Ese wari uzi ku mitsi itangaje y'amaraso mu mibiri yacu? (Gutembera kw'amaraso mu buryo bw'ingufu) Reka tuganire!

Uyu munsi tugiye kuvuga ku kintu gitangaje kandi cy'ingenzi mu mubiri wacu . Tekereza, niba umuhanda munini urimo ufunga mu buryo butunguranye, mbega ukuntu ari ingenzi kugira indi mihanda mito yo ku ruhande kugira ngo ugendemo. Mu buryo nk'ubwo, mu mubiri wacu, iyo umuyoboro munini w'amaraso (umuyoboro w'amaraso) ufunze cyangwa wangiritse, hari "uburyo" bw'imiyoboro y'amaraso "busimbura" bushobora gukoreshwa mu mwanya wabwo. Ibi nibyo byitwa (Collateral Circulation) mu buvuzi . Mu magambo make, ibi ni nk'uburyo busanzwe bwo "kunyura" mu mubiri wacu.

None se, iyi nzira y'imitsi y'amaraso (collateral circulation) ni iyihe?

Mu magambo make, inzira y'amaraso inyuramo ni sisitemu y'amaraso y'inyongera cyangwa "iy'inyongera" mu mubiri wawe. Iyi ni imiyoboro y'amaraso ifasha mu kuyobya amaraso iyo umuyoboro w'amaraso munini, nk'imitsi cyangwa umutsi, ufunze cyangwa wangiritse kubera impamvu runaka. Ibi bisa n'uburyo iyo umuhanda munini mu mujyi ufunze, imodoka zifata imihanda yo ku ruhande. Mu gutuma amaraso atembera muri izi nzira zitandukanye, ingingo z'ingenzi zishobora gukomeza kwakira ogisijeni n'intungamubiri zikeneye.

Ubu ni uburyo butangaje bwo kwirinda mu mubiri wacu. Tekereza uko byagenda iyo umuyoboro munini w'amaraso ufunzwe mu buryo butunguranye nta zindi nzira zikoreshwa!

Uku gukwirakwiza kw'ingwate bikora gute? Biratangaje, si byo se?

Yego, biratangaje cyane. Iyi sisitemu (Collateral Circulation ) ikora mu buryo butandukanye.

• Imitsi mito y'amaraso isanzweho: Dufite urusobe rw'imitsi mito cyane y'amaraso ihujwe n'imitsi mito y'amaraso yacu. Mu bihe bisanzwe, iyi mitsi ntikora cyane, nk'imihanda mito idakoreshwa. Ariko, iyo amaraso atembera mu mitsi minini y'amaraso yahungabanye, umubiri urabimenya. Hanyuma, iyi mitsi mito "idakora" irakura buhoro buhoro, irafunguka, kandi igatangira gutwara amaraso menshi.

• Imitsi mishya y'amaraso (Angiogenesis): Hari igihe, iyo umutsi munini w'amaraso ugiye ufunga buhoro buhoro, umubiri wacu ubyumva. Iyo ubonye ikimenyetso cy'uko "nta maraso ahagije atemba hano," umubiri utangira gukora imitsi mishya mito y'amaraso. Iyi nzira yitwa angiogenesis . Iyi mitsi mishya ifasha gutwara amaraso mu gace kafunzwe.

• Ingaruka z'imyitozo ngororamubiri: Wari uzi ko imyitozo ngororamubiri ihoraho , nko kwiruka cyangwa kugenda buhoro buhoro, ishobora gufasha kunoza urujya n'uruza rw'amaraso muri iyi mitsi mishya?Bitera imbaraga mu gutera kwa angiogenesis. Ibi bivuze ko imyitozo ngororamubiri ishobora gukomeza iyi sisitemu yo "gushyigikira".

Uku ni ko umubiri wacu ugerageza guhangana n'ibibazo byo gutembera kw'amaraso mu mubiri.

Ese iyi nzira y'amaraso ikoreshwa mu buryo bunyuranye (collateral circulation) ikunze kugaragara gute? Ese buri wese ayifite?

Twese tuvukana urwego runaka rw'amaraso azenguruka mu mubiri . Ariko, ingano, umubare, n'imikorere y'iyi mitsi y'amaraso ishobora gutandukana bitewe n'umuntu ku wundi. Hari abantu bafite iyi sisitemu ikomeye cyane, abandi ntibayifite. Iratandukanye bitewe n'umuntu ku wundi.

Hari ubwoko butatu bw'ingenzi bw'iyi mitsi y'amaraso isimbura iyindi:

• Imitsi: Iyi ni imitsi minini y'amaraso itwara amaraso akungahaye kuri ogisijeni iva mu mutima ijya mu bice byose by'umubiri .
• Utunyangingo tw'amaraso: Iyi ni imitsi mito cyane y'amaraso. Ikwirakwira nk'umuyoboro. Itanga ogisijeni n'intungamubiri mu turemangingo kandi igakusanya imyanda nka dioxyde de carbone.
• Imitsi: Iyi ni imitsi itwara amaraso adafite ogisijeni , akungahaye kuri dioxyde de carbone mu mutima iturutse mu bice bitandukanye by'umubiri.

Rero ubwoko bwose butatu bw'imitsi y'amaraso, imitsi, imitsi, n'imitsi yo mu bwonko, bushobora gukora nk'iyi nzira y'ubusa yo gutanga amaraso.

Ni mu bihe bibazo by'ubuzima iki gikorwa cyo kugabanya umubare w'abaguzi gifite akamaro kanini?

Iyi sisitemu (Collateral Circulation) ishobora gukoreshwa kandi igafasha mu ndwara zitandukanye zibangamira urujya n'uruza rw'amaraso, ni ukuvuga kugabanya urujya n'uruza rw'amaraso mu mitsi. Dore ingero nke:

• Ateriosclerosis : Ibi bibaho igihe ibinure na cholesterol byirundanyije mu nkuta z'imitsi, bigafunga imitsi, bigahagarika amaraso gutembera.
• Indwara y'imitsi itera umutima: Indwara z'umutima ziterwa no kuziba kw'imitsi itera umutima amaraso.
• Ischemic Stroke: Iyi ndwara ibaho iyo umutsi utanga amaraso mu bwonko uzibye cyangwa hagatangira kuzura amaraso.
• Indwara y'imitsi yo mu gice cy'imbere (PAD): Iyi ndwara iterwa no kugabanuka kw'imitsi itanga amaraso, cyane cyane ku maguru. Kimwe mu bimenyetso byayo ni ububabare mu maguru iyo umuntu agenda.

Ariko hari ikintu cy'ingenzi cyane cyo kwibuka! Iyi gahunda (Collateral Circulation) ihora igizweho ingaruka n'igabanuka ry'amaraso (Ischemia) riterwa n'izi ndwara.Ntibishobora kwirindwa burundu. Kuko, mbere yuko umuyoboro mukuru w'amaraso ufungwa burundu, iyi miyoboro ikwiye gukura vuba bihagije kandi ikabasha gutwara amaraso ahagije. Kubwibyo, niba ufite bene ibyo bibazo, nubwo waba ufite andi maraso meza, ugomba gushaka ubuvuzi. Ibi ni ubufasha gusa, si igisubizo cyuzuye.

Iyi ngwate imara igihe kingana iki?

Iyo iyi gahunda (collateral circulation) itangiye gukora, iyo miyoboro mito y'amaraso irakura buhoro buhoro igatangira gutwara amaraso menshi. Iyi miyoboro mito ishobora gutanga amaraso asanzwe mu gihe cy'amezi menshi, wenda n'imyaka myinshi.

Ariko, uko igihe kigenda gihita, cyane cyane uko tugenda dusaza, iyi miyoboro y'amaraso ishobora kugabanuka buhoro buhoro, cyangwa igatangira kuba mito. Iyi nzira yitwa rarefaction . Iyi ndwara ikunze kugaragara cyane ku bantu bafite indwara z'umutima n'imitsi . Iyo iyi miyoboro y'amaraso igabanutse, ubushobozi bwayo buragabanuka. Hanyuma, iyo umuyoboro munini w'amaraso wongeye kuziba, ibimenyetso birushaho kugaragara.

Ni mu bice ibihe by'umubiri iyi mitsi y'amaraso isanzwe (collateral circulation) ikunze kuba iherereyemo?

Izi nzira zisimbura izi zikoreshwa mu gusohora amaraso zishobora kuba mu bice bitandukanye by'umubiri wacu. Urugero:

• Inda
• Amaboko
• Ubwonko
• Ibirenge n'amaguru
• Mu mutima (Umutima)
• Ibihaha

Mu by’ukuri, ubu buryo (Collateral Circulation) ni ingamba umubiri ukoresha kugira ngo utsinde inzitizi mu gutembera kw’amaraso. Ariko, nk’uko byavuzwe mbere, ubu buryo si uburyo bushoboka bwo gukumira burundu ibyangiritse biterwa n’indwara nka stroke n’indwara nka (PAD) . Ntabwo kandi bushobora guhagarika burundu indwara y’umutima cyangwa stroke. Ariko, mu bihe bimwe na bimwe, bushobora kugira akamaro cyane, ndetse bushobora no kurokora ubuzima.

Ni ibihe byiringiro by'ibi mu gihe kizaza?

Abashakashatsi mu by'ubuvuzi bakomeje kwiga ibi (collateral circulation) bashishikajwe cyane. By'umwihariko, ubushakashatsi burimo gukorwa ku kumenya niba imitsi y'ubukorano ishobora gukorwa no gukoreshwa. Iyo ikintu nk'icyo kigenze neza, bizashoboka kongera ubushobozi bw'umubiri bwo guhangana n'indwara zitandukanye zibangamira itembera ry'amaraso. Ibyo ni ibyiringiro bikomeye.

None se, ni ibihe bintu by'ingenzi tugomba kwibuka muri ibi? (Ubutumwa bwo kujyana mu rugo)

Sawa, reka twibuke bimwe mu bintu by'ingenzi twavuzeho (Gukoresha Ingwate) :

• Gutembera kw'amaraso mu mubiri ni uburyo busanzwe bwo "gusubiza amaraso mu mubiri" wacu.Iyo umutsi munini w'amaraso uzibye, uhita utabara.
• Ubu ni uburyo bwo kwirwanaho bw'umubiri. Hari igihe bushobora kuba ingirakamaro cyane ndetse bukanarokora ubuzima.
• Imyitozo ngororamubiri ihoraho ifasha iyi mitsi y'amaraso ikura.
• Ariko, iki si igisubizo cyuzuye cy’indwara. Niba ufite indwara nka (Atherosclerosis) , (Indwara y’imitsi itera indwara) , (Ingaruka zo gucika kw’imitsi), cyangwa (PAD) , ugomba gushaka inama n’ubuvuzi kwa muganga.
• Ingufu z'izi nzira zishobora kugabanuka uko imyaka igenda ishira cyangwa indwara zimwe na zimwe.
• Gukomeza ubuzima bwiza , cyane cyane kurya indyo yuzuye umutima no gukora imyitozo ngororamubiri, bifasha iyi nzira nshya, ndetse n'inzira zose z'amaraso, kugumana ubuzima bwiza.

Rero, imibiri yacu iratangaje koko, si byo se? Biratangaje ukuntu bateguye uburyo bugoye cyane bwo kwirinda. Ariko, nubwo bafasha ubwo buryo bw’ubudahangarwa karemano, ni ngombwa kandi ko twita ku buzima bwacu.

Imitsi y'amaraso yindi , inzira z'inyongera z'amaraso, Gutembera kw'amaraso mu buryo bwa Collateral, gutembera kw'amaraso mu buryo bwa circulation, indwara z'umutima, kuziba kw'imitsi, angiogenesis