Ese uzi uyu mutsi w'ingenzi uri mu ijosi ryawe? Reka tuvuge ku mutsi wa Carotid.

Ese wigeze wibaza uko wumva umeze iyo ushyize intoki zawe ku mpande zombi z'ijosi ryawe? Iyo ni imiyoboro ibiri y'amaraso y'ingenzi cyane itera ku muvuduko umwe n'umutima wacu, kandi ijyana ubuzima mu bwonko bwacu, mu maso no mu ijosi. Uyu munsi tugiye kuvuga kuri izi mashini ebyiri zituje mu mubiri wacu, ari zo Carotid Arteries. Muri iyi nkuru, tuzavuga ku kamaro k'ubuzima bwazo ku buzima bwacu.

Mu magambo make, imitsi ya carotid ni iki?

Tekereza ko umubiri wacu ari umujyi munini. Hanyuma imiyoboro y'amaraso imeze nk'imihanda yo muri uwo mujyi. Iyi mihanda itwara umwuka n'intungamubiri bikenewe kuri buri gice cy'umubiri. Muri ubwo buryo, iyi miyoboro ya carotide ni nk'imihanda ibiri minini igana mu bwonko, ari na bwo buyobora umubiri wacu.

Iyi mitsi ibiri y'ingenzi iherereye ku mpande zombi z'ijosi ryacu, umwe kuri buri ruhande:

• Umutsi w'amaraso wa carotide usanzwe w'ibumoso
• Umutsi w'amaraso wa carotide usanzwe iburyo

Iyi mitsi ibiri itangirira hejuru y'igituza cyacu, ikazamuka mu ijosi, hanyuma igacikamo andi mashami abiri y'ingenzi, hafi munsi y'umusaya wacu. Isa n'inyuguti ya Y. Iki gice twita "Carotid Bifurcation".

Ayo mashami abiri ni:

1. Umutsi wa Carotide w'imbere: Iki ni cyo gice cy'ingenzi cy'umuhanda. Ujya mu gahanga, ugatanga amaraso mu bwonko bwacu.

2. Umutsi wa Carotid wo hanze: Iri shami ritanga amaraso mu bice biri hanze y'agahanga kacu, nko mu maso, mu ijosi no mu mutwe .

Imitsi igabanyuka muri ubwo buryo igabanyukamo amashami mato menshi, igatanga amaraso akungahaye kuri ogisijeni kuri buri ngingo n'ingingo zose ziri mu mutwe no mu ijosi.

Ni gute neza neza iyi mitsi ikora?

Akamaro k'ingenzi kandi rukumbi k'imitsi ya carotid ni ukujyana amaraso meza kandi akungahaye kuri ogisijeni atangwa n'umutima mu bwonko no mu bindi bice by'umutwe nta nkomyi. Uru rugendo rugomba kuba rworoshye cyane kandi rwihuse.

Ariko tekereza, byagenda bite imyanda n'imyanda bikusanyije ahantu runaka kuri uyu muhanda bigafunga umuhanda? Hazabaho umuvuduko w'imodoka, si byo se? Uko ni ko ibintu nka cholesterol byinjizwa muri iyi mitsi (tubyita `(plaque)`) kandi iyo imitsi igabanutse, amaraso agatembera nabi. Iyo bibaye, indwara zikomeye nka stroke zishobora kubaho.

Reka turebe imiterere y'imitsi ya carotid mu buryo burambuye.

Iki gice ni icy'ubuvuzi gato, ariko reka tugerageze kugikomeza. Ntabwo ari ngombwa kwibuka aya mazina yose, ariko ni ngombwa kugira igitekerezo girambuye cy'uko akora.

Umutsi wo hanze wa Carotid

Itangira aho isatura nk'inyuguti ya Y ikazamuka yerekeza mu gutwi. Igabanyijemo amashami agera ku 8 y'ingenzi. Aya mashami atanga amaraso ku mitsi yo mu maso, ku rurimi, ku ruhu rw'imitsi ya tiroyide, ku matwi no ku mutwe. Iyo ukoze ku itama ryawe, rihinduka umutuku, kandi iyo wogoshe, riva amaraso. Ibi byose bifitanye isano n'amashami aturuka kuri uyu mutsi wo hanze wa carotide.

Umutsi w'imbere wa Carotide

Iri ni ryo shami ry'ingenzi cyane. Rizamuka mu ijosi ryinjira mu gahanga rinyuze mu mwobo wihariye uri mu nsi y'agahanga witwa "Carotid Canal". Iyo rimaze kwinjira mu gahanga, uyu mutsi ukurikira inzira igoramye kandi igoye.

Imbere mu gahanga, uyu mutsi ugabanyijemo amashami menshi akomeye. Ayo mashami atanga amaraso mu gice kinini cy'ubwonko bwacu n'amaso yacu .

Ni izihe ndwara zifata iyi mitsi?

Ibibazo bishobora kuvuka kuri izi nzira nini. Iyo bibaye, ibisubizo bishobora kuba bibi cyane. Dore bimwe mu bibazo by'ingenzi biboneka.

• Indwara y'imitsi ya Carotid: Iyi nanone yitwa `(Carotid Artery Stenosis)`. `(Stenosis)` bisobanura ``kugabanuka.`` Ibi bibaho kubera ko cholesterol, ibinure, n'ibindi bintu byiyongera mu nkuta z'imitsi, bigakora urwego runini rwa `(Plaque).`` Ni nk'ingese n'umwanda byiyongera mu muyoboro w'amazi, bigafunga inzira amazi atemberamo. Iyi ndwara tuyita `(Atherosclerosis).`` Iyi `(Plaque)`` ituma imitsi ifungana, kandi rimwe na rimwe igice cyayo gishobora gucika no kuziba umuyoboro muto w'amaraso mu bwonko. Cyangwa, amaraso ashobora kuzura hejuru y'iyi `(Plaque)`, ishobora gucika no kuziba umuyoboro mu bwonko. Iyi ni impamvu ikomeye y'igitero cy'ihungabana ry'ingufu (TIA) cyangwa indwara y'imitsi itera cyane .

• Aneurysm y'imitsi ya Carotid: Aha ni ahantu hadakomeye mu rukuta rw'imitsi, bigatuma ibyimba nk'ibara ry'umupira. Amaraso ashobora kuzura kuri iyi byimba. Ishobora kandi gukura no guturika mu buryo butunguranye (gucikagurika).

• Guca imitsi ya Carotid: Ni ugucika cyangwa guturika mu gice cy'imbere cy'urukuta rw'imitsi. Ibi bishobora kubangamira cyangwa kubuza burundu gutembera kw'amaraso. Ibi bishobora no gutera indwara yo gucika kw'imitsi.

• Dysplasia ya Fibromuscular (FMD): Iyi ni indwara idakunze kugaragara aho gukura kudasanzwe kw'uturemangingo mu nkuta z'imitsi bishobora gutuma imitsi ifungana, imitsi itera imitsi cyangwa imitsi icika.

Witondere cyane ibi bimenyetso!

Abantu benshi barwaye indwara y’imitsi yo mu bwoko bwa carotid artery ntibagira ibimenyetso. Ibimenyetso bikunze kubaho nyuma y’impanuka, nko kurwara indwara y’imitsi iterwa n’indwara y’imitsi (TIA) cyangwa indwara yo gucika kw’imitsi. Kubwibyo, kumenya ibimenyetso bikurikira kuri wowe n’umuryango wawe bishobora kugufasha kurokora ubuzima.

Niba hari kimwe muri ibi bimenyetso kigaragaye, ntugatinde gato ahubwo uhite uhamagara serivisi y’imbangukiragutabara yo mu 1990 (Suvaseriya) cyangwa ujye mu ishami rishinzwe ubuvuzi bw’ibanze (ETU) ry’ibitaro biri hafi yawe.

• Uruhande rumwe rw'isura rurembye cyangwa rukumva nta buzima rufite.
• Gusobanya amagambo, kudashobora kwandika amagambo, cyangwa kuvuga nabi mu gihe uvuga .
• Gutakaza cyangwa kutabona neza mu jisho rimwe cyangwa yombi . Bishobora kumvikana nk'aho umwenda w'umukara uri kugwa imbere y'amaso.
• Kubura ibyiyumvo, intege nke, cyangwa kubura ibyiyumvo ku ruhande rumwe rw'umubiri (ukuboko, ukuguru) .
• Kubura kumva uruhande rumwe rw'umubiri.

Ni gute ugenzura imitsi yawe ya carotid?

Niba muganga wawe akeka ko hari ikibazo kiri mu mitsi yawe ya carotid, ikintu cya mbere azakora ni ugushyira stethoscope ku ijosi ryawe no kumva urusaku rw'amaraso atemba muri yo. Iyo imitsi yagabanutse, ushobora kumva ijwi ridasanzwe ryo 'guhotora' (carotid bruit) mu gihe amaraso atemba.

Nanone, kugira ngo wemeze neza uko ibintu bimeze, ushobora kureba ibizamini bikurikira:

• Carotid Ultrasound: Ikizamini cyoroshye kandi kidababaza gikoresha imiraba y'amajwi kugira ngo harebwe uko amaraso atembera mu miyoboro y'amaraso n'uko ari magufi. (Tegereza, "বির্ভাগন" ni Ikibengali. Ngomba kwirinda ibyo. Nzasubiramo: "সাব্দা তার্থানে মালিকা..."). Ikizamini cyoroshye kandi kidababaza gikoresha imiraba y'amajwi kugira ngo harebwe uko amaraso atembera mu miyoboro y'amaraso n'uko ari magufi.
• CT Scan / CT Angiogram: Kubona amashusho arambuye y'imitsi hakoreshejwe X-rays.
• MRA (Magnetic Resonance Angiogram - MRA): Kubona amashusho arambuye y'imitsi hakoreshejwe imbaraga za rukuruzi.
• Angiogramu ya Carotid: Ikizamini gikoresha X-rays kugira ngo kibone neza aho imitsi ifunganye binyuze mu kuyiteramo amazi yihariye.

Ni ubuhe buryo bwo kuvura?

Niba umutsi wawe wa carotid waragabanutse cyangwa warazibye, hari uburyo bwo kuvura. Ubuvuzi buterwa n'uburyo umutsi wawe wagabanutse, ibimenyetso byawe, ndetse n'ubuzima bwawe muri rusange.

Kuvura hakoreshejwe imiti

• Imiti igabanya ubukana bw'amaraso: Imiti nka aspirine igabanya ibyago byo kubyimba kw'amaraso.
• Imiti y'umuvuduko w'amaraso: Kubera ko umuvuduko ukabije w'amaraso wangiza imitsi, ni ngombwa kuwugenzura.
• Imiti igabanya cholesterol: Imiti nka "Statines" igabanya "plaque" yiyongera ku nkuta z'imitsi.

Kubaga n'ubundi buryo

• Guca imitsi yo mu nda: Ubu ni uburyo bwo kubaga bufungura imitsi yo mu nda no gukurura plaque yari yikubise imbere. Ibi bisukura imitsi yo mu nda no gusubiza amaraso mu mugongo.
• Uburyo bwo gukata imitsi ya Carotid Angioplasty na Stenting: Ubu buryo bukorwa hakoreshejwe uburyo bwo gukata gato. Insinga ifite agapira kayifatanyeho inyuzwa mu gace kari ku ruhande rw'imitsi, hanyuma agapira kakazura umwuka kugira ngo kaguke. Hanyuma, hashyirwamo umuyoboro muto umeze nk'urushundura (Stent) kugira ngo agace kadasubira kugabanuka.

Nigute nakora kugira ngo imitsi yanjye ya carotid ikomeze kuba myiza?

Hari ibintu byinshi ushobora gukora kugira ngo umutima wawe wose n'imitsi yawe bikomeze kugira ubuzima bwiza, atari imitsi ya carotid gusa.

• Irinde kunywa itabi burundu.Kunywa itabi ni cyo kintu gikomeye mu kwangiza imitsi yawe. Niba ukeneye ubufasha bwo kubireka, baza muganga wawe.
• Kurya indyo yuzuye umutima. Hitamo indyo yo mu karere ka Mediterane irimo imboga, imbuto, ibinyamisogwe, amafi, n'ibinure byiza nk'amavuta ya elayo. Gabanya ibiryo birimo amavuta menshi, isukari n'umunyu.
• Kora imyitozo ngororamubiri buri gihe. Gerageza gukora imyitozo ngororamubiri nibura iminota 30 ku munsi, nko kugenda n'amaguru, kwiruka, cyangwa ku igare. Baza muganga wawe mbere yo gutangira gahunda iyo ari yo yose yo gukora imyitozo ngororamubiri.
• Komeza kugira ibiro bizima. Kubyibuha cyane ni imwe mu mpamvu zikomeye zitera indwara z'umutima no kugabanuka kw'imitsi.
• Niba urwaye diyabete, umuvuduko ukabije w'amaraso, cyangwa cholesterol , kurikiza amabwiriza ya muganga kandi uyagenzure neza.