Niba urwaye diyabete, ugomba gutekereza cyane ku buzima bw'umutima wawe, impyiko n'ubwonko. Kubera ko diyabete ituma ugira amahirwe abiri yo kurwara indwara y'imitsi iteye ubwoba yitwa stroke kurusha umuntu utayirwaye. Ariko ntugahangayike. Dufite imibereho myiza n'ubuvuzi bukwiye, dushobora kugenzura iyi ngaruka ku rugero runini. Reka tubiganireho mu buryo bworoshye.
Igisebe cyo mu bwonko (stroke) ni iki mu by'ukuri?
Mu magambo make, indwara yo gucika kw'amaraso ni uguhagarika amaraso ajya mu bwonko. Tekereza nk'uburyo bw'imiyoboro ipompa amazi ajya mu bwonko bwacu. Iyi miyoboro y'amaraso itanga ogisijeni n'intungamubiri mu bwonko kugira ngo ikomeze kubaho. Ikibaho mu ndwara yo gucika kw'amaraso ni uko imwe muri iyi miyoboro y'amaraso ihita ifunga cyangwa ikangirika. Iyo amaraso ajya mu gice cy'ubwonko ahagaze iminota irenga 3-4, uturemangingo turi muri icyo gice dutangira gupfa. Ibi nibyo bituma imirimo itandukanye mu mubiri ibura.
Hari ubwoko bubiri bw'ingenzi bw'imitsi yo mu mutwe:
- Ischemic Stroke: Iyi ni yo ndwara ikunze kugaragara cyane. Ibaho iyo umutsi w'amaraso utanga amaraso mu bwonko ufunzwe n'amaraso apfutse.
- Gucika amaraso mu bwonko: Ibi bibaho iyo umutsi w'amaraso mu bwonko uturitse ukajya mu bwonko.
Iyo umuntu urwaye diyabete arwaye indwara yo mu bwonko, ubushobozi bw'umubiri bwo kuyirwanya nabwo buragabanuka. Ubusanzwe, iyo umuyoboro umwe w'amaraso uzimye, umubiri ugerageza gutanga amaraso mu bwonko unyuze mu yindi miyoboro y'amaraso imeze nk'aho inyura mu nzira. Ariko kuri diyabete, ndetse n'iyo miyoboro y'amaraso ishobora kugabanuka no kwiyongera uko igihe kigenda gihita bitewe n'ibinure byinshi (plaque). Mu buvuzi, ibi tubyita "Atherosclerosis" . Ni nk'ingese zigaragara mu muyoboro w'amazi. Hanyuma iyo miyoboro y'amaraso y'ingenzi iraziba cyane.
Ni izihe mpamvu nyamukuru zitera indwara yo gucika kw'imitsi?
Impamvu nyamukuru ishobora gutera indwara yo gucika intege mu bwonko ni umuvuduko ukabije w'amaraso . Byongeye kandi, ibi bikurikira nabyo byongera ibyago:
- Kunywa itabi.
- Korositeroli mbi yiyongera mu maraso (Korositeroli nyinshi ya LDL).
- Diyabete idafatwa neza.
- Indwara z'umutima.
Witondere cyane ibi bimenyetso!
Waba urwaye diyabete cyangwa utayirwaye, indwara yo gucika intege mu bwonko ni ikibazo cyihutirwa cy’ubuvuzi. Niba wowe cyangwa undi muntu uzi afite kimwe muri ibi bimenyetso, ugomba kujya mu bitaro byita ku barwayi ba ETU vuba . Igihe ni ingenzi cyane.
| Ibimenyetso byihutirwa | Ubyumva ute? |
|---|---|
| Gucika intege cyangwa intege nke | Gucika intege cyangwa intege nke mu maso, mu kuboko, cyangwa mu kuguru (cyane cyane ku ruhande rumwe rw'umubiri). |
| Kugorwa no kuvuga | Amagambo arahindagurika, ntushobora kumva cyangwa kuvuga interuro n'imwe. |
| Ubumuga bwo kutabona neza | Kureba mu jisho rimwe cyangwa yombi bihita bihinduka urujijo cyangwa bikabura. |
| Kugorwa no kumira | Mu buryo butunguranye ntushobora kumira ikintu. |
| Kuzungera, gutakaza uburimbane | Kuzungera mu buryo butunguranye, kubura uburinganire mu gihe ugenda n'ibyago byo kugwa. |
| Ubumuga | Mu buryo butunguranye, ntushobora kwimura igice cy'umubiri wawe, urugero, ukuboko cyangwa ukuguru. |
| Kuribwa umutwe cyane | Umutwe ukomeye kandi ukabije, nta mpamvu igaragara, utigeze ugira mu buzima bwawe. |
Ni ubuhe buryo bwo kuvura?
Ku ndwara ya stroke iterwa n’amaraso apfutse, uburyo bw’ingenzi bwo kuyivura ni umuti ugabanya amaraso witwa `(tPA).` Ariko uyu muti ugomba gutangwa mu masaha 3-4.5 ya mbere uhereye igihe ibimenyetso byatangiriye . Niyo mpamvu tuvuga ko tugomba kujya kwa muganga w’indwara ya kanseri. Ariko uyu muti ntushobora gutangwa kuri buri wese. Ntabwo utangwa mu bihe nk’iby’abaherutse kubagwa cyane cyangwa bakomeretse mu mutwe.
Byongeye kandi, hari ubundi buryo bwo kuvura:
- Guca mu mitsi yo mu bwoko bwa Carotid Endarterectomy: Ubu ni uburyo bwo kubaga bukuraho ibinure byirundanyije mu mitsi yo mu bwoko bwa carotid, umutsi ukomeye utanga amaraso mu bwonko.
- Uburyo bwo gupima no gupima imitsi yo mu nda: Muri ubu buryo, igikoresho gisa n'ibendera gishyirwa mu muyoboro muto mu mitsi y'amaraso yazibye, kikayishyiramo umwuka kugira ngo iguke. Hanyuma hashyirwamo stent isa n'iy'urushundura kugira ngo hirindwe ko umuyoboro wongera kugabanuka.
- Ubundi buryo: Ku barwayi bamwe na bamwe, ibikoresho byihariye nka Merci Retrieval System na Penumbra System ubu birakoreshwa mu gukuraho amaraso apfundikiye.
Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura.
Ni gute warokoka indwara yo mu bwonko?
Hari ibintu byinshi ushobora gukora kugira ngo wirinde indwara yo gucika intege mu gihe urwaye diyabete. Kubishyira mu buzima bwawe ni bwo buryo bwiza bwo kwirinda indwara yo gucika intege mu mitsi.
| Icyo ugomba gukurikira | Kuki ibyo ari ingenzi? |
|---|---|
| Irinde kunywa itabi burundu. | Kunywa itabi byangiza imiyoboro y'amaraso kandi byongera cyane ibyago byo kurwara indwara yo mu bwonko. |
| Genzura urugero rw'isukari mu maraso. | Kugenzura neza diyabete bishobora kugabanya kwangirika kw'imitsi y'amaraso. |
| Komeza kugira ibiro bizima. | Kubyibuha cyane bitera umuvuduko ukabije w'amaraso, cholesterol na diyabete. |
| Gukora imyitozo ngororamubiri buri gihe. | Gukora imyitozo ngororamubiri nibura iminota 30 ku munsi, iminsi 5 mu cyumweru, bikomeza umutima n'imitsi ijyana amaraso. |
| Genzura urugero rwa cholesterol. | Gerageza kugumisha urugero rwa cholesterol mbi ya LDL (LDL) ruri munsi ya 70 mg/dl. Muganga wawe azakugira inama kuri ibi. |
| Gabanya inzoga. | Ni byiza ko abagore batanywa ibinyobwa birenze kimwe ku munsi, naho abagabo ntibanywe bibiri. |
| Suzuma umuvuduko w'amaraso yawe buri gihe. | Niba umuvuduko w'amaraso yawe uri hejuru, kurikiza amabwiriza ya muganga wawe kugira ngo uwugenzure. |
| Fata imiti neza neza nk'uko muganga yabigutegetse. | Ni ngombwa gufata imiti muganga wawe yakwandikiye (urugero: aspirine, imiti igabanya cholesterol) nk'uko byavuzwe. Ntugatangire cyangwa ngo uhagarike gufata imiti utabanje kugirwa inama na muganga. |
Ubutumwa bwo kujyana mu rugo
- Kurwara diyabete byongera cyane ibyago byo kurwara indwara yo mu bwonko.
- Ni ngombwa cyane kujya mu bitaro byita ku barwayi ba ETU byihutirwa mu gihe ubonye ibimenyetso byihutirwa, nko kugira ibinya/kutamenya ku ruhande rumwe rw'umubiri cyangwa kugorwa no kuvuga.
- Uburyo bwiza bwo kwirinda indwara yo gucika intege mu maraso ni ugucunga neza isukari, umuvuduko w'amaraso, na cholesterol.
- Kureka kunywa itabi, gukora imyitozo ngororamubiri buri gihe no kurya indyo yuzuye bishobora kugufasha kurokora ubuzima bwawe.
- Buri gihe vugana na muganga wawe kandi ukurikize inama ze ku bijyanye n'ubuvuzi n'impinduka mu mibereho.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.