Aneurysm yo mu bwonko ni iki? Reka tubiganireho!

Ese wigeze wibaza uko byagenda iyo umutsi muto w'amaraso uri mu bwonko bwawe ugize imiterere mito isa n'iy'ibaluni, ukakura, ugaturika? Ibyo nibyo tugiye kuvugaho uyu munsi, indwara yo mu bwonko ifite ubwonko butera. Ushobora kuba warigeze kumva iri jambo mbere. Ntugahangayike, reka tubisobanure mu buryo bworoshye.

Aneurysm yo mu bwonko ni iki?

Muri make, indwara yo mu bwonko yitwa aneurysm ni indwara aho ahantu hadakomeye mu mitsi y'amaraso (tuyita imitsi) mu bwonko bwawe cyangwa hafi yaho habyimba hagasohoka nk'umupira w'amazi. Tekereza nk'aho hari intege nke mu muyoboro w'amazi, bigatuma umuvuduko w'amazi utera iyo myanya kubyimba. Uko amaraso atembera muri yo, umuvuduko utera ahantu hadakomeye kuzamuka cyane, bigatuma habaho umuvuduko muto.

Uko amaraso yuzuza imiterere isa n'iy'ibaluni vuba, ni ko imisemburo y'amaraso igenda yiyongera. Ibi bisa n'uko ibaluni igenda igabanuka iyo uyihumetsemo umwuka, bigatuma ishobora guturika cyane.

Udukoko two mu bwonko dushobora kugaragara ahantu hose mu bwonko bwawe. Ariko, akenshi tugaragara mu mitsi minini iri ku gice cyo hasi cy'agahanga kawe. Hagati ya 10% na 30% by'abantu bafite utwo tugingo two mu bwonko bafite utugingo turenze kamwe. Akenshi, utu tugingo tuba duto cyane kandi nta bimenyetso bitera.

Ariko, ibimenyetso bibaho gusa iyo aneurysm ibaye nini bihagije kugira ngo ikandagire imitsi cyangwa ingirabuzimafatizo z'ubwonko ziri hafi aho. Ikintu giteje akaga cyane ni iyo aneurysm yaturitse ikava amaraso cyangwa igaturika. Ibi bishobora gutera kuva amaraso mu bwonko. Aneurysm yaturitse mu bwonko ishobora gushyira ubuzima mu kaga kandi isaba ubuvuzi bwihutirwa. Uko aneurysm yaturitse imara igihe kirekire, ni ko ibyago byo gupfa cyangwa ubumuga buhoraho byiyongera.

Ni iki kibaho iyo ubwonko bugize ikibazo cyo kubura amaraso?

Iyo ibi byacitse, amaraso asohoka mu bice by'ubwonko bikikije. Ibi tubyita "Kuva amaraso mu bwonko". Aya maraso ashobora gushyira igitutu kidakenewe ku bice by'ubwonko bigatuma ubwonko bubyimba. Ubusanzwe, muri iki gihe, umutwe ukomeye witwa "Thunderclap headache" ubaho hamwe n'ibindi bimenyetso.

Kuvunika kw'ubwonko bishobora gutera ibibazo bikomeye by'ubuzima. Dore ingero nke:

• Kuva amaraso muri Subarachnoide (SAH) : Ibi ni ukuva amaraso mu mwanya uri hagati y'uturemangingo duto dutwikira kandi tugakingira ubwonko bwawe (ibi tubyita `ururabyo rw'ibinure`). 90% bya SAH biterwa no guturika kw'ubwonko.
• Gucika amaraso mu bwonko : Ibi ni ukuva amaraso mu mwanya uri hagati y'agahanga kawe n'ubwonko bwawe.

Izi ndwara zishobora gutera kwangirika k'ubwonko burundu, cyangwa izindi ngorane nka:

• Vasospasm : Ibi bibaho iyo imitsi y'amaraso ifunganye cyangwa igakomera, bigatuma umwuka wa ogisijeni ugera mu bwonko ugabanuka.
• Hydrocephalus : Ibi bibaho igihe amazi yo mu bwonko cyangwa amaraso yirundanyije hirya no hino mu bwonko, bigashyira umuvuduko ukabije ku bwonko.
• Indwara zo mu bwonko : Indwara zo mu bwonko ni ukwiyongera kw'amashanyarazi mu bwonko mu gihe gito kandi kutagira igaruriro. Ibi bishobora kongera kwangirika k'ubwonko guterwa no guturika kw'imitsi.
• Coma : Iyi ni indwara yo kutamenya imara iminsi myinshi cyangwa ibyumweru.
• Urupfu : Abagera kuri 50% by'abarwayi bapfa bazize guturika kw'imitsi yo mu bwonko.

Ni nde urwara aneurysms yo mu bwonko?

Indwara zo mu bwonko zishobora kugaragara ku muntu uwo ari we wese, ku kigero icyo ari cyo cyose cy’imyaka. Ariko, akenshi zifata abantu bari hagati y’imyaka 30 na 60. Nanone zikunze kugaragara ku bagore.

Iyi aneurysm ikunze kugaragara gute?

Mu gihugu nka Leta Zunze Ubumwe za Amerika, hafi 6% by'abaturage bafite ikibazo cyo kubura amaraso mu bwonko. Ariko, kubura amaraso mu bwonko ntabwo bikunze kugaragara cyane. Abantu bagera ku 30.000 muri Leta Zunze Ubumwe za Amerika barwara iki kibazo buri mwaka.

Ni ibihe bimenyetso by'indwara yo mu bwonko ifite ubwonko butera?

Ibimenyetso by'indwara yo mu bwonko iterwa n'uko yacitse cyangwa itacitse.

Ibimenyetso by'indwara yo gucika kw'imitsi mu bwonko

Ibi ni ibimenyetso by'indwara yo gucika kw'imitsi yo mu bwonko:

• Umutwe uterwa n'inkuba : Uyu ni umutwe utunguranye kandi ubabaza cyane. Abantu benshi bawuvuga ko ari "umutwe mubi cyane mu buzima bwanjye."
• Kuruka no kugira isesemi.
• Kugorana kw'ijosi (kugorana kunama ijosi).
• Kubona nabi cyangwa kureba kabiri.
• Kumva urumuri (photophobia).
• Indwara zo mu mutwe.
• Ijisho rinanutse n'ijisho ry'ijisho ryagutse.
• Ububabare hejuru no inyuma y'ijisho.
• Urujijo.
• Intege nke cyangwa ibinya.
• Gutakaza ubwenge.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ugomba guhamagara 911 ako kanya cyangwa ukajya mu biro byita ku barwayi barembye by’ibitaro biri hafi yawe. Iki ni ikibazo cyihutirwa!

Hari igihe amaraso make ashobora kuva mu bwonko butera aneurysm. Ibi byitwa ``kuva amaraso mu bwonko``. Ibi biramutse bibaye, ushobora kugira ``umutwe uterwa na sentinel`` iminsi mike cyangwa ibyumweru bike mbere yuko aneurysm iturikira.

Ibimenyetso by'indwara y'imitsi idakira

Akenshi, indwara zo mu bwonko zidakira nta bimenyetso zitera. Ariko, iyo zibaye nini bihagije, umubyimba umeze nk'ibendera ry'amaraso ushobora gushyira igitutu ku mitsi cyangwa ingirabuzimafatizo z'ubwonko ziri hafi aho, bigatera ibimenyetso nka:

• Umutwe.
• Impinduka mu iyerekwa.
• Umunyeshuri wagutse (umunyeshuri wagutse).
• Kubura ibinya mu mutwe cyangwa mu maso.
• Ububabare hejuru no inyuma y'ijisho.
• Indwara zo mu mutwe.

Niba ufite ibi bimenyetso, jya kwa muganga vuba bishoboka.

Ni iki gitera indwara zo mu bwonko ziterwa n'imitsi y'amaraso (aneurysms)?

Udukoko two mu bwonko tubaho iyo inkuta z'imitsi yo mu bwonko bwawe zibaye nto kandi zigacika intege. Akenshi dutera aho imitsi yigabanyamo ibice. Hari igihe ushobora kuvuka ufite ikibazo cyo mu bwonko. Ibi akenshi biterwa n'ikosa riri mu rukuta rw'imitsi ('ubusembwa bw'amavuko'). Hari izindi mpamvu nyinshi zishobora gutuma urukuta rw'imitsi rucika intege.

Ibintu bikurikira bishobora kugira ingaruka ku buzima bw'imitsi yawe no kongera ibyago byo kugira aneurysm yo mu bwonko:

• `(indwara y'imitsi ya Ehlers-Danlos)`
• "(Indwara y'impyiko ya Autosomal dominant polycystic)"
• `(Sindrome ya Marfan)`
• `(Dysplasia ya Fibromuscular)`
• Ubusembwa bw'imitsi itera imitsi
• Umuntu wo mu muryango wa hafi (murumuna wanjye, mushiki wanjye, cyangwa umubyeyi) afite amateka yo kugira ikibazo cyo kubura amaraso mu bwonko.

Dore izindi ngeso n'imyitwarire bishobora gutuma inkuta z'imitsi yawe zigabanuka uko igihe kigenda gihita:

• Kunywa itabi.
• Umuvuduko w'amaraso ukabije.
• Ikoreshwa ry'ibiyobyabwenge, cyane cyane kokayine.
• Kunywa inzoga nyinshi.

Ni iki gituma ubwonko butera guturika kw'imitsi y'amaraso mu bwonko?

Ibintu bimwe bigira uruhare mu ikorwa ry’indwara yo mu bwonko yitwa aneurysm nabyo bishobora gutuma icika no kuva amaraso.

Abashakashatsi bemeza ko umuvuduko ukabije w'amaraso ari yo mpamvu nyamukuru ituma habaho guturika kwa aneurysm. Iyo umuvuduko w'amaraso wiyongereye, umuvuduko uterwa n'amaraso ku nkuta z'imitsi y'amaraso uriyongera. Hari ibihe byinshi aho umuvuduko ukabije w'amaraso ushobora gutuma aneurysm yo mu bwonko iturika:

• Guhangayika bihoraho ni ibyiyumvo bikomeye, nk'uburakari butunguranye.
• Gukoresha imbaraga nyinshi iyo uteruye, ukurura, cyangwa usunika ikintu kiremereye (urugero: guterura ibyuma biremereye, kwimura ibikoresho byo mu nzu).
• Kutanywa imiti ikwiye y'umuvuduko ukabije w'amaraso usanzwe ufite.

Hari izindi mpamvu nyinshi zigena amahirwe yo guturika kwa aneurysm:

• Ingano n'imiterere : Udukoko duto dufite imiyoboro y'amaraso ntabwo dushobora gucika cyane ugereranyije n'udukoko tunini dufite imiyoboro y'amaraso idasobanutse neza.
• Gukura : Iyo aneurysm ikomeje kwiyongera uko igihe kigenda gihita, birashoboka cyane ko yacika.
• Aho biherereye : Imitsi itera imitsi mu mitsi itera imitsi inyuma y'ubwonko n'imitsi itera imitsi imbere y'ubwonko ikunze guturika kurusha imitsi itera imitsi mu bindi bice by'ubwonko.
• Ubwoko : Abantu bafite inkomoko mu Buyapani cyangwa muri Finlande bafite ibyago byinshi byo guturika kwa aneurysm.
• Imyaka y'izabukuru: Abantu barengeje imyaka 70 bafite ibyago byinshi byo guturika kwa aneurysm.

Abantu bafite aneurysm zirenze imwe mu bwonko cyangwa se bakaba baravuye amaraso menshi mu bwonko bafite aneurysm, ni bo bafite ibyago byinshi byo guturika kwa aneurysm mu bwonko.

Ni gute wasuzuma indwara ya aneurysm yo mu bwonko?

Abantu benshi bafite aneurysms yo mu bwonko idacitse ntibazi ko bayifite. Muganga ashobora kuyisanga ku bw'amahirwe iyo ukoze MRI cyangwa CT scan mu bwonko bwawe ku mpamvu zindi z'ubuvuzi.

Niba ufite ibimenyetso by'indwara yo mu bwonko ifite imitsi myinshi, urugero nko kubabara umutwe cyane, ugomba guhamagara 911 cyangwa ukajya kwa muganga ako kanya. Muganga azagutegeka ibizamini kugira ngo arebe niba indwara yo mu bwonko ifite imitsi myinshi yacitse. Ibi bizamini bishobora kuba birimo:

• (CT - scan ya tomography ya computed) : Iki ni cyo kizamini cya mbere muganga azategeka gusuzuma niba amaraso ari mu bwonko. "CT scan" ikoresha X-ray na mudasobwa kugira ngo ifate amashusho y'umubiri wawe mu bice bitandukanye. Abaganga bashobora kandi gukoresha ikizamini cyitwa "CT angiogram (CTA)". Ibi bishobora gufata amashusho arambuye y'uko amaraso atembera mu mitsi y'ubwonko. "CTA" ishobora kwerekana ingano, aho iherereye, n'imiterere y'umuyoboro w'amaraso ufite amaraso menshi, yaba yacitse cyangwa yacitse.
• (MRI - scan ya magnetic resonance imaging) : MRI ikoresha magneti nini, imiraba ya radiyo, na mudasobwa kugira ngo ifate amashusho arambuye y'ubwonko bwawe. Angiografiya ya magnetic resonance (MRA) ifata amashusho arambuye y'imitsi yo mu bwonko kandi ikagaragaza ingano, aho iherereye, n'imiterere ya aneurysm.
• Angiografiya yo mu bwonko : Iki ni ikizamini gikorwa n'umuganga w'imitsi cyangwa umuganga w'imitsi. Bashyira catheter mu mitsi yo mu nda cyangwa mu kuboko, bakayishyira mu bwonko kugira ngo bafate amashusho arambuye y'imitsi yo mu ijosi no mu bwonko. Iki kizamini cyo gupima gishobora kubona imitsi yo mu bwonko cyangwa mu ijosi. Gishobora kandi kugaragaza ahantu hadakomeye mu mitsi, nka aneurysm. Abaganga bakoresha iki kizamini kugira ngo bamenye impamvu yo kuva amaraso mu bwonko n'aho aneurysm iherereye, ingano, n'imiterere yayo.
• (Isesengura rya CSF fluid - CSF) : Iki kizamini gipima ibintu biri mu mazi akikije kandi akarinda ubwonko bwawe n'umugongo wawe (`umugongo`). Muganga afata icyitegererezo cya 'CSF' akoresheje 'gufata umugongo` cyangwa 'gupfumura lumbar'. Iri sesengura rishobora kumenya niba hari amaraso hirya no hino mu bwonko.

Indwara zo mu bwonko zivurwa zite?

Intego nyamukuru yo kuvura aneurysm yo mu bwonko ni uguhagarika cyangwa kugabanya kuva amaraso mu aneurysm. Aneurysm yo mu bwonko yavaga cyangwa yacitse isaba kubagwa byihutirwa.Bitewe n'uko ikibazo cyawe kimeze, indwara ya aneurysm idacitse ishobora gukenera kuvurwa cyangwa kudakenera kuvurwa.

Itsinda ry'abaganga bawe rizagusaba uburyo bwo kuvura bukubereye, hashingiwe ku miterere y'imitsi yawe, ingano n'aho ishaje ifite, n'ibindi bintu byinshi.

Muri rusange, imitsi yo mu bwonko yacitse ifata igihe kirekire kugira ngo ikire kurusha imitsi idacitse.

Gukata imitsi mito y'amaraso kugira ngo hamenyekane indwara z'ubwonko

Muri ubu buvuzi, umuganga w’imitsi akora umwobo muto mu gahanga kawe maze akajya aho aneurysm iri. Akoresheje mikorosikopi nto cyane n’ibikoresho, umuganga ashyira agace gato k’icyuma munsi y’aneurysm maze akagafunga. Ibi bihagarika kuva amaraso mu maraso. Ubu buvuzi bushobora guhagarika kuva amaraso mu bwonko cyangwa bukabuza aneurysm idacitse gukomera cyangwa guturika.

Igihe cyo gukira cy'indwara yavunitse (ibyumweru byinshi kugeza ku mezi) n'indwara idavunitse (ubusanzwe ibyumweru bibiri kugeza kuri bine) ziratandukanye. Indwara yavunitse burundu ntabwo yongera kuva amaraso (isubira).

Gutera imitsi yo mu nda ku bijyanye no kugabanya ubukana bw'imitsi yo mu bwonko

Muri ubu buryo, umuganga w’imitsi cyangwa umuganga w’imitsi uvura indwara z’ubwonko (neurobagie) yinjiza catheter (umuyoboro uhindagurika) mu mitsi y’amaraso iri mu kibuno cyangwa mu kuboko, akayishyira mu bwonko. Binyuze muri catheter, umuganga yinjiza agace gato k’insinga yoroshye cyane muri aneurysm.

Nyuma yuko muganga ashyize iyi coil muri aneurysm, ihindura imiterere y'amaraso ari muri aneurysm maze igakora ikibyimba cy'amaraso. Iki kibyimba cy'amaraso gihagarika urujya n'uruza rw'amaraso muri aneurysm, bigatuma habaho ikizingo, nk'agace k'amaraso.

Ibyuma bigabanya umuvuduko w'amaraso mu bwonko (flow diversion stents)

Muri ubu buryo, umuganga w’imitsi cyangwa umuganga w’imitsi uvura indwara z’ubwonko ashyira catheter mu mitsi y’amaraso iri mu gituza cyangwa mu kuboko maze akayishyira mu bwonko bwawe. Anyuze muri catheter, muganga ashyiramo umuyoboro w’amaraso mu gice cy’imitsi y’amaraso aho aneurysm iherereye. Iyi mesh iyobora (cyangwa "iyobora") amaraso yawe kuva kuri aneurysm aho kuyijyamo.

Igikoresho cya WEB gifasha mu kuvura indwara z'ubwonko

Muri ubu buryo, nk'uko byavuzwe haruguru, muganga ashyiramo agace k'icyuma kameze nk'umuyoboro cyangwa uruziga muri aneurysm anyuze muri catheter mu bwonko. Ibi kandi bikora nk'uruziga. Ni ukuvuga ko bishyiraho agace gafunga aneurysm, kagahagarika amaraso gutembera muri yo kandi kakayirinda ko ikura cyangwa guturika.

Ubundi buryo bwo kuvura indwara yo gucika kw'ubwonko (aneurysm)

Niba ufite ikibazo cyo gucika kw'amaraso mu mubiri (aneurysm), itsinda ry'abaganga rizakoresha ubundi buryo bwo kuvura kugira ngo bagerageze kugenzura ibimenyetso byawe no gukumira ingorane. Ubu buryo bwo kuvura bushobora kuba burimo:

• Imiti igabanya ifatwa ry'ibisebe: Iyi miti ifasha mu gukumira indwara zo gucika kw'imitsi ziterwa no gucika kw'imitsi.
• Imiti igabanya ubukana bwa calcium channel blockers : Iyi miti ifasha kugabanya ibyago byo kurwara indwara yo gucika intege bitewe no kuva amaraso mu mubiri.
• Shunt : Uyu ni umuyoboro ufasha kwimura amazi yo mu bwonko (CSF) ava mu bwonko ajya mu kindi gice cy'umubiri. Ibi bishobora gufasha kwirinda indwara ya hydrocephalus.

Abantu bahuye n’ikibazo cyo kubura amaraso mu mubiri (aneurysm) bakunze gukenera ubuvuzi bw’umubiri, ubuvuzi bwo kuvuga, n’ubuvuzi bw’akazi kugira ngo bongere imikorere yabo yatakaye kandi bige kubaho bafite ubumuga buhoraho.

Ese nkeneye kuvurwa indwara y’ubwonko idakomeretse ifite ubwonko?

Niba ufite ikibazo gito kandi kidateye ibimenyetso mu bwonko, kandi nta bindi bintu by’ingenzi bishobora gutera, muganga wawe ashobora kukugira inama yo kutavura.

Ahubwo, muganga wawe azagutegeka ibizamini byo gufata amashusho rimwe na rimwe kugira ngo arebe niba hari impinduka cyangwa ikura ry’umubiri. Bazakugira inama yo kureka kunywa itabi niba unywa itabi no kugabanya umuvuduko w’amaraso yawe.

Niba ugaragaje ibimenyetso, cyangwa niba hari impinduka mu mitsi yo mu bwonko mu gihe cyo gupima indwara, ugomba kwihutira gushaka abaganga.

Niba ufite ibimenyetso, ibintu bishobora gutera ibyago, cyangwa indwara yo kubura amaraso menshi mu mubiri (aneurysm) ari nini, wowe na muganga wawe muzaganira ku byiza, ibibi, n'uburyo bwo kubagwa no/cyangwa kuvura imitsi yo mu nda. Iki cyemezo kizashingira ku bintu byinshi, birimo:

• imyaka yawe.
• Ubuzima bwawe muri rusange n'izindi ndwara zose ushobora kuba ufite.
• Aho aherereye, ingano, n'ibindi biranga aneurysm.
• Imiterere y'imitsi yawe.
• Amateka y'indwara mu muryango.
• Ingaruka zo guturika.

Ni gute wagabanya ibyago byo kurwara aneurysm?

Ntushobora gukumira cyangwa guhindura ibintu bimwe na bimwe bishobora gutera indwara yo mu bwonko, nk'imyaka yawe cyangwa imiterere y'uturemangingo. Ariko, ushobora gukora ibi bikurikira kugira ngo ugabanye ibyago byo kurwara indwara yo mu bwonko:

• Kugumana umuvuduko w'amaraso mwiza hamwe n'imiti cyangwa impinduka mu mibereho.
• Kutanywa itabi cyangwa kureka kunywa itabi.
• Gushaka ubufasha ku kibazo cyo kunywa inzoga cyangwa kunywa ibiyobyabwenge, no kudakoresha imiti itera imbaraga nka kokayine.

Ni iki giteganyijwe ku ndwara ya aneurysm yo mu bwonko yacitse?

Igipimo cyo gukira nyuma yo gucika kw'ubwonko bitewe n'ibintu byinshi, birimo:

• Imyaka yawe n'ubuzima bwawe muri rusange.
• Niba ufite indwara z'imitsi zari zisanzweho.
• Aho aneurysm iherereye.
• Umubare w'amaraso yatakaye kubera aneurysm.
• Uburyo wavuwe vuba.
• Niba ubuvuzi bwa aneurysm bwagenze neza.

Abantu bagera kuri 25% bafite ikibazo cyo gucika kw'ubwonko bapfa mu masaha 24. Abagera kuri 50% bapfa bazize ibibazo mu mezi atatu nyuma yo gucika kw'ubwonko.

Mu barokotse, abagera kuri 66% bahura n'ingaruka mbi z'ubwonko burundu. Hari abantu bakira ubumuga buke cyangwa nta na bumwe bafite.

Ese ushobora kubaho igihe kirekire ufite ikibazo cyo kubura amaraso mu bwonko?

Abantu benshi bafite imitsi mito kandi idacitse mu bwonko ntibigera bagaragaza ibimenyetso, kandi ntabwo bigira ingaruka ku buzima bwabo.

Ariko, igipimo cy'impfu ziterwa no gucika kw'imitsi yo mu bwonko kiri hejuru cyane.

Ni ryari nkwiye kujya kwa muganga wanjye ku kibazo cy’indwara yo mu bwonko ifite ubwonko butera?

Niba ufite ikibazo cyo kubura amaraso mu bwonko kidakomeretse, uzakenera kujya kwa muganga wawe buri gihe kugira ngo arebe ingano y’indwara yo kubura amaraso no kugenzura ibintu bishobora gutera indwara, urugero nk’umuvuduko ukabije w’amaraso.

Niba warigeze kugira ikibazo cyo gucika kw'ubwonko, uzakenera kujya kwa muganga buri gihe kugira ngo bakurikirane ibibazo bishobora kubaho kandi barebe neza ko utazongera kugira ikindi kibazo cyo gucika kw'ubwonko.

Niba ufite umutwe utunguranye kandi ukomeye hamwe n'ibimenyetso by'indwara yo gucika kw'imitsi cyangwa udafite ibimenyetso, bishobora kuba ikimenyetso cy'indwara yo mu bwonko ifite imitsi myinshi. Hamagara 911 ako kanya cyangwa ujye mu cyumba cy'ubutabazi bw'ibanze cy'ibitaro. Uko ubona ubufasha bw'abaganga vuba, niko amahirwe yawe yo gukiza ubuzima aba menshi.

Niba ufite ikibazo cyo kubura amaraso mu bwonko, ganira na muganga wawe ku byiza n'ibibi byo kuvura no kuvura indwara zitandukanye. Biteguye kugufasha.

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

Sawa, reka tukwibutse ibintu bimwe na bimwe ugomba kuzirikana mu byo twavuze:

• Aneurysm yo mu bwonko ni ukubyimba nk'ukubyimba ahantu hadakomeye mu mitsi y'amaraso mu bwonko.
• Akenshi, imitsi mito y'amaraso ntabwo itera ibimenyetso. Ariko, niba ugize umutwe utunguranye kandi ukabije, nk' "umutwe mubi cyane mu buzima bwawe," bishobora kuba ikimenyetso cy'uko imitsi y'amaraso yacitse. Ibi nibibaho, ugomba kujya kwa muganga vuba.
• Ibintu nk'umuvuduko ukabije w'amaraso no kunywa itabi ni byo bintu by'ingenzi bituma habaho kugabanuka no gucika kw'imitsi.
• Muganga ni we ugena niba abantu bafite aneurysm idacitse bakeneye kuvurwa hashingiwe ku bintu byinshi.
• Kuvunika kwa aneurysm ni ikibazo cyihutirwa gishobora gushyira ubuzima mu kaga. Guhabwa ubuvuzi bwihuse ni ngombwa.
• Ingaruka zo kurwara aneurysm zishobora kugabanuka iyo umuntu abayeho neza kandi akagenzura ibintu bishobora kumuviramo ibyago.

Niba ufite ikindi kibazo kuri ibi, ntutindiganye kuvugana na muganga wawe. Azagusobanurira byinshi.

"Ubushobozi bwo kuvura indwara zo mu bwonko, indwara zo mu bwonko, kuribwa umutwe, umuvuduko ukabije w'amaraso, kuva amaraso mu bwonko, indwara z'imitsi, kubagwa indwara zo mu bwonko