Ese ufite amaraso mu mutsi mu kuboko kwawe? (Axillo-Subclavian Vein Thrombosis) - Reka tuvuge kuri ibi!

Ese rimwe na rimwe wumva ububabare butunguranye mu kuboko kwawe, kubyimba, cyangwa ibara ry'ubururu? Cyangwa ukuboko kwawe kumva gufite ibinya cyangwa kuremereye? Ibi si ibimenyetso byo kwirengagiza. Bishobora kuba amaraso yacitse mu mutsi munini mu kuboko kwawe cyangwa mu kwaha kwawe. Mu buryo bw'ubuvuzi, ibi tubyita (Axillo-Subclavian Vein Thrombosis) cyangwa (ASVT) . Ntugahangayike, tuzabiganiraho mu buryo bworoshye ushobora gusobanukirwa.

Iki ni iki (Axillo-Subclavian Vein Thrombosis)?

Mu magambo make, Axillo-Subclavian Vein Thrombosis (ASVT) ni igihe amaraso apfundika mu mitsi ya subclavian , umutsi munini mu rutugu rwawe, cyangwa mu mutsi wo mu gatuza, umutsi uri mu kwaha kwawe. Tekereza imitsi yawe nk'imiyoboro y'amazi. Iyo urubavu cyangwa igice cy'inyama kiri hafi y'uyu mutsi gikandagiwe kuri wo, gishobora kuziba amaraso bigatuma amaraso apfundika.

Iyi ndwara ikunze guterwa no gukomereka ku kuboko kwawe ko hejuru, cyangwa se no guhangayika ku kuboko kwawe bitewe no kugenda usubiramo. Hari abantu bayita Paget-Schroetter syndrome , abandi bayita thrombosis iterwa n'imbaraga , bivuze "amaraso agwa bitewe no gukora cyane."

Ese iyi (Deep Vein Thrombosis - DVT) ni gake cyane?

Yego, ushobora kugira icyo kibazo. (ASVT) mu by'ukuri ni ubwoko bw'indwara yitwa (Deep Vein Thrombosis) cyangwa (DVT) . (DVT) ni igihe amaraso apfundika mu mitsi iri mu mubiri. Ariko akenshi iyo tuvuga (DVT) tuba tuvuga ku maraso apfundika mu maguru. Akenshi aterwa n'ibintu nk'umubyibuho ukabije, kudakora imyitozo ngororamubiri, gusaza, cyangwa izindi ndwara zijyanye n'imitsi.

Ariko, amaraso apfundika mu kuboko, byitwa ASVT, bikunze kubaho bitewe n'impanuka cyangwa gukoresha ukuboko igihe kirekire. Ibimenyetso n'uburyo bwo kuvura izi ndwara ebyiri rimwe na rimwe bishobora kuba bitandukanye.

Ni nde ufite amahirwe menshi yo kubyiteza imbere (ASVT)?

Nubwo umuntu wese ashobora kwandura iyi ndwara, hari abantu bafite ibyago byinshi byo kuyirwara. Muri ibi harimo:

• Guhora ukora cyane, muri rusange ufite ubuzima bwiza .
• Urubyiruko ruri hagati y'imyaka 15 na 45 .
• Abantu bakina siporo (urugero: abatera imipira yihuta mu mukino wa cricket, aboga, abaterura ibyuma) cyangwa abantu bakora bazamuye amaboko yabo buri gihe (urugero: abashushanya, abahanga mu by'amashanyarazi, abantu bakora imirimo yo guterura ibintu biremereye). Tekereza gato, iyo ukora amaboko yawe azamuye kandi ahindagurika muri ubwo buryo, umuvuduko ushyirwa kuri iyo mitsi.
• Abantu bafite indwara zimwe na zimwe zo kuvura amaraso mu buryo bw'uturemangingo .

Ese hari ubwoko butandukanye bwa (ASVT)?

Yego, hari ubwoko bubiri bw'ingenzi bwa (ASVT):

1. ASVT y'ibanze:Ubu ni bwo bwoko bukunze kugaragara cyane, buterwa no gukora imizunguruko ikomeye kandi isubiramo y'ukuboko.

2. ASVT ya kabiri: Ibi biterwa n'ibikoresho bimwe na bimwe byo kwa muganga bishyirwa mu gituza cyo hejuru. Urugero:

• (Catheter yo mu mitsi yo hagati) (umuyoboro winjizwa mu mutsi mukuru)
• (Defibrillator) (igikoresho gisubiza imikorere y'umutima)
• (Pacemaker) (igikoresho kigenzura uko umutima utera)
• (Umuti wo mu bwoko bwa "medication") (Igikoresho gito gishyirwa munsi y'uruhu kugira ngo gitange imiti)

Ibi bikoresho bishobora kandi gutuma imiyoboro y'amaraso ifungana ndetse n'amaraso akabyimba.

Ni iki gikunze kugaragara (ASVT)?

Mu by’ukuri, ASVT si indwara ikunze kugaragara cyane. Dukurikije imibare, ibaho ku muntu umwe cyangwa babiri kuri buri 100.000 buri mwaka. Ariko, 10% kugeza kuri 20% by’indwara zose zo mu gice cyo hejuru cy’umubiri ni zo ziterwa na ASVT. Rero, muri urwo rwego, ni umubare munini.

Ni ibihe bimenyetso bya (ASVT)?

Niba ufite ASVT, ushobora kugira kimwe cyangwa byinshi muri ibi bimenyetso:

• Kubabara mu kiganza: Gutangira gutunguranye, rimwe na rimwe bikaba bikomeye.
• Imitsi igaragara mu biganza: Imitsi ishobora kugaragara nk'aho ibyimbye bitewe n'uko amaraso atembera nabi.
• Ibara ry'uruhu rw'ubururu (Cyanosis): Uruhu rwo ku maboko rushobora guhinduka ubururu. Ibi bivuze ko umwuka wa ogisijeni ubura.
• Kumva uremereye cyangwa unaniwe mu kiganza: Ushobora gusanga bigoye guterura cyangwa kwimura ikiganza cyawe.
• Kubyimba ikiganza gitunguranye: Ikiganza gitangira kubyimba gitunguranye.

Icy'ingenzi ni uko mu bihe bimwe na bimwe (10% - 20%) iki kibyimba cy'amaraso gishobora kuva mu mitsi, kikanyura mu maraso, kikagera mu bihaha. Ibi byitwa Pulmonary Embolism (PE) . Iki ni ikibazo kibi cyane . Gishobora kwangiza ibihaha cyane, ndetse gishobora no gushyira ubuzima mu kaga. Kubwibyo, niba utangiye kugira kimwe muri ibi bimenyetso, ugomba kujya kwa muganga nta gupfusha ubusa.

Kuki ibi (ASVT) bibaho?

Nkuko twabivuze mbere, impamvu nyamukuru ni ukwimuka kw'ukuboko gusubirwamo. Tekereza ko uhora uterura ibyuma cyangwa ukina siporo. Hanyuma imitsi ikikije urutugu rwawe n'ikwaha ishobora kunanirwa no kubyimba. Iyi mitsi yabyimbye ishobora gukanda imitsi y'amaraso aho ngaho (cyane cyane imitsi ya subclavian cyangwa axillary).

Uko igihe kigenda gihita, uyu muvuduko ushobora kwangiza urukuta rw'imitsi bigatuma inkovu zikora. Hanyuma umutsi ugenda ugabanuka uturutse imbere, bigabanura ingano y'amaraso ashobora kunyuramo. Ibi bishobora gutuma amaraso atembera nabi ndetse n'ibyago byo kubyimba kw'amaraso byiyongera. Iyi ndwara rimwe na rimwe yitwa Thoracic Outlet Syndrome (TOS).Binavugwa. Bisobanura ko umwanya uri mu gice cyo hejuru cy'igituza (aho igituza gisohoka) ugabanuka, bigatera umuvuduko ku mitsi n'imitsi.

Hari igihe, ASVT ishobora guterwa n'ihinduka ry'uturemangingo mu rubavu rwa mbere, cyangwa impinduka mu mitsi cyangwa imitsi ikikije imitsi mu kwaha no mu rutugu.

Ni gute umuganga asuzuma ibi (ASVT)?

Iyo ugiye kwa muganga ufite ibimenyetso byavuzwe haruguru, abanza kugusuzuma. Muganga azashobora kubona ibintu nko kubyimba mu kiganza cyawe, impinduka mu ibara, no kubyimba imitsi mu buryo bwihuse.

Hanyuma, ushobora gukenera gukora ibizamini bike kugira ngo umenye neza ko:

• (Duplex ultrasound): Iki ni cyo kizamini cya mbere gikunze gukorwa. Gikoresha amajwi kugira ngo harebwe uko amaraso atembera mu mitsi no kureba niba hari amaraso afite ibice. Iki ni ikizamini cyoroshye kandi kidababaza.
• Venografi iyobowe na Catheter: Hari igihe iki kizamini gikorwa. Muri iki kizamini, umuyoboro muto, woroshye (catheter) unyuzwa mu mutsi ukagera aho amaraso asanzwe aherereye, hanyuma hagashyirwa irangi ryihariye mu mutsi unyuze muri catheter. Hanyuma hafatwa X-ray kugira ngo harebwe aho umutsi uzibye n'ingano y'agapfundikizo.
• (CTA - computerized tomography angiography): Ibi bisa na CT scan, ariko ireba cyane cyane imitsi y'amaraso. Ikorwa kandi no gutera irangi.
• (MRA - angiografiya ya magnetic resonance): Ikizamini gikoresha MRI scan kugira ngo harebwe imitsi y'amaraso.

Ibi bizamini bishobora kugaragaza neza niba indwara (ASVT) ihari, aho iherereye, n'ubukana bwayo.

Ni ubuhe buryo bwo kuvura (ASVT)?

Ikintu cyiza ni uko hari uburyo bwiza bwo kuvura ASVT. Uburyo bw'ingenzi bwo kuvura ni thrombolysis cyangwa thrombolytic therapy .

Ibi bikubiyemo gutera umuti ushongesha amaraso akayakuramo, nk'uko byavuzwe mbere, mu mitsi aho amaraso apfundikiye binyuze mu muyoboro muto (catheter) . Ibi bishongesha amaraso akayapfundikira kandi bigasubiza amaraso mu mitsi.

Hari igihe ubu buryo bwo kuvura (thrombolysis) bujyana n'ikintu cyitwa (thrombectomy) . Ni ukuvuga gukuraho amaraso apfundikiye, haba mu buryo bwa tekiniki cyangwa mu kubagwa gato.

Nyuma y’ubu buryo bwo kuvura, uzahabwa imiti yo kugabanya amaraso, nka Warfarin cyangwa indi miti igezweho, mu gihe cy’amezi menshi kugira ngo wirinde ko amaraso yongera kuzura. Ni ngombwa cyane gufata uyu muti mu gihe nyacyo muganga akubwira.

Byongeye kandi, muganga azaguha inama zikurikira:

• Gabanya gukoresha ukuboko kwafashwe kugeza igihe ibimenyetso birangiye burundu.
• Komeza amaboko yawe azamutse gato igihe bishoboka (kuzamura amaboko).
• Ubuvuzi bw'umubiriReba. Ibi bizagufasha kugarura imbaraga n'imikorere mu kiganza cyawe.
• Ambara agatambaro ko gukanda (nk'isogisi rifunganye) ku kuboko kwafashwe. Ibi bizafasha kugabanya kubyimba no kunoza gutembera kw'amaraso.

Ese kubagwa bizaba ngombwa?

Mu bihe bimwe na bimwe, yego. Kubagwa bishobora kubazwa kugira ngo bikureho burundu kuziba kw'amaraso no kugabanya ibyago byo kongera kurema amaraso. Ubu buryo bwo kubaga burimo gukuraho kuziba kw'amaraso. Urugero, igice cy'urubavu rwa mbere cyangwa igice cy'inyama gitera kuziba kw'amaraso gishobora gukurwaho. Ibi bituma amaraso atembera neza mu mitsi.

Ni iki twakora kugira ngo hirindwe iterambere rya (ASVT)?

Nubwo bidashobora kwirindwa burundu, hari ibintu byinshi dushobora gukora kugira ngo tugabanye ibyago:

• Buri gihe kora witonze imitsi yo mu maboko yawe kandi ukore imyitozo nko kunanura imitsi .
• Ntugakore cyane imitsi yawe igihe cyose .
• Niba uterura ibyuma cyangwa ukora siporo cyane, ruhuka gato hagati yabyo .
• Igihe cyose bishoboka, gerageza gukoresha ukuboko kwawe kudakoresha imbaraga . (urugero: niba ukoresha ukuboko kw'iburyo, koresha ukuboko kw'ibumoso igihe bishoboka).

Ese nyuma yo kuvurwa ibintu bizaba bimeze bite?

Abantu benshi barwaye ASVT bakira neza cyane nyuma yo kuvurwa. Ubushakashatsi bwagaragaje ko iyo indwara igaragaye kandi ikavurwa hakiri kare, ibimenyetso bikimara gutangira, habaho igipimo cyo gutsinda kiri hagati ya 90% na 95% .

Ariko, hari abantu bashobora kugira ikibazo cyitwa Post-thrombotic Syndrome (PTS) . Muri ibi, hashobora kubaho ibimenyetso by'igihe kirekire nko kubabara, kuremererwa, no kubyimba ku kuboko kwafashwe. Kubwibyo, ni ngombwa gukurikiza amabwiriza ya muganga ndetse na nyuma yo kuvurwa.

Ni ryari tugomba kubonana na muganga vuba bishoboka?

Niba ubonye ikimenyetso cya mbere cya ASVT, shaka ubufasha bwa muganga ako kanya . Ntugatinde, cyane cyane niba ubonye kimwe muri ibi bikurikira:

• Kubabara mu gatuza
• Kubura ibinya mu maboko cyangwa amaguru yombi
• Guhumeka bigoranye (dyspnea)

Ibi bishobora kuba ibimenyetso by'indwara iteje akaga nka Pulmonary Embolism (PE).

(ASVT) Niba ari byo, ni ibihe bibazo ugomba kubaza muganga?

Niba muganga wawe akubwiye ko ufite ASVT, ni byiza kubaza ibibazo nk'ibi:

• Ni izihe mpinduka mu mibereho yanjye kugira ngo gabanyirize ibyago byo kubyimba amaraso?
• Ese nshobora gukomeza gukora imyitozo ngororamubiri no gukora imirimo y'amaboko?
• Nakora iki kugira ngo wirinde ko amaraso yongera kubyimba?
• Ugomba gufata imiti yo kugabanya amaraso igihe kingana iki?

Ikintu cy'ingenzi cyo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ndizera ko ubu usobanukiwe neza ibyo twaganiriyeho uyu munsi (Axillo-Subclavian Vein Thrombosis - ASVT). Muri make:

• (ASVT) ni igihe amaraso apfundika mu mutsi munini mu kuboko kwawe cyangwa mu kwaha kwawe.
• Ibi bikunze kubaho kubera ko ukuboko gukoreshwa mu buryo bukomeza kandi bunaniza.
• Ushobora kubikeka niba ugize ibimenyetso nko kubabara bitunguranye, kubyimba, n'uruhu rw'ubururu mu kiganza cyawe.
• Uburyo bw'ingenzi bwo kuvura indwara ya thrombolysis (umuti ukuraho amaraso yapfutse) no gucibwa amaraso yapfutse (gukuraho amaraso yapfutse).
• Igikuru ni ugusuzuma indwara hakiri kare no gutangira kuyivura. Iyo ubikoze, uba ufite amahirwe menshi yo gukira neza.

Niba ufite ibi bimenyetso, ntutinye kandi uhite ubonana na muganga. Komeza ugire ubuzima bwiza!

` axillo-subclavian vein thrombosis, ASVT, amaraso afunganye, imitsi yo mu maboko, kubabara mu bitugu, kubyimba ukuboko, DVT, Pulmonary Embolism, Paget-Schroetter syndrome