Ese muganga yagushyize stethoscope mu ijosi maze akakubwira ko wumvise ijwi ridasanzwe? Reka tuvuge kuri iyi (Carotid Bruit)!

Ese wigeze ubona umuganga agutega amatwi akoresheje stethoscope ku mpande zombi z'ijosi ryawe? Mu gihe umuganga yumva, hari igihe yumva ijwi ry' "umwotsi uvuza urwamo" riva mu mitsi y'amaraso iri mu ijosi ryawe , cyangwa ijwi nk'iry'amazi anyuramo. Ibyo ni byo twita "Carotid Bruit" (bivugwa "carotid bruee"). Iki si ikintu cyo gutinya, ariko ni ngombwa kucyitondera.

Iri jwi ridasanzwe ryitwa `(Carotid Bruit)` ni irihe?

Mu magambo make, `(Carotid Bruit)` ni ijwi ridasanzwe, rihindagurika ribaho iyo amaraso atembera mu mitsi imwe cyangwa myinshi y’amaraso iri mu ijosi ryawe, `(Carotid Artery)`. Tekereza, nk'uruzi rutuje rukubita ibuye mu buryo butunguranye rutangira gutemba mu buryo butunguranye. Uko ni ko twita `(Turbulent Flow)` iyo amaraso atembera mu mitsi, aho gutemba neza kandi mu buryo bumwe, ariko mu buryo butunguranye kandi buhindagurika . Iyi mitsi y'amaraso `(Carotid Artery)` ni yo izana ogisijeni n'intungamubiri ubwonko bwawe bukeneye . Rero, niba hari ikibazo kuri iyi mitsi, bishobora kugira ingaruka ku mikorere y'ubwonko bwacu.

Muganga ashobora kumva iri jwi rya `(Carotid Bruit)` ku bw'impanuka iyo uri gusuzumwa na muganga. Kumva iri jwi bishobora kuba ikimenyetso cy'uko `(Carotid Artery)` yawe yagabanutse bitewe n'ibinure byinshi (tubyita kandi `(Plaque)`) . Ariko, rimwe na rimwe abantu bafite `(Carotid Artery)` nzima nabo bashobora kumva iri jwi. Nanone, hari abantu bashobora kutumva iri jwi nubwo imiyoboro yabo y'amaraso yaba mito cyane. Kubwibyo, muganga akoresha iki kimenyetso cya `(Carotid Bruit)` nk'agace gato k'ikimenyetso kinini. Ni ukuvuga ko kumva iri jwi byonyine bitagaragaza ko ufite indwara ikomeye, ahubwo ni ingirakamaro mu gufata icyemezo niba hakenewe ibindi bipimo n'ubuvuzi.

Ijwi rya `(Carotid Bruit)` rimeze rite?

Iri jwi rya `(Carotid Bruit)` risa n'ijwi ry'umugezi utemba cyane , ijwi nk'iry'"hush hush". Ntushobora kuryumva wenyine. Urashobora kumva iri jwi gusa iyo muganga akandagiye witonze stethoscope (igikoresho cyambarwa ku gituza cyawe cyangwa mu mugongo) ku bice bitandukanye by'ijosi ryawe maze akagutega amatwi. Muganga ashobora kugusaba guhumeka no kubifata akanya gato. Ni ukuvuga kumva neza ijwi ry'amaraso atemba.

Muganga nakumva "Carotid Bruit" nk'iyi, azagusobanurira icyo bisobanura, kandi niba ukeneye kongera gupimwa. None se, ntugire ikibazo, sibyo?

Kuki iyi `(Carotid Artery)` isa n'iyi? Ni izihe mpamvu?

Impamvu nyamukuru kandi ikunze gutera iyi "Carotid Bruit" ni indwara yitwa "Atherosclerosis" .

Ateriosclerosis ni umwanzi mukuru!

`( Atherosclerosis )` ni ijambo ry’ubuvuzi. Muri make, bivuze ko ikintu kirimo ibinure, mu buryo bw’ukuri `(Plaque)`, gishyirwa mu miyoboro y’amaraso (imitsi) mu mubiri wawe, kandi umwanya w’amaraso atembera muri iyo miyoboro (tuyita kandi `(Lumen)`) ugabanuka buhoro buhoro. Tekereza ko uko igihe kigenda gihita, umwanda wiyongera mu muyoboro w’amazi ugafunga umuyoboro, ni ko n’ibi bice by’ibinure `(Plaque)` byiyongera mu miyoboro y’amaraso yacu, bigagabanya umwanya w’amaraso atembera. Uku kwiyongera kw’`(Plaque)` bishobora gutuma amaraso acika. Uku kugabanuka kw’amaraso gushobora guhagarika gutembera kw’amaraso aho aturutse, cyangwa gushobora kugendana n’amaraso no kuziba umutsi ahandi hantu.

Rero, iyo plaque yikubise mu mitsi ya Carotid yawe ikagabanya imitsi, tuyita Carotid Artery Stenosis . Kumva Carotid Bruit bishobora kuba ikimenyetso cy'uko ushobora kuba ufite iyi ndwara.

Wibuke ko `(Umutsi wa Carotid)` ari wo utanga amaraso akungahaye kuri ogisijeni mu bwonko bwacu. Rero, iyo uyu mutsi ufunze `(Plaque)`, uba ufite ibyago byinshi byo kugira `(Ischemic Attack y'igihe gito - TIA)` (ibi tunabyita kandi guhagarika by'agateganyo amaraso ajya mu bwonko, bamwe babyita "mini stroke"), cyangwa `(Ischemic Stroke)` (ubumuga buterwa no kuziba k'umutsi utanga amaraso utanga ubwonko). Muri ibi bibazo byombi, amaraso ajya mu bwonko aragabanuka cyangwa arabura burundu.

Niyo mpamvu ari ngombwa kumenya niba ufite ` (Carotid artery stenosis) ` kandi niba ari uko bimeze, niba ari uko bikabije. `(Carotid Bruit)` ni ikimenyetso cy'umuburo gusa, ntabwo kikubwira neza `(Plaque)` ufite. Kubwibyo, umuganga ntazagufatira icyemezo cy'uko ufite `(Carotid Artery Stenosis)` gusa akoresheje `(Carotid Bruit)`, ahubwo azabikoresha nk'intambwe ya mbere yo gukora iperereza rirambuye.

Ese hari izindi mpamvu zishobora kubaho?

Nubwo plaque yiyongera cyane ari yo mpamvu ikunze gutera carotid bruit, ishobora no guterwa n'impinduka mu miterere y'imitsi y'amaraso. Urugero, abantu bafite indwara zidasanzwe nka Fibromuscular Dysplasia (FMD) bashobora no kumva carotid bruit. Muganga wawe azasuzuma amateka y'ubuzima bwawe kugira ngo agerageze kumenya icyateye carotid bruit yawe.

Ese kugira `(Carotid Bruit)` ni ikintu gikomeye?

"Carotid Bruit" rimwe na rimwe ni ikimenyetso cy'ikibazo gikomeye.Bishobora kubaho, ariko si ko bigenda buri gihe. Hari igihe biba nk'itara ritukura rivuga ko ushobora kuba ufite `(Carotid Artery Stenosis)`. Niba `(Stenosis)` yawe, cyangwa kugabanuka k'imitsi, bikabije, ushobora gukenera kuvurwa kugira ngo ugabanye ibyago byo kurwara `(TIA)` cyangwa `(Stroke). Muganga wawe azakubwira niba indwara yawe ikomeye kandi niba ukeneye kuvurwa. Rero ntugatinye kandi wumve neza icyo muganga wawe akubwira.

Ese "Carotid Bruit" ishobora kuba isanzwe?

Yego, kumva `(Carotid Bruit)` ntabwo bivuze ko ufite `(Carotid Artery Stenosis)`. Hari abantu bafite `(Carotid Bruit)` bashobora kuba badafite `(Plaque)` nyinshi mu miyoboro yabo y'amaraso, kandi bashobora kuba bafite ubuzima bwiza. Hari abantu bashobora kugira impinduka mu miterere y'imiyoboro yabo y'amaraso, zishobora kuba zisanzwe, cyangwa zishobora kuba ziterwa n'indwara nka `(FMD)`. Niyo mpamvu `(Carotid Bruit)` ari intambwe ya mbere gusa mu gikorwa cyo gusuzuma no kuvura indwara zifitanye isano na `(Carotid Artery)`.

Niba muganga avuze ko hari "Carotid Bruit", ni iki gikurikiraho?

Muganga wawe aramutse yumvise "Carotid Bruit", bishobora kuba ikimenyetso cy'uko hari ikibazo. Hanyuma muganga ashobora gutegeka ko hakorwa ibindi bipimo kugira ngo amenye neza uko "Carotid Artery" yawe imeze.

Ni ibihe bizamini bikurikiraho?

Ikizamini gikunze gukorwa muri iki gihe ni Carotid Duplex Ultrasound . Iki ni ikizamini kidasaba ububabare kandi kidatera indwara. Gishobora kureba uko amaraso atembera mu mitsi ya Carotid, niba imitsi yagabanutse, kandi niba ari uko bimeze, uburyo yagabanutse. Ni nk'ikizamini cya ultrasound gikorerwa ababyeyi batwite, ariko iki gikorwa gikorerwa ku ijosi.

Ese ibintu bishobora gutera ibyago nabyo bigira ingaruka kuri byo?

Yego, niba ufite `(Carotid Bruit)`, kandi icyarimwe ufite ikintu kimwe cyangwa byinshi bishobora gutera `(Carotid Artery Stenosis)`, muganga azagutegeka ikizamini nka `(Carotid Duplex Ultrasound)` cyavuzwe haruguru. Ibi bintu bishobora gutera ibyago ni ibi:

• Niba ufite indwara y'imitsi ifata umutima .
• Niba urwaye diyabete (ubwoko bwa 1 cyangwa ubwoko bwa 2).
• Niba hari umuntu wo mu muryango wigeze kugira ikibazo cyo gucika intege mu bwonko (stroke) .
• Niba ufite umuvuduko w'amaraso ukabije .
• Niba ufite cholesterol nyinshi mu maraso yawe .
• Niba ushaje (ubusanzwe ufite imyaka irenga 65, cyangwa urengeje imyaka 55 niba hari ibindi bintu bishobora gutera ibyago).
• Indwara y'imitsi yo mu maguru cyangwa mu maboko, indwara ituma imiyoboro y'amaraso mu maguru cyangwa mu maboko igabanukaNiba ihari.
• Ikoreshwa ry'itabi n'itabi .

Uko ufite ibi bintu byinshi bishobora gutera ibyago, niko amahirwe yawe yo kurwara "Carotid Artery Stenosis" aba menshi.

Nanone, niba uteganijwe kubagwa umutima nka `(Coronary Artery Bypass Grafting - CABG)` , muganga wawe ashobora gushaka gusuzuma `(Carotid Artery)` yawe mbere yo kubagwa. Ibi biterwa nuko niba ufite `(Carotid Artery Stenosis)`, uba uri mu kaga ko kugira `(Stroke)` haba mu gihe cyo kubagwa umutima cyangwa nyuma yaho. Niba ari uko bimeze, ushobora kuvurwa mbere yo kubagwa kugira ngo ugabanye ibyo byago.

Ni ubuhe buryo bwo kuvura ibi?

Si abantu bose bafite `(Carotid Bruit)` bazakenera kuvurwa. Ariko, hari abantu bazakenera kuvurwa kugira ngo bagabanye ibyago byo kurwara `(TIA)` cyangwa `(Stroke)`. Intego nyamukuru y'ubuvuzi ni ukunoza urujya n'uruza rw'amaraso muri `(Carotid Artery)` yawe.

Kugenzura ukoresheje imiti

Kenshi na kenshi, cyane cyane niba imitsi yawe ya carotid idafashe cyane, imiti ni yo nzira ya mbere yo kuvura. Bitewe n'uko indwara yawe imeze, muganga wawe ashobora kukugira inama imwe cyangwa nyinshi muri izi zikurikira:

• Umuti w'umuvuduko w'amaraso .
• Umuti ugabanya cholesterol .
• Hari igihe imiti nka asipirine, ibuza amaraso kuzura, ikoreshwa.

Guhindura imibereho ni ingenzi cyane!

Guhindura bimwe mu mibereho yawe bishobora gufasha cyane mu kugenzura ukwiyongera kwa plaque mu mitsi yawe. Menya neza ko ugerageza ibi bintu:

• Irinde kunywa itabi n'ibikomoka ku itabi byose burundu. Itabi ni ribi cyane ku mitsi yawe y'amaraso. Rikongera ibyago byo kurwara indwara nyinshi, harimo n'indwara z'umutima. Niba ukeneye ubufasha bwo kureka kunywa itabi, baza muganga wawe, hari uburyo bwo kubikora.
• Kurya indyo yuzuye umutima . Ibi bivuze kurya ibinure bike byuzuye, sodiyumu, n'isukari. Simbuza inyama zitukura inyama zitarimo ibinure nk'inkoko, itunguru n'amafi. Kurya imboga nyinshi, imbuto, ibinyamisogwe n'imbuto z'ubunyobwa.
• Imyitozo ngororamubiri buri gihe . Ntugatangire ukoresheje imbaraga nyinshi icyarimwe. Tangira ukoresheje iminota 150 kandi ugire intego yo gukora imyitozo ngororamubiri iciriritse buri cyumweru. Ni byiza kubaza muganga wawe ibikubereye kandi bikubereye mbere yo gutangira gahunda nshya y'imyitozo ngororamubiri.

Kubagwa cyangwa ubundi buryo bwo kubaga

Niba indwara ya "Carotid Artery Stenosis" yawe ikabije, ushobora gukenera kubagwa cyangwa ubundi buryo bwihariye bwo kuvura. Bimwe muri ibyo harimo:

• `(Kubagwa kwa Carotid Endarter)`: Ubu ni ukubagwa. Ibi bikubiyemo gufungura `(Umutsi wa Carotid)` no gukuraho `(Plaque)` yari yishyize imbere.
• `(Carotid Angioplasty na Stenting)` : Muri ibi, agakoresho gato kameze nk'agapira k'inyuma gashyirwa mu muyoboro wa `(Carotid Artery)` wagabanijwe hanyuma kagashyirwamo umwuka kugira ngo umuyoboro w'amaraso waguke. Hanyuma, umuyoboro muto witwa `(Stent)` ushyirwa mu muyoboro w'amaraso kugira ngo wirinde ko wongera kugabanuka.

Ariko ibuka ko atari buri wese ufite "Carotid Bruit" ufite ikibazo cy'amaraso kandi azakenera kuvurwa. Vugana na muganga wawe kugira ngo umenye neza uko "Carotid Bruit" yawe ikugiraho ingaruka.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Niba muganga wawe akubwiye ko ufite ""(Carotid Bruit""), ntugatinye cyangwa ngo ugire ubwoba . Ntabwo bivuze ko uri mu kaga gakomeye. Ni ikimenyetso gusa muganga akoresha kugira ngo arebe ubuzima bw'imitsi yawe y'amaraso.

Rero, ganira na muganga wawe kuri ibi hanyuma umenye byinshi. Nanone, menya ibintu bishobora gutera indwara ya atherosclerosis (gukomera kw'imitsi) n'icyo wakora kugira ngo ugabanye ibyago byo kurwara. Kubaho ubuzima bwiza akenshi ni bwo buryo bwiza bwo kwirinda izi ndwara. Kwita ku buzima bwawe biri mu maboko yawe!

` urusaku mu ijosi, umutsi utera carotid, stroke, TIA, atherosclerosis, kuziba kw'imitsi y'amaraso, amaraso agana mu bwonko