Bite se niba umuyoboro w'amaraso ujya mu bwonko ufunze? Reka tuvuge ku ndwara yo gucika intege mu mubiri (embolic stroke)!

Bigenda bite iyo amaraso yacitse ahantu runaka mu mubiri wacu agacika agafata imitsi y'amaraso mu bwonko bwacu? Ni igitekerezo giteye ubwoba, si byo se? Yego, iki ni cyo twita 'stroke yo mu bwonko'. Iki ni ikibazo cyihutirwa cy’ubuvuzi gishyira ubuzima mu kaga. Iyo ikintu nk'iki kibaye, buri segonda ni ngombwa, bityo kuvurwa vuba bishoboka ni cyo kintu cy'ingenzi cyane.

Embolic stroke ni iki? Reka tubisobanukirwe mu buryo bworoshye.

Mu magambo make, indwara yo kuvura amaraso mu bwonko ni iyo amaraso apfutse cyangwa ikindi kintu (tubyita 'embolism' ) gifatirwa mu mitsi ijyana amaraso mu bwonko, igahagarika gutembera kw'amaraso mu gice cy'ubwonko, bigatera kwangirika kuri icyo gice. Iki gice kiri mu cyiciro kinini cyitwa 'ischemic stroke' . Tekereza nk'igice cy'imyanda gifatirwa mu muyoboro w'amazi kigahagarika gutembera. Aha, iyi 'embolism', bivuze amaraso apfutse, akenshi ivuka mu mitsi minini y'amaraso ahandi mu mubiri, wenda mu mutima, hanyuma ikava aho, ikanyura mu maraso ikafatirwa mu mitsi mito y'amaraso mu bwonko. Hanyuma igice cy'ubwonko gihabwa amaraso n'uwo mutsi nticyakire ogisijeni n'intungamubiri.

Ni ibihe bimenyetso by'indwara yo mu bwonko iterwa n'imitsi yo mu bwonko (embolic stroke)?

Ibimenyetso bisa n'ibindi bwoko bw'indwara zo mu bwonko ziterwa n'imitsi. Bishobora kugaragara mu buryo butunguranye , bityo ni ngombwa ko wowe n'abakunzi bawe mubimenya.

• Ahasia ni indwara ituma ubushobozi bwo kuvuga bugabanuka cyangwa bugatakaza burundu. Ushobora no kutabasha gusobanukirwa ibirimo kuvugwa.
• Kutabona neza mu buryo butunguranye , kureba kabiri (Diplopia), cyangwa gutakaza kureba mu jisho rimwe cyangwa yombi.
• Ukumva urujijo n'urujijo bitunguranye , ukibagirwa aho uri n'igihe kigeze.
• Mu bihe bimwe na bimwe bikomeye , habaho guta ubwenge burundu (Coma).
• Vertigo ni ukumva uzunguruka kandi utakaza uburimbane .
• Umutwe utunguranye kandi ukabije . Ibi bitandukanye n'umutwe usanzwe kandi ushobora kugorana.
• Kubura ubwenge ni ugutakaza kwibuka mu buryo butunguranye .
• Impinduka zitunguranye mu myitwarire , nko kurakara cyangwa kurakara.
• Isesemi no kuruka .
• Kumva ijosi rifunze .
• Gukururwa no kugwa mu gihirahiro .
• Kugira indwara yo kurwara (Seizures) .
• Kutavuga neza no kutabasha kuvuga neza amagambo (Dysarthria).
• Kugabanuka cyangwa gutakaza burundu ibyumviro by’ibyumviro nko kubona, kumva, guhumurirwa, uburyohe, no gukorakora .
• Kubabara, gucika intege, cyangwa intege nke ku ruhande rumwe rw'isura cyangwa umubiri .

Ni ibihe bimenyetso by'umuburo by'indwara yo mu bwonko iterwa n'imitsi? Wibuke 'KWIHUTA'!

Ni ngombwa kwibuka icyo amagambo y'Icyongereza 'BE FAST' asobanura kugira ngo umenye niba wowe cyangwa undi muntu uzi afite ikibazo cyo gucika intege. Buri segonda ribarwa muri iki gihe! Uko ukora vuba, niko ingaruka mbi ushobora kugira zigabanuka.

• B - Kuringaniza: Reba niba uhita utakaza kuringaniza cyangwa niba utsitara ugenda.
• E - Amaso: Reba niba nta kintu na kimwe cyaguteye kubona neza, niba nta kintu na kimwe cyaguteye kubona neza, cyangwa niba nta kintu na kimwe cyaguteye kubona neza .
• F - Isura: Mwenyura urebe. Reba niba uruhande rumwe rw'isura rurembye cyangwa rusa n'aho rurerutse.
• A - Amaboko: Zamura amaboko yombi imbere. Iyo ugize ikibazo cyo gucika intege, ukuboko kumwe gushobora kudashobora kuzamurwa neza kandi gushobora kugwa cyangwa kugorana kuguhagarara hejuru.
• S - Imvugo: Reba niba imvugo yawe cyangwa iyo undi muntu idafite ishingiro, niba igorwa no guhitamo amagambo akwiye, cyangwa niba bigoye kumva .
• T - Igihe: Igihe ni ingenzi cyane! Nubona kimwe muri ibi bimenyetso , hamagara 911 ako kanya hanyuma uhamagare imbangukiragutabara . Niba bishoboka, reba isaha yawe cyangwa telefoni yawe kugira ngo wibuke igihe ibimenyetso byawe byatangiriye. Iyo ubibwiye muganga icyo gihe, bizoroha ko bahitamo uburyo bwiza bwo kuvura.

Ni iki gitera stroke yo mu nda (embolic stroke)?

Impamvu nyamukuru itera indwara yo gucika intege mu mubiri, nkuko twabivuze mbere , ni 'embolism' . Ibi bivuze ko amaraso afunganye (ubusanzwe ni nk'umubyimba w'umwuka, ibinure, cyangwa ikindi kintu) avuka ahantu hamwe mu mubiri, akanyura mu maraso, maze agafata imitsi y'amaraso mu bwonko.

Hariho indwara nyinshi zishobora gutuma amaraso acika:

• Gucika intege mu mutima: Iyi ni indwara aho icyumba cyo hejuru cy'umutima (atria) kidakora neza, ahubwo kigatera vuba kandi mu buryo butunguranye. Ibi bituma amaraso yirundanya mu mutima, bigatuma habaho gufungana kw'amaraso. Ayo ni yo ashobora gucika akajya mu bwonko.
• Ateriosclerosis: Ibi bibaho igihe ibinure nka cholesterol byirundanyije mu miyoboro y'amaraso (imitsi), bigatuma inkuta z'imitsi zikomera kandi zigafungana. Ibi binure bishobora gucika no kuziba imitsi yo mu bwonko.
• Indwara zo kuvura amaraso: Hari abantu bashobora kugira akamenyero ko kuvura amaraso mu buryo bworoshye, byaba bitewe n'impamvu zishingiye ku ngirabuzimafatizo cyangwa izindi ndwara.
• Zimwe mu ndwara zandura, nka COVID-19, nazo zongera ibyago byo kubyimba kw'amaraso.
• Indwara zitera urupfu rw'imitsi . Urugero, muri sepsis , indwara ikomeye, bagiteri cyangwa ibice by'imitsi byapfuye bishobora kwinjira mu maraso bikajya mu bwonko. Ibi bishobora no kubaho no mu ndwara z'umutima (infective endocarditis).

Igitero cy’indwara y’ihungabana ry’umubiri (TIA) cya “mini-stroke” - embolic transient ischemic attack (TIA)

Hari igihe indwara y’imitsi itera indwara y’imitsi itera vuba (TIA), izwi kandi nka mini-stroke, ishobora kubaho. Ibi bisa n’indwara y’imitsi itera indwara y’imitsi, kuko amaraso ajya mu bwonko ahagarara by’agateganyo. Ariko, ibimenyetso akenshi bishira mu minota mike kugeza ku isaha imwe cyangwa abiri iyo amaraso ashongeshejwe cyangwa agenda yidegembya. Ariko, iki ni ikimenyetso cy’umuburo cy’ibyago byinshi byo kurwara indwara y’imitsi itera indwara y’imitsi mu gihe kizaza . Umuntu wagize TIA ashobora kandi gukenera ubufasha bwihuse bwa muganga kugira ngo amenye icyayiteye kandi atangire kuvurwa kugira ngo hirindwe indwara y’imitsi itera indwara y’imitsi itera indwara y’imitsi.

Ni nde ufite ibyago byinshi byo kurwara indwara yo mu bwonko iterwa n'imitsi yo mu nda (embolic stroke)?

Umuntu wese ashobora kugira stroke yo mu mutwe, ariko hari abantu bamwe bafite ibyago byinshi byo kurwara:

• Ku birabura.
• Ku bantu barengeje imyaka 65 (ibyago biriyongera uko imyaka igenda ishira).
• Ku bantu banywa itabi cyangwa bakoresha ibindi bicuruzwa by'itabi/nikotine (urugero: abakoresha umwuka ushyushye, abahekenya). Kunywa itabi byangiza imiyoboro y'amaraso kandi bigatera amaraso kuzura.
• Ku bakoresha ibiyobyabwenge (cyane cyane kokayine na amfetamine) .

Nanone, abantu bafite indwara zimwe na zimwe bari mu kaga gakomeye:

• Ku banywa inzoga nyinshi (indwara yo kunywa inzoga).
• Ku bantu barwaye diyabete . Diyabete ishobora kwangiza imiyoboro y'amaraso.
• Ku bafite umuvuduko ukabije w'amaraso (Hypertension) . Ibi iyo bidagenzuwe, bishobora kwangiza imiyoboro y'amaraso mu gihe kirekire.
• Ku bantu bafite cholesterol nyinshi (Hyperlipidemia) mu maraso . Ibi bitera 'atherosclerosis'.
• Abantu bafite indwara z'umutima (urugero: indwara ya atrial fibrillation, ibibazo by'imitsi y'umutima, indwara z'umutima zabanje).

Ni gute wamenya indwara yo gucika intege mu mubiri (embolic stroke)? (Isuzuma)

Umuganga ni we ushobora kukubwira neza icyo indwara yo gucika intege mu mubiri ari cyo. Iyo ugiye kwa muganga, ikintu cya mbere bakora ni ukubaza ibimenyetso byawe, nk'igihe byatangiriye. Hanyuma bagukorera isuzuma ry'imitsi . Ibi bigenzura imivugire yawe, kureba, imbaraga zawe, n'uburyo uhagaze. Bakora kandi isuzuma rusange ry'umubiri n'ibindi bizamini bike.

Ibizamini nk'ibi bikoreshwa mu kwemeza indwara yo gucika kw'imitsi:

• Gupima amaraso: Reba ibintu nk'ibibazo byo kuvura amaraso, urugero rw'isukari, na cholesterol.
• Isuzuma rya CT: Ibi bifotora ubwonko kandi bigashobora kumenya vuba niba hari amaraso cyangwa umutsi w'amaraso wazibye (ischemic stroke).
• MRI scan: Ibi bitanga amashusho arambuye kurusha CT scan. Bifasha kubona neza ibyangiritse byabaye ku bwonko.
• Ikizamini cya ECG (Electrocardiogram - EKG): Iki kizamini gipima imikorere y'amashanyarazi y'umutima kugira ngo harebwe ibibazo by'umutima nko gucika intege kw'umutima.
• Ikizamini cya EEG (Electroencephalogram - EEG): Ibi bishobora kandi gukorwa kugira ngo hagenzurwe imikorere y'amashanyarazi y'ubwonko, kuko indwara nk'iz'igicuri rimwe na rimwe zishobora kwitiranywa n'indwara yo mu bwonko.
• Ultrasound ya Carotide: Isuzuma niba hari ibinure byishyize hamwe n'imitsi mito y'amaraso iri mu ijosi (imitsi ya carotid).
• Echocardiogram: Isuzuma rya ultrasound ry'umutima. Kugira ngo harebwe niba amaraso afite ibibyimba mu mutima no mu mitsi.

Ni ubuhe buryo bwo kuvura indwara yo mu bwonko iterwa n'imitsi yo mu bwonko (embolic stroke)?

Ikintu cy'ingenzi cyane mu kuvura indwara yo mu bwonko ya Embolic Stroke ni ukugarura amaraso mu bwonko vuba bishoboka . Abaganga babikora vuba bishoboka kuko bishobora kugabanya kwangirika k'ubwonko burundu ndetse no kurokora ubuzima. Hari imvugo igira iti "Igihe ni Ubwonko," bivuze ko buri kanya gashize nta gihe, uturemangingo tw'ubwonko turapfa.

Hari uburyo bubiri bw'ingenzi bwo kuvura bukunze gukoreshwa:

• Uburyo bwo kuvura indwara ya thrombolytic: Iyi ni imiti igabanya amaraso (urugero: Alteplase). Iyi miti iterwa mu mitsi kugira ngo ishongeshe amaraso afunguye kandi igarure amaraso atembera neza. Abaganga bakunze kuyitanga gusa iyo ugeze kwa muganga mu masaha ane n'igice (amasaha 4.5) uhereye igihe ibimenyetso by'indwara yo gucika kw'imitsi bitangiriye . Kuyitanga nyuma bishobora kongera ibyago byo kuva amaraso mu bwonko.
• Guca amaraso mu buryo bwa mechanical: Ubu buryo butari ubwo kubaga bukoresha igikoresho cyihariye kugira ngo gikureho amaraso apfunditse. Umuganga ubaga (interventional neuroradiologist) ashyiramo umuyoboro muto, woroshye (catheter) anyuze mu mutsi munini uri mu kibuno cyangwa mu kuboko maze akawushyira mu maraso apfunditse mu bwonko akoresheje X-ray. Hanyuma agapfundikizo gakurwamo hakoreshejwe igikoresho gisa n'umuyoboro cyitwa stent retriever cyangwa catheter yo gukurura. Ibi akenshi bishobora gukorwa mu masaha 6 uhereye igihe ibimenyetso byo gucika kw'amaraso bitangiriye, ariko bishobora gukorwa kugeza ku masaha 24 mu bihe bimwe na bimwe. Ibi ni byiza ku bantu bafite amaraso apfunditse mu mutsi munini.

Byongeye kandi, ubundi buryo bwo kuvura bushobora gukenerwa:

• Kugenzura umuvuduko w'amaraso n'isukari mu maraso: Abaganga bawe bazakurikirana umuvuduko w'amaraso n'isukari mu maraso buri gihe kugira ngo bafashe ubwonko bwawe gukira. Kugira ngo bagabanye kwangirika k'ubwonko, bashobora kukwandikira imiti yo kugabanya cyangwa (mu bihe bimwe na bimwe) kuzamura umuvuduko w'amaraso yawe.
• Imiti igabanya amaraso: Imiti igabanya amaraso (urugero: Warfarin, Apixaban) cyangwa imiti igabanya amaraso mu mitsi(Urugero: Aspirine, Clopidogrel) Imiti ibuza amaraso kuzura byoroshye. Bitewe n'icyateye stroke, ushobora gukenera gukomeza gufata iyi miti nyuma yo kuvurwa na thrombolytic kugira ngo wirinde indi stroke.
• Gucibwamo stent cyangwa gushyiramo stent: Iyo imitsi ya carotid mu ijosi yagabanijwe cyane n'ibinure (carotid stenosis), ibinure bishobora gukurwaho (endarterectomy) cyangwa stent igashyirwamo binyuze mu mitsi kugira ngo ifunguke. Ibi bishobora kugabanya ibyago byo kongera kubyimba kw'amaraso (embolism).
• Gushyuha gake k’ubwonko ku bushake: Hari igihe abaganga bashobora kugabanya ubushyuhe bw’umubiri wawe gato mu buryo butekanye. Ubushakashatsi bumwe bwerekana ko ibi bishobora kugabanya kwangirika k’ubwonko mu gihe na nyuma y’indwara yo mu bwonko, ariko ubu ntabwo ari uburyo busanzwe bwo kuvura.
• Uburyo bwo kuvura umwuka wa ogisijeni: Mu gihe cy'indwara yo mu bwonko, ubwonko ntibubona umwuka uhagije wa ogisijeni. Iyo umwuka wa ogisijeni mu maraso yawe uri hasi, abaganga bashobora kuguha umwuka wa ogisijeni wiyongereye binyuze mu kanula yo mu mazuru cyangwa agapfukamunwa ko mu maso. Ibi bituma byoroha guhumeka kandi bikanafasha kohereza umwuka wa ogisijeni mu mubiri wawe no mu bwonko bwawe.

Gusubira mu buzima nyuma yo kugira ikibazo cyo gucika intege mu mubiri (embolic stroke) byifashe bite?

Gusubiramo indwara ya stroke ni igice cy'ingenzi cyane mu kuvura. Ni ngombwa ko umenyera impinduka mu bwonko bwawe no ku mubiri wawe nyuma yo gucika intege no kongera kugarura ubushobozi bwawe bwose bushoboka. Gahunda yo kuvugurura ubuzima igenewe wowe ubwawe, hashingiwe ku byo ukeneye. Ibi bishobora gusaba ubufasha bw'abaganga nka:

• Ubuvuzi bw'umubiri: Komeza imitsi yawe, wongere kuringaniza imikorere yawe, kandi wongere ugire ubushobozi bwo kugenda no gukoresha amaboko n'amaguru.
• Ubuvuzi bw'akazi: Bugufasha kongera kwiga gukora imirimo yawe ya buri munsi (nk'ukurya, kwambara no koga) ku giti cyawe. Bunagufasha gukora imirimo yo mu rugo n'iy'akazi mu mutekano, cyane cyane iyo bisaba gukora neza umubiri.
• Ubuvuzi bwo kuvuga: Bugufasha kongera cyangwa kunoza ubuhanga bwawe bwo kuvuga no kuvuga (Aphasia, Dysarthria). Bunagutoza kugenzura imitsi igufasha kuvuga, guhumeka, kurya no kumira (Dysphagia).
• Kuvugurura ubwenge: Kunoza ubushobozi bwawe bwo kwibuka, kwita ku bintu, gukemura ibibazo, n'ubundi bushobozi bwo mu mutwe (niba waragizweho ingaruka n'indwara yo gucika intege mu bwonko).
• Ubujyanama mu by'imitekerereze nabwo bushobora kuba ngombwa, kuko ari ibisanzwe kugira ihungabana, guhangayika, no guhinduka kw'amarangamutima nyuma yo gucika intege mu bwonko.

Ni ayahe mahirwe yo kurokoka indwara yo mu bwonko iterwa n'imitsi?

Umubare w'abantu barokotse indwara yo mu bwonko uriyongera buri munsi, uko tugenda tubona uburyo bushya bwo kuvura vuba. Ariko, nta gihe kimwe cyo gukira cyangwa igihe cyo guteganya gukira kibereye buri wese.

Impuguke zivuga ko abantu bagera kuri 80% bafite stroke yo mu nda barokoka nibura ukwezi kumwe . Nyuma yo gutera stroke kwa mbere, ibyago byo kongera gutera stroke biriyongera. Abantu barwaye stroke nyinshi bafite igipimo cyo kubaho gito. Niyo mpamvu ari ngombwa cyane kwirinda indi stroke.

Bifata igihe kingana iki kugira ngo umuntu akire indwara yo mu bwonko iterwa no gucika intege mu mubiri?

Umubiri wa buri wese ubyitabira mu buryo butandukanye iyo umuntu arwaye indwara yo mu mutwe. Icyo ushobora kwitega (`prognosis`) giterwa n'ibintu byinshi:

• Uburyo wavuwe vuba .
• Ni ibihe bice by'ubwonko byagizweho ingaruka kandi ku rugero rungana iki ?
• Imyaka yawe n'ubuzima bwawe muri rusange (waba ufite izindi ndwara).
• Uburyo witabira neza gahunda yo gusubiza mu buzima busanzwe .

Bishobora gufata amezi kugeza ku mwaka cyangwa irenga kugira ngo abantu benshi bagere ku rwego runaka rwo gukira. Hari abantu bashobora kuba bafite ubumuga buhoraho. Muganga wawe azakubwira icyo ugomba kwitega. Azagufasha gushyiraho intego n'ibyo witeze ku gukira bikwiranye n'ubuzima bwawe n'uko umerewe.

Ni gute twakwirinda indwara yo gucika intege mu mubiri (embolic stroke)?

Uburyo bwiza bwo kwirinda indwara yo kubura amaraso no gucika intege kw'imitsi ni ukubungabunga ubuzima bwawe muri rusange no kugenzura ibintu bishobora gutuma urwara indwara . Gerageza gukora ibi bikurikira:

• Kora imyitozo ngororamubiri buri gihe (nibura iminota 30 iminsi 5 mu cyumweru).
• Kurya indyo yuzuye kandi ifite intungamubiri (imbuto nyinshi, imboga, ibinyamisogwe, n'ibinyampeke byuzuyemo fibre, umunyu muto, isukari n'ibinure). Gumana ibiro byiza. Muganga wawe ashobora kukugira inama yo gukurikiza gahunda y'imirire nk'indyo yo mu karere ka Mediterane .
• Suzuma umuvuduko w'amaraso yawe, cholesterol, n'isukari mu maraso yawe buri gihe kandi ubigenzure neza . Fata imiti yawe neza nk'uko muganga wawe yabigutegetse.
• Reka kunywa itabi burundu kandi wirinde kuba ahantu abandi banywa itabi.
• Kugabanya cyangwa guhagarika burundu kunywa inzoga .
• Niba ufite indwara y'umutima nka atrial fibrillation, shaka ubuvuzi bukwiye.

Jya kwa muganga buri mwaka (cyangwa nk'uko muganga wawe agusaba) kugira ngo agupime . Indwara nyinshi n'ibibazo bishobora gutera indwara yo gucika intege mu mubiri bikura uko igihe kigenda gihita. Bishobora no gutuma wumva umeze neza. Muganga wawe ashobora kugufasha kumenya no gucunga ibimenyetso by'umuburo mbere yuko byongera ibyago byo kurwara indwara yo gucika intege mu mutwe.

Ni gute nakwiyitaho nyuma yo kugira ikibazo cyo gucika intege mu mubiri (embolic stroke)?

Gukira no kuvura indwara yo mu bwonko nyuma yo gucika intege bishobora kuba inzira ndende kandi imara igihe kirekire. Iyo wowe na muganga wawe mumaze gutegura gahunda yo kuvura, muyikurikize uko bishoboka kose. Muri rusange, mugomba:

• Menya neza ko witabira amasomo yawe yo kuvura indwara z’ingorabahizi n’andi masomo yo kuvura indwara z’ingorabahizi . Kora imyitozo abaganga bawe baguha uri mu rugo. Bwira abaganga bawe niba wumva utameze neza cyangwa ufite umutekano muke wo gukora ikintu icyo ari cyo cyose. Gusubiza ubuzima mu buryo bw’ingorabahizi ni akazi katoroshye, ariko ntugomba guhora ubabara cyangwa ubabaye.
• Tekereza no ku buzima bwawe bwo mu mutwe . Kwiheba no guhangayika ni ibintu bisanzwe cyane nyuma yo gucika intege mu mutwe. Ni ibisanzwe gutekereza ibintu nk'ibi ngo "Kuki ibi byambayeho?" "Ese nzongera kuba uko ndi?" Kubabara cyangwa kwiheba ntibigutera intege nke cyangwa gutsindwa. Ubuzima bwawe bwo mu mutwe ni ingenzi kimwe n'ubuzima bwawe bw'umubiri. Niba wumva ukeneye ubufasha bwo kumenya ikintu runaka mu gihe cyo gukira, vugana na muganga cyangwa inzobere mu by'ubuzima bwo mu mutwe (umujyanama, umuganga w'indwara zo mu mutwe). Ubufasha buturuka ku muryango n'inshuti nabwo ni ingenzi cyane muri iki gihe.
• Fata imiti yawe neza, ku gihe, kandi mu gipimo gikwiye . Ibi ni ingenzi cyane cyane niba ufata imiti igabanya amaraso, umuvuduko ukabije w'amaraso, cholesterol, cyangwa diyabete. Ni ingenzi kugabanya ibyago byo kubyimba kw'amaraso mu gihe kizaza, kandi gufata imiti yawe nk'uko muganga wawe abikubwira bizafasha umubiri wawe gukira.

Ni ryari ngomba kongera kujya mu Ishami ry’Ubutabazi bw’Ingoboka (ETU) ?

Niba utekereza ko uzongera kugira stroke (wibuke KWIHUTISHA!) , hamagara 911 cyangwa nimero y'ubutabazi bw'ibanze yo mu gace utuyemo ako kanya . Ingaruka zo kugira ibibazo bikomeye n'urupfu ziba nyinshi kurushaho iyo ugize stroke indi . Ntugatinde gusaba ubufasha cyangwa kujya mu cyumba cy'ubutabazi bw'ibanze.

Abantu barwaye indwara yo mu bwonko (embolic stroke) bashobora guhura n’ibibazo bikomeye cyane, urugero:

• Amaraso afunganye mu mitsi yo mu birenge (Deep vein thrombosis - DVT): kubyimba, gutukura, ububabare mu kuguru.
• Indwara y'umutima: Kubabara mu gituza, guhumeka bigoranye.
• Umusonga: Umuriro, inkorora, guhumeka bigoranye (cyane cyane ku bantu bafite ikibazo cyo kumira, ibiryo bishobora kwinjira mu bihaha - Umusonga wo mu bihaha).
• Kubura umwuka mu gifu: Guhumeka nabi, kubabara mu gituza no gutera k'umutima vuba. Ibi bishobora guterwa n'amaraso acika agasohoka mu gifu.
• Kugira indwara yo kurwara (Seizures).

Niba ubonye ibimenyetso by'izi ngorane, hamagara ikigo cyita ku butabazi bwihuse cyangwa ujye mu cyumba cyita ku butabazi bwihuse.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Nyuma yo kugira ikibazo cyo gucika intege mu mitsi, wowe n'umuryango wawe mushobora kugira ibibazo byinshi. Ntutinye kubaza muganga wawe ibyabyo.

• "Kuki nagize iyi ndwara yo gucika kw'amaraso? Ni hehe amaraso yavuye?"
• "Ni iyihe ndwara cyangwa ikibazo cyateye ibi?"
• "Ni izihe ngorane mfite zo kongera kugira stroke?"
• "Ni iyihe miti ngomba gukomeza gufata, nayifata nte? Ingaruka mbi zayo ni izihe?"
• "Ni izihe mpinduka ngomba gukora mu buzima bwanjye bwa buri munsi? Ibintu nk'imirire, imyitozo ngororamubiri, nibindi."
• "Nzamara igihe kingana iki nkora isubiracyaha?"
• "Ese nshobora gutwara imodoka nongera kujya ku kazi? Ibyo bizaba ryari?"

"Kugira stroke bishobora guhindura ubuzima bwawe. Ariko ibyo ntibivuze ko utari wowe. Wibuke kwihesha agaciro ku byo ugeraho mu gihe cyo kugarura ubuzima no gukira. Nubwo bitajya bibaho buri gihe, buri ntsinzi nto ikwiye kwishimirwa."

Ganira n'abaganga bawe icyo wakora kugira ngo wirinde indi ndwara yo mu bwonko mu gihe kizaza. Bashobora kugufasha guhindura gahunda zawe za buri munsi kugira ngo ugabanye ibyago byo kurwara indi ndwara yo mu bwonko. Ntutinye kubaza ibibazo. Ni wowe muvugizi mwiza ku buzima bwawe , kandi ufite uburenganzira bwo gusobanukirwa ibyo bakubwira byose.

Hari ibintu mbona ari ingenzi kuri wewe (Ubutumwa bwo kujyana mu rugo)

Sawa, reka turebere hamwe ibintu bimwe na bimwe tugomba kwibuka mu byo twavuze.

• Igisebe cyo mu bwonko (embolic stroke) ni igihe amaraso afunganye ahandi mu mubiri (akenshi mu mutima) ashyizwe mu mitsi y'amaraso mu bwonko. Iki ni ikibazo cyihutirwa cy'ubuvuzi!
• Menya ibimenyetso bya 'BE FAST' (gutakaza uburinganire, impinduka mu kureba, kunama mu maso, kugira ibinya mu kuboko, kuvuga nabi). Nubona ibi bimenyetso , hamagara 1990 ako kanya . Igihe ni cyo cy'ingenzi.
• Umuvuduko ukabije w'amaraso, diyabete, indwara z'umutima (cyane cyane atrial fibrillation), cholesterol nyinshi, no kunywa itabi ni byo bintu bikomeye bishobora gutera ibi.
• Ni ngombwa cyane gutangira kuvurwa vuba bishoboka. Uburyo bwo kuvura hakoreshejwe uburyo bwa "thrombolytic therapy" no kubaga "mechanical thrombectomy" ni bwo buryo bw'ingenzi bwo kuvura.
• Gusubira mu buzima nyuma yo gucika intege ni ngombwa . Ubuvuzi bwo kuvuga, ubuvuzi bw'umubiri, ubuvuzi bw'akazi, n'ubuvuzi bwo gutekereza bishobora gufasha muri ibi.
• Kugira ngo wirinde indi ndwara yo mu bwonko, ni ngombwa cyane guhindura imibereho myiza (indyo nziza, imyitozo ngororamubiri ihoraho , kureka kunywa itabi burundu, no kugabanya inzoga) no gukurikiza inama za muganga neza.
• Nturi wenyine . Hari abaganga, abavuzi, umuryango, n'inshuti bashobora kugufasha muri uru rugendo. Baza muganga wawe ikintu icyo ari cyo cyose, saba ubufasha. Ubuzima bwo mu mutwe ni ingenzi kimwe n'ubuzima bw'umubiri.

Ndizera ko aya makuru azabagirira akamaro, nshuti zanjye. Mukomeze kugira ubuzima bwiza kandi mwishime mwese!

` Embolic stroke, stroke, stroke, stroke yo mu bwonko, amaraso afungana, kuziba kw'imitsi y'amaraso, ibimenyetso by'indwara yo gucika, uburyo bwo kuvura stroke