Stroke yo kuva amaraso: Reka tuvuge kuri iyi ndwara iteje akaga!

Tekereza uko byagenda iyo umutsi muto w'amaraso uri mu mutwe wawe, ni ukuvuga mu bwonko bwawe, uturitse mu buryo butunguranye? Birateye ubwoba cyane gutekerezaho, si byo se? Iki ni cyo twita ' indwara yo kuva amaraso', indwara yo gucika intege iterwa no guturika k'umutsi w'amaraso mu bwonko no kuva amaraso. Iki ni ikibazo gikomeye kandi gihangayikishije ubuzima. "Kuva amaraso" ni ijambo rikoreshwa n'abaganga, mu magambo make, risobanura kuva amaraso ahantu runaka mu mubiri.

Iyo amaraso atangiye gutembera mu bwonko muri ubu buryo, ubwonko ntibubona amaraso cyangwa umwuka uhagije. Bityo ubwonko ntibushobora gukora. Si ibyo gusa, ahubwo n'umuvuduko wiyongereye mu mutwe ushobora kwangiza uturemangingo tw'ubwonko ndetse no kutwica. Ubu bwoko bwa stroke (stroke yo kuva amaraso) ni bubi cyane kuko ibimenyetso bigaragara vuba kandi bikarushaho kwiyongera vuba. Iyo udahawe ubuvuzi vuba, ushobora kwangiza ubwonko burundu ndetse n'urupfu. Niba utekereza ko wowe cyangwa umuntu uri kumwe nawe afite stroke , hamagara 911 (cyangwa nimero yawe y'ubutabazi bw'ibanze) ako kanya. Ikintu cy'ingenzi ni ukujyana umurwayi kwa muganga vuba bishoboka no gutangira kuvurwa. Buri segonda rigira agaciro hano.

Ni ibihe bimenyetso by'indwara yo kuva amaraso mu bwonko?

Iyo umuntu arwaye indwara yo kuva amaraso mu bwonko, ikimenyetso kimwe cyangwa byinshi bishobora kugaragara icyarimwe. Dore bimwe muri byo:

• Umutwe uterwa n'inkuba: Umutwe utunguranye, utameze neza, kandi ukomeye.
• Gutinya foto: Amaso ahinduka ubururu iyo abonye urumuri rwinshi cyangwa izuba.
• Kuzungera cyangwa kubabara mu mutwe.
• Kugorwa no kumva ibyo abandi bavuga cyangwa kugorwa no kuvuga (Aphasia).
• Amagambo arahindagurika kandi imvugo ntisobanuke neza (Dysarthria).
• Ubunebwe cyangwa ubumuga bw'uruhande rumwe.
• Ingingo z'ibyumviro nko kubona, kumva no gukoraho zitakaza imikorere yazo.
• Kugorana kw'ijosi, kugorana kunama.
• Kuruka no kugira isesemi .
• Gufata ibintu biri hafi (Seizures).
• Gucika intege cyangwa gucika intege.
• Koma.

Ni ibihe bimenyetso by'umuburo by'indwara yo kuva amaraso mu bwonko?

Iyi paralysis ishobora gutera ibimenyetso bitandukanye. Kugira ngo umenye niba wowe cyangwa uwo ukunda afite iyi ndwara, GIRA IHUTEWibuke incamake. Ikorwa hakoreshejwe inyuguti za mbere z'amagambo make y'Icyongereza.

• B - Kuringaniza : Witondere gutakaza kuringaniza gutunguranye. Nk'aho udashobora guhagarara ugororotse.
• E - Amaso: Reba niba hari ugutakaza icyerekezo gitunguranye mu jisho rimwe cyangwa yombi, kandi niba hari impinduka.
• F - Isura: Gerageza kumwenyura. Reba niba uruhande rumwe cyangwa impande zombi z'isura yawe zisa n'izirimo kunama.
• A - Amaboko: Gerageza kuzamura amaboko yombi. Niba ufite ubumuga , ushobora kudashobora kuzamura ukuboko kumwe, kugwa hasi, no gucika intege cyane.
• S - Imvugo: Reba niba imvugo irimo urujijo cyangwa niba bigoye kuyikoresha neza.
• T - Igihe: Igihe ni ingenzi cyane - shaka ubufasha ako kanya. Niba bishoboka, reba isaha cyangwa telefoni hanyuma wandike igihe ibimenyetso byawe byatangiriye. Kubwira muganga igihe ibimenyetso byawe byatangiriye bishobora kumufasha guhitamo uburyo bwiza bwo kuvura.

Wibuke ko niba ufite kimwe muri ibi bimenyetso bya BE FAST, bishobora kuba indwara yo mu bwonko. Ntugapfushe umwanya ngo uhite ujya kwa muganga.

Reka kandi twige ku ndwara ya "mini-stroke" (Indwara y'ihungabana ry'umubiri - TIA).

Hari igihe habaho indwara yitwa 'mini-stroke', abaganga bita 'interient ischemic attack' ( TIA ) . Ibi bimeze nk'indwara yo mu bwonko, ariko ibimenyetso birashira nyuma y'igihe runaka. Ariko uyu ni umuburo ukomeye cyane ! Umuntu wagize TIA aba afite ibyago byinshi byo kugira stroke ikomeye mu gihe cya vuba. Kubwibyo, ni ngombwa ko umuntu wagize TIA agana kwa muganga vuba bishoboka.

Ni izihe mpamvu zitera iyi 'stroke yo kuva amaraso'?

Mu magambo make, ikintu cyose cyangiza imiyoboro y'amaraso mu bwonko bwawe kikayitera guturika gishobora kubitera. Umuvuduko ukabije w'amaraso (hypertension) niyo mpamvu nyamukuru kandi ikunze kugaragara ibi. Ibi byago biba byinshi cyane cyane iyo umuvuduko w'amaraso yawe uri hejuru cyane, cyangwa iyo umaze igihe kirekire udakoreshwa neza.

Dore izindi mpamvu:

• Imitsi yo mu bwonko yitwa Aneurysms ni imitsi y'amaraso mu bwonko ibyimba cyangwa ikabyimba nk'inyuma y'inyuma. Iyi mitsi ishobora gucika intege ikagwa mu buryo butunguranye.
• Ibibyimba byo mu bwonko.
• Indwara ya Moyamoya: Muri ibi, imiyoboro y'amaraso ijyana amaraso mu bwonko iraziba, maze imiyoboro mito mishya y'amaraso iravuka, ariko iba ifite intege nke cyane.
• Angiopathy ya amyloid yo mu bwonko: Muri ibi, poroteyine ishyirwa mu nkuta z'imitsi yo mu bwonko, ikayica intege.
• Ibikomere byo mu mutwe.
• Byagaragaye ko ubwandu bwa COVID -19 rimwe na rimwe bushobora kuba impamvu y'ibi.
• Hari igihe, nyuma yo kugira ikibazo cyo gucika kw'amaraso mu bwonko giterwa no kuzura kw'amaraso mu bwonko, kuva amaraso bishobora gutangirira muri ako gace.

Ese hari ubwoko bw'indwara yo kuva amaraso mu bwonko?

Yego, hari uburyo bubiri amaraso ashobora gutembera mu bwonko muri ubu buryo:

1. Kuva amaraso mu bwonko: Ibi bibaho iyo umutsi w'amaraso uri mu bwonko uturitse. Hanyuma amaraso aterana mu bwonko agatera umuvuduko. Tekereza nk'ibara ry'amazi rituritse imbere.

2. Kuva amaraso muri Subarachnoide: Ubwonko bwacu bukikijwe n'agace gato karinda umubiri kitwa arachnoide. Umwanya uri hagati y'aka gace n'ubwonko witwa subarachnoide. Iyo umutsi w'amaraso unyuze muri aka gace ucitse, amaraso ateranira muri ako gace. Ibi bishyira igitutu ku bwonko uhereye imbere mu gahanga.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Umuntu wese ashobora kugira indwara yo kuva amaraso mu bwonko, ariko aba bakurikira ni bo bafite ibyago byinshi byo kurwara iyi ndwara:

• Abantu barengeje imyaka 65.
• Abantu banywa itabi (cyangwa bakoresha ubundi bwoko bw'itabi).
• Abantu bakoresha ibiyobyabwenge bitemewe n'amategeko.

Nanone, niba ufite imwe muri izi ndwara zigira ingaruka ku mikorere y'amaraso, ibyago byo kurwara indwara yo mu bwonko biba byinshi:

• Umuvuduko ukabije w'amaraso (Hypertension).
• Indwara yo kunywa inzoga.
• Kolesteroli nyinshi (Hyperlipidemia).
• Umutwe uterwa na migraine, cyane cyane abafite aura.
• Diyabete (Diabete Mellitus).

Abaganga babimenya bate?

Umuganga asuzuma indwara yo kuva amaraso mu bwonko akoresheje isuzuma ry’imitsi no gukora ibizamini nka:

• Gupima CT: Ubu ni bwo buryo bwonyine bwo gusuzuma vuba niba hari amaraso mu bwonko.
• Gupima amaraso: Reba ibintu nk'ibibazo byo kuvura amaraso n'urugero rw'isukari.
• ECG (Electrocardiogram - EKG): Igenzura imikorere y'umutima.
• MRI: Ibi bifasha kubona ubwonko mu buryo burambuye.

Ni ubuhe buryo bw'ingenzi bwo kuvura indwara yo kuva amaraso mu bwonko?

Uburyo bubiri bw'ingenzi bwo kuvura ibi ni imiti n'ubuvuzi.

Imiti ivura indwara yo kuva amaraso mu bwonko

Abaganga bakoresha imiti itandukanye kugira ngo bavure iyi ndwara. Ikora mu buryo bubiri bw'ingenzi:

1. Kwihutisha kuvura amaraso: Abantu benshi batekereza ko kuvura amaraso ari ikintu kibi (mu by'ukuri, kuvura amaraso bishobora guteza akaga). Ariko kuvura amaraso ni bwo buryo busanzwe bw'umubiri wacu bwo guhagarika kuva amaraso. Abaganga bashobora kuguha imiti nka Vitamine K therapy cyangwa Prothrombin complex concentrate kugira ngo bifashe umubiri wawe guhagarika kuva amaraso mu bwonko.

2. Kugenzura umuvuduko w'amaraso: Gukomeza umuvuduko w'amaraso yawe ku rwego rwiza bishobora kugabanya kuva amaraso mu bwonko. Binafasha mu gukumira ko amaraso yangirika mu mitsi yangiritse. Muganga wawe ashobora kugufasha gufata imiti igabanya umuvuduko w'amaraso mu mitsi ikoresha inshinge.

Kubagwa kw'indwara yo kuva amaraso mu bwonko

Amaraso aterana bitewe n'indwara yo mu bwonko itera umuvuduko mwinshi ku mitsi y'amaraso ikikije imitsi iva amaraso. Iyo umuvuduko uri mu gahanga (umuvuduko wo mu bwonko) wiyongereye cyane, ushobora gukenera kubagwa byihutirwa. Umuganga ubaga azakuraho amaraso yakusanyije kandi agabanye umuvuduko ku bwonko.

Kuvura indwara yo gucika intege kw'imitsi (stroke)

Gusubira mu buzima ni igice cy'ingenzi mu kuvura indwara yo kuva amaraso mu bwonko. Bigufasha kumenyera impinduka mu bwonko bwawe no ku mubiri wawe. Ushobora gukenera kugarura ubushobozi bwawe cyangwa kwiga kubaho ufite ubumuga bushya. Ushobora gukenera bumwe cyangwa uburyo bumwe bwo kuvura bukurikira:

• Ubuvuzi bwo kuvuga: Kugarura cyangwa kunoza ubuhanga bwawe bwo kuvuga no kuvuga. Ibi bifasha kugenzura imitsi igufasha kuvuga, guhumeka, kurya no kumira.
• Ubuvuzi bw'umubiri: Komeza imitsi, urusheho kuringaniza, kandi ugarure imikorere y'amaboko n'amaguru.
• Ubuvuzi bw'akazi: Bugufasha gukora imirimo yawe ya buri munsi mu mutekano, cyane cyane imirimo isaba gukora neza.
• Ubuvuzi bwo mu mutwe: Bufasha kongera ubushobozi bwo kwibuka, kwita ku bintu, n'ubundi bushobozi bwo mu mutwe.

Ese indwara yo kuva amaraso mu bwonko ishobora kwirindwa?

Kugumana umuvuduko w'amaraso umeze neza ni bwo buryo bw'ingenzi bwo kwirinda indwara yo kuva amaraso mu bwonko. Niba ufite umuvuduko w'amaraso ukabije, muganga wawe ashobora kugufasha kuwugenzura. Bashobora kukugira inama ku miti n'impinduka ukeneye gukora ku buzima bwawe bwa buri munsi.

Ibindi bintu ni ibi bikurikira:

• Komeza kugenzura izindi ndwara ufite (nk'indwara ya diyabete na cholesterol).
• Kurya ibiryo byiza kandi ugire ibiro bizima bikubereye.
• Siporo neza.
• Jya kwisuzumisha kwa muganga buri mwaka (cyangwa nk'uko muganga wawe yabigutegetse).
• Niba unywa itabi, rihagarike ako kanya.

Ni ikihe gihe cyo kubaho nyuma yo kuva amaraso mu bwonko?

Biragoye kuvuga neza igihe ushobora kubaho nyuma yo kuva amaraso mu bwonko n'uko umuntu ashobora gukira, kuko umubiri wa buri wese n'ubuzima bwe biratandukanye.

Kumuga bishobora kwica no gutera ubumuga buhoraho, ariko nta gahunda imwe cyangwa icyerekezo kimwe cyo gukira.

Gucika amaraso mu bwonko (stroke) bishobora kwica kurusha gucika amaraso mu bwonko, bitewe n’uko amaraso yacitse mu bwonko. Ariko ibyo ntibivuze ko uzagira ingaruka mbi kurusha izindi.

Umubiri wa buri wese ubyitwaramo mu buryo butandukanye iyo umuntu arwaye indwara yo mu bwonko. Icyo ushobora kwitega nyuma yo kurwara indwara yo mu bwonko giterwa n'ibintu byinshi:

• Ni ibihe bice by'ubwonko byagizweho ingaruka?
• Uburyo wavuwe vuba.
• Ubuzima bwawe muri rusange.

Muganga wawe azakubwira icyo ugomba kwitega. Azagufasha kwishyiriraho intego zo gukira n'ibyo witeze bitewe n'ubuzima bwawe n'uko umerewe.

Ni gute nakwiyitaho nyuma yo kuva amaraso mu bwonko?

Gukira no kuvura indwara yo mu bwonko nyuma yo gucika intege ntabwo byoroshye. Iyo wowe na muganga wawe mumaze gutegura gahunda yo kuvura, kurikiza neza uko bishoboka kose. Muri rusange:

• Fata imiti yawe neza: Gufata imiti yawe nk'uko muganga yabigutegetse bizafasha umubiri wawe gukira. Kugenzura umuvuduko w'amaraso ni ingenzi cyane.
• Jyana gahunda zawe zo kuvura indwara ziterwa n'ibizamini n'izindi gahunda zo kuvura: Bwira abaganga bawe niba hari ikintu kigutera kumva umerewe nabi cyangwa ufite umutekano. Gusubiramo indwara biragoye, ariko ntugomba guhora ubabara cyangwa ubabara.
• Tekereza ku buzima bwawe bwo mu mutwe: Kwiheba no guhangayika ni ibintu bisanzwe nyuma yo gufatwa n'indwara yo mu bwonko. Kubabara cyangwa kubabara ntibivuze ko uri umuntu ufite intege nke cyangwa wananiwe. Ubuzima bwawe bwo mu mutwe ni ingenzi kimwe n'ubuzima bwawe bw'umubiri. Niba ukeneye ubufasha mu kuganira ku bintu mu gihe cyo gukira, vugana na muganga wawe cyangwa umujyanama w'ubuzima bwo mu mutwe .

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

Niba wumva urimo kongera kugira stroke, hamagara 911 (cyangwa inomero y'ubutabazi bwihuse). Indi stroke ishobora kwica cyangwa igatera ingorane zikomeye. Ntutinde gushaka ubufasha.

Umuntu wagize ikibazo cyo gucika intege mu mitsi (stroke) na we ashobora kugira izindi ngorane zikomeye, nko:

• Kuziba kw'imitsi y'ibihaha.
• Indwara y'umutima.
• Amaraso afunganye mu mitsi yo mu birenge (Deep vein thrombosis - DVT).

Niba ubona ko ufite ibimenyetso by'iyi ngorane, hamagara inzego z'ubutabazi bwihuse cyangwa ujye mu cyumba cy'ubutabazi bwihuse.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ni gute nafata imiti yanjye?
• Nzakenera ubuvuzi igihe kingana iki?
• Ni izihe mpinduka ngomba gukora mu buzima bwanjye bwa buri munsi?
• Ni ibihe bimenyetso by'uburinzi ngomba kwitondera bigaragaza ko hari indi ndwara yo gucika intege igiye kuza?
• Ni ryari nkwiye kuzaza kureba?

Gucika amaraso mu bwonko bishobora kugira ingaruka zikomeye ku buzima bwawe. Ikintu cyose gishobora kugira ingaruka ku bwonko bwawe burundu giteye ubwoba. Niba utekereza ko ufite ibimenyetso bya stroke, shaka ubufasha ako kanya. Uko muganga ashobora gusuzuma no kuvura vuba, ni ko biba byiza kurushaho.

Iyo umaze kugera mu mutekano kandi uhamye, gusubiranamo biratangira. Ni akazi katoroshye, ariko birakwiye. Ntukirengagize amarangamutima yawe, kandi usangize abaganga bawe n'abavuzi bawe ibibazo byawe. Gukira kwawe gushobora kuza mu buryo buto, ariko ntukibagirwe kwishimira buri ntsinzi wagezeho.

Ubutumwa bwo kujyana mu rugo

Gucika amaraso mu bwonko ni indwara iteje akaga cyane, iterwa n’umutsi w’amaraso waturitse mu bwonko. Impamvu nyamukuru ibitera ni umuvuduko ukabije w’amaraso.

Wibuke amagambo ahinnye BE FAST (Kuringaniza amaso, isura, amaboko, kuvuga, igihe) kugira ngo umenye ibimenyetso vuba. Niba ufite kimwe muri ibyo bimenyetso , jya kwa muganga vuba.

Ubuvuzi burimo imiti no kubagwa. Gusubira mu buzima (kuvuga, gukora imyitozo ngororamubiri, gukora akazi, no kuvura ubwonko) ni ingenzi cyane mu gukira.

Kugira ngo uyirinde, genzura umuvuduko w'amaraso yawe, kurikiza ubuzima bwiza, kandi wirinde kunywa itabi.

Ntiwibagirwe ko, mu bihe nk'ibi, buri segonda riba rifite agaciro. Gufata ingamba vuba bishobora kurokora ubuzima no gukumira imvune zikomeye.

` Kurema, Kuva amaraso mu bwonko, Gucika amaraso mu bwonko, Umuvuduko ukabije w'amaraso, Ibimenyetso bya Stroke, Kuvura Stroke, Gusubiza mu buzima busanzwe