Reka twige ku mitsi miremire iri mu maguru yawe. - Umutsi wo mu gice cyo hagati cy'ikirenge ni iki?

Ese wigeze wibaza uburyo uru rusobe rw'imitsi y'amaraso iri mu maguru yacu, cyane cyane mu gice cy'inyuma, rukora? Ushobora kandi kwibaza impamvu rimwe na rimwe amaguru yacu abyimba kandi imitsi yacu ikagaragara. Igice kimwe cy'ingenzi cyane muri ibyo ni Posterior Tibial Vein. Reka tubiganireho uyu munsi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Iyi mitsi yo mu gice cyo hejuru cy'ikirenge ni iki?

Mu magambo make, imitsi yawe y'inyuma y'ikirenge ni ubwoko bw'imitsi y'amaraso iri mu maguru yawe yo hasi, cyangwa mu maguru. Inshingano yayo nyamukuru ni ugukusanya amaraso mu maguru yawe, ku kaguru, no ku birenge hanyuma ukayasubiza mu mutima wawe . Ufite umutsi umwe w'inyuma w'ikirenge muri buri kuguru kwawe kw'iburyo n'ibumoso.

Noneho reba, imitsi yo mu mubiri wacu ni igice cy'ingenzi cyane cy'urusobe rw'amaraso. Ni yo igarura amaraso yakoreshejwe kandi adahumeka mu mutima avuye mu bice bitandukanye by'umubiri. Tekereza nk'uburyo bukura amazi ashaje mu mibiri yacu bukadufasha kubona amazi mashya.

Muri make, uburyo amaraso atembera neza ni ubu bukurikira:

• Amaraso ava mu mutima ajyana ogisijeni kuri buri ngingo n'ingingo zose z'umubiri. Aho ngaho, atanga ogisijeni kandi agatwara dioxyde de carbone, imyanda.
• Hanyuma, imitsi yawe igarura aya maraso adafite ogisijeni, akungahaye kuri dioxyde de carbone mu mutima wawe.
• Umutima wohereza aya maraso mu bihaha. Ibihaha bikuramo dioxyde de carbone mu maraso bikongeramo ogisijeni nshya. (Ibi ni byo bibaho iyo duhumeka tukongera tugasohora.)
• Amaherezo, amaraso meza kandi yuzuye ogisijeni asubira mu mitsi yawe ajya mu bice byose by'umubiri wawe.

Tumeze neza kuko uru rugendo rukomeje.

Ese umutsi wo mu gice cy'imbere cy'ikirenge ni umutsi wimbitse?

Yego, nibyo. Imitsi yawe y'inyuma y'igituza ni ubwoko bw'imitsi y'inyuma y'inyuma . "Iy'inyuma" bivuze ko itagaragara ku ruhu, ahubwo iherereye mu mitsi y'ukuguru, hafi y'amagufwa.

Ni ubuhe bwoko bw'imitsi miremire iri mu maguru?

Munsi y'ivi, mu kuguru ko hasi, hari ubwoko butatu bw'ingenzi bw'imitsi miremire. Iyi mitsi yose uko ari itatu iherereye hafi ya yose hamwe. Yose uko ari itatu ikusanya amaraso mu bice by'ikibuno cyawe, ku kaguru, no mu birenge byawe.

• Imitsi yo mu gice cy'imbere cy'uruti rw'umugongo : Iyi mitsi ikusanya amaraso mu gice cyo hejuru cy'uruti rw'umugongo ("dorsum" nk'uko abaganga bayita). Iherereye inyuma y'uruti rw'umugongo.
• Imitsi yo mu gice cyo hasi cy'amagufwa : Iyi ni yo mitsi tuvuga. Ikusanya amaraso mu gice cyo hasi cy'amagufwa. Iherereye imbere mu maguru.
• Imitsi yo mu gice cy'imbere cy'uruti rw'umugongo: Iyi mitsi ikura amaraso mu gice cyo hanze cy'uruti rw'umugongo (icyo abaganga bita "Lateral Aspect"). Iherereye hagati mu maguru.

Tekereza kuri iyi mitsi itatu nk'inzira eshatu nto ziri imbere mu kaguru, buri nzira ikusanya amaraso mu gace kayo igahurira n'umuhanda munini (ugana ku mutima).

Umutsi wo mu gice cyo hejuru cy'ikirenge ukora iki?

Akamaro k'ingenzi kandi koroshye k'ibi ni ugukusanya amaraso mu maguru yawe yo hasi ukayasubiza mu mutima wawe . Ni nk'aho serivisi yo gukusanya imyanda. Amaraso yakoreshejwe arakusanywa yoherezwa kugira ngo yozwe.

Iyi mitsi yo mu gice cy'inyuma cy'umugongo iherereye he?

Imitsi yawe y'inyuma y'ikibuno itangirira ku kaguru kawe . Kuva aho, izamuka imbere mu igufwa ryawe. Irangirira munsi y'ivi ryawe.

Iyo imitsi ya popliteus, iri imbere mu ivi kandi igafasha mu gutuza ivi, igeze aho iyi mitsi yo mu gice cy'inyuma cy'ikibuno ihurira n'imitsi yo mu gice cy'inyuma cy'ikibuno yavuzwe haruguru. Hanyuma, iyi mitsi yombi irahurira hamwe igakora umutsi munini witwa umutsi wa popliteal . Uyu mutsi wa popliteal ukomeza kuzamuka cyane ugahurira n'umutsi wo mu kibuno mu itako.

Ni izihe ndwara zikunze kugira ingaruka ku mitsi yo mu gice cy'inyuma cy'umugongo?

Ikibabaje ni uko rimwe na rimwe iyi mitsi y'ingenzi ishobora no guhura n'ibibazo bitandukanye. Dore zimwe mu ndwara zishobora kubitera:

• Uduce tw'amaraso : Iki ni cyo gihe amaraso arushaho kubyimba, agahinduka agace k'amaraso, kandi akabuza amaraso gutembera. Ibi bishobora guteza akaga gakomeye.
• Kunanirwa k'imitsi mu mitsi : Ibi bibaho iyo imitsi yo mu mitsi yo mu maguru idakora neza, bigatuma amaraso asubira mu mutima bigorana. Ibi bishobora gutuma amaraso yivanga mu maguru yo hasi, bigatera kubyimba no kubabara.
• Kuziba kw'imitsi miremire (DVT) : Ibi bibaho iyo amaraso acitse mu mitsi miremire, nko mu mitsi yo mu gice cy'inyuma cy'ikirenge. DVT ni indwara isaba ubuvuzi bwihutirwa.
• Imitsi ya Varicose : Iyi ni imitsi y'ubururu igoramye, ibyimbye, bamwe babona mu maguru yabo. Iyi ndwara iterwa no gucika intege kw'inkuta z'imitsi cyangwa kwangirika kw'imitsi.

Icy'ingenzi: Niba ugize ikibazo cyo kubyimba, gutukura, ubushyuhe, no kubabara ukuguru kwawe, bishobora kuba ikimenyetso cya DVT. Ibi nibibaho, ugomba guhita ubonana na muganga.

Ni ibihe bizamini bikorerwa kugira ngo harebwe ubuzima bw'imitsi yo mu gice cy'inyuma cy'umugongo?

Niba muganga wawe akeka ko hari ikibazo kuri iyi mitsi, ashobora gukora ibizamini byihariye.

• Ultrasound ya Duplex: Ibi bikoresha imiraba ya ultrasound ikoresha ikoranabuhanga rihanitse kugira ngo harebwe uburyo amaraso atembera mu mitsi no mu mitsi yo mu maguru yawe. Iki ni ikizamini kidababaza kandi cyoroshye.
• Venogram : Muri iki kizamini, muganga atera ikintu cyihariye (contrast material) muri imwe mu mitsi yawe. Hanyuma, hafatwa X-ray kugira ngo barebe uko amaraso atembera mu mitsi. Ibi bishobora kwerekana neza ibintu nk'ibiziba mu mitsi.

Ni ubuhe buryo bwo kuvura izi ndwara zigira ingaruka ku mitsi?

Inkuru nziza ni uko ubu hari uburyo bwinshi bwo kuvura izi ndwara. Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura bitewe n'uburwayi bwawe.

• Amasogisi yo gukanda : Aya ni ubwoko bwihariye bw'amasogisi ashyira igitutu ku maguru kandi agatuma amaraso atembera neza.
• Imiti : Muganga ashobora kuguha imiti igabanya amaraso (anticoagulants), ibuza amaraso kuzura. Cyangwa se ashobora kuguha imiti igabanya amaraso, ikuraho amazi arenze urugero mu mubiri.
• Guca Uturemangingo tw’amagufwa : Muri ubu buryo, muganga agabanya ibinure igice cy’ukuguru maze agakuraho imitsi imeze nabi akoresheje urushinge ruto.
• Uburyo bwo kuvura indwara hakoreshejwe katheteri : Muri ibi, muganga ashyira umuyoboro muto (katheteri) mu mutsi maze agatera umuti ushongesha amaraso.
• Ubuvuzi bwa Laser : Ubu buryo bukoresha urumuri rwa laser kugira ngo buzibe umutsi wangiritse.
• Ubuvuzi bwa sclerotherapy : Muri ubu buryo bwo kuvura, muganga atera umuti mu mitsi yangiritse. Hanyuma imitsi iragabanuka ikanashonga, bigatuma idashobora gutwara amaraso.
• Kubagwa : Hari ubwo imitsi yangiritse ishobora kuba ngombwa ko ibagwa cyangwa igasanwa. Ubundi buryo, hakoreshejwe uburyo bwo kunyura mu mitsi bushobora gukoreshwa mu guhindura amaraso azenguruka imitsi yangiritse, cyangwa imitsi mizima iva mu kindi gice cy'umubiri ishobora gukoreshwa nk'urushinge.

Ni izihe nama zoroshye zo mu buzima kugira ngo imitsi yo mu gice cy'inyuma cy'umugongo ikomeze kugira ubuzima bwiza?

Hari ibintu bike byoroshye dushobora gukora kugira ngo imitsi yo mu maguru yacu ndetse n'imiyoboro yose y'amaraso ikomeze kugira ubuzima bwiza. Ni byiza cyane iyo tubigize akamenyero.

• Irinde kurenga amaguru yawe wicaye . Ibi bishobora kubangamira urujya n'uruza rw'amaraso.
• Komeza amaguru yawe azamuwe . Ibintu nko kugumana amaguru yawe ku ntebe ntoya igihe wicaye ku ntebe, no kugumana umusego munsi y'amaguru yawe igihe usinziriye bishobora gufasha amaraso gusubira mu mutima.
• Imyitozo ngororamubiri buri gihe . Imyitozo ngororamubiri nko kugenda, kwiruka no koga ikora neza imitsi yo mu maguru yawe kandi ikanatuma amaraso atembera neza.
• Koresha amasogisi yo gukanda niba uhagaze cyangwa wicaye igihe kirekire . Ibi birafasha cyane cyane niba akazi kawe gasaba ko uhagarara igihe kirekire.

Ubutumwa bwo kujyana mu rugo

Imitsi yawe yo mu gice cy'inyuma cy'ikirenge ni yo mitsi iri mu maguru yawe yo hasi . Ikusanya amaraso mu birenge no mu maguru yawe ikayasubiza mu mutima wawe. Hari indwara zimwe na zimwe zishobora gutera ibibazo mu gutembera kw'amaraso muri iyo mitsi. Ariko ntugahangayike. Niba ufite ikibazo kigira ingaruka ku gutembera kw'amaraso yawe, muganga wawe ashobora kukugira inama yo kuvura byoroshye kandi bitababaza nko kwambara amasogisi yo gukanda. Ikintu cy'ingenzi ni ugushaka inama z'abaganga ako kanya niba ubonye kubyimba kudasanzwe, ububabare, cyangwa imitsi ibyimbye mu maguru yawe. Muri ubu buryo, ibibazo byose bishobora kumenyekana no kuvurwa vuba.

Imitsi yo mu gice cy'inyuma cy'ikirenge, Imitsi yo mu kirenge, Imitsi yo mu kirenge, Imitsi itembera mu maraso, Ibibyimba by'amaraso, Imitsi ya Varicose, DVT