Ese wigeze wumva iyi ndwara idasanzwe? - Fibromuscular Dysplasia (FMD)

Ese ufite umuvuduko ukabije w'amaraso udasobanutse? Cyangwa biragoye kugenzura umuvuduko w'amaraso nubwo waba ukoresheje imiti? Hari igihe wumva urusaku rudasanzwe mu matwi yawe cyangwa ukumva uzumva? Uyu munsi tugiye kuvuga ku ndwara idasanzwe tutaramenya byinshi kandi ishobora kuba iri inyuma y'ibi bintu. Iyi ndwara yitwa Fibromuscular Dysplasia, cyangwa FMD mu magambo ahinnye.

Mu magambo make, indwara ya Fibromuscular Dysplasia (FMD) ni iki?

FMD ni indwara igira ingaruka ku mitsi yo mu mubiri wacu, imiyoboro itwara amaraso ava mu mutima ijya mu zindi ngingo. Ikibaho muri ibi ni uko uturemangingo two mu nkuta z'imitsi tudakura neza. Ibi bishobora gutuma imitsi ifungana ahantu hamwe cyangwa ikabyimba nk'umupira. Hari igihe imitsi ishobora kumera nk'umugozi w'amasaro, igafungana ahantu hamwe ikabyimba ahantu hamwe.

Tekereza uko bigenda iyo umuyoboro w'amazi uzibye cyangwa ugacika intege kandi ukabyimba. Amazi araziba, si byo se? Ibyo ni ko biba muri FMD. Amaraso anyura mu mitsi araziba. Ibi bishobora gutera ibibazo bitandukanye by'ubuzima.

Nubwo iyi ndwara ishobora kugira ingaruka ku mitsi iyo ari yo yose mu mubiri, ikunze kugira ingaruka kuri ibi bikurikira:

• Imitsi y'impyiko: Iyo iyi mitsi igize ingaruka, imikorere y'impyiko ishobora kugira ingaruka.
• Imitsi yo mu ijosi itanga amaraso mu bwonko: Iyo ibi byagize ingaruka, amaraso ashobora guhagarara.

Igitangaje ni uko abarwayi barenga 90% banduye FMD ari abagore , ibi bikaba ari ikibazo gikunze kugaragara mu bagore.

Hari ubwoko bubiri bw'ingenzi bwa FMD:

Abaganga bayigabanyamo ubwoko bubiri bw'ingenzi bitewe n'uko imitsi igaragara mu gihe cyo gusuzuma. Kugira ngo ubyumve neza, reba imbonerahamwe iri hepfo.

Ni ibihe bimenyetso by'indwara ya FMD?

Ibimenyetso bigaragara biterwa n'imitsi yo mu mubiri yangiritse kubera FMD. Hari abantu bashobora kutagira ibimenyetso na gato niba bafite ubwoko bw'iyo ndwara buto cyane . Ariko, hari ibimenyetso bike bikunze kugaragara.

• Umuvuduko w'amaraso ukabije ugoye kuwugenzura: Ibi bishobora kuba intandaro y'umuvuduko w'amaraso ukabije, cyane cyane ku muntu ukiri muto.
• Umutwe: Hari abantu bashobora kurwara umutwe umeze nk'uw'umutwe urwaye migraine.
• Kubabara mu ijosi.
• Gucura imiborogo: Urusaku rw'amajwi mu matwi rumeze nk'urw'umutima.
• Kuzungera cyangwa kumva uzunguruka hirya no hino (Vertigo).
• Urusaku rudasanzwe mu ijosi cyangwa mu nda (Bruit): Iyo muganga asuzumye akoresheje stethoscope, ijwi rya 's...s...' rishobora kumvikana mu gihe amaraso atembera mu mitsi yazibye.
• Kubabara mu gituza.
• Kugorwa no guhumeka.
• Ububabare bwo mu gituza: Ubu bubabare bushobora kubaho iyo imitsi ihuza impyiko igize ikibazo.
• Amaraso mu nkari.

Kuki indwara ya FMD ibaho? Ni izihe mpamvu?

Abahanga mu bya siyansi ntibaramenya impamvu nyayo itera indwara ya FMD, ariko hari ibintu byinshi bivugwa ko bishobora kuyitera.

• Genetics: Byagaragaye ko iyi ndwara ihererekanywa kuva ku gisekuru kugeza ku kindi mu miryango imwe n'imwe.
• Imisemburo: Nkuko twabivuze mbere, ibi bikunze kugaragara cyane ku bagore. Kubwibyo, bikekwa ko estrogen, imisemburo y'abagore, igira uruhare muri ibi.
• Ibintu bifitanye isano n'ibidukikije: Abantu banywa itabi bafite ibyago byinshi byo kurwara iyi ndwara.
• Kwangirika kw'inkuta z'imitsi: Impamvu nko kunagura inkuta z'imitsi inshuro nyinshi nazo zishobora kugira ingaruka.

Byongeye kandi, indwara ya FMD ishobora kujyana n'izindi ndwara zidasanzwe. Urugero, igaragara ku ndwara nka `(syndrome ya Ehlers-Danlos)` na `(syndrome ya Marfan)`.

Ingorane zikomeye zishobora guterwa n'indwara ya FMD

Iyo indwara ya FMD itavuwe neza cyangwa itamenyekanye, hashobora kubaho ingorane nyinshi zikomeye. Ni ngombwa cyane kubimenya.

Niba ugize ibimenyetso by'ubu bwoko bw'ingorane (urugero: kuribwa umutwe bitunguranye, kugorwa no kuvuga, kubura ibyiyumvo ku ruhande rumwe rw'umubiri), ni ngombwa cyane kujya kwa muganga wita ku barwayi ba ETU byihutirwa .

Ni gute abaganga bapima indwara ya FMD?

Hari igihe muganga wawe ashobora kubona ikimenyetso cya FMD (nk'ikibyimba) mu gihe cyo gusuzumwa buri gihe, cyangwa kikaboneka mu buryo bw'impanuka mu gihe cyo gupimwa hakoreshejwe imashini ipima indwara ku yindi mpamvu.

Niba muganga akeka ko afite indwara ya FMD, azakora ibizamini byinshi byihariye kugira ngo byemezwe.

• Ultrasound y'imitsi: Iyi ikoresha amajwi menshi cyane kugira ngo ifate amashusho y'imitsi no kureba niba hari aho yazibye cyangwa yagutse.
• Angiography: Ibi bikubiyemo gutera irangi ryihariye mu mubiri no gukoresha X-ray, CT, cyangwa MRI scan kugira ngo urebe neza imbere mu mitsi. Ubu ni bwo buryo bwiza bwo gusuzuma FMD.

Ni ubuhe buryo bwo kuvura indwara ya FMD?

Nta muti uhari wa FMD. Intego nyamukuru y'ubuvuzi ni ukugenzura ibimenyetso no gukumira ingorane zikomeye. Ubuvuzi uzahabwa buzaterwa n'imitsi yangiritse n'uburemere bw'iyo ndwara.

Dore uburyo bumwe na bumwe bwo kuvura:

• Imiti y'umuvuduko w'amaraso: Imiti nka ACE inhibitors na ARBs ishobora gutangwa kugira ngo igenzure umuvuduko w'amaraso .
• Imiti irinda kubyimba kw'amaraso: Imiti igabanya ubukana bw'amaraso cyangwa imiti igabanya ubukana bw'amaraso (urugero: aspirine) ishobora gutangwa kugira ngo igabanye ibyago nko gucika kw'amaraso mu bwonko.
• Angioplasty: Ubu buryo si ukubaga. Muri ubu buryo, umuyoboro muto cyane witwa catheter unyura mu mitsi, kandi iyo ugeze aho ufunganye, agapira gato ku mpera karahuzwa kugira ngo umutsi ufunganye wongere.
• Kubagwa: Hari igihe biba ngombwa ko ubagwa kugira ngo usanwe aneurysm cyangwa hakorwe umuyoboro mushya w'amaraso.

Ibintu ugomba kuzirikana mu gihe ubana n'indwara ya FMD

Kumenya ko urwaye indwara ya FMD bishobora gutera ubwoba. Ariko, iyo ufashwe neza kandi ukurikiranwa n'abaganga, ushobora kubaho ubuzima busanzwe.

Ni ingenzi cyane gukurikiza ibi bintu kugira ngo ugire ubuzima bwiza:

• Jyana na muganga wawe buri gihe: Ni ngombwa kwisuzumisha buri gihe kugira ngo urebe uko imitsi yawe imeze no kureba neza ko ubuvuzi bwawe bukora neza. Ushobora gukenera gupimwa inshuro imwe mu mwaka.
• Fata imiti yawe uko wabitegetswe: Ntugahagarike gufata imiti iyo ari yo yose wahawe na muganga wawe.
• Pima umuvuduko w'amaraso yawe mu rugo: Suzuma umuvuduko w'amaraso yawe buri gihe kandi ubike neza.
• Irinde kunywa itabi burundu:Kunywa itabi bituma indwara ya FMD irushaho kuba mbi. Niba rero unywa itabi, shaka ubufasha bwo kurireka.

Nturi wenyine. Umuganga wawe n'itsinda ry'abaganga bazategura gahunda yo kugufasha guhangana n'ibimenyetso n'ingorane zawe. Bazanakwigisha ibimenyetso byo kwitondera. Bityo rero ntutinye kubabwira impungenge zawe.