Hari igihe ushobora kugira ibibazo bikomeye mu mubiri wawe utabizi. Kimwe muri ibyo bibazo ni aneurysm y'imitsi yo mu kibuno. Muri make, umutsi munini w'amaraso (imitsi) mu itako ryawe, hafi y'ikibuno, ubyimba nk'ibara ry'umupira, ari byo byitwa "Femoral Artery Aneurysm". Iki ni ikintu cyo kwitabwaho, kuko rimwe na rimwe ushobora kugira iki kibazo
nta bimenyetso na bimwe .
Aneurysm y'imitsi yo mu gitsina cy'umugore ni iki mu by'ukuri?
Tekereza ku muyoboro w'amazi. Urukuta rw'uyu muyoboro rucika intege rimwe na rimwe rukabyimba buhoro buhoro. Uko ni ko bimeze. Umuyoboro w'amaraso munini mu itako ryawe (witwa 'umuyoboro w'amaraso wo mu kibuno')
ubyimba kugeza ku bunini bubiri bw'ubusanzwe. Ibi bibaho kuko imiterere yose y'urukuta rw'imiyoboro y'amaraso irarambuye. Iyo urukuta rw'imiyoboro y'amaraso rucitse intege muri ubu buryo,
rushobora guturika cyane . Iyo ruturitse, uyu ni umuyoboro w'amaraso ukomeye, bityo amaraso menshi ashobora gusohoka mu mubiri icyarimwe. Ibyo ni ibintu biteje akaga cyane. Nanone, hari amahirwe ko amaraso ashobora gupfundika muri uyu muyoboro agafata umuyoboro, cyangwa agashobora gucika agafunga umuyoboro ahandi.
Ese hari ubwoko bw'ibi bibyimba bitewe n'aho bibera?
Yego, abaganga bashyira iyi "Femoral Artery Aneurysm" mu byiciro
hakurikijwe aho iherereye neza . Umutsi mukuru w'amaraso uri mu itako ryawe, reka tuwite "common femoral artery", wigabanyamo amashami mato ahantu henshi.
- Hari ukubyimba gushoboka mbere y'uko iyi mitsi itangira .
- Izindi zishobora kubaho aho amashami yigabanyamo ibice , cyangwa mu mashami yigabanyamo ibice, "profunda femoral artery" cyangwa "superficial femoral artery".
Uku gushyira mu byiciro bikorwa hakurikijwe aho indwara iherereye kuko rimwe na rimwe uburyo bwo kuyivura bushobora gutandukana gato bitewe n'aho indwara yabyimbye iherereye.
Ni nde ushobora kugira iyi ndwara kurusha abandi?
Nubwo umuntu uwo ari we wese ashobora kugira iyi ndwara, yitwa "Femoral Artery Aneurysm," hari abantu bafite ibyago byinshi byo kurwara iyi ndwara.
- Abagabo ni bo bafite amahirwe menshi yo kuyirwara kurusha abagore.
- Iyi ngaruka ni nini cyane cyane ku bantu barengeje imyaka 70 .
Byongeye kandi, ushobora no kuba uri mu kaga niba ufite ibi bintu:
- Umuvuduko w'amaraso ukabije : Niba umuvuduko w'amaraso yawe uhora uri hejuru.
- Kolesteroli nyinshi : Kolesteroli nyinshi ni ibinure biri mu maraso.Niba ufite cholesterol nyinshi.
- Indwara z'imitsi ihuza imiterere y'umubiri : Hari indwara zimwe na zimwe zidasanzwe zigira ingaruka ku mitsi y'umubiri, urugero nka Ehlers-Danlos syndrome cyangwa Marfan syndrome. Abantu bafite izi ndwara nabo bari mu kaga.
- Gukoresha ibikomoka ku itabi : Ibi bishobora kuba byinshi ku bantu banywa itabi, utubuto twa betel, cyangwa ubundi bwoko bw'itabi.
- Ateriosclerosis : Iyi ni yo mpamvu nyamukuru. Ateriosclerosis ni ukwiyongera kw'ibinure ku nkuta z'imitsi y'amaraso , bikagenda bigabanuka buhoro buhoro. Niba warigeze kugira indwara y'umutima mbere, cyangwa niba ufite ibibazo by'imitsi y'amaraso mu maguru yawe, nko kurwara indwara z'imitsi yo mu gice cy'imbere cy'umubiri, ushobora kuba uri mu kaga ko kurwara atherosclerosis.
- Amateka y'umuryango : Niba umuntu wo mu muryango wawe, nka mama wawe, so, cyangwa abavandimwe bawe, yigeze kugira aneurysm nk'iyi mbere, nawe ushobora kuba uri mu kaga gake.
Iyi ndwara ikunze kugaragara gute?
Mu by’ukuri, iyi `(Femoral Artery Aneurysm)` ni
indwara idakunze kugaragara . Ni ukuvuga ko atari indwara isanzwe. Ariko, nubwo idakunze kugaragara, hari abantu bashobora kugira ibi bibyimba mu maguru yombi. Abandi bashobora kugira ibi bibyimba (aneurysms) atari muri iyi mitsi y’amaraso gusa, ahubwo no mu yindi mitsi y’amaraso mu mubiri (urugero, muri aorta mu gifu) icyarimwe. Dukurikije imibare, iyi ndwara yibasira gusa 0.007% by’abagabo. Mu bagore, iri janisha riri hasi cyane. Rero, ntutinye gutekereza ko ibi bidakunze kugaragara, ariko ni ngombwa cyane kubimenya.
Ni iki kibaho ku mubiri iyo iyi mitsi y'amaraso yagutse?
Niba ufite `(Femoral Artery Aneurysm)`, hari ingaruka ebyiri zikomeye. 1.
Kubumba amaraso : Kubumba amaraso bishobora gukorwa aho aneurysm yabereye bikagwa muri uwo mutsi. Cyangwa, kubumba amaraso bishobora gucika bikagenda mu maraso kugira ngo bizibire umutsi muto w'amaraso ahandi (urugero, mu kaguru ko hasi cyangwa ku kirenge). Ibi bishobora guhagarika amaraso atembera muri ako gace bigatera ibibazo. 2.
Kuvunika : Iki nicyo kintu giteje akaga cyane. Urukuta rw'imitsi rudakomeye rushobora kubyimba no guturika mu buryo butunguranye. Ibyo bibaye, nk'uko byavuzwe mbere, bishobora gutera kuva amaraso menshi ndetse no gupfa.
Ni ibihe bimenyetso by'ibi?
Akenshi,
Abantu bagera kuri 40% bafite iyi ndwara nta bimenyetso bafite! Icyo ni cyo gice giteye ubwoba. Ariko, niba ibimenyetso bigaragaye, bishobora kuba birimo:- Ikibyimba mu kibuno cyawe : Ushobora kumva ikibyimba mu kibuno cyawe. Hari igihe iki kibyimba gishobora kumva nk'aho kirimo gukubita (gutera).
- Kubyimba kw'ukuguru ko hasi : Ukuguru ko hasi gushobora kubyimba.
- Ububabare cyangwa igitutu mu kibuno cyangwa ku kuguru : Ushobora kugira ububabare mu kibuno, mu kibero, cyangwa ku kuguru, cyangwa ukumva igitutu.
- Kuziba kw'amaraso : Nkuko byavuzwe mbere, ibimenyetso byo kuzima kw'amaraso (urugero: ubukonje butunguranye, ububabare bukabije, n'ububabare bukomeye) bishobora kubaho.
- Kubyimba : Ibi bibaho gake cyane, ariko iyo bibaye, bishobora gutera ikibazo gikomeye cy’ububabare butunguranye kandi bukomeye.
Wibuke ko ishobora kubaho nta bimenyetso, bityo rero ni byiza kuvugana na muganga niba ufite ibintu bishobora gutuma uyirwara.
Ni iki gitera ibi?
Hari impamvu nyinshi zituma urukuta rw'imitsi yo mu kibuno (femoral artery) rushobora gucika intege bigatuma habaho ubwo bwoko bw'ibibyimba (aneurysm).- Ateriosclerosis : Iyi ni yo mpamvu nyamukuru kandi ikunze kugaragara . Iyo ibinure byirundanyije mu miyoboro y'amaraso, inkuta z'imitsi zigenda zikomera buhoro buhoro zikabura ubushobozi bwo kubyimba, ntizibashe kwihanganira umuvuduko w'amaraso kandi zishobora gucika intege no kubyimba mu bice bimwe na bimwe.
- Umuvuduko w'amaraso ukabije : Iyo umuvuduko w'amaraso ukabije igihe kirekire, imiyoboro y'amaraso ihora iri mu muvuduko ukomeye. Ibi bishobora no gutuma inkuta z'imitsi zicika intege.
- Ihungabana : Iyo umutsi w'amaraso mu kibero wangiritse bitewe n'impanuka cyangwa imvune itunguranye, uwo mutsi ushobora kubyimba nyuma. Urugero, imvune nto zikomoka ku buryo bumwe na bumwe bwo kwa muganga (nko gushyiramo catheter) rimwe na rimwe zishobora kuba impamvu.
- Indwara z'imitsi ihuza ibitsina : Nkuko byavuzwe mbere, abantu bafite indwara zidasanzwe zigira ingaruka ku mitsi ihuza ibitsina, nka Ehlers-Danlos syndrome, Marfan syndrome, cyangwa indwara ya adventitial cystic disease, bashobora kuba bafite intege nke mu mitsi ihuza ibitsina.
- Indwara ya Behçet : Indwara ya Behçet ishobora kandi gutera kubyimba imiyoboro y'amaraso no kubyimba gutya.
Niyo mpamvu urukuta rw'imitsi yo mu gitsina cyawe rucika intege kandi rukagenda rukura buhoro buhoro bitewe n'umuvuduko w'amaraso, bigatuma habaho aneurysm nk'iyi. Abaganga babibona bate?
Iyo ugiye kwa muganga, bashobora kumva ikibyimba mu kibuno cyawe mu gihe cyo gupimwa. Ariko si buri kibyimba mu kibuno cyawe kiba ari ikibazo cy’imitsi. Hari igihe gishobora kuba ari hernia. Rero, kugira ngo umenye neza icyo ari cyo, kandi umenye neza ingano y’ikibyimba, aho kiri, n’icyo ari cyo, muganga wawe azagusaba gukora ibizamini bimwe na bimwe nka:- Gupima hakoreshejwe ikoranabuhanga rya Ultrasound : Iki ni ikizamini cyoroshye kandi kidatera ububabare gishobora kureba imbere mu mitsi y'amaraso, aho kubyimba kuri, n'ingano yacyo.
- CT angiogram : Ubu ni ubwoko bwihariye bwa CT scan. Muri iki kizamini, irangi ryihariye (irangi ritandukanye) rishyirwa mu mitsi yawe y'amaraso, maze CT scanner ifata amafoto arambuye y'imitsi y'amaraso mu buryo bwa 3D. Ibi bishobora gutanga amakuru menshi ku bijyanye no kuziba kw'imitsi.
- M.R. Angiogramu (Magnetic Resonance Angiogramu - MRA) : Iyi ni scan yihariye ya MRI ireba imitsi y'amaraso, nk'iya CT angiogramu.
Muganga azagena uburyo bwo kuvura bukubereye akurikije amakuru yavuye muri ibyo bipimo. Uvura ute iyi mitsi y'amaraso yabyimbye mu maguru yawe?
Ingaruka zo gucika kw'imitsi yo mu bwonko (Femoral Artery Aneurysm) ni nkeya cyane (hafi 1% kugeza 14%). Kubwibyo, si buri wese uzakenera kubagwa ako kanya . Ariko, muganga wawe ashobora kukugira inama yo kubagwa kugira ngo usane iyo mitsi yo mu bwonko mu bihe bikurikira:- Niba ufite ibimenyetso (urugero: ububabare, kubyimba, amaraso kubyimba).
- Iyo ikibyimba cyaturitse (ibi ni ibintu byihutirwa kandi bisaba kubagwa byihuse).
- Iyo kubyimba kurushijeho kwiyongera (muganga azabisuzuma buri gihe).
- Iyo umurambararo w'ikibyimba urenze santimetero 2.5 (hafi santimetero imwe) .
Kugira ngo bakosore iki kibyimba, abaganga bakunze gukora "open surgery" . Ni ukuvuga ko baca uruhu bakareba neza imitsi y'amaraso. Ubu si uburyo bwo kubaga bwa "laparoscopic" bukunze gukorwa binyuze mu gukata utuntu duto hakoreshejwe kamera. Umuganga akura igice cy'imitsi y'amaraso cyabyimbye kandi cyacitse intege maze akagisimbuza umuyoboro w'ubukorano, witwa "fabric graft" (umuyoboro ukozwe mu bwoko bwihariye bw'igitambaro). Ibi ni nko gukata ahantu hadakomeye mu muyoboro w'umuriro ugasimbuza igice gishya gikomeye. Hanyuma amaraso ashobora kongera gutembera neza kandi nta nkomyi.
Ni izihe ngorane zishobora kubaho nyuma y'uku kubagwa?
Nkuko bigenda mu kubagwa ukundi, hari amahirwe make yo kugira ingorane zimwe na zimwe nyuma y’uku kubagwa kw’imitsi yo mu gitsina. Ariko abaganga babyitondera cyane.- Kwandura : Igikomere cyo kubagwa gishobora kwangirika no kwandura.
- Kuva amaraso : Kuva amaraso bishobora kubaho nyuma yo kubagwa.
- Amaraso apfutse: Amaraso ashobora kupfutse mu maguru.
Ibi akenshi ni ibintu bishobora gucungwa. Niba wumva ikintu kidasanzwe, ugomba guhita ubibwira muganga wawe . Bifata igihe kingana iki kugira ngo umuntu akire nyuma y'ubu buvuzi?
Nyuma yo kubagwa, uzakenera kumara iminsi itatu kugeza ku icumi mu bitaro. Bishobora gufata ukwezi cyangwa irenga kugira ngo ukire neza kandi usubire mu mirimo isanzwe. Rero, ni ngombwa cyane gukurikiza amabwiriza ya muganga neza no kwihangana muri iki gihe. Nakora iki kugira ngo ngire icyo nkora kugira ngo ngire icyo nkora?
Nkuko twabiganiriyeho mbere, impamvu nyamukuru y'iyi '(Femoral Artery Aneurysm)' ni '(Atherosclerosis)', ikirundo cy'ibinure mu mitsi y'amaraso. Bityo, kubigenzura bishobora kugabanya ibyago byo kurwara iyi aneurysm.- Genzura urugero rwa cholesterol yawe n'umuvuduko w'amaraso . Fata imiti wahawe na muganga wawe.
- Siporo buri gihe . Ndetse n'ikintu cyoroshye nko kugenda n'amaguru iminota 30 ku munsi ni cyiza.
- Kurya indyo yuzuye kandi irimo ibinure bike . Kurya imbuto nyinshi, imboga n'ibiryo bikungahaye kuri fibre.
- Niba unywa itabi, rireke burundu . Reka no gukoresha ibikomoka ku itabi. Ibi ni ingenzi cyane.
- Ku bantu bamwe, uretse izi mpinduka mu mibereho yabo, muganga ashobora no kubasaba gukomeza gufata imiti igabanya cholesterol.
Niba mfite ikibazo cyo kubyimba nk'iki, ni iki nkwiye kwitega?
Iyi `(Femoral Artery Aneurysm)` ntabwo izashira ubwayo idahawe umuti. Muganga wawe nakubwira ko ufite, azayisuzuma buri gihe (akubwira kuza "gukurikirana"). Ni ukuvuga ko azakora ibizamini nka `(Ultrasound scan)` mu bihe runaka kugira ngo arebe niba kubyimba kuri kwiyongera cyangwa niba hari ibindi bibazo. Ashingiye kuri ibyo, azafata icyemezo niba kubagwa bikenewe cyangwa niba agomba gutegereza igihe gito. Ibisubizo by'ubu kubagwa akenshi biba ari byiza cyane. Ingaruka z'urupfu mu gihe cyo kubagwa ni nke cyane, hagati ya 1% na 5%. Ndetse n'imyaka itanu nyuma yo kubagwa, hafi 85% by'imitsi y'amaraso yasanwe iracyakora neza, nta kibazo cy'amaraso atembera. Iyi ni inkuru nziza cyane. Ni gute nakwiyitaho?
Niba ufite `(Femoral Artery Aneurysm)` ukaba warabazwe, cyangwa ukurikiranwa na muganga utarakubagwa, uzakenera gusuzumwa imitsi yawe buri gihe na muganga ubuzima bwawe bwose. Uku gusuzumwa buri gihe bishobora kugufasha kubona aneurysm nshya mbere yuko ikura kandi ikaturika. Iyo unywa itabi, bishobora gutuma izi aneurysm ziba nini. Kubwibyo, muganga wawe azakugira inama yo kureka kunywa itabi. Nanone, kurikiza amabwiriza atangwa kugira ngo ugenzure cholesterol yawe n'umuvuduko w'amaraso neza. Ni ryari nkwiye kujya mu bitaro byihutirwa?
Niba ukuguru cyangwa ikirenge cyawe bigaragaje kimwe cyangwa byinshi muri ibi bimenyetso, ugomba guhita ujya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro, bidatinze :- Iyo ukuguru gucitse intege cyangwa kukumva nta buzima buhari.
- Iyo ukuguru kubyimbye mu buryo butunguranye.
- Niba uri guhura n'ububabare bukabije.
- Niba ukuguru kwawe kwaracitse intege .
- Niba ukuguru kwawe kumva gukonje kurusha ukundi kuguru iyo ukukozeho.
- Niba ukuguru kwahindutse ibara cyangwa kwahinduye ibara.
Ibi bimenyetso bigaragaza ikibazo gikomeye cy’uko amaraso atembera mu kaguru, bishobora gusobanura ko kubyimba bishobora gutera kubyimba kw’amaraso cyangwa kubyimba kukaba kwaraturitse. Kubwibyo, kuvurwa vuba udapfushije ubusa bishobora kurokora ubuzima. Ni ibihe bibazo ngomba kubaza muganga?
Niba ufite ikibazo cyangwa impungenge kuri iyi ndwara, ntutindiganye kubaza muganga wawe. Urugero, ushobora kubaza ibibazo nk'ibi:- "Muganga, ni iki gitera uku kubyimba mu mitsi yanjye?"
- "Ese koko nkeneye kubagwa kuri ibi? Ese nta bundi buryo bwo kuvura?"
- "Ese nshobora kugira ibindi bibyimba nk'ibi mu bindi bice by'umubiri wanjye?"
- "Ese mwampa inama ku biribwa bizamfasha kugabanya urugero rwa cholesterol mu mubiri wanjye?"
Ni ingenzi cyane kubaza ibibazo nk'ibi no gusobanukirwa neza uko umerewe. Ni irihe tandukaniro riri hagati ya `Femoral Artery Aneurysm` na `Pseudoaneurysm`?
Hari igihe uzumva ijambo `(Pseudoaneurysm)`. Ibi bivuze "igisebe cy'ikinyoma". Iyi `(Pseudoaneurysm)` ikunze kugaragara kurusha `(Femoral Artery Aneurysm)` nyayo twavuzeho. Ubusanzwe, `(Pseudoaneurysm)` ibaho nyuma yo kubagwa mu mitsi yawe y'amaraso (urugero, iyo `(angiogram)` ikozwe cyangwa `(catheter)` ishyizwemo), hanyuma urukuta rw'iyo mitsi y'amaraso rukangirika gato, maze amaraso amwe akavamo agateranira ku mutsi, bigatuma habaho ikibyimba. Itandukaniro rikomeye ni uko muri `(aneurysm)` nyayo, ibice byose by'urukuta rw'imitsi y'amaraso birakura kandi bikagira ikibyimba. Ariko muri `(pseudoaneurysm)`, ibyo ntibibaho, ni icyegeranyo cy'amaraso gisohoka binyuze mu mwobo uri mu rukuta rw'imitsi y'amaraso. Ni ubuhe butumwa twifuza kujyana muri iyi nkuru?
Nubwo rero, aneurysm y'imitsi yo mu gitsina twavuzeho mu buryo burambuye idakunze kugaragara, ni ngombwa cyane ko wowe n'umuryango wawe muyimenya.- Ibi akenshi bishobora kuba nta bimenyetso .
- Niba ufite ibintu bishobora gutera indwara (umuvuduko ukabije w'amaraso, cholesterol, kunywa itabi, amateka y'umuryango wawe), shaka inama kwa muganga .
- Muganga wawe aramutse asanze ufite iyi ndwara, ntugatinye. Hari uburyo bwiza bwo kuyikuraho, ndetse no kubagwa, mbere yuko icika .
- Guhura n'umuganga ufite uburambe mu kuvura indwara nk'izi bizagufasha cyane.
- Buri gihe yitaho ubuzima bwawe, ubeho ubuzima bwiza, kandi ukurikize amabwiriza ya muganga wawe neza.Hanyuma ushobora kwirinda ibibazo byinshi by'ubuzima nk'ibi kandi ugakomeza kugira ubuzima bwiza.
Niba ufite ibindi bibazo, menya neza ko wavugana na muganga w’umuryango wawe cyangwa inzobere.
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.