Ese iyi ndwara idakunze kugaragara itera ububabare bw'amaguru mu gihe cyo gukora imyitozo ngororamubiri? (Indwara ya Adventitial Cystic)

Ese ujya ugira ububabare bukabije mu mitsi y'amaguru yawe iyo ugenda, wiruka cyangwa ukora siporo muri siporo? Ariko igitangaje ni uko ububabare bushira burundu nyuma yo kuruhuka gato? Abantu benshi batekereza ko ibi ari ibisanzwe, wenda ni ukugorwa kw'imitsi, ariko si ko bigenda buri gihe. Hari igihe impamvu nyamukuru ishobora kuba indi ndwara idakunze kumenyekana cyane. Uyu munsi turimo kuvuga ku ndwara imwe idasanzwe ikwiye kwitabwaho.

Mu magambo make, indwara ya Adventitial Cystic Disease ni iki?

Ibi bishobora kumvikana nk'ibigoye, ariko biroroshye cyane kubyumva. Indwara ya Adventitial Cystic ni indwara aho agasaho kuzuye amazi, nk'ikibyimba (cyst) gatangira mu rukuta rw'imitsi y'amaraso (imitsi cyangwa imitsi) mu mubiri wacu.

Tekereza ko hari umuyoboro w'amazi. Akantu gato k'umupira kari imbere mu rukuta rw'uwo muyoboro karabyimba. Bigenda bite se? Ahantu amazi anyura mu muyoboro haragabanuka, kandi amazi araziba. Ibyo nibyo bibaho muri iyi ndwara. Inkuta z'imiyoboro yacu y'amaraso zigizwe n'ibice byinshi. Aha, iki kibyimba cy'amazi kiba mu gice cyo hanze cy'umuyoboro w'amaraso, cyitwa adventitia . Uko iki kibyimba gikura, kigabanya inzira amaraso anyura mu muyoboro w'amaraso. Cyane cyane iyo tugenda cyangwa twiruka, iyo amaguru yacu akeneye amaraso menshi, uku kugabanuka kubuza amaraso ahagije kujya mu mitsi. Iyo ni yo mpamvu nyamukuru y'ububabare.

Akenshi, iyi ndwara igira ingaruka ku mutsi wa popliteal, umutsi mukuru unyura inyuma y'amavi yacu . Uyu mutsi utanga amaraso ku mavi yacu no ku mitsi yo mu maguru yacu yo hasi. Ariko, ni gake cyane, mu bihe bigera kuri 15% by'indwara, izi cysts zuzuye amazi zishobora no kwibasira indi mitsi y'amaraso mu mubiri.

Ni nde ushobora kugira iyi ndwara kurusha abandi?

Iki nicyo kintu gitangaje cyane kuri iyi ndwara. Ubusanzwe, indwara z'imitsi ijyana amaraso zigaragara ku bantu bafite cholesterol nyinshi, umubyibuho ukabije, na diyabete. Ariko iyi ndwara si ko imeze.

• Bikunze kugaragara ku bagabo bari hagati y'imyaka 40 na 50 .
• Abagabo bafite amahirwe angana n'inshuro eshanu yo kurwara iyi ndwara kurusha abagore.
• Igitangaje ni uko ibi bibaho ku bantu badafite izindi ndwara kandi bakabaho ubuzima bwiza kandi bukora .

Ibi bivuze ko nubwo waba uri umuntu muzima kandi ukora imyitozo ngororamubiri neza, ushobora kurwara iyi ndwara. Nta gihamya kigaragaza ko hari ibindi bintu bishobora gutera indwara z'imitsi, nka cholesterol nyinshi n'umubyibuho ukabije, bigira ingaruka kuri iyi ndwara. Iyi ni indwara idakunze kugaragara. Ifata umubare muto cyane w'abantu, hafi 0.1%, by'indwara zose z'imitsi.

Ni ibihe bimenyetso by'ingenzi by'iyi ndwara?

Ikimenyetso nyamukuru kandi gikunze kugaragara cy’iyi ndwara ni indwara yitwa intermittent claudication . Mu magambo make, bivuze "ububabare bw'imitsi bugaragara mu gihe cy'imyitozo ngororamubiri bugashira iyo uruhuka."

Kuki ibi bibaho?

Abaganga ntibashobora kuvuga neza 100% impamvu ibi bitera, ariko hari inyigisho nyinshi zishobora kuba impamvu.

• Ikibazo kibaho mu gihe cy'imikurire y'uruhinja: Bamwe bizera ko, wenda, uko umwana akura mu nda, ubwoko bw'uturemangingo dushobora gukora utu turemangingo twuzuye amazi dushobora kwinjira mu miyoboro y'amaraso.
• Indwara z'imitsi ihuza amaraso: Hari indwara zimwe na zimwe zigira ingaruka ku mitsi ihuza amaraso zishobora gutuma ubwo bwoko bw'ibibyimba buvuka mu mitsi ijyana amaraso.
• Kugaragara mu ngingo: Hari abantu bashobora kuba bafite ubwo bwoko bw'ibibyimba mu ngingo.
• Impanuka cyangwa stress y'igihe kirekire:Gukomereka k'umuyoboro w'amaraso cyangwa guhangayika kenshi bitewe no gukora ubwoko bumwe bw'ingendo bishobora kwangiza ibice by'imiyoboro y'amaraso bigatuma habaho ibibyimba muri utwo duce.

Ni gute wasuzuma neza indwara?

Iyi ndwara ishobora kugorana kuyisuzuma. Kubera ko igaragara ku bantu bazima, abaganga ntibatekereza ku ndwara nk'iyi idasanzwe mu ntangiriro. Niba rero ubabara inyuma y'ivi cyangwa mu gice cy'ikibuno mu gihe ukora imyitozo ngororamubiri, menya neza ko wabonye muganga wawe akabimubwira .

Ibimenyetso byawe bishobora guterwa n'izindi ndwara zisa n'izi, nka Popliteal Artery Entrapment Syndrome (PAES) cyangwa Chronic Exertional Compartment Syndrome . Kubwibyo, muganga wawe azakuraho izi ndwara zose mbere yo gusuzuma neza.

Ibizamini byakozwe na muganga

Ubwa mbere, umuganga azagusuzuma neza kandi arebe niba hari aho umutima uhagaze mu kirenge cyawe no inyuma y'ivi ryawe (popliteal artery). Niba umutima uhagaze nabi cyangwa ntaho uhagaze, cyane cyane iyo upfukamye ivi ryawe, ibi bishobora kugaragaza ko amaraso atembera nabi.

Byongeye kandi, ibizamini bikurikira bishobora gukorwa kugira ngo byemezwe ko indwara ari yo.

Ivurwa ite?

Hari igihe izi cysts zishobora kwiyahura zonyine nta muti. Ariko ibyo ntibikunze kubaho. Akenshi, uburyo bwiza bwo kuvura ni ugukuraho cysts binyuze mu kubagwa.

Mu bihe bimwe na bimwe, muganga ashobora gukoresha urushinge kugira ngo akuremo amazi ari mu kibuno (cyst aspiration) nta kubazwe. Ibi biroroshye kurusha kubagwa, ariko byongera ibyago byo kugaruka kwa kibuno. Ni nko kugerageza gukuramo urushinge mu ibara ry'amazi, ariko rushobora kongera kuzura.

Mu gihe cyo kubaga, umuganga akuramo amazi n'igice cy'imitsi y'amaraso cyangiritse. Iyo ikibazo gikomeye, bivuze ko imitsi y'amaraso yazibye cyane, hari ubundi buryo bushobora gukoreshwa. Urugero:

• Uduce tw’imitsi: Agace k’imitsi mizima kavanywe mu kindi gice cy’umubiri gakoreshwa mu gusana igice cy’imitsi cy’amaraso cyangiritse.
• Igitambaro cy’amaraso: Umutsi w’amaraso usanwa hakoreshejwe agatambaro k’amaraso.
• Kubaga mu buryo butanyuze mu maraso: Hashyizweho inzira nshya yo gutemberamo amaraso, irinda kuziba kw'amaraso.

Bigenda bite nyuma yo kuvurwa?

Nyuma yo kuvurwa uko ari ko kose, hari amahirwe ko iyi cyst ishobora kongera kugaruka. Kubwibyo, ndetse na nyuma yo kuvurwa, ni ngombwa gukurikirana igihe kirekire, nko gupima.

Ariko, nyuma yo kubagwa ikibyimba, abantu benshi bakira ububabare n'imitsi. Ubushakashatsi bumwe bwagaragaje ko kubagwa kw'imitsi ijyana amaraso hakoreshejwe uburyo bwo kuyitera bifite ibyago bike byo kongera kugaruka.

Ese ibi bishobora kwirindwa?

Oya. Nta buryo bwo gukumira iki kibazo ubu buhari. Ikintu cyiza cyo gukora ni ukujya kwa muganga wawe ukimara kubona ibimenyetso, nko kubabara amaguru, umuvuduko w'amaraso, kuribwa mu nda, cyangwa kubyimba .