo gupima indwara z'umutima?

Ibintu bidasanzwe biboneka mu gihe cyo gupima umutima bishobora kuvurwa icyarimwe niba hakenewe uburyo bwo kuvura, nko gukomeretsa imitsi y'umutima, indwara z'umutima ziterwa n'imitsi, indwara z'umutima ziterwa n'imitsi, n'ibindi, bishobora kuvurwa hakoreshejwe uburyo bwo gutera stent y'imitsi y'umutima cyangwa gukoresha imitsi y'umutima, kwaguka kw'imitsi y'umutima, nibindi. Ku bantu badakeneye ikoranabuhanga ryo kuvura, imiti ishobora kuvurwa hakurikijwe uko ikibazo kimeze.

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