Ese ubabara cyane mu maguru yawe, cyane cyane inyana zawe, nk'aho zirimo kubabara cyangwa kunyeganyega iyo ugenda n'amaguru hafi? Ariko se ububabare bushira burundu iyo uhagaze ukaruhuka gato? Niba iki ari ikintu umenyereye, iyi ngingo turimo kuganiraho uyu munsi izaba ingenzi cyane kuri wewe. Iyi ndwara ni yo twita "Intermittent Claudication" muri siyansi y'ubuvuzi.
Mu magambo make, Intermittent Claudication ni iki?
Iyi si indwara mu by’ukuri, ahubwo ni ikimenyetso cy’indwara. Muri make, ni ububabare wumva mu mitsi yawe iyo uri gukora cyane, nko mu gihe ugenda n’amaguru. Ariko ubu bubabare burashira iyo uruhuka. Hari igihe ubu bubabare buba bukomeye cyane ku buryo ugomba guhagarika kugenda.
Ibi biterwa nuko umubiri wawe ufite ikibazo cy’inzira y’amaraso . Iyo ugenda, uturemangingo two mu mitsi y’amaguru yawe dukenera ogisijeni nyinshi kurusha uko bisanzwe. Ariko iyo iyo mitsi itabonye amaraso ahagije (na ogisijeni) mu mitsi, utangira kumva ububabare. Iyo uhagaze ukaruhuka, imitsi ikenera ogisijeni nke, bityo amaraso make ibona akaba ahari. Bityo ububabare burashira.
Ubu bubabare bumeze bute?
Abantu benshi bumva ibi nk'ububabare bukabije kandi butoroshye. Bimera nk'aho imitsi iri gukururwa cyangwa gukandamizwa. Hari n'abayita "Charley horse." Uko urushaho gukora imyitozo ngororamubiri cyangwa kugenda n'amaguru, niko ububabare burushaho kwiyongera. Hari n'igihe imitsi ishobora no kumva itameze neza mu maguru bitewe n'amaraso atembera nabi.
Ubu si ububabare bw'ingingo. Nubwo ububabare bumeze nk'ububabare bw'ingingo, ntabwo ari `(Arthritis).` Nanone, niba ububabare bushize mu minota mike yo kuruhuka, birashoboka cyane ko ari `(Intermittent Claudication).`
Kuki ibi bibaho? Impamvu nyamukuru ni iyihe?
Impamvu nyamukuru y'iki kimenyetso ni indwara yitwa Indwara y'imitsi yo mu maraso (PAD) . Tekereza imiyoboro y'amaraso mu mubiri wacu nk'imiyoboro y'amazi. Uko igihe kigenda gihita, ingese n'umwanda byiyongera mu muyoboro w'amazi maze imyobo iri mu muyoboro ikaziba, bityo ibinure na cholesterol byiyongera mu miyoboro y'amaraso yacu (imitsi) bigatera icyo bita "plaque". Ibi tubyita `(Atherosclerosis)`.
Iyo imiyoboro y'amaraso igabanutse bitewe na plaquettes, ingano y'amaraso anyuramo iragabanuka. Ibi bibaho cyane cyane iyo imiyoboro itanga amaraso ku maguru igabanutse muri ubu buryo, aribwo bwitwa PAD. Ibi bitera ububabare iyo amaguru yawe atabona umwuka uhagije wa ogisijeni iyo uri gukora imyitozo ngororamubiri, nko mu gihe uri kugenda n'amaguru.
Ni ibihe bipimo muganga akora kugira ngo amenye ibi?
Niba ufite ibimenyetso nk'ibi,Ugomba kujya kwa muganga rwose. Muganga ashobora gutegeka ibizamini bitandukanye kugira ngo amenye impamvu nyayo y'ubu bubabare.
| Ikizamini | Mu magambo make, ubikoraho iki? |
|---|---|
| Isuzuma ry'umubiri | Amaguru n'ibirenge byawe bizasuzumwa niba nta mapilo yawe afite. Niba amapilo afite intege nke cyangwa atarumva, ni ikimenyetso cy'ikibazo. |
| Igipimo cy'indwara y'akaguru n'imitsi yo mu bwonko (ABI) | Umuvuduko w'amaraso mu kuboko no ku kaguru urapimwa kandi ukagereranywa. Iyo hari itandukaniro rinini hagati y'ibyo byombi, ni ikimenyetso cy'indwara yitwa "PAD". |
| Angiogramu | Haterwa umuti wihariye (irangi ritandukanye) hanyuma hagakorwa X-ray kugira ngo hamenyekane ahantu imiyoboro y'amaraso yazibye. |
| CT cyangwa MRA | Ubu nabwo ni ubwoko bwa scan. CT angiograms cyangwa ibizamini bya MRA bishobora kugaragaza neza aho hari ibibazo mu mitsi y'amaraso. |
| Ultrasound y'imitsi | Gusuzuma hakoreshejwe imiraba y'urusaku. Ibi bishobora kugaragaza ahantu imiyoboro y'amaraso ifunganye. |
Iyi ndwara ivurwa ite?
Intego nyamukuru y'ubuvuzi ni ukunoza uburyo amaraso anyura mu maguru. Nubwo ubu buryo bwo kuvura budashobora gukiza burundu indwara, bushobora kugenzura ibimenyetso no koroshya ubuzima. Uburyo bwo kuvura bushobora kugabanywamo ibyiciro bitatu by'ingenzi.
1. Impinduka mu mibereho
Urashobora kubikora ubwawe.
- Gutembera n'amaguru bisanzwe:Genda nibura iminota 30 ku munsi, iminsi 3 mu cyumweru. Hagarara iyo wumvise ububabare, ruhuka, wongere ugende. Ibi bizagufasha kubaka imiyoboro mishya y'amaraso mu maguru yawe.
- Kugumana ibiro byiza: Iyi ndwara ishobora kwiyongera uko ibiro by'umubiri byiyongera.
- Indyo nziza: Kurya ibiryo bifasha mu kugenzura ibintu nka diyabete, cholesterol nyinshi, n'umuvuduko ukabije w'amaraso.
- Kureka kunywa itabi burundu: Ibi byangiza cyane imiyoboro y'amaraso.
- Kurwanya stress: Ubuzima bwo mu mutwe bugira ingaruka zitaziguye ku buzima bw'umutima n'imiyoboro y'amaraso.
2. Imiti
Muganga wawe ashobora kukwandikira imiti nk'iyi:
- Imiti igabanya amaraso: Iyi miti irinda ingorane zikomeye nko kubumba amaraso no kuziba imiyoboro y'amaraso mu buryo butunguranye.
- Statines: Izi zigabanya urugero rwa cholesterol kandi zikagenzura ikorwa rya plaque mu miyoboro y'amaraso.
- Imiti y'umuvuduko w'amaraso: Iyi yagura imiyoboro y'amaraso kandi yoroshya gutembera kw'amaraso.
- Imiti ya diyabete: Niba urwaye diyabete, ni ngombwa cyane kuyigenzura neza.
3. Kubagwa cyangwa ubundi buryo bwo kuvura
Niba guhindura imibereho yawe n'imiti bitayigenga, muganga wawe ashobora kukugira inama yo kubagwa cyangwa ubundi buryo bwo kuvura.
- Angioplasty: Igikoresho gisa n'ibendera gishyirwa mu mitsi y'amaraso yagabanijwe hanyuma kikazura umwuka kugira ngo umutsi wongere kwaguka.
- Gushyiramo stent: Nyuma yo gukora angioplasty, icyuma gisa n'umuyoboro (stent) gishyirwa mu mitsi y'amaraso kugira ngo kiyirinde kongera kugabanuka.
- Kubaga mu buryo bwo kunyura mu maraso: Uburyo bushya bukorwa hakoreshejwe umuyoboro w'amaraso wakuwe mu kindi gice cy'umubiri, nk'uko bigenda mu gukora inzira nshya amaraso atemberamo akikije ahantu hafunganye.
Ni ryari ukwiye kujya kwa muganga?
Niba usanzwe uzi ko ufite "Intermittent Claudication" (Indwara yo mu gihe gito), menya neza ibimenyetso bikurikira. Niba ufite kimwe muri ibi, jya kwa muganga wawe vuba cyangwa ujye kwa muganga wita ku bibazo byihutirwa (ETU) .
- Niba wumva ubukonje bukabije cyangwa ibinure mu kuguru cyangwa ku kirenge.
- Niba ibikomere byo ku maguru bifata igihe kirekire kugira ngo bikire, cyangwa niba ibikomere bishya (ibisebe) bitangiye kugaragara.
- Iyo hari ibimenyetso by'ubwandu (kubyimba, gutukura, ububabare, ubushyuhe) hafi y'igikomere.
- Niba ubabara mu gituza cyangwa ugorwa no guhumeka hamwe no kubabara amaguru.
- Niba ubabara amaguru nubwo waba uri kuruhuka .
- Niba ufite ububabare butunguranye kandi bukabije cyangwa niba ububabare buvuye aho busanzwe buri bukajya ahandi.
Iyi ndwara ishobora gutuma kugenda n'amaguru ndetse n'imirimo ya buri munsi bigorana. Ariko, iyo uyibonye hakiri kare kandi ukayivurwa neza, ishobora kwirindwa kugira ngo ikomere kandi ukabaho ubuzima busanzwe.
Ubutumwa bwo kujyana mu rugo
- Gutera claudication rimwe na rimwe si indwara, ahubwo ni ikimenyetso giterwa n'ikibazo cy'amaraso atembera neza. Impamvu nyamukuru ni indwara y'imitsi yo mu maraso (PAD).
- Niba ubabara amaguru yawe (cyane cyane inyana) iyo ugenda kandi bikagenda iyo uruhuka, menya neza ko wabibwiye muganga wawe.
- Kureka kunywa itabi, kugenda n'amaguru buri gihe, kurya indyo yuzuye no kugenzura ibiro byawe bishobora gufasha cyane mu kugenzura iyi ndwara.
- Ni ingenzi cyane gukoresha imiti neza neza nk'uko muganga yabigutegetse.
- Niba ubabara nubwo waba uruhuka, amaguru yawe akaba atameze neza, cyangwa ibikomere byawe bitarakira, shaka ubufasha bwa muganga ako kanya.

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