Ese wigeze wumva uremereye gato, ubabara mu nda yawe, munsi y'imbavu zawe? Wenda wumva uhaze nubwo umaze kurya gato? Ibi bishobora kuba ibimenyetso by'umusonga wagutse, umubiri wawe utagira icyo uvuga. Ntugahangayikishwe n'izina. Ibi akenshi ni ikimenyetso cy'indi ndwara. Reka tujye tworoshya kuva mu ntangiriro.
Reka tubanze turebe, iyi mpundu ni iki?
Mu magambo make, agahu ni kimwe mu bigize ubudahangarwa bw'umubiri wacu ndetse n'urusobe rw'amaraso. Ni nk'akayunguruzo gasukura amaraso yacu. Gaherereye mu gice cyo hejuru cy'ibumoso cy'inda yawe, munsi gato y'urubavu rwawe rw'ibumoso. Ku muntu muzima, agahu ni urugingo ruto rungana n'igipfunsi, rufite uburebure bwa santimetero 12, kandi rupima garama 70.
Inshingano ze z'ingenzi ni izi zikurikira:
- Gusukura amaraso: Bikuraho uturemangingo tw'amaraso dutukura twashaje kandi twangiritse mu maraso kandi bigakuraho imyanda.
- Kurwanya indwara zandura: Bifasha mu gukora uturemangingo tw'amaraso twera dukenewe mu kurwanya indwara zandura.
- Ububiko bw'uturemangingo tw'amaraso: Uturemangingo nk'udukoko twa plaquettes n'uturemangingo tw'umweru tw'amaraso turabikwa.
Iyo ku mpamvu runaka amaraso anyura mu gasabo cyangwa mu gasabo ubwako agize ikibazo, atangira kubyimba. Hanyuma ashobora gukura kugeza kuri santimetero 20 agapima garama zirenga 1000 (kilo 1). Hari impamvu nyinshi zitera iki kibyimba. Zimwe ni iz'igihe gito, ariko izindi zishobora kuba ikimenyetso cy'indwara y'igihe kirekire.
Ese uruhago rwabyimbye ni ikintu gikomeye?
Iki ni ikibazo abantu benshi bafite. Kubyimba imitsi si indwara, ni ikimenyetso cy'indi ndwara. Kimwe no kugira umuriro. Umuriro si indwara, ni ikimenyetso cy'ubwandu mu mubiri. Uko ni ko bimeze.
Kubwibyo, uburemere bwibi buterwa nimpamvu nyamukuru. Muganga wawe azabanza agerageze kumenya neza icyateye kubyimba. Impamvu zimwe ntabwo ari zikomeye cyane, ariko izindi zigomba kuvurwa vuba.
Ariko iyo idavuwe igihe kirekire, urwagashya rushobora guhagarika gukora. Ni gake cyane, urwagashya rwabyimbye cyane rushobora gucika. Iki ni ikibazo gikomeye gishobora gushyira ubuzima mu kaga.
Ni ibihe bimenyetso by'uko uruhago rubyimbye?
Akenshi, ushobora kutabona ibimenyetso nubwo urwagashya rwawe rwabyimbye gato. Ariko, uko kubyimba kwiyongera, ibimenyetso bimwe na bimwe bishobora kugaragara. Reka tubicemo ibice bibiri.
| Ubwoko bw'imiterere | Ibisobanuro n'uko ibintu byifashe |
|---|---|
| Ibimenyetso biterwa no kubyimba |
|
| Ibimenyetso by'imikorere mibi y'uduheri |
|
Kuki urwagashya rubyimba? Zimwe mu mpamvu z'ingenzi
Hari ibintu byinshi bishobora gutuma urwagashya rubyimba. Reka turebe iby'ingenzi.
| Impamvu | Mu magambo make, ni iki kibaho? |
|---|---|
| Indwara zandurira mu mubiri | Mu gihe cy’indwara ziterwa na virusi (urugero: Dengue, Mononucleosis, VIH), bagiteri (urugero: Igituntu), n’izindi ndwara ziterwa na parasites (urugero: Malariya), umubiri utangira kurwanya iyo ndwara. Hanyuma urwagashya narwo rugira akazi gakomeye ko gukora. Kubera iyo mpamvu, rukora cyane kandi rukabyimba. |
| Indwara y'umwijima | Mu ndwara zidakira z’umwijima nka cirrhose, umuvuduko mu mitsi ihuza umwijima n’umuyoboro w’amaraso uriyongera. Ibi byitwa "Umuvuduko ukabije w’amaraso mu muyoboro w’amaraso." Uyu muvuduko utuma amaraso yirundanya mu muyoboro w’amaraso, bigatuma ubyimba. |
| Kanseri | Muri kanseri zifitanye isano n'amaraso nka kanseri y'amaraso (leukemia) na kanseri y'amaraso (lymphoma), uturemangingo twa kanseri twinjira mu gasabo tugatangira kwigabanyamo kabiri. Kubera iyo mpamvu, agasabo karakura. |
| Indwara z'ubudahangarwa bw'umubiri | Mu ndwara nka lupus na rheumatoid arthritis, ubudahangarwa bw'umubiri bwibasira uturemangingo twabwo bwite. Uku gukora cyane bishobora no gutuma urwagashya rubyimba. |
| Indwara z'amaraso | Mu bwoko bumwe na bumwe bw'indwara zo kubura amaraso (anemia y'amaraso) n'izindi ndwara nka thalassemia, uturemangingo dutukura tw'amaraso dusenyuka vuba. Kubera ko ari akazi k'uturemangingo gukuraho utwo turemangingo twavunitse, turakora cyane kandi tukabyimba. |
| Indwara z'urukozasoni | Mu ndwara zimwe na zimwe zikomoka ku ruhu, nka Gaucher disease, hari ibintu bimwe na bimwe byirundanya mu ngingo z'umubiri. Iyo birundanye mu ruhu, birabyimba. |
Ni izihe ngorane zishobora kuvuka ibi bikomeje?
Ubusanzwe, urwagashya rusubira kumera neza iyo impamvu nyamukuru imaze kuvurwa. Ariko, iyo rudavuwe igihe kirekire, hashobora kuvuka ibibazo byinshi.
- Uburwayi bwo mu bwoko bwa Hypersplenisme:Udusimba twabyimbye dutangira "gukora" kurusha uko bikwiye. Ibi bivuze ko dufata kandi tukangiza uturemangingo dutukura twinshi dufite ubuzima bwiza, uturemangingo tw’umweru, ndetse n’udupira tw’amaraso. Ibi bishobora gutera amaraso make, kwandura no kuva amaraso.
- Gupfa kw'imitsi: Iyo urwagashya rubaye runini cyane, rushobora kutagira amaraso ahagije. Ibi bishobora gutera urupfu rw'imitsi mu bice bimwe na bimwe by'ururwagashya bitewe no kubura amaraso.
- Gucika: Iyi ni yo ngorane ikomeye cyane kandi ihita . Urwagashya rukomeye rushobora gucika iyo inda ikubiswe cyane (urugero: impanuka, kugwa) cyangwa, gake cyane, mu buryo butunguranye. Ibi bibaye, kuva amaraso menshi mu nda bishobora gushyira ubuzima mu kaga.
Ubibona ute, Muganga?
Iyo ugiye kwa muganga ufite ibimenyetso wavuze haruguru, azakora ibizamini byinshi kugira ngo yemeze iyo ndwara kandi amenye icyayiteye.
1. Isuzuma ry'umubiri: Ubwa mbere, muganga azagukubita ku nda. Ubusanzwe ukumva uruhago rwagutse.
2. Ibizamini byo gushushanya:
- Gupima hakoreshejwe ikoranabuhanga rya Ultrasound: Ibi bishobora gukoreshwa mu kugenzura ingano n'imiterere y'agahu k'umura byoroshye kandi nta bubabare.
- Gupima CT: Ibi bishobora gutanga amakuru arambuye ku bijyanye n'agahu n'imiterere y'ingingo zikikije.
- MRI scan: Ibi bifasha kubona ibintu nk'uko amaraso atembera mu ruhago.
3. Gupima amaraso: Hazakorwa isuzuma ryuzuye ry'amaraso (CBC) kugira ngo harebwe umubare w'uturemangingo tw'amaraso dutukura n'utw'umweru hamwe n'ingano ya platelet. Isuzuma ry'amaraso rishobora kandi kureba ibimenyetso by'ubwandu, imikorere y'umwijima na kanseri.
4. Isesengura ry'umusemburo w'amagufwa: Hari igihe hashobora gukorwa isuzuma ry'umusemburo w'amagufwa kugira ngo hafatwe urugero ruto rw'umusemburo w'amagufwa, aho uturemangingo tw'amaraso dukorerwa. Ibi bishobora gutanga amakuru menshi ku ndwara ziterwa n'amaraso.
Ubwiyongere bw'uduheri buvurwa bute?
Wibuke ko uburyo bwo kuvura atari ubwa wa mugongo wabyimbye, ahubwo ni ubwa nyirabayazana w’indwara yateye kubyimba.
Nyuma yo kubona impamvu, muganga azaguha uburyo bwo kuvura bukwiye.
- Iyo hari ubwandu, imiti igabanya ubukana cyangwa indi miti izatangwa kugira ngo ivurwe.
- Iyo ari kanseri, yerekeza ku miti ikenewe (urugero: chemotherapy).
- Niba ari indwara y'umwijima, bizagusaba kuvurwa neza no guhindura imibereho.
Kenshi na kenshi, iyo impamvu nyamukuru ivuwe, urwagashya rugenda rugabanuka buhoro buhoro kugeza ku bunini busanzwe.
Ariko, mu ndwara zimwe na zimwe zidakira, iyo urwagashya rukomeje kubyimba cyangwa rukagira ibimenyetso bikomeye, muganga ashobora gutekereza ku bundi buryo.
- Ubuvuzi bushingiye ku mirasire: Imirasire yo mu bwoko bwa "radiation" irashobora gutangwa kugira ngo igabanye ingano y'agahu.
- Kubaga amenyo y'umugongo: Niba nta bundi buryo bwo kugenzura iyo ndwara bushoboka, kubagwa bishobora kuba ngombwa kugira ngo amenyo y'umugongo akurweho burundu.
Ese birashoboka kubaho udafite agahu?
Yego, birashoboka rwose. Ushobora kubaho neza udafite agahu. Ariko, ubudahangarwa bw'umubiri buragabanuka gato. By'umwihariko, ibyago byo kwandura bagiteri zimwe na zimwe biriyongera. Kubwibyo, umuntu wakuwe agahu agirwa inama na muganga we yo guhabwa inkingo nyinshi zidasanzwe. Nanone, ni ngombwa cyane kwambara ikarita y'indangamuntu cyangwa umukandara w'umuganga uvuga ko adafite agahu, no kubibwira muganga niba arwaye.
Niba ufite uruhago rubyimbye, wiyitaho ute?
Niba muganga wawe yemeje ko ufite uruhago rwagutse, hari ibintu bike ugomba kumenya.
- Irinde gukomereka mu nda: Urwagashya rwongerewe rushobora gucika. Kubwibyo , irinde siporo zikora ku mubiri nka rugby na football. Nanone, irinde ibikorwa bishyira igitutu ku nda.
- Itondere ibimenyetso: Itondere ibimenyetso by'amaraso make, nko kunanirwa no kubura ubwiza bw'umubiri. Suzuma amaraso yawe buri gihe, nk'uko muganga agusaba.
- Indyo nziza: Nubwo nta biribwa byihariye bigira ingaruka ku gahu, ni ngombwa kubungabunga ubuzima bwiza n'ubudahangarwa bw'umubiri muri rusange. Gabanya kurya ibiryo bipfunyitse, byatunganyijwe kandi byihuse uko bishoboka kose. Ibi bitera ububyimbirwe mu mubiri. Ahubwo, ongeramo imboga nshya, imbuto, ibinyamisogwe n'amafi mu ndyo yawe.
Ni ryari ugomba kujya kwa muganga byihutirwa?
Ibi ni ingenzi cyane. Niba ubonye ibimenyetso bikurikira, bishobora kuba ari ikibazo cyihutirwa.
Niba ubabara cyane mu gice cy'ibumoso cy'inda yawe, cyane cyane iyo uhumeka, bigaherekezwa no kuzerera, kubira ibyuya, cyangwa gutakaza ubwenge, jya kwa muganga mu ishami rishinzwe ubutabazi bwihuse (ETU). Iki gishobora kuba ikimenyetso cy'uko urwagashya rwacitse, bityo ubuvuzi bwihuse ni ngombwa.
Ubutumwa bwo kujyana mu rugo
- Splenomegali si indwara, ahubwo ni ikimenyetso cy'indi ndwara isanzwe.
- Igikuru ni ukumenya neza icyateye kubyimba no kuvura.
- Niba uhorana ububabare, kubabara, cyangwa kumva wuzuye mu gice cyo hejuru ibumoso cy'inda yawe, ntubyirengagize maze uganire na muganga wawe.
- Niba warafashwe n'indwara y'umugongo yabyimbye, irinde siporo n'ibindi bikorwa bishobora gukomeretsa igifu cyawe.
- Kubabara cyane mu gice cy'ibumoso cy'inda, bigaherekezwa no kuzerera, ni ikibazo cyihutirwa. Jya mu bitaro byita ku barwayi ba ETU byihutirwa.
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