Ese ni ukuziba kw'imitsi yo mu bwonko bwo hagati? Reka tuvuge ku ndwara ya MCA stroke!

Ese wigeze wibaza icyaba gishobora kubaho iyo umuyoboro muto w'amaraso mu bwonko bwacu ufunze mu buryo butunguranye? Ni ko indwara ikomeye yitwa MCA stroke (Middle Cerebral Artery Stroke) iteye. Izina risa n'aho riteye ubwoba gato, si byo se? Ariko ntugahangayike. Tuzaganira kuri byose mu buryo bworoshye ushobora kumva. Ni nko kugira inshuti yawe magara cyangwa umuntu wo mu muryango wawe agusobanurira ikintu runaka.

MCA Stroke ni iki?

Mu magambo make, indwara ya MCA stroke ni indwara yo gucika intege iterwa no kuziba k'imitsi y'amaraso mu bwonko bwawe yitwa Middle Cerebral Artery (MCA) . Tekereza ko iyi mitsi y'ubwonko yo hagati ari imwe mu mitsi y'amaraso ikomeye itanga amaraso mu bwonko bwacu. Mu by'ukuri, ihuza n'imitsi ya carotid iri mu ijosi ryacu kandi igatanga amaraso mu bice by'ubwonko bidufasha gukoresha ibyumviro byacu, kwimura imibiri yacu, no kuvuga. Imitsi myinshi iterwa n'imitsi y'amaraso yitwa MCA.

None se, iyi ndwara ya MCA ibaho ite? Impamvu ni uko amaraso afungana muri iyi mitsi yo hagati y’ubwonko. Nk’uko igice cy’umwanda gifata mu muyoboro w’amazi, amazi arahagarara, iyo iyi mitsi ifunganye, amaraso arahagarara ngo agere mu bice by’ubwonko bireba. Hanyuma uturemangingo turi muri ibyo bice dutangira gupfa. Ni cyo gitera iyi ndwara.

Ni ibihe bimenyetso by'indwara yo gucika kw'imitsi ya MCA?

Hariho ibimenyetso byinshi bya MCA stroke. Ibi bikunze kugaragara mu buryo butunguranye. Reba niba ibi bimenyetso bisa n'ibisanzwe kuri wewe:

• Intege nke cyangwa ibinya ku ruhande rumwe rw'isura cyangwa umubiri: Ushobora kumva nk'aho uruhande rumwe rudakomeye. Cyangwa ushobora kudashobora kwimura urwo ruhande na gato.
• Gutakaza cyangwa kugabanuka k'imikorere y'ibyumviro bitunguranye: Ibyumviro nko kureba, kumva, guhumurirwa, uburyohe, no gukoraho bishobora gucika cyangwa bigacika intege mu buryo butunguranye.
• Imvugo idasobanutse cyangwa ihindagurika (dysarthria): Kudashobora kuvuga neza amagambo.
• Kugorwa no kuvuga cyangwa gutakaza burundu ijambo (aphasia): Kugorwa no kubona amagambo, cyangwa kutabasha kuvuga na gato, bishobora kubaho.
• Kwirengagiza: Ubusanzwe uru ni uruhande rw'ibumoso rwibagiranye muri ubu buryo. Ni ukuvuga ko ibintu biri ibumoso bitamenyekana, kandi nta mpungenge kuri urwo ruhande.
• Kubura uburinganire cyangwa kugorwa no kugenda (ataxia): Kuzungazunga mu gihe ugenda, kugorwa no gufata ibintu.

Noneho reba, ubwonko bwacu bugabanyijemo impande ebyiri, ibumoso n'iburyo. Uyu mutsi wa MCA unatanga amaraso ku mpande zombi z'ubwonko. Icy'ingenzi ni uko uruhande rumwe rw'ubwonko rugenzura urundi ruhande rw'umubiri. Ibyo bivuze ko, iyo stroke igize uruhande rw'ibumoso rw'ubwonko, ibimenyetso bizagaragara iburyo bw'umubiri. Iyo uruhande rw'iburyo rw'ubwonko rwangiritse, ibimenyetso bizagaragara ibumoso bw'umubiri.

Abantu benshi bagira ikibazo cyo kuvuga (aphasia) iyo uruhande rw'ibumoso rw'ubwonko rudakora neza .Bishobora kubaho. Mu gihe umuntu afite ubumuga bwo ku ruhande rw'iburyo, umuntu ashobora kwirengagiza uruhande rw'ibumoso rw'umubiri.

Ni ibihe bimenyetso by'umuburo bya MCA stroke?

Kubera ko indwara ya MCA stroke ishobora kugira ibimenyetso bitandukanye, ni ngombwa kwibuka ijambo BE FAST rihinnye kugira ngo umenye igihe wowe cyangwa uwo ukunda mugiye kugira stroke.

• B - Kuringaniza: Reba niba hari igihombo gitunguranye ku kuringaniza .
• E - Amaso: Reba niba hari igihombo gitunguranye cyangwa impinduka mu kureba kw'ijisho rimwe cyangwa yombi.
• F - Isura: Seka urebe niba uruhande rumwe cyangwa byombi rw'isura yawe runamye .
• A - Amaboko: Zamura amaboko yombi. Niba ufite ubumuga, ushobora kudashobora kuzamura ukuboko kumwe, cyangwa gushobora kuba gukomeye ku buryo kwagwa.
• S - Imvugo: Reba niba imvugo irimo urujijo cyangwa niba bigoye guhitamo amagambo akwiye .
• T - Igihe: Igihe ni ingenzi cyane - shaka ubufasha vuba bishoboka! Niba bishoboka, ibuka igihe ibimenyetso byawe byatangiriye ureba isaha yawe, telefoni, cyangwa ikindi gikoresho cyo kubika igihe. Kubwira muganga igihe ibimenyetso byawe byatangiriye bishobora kubafasha guhitamo uburyo bwiza bwo kuvura.

Icy'ingenzi: Niba ubonye kimwe muri ibi bimenyetso bya BE FAST, hamagara imbangukiragutabara (mu gihugu cyacu, 1990) cyangwa ujye kwa muganga ako kanya, bidatinze. Kuko mu gihe cy'indwara yo mu bwonko, igihe ni ubuzima!

Igitero cy'Inkeke cy'Imyanda (TIA) cy'igihe gito

Hari igihe indwara y’imitsi ishobora kubaho mu buryo bwihuse (TIA) . Hari abantu bayita "mini-stroke." Ibi ni nk'indwara y’imitsi, ariko ibimenyetso birashira nyuma y'igihe runaka. Ariko, iki ni ikimenyetso gikomeye cy'umuburo . Umuntu wagize TIA aba afite ibyago byinshi byo kugira indwara y’imitsi mu gihe cya vuba. Kubwibyo, umuntu wagize TIA agomba no kuvurwa byihutirwa vuba bishoboka.

Ni izihe mpamvu zitera indwara ya MCA stroke?

Imitsi yo mu bwonko ya MCA ni ubwoko bwa stroke iterwa n'amaraso . Nkuko byavuzwe mbere, ibaho iyo imitsi yo mu bwonko bwo hagati (MCA) ifunzwe n'amaraso apfutse. Hari indwara zimwe na zimwe zishobora gutuma amaraso apfutse. Izi zirimo:

• Kolesteroli nyinshi (hyperlipidemie): Kolesteroli nyinshi mu maraso.
• Indwara zo kuvura amaraso: Hari abantu bagira akamenyero ko amaraso yabo yipfundika byoroshye.
• Ateriosclerosis: Ibinure byinjira mu nkuta z'imitsi y'amaraso, bigatera imitsi y'amaraso gufungana no gukomera.
• Gucika intege kw'imitsi mu mutima (atrial fibrillation):Umutima utera nabi mu gice cy'umutima. Ingaruka ziba nyinshi iyo iyi ndwara iterwa no guhumeka mu gihe cyo gusinzira, cyane cyane mu gihe cyo gusinzira.
• Impungenge z'umutima: Urugero, indwara nka atrial septal defect na ventricular septal defect .

Ni ibihe bintu bishobora gutera ibyago?

Umuntu wese ashobora kurwara indwara yo mu bwonko , ariko hari amatsinda amwe ari mu kaga gakomeye. Muri ayo matsinda harimo:

• Abantu banywa itabi cyangwa bakoresha ibindi bicuruzwa by'itabi/nikotine (urugero: vaping).
• Abantu barengeje imyaka 65.
• Abantu bakoresha imiti yo kwidagadura cyangwa idafite muganga.
• Abantu bafite ingorane zo kubona serivisi z'ubuvuzi zisanzwe.
• Niba hari umuntu wo mu muryango wigeze kugira ikibazo cyo gucika intege mu bwonko (stroke).
• Abantu badakora imyitozo ngororamubiri ihagije.

Nanone, ibyago byo kurwara ubumuga biriyongera iyo ufite indwara zimwe na zimwe:

• Umuvuduko ukabije w'amaraso (hypertension)
• Kolesteroli nyinshi (hyperlipidemie)
• Ubwandu bwa Covid-19 (COVID-19)
• Diyabete
• Indwara yo kunywa inzoga
• Umubyibuho ukabije

Ni gute indwara ya MCA stroke ipimwa?

Umuganga asuzuma indwara ya MCA stroke akoresheje isuzuma ry’imitsi , isuzuma ry’umubiri, n’ibindi bipimo byinshi. Iyo ugejejwe mu cyumba cy’ubutabazi bw’ibanze n’imbangukiragutabara, abaganga baho bashobora no gusuzuma indwara ya stroke.

Muganga wawe azakoresha ibizamini nk'ibi kugira ngo yemeze niba warigeze kugira stroke:

• gupima CT (CT scan)
• angiogramu ya CT
• Electrocardiogram (EKG)
• MRI
• Angiogramu ya Magnetic Resonance (MRA)
• Angiogramu yo mu bwonko
• Gupima amaraso

Ni ubuhe buryo bwo kuvura indwara ya MCA stroke?

Abaganga bawe bazagerageza gusubiza amaraso mu bwonko bwawe mu buryo busanzwe vuba bishoboka kugira ngo bagabanye ibyago byo kwangirika burundu k'ubwonko no gupfa.

Abaganga bafata ingamba zo gusenya cyangwa gukuraho amaraso apfundikiye.

• Ushobora guhabwa imiti igabanya ubukana bw'amaraso , nka tissue plasminogen activator (tPA) .
• Ushobora kandi gukenera kubagwa (akenshi na kenshi bikorerwa imashini yo gufunga amaraso) kugira ngo amaraso avunike kandi akurweho .
• Abaganga bazakwandikira imiti yo kugenzura umuvuduko w'amaraso yawe.

Icy'ingenzi cyane: Niba utekereza ko urwaye indwara yo mu bwonko, hita ushakisha ubufasha bwihutirwa bwa muganga. Uburyo bumwe bwo kuvura (nk'ubuvuzi bwa tPA) bushobora gutangwa gusa mu gihe runaka nyuma y'uko indwara yo mu bwonko itangiye.

Abaganga bawe bazakubwira neza uburyo bwo kuvura bukubereye n'icyo wakwitega.

Gusubira mu buzima nyuma yo gucika intege kw'imitsi yo mu bwonko bwo hagati

Gusubiranamo ni igice cy'ingenzi cyane mu kuvura indwara zo mu bwonko. Ukeneye gusubiranamo kugira ngo bigufashe kumenyera impinduka mu bwonko bwawe no ku mubiri nyuma yo gufatwa n'indwara zo mu bwonko. Ushobora gukenera ubufasha kugira ngo wongere ubushobozi bwawe bwa kera cyangwa kugira ngo umenyere ubumuga bwawe bushya. Ibi bishobora kuba bikubiyemo:

• Kuvugurura ubwenge: Bifasha kongera ubushobozi bwo kwibuka, kwita ku bintu, n'ubundi bushobozi bwo mu mutwe.
• Ubuvuzi bwo kuvuga: Bufasha kugarura cyangwa kunoza ubuhanga bwo kuvuga no kuvuga, ndetse no kugenzura imitsi igufasha kuvuga, guhumeka, kurya no kumira.
• Ubuvuzi bw'akazi: Bugufasha gukora imirimo ya buri munsi mu mutekano, cyane cyane imirimo isaba gukora neza kw'umubiri.
• Ubuvuzi bw'umubiri: Bufasha gukomeza imitsi, kunoza kuringaniza imikorere, no kongera gukoresha amaboko n'amaguru.

Ni iki cyizere cy'ubuzima nyuma yo kugira ikibazo cyo gucika intege kwa MCA?

Biragoye ku bahanga kumenya neza umubare w’abazarokoka nyuma yo gufatwa n’indwara ya MCA stroke. Indwara ya stroke ishobora kwica, igatera ubumuga buhoraho, kandi ikagira ingaruka ku gihe uzabaho (igihe cy’ubuzima). Ariko, nta gahunda imwe cyangwa icyerekezo kimwe cyo gukira.

Guteganya indwara yo gucika intege kw'imitsi yo mu bwonko bwo hagati

Icyo ushobora kwitega (guhanura) nyuma yo kugira ikibazo cyo gucika intege kwa MCA biterwa n'ibintu byinshi:

• Uburyo wavuwe vuba.
• Ubuzima bwawe muri rusange.
• imyaka yawe.

Abantu benshi bifata nibura amezi make kugira ngo bakire. Muganga wawe azakubwira icyo ugomba kwitega. Azagufasha gushyiraho intego n'ibyo witeze ku gukira bikwiranye n'ubuzima bwawe n'uko umerewe.

Ese indwara yo mu bwonko bwo hagati ishobora kwirindwa?

Uburyo bwiza bwo kugabanya ibyago byo kurwara indwara yo mu bwonko ya MCA ni ukugira ubuzima bwiza muri rusange. Muri rusange, gerageza gukora ibi bikurikira:

• Reka kunywa itabi.
• Genzura umuvuduko w'amaraso yawe, cholesterol, n'indwara zose ushobora kuba ufite.
• Kurya ibiryo bizima kandi ugire ibiro bizima.
• Kora imyitozo ngororamubiri buri gihe.

Jya kwa muganga buri mwaka (cyangwa nk'uko muganga wawe agusaba). Indwara nyinshi zishobora gutera indwara yo gucika kw'imitsi ya MCA zigenda zikura uko igihe kigenda gihita. Zimwe zishobora kutagutera kubona ibimenyetso. Urugero, abantu benshi bafite cholesterol nyinshi cyangwa umuvuduko ukabije w'amaraso ntibagira icyo bumva kugeza igihe bamenyeshejwe. Muganga wawe ashobora kugufasha kumenya no gucunga ibimenyetso byose by'umuburo mbere yuko byongera ibyago byo kurwara indwara yo gucika kw'imitsi.

Gukira no kugarura ubuzima nyuma yo gucika intege mu bwonko ni akazi kenshi. Iyo wowe na muganga wawe mumaze kurangiza gahunda yo kuvura, muyikurikize neza uko bishoboka kose. Muri rusange, mugomba gukora ibi bikurikira:

• Fata imiti yawe neza. Gufata imiti yawe nk'uko muganga yabigutegetse bizafasha umubiri wawe gukira.
• Jya mu bitaro byawe by’ubuvuzi bw’ibanze n’ahandi hantu ho kuvurwa. Bwira abaganga bawe niba hari ikintu kigutera kumva utekanye cyangwa umerewe nabi. Gusubira mu buzima biragoye, ariko ntugomba guhora ubabara cyangwa umerewe nabi.
• Tekereza no ku buzima bwawe bwo mu mutwe. Kwiheba no guhangayika ni ibintu bikunze kubaho nyuma yo kurwara indwara yo mu bwonko. Kubabara cyangwa kwiheba ntibigutera intege nke cyangwa ngo ureke. Ubuzima bwawe bwo mu mutwe ni ingenzi kimwe n'ubuzima bwawe bw'umubiri. Niba wumva ukeneye ubufasha mu kuganira ku kintu runaka mu gihe cyo gukira, vugana na muganga wawe cyangwa umujyanama w'ubuzima bwo mu mutwe .

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

Niba utekereza ko uzongera kugira stroke , hamagara 911 (cyangwa nimero y'ubutabazi yo mu gace utuyemo) ako kanya. Indi stroke ishobora kwica cyangwa igatera ingorane zikomeye. Ntutinde gushaka ubufasha.

Abantu barwaye indwara yo mu bwonko (stroke) nabo bafite ibyago byinshi byo kurwara izindi ngorane zikomeye. Ingero:

• Kubumba amaraso mu bihaha (Pulmonary embolism)
• Indwara y'umutima
• Indwara zo mu mutwe
• Umusonga
• Indwara yo mu mitsi miremire (DVT)

Niba ubona ko ufite ibimenyetso by'imwe muri izi ngorane, ugomba guhamagara inzego z'ubutabazi bwihuse cyangwa kujya mu cyumba cy'ubutabazi bwihuse.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ni iyihe miti yindi nkeneye kandi nshobora kuyifata nte?
• Ni ubuhe bundi bwoko bwo kuvura indwara nkeneye?
• Ni izihe ngorane mfite zo kongera kurwara indwara yo mu bwonko mu gihe kiri imbere?
• Ese hari serivisi cyangwa imfashanyigisho utanga?

Ni irihe tandukaniro riri hagati ya MCA stroke na ACA stroke?

Ubwonko buterwa na MCA stroke na ACA (Anterior Cerebral Artery) byombi ni ubwoko bw'ubwonko buterwa na stroke. Itandukaniro riri mu mitsi y'amaraso iri mu bwonko ifatwa n'ingaruka. MCA ni umutsi wo hagati w'ubwonko. Utera ku mpande zombi z'ubwonko bwawe.Umutsi wo mu bwonko uherereye imbere y'agahanga. "Anterior" bivuze imbere mu buryo bw'ubuvuzi. Bitandukanye n'indwara yo mu bwonko ya MCA, indwara yo mu bwonko ya ACA ishobora kugira ingaruka ku kugenzura no gukoresha amaguru yawe.

Ubwo bwoko bwombi bw'indwara yo mu bwonko bushobora kugira impamvu n'ibimenyetso bimwe, kandi byombi bishobora kwica. Ntuzashobora gutandukanya ibyo byombi kugeza igihe muganga azakoresha ibizamini byo gufata amashusho kugira ngo amenye umutsi w'amaraso wazibye cyangwa wangiritse. Niba ubona ko ufite ibimenyetso by'ubwo bwoko ubwo aribwo bwose bw'indwara yo mu bwonko , hamagara 911 ako kanya.

Hanyuma, ubutumwa bw'ingenzi

Umutsi wo hagati w’ubwonko (MCA) ni umwe mu mitsi minini ijyana amaraso mashya mu bwonko bwawe. Niyo mpamvu indwara yo gucika kw’imitsi ishobora kwangiza cyane. Ariko ushobora gukira. Nubwo waba ugomba kumenyera ubumuga bushya cyangwa kongera kwiga ingendo zimwe na zimwe washoboraga gukora mbere, uracyari wowe ubwawe.

Gusubira mu buzima nyuma yo kurwara indwara yo mu bwonko ni akazi kenshi. Hari iminsi izajya yoroha kurusha iyindi, ariko ibuka kwishimira iterambere ryawe. Ndetse n'intsinzi ntoya ziracyari intsinzi. Ganira n'abaganga bawe cyangwa abavuzi bawe uko urugendo rwawe rwo gukira ruri kugenda. Bashobora kugufasha gutekereza ku ntsinzi wagezeho ku munsi ugoye, kandi barahari kugira ngo bagufashe. Ntugahangayike, nturi wenyine!

` MCA stroke, kuziba kw'imitsi y'amaraso yo mu bwonko, ibimenyetso by'indwara yo gucika intege, kwirinda indwara yo gucika intege, GIRA WIHUSE Sinhala, imitsi yo hagati mu bwonko, gukira indwara yo gucika intege Sinhala