Uyu muganga w’indwara z’imitsi ni nde? Reka tubiganireho mu buryo bworoshye!

Ese wigeze wumva iby’umuganga w’imitsi ? Ushobora gusanga izina ritangaje, cyangwa ukaba utazi neza abo ari bo. Ariko aba ni itsinda ry’abaganga b’inzobere bagira uruhare runini mu kuvura indwara zijyanye n’imitsi ijyana amaraso mu mubiri wacu. Uyu munsi rero turaganira ku bantu abo ari bo, icyo bakora, n’icyaba kibaye nuhura n’umuganga nk’uwo, mu buryo bworoshye cyane.

Uyu muganga w’imitsi ni nde?

Mu magambo make, umuganga ubaga imitsi ni umuganga usuzuma kandi akavura indwara zijyanye n'imitsi y'amaraso mu mubiri wawe, usibye imitsi y'amaraso iri mu mutima wawe no mu bwonko. Tekereza gato, imibiri yacu ifite urusobe rw'imitsi y'amaraso ifite uburebure bwa kilometero 20.000, cyangwa kilometero 96.000! Muri izi harimo imitsi - imitsi itwara amaraso mu mutima ikayajyana mu bindi bice by'umubiri, imitsi - imitsi itwara amaraso mu mubiri ikayajyana mu mutima, n'imitsi ya lymphatic - imitsi itwara amazi ya lymphatic, afasha ubudahangarwa bw'umubiri.

Rero aba baganga b'imitsi ni abahanga bazi neza iyi mitsi yose, uko ikora, n'indwara zishobora kuyibamo. Niba hari ikibazo mu mitsi yawe y'amaraso, aba bantu bashobora kugufasha kucyifata no kugukomeza kugira ubuzima bwiza.

Ushobora guhura n'umwe muri aba baganga mu biro byabo, cyangwa mu bitaro, cyangwa se niba ugomba kubagwa. Aba bantu bafite ubuhanga mu gukemura ibibazo bikomeye by'ubuvuzi no gukora ibijyanye n'imiterere y'umubiri igoye. Mu by'ukuri, rimwe na rimwe bitwa " umuganga w'umuganga." Ibi bivuze ko niba ugize amaraso atunguranye cyangwa imitsi y'amaraso iziba mu gihe cy'ubundi bubagwa, aba baganga b'imitsi ni bo baza kugufasha.

Aba baganga bakora iki?

None se koko umuganga w’imitsi akora iki? Reka turebe.

Aba bantu bavura abantu indwara zigira ingaruka ku yindi mitsi yose y'amaraso, atari umutima cyangwa ubwonko gusa.

• Bazasuzuma ibyago byawe byo kugira ibibazo by'imitsi y'amaraso .
• Gusuzuma indwara.
• Hanyuma hazashyirwaho gahunda yo kuvura ikubereye.

Iyi gahunda yo kuvura ishobora kuba ikubiyemo imiti n'impinduka mu myitwarire yawe ya buri munsi - urugero, gukora imyitozo ngororamubiri no kwitondera ibyo urya n'ibyo unywa.

Hari igihe aba baganga bashobora kugufasha kurokora urugingo rwawe rw'umubiri , rimwe na rimwe ubuzima bwawe . Bashobora gukumira indwara nka stroke , guhagarika aneurysm gucika, no kugabanya ububabare buterwa no kuziba kw'imitsi.

Nanone, uburyo butandukanye bwo kubaga bukorwa kugira ngo havurwe indwara z’imitsi y’amaraso. Muri ubwo buryo harimo uburyo bwo kuvura butari busanzwe , nk’ubukoresha catheter, binyuze mu gukata mato, ndetse no kubagwa mu buryo bugoye, bisaba gukata mato. Hari igihe bakora kandi ubuvuzi buvanze buhuza ibyiza by’uburyo bwombi.

Icy'ingenzi kurushaho, umuganga w'imitsi azamenya wowe ubwawe kandi aguhe ubufasha bw'igihe kirekire . Ibi biterwa nuko indwara z'imitsi akenshi ziba indwara z'igihe kirekire zisaba kwitabwaho imyaka myinshi. Abantu benshi bafite ibibazo by'imitsi na bo bafite izindi ngorane z'ubuzima. Kubwibyo, gahunda zabo zo kuvura zishobora kugorana gato. Muri ibyo bihe, abaganga b'imitsi bakorana n'abandi bahanga kugira ngo bahuze ubuvuzi bwawe.

Ni ubuhe bwoko bw'indwara aba bantu bavura?

Noneho reka turebe indwara z'ingenzi abaganga b'imitsi bavura. Uru rutonde rushobora kuba rurerure gato, kuko bavura indwara zitandukanye:

• Aneurysms y'imitsi yo mu bwonko - Iki ni ikibyimba kiri mu rukuta rw'imitsi yo mu bwonko.
• Ateriosclerosis - Ubu ni bwo bwoko bukunze kugaragara bwa atherosclerosis. Ibi bibaho iyo ibinure byirundanyije mu mitsi, bigatuma imiyoboro y'amaraso igabanuka.
• Indwara z’ubudahangarwa bw’umubiri mu miyoboro y’amaraso - indwara aho ubudahangarwa bw’umubiri bwibasira uturemangingo tw’umubiri.
• Amaraso afungana - Ibi bishobora kubaho mu mitsi cyangwa mu mitsi.
• Indwara y'imitsi ifata imitsi ya Carotid - Iyi ni ukufunga cyangwa kugabanya umutsi munini mu ijosi utanga amaraso mu bwonko.
• Indwara z'imitsi yo mu bwonko - indwara zifitanye isano n'imitsi ijyana amaraso mu bwonko.
• Ischemia idakira ishobora kwangiza amaguru n'amaboko ni indwara ishobora gushyira ubuzima mu kaga iterwa no kudatanga amaraso ku maguru.
• Kudakora neza kw'imitsi mu buryo buhoraho biterwa no kwangirika kw'imitsi mu maguru.
• Kugabanuka k'imitsi yo mu mitsi miremire (DVT) .
• Dialysis(Dialysis) Gutegura no kubungabunga uburyo bwo kubona no kwita ku mpyiko - Ibi ni ngombwa ku bantu bafite ikibazo cy'impyiko.
• Ibisebe byo ku birenge bikomoka kuri diyabete .
• Endoleak (amaraso ava ahantu hatari ho) nyuma yo kuvurwa indwara ya aneurysm idakunze kugaragara.
• Indwara iterwa no gukanda imitsi yo mu nda (Median arcuate ligament syndrome - MALS) .
• Kugabanuka kw'amaraso ajya mu mara (Mesenteric ischemia) .
• Gukanda imitsi yo mu nda (syndrome ya Nutcracker) .
• Gukanda imitsi n'imitsi mu ijosi no mu maboko (syndrome ya Thoracic outlet) .
• Kugabanuka kw'imitsi yo mu maguru (indwara y'imitsi yo mu gice cy'imbere - PAD) .
• Imitsi yo mu mitsi yo mu mpande n'imitsi yo mu mitsi .
• Indwara yo gufunga imitsi yo mu bwoko bwa Popliteal artery syndrome .
• Gukanda imitsi mu kibuno (May-Thurner syndrome) .
• Stroke - Hari igihe ibi biterwa no kuziba kw'imitsi y'amaraso.
• Kuziba kw'imitsi yo mu mitsi ku buryo bworoshye .
• Imitsi y'imitsi ya Varicose .

Iyo urebye uru rutonde, urabona ubwoko bw'indwara aba baganga bavura. Izi ndwara zose ziterwa n'ikibazo runaka mu miyoboro y'amaraso.

Ni ibihe bipimo bikoreshwa mu gusuzuma indwara?

Abaganga b'imitsi n'amatsinda yabo bakoresha ibizamini bitandukanye kugira ngo bamenye ibibazo by'imitsi ijyana amaraso. Dore bimwe muri byo:

• Igipimo cy'ikirenge/ikirenge (ABI) - Iki ni ikizamini cyoroshye kigereranya ingano y'amaraso atembera ku maguru n'umuvuduko w'amaraso mu kuboko.
• X-ray yo mu gituza - Ibi bishobora no kuba ingenzi mu bibazo bimwe na bimwe by'imitsi y'amaraso.
• Angiogramu ya CT - Iyi ni scan yihariye ya CT ishobora gufata amashusho arambuye, y’ibice bitatu (3D) by’imitsi y’amaraso.
• Angiogramu ya Magnetic Resonance (MRA) - Ubu ni ubundi bwoko bwo gusuzuma imitsi y'amaraso. Bukoresha imashini ya MRI.
• Ultrasound y'imitsi / Doppler ultrasound - Iyi ultrasound ikoresha amajwi kugira ngo irebe uko amaraso atembera mu mitsi no kureba niba hari aho imitsi ifunganye. Iki ni ikizamini kidababaza kandi cyizewe.

Ibi bizamini bifasha abaganga kumenya neza ikibazo nyacyo kiri mu mitsi yawe y'amaraso.

Ni ubuhe bwoko bw'ubuvuzi aba bantu bakora?

Abaganga b'imitsi bafite ubushobozi bwo kuvura no kubaga ubwoko butandukanye bw'imitsi. Ibi byose babikora bakurikije uburwayi bwawe, bagahitamo uburyo bukubereye. Dore bumwe muri bwo:

• Kubagwa kwa aneurysm y'imitsi(kubaga Aneurysm) - Ibi bishobora kuba kubaga bisanzwe bifunguye.
• Angioplasty - Uburyo bwo gukuraho plaque cyangwa ibibyimba by'amaraso mu mitsi cyangwa mu mitsi no gufungura imitsi y'amaraso binyuze mu gushyiramo balloon. Hari igihe hashyirwamo stent , umuyoboro muto w'amapine, kugira ngo imitsi ikomeze gufungura.
• Gukuraho ibinure mu mitsi y'amaraso - Gukuraho ibinure mu buryo budakabije (plaque).
• Endarterectomy - Ubundi buryo bwo kubaga bwo gukuraho ibinure mu mitsi y'amaraso (urugero: carotid endarterectomy).
• Gusana imitsi yo mu nda, mu gituza no mu nda (EVAR, TEVAR) - Ubu ni uburyo bwo kuvura bukubiyemo gushyiramo catheter unyuze mu kantu gato mu kibuno no kunyura mu muyoboro, nta gukata cyane.
• Kubaga imitsi minini n'imitsi yo mu maguru bikingiye - kunyura mu mitsi ikingiye no guhanga inzira nshya hakoreshejwe igice cy'umutsi cyakuwe mu kindi gice cy'umubiri cyangwa umuyoboro w'ubukorano.
• Kubaga indwara yo mu kibuno .
• Gushyira stent mu mitsi y'amaraso.
• Gushyiramo akayunguruzo ka Vena cava - Akayunguruzo gato gashyirwa mu mutsi munini kugira ngo hirindwe ko amaraso afungana mu maguru ajya mu mutima cyangwa mu bihaha.
• Gusubiza imitsi mu mitsi ya Transcarotid (TCAR) kugira ngo amaraso atembera neza mu mitsi yo mu ijosi.
• Kubaga imiyoboro y'amaraso n'imitsi yo mu ijosi no mu maboko kugira ngo bikosore uburyo bwo gukanda imiyoboro y'amaraso n'imitsi yo mu ijosi no mu maboko.
• Gutegura no kubungabunga inzira zo kwinjiramo (urugero: fistula, graft) kugira ngo dialyse ikoreshwe .
• Gukuraho amaraso mu mitsi cyangwa mu mitsi ni ugukuraho amaraso apfutse mu mitsi.
• Gutanga imiti igabanya amaraso mu buryo butunguranye (Thrombolytic therapy - clot busters) .
• Kubagwa ku mugaragaro kugira ngo hakosorwe indwara y'imitsi itera imitsi .
• Kubagwa ku mugaragaro kugira ngo hakosorwe disiki ya herniated (Nutcracker syndrome) .
• Gukuraho imitsi idahagije mu mitsi yo mu nda - Ubu ni uburyo bwo kuvura imitsi idakomeye kandi itose mu maguru hakoreshejwe imirasire ya laser cyangwa imiraba ya radiofrequency.

Kuki woherejwe kwa muganga ubaga imitsi?

Umuganga wawe w’ibanze ashobora kukwohereza kwa muganga ubaga imitsi y’amaraso niba ufite ikibazo gituma imitsi y’amaraso idakora neza. Tekereza nawe, imitsi y’amaraso imeze neza ijyana amaraso mu bice byose by’umubiri wawe. Rero, iyo umutsi umwe w’amaraso wangiritse, bishobora kugira ingaruka ku mubiri wose. Niyo mpamvu abaganga b’imitsi y’amaraso bafite uruhare runini mu kumenya ikibazo no kugikosora.

Ubusanzwe, umuntu ahura bwa mbere n'umuganga ubaga imitsi iyo akeneye ubwo bwoko bw'ubuvuzi bwihariye. Ariko, rimwe na rimwe, nko mu gihe cyihutirwa cy'ubuvuzi, ushobora guhura n'umuganga utunguranye.

Ijambo 'umuganga ubaga' rishobora gutera ubwoba. Abantu benshi ntibazi neza icyo umuganga ubaga imitsi ari cyo kugeza igihe bamukeneye. Ariko mu by'ukuri, aba baganga bakora ibirenze kubaga gusa. Bavura ibibazo byinshi bitandukanye bakoresheje imiti, guhindura imibereho, no kuvura indwara zidakunze kugaragara.

Ariko, niba ugiye kubagwa, uzakenera gukomeza kubonana n'uyu muganga kugira ngo akurikirane uko umerewe nyuma. Hanyuma, wowe n'umuganga mushobora gukorana mu gukurikirana ibibazo bishya byose bishobora kuvuka.

Niba muganga wawe yakwohereje kwa muganga ubaga imitsi, ushobora kuba ufite ibibazo byinshi. 'Kuki ngomba kubonana n'uyu muganga?', 'Ni iki kizakurikiraho?', 'Ese nzakenera kubagwa?' Wibuke ko kubera ko abaganga b'imitsi bavura indwara zitandukanye kandi bafite uburyo butandukanye bwo kuvura, ushobora kudakenera kubagwa. Ariko, niba bikenewe kubagwa, muganga wawe azagusobanurira impamvu n'ibizaba. Ganira n'abandi ku bibazo cyangwa impungenge ushobora kuba ufite. Muri ubwo buryo, ushobora kubona ubuvuzi bukubereye, kuva ku gusuzuma indwara kugeza gukira.

Wibuke muri make.

Sawa, reka twibuke muri make ibintu bike by'ingenzi kuri wewe mu byo twavuzeho:

• Umuganga w’imitsi ni inzobere mu kuvura indwara z’imitsi yose y’amaraso uretse umutima n’ubwonko.
• Aba bantu ntibakora operasiyo gusa. Bakoresha ibintu byinshi nko imiti, guhindura imibereho, no kuvura mu buryo buciriritse.
• Niba utekereza ko ufite ikibazo cy'imitsi ijyana amaraso , cyangwa niba muganga wawe agutumye kwa muganga w'inzobere nk'uwo, ntugatinye.
• Menya uko umerewe n'uko uvurwa. Ni ngombwa cyane kuganira na muganga wawe nta guhishanya.
• Ubuzima bw'imitsi ijyana amaraso ni ingenzi cyane ku buzima bw'umubiri wacu wose , bityo rero birakwiye kubyitaho.

Rero, ndizera ko ubu usobanukiwe neza abaganga b'imitsi. Niba ufite ikibazo kuri ibi, ntutindiganye kuvugana na muganga!

Umuganga w'imitsi, Indwara z'imitsi, Imitsi, Imitsi, Kubaga, Gutembera kw'amaraso