Ese ubabara cyane mu maguru yawe, cyane cyane iyo ugenda n'amaguru igihe gito? Ese ububabare buragabanuka nyuma y'igihe runaka hanyuma bukagaruka iyo ugenda? Cyangwa se ubabara amaguru yawe, cyangwa ukira buhoro nyuma yo gukomereka? Ibi si ibimenyetso byo kwirengagiza. Ibi bishobora guterwa no kugabanuka buhoro buhoro kw'imitsi y'amaraso mu maguru yawe. Uyu munsi, turimo kuvuga ku buryo bwitwa 'Leg Revascularization'.
Gusubiza imitsi y'amaraso mu maguru ni iki?
Mu magambo make, ibi ni ukuvanaho kuziba cyangwa kuziba kw'imitsi y'amaraso (imitsi) mu maguru yawe no gutuma amaraso yongera gutembera neza. Ni nko gusukura umuyoboro w'amazi wafunze hanyuma amazi akongera gutembera.
Impamvu nyamukuru y’iyi ndwara ni indwara yitwa indwara y’imitsi yo mu maraso , cyangwa "Indwara y’imitsi yo mu maraso yo mu maraso (PAD). Ibi bibaho iyo ibintu birimo ibinure nka cholesterol byirundanyije mu mitsi y’amaraso, bigagabanya buhoro buhoro amaraso atembera. Kugira ngo ibi bivurwe, abaganga bashobora gukoresha uburyo bwo kuvura imitsi yo mu maraso no kubaga abantu bose.
Ubu buryo bwo kuvura ni ubuhe?
Uburyo bwo kuvura muganga wawe ashobora guhitamo bushobora gutandukana bitewe n'uburwayi bwawe. Hari uburyo bwinshi bw'ingenzi bukoreshwa.
| Uburyo bwo kuvura | Mu magambo make, ibi ni byo bibaho. |
|---|---|
| Angioplasty | Agapira gato gashyirwa mu mitsi y'amaraso yazibye hanyuma kakabyimba. Hanyuma urwego rw'ibinure rwazibye rukanda ku rukuta rw'imitsi, bigatuma inzira y'amaraso yongera kwaguka. |
| Gushyiramo stent (Stent) | Icyo bikorwa muri ibi ni ugushyira umuyoboro muto w'icyuma usa n'urushundura mu mitsi nyuma yo kubagwa kugira ngo umutsi udasubira kugwa. |
| Kubaga indwara ya atheri | Muri ibi, igikoresho gifite icyuma cyangwa umuyoboro wa laser kinyuzwa mu muyoboro muto hanyuma kigakuraho urwego rw'ibinure (plaque) rwishyize mu mitsi. |
| Kubaga binyura mu nzira | Guhanga inzira nshya amaraso atemberamo akikije umutsi wafunzwe. Ibi bishobora gukorwa hakoreshejwe umutsi wakuwe mu kindi gice cy'umubiri wawe cyangwa umuyoboro w'ubukorano (graft). |
| Kubaga Endaterteri | Ibi bisa nkaho ari ugucibwa uruhu, ariko icyo bikorwa hano ni ugukata uruhu, gukuramo imitsi y'amaraso yazibye, no kubaga urugingo rw'ibinure rurimo. |
Ni nde ukeneye ubu buvuzi?
Si abantu bose bafite PAD bazakenera kubagwa. Mu ntangiriro, ibimenyetso bishobora gukemurwa no kureka kunywa itabi, gufata imiti muganga yakwandikiye, no kugenda n'amaguru buri munsi .
Ariko, niba ibimenyetso bikomeye cyane, bivuze ko ubabara amaguru nubwo waba uhagaze, cyangwa niba ufite ibikomere mu kuguru kwawe bidakira, iyo ndwara tuyita `(Critical Limb Ischemia)`. Muri icyo gihe, kubagwa cyangwa ubuvuzi bwavuzwe haruguru birakenewe rwose. Iyo bitakozwe, amaraso ajya ku kuguru ashobora guhagarara burundu, ndetse n'ukuguru gushobora gukurwaho.
Igikuru ni ukubonana na muganga kugira ngo amenye impamvu nyayo, aho gutekereza ko kubabara amaguru ari ikibazo cy'umugongo gusa.
Witegura ute mbere yo kuvurwa?
Muganga wawe azakubwira uburyo bwiza bwo kuvura. Ibi bizaterwa n'ibintu byinshi, harimo ubukana bw'indwara yawe, aho yazibye, n'izindi ndwara zose ushobora kuba ufite.
Mbere yo kuvurwa, muganga azagusuzuma, akubaze amateka y'ubuzima bwawe, kandi akubwire ko azagupima.
- Gupima amaraso (Ibipimo byo muri laboratwari)
- Gupima ultrasound `(Ultrasound)`
- Ikizamini cya ECG (Electrocardiogram)
- Angiogramu ya CT `(Isuzuma rya mudasobwa (CT) angiogramu)`
- MR angiogram `(Angiogram ya Magnetic resonance)`
- Angiogramu
Uzagirwa inama yo kureka kurya no kunywa amasaha make mbere yo kuvurwa, akenshi nyuma ya saa sita z'ijoro. Nanone,Kureka kunywa itabi ni ingenzi cyane kugira ngo ubone umusaruro mwiza. Bitewe n'inama za muganga wawe, ushobora no gukenera guhagarika by'agateganyo gufata imiti imwe n'imwe. Ntugakore imwe muri iyi miti udahawe inama na muganga wawe.
Ni iki kibaho nyuma yo kuvurwa kandi bifata igihe kingana iki kugira ngo umuntu akire?
Nyuma yo kuvurwa, uzakenera kuryama mu buriri amasaha make. Abakozi b'ibitaro bazagukurikirana kandi baguhe imiti iyo ari yo yose ikenewe. Bashobora gusubiramo ibyakozwe mbere kugira ngo barebe niba imitsi yawe yongeye kuziba.
Igihe cyo gukira gitandukana bitewe n'ubuvuzi wahawe:
- Angioplasty cyangwa atherectomy: Nyuma yo kubagwa gato nk'uku, ubusanzwe umara umunsi umwe mu bitaro kandi ushobora gukira neza mu cyumweru kimwe.
- Kubaga bypass: Kubera ko iki ari igikorwa gikomeye, uzakenera kumara iminsi mike mu bitaro. Bishobora gufata ibyumweru 6 kugeza kuri 8 kugira ngo ukire neza.
Ibintu bishobora gutera ibyago n'igihe cyo kubonana na muganga byihutirwa
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe. Urugero, hari amahirwe make yo kuva amaraso, kwandura indwara, kubyimba kw'amaraso, n'ibibazo by'umutima. Ariko ibi akenshi bishobora kugenzurwa. Muganga wawe azagusobanurira ibi byose.
Niba ufite kimwe muri ibi bikurikira, ugomba guhita uhamagara muganga wawe:
- Igikomere kiri aho babazwe kirandura cyangwa kikabyimba.
- Kuva amaraso bidashira.
- Gutukura, kubyimba, cyangwa ububabare bukabije aho igikomere cyabereye.
- Umuriro cyangwa ubukonje.
- Kubabara mu gituza.
- Kubura ibinure cyangwa kugorwa no kwimura ukuguru kwavuwe.
Inyungu ikomeye y'ubu buryo bwo kuvura ni uko ububabare bw'amaguru yawe buzaba bushize, ubuzima bwawe buzaba bwiza, kandi uzarokoka ibyago bikomeye byo gutakaza ukuguru.
Ubutumwa bwo kujyana mu rugo
- Kubabara iyo ugenda, gucika intege, n'ibikomere bidakira mu maguru yawe bishobora kuba ibimenyetso by'indwara y'imitsi yo mu gice cy'imbere cy'umubiri (PAD). Ntukabirengagize.
- Gusubiza imitsi y'amaraso mu maguru ni uburyo bwo kuvura bufungura imiyoboro y'amaraso yazibye kandi bugasubiza amaraso mu maguru.
- Kugira ngo ukomeze kugira umusaruro mu gihe kirekire nyuma yo kuvurwa, ni ngombwa kureka burundu kunywa itabi, kugenzura cholesterol, no gukora imyitozo ngororamubiri buri munsi .
- Witinya kubaza muganga wawe ku bijyanye n'ubuvuzi bukubereye n'ingaruka zabwo. Ntutinye kubaza ikibazo icyo ari cyo cyose.
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