Ese wigeze gutungurwa no gukomereka gato mu gihe wogosha, cyangwa iyo ukata ikiganza cyawe n'icyuma mu gihe ukata imboga, hanyuma amaraso agahagarara nyuma y'igihe runaka? Mu by'ukuri ni ikintu cyo gutungurwa. Impamvu y'ibi ni uburyo karemano bwo kwirwanaho mu mubiri wacu. Tubyita 'gufunga amaraso'. Iki ni ikintu cy'ingenzi cyane iyo umubiri wacu wakomeretse kandi kikarinda kuva amaraso menshi no kwangiza ubuzima bwacu. Ariko, rimwe na rimwe, nta mpamvu, aya maraso atangira kwirema mu mubiri imbere mu mitsi. Ibyo bishobora guteza akaga gato. Uyu munsi rero, muri iyi nkuru, tuzavuga ku byiza byo kugabanya amaraso, ndetse n'ibihe bishobora guteza akaga.
Mu magambo make, iki gice cy'amaraso ni iki?
Uduce tw'amaraso ni ikintu kinini, kimeze nk'umusemburo kiba mu mitsi yacu y'amaraso. Iyo wakomeretse, wakomeretse, cyangwa wabazwe, ibi bice bifasha guhagarika kuva amaraso menshi. Ni wo murimo wabo w'ingenzi kandi mwiza.
Ariko, bitewe n'uburwayi runaka cyangwa izindi mpamvu, amaraso ashobora kuzura mu mitsi nta gikomere. Iki ni cyo gihe ibimenyetso bitandukanye bigaragara. Hari igihe iyi ndwara ishobora no gushyira ubuzima mu kaga .
Ibi bice by'amaraso bikozwe n'iki?
Udukoko tw'amaraso yacu twinshi tugizwe ahanini n'ibice bibiri.
1. Platelets: Utu ni uturemangingo duto twakozwe n'umusokoro wacu. Nta bara rigira. Dukora nk'abakozi bato bihutira gusana ibikomere.
2. Fibrin: Iyi ni ubwoko bwa poroteyine iboneka mu maraso yacu. Ifite imiterere yo gufatana. Isa n'imigozi myinshi.
Mu magambo make, iyo hari igikomere, plaquettes zirafatana zikafunga igikomere. Hanyuma poroteyine yitwa fibrin ikora urushundura rufata plaquettes n'uturemangingo dutukura tw'amaraso tunyura muri rwo, bigateranya urushundura rukomeye. Hanyuma amaraso arahagarara. Uturemangingo tw'amaraso tubona ibara ritukura kuko uturemangingo dutukura tw'amaraso dufatwa muri urushundura rwa fibrin.
Ahantu hateje akaga aho amaraso ashobora kubyimba hamwe n'ibimenyetso byabyo
Udukoko tw'amaraso dushobora kubaho ahantu hose mu mubiri. Ariko udukoko tw'amaraso twibasira ahantu hamwe na hamwe ni akaga cyane kuko dushobora kubuza burundu gutembera kw'amaraso mu ngingo zacu z'ingenzi. Kumenya iki kibazo bishobora kurokora ubuzima.
| Aho amaraso yapfundikiye | Izina ryayo ni irihe? | Ibimenyetso bikunze kugaragara |
|---|---|---|
| Imitsi miremire mu maguru cyangwa mu maboko | Amaraso apfundika mu mitsi miremire (Deep Vein Thrombosis - DVT) | - Kubyimba ukuguru kumwe cyangwa ukuboko kumwe. - Kubabara cyane cyangwa kuribwa mu nda. - Ibara ry'uruhu rihinduka (umutuku cyangwa ubururu). - Agace gashyushye iyo ugakoraho kurusha utundi duce. |
| Ibihaha | Kuziba kw'ibihaha (PE) | - Guhumeka bigoranye mu buryo butunguranye. - Kubabara cyane mu gituza (cyane cyane iyo uhumeka umwuka mwinshi). - Inkorora (bishoboka ko irimo amaraso). - Umutima utera cyane, isereri. |
| Ubwonko | Igisebe cy'imitsi | - Gucika intege cyangwa intege nke mu maso, mu kuboko, cyangwa mu kuguru (akenshi biba ku ruhande rumwe rw'umubiri). - Kugorwa no kuvuga cyangwa kuvuga amagambo adasobanutse neza. - Kuribwa umutwe cyane mu buryo butunguranye. - Kutabona neza, kugenda nabi. |
| Umutima | Indwara y'umutima | - Ububabare bukabije kandi bukabije hagati mu gituza. - Ubu bubabare bukwirakwira mu maboko, mu ijosi, mu rwasaya, cyangwa mu mugongo. - Kugorwa no guhumeka. - Kubira ibyuya, isesemi, kuruka. |
Igikuru ni uko, niba wowe cyangwa umuntu uzi agize kimwe muri ibi bimenyetso, jya kwa muganga vuba, bidatinze. Muri iyo mimerere, igihe ni cyo cy'ingenzi.
Indwara zo kuvura amaraso
Hari ibyiciro bibiri by'ingenzi by'indwara zo kuvura amaraso. Kimwe ni igihe amaraso adapfundika igihe bikwiye, ikindi ni igihe amaraso apfundika cyane mu buryo butari ngombwa.
| Indwara zo kuva amaraso - Indwara zo kuvura amaraso | Indwara zo kuvura amaraso - Kuvura amaraso menshi cyane |
|---|---|
| Abantu bafite izi ndwara bagorwa no guhagarika kuva amaraso nubwo baba bakomeretse gato. | Imibiri yabo ikora amaraso adakenewe. |
| Ingero: - Indwara ya Von Willebrand: Indwara ikunze kuba ishingiye ku maraso. - Thrombocytopenia: Kugabanuka k'umubare wa platelets mu maraso. - Hemofiliya (Hemofiliya y'Umurage): Kugabanuka kw'umusaruro wa poroteyine mu mubiri zikenewe kugira ngo amaraso avure. | Ingero: - Factor V Leiden: Indwara isanzwe, y’uturemangingo yongera ibyago byo kurwara DVT na PE. - Ihinduka rya Prothrombin Gene: Iyi nayo ni indwara y’uturemangingo. - Indwara yo kurwanya fosfolipide: Ibi biterwa n'ikibazo cy'ubudahangarwa bw'umubiri. |
Ni ibihe bintu bindi byongera ibyago byo kubyimba kw'amaraso?
Uretse indwara twavuze haruguru, imibereho yacu n'izindi ngorane z'ubuzima nabyo bishobora kongera ibyago byo kuvura amaraso. Ni ngombwa kubimenya.
- Imyaka: Abantu barengeje imyaka 65 bafite ibyago byinshi byo kurwara amaraso.
- Gutwita: Ingaruka ziyongera bitewe n'impinduka mu misemburo n'izindi mu mubiri mu gihe cyo gutwita no nyuma yo kubyara.
- Umubyibuho ukabije: Uburemere bukabije bw'umubiri nabwo ni ikintu gikomeye gishobora gutera kubyimba kw'amaraso.
- Kanseri: Ubwoko bumwe na bumwe bwa kanseri n'ubuvuzi bwa kanseri (urugero: chemotherapy) butuma amaraso agwa.
- Ibinini byo kuboneza urubyaro cyangwa ubuvuzi bw'imisemburo: Gufata ibinini byo kuboneza urubyaro cyangwa ubundi buvuzi bw'imisemburo burimo imisemburo ya estrogen bishobora kongera ibyago byo kubyara.
- Kunywa itabi: Kunywa itabi byangiza imiyoboro y'amaraso kandi byongera ibyago byo kubyimba kw'amaraso.
- Kuguma mu mwanya umwe igihe kirekire cyane:Tekereza uri mu rugendo uva i Colombo ujya i Jaffna muri bisi, cyangwa wicaye mu ntebe yo mu biro amasaha menshi icyarimwe. Ugomba kuguma mu buriri nyuma yo kubagwa. Muri ibyo bihe, gutembera kw'amaraso mu maguru kuragabanuka, bishobora gutera indwara nka DVT.
Ese dushobora kwirinda kubyimba kw'amaraso?
Ntidushobora gukumira burundu indwara y’uturemangingo. Ariko, dushobora kugabanya cyane ibyago byo kurwara iyo tubonye uburyo bwo kwivuza no guhindura imibereho yacu. Hari ibindi bintu byinshi bishobora gutera ingaruka mbi dushobora kugenzura.
- Jyana na muganga wawe buri gihe: Jya kwisuzumisha buri mwaka. Vugana na muganga wawe ku bintu bishobora gutuma urwara.
- Witabire isuzuma rya kanseri: Ntugasimbuke isuzuma rya kanseri risabwa (urugero: kanseri y'ibere, kanseri y'inkondo y'umura, kanseri y'amara) bitewe n'imyaka n'igitsina.
- Gumana ibiro byiza: Genzura ibiro by'umubiri wawe binyuze mu ndyo yuzuye no gukora imyitozo ngororamubiri.
- Reka kunywa itabi burundu: Niba unywa itabi, fata icyemezo cyo kurireka uyu munsi. Ushobora kandi gusaba inama kwa muganga kuri ibi.
- Nywa amazi menshi: Kwirinda umwuma bishobora gufasha mu kugenzura kuvura kw'amaraso.
- Komeza gukora siporo: Niba wicaye igihe kirekire, haguruka ugende nibura rimwe mu isaha. Siporo y'amaguru yawe. Mu gihe ugiye gutembera kure, jya uzunguza amaguru yawe kenshi.
- Kurikiza inama za muganga wawe: Niba muganga wawe avuze ko uri mu kaga ko kubyimba kw'amaraso, fata imiti (urugero: imiti igabanya amaraso) nk'uko agutegetse.
Amaherezo, kuvura amaraso ni ingenzi cyane ku mutekano w'umubiri wacu. Ariko iyo birenze ubushobozi bwabyo, ni ukuvuga ko iyo kuvura amaraso mu mitsi bidakenewe, bishobora gushyira ubuzima mu kaga. Icy'ingenzi ni ukumenya ibimenyetso n'ibimenyetso by'ibyo. Niba ufite gushidikanya cyangwa ubwoba kuri ibi, nyamuneka vugana na muganga w'umuryango wawe. Azagusuzuma ubuzima bwawe kandi aguhe inama zikenewe.
Ubutumwa bwo kujyana mu rugo
- Kuziba kw'amaraso ni ikintu gisanzwe gituma amaraso ahagarara bitewe n'igikomere. Ariko rimwe na rimwe bishobora kubaho mu mubiri bitari ngombwa kandi bigafunga imiyoboro y'amaraso.
- Buri gihe menya ibimenyetso nko kubyimba no kubabara amaguru (DVT), kubabara mu gituza no kubura umwuka (PE), no kugira ibinya ku ruhande rumwe rw'isura cyangwa umubiri (Stroke).
- Imyaka, gutwita, umubyibuho ukabije, kunywa itabi, no kwicara mu mwanya umwe igihe kirekire byongera ibyago byo kubyimba amaraso.
- Niba ubonye kimwe mu bimenyetso biteje akaga byavuzwe haruguru,Ntugapfushe umwanya ahubwo ujye kwa muganga ako kanya.
- Ushobora kugenzura iki kibazo cyane cyane uganira na muganga wawe ku byago byawe no kubaho ubuzima bwiza.
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