Ese ikibyimba kirimo kwibasira imitsi mu kaguru kawe kikabuza amaraso gutembera? Reka twige ku ndwara ya Adventitial Cystic!

Nubwo waba uri umuntu muzima kandi ukora cyane, ese wigeze wumva ububabare cyangwa uburibwe mu kaguru ko hasi, cyane cyane mu gice cy'inyuma, mu gihe ukora imyitozo ngororamubiri cyangwa ugenda n'amaguru? Burashira nyuma y'igihe runaka, hanyuma bukagaruka iyo ukoze ikindi kintu. Ushobora gutekereza ko ibi atari ikibazo gikomeye. Ariko, iki gishobora kuba ikimenyetso cy'indwara idasanzwe yitwa Adventitial Cystic Disease . Reka tubiganireho birambuye uyu munsi.

Reka turebe gusa icyo indwara ya Adventitial Cystic Disease ari cyo.

Mu magambo make, indwara ya Adventitial Cystic Disease ni indwara aho agasaho kuzuye amazi, kitwa cyst , gatera mu miyoboro y'amaraso, nk'imitsi cyangwa imitsi. Ibi bibaho cyane cyane muri adventitia, igice cyo hanze cy'imiyoboro y'amaraso. Tekereza akantu gato gatwikiriye inyuma y'imiyoboro y'amaraso, nk'umuyoboro w'amazi, kabuza amaraso gutembera. Ibyo nibyo biri kuba hano.

Iyi cyst ibuza amaraso gutembera mu mitsi y'amaraso. Iyi cyst ishobora kwiyongera, cyane cyane iyo twimuka cyangwa dukora imyitozo ngororamubiri. Akenshi, iyi ndwara igira ingaruka ku mitsi ya popliteal , ari na yo mitsi ikomeye itanga amaraso mu mavi yacu no mu mitsi yo hasi y'amaguru. Ariko, ni gake cyane, mu bihe bigera kuri 15% by'indwara, cyst ishobora kugaragara mu yindi mitsi y'amaraso itari iyo popliteal.

Ni nde ugerwaho n'iki kibazo cyane?

Indwara ya Adventitial Cystic ikunze kugaragara ku bagabo bari hagati y'imyaka 40 na 50. Mu by'ukuri, bivugwa ko abagabo bafite amahirwe menshi yo kurwara iyi ndwara inshuro eshanu kurusha abagore.

Ikintu kimwe gitangaje ni uko iyi ndwara ikunze kwibasira abantu bazima kandi bakora cyane badafite izindi ndwara zikomeye. Muri rusange tuzi ko umubyibuho ukabije cyangwa cholesterol nyinshi bishobora gutera izindi ndwara z'imitsi. Ariko, ntabwo byagaragaye ko ibyo bintu bishobora gutera indwara ya Adventitial Cystic Disease.

Iyi ndwara ikunze kugaragara mu buryo bungana iki mu by'ukuri?

Ushobora kuba utari warigeze wumva iyi ndwara mbere. Impamvu yayo ni uko ari indwara idakunze kugaragara . Iyo utekereje ku ndwara zose zifata imitsi, iyi ndwara yibasira igice gito cyane, hafi 0.1%. Ibi bivuze ko abantu bake cyane bayirwara.

Ni ibihe bimenyetso by'iyi ndwara? Ese nawe urabifite?

Ikimenyetso nyamukuru kandi gikunze kugaragara cy’iyi ndwara ni claudication ihoraho.Indwara yitwa. Mu magambo make, iyi ni ukumva ufite intege nke cyangwa ububabare mu mitsi bitewe no kugabanuka k'amaraso. Ibi bikunze kubaho iyo wimuka cyangwa ukora imyitozo ngororamubiri. Ubu bubabare bushira nyuma yo kuruhuka gato.

Ku bantu benshi, ubu bubabare buturuka ku mitsi yo mu gice cy'inyana (ububabare bw'imitsi y'inyana) . Tekereza ko iyo ugenze intera ndende, wiruka, cyangwa uzamuka ingazi nke, ububabare budasanzwe n'ubukomere bituruka imbere mu inyana y'ukuguru. Buragabanuka iyo uhagaze akanya gato, hanyuma bugatangira iyo ugenda. Nguko uko biri. Akenshi, ibi bigira ingaruka ku kuguru kumwe gusa. Ariko, gake cyane, bishobora kugira ingaruka ku maguru yombi muri ubu buryo.

Niba ku mpamvu runaka iyi cyst ikora mu mitsi (nabyo bikaba bidakunze kubaho), ukuguru gushobora kubyimba.

Kuki indwara ya Adventitial Cystic ibaho? Ni izihe mpamvu?

Impuguke ntiziramenya neza icyateye iyi ndwara, ariko hari ibintu bike babona ko bishobora kuyitera:

• Uturemangingo mu gihe cy'iterambere ry'umwana uri mu nda: Birashoboka ko, mu gihe cy'iterambere ry'umwana uri mu nda, uturemangingo dushobora gukora utwo turemangingo twinjira mu miyoboro y'amaraso.
• Indwara z'imitsi ihuza amaraso: Indwara zimwe na zimwe z'imitsi zishobora kongera ibyago byo kurwara udukoko nk'utu mu mitsi y'amaraso.
• Ifitanye isano n'ingingo: Hari abantu bashobora kurwara udukoko nk'utu hafi y'ingingo zabo.
• Gukomereka cyangwa guhangayika kenshi: Bitewe n'ikomereka ry'imitsi y'amaraso cyangwa bitewe n'umuvuduko uhoraho (stress), ibice by'imitsi y'amaraso bishobora kwangirika, bigatera imisemburo.

Ariko hari ikintu kimwe kigaragara. Ibimenyetso biriho ubu bigaragaza ko indwara ya Adventitial Cystic idaterwa n'indwara z'umutima n'imitsi.

Ni gute iyi ndwara ipimwa neza? (Isuzuma)

Iyi ndwara ishobora kugorana kuyimenya. Kuko, nk'uko byavuzwe mbere, ikunze kugaragara ku bantu bazima badafite ibimenyetso by'indwara z'imitsi y'amaraso. Niba rero ubabara inyuma y'ivi cyangwa mu gice cy'ikibuno mu gihe ukora imyitozo ngororamubiri, menya neza ko wagiye kwa muganga ukamubwira ibyayo.

Ibimenyetso by'iyi ndwara bishobora gusa n'iby'izindi ndwara z'imitsi y'amaraso, nka Popliteal Artery Entrapment Syndrome (PAES) cyangwa Chronic Exertional Compartment Syndrome . Kubwibyo, muganga wawe azakuraho izindi ndwara mbere yo gusuzuma iyi ndwara.

Mu gihe usuzuma, muganga wawe ashobora kumva umuvuduko w'amaraso mu kirenge cyawe no inyuma y'ivi ryawe, umutsi wa popliteal. Iyo umuvuduko w'amaraso utumvikana, cyane cyane iyo upfukamye ivi, bishobora kugaragaza ko amaraso atembera nabi.

Byongeye kandi, muganga ashobora gutegeka ibindi bipimo byinshi kugira ngo yemeze iyi ndwara:

• Igipimo cy'umuvuduko w'amaraso mu maguru yo hasi (ABI): Iki gipimo cy'umuvuduko w'amaraso mu maguru yo hasi.
• CT Angiogram: Iyi irashobora gukoreshwa kugira ngo harebwe uko amaraso atembera ndetse niba hari aho imiyoboro y'amaraso yazibye. Ni nko gufata ifoto y'imiyoboro y'amaraso.
• Ultrasound ya Duplex: Ibi bigufasha kubona ishusho igendagenda y'amaraso atemba mu maguru yawe.
• MRI: Ibi bishobora kubona neza udukoko mu mitsi y'amaraso cyangwa hafi yayo.

Nyuma y'ibi bipimo, ni bwo muganga ashobora kukubwira neza niba ufite indwara ya Adventitial Cystic Disease cyangwa utayifite.

Ni ubuhe buryo bwo kuvura ibi?

Hari igihe izi cysts zishobora kwiyahura ubwazo. Ariko, akenshi, uburyo bwiza bwo kuvura ni ukubaga cysts .

Mu bihe bimwe na bimwe, muganga wawe ashobora kukugira inama yo kuvura ikibyimba hakoreshejwe urushinge. Nubwo ubu buryo budatera ingaruka nyinshi nko kubaga, byongera ibyago byo kongera kurwara ikibyimba.

Iyo ugiye kubagwa, umuganga wawe azakuraho ikibyimba n'igice cy'imitsi y'amaraso cyangiritse. Iyo indwara yawe ikomeye cyane, bivuze ko imitsi y'amaraso yazibye burundu, hashobora kuba hakenewe ubundi buryo bwo kuyivura. Muri icyo gihe, umuganga wawe ashobora gukoresha agace k'imitsi kavuye mu kindi gice cy'umubiri wawe cyangwa agace k'ubukorano kugira ngo asane imitsi y'amaraso kandi agarure amaraso asanzwe atembera neza. Cyangwa, ushobora kubaga bypass, bigatuma habaho inzira nshya amaraso atembera hirya no hino mu mitsi y'amaraso yazibye.

Ese dushobora gukumira ibi?

Mu by’ukuri, nta buryo bwihariye bwo kwirinda indwara ya Adventitial Cystic. Kubera ko impamvu nyayo itazwi, biragoye kuvuga uburyo bwo kuyirinda.

Ariko, ikintu cyiza ushobora gukora ni ukujya kwa muganga ako kanya ukimara kumva ibimenyetso, nko kubabara, umuvuduko, kugira ibinya cyangwa kubyimba ukuguru kwawe. Muri ubu buryo, ushobora kumenya vuba ikibazo no gutangira kuvurwa.

Ni iki kigenda nyuma yo kuvurwa? Ni iki kigaragara? (Icyizere)

Uko ubuvuzi bwose bukoreshwa ku ndwara ya Adventitial Cystic,Hari amahirwe ko ikibyimba gishobora kongera kugaruka. Kubwibyo, ndetse na nyuma yo kuvurwa, akenshi biba ngombwa kuguma munsi y'ubugenzuzi bwa muganga igihe kirekire no gukorerwa isuzuma ry'ishusho.

Ariko, abantu benshi babonye ihumure ku bubabare no gucumbagira nyuma yo kubagwa ikibyimba. Ubushakashatsi bumwe buto bwagaragaje ko gukuraho ikibyimba hakoreshejwe uburyo bwo gukurura imitsi bigabanya ibyago byo kongera kugaruka.

Igikuru ni uko niba ufite ibi bimenyetso, ntugatinye kujya kwa muganga ukabivugaho. Uko ubimenye vuba, niko utangira kuvurwa vuba no gukira.

Ibibazo by'ingenzi ugomba kubaza muganga wawe

Niba usanzwe urwaye indwara ya Adventitial Cystic Disease, ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ese hari ibintu nakora kugira ngo ngire ububabare bw'amaguru mu gihe nkora siporo?
• Nagabanya nte ibyago byo kongera kugaragara kw'iyi cyst nyuma yo kuvurwa?
• Ese hari ibyago byo kurwara amaraso?
• Ese nkeneye kubagwa kugira ngo nkureho iki kibyimba?
• Ese iyi cyst izashira ubwayo nta kuvurwa?

Uretse ibi bibazo, baza muganga ikintu icyo ari cyo cyose ufite cyangwa gushidikanya ushobora kuba ufite.

Muri make, ibuka izi ngingo (Ubutumwa bwo kujyana mu rugo)

Sawa, reka tukwibutse muri make ingingo z'ingenzi mu byo twavuzeho:

• Indwara ya Adventitial Cystic ni indwara idakunze kugaragara aho cyst ikora mu mitsi y'amaraso, cyane cyane umutsi wo mu bwoko bwa popliteal, ikabuza amaraso gutembera.
• Ibi byibasira cyane abagabo bafite ubuzima bwiza kandi bakora cyane bari hagati y'imyaka 40-50 .
• Ikimenyetso nyamukuru ni ububabare cyangwa gucumbagira mu kaguru ko hasi, cyane cyane mu gice cy'inyuma, mu gihe cy'imyitozo ngororamubiri (intermittent claudication) . Ibi bigabanuka uko umuntu aruhuka.
• Impamvu yihariye ntiraboneka kugeza ubu.
• Ibipimo bitandukanye (ABI, CT Angiogram, Duplex Ultrasound, MRI) bikoreshwa mu gusuzuma indwara.
• Gukuraho ikibyimba mu mubiri ni bwo buryo bwiza bwo kuvura .
• Nubwo nta buryo bwihariye bwo kwirinda ibi, ni ngombwa gushaka inama kwa muganga ibimenyetso bikigaragara.
• Ndetse na nyuma yo kuvurwa, ni ngombwa gukurikirana abaganga igihe kirekire kuko indwara ishobora kongera kugaruka.

Niba rero ufite ibi bimenyetso, ni byiza kujya kwa muganga no kugisha inama utabanje kubitekerezaho cyane. Kuko, nk'uko bigenda ku ndwara iyo ari yo yose, uko imenyekana vuba ni ko amahirwe yo kuvurwa no gukira aba menshi.

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