Ese imiyoboro y'amaraso yawe yarabyimbye? Reka tumenye neza icyo arteriosclerosis ari cyo!

Ese wigeze utekereza ko imitsi y'amaraso (imitsi) iri mu mubiri wacu imeze nk'imiyoboro? Iyi ni yo itwara amaraso meza kandi akungahaye kuri ogisijeni iva mu mutima wacu ikayajyana mu mubiri wose. Rero, iyi mitsi y'amaraso si imiyoboro gusa, irahinduka, nk'umuyoboro mushya w'isukari. Ariko rimwe na rimwe, iyi mitsi y'amaraso itangira gukomera no gukomera. Ibyo ni byo twita mu buvuzi `( Arteriosclerosis )` cyangwa "kubyimba kw'inkuta z'imitsi" cyangwa "gukomera kw'imitsi". Iyi ni inkuru ikomeye, kuko ibi bitubaho, nubwo tutabizi.

`(Arteriosclerosis)` ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Mu magambo make, "Arteriosclerosis" ni igihe inkuta z'imitsi yawe, imitsi y'amaraso itwara amaraso, zigenda zikomera buhoro buhoro, zigatakaza ubushobozi bwo gukomera, kandi zigakomera. Tekereza nawe, ni gute umuyoboro mushya w'amazi ushobora gupfukama byoroshye? Ariko iyo ushaje ukagerwaho n'izuba n'imvura, utakaza ubushobozi bwo gukomera, kandi niba ugerageje kuwupfundika, ushobora no kuvunika, si byo se? Ibyo ni byo biba ku mitsi yacu.

Iyi mitsi ni ingenzi cyane. Igihe cyose umutima wacu utera, amaraso meza kandi akungahaye kuri ogisijeni anyura mu mubiri wose, agera ku ngingo zose n'ingingo, binyuze muri iyo mitsi. Rero, iyo iyi mitsi ikomeje gukomera , amaraso ashobora kubangamira inzira yayo. Hanyuma inzira yose y'amaraso ishobora guhungabana.

Iyi ndwara yitwa `(Arteriosclerosis)` ntabwo ikura mu munsi umwe cyangwa ibiri. Ikura buhoro buhoro mu myaka myinshi. Ikintu kibi cyane ni uko ishobora kuba idatanga ibimenyetso mu ntangiriro. Ushobora kutabona ikintu icyo ari cyo cyose igihe kirekire, hanyuma ukamenya gusa igihe izindi ngorane zivuka bitewe no gukomera kw'imitsi. Ibi byongera cyane ibyago byo kurwara indwara z'umutima n'imitsi, ni ukuvuga indwara zifitanye isano n'umutima n'imitsi y'amaraso.

Abantu benshi bavanga amagambo `(Arteriosclerosis)` na `(Atherosclerosis)` maze bakayakoresha nk'ijambo rimwe. Ariko, hari itandukaniro rito hagati y'ayo magambo yombi.

• Arteriosclerosis ni ukwiyongera no gukomera kw'inkuta z'imitsi bitewe n'impamvu iyo ari yo yose .
• Ateriosclerosis ni indwara aho plaque yiyongera mu nkuta z'imitsi, bigatuma ikomera . Ubu ni ubwoko bwihariye bwa arteriosclerosis. Iri ni ryo jambo wumvise cyane.

Reka turebere hamwe mu buryo burambuye ubundi bwoko bwa arteriosclerosis n'uburyo bigira ingaruka ku mibiri yacu.

Ni ubuhe bwoko bw'ingenzi bwa `(Arteriosclerosis)`?

Hari ubwoko butatu bw'ingenzi bwa arteriosclerosis:

1. Ateriosclerosis `(Ateriosclerosis)`

Ubu ni bwo bwoko bukunze kugaragara cyane twavuze mbere. Atherosclerosis ni ukwiyongera buhoro buhoro kw'ibinure (plaque cyangwa atheroma) mu nkuta z'imitsi yawe minini n'iminini. Tekereza nk'ingese ziyongera mu muyoboro w'amazi. Ubu bwoko bw'ibinure tubwita "plaque".

Izi ni zimwe mu mitsi ikunze kwibasirwa cyane:

• Aorta - Umutsi munini mu mubiri wacu.
• Imitsi yo mu mutima - imitsi itanga amaraso mu mutima.
• Imitsi ya Carotid - imitsi y'ingenzi itanga amaraso mu bwonko.
• Imitsi yo mu gitsina cy'umugore
• Imitsi ya Iliac

Iyi `(plaque)` ishyirwa mu gice cy'imbere cy'urukuta rw'imitsi `(tunica intima).` Mu ntangiriro, ibi ntibitera ibibazo cyangwa ibimenyetso. Ariko uko iki gice cy'ibinure gikura buhoro buhoro, inzira y'amaraso (lumen) iri mu mitsi iragabanuka. Hanyuma umwanya w'amaraso ugenda ugabanuka. Nanone, hari ibyago byo kubumba amaraso kuri iyi `(plaque)`. Iyi mitsi ishobora kuziba imitsi burundu. Ibi bibaye, hashobora kubaho ibibazo byihutirwa nko gutera umutima cyangwa gucika intege .

2. Ugutera imitsi yo mu bwonko (Arteriolosclerosis)`

Mu gihe `(Atherosclerosis)` igira ingaruka ku mitsi yo hagati n'iminini, `(Arteriolosclerosis)` igira ingaruka ku mitsi mito. Iyi mitsi mito tuyita `(arteriole).` Iyi ni yo ihuza imitsi minini n'imitsi mito cyane `(capillaries).` Iyi `(arteriole)` igira uruhare runini mu kugenzura umuvuduko w'amaraso yacu `( umuvuduko w'amaraso ).`

Arteriolosclerosis ni ukwiyongera kw'inkuta z'iyi mitsi mito (arteriole). Ibi bishobora no kugira ingaruka ku mitsi mito yo mu mpyiko zacu no mu bwonko. Iyo izi nkuta zibyimbye, ntizishobora gukora neza. Icyo gihe ingingo ntizibona amaraso ahagije, kandi hashobora kubaho ingorane zitandukanye.

3. Mönckeberg medial calcific sclerosis `(Mönckeberg medial calcific sclerosis)`

Irindi zina ry'ibi ni ``medial arterial calcification``. Iyi ni calcium ishyirwa mu gice cyo hagati cy'urukuta rw'imitsi ``tunica media.``Iyo calcium yibumbiye muri urwo rwego rwo hagati, urukuta rw'imitsi rukomera . Ibi bikunze kugaragara ku bantu barengeje imyaka 50. Ariko, bishobora kugaragara kare ku bantu bafite indwara zimwe na zimwe zidakira (urugero, indwara zidakira z'impyiko ).

Iyi ndwara inatera ihungabana ry'amaraso mu mikorere yayo, bikongera ibyago byo kurwara indwara z'umutima n'imitsi.

Ni ibihe bimenyetso bya `(Arteriosclerosis)`?

Akenshi, nta bimenyetso bihari kugeza igihe habayeho ingorane ziterwa na "Arteriosclerosis." Nubwo ibimenyetso byagaragaye, biratandukanye cyane bitewe n'ubwoko bw'ikibazo n'aho cyagaragaye. Ibimenyetso bimwe na bimwe bikunze kugaragara ni ibi bikurikira:

• Kumva amaguru ashyushye cyangwa ababara cyane cyane ibirenge, ndetse no mu gihe uri kuruhuka.
• Impinduka mu gihe cyo kwihagarika.
• Kubabara mu gituza cyangwa kubabara mu mutima.
• Kuzungera.
• Uruhu rwumye, ruryana , cyangwa rudakora neza.
• Kumva unaniwe cyane (Umunaniro).
• Umutima utera cyane.
• Ububabare mu maguru iyo ugenda (amaguru arababara iyo ugenda intera ngufi, kandi aragabanuka iyo uhagaze) – ibi byitwa ``intermittent claudication``.
• Isesemi cyangwa kuruka.
• Guhumeka nabi.
• Imvugo idasobanutse neza cyangwa ingorane zo kugaragaza ibitekerezo.
• Ibikomere by'ibirenge (bifata igihe kirekire kugira ngo bikire).
• Kubyimba (edema).
• Kubura ubushishozi mu jisho rimwe.
• Intege nke ku ruhande rumwe rw'umubiri.

Icy'ingenzi: Niba ufite ibimenyetso by'indwara y'umutima, indwara yo gucika kw'imitsi, indwara yo kubura amaraso mu buryo bw'ihindagurika ry'imitsi (TIA) (nk'indwara yo gucika kw'imitsi mu bihaha), indwara yo kubura amaraso mu bihaha (PE) (amaraso afunganye mu bihaha), cyangwa indwara yo kubura amaraso mu mitsi (gufunga imitsi ijyana amaraso mu mara), ugomba guhamagara 911 cyangwa nomero y'ubutabazi yo mu gace utuyemo ako kanya.

Ni izihe mpamvu zitera `(Arteriosclerosis)`? Ni izihe mpamvu zishobora gutera ibyago?

Ihindagurika ry’imitsi riterwa n’impinduka mu rukuta rw’imitsi. Izi mpinduka zibanza kubaho ku rwego rw’uturemangingo, nto cyane ku buryo tutabasha no kuzibona. Urugero, kwangirika k’imbere mu mutsi (endothelium) bitera indwara ya atherosclerosis.

Inyinshi muri izi mpinduka ziba uko tugenda dusaza. Ntidushobora guhagarika ingaruka zishobora guterwa no gusaza. Niyo mpamvu ari ngombwa kumenya izindi mpamvu zishobora gutuma umuntu arushaho kugira ibyago no kubigenzura. Guhindura imibereho ye bishobora gufasha cyane muri ibi.

Ibintu by'ingenzi bishobora gutera gukomera kw'imitsi ni ibi bikurikira:

• Indwara y'impyiko idakira.
• Umuvuduko w'amaraso ukabije.
• Igipimo cya cholesterol kiri hejuru mu maraso.
• Imyaka irushaho kwiyongera.
• Kutagira imyitozo ngororamubiri.
• Indwara ya metabolike.
• Kunywa itabi (kunywa itabi, itabi, guhekenya shikarete, nibindi).
• Diyabete yo mu bwoko bwa 2.

Vugana na muganga wawe kugira ngo agufashe kumenya ibintu bishobora kugutera ibyago. Urugero, niba ufite indwara nk'izi, kuzivura ukoresheje uburyo bwo guhindura imibereho yawe n'imiti bishobora gufasha cyane mu gutuma imitsi yawe ikomeza kuba myiza.

Ingaruka za `(Arteriosclerosis)` ni izihe? (Ingaruka mbi)

Indwara ya arteriosclerosis ibangamira urujya n'uruza rw'amaraso mu mubiri wacu. Iyo imitsi ikomeje gukomera , umwuka wa ogisijeni n'intungamubiri bikwirakwira mu ngingo no mu turemangingo biragabanuka. Kubwibyo, gukomera kw'imitsi bishobora gutera ingorane zitandukanye, urugero:

• Imitsi itera imitsi (Aneurysms).
• Indwara y'imitsi ifata imiyoboro ya carotide.
• Indwara y'imitsi itera umutima (CAD).
• Ischemia ikomeye y'amagufwa ni indwara ikomeye iterwa no kugabanuka kw'amaraso agera ku magufwa.
• Indwara y'umutima.
• Kunanirwa kw'impyiko.
• Kugabanuka kw'amaraso ajya mu mara (Mesenteric ischemia).
• Indwara y'imitsi yo mu mpande (PAD)
• Kuziba kw'imitsi y'ibihaha.
• Gutera imitsi y'impyiko gucika.
• Indwara yo mu bwonko (stroke).
• Kubyimba kw'amaraso `(Trombose)`.
• Ibimenyetso by'igitero cy'indwara y'imisemburo y'igihe gito (TIA).

Hari igihe umuntu ashobora kugira ubwoko burenze bumwe bwa arteriosclerosis, kandi ingaruka zayo zose hamwe zishobora gutera ibibazo mbere y’uko bisanzwe.

Urugero, ubushakashatsi bumwe bwerekana ko iyo umuntu ufite `(medial arterial calcification)` (calcium deposits mu gice cyo hagati cy'urukuta rw'imitsi) na we afite `(atherosclerosis)` (ibinure), inzira yo kugabanya imitsi ishobora kwihutishwa. Ibi biterwa nuko, ubusanzwe, iyo ibinure byibumbiye mu gice cyo imbere cy'urukuta rw'imitsi `(intima),` urukuta rw'imitsi rugenda rwaguka rujya hanze, bigatuma amaraso atembera. Ariko, iyo igice cyo hagati `(media)` cyakomejwe n'ibinure bya kalisiyumu, urukuta rw'imitsi ntirushobora kwaguka rujya hanze. Kubwibyo, ibinure biri mu gice cyo imbere bigabanya `(lumen)` amaraso ashobora kunyuramo.

Ni gute `(Arteriosclerosis)` ipimwa?

Abaganga bapima iyi ndwara bakoresheje:

• Hakozwe isuzuma ry'umubiri .
• Baza ibibazo ku bijyanye n'amateka y'ubuzima bw'umuryango wawe, imibereho yawe, n'ibimenyetso by'uburwayi bwawe .
• Hakozwe ibizamini bitandukanye.

Ibizamini byo gusuzuma `(Arteriosclerosis)`

Muganga wawe ashobora gutumiza ibizamini bitandukanye kugira ngo arebe ubuzima bw'imitsi yawe, uburyo amaraso atembera, n'imikorere y'umutima. Bimwe muri byo birimo:

• Ultrasound yo mu nda.
• Angiografiya - Ifoto ya X-ray ifatwa hakoreshejwe irangi mu mitsi.
• Igipimo cy'amaraso mu kaguru no mu bwonko (ABI) – gipima ingano y'amaraso atembera mu maguru.
• Ultrasound ya Karotide.
• X-ray yo mu gituza.
• Isuzuma rya CT `(Isuzuma rya CT ryakoreshejwe mu gupima (CT)`.
• Echocardiogram (Echocardiogram - echo) - isuzuma ry'umutima hakoreshejwe ultrasound.
• Ikizamini cya E.C.G. `(Electrocardiogram – EKG/ECG)` – Gipima imikorere y'amashanyarazi y'umutima.
• Ikizamini cy'imihangayiko mu myitozo ngororamubiri - Iki kizasuzuma uko umutima ukora mu gihe cy'imyitozo ngororamubiri.

Ni ubuhe buryo bwo kuvura `(Arteriosclerosis)`?

Uburyo bwo kuvura `(Arteriosclerosis)` burimo:

• Guhindura imibereho (urugero: gukora imyitozo ngororamubiri, kurya indyo yuzuye, guhagarika kunywa itabi).
• Imiti .
• Uburyo bwo kwa muganga cyangwa kubaga .

Muganga wawe azagukorera gahunda yo kugufasha mu kwivuza ijyanye n'ibyo ukeneye. Azagukorera gahunda yo kunoza imitemberere y'amaraso, kugabanya ibyago byo kugira ibibazo, no gucunga ibimenyetso byawe. Vugana na muganga wawe kugira ngo umenye icyakubereye.

Ese arteriosclerosis ishobora kwirindwa?

Gukomera kw'imitsi bishobora kutakwirindwa buri gihe. Ariko, ushobora gukora ibi kugira ngo ugabanye ibyago byo kurwara:

• Irinde kunywa itabi ryose (kunywa itabi, kunywa inzoga nyinshi, guhekenya shikarete, nibindi).
• Kurya indyo yuzuye umutima (urugero: indyo yo mu nyanja ya Mediterane).
• Imyitozo ngororamubiri nibura iminsi itanu mu cyumweru, nibura iminota 30 ku munsi.
• Komeza kugira ibiro bizima kuri wewe.
• Komeza kugenzura neza indwara zitagaragara (nk'indwara ya diyabete n'umuvuduko ukabije w'amaraso).

Ni iki nkwiye kwitega mu gihe mfite `(Arteriosclerosis)`?

Indwara ya arteriosclerosis ishobora gutera ingorane zishobora gushyira ubuzima mu kaga. Ariko, iyo uyisuzumye kandi ukayivura hakiri kare, ushobora kuyigenzura no kubaho ubuzima burambye kandi bufite ubuzima bwiza. Vugana na muganga wawe kugira ngo umenye byinshi ku byo witeze. Bakuzi neza wowe n'amateka yawe y'ubuvuzi.

Ni ryari ngomba kubonana na muganga wanjye?

Reba muganga wawe kugira ngo agukorere isuzuma ry’umubiri buri mwaka. Nanone, ntukibagirwe kujya gukorerwa ibizamini byo gukurikirana muganga wawe agusaba.

Hamagara muganga wawe igihe icyo ari cyo cyose niba:

• Niba ugaragaje ibimenyetso bishya cyangwa niba ibimenyetso byawe byarahindutse.
• Niba ufite ibibazo ku bijyanye na gahunda yawe yo kuvurwa.
• Niba ubuvuzi butera ingaruka mbi.

Imitsi yacu ntigira isoko y'ubuto. Irasaza nk'indi mibiri yacu. Ibyo bivuze ko uko igihe kigenda gihita, imitsi yacu irushaho gukomera kandi ntiyongere kwangirika. Hari ibintu bimwe na bimwe bishobora kwihutisha iki gikorwa.

Inkuru nziza ni uko abaganga bashobora kumenya icyo ushobora guhura nacyo. Baza amakuru ku buzima bw'imitsi yawe, icyo ugomba kwitondera, n'icyo wakora kugira ngo wirinde ingorane. Bashobora kukugira inama yo guhindura imibereho yawe cyangwa imiti ishobora gufasha imitsi yawe kugumana ubuzima bwiza igihe kirekire gishoboka.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka tuvuge muri make bimwe mu byo twavuze ugomba kuzirikana:

• Arteriosclerosis ni ukwiyongera no gukomera kw'inkuta z'imitsi. Ibi bibaho igihe cyose.
• Atherosclerosis ni imwe mu ndwara z’ingenzi zitera ubu burwayi, aho ibinure byiyongera mu mitsi.
• Akenshi, nta bimenyetso bigaragara mu ntangiriro, bityo kwisuzumisha kwa muganga buri gihe ni ingenzi.
• Umuvuduko ukabije w'amaraso, cholesterol nyinshi, diyabete, kunywa itabi, no kudakora imyitozo ngororamubiri ni byo bintu bikomeye bishobora gutera indwara.
• Ibi bishobora guteza ingorane zikomeye nko kurwara indwara z'umutima no gucika kw'imitsi.
• Ariko, iyi ndwara ishobora kugenzurwa kandi ibyago bikagabanuka binyuze mu guhindura imibereho, gufata imiti bibaye ngombwa, no gukurikiza inama za muganga .

Rero, komeza kwita ku buzima bw'umutima wawe n'imitsi yawe. Tera intambwe ugana ku buzima bwiza uyu munsi!