Ese wigeze wumva indwara iteje akaga yitwa Aortic Dissection? Reka tubiganireho birambuye!

Ese wigeze wibaza ubwoko bw'ibyangiritse bishobora kubaho ku mutsi mukuru w'amaraso mu mubiri wacu, umuyoboro munini utwara amaraso ava mu mutima ajya mu mubiri wose? Gucika kw'imitsi y'amaraso ni indwara iteje akaga ishobora gushyira ubuzima mu kaga mu buryo butunguranye. Nubwo ibi biteye ubwoba gato, ni ngombwa cyane kubimenya. Kuko iyo bigaragaye hakiri kare, bishobora kuvurwa.

Gucamo ibice by'imitsi (Aortic Dissection) ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mu magambo make, gucika kw'imitsi y'amaraso ni ugucika kw'amaraso mu rukuta rwa aorta yawe, umuyoboro w'amaraso munini utwara amaraso arimo ogisijeni mu mutima wawe ukayajyana mu mubiri wawe wose. Tekereza ko aorta ari umuyoboro w'amazi mukuru mu rugo rwawe. Inyura mu gituza cyawe, mu nda yawe, ikamanuka ikagera ku maguru yawe.

Iyi ni indwara idasanzwe. Ibaho gutya: Urukuta rwa aorta rugizwe n'ibice bitatu. Kubera impamvu runaka, igice cy'imbere cy'uru rukuta kiracika intege, bigatera gucika gato muri rwo. Hanyuma, amaraso afite umuvuduko mwinshi anyura mu gucika, agatandukanya igice cy'imbere n'igice cyo hagati. Ni nk'urukuta rucitsemo kabiri. Ibi byitwa gucikamo ibice .

Iyo amaraso atangiye gutembera mu cyerekezo kitari cyo, amaraso asanzwe ajya mu bindi bice by'umubiri ashobora kuziba cyangwa kugabanuka. Hari igihe umuyoboro wose w'amaraso ushobora guturika.

Iyi ni indwara ikomeye cyane, ishobora gushyira ubuzima mu kaga. Iyo idasuzumwe kandi igavurwa vuba, urupfu rushobora kubaho. Kubwibyo, niba ubonye ibi bimenyetso, ntugatinye ujye mu cyumba cy’ubutabazi bwihuse.

Bivugwa ko iyi ndwara igaragara hagati ya 5 na 30 kuri miliyoni buri mwaka.

Ni ubuhe bwoko bw'ingenzi bwo gucika kw'imitsi y'amaraso (aortic dissection)?

Hari ubwoko bubiri bw'ingenzi bwo gukata aorta:

1. Guca imitsi yo mu bwoko bwa Stanford Type A Aortic: Ibi bitangirira mu ntangiriro y'umuyoboro w'amaraso wawe, igice cyegereye umutima wawe. Bishobora gushyira ubuzima mu kaga . Akenshi bisaba kubagwa byihutirwa mu gituza. Ibi bisaba gusana intangiriro y'umuyoboro w'amaraso wacitse cyangwa kuwukuraho hanyuma ugasimbuza igice cy'inyongera. Akenshi, guca imitsi bikomeza kugeza mu muyoboro w'amaraso. Ubwoko bwa A bukunze kugaragara kurusha ubwoko bwa B.

2. Gucamo ibice by'imitsi yo mu bwonko ya Stanford Type B:Itangira mu gice cyo hasi cya aorta, kure gato y'umutima, nyuma gato y'umuyoboro wa aorta, mu muyoboro umanuka. Kimwe n'ubwoko bwa A, ubusanzwe ishobora kuva kuri aorta imanuka ikagera kuri aorta yo mu nda. Ariko, ntabwo ireba igice cya mbere cya aorta. Ishobora gusaba kubagwa ako kanya cyangwa ntibe. Ibi biterwa n'aho icibwamo ndetse niba ibuza amaraso gutembera mu zindi ngingo zawe.

Abaganga bakoresha ubundi buryo bwo gushyira mu byiciro, bwitwa DeBakey classification system . Bufite ubwoko butatu. Ubwoko bwa mbere (Ubwoko bwa 1) butangirira muri aorta izamuka ikagera no kuri aorta imanuka. Ubwoko bwa kabiri (Ubwoko bwa 2) butangirira muri aorta izamuka ikagera no kuri aorta izamuka (zombi zisa na Stanford type A). Ubwoko bwa gatatu (Ubwoko bwa 3) butangirira muri aorta imanuka ikagera no hasi (ibi bisa na B).

Ni ibihe bimenyetso by'ihungabana ry'imitsi (aortic dissection)? Ubimenya ute?

Ikintu nyamukuru kiranga gucika kw'imitsi y'amaraso ni uko bibaho mu buryo butunguranye . Bishobora kubaho igihe icyo ari cyo cyose. Bikunze kubaho mu gihe cyo gukora imyitozo ngororamubiri, hamwe n'ubwiyongere butunguranye bw'umuvuduko w'amaraso. Ariko, bishobora no kubaho mu gihe usinziriye cyangwa uhagaze gusa. Nta bimenyetso by'umuburo bihari mbere y'uko bibaho.

Ibi ni ibimenyetso bisanzwe ushobora kugira:

• Ububabare butunguranye, bukomeye kandi bukabije mu gituza cyangwa mu mugongo wo hejuru. Bushobora kumva nk'aho burimo gukurwa imbere, gukubitwa icyuma, cyangwa nk'aho uruhu rurimo gucibwa.
• Kubabara mu gifu cyane.
• Kugorwa no guhumeka (dyspnea).
• Kunanirwa cyangwa kuzungera.
• Umuvuduko w'amaraso uri hasi.
• Amajwi y'umutima adasanzwe (ijwi ry'umutima riturika cyangwa ijwi ry'umutima rituje).
• Gutera kw'umutima vuba kandi kutagira imbaraga.
• Kubira ibyuya byinshi.
• Urujijo (kudashobora kwibanda ku kintu).
• Gutakaza ubushobozi bwo kureba.
• Ibimenyetso by'indwara ya stroke birimo intege nke ku ruhande rumwe rw'umubiri no kugorwa no kuvuga.

Niba ufite ibimenyetso byo gucika kw'imitsi nk'iyi, cyane cyane ububabare bukomeye mu gituza cyangwa ibimenyetso byo gucika kw'imitsi, hamagara 911 ako kanya cyangwa ujye mu cyumba cyita ku barwayi b'ingorabahizi kiri hafi yawe. Ntugafate ibi nk'ibisanzwe, buri segonda rigira agaciro.

Ni izihe mpamvu zitera gucika kw'imitsi y'amaraso (aortic dissection)?

Gucika kw'imitsi y'amaraso (aortic section) bibaho iyo uturemangingo two mu nkuta za aorta ducika intege buhoro buhoro. Uku gucika intege gushobora kuba kwaramaze imyaka myinshi, kugeza aho intege nke cyane mu rukuta rwa aorta zitakibasha kwihanganira. Ni bwo havuka gucika kw'imitsi y'amaraso, bigatera gucika kw'imitsi y'amaraso.

Abaganga bemeza ko inyinshi mu ndwara zo gucika kw'imitsi itera aorta ziterwa n'intege nke z'ibanze mu rukuta rwa aorta (wenda zikaba zaravukanywe). Mu bindi bihe, umuvuduko uterwa n'umuvuduko ukabije w'amaraso ushobora gutuma urukuta rwa aorta rucika intege, bigatuma rucika kandi rugacika.

Gucika kw'imitsi y'amaraso (Aortic section) bikunze kubaho ahantu urukuta rw'imitsi y'amaraso ruri munsi y'umuvuduko mwinshi. Urugero, imitsi y'amaraso iri kuzamuka. Gucika kw'imitsi y'amaraso mu mitsi yo hejuru bikunze kugaragara inshuro ebyiri kurusha iyo mu mitsi yo hasi.

Ni nde uri mu kaga gakomeye kuri ibi? Ni ibihe bintu bishobora gutera ibyago?

Hari ibintu byinshi byongera ibyago byo kurwara aorta dissection. Reba niba ibi bikureba:

• Umuvuduko ukabije w'amaraso (hypertension): Iki ni cyo kintu cy'ingenzi kandi gikunze gutera ibyago . Umuvuduko ukabije w'amaraso wangiza mu buryo butaziguye ibice by'imitsi ya aorta. Ibi bituma imigozi ya elastic ibura, imiterere y'urukuta irasenyuka, n'urukuta rukabyimba.
• Ateriosclerosis (ibinure byinjira mu mitsi y'amaraso) cyangwa cholesterol nyinshi.
• Gukoresha ibikomoka ku itabi (itabi, beedis, nibindi).
• Aneurysm y'imitsi (ububyimba budasanzwe cyangwa ububyimba mu rukuta rw'imitsi yawe).
• Indwara y'imitsi yo mu bwonko bw'aorta.
• Indwara z'umutima zivukanwa, nka valve ya bicuspid aortic (valve ifite udupapuro tubiri aho kuba dutatu dusanzwe) cyangwa Turner syndrome .
• Indwara zo mu ngingo zihuza imiterere y'umubiri, nka Marfan syndrome na Ehlers-Danlos syndrome, ni ibibazo bishobora kuragwa n'ababyeyi ku bana.
• Izindi ndwara zo mu gituza ziterwa n’imitsi yo mu gituza, zigira ingaruka cyane cyane ku mitsi yo mu gituza cyawe.
• Niba hari umuntu wo mu muryango wawe wagize ikibazo cyo gucika kw'imitsi ifungana (amateka y'umuryango).
• Aortite (kubyimba/kubyimba k'umuyoboro w'amaraso).
• Gukomereka bikomeye mu gituza. Urugero, impanuka y'imodoka yihuta cyane cyangwa kugwa uvuye ku burebure bwa metero zirenga 6.
• Kuba ari umugabo (abagabo bari mu kaga gakomeye kurusha abagore).
• Kuba ufite imyaka iri hagati ya 40 na 70. Uko ugenda ukura, ubushobozi bwo koroha kw'urukuta rw'imitsi bugabanuka.
• Kugira umuvuduko w'amaraso ukabije mu gihe utwite, cyane cyane mu gihe cyo kubyara.
• Ibikorwa bishobora gutera umuvuduko ukabije w'amaraso mu gihe kirekire, nko gukoresha ibiyobyabwenge nka kokayine cyangwa amfetamine.

Izi ndwara zishobora kwibasira abantu bakora powerlifting kandi bakunze kugira aneurysms cyangwa dissection.

Niba ufite ibi bintu bishobora gutera ibyago byinshi (nk'indwara yo kubura amaraso cyangwa indwara yo kugabanya imitsi), shaka ikigo cy’ubuvuzi bw’imitsi cyo mu bwonko gitanga serivisi nziza zo kuvura. Ibi bigo bifite uburyo bugezweho bwo kuvura. Bitanga kandi ubuvuzi bwiza binyuze mu guhuza itsinda ry’abaganga b’inzobere mu ndwara z’umutima, abahanga mu by’imitsi, abahanga mu by’uturemangingo. Ubushakashatsi bwagaragaje ko ibigo byihariye mu kuvura indwara zo mu bwonko bifite umusaruro mwiza kuri izi ndwara zikomeye.

Ni izihe ngorane zishobora guterwa no gucika kw'imitsi y'amaraso (aortic dissection)?

Gucika kw'imitsi y'amaraso bishobora guteza ingorane zikomeye nka:

• Indwara yo mu bwonko (stroke).
• Kwangirika kwa valve ya aorta.
• Indwara y'umutima.
• Kunanirwa k'umutima.
• Kwangirika kw'ingingo z'imbere nk'impyiko.
• Tamponade y'umutima: Guteranya amazi hagati y'imitsi y'umutima n'agafuka gakikije umutima (pericardium).
• Urupfu.

Ni gute abaganga basuzuma indwara yo gucika kw'imitsi ifunganye? Ni ubuhe buryo bwo gusuzuma indwara?

Muganga ashobora gukeka ko aorta yacitse bitewe n'ibimenyetso byawe. Ariko, bazakenera kumenya niba ufite aorta yacitse cyangwa ikindi kibazo cy'ubuzima gifite ibimenyetso bisa, nko kurwara indwara y'umutima cyangwa indwara yo gucika kw'imitsi. Iyo aorta yacitse, bishobora kugorana kumva imitsi mu maboko no ku maguru yawe. Muganga ashobora kandi gusanga umuvuduko w'amaraso mu kuboko kumwe uri hejuru kurusha ukundi.

Abaganga bagomba gusuzuma vuba aho imiyoboro y'amaraso ivangwa kuko ushobora gukenera kubagwa byihutirwa. Iyo itsinda ry'abaganga bawe rimaze gusuzuma aho imiyoboro y'amaraso ivangwa, itsinda ryihariye rishinzwe gutwara abantu rishobora kukwimurira mu kigo gishinzwe kwita kuri izi ndwara zikomeye.

Ni ibihe bipimo byo gusuzuma indwara?

Muganga ashobora gutumiza ibizamini nk'ibi bikurikira:

• X-ray yo mu gituza: Iki ni ikizamini cyihuse gikoresha imirasire mike kugira ngo gifate amafoto y'umutima wawe, ibihaha, imiyoboro y'amaraso (nk'umuyoboro w'amaraso), n'amagufwa yo mu gituza cyawe.
• Gupima CT: Iki kizamini gifasha kubona neza umuyoboro w'amaraso mu buryo bwihuse mu gihe cy'impanuka. Bishobora gufasha muganga kureba niba hari aneurysm cyangwa gucikamo ibice. Ushobora kandi guterwa amazi yihariye (IV contrast) mu mitsi yawe nk'igice cy'iki kizamini.
• Echocardiogram ya Transthoracic (TTE): Iyi ikoranabuhanga rya ultrasound rikoresha kugira ngo rikore amashusho agendagenda y'imitsi y'umutima wawe, ibyumba by'umutima, n'intangiriro y'umuyoboro w'amaraso (aorta) wawe.
• Echocardiogram ya transesophageal (TEE):Ibi bishobora gutanga amashusho asobanutse neza kandi arambuye y’imitsi y’umutima n’ibyumba kurusha echocardiogram isanzwe ya transthoracic. Binatanga ishusho nziza y’imitsi y’igituza, umutsi w’amaraso uri mu gituza cyawe. Muri iki kizamini, umuganga ashyira icyuma cya ultrasound mu kanwa ke mu muhogo wawe. Umuhogo uba inyuma y’umutima wawe n’imbere y’umuhogo umanuka.
• MRI scan: Iyi scan ikoresha rukuruzi nini n'imiraba ya radiyo kugira ngo ikore amashusho arambuye y'ingingo n'imiterere biri mu mubiri wawe, harimo na aorta. Ishobora kwerekana amashusho agendagenda y'imitsi y'umutima, ibyumba, n'amaraso atembera muri aorta. Ariko, iki kizamini kimara igihe kirekire ugereranije na CT scan isanzwe, bityo ntigikoreshwa kenshi mu bihe byihutirwa.

Gucika kw'imitsi y'amaraso (aortic dissection) bivurwa gute?

Uburyo bwo kuvura ikibazo cyo gucika kw'imitsi ifunganye biterwa n'aho yacitse n'aho yacitse.

• Ku ndwara yo gucika kw'imitsi yo mu bwoko bwa A (niba igice cya mbere cy'imitsi yo mu mutima, cyegereye umutima, cyagize ikibazo), uzakenera kubagwa ako kanya.
• Mu gucibwa kw'imitsi yo mu bwoko bwa B aortic, iyo gucibwamo guhagaritse amaraso kugera ku ngingo z'ingenzi n'ibice by'umubiri, nko mu mpyiko, mu mara, mu maguru, cyangwa mu ruti rw'umugongo, uzakenera kubagwa byihutirwa. Niba scan yawe ya CT igaragaje ibimenyetso bishobora guteza akaga gakomeye, uzakenera kubagwa vuba.
• Mu bihe bidakomeye cyane, kuvura aorta desection bishobora gutangirira ku miti igabanya umuvuduko w'umutima cyangwa ikagabanya umuvuduko w'amaraso. Kubagwa bishobora gukorwa nyuma iyo habayeho ingorane.

Kubaga no kuvura imitsi yo mu nda

Amahitamo yo kubaga arimo:

• Gusimbuza inshinge: Umuganga ubaga akuraho igice cyangiritse cy'umuyoboro w'amaraso (aorta) wawe akagisimbuza umuyoboro ukozwe mu ngirangingo z'ubukorano (graft). Bitewe n'ingano y'inshinge, bashobora no gukenera gusana valve yawe ya aorta, umuzi wa aorta, cyangwa umuyoboro w'amaraso (aorta arch) hamwe n'imitsi ijyana amaraso ku mutwe no ku maboko yawe. Ubu ni ukubaga umutima kandi ni bwo buryo bwiza bwo kuvura inshinge zihutirwa zo mu bwoko bwa A.
• Gusana stent-graft mu miyoboro y'amaraso:Muri ubu buryo, umuganga asana umuyoboro w'amaraso wawe imbere. Bakoresha stent graft. Uyu ni umuyoboro w'ibyuma ukozwe mu nsinga z'icyuma ufite inkingi (nk'igisenge) iwufatanyeho. Stent ikomeza igice cy'amaraso cyacitse intege. Uku gusana imiyoboro y'amaraso ni bwo buryo bwiza bwo gukata amaraso yo mu bwoko bwa B mu buryo bugoye (amaraso ajya mu ngingo z'ingenzi arafunze, cyangwa hari ibimenyetso bishobora gutera ibyago byinshi kuri CT scan). Umuganga abikora atema gato mu mitsi yo mu kibuno cyawe akoresheje insinga na catheter.
• Uburyo buvanze: Muri ubu buryo, umuganga akoresha uburyo bwo kubaga bufunguye ndetse n'uburyo bwo gukubagura imitsi yo mu nda kugira ngo asane umuyoboro w'amaraso. Ubu buryo bukoreshwa iyo gusana bigomba kugera ku gice cy'umuyoboro w'amaraso, gitanga amaraso mu bwonko no mu maboko. Ibi bishobora gukorwa nk'uburyo bwihutirwa bwo gusiba ubwoko bwa A. Bishobora kandi gukorwa nk'igice cy'uburyo bwo gusana bw'ibyiciro bibiri, hakoreshejwe inzira y'amaraso iri mu ijosi kugira ngo bifashe kwitegura gusana imitsi yo mu nda kugira ngo basane ubwoko bwa B.

Imiti

Muganga ashobora kuguha imiti, nka beta-blockers, kugira ngo ugabanye umuvuduko w'umutima n'umuvuduko w'amaraso. Mu bihe bimwe na bimwe byo gucibwa kwa B aortic, imiti yonyine ishobora gukoreshwa mu kuvura gucibwa kwa mbere. Bitewe n'uburemere bw'icika n'ingano y'icika, kubagwa bishobora gukorwa nyuma y'amezi cyangwa imyaka.

Ese gucika kw'imitsi y'amaraso (aortic section) bishobora kwirindwa?

Hari ibintu byinshi udashobora guhindura byongera ibyago byo kurwara aorta dissection. Urugero, indwara zimwe na zimwe z'umutima wavukanye, indwara zifatana mu ngingo, cyangwa ibintu bigize imiterere y'umubiri bifitanye isano n'amateka y'umuryango wa aorta dissection.

Ariko, ushobora kugabanya zimwe mu ngaruka zishobora kubaho:

• Genzura umuvuduko w'amaraso yawe.
• Irinde burundu ibikomoka ku itabi.
• Komeza kugira ibiro bizima kuri wewe.
• Buri gihe wambara umukandara w'imodoka mu gihe ugenda mu modoka kugira ngo wirinde gukomereka mu gatuza mu gihe habaye impanuka.
• Jya kwisuzumisha kwa muganga buri gihe, kandi urebe muganga niba ubonye impinduka mu buzima bwawe.
• Niba hari umuvandimwe wo ku rwego rwa mbere (umubyeyi, umwana, cyangwa umuvandimwe) wagize ikibazo cyo gucika kw'imitsi ifunganye, saba muganga wawe gusuzuma ibyago byo kurwara indwara y'imitsi ifunganye. Hanyuma muganga wawe ashobora kugukurikirana no kuguha ubuvuzi bukenewe mbere yuko habaho ikibazo cy'imitsi ifunganye.

Niba usanzwe ufite aneurysm ya aorta, gana muganga w’inzobere mu ndwara za aorta (inzobere mu by’umutima cyangwa umuganga w’umutima). Bashobora gusuzuma ibyago byawe, kandi nibiba ngombwa, bakagukurikirana kugira ngo bakubage kugira ngo basane aorta yawe.

Ni iki wakwitega niba ufite ikibazo cyo gucika kw'imitsi y'amaraso (aortic dissection)?

Gucika kw'imitsi y'amaraso mu buryo butunguranye (ubwoko bwa A) bishobora gushyira ubuzima mu kaga. Abantu bafite ikibazo cyo gucika kw'imitsi y'amaraso mu buryo butunguranye (ubwoko bwa A) bapfa cyane. Abantu bagera kuri 40% bafite ikibazo cyo gucika kw'imitsi y'amaraso mu bwoko bwa A bahita bapfa, bitewe nuko imitsi y'amaraso yacitse burundu kandi ikava amaraso.

Abantu barokotse ubutabazi bwihutirwa bakunze gusigarana ikibazo cy’indwara idakira mu bice by’imitsi yabo ifungana bitavuwe. Ibi bishobora gusaba kuvurwa nyuma.

Bitewe n’iterambere ry’ubuvuzi bugezweho, ubwiyongere bw’indwara mu cyiciro cy’indwara idakira burimo kwiyongera. Ariko, igihe cyo kubaho nyuma yo gucibwamo aorta ni gito ugereranije n’abaturage muri rusange. Ariko, iyo habayeho kuvurwa no gucungwa vuba n’itsinda ryahuguwe rya aorta, birashoboka kubaho ubuzima busanzwe imyaka myinshi nyuma yo gucibwamo aorta.

Nitwara nte?

Ubusanzwe, umuganga azakwandikira imiti igabanya umuvuduko w'amaraso, nka beta-blockers, kugira ngo acunge umuvuduko w'amaraso n'umuvuduko w'umutima. Uzakenera kuyifata ubuzima bwawe bwose . Ushobora gukenera imiti irenze imwe y'umuvuduko w'amaraso.

Ni ngombwa kandi kwirinda ibikomoka ku itabi nyuma yo gucika kw'imitsi ifungana.

Ibikorwa byo kwidagadura mu mubiri nko kugenda n'amaguru, kugendera ku igare no koga ni byiza. Ariko, hari ibikorwa bimwe na bimwe, nko guterura ibintu biremereye (birenze kimwe cya kabiri cy'uburemere bw'umubiri wawe), bigomba kwirindwa. Bishobora kongera umuvuduko w'amaraso no gushyira umuvuduko w'inyongera ku muyoboro w'amaraso.

Ni ryari ngomba kubonana na muganga wanjye?

Nyuma yo kurokoka ikibazo cyo gucika kw'imitsi y'amaraso - nubwo waba utarabazwe - uzakenera kujya kwa muganga buri gihe (ubusanzwe buri mezi 3 kugeza kuri 12) kugira ngo bagupime CT cyangwa MRI. Ibi bituma abaganga babona impinduka zose hakiri kare kandi bakagira icyo bakora.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• Ni ubuhe bwoko bw'icibwa ry'imitsi y'amaraso mfite?
• Ese nkeneye kubagwa?
• Ese ushobora kunyandikira itsinda rishinzwe gufasha abantu bahuye n'ikibazo cyo gucika kw'imitsi ifungana (aortic dissection)?

Ni irihe tandukaniro riri hagati ya aneurysm, gucika kw'imitsi no gucika kw'imitsi?

Aya magambo ashobora gutera urujijo, reka tubisobanure neza:

• Aneurysm y'imitsi: Iyi ni ipfundo rimeze nk'ipfundo, rimeze nk'ipfundo riri ahantu hadakomeye mu rukuta rw'imitsi yawe. Cyangwa igice cyose cya aorta kirimo kubyimba. Aneurysm y'imitsi ishobora gutera gucika kw'imitsi cyangwa gucika kw'imitsi.
• Gucika kw'imitsi y'amaraso: Uku ni ugucika burundu, cyangwa umwobo, mu rukuta rw'imitsi y'amaraso, bigatuma amaraso ava mu mwobo ajya mu gace kawukikije.
• Gucamo ibice by'imitsi yo mu bwonko:Iyi ni icika ry’imbere mu gice cy’imbere cy’umuyoboro w’amaraso. Ituma amaraso asohoka, bigatuma ibice by’imbere n’ibyo hagati by’urukuta rw’umuyoboro w’amaraso bitandukana. Ibi bishobora kwaguka mu byerekezo byombi ku ruhande rw’umuyoboro w’amaraso, kandi bishobora no gukwirakwira mu mitsi y’amaraso iva kuri uwo muyoboro w’amaraso.

Gucika kw'imitsi y'amaraso ni ikintu giteye ubwoba cyane kandi giteye urujijo. Kurokoka bishobora kuba amarangamutima avanze. Amarangamutima yawe afite ishingiro, kandi hari n'abandi basobanukiwe ibyo urimo kunyuramo. Ba ijwi ryawe bwite, ubaze ibibazo ku kintu cyose kidasobanutse neza. Komeza gufata imiti yawe, kurikiza amabwiriza yose ya muganga wawe, kandi witabire gahunda zose za muganga wawe.

Ni ingenzi cyane kujya mu kigo cy’indashyikirwa cy’imitsi ifunganye, gifite uburambe bwinshi mu kuvura ubwo bwoko bw’indwara kandi gishyigikiwe n’inzobere zitandukanye. Ibisubizo biva muri ibyo bigo ni byiza cyane kuruta ibyo bivura umubare muto cyane w’abarwayi.

Ubutumwa bw'ingenzi cyane bwo kujyana mu rugo

Rero, ushobora kuba usobanukiwe ko Gucibwamo kw'imitsi yo mu bwonko ari indwara itunguranye, iteje akaga cyane, kandi ishobora gushyira ubuzima mu kaga. Niba ugize ububabare butunguranye kandi bukomeye mu gituza, ububabare bw'umugongo, cyangwa ibimenyetso by'indwara yo mu bwonko, ntubyirengagize. Shaka abaganga ako kanya.

• Igihe ni ubuzima: Gusuzuma indwara hakiri kare no kuyivura bishobora kurokora ubuzima.
• Menya ibintu bishobora gutera indwara: Menya ibintu nk'umuvuduko ukabije w'amaraso, kunywa itabi, n'amateka y'umuryango. Gerageza kubigenzura.
• Uburyo bukwiye bwo kuvurwa no gukurikiranwa: Koresha imiti wahawe na muganga wawe neza uko wabitegetswe. Jya kwisuzumisha kwa muganga ku gihe.
• Ubufasha bw'inzobere: Niba bishoboka, shaka ubuvuzi mu kigo cy’inzobere kivura ubwo bwoko bw’indwara.

Twizeye ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

Gucibwamo kw'imitsi, aorta, aorta, kubabara mu gituza, indwara z'umutima, umuvuduko ukabije w'amaraso, kubagwa , ubuvuzi bwihutirwa