Ese nawe uva amaraso byoroshye? Ese uvunika byoroshye? Reka twige ibyerekeye gucika amaraso!

Ese hari igihe wumva urimo kuva amaraso menshi kurusha uko ubyibwira, ndetse no mu gisebe gito? Cyangwa uhinduka ubururu ugakomereka? Cyangwa se ishinya zawe zihora ziva amaraso iyo wogeje amenyo yawe? Niba uhuye n'ibi bintu, ushobora no kugira akamenyero ko kuva amaraso menshi kuruta uko bisanzwe . Uyu munsi tugiye kuvuga kuri iyi ndwara (Bleeding Diathesis). Ntugahangayike, ni ngombwa cyane kubimenya.

Iki ni iki (Diathesis yo kuva amaraso), Muganga?

Muri make, Diathesis yo kuva amaraso ni indwara aho umubiri wawe uva amaraso byoroshye kandi birenze ibisanzwe. Ijambo "diathesis" rikomoka mu rurimi rw'Ikigiriki, risobanura ikintu kijya mu mimerere runaka.

Uku kuva amaraso bishobora kuba kuva amaraso imbere (imbere) cyangwa hanze (kuva amaraso hanze). Kuva amaraso imbere ni ukuva amaraso tutabona. Kuva amaraso hanze ni ukuva amaraso bitewe n'igikomere. Hari igihe ushobora gukomereka nta mpamvu igaragara. Hari impamvu nyinshi zishobora kubitera. Bishobora kuba indwara y'amaraso cyangwa indwara y'uturemangingo. Inkuru nziza ni uko abaganga bashobora kugenzura uku kuva amaraso no kuvura indwara y'ibanze itera.

Namenya nte ko ibi birimo kumbaho? Ni ibihe bimenyetso?

Niba ufite indwara yitwa Bleeding Diathesis, ushobora gukomereka cyangwa kuva amaraso byoroshye. Reba niba ufite kimwe muri ibi bimenyetso bikurikira:

• Ishinya riva amaraso: Ese amaraso aboneka ku buroso bw'amenyo yawe cyangwa ku rushundura iyo wogeje cyangwa ukoresheje urushundura hagati y'amenyo yawe? Ese ibi bibaho kenshi?
• Kuva amaraso menshi: Ese uva amaraso menshi kuruta uko wabyitega, ndetse no mu gikomere gito? Cyangwa biragoye guhagarika kuva amaraso? Ese uva amaraso menshi kuruta uko bisanzwe, cyane cyane nyuma yo kubyara cyangwa kubagwa?
• Menorrhagia: Ese imihango yawe ya buri kwezi imara iminsi myinshi? Ese iremereye kurusha uko bisanzwe? Ese amaraso afite ibice binini?
• Kuva amaraso mu ngingo (Hemarthrosis): Tekereza, ingingo nk'ivi ryawe cyangwa inkokora yawe irabyimba mu buryo butunguranye, ikagira ububabare, kandi ikumva ishyushye iyo uyikozeho? Ibi biterwa n'amaraso yinjira mu ngingo.
• Umuti w'umukara (Melena): Ese umwijima wawe ni umukara wijimye, umeze nk'ikaramu? Ibi bishobora kuba ikimenyetso cyo kuva amaraso mu gice cyo hejuru cy'igogora ryawe, nko mu muhogo cyangwa mu gifu.
• Uduheri duto dutukura ku ruhu `(Petechiae)`: Ese ufite utuheri duto dutukura ku ruhu rwawe, cyangwa munsi y'uruhu, bisa nkaho byakubiswe n'agapira gato?
• Uduheri tw'amaraso munsi y'uruhu `(Purpura): Ese hari uduheri tw'umutuku, umuhengeri, cyangwa umukara munsi y'uruhu tugaragara nk'amaraso ava mu mitsi mito y'amaraso? Utwo duheri ni duto cyane kurusha `Petechiae`.
• Kuva amaraso mu mazuru nta mpamvu (Epistaxis):Ese izuru ryawe riva amaraso nubwo waba uhagaze gusa? Ese rimwe na rimwe riva amaraso menshi ku buryo bigoye kubihagarika?

Icy'ingenzi: Niba ukunze kugira kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane kubonana na muganga kugira ngo akugire inama.

Kuki dukunda kuva amaraso muri ubu buryo? Impamvu ni izihe?

Akenshi, kuva amaraso mu nda biterwa n'indwara runaka. Abaganga bashyira izi mpamvu mu byiciro byinshi by'ingenzi. Reka turebere hamwe ibyo ari byo.

Indwara zo kuva amaraso

Ibi bivuze ko amaraso yawe adafatana neza, bityo uva amaraso menshi kurusha uko bisanzwe. Ingero z'ibi ni izi:

• Indwara zo kubura fibrinogen: Fibrinogen ni poroteyine ifasha amaraso kubumba. Abaganga banayita ikintu gituma amaraso abumba cyangwa ikintu gituma amaraso abumba. Niba udafite fibrinogen ihagije mu mubiri wawe, cyangwa niba fibrinogen ufite idakora neza, ushobora kuva amaraso byoroshye cyangwa ntushobore guhagarika kuva amaraso.
• Hemophilia: Iyi ni indwara idakunze kugaragara, iterwa n'uturemangingo, ituma amaraso adafatana neza.
• Indwara z'umwijima: Uko indwara y'umwijima ikomeza kwiyongera, kuva amaraso menshi no gukomereka bishobora kubaho. Ibi biterwa nuko bimwe mu bintu bikenewe kugira ngo amaraso avunge bikomoka ku mwijima.
• Indwara ya Von Willebrand: Iyi ni indwara ituma amaraso adakora neza, kimwe na hemophilia, ariko ikunze kugaragara cyane.

Izindi ndwara zo kuvura amaraso

Hari indwara zimwe na zimwe zituma amaraso acikamo ibice bidakenewe. Ariko igitangaje ni uko rimwe na rimwe izi ndwara zishobora gutera kuva amaraso mu buryo butagenzurwa. Ibi biterwa n'uko ibintu bituma amaraso acikamo ibice bikenewe kugira ngo amaraso acike biba byakoreshejwe cyane. Ingero:

• Gufungana kw'imitsi mu maraso (DIC): Iyi ni indwara ikomeye cyane. Ibaho nk'ikibazo cy'izindi ndwara zikomeye. Iyo idavuwe vuba, ishobora gushyira ubuzima mu kaga.
• Thrombocythemia: Muri iyi ndwara, plaquettes z'amaraso yawe zigira imikorere idasanzwe, rimwe na rimwe zishobora gutera kuva amaraso menshi.

Indwara za plaquette

Platelets ni uturemangingo dufasha guhagarika kuva amaraso iyo ufite igikomere. Ibibazo bishobora no kubaho kuri izi platelets.

• Thrombocytopenia: Ibi ni ukugabanuka k'umubare wa platelets mu maraso. Ibi bishobora gutera gukomereka byoroshye no kugorana guhagarika kuva amaraso.
• Thrombocytosis:Ibi biterwa n’ubwiyongere bw’umubare wa platelets mu maraso. Ibi bishobora kandi gutera kuvura amaraso ku buryo budasanzwe ndetse rimwe na rimwe no kuva amaraso.

Indwara zo kuva amaraso mu mitsi

Hari igihe impamvu yo kuva amaraso atari ikibazo cy’amaraso ubwayo, ahubwo ni intege nke mu mitsi (imitsi y’amaraso) amaraso anyuramo.

• Cryoglobulinemia: Iyi ni indwara iterwa n'itsinda ry'indwara zitwa vasculitis, zitera kubyimba imiyoboro y'amaraso. Ishobora gutera purpura (uduheri tw'amaraso munsi y'uruhu).
• Telangiectasia yo mu maraso: Iyi ni indwara ikomoka ku murage. Iterwa n'ubusembwa mu mikorere y'imitsi y'amaraso.
• Indwara ya Ehlers-Danlos y'imitsi: Muri iki kibazo, imiyoboro y'amaraso iba ifite intege nke cyane kandi ishobora gucika byoroshye. Ibi bishobora gutera kuva amaraso mu mubiri, nko gucika kw'imitsi.

Ni gute muganga asuzuma ibi neza?

Iyo ugiye kwa muganga ufite ibi bimenyetso, abanza kukubaza ibimenyetso byawe. Umaze igihe kingana iki ubirwaye n'uburemere bwabyo. Hanyuma bazakora isuzuma ry'umubiri. Bazanakubaza niba hari izindi ndwara ufite kandi niba hari umuntu wo mu muryango wawe wigeze kugira ubwo bwoko bw'ibibazo byo kuva amaraso. Byongeye kandi, bashobora gukora ibizamini bimwe na bimwe, nka:

• Umubare wuzuye w'amaraso (CBC): Ibi bipima umubare w'ubwoko butandukanye bw'uturemangingo (uturemangingo dutukura, uturemangingo twera, n'uturemangingo twa plaquettes) mu maraso.
• Gupima amaraso mu gice cy'umubiri (PBS): Ibi bikubiyemo kureba amaraso hakoreshejwe mikorosikopi kugira ngo harebwe imiterere n'ingano y'uturemangingo.
• Ikizamini cya Prothrombin Time (PT): Iki gipimo cy'igihe bifata kugira ngo amaraso yibumbire.
• Ikizamini cya Partial Thromboplastin Time (PTT): Iki ni ikindi kizamini gipima ubushobozi bw'amaraso bwo kubumba.

Hashingiwe ku bisubizo by'ibi bizamini bya mbere, niba muganga akeka ko hari ikibazo runaka, ashobora gutumiza ibizamini byihariye kurushaho. Urugero, niba hakekwa indwara nka hemophilia, ashobora gutumiza ibizamini ku bintu bituma amaraso agwa nka fibrinogen. Ushobora kandi koherezwa kwa muganga w'amaraso.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura buterwa n'impamvu ya diathesis yawe yo kuva amaraso. Ariko mbere na mbere, abaganga bazagerageza kugenzura kuva amaraso. Bashobora kugutera amaraso cyangwa guterwa mu maraso kugira ngo bagusimbuze amaraso watakaje. Icyo gihe ni bwo bazavura ikibazo cyavutse.

Niba mfite iyi ndwara, ni iki nkwiye kwitega?

Kubera ko hari indwara nyinshi zishobora gutera kuva amaraso mu nda, biragoye kuvuga neza icyo umuntu yiteze. Hari indwara zidakira. Ibi bivuze ko zidashobora gukira burundu, ariko hari uburyo bwo kuvura bushobora gufasha mu kugenzura ibimenyetso (nk'amaraso). Isuzuma ry'uko indwara izagenda rihinduka bitewe n'uburwayi bwawe, indwara warwaye, n'uburyo wavuwe. Kubwibyo, muganga wawe azaba ari we muntu mwiza wo kuganira nawe kuri ibi.

Nkwiye kwiyitaho nte?

Gukura amaraso mu maraso akenshi biterwa n'indwara runaka. Niba uyirwaye, dore ibintu bimwe na bimwe ushobora gukora kugira ngo ukomeze kugira ubuzima bwiza muri rusange:

• Kurikiza gahunda yawe yo kuvura neza: Fata imiti yose wahawe na muganga wawe ku gihe.
• Jya kwisuzumisha kwa muganga ku gihe cyagenwe: Muganga wawe azagutegurira gahunda zo guhura na we. Jya kumureba buri munsi. Muri ubwo buryo, azashobora kugenzura ubuzima bwawe, imiterere y'indwara yawe, ndetse no kumenya niba ubuvuzi bwawe bukora neza.
• Bwira muganga wawe niba ubonye impinduka: Ntutegereze gahunda yawe itaha, bwira muganga wawe ako kanya niba ubonye ibimenyetso bishya, nko gucika intege cyangwa kuva amaraso. Iki gishobora kuba ikimenyetso cy'uko indwara yawe irushaho kumera nabi.
• Tekereza ku mpinduka zimwe na zimwe mu mibereho yawe: Muganga wawe ashobora kukubwira gukurikiza indyo yuzuye umutima, kureka kunywa itabi, no gucunga imihangayiko. Ibi bintu bishobora kugufasha kurinda ubuzima bwawe muri rusange.
• Gukora imyitozo ngororamubiri buri gihe : Imyitozo ngororamubiri ishobora gufasha mu gucunga stress. Ariko, ni ngombwa kubaza muganga wawe ubwoko bw'imyitozo ngororamubiri ikubereye n'iyo udakwiye gukora. Hari imirimo imwe n'imwe ishobora kuba itakubereye.

Ni ryari ngomba guhita njya kwa muganga?

Niba ufite diathesis iva amaraso, ugomba guhita ujya kwa muganga wita ku barwayi barembye niba ugize kuva amaraso mu buryo butunguranye, byaba ari ukuva amaraso mu mazuru, kuva amaraso mu mazuru, cyangwa andi maraso udashobora kugenzura. Jya kwa muganga ako kanya.

Ni ibihe bibazo ngomba kubaza muganga?

Iyo usabye inama kwa muganga ku kibazo cyo kuva amaraso, ni byiza kwibaza ibi bibazo:

• Ese umuganga azi impamvu mva amaraso gutya?
• Ni izihe suzuma zindi ngomba gukora kugira ngo menye impamvu nyayo y'ibi?
• Ese hari inzobere nkwiye kuvugana nazo bitewe n'ibimenyetso mfite?

Kuva amaraso mu buryo bw’ubuvuzi ni ijambo rikoreshwa mu gusobanura kuva amaraso byoroshye kandi birenze ibisanzwe. Buri wese rimwe na rimwe agira ibikomere n’udukomere duto. Ariko niba uva amaraso menshi cyane, niba ufite ibikomere byinshi, cyangwa niba uva amaraso mu mwanda wawe, ugomba kuvugana na muganga wawe. Ashobora gufata ingamba zo guhagarika kuva amaraso no gushaka icyabiteye no kuvura.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, ndizera ko ubu usobanukiwe neza indwara twavuzeho uyu munsi (Bleeding Diathesis). Ikintu cy'ingenzi ugomba kwibuka ni uko niba uhora uva amaraso cyangwa ukagira ibisebe mu buryo budasanzwe, ntubyirengagize.

• Ni ibisanzwe kuva amaraso rimwe na rimwe uvuye gato mu gasatsi, cyangwa gato mu gihe woza amenyo. Ariko iyo bikunze kubaho, niba kuva amaraso ari menshi cyane, cyangwa niba kuva amaraso bigoye kubihagarika, ni ikintu cyo guhangayikishwa.
• Uramutse ugiye kwa muganga ukaganira kuri ibi, ushobora kumenya ikibitera no kuvurwa neza bibaye ngombwa.
• Akenshi, kuva amaraso menshi ni ikimenyetso cy'indwara runaka. Bityo, gukemura iki kibazo hakiri kare bishobora gufasha kwirinda ingorane zikomeye.

Wite ku buzima bwawe. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye gushaka inama kwa muganga.

Kuva amaraso, gukomereka, kuva amaraso Diathesis, Hematoma, Indwara z'amaraso, Ibimenyetso, Uburyo bwo kuvura