Ese urwagashya rwawe narwo rurabyimbye? Reka tuvuge kuri ibi (Splenomegaly)!

Ese wigeze wumva "agahu kanini"? Ushobora kuba ufite amatsiko make kuri byo. Cyangwa, umuganga ashobora kuba yarakubwiye cyangwa umuntu uzi ibyabyo. Uyu munsi, reka tuvuge ku cyo iyi gahu kanini, cyangwa nk'uko abaganga bayita (Splenomegaly) , ari cyo, impamvu ibaho, n'icyakorwa kuri byo.

Iyi shapule ni iki? Ni iki kiyibaho?

Mu magambo make, urwagashya ni urugingo ruto ariko rufite akamaro cyane mu mubiri wacu. Tekereza ku ruhande rw'ibumoso rw'inda yawe, mu gice cyo hejuru, munsi y'imbavu zawe, rungana n'inkoni. Ni igice cy'urugingo rwacu rw'imitsi n'urw'ubudahangarwa bw'umubiri .

Udusimba dufite imirimo myinshi y'ingenzi:

• Gusukura amaraso: Kimwe n'akayunguruzo, bikuraho uturemangingo dutukura twa kera n'udukoko mu maraso yacu.
• Gukuraho imyanda: Bifasha gukura imyanda mu maraso no kuyikura mu mubiri.
• Gukora uturemangingo tw’amaraso: Indi nshingano y’ingenzi y’agace k’amaraso ni ukurema uturemangingo tw’amaraso dutuye umubiri wacu ukeneye kugira ngo urwanye indwara.

Uduheri twiza akenshi tuba dufite uburebure bwa santimetero 12 kandi dupima garama 70. Ariko, iyo utwo duheri twinshi, dushobora gukura tukagera kuri santimetero 20 kandi tukarenza garama 1.000. Biragoye kwiyumvisha, si byo se?

Kuki iyi ndwara y’umusonga ibyimbye? Ni izihe mpamvu?

Hari impamvu zitandukanye zitera kubyimba kw'umwobo w'amaraso. Zimwe muri zo ni iz'igihe gito kandi zigenda zonyine. Ariko zimwe muri zo zishobora kuba ibimenyetso by'indwara zikomeye kandi z'igihe kirekire.

Reka turebe zimwe mu mpamvu z'ingenzi:

• Kwandura indwara: Iyi ni yo mpamvu ikunze kugaragara cyane.
• Indwara za virusi: Ingero zirimo `(Mononucleosis)` (yitwa kandi indwara ya Keesin) na `(VIH)`.
• Indwara za bagiteri: nka `(Igituntu)` (Igituntu), `(Endocarditis)` (ubwandu bw'imbere mu mutima).
• Indwara zandurira mu mitsi: Indwara nka `(Malariya)` na `(Toxoplasmosis)` zishyira igitutu ku budahangarwa bw'umubiri bw'umuyoboro w'amaraso. Hanyuma umuyoboro w'amaraso utangira gukora ubudahangarwa bw'umubiri bwinshi n'uturemangingo tw'umubiri birenze ibyo ukeneye, ibi byitwa `(Hyperplasia)` . Ibi bituma umuyoboro w'amaraso ubyimba.

• Indwara y'umwijima: Abantu barwaye umwijima, nka hepatite idakira cyangwa cirrhose, bashobora kugira umuvuduko mwinshi mu mitsi y'amaraso inyura mu mwijima no mu ruhu. Ibi byitwa portal hypertension . Uyu muvuduko ushobora gutuma amaraso yivanga bigatuma uruhu rubyimba. Tekereza nk'umuyoboro w'amazi wafunze wuzuyemo amazi.

• Kanseri:
• Kanseri zivuka mu maraso, nka kanseri y'amaraso (leukemia) na myeloproliferative neoplasms (MPNs).
• Kanseri y'uturemangingo tw'imitsi, ni ukuvuga lymphoma.

Iyo uturemangingo twa kanseri nk'ubu twinjiye mu gahu gatangira kwiyongera aho ngaho, agahu karabyimba.

• Izindi mpamvu:
• Ibisebe byo mu mutwe mu gituza: Igituza gishobora kwiyongera bitewe na cyst, ibisebe, cyangwa kanseri yakwirakwiriye mu gituza.
• Indwara ziterwa n’ubwiyongere bw’umubiri: Urugero, indwara zifata igihe kirekire nka lupus, sarcoidosis, na rubagimpande zishobora gutuma ubudahangarwa bw’umubiri bukora cyane bigatuma urwagashya rubyimba.
• Indwara z'amaraso: Mu ndwara nka hemolytic anemia (gusenyuka vuba kw'uturemangingo dutukura tw'amaraso) na neutropenia (kugabanuka k'ubwoko bw'uturemangingo tw'amaraso tw'umweru), urwagashya rushobora kubyimba kuko rugomba gukora cyane kugira ngo rukureho utwo turemangingo.
• Indwara z’imikorere y’umubiri zikomoka ku ruhu: Indwara nka Niemann-Pick disease, Gaucher disease, n’indwara ya sickle cell zitera ibintu bitandukanye mu mubiri kwirundanya mu maraso no kubibika mu ngingo. Iyo ibyo bintu byirundanyije mu ruhu, birabyimba.
• Thrombose: Iyo amaraso apfunditse mu mitsi y'amaraso mu mwijima cyangwa mu muyoboro w'amaraso, umuvuduko w'amaraso uriyongera kandi amaraso ashobora kwishyira hamwe, bigatuma muyoboro w'amaraso habyimba.

Ese uruhago rwabyimbye ni ikintu gikomeye?

Uduheri twinshi ni ikimenyetso cy'indwara zitandukanye. Zimwe zishobora kuba zitari zikomeye, ariko izindi zishobora kuba zikomeye cyane. Icy'ingenzi ni ukubona muganga kugira ngo umenye neza icyabiteye. Icyo gihe ni bwo ushobora guhitamo niba ukeneye ubuvuzi, n'ubwoko bwabwo.

Wibuke ko iyo urwagashya rwagutse rudavuwe, rushobora gutangira gutakaza imikorere yarwo. Mu bihe bidasanzwe, urwagashya rwagutse cyane rushobora gucika. Ibi bibaye, kuva amaraso imbere mu mubiri bishobora gutangira kandi bishobora gushyira ubuzima mu kaga.

Niba urwagashya rwanjye rubyimbye, ni ibihe bimenyetso bizagaragara?

Akenshi, ntuzabona ko urwagashya rwawe rwabyimbye. Ariko, niba ibimenyetso bigaragaye, bishobora kuba birimo:

• Ububabare mu gice cyo hejuru cy'ibumoso cy'inda. Ubu bubabare bushobora no kugaragarira ku rutugu rw'ibumoso cyangwa mu mugongo.
• Uduheri dushobora gupimwa: Ubusanzwe, ntidushobora kumva utwo duheri n'amaboko yacu. Ariko, iyo tubyimbye, muganga ashobora kutwumva iyo asuzumye inda.
• Kubura ubushake bwo kurya cyangwa kumva uhaze nubwo wamaze kurya gato: Ibi bishobora kubaho bitewe nuko urwagashya rw'igifu rurimo gukandagira munsi yacyo.

Iyo urwagashya rutangiye gukora nabi, ibimenyetso nka:

• Ibimenyetso bya Anemia: Ibi birimo kumva ufite intege nke, unaniwe, kandi ufite uruhu.
• Ibicurane cyangwa izindi ndwara zikunze kugaragara.
• Gukomereka no kuva amaraso byoroshye.

Ni izihe ngaruka mbi zishobora guterwa no kwiyongera k'umusatsi?

Uduheri twinshi dushobora guteza ibindi bibazo.

• Gupfa kw'imitsi: Urwagashya rubyimbye cyane rushobora kubura amaraso ahagije. Hanyuma imitsi ibura ogisijeni n'intungamubiri igatangira gupfa.
• Hypersplenisme: Uduheri twinshi dushobora gukora cyane tugatangira kwangiza uturemangingo twinshi tw’amaraso (uturemangingo dutukura, uturemangingo tw’umweru, na plaquettes). Ibi bishobora gutera indwara nko kubura amaraso, kugabanuka k’uturemangingo tw’umweru, cyangwa kugabanuka k’uturemangingo.
• Guturika kw'uduheri: Ibi ni ibintu bidasanzwe. Ariko, uduheri twinshi dushobora guturika iyo ikintu kigukubise mu nda cyangwa iyo uguye cyane. Hari igihe dushobora guturika nta mpamvu igaragara. Iyo uduheri twinshi duturika, ni indwara ishobora gushyira ubuzima mu kaga.

Ni gute abaganga basuzuma indwara y’umugongo wagutse?

Ushobora kujya kwa muganga ufite ikibazo cyo mu nda. Cyangwa, ushobora no kugira ibimenyetso bijyanye n'indi ndwara. Hari igihe abaganga basanga urwagashya rwiyongereye ku bw'amahirwe, haba mu gihe cyo kwisuzumisha buri gihe cyangwa mu gihe bashaka ikindi kintu.

Muganga ashobora kumva urwagashya rwiyongereye mu gihe asuzuma inda yawe. Ibi bishobora kandi kwemezwa n'ibizamini bitandukanye:

• Ibizamini byo gushushanya:
• Isuzuma rya ultrasound mu nda cyangwa CT scan rishobora gukorwa kugira ngo harebwe niba urwagashya rwabyimbye, uko rwabyimbye, niba hari ikibyimba, ndetse niba hari igitutu ku zindi ngingo.
• Isuzuma rya MRI rishobora kwerekana uburyo amaraso atembera mu ruhu.
• Ibipimo by'amaraso: Niba impamvu idasobanutse neza, muganga wawe ashobora gutegeka ko hakorwa ibizamini byinshi by'amaraso. Ibi bishobora kureba indwara runaka, nka kanseri, indwara z'amaraso, n'imikorere y'umwijima.
• Isesengura ry'umusemburo w'amagufwa: Hari igihe muganga wawe ashobora gufata icyitegererezo gito cy'umusemburo w'amagufwa yawe (gufata umusemburo w'amagufwa cyangwa biopsy y'umusemburo w'amagufwa). Ibi bishobora gutanga amakuru ku buryo urwagashya rwawe rukora kandi bishobora no gufasha mu gusuzuma indwara zimwe na zimwe.

None se, ukora iki iyo urwagashya rwawe rwabyimbye? Ni ubuhe buryo bwo kuvura?

Kenshi na kenshi, urwagashya rusubira ku bunini busanzwe iyo indwara yatumye urwagashya rubyimba imaze kuvurwa. Hari indwara zimwe na zimwe, nk'indwara zandura, zigenda zikira ubwazo. Izindi ndwara zishobora kuvurwa hakoreshejwe imiti, guterwa amaraso, cyangwa kubagwa.

Hari indwara zitagira umuti. Muri ibyo bihe, abaganga bashobora gufata icyemezo cyo gutanga ubuvuzi bw'imirasire ku gipimo gito kugira ngo bagabanye kubyimba kw'agace k'umugongo, cyangwa kubaga agace k'umugongo (spleenectomy).

Bigenda bite iyo urwagashya rukuweho?

Ushobora kubaho neza udafite urwagashya. Ariko, ubudahangarwa bwawe, ni ukuvuga ubushobozi bwawe bwo kurwanya indwara, buzagabanuka gato.

• Muganga wawe ashobora kukugira inama yo kubona inkingo zimwe na zimwe zo kukurinda zimwe mu ndwara zisanzwe zishobora kukwandura.
• Uzasabwa kwambara umukandara w'umuganga kugira ngo abaganga bamenye ko uruhago rwawe rwakuweho.
• Iyo urwaye, ushobora guhabwa imiti igabanya ubukana kurusha uko bisanzwe.

Niba mfite uruhago rubyimbye, nitwara nte?

Niba ufite uruhago rubyimbye igihe kirekire, ugomba kwitonda kugira ngo udakomeretsa inda yawe. Kubera ko uruhago runini rushobora gucika, ni byiza kwirinda siporo zikoresha ikoranabuhanga rigezweho.

Nanone, urwagashya rwawe rushobora kuba rudakora neza cyangwa rugakora cyane. Rero, menya ibimenyetso by'amaraso make (ububabare, umunaniro). Muganga wawe ashobora kandi kugenzura urugero rw'amaraso yawe rimwe na rimwe.

Ese hari ibiryo bitari byiza kurya iyo urwagashya rwabyimbye?

Abaganga ntibazi neza niba ibyo turya bigira ingaruka ku buryo butaziguye ku gahu kacu. Ariko, indyo yacu igira ingaruka zikomeye ku buzima bwacu muri rusange. Niba ufite agahu kanini, ushobora gutekereza ko ubudahangarwa bw'umubiri bwawe budafite imbaraga. Bityo rero, indyo yuzuye ni imwe mu nzira zoroshye zo kurinda ubudahangarwa bw'umubiri wawe.

Byongeye kandi, indyo yawe ishobora no kugira ingaruka ku ndwara zitera urwagashya rwawe kubyimba (cyane cyane indwara zo kubyimba n'indwara z'umwijima).

Abaganga bahora basaba:

• Irinde cyangwa ugabanye kurya ibiryo byihuse kandi byatunganyijwe (ibiryo bipfunyitse, ibiryo biryoshye, sosiso, nibindi). Ibi biribwa byongera ububyimbirwe mu mubiri kandi byongera cholesterol ya LDL, yangiza umwijima na metabolisme.
• Kurya indyo irwanya ububyimbirwe . Ibi bivuze kurya ibiryo bishya kandi byuzuye (imboga, imbuto, n'imboga) hamwe n'ibinure bidafite ibinure (biboneka mu mafi no mu mbuto).

Ni ryari nkwiye kwihutira gushaka ubuvuzi kubera ikibazo cy'uruhago rwabyimbye?

Niba wumva ububabare bwiyongera mu gace umwobo wawe uherereyemo, ni ukuvuga mu gice cyo hejuru cy'ibumoso cy'inda yawe cyangwa mu rutugu rwawe rw'ibumoso, cyane cyane niba ububabare burushaho kwiyongera iyo uhumeka, shaka ubufasha bwa muganga vuba.

Uduheri duto dukunze kugaragara iyo ikintu kigukubise mu nda. Ariko rimwe na rimwe dushobora guturika gusa. Ndetse no guturika guto bishobora gutera kuva amaraso make, ariko iyo bidavuwe vuba, iyo ndwara ishobora gukomera vuba. Iyo uvuwe vuba, ushobora kwirinda kubagwa.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Rero, ukurikije ibyo twaganiriyeho uyu munsi, urabona ko kubyimba kw'umwobo atari ikintu cyo gufata nk'ikintu cyoroshye. Bishobora kuba ikimenyetso cy'ikibazo cy'ubuzima cyihishe inyuma. Niba ari ingenzi, bishobora kuba bitagize ingaruka zikomeye ku buzima bwawe muri rusange. Ariko, niba bikomeje, bishobora kwangiza umwobo wawe kandi bikaba byateza akaga.

Kubwibyo, niba utekereza ko ufite uruhago rwagutse, cyangwa niba ufite ibimenyetso bifitanye isano narwo, ikintu cyiza ni ukujya kwa muganga ukajya kwisuzumisha. Muganga azashakisha impamvu ayivure neza. Ntugatinye, ariko ntukirengagize!

Splenomegali , Impatwe, Ububabare bwo mu nda, Ibimenyetso, Uburyo bwo kuvura, Impamvu