Ese ukuguru kwawe kwabyimbye mu buryo butunguranye kandi kubabara? Bishobora kuba ari DVT (Deep Vein Thrombosis)

Ese rimwe mu maguru yawe ryabyimbye mu buryo butunguranye kandi rishyushye ukozeho? Ese ribabaza iyo ugenda cyangwa uhagaze? Wenda uruhu rwo ku kuguru kwawe ruratukura? Abantu benshi batekereza ko ari ukuvunika cyangwa gucika kw'akaguru gusa. Ariko rimwe na rimwe bishobora kuba ikintu gikomeye cyane kandi gikeneye kwitabwaho byihutirwa. Uyu munsi turimo kuvuga ku kubyimba kw'amaraso mu mitsi miremire, cyangwa icyo mu buvuzi kizwi nka Deep Vein Thrombosis (DVT) .

Mu magambo make, DVT ni iki?

Hari ubwoko bubiri bw'imitsi y'amaraso mu mubiri wacu. Bumwe ni imitsi yo hejuru igaragara munsi y'uruhu. Ubundi ni imitsi minini inyura mu mubiri. Indwara yo mu mitsi miremire (DVT) ni igihe amaraso apfundika (thrombus) muri iyo mitsi miremire. Tekereza nk'igipande cy'umukungugu gifata mu muyoboro w'amazi, kikabuza amazi gutembera. Iyi ndwara ishobora kubuza amaraso gutembera burundu cyangwa igice. Iyi ndwara ikunze kugaragara mu mitsi y'amaguru (cyane cyane mu matako cyangwa mu kibuno), no mu kibuno. Ariko, ni gake cyane amaraso ashobora kupfundika mu mitsi y'amaboko, ubwonko, amara, umwijima , cyangwa impyiko.

Kuki DVT ishobora guteza akaga?

Iyo indwara ya DVT ikomeje uko iri, ntabwo ishyira ubuzima mu kaga. Ariko, akaga gakomeye ni uko amaraso yacitse muri uyu mutsi agatangira kugenda mu maraso. Tekereza, bigenda bite iyo amaraso yacitse (twita 'embolism') agahita ajya mu mitsi y'amaraso mu bihaha agafata? Ibyo ni byo twita Pulmonary Embolism (PE) . Iki ni ikibazo gikomeye cyane, gishobora no kubangamira ubuzima. Kubwibyo, ni ngombwa gusuzuma no kuvura indwara vuba uramutse ukeka ko ufite DVT. Byongeye kandi, hafi kimwe cya kabiri cy'abantu bafite DVT bashobora kugira ibibazo by'igihe kirekire byitwa Post-Thrombotic Syndrome .Ibi bibaho iyo amaraso apfutse yangiza utunyangingo tworoshye turi mu mitsi, bigatuma amaraso yishyira mu maguru aho kuyatera neza. Ibi bishobora gutera kubyimba, ububabare, guhinduka ibara ry'uruhu (umukara), ndetse n'ibikomere bigoye gukira (ibisebe byo mu mitsi) mu gihe cy'amezi cyangwa imyaka.

Wamenya ute ko ufite DVT? Ni ibihe bimenyetso?

Si abantu bose bafite DVT bazagira ibimenyetso. Abantu bagera kuri 30% bashobora kugira DVT badafite ibimenyetso. Hari abantu bashobora kugira ibimenyetso byoroheje ku buryo batabibona. Ariko, hari ibimenyetso bimwe na bimwe bisanzwe. Niba ufite ibi bimenyetso, cyane cyane iyo bigaragaye ku kuguru kumwe gusa, ugomba guhangayika.

Menya ibimenyetso bya Pulmonary Embolism (PE)!

Hari abantu bamenya ko bafite DVT nyuma yuko amaraso acitse agatangira kwinjirira mu bihaha byabo. Bityo rero, menya neza ibimenyetso bikurikira.

• Kubabara mu gatuza bitunguranye
• Guhumeka bigoranye
• Gukorora amaraso
• Kuzungera (vertigo)
• Gukoresha uburozi

Ni ibihe bintu bishobora gutera DVT?

Umuntu wese ashobora kwandura DVT. Ariko hari abantu bafite ibyago byinshi byo kuyirwara. Reka turebe ibyo ari byo.

• Kwicara igihe kirekire utekanye: Tekereza urimo gufata bisi uva Colombo ujya Jaffna, muri Sri Lanka, cyangwa ufata indege amasaha menshi kugira ngo ugere mu gihugu. Mu ngendo ndende nk'izo, kugumana amaguru yawe mu mwanya umwe bishobora kugabanya umuvuduko w'amaraso no gutuma amaraso acika. Ibyo ni ko bigenda no nyuma yo kubagwa bikomeye, cyangwa niba ugomba kumara iminsi mu buriri kubera uburwayi.
• Kubagwa cyangwa impanuka: Iyo imitsi yangiritse bitewe no kubagwa cyangwa impanuka, ibyago byo kubyimba kw'amaraso biriyongera.
• Imyaka irenga 40: Ingaruka zigenda ziyongera uko imyaka igenda ishira.
• Gutwita no nyuma yo kubyara: Ibyago byo kurwara DVT biri hejuru cyane mu gihe cyo gutwita no mu byumweru 6 nyuma yo kubyara.
• Umubyibuho ukabije/Umubyibuho ukabije: Abantu bafite umubyibuho ukabije bari mu kaga gakomeye.
• Kunywa itabi: Kunywa itabi byongera ibyago byo kuvura amaraso.
• Uburyo bwo kuvura kanseri n'indwara ya kanseri: Uburyo bumwe bwo kuvura kanseri n'indwara ya kanseri (urugero: chemotherapy) byongera ibyago byo kurwara DVT.
• Ibinini byo kuboneza urubyaro cyangwa ubuvuzi bw'imisemburo: Ibinini byo kuboneza urubyaro n'ubuvuzi bw'imisemburo birimo imisemburo ya estrogen bishobora kongera gato ibyago byo kuvura amaraso.
• Amateka y'umuryango: Niba hari umuntu wo mu muryango wawe (mama, papa, abavandimwe) warwaye DVT, nawe uri mu kaga.
• Impamvu ziterwa n'uturemangingo: Hari abantu bashobora kuvukana indwara zituma amaraso yabo yifunga byoroshye.
• Izindi ndwara: Indwara ziterwa n’ubwiyongere bw’umubiri nka lupus, indwara y’amara abyimba, imitsi iterwa n’ubwiyongere bw’amaraso (imitsi iterwa n’ubwiyongere bw’amaraso mu maguru), n’ubwandu bwa COVID-19 nabyo bishobora kongera ibyago byo kurwara DVT.

Muganga, ni gute wasuzuma DVT neza?

Niba ufite ibimenyetso bya DVT, muganga wawe azabanza kugusuzuma, akubaze amateka y'ubuzima bwawe n'ibintu bishobora gutera ibyago, hanyuma akubwire ko azagupima kugira ngo yemeze ko ari indwara.

• Ultrasound y'imitsi ifata imitsi ibiri: Iki ni cyo gipimo cy'ingenzi kandi gikunze gukoreshwa cyane mu gupima DVT. Kimeze nk'isuzuma ry'umwana. Nta bubabare. Gishobora kubona neza uko amaraso atembera mu mitsi ndetse niba hari amaraso afite ibibyimba.
• Venografiya: Ibi ntibikikoreshwa cyane. Ibi bikubiyemo gutera irangi ryihariye mu mitsi no gufata X-ray.
• MRI cyangwa CT scan: Hari igihe ibi bizamini bishobora gukorwa iyo hari amakenga ko amaraso yacitse mu mitsi miremire, nko mu gifu cyangwa mu bwonko.
• Ibizamini byihariye by'amaraso: Niba waranduye DVT nta mpamvu igaragara, cyangwa niba ufite amateka y'umuryango, muganga wawe ashobora gufata icyemezo cyo gukora ibizamini byihariye by'amaraso kugira ngo arebe niba hari imiterere y'uturemangingo igira ingaruka ku kubumba amaraso.

Ni ubuhe buryo bwo kuvura DVT?

Hari intego zimwe na zimwe z'ingenzi mu kuvura DVT.

• Kubuza amaraso kuzura cyane.
• Kurinda ko amaraso adacika ngo ajye mu bihaha.
• Guhagarika kwirema kw'amaraso mashya.
• Kugabanya ibyago byo kugira ibibazo by'igihe kirekire (Post-Thrombotic Syndrome).

Hari uburyo bwinshi bw'ingenzi bwo kuvura kugira ngo ugere kuri izi ntego.

1. Imiti igabanya amaraso (Anticoagulants)

Ibi byitwa `Anticoagulants` mu Cyongereza. Iyi miti ikora mu kugabanya ubushobozi bw'amaraso bwo gufunga. Igikuru ni uko iyi miti "itashonga" amaraso yamaze gufunga. Ahubwo, ibuza ko amaraso akomeza gufunga. Uko igihe kigenda gihita, imikorere karemano y'umubiri ishobora gushonga buhoro buhoro amaraso afunga. Imiti nka ``Warfarin`` na ``Heparin`` ikoreshwa kuri ibi. Muganga wawe ni we uzagena umuti ukubereye n'igihe ugomba kuwufata. Ubusanzwe, uzakenera gufata uyu muti mu gihe cy'amezi 3-6, cyangwa kuri bamwe, mu buzima bwawe bwose.

2. Amasogisi yo gukanda

Izi si nk'amasogisi asanzwe. Izi ni amasogisi yagenewe by'umwihariko akwiranye neza n'amaguru. Yakozwe kugira ngo afatanye cyane n'amaguru kandi buhoro buhoro arusheho kugabanuka mu mavi. Ibi bifasha amaraso gutembera mu maguru adahagaze. Kuyambara umunsi wose bishobora kugabanya kubyimba no kubabara amaguru ku kigero cya 50%.

3. Akayunguruzo ka IVC

Ubu buryo si ubuvuzi bwa buri wese. Ni byiza ku bantu badashobora gufata imiti igabanya amaraso, cyangwa abagira ibice by'amaraso mu gihe bayafata. Aha, igikoresho gito gisa n'urushundura ('akayunguruzo') gishyirwa mu mutsi munini w'umubiri, `Vena Cava`. Ibi ni ukugira ngo hafatwe igice cy'amaraso cyacitse mu kaguru mbere y'uko kijya mu bihaha.

Nakora iki kugira ngo DVT idasubira?

Iyo umaze kugira DVT, ni ngombwa kuyikumira ko itazongera kubaho. Nanone, niba uri mu kaga ko kwandura DVT, ugomba gufata ingamba zo kuyikumira ko itazongera kubaho.

Niba waramaze kugira DVT:

• Fata umuti wanditswe na muganga neza kandi ku gihe. Ntucikwe n'umunsi n'umwe.
• Jya mu mavuriro no gupimwa amaraso ku matariki yagenwe.
• Garagaza ubuzima bwiza (indyo nziza, imyitozo ngororamubiri, no kwirinda kunywa itabi).

Niba uri mu kaga ko kwandura DVT, kugira ngo uyirinde:

• Mu ngendo ndende: Haguruka ugende nibura rimwe mu isaha. Mu gihe wicaye, kora imyitozo mito nko kuzunguruka utuguru tw'ibirenge no kuzamura ibirenge byawe.
• Nyuma yo kubagwa: Va mu buriri utangire kugenda vuba bishoboka. Kora ibyo muganga akubwira.
• Buri gihe nywa amazi ahagije.
• Vugana na muganga wawe kandi ubone inama ku buryo bwo kugabanya ibyago byo kwandura.

DVT, Kuziba kw'imitsi miremire, Kuziba kw'amaraso, Kuziba kw'amaraso mu mitsi, Kubyimba kw'amaguru, Kuziba kw'amagufwa, Kugabanya amaraso, Imiti igabanya amaraso, Imiti igabanya amaraso, Ububabare bw'amaguru