Ese ufite amaraso mu mubiri wawe? Reka twige ku bijyanye na hematoma mu buryo bworoshye!

Ese wigeze ukubita ikintu gikomeye kigahinduka ubururu, kikabyimba, kandi kikababaza ugikozeho? Cyangwa se wigeze ubona ko rimwe na rimwe, nubwo nta gikomere ufite, uruhu ruhinduka ibara mu buryo butunguranye maze amaraso akagabanuka? Ibyo nibyo tugiye kuvugaho uyu munsi, ari byo byitwa hematoma . Nta kintu cyo gutinya, reka tubiganireho mu buryo bworoshye.

Iyi hematoma ni iki?

Mu magambo make, hematoma ni uruhurirane rw'amaraso mu mubiri wawe rudafite aho ruhungira. Tekereza nk'umuyoboro w'amazi wacitse ukusanya amazi ahantu hamwe, ariko ibi biba mu mubiri wawe. Iyo aya maraso yegeranye, ingingo ziwukikije zitangira gusohoka. Hematoma nto zikunze kugaragara cyane kandi zishobora kugaragara ahantu hose ku mubiri. Akenshi, ntabwo ziba zikomeye kandi zizakira ubwazo.

Ariko, hematoma zimwe na zimwe zishobora kuba nini cyane, cyangwa iyo zigize hafi y'urugingo rw'ingenzi, zishobora gushyira igitutu kinini ku ngingo zikikije. Icyo gihe ni bwo biba ikibazo gisaba impungenge. Ariko nta kintu na kimwe cyo guhangayikishwa na hematoma nto kandi zitari iz'ingenzi cyane.

Ese hari ubwoko bwa hematoma?

Yego, hariho ubwoko bwinshi bwa hematoma bitewe n'aho zikomoka. Reka turebe ubwoko bw'ingenzi:

• Hematoma zo mu ibere
• Cephalohematoma mu bana bavutse
• Ubwoko bwa hematoma ziba mu mutwe, ni ukuvuga mu gahanga. Urugero , hematoma zo mu gice cy'imbere cy'umutwe n'iz'imbere mu mutwe ni bibi cyane.
• Indwara nko kuva amaraso mu mubiri, cyane cyane hemoperitoneum .
• Hematoma zibaho mu mitsi, nka hematoma zo mu gituza, zibaho hafi y'imitsi yo mu nda.
• Hematoma za subchorionic zishobora kubaho mu gihe cyo gutwita.
• Indwara yo mu nda ni igisebe kiba munsi y'umusumari. Hari igihe umunyu ku kuboko cyangwa ku kirenge cyawe uba ukomeye kandi uhinduka ubururu, nk'uko bimeze.

Ni ibihe bimenyetso by'indwara ya hematoma?

Uko hematoma nini, ni ko ishobora kugaragaza ibimenyetso byinshi. Mu buryo nk'ubwo, ibimenyetso bishobora kubaho iyo ifungiranye ahantu hato cyangwa iyo ibaye hafi y'ingingo z'ingenzi.

Ibimenyetso bisanzwe

Dore bimwe mu bimenyetso bisanzwe:

• Ububabare: Kubera ko hematoma ikunze kuvuka nyuma y’impanuka, ububabare ni cyo kimenyetso nyamukuru. Bisa n’ububabare bukabije mu gace kagize ikibazo.
• Guhinduka kw'uruhu: Ushobora kuba warabonye ko uruhu rwawe ruhinduka ibara bitewe n'uturemangingo tw'amaraso tuba hafi y'uruhu. Hari igihe rusa n'utudomo duto dutukura ( Petechiae).(byitwa purpura), cyangwa bishobora kuba utudomo tunini tw'umuhengeri (byitwa purpura ), cyangwa bishobora kuba ibikomere binini by'ubururu tuzi.
• Kubyimba: Kwiyongera kw'amaraso bishobora gusunika ingingo zikikije, nk'uruhu cyangwa imitsi, bigatuma bibyimba. Hari igihe tubyita kubyimba , ariko iyo tuvuze kubyimba, urabyumva.
• Ibimenyetso bifitanye isano n'imitsi: Hari igihe iyi hematoma ishobora gukanda imitsi. Ibi bishobora gutera ibinya mu maguru (byitwa paresthesia ), kubura ibyiyumvo mu bice bimwe na bimwe, cyangwa ububabare buterwa n'imitsi.

Ibimenyetso bibi - wirinde ibi!

Hari amabara amwe n'amwe atera akaga gato, cyane cyane ayo mu mutwe. Kubera ko umwanya w'amaraso yo guteranira mu gahanga kacu uba muto cyane. Iyo amaraso nk'ayo ateranye, ashobora gusunika ubwonko bigatuma ubwonko bwangirika. Kubwibyo, ugomba kwitondera cyane ibi bimenyetso.

Ibimenyetso by'umuburo by'indwara yo mu mutwe

• Umutwe utunguranye kandi ukabije.
• Kumva uruhande rumwe rw'umubiri cyangwa uruhande rumwe rw'isura rutangiye kubura ibinya, ukumva ufite intege nke.
• Isesemi no kuruka.
• Kugorwa no kuvuga (Aphasia) cyangwa kugorwa no kumira (Dysphagia).
• Kubura uburinganire, kudashobora kugenda neza, no kudashobora guhuza imikorere y'imitsi (ataxia).
• Kugira ibisebe.
• Gutakaza ubwenge, kujya muri koma.

Ibimenyetso by'umuburo by'uko habayeho hematoma nini mu gituza cyangwa mu nda

Mu buryo nk'ubwo, iyo amaraso menshi yikusanyije mu gituza cyangwa mu nda bigatuma habaho hematoma, bishobora no guteza ibimenyetso bibi. Ibi ni ibi bikurikira:

• Guhumeka nabi, impinduka mu mikorere yo guhumeka. Urugero, guhumeka bishobora kwihuta ( tachypnea ) cyangwa bigatinda ( bradypnea ).
• Kubabara mu gituza cyangwa mu nda.
• Uruhu ruhinduka umwijima mu buryo butunguranye, kumva ubukonje, no kubira ibyuya.
• Ububabare bukomeye, cyane cyane ububabare burushaho kuba bubi kurusha impanuka ishobora kubaho cyangwa ubwo umuntu adashobora gusobanura.

Ni izihe mpamvu zitera hematoma?

Impamvu nyamukuru itera hematoma ni impanuka . Iyo ugonze ikintu gikomeye (blunt force trauma), amaraso atangira gutemba mu mubiri, amaraso ntagire aho ajya, bityo hematoma iravuka. Tekereza nko iyo uguye ahantu runaka, cyangwa niba hari ikintu ugonze.

Ariko rimwe na rimwe, nubwo waba ufite ikintu cyagufashe mu mubiri wawe (ibikomere byinjira), hematoma ishobora kuvuka. Ibi biterwa nuko umubiri ufunga vuba igikomere kugira ngo uhagarike kuva amaraso (inzira yitwa hemostasis ). Ariko, iyo igikomere gikomeje kuva amaraso nyuma yuko kifunze, hematoma ishobora kuvuka.

Bitewe n'impanuka

Zimwe mu mpamvu zihariye zishobora gutera hematoma iterwa n'impanuka zirimo:

• Amagufwa avunika , cyane cyane iyo igufwa ryavunitse burundu.
• Indwara nko kuvunika izuru, kuvunika mu maso, cyangwa gukomereka ku gatsinga ko mu gutwi, nko gukomereka kw'igufwa rya 'cauliflower ear'.
• Ibikomere byo mu mutwe n'ibikomere byo mu bwonko bikomeretsa cyane cyane kuva amaraso mu mutwe .
• Ibikomere ku ngingo z'imbere , cyane cyane iyo habayeho kuva amaraso menshi.
• Ibintu bibaho mu gihe cyo kuvurwa kwa muganga. Urugero, umutsi upfutse iyo umurongo wa IV ushyizwe mu kuboko, cyangwa kuva amaraso imbere nyuma yo kubagwa.
• Kubabara imitsi.
• Gucikagurika no gucika kw'ingingo mu mubiri bitandukanye.
• Ibikomere biterwa no kunanura imitsi, nko gukomereka ingingo.

Bitewe n'izindi ndwara

Hariho kandi indwara zishobora gutuma hematoma ikura, nta ngaruka zo kuva amaraso imbere mu mubiri. Izi ni izi:

• Gucika k'umuyoboro w'amaraso, nka aorta (urugero: gucika kw'aorta).
• Indwara zo kuvura amaraso menshi - urugero, hemophilia.
• Kanseri y'amaraso - nka kanseri y'amaraso cyangwa kanseri y'amaraso.
• Kwangirika kw'imitsi y'amaraso bitewe n'ibibyimba bikura mu mubiri (ibi bishobora kuba bibi cyangwa bibi).
• Gucika amaraso mu buryo bw'imitsi.
• Kwangirika kw'ingingo z'imbere bitewe n'ibintu nk'amabuye y'impyiko.
• Indwara zitera ibisebe mu buryo bw'igogora.
• Kuva amaraso mu bwonko bitewe n'indwara nk'umuvuduko ukabije w'amaraso (hypertension). (Nubwo tuvuga "umuvuduko ukabije w'amaraso", iri ni ryo zina ry'ubuvuzi).
• Aneurysm yacitse ni ukubyimba nk'ibendera mu mitsi y'amaraso (aneurysm).
• Indwara zandura zitera kuva amaraso mu mubiri, urugero, indwara zimwe na zimwe zo kuva amaraso mu mubiri ziterwa na virusi.

Ese hematoma ishobora gutera ingorane?

Akenshi, hematoma ntabwo itera ibibazo bikomeye, ariko iyo habayeho kuva amaraso menshi, ibibazo bishobora kuvuka. Zimwe mu ngorane zishobora kubaho ni izi:

• Ihungabana rikabije ry'amaraso mu bwonko:Ibyo bivuze gutungurwa guterwa no gutakaza amaraso menshi mu mubiri.
• Ischemia: Iyo hematoma ikandagiye umuyoboro w'amaraso, amaraso atemberamo aracika, bigatuma amaraso abura muri ako gace.
• Ibimenyetso byo gukanda imitsi.

Izindi ngorane zishobora kubaho bitewe n'amateka y'ubuzima bwawe n'ibindi bintu. Muganga wawe ashobora kukugira inama nziza ku byago byawe byihariye byo kugira ingorane.

Wamenya ute neza icyo hematoma ari cyo?

Muganga ashobora gusuzuma hematoma binyuze mu kugusuzuma no gukora ibizamini bimwe na bimwe by’ishusho.

Gusuzuma umubiri ni ingenzi cyane, cyane cyane niba waragize impanuka. Muri iki gihe, muganga wawe azareba uruhu rwawe kugira ngo arebe impinduka iyo ari yo yose, atege amatwi akoresheje stethoscope, kandi akore palpate. Gukora palpate ni ingirakamaro kuko hematoma yumva itandukanye n'uko uyikozeho kurusha uko uyikoraho ku mubiri. Muganga wawe azakubaza ibimenyetso byawe, urugero nk'igihe n'uko byatangiye.

Hematoma zoroshye kubona hakoreshejwe isuzuma kuko zishobora kureba imbere mu mubiri. Isuzuma rya Magnetic Resonance Imaging (MRI) ni ryo ryiza mu kwerekana hematoma, cyane cyane iziri imbere mu mubiri. Ariko, isuzuma rya MRI rifata igihe kirekire kurusha izindi scan. Niyo mpamvu abaganga bakoresha ubwoko bw'isuzuma:

• Isuzuma rya Computed Tomography (CT): Ibi bishobora gusuzuma hematoma iri mu mutwe itera igitutu ku ngingo z'ubwonko.
• Angiografiya: Iki kizamini gifasha kubona ahantu hava amaraso mu mubiri hamwe n'amaraso ajyana na byo.
• Gupima hifashishijwe ikoranabuhanga rya Ultrasound: Ibi bishobora gukoreshwa mu gusuzuma hematoma zegereye uruhu cyangwa ahantu runaka, nko hafi y'umura.

Bitewe n'ibimenyetso byawe n'amateka y'ubuzima bwawe, muganga wawe ashobora kukugira inama yo gukomeza gupimwa. Azakubwira byinshi ku buryo ibi bipimo byagufasha.

Indwara ya hematoma ivurwa ite?

Ubusanzwe hematoma nto ntizikenera kuvurwa cyane kandi zishobora kuvurwa n'ibintu byoroshye ushobora gukorera mu rugo. Ku bikomere bito cyangwa gukomereka, koresha uburyo bwa RICE .

Ibintu byoroshye ushobora gukora uri mu rugo (uburyo bwa RICE)

RICE ni uruvange rw'inyuguti enye. Bisobanura:

• R - Kuruhuka: Kuruhuka agace kakomeretse bizatangira gukira vuba.
• I - Urubura: Shyira agapaki k'urubura. Ariko ntugashyire urubura ku ruhu, ruzingire mu gitambaro gito, bitabaye ibyo uruhu rushobora gukonja no gukomereka (frostbite) .
• C - Gukanda: Zingira neza aho wakomeretse, nk'aho ukoresheje igitambaro cyoroshye.
• E - Kuzamura: Gumisha agace kakomeretse hejuru y'umutima wawe.

Ibibazo bisaba ubuvuzi

Iyo hematoma ikomeye cyane, ikintu cya mbere ugomba gukora ni ukugenzura ingaruka cyangwa ingorane zishobora guterwa n’amaraso. Urugero, iyo amaraso menshi yatakaye , hakenewe guterwa amaraso , cyangwa niba umutima wahagaze , hakorwa CPR kugira ngo amaraso atembera neza.

Iyo umaze kuva mu kaga gakomeye, ubuvuzi bwibanda ku gukemura icyateye hematoma. Ingero zimwe na zimwe zirimo:

• Kubaga: Gusana imiyoboro y'amaraso n'ingingo byangiritse.
• Uburyo bwo gukuraho amaraso mu mubiri: Urugero, uburyo bwitwa centesis bukoresha urushinge kugira ngo amaraso yakusanyijwe mu mubiri.
• Gukosora amagufwa yavunitse no kuyashyira ahantu adashobora kwimuka.
• Gukuraho amaraso yakusanyije: Ibi bizagabanya umuvuduko w'amaraso ku bice bikikije umubiri, kandi bizorohereza umubiri gukira.
• Imiti: Ifasha mu kugenzura umuvuduko w'amaraso, ibibazo byo kuvura amaraso, n'ibindi bibazo bifitanye isano.

Bitewe n'uburwayi bwawe, muganga wawe ashobora kukugira inama y'ubundi buryo bwo kuvura. Azagusobanurira uburyo butandukanye bwo kuvura, ndetse n'ingaruka zishobora kubaho cyangwa ingaruka mbi.

Ni iki wakwitega niba ufite hematoma?

Niba ufite hematoma, uburambe bwawe buzaterwa n'ibintu byinshi. Ishobora guterwa n'ingano yayo, icyayiteye, ndetse n'amateka y'ubuzima bwawe. Muganga wawe azaba ari we muntu mwiza wo kukubwira icyo ugomba kwitega n'icyo gukora ku kibazo cyawe. Azakubwira kandi uko ikibazo cyawe kizaba kimeze n'icyo wakora kugira ngo ukinoze.

Ese kwirema kwa hematoma bishobora kwirindwa?

Indwara zo mu nda zikunze kwibasira umuntu mu buryo butunguranye, bigatuma zigorana kuzirinda. Ariko hari ibintu bike ushobora gukora kugira ngo ugabanye ibyago byo kurwara:

• Gukumira impanuka cyangwa kugabanya ubukana bwazo: Ibi bishobora gukorwa hakoreshejwe ibikoresho byo kwirinda. Urugero, kwambara ingofero, kwambara imikandara mu modoka. Ndetse n'ibintu bito bishobora kugira icyo bihindura ku rugero runini.
• Gucunga indwara zidakira: Ibi bishobora kugufasha gutinda cyangwa no gukumira indwara zikomeye nka stroke no kuva amaraso mu bwonko. Bishobora kandi kugabanya ibyago byo kurema hematoma bitewe no kuvura amaraso/indwara zo kuva amaraso menshi.
• Witondere mu gihe ukora imyitozo ngororamubiri no mu myitozo:Kubera ko hematoma zishobora no kubaho bitewe no kwangirika kw'imitsi n'ingingo zoroshye, gukumira kwangirika nk'uku bizagabanya amahirwe yo kwirema hematoma.

Hematoma ishobora no guterwa n'izindi ndwara z'igihe kirekire. Niba uyifite, ganira na muganga wawe ku buryo bwo kwirinda hematoma.

Nitwara nte iyo mfite hematoma?

Ikintu cy'ingenzi ushobora gukora kugira ngo wiyiteho ni ukwirinda kongera ubukana bw'imvune yateye hematoma no kuyitera kuba mbi kurushaho. Kuyiha umwanya wo gukira akenshi birahagije. Niba ufite ikibazo cyangwa impungenge ku buryo wafasha hematoma gukira, ugomba kuvugana na muganga. Ashobora kuguha amakuru nyayo kandi yingirakamaro ajyanye n'imimerere yawe.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibi bintu, ugomba kuvugana na muganga cyangwa ukabonana na we ku bijyanye n'indwara ya hematoma.

Igihe cyo gushaka inama kwa muganga gisanzwe

• Iyo hari igikomere kidakira nyuma y'ibyumweru bibiri.
• Niba ufite ibikomere kenshi utabonye impamvu, cyangwa niba ufite ibikomere bikomeza kugaruka.
• Niba igikomere kiri kumwe n'ibindi bimenyetso, gishobora kuba ikimenyetso cy'ikibazo gikomeye cy'inyuma (urugero: intege nke z'imitsi, gucika intege, kubura ibyiyumvo, guhindura ibara ry'uruhu bitewe n'amaraso adatembera neza).

Ahantu hatuma ugomba kujya kwa muganga byihutirwa!

Niba ufite kimwe muri ibi bimenyetso, nyamuneka shakisha ubufasha bwihutirwa bwa muganga. Ibi bishobora kuba ibimenyetso by'indwara iteje akaga ifitanye isano n'indwara ya hematoma:

• Kugorwa no guhumeka.
• Gutakaza ubwenge.
• Kubabara mu gituza.
• Umutwe utunguranye, utavugwaho rumwe, kandi ukomeye.
• Kubura ibinya cyangwa intege nke ku ruhande rumwe rw'umubiri.
• Ingorane zo kubungabunga uburinganire.
• Impinduka mu iyerekwa.
• Kugorwa no kuvuga neza.
• Kugira isesemi no kuruka nta mpamvu.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• "Kuki narwaye iyi hematoma?"
• "Ibi ni bikomeye gute?"
• "Ese nshobora kuvura iki kibazo ndi mu rugo? Cyangwa hari icyo nakora kugira ngo nyikemure?"
• "Ese ibi bisaba ubuvuzi bw'inzobere? Ni ubuhe buryo bwo kuvura mfite?"
• "Bizatwara igihe kingana iki kugira ngo hematoma yanjye ikire?"

Ese hematoma ishobora kuba ikomeye gute?

Hematoma ishobora kuva ku nto kugeza ku ikomeye. Ibintu by'ingenzi bigaragaza uburemere bwa hematoma ni ibi bikurikira:

• Impamvu ni iyihe?
• Ingana iki?
• Iri he?
• Niba bishobora kwangiza ikintu kiri hafi yabyo, cyangwa se bimaze kubyangiza.
• Niba ibi birimo guterwa n'uburwayi bwawe ubu cyangwa ubwa mbere, bishobora gutuma burushaho kuba bubi.

Tekereza kuri ibi, hematoma ishobora kuba ari igisebe gito giterwa no gukubita ikirenge ku meza, cyangwa se ikaba ari amaraso y'umuhengeri munsi y'inzara yawe aturutse ku muntu ukandagiye ikirenge cyawe. Ariko niba hematoma ari nini, niba iri imbere mu mubiri wawe, cyangwa niba iherekejwe n'ibimenyetso bimwe na bimwe, si byiza kubyirengagiza.

Niba ufite ikibazo cyangwa impungenge, vugana na muganga wawe. Gusuzuma hakiri kare no kuvurwa bishobora kurokora ubuzima mu gihe cy'indwara ikomeye yo mu nda. Mu buryo nk'ubwo, kuvura udusebe duto no kudufasha gukira neza bishobora kudufasha gucika intege uko umubiri ugenda ukira.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Rero, hematoma ni uruhurirane rw'amaraso mu mubiri. Akenshi, ibi bigaragara nk'udukomere duto kandi bigakira ubwabyo. Ariko, ugomba kwitondera cyane hematoma nini, iziba mu mutwe, cyangwa iziza zifite ibimenyetso biteje akaga nko kugorwa no guhumeka, kuribwa umutwe cyane, no guta ubwenge.

Ku mvune nto, ushobora gukoresha uburyo bwa RICE (kuruhuka, urubura, gukanda, kuzamura). Ariko, niba imvune idakira nyuma y'ibyumweru bibiri, niba ufite imvune nyinshi kandi zidasobanutse, cyangwa niba ufite kimwe mu bimenyetso biteje akaga byavuzwe haruguru, ugomba kujya kwa muganga.

Wibuke ko uko wumva umubiri wawe ni ingenzi cyane. Niba ushidikanya, ntibitinda gushaka inama kwa muganga. Komeza ugire ubuzima bwiza!

Hematoma , ibikomere, kuva amaraso, kubyimba, ibimenyetso, uburyo bwo kuvura, umuburo