Ese uzi uyu mutsi w'amaraso uri inyuma y'ivi (Popliteal Artery)? Uburyo bigira ingaruka ku bibazo by'amaguru!

Uyu munsi tugiye kuvuga ku gice cy'amaguru yacu gifite akamaro kanini ku buzima bwabo, ariko akenshi tukirengagiza. Ni umuyoboro w'amaraso witwa Popliteal Artery . Ushobora kuba utarabyumva. Ariko ni ingenzi kugira ngo amaraso agere ku kuguru kwawe, inyuma y'ivi ryawe. Reka turebere hamwe icyo ari cyo, ibibazo bishobora guterwa, n'uburyo bwo kugikomeza.

Umutsi wa Popliteal ni iki? Uherereye he?

Mu magambo make, umutsi wa Popliteal ni umutsi munini w'amaraso mu maguru yawe. Mu by'ukuri, ni ishami ry'umutsi munini w'amaraso mu itako ryawe witwa Femoral Artery . Utangirira hagati mu itako ryawe, hanyuma ukajya inyuma y'ivi ryawe, hanyuma ukazamura amaraso ukayageza ku kuguru kwawe ko hasi. Wowe cyangwa umuganga wawe mushobora kumva Popliteal Pulse mu gushyira ikiganza cyawe inyuma y'ivi ryawe.

Amaguru yacu yombi, ni ukuvuga ukuguru kw'iburyo n'ukuguru kw'ibumoso, afite umutsi w'amaraso wa popliteal.

Ese uyu mutsi w'amaraso uzagenda wigabanyamo kabiri?

Yego, munsi y'ivi, umutsi wa popliteal wigabanyamo amashami mato. Ay'ingenzi ni umutsi wa tibial w'imbere n'umutsi wa tibioperoneal (rimwe na rimwe witwa umutsi wa tibiofibular ). Umutsi wa tibioperoneal ni wo ujyana amaraso inyuma y'igufwa ryawe no ku igufwa rito riri inyuma y'ukuguru kwawe (fibula).

Iyi mitsi mito yose iterana muri ubu buryo, amaherezo iraterana kugira ngo itange amaraso yuzuye ku birenge byawe. Tekereza nk'igiti gikura mu mizi kijyana amazi ku mababi.

Akamaro k'imitsi ya Popliteal ni akahe?

Umutsi wa Popliteal ni igice cy'ingenzi cyane cy'imitsi ijyana amaraso mu mubiri wacu. Ugwa mu cyiciro cy'imitsi yo mu gice cy'imbere . Ni ukuvuga imitsi itwara amaraso kuva mu mutima ikayajyana mu bice by'umubiri biri kure.

Umutsi wa Popliteal utanga amaraso ahanini kuri:

• Igufwa rito riri inyuma y'ukuguru kwawe (`Fibula`).
• Umwobo uri inyuma y'ivi n'ivi (`Popliteal Fossa`).
• Ku mitsi n'imitsi yo mu kaguru ko hasi.
• Igufwa rinini riri imbere mu kuguru (`Tibia`).
• Nanone, ku maguru n'ibirenge.

Bityo rero urashobora kubona akamaro k'imitsi ya Popliteal mu mikorere myiza y'amaguru yacu. Iyo hari ikibazo kuri ibi, amaraso atembera mu maguru ashobora kugabanuka.

Ni izihe ndwara zifata iyi mitsi?

Ikibabaje ni uko umutsi wa Popliteal Artery ushobora no kwibasirwa n'indwara zitandukanye. Reka turebere hamwe ibyo ari byo:

• Indwara ya Cystic Adventitial: Iyi ni indwara aho cyst ikora mu rukuta rw'imitsi ya popliteal. Ibi bigabanya amaraso atembera kandi bikagabanya urujya n'uruza rw'amaraso. Uko igihe kigenda gihita, imitsi ishobora kuba mito (Popliteal Artery Stenosis). Ibi bikunze kugaragara ku bagabo . Ushobora kugira ububabare mu kaguru ko hasi, cyane cyane iyo ugenda cyangwa ukoze imyitozo ngororamubiri. Ubu bubabare bukunda kwiyongera uko igihe kigenda gihita. Iki kimenyetso twita Intermittent Claudication .

• Umutsi wo mu mitsi ya popliteal: Umutsi wo mu mitsi ni igice gito cy'urukuta rw'imitsi kibyimba nk'umupira w'amaguru. Iki gikomere gica intege urukuta rw'imitsi kandi bigatuma rushobora guturika. Iyo umutsi wo mu mitsi ya popliteal ugaragaye, amaraso ashobora kuzura imbere muri wo. Iyo umutsi wo mu mitsi uhagaritse burundu urujya n'uruza rw'amaraso, ukuguru ko hasi gushobora gucibwa niba bitamenyekanye kandi ngo bivurwe ku gihe. Umutsi wo mu mitsi ya popliteal Aneurysm ni wo bwoko bwa kabiri bukunze kugaragara bwa aneurysm nyuma ya Aneurysms ya Aortic yo mu nda. Iyi ndwara kandi ikunze kugaragara ku bagabo.

• Indwara yo Kugabanya Imitsi ya Popliteal (PAES): Iki ni igihe imitsi n'imitsi yo mu gice cy'ivi bikanda imitsi ya popliteal. Ibi bitera ububabare bw'imitsi no kuribwa mu gice cy'ivi mu gihe cy'imyitozo ngororamubiri, nko kugenda n'amaguru. Ibi kandi byitwa intermittent claudication . Iyi ndwara, yitwa PAES , ikunze kugaragara ku bakinnyi, cyane cyane ku bagabo bari munsi y'imyaka 30. Tekereza nko gukanda umuyoboro w'amazi ugahagarika gutemba.

• Indwara ya Atherosclerosis y'imitsi yo mu bwoko bwa Popliteal Artery: Iyi ni yo abantu benshi bumvise. Iterwa n'ibinure byinjijwe mu mitsi, bikayifunga (bikayifunga). Ibi bishobora gutuma amaraso atembera nabi, ibisebe (gupfa kw'ingingo), ndetse n'ibyago byo gucibwamo ibice. Kimwe n'izindi ndwara zo mu mitsi yo mu bwoko bwa occlusive peripheral artery , ishobora kugaragara cyane mu banywi b'itabi, diyabete, abantu barengeje imyaka 65, ndetse n'abafite cholesterol nyinshi.

• Kuva amaraso mu mitsi yo mu bwoko bwa Popliteal Artery: Urugero, imvune ikomeye ku iviBitewe n'ikintu nk'ikivungagurika mu ivi, umutsi wa popliteal ushobora guturika no kuva amaraso.

• Popliteal Cyst cyangwa Baker's Cyst: Iyi ni indwara ikunze kugaragara cyane. Ishobora kuboneka byoroshye hakoreshejwe ultrasound . Iyi ni cyst yuzuye amazi ikora inyuma y'ivi. Ibi bishobora gutera ububabare no kubyimba. Ishobora kandi gutuma bigorana kunama no kwimura ivi. Impamvu y'iyi cyst ya Baker ni ingaruka ku ngingo y'ivi, byaba biterwa na rubagimpande cyangwa kwangirika kwa meniscus . Nubwo iyi cyst iba inyuma y'ivi, ubusanzwe ntigira ingaruka ku mikorere y'imitsi ya popliteal.

Ni izihe mpamvu n'ibintu bishobora gutera indwara y'imitsi yo mu bwoko bwa Popliteal Artery?

Hari ibintu byinshi bishobora gutera indwara ziterwa n’imitsi itera indwara z’imitsi. Ibyo ni ibi bikurikira:

• Kuba afite indwara y'imitsi ifata imitsi y'umutima .
• Diyabete (Diabete Mellitus).
• Umuvuduko w'amaraso ukabije.
• Kolesteroli nyinshi.
• Kuba umugabo (hari indwara zimwe na zimwe zikunze kugaragara ku bagabo).
• Umubyibuho ukabije.
• Kunywa itabi cyangwa gukoresha ibikomoka ku itabi.

Niba ibi bintu bihari, ni byiza kwitonda gato, sibyo?

Ibimenyetso ni ibihe? Twabimenya dute?

Mu bihe byinshi by’indwara y’imitsi ifata imitsi, ikimenyetso nyamukuru ni ububabare cyangwa kuremererwa mu maguru, cyane cyane iyo umuntu agenda cyangwa akora indi myitozo ngororamubiri . Ubu bubabare, kubabara mu nda no kuremererwa bishira iyo umuntu aruhutse. Abaganga bita iki kibazo intermittent claudication .

Uretse ibyo, ushobora no kugira ibimenyetso nk'ibi:

• Kubyimba (edema) mu kaguru ko hasi.
• Ibikomere bidakira ku birenge (Ibisebe by'ibirenge).
• Kubabara mu gice cy'ivi, inyuma y'ivi (Popliteal Fossa) cyangwa mu kirenge.
• Kubura ibinya cyangwa ubukonje mu maguru.
• Ihinduka ry'ibara ry'uruhu ku kuguru.

Niba ufite ikibazo nk'iki, ni byiza kujya kwa muganga vuba bishoboka.

Iyi ndwara ipimwa ite? Ni ubuhe bwoko bw'ibizamini abaganga bakora?

Iyo ugiye kwa muganga, azakubaza ibimenyetso byawe kandi akagusuzuma. Byongeye kandi, ibizamini bikurikira bishobora gukorwa kugira ngo hamenyekane niba ufite indwara zijyanye n'imitsi yo mu bwoko bwa popliteal:

• Gufata Amajwi y'Umuvuduko w'amaraso (PVR): Ibi bikoresha icyuma gipima umuvuduko w'amaraso n'igikoresho cyitwa Doppler kugira ngo umenye ingano y'amaraso atemba ajya ku maguru yawe.Igipimo cy'ikimenyetso cy'ikirenge n'ikibuno (ABI) kibarwa.
• Ultrasound y'imitsi: Ibi bishobora kureba uko amaraso atembera mu maguru yawe. Bisa n'isuzuma rikorerwa ababyeyi batwite, ariko iri ni iry'imitsi y'amaraso.
• Angiogramu: Hari ubwoko butandukanye bw'ibi. Urugero, ushobora kuba ufite Magnetic Resonance Angiogramu (MRA) cyangwa CT Angiogramu (CTA) . Ibi bireba aho amaraso adatembera neza mu maguru yawe.
• Angiografiya ya Catheter: Iki ni ikizamini kigoye gato. Gikorwa hifashishijwe katheteri mu mubiri. Akenshi gikorwa nyuma y'ibindi bizamini byakozwe kandi hakenewe andi makuru.

Ni ubuhe buryo bwo kuvura izi ndwara?

Uburyo bwo kuvura indwara y'imitsi ifata imitsi butandukana bitewe n'uko imeze. Uburyo bw'ingenzi bwo kuvura ni ubu bukurikira:

• Imiti: Imiti ishobora gutangwa kugira ngo igabanye umuvuduko w'amaraso, igabanye cholesterol, kandi ikarinda kubyimba kw'amaraso.
• Uburyo bwo gupima no gupima imitsi ya Catheter: Ibi bikubiyemo gushyiramo umwuka ufunganye w’amaraso ukoresheje igikoresho gisa n’ikirahure hanyuma ugashyiramo stent ( igikoresho gisa n’urushundura) kugira ngo idakomeza gufungana.
• Gushyira amaraso mu buryo butaziguye: Guhanga inzira nshya amaraso atemberamo binyuze mu kunyura mu mitsi yazibye no guhuza igice gishya cy'imitsi y'amaraso ('igishishwa'). Ni nko gufata indi nzira iyo umuhanda ufunze.
• Kubagwa: Hari igihe biba ngombwa kubagwa kugira ngo haveho utunyangingo twavuzwe haruguru, cyangwa kugira ngo imitsi cyangwa imitsi ikandagira ku mutsi wa popliteal.

Ni gute twakomeza kugira ubuzima bwiza mu mitsi yacu ya Popliteal? Uburyo bwo kwirinda

Bagira bati: "Kwirinda biruta kwivuza." Dore ibintu bimwe na bimwe ushobora gukora kugira ngo imitsi yawe ya popliteal ikomeze kubaho neza, ndetse n'imiyoboro yose y'amaraso ikomeze kugenda neza:

• Niba unywa itabi, rekera aho. Ni kimwe no gukoresha ibikomoka ku itabi.
• Kora imyitozo ngororamubiri iminsi myinshi mu cyumweru. Ni byiza kandi kugenda n'amaguru nibura iminota 30 ku munsi.
• Kurya indyo yuzuye umutima irimo cholesterol nkeya, ibinure n'umunyu. Kurya imboga nyinshi, imbuto n'ibinyampeke byuzuye.
• Komeza kugira ibiro bizima.
• Niba ufite indwara nka diyabete, cholesterol nyinshi, cyangwa umuvuduko w'amaraso ukabije, genzura neza. Fata imiti wahawe na muganga ku gihe.

Ni ryari ugomba gushaka inama kwa muganga? Ni ibihe bimenyetso byagombye gutuma ubonana na muganga?

Niba ufite kimwe muri ibi bimenyetso, menya neza ko wagiye kwa muganga kugira ngo akugire inama:

• Ibikomere bidakira ku kaguru cyangwa ku kirenge.
• Niba ubabara iyo ugenda, cyangwa niba bigoye kugenda cyangwa kwimura ukuguru kwawe.
• Niba amaguru yawe abyimbye nta mpamvu.
• Iyo habayeho impinduka mu bushyuhe cyangwa ibara ry'ukuguru (urugero, ukuguru kumwe gusa n'aho gukonje kurusha ukundi, cyangwa gusa n'aho ari umweru).
• Niba ubabara amaguru nubwo waba uri mu kiruhuko.

Niba ufite gushidikanya kuri ibi bintu, ntukabirengagize. Gushaka inama kwa muganga hakiri kare bishobora kugufasha kugenzura ikibazo mbere yuko kiba ikibazo gikomeye.

Ubutumwa bwo kujyana mu rugo

Noneho rero, ubu usobanukiwe neza imitsi ya Popliteal twavuzeho uyu munsi. Iyi ni imitsi y'amaraso y'ingenzi cyane iva mu kibero cyacu, ikajya inyuma y'ivi, igatanga amaraso mu bice byo hasi by'ukuguru.

Indwara y'imitsi ifata imitsi ishobora gutera ibibazo mu gutembera kw'amaraso, nko kubabara mu buryo butunguranye (ububabare buterwa no kugenda no kuruhuka). Mu bihe bimwe na bimwe bikomeye, ishobora no gutuma ukuguru gucika.

Bityo rero, ni ingenzi cyane gukurikiza ubuzima bwiza (indyo nziza, imyitozo ngororamubiri, no kureka kunywa itabi) no kugenzura ibintu bishobora gutera ibyago . Niba ufite ibimenyetso, ntutindiganye gushaka inama kwa muganga. Hanyuma, ibizamini bikenewe bishobora gukorwa kandi hagatangira kuvurwa neza.

Umutsi wa Popliteal , Umutsi wa Popliteal, Umutsi uri inyuma y'ivi, Iterambere ry'amaraso mu maguru, Ububabare bw'amaguru, Indwara y'uruhu ifata igihe gito, Aneurysm y'imitsi ya Popliteal