Ese ufite amaraso apfunditse mu mitsi mu bwonko bwawe? (Thrombose yo mu bwonko ya Sinus yo mu bwonko - CVST) Reka tuyigeho.

Ese wigeze ugira ikibazo gikomeye cy'umutwe kigenda kirushaho kwiyongera buri munsi? Cyangwa se wagize ikibazo nk'icy'igicuri gitunguranye? Ibi rimwe na rimwe bishobora kuba ikimenyetso cy'ikintu gikomeye. Uyu munsi tugiye kuvuga ku ndwara imwe ishobora gutera ibi, ari yo kubyimba kw'amaraso mu mitsi minini mu bwonko.

Indwara ya CVST (Cerbral Venous Sinus Thrombosis) ni iki?

Mu magambo make, thrombosis ya cerebral venous sinus , cyangwa CVST mu magambo ahinnye, ni amaraso apfundika mu mitsi minini y'amaraso, mu bwonko bwawe. Iyi ni indwara idasanzwe, ariko itera hafi 1% by'indwara zose zizwi zo gucika intege.

Tekereza, iyo amaraso apfunditse mu mitsi minini mu bwonko bwawe, amaraso atangira gutembera mu cyerekezo kitari cyo aho gutembera mu cyerekezo gikwiye. Ibi bituma umuvuduko w'amaraso mu bwonko wiyongera, bigatuma ubwonko bubyimba. Ibi bimeze nk'umuyoboro w'amazi ufunzwe bigatuma amazi asubira inyuma.

Amaraso nk'aya ashobora kubumba mu ruhu rw'ubwonko:

• Sinusi ihinduranya
• Sinus yo mu bwoko bwa sagittal ihambaye
• Sinus yo hasi ya sagittal
• Sinuses za Sigmoid
• Sinusi yo mu kanwa
• Imitsi miremire ya cortex yawe

Ni nde urebwa cyane n'iki kibazo (CVST)?

Iyi ndwara (CVST) ikunze kugaragara cyane ku bagore . Ikunze kugaragara cyane ku bantu bari hagati y'imyaka 40 na 50, ariko ishobora kubaho mu bana bato, ndetse no ku bana bato .

Ufite amahirwe menshi yo kurwara indwara ya CVST iyo ufite imwe muri izi ndwara cyangwa ibintu bishobora gutera ibyago:

• Indwara ya Nephrotic - Iyi ni indwara ifitanye isano n'impyiko.
• Indwara za kanseri.
• Vasculitis - Iyi ni indwara yo kubyimba imiyoboro y'amaraso.
• Sarcoidosis.
• Umubyibuho ukabije.
• Ubwandu bwa Covid-19 (`COVID-19`).
• Thrombophilia - Iyi ni indwara uvukana aho amaraso yawe ashobora kubumba byoroshye.
• Indwara y'umwijima.

CVST ikunze kugaragara gute?

Mu by’ukuri indwara ya CVST ni indwara ikunze kugaragara cyane . Abashakashatsi bavuga ko ifata abantu babiri (`2`) na cumi na batanu (`15`) kuri miliyoni buri mwaka. Bivugwa kandi ko abana n’impinja bagera kuri barindwi (`7`) muri buri miliyoni barwara CVST buri mwaka. Rero urabona ko atari ibintu bisanzwe.

Ni izihe ngaruka CVST ishobora kugira ku mubiri wanjye?

Hari ingorane nyinshi zishobora guterwa na CVST. Izo ni izi:

• Gutakaza ubushobozi bwo kureba.
• Kuva amaraso mu bwonko (`kuva amaraso`) - ni ukuvuga gutakaza amaraso bivuye mu mitsi y'amaraso yaturitse.
• Kuribwa umutwe cyane.
• Gufatwa n'indwara.
• Indwara isa n'indwara yo mu bwonko.

Ni ibihe bimenyetso bya CVST?

Ibimenyetso bya CVST bishobora gutandukana bitewe n'uburemere bw'amaraso apfundikiye n'aho aherereye mu bwonko .

Ibimenyetso by'ingenzi bishobora kugaragara ni ibi bikurikira:

• Kuribwa umutwe buhoro buhoro, birushaho kwiyongera (iki ni cyo kimenyetso gikunze kugaragara).
• Indwara zo mu mutwe.
• Impinduka mu miterere y'imitekerereze cyangwa ibibazo bishya by'imitsi, nko mu gihe cyo kuva amaraso menshi mu bwonko.

Ni izihe mpamvu zitera CVST?

Hari ibintu byinshi bishobora gutera CVST:

• Gutwita .
• Gukoresha ibinini byo kuboneza urubyaro (imiti yo kuboneza urubyaro inyobwa).
• Guhura n'impanuka ikomeye (ihungabana).
• Kugira indwara umuntu avukana ituma amaraso yifunga byoroshye, urugero nko kurwara indwara ya thrombophilia.
• Kuba umuntu yanduye (urugero, COVID-19).

Nanone, umubare muto cyane w'abantu byavuzwe ko barwaye CVST nyuma yo guhabwa urukingo rwa COVID-19. Ariko, ni ngombwa kwibuka ko ibi ari ibintu bidasanzwe .

Ni gute abaganga bapima indwara ya CVST?

Muganga wawe azakoresha ibizamini byo gufata amashusho y'ubwonko kugira ngo amenye niba ufite CVST. Gusuzuma vuba ni ingenzi kugira ngo wirinde ingorane.

Ni ibihe bipimo bikoreshwa mu gusuzuma CVST?

Kugira ngo umuganga wawe apime indwara ya CVST, ashobora gukora ibizamini byo gufata amashusho nka:

• Ikizamini cya MRI yo mu bwonko (magnetic resonance imaging) cyakozwe hakoreshejwe irangi ritandukanye.
• Isuzuma rya CT yo mu bwonko (`Brain CT - computed tomography`) rikorwa hakoreshejwe irangi.
• Isuzuma rya Magnetic Resonance Venography (MRV), isuzuma rya CT Venography (CT venography) cyangwa isuzuma rya Cerebral Angiography (Cervical Angiography).

Byongeye kandi, ibizamini by'amaraso, nko gusuzuma uburyo amaraso agwa cyane, bishobora gukorwa kugira ngo harebwe niba hari ikibazo cyo kuvura amaraso.

CVST ivurwa ite?

Hari uburyo butandukanye bwo kuvura CVST, harimo:

• Imiti igabanya amaraso : Urugero, heparin. Iyi ishobora gutangwa no mu gihe cyo gutwita.
• Imiti igabanya amaraso mu mubiri (thrombolytics).
• Niba amaraso yawe yangiritse bitewe n'ubwandu, imiti igabanya ubukana bw'amaraso iraguhabwa .
• Mu bihe bikomeye cyane, kubagwa kugira ngo amaraso agabanuke (`Thrombectomy`) bikorwe .
• Acetazolamide cyangwa ubundi buryo bwo kuvura kugira ngo ugabanye umuvuduko mu bwonko bwawe (umuvuduko wo mu bwonko).
• Iyo habayeho igicuri, hatangwa imiti igabanya igicuri .

Bitewe n'icyateye CVST yawe, ushobora gukenera gufata warfarin (urugero: Coumadin®, Jantoven®) cyangwa umuti ugabanya amaraso mu kanwa (urugero: Rivaroxaban, Apixaban cyangwa Dabigatran) mu gihe cy'amezi atatu kugeza kuri 12. Abantu bafite indwara nka thrombophilia bashobora gukenera gufata warfarin ubuzima bwabo bwose.

Ni izihe ngorane cyangwa ingaruka mbi z'ubuvuzi?

Niba ufata warfarin, ni ngombwa cyane gufata dose nyayo wahawe . Niyo mpamvu muganga wawe azahora asuzuma amaraso yawe. Dose uhabwa igomba kuba ihagije kugira ngo ihagarike kurema kw'amaraso bishobora kukugirira nabi, ariko ntabwo ari hejuru cyane ku buryo udashobora guhagarika kuva amaraso uramutse utemye ukuboko cyangwa ukuguru. Bityo rero ugomba gushaka uburyo bukwiye bwo kugabanya amaraso.

Nzumva meze neza nyuma y'igihe kingana iki?

Iyo uhawe heparin, haba binyuze mu gutera inshinge cyangwa guterwa inshinge, itangira gukora vuba cyane . Warfarin ishobora gufata icyumweru kugira ngo ikore, bityo muganga wawe azagukomeza kuri heparin kugeza igihe itangiye gukora. Nyuma y'ibyo, ushobora guhagarika gufata heparin ugafata warfarin gusa.

Cyangwa, niba muganga wawe ahisemo umuti ugabanya amaraso mu kanwa, ushobora kugabanya amaraso yawe kugeza ku rwego wifuza mu masaha make. Uko amaraso atangira gushonga n'umuvuduko w'amaraso mu bwonko ukagabanuka, uzatangira kumva umeze neza buhoro buhoro.

Nagabanya nte ibyago byo kurwara indwara ya CVST?

Niba warigeze kugira CVST mu gihe utwite, gufata umuti ugabanya amaraso mu gihe utwite nyuma bishobora kugabanya ibi byago.

Imiti ikoreshwa mu kuboneza urubyaro nayo ni ikintu gishobora gutera CVST. Bityo, ushobora kugabanya iyi ngaruka udakoresheje ibinini byo kuboneza urubyaro. Ushobora gukoresha uburyo bwo kuboneza urubyaro bwa progestin gusa.

Kunywa itabi mu gihe ufata ibinini byo kuboneza urubyaro byongera ibyago byo kurwara indwara ya CVST . Kwirinda ibi byombi bishobora gufasha mu kwirinda indwara ya CVST.

Niba mfite (CVST), ni iki nkwiye kwitega?

Mu bihe byashize, abantu bagera kuri 50% gusa ni bo barokotse indwara ya CVST. Ariko ubu ibintu birarushaho kuba byiza.Igipimo cy'impfu zikomoka kuri iyi ndwara ubu kiri hasi cyane, kiri hagati ya 5% na 10%. Ibi biterwa n'ikoranabuhanga rigezweho ryo gufata amashusho n'uburyo bugezweho bwo kuvura.

Ariko, CVST ishobora kugaruka . Niyo mpamvu muganga wawe azakwandikira imiti igabanya amaraso (anticoagulants).

Iyo ndwara (CVST) imara igihe kingana iki?

(CVST) ishobora kumara amasaha menshi cyangwa ibyumweru byinshi. Indwara yawe ishobora kuba iri muri kimwe muri ibi byiciro:

• Indwara ikabije: Kugeza ku masaha 48.
• Subacute: Amasaha arenga 48, ariko kugeza ku minsi 30. (Ubu ni bwo bwoko bukunze kugaragara cyane.)
• Indwara idakira: Imara ukwezi cyangwa irenga.

Ni iki giteganijwe ku ishyirwa mu bikorwa rya CVST?

Abantu barwaye CVST basuzumwa neza kandi bagahabwa ubuvuzi bwiza ni beza . Ariko, CVST ishobora kwica iyo idasuzumwe kandi ikavurwa hakiri kare. Niyo mpamvu ari ngombwa gushaka inama kwa muganga vuba ibimenyetso bikigaragara.

Nkwiye kwiyitaho nte?

Nyuma yo gupimwa indwara ya CVST, muganga wawe azashaka kukubuza kongera kurwara amaraso. Ibi bivuze ko uzakenera gukomeza gufata imiti igabanya amaraso cyangwa "igabanya amaraso" nka warfarin.

Nubwo ibi bikurinda kuvura amaraso nabi, byongera ibyago byo kuva amaraso bitewe n'igikomere gito cya buri munsi. Kubwibyo, ugomba kwitonda cyane mu gihe ukoresha ibintu bityaye nk'ibyuma . Bishobora kuba byiza gukoresha urwembe rukoresha amashanyarazi aho gukoresha urwembe rusanzwe.

Ni ryari ngomba kubonana na muganga wanjye?

Ugomba kujya kwa muganga wawe buri gihe (wenda buri mezi make) mu gihe ufata imiti igabanya amaraso (anticoagulants). Niba wabuze dose ya warfarin, hamagara muganga wawe ako kanya.

Amezi atatu kugeza kuri atandatu nyuma yo kugira CVST, ushobora gukenera kongera gupimwa na CT scan cyangwa MRI hamwe n'irangi kugira ngo urebe uko amaraso yagabanutse mu bwonko bwawe.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufata Warfarin kandi ufite kimwe muri ibi bimenyetso byo kuva amaraso, hamagara 1990 (serivisi y’imbangukiragutabara yo muri Sri Lanka) ako kanya, cyangwa ujye mu ishami ry’ubutabazi bw’ibitaro riri hafi yawe vuba bishoboka :

• Kuva amaraso mu buryo budasubirwaho .
• Umutwe mubi cyane .
• Amaraso atukura cyane iyo umuntu akorora, aruka, cyangwa arimo kwituma.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ushobora kubaza muganga ibibazo nk'ibi:

• Kuki nagize iki kibazo (CVST)?
• Nzamara igihe kingana iki nkeneye kuvurwa?
• Ni izihe ngorane mfite zo kongera kurwara CVST?

Kubera ko CVST ishobora kugaruka, ni ngombwa gukomeza gahunda zose zo gukurikirana kwa muganga wawe. Bazashaka kumenya neza ko ufata imiti ikwiye kugira ngo wirinde ko CVST yongera kubaho. Niba ufata imiti igabanya amaraso, ugomba kandi kwirinda ibikorwa bishobora gutera imvune. Ndetse n'ibintu bya buri munsi nk'ibyuma n'imikasi bishobora gutera kuva amaraso. Rero ni byiza gukoresha ubundi buryo bwizewe nk'icyuma gikoresha amashanyarazi.

None se, ni ubuhe butumwa dukwiye kwibuka muri iyi nkuru?

Muri make, CVST ni indwara idasanzwe ariko ikomeye aho amaraso agwa mu mitsi yo mu bwonko. Niba ugize ibimenyetso nko kubabara umutwe cyane no gucika intege, jya kwa muganga ako kanya . Gusuzuma no kuvurwa hakiri kare bishobora gutuma ugira umusaruro mwiza. Imiti igabanya amaraso ni yo shingiro ry'ubuvuzi. Ugomba kandi kwitondera kuva amaraso mu gihe ufata iyi miti. Ni ngombwa gufata imiti yawe neza nk'uko muganga wawe abikubwira no gukurikirana muganga wawe. Wibuke ko utari wenyine, kandi muganga wawe arahari kugira ngo aganire nawe kandi agufashe.

` Kuziba kw'imitsi yo mu bwonko, CVST, kuzura kw'amaraso mu bwonko, kuribwa umutwe, kugabanya amaraso, gucika imitsi, gukubita ibisebe