Twese dutinya ijambo "stroke," si byo se? Ni ikintu kibi cyane gishobora kubaho iyo amaraso ajya mu bwonko ahagaze mu buryo butunguranye. Abantu benshi batekereza ko ibi bibaho gusa bitewe n'ikibazo cy'umutima. Ariko se wari uzi ko kuziba k'imitsi minini y'amaraso mu ijosi na byo bishobora kuba impamvu ikomeye y'indwara yo kuziba? Uyu munsi, tugiye kuvuga ku gikorwa cyihariye cyo kubaga gikuraho kuziba nk'uko kandi kigasubiza amaraso mu bwonko.
Mu magambo make, Carotid Endarterectomy ni iki?
Tekereza ko imitsi ibiri minini itanga amaraso mu bwonko bwawe inyura mu ijosi ryawe ku mpande zombi. Iyi mitsi yitwa "Imitsi ya Carotid." Uko igihe kigenda gihita, ibintu nk'ibinure bidakenewe na cholesterol biva mu biribwa turya bitangira kwirunda ku nkuta z'iyi mitsi. Ni nk'umwanda wiyongera mu muyoboro w'amazi. Ibi tubyita plaque .
Uko iyi plaque ikura, itangira kuziba umuyoboro w'amaraso imbere. Ibi bigabanya ingano y'amaraso atembera mu bwonko. Hari igihe agace gato k'iyi plaque gashobora gucika kagafunga burundu umuyoboro muto w'amaraso mu bwonko. Ni bwo habayeho stroke.
Rero, gucibwa kwa carotid endarterectomy ni uburyo bwo kubaga bufungura imitsi ya carotid yazibye, bugakuraho plaque yafatiwemo imbere, hanyuma bugasukura kandi bugateranya imitsi y'amaraso. Muri make, ni ugusukura inzira y'amaraso. Ibi bishobora kugabanya cyane ibyago byo kurwara indwara yo mu bwonko.
Ni mu bihe ibihe ubu buryo bwo kubaga busabwa?
Muganga wawe ntabwo azagusaba kubagwa ako kanya. Azafata icyemezo akurikije isuzuma ryawe, ibizamini bikenewe, n'ibisubizo. Ubu buryo bwo kubagwa bushobora kuba busabwa umuntu ufite indwara zikurikira:
| Imiterere | Ibisobanuro byoroshye |
|---|---|
| Urwego runini rwo gufungana | Iyo scan (ultrasound) yemeje ko imitsi yawe ya carotid ifunzwe ku kigero kirenze 50% na plaque. |
| Kugira stroke nto (TIA) | Niba warigeze kugira ikibazo cy’indwara y’imitsi mu buryo bwihuse (TIA) , kikaba ari ikimenyetso gito cy’umuburo mbere yo kugira indwara ikomeye yo mu bwonko (nk’ukuvuga nabi mu minota mike, gutakaza ibyiyumvo ku ruhande rumwe rw’umubiri). |
| Kugira stroke yoroheje | Niba waramaze kugira ikibazo cya mini-stroke bitewe n'uko iyi mitsi yazibye. |
| Kuziba gukomeye nta bimenyetso byerekana | Kugira ngo wirinde indwara yo gucika intege mu gihe kizaza, nubwo nta bimenyetso ufite, niba isuzuma ryerekana ko imitsi y'amaraso yafunzwe cyane. |
Witegura ute mbere yo kubagwa?
Itsinda ry'abaganga bawe rizaguha amabwiriza mbere y'uko ubagwa. Muri ayo mabwiriza hashobora kuba harimo:
- Ibizamini byihariye: Ushobora gusabwa gukora isuzuma ryihariye nka `(Angiogramu yo mu bwonko)`, `(CT Angiogramu)` cyangwa `(MR Angiogramu)` kugira ngo umenye byinshi ku miterere y'imitsi yawe ya carotid n'ubwonko.
- Bwira muganga wawe imiti yose ufata: Ugomba kubwira muganga wawe ibintu byose, atari imiti yandikiwe na muganga gusa, ahubwo no kugabanya ububabare, vitamine, n'imiti gakondo.
- Guhagarika imiti imwe n'imwe: Imiti imwe n'imwe ibuza amaraso kuzura isabwa guhagarikwa iminsi mike mbere yo kubagwa. Ariko, mu bihe byinshi, imiti nka aspirine isabwa gukomeza. Shaka inama zihariye kuri ibi.
- Kureka kunywa itabi: Niba uri umunywi w'itabi, ugomba kurireka mbere yo kubagwa. Bizagufasha gukira vuba.
Uburyo bwo kubaga bikorwa
Ubu buryo bwo kubaga bukorerwa mu bitaro. Ubusanzwe bifata isaha imwe cyangwa abiri. Ushobora guhabwa ikinya rusange (gusinzira) cyangwa ikinya cyo mu gace runaka (gutera ibisebe gusa mu ijosi ryawe). Uzahabwa imiti igufasha kuruhuka, nubwo waba ufite ibisebe.
Umuganga ubaga akurikiza izi ntambwe:
1. Hakorwa akato gato ka santimetero 1.2 mu ijosi, aho umuyoboro w'amaraso uziba.
2. Kubera ko kuva amaraso mu bwonko bidashobora guhagarara mu gihe cyo kubagwa, iyo bibaye ngombwa, hashyirwamo umuyoboro muto (shunt) kugira ngo uhindure amaraso by'agateganyo.
3. Hanyuma, hakorwa akato gato ku mutsi w'amaraso wafunzwe hanyuma agace k'amaraso karimo karasukurwa neza kandi kagakurwaho.
4. Hanyuma umuyoboro w'amaraso udodwa hamwe. Akenshi, "agace" kadasanzwe kadodwa ahantu kugira ngo agace kabe kagari kandi kadakomeza kugorama.
5. Amaherezo, umuyoboro w'agateganyo urakurwaho maze amaraso agasubira gutembera neza.
Icy'ingenzi kurushaho, intego nyamukuru y'ubu buvuzi ni ukugabanya ibyago byo kurwara indwara yo mu bwonko. Iyo bukozwe n'ikipe y'abaganga b'inararibonye, ubu bubagwa bugira ingaruka nziza cyane.
Ni izihe nyungu n'ingaruka byagira?
Nk’uko bigenda mu kubagwa kose, hari ingaruka zimwe na zimwe, ariko inyungu ziruta ingaruka mu bihe byinshi.
Inyungu nyamukuru: Kurinda indwara ikomeye yo mu bwonko mu gihe kizaza.
Ingaruka zishobora kubaho:
- Kuva amaraso
- Indwara zandura
- Amaraso apfutse
- Kwangirika kw'imitsi (bidakunze kubaho)
- Kugira stroke cyangwa indwara y'umutima (bidakunze kubaho cyane)
- Kongera kuziba kw'imitsi mu gihe kizaza
Ibi bishobora gutandukana bitewe n'umuntu ku giti cye. Biterwa n'ibintu nk'imyaka yawe, niba ufite izindi ndwara nka diyabete cyangwa indwara z'umutima, ndetse n'urugero rw'imitsi y'amaraso yawe izibasiwemo. Muganga wawe azagusobanurira ibi byose.
Nyuma yo kubagwa no gukira
Nyuma yo kubagwa, uzaguma mu bitaro umunsi umwe kugira ngo ukurikiranwe. Nyuma y'amasaha make, uzaba ushobora kurya no kunywa nk'uko bisanzwe. Umuyoboro muto (umuyoboro) ushobora gushyirwa mu ijosi ryawe kugira ngo amazi ava mu gisebe asohoke. Ubusanzwe uyu muyoboro ukurwemo mu munsi umwe. Ushobora kugira ububabare mu ijosi mu gihe cy'ibyumweru bibiri. Ushobora gufata imiti igabanya ububabare isanzwe kuri ibi.
Abantu benshi bashobora gutaha umunsi umwe nyuma yo kubagwa. Ushobora kwiyuhagira nyuma yo gutaha, ariko ntugakore cyane igisebe. Ushobora gusubira mu mirimo isanzwe mu cyumweru kimwe cyangwa bibiri.
Guhindura imibereho ni ingenzi cyane!
Nubwo kubagwa byagenda neza, uzakomeza gukenera guhindura imibereho yawe kugira ngo wirinde ko ubwo bwoko bwa plaque bwongera kubaho.
- Menya indyo yuzuye.
- Imyitozo ngororamubiri nk'uko muganga wawe yabigutegetse.
- Reka kunywa itabi burundu.
- Gabanya stress.
- Fata imiti yawe ya cholesterol n'umuvuduko w'amaraso neza neza nkuko byavuzwe.
Niba ufite ibi bimenyetso, hamagara muganga wawe ako kanya.
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kubagwa, menyesha muganga wawe ako kanya cyangwa ujye kwa muganga ushinzwe ubutabazi bw’ibanze (ETU).
| Ikintu cyo kwitaho | Ibisobanuro |
|---|---|
| Ibibazo bifitanye isano n'ibikomere | Igikomere kiratukura, cyabyimbye, kandi gitanga amazi y'umuhondo cyangwa icyatsi kibisi. |
| Ibimenyetso by'indwara yo mu bwonko | Kuribwa umutwe mu buryo butunguranye, kugorwa no kuvuga cyangwa kumva, isereri, kugira ibinya ku ruhande rumwe rw'umubiri, ibibazo byo kutabona. Ibi ni ibintu bikomeye cyane. |
| Ibimenyetso bisanzwe by'ubwandu | Umuriro, ubukonje no guhinda umushyitsi. |
| Ibindi bimenyetso bikomeye | Kugorwa no guhumeka, kubabara mu gituza, kubyimba amaguru, kugorwa no kumira. |
Ubutumwa bwo kujyana mu rugo
- Guca indwara ya Carotid Endarterectomy ni igikorwa cy'ingenzi cyane gikorerwa mu rwego rwo gukumira indwara zo mu bwonko ziterwa n'ibinure bifunga imitsi minini y'amaraso mu ijosi.
- Ibi si ibintu bikorerwa buri wese. Bigirwa inama gusa iyo bibaye ngombwa, nyuma y'ibizamini byakozwe na muganga wawe.
- Kugira ngo kubagwa bigende neza, ni ngombwa guhindura imibereho yawe ukayigira myiza kugira ngo wirinde ko iyi ndwara yongera kugaruka.
- Menya ibimenyetso by'akaga bishobora kuvuka nyuma yo kubagwa. Niba ufite impungenge, shaka ubufasha kwa muganga byihutirwa.
- Niba ufite ikibazo icyo ari cyo cyose kuri iki kibazo, ntutinye kuvugana na muganga wawe akagikemura.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.