Ese uzi iyi mitsi y'ingenzi iri mu ijosi ryawe? (Imitsi yo mu ijosi) Reka tubiganireho!

Ese wigeze wibaza ku rusobe rw'imitsi iva ku mutwe wacu ikagera mu gituza, kandi ikaba ifite inshingano ikomeye cyane? Iyo ni imitsi iva ku mutwe. Iyi ni nk'inzira nini zitwara amaraso yakoreshejwe ava ku mutwe wacu akayajyana mu mutima wacu. Uyu munsi rero turaganira kuri iyi mitsi iva ku mutwe, akamaro kayo, ibibazo bishobora kubaho, n'uburyo bwo kuyikomeza.

Imitsi yo mu mutwe ni iyihe? Iherereye he?

Mu magambo make, umutsi wo mu jugular ni urusobe rw'imitsi y'amaraso ruturuka ku mutwe wacu rugana mu gituza cyacu cyo hejuru. Ubusanzwe hari imitsi itatu, yose hamwe ikaba itandatu. Buri imwe muri iyi ikusanya amaraso mu bice bitandukanye by'umutwe ikayajyana mu mutima. Noneho reka turebe ubwoko bw'imitsi n'aho iherereye.

• Imitsi yo hanze y'umutwe: Iyi ni imitsi itwara amaraso iva hanze y'umutwe wacu. Tekereza ko ari imitsi yitwa imitsi yo mu mutwe inyuma y'umutwe wacu kandi inyura ku mpande zose z'umugongo wacu. Ijambo "inyuma" risobanura ko iherereye hagati y'imitsi minini y'ijosi n'uruhu, bivuze ko iherereye hafi gato y'uruhu.
• Imitsi yo mu mutwe: Iyi mitsi ni minini gato ugereranyije n'imitsi yo hanze twavuze mbere. Iyi mitsi ifasha kugarura amaraso ava mu bwonko mu gituza. Itangirira mu gahanga kacu. Hanyuma, kimwe n'imitsi yo hanze, inyura mu mugongo ku mpande zombi. Ariko itandukaniro rikomeye ni uko iba iri munsi y'imitsi minini y'ijosi, bivuze ko iri imbere gato mu mubiri. Umutsi wo mu mutwe w'imbere ku ruhande rw'iburyo ni munini gato ugereranije n'uw'ibumoso, bityo abaganga bawukoresha kenshi kugira ngo bashyiremo umurongo wa IV.
• Imitsi yo mu mutwe w'imbere: Iyi ni yo mitsi mito cyane mu mitsi yo mu mutwe w'imbere. Yombi iherereye imbere mu ijosi, ku mpande zombi z'umuyoboro w'amazi.

Ni akahe kamaro iyi mitsi ifite ku mibiri yacu?

Ese wari uzi ko ubwonko bwacu bukeneye ogisijeni? Tekereza gato, nubwo ubwonko bw'umuntu bupima ibiro bigera kuri 1.4, 15% kugeza kuri 20% by'amaraso umutima wacu utanga ni byo bijya mu bwonko! Nanone, ibindi bice by'umutwe, nko mu maso, mu mutwe no mu matwi, nabyo bikeneye gutembera neza kw'amaraso kubera impamvu zitandukanye. Rero, nyuma y'uko aya maraso ahaye ogisijeni ubwonko n'ibindi bice by'umutwe, amaraso agomba gusubira mu mutima kugira ngo haboneke inzira yo kubona amaraso mashya. Ibyo ni byo iyi mitsi ikora. Ni ukubera iyi mitsi amaraso atembera neza kandi mu buryo buhoraho mu bwonko no mu bindi bice by'umutwe.

Ni ingenzi cyane, sibyo? Kimwe n'imihanda minini yo mu mujyi, iyo hatabayeho iyi mitsi, amaraso atembera nabi.

Ni gute imitsi yo mu mutwe ifitanye isano?

Nyuma y'uko uyu mutsi wo mu ijosi unyuze mu ijosi, uhuza n'undi mutsi munini. Reka turebe uko bigenda:

• Inyuma: Umutsi wo hanze wa jugular uhujwe n'umutsi wo munsi ya clavian. Umutsi wo munsi ya clavian bivuze "munsi ya clavicle." Clavicle ni igice cy'amagufwa yacu yo mu ijosi.
• Umutsi w'imbere: Umutsi w'imbere w'umutwe nawo uhuza umutsi w'inyuma munsi y'igufwa ryacu. Iyo umaze guhuzwa, uba "umutsi w'imbere." Izina risobanura "ibifitanye isano n'ukuboko n'umutwe."
• Imitsi yo mu mutwe: Iyi ihuza imitsi yo mu mutwe yo hanze.

Amaherezo, iyi mitsi ibiri ya brachiocephalic ihurira munsi gato y'aho ijosi ryacu rihurira n'igituza cyacu, igakora umutsi umwe munini. Witwa "vena cava ikomeye." Uyu ni umwe mu mitsi minini mu mubiri wacu. Amaraso yose yo mu bice byo hejuru by'umubiri wacu ajyanwa mu mutima binyuze muri uyu mutsi.

Ni izihe ndwara zikunze kwibasira iyi mitsi?

Nubwo nta ndwara nyinshi zigira ingaruka ku mitsi yo mu jisho, hari izindi ndwara zishobora kuyigiraho ingaruka.

• Aneurysm : Ubu ni intege nke mu rukuta rw'imitsi itwara amaraso, bigatuma igice cy'imitsi isohoka nk'ibara ry'umupira. Iyo iki kibyimba cyacitse cyangwa kigacika, kuva amaraso menshi bishobora kubaho kandi bishobora gushyira ubuzima mu kaga.
• Diyabete : Nubwo diyabete idakora ku buryo butaziguye ku mitsi yo mu jugular, imitsi yo mu jugular y'imbere ni ahantu hakunze gushyirwa umurongo wa IV cyangwa cannula (umuyoboro muto ukoreshwa mu gutanga imiti). Ibi bishobora kubaho cyane cyane iyo umuntu akeneye dialyse ( dialyse y'amaraso ).
• Stenose: Ni ukugabanya cyangwa kugabanya umutsi w'amaraso. Ibi bishobora guterwa n'ibikomere , inkovu nyuma yo kubagwa, cyangwa indwara zitandukanye.
• Thrombose: Ibi bibaho iyo amaraso apfunditse mu mitsi, cyangwa agatangira gupfundikira mu mitsi. Iyo amaraso apfunditse mu mitsi ari manini, ashobora kubuza burundu gutembera kw'amaraso mu mitsi. Hari igihe amaraso apfunditse mu mitsi nyuma yo kubagwa mu muhogo cyangwa mu ijosi, cyangwa nyuma yo kwandura indwara (nk'indwara ya 'Lemierre') ashobora kuba akaga kuko indwara ishobora gukwirakwira mu mubiri wose igatera indwara ikomeye kandi ishobora gushyira ubuzima mu kaga yitwa 'sepsis'.

Ni ibihe bimenyetso by'ikibazo cy'imitsi yo mu jisho?

Niba hari ikibazo ku mitsi yawe yo mu mutwe, ushobora kugira ibimenyetso bifitanye isano na yo cyangwa mu bice bifitanye isano nayo, nko mu mutwe.

• Kubyimba: Iyo umuvuduko uri mu mitsi wiyongereye, utangira kubyimba hanze. Uku kubyimba rimwe na rimwe bishobora kuba ikimenyetso cy'indwara zikomeye z'umutima nko kunanirwa k'umutima (atari indwara y'umutima, ahubwo ni imikorere mibi y'umutima), tamponade y'umutima (amazi yiyongera ku mutima), cyangwa indwara y'imitsi ifata umutima (indwara y'imitsi ifata umutima).
• Ibibazo by'amatwi: Ubwiyongere bw'umuvuduko mu mitsi nabyo bishobora kugira ingaruka ku matwi yawe. Ushobora kugira isereri, tinnitus (izwi nka "tin-ee-tus" cyangwa "tin-ita-as," ari byo gusa urusaku ruhoraho mu matwi ), cyangwa kumva nabi. Urugero rw'ibi ni pulsatile tinnitus. Ibi bivuze ko wumva umutima wawe mu matwi yawe, nk'ijwi rya "whoosh" cyangwa "whoosh".
• Ibibazo by'amaso: Ubwiyongere bw'umuvuduko uterwa no kutagira amaraso atembera neza mu mitsi yo mu jisho bishobora gutera kutabona neza, kubona kabiri, cyangwa kubyimba amaso.
• Ububabare: Ushobora kugira ububabare mu ijosi, kumererwa nabi, cyangwa kuribwa umutwe.
• Ibibazo byo kubura ibitotsi: Impinduka mu buryo amaraso atembera mu bwonko nazo zishobora kugira ingaruka ku gusinzira kwawe.

Ni gute ugenzura ubuzima bw'iyi mitsi?

Ibizamini bikunze gukoreshwa cyane kugira ngo harebwe uko imitsi yo mu jisho imeze ni isuzuma ry’umubiri n’ibizamini bitandukanye byo gufata amashusho.

• Isuzuma ry'umubiri: Ibi bikubiyemo gushyira umubiri wawe wo hejuru mu mwanya runaka no kugenzura ko umuvuduko w'amaraso mu mitsi yo mu jisho ubyimbye cyangwa uhinduka. Ibi bishobora gusaba ko uhindukiza umutwe wawe ugana ku ruhande, guhumeka no gusohora umwuka, cyangwa muganga ashobora gukanda ahantu hamwe na hamwe mu gituza cyawe cyo hejuru cyangwa mu nda kugira ngo arebe niba umuvuduko w'amaraso mu mitsi yo mu jisho uhinduka.
• Ultrasound y'imitsi: Iyi ikoresha amajwi yo mu bwoko bwa "high-frequency" kugira ngo "irebe" imitsi yawe yo mu bwoko bwa "jugular". Kimwe n'uko udusimba dukoresha amajwi yo mu bwoko bwa "sound waves" kugira ngo tuguruke tudahuye n'imbogamizi.
• CT scan na angiography: CT scan (computerized tomography) ni uburyo bukoresha X-rays na mudasobwa kugira ngo habeho ishusho y'imbere mu mubiri wawe ifite imiterere itatu (3D). CT angiogram ikoresha irangi ryitwa contrast, rishyirwa mu mitsi yawe y'amaraso. Iyi contrast igaragara neza kuri CT scan, bityo ishobora gufasha kubona ahantu amaraso adatembera neza.
• MRI:Ikizamini cya MRI (Magnetic Resonance Imaging) gikoresha rukuruzi ikomeye cyane n'ikoranabuhanga rya mudasobwa kugira ngo hakorwe amashusho y'imbere mu mubiri. Ibi ni ingirakamaro cyane mu gukora amashusho arambuye ashobora gutandukanya ibintu nk'imitsi, imiyoboro y'amaraso, imitsi n'amagufwa.

Ni ubuhe buryo bwo kuvura imitsi yo mu jisho?

Dore bumwe mu buryo busanzwe bwo kuvura butangwa ku ndwara zigira ingaruka ku mitsi yo mu jugular, cyangwa zikoresha imitsi yo mu jugular mu kuvura izindi ndwara:

• Antibiyotike: Izi zishobora gutangwa iyo hari ubwandu bwibasiye imitsi yo mu jisho.
• Imiti igabanya amaraso: Iyi ikunze kwandikirwa abantu bafite ibibazo byo kuvura amaraso nko kuvura amaraso mu mitsi.
• Imirongo ya IV: Ingero zirimo `umurongo wo hagati` na `umurongo wa PICC (Peripherally Inserted Central Catheter)`.
• Kubagwa: Ibi bishobora gufasha imitsi yo mu jugular yazibye cyangwa yangiritse. Hari igihe umuganga ashobora gukuramo imitsi yo mu jugular akayikoresha mu gukora 'inzira' izengurutse imitsi yo mu mutima wawe yazibye. Bitewe n'imitsi yo mu jugular irimo, ushobora kubaho nta ngaruka z'igihe kirekire nyuma yo kuyikuraho cyangwa kuyifunga.
• Utuyungurura twa Vena cava: Utu ni utwuyungurura muganga ashyira mu mutsi wo mu jugular akohereza ku ruhande rumwe rwa "superior vena cava" yawe. Iyo tugezeyo, turwara amaraso mbere yuko tujya mu mutima no mu bihaha. Ibi bifasha kwirinda indwara zishobora gushyira ubuzima mu kaga nka "pulmonary embolism."

Ni gute nakomeza kugira imitsi yanjye yo mu mutwe imeze neza? (Ibuka ibi!)

Dore bimwe mu bintu byiza ushobora gukora kugira ngo imitsi yawe yo mu mutwe ikomeze kugira ubuzima bwiza:

• Wite ku buzima bw'umutima wawe. Indwara z'imitsi ijyana amaraso mu mubiri zishobora no kugira ingaruka ku mitsi minini y'amaraso, harimo n'imitsi yo mu mutwe. Kugira ibiro byiza, kurya indyo yuzuye, no gukora imyitozo ngororamubiri ni ingenzi kuri ibi.
• Witondere ijosi ryawe. Umutsi wawe wo mu jisho, cyane cyane uwo mutsi wo hanze wo mu jisho, ukunze gukomereka no kwangirika. Witondere kandi wambare ibikoresho by'umutekano bikenewe mu gihe ukina siporo (cyane cyane hockey yo mu rubura) cyangwa ukoresha ibikoresho by'amashanyarazi.
• Witondere impinduka mu mubiri wawe. Niba utangiye kugira ibimenyetso nko kubabara mu ijosi cyangwa kubyimba, cyangwa niba ufite ibimenyetso bifitanye isano no kureba cyangwa ubwonko, vugana na muganga. Ni ngombwa gukora, cyane cyane niba ibyo bimenyetso bitangiye kugira ingaruka ku mirimo yawe ya buri munsi.
• Bikomeze bisukuye.Niba ufite agakoresho ko gukamura imitsi mu mitsi yawe, komeza ahantu hakikije umurongo wa IV cyangwa aho ushyira imitsi mu mitsi. Ni ngombwa kandi gukurikiza amabwiriza ya muganga wawe yerekeye uburyo n'igihe cyo kuzunguza ijosi cyangwa umutwe wawe.

Umutsi wo mu jugular ni igice cy'ingenzi cyane cy'urusobe rw'amaraso mu miyoboro yacu, cyane cyane ko ugira ingaruka ku gutembera kw'amaraso mu bwonko bwawe. Nubwo nta ndwara nyinshi ziwugiraho ingaruka, umutsi wo mu jugular ukunze kugira uruhare runini mu gusuzuma no kuvura izindi ndwara. Niba rero ufite gushidikanya ku bibazo bifitanye isano n'umutsi wo mu jugular, vugana na muganga. Azashobora gusubiza ibibazo byawe cyangwa aguhe inzobere ishobora kugufasha kurushaho.

---

Imitsi yo mu ijosi, imitsi yo mu ijosi, gutembera kw'amaraso, gutembera kw'amaraso mu bwonko, indwara z'imitsi, ubuzima bw'umutima