Ese ufite ibikomere ku maguru bitazakira? Reka twige byose ku bisebe by'amaguru!

Iyo tugize igikomere gito ku kuguru kwacu, twese twibwira ko kizakira mu minsi mike. Ariko rimwe na rimwe, ibi bikomere bishobora gufata ibyumweru, ndetse n'amezi, kugira ngo bikire, bikagusiga mu bibazo. Uko ni ko tugiye kuvuga ku bikomere bibabaza amaguru yacu, bifata igihe kirekire kugira ngo bikire. Mu buvuzi, ibi byitwa `(Ibisebe by'Amaguru)`.

Ibi bisebe byo ku maguru bidakira ni ibihe?

Muri make, igisebe cyo ku kaguru ni igisebe kimaze ibyumweru birenga bibiri kidakira nubwo cyavuwe . Ibi bisebe bikunze kuboneka mu gace kari hagati y'akaguru n'ivi.

Ibi bikomere bikunze kuva amazi (ashobora kuba arimo amashyira) . Iyo bitavuwe neza, ibi bikomere bishobora kwiyongera. Urugero, niba ufite igikomere cyo ku kuguru kandi ntikira nyuma y'amezi atatu uvuwe, tubifata nk'indwara idakira .

Imibare ituruka mu bihugu bimwe na bimwe byateye imbere ku isi ivuga ko abantu bakuru bagera kuri 1% barwaye iyi ndwara. Iki kibazo gikunze kugaragara cyane cyane ku bantu barengeje imyaka 65. Abagera kuri 4% muri bo bashobora kuba bafite ibikomere bidakira ku maguru. Ibi rero si ibintu byoroshye gufata nk'ibintu byoroheje.

Kuki habaho ibisebe ku maguru?

Hari impamvu nyinshi zishobora gutuma ibisebe ku maguru bivuka. Reka turebe izikuru.

1. Ibibazo by'imitsi (Kudakora neza kw'imitsi mu buryo buhoraho)

Iyi ni yo mpamvu nyamukuru ituma habaho ibisebe mu maguru. Imitsi yo mu maguru yacu ifite utwuma duto imbere muri two. Utwo tumeze nk'inzugi. Akazi kayo ni ukubuza amaraso gutemba hejuru, yerekeza ku mutima, no gusubira hasi. Ariko iyo utwo tunyuzi tudakora neza, amaraso ashobora gusubira inyuma no kwishyira mu maguru yo hasi .

Tekereza nk'agakingirizo kacitse mu muyoboro w'amazi, bigatuma amazi yishyira hamwe. Iyo amaraso agize gutya, umuvuduko uri mu mitsi yo mu maguru uriyongera. Hanyuma, imitsi mito cyane y'amaraso mu ruhu ishobora guturika. Ibi bitera kubyimba, kuribwa, kuma k'uruhu, amaherezo uruhu rugacikamo udusebe n'ibisebe.

2. Diyabete (Diabete Mellitus)

Uzi ko diyabete (`(Diabete Mellitus)`) ari indwara ishobora guteza ingorane nyinshi. Kubera ko igipimo cy'isukari mu maraso cy'umuntu urwaye diyabete gihora kiri hejuru, ibinure byiyongera mu miyoboro y'amaraso, bikayifunga . Nk'uko ingese ziyongera mu muyoboro w'amazi ushaje.

Iyo imitsi ifunze gutya, amaraso atembera mu maguru aragabanuka. Kubwibyo, imitsi ishobora kwangirika . Ibi tubyita `(Diabetic Neuropathy)`. Iyo imitsi icitse intege gutya, ushobora kutwumva n'igisebe gito cyangwa igikomere mu kuguru kwawe. Hari igihe, ndetse n'igikomere gito gifatirwa mu nkweto yawe gishobora kutagaragara kugeza igihe gihindutse igikomere kinini. Nanone, ibikomere bikira buhoro buhoro bitewe na diyabete .

3. Indwara y'imitsi yo mu mpande (PAD)

Muri iki kibazo, hari ikintu gisa na diyabete kibaho. Ibinure byinshi (atherosclerosis) byibasira imitsi ijyana amaraso mu ngingo z'umubiri wacu, bigafunga iyo mitsi buhoro buhoro. Mu by'ukuri, imitsi y'ingenzi ijyana amaraso mu maguru yacu iraziba .

Bigenda bite se? Amaguru ntabona amaraso ahagije. Bityo ntabona ogisijeni n'intungamubiri bihagije. Iyo ibi bibaye, ndetse n'igikomere gito bifata igihe kirekire kugira ngo gikire. Abantu barwaye diyabete nabo bafite amahirwe menshi yo kurwara iyi ndwara (PAD) .

4. Umuvuduko ukabije w'amaraso / umuvuduko ukabije w'amaraso

Umuvuduko ukabije w'amaraso (hypertension) nawo ni umwanzi udasobanutse. Iyo udacunzwe neza, ushobora gutera igisebe kibabaza cyane (Martorell ulcer) ku kaguru ko hasi, cyane cyane mu kaguru k'ikirenge. Umuvuduko ukabije w'amaraso utuma imiyoboro mito y'amaraso (capillaries) mu ruhu iziba, bigatuma amaraso adakwirakwira mu ruhu. Hanyuma uturemangingo tw'uruhu turapfa tukagaragara nk'igisebe.

Ni nde ufite ibyago byinshi byo kugira imvune ku maguru?

Hari abantu bafite amahirwe menshi yo kugira ibikomere byo ku maguru kurusha abandi. Reka turebe abo ari bo:

• Ku bagore: Abagore bafite amahirwe abiri y’ukurwara iyi ndwara ugereranyije n’abagabo.
• Uburemere bukabije bw'umubiri: Ibi bishobora kwiyongera bitewe n'umubyibuho ukabije cyangwa kwiyongera ibiro mu gihe cyo gutwita.
• Amateka y'umuryango: Niba hari umuntu wo mu muryango wawe ufite ibibazo by'imitsi (urugero: imitsi itera uburibwe), nawe ushobora kurwara iyi ndwara.
• Izindi ndwara: Abantu bafite indwara nka diyabete, umuvuduko ukabije w'amaraso, na rubagimpande.
• Kubagwa: Ku babazwe ikibuno cyangwa kubagwa ivi.
• Impanuka n'imvune: Ibikomere bikomeye nko kuvunika amagufwa.
• Kutagira imyitozo ngororamubiri: Ku bantu bamara igihe kirekire ahantu hamwe, batagenda n'amaguru, kandi bafite indwara nk'iz'ubumuga.
• Kunywa itabi: Kunywa itabi bishobora kwangiza imiyoboro y'amaraso no kubangamira urujya n'uruza rw'amaraso.
• Izindi ngorane z'imitsi: Ku bafite indwara nk'imitsi iri mu mitsi, vasculitis, na venous thromboembolism.

Ni ibihe bimenyetso by'igisebe cyo ku kaguru?

Iyo ufite igikomere ku kuguru, ubimenya ute? Dore bimwe mu bimenyetso by'ingenzi:

• Igikomere kidakira: Iki ni cyo kimenyetso nyamukuru. Iyo igikomere kidakize nyuma y'ibyumweru bibiri cy'ubuvuzi, gishobora kuba ari `(Igisebe cy'amaguru)`.
• Ishusho y'igikomere: Igikomere gishobora kuba gitukura, umuhengeri, umukara, cyangwa umuhondo . Hari igihe amabara menshi muri aya ashobora kugaragara nk'avanze. Igikomere gishobora kandi kuvamo amazi cyangwa ikindi kintu kimeze nk'amashyira .
• Impinduka z'uruhu:
• Uruhu rukikije igikomere rushobora kuma, rukamera nk'ibicurane, kandi rukaryana .
• Ibintu nk'ibibyimba bikomeye ku ruhu bishobora kugaragara, cyangwa uruhu rugakomera.
• Ibara ry'uruhu rishobora guhinduka rikagaragara nk'umutuku, ubururu, cyangwa umuhengeri, nk'igisebe .
• Ububabare: Ushobora kugira ububabare bw'amaguru, cyane cyane nyuma yo guhagarara igihe kirekire .
• Kubyimba: Kubyimba (edema) bishobora kugaragara mu maguru yo hasi.

Ni gute wamenya ibisebe byo ku maguru?

Niba ufite ibi bimenyetso, ugomba kujya kwa muganga. Ubusanzwe, inzobere mu mitsi izasuzuma ibi bikomere. Azasuzuma uruhu rwawe n'igikomere witonze.

Byongeye kandi, ushobora no gukora ibizamini nk'ibi:

• Ikizamini cyo gupima imiterere y'ikirenge n'imitsi: Ibi bikoresha ikoranabuhanga rya ultrasound mu gupima umuvuduko w'amaraso n'uburyo amaraso atembera mu maguru.
• Isuzuma ry'umubiri: Ingero z'uturemangingo tw'uruhu n'amazi ava mu gikomere bifatwa bigasuzumwa hifashishijwe mikorosikopi kugira ngo harebwe niba nta ndwara cyangwa izindi ndwara z'uruhu zanduye.

Ni gute wavura ibikomere byo ku maguru?

Ibisebe byo ku maguru bishobora kugorana gukira. Hari igihe , nubwo byavurwa, ibisebe bishobora kumara amezi cyangwa imyaka . Ariko ntugahangayike, bishobora gukira iyo bivuwe neza.

Uburyo bwo kuvura buterwa n'ibintu nk'ubwoko bw'imvune n'icyayiteye. Intego z'ingenzi za muganga ni uku:

1. Gukira igikomere.

2. Kugabanya kubyimba.

3. Kurinda ko igikomere kidasubira mu gihe gikira.

Dore bumwe mu buryo bw'ingenzi bwo kuvura:

• Uburyo bwo kuvura gukanda: Kugira ngo amaraso atembera neza mu maguru, hakoreshwa ubwoko bwihariye bw'amasogisi (amasogisi yo gukanda) cyangwa ibitambaro. Ibi bishyiraho igitutu ku kaguru, bigafasha gusunika amaraso hejuru.
• Kuzamura amaguru: Gukomeza kuzamura amaguru yawe hejuru y'umutima wawe nibura isaha imwe ku munsi, nibura iminsi itandatu, bifasha amaraso gusubira mu mutima.
• Kwita ku bikomere: Ibi ni ingenzi cyane.
• Gusaba muganga gukura uruhu rwapfuye mu gikomere (`(gukuraho)`).
• Gukoresha imiti yica udukoko mu mubiri kugira ngo hirindwe kwandura.
• Hindura igitambaro ku gikomere buri gihe.
• Imiti:
• Iyo hari ubwandu mu gikomere, imiti igabanya ubukana ishobora gutangwa.
• Imiti (vasodilators) ifasha kwagura imiyoboro y'amaraso no kunoza urujya n'uruza rw'amaraso ishobora no gutangwa.
• Ubuvuzi bwa ogisijeni ikabije (`(Ubuvuzi bwa ogisijeni ikabije)`):Ubu ni uburyo bwihariye bwo kuvura. Wicaye mu cyumba gishyushye cyane uhumeka ogisijeni. Ibi byongera ogisijeni mu maraso, bigatuma ibikomere bikira vuba.
• Kuvura imitsi: Niba ufite ibibazo nk'imitsi itera imitsi iri mu bwonko, ushobora kuvura imitsi nka sclerotherapy (gutera imiti mu mitsi) cyangwa gukuramo imitsi mu mitsi (gushyushya imitsi imbere no kuyifunga).
• Kubagwa: Hari igihe umuntu ashobora kubagwa kugira ngo akureho, asane, asimbuze cyangwa arekere aho umutsi wangiritse wangiritse.
• Uduce tw’uruhu: Iyo igikomere kirenze santimetero 1.5, cyangwa ubundi buryo bwo kuvura budakira, uruhu rwo mu kindi gice cy’umubiri rushobora gufatwa rugashyirwa hejuru y’igikomere.

Ni gute wakwirinda ibisebe ku maguru?

Nubwo igikomere cyo ku kuguru cyakira, birashoboka cyane ko gishobora kugaruka . Kubwibyo, ni ngombwa cyane kwita kuri ibi bintu:

• Iyo wicaye cyangwa usinziriye, gira akamenyero ko gukomeza amaguru yawe hejuru kuruta umutima wawe . Ushobora gushyira ikintu kimeze nk'umusego muto munsi y'amaguru yawe.
• Komeza kugira ibiro bizima . Kora imyitozo ngororamubiri ihagije. Kugenda n'amaguru gake buri munsi nabyo ni byiza.
• Niba ufite indwara zigira ingaruka ku mikorere y'amaraso, nka diyabete, umuvuduko ukabije w'amaraso, cholesterol nyinshi, cyangwa indwara ya Raynaud, zigenzure neza . Kurikiza amabwiriza ya muganga witonze.
• Niba unywa itabi, rekera aho . Ushobora kandi gusaba ubufasha kwa muganga kuri ibi.
• Kugira ngo uruhu rutakuma, koresha imiti isukura neza . Siga amavuta yo kwisiga nyuma yo kwiyuhagira.
• Ambara amasogisi cyangwa ibitambaro byibuze isaha imwe ku munsi. Ibi bizatuma amaraso atembera neza mu maguru yawe. Saba muganga wawe guhitamo igukwiriye.

Ni izihe ngorane zishobora guterwa n'ibisebe byo ku maguru?

Iyo ibikomere bidakira bikomeje, bishobora guteza ibindi bibazo.

• Indwara y'amagufwa (Osteomyelitis): Igikomere gishobora kujya mu bwihisho kigatera ubwandu mu magufwa. Iyo birushijeho kuba bibi, bishobora no gutuma umuntu acibwa ingingo.
• Selulite: Ni indwara ikomeye ya bagiteri ifata uruhu n'ingingo ziri munsi y'uruhu. Agace gakikije igikomere gashobora gutukura, kubyimba no gushyuha.
• Sepsis: Iyo ubwandu bugeze mu maraso, bushobora gushyira ubuzima mu kaga.
• Kanseri z'uruhu: Ubwoko bwa kanseri y'uruhu (squamous cell carcinoma) rimwe na rimwe bushobora guterwa n'ibikomere bimaze igihe kirekire bitakira.

Ni iki giteganijwe ku muntu ufite imvune y'ukuguru?

Ibikomere by'amaguru rimwe na rimwe bishobora gutera ubumuga . Ibi bikomere bishobora gutuma kugenda, gukora, no kubaho ubuzima busanzwe bigorana. Bishobora gusaba kujya kwa muganga kenshi, amavuriro y'abakomeretse, ndetse no kujya mu bitaro.

Ni ryari ngomba kujya kwa muganga?

Niba ufite igikomere kidakira ku kuguru kwawe kandi ukaba ufite kimwe muri ibi bimenyetso, hita ubonana na muganga :

• Kurya umuriro cyangwa kumva urimo gukonja.
• Niba hari ububabare bukomeye bujyanye n'imvune butuma udasinzira cyangwa ngo ukore imirimo ya buri munsi .
• Ibimenyetso byerekana ko igikomere cyanduye: gutukura hafi y'igikomere, ubushyuhe, kubyimba, no kuvamo amatembabuzi mabi mu gikomere.

Ni iki ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga, ni byiza kubaza ibi bibazo:

• "Muganga, kuki nagize iki gikomere ku kuguru kwanjye?"
• "Ni ubuhe buryo bwiza bwo kuvura nahabwa?"
• "Ni izihe mpinduka nakora kugira ngo ngire iki gikomere kandi mburinde ko kizongera kubaho?"
• "Ni ibihe bimenyetso byihariye nkwiye kwitaho ku bijyanye n'ingorane?"

Ibisebe byo ku maguru birababaza, ntibiryoshye, kandi bifata igihe kirekire kugira ngo bikire. Kubwibyo, hakenewe ubuvuzi bwihariye kugira ngo hirindwe kwandura no gufasha igisebe gukira.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Nk’uko twabiganiriyeho, igisebe cy’amaguru kidakira (`(Ibisebe by’Amaguru)`) si ikintu gishobora kuvurwa byoroshye. Ariko, ntugatinye. Niba ufite iki kibazo, ikintu cya mbere ugomba gukora ni ukubona muganga wujuje ibisabwa, ukamenya impamvu nyayo, hanyuma ugatangira kuvurwa neza.

Gukurikiza amabwiriza ya muganga wawe witonze, kwita ku gisebe cyawe neza, kureka kunywa itabi niba unywa itabi, kugenzura ibiro byawe, no guhangana n'indwara iyo ari yo yose itera diyabete bishobora kugufasha cyane guhangana n'iki kibazo. Wibuke ko ibi bikomere bishobora kongera kugaruka nubwo byamaze gukira, bityo ni ngombwa gukomeza gukurikiza amabwiriza ya muganga wawe. Tukwifurije gukira vuba!

Ibisebe byo ku maguru, diyabete, umuvuduko ukabije w'amaraso, ibibazo by'imitsi, gukira kw'ibikomere, indwara z'uruhu