Ese ukuboko kwawe kwabyimbye mu buryo butunguranye kandi kw'ubururu? Ese ibi byaba ari Axillo-Subclavian Vein Thrombosis (ASVT)?

Tekereza uri umusore muzima ukina cricket, ukora siporo cyane muri siporo. Ariko mu buryo butunguranye ukuboko kwawe gutangira kubabara, kubyimba, no kugaragara nk'ubururu gato. Akenshi bifatwa nk'aho ari ikintu kimeze nk'umuvuduko w'imitsi. Ariko iyi ishobora kuba indwara ikomeye cyane, ariko ishobora kuvurwa cyane. Uyu munsi turimo kuvuga kuri imwe muri izo ndwara, 'Axillo-Subclavian Vein Thrombosis' cyangwa ASVT mu magambo ahinnye.

Mu magambo make, iyi ASVT ni iki?

Muri make, ASVT ni ukurema kw'amaraso mu mitsi miremire iri mu kuboko kwawe ko hejuru, nko mu mitsi yo mu gatuza cyangwa mu mitsi yo mu gatuza. Ibi bikunze kubaho nyuma yo gukomereka ku kuboko kwawe cyangwa iyo ukoresheje ukuboko kwawe cyane kandi ugakora ibintu bimwe kenshi. Iyi ndwara yitwa kandi Paget-Schroetter syndrome na effort-induced thrombosis.

Ese iyi nayo ni ubwoko bwa DVT? Itandukaniro ni irihe?

Yego, ASVT nayo ni ubwoko bwa thrombosis yo mu mitsi miremire (DVT). Ariko iyo dukunze kumva DVT, twumva amaraso afunganye mu maguru. Biterwa n'ibintu nko kwicara mu mwanya umwe igihe kirekire, umubyibuho ukabije, no gusaza. Ariko iyi ndwara yitwa ASVT itandukanye cyane n'iyo.

Ushobora gusobanukirwa neza iri tandukaniro ukurikije imbonerahamwe iri hepfo.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Nubwo ibi bishobora gusa n'ibidasanzwe, ASVT ikunze kugaragara cyane mu bantu bafite ubuzima bwiza, bafite ubuzima bwiza kandi bakora cyane cyane abari hagati y'imyaka 15 na 45.

Tekereza ku bantu nk'aba:

• Abantu bakora imyitozo ngororamubiri cyangwa siporo zisubiramo zirimo guterura amaboko yabo, nko gukubita umupira wihuse muri cricket, gukina volleyball, koga, cyangwa guterura ibyuma.
• Abantu bakora imirimo y'amaboko, nk'abashushanya n'abakora amashanyarazi.
• Abantu bafite ibibazo byo kuvura amaraso nabo bari mu kaga.

Ni ibihe bimenyetso by'iyi ndwara?

Ibimenyetso bya ASVT bikunze kugaragara mu buryo butunguranye. Ibimenyetso by'ingenzi ni ibi bikurikira:

• Ububabare mu kiganza.
• Imitsi yo mu biganza irabyimba kandi ikagaragara neza.
• Ibara ry'ubururu ry'uruhu rw'amaboko (Cyanosis).
• Kumva uremereye cyangwa unaniwe mu ntoki.
• Kubyimba ikiganza gitunguranye (iki ni cyo kimenyetso gikunze kugaragara).

Ni iyihe mpamvu nyayo ya ASVT?

Dore uko bikora. Tekereza umutsi w'amaraso (imitsi) mu rutugu rwawe umeze nk'umuyoboro w'amazi. Ku mpande zombi z'uyu muyoboro, urubavu n'imitsi birafatanye cyane. Iyo ukoze imyitozo ngororamubiri cyangwa akazi karimo guterura ukuboko kwawe, umutsi ufatana hagati y'uwo mutsi n'urubavu, bigatuma ukomereka.

Uko igihe kigenda gihita, inkovu zitangira kugaragara aho iyi nkovu yakomeretse, bigatuma imitsi irushaho kugabanuka. Ibi bigabanya amaraso atembera neza. Ni bwo amaraso atangira kuzura. Indwara ituma iyi mitsi ifungana yitwa thoracic outlet syndrome (TOS).

Ubibona ute, Muganga?

Hashingiwe ku bimenyetso byawe, niba muganga wawe abikeka, azagutegeka ibizamini byinshi kugira ngo yemeze ikibazo nyuma yo gupimwa umubiri.

• Isuzuma rya Duplex: Iki ni cyo kizamini gikunze gukoreshwa cyane. Gikoresha imiraba y'urusaku kugira ngo harebwe uko amaraso atembera mu mitsi no kureba niba hari amaraso afite ibice.
• Venografiya iyobowe na katheteri: Umuyoboro muto (catheteri) winjizwa mu mutsi, hagaterwa irangi ryihariye, hanyuma hagafatwa X-ray kugira ngo harebwe aho amaraso apfundikiye n'uburyo umutsi ufunze.
• CTA (computerized tomography angiography): Isuzuma rya CT rifata amashusho arambuye y'imitsi.
• MRA (magnetic resonance angiography): Gusuzuma imitsi hakoreshejwe MRI scan.

Ni ubuhe buryo bwo kuvura ibi?

ASVT ni indwara igomba kuvurwa. Gutinda kuvurwa si byiza. Uburyo bw'ingenzi bwo kuvura ni `Thrombolysis`.

Uburyo bwo kuvura

• Kugabanya amaraso mu maraso (thrombolysis): Ibi bikubiyemo gutanga umuti ugabanya amaraso mu mitsi aho amaraso aherereye binyuze mu muyoboro umeze nka cannula (catheter).
• Gukuraho amaraso apfutse mu nda (Thrombectomy): Hari igihe abaganga bakuraho amaraso apfutse mu nda binyuze mu kubagwa gato.
• Imiti igabanya amaraso: Nyuma yo gukuraho ikibyimba cy'amaraso, uzahabwa imiti igabanya amaraso mu gihe cy'amezi menshi kugira ngo wirinde ko amaraso yongera kuzura.

Hamwe n'ubu buryo bwo kuvura, muganga azaguha izindi nama.

• Kuruhuka ukuboko kugeza igihe ibimenyetso birangiye.
• Guterura ukuboko hejuru byitwa "ukuzamura amaboko".
• Kohereza abantu ku buvuzi bw'umubiri.
• Kwambara agapfundikizo kabigenewe kameze nk'igitambaro (agapfundikizo ko gukanda) ku kuboko.

Mu bihe bimwe na bimwe, agace gato k'imitsi cyangwa igice cy'urubavu rwa mbere rufunga imitsi kirakurwaho kugira ngo imitsi ishobore gutembera neza.

Ese nyuma yo kuvurwa, ibintu byifashe bite?

Iki ni cyo kintu cy'ingenzi cyane. Iyo ASVT igaragaye hakiri kare kandi ubuvuzi bugatangira hakiri kare, ibisubizo biratanga umusaruro mwiza cyane. Ubushakashatsi bwagaragaje ko hari igipimo cyo gutsinda kiri hagati ya 90% na 95%.

Ariko, hari abantu bashobora kugira ikibazo cyitwa `post-thrombotic syndrome (PTS).` Ibi bivuze ko ibimenyetso nk'ububabare, kuremererwa, no kubyimba ukuboko bikomeza kubaho ndetse na nyuma yo kuvurwa. Kubwibyo, ni ngombwa cyane gukurikiza amabwiriza ya muganga neza.

Ese iki kibazo gishobora kwirindwa?

Nubwo bidashobora kwirindwa burundu, hari ibintu byinshi ushobora gukora kugira ngo ugabanye ibyago.

• Ntugakore imyitozo ngororamubiri iremereye cyangwa ngo ukore akazi kenshi, kandi hagati aho ujye uruhuka.
• Kora imyitozo ngororamubiri mbere na nyuma yo gukora imyitozo ngororamubiri kugira ngo woroshye imitsi y'amaboko yawe.
• Ntugaterure ibintu biremereye imitsi yawe idashobora kwihanganira.
• Gerageza gukoresha ukuboko kwawe kudakoresha imbaraga igihe cyose bishoboka.

Ni ryari ngomba kujya kwa muganga?

Shaka muganga ako kanya igihe ubonye ibimenyetso bya mbere bya ASVT (kubyimba gutunguranye, ububabare, ubururu bw'ukuboko). Nanone, niba ibimenyetso bikurikira bigaragaye, fata ko ari ikibazo cyihutirwa kandi ujye mu bitaro byihutirwa (ETU).

• Kubabara mu gatuza
• Guhumeka bigoranye (dyspnea)
• Gucika intege