Ese ufite ububyimbirwe mu mitsi yawe y'amaraso? Reka tuvuge ku ndwara ya vasculitis!

Uyu munsi tugiye kuvuga ku ndwara yitwa Vasculitis. Ushobora kuba utari warigeze wumva iri zina mbere. Ariko ni indwara igira ingaruka ku mitsi y'amaraso mu mubiri wacu kandi isaba kwitabwaho. Rero, ntugahangayike, reka tuvuge gusa icyo ari cyo, impamvu ibaho, uko tubimenya, n'ibindi byakorwa.

Vasculitis ni iki? Mu magambo make...

Vasculitis ni ukubyimba kw'imitsi y'amaraso yawe, cyangwa imitsi y'amaraso . Kubyimba bisobanura kubyimba no gutukura. Tekereza nk'imiyoboro itwara amaraso mu mibiri yacu. Ni nk'urusobe rw'imihanda mu gihugu cyacu. Iyi mitsi itangira ku mutima, igakwirakwiza amaraso mu mubiri wose, hanyuma ikayasubiza mu mutima kugira ngo yozwe.

Hari ubwoko butatu bw'ingenzi bw'imitsi y'amaraso mu mubiri wacu, nk'uko ushobora kuba warumvise:

• Imitsi: Iyi ni imitsi itwara amaraso meza (amaraso akungahaye kuri ogisijeni) iva mu mutima ijya mu zindi ngingo zose n'ingingo.
• Imitsi: Iyi ni imitsi igarura amaraso yakoreshejwe (amaraso afite dioxyde de carbone nyinshi) mu mutima iturutse mu bice byose by'umubiri.
• Imitsi mito cyane y'amaraso. Isa n'imitsi . Ihuza imitsi n'imitsi, nk'inzira nto hagati y'imihanda ibiri minini. Niho umwuka n'intungamubiri bihanahana hagati y'uturemangingo.

Noneho, niba ufite vasculitis, imiyoboro y'amaraso yawe irabyimba kandi ikagira ububyimba. Bigenda bite rero? Amaraso ntabasha gutembera neza, nk'umuyoboro w'amazi wafunzwe. Uko igihe kigenda gihita, uku kubyimba gushobora kwangiza ingingo zawe (urugero, impyiko zawe, ibihaha, uruhu). Bishobora kandi gutera ingorane zikomeye, nko kurwara imitsi . Aneurysm ni igice gito cy'urukuta rw'imitsi y'amaraso kibyimba nk'umupira. Ibi ni bibi cyane kuko gishobora guturika.

Ariko, nta mpamvu yo guhangayika. Abantu benshi bashobora kurwanya iyi ndwara ya vasculitis bakoresheje ubuvuzi bwiza n'imiti kandi bakabaho ubuzima busanzwe . Ariko, rimwe na rimwe ishobora gukomera kandi iyo amaraso atembera mu ngingo z'ingenzi, mu by'ukuri ishobora gushyira ubuzima mu kaga. Niyo mpamvu ari ngombwa kubimenya.

Icy'ingenzi: Niba ukunze kugira ibimenyetso bisa n'umuriro, cyangwa niba wumva ikintu kidasanzwe, nko kugira ibinya cyangwa ubushyuhe mu biganza cyangwa mu birenge, ntutindiganye kujya kwa muganga. By'umwihariko, niba ufite ikibazo cyo guhumeka, kubabara mu gatuza, cyangwa ibimenyetso by'indwara z'umutima, jya mu cyumba cy'ubutabazi bw'ibanze cy'ibitaro biri hafi yawe ako kanya, cyangwa uhamagare serivisi y'imbangukiragutabara nk'iya 1990.

Ni gute indwara ya vasculitis igira ingaruka ku mubiri wacu?

Iyi ndwara ibabaza yitwa vasculitis ishobora kugira ingaruka ku mitsi iyo ari yo yose y'amaraso mu mubiri wacu. Ibi bivuze ko ishobora no kugira ingaruka ku mitsi ihuza ingingo n'ibice bikurikira by'umubiri:

• Uruhu rwawe (ibisebe by'uruhu, eczema, nibindi bishobora kubaho)
• Ibihaha (gukorora, guhumeka bigoranye)
• Umutima (ushobora kongera ibyago byo kurwara indwara z'umutima)
• Udutsiko tw'imitsi (gucika intege, intege nke mu ngingo)
• Amaso (ashobora gutera kutabona neza, amaso atukura)
• Impyiko (imikorere y'impyiko ishobora kugabanuka)
• Ubwonko (bushobora gutera kuribwa umutwe, gucika imitsi mu bwonko)
• Ku ndwara zo mu mazuru (nk'ibicurane bikunze kugaragara)
• Igifu n'amara (ibintu nko kuribwa mu gifu, impiswi irimo amaraso)
• Amaboko n'ibirenge (ububabare, kubyimba, gucika intege)

Ese iyi ndwara ikunze kugaragara kuri buri wese?

Oya, indwara ya vasculitis mu by’ukuri ni indwara idakunze kugaragara cyane . Tekereza gato, ndetse no mu gihugu cyateye imbere nka Amerika, raporo z’abaganga zivuga ko abantu miliyoni imwe bandura iyi ndwara buri mwaka ari munsi ya 50. Ibyo bivuze ko ari indwara idakunze kugaragara cyane.

Ikunze kugaragara cyane ku bantu barengeje imyaka 50. Ariko, iracyari gake ndetse no muri iyo kigero cy'imyaka. Ndetse no muri abo bantu, munsi ya 300 muri miliyoni nibo basanzwe barwaye iyi ndwara buri mwaka. Rero, nta kintu cyo gutinya iyo wumvise ibi, si indwara ifata buri wese.

Ese hari ubwoko butandukanye bwa vasculitis?

Yego, hari ubwoko butandukanye burenga 30 bwa vasculitis! Muganga wawe azakubwira neza ubwoko bwa vasculitis ufite. Bizaterwa n'ingano y'imitsi y'amaraso mu mubiri wawe (minini, iciriritse, ntoya) yafashwe, ndetse n'ibisubizo by'ibindi bizamini. Dore ingero zimwe na zimwe:

• Vasculitis ifitanye isano na ANCA (ibi birimo kandi ubwoko bwihariye bwitwa granulomatosis hamwe na polyangiitis (GPA) , polyangiitis mikorosikopi (MPA) , na granulomatosis ya eosinophilic hamwe na polyangiitis (EGPA) )
• Polyarteritis nodosa
• IgA vasculitis (Henoch-Schönlein purpura) (ibi bikunze kugaragara cyane ku bana bato)
• Indwara ya rubagimpande (iterwa n'indwara nka rubagimpande)
• Vasculitis y'imitsi yo mu bwoko bwa "central nervous system" (igira ingaruka ku mitsi y'amaraso yo mu bwoko bwa "central nervous system", ni ukuvuga ubwonko n'umugongo)
• Indwara ya giant cell arteritis (iyi ndwara ikunze kugaragara cyane mu bantu bakuze, kandi ifata imiyoboro y'amaraso mu mutwe)
• Arteritis ya Takayasu (ibi bikunze kugaragara ku bagore bakiri bato kandi bikagira ingaruka ku mitsi minini y'amaraso ituruka mu mutima)
• Indwara ya Behçet(Iza ifite ibisebe mu kanwa no mu myanya ndangagitsina)
• Urticarial vasculitis (iza hamwe n'uduheri ku ruhu)
• Indwara ya Kawasaki ( nayo ni ubwoko bwa vasculitis yibasira cyane abana bato)
• Hariho kandi ubwoko bwa vasculitis bukunze kugaragara ku bana .

Ni ibihe bimenyetso umuntu urwaye vasculitis ashobora kugira?

Ibi ni bimwe mu bimenyetso bisanzwe bya vasculitis:

• Guhumeka bigoranye, gufunga igituza
• Inkorora idashira, wenda irimo amaraso
• Kubabara, gushya, no kumva urimo gushyuha mu ngingo
• Gutukura, uduheri, guhinduka ibara mu bice bimwe na bimwe, n'ibisebe ku ruhu
• Guhorana umuriro, nta mpamvu
• Kumva unaniwe cyane, kumva nta kintu na kimwe gikora
• Kugabanya ibiro mu buryo butunguranye
• Intege nke mu mubiri, cyane cyane mu mitsi
• Kubabara ingingo, kubyimba
• Kubabara mu nda, isesemi, kuruka
• Ibibazo by'impyiko (urugero: inkari zijimye, amaraso mu nkari, amaguru yabyimbye)
• Gucika intege cyangwa ibimenyetso bisa nabyo (kunanirwa kuvuga, kunama k'uruhande rumwe rw'isura)

Ariko ibuka ko ibimenyetso uhura nabyo biterwa gusa n'ubwoko bwa vasculitis ufite, imitsi y'amaraso yafashwe n'ingaruka zayo, ndetse n'ubukana bw'ububyimbirwe . Si bose bazagira ibimenyetso bimwe.

Tega amatwi umubiri wawe, wizera amara yawe. Niba ubonye impinduka nshya, ibimenyetso bigutera kumererwa nabi cyangwa guhangayika, ntugatekereze gusa ngo "Ibi bizashira," ahubwo gana muganga.

Kuki iyi ndwara yo mu bwoko bwa vasculitis ibaho? Ni iyihe mpamvu?

Aha niho birushaho kugorana. Vasculitis ni indwara iterwa n'ubwiyongere bw'umubiri . Noneho ushobora kwibaza icyo indwara iterwa n'ubwiyongere bw'umubiri ari cyo. Mu magambo make, umubiri wacu ufite ubudahangarwa bw'umubiri. Ni nk'ingabo zo mu gihugu cyacu. Akazi k'ubu buryo ni ukuturinda abanzi bo hanze (nk'udukoko, bagiteri, virusi).

Ariko, mu ndwara y’ubwiyongere bw’umubiri, ubwirinzi bwacu butangira kwibeshya ku turemangingo n’ingingo zacu nziza. Ni nk’uko ingabo zacu zitera abantu bacu. Mu ndwara ya vasculitis, ubwirinzi bwacu bw’umubiri bwibasira imiyoboro y’amaraso yacu. Impuguke mu by’ubuvuzi ntizizi neza impamvu ibi bibaho, impamvu iyi ndwara itera umwijima.

Ariko, byagaragaye ko hari ibintu bimwe na bimwe bishobora gutera , cyangwa bigatera, iyi ndwara ya vasculitis:

• Hari ubwandu bumwe na bumwe (urugero: virusi ya hepatite B cyangwa C)
• Izindi ndwara zisanzweho zo mu bwoko bwa autoimmune(urugero: rubagimpande, lupus (SLE))
• Nk'ingaruka mbi z'imiti imwe n'imwe
• Amoko amwe ya kanseri ( cyane cyane kanseri zifitanye isano n'amaraso)
• Hari abantu bayitera mu buryo budasanzwe, bivuze ko nta kintu na kimwe gishobora kuboneka.

Ni gute wasuzuma neza indwara ya vasculitis?

Niba umuganga wawe akeka ko ufite vasculitis, azabanza agusuzume neza. Bazakubaza ibimenyetso byawe - igihe umaze uhari, uko byagiye bikura, ibindi bimenyetso ufite, nibindi. Bazakubaza kandi niba hari umuntu wo mu muryango wawe wigeze kugira ibibazo nk'ibyo.

Ubusanzwe indwara ya Vasculitis ipimwa nk'igice cy'indwara zitandukanye, ibyo bikaba bisaba kumenya izindi ndwara . Ibi biterwa nuko ibi bimenyetso bishobora no kugaragara mu zindi ndwara. Bityo, muganga wawe azagutegeka ibizamini byinshi kugira ngo amenye impamvu nyayo y'ibimenyetso byawe. Icyo gihe ni bwo azemeza ko ufite indwara ya Vasculitis. Bimwe mu bizamini ushobora kuba warakorewe ni ibi bikurikira:

• Ibipimo by'amaraso: Ibi bishobora kureba ibimenyetso by'ububyimbirwe (urugero: ESR, CRP), ubwoko bumwe na bumwe bw'uturemangingo (urugero: ANCA), n'imikorere y'ingingo.
• Ibizamini by'inkari: Reba niba impyiko zarafashwe n'indwara.
• Gupima indwara ya kanseri y'amaraso: Iki ni cyo gipimo cy'ingenzi cyane kugira ngo hemezwe ko hari indwara ya vasculitis. Agace gato k'umubiri kafashwe (urugero: uruhu, impyiko, ibihaha) gafatwa kagasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba hari ububyimbirwe mu mitsi y'amaraso.
• Ibizamini byo gushushanya:
• Gupima X-ray, CT scan, MRI scan: Ibi bishobora gukoreshwa mu kureba imiterere y'ingingo zangiritse.
• Angiogramu: Iki ni ikizamini cyihariye cya X-ray gikoresha irangi kugira ngo harebwe niba hari imitsi y'amaraso yagabanutse cyangwa ifite imiyoboro y'amaraso.
• Ibindi bizamini byihariye bigenzura imikorere y'ingingo zafashwe.

Ushobora kubonana n'umuganga w'inzobere mu ndwara z'ingingo n'iz'umubiri udafite ubushobozi bwo kuvura indwara z'ingingo. Ni we muntu mwiza wo kuvura izi ndwara.

Ni ubuhe buryo bwo kuvura indwara ya vasculitis? Ese ishobora kuvurwa?

Hari intego ebyiri z'ingenzi mu kuvura vasculitis:

1. Kugenzura ububyimbirwe no kugabanya ibimenyetso.

2. Kurinda kwangirika kw'imitsi y'amaraso n'izindi ngingo.

Muganga wawe azagufatira icyemezo cy'uburyo bwo kuvura hashingiwe ku bwoko bw'indwara ya vasculitis ufite, ubukana bwayo, ndetse n'ubuzima bwawe muri rusange. Imiti ikoreshwa cyane ni iyi:

• Corticosteroids:Iyi ni yo miti y'ingenzi ikoreshwa mu kurwanya ububyimbirwe (urugero: Prednisolone). Ikora vuba kandi ikagabanya ibimenyetso. Ariko, kubera ko doze nyinshi zishobora gutera ingaruka mbi iyo uyifashe igihe kirekire, muganga wawe azagabanya doze buhoro buhoro.
• Imiti igabanya ubukana bw'umubiri: Iyi myitozo ikora mu kugenzura imikorere y'ubudahangarwa bw'umubiri burimo gukora nabi. Urugero, harimo imiti nka Methotrexate, Azathioprine, na Cyclophosphamide.
• Biologiki: Ubu ni uburyo bushya bwo kuvura kandi bwibanda ku buryo bugezweho. Bukora hibandwa ku bice bimwe na bimwe by’ubudahangarwa bw’umubiri kugira ngo bugabanye ububyimbirwe. Urugero, Rituximab.
• Hari igihe imiti y'umuvuduko w'amaraso nka ACE inhibitors ishobora gutangwa, kuko ari myiza ku miyoboro y'amaraso.

Kubaga:

Niba imiyoboro y'amaraso yawe yangiritse cyane bitewe n'indwara zo mu mitsi, urugero nk'iyo ari mito cyane cyangwa ifite imitsi ifunganye, ushobora kubagwa. Urugero, ushobora kubagwa angioplasty kugira ngo wongere umuyoboro w'amaraso wagabanutse cyangwa ukabagwa bypass kugira ngo udafata igice cyangiritse. Muganga wawe cyangwa umuganga wawe azagusobanurira ubwoko bw'ubuvuzi ukeneye n'icyo witeze.

Ese Vasculitis ishobora gukira burundu?

Dore icyo ugomba kumenya: Indwara ya Vasculitis akenshi ntikira burundu . Ni indwara idakira, bivuze ko imara igihe kirekire.

Ariko ntugahangayike! Iyo indwara imaze gukemuka iyo uvuwe neza, ushobora kwinjira mu mimerere yitwa relieve . Relieve ni igihe indwara iba itakigaragara kandi nta bimenyetso ifite. Kuri bamwe, iki gihe cyo kuremererwa gishobora kumara amezi cyangwa imyaka. Ariko, ni byiza kuguma ukurikiranwe na muganga, kuko ibimenyetso bishobora kongera kugaruka.

Ese hari uburyo bwo kwirinda indwara ya vasculitis?

Ikibabaje ni uko abaganga bataramenya neza icyatera vasculitis, bityo nta buryo bwizewe bwo kuyirinda . Ntibishoboka kandi kumenya neza uzayirwara n'utayirwara.

Ni iki nkwiye kwitega mu gihe mfite indwara ya vasculitis?

Niba urwaye vasculitis, ugomba kwitegura guhangana n'iyi ndwara no kuyigumana igihe kirekire, wenda ndetse n'ubuzima bwawe bwose.Nubwo udafite ibimenyetso bikomeye, uzakenera kujya kwa muganga buri gihe kugira ngo akurikirane imiterere y'imitsi n'ingingo zawe z'amaraso, nko gupimwa amaraso. Baza muganga wawe inshuro ugomba kujya kwa muganga n'ibizamini ugomba kujyayo.

Wibuke ko nubwo wakwibagirwa, bivuze ko igihe runaka nta bimenyetso byabyo, ibimenyetso bya vasculitis bishobora kongera kugaruka mu gihe kizaza.

Ni gute nakwiyitaho neza?

• Buri gihe menya ibimenyetso byawe. Niba ubonye impinduka nshya, ibimenyetso bishya, cyangwa ibimenyetso birushaho kwiyongera, andika urutonde rw'ibyo urwaye.
• Vugana na muganga wawe kandi ukurikize gahunda yo kuvura ikubereye. Fata umuti ku gihe gikwiye no mu gipimo gikwiye.
• Ntugasimbuke gahunda zo kwa muganga.
• Niba wumva ko uburyo bwo kuvura budakora, cyangwa budafite akamaro nkuko byari bimeze mbere, ntutindiganye kubonana na muganga wawe no kumubwira ibyawe .
• Kurikiza ubuzima bwiza. Niba unywa itabi, ureka, urya indyo yuzuye, kandi ugakora siporo nk'uko muganga yabigutegetse.

Ni ryari nkwiye kujya kwa muganga? Mu bihe bihe?

• Niba ugaragaje ibimenyetso bishya , cyangwa niba ibimenyetso byawe birushijeho kwiyongera, hita ubonana na muganga.
• Muganga wawe azakubwira inshuro ugomba kuza mu bitaro kugira ngo ukurikirane gahunda, upime amaraso, cyangwa upime ibindi. Ntugasimbuke izo gahunda.

Ibibazo byihutirwa:

Niba ufite kimwe muri ibi bimenyetso bikurikira, ibi bishobora kuba ari ibibazo byihutirwa. Noneho jya ku bitaro bikwegereye vuba, cyangwa uhamagare serivisi y’imbangukiragutabara nka 1990:

• Niba ufite ikibazo cyo guhumeka , niba igituza cyawe gisa n'aho gifunze.
• Niba wumva urwaye indwara y'umutima (ububabare bukomeye hagati mu gituza, ububabare bukagera ku kuboko kw'ibumoso, mu ijosi, mu rwasaya, kubira ibyuya, isesemi).
• Niba kureba kwawe kurushijeho kuba kubi mu buryo butunguranye, cyangwa niba utakaje kureba mu buryo butunguranye .
• Niba ufite ibimenyetso bya stroke (urugero: kunama ku ruhande rumwe rw'isura, kubura ukuboko, kugorwa no kuvuga).

Ni ibihe bibazo by'ingenzi ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga wawe, ntugatinye kubaza ibibazo nk'ibi. Ibi bizagufasha gusobanukirwa neza indwara yawe:

• "Ni ubuhe bwoko bw'indwara y'imitsi mrwaye, muganga?"
• "Ni iyihe mitsi/ingingo z'amaraso mu mubiri wanjye zikunze kugerwaho n'ibi?"
• "Ni ibihe bizamini bindi nzakenera gukora?"
• "Ese nzakomeza gufata imiti? Ni iyihe miti?"
• "Ingaruka mbi z'uyu muti ni izihe?"
• "Ese nzakenera kubagwa?"
• "Ni izihe mpinduka nkwiye gukora ku mirire yanjye n'imibereho yanjye?"
• "Ni ibihe bimenyetso bya mbere nshobora kubona niyongera indwara?"

Hanyuma, ibintu ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Nibyo, vasculitis ni ukubyimba, cyangwa kubyimba, kw'imitsi yawe y'amaraso. Ni indwara igoye, ariko ntugahangayike. Nubwo waba ufite ibimenyetso byoroheje gusa, ni ngombwa gukurikiza amabwiriza ya muganga wawe no kwisuzumisha buri gihe . Icyo gihe ni bwo ushobora gukurikirana imitsi yawe y'amaraso kugira ngo urebe niba hari impinduka, ukareba niba vasculitis irimo kwangiza ingingo zawe z'ingenzi, n'uburyo bwo kuyirinda.

Indwara ya Vasculitis ntigira ingaruka ku bantu bose kimwe, bityo rimwe na rimwe ishobora kugaragara nk'aho iteye urujijo kandi ikagorana kuyumva. Ariko wizera ibimenyetso by'amara yawe n'umubiri wawe. Ntuzigere wirengagiza cyangwa ngo wirengagize ibimenyetso bishya cyangwa bihinduka . Niba ufite ikibazo, impungenge, cyangwa ubwoba, vugana na muganga wawe. Ashobora kugufasha gusobanukirwa neza ibirimo kuba mu mubiri wawe, uburyo ukeneye bwo kuvurwa, n'uko wakwitwara muri iki kibazo. Ntabwo uri wenyine, kandi hari abaganga bashobora kugufasha muri uru rugendo.

Vasculitis , kubyimba kw'imitsi y'amaraso, indwara ziterwa n'ubwiyongere bw'umubiri, ibimenyetso bya vasculitis, kuvura vasculitis, kubyimba kw'imitsi y'amaraso, rubagimpande