Ese ufite umutsi uri inyuma y'ivi ryawe? (Popliteal Aneurysm) Reka tubiganireho!

Ese wigeze ubona ko hari agahu kameze nk'agapira inyuma y'ivi ryawe, aho ivi ripfukama? Ushobora kuba warumvise ububabare buto, uburemere, cyangwa ikibyimba mu kiganza cyawe. Akenshi, ushobora gutekereza ko ibi ntacyo bitwaye, ariko rimwe na rimwe, iyi ishobora kuba indwara yitwa Popliteal Aneurysm . Ntugahangayike, tuzabivugaho birambuye kandi byoroshye uyu munsi.

Aneurysm ya popliteal ni iki?

Mu magambo make, aneurysm ya popliteal ni ukubyimba mu mitsi mikuru y'amaraso inyuma y'ivi ryawe, umutsi wa popliteal . Ni nk'umuyoboro w'amazi uturika ahantu hamwe. Bishobora kugaragara mu maguru yombi kuri bamwe.

Iyo imitsi ibyimbye gutya, ibibazo bishobora kuvuka. Wabimenya ute?

• Ako gace kabyimbye gashobora gucika .
• Aho ngaho amaraso ashobora kuzura (thrombose) , kandi igice cyayo gishobora gucika no gushyira umutsi mu kaguru ko hasi.
• Cyangwa umutsi wose ushobora kuziba.

Iyo habayeho ikintu nk'iki, rimwe na rimwe hashobora kwangirika bikomeye ku kuguru, bamwe bashobora gutakaza ukuguru, cyangwa se ubuzima bwabo bugahinduka. Kubwibyo, ni ngombwa cyane kubimenya.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, indwara zo mu bwonko ziterwa n’imitsi yo mu bwonko ntabwo zikunze kugaragara cyane. Imibare igaragaza ko zigaragara ku mugore umwe mu 100.000. Mu bagabo, igipimo kiri hejuru gato, hafi 7 mu 100.000.

Nubwo bidakunze kugaragara cyane, iyo ugereranyije n'izindi aneurysm mu mubiri, ni yo aneurysm ya kabiri ikunze kugaragara nyuma ya aneurysm ya aortic yo mu nda . Igitangaje ni uko hari isano hagati y'izo aneurysm. Hafi kimwe cya kabiri cy'abantu bafite aneurysm ya popliteal bashobora no kugira aneurysm mu mitsi yo mu nda. Kubwibyo, iyo muganga amenye imwe muri izi ebyiri, ni ngombwa cyane gusuzuma indi.

Ni ibihe bimenyetso by'ibi?

Akenshi, abantu bafite aneurysm ya popliteal ntibagaragaza ibimenyetso . Ibyo nibyo bituma biba biteye ubwoba gato. Ariko, iyo ibimenyetso bigaragaye, bishobora gushyira ubuzima mu kaga.

Tekereza, byagenda bite iyo uwo mutsi wabyimbye uturitse (ukavunika) mu buryo butunguranye?

• Hashobora kubaho ububabare bukabije inyuma y'ivi.
• Ako gace gashobora kwiyongera .
• Utudomo tumeze nk'udusebe dushobora kugaragara.

Cyangwa, ni ibihe bimenyetso byagaragara mu gihe amaraso yapfundikiye muri uwo mutsi, igice cyawo kikavunika, maze amaraso akamanuka mu kaguru agahagarara (akaba yarashyizwemo amaraso cyangwa agatera imitsi)?

• Kubabara amaguru.
• Kumva nk'aho ukuguru kwawe kuri kugenda gucika intege .
• Ibirenge birimo gukonja .
• Imitsi y'amaguru iracika intege .
• Uruhu rw'amaguruIhinduka ibara ry'umukara.

Niba ufite kimwe muri ibi bimenyetso, ni ngombwa cyane gushaka inama kwa muganga byihutirwa , kuko ibi bishobora gutera indwara ikomeye ishobora kwangiza urujya n'uruza rw'amaraso mu maguru.

Kuki ibi bibaho? Impamvu ni izihe?

Abashakashatsi ntibaramenya neza icyatera aneurysm ya popliteal, ariko batekereza ko hari ibintu bike bishobora kuyitera:

• Kubyimba: Ibi bivuga kubyimba cyangwa ubwandu ubwo aribwo bwose buba mu nkuta z'imitsi.
• Ateriosclerosis: Ibi bibaho igihe ibintu nka cholesterol byirundanyije mu miyoboro y'amaraso, bigatuma inkuta z'imiyoboro y'amaraso zikomera. Ibi bishobora gutuma imiyoboro y'amaraso idakomera kandi ikagira intege nke.
• Gufata imitsi yo mu bwoko bwa Popliteal: Kuri bamwe, uyu mutsi munini w'amaraso ushobora gukandamizwa n'imitsi cyangwa izindi nyama ziri inyuma y'ivi. Uko igihe kigenda gihita, uku gukandamizwa gushobora kwangiza imitsi no gutera aneurysm.
• Gukomereka mu ivi: Iyi ndwara ishobora no guterwa n'igikomere gikomeye ku ivi cyangwa ahantu hakikije.

Ni nde ufite amahirwe menshi yo kurwara ibi? (Ibintu bishobora gutera ibyago)

Noneho reka turebe abashobora kuba bafite ibyago byinshi byo kurwara iyi ndwara (Popliteal Aneurysm).

• Niba hari umuntu wo mu muryango wawe wagize aneurysms nk'iyi: Niba nyoko, so, cyangwa abavandimwe bawe baragize aneurysms nk'iyi, nawe uri mu kaga gato.
• Ku bazungu: Ubushakashatsi bwagaragaje ko iyi ndwara ikunze kugaragara cyane mu bazungu.
• Ku bantu barengeje imyaka 50: Ibi byago biriyongera uko imitsi igenda igabanuka uko imyaka igenda ishira.
• Ku bagabo: Nkuko twabivuze mbere, ibi bikunze kugaragara cyane ku bagabo.
• Abantu bafite indwara zifata ingirangingo: Abantu bafite indwara zitera intege nke mu bice by'umubiri bihuza ingirangingo nabo bari mu kaga gakomeye.
• Ku bakoresha ibikomoka ku itabi: Kunywa itabi byangiza cyane imiyoboro y'amaraso. Iyo nayo ni impamvu ikomeye ibitera.
• Ku bafite indwara ya atherosclerosis: Iki nacyo ni ikintu gikomeye gituma imitsi icika intege.

Ni izihe ngorane ibi bishobora gutera?

Niba ufite aneurysm ya popliteal, hari ingorane nyinshi zishobora kubaho. Nkuko twabivuze mbere gato:

• Kuziba kw'amaraso ajya ku kaguru: Iyo amaraso apfunditse mu mutsi maze agace kagacika kagafunga umutsi wo hasi, bishobora guhagarika burundu amaraso ajya ku kaguru. Ibi ni bibi cyane.
• Guturika kwa Aneurysm: Ibi nabyo ni ibyihutirwa.
• Gukanda imitsi ya popliteal: Umutsi wabyimbye ushobora gukanda imitsi inyura hafi aho ikajyana amaraso yanduye ku kaguru.
• Gukanda imitsi:Nanone, gukanda imitsi inyura muri ako gace bishobora gutera ibinya no kubabara amaguru.

Ni gute umuganga asuzuma ibi? (Isuzuma)

Gusuzuma indwara ya popliteal aneurysm rimwe na rimwe bishobora kugorana, kuko indwara nka deep vein thrombosis (DVT) na Baker's cyst , agafuka kuzuye amazi inyuma y'ivi, nabyo bishobora gutera ibimenyetso bisa. Bityo, muganga azabanza agaragaze ko izo ndwara zitari zo.

Kugira ngo umuganga wawe amenye ikibazo, azasuzuma witonze igice kiri inyuma y'ivi ryawe. Ushobora kumva cyangwa kubona umutsi wabyimbye. Ushobora no kumva urimo gutera utera ...

Muganga wawe ashobora gusobanura ko aneurysm yawe ari 'fusiform' (bivuze ko ibyimbye ku ruhande rumwe rw'umuyoboro w'amaraso nk'umupira w'amaguru) cyangwa 'saccular' (bivuze ko ibyimbye ku ruhande rumwe rw'umuyoboro w'amaraso gusa).

Ni ubuhe bwoko bw'ibizamini bikorwa?

Muganga ashobora gutegeka ibizamini bitandukanye kugira ngo amenye neza indwara no gufata ibipimo bikenewe kugira ngo ateganye uburyo bwo kuyivura.

• Isuzuma rya Duplex: Iki ni cyo gipimo gikunze gukoreshwa cyane, cyoroshye kandi kidatera ububabare. Gishobora kugenzura ingano y'imitsi n'uburyo amaraso atemba neza.
• Isuzuma rya Computed Tomography Angiography (CTA): Iki ni ikizamini gikoresha imirasire ya X n'irangi ryihariye (irangi ritandukanye). Rishobora gutanga amashusho arambuye y'imitsi y'amaraso.
• Isuzuma ry’imitsi rikoresha imbaraga za rukuruzi n’imirasire ya radiyo kugira ngo habeho amashusho y’imitsi y’amaraso. Rifite ibyiza bimwe na bimwe kurusha CTA.
• Angiografiya yo Gukuramo Indwara mu buryo bwa Digital: Iki ni ikizamini kigoye gato. Umuyoboro muto ushyirwa mu mutsi, ugaterwa irangi, hanyuma ugafatwa amashusho ya X-ray. Ibi bikunze gukorwa iyo uteganya kubaga.

Niba muganga wawe agusuzumye indwara ya popliteal aneurysm, ashobora kuzasuzuma ukundi kuguru kwawe n'inda yawe kugira ngo arebe niba hari aneurysm zihari. Kuko, nk'uko twabivuze mbere, abantu benshi bafite iyi ndwara nabo bafite aneurysm mu kundi kuguru kwabo no mu mitsi mikuru yo mu nda yabo. Niba hari izindi aneurysm, bazakenera gukurikiranwa hakoreshejwe ultrasound scan mu buzima bwabo bwose.

Ibi bivurwa ryari?

Uburyo bwo kuvura aneurysm ya popliteal buratandukanye bitewe n'uburwayi bwawe. Ubusanzwe, umurambararo wa aneurysm ni santimetero 2 (cm).Iyo ibaye nini kuruta iyo (hafi santimetero imwe), iba ifite ibyago byinshi byo guturika. Iyi ni nk'ubunini bubiri bw'umuvuduko w'amaraso usanzwe. Niba ufite ikibazo cy'amaraso mu mitsi yawe, muganga ashobora gufata icyemezo cyo kuyivura nubwo yaba ari ntoya kurusha iyo, bitewe n'ingaruka z'uko igice cyayo gishobora gucika kikabuza amaraso gutembera mu kaguru kawe.

Niba aneurysm yawe ya popliteal iri munsi ya santimetero 2, kandi nta bimenyetso ufite, muganga wawe ashobora kuyikurikirana buri gihe kugira ngo arebe niba irimo kwiyongera.

Ese nkeneye kubagwa?

Niba ufite ibimenyetso biterwa na aneurysm ya popliteal, cyangwa niba irenga santimetero 2 (nubwo nta bimenyetso bihari), muganga wawe ashobora kukugira inama yo kubagwa (`popliteal aneurysm repair`) nk'uburyo bwo kuvura.

Ni ubuhe buryo bwo kuvura?

Hari uburyo bubiri bw'ingenzi bwo kuvura.

1. Kubagwa ku mugaragaro:

Muri ubu buryo, muganga ahambira imitsi iri hejuru no munsi ya aneurysm, agahindura inzira y'amaraso. Ibi akenshi bisaba gukoresha agace k'imitsi kava mu kindi gice cy'umubiri wawe. Ibi bivuze ko inzira nshya ivuka kuva ku mutsi uri hejuru ya aneurysm ikagera ku mutsi uri munsi ya aneurysm. Hanyuma aneurysm irahambirwa ikafungwa (`ligated').

2. Uburyo bwo gukora imyitozo ngororamubiri:

Ubu buryo ni bushya cyane. Bukoreshwa cyane cyane ku bantu bafite izindi ndwara zidakira bafite ibyago byinshi byo kugira ingorane zikomoka ku kubagwa mu buryo butunguranye. Muri ubu buryo, hakorwa umwobo muto mu kaguru ko hejuru, hagashyirwamo insinga, hanyuma hagashyirwamo icyuma gikozwe mu cyuma (stent graft) hejuru y’umuyoboro w’amaraso. Uko umuyoboro w’amaraso unyura muri aneurysm, amaraso atembera neza ava hejuru ajya munsi ya aneurysm. Kubera ko nta maraso atembera neza muri aneurysm, agenda agabanuka buhoro buhoro, agafunga, maze ntagire icyo akora.

Uko wakwivuza mu gihe cy'impanuka:

Niba ufite akadomo k'amaraso mu kuguru kwawe, kabuza amaraso gutembera mu kaguru kawe, uburyo bwo kuvura buratandukanye gato. Muri ibyo bihe, muganga wawe ashobora kubanza kuguha umuti woroshya amaraso, nka heparin, binyuze muri IV. Hanyuma, angiogram ishobora gukorwa kugira ngo amaraso agaruke mu kaguru no mu kirenge byangiritse. Hari ubwo bashobora kuguha imiti yoroshya amaraso (thrombolytics) kugira ngo bashongeshe akadomo, cyangwa bashobora kugerageza gukuraho igice cy'akadomo bakoresheje ibikoresho byihariye (ibikoresho byo gukurura).

Ese ubuvuzi bushobora gutera ingorane?

Nkuko bigenda mu kubagwa kose, hari ingorane zimwe na zimwe zishobora kubaho mu gihe cyo kuvura indwara ya Popliteal Aneurysm.

• Amaraso apfundika mu kaguru (embolism).
• Gucibwa amaguru:Ibi bibaho gake cyane, gusa iyo nta yandi mahitamo ahari.
• Issente zivunika, zigenda zisohoka, cyangwa ntizigume zifunguye.
• Kuziba kw'ibice by'imborera mu buryo butanyuze mu nzira.
• Gukomereka kw'imitsi.
• Kugabanuka k'imitsi yo mu mitsi mu buryo bwimbitse.

Muganga azabigusobanurira neza mbere yo kubagwa.

Bifata igihe kingana iki kugira ngo umuntu akire?

Nyuma yo kubagwa ku mugaragaro, uzakenera kumara iminsi ibiri cyangwa itatu mu bitaro. Nyuma yo kuvurwa mu mitsi, igihe cyo gukira kiba gito. Ariko, bizatwara igihe kugira ngo ukire neza. Ni ngombwa cyane gukurikiza amabwiriza ya muganga muri icyo gihe.

Ni iki wakwitega mu gihe ubana n'iki kibazo?

Nubwo waba udafite ibimenyetso bya aneurysm ya popliteal ubu, ushobora kuzagira ibimenyetso mu gihe kizaza. Kandi ingorane zishobora kubaho.

Aneurysm ya popliteal ni gake cyane. Igikunze kugaragara ni uko amaraso acika agafunga umutsi wo ku kaguru. Niba ukorewe ovaroli, ushobora kugira ibibazo bike bifitanye isano n'ibikomere ugereranyije no kubagwa mu buryo bwihuse. Ariko, gukira bishobora kudafata igihe kinini nk'uko bikorwa mu buryo bwihuse.

Igitekerezo ni iki? (Icyitegererezo/Iteganyagihe)

Iyo indwara ya popliteal aneurysm ivuguruye mbere yuko ibimenyetso bigaragara, uburwayi bwawe buba bwiza cyane . Ubushakashatsi bwagaragaje ko 80% by'abantu bafite agakoko gatera indwara ya bypass graft bagifite imiyoboro mishya y'amaraso ikora neza nyuma y'imyaka itanu.

Ariko, niba ufite ibimenyetso bikomoka kuri aneurysm, uko ubona ibintu bishobora kuba bike.

Ubushakashatsi bumwe bwagaragaje ko abantu barenga kimwe cya kabiri gusa babazwe indwara ya popliteal aneurysm yacitse ari bo bari bakiriho nyuma y'umwaka umwe. Nanone, abantu bagera kuri 15% bari bafite amaraso yacitse mu ndwara ya popliteal aneurysm bagombaga gucibwa ukuguru.

Ntugahangayikishwe n'iyi mibare. Aya ni amakuru rusange gusa. Ibi bintu bishobora guhinduka bitewe n'uburwayi bwawe, ubuvuzi uhabwa, n'uko wiyitaho. Rero, vugana na muganga wawe maze ubone amakuru ajyanye n'imimerere yawe.

Ni gute iki kibazo cyagabanuka?

Abaganga bemeza ko impamvu nyamukuru itera indwara ya “popliteal aneurysm” ari “atherosclerosis” . Rero, niba ushobora kuyigenzura, ushobora kugabanya iyi ngaruka.

• Reka gukoresha itabi burundu. Iki ni cyo kintu cy'ingenzi kurusha ibindi.
• Komeza umubare wa cholesterol yawe uko umeze.
• Niba ufite umuvuduko w'amaraso ukabije , genzura neza.
• Kurya ibiryo bikungahaye ku mutima birimo ibinure byinshi byuzuye.
• Imyitozo ngororamubiri nibura iminota 150 mu cyumweru.

Nitwara nte?

Niba unywa itabi, kurireka bizagufasha cyane. Nanone, niba ufite imwe muri izi ndwara zikurikira, fata ingamba zo kubirwanya:

• Kolesteroli nyinshi (Hyperlipidemia)
• Umuvuduko ukabije w'amaraso (Hypertension)
• Diyabete

Nyuma yo kubagwa, muganga wawe ashobora kukubwira gufata imiti igabanya ubukana bw'amaraso, nka aspirine, kugira ngo ugabanye ibyago byo kuzura kw'amaraso mu gice cyawe cy'amaraso. Menya neza ko ukurikiza gahunda za muganga. Uzakenera kwisuzumisha buri gihe kugira ngo urebe neza ko igice cyawe cy'amaraso gikora neza. Ibi ni ingenzi haba nyuma yo kubagwa ndetse no mu gihe ikibazo cy'amaraso mu mubiri gikurikiranwa kugeza igihe igikorwa cyo kubagwa kizafatirwa icyemezo.

Ni ryari ngomba kujya kwa muganga?

Nyuma yo gusana aneurysm ya popliteal, uzakenera gusuzumwa buri gihe na ultrasound kugira ngo urebe neza ko inzira yawe yo kunyuramo ikora neza. Ni ngombwa kuyisuzumisha mu kwezi kwa mbere, mu kwezi kwa gatatu, mu kwezi kwa gatandatu, no mu mwaka umwe nyuma yo kubagwa, hanyuma buri mwaka mu myaka myinshi nyuma yaho.

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU) ?

Niba utekereza ko indwara yawe ya Popliteal Aneurysm yacitse cyangwa amaraso yacitse , jya kwa muganga wita ku bibazo byihutirwa (ETU) . Ibi bikurikira ni ibimenyetso bishobora kugaragara:

• Kubyimba inyuma y'ivi cyangwa mu kuguru.
• Utudomo tumeze nk'udusebe tugaragara.
• Ububabare bukomeye.
• Kubabara amaguru.
• Ibirenge bikonje .
• Kugorwa no kwimura ukuguru kwangiritse.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo umenye ko ufite Popliteal Aneurysm, ni ibisanzwe kugira ibibazo byinshi mu mutwe wawe. Ushobora kubaza muganga wawe ibibazo nk'ibi:

• "Muganga, indwara yanjye (Popliteal Aneurysm) ingana iki?"
• "Ese koko nkeneye kubagwa?"
• "Ni ubuhe buryo bwo kubaga bujyanye n'uburwayi bwanjye?"
• "Ese mfite aneurysm ya popliteal inyuma y'irindi vi ryanjye?"
• "Ese mfite aneurysm yo mu nda itera aorta?"

Ni ibisanzwe kumva uremerewe gato iyo umenye ko ufite aneurysm ya popliteal. Vugana na muganga wawe ku bijyanye n'igihe cyiza cyo kuvura aneurysm yawe n'icyakubereye.Ushobora kunoza ubuzima bwawe wirinda ibikomoka ku itabi no kugenzura umuvuduko w'amaraso yawe na cholesterol. Niba ukeneye ubufasha muri ibi, baza muganga wawe.

Ibintu bike mbona ari ingenzi kuri wewe (Ubutumwa bwo kujyana mu rugo)

Noneho rero usobanukiwe neza ibyo twaganiriyeho uyu munsi (Popliteal Aneurysm). Dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• Aneurysm ya popliteal ni ukubyimba k'umutsi mukuru w'amaraso inyuma y'ivi.
• Akenshi, nta bimenyetso bihari. Ariko, iyo ibimenyetso bigaragaye (nk'ububabare inyuma y'ivi, kubyimba, kugira ibinya mu kuguru, ubukonje) , hita ubonana na muganga.
• Ibintu nk'itabi, cholesterol nyinshi, n'umuvuduko ukabije w'amaraso bishobora kugira ingaruka kuri ibi.
• Hari uburyo bwo kuvura, vugana na muganga wawe ku bijyanye na bwo.
• Iyi ngaruka ishobora kugabanuka iyo umuntu abayeho neza .

Si ikintu cyo gutinya, ahubwo ni ikintu cyo guhangayikishwa. Itondere umubiri wawe. Niba ubonye ikintu kidasanzwe, ntutinde kujya kwa muganga. Komeza ugire ubuzima bwiza!

` aneurysm ya popliteal, imitsi iri inyuma y'ivi, imitsi iri mu mitsi, ububabare bw'ivi, amaraso afunganye mu kaguru, kubagwa imitsi, gutemba kw'imitsi