Ese ujya wumva usinziriye gato nyuma yo kurya ifunguro rya saa sita? Ni ibintu bisanzwe kuri benshi muri twe. Nubwo akenshi tubishinja kugira inda yuzuye, hari impamvu itangaje ya siyansi ibitera. Igogora risaba imbaraga nyinshi no kwiyongera gukomeye kw'amaraso mu ngingo zo mu nda yawe—cyane cyane umwijima , igifu , na pancreas . Umubiri wawe ufite sisitemu itangaje yo gushyira amaraso muri utwo duce imbere. Uyu munsi, muri Nirogi Lanka, tugiye gusuzuma umutsi w'amaraso w'ingenzi utuma habaho iki gikorwa: Ishami rya Celiac.
Igiti cya Celiac ni iki mu by'ukuri?
Mu magambo make, Celiac Trunk ni wo mutsi w’ingenzi uherereye mu nda yawe yo hejuru. Uturuka mu muyoboro w’amaraso munini mu mubiri wawe. Tekereza nk'umuyoboro w'amazi munini ugana mu rugo rwawe; nk'uko uwo muyoboro mukuru utanga imirongo itandukanye mu gikoni cyawe no mu bwiherero, Celiac Trunk iva mu muyoboro w’amaraso kugira ngo igeze amaraso akungahaye kuri ogisijeni kandi yuzuye intungamubiri ku ngingo nyinshi z'ingenzi mu ruhu rwawe rw'igogora.
Nubwo ufite icyuma kimwe cya Celiac Trunk gusa, gifite inshingano ikomeye. Gitanga ingufu n'amaraso bikenewe ku ngingo zikora ubutaruhuka kugira ngo zikure intungamubiri mu byo urya.
Ijambo "Celiac" rikomoka ku ijambo ry'Ikigiriki risobanura "inda." Niyo mpamvu indwara izwi nka Celiac disease , ifata inzira yo mu nda, ifite izina rimwe.
Ni izihe ngingo z'umubiri itanga amaraso?
Akamaro k'ibanze k'Umutwe wa Celiac ni ugutanga amaraso afite umwuka wa ogisijeni ku ngingo z'ingenzi zikora mu igogora. Iyo uyu mutsi ugabanutse cyangwa ugafunga, bishobora kugira ingaruka zitaziguye ku mikorere y'ingingo zavuzwe hano hepfo.
| Ibikoresho by'umubiri bitangwa | Imikorere y'ibanze |
|---|---|
| Umwijima | Gukuraho uburozi no kubika intungamubiri. |
| Indwara y'inkari | Ibika inyo kugira ngo ifashe mu igogora ry'ibinure. |
| Umugongo | Ifasha ubudahangarwa bw'umubiri kandi ikayungurura amaraso. |
| Umuyoboro w'amaso | Itwara ibiryo mu kanwa ikabishyira mu nda. |
| Igifu | Itangiza inzira yo gusya. |
| Pancreas | Ikora imisemburo n'imisemburo mu igogora. |
| Duodenum | Igice cya mbere cy'amara mato; gifasha mu igogora no kwinjiza. |
Ishami rya Celiac riherereye he?
Iherereye munsi gato y'urubavu rwawe, hafi y'umugongo. Kugira ngo umenye aho iherereye, shyira urutoki rwawe mu nsi y'ikibero cyawe (igufwa rinini riri hagati mu gituza cyawe). Tekereza urimo ufata umurongo unyura mu nda yawe werekeza mu mugongo wawe, uruhukiye hafi y'uruti rwo hejuru rw'umugongo . Aho niho igiti cya Celiac gituye.
Amashami Makuru Atatu
Uyu mutsi w’ibanze ugabanyijemo amashami atatu yihariye, buri shami ritanga ingingo z’ingenzi:
1. Umutsi w'amaraso wa splenic: Utanga amashami menshi agera mu gifu no mu igogora.
2. Umutsi wo mu gifu w'ibumoso: Utanga ibice by'igifu n'umuyoboro wo hasi.
3. Imitsi isanzwe y'umwijima: Itanga umwijima, agasabo k'inkari, igifu, pancreas, na duodenum.
Menya ko imiterere y'umubiri itandukana bitewe n'umuntu ku wundi. Hari abantu bashobora kugira itandukaniro mu buryo aya mashami atangira. Urugero, umutsi w'igifu w'ibumoso ushobora guturuka mu muyoboro w'amaraso, cyangwa hakaba hari amashami ane cyangwa menshi aho kuba atatu asanzwe. Aya matandukaniro ni itandukaniro risanzwe mu miterere y'umubiri, ntabwo ari indwara.
Isura n'ingano
Umutsi wa Celiac ni utwo turemangingo duto, dufite uburebure bwa santimetero 1.5 kugeza kuri 2 (inchi 0.59 - 0.78) gusa— tuto ugereranije na kashe yo kohereza. Umurambararo watwo uri hagati ya milimetero 6 na 12, ungana n'utundi dutsi duto. Kimwe n'indi mitsi, urukuta rwatwo rugizwe n'ibice bitatu birimo imitsi, ingirangingo zihuza, n'imigozi irabagirana, ituma dushobora kwihanganira umuvuduko w'amaraso aturuka mu mutima.
Indwara Zisanzwe z'Ubuzima
Nubwo ari nto, uyu muyoboro w'ingenzi ushobora kwibasirwa n'indwara zitandukanye. Niba ubabara cyane mu nda, nyamuneka hamagara 911 cyangwa usure ishami rishinzwe ubutabazi bwihuse riri hafi yawe kugira ngo rigusuzume.
| Imiterere | Mu magambo yoroshye… |
|---|---|
| Stenose | Kugabanuka k'imitsi y'amaraso, akenshi biterwa no kwirundanya kwa plaque (ibinure byinshi). |
| Thrombose | Kuziba kw'amaraso guterwa n'umuvuduko w'amaraso mu mitsi. |
| Aneurysm | Igice cy'urukuta rw'imitsi gicitse intege, kibyimba nk'umupira w'amaguru, kikaba gishobora gucika. |
| Gucamo ibice | Gucika kw'urukuta rw'imitsi, bigatuma ibice bitandukanye. |
| Indwara y'imitsi itera imitsi (Median Arcuate Ligament Syndrome) (MALS) | Gukanda imitsi y'amaraso n'umutsi uri hafi aho. |
Ni ibihe bimenyetso bisanzwe by'izi ndwara?
Niba ugize ibibazo ku mitsi yawe ya Celiac Trunk, ushobora kubona ububabare bwo mu nda yo hejuru, isesemi no kuruka . Kubera ko ibi bimenyetso bikunze kugaragara mu ndwara nyinshi zitandukanye, niba usanze ubu burwayi bukomeje, ni ngombwa kugisha inama muganga wawe kugira ngo amenye impamvu nyamukuru.
Iyo ndwara ipimwa ite?
Niba muganga wawe akeka ko hari ikibazo kuri uyu mutsi utera amaraso bitewe n'ibimenyetso byawe, ashobora kukugira inama yo gukora ibizamini bikurikira kugira ngo yemeze ko ari indwara:
- Doppler ultrasound: Ikoresha imiraba y'amajwi kugira ngo igaragaze uko amaraso atembera mu mitsi yawe.
- CT angiogram: Isuzuma ryihariye rikoresha ikoranabuhanga rya X-ray kugira ngo hakorwe amashusho arambuye y’imitsi yawe y’amaraso.
- MRA (magnetic resonance angiogram): Ikoresha ikoranabuhanga rya MRI kugira ngo igaragaze neza imitsi y'amaraso yawe.
- Angiogramu: Uburyo bwo gukoresha X-ray aho irangi ryihariye rishyirwa mu miyoboro yawe kugira ngo rigenzure uburyo amaraso atembera.
Ni ubuhe buryo bwo kuvura?
Uburyo bwo kuvura buratandukanye bitewe n'uburwayi bwawe. Muganga wawe ni we uzagena uburyo bukwiye bwo kuvura bujyanye n'ibyo ukeneye.
- Imiti: Iyi ishobora kuba irimo imiti igabanya umuvuduko ukabije w'amaraso kugira ngo icunge umuvuduko ukabije w'amaraso cyangwa imiti igabanya amaraso kugira ngo hirindwe kubyimba kw'amaraso.
- Angioplasty: Kongera gufungura umutsi wafunganye cyangwa wazibye ukoresheje catheter ifite umutwe w'inyuma.
- Gutera amenyo: Gushyira umuyoboro muto w'amaraso mu muyoboro ufunguye kugira ngo udasubira gufungana.
- Kubaga mu buryo butanyuze mu gice cy'amaraso: Guhanga inzira nshya amaraso atemberamo mu gice cyafunzwe.
- Ubundi buryo bwo kubaga: Hashobora kuba ngombwa ko habaho uburyo bwihariye bwo kubaga kugira ngo hakosorwe indwara nka MALS, aneurysms, cyangwa dissections.
Ni gute wakora kugira ngo imiyoboro y'amaraso yawe ikomeze kuba myiza?
Nta "mirire yihariye ya Celiac Trunk" ibaho, ariko ingeso zimwe zituma umutima wawe n'imiyoboro y'amaraso bikomeza kugira ubuzima bwiza zizagirira akamaro uyu mutsi. Ubuzima bwiza ni bwo shingiro ry'ubuzima bw'imitsi yawe.
- Itegure gukora siporo nibura iminota 150 buri cyumweru. Gutembera vuba, kwiruka, cyangwa kugendera ku igare byose ni amahitamo meza.
- Kurya indyo yuzuye umutima, irimo umunyu mwinshi n'ibinure bidafite akamaro. Ibande ku mboga nshya, imbuto n'imboga.
- Reka burundu ibikomoka ku itabi.
- Gucunga imihangayiko. Imyitozo nko gutekereza cyane, yoga, cyangwa gukora ibintu ukunda kwidagadura bishobora gufasha cyane.
- Komeza kugira ibiro bikwiranye n'uburebure bwawe.
- Shyira imbere amasaha 7-9 yo gusinzira neza buri joro.
- Komeza kugenzura indwara zidakira.Niba ufite umuvuduko ukabije w'amaraso cyangwa diyabete, kurikiza inama za muganga wawe witonze kugira ngo izi ndwara zicungwe neza.
Ubutumwa bwo kujyana mu rugo
- Umutsi wa Celiac ni umutsi muto ariko w’ingenzi utanga amaraso ku ngingo nyinshi z’ingenzi z’igogora ryawe.
- Ibibazo biri muri uyu mutsi bishobora gutera ibimenyetso nko kubabara mu nda yo hejuru cyangwa isesemi.
- Kugumana ubuzima bwiza—harimo imirire myiza no gukora imyitozo ngororamubiri buri gihe—ni ingenzi kugira ngo uturemangingo tw’imitsi yawe yose, harimo n’igitereko cya Celiac, tugire ubuzima bwiza.
- Niba ufite impungenge cyangwa ukagira ibimenyetso bidasanzwe, ntutindiganye kuvugana na muganga wawe kugira ngo akuyobore.
Nirogi Lanka, Igiti cya Celiac, imitsi, imiyoboro y'amaraso, ububabare bwo mu nda, igogora, umwijima, igifu, imiterere y'umubiri
