Ese ufite ikibazo cyo kubyimba kw'amaraso mu mubiri wawe? Reka twige ku ndwara ya Antiphospholipide Syndrome (APS)?

Ni ibisanzwe ko amaraso yipfundikanya kandi agahagarika kuva amaraso iyo twakomeretse. Mu by’ukuri ni uburyo bwo kwirwanaho mu mubiri wacu. Ariko, niba amaraso yipfundikanya kenshi mu mitsi y’umubiri nta mpamvu, ni ikibazo gihangayikishije. Cyane cyane niba ukomeje gukuramo inda mu gihe utwite, impamvu ishobora kuba iyi ndwara yitwa Antiphospholipid Syndrome (APS), tugiye kuvugaho uyu munsi.

APS ni iki mu buryo bworoshye?

Muri make, indwara ya Antiphospholipide Syndrome (APS) ni indwara ituma umubiri wawe ushobora kubyimba amaraso kurusha uko bisanzwe. Hari igihe abaganga bayita indwara ya Antiphospholipid antibody syndrome.

Ibi bice by'amaraso bishobora gutera ingorane zikomeye, ndetse zishobora no guteza akaga ku buzima, nko gucika imitsi . Iyi ndwara yongera ibyago byo gukuramo inda n'izindi ngorane mu gihe cyo gutwita.

Mu by’ukuri indwara ya APS ni indwara iterwa n’ubwirinzi bw’umubiri . Tekereza, dufite ubwirinzi bw’umubiri mu mubiri wacu nk’ingabo. Tuyita ubwirinzi bw’umubiri. Akazi kayo ni ukuturinda mikorobe n’indwara zitera indwara. Ariko muri iyi ndwara y’ubwirinzi bw’umubiri, ikibaho ni uko ubwirinzi bwacu bwite butangira kwibasira uturemangingo twiza mu mubiri wacu.

Ni ibihe bimenyetso by'iyi ndwara?

Bamwe mu bantu barwaye APS bashobora kugaragara nk'aho ari urushundura ku ruhu rwabo. Ibi byitwa livedo reticulitis mu buvuzi. Ariko, abantu benshi barwaye APS ntibagaragaza ibimenyetso kugeza igihe baviriyemo amaraso cyangwa bakagira ikibazo mu gihe batwite.

Ibi ni ibimenyetso bishobora kubaho iyo amaraso yacitse. Ugomba kwitonda cyane kuri ibi.

Uretse ibi bimenyetso, APS ishobora no gutera ibimenyetso bimwe na bimwe tudashobora kubona cyangwa kumva.

• Kugabanuka k'urugero rw'imitsi yo mu maraso.
• Anemia.
• Ibitagenda neza mu mitsi y'umutima.

Kuki ibi bibaho?

Indwara ya Antiphospholipide ibaho iyo ubudahangarwa bw'umubiri bwawe butangiye gukora ubwoko budasanzwe bwa antibody. Ubusanzwe, antibody ni poroteyine zidasanzwe zishakisha kandi zikarimbura mikorobe n'ibintu bitera ubwivumbure byinjira mu mibiri yacu. Zimeze nk'amarobo yo kwirwanaho.

Ariko ku muntu urwaye APS, izi antibody, zikorwa n'ubudahangarwa bw'umubiri, zitera poroteyine zifatanye na phospholipide (ubwoko bw'ibinure) mu turemangingo twacu. Iki gitero cyangiza phospholipide, bigatuma zishobora gufatana no gukora amaraso afunganye.

Hari ubwoko butatu bw'ingenzi bw'abasirikari b'umubiri bashobora gutera APS:

• Umuti ugabanya amaraso mu bwonko wa Lupus
• Anticardiolipine
• Poroteyine ya anti-B2 glycoprotein 1

Umuntu urwaye APS ashobora kuba afite izi antibodies imwe, ebyiri, cyangwa eshatu zose. Ariko igitangaje kurushaho ni uko hari abantu bashobora kuba bafite izi antibodies ariko ntibigere bagaragaza ibimenyetso bya APS. Impuguke ntizimenya neza icyatuma ubudahangarwa bwacu bw'umubiri bukora izi antibodies zidafite ubuziranenge.

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Umuntu wese ashobora kurwara APS. Ariko, ushobora kuba uri mu kaga gakomeye gato niba:

• Niba uri umugore .
• Niba ufite hagati y'imyaka 30 na 40 .
• Niba ufite izindi ndwara ziterwa n’ubwiyongere bw’umubiri, nka lupus cyangwa rheumatoid arthritis.
• Niba umwe mu bagize umuryango wawe wa hafi (ababyeyi, ba nyogokuru na ba nyirakuru) afite APS.

Ni izihe ngorane zishobora guterwa na APS?

Indwara ya Antiphospholipide ishobora gutera ingorane zikomeye, rimwe na rimwe zigahitana. Ingorane zikomeye cyane zibaho iyo amaraso yacitse kandi agafunga imitsi itanga amaraso mu ngingo z'ingenzi z'umubiri wawe.

• Ubwonko: gukubita imitsi
• Umutima: Indwara y'umutima (thrombosis)
• Ibihaha: Kuziba kw'imitsi y'amaraso mu bihaha (pulmonary embolism)
• Impyiko: Kwangirika kw'impyiko

Niba utwite, amaraso afunganye abuza intungamubiri kugera kuri placenta bishobora gutera gukuramo inda. Bikongera ibyago byo kurwara preeclampsia, indwara ituma umuvuduko w'amaraso uzamuka mu gihe utwite.

Indwara ya catastrophic antiphospholipid syndrome (CAPS) ni ikibazo kidasanzwe ariko gikomeye cya APS. Ni indwara ituma amaraso acika mu ngingo nyinshi z'umubiri mu gihe cy'iminsi runaka. Hafi kimwe cya kabiri cy'abantu barwara iyi ndwara barapfa. Ariko, CAPS ibaho munsi ya 1% by'abantu bafite APS.

Ubusanzwe APS ntigira ingaruka ku buzima bwawe. Ariko, iyo amaraso apfutse yangije urugingo rw'ingenzi, cyane cyane mu ndwara nka CAPS, ishobora kwica.

Ni gute umuganga asuzuma neza iyi ndwara?

APS ikunze gupimwa nyuma yo kuvura amaraso cyangwa nyuma yo gukuramo inda inshuro nyinshi. Hari abantu bashobora kuba bafite uturemangingo tw’umubiri durwanya fosfolide ariko ntibigere bagaragaza ibimenyetso.

Muganga azemeza niba ufite APS binyuze mu bipimo by'amaraso . Azafata icyitegererezo cy'amaraso yawe maze arebe niba hari ubwoko butatu bw'udukoko twavuzwe haruguru. Kugira ngo hemezwe indwara, nibura ikizamini kimwe cy'amaraso kigomba kuba cyaranduye inshuro ebyiri, mu gihe kirenze amezi atatu.

Ni ubuhe buryo bwo kuvura ibi?

Muganga wawe azagusaba uburyo bwo kuvura bugabanya ibyago byo kubyimba kw'amaraso. Uburyo busanzwe bwo kuvura ni imiti igabanya amaraso, cyangwa imiti igabanya amaraso .

Niba utwite, ubu buryo bwo kuvura ni bwiza kuri wowe no ku mwana wawe, bityo nta mpamvu yo kubuhangayikisha.

Reka kandi tumenye ingaruka mbi ziterwa n'imiti igabanya amaraso.

Iyo ufata imiti igabanya amaraso, umubiri wawe uba ushobora kuva amaraso menshi. Bityo rero ugomba kwitondera cyane ibi bimenyetso. Niba ufite kimwe muri ibi , vugana na muganga wawe vuba.

• Kuva amaraso mu ishinya cyangwa mu mazuru nta mpamvu .
• Kuva amaraso menshi kurusha uko bisanzwe mu gihe cy'imihango.
• Kuruka bifite umutuku woroshye cyangwa ibara ry'ikawa .
• Amaraso atukura cyane mu mwenda cyangwa mu mwenda w'umukara, urimo guhagarara .
• Kubabara igifu cyane cyangwa kuribwa umutwe cyane .
• Impinduka zitunguranye mu kureba .
• Gutakaza ibyiyumvo bitunguranye mu maboko cyangwa amaguru .

Ibintu ugomba kuzirikana mu gihe ubana n'indwara ya APS

Ikintu cy'ingenzi cyane mu gihe ubana n'indwara ya APS ni ukwirinda kubyimba kw'amaraso. Kugira ngo ubigereho, ni ngombwa gufata imiti igabanya amaraso neza.

Byongeye kandi, ni ngombwa kugenzura izindi ndwara z'ubuzima zishobora kongera ibyago byo kubyimba kw'amaraso. Niba ufite imwe muri izi ndwara, vugana na muganga wawe maze umufashe kuzigenzura:

• Diyabete
• Umuvuduko ukabije w'amaraso
• Kolesteroli nyinshi
• Umubyibuho ukabije
• Izindi ndwara ziterwa n'ubwiyongere bw'umubiri

Ese ugomba kwitondera ibyo kurya n'ibyo kunywa?

Abantu barwaye APS ubusanzwe ntibagomba gukurikiza indyo yihariye. Ariko, niba ufata umuti wa Warfarin , ugomba kwitondera ibiryo bikungahaye kuri vitamine K (imboga z'icyatsi kibisi nka epinari). Kurya ibiryo byinshi bikungahaye kuri vitamine K icyarimwe bishobora kongera ibyago byo kuvura amaraso. Baza muganga wawe inama.

Nanone, baza muganga wawe ku bijyanye no kunywa inzoga. Inzoga zigabanya amaraso, bityo kuyivanga n'imiti igabanya amaraso bishobora kongera ingaruka.

Ni ryari ngomba kujya kwa muganga?

Niba ufata imiti igabanya amaraso, ugomba kujya kwa muganga wawe buri gihe kugira ngo apimwe amaraso kugira ngo umenye neza ko urugero rw'amaraso yawe agwa ruri mu rugero rukwiye.

Niba wifuza gusama, ni ngombwa cyane kubivuganaho na muganga mbere y'igihe no kugisha inama.

Ni ryari nkwiye kujya mu Ishami rishinzwe ubutabazi bwihutirwa (ETU)?

Jya mu Ishami ry’Ubutabazi bw’Imbere (ETU) ry’ibitaro ako kanya:

• Ndakeka ko ufite amaraso abyimbye.Niba bibaye.
• Iyo hari ibimenyetso by'amaraso yacitse.
• Niba urimo kuva amaraso mu buryo butunguranye .