Ese ukuguru kwawe kwabyimbye kandi kubabara? Ibi bishobora guterwa na (May-Thurner Syndrome)!

Hari igihe amaguru yacu abyimba kandi akababara nta mpamvu, si byo se? Cyane cyane ukuguru kw'ibumoso. Abantu benshi ntibabyitaho cyane. Ariko ibi bishobora kuba atari ibintu byoroshye buri gihe. Uyu munsi tugiye kuvuga ku ndwara tutarayumva, ariko twese tuzi ko ikwiye gusurwa. Iyo ni `(May-Thurner Syndrome)`. Iyi nanone yitwa `(Cockett syndrome)` cyangwa `(Iliac vein compression syndrome)`.

"May-Thurner Syndrome" ni iki mu by'ukuri?

Mu magambo make, `(May-Thurner Syndrome)` ni indwara aho umutsi wawe w'iburyo wa Iliac (`Right Iliac Artery`) n'umutsi wawe w'ibumoso wa Iliac (`Left Iliac Vein`) bikandamizwa. Noneho ushobora kuba wibaza ibyo iyi mitsi n'imitsi ya Iliac ari byo. Umutsi w'iburyo wa Iliac ni wo mutsi mukuru w'amaraso ujyana amaraso ku kuguru kwawe kw'iburyo. Umutsi w'ibumoso wa Iliac ni wo mutsi mukuru w'amaraso ujyana amaraso kuva ku kuguru kwawe kw'ibumoso kuyasubiza mu mutima. Rero, muri iyi `(May-Thurner Syndrome)`, iyo mitsi ishobora kubangamira inzira y'amaraso mu maguru yawe.

Ibi bigira izihe ngaruka ku mubiri? Bigira izihe ngaruka ku mubiri?

Noneho ushobora kuba wibaza icyo ibi bikora ku mubiri n'uko bigira ingaruka kuri wo. Ikintu cy'ingenzi ni uko bitewe n'uyu muvuduko, amaraso atangira kwikusanya mu maguru, cyane cyane ukuguru kw'ibumoso , aho kuzamuka anyuze mu mutsi w'ibumoso wa iliac, ni ukuvuga yerekeza ku mutima. Iyo ibi bibaye, amaraso ashobora kuzura mu mitsi yo mu bwihisho . Mu buvuzi, ibi tubyita `(Deep Vein Thrombosis)` cyangwa `(DVT)`. Iyi ni indwara ikeneye kwitabwaho. Ibimenyetso bya `(DVT)` bishobora kuba ibi bikurikira:

• Impinduka mu ibara ry'uruhu ku kuguru (wenda umutuku, ubururu).
• Imitsi yo mu maguru isa n'aho ibyimbye kandi ibyimbye.
• Kubabara amaguru, ububabare bukabije, cyangwa kubabara mu gukorakoraho.
• Kubyimba amaguru no kumva uremereye.

Bamwe mu bagore bashobora no kurwara indwara yo kubyimba kw'ikibuno (PBS) hamwe na syndrome ya May-Thurner. Abaganga bemeza ko ubu bubabare budakira bw'ikibuno buterwa n'ibibazo by'imitsi yo mu kibuno (ni ukuvuga mu nda yo hasi).

Ibi bibangamira gute gutembera kw'amaraso?

Amaraso ahora atembera mu mitsi y'amaraso y'umubiri wacu (imitsi n'imitsi). Nkuko mubyibuka, imitsi itwara amaraso meza kandi afite ogisijeni ava mu mutima ayajyana mu bindi bice byose by'umubiri. Iyo ibyo bice byakiriye ogisijeni n'intungamubiri, imitsi itwara amaraso adahumeka kandi yanduye agaruka mu mutima no mu bihaha.

Hari ahantu hamwe mu mubiri wacu, iyi mitsi n'imitsi birahura. Mu buryo nk'ubwo, mu kibuno cyacu, umutsi w'iburyo wa iliac uba hejuru y'umutsi w'ibumoso wa iliac. Ubusanzwe, ibi si ikibazo. Ariko, ku muntu ufite `(May-Thurner Syndrome)`, umutsi w'iburyo wa iliac ushyira igitutu ku mutsi w'ibumoso wa iliac. Tekereza ko hari umuyoboro w'amazi, bigenda bite iyo umuntu awukandagiyeho? Biragoye ko amazi atemba, sibyo? Mu by'ukuri, ikintu nk'icyo kibaho hano.Kubera ko umutsi w'ibumoso wa iliac upfukiranwa, biragoye ko amaraso anyuramo neza.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Iyi "May-Thurner Syndrome" isa nkaho ikunze kugaragara ku bagore . Ikunze no kugaragara ku bantu bakuru bari hagati y'imyaka 20 na 50 .

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, indwara yo kuvura imitsi yo mu mitsi ya Iliac ikunze kugaragara cyane kurusha uko wabitekereza. Hari ubushakashatsi bugaragaza ko umuntu umwe kuri batanu ashobora kugira ubwo bwoko bwa thrombosis! Ariko igitangaje ni uko nubwo abantu benshi bafite thrombosis yo mu mitsi ya Iliac, ntibaba bafite `(May-Thurner Syndrome)` by’umwihariko. Impamvu imwe ishobora kuba ari uko abantu benshi batagaragaza ibimenyetso bya `(May-Thurner Syndrome)` kugeza igihe bagiriye ikibazo nka `(DVT)`.

Ni ibihe bimenyetso bya `(May-Thurner Syndrome)`?

Abantu benshi barwaye indwara ya May-Thurner Syndrome nta bimenyetso bagira , cyane cyane iyo badafite DVT twavuze mbere. Iyo ibimenyetso bigaragaye, akenshi bigira ingaruka ku kuguru kw'ibumoso gusa . Ibi bishobora kuba birimo:

• Kumva amaguru afite uburemere. Nk'ibuye rimanitseho, biragoye cyane.
• Hari igihe ibikomere bidakira (ibisebe) bishobora kugaragara ku maguru.
• Ushobora kugira ububabare mu kuguru kwawe cyangwa ububabare buturutse imbere.
• Ibara ry'uruhu rishobora guhinduka. Rishobora guhinduka ubururu cyangwa umukara.
• Kubyimba amaguru.
• Indwara nk'imitsi itera kuribwa mu mara zishobora kuvuka.

Ni iki gitera `(May-Thurner Syndrome)`?

Impamvu nyamukuru ibitera ni uko umutsi w’iburyo wa Iliac usunika umutsi w’ibumoso wa Iliac. Ariko abaganga ntibarabasha kubona impamvu nyayo ibi bibaho. Ni ukuvuga ko bishobora kuba biterwa n’impinduka mu miterere y’umubiri.

Abaganga bapima iki kibazo gute? (Isuzuma)

Niba ufite ibi bimenyetso, ikintu cya mbere ugomba gukora ni ukubonana na muganga akakubwira neza ibimenyetso byawe n'amateka y'ubuzima bwawe. Muganga azagusuzuma. Hanyuma, bashobora gukora ibizamini byihariye bishobora kureba iyi mitsi y'amaraso.

• `CT (Computed Tomography) scan` : Iyi scan ikoresha X-ray na mudasobwa zidasanzwe kugira ngo ifate amafoto y'imitsi y'amaraso mu bice bitandukanye. Hanyuma iyi scan ishobora gukoreshwa kugira ngo harebwe niba hari ikintu cyazibye.
• `MRI (Ishusho ya Magnetic Resonance)` : Ibi bikoresha magneti, imiraba ya radiyo, na mudasobwa kugira ngo bikore amashusho arambuye y'imitsi y'amaraso.
• Ultrasound: Iki kizamini gikoresha imiraba y'amajwi kugira ngo harebwe uko amaraso atembera mu mubiri, cyane cyane mu mitsi y'amaraso (Doppler Ultrasound).
• Venogram : Muri ibi, irangi ryihariye (irangi ritandukanye) rishyirwa mu mitsi maze irangi rigafatwa hifashishijwe imirasire ya X kugira ngo harebwe niba hari ikibazo cyo kuziba kw'amaraso.
• "Venogram ishingiye kuri katheteri" ishobora no gukorwa. Ibi bivuze ko umuyoboro muto (catheteri) winjizwa mu mutsi hanyuma irangi rigashyirwamo.
• Ultrasound yo mu Mitsi (IVUS) : Iki ni ikizamini cyoroshye kurushaho. Aha, katheteri ishyirwa mu mitsi y'amaraso, hanyuma agakoresho gato ka ultrasound (probe) kanyuzwa muri katheteri kugira ngo gafate amashusho asobanutse neza kandi arambuye y'imbere mu mitsi y'amaraso. Ibi bishobora gupima neza ingano y'umuvuduko w'amaraso.

Ni ubuhe buryo bwo kuvura ibi?

Hari intego ebyiri z'ingenzi mu kuvura `(May-Thurner Syndrome)`. Imwe ni ukunoza urujya n'uruza rw'amaraso . Indi ni ukugabanya ibyago byo kurwara `(DVT)`. Bitewe n'uko urwaye, muganga wawe ashobora kukugira inama yo kuvura ibi bikurikira:

• Angioplasty na Stenting : Ubu ni bwo buryo bukunze gukoreshwa cyane. Muri ubu buryo, catheter ifite agapira gato ishyirwa mu mutsi w'ibumoso wa Iliac ufunze. Iyo igeze aho uruziga rwayo rupfunze neza, agapira karabyimba. Ibi bifungura umutsi ufunze. Hanyuma, agapira gato k'imiyoboro, kitwa stent , gashyirwa mu mwenge kugira ngo kadafunga nanone, maze agapira kagakurwaho. Ibi ni nko gukuraho uruziga mu muhanda no kubaka ikiraro kugira ngo byoroshye kwambuka.
• Kubaga mu buryo bwo kunyura mu gice cy'umubiri : Hari igihe havuka inzira nshya hakoreshejwe agace k'inyama kavanywe mu kindi gice cyangwa umuyoboro w'ubukorano kugira ngo karenge umutsi wafunzwe. Ibi bigarura amaraso atembera neza. Iki ni igikorwa gikomeye.
• Gufunga imitsi y'iburyo ya Iliac : Ni gake cyane, kubagwa bishobora gukorwa kugira ngo umutsi w'iburyo wa Iliac wimurwe gato kugira ngo ugabanye umuvuduko ku mutsi w'ibumoso wa Iliac. Hari igihe igice cy'umubiri gishobora gushyirwa hagati y'umutsi n'umutsi kugira ngo ugabanye umuvuduko.

Wakora iki niba ufite `(DVT)`?

Noneho tekereza ko ufite "DVT" bitewe na "May-Thurner Syndrome". Muri icyo gihe, uretse ubuvuzi bwavuzwe haruguru, muganga azakongeraho ubundi buryo bwo kuvura:

• Imiti igabanya amaraso mu mubiri : Iyi ibuza amaraso kubumba, ikabuza amaraso kubumba kwiyongera, ndetse ishobora no gufasha gushonga buhoro buhoro.
• Imiti igabanya amaraso mu maraso / Thrombolytics : Iyi ni imiti ikomeye itangwa mu buryo butaziguye kugira ngo ishongeshe amaraso mu maraso. Iyi miti ikunze gutangwa binyuze muri catheter, ikagera mu maraso mu maraso.
• `Vena Cava Filter` : Iki ni igikoresho gito gisa n'umuyoboro. `Inferior Vena Cava` ni wo mutsi munini mu mubiri wacu. Aha niho amaraso ava mu maguru no mu nda ajya mu mutima. Iyo uyu muyoboro ushyizwe muri uwo mutsi, urinda amaraso afunganye mu maguru kuva mu nzira akajya mu bihaha.

Ese hari uburyo bwo gukumira ibi?

Mu by’ukuri, nta buryo bwizewe bwo gukumira iyi "May-Thurner Syndrome" (indwara ya May-Thurner Syndrome)., kuko impamvu nyayo itaramenyekana. Ariko ushobora gutuma amaraso yawe yose atembera neza kandi ukagabanya ibyago byo kubyimba kw'amaraso ukora ibi bikurikira:

• Ntukicare ahantu hamwe igihe kirekire. Niba ukora mu biro, haguruka ugende buhoro buhoro, urambura amaguru yawe, nibura rimwe mu isaha.
• Nywa amazi menshi. Ni byiza kunywa nibura litiro 2-3 z'amazi ku munsi.
• Siporo buri gihe , cyane cyane imyitozo ngororamubiri (nk'amaguru, kwiruka, no kugendera ku igare).
• Niba ufite izindi ndwara nka diyabete, umuvuduko ukabije w'amaraso, cyangwa indwara y'imitsi yo mu gice cy'imbere cy'umuyoboro w'amaraso (PAD), vugana na muganga wawe kandi ubigenzure neza.
• Niba unywa itabi, rekera aho rwose . Kunywa itabi ni bibi cyane ku mitsi yawe y'amaraso.
• Niba muganga wawe abigusabye, ambara amasogisi yihariye yo gukanda. Aya masogisi afasha kugabanya amaraso mu maguru yawe no kugufasha kuzamuka.

Ni izihe ngorane ibi bishobora gutera?

Ingorane nyamukuru ya `(May-Thurner Syndrome)` ni `(DVT)` twavuzeho. Ariko, hari ikintu gishobora guteza akaga kurushaho . Ni ukuvuga ko iyo amaraso yacitse mu kaguru, akanyura mu maraso agafata umutsi wo mu bihaha. Ibyo tubyita `(Pulmonary Embolism)` (amaraso yacitse mu bihaha) .

Guhagarika ibihaha ni ikibazo cyihutirwa cy’ubuvuzi gishobora gushyira ubuzima mu kaga. Niba ufite kimwe muri ibi bimenyetso bishya cyangwa bikomeje kwiyongera , jya ku bitaro bikurura ubutabazi byihuse cyangwa uhamagare imbangukiragutabara:

* Gukorora amaraso hamwe n'ibicurane.

* Umutima utera cyane (umutima utera vuba cyangwa utera nabi).

* Kugorwa cyane no guhumeka, kumva umeze nk'urimo kubura umwuka (Dyspnea).

* Iyo ugize ububabare bukabije mu gituza burushaho kwiyongera iyo uhumeka.

Ejo hazaza h'umuntu ufite `(May-Thurner Syndrome)` ni he?

Abantu benshi babaho igihe kirekire kandi bafite indwara ya May-Thurner Syndrome nta kibazo bafite. Niba udafite ibimenyetso, ushobora no kutamenya ko ufite iyo ndwara.

Ariko, niba ubonye kimwe mu bimenyetso bya `(Deep Vein Thrombosis - DVT)` twavuzeho (nk'ibibyimba, gutukura, ububabare, ubushyuhe mu kuguru), menya neza ko wagiye kwa muganga . `(DVT)` akenshi ishobora kugenzurwa neza ukoresheje imiti ndetse nibiba ngombwa, ubundi buryo bwo kuvura.

Ibibazo byo kubaza muganga

Niba ufite, cyangwa utekereza ko ushobora kuba ufite, May-Thurner Syndrome, byaba byiza ubajije muganga wawe ibi bibazo:

• Ni ibihe bimenyetso bya ``May-Thurner Syndrome'' bimfata?
• Ni iyihe mpamvu ishoboka cyane y’ibimenyetso byanjye?
• Ni ubuhe bwoko bw'ibizamini ngomba gukora kugira ngo menye neza ibi?
• Ni ibihe bimenyetso bya `(DVT)`? Nkwiye gukora iki nibifatwa?
• Ni ibihe bimenyetso bya `(Pulmonary Embolism)`? Nkwiye gukora iki nibifatwa?
• Ni ubuhe buryo bwo kuvura "May-Thurner Syndrome" usaba? Ni ibihe byiza n'ibibi?
• Ni ibihe bibazo byo kugaragara kw'ibimenyetso nyuma yo kuvurwa?

Ese `(May-Thurner Syndrome)` ishyira ubuzima mu kaga?

`(May-Thurner Syndrome)` ntabwo ishyira ubuzima mu kaga mu buryo butaziguye. Ariko, ishobora gutera ikibazo gikomeye cyitwa `(Pulmonary Embolism)`. Ibyo nibyo bishyira ubuzima mu kaga. Kubwibyo, ni ngombwa cyane kumenya ibimenyetso bya `(Pulmonary Embolism)` no gushaka inama z'abaganga vuba niba wumva ikintu nk'icyo.

Wamenya ute ko ufite `(May-Thurner Syndrome)`?

Mu by’ukuri, ushobora kutamenya neza niba ufite `(May-Thurner Syndrome)` kuko abantu benshi ntibanamenya ko bayifite kugeza igihe bagaragaje ibimenyetso bya `(DVT)`.

Uburyo bwonyine bwo kumenya neza ni ukugira ngo umuganga akore ibizamini byo gufata amashusho twavuze mbere (nka CT, MRI, Venogram, IVUS) maze akemeze ko umutsi w'ibumoso wa iliac urimo kuva mu mutsi w'iburyo wa iliac.

Ibintu by'ingenzi ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero, dore ibintu by'ingenzi ugomba kwibuka kuri ``May-Thurner Syndrome'' twavuzeho mu buryo burambuye:

• Indwara ya May-Thurner ni indwara aho umutsi w'iburyo wa iliac ukanda imitsi y'ibumoso ya iliac, ikabuza amaraso kuva ku kuguru kw'ibumoso kugera ku mutima.
• Ibi byongera ibyago byo kurwara indwara yitwa ``Deep Vein Thrombosis - DVT'' (amaraso afunganye mu mitsi yo mu nda) .
• Abantu benshi ntibagira ibimenyetso . Iyo ibimenyetso bigaragaye, akenshi biba ari ibintu nko kubabara ukuguru kw'ibumoso, kubyimba, kuremererwa, ndetse n'impinduka mu ibara ry'uruhu.
• Ubuvuzi bugamije kugabanya umuvuduko w'amaraso, gusubiza amaraso mu mubiri no kugabanya ibyago byo kurwara DVT. Uburyo bwo kuvura indwara ya angioplasty na stent ni bwo buvuzi bukunze kugaragara cyane.
• Niba ubonye ibimenyetso bya DVT (kubyimba bitunguranye, ububabare, gutukura, ubushyuhe ku kuguru kwawe), hita ubonana na muganga.
• Ibimenyetso bya "Pulmonary Embolism" (guhumeka nabi mu buryo butunguranye, kubabara mu gatuza, gukorora amaraso, kumva nta cyo umaze) ni ikibazo cyihutirwa cy’ubuvuzi. Muri icyo gihe, jya kwa muganga vuba vuba.

Ni ingenzi cyane kumenya iyi ndwara. Kuko, iyo imenyekanye hakiri kare, izagira uruhare runini mu gukumira ingorane zikomeye. Ntugatinye, ahubwo menya ibimenyetso byavuzwe haruguru kandi ntutindiganye gushaka inama kwa muganga nibiba ngombwa.

"Indwara ya May-Thurner, Indwara ya Iliac Vein Thrombosis, DVT, Indwara ya Deep Vein Thrombosis, Kubyimba amaguru, Ububabare bw'amaguru, Kuziba kw'ibihaha, Kuziba kw'amaraso, Indwara y'imitsi