Reka tumenye byinshi kuri indwara ya "Fat Embolism Syndrome".

Iyo umuntu aguye akavunika ukuboko cyangwa ukuguru, cyangwa akagira impanuka ikomeye, dutekereza cyane ku mvune. Ariko rimwe na rimwe, hari indwara ijyana n'ibintu nk'ibi, tutavugaho cyane, ariko ishobora guteza akaga. Imwe muri izo ndwara yitwa "Fat Embolism Syndrome ." Reka tuvuge kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Iyi `(Indwara yo Kugabanya Ibinure)` ni iki?

Mu magambo make, `(Fat Embolism Syndrome)` ni igihe ibinure, cyangwa ibitonyanga by'amavuta, bifatira mu mitsi yawe y'amaraso bigahungabanya urujya n'uruza rw'amaraso. Tekereza nk'igipande cy'umwanda gifata mu muyoboro w'amazi maze amazi agahagarara gutemba. Iyo amaraso afunzwe muri ubu buryo, ubwonko, ibihaha, uruhu, n'ibindi bice byinshi by'umubiri bishobora kwangirika. Iyi ni indwara idasanzwe. Akenshi, ntabwo iba ikomeye cyane. Ariko, iyo indwara ibaye ikomeye, ishobora guteza akaga gato.

Ni irihe tandukaniro riri hagati ya embolism y'ibinure n'imbolism y'ibihaha?

Mbere yo gusobanukirwa itandukaniro riri hagati y'ibi byombi, reka dusobanukirwe ibisobanuro by'amagambo make.

• Embolisme: Iki ni igihe ikintu gifata mu mitsi y'amaraso. Ibi bishobora kuba amaraso apfunditse, agace k'umwuka, cyangwa se n'ibinure tuvuga.
• Gutera ibinure: Ibi bibaho iyo igice kimwe cyangwa byinshi by'ibinure bifashe mu mitsi y'amaraso.
• Guhagarika amaraso mu bihaha: Ibi bibaho iyo ikintu gifashe mu mitsi y'amaraso mu bihaha.

Guhagarika ibihaha akenshi biterwa no kubyimba kw'amaraso, ariko bishobora no guterwa no kugabanya ibinure. Ni ikibazo cyihutirwa cy’ubuvuzi gishobora gushyira ubuzima mu kaga. Mu ndwara ya Fat Embolism, nubwo kugabanya ibihaha bitabaho, guhumeka bishobora kugorana.

Ni nde urebwa cyane n'iki kibazo?

Kubyimba kw'ibinure bishobora kuba kuri buri wese. Ariko igitangaje ni uko bidakunze kubaho ku bana bato. Bikunze kubaho iyo uvunitse ikibuno cyangwa igufwa rirerire mu mubiri wawe.

Nubwo bidakunze kubaho cyane, bishobora no guterwa n'izindi ndwara. Dore ingero nke:

• Kubagwa ivi cyangwa ikibuno
• Ubushye bukabije
• Niba uhawe ubufasha bwihutirwa bwo gusubiza umutima mu gifu (CPR)
• Bipimisha cyangwa gusimbuza umwongo w'amagufwa
• Pancreatitis ikabije
• Umwijima urimo ibinure
• Gukoresha liposuction
• Mu bihe nk'indwara yo kubura amaraso mu maraso.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, igihe cyose uvunnye igufwa, utunyangingo duto tw’ibinure dushobora kwinjira mu maraso yawe. Ariko akenshi, ntabwo tuba tunini bihagije ku buryo byatera ikibazo.

Indwara yo kuvura ibinure igaragara ku bantu bari hagati ya 0.5% na 2% bavunika igufwa rimwe rirerire, nk'iry'umugongo. Ariko, iyo amagufwa menshi avunitse icyarimwe, cyane cyane mu kibuno, ibyago byiyongera kugera kuri 5% kugeza 10%.

Ni iki kiba ku mubiri muri iki gihe?

`(Indwara yo Kugabanya Ibinure)` ishobora guteza akaga iyo igeze ku rwego rukomeye. Kuko ishobora gutuma guhumeka bigorana cyane. Iyo irushijeho kuba mbi, ishobora gutera umutima umunaniro mwinshi bitewe n’ingaruka ku bihaha, cyangwa ingaruka ku bihaha zishobora gutera umutima umunaniro mwinshi, bigatuma umutima uhagarara gukora ndetse bigatera n’urupfu.

Impamvu ni izihe?

Gutera ibinure mu mubiri ni igihe agace kamwe cyangwa byinshi bimeze nk'ibinure byinjiye mu maraso yawe bikabuza amaraso gutembera mu mitsi imwe n'imwe y'amaraso. Ibi binure bitera igihe cyose igufwa ryavunitse. Ariko akenshi, biba bito cyane ku buryo bitatera ikibazo. Niyo mpamvu ibi binure bidakunze gutera ikibazo.

Izi "emboli z'ibinure" zishobora gutera ibibazo iyo zavunitse ubwoko bumwe na bumwe bw'amagufwa. 95% by'izi ndwara ziterwa no kuvunika kw'igufwa ry'ikibuno "(pelvis)" cyangwa amagufwa maremare y'umubiri. Izi ngaruka ziba nyinshi cyane cyane iyo igufwa ry'ikibero "(femur)", igufwa rinini riri munsi y'ivi "(tibia)" n'igufwa rito riri inyuma yaryo "(fibula)" ryavunitse.

Akenshi, utu duce tw’ibinure twirundanya mu maraso dushobora kwifatira mu mitsi y’amaraso myiza cyane yitwa capillaries, iri hafi y’uruhu rwawe. Ibi bishobora gutera ibimenyetso bito nko kurwara uduheri ku ruhu. Ariko rimwe na rimwe, utu duce tw’ibinure dushobora kwifatira mu mitsi y’amaraso myiza cyane ahantu hakomeye nko mu mutima, mu bwonko, mu maso no mu bihaha, bigatera ibibazo bikomeye kandi bishobora gushyira ubuzima mu kaga.

Muganga ashobora gukeka ko iyi ndwara ari uko hari ibimenyetso bitatu by'ingenzi (nubwo indwara ishobora kugaragara nta bimenyetso bitatu byose). Ibi ni uduheri tw'uruhu twihariye, ingaruka ku mikorere y'ubwonko, n'ingaruka ku bihaha.

Ibimenyetso ni ibihe?

Indwara ya "Fat Embolism Syndrome" ikunze kugaragara mu minsi 2-3 nyuma yo kuvunika bikomeye cyangwa ikindi gikomere gikomeye. Ariko, rimwe na rimwe ishobora kugaragara nyuma y'amasaha 12. Ibimenyetso by'ingenzi ni ibi bikurikira:

• Guhumeka nabi: Guhumeka nabi, guhumeka vuba, no guhumeka nabi ni ibimenyetso bisanzwe bya "Fat Embolism Syndrome." Ibi bimenyetso akenshi ni byo bigaragara bwa mbere.
• Impinduka mu miterere y'ubwonko: Iyi ndwara ishobora kugira ingaruka ku mikorere y'ubwonko. Ibi bishobora gutera kuribwa umutwe, urujijo, impinduka mu myitwarire, kudakora neza cyangwa gutinda gusubiza. Hari igihe indwara zo mu mutwe no kwiheba (koma) bishobora kubaho.
• Uduheri twa petechial:Petechiae ni utudomo duto, tumeze nk'ibisebe tugaragara ku ruhu rwawe. Tubaho iyo imiyoboro mito y'amaraso yitwa capillaries munsi y'uruhu ituritse. Utwo dusebe dukunze kugaragara ku mutwe, mu ijosi, mu gituza no mu maboko. Dushobora no kugaragara imbere mu maso no mu kanwa. Iyi ndwara ni imwe mu mpamvu zihariye kuri iyi ndwara.

Ibindi bimenyetso bishoboka:

• Umutima utera cyane
• Umuriro
• Jaundice (umuhondo w'uruhu cyangwa umweru w'amaso bitewe n'indwara y'umwijima)
• Impinduka mu cyerekezo

Hari ibindi bimenyetso by'ubuvuzi abaganga bashobora gusuzuma. Ibi bishobora kuba atari ibimenyetso ushobora kumenya, ariko bishobora kugaragara binyuze mu bipimo:

• Okisijeni nke mu maraso
• Anemia
• Ibibazo by'impyiko
• Ibibazo byo kutabona neza
• Umubare muto wa platelets hamwe n'izindi mpinduka mu mikorere y'amaraso.

Ese ibi byandura?

Oya, `(Indwara yo Kugabanya Ibinure)` si indwara yandura.

Ibi bipimwa gute?

Kugeza ubu, nta buryo busanzwe bwemewe bwo gusuzuma iyi ndwara. Kubwibyo, abaganga bapima iyi ndwara bashingiye ku bimenyetso byawe, isuzuma ry'umubiri, ibizamini byo gusuzuma, n'ibizamini byo muri laboratwari.

Mu gihe cyo gusuzuma umubiri, umuganga azareba ibimenyetso n'ibimenyetso mu mubiri wawe. Azatega amatwi umutima wawe n'ibihaha akoresheje stethoscope.

Ibimenyetso bitatu by'ingenzi twavuzeho mbere - guhumeka nabi, impinduka mu miterere y'imitekerereze, n'uduheri twa petechial - bikunze kugaragara inyuma. Kubwibyo, mu bihe byinshi, cyane cyane mu bihe bikomeye, indwara ishobora gupimwa hakoreshejwe isuzuma ry'umubiri gusa.

Ni ubuhe bwoko bw'ibizamini bikorwa?

Ibipimo bikurikira bishobora gukorwa kugira ngo hamenyekane iyi ndwara:

• Inyigo ku mashusho: Abaganga bashobora gutumiza X-rays, CT scans, cyangwa MRI scans zo mu mutwe wawe cyangwa mu gituza kugira ngo barebe ko nta ndwara zishobora kuguhitana nka stroke cyangwa pulmonary embolism. Izi scans zishobora gufasha gukuraho izo ndwara no kwemeza Fat Embolism Syndrome.
• Ibizamini byo gusuzuma: Iyo ibimenyetso bya Fat Embolism Syndrome bigira ingaruka ku mutima, ibi bizamini bishobora gukorwa. Urugero, ikizamini cya Electrocardiogram (ECG), gipima imikorere y'amashanyarazi y'umutima, cyangwa ikizamini cya biopsy y'uruhu, gifata agace gato k'uruhu kugira ngo harebwe niba utuntu tw'ibinure twafatiwe mu miyoboro y'amaraso y'uruhu.
• Ibizamini byo muri laboratwari: Ibi bizamini bireba impinduka zikomeye mu miterere y'imiti mu maraso yawe, no ku binure biri mu maraso yawe, mu nkari, cyangwa mu mashyi.

Ivurwa ite? Ese hari umuti wayo?

Nta muti wihariye wa `(Indwara yo Kugabanya Ibinure)`.Nta gahunda isanzwe yo kuvura ibi. Kuvura bikubiyemo kugenzura ibimenyetso, gukoresha ibikoresho bifasha mu kurokora ubuzima, no gukumira izindi ngorane.

Intego nyamukuru hano ni ugutanga ubuvuzi bufasha. Ni ukuvuga ko abakora mu by'ubuzima bibanda ku kuvura ibimenyetso n'ingaruka z'indwara, aho kwibanda ku kuvura indwara ubwayo.

Ni ubuhe bwoko bw'imiti/ubuvuzi bukoreshwa?

Uburyo bukurikira bwo kuvura bushobora gukoreshwa kuri `(Indwara yo Kugabanya Ibinure):`

• Corticosteroids: Iyi miti igabanya ububyimbirwe mu mubiri. Abaganga bayitanga kugira ngo igabanye ububyimbirwe, ifashe ibihaha, kandi yorohereze guhumeka. Ariko, hakenewe ubushakashatsi bwinshi kugira ngo hemezwe niba ikwiye gukoreshwa nk'uburyo busanzwe bwo kuvura iyi ndwara.
• Imiti igabanya amaraso: Iyi ishobora gufasha mu gukumira kubyimba kw'amaraso bishobora kubaho mu gihe cy'indwara ya Fat Embolism Syndrome. Ariko, nta bimenyetso bihagije bigaragaza niba ikwiye guhabwa abantu bose bafite Fat Embolism Syndrome.
• Utwuma twa Vena cava: Ibi ni ibikoresho abaganga bashobora gushyira mu mitsi yawe imwe bakayobora amaraso ahantu runaka. Iyo bishyizwe muri vena cava, umutsi munini w'amaraso mu mubiri wawe (utwara amaraso mu mutima), utwo twuma dufata amaraso ashobora gufunga mu bihaha. Ibi bishobora gufasha gukumira indwara yo mu bihaha cyangwa ingaruka z'ubuhumekero ziterwa n'indwara yo mu binure.
• Ogisijeni: Ubu ni bumwe mu buryo bwihuse kandi bworoshye bwo kuvura ikibazo icyo ari cyo cyose cyo guhumeka. Iyo wongereye ogisijeni yawe, ibihaha byawe n'umutima ntibigomba gukora cyane kugira ngo bigeze ogisijeni ihagije mu mubiri wawe.
• Gutanga ogisijeni mu mubiri wawe hanze y'umubiri (ECMO): ECMO ni uburyo amaraso akurwa mu mubiri wawe, akanyuzwa mu mashini yihariye, aho akurwa mu mubiri agashyirwamo ogisijeni. Hanyuma amaraso agasubizwa mu mubiri wawe. Ubu buryo bwo kuvura bushobora gufasha ibihaha byawe gukira ukabiha akaruhuko gato niba ufite ibibazo bikomeye byo guhumeka bitewe na fat Embolism Syndrome.
• Guhumeka: Imashini ihumeka ni igikoresho gikorera akazi ko guhumeka. Ubu ni uburyo busanzwe bwo kuvura abantu bafite ibibazo bikomeye byo guhumeka bishobora gushyira ubuzima bwabo mu kaga. Bitangirira ku gupfuka umuyoboro w'amazi, bikubiyemo gushyira umuyoboro mu muyoboro w'amazi hanyuma ukawuhuza n'icyuma gihumeka. Ubusanzwe uzasinzira muri iki gihe kugira ngo bigufashe kuguma umerewe neza.

Ni izihe ngorane/ingaruka mbi zo kuvurwa?

Ubusanzwe nta ngorane zitaziguye zifitanye isano na `(Fat Embolism Syndrome)`. Ariko, mu bihe bikomeye, hashobora kubaho ingaruka z'igihe kirekire ku bwonko bwawe, amaso, cyangwa ibihaha. Ariko, abantu benshi bakira burundu.Ugomba kubaza muganga wawe ingaruka mbi zishobora kubaho cyangwa ingorane zijyanye n'uburwayi bwawe. Ashobora kuguha amakuru ajyanye n'uburwayi bwawe n'ibyo ukeneye.

Ibimenyetso bimwe bigaragaza ko abantu barwaye indwara ya Fat Embolisme bari mu kaga gakomeye ko kugira ibibazo nko kuzura imitsi yo mu bwonko (DVT) cyangwa ingaruka z'igihe kirekire ku bwonko. Ariko, ibi bimenyetso ntibirakemezwa. Hakenewe ubushakashatsi bwinshi kugira ngo hamenyekane niba ari uko bimeze.

Ni gute nakwiyitaho/nshobora guhangana n'ibimenyetso?

Indwara yo kugabanya ibinure ishobora gutera ibibazo byo guhumeka no kubangamira imikorere isanzwe y'ubwonko, bityo ntugomba kugerageza kuyivura ubwawe. Ikintu cyiza ni ukujya kwa muganga ako kanya ugashaka inama kwa muganga.

Ni gute ibyago byo kurwara iyi ndwara byagabanuka - cyangwa se bigakumirwa?

Kubera ko `(Fat Embolism Syndrome)` ikunze guherekezwa n'imvune z'amagufwa, ni ngombwa cyane gushimangira amagufwa yavunitse. Ibi bikorwa mu gushyira amagufwa yavunitse neza no kuyakomeza. Mu mvune zikomeye, kubagwa bishobora kuba ngombwa.

Hari igihe abaganga bashobora gutanga imiti ya corticosteroids kugira ngo hirindwe ko iyi ndwara ibaho nyuma yo kuvunika cyane. Ariko, hakenewe ubushakashatsi bwinshi kugira ngo hamenyekane niba inyungu z'ubu buryo ziruta ingaruka zishobora kubaho.

Ni iki giteganyijwe kuri iki kibazo?

Indwara ya "Fat Embolism " ifite igipimo cy'impfu kiri hagati ya 5% na 20%. Ariko, igipimo cy'impfu cyaragabanutse mu myaka yashize. Ibi ahanini biterwa n'ingamba zo kwirinda no gukurikirana hafi abafite ibyago byinshi mu bitaro.

`(Indwara yo kugabanya ibinure)` ni ikibazo gikomeye iyo itera ibibazo bikomeye byo guhumeka cyangwa umutima guhagarara nabi. Ingaruka zo kurwara kimwe muri ibi ni nyinshi iyo indwara ibaye ikomeye, cyangwa iyo ubuvuzi butinze.

Mu bihe biri hagati kugeza ku byoroheje, "Indwara yo Kugabanya Ibinure" ikunze kwikemurira ubwayo. Ingaruka z'igihe kirekire ni nke cyane.

Nzumva meze neza nyuma y'igihe kingana iki? Bizatwara igihe kingana iki kugira ngo ngire gukira?

Akenshi, `(Fat Embolism Syndrome)` si indwara ikomeye. Ikemuka ubwayo mu minsi mike. Mu bihe bikomeye, ibibazo by'uruhu cyangwa ubwonko bishobora gufata iminsi cyangwa ibyumweru kugira ngo bikemuke. Ibibazo byo guhumeka bikemuka ubwabyo mu mwaka umwe. Nubwo bitakemuka ubwabyo, ibibazo byo guhumeka akenshi ntibiba bikomeye bihagije ku buryo bisaba ubuvuzi buhoraho.

Nitwara nte?

Ubusanzwe, nta mpamvu yo gufata ingamba zidasanzwe nyuma ya `(Fat Embolism Syndrome)`. Ariko, ugomba kwitondera cyane amagufwa yavunitse yateye iyi ndwara. Iyo igufwa ryongeye kuvunika, iyi ndwara (niba itari isanzweho) ishobora kongera kubaho cyangwa ikagaruka.

Niba ufite ibibazo ku bijyanye n'uburwayi bwawe, muganga wawe ni we muntu mwiza wo kugufasha kumenya icyagufasha mu gihe ukize iyi ndwara.

Ni ryari ngomba kubonana na muganga wanjye?

Muganga wawe azakugira inama yo gukurikirana gahunda yo kubonana n'abaganga no kwita ku bandi kugira ngo arebe niba hari ingaruka z'igihe kirekire (zidakunze kubaho cyane) zijyanye na "Fat Embolism Syndrome." Muganga wawe azakubwira kandi ibimenyetso n'ibimenyetso bisaba ubuvuzi.

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Iyo wavunitse ukuboko cyangwa ukuguru, ugomba kujya kwa muganga igihe icyo ari cyo cyose. Ibigo by'ibitaro ni byo byiza byo kuvura ubwo bwoko bw'imvune kandi bifasha mu kwirinda ingorane cyangwa ibindi bibazo.

Nanone, niba ufite `(Fat Embolism Syndrome)`, ugomba kujya kwa muganga vuba niba utangiye kugira impinduka mu mutwe wawe, cyangwa niba ugaragaje ibimenyetso bijyanye na `(Pulmonary Embolism)`.

Ibimenyetso by'impinduka mu miterere y'imitekerereze:

• Urujijo cyangwa umujinya
• Kutita ku byo umuntu asubiza cyangwa gutinda
• Gutitira

Ibimenyetso bya `(Pulmonary Embolism)`:

• Kubabara mu gatuza
• Kugorwa no guhumeka, cyane cyane iyo bije vuba cyangwa mu buryo butunguranye
• Gukorora cyangwa guhumeka (cyane cyane niba ukorora amaraso)

Indwara yo kugabanya ibinure ni indwara idakunze kugaragara, akenshi ikemuka ubwayo nta ngaruka z’igihe kirekire. Ariko, mu bihe bimwe na bimwe - cyane cyane mu bihe bikomeye cyangwa iyo idavuwe vuba - ishobora guteza akaga cyangwa se ikaba yanahitana. Ku bw’amahirwe, bitewe n’iterambere mu buvuzi, cyane cyane mu gusuzuma no kuvura hakiri kare, ingaruka zijyanye n’iyi ndwara zaragabanutse cyane.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara yo Kuvunika Ibinure ni indwara idakunze kugaragara ariko rimwe na rimwe iteje akaga ishobora kubaho iyo uturemangingo tw’ibinure twinjiriye mu mitsi y’amaraso nyuma y’ikintu nk’igufwa ryavunitse.

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Icy'ingenzi ni ukwihutira gushaka abaganga niba wavunitse igufwa cyangwa ukagira kimwe mu bimenyetso byavuzwe haruguru (cyane cyane kubura umwuka, impinduka zo mu mutwe, no guhekenya uruhu) . Guvurwa hakiri kare bishobora gukumira ingaruka mbi cyane. Ntugerageze kwivura. Muganga wawe ni we muntu mwiza wo kukugira inama.

Kuvunika kw'ibinure , kuvunika kw'amagufwa, ingorane zo guhumeka, indwara z'ibihaha, kuziba kw'imitsi y'amaraso, ibisebe bya petechial, ubuvuzi bwihutirwa