Ese umutsi w'amaraso uri mu ijosi ryawe wumva umeze nk'aho ubyimbye? Reka twige ku ndwara ya Carotid Artery Aneurysm!

Ese wigeze wibaza niba imitsi y'amaraso yo mu ijosi ryacu ishobora no kugira ibibazo bitandukanye? Hari igihe iyi mitsi ishobora gucika intege no kubyimba nk'umupira. Nubwo ibi bishobora gusa nkaho biteye ubwoba, niba tubizi, dushobora gukora ikintu gikwiye tudahangayika bitari ngombwa. Uyu munsi tugiye kuvuga ku kibazo nk'iki, ni ukuvuga indwara yo mu mitsi ya Carotid Artery Aneurysm .

Aneurysm y'imitsi ya Carotid ni iki? Ni iki mu by'ukuri kibaho?

Muri make, aneurysm y'imitsi ya carotide ni indwara aho igice cy'imitsi ya carotide, iherereye ku mpande zombi z'ijosi ryacu, gicika intege kikabyimba. Iyi mitsi ya carotide ni imitsi y'amaraso y'ingenzi cyane kuko itanga amaraso menshi mu bwonko bwacu, mu mutwe, mu maso no mu ijosi.

Umutsi mukuru wa carotide, utangirira hejuru y'igituza cyacu, uzamuka mu ijosi kandi akenshi ugabanyijemo amashami abiri hagati mu ijosi. Rimwe ni umutsi wa carotide w'imbere n'irindi ni umutsi wa carotide wo hanze . Nubwo iyi aneurysms ishobora kubaho muri iyo mitsi ya carotide, ikunze kugaragara mu mutsi wa carotide w'imbere.

Tekereza nko guhumeka umwuka mu ibara ry'umuhondo. Uko umwuka wiyongera, urukuta rw'ibara ry'umuhondo rurushaho kuba runini, sibyo? Uko bimeze kuri iki kintu. Iyo igice cy'urukuta rw'imitsi kigize intege nke, icyo gice gitangira kubyimba bitewe n'umuvuduko w'amaraso. Uko iki kibyimba gikura, urukuta rw'imitsi rurushaho kuba ruke. Hanyuma ibyago byo guturika birarushaho kwiyongera. Niyo mpamvu bivugwa ko uko aneurysm irushaho kuba nini, ari nako ishobora kuba iteye akaga.

Iki kibazo gishobora kuba gikomeye gute?

Aneurysm y'imitsi ya carotid ni ikintu kiba mu mitsi itanga amaraso mu bwonko bwacu, bityo si ikintu cyo gufata nk'aho ari cyo cyoroshye. Ariko, si ko aneurysm zose ziba zikomeye kimwe.

Hari ubwo amaraso afite imitsi mito cyane kandi ashobora kuguma mu mwanya wayo imyaka myinshi nta kibazo ateye. Ariko, hari igihe amaraso ashobora kuzura muri ako gace. Iyo ayo maraso acitse agafunga imitsi mu bwonko, ashobora gutera indwara y’imitsi iterwa n’indwara y’imitsi (TIA), indwara y’imitsi mito, cyangwa indwara y’imitsi ihoraho .

Iyo aneurysm nini ituritse mu buryo butunguranye (ibibyimba) , kuva amaraso bitangira gutemba mu bwonko. Ibi byitwa stroke yo kuva amaraso . Iki ni ikibazo gihitana ubuzima.

Ni irihe tandukaniro riri hagati ya aneurysm nyayo n'aneurysm y'ibinyoma?

Abaganga bagabanya izi aneurysms mo ubwoko bubiri, bitewe n'uburyo ikibyimba cyakozwe.

• Aneurysm nyakuri:Iki ni cyo gihe ibice bitatu by'urukuta rw'imitsi (byitwa "Intima, Media, Adventitia") bicika intege kandi bigaturika inyuma. Impamvu nyamukuru ibitera ni ukwishyira kw'ibinure mu mitsi y'amaraso, indwara yitwa "Atherosclerosis".
• Aneurysm y'ikinyoma cyangwa pseudoaneurysm: Iki ni ikibyimba kiri mu gice kimwe cyangwa bibiri by'urukuta rw'imitsi. Bisa nkaho agasakoshi gato kavuye mu mitsi. Ibi akenshi biterwa no kwangirika k'imitsi mu mpanuka, ubwandu, cyangwa ingorane zaturutse ku buvuzi .

Byaba ari aneurysm nyakuri cyangwa aneurysm y'ibinyoma, byombi bishobora guteza ingorane kandi bishobora gusaba ubuvuzi.

Ni nde wibasirwa cyane n'iki kibazo? Ni iki gikunze kugaragara?

Indwara zo mu mitsi ya carotid zikunze kugaragara cyane ku bantu bakuru, cyane cyane abari hagati y’imyaka 50 na 60. Ariko, zishobora kugaragara gake cyane ku bana.

Iyi si indwara ikunze kugaragara cyane. Mu by’ukuri, munsi ya kimwe muri 100 aneurysms mu mubiri bivugwa ko ari aneurysms zo mu mitsi ya carotid.

Ibimenyetso ni ibihe? Ubimenya ute?

Hari abantu bafite aneurysm y'imitsi yo mu bwoko bwa carotid ariko nta bimenyetso bagaragaza. Baboneka gusa ku bw'impanuka iyo bakorewe isuzuma ku yindi mpamvu.

Abantu benshi bagaragaza ibimenyetso bagira ikibazo cy’indwara y’imitsi iterwa n’indwara y’imitsi iterwa n’icyorezo (TIA) cyangwa indwara yo mu bwonko. Indwara ya TIA imeze nk’indwara ya “mini-stroke”. Ishobora kandi kuba ikimenyetso cy’umuburo cy’uko indwara y’imitsi ikabije izaza mu minsi mike cyangwa ibyumweru bike biri imbere. Indwara ya TIA n’indwara yo mu bwonko byombi biterwa no kubura kw’amaraso ajya mu bwonko.

Ibi ni ibibazo byihutirwa by’ubuvuzi! Niba ufite kimwe muri ibi bimenyetso, ugomba guhita ujya kwa muganga:

* Kutabona neza cyangwa kugabanuka k'amaso mu jisho rimwe cyangwa yombi.

* Kugorwa no kugenda, kunyeganyega.

* Kuzungera, kubura uburinganire.

* Kubura ibinya cyangwa intege nke mu maso, ku kuboko, cyangwa ku kuguru, cyane cyane ku ruhande rumwe rw'umubiri.

* Umutwe utunguranye kandi ukabije.

* Kugorwa no kuvuga, kugorwa no kumva ibyo abandi bavuga. Kuvuga nabi cyangwa kujijisha.

Ushobora kudashobora guhamagara usaba ubufasha wenyine iyo ufite ibi bimenyetso bikomeye. Niyo mpamvu ari ngombwa kwigisha umuryango wawe n'inshuti zawe ibimenyetso bya TIA na Stroke. Niba ubana wenyine, ni byiza kandi gutekereza kuri sisitemu yo gutanga amakuru ku buzima (MAS) ushobora guhamagara kugira ngo uhabwe ubufasha.

Uretse ibi bimenyetso bya TIA na stroke, iyo aneurysm ikuze bihagije ku buryo ishobora gukanda indi mitsi cyangwa imitsi y'amaraso mu ijosi cyangwa mu mutwe,Dore ibimenyetso bimwe na bimwe bishobora kubaho:

• Umutwe.
• Ijwi rituje.
• Kubabara mu ijosi.
• Kubyimba mu maso.
• Numva meze nk'ipfundo mu ijosi ryanjye, nk'aho ririmo gukururwa.
• Kugorwa no kumira.
• Ibibazo byo kutabona neza.

Niba ufite ibimenyetso nk'ibi, ni byiza kujya kwa muganga.

Kuki ibi bibaho? Impamvu ni izihe?

Hari impamvu nyinshi zishobora gutera aneurysm y'imitsi ya carotid.

• Ateriosclerosis (ibinure byinjira mu mitsi y'amaraso): Iyi ni yo mpamvu nyamukuru kandi ikunze kugaragara.
• Indwara zica intege inkuta z'imitsi: Ingero zirimo indwara ya Fibromuscular Dysplasia na zimwe mu ndwara zifata imitsi.
• Ingorane zo kuvurwa n'abaganga: Hari igihe bishobora guterwa n'ibintu nka `(Carotid Endarterectomy)` (kubagwa imitsi ya carotid), `(Central Line Placement)` (gushyira umuyoboro mu mutsi munini mu ijosi), cyangwa `(Radiation Therapy)` (radiation treatment)` (kuvura kanseri).
• Ibikomere bikomeye ku mitsi: Urugero, bishobora guterwa n'impanuka ikomeye, nko kurasa cyangwa gukomeretswa.

Ni ibihe bintu bishobora gutera ibyago? (Ibintu bishobora gutera ibyago)

Hari ibintu byinshi bishobora gutuma inkuta z'imitsi zicika intege, ibyo bikaba byongera ibyago byo kugira aneurysm:

• Niba hari umuntu wo mu muryango wagize ikibazo cyo kubura amaraso mu mubiri (aneurysm ).
• Niba ufite umuvuduko ukabije w'amaraso (Hypertension) .
• Niba unywa itabi cyangwa ukoresha ibindi bicuruzwa by'itabi.

Abaganga bapima iki kibazo gute?

Abaganga bapima aneurysm y'imitsi ya carotid bakora ibizamini bitandukanye, nka:

• Isuzuma ry'umubiri: Muri iki gihe, muganga azagushyira stethoscope ku ijosi maze atege amatwi ijwi ry'amaraso atemba muri ryo. Hari igihe, iyo hari aneurysm, ijwi ryihariye rya "swoosh" (carotid bruit) rishobora kumvikana.
• Amateka y’ubuzima bw’umuryango: Muganga azabaza ibibazo by’ubuzima mu muryango wawe, kuko niba hari umuntu wo mu muryango wawe wagize ikibazo cyo kubura amaraso, nawe ushobora kuba uri mu kaga.
• Amateka yawe y'uburwayi: Muganga wawe azabaza indwara ufite n'imiti ufata. Ibi bishobora gufasha kumenya icyateye aneurysm.
• Ibizamini byo Gupima: Ibi ni ibizamini bigaragaza neza ibirimo kuba mu mitsi ya carotid n'uko agace kayikikije gasa. Ibi ni byo bizagaragaza niba hari aneurysm kandi bikagena uburyo bwiza bwo kuvura.

Hari igihe abaganga bakora ibi bizamini kuko bakeka ko hari indwara ya aneurysm ishingiye ku bimenyetso. Hari n'igihe, bivumburwa ku bw'impanuka mu gihe bakora ibizamini by'indi ndwara (`(Incidental Diagnosis)`).

Ibipimo by'ingenzi byo gusuzuma indwara:

• Gupima CT (Isuzuma rya mudasobwa - Gupima CT)
• Gupima MRA (Magnetic Resonance Angiography - MRA)
• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound

Uretse ibi, muganga wawe ashobora kukugira inama y'ibindi bipimo:

• Gupima ubwonko kugira ngo harebwe uko amaraso atembera mu bwonko no kureba niba hari izindi aneurysms.
• Gupima imiterere y'uturemangingo kugira ngo harebwe niba hari indwara z'uruhererekane rw'uturemangingo.
• Izindi scan zo gusuzuma niba hari imitsi ifite amaraso mu yindi mitsi minini mu mubiri (urugero: aorta).

Ni ubuhe buryo bwo kuvura ibi?

Hariho uburyo butandukanye bwo kuvura indwara zo mu mitsi ya carotid. Intego nyamukuru z'ubuvuzi ni ukugabanya ibimenyetso no kugabanya ibyago byo kugira ingorane zikomeye, nko guturika kwa aneurysm cyangwa paralysis.

Muganga azasuzuma ibintu byinshi kugira ngo afate icyemezo niba ukeneye kubagwa cyangwa ubundi buryo bwo kuvura:

• Ingano y'umuvuduko w'amaraso mu bwonko.
• Uburyo aneurysm ikura vuba .
• Waba ufite ibimenyetso cyangwa udafite .

Uburyo bw'ingenzi bwo kuvura ni ubu:

• Igenzura
• Kubaga mu buryo bugaragara
• Gushyira Stent mu Mitsi yo mu Muyoboro w'Inda

Gutegereza / Gutegereza Ubwitonzi

Ibi kandi byitwa "gutegereza witonze." Ibi bisaba ko muganga wawe akomeza gukurikirana aneurysm yawe. Uzajya ukorerwa ibizamini (nk'isuzuma rya ultrasound, CT scan, cyangwa MRI scan) buri mezi 6 kugeza kuri 12 kugira ngo urebe niba hari impinduka muri aneurysm. Ibi bikunze gukoreshwa ku aneurysm nto kandi zitagaragara .

Niba ufite umuvuduko ukabije w'amaraso, muganga wawe ashobora kukwandikira imiti igabanya umuvuduko w'amaraso . Ibi bishobora kugufasha kugabanya umuvuduko w'amaraso mu mubiri. Bashobora kandi kukwandikira imiti igabanya cholesterol .

Kubaga mu buryo bugaragara

Ubu ni bwo buryo gakondo bwo kuvura. Muri ubu buryo, umuganga ubaga akuraho igice cyangiritse kandi cyabyimbye cy'imitsi ya carotid maze agashyiraho inzira nshya amaraso atembera mu mwanya wayo. Ibi byitwa bypass grafting .

Kugira ngo umuganga akore uyu muyoboro mushya w'amaraso (graft), ashobora gukoresha igice cy'umuyoboro w'amaraso cyakuwe mu kindi gice cy'umubiri wawe, cyangwa agakoresha umuyoboro ukozwe mu bikoresho by'ubukorano nka GORE-TEX® .

Gushyira Stent mu Mitsi yo mu Muyoboro w'Inda

Ubu buryo bwo kubaga butari buvanze cyane kurusha kubagwa mu buryo bworoshye. Ingano y'umuvuduko w'amaraso n'aho uherereye mu mitsi ya carotid ni byo bizagena niba ukwiye kubagwa.

Endovasculaires bivuze ko kubagwa bikorerwa mu mitsi yawe y'amaraso, hakoreshejwe imiyoboro miremire kandi yoroheje (catheters).Umuganga ubaga acukura umwobo muto mu mitsi iri mu gituza cyawe, ashyiramo uyu muyoboro, maze yohereza stent graft (umuyoboro muto usa n'umuyoboro) kuri aneurysm ayobowe na X-ray. Hanyuma stent graft irabyimba imbere mu mitsi, igapfuka aneurysm. Hanyuma amaraso atemba anyuze muri stent graft nshya.

Ni ubuhe buryo bwo kuvura bunkwiriye?

Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura. Azazirikana uko umeze n'ibyo ukeneye. Mbere yo kuvurwa, muganga wawe azagusobanurira neza ibyiza, ibibi n'ingaruka mbi. Azagusobanurira kandi uburyo bwo kwitegura kuvurwa n'igihe cyo gukira nyuma yo kuvurwa.

Ni iki twakora kugira ngo tugabanye iki kibazo?

Hari ibintu bimwe na bimwe bishobora gutera ibyago (urugero, amateka y'umuryango) tudashobora kubigenzura. Ariko hari ibyo dushobora gukora kugira ngo imitsi yacu ikomeze kugira ubuzima bwiza kandi tugabanye ibyago byo kugira aneurysm:

• Irinde kunywa itabi, kunywa itabi rya vape, cyangwa gukoresha ibindi bicuruzwa by'itabi burundu. Saba muganga wawe ubufasha bwo kurireka.
• Kurya indyo yuzuye umutima, irimo ibinure byinshi, umunyu n'isukari.
• Kora imyitozo ngororamubiri buri gihe nk'uko muganga wawe yabigutegetse.
• Gabanya kunywa inzoga.
• Genzura ibintu bishobora gutera ibyago nko kurwara umuvuduko ukabije w'amaraso.
• Fata umuti wanditswe na muganga neza kandi ku gihe.
• Jya kwisuzumisha kwa muganga buri mwaka kandi ntucikwe na gahunda za muganga wawe.

Ni iki wagombye gutekerezaho iyo umenye ko ufite aneurysm?

Ahazaza h'umuntu ufite aneurysm y'imitsi ya carotid hashobora gutandukana. Hari abantu bagira aneurysm nto abaganga babona imyaka myinshi gusa. Ku bandi, aneurysm ikura vuba kandi igasaba kuvurwa. Nubwo kubagwa no kuvura imitsi yo mu nda bishobora kuvura aneurysm, nabyo bifite ingaruka mbi. Vugana na muganga wawe ku buryo bweruye ku kibazo cyawe n'icyo wakwitega mu gihe kiri imbere.

Nkwiye kwiyitaho nte? (Kwiyitaho)

Kurikiza inama za muganga wawe ku bijyanye no guhindura imibereho yawe kugira ngo bigufashe gucunga ikibazo cyawe. Nanone, bariza ku bikorwa bitakubereye. Ushobora kwirinda ibikorwa bimwe na bimwe bikugora cyane .

Ni ibihe bihe byihariye ugomba kujya kwa muganga?

Muganga wawe azakubwira inshuro ugomba kubonana na muganga n'uko ukeneye kwipimisha. Menya neza ko ugiye muri izo gahunda zose.

Hamagara muganga wawe mu bihe bikurikira:

• Iyo hagaragaye ikimenyetso gishya cyangwa ibimenyetso bihari bihinduka.
• Niba ufite ingaruka mbi zikomoka ku muti urimo gufata.
• Ku bijyanye n'indwara ya aneurysm yawe n'uburyo bwo kuyivuraNiba ufite ikibazo cyangwa gushidikanya.

Igihe cyo kujya mu Ishami ryita ku Buvuzi bwihutirwa (ETU) :

Niba ufite ibimenyetso bya "Agakoko k'umutima", "Stroke", cyangwa "TIA", hamagara 911 cyangwa nimero y'ubutabazi yo mu gace utuyemo ako kanya.

Ni ibihe bibazo by'ingenzi ugomba kubaza muganga?

Iyo umenye ko ufite aneurysm y'imitsi ya carotid, ushobora kugira ibibazo byinshi. Ariko ushobora kuba utazi aho wahera. Dore bimwe mu bibazo ushobora kubaza kugira ngo utangire ikiganiro:

• Ubwo burwayi bw'amaraso buherereye he? Mu ijosi cyangwa imbere mu gahanga?
• Aneurysm ingana iki?
• Ese nzakenera kuvurwa? Niba ari byo, ryari?
• Ni ubuhe buryo bwo kuvura mfite?
• Ni izihe nyungu n'ibibi bya buri buryo bwo kuvura?
• Ni iki nkwiye kwitega mu gihe cyo gukira nyuma yo kuvurwa?
• Ni izihe mpinduka mu mibereho ngomba kugira?
• Ese hari ibikorwa ntagomba gukora?
• Ese nkeneye kwipimisha byinshi? Niba ari byo, nyuma y'igihe kingana iki?

Itandukaniro riri hagati y'umuvuduko w'amaraso mu ijosi (extracranial) n'umuvuduko w'amaraso mu gahanga (intracranial)

Aya mazina yombi yerekeza ku muvuduko w'amaraso utera mu mitsi ya carotid. Ariko, ibi bivuga itandukaniro riri hagati y'aho umuvuduko w'amaraso uherereye.

• Extracranial bisobanura ko aneurysm iri hanze y'agahanga, bivuze mu ijosi .
• Intracranial bisobanura ko aneurysm iri imbere mu gahanga .

Imitsi yacu ya carotide y'imbere igabanyijemo ibice kuko izamuka mu ijosi ikagera mu gahanga. Mu magambo make, igice cy'imitsi iri mu ijosi (igice cya nyababyeyi cyangwa C1) cyitwa igice cyo hanze y'umutwe. Ibice biba nyuma y'uko imitsi yinjira mu gahanga (igice cya petrous, lacerum, cavernous, clinoid, ophthalmic, communicating segments - C2 kugeza C7) byitwa igice cyo hagati y'umutwe. Ntabwo ukeneye kwibuka aya mazina, ariko niba muganga wawe avuze ikintu nk'iki, "Ufite aneurysm mu mitsi yawe ya carotide y'ibumoso, igice cya nyababyeyi," icyo ashaka kuvuga ni uko hari aneurysm mu gice cy'imitsi iri mu ijosi ryawe ku ruhande rw'ibumoso, hanze y'agahanga.

Ntutinye kubaza muganga wawe amagambo yose y’ubuvuzi udasobanukiwe. Muri ubwo buryo, ushobora gusobanukirwa neza ibiri kuba mu mubiri wawe n’aho biri kuba.

Hanyuma, hari ibintu bike ugomba kuzirikana (Ubutumwa bwo kujyana mu rugo)

Ni ibisanzwe kumva ufite ubwoba iyo umenye ko ufite aneurysm. Ibibazo nka "Kuki ibi byambayeho?" na "Ese ubuzima bwanjye bwa buri munsi buzahinduka?" Ushobora no gutinya ingorane.

Ariko, icy'ingenzi ni ukudatinya.Bitewe n'ikoranabuhanga rigezweho ryo gufata amashusho n'uburyo bwo kuvura, abantu benshi bashobora kubaho ubuzima busanzwe. Bamwe bashobora gukurikirana indwara zabo zo mu bwonko, abandi bakaba bakeneye kuvurwa.

Niba warasanzwe ufite aneurysm y'imitsi yo mu bwoko bwa carotid, ganira na muganga wawe ku ntambwe zikurikiraho n'uburyo bwo kuvura. Niba aneurysm ari nto, muganga wawe ashobora kukugira inama yo kugenzura. Menya neza ko ukurikiza gahunda za muganga wawe n'ibizamini bya scan buri munsi. Niba ufite ikibazo cyangwa impungenge, vugana na muganga wawe. Ushobora guhangana n'iki kibazo ukurikije inama za muganga zikwiye kandi ukagira imyumvire myiza.

` Aneurysm y'imitsi ya Carotid, Aneurysm y'imitsi ya Carotid, Imitsi y'amaraso yo mu ijosi, Amaraso atembera mu bwonko, TIA, Stroke nto, Stroke, Paralysis, Ibimenyetso bya Aneurysm, Uburyo bwo kuvura Aneurysm