Ese ufite ikibazo nk'iki ku mitsi yawe y'amaraso? Reka twige ku ndwara ya Fibromuscular Dysplasia (FMD)!

Ese wigeze wumva indwara yitwa Fibromuscular Dysplasia (FMD)? Birashoboka ko atari byo. Ni indwara idasanzwe gato. Ariko ishobora kuba ingenzi cyane kuyimenya. Kuko ifitanye isano n'inzira y'amaraso mu mubiri wacu. None rero uyu munsi, reka tuganire kuri iyi FMD mu buryo bworoshye ushobora gusobanukirwa.

Dysplasia ya Fibromuscular (FMD) ni iki?

Mu magambo make, Fibromuscular Dysplasia , cyangwa FMD nkuko tuyita, ni ukwiyongera kudasanzwe kw'uturemangingo mu nkuta z'imitsi mu mubiri wacu. Noneho ushobora kuba wibaza icyo imitsi ari cyo. Imitsi ni imitsi itwara amaraso mu mutima wacu ikayajyana mu zindi ngingo zose z'umubiri wacu. Kimwe n'imiyoboro itwara amazi mu kigega cy'amazi ikayajyana mu bice byose by'inzu, iyi mitsi inatanga amaraso mu mubiri wacu.

Rero, bitewe n'iyi ndwara ya FMD, imiyoboro y'amaraso yawe, ni ukuvuga imiyoboro y'amaraso, ishobora kuziba, kubyimba, cyangwa ikamera nk'umugozi w'amasaro, iziba ahantu hamwe ikabyimba ahantu hamwe . Tekereza ko iyo umuyoboro w'amazi uziba kandi ugashwanyagurika ahantu hamwe, uzabuza amazi gutembera, kandi iyi FMD ishobora no kubuza amaraso gutembera.

Ni iyihe mitsi ishobora kwibasirwa na FMD?

Iyi ndwara yitwa FMD, ishobora kugira ingaruka ku mitsi mu bice bitandukanye by'umubiri wacu. Hari ubwoko bwinshi bw'ingenzi bw'imitsi ishobora kugira ingaruka:

• Imitsi ya Carotid: Iyi mitsi iherereye mu ijosi ryawe. Iyi mitsi itwara amaraso ava mu mutima wawe ayajyana mu bwonko bwawe. Iyo hagize ikiba kuri iyi mitsi, ingano y'amaraso ajya mu bwonko ishobora kugabanuka.
• Imitsi y'impyiko: Iyi mitsi itwara amaraso mu mutima wawe ikayajyana mu mpyiko, ari zo ngingo z'ingenzi ziyungurura imyanda iva mu mibiri yacu.
• Imitsi yo mu mutima: Iyi ni imitsi itanga amaraso mu mutima ubwawo. Iyi mitsi igomba kuba ifite ubuzima bwiza kugira ngo umutima ukore neza.
• Imitsi yo mu mara: Iyi mitsi ijyana amaraso mu mara yawe. Igomba gukora neza kugira ngo igogore ibiryo turya.
• Indi mitsi: Uretse ibi, FMD ishobora no kugira ingaruka ku mitsi ijyana amaraso ku maguru, ku maboko, cyangwa ku bindi bice by'umubiri wawe.

Ni nde uri mu kaga gakomeye ko kurwara indwara ya FMD?

Ubwandu bwa FMD bushobora kwibasira umuntu uwo ari we wese, ariko hari abantu bafite amahirwe menshi yo kurwara iyi ndwara. Igitangaje ni uko abarwayi ba FMD barenga 90% ari abagore . Ikunze kandi kugaragara cyane mu bantu bari hagati y'imyaka 40 na 70 .

Nanone, hari izindi ndwara zishobora kugira ibimenyetso bisa n'iby'indwara ya FMD. Kubwibyo, abaganga nabo bahangayikishijwe n'izi ndwara:

• Indwara ya Ehlers-Danlos
• Indwara ya Loeys-Dietz
• Ubwoko bwa 1 bw'indwara ya neurofibromatosis
• Indwara ya Williams
• Imitsi minini y'amaraso (`Vasculitis y'imitsi minini`)
• Ateriosclerosis
• Uburyo bwo guhuza imitsi y'amaraso mu buryo bw'umubiri

Indwara ya FMD ikunze kugaragara mu rugero rungana iki?

Mu by’ukuri, biragoye ku bahanga mu bya siyansi kuvuga neza umubare w’abantu barwaye indwara ya FMD. Kubera ko abantu benshi badafite ibimenyetso , cyangwa bikaba byaragaragaye mu buryo bw’impanuka mu gihe cyo gupima indi ndwara, ushobora kuba ufite iyo ndwara, ariko ushobora kuba utabizi.

Ni ubuhe bwoko bw'ingenzi bwa FMD?

FMD ishobora kugabanywamo ubwoko bubiri bw'ingenzi hashingiwe ku kuntu imitsi igaragara iyo abaganga bayisuzumye.

1. Multifocal FMD: Ubu ni bwo bwoko bukunze kugaragara cyane . Muri ubu bwoko, imitsi isa n'umugozi w'amasaro . Ni ukuvuga ko imitsi iraguka ahantu runaka, hanyuma ikanagabanuka, ikongera kwaguka, ikongera kugabanuka ... mu buryo nk'ubwo.

2. Focal FMD: Ubwo bwoko bukunze kugaragara cyane . Bugira ingaruka ku kuziba k'imitsi cyangwa kurema udusebe tudasanzwe (ibisebe) mu nkuta z'imitsi.

Ni iki gitera indwara ya FMD?

Ikibabaje ni uko abahanga mu bya siyansi batarabona impamvu yihariye itera indwara ya FMD, ariko hari ibintu byinshi bikekwa ko biyitera:

• Ibintu bigize imiterere y'umubiri: Hari igihe ibi bishobora kuba umurage.
• Imisemburo: Bikekwa ko impinduka mu misemburo y'umubiri zishobora kuba ziterwa, cyane cyane ko zikunze kugaragara ku bagore.
• Kwangirika k'urukuta rw'imitsi: Inkuta z'imitsi zishobora kwangirika bitewe n'ibintu nko gukurura inshuro nyinshi.
• Hari ibintu bimwe na bimwe, nko kunywa itabi, bishobora gutuma indwara ya FMD irushaho kuba mbi. Kubwibyo, niba unywa itabi, ni ngombwa cyane kurireka.

Ni ibihe bimenyetso by'indwara ya FMD?

Ibimenyetso bya FMD biratandukanye bitewe n'imitsi ifashwe . Bamwe mu bantu barwaye FMD bashobora kuba badafite ibimenyetso na gato . Ariko, abandi bashobora kugira ibimenyetso biterwa no kugabanuka kw'amaraso atembera neza. Muri byo harimo:

• Incamake: Iyo umuganga yumvirije ijosi ryawe cyangwa inda yawe akoresheje stethoscope, urusaku rudasanzwe rw' 'gusuhuza' rwumvikanye hamwe n'urusaku rw'amaraso atemba.
• Vertigo: Kumva uzunguruka cyangwa uzunguruka hirya no hino.
• Umuvuduko w'amaraso ukabije cyangwa umuvuduko w'amaraso udagenzurwa.
• Umutwe uterwa na Migraine.
• Kubabara mu ijosi.
• Kumva ijwi ry'umwotsi cyangwa ijwi ry'umwotsi mu matwi.

Tekereza, Nilanthi ahora azunguza umutwe, rimwe na rimwe yumva urusaku rudasanzwe rumuturuka mu matwi. Yatekerezaga ko ibi ari ibisanzwe. Ariko ubwo muganga yamusuzumaga, yumvise ijwi rya "Bruit" rimuturuka mu ijosi. Nyuma y'ibindi bipimo ni bwo yamenye ko arwaye indwara ya FMD.

Ni ibihe bibazo bikomeye by'ubuzima bishobora guterwa na FMD?

Iyo indwara ya FMD idafashwe neza, ishobora gutera ibibazo bikomeye by'ubuzima , bityo rero ni ngombwa kubimenya.

• Aneurysm: Gucika intege k'imitsi itera imitsi ibyimbye nk'ibara ry'umupira. Ibi bishobora kubaho mu mitsi yo mu bwonko (`aneurysm yo mu bwonko`) cyangwa mu mitsi yo mu nda (`aneurysm yo mu nda`). Ibi biramutse bicitse, bishobora gushyira ubuzima mu kaga.
• Gucika kw'imitsi: Gucika kw'urukuta rw'imbere rw'imitsi. Urugero, ibi bishobora kubaho mu mitsi ya carotide (gucika kwa carotide) cyangwa mu mitsi y'umutima (gucika kwa byihuse k'imitsi y'umutima).
• Indwara yo mu bwonko (stroke).
• Igitero cy’icyorezo cy’indwara y’umutima (TIA), cyitwa kandi mini-stroke.

Izi ni zo ngorane zikomeye zishobora guterwa n'indwara ya FMD. Kubwibyo, ni ngombwa cyane gushaka inama kwa muganga vuba niba ufite ibimenyetso.

Indwara ya FMD ipimwa ite?

Hari igihe indwara ya FMD ivumburwa ku bw'amahirwe iyo muganga akoze isuzuma risanzwe (urugero, kumva ijwi ry' 'bruit'). Cyangwa ishobora kuvumburwa mu gihe cyo gupima indi ndwara.

Iyo umuganga akeka ko ufite indwara ya FMD, ashobora gutumiza ibizamini nk'ibi bikurikira:

• Isuzuma rya CT.
• Isuzuma rya MRI (`MRI`).
• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound (`Ultrasound`).
• Angiografiya: Iyi ikoresha ikintu cyihariye na X-ray kugira ngo irebe imitsi yawe.

Ibi bizamini bishobora kugaragaza neza impinduka mu mitsi, kuziba kw'imitsi no kubyimba.

Ese indwara ya FMD ishobora gukira burundu?

Ikibabaje ni uko nta muti uhari wa FMD . Ni ukuvuga ko nta muti uhari. Ariko, kuvura bishobora gufasha mu kugenzura ibimenyetso no gukumira ingorane.

Ni ubuhe buryo bwo kuvura indwara ya FMD?

Uburyo bwo kuvura indwara ya FMD buratandukanye bitewe n'imitsi yafashwe, uburemere bw'indwara, n'ibimenyetso by'indwara yawe. Ubuvuzi bw'ingenzi burimo:

• Imiti igabanya amaraso (Imiti igabanya blood thinners cyangwa imiti igabanya amaraso kuzura): Iyi miti irinda amaraso kuzura kandi ikagabanya ibyago byo kurwara indwara nko gucika kw'imitsi.
• Imiti ivura umuvuduko ukabije w'amaraso: Urugero, imiti nka `ACE inhibitors` na `Angiotensin receptor blockers`.
• Uburyo bwo kuvura ububabare n'umutwe:Hari igihe hakoreshwa ibintu nka aspirine cyangwa inshinge za botulinum toxin (Botox®).
• Angioplasty: Muri ubu buryo, agapira gato cyane kanyuzwa muri catheter kakajya mu mitsi, hanyuma kakazura umwuka kugira ngo gafungure agace kafunzwe.
• Kubagwa: Kubagwa bishobora kuba ngombwa kugira ngo hakorwe ibintu nk'imitsi yo mu bwonko cyangwa hakorwe inzira nshya amaraso atemberamo.

Muganga wawe azagena uburyo bwo kuvura bukubereye.

Ese hari uburyo bwo kwirinda indwara ya FMD?

Kubera ko impamvu nyazo zitera indwara ya FMD zitaramenyekana, nta buryo bwihariye bwo kuyirinda . Ariko, ni ngombwa gukurikiza ubuzima bwiza, cyane cyane kwirinda kunywa itabi , kuko kunywa itabi bishobora kongera indwara ya FMD.

Ese igihe cyo kubaho kimeze gite kuri FMD?

Abantu benshi barwaye FMD bashobora kubaho ubuzima busanzwe . Ariko, mu bihe bidasanzwe, iyo imwe muri izo aneurysms twavuze mbere ituritse, ishobora gutera kuva amaraso no gucika imitsi, kwangirika kw'imitsi burundu, ndetse rimwe na rimwe n'urupfu. Niyo mpamvu ari ngombwa cyane kuvurwa neza no gukurikiza amabwiriza ya muganga wawe.

Niba urwaye indwara ya FMD, wiyitaho ute?

Niba waranduye indwara ya FMD, ni ngombwa gufata inshingano ku buzima bwawe. Ushobora gukora ibi bikurikira:

• Suzuma umuvuduko w'amaraso yawe buri gihe.
• Niba unywa itabi, hagarika ako kanya. Reka kandi no gukoresha ibikomoka ku itabi. Ibi bishobora kongera indwara ya Flemish.
• Menya neza ko ujya kwisuzumisha kwa muganga buri gihe no kubonana na muganga. Ushobora gukenera gupimwa amaraso y'imitsi nibura rimwe mu mwaka.
• Fata imiti yose wahawe na muganga neza kandi ku gihe.

Bamwe mu bantu bafite indwara ya FMD basanga ari ingirakamaro kujya mu matsinda y’abaterankunga aho abandi bantu bafite iyi ndwara bashobora gusangira ubunararibonye, ​​no gukangurira abantu gukora ubushakashatsi kuri FMD.

Ni ryari umuntu urwaye indwara ya FMD agomba gushaka inama kwa muganga?

Muganga wawe azakubwira ibimenyetso ugomba gushaka ubuvuzi niba ufite indwara ya FMD. Ibi bishobora gutandukana bitewe n'imitsi yafashwe.

By'umwihariko, abantu barwaye FMD bagomba kumenya ibimenyetso bya stroke . Ibi bishobora kubaho mu buryo butunguranye:

• Urujijo.
• Kuzungera, kubura uburinganire, cyangwa kugenda bigoranye.
• Kuribwa umutwe cyane.
• Kugorwa no kuvuga cyangwa kumva ibivugwa.
• Ibibazo byo kutabona neza.
• Intege nke cyangwa ibinya mu maso, ku kuboko, cyangwa ku kuguru (cyane cyane ku ruhande rumwe rw'umubiri).

Ubonye kimwe muri ibi bimenyetso, jya kwa muganga vuba.Yego, kuko indwara yo gucika kw'imitsi ari ikibazo cyihutirwa gisaba kuvurwa vuba.

Ibintu by'ingenzi cyane ugomba kwibuka mu byo twavuze ni ibi bikurikira:

Sawa, twaganiriye cyane kuri fibromuscular dysplasia (FMD) uyu munsi. Nubwo ari ingingo igoye, ndizera ko ushobora kubyumva mu buryo bworoshye.

FMD ni indwara aho uturemangingo two mu nkuta z'imitsi dukura mu buryo budasanzwe, bigatuma imitsi ifungana, ikabyimba, cyangwa ikagaragara nk'umugozi w'amasaro.

Nubwo impamvu nyayo y’ibi itazwi, hari abantu bafite ibyago byinshi, cyane cyane abagore. Si buri wese ubona ibimenyetso, ariko ababibona bashobora kugira isereri, umuvuduko ukabije w’amaraso, ndetse n’urusaku rudasanzwe mu ijosi ryabo. Ikintu kibi cyane ni uko bishobora gutera indwara zikomeye nka aneurysms na stroke.

Ku bw'amahirwe, iyi ndwara ishobora kwitabwaho neza iyo umuntu avuwe neza kandi agahindura imibereho ye. Niba ufite ibimenyetso bijyanye na FMD, menya neza ko wagiye kwa muganga. Hanyuma bashobora gukora ibizamini bikenewe no kuguha imiti kugira ngo bagabanye ibimenyetso kandi wirinde ingorane. Kureka kunywa itabi, kugenzura umuvuduko w'amaraso, no gukurikiza inama za muganga byose ni ingenzi kugira ngo umuntu abeho ubuzima bwiza hamwe na FMD.

Niba ufite ibindi bibazo, ntutindiganye kubaza muganga wawe cyangwa umuforomo. Komeza ugire ubuzima bwiza!

` Fibromuscular dysplasia, FMD, indwara z'imitsi, imiyoboro y'amaraso, umuvuduko ukabije w'amaraso, aneurysm, stroke