Ese muganga yaba yarakwandikiye umuti wo gukumira kubyimba kw'amaraso kuri wowe cyangwa ku muntu wo mu muryango wawe? Ushobora kuba ikintu kizwi nka Aspirine. Cyangwa ushobora kuba ikintu nka Clopidogrel. Iyi miti dukunze kwita imiti igabanya ubukana bw'amaraso. Uyu munsi, tuzaganira mu buryo bworoshye kandi mu kinyabupfura ku byo iyi miti ari byo, uko ikora mu mubiri wacu, n'uburyo tugomba kwirinda iyo tuyikoresheje.
Imiti igabanya ubukana bw'imitsi itera amaraso mu maraso ni iki? Ikora ite?
Kugira ngo tubisobanukirwe, tugomba kubanza kumenya bike ku maraso yacu. Amaraso yacu agizwe ahanini n'uturemangingo dutukura (dutwara ogisijeni), uturemangingo twera (turwanya mikorobe), n'ubundi bwoko bw'uturemangingo duto, twita platelets .
Tekereza utemye ikiganza cyawe n'icyuma. Amaraso atemba akanya gato, hanyuma agahagarara, si byo se? Ibyo biterwa n'izi platelets. Iyo ahantu hakomeretse, izi platelets zihutira kugera aho zakomeretse, zigafatana, zigakora urushundura, zigakora ikibyimba. Iki kibyimba gikora nk''agakingirizo' gahagarika kuva amaraso. Iki ni uburyo bwiza bwo kwirinda mu mubiri wacu.
Ariko, dore ikibazo. Bigenda bite iyo amaraso ameze nk'aya agize ikibazo mu mitsi yacu nta gikomere afite? Ibyo ni bibi cyane. Iyo amaraso ameze nk'ayo agize ikibazo mu mitsi itanga amaraso mu mutima, ashobora gutera indwara y'umutima . Iyo agize ikibazo mu mitsi ijya mu bwonko, ashobora gutera indwara yo gucika imitsi .
Imiti igabanya ubukana bw'imitsi ikora mu kubuza plaquette gufatana mu mitsi, ari na byo bibuza amaraso kuzura. Muri make, iyi miti igabanya 'gufatana' kwa plaquettes.
Ni irihe tandukaniro riri hagati y’imiti igabanya ubukana bw’amaraso n’imiti igabanya ubukana bw’amaraso?
Abantu benshi bitiranya ubwo bwoko bubiri bw'imiti. Nubwo yombi yitwa "imiti igabanya amaraso," uburyo ikora buratandukanye gato. Nubwo ingaruka zabyo byombi ari ukugabanya amaraso afungana, aho ikora biratandukanye. Reka tubisobanukirwe neza.
| Ubwoko bw'umuti | Uko bikora |
|---|---|
| Antiplatelets (urugero: Aspirine, Clopidogrel) | Ni iki cya mbere giteranya amaraso kugira ngo agire ikibazo cyo kubyimba?Bibuza ko plaquettes zitaguma hamwe. |
| Imiti igabanya amaraso mu mubiri (urugero: Warfarin, Apixaban) | Iyo plaquettes zimaze kwishyira hamwe, zibangamira imikorere ya poroteyine zihariye mu maraso (ibintu bituma amaraso agwa) bifasha gukomeza amaraso kugabanuka. |
Ni nde ukeneye iyi miti?
Umuntu muzima ubusanzwe ntakeneye uyu muti. Ariko abantu bafite indwara zimwe na zimwe baba bafite ibyago byinshi byo kurwara amaraso mu mitsi yabo. Dore zimwe mu mpamvu zikomeye muganga wawe ashobora kukwandikira uyu muti:
- Niba warigeze kugira indwara y'umutima cyangwa stroke mbere, wirinde ko yakongera kugaruka.
- Niba ufite indwara y'imitsi ifata umutima , bivuze ko imitsi yo mu mutima wawe yagabanutse.
- Angina , ni ukuvuga, niba ubabara mu gatuza.
- Indwara y'imitsi yo mu mpande , bivuze ko imitsi ijyana ku ngingo ifunze.
- Niba ufite ibibazo by'umutima nko gutera imitsi mu gice cy'umutima .
- Niba warigeze kubagwa bypass (Coronary Artery Bypass) .
- Niba warigeze gukorerwa angioplasty , ni ukuvuga niba warashyizwemo stent mu mitsi yawe.
- Niba warabazwe imitsi y'umutima.
Ibintu ugomba kumenya mu gihe ukoresha imiti igabanya ubukana bw'imitsi
Uburyo bwo gufata umuti
Imiti myinshi igabanya ubukana bw'imitsi ifatwa nk'ibinini. Mu bihe byihariye gusa niho hakoreshwa imiti iterwa mu mitsi. Niba urwaye igifu cyangwa ukagira ikibyimba mu gihe ufata ibinini, ni byiza gufata umuti hamwe n'ifunguro.
Icy'ingenzi kurushaho: Niba wabuze dose, uyifate vuba ubyibuka. Ariko, niba iri hafi cyane y'idose yawe itaha (urugero, iri hafi amasaha make), jya usimbuka dose yabuze hanyuma ufate dose yawe itaha ku gihe cyagenwe. Ntugafate dose ebyiri icyarimwe kubera impamvu iyo ari yo yose. Nanone, ntugahagarike gufata imwe muri iyi miti (harimo na aspirine) mu buryo butunguranye utabanje kugisha inama muganga. Kubikora bishobora gutuma amaraso agwa mu buryo butunguranye kandi bigatera ingaruka mbi.
Ingaruka n'ingaruka mbi
Ingaruka nyamukuru z'iyi miti ni ukuva amaraso menshi. Ibi biterwa nuko iyi miti ibuza amaraso kuzura mu mitsi, kandi ikanatinza kurema kw'amaraso akenewe kugira ngo amaraso ahagarike kuva mu mitsi iyo habayeho imvune.
| Imiterere y'ingaruka mbi | Ibisobanuro |
|---|---|
| Ingaruka mbi zikunze kugaragara | |
| Ihinduka ubururu nubwo haba hari agakomere gato | Ibikomere bigaragara mu bice bitandukanye by'umubiri. |
| Kuva amaraso mu mazuru | Kuva amaraso mu mazuru nta mpamvu. |
| Kuva amaraso mu gikomere | Kuva amaraso bifata igihe kirekire kugira ngo bihagarare, ndetse no mu gikomere gito. |
| Imihango y'abagore | Kuva amaraso menshi kuruta uko bisanzwe. |
| Ibimenyetso bikomeye bigomba kumenyeshwa muganga wawe byihuse | |
| Amaraso mu nkari | Inkari zitukura, umutuku, cyangwa umukara. |
| Amaraso mu ntebe | Imyanya itukura cyangwa iy'igihe gito. |
| Kuruka amaraso | Gukorora amaraso cyangwa kuruka amaraso asa n'ifu y'ikawa. |
| Ububabare bukomeye mu gifu | Ububabare bwo mu nda butunguranye, bukomeye kandi buhoraho. |
| Indwara y'amaraso nini kandi idafite amaraso menshi | Kurema amaraso menshi afite ishusho y'urudodo (hematoma) munsi y'uruhu. |
Ubonye ibimenyetso bikomeye nk'ibi, hita ujya kwa muganga wita ku barwayi ba ETU (ETU) bo mu bitaro biri hafi yawe.
Uburyo bwo kuvura n'indi miti
Mu gihe ufata uyu muti, ni ngombwa kubwira muganga wawe indi miti yose ufata. Imiti imwe ishobora kugira ingaruka ku iyi miti igabanya ubukana bw'amaraso mu mubiri (antiplatelet treatments) bityo ikongera ibyago byo kuva amaraso. Bityo rero, menya neza ko wabibwiye muganga wawe ibi bintu:
- Imiti ivura izindi ndwara.
- Imiti nk'imiti igabanya ububabare ushobora kugura muri farumasi udafite urwandiko rwa muganga.
- Vitamine, imyunyungugu cyangwa izindi nyongeramusaruro.
- By’umwihariko, menya neza ko umenyesha muganga wawe imiti iyo ari yo yose ya Ayurvedic cyangwa Sinhala ufata.
Ni nde udakwiriye gufata uyu muti?
Hari abantu bashobora kuba badakwiriye uyu muti. Muganga wawe ni we uzabigena.
- Abantu bateganijwe kubagwa cyangwa bakuwe iryinyo mu minsi mike iri imbere.
- Batwite, bagerageza gutwita, cyangwa ababyeyi bonsa.
- Abantu bigeze kugira ikibazo cyo kuva amaraso mu bwonko.
- Abantu bafite ibibazo byo kuvura amaraso nka hemophilia.
- Abantu bafite indwara zikomeye z'impyiko cyangwa umwijima.
- Abantu bafite cyangwa barwaye ibisebe byo mu gifu.
Uyu muti ni ubwoko bw'umuti bw'ingenzi cyane bushobora gufasha mu kurokora ubuzima indwara zikomeye nk'indwara z'umutima n'imitsi yo mu bwonko. Kubwibyo, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza no kumenya ingaruka zishobora kubaho.
Ubutumwa bwo kujyana mu rugo
- Umuti ugabanya imisemburo ni umuti w'ingenzi cyane utangwa mu rwego rwo gukumira indwara zishobora guteza ubuzima nk'indwara z'umutima n'imitsi yo mu bwonko.
- Ntukareke gufata uyu muti cyangwa ngo uhindure igipimo nta nama ya muganga wawe.
- Ingaruka nyamukuru z'iyi miti ni ukuva amaraso menshi. Witondere wirinde gukomereka mu mirimo ya buri munsi.
- Niba ubonye ibimenyetso byo kuva amaraso menshi, urugero nk'amaraso mu nkari cyangwa mu mwanda, kuruka amaraso, cyangwa ububabare bukomeye mu gifu, menyesha muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byita ku barwayi ba ETU.
- Ni ngombwa kumenyesha muganga wawe indi miti yose, vitamine, n'imiti ya Ayurvedic ufata.
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