Ese iyi ni yo mpamvu ikubabaza amaguru? Reka twige ku ndwara yo gucika kw'imitsi yo mu bwonko (PAES)!

Ese wumva ububabare, gufungana, cyangwa kuremererwa mu maguru yawe, cyane cyane mu gice cy'inyana, iyo ukora imyitozo ngororamubiri, wiruka, cyangwa ugenda vuba? Ese birashira nyuma y'igihe runaka, ariko se biragaruka iyo wongeye gutangira gukora imyitozo ngororamubiri? Icyo gihe ni ngombwa cyane ko umenya iyi ndwara yitwa popliteal artery entrapment syndrome. Ntugahangayike, reka tubiganireho mu buryo bworoshye.

Indwara yo gufunga imitsi yo mu bwoko bwa popliteal artery syndrome (PAES) ni iki?

Muri make, indwara yo gufunga imitsi yo mu bwoko bwa Popliteal Artery Entrapment Syndrome (PAES) ni indwara idakunze kugaragara mu mitsi y'amaraso. Yibasira cyane cyane abakiri bato, cyane cyane abakina siporo. Umutsi wo mu bwoko bwa popliteal ni wo mutsi mukuru w'amaraso uva mu kibero ujya mu kibuno inyuma y'amavi yacu. Uyu mutsi ukandamizwa n'imitsi iri inyuma y'ivi, ari na byo bibaho muri iyi ndwara.

Tekereza nk'umuyoboro w'amazi. Utanga amaraso ku kaguru ko hasi. Ubu, uyu mutsi w'amaraso ushobora kugabanuka bitewe n'impinduka mu buryo imitsi yacu ya gastrocnemius ifatana n'igufwa ry'ikibero. Cyane cyane iyo twunamye ikirenge cyacu (ibi byitwa "plantar flexion" mu mvugo z'ubuvuzi), uyu mutsi wa gastrocnemius uragabanuka. Hanyuma uwo mutsi urushaho kugabanuka.

Iyo ukora imyitozo ngororamubiri, imitsi ihora isunikwa, bigatuma icika intege. Bigenda bite se? Ingano y'amaraso ajya ku kaguru iragabanuka. Ibi bituma ibintu nka aside lactic na dioxyde de carbone byiyongera mu mitsi no mu mitsi. Niyo mpamvu wumva uremereye, ububabare, umunaniro, ndetse rimwe na rimwe n'ibinure mu maguru no ku birenge byawe.

Inkuru nziza ni uko ibi bimenyetso bikunze kugabanuka mu minota itatu kugeza kuri itanu nyuma yo guhagarika imyitozo ngororamubiri. Ariko, iyo bitavuwe, uko igihe kigenda gihita, ibi bimenyetso bishobora gukomera kandi bikamara igihe kirekire. Ibi bivuze ko uzatangira kumva ububabare ndetse no nyuma yo kwiruka intera ndende, kandi bizatwara igihe kirekire kugira ngo ukire.

Ni nde urebwa cyane n'iyi ndwara ya PAES?

Iyi ndwara, yitwa PAES, ikunze kwibasira abakinnyi bakiri bato bari hagati y'imyaka 15 na 25. Iyi ngaruka ni nyinshi cyane cyane ku bitabira imikino isaba kwiruka. Urugero:

• Isiganwa (Inzira)
• Kwiruka mu misozi miremire
• Umupira w'amaguru
• Lacrosse
• Hockey yo mu kibuga

Tekereza ku mwana witabira imikino yo kwiruka ku ishuri, cyangwa umusore ukina umupira w'amaguru. Bakunze kugira iyi ndwara kuko bakoresha amaguru yabo buri gihe.

PAES ikunze kugaragara gute?

PAES mu by’ukuri ni indwara idakunze kugaragara cyane . Bivugwa ko munsi ya 1% by’abaturage bayirwaye. Bityo rero biragoye kumenya neza umubare w’abantu bayirwaye.

Ese hari izindi ndwara zigaragaza ibimenyetso bisa na PAES?

Yego, irahari. Indwara ya Chronic Exertional Compartment Syndrome (CECS) ni indwara ikunze kugaragara mu mitsi n'imitsi kurusha PAES, kandi iterwa no gukora imyitozo ngororamubiri. Ishobora kandi gutera ububabare no kubyimba imitsi y'amaguru (hamwe na rimwe n'amaboko). Nubwo CECS ishobora kugira ingaruka ku muntu uwo ari we wese, ikunze kugaragara cyane mu bakiri bato biruka ndetse n'abakina siporo isaba gukoranaho kenshi.

Hari igihe umuntu urwaye PAES ashobora no kurwara CECS. Byagaragaye ko abantu bagera kuri 5% batarakira PAES nabo bafite CECS. Bityo rero ni ngombwa kwibuka ko indwara zombi zishobora kubaho icyarimwe.

Ni irihe tandukaniro riri hagati ya PAES na CECS?

Muganga wawe azakora ibizamini bitandukanye kugira ngo atandukane hagati y’ibi bibazo bibiri.

• Kuri PAES: Umuvuduko w'amaraso upimwa mu kuguru igihe uri kuruhuka hanyuma ukagenzurwa niba ugabanuka nyuma yo gukora imyitozo ngororamubiri.
• Kuri CECS: Umuvuduko mu bice bine by'imitsi mu kuguru upimwa mbere na nyuma y'imyitozo ngororamubiri. Muri CECS, umuvuduko muri ibi bice wiyongera ku buryo budasanzwe.

Bimeze bite kugira PAES?

Mu gihe ukora imyitozo ngororamubiri, ushobora kugira ibimenyetso nk'ibi mu kibuno cyawe no/cyangwa amaguru:

• Ububabare nk'ububabare bwo mu nda
• Ndananiwe
• Ibyiyumvo biremereye
• Kubabara imitsi
• Gucika intege
• Ububyimbirwe

Ibi bimenyetso akenshi birashira nyuma y'iminota itatu kugeza kuri itanu yo kuruhuka. Nyamara, nk'uko twabivuze mbere, iyo bitavuwe, ibi bimenyetso bishobora kongera kugaruka uko igihe kigenda gihita kandi bigafata igihe kirekire kugira ngo bikire.

Ni izihe mpamvu zitera PAES?

Hari uburyo bubiri cyane cyane iyi terambere rishobora kubaho:

1. Gukanda kw'umubiri: Ibi bigaragara ku bantu bagera kuri 10%. Bisa nkaho bibaho cyane ku bagabo. Mu bantu bagera kuri 70%, bibaho ku kuguru kumwe gusa.

2. Gukandamizwa bitari mu buryo bw'umubiri, imikorere cyangwa imiterere y'umubiri: Ibi bibaho cyane ku bagore. Mu bihe birenga 90%, bishobora kubaho ku maguru yombi.

Gukanda kw'ingingo

Ibi bibaho kubera ko igice cy'imitsi yawe ya gastrocnemius kiba hejuru cyangwa munsi y'umutsi wa popliteal. Ahari umutsi ufata imitsi ushobora kwangiza umutsi. Ibi biterwa nuko:

• Igisebe cyangwa igisebe bishobora kugaragara.
• Amaraso ashobora kubyimba.
• Uko igihe kigenda gihita, umutsi ushobora kuziba burundu (gufunga) cyangwa imitsi iri munsi yawo igafunga.

Muri ubu buryo, hari uburyo bune butandukanye imitsi ishyirwamo ugereranije n'imitsi.

Gukanda kw'imikorere cyangwa imikorere y'umubiri

Muri iki gihe, imitsi yawe yose iba ihagaze neza. Ariko, imitsi ikunze gufatana hejuru gato y'igufwa ry'ikibero, cyangwa mu mwobo uri imbere mu ivi. Rero iyo ugonze ikirenge cyawe (plantar flexion), imitsi irakurura imbere hanyuma igakanda imitsi.

Hari igihe iki gitutu gishobora guterwa n'indi mitsi (imitsi ya popliteus) iri munsi y'imitsi. Abashakashatsi bavuga ko iki gitutu gikora kitaraboneka ko cyangiza imitsi.

PAES ipimwa ite?

Inzobere mu mitsi ishobora gusuzuma iyi ndwara. Izagusuzuma kandi irebe niba hari igitonyanga mu kuguru kwawe ndetse n'umutima wawe utera amaraso. Bashobora kandi gusuzuma niba hari impinduka mu mutima wawe iyo uzamuye ukuguru kwawe hejuru no hasi ukurikije ikintu runaka.

Niba ufite PAES, muganga wawe ashobora:

• Ushobora kumva umutima wawe utera iyo uri mu kiruhuko.
• Ariko iyo ukora imyitozo ngororamubiri, umutima wawe ushobora kugabanuka iyo ugonze cyangwa ugoroye ukuguru kwawe.

Ni ibihe bizamini bikorwa kugira ngo harebwe niba PAES ari ikibazo?

Ibi bizamini bipima amaraso atembera mu ivi, ku kuguru no ku kirenge. Ibi bizamini bishobora kwerekana ibi bikurikira:

• Ese imitsi itera amaraso isanzwe?
• Niba hari ikibazo cy'imitsi itera.
• Ese hari amaraso yacitse?
• Ese imitsi y'amaraso yabyimbye (aneurysm - umutsi w'amaraso ufite ubunini bwa 50% kuruta ubusanzwe).
• Ese imitsi igabanya umutsi w'amaraso?

Bimwe mu bizamini byakozwe kuri ibi ni ibi bikurikira:

• Igipimo cy’umuvuduko w’amaraso mu maboko no mu maguru mbere na nyuma y’imyitozo ngororamubiri: Ibi bipima umuvuduko w’amaraso mu maboko no mu maguru mbere na nyuma y’imyitozo ngororamubiri. Ubusanzwe, umuvuduko w’amaraso mu maboko no mu maguru ni umwe, kandi byombi byiyongera mu gihe cy’imyitozo ngororamubiri. Ariko, iyo imitsi yawe icitse intege mu gihe wiruka, umuvuduko w’amaraso mu maguru yawe nyuma y’imyitozo ngororamubiri ushobora kugabanukaho ibirenga 90% by’umuvuduko w’amaraso mu maboko yawe.
• Isuzuma rya duplex ry’imitsi ya popliteal hamwe no guhindukira kw’imitsi: Ibi bikoresha amajwi kugira ngo bikore ishusho y’imitsi no gupima uburyo amaraso atembera. Ibi bituma muganga wawe areba uko imitsi yo ku kuguru kwawe yumva iyo ukuguru kwawe kwaragose kandi kuruhutse, no kureba niba hari imitsi icitse.
• Angiografiya ya tomografia (CTA) ifite uburyo bwo gukaraba imiterere y'imitsi: Ubu ni ubwoko bwa CT scan. Irangi ryihariye rikoreshwa mu kureba imiterere y'imitsi yo ku kaguru no kureba niba hari imitsi icitse iyo ukuguru kwagonze kandi kuruhutse.
• Angiografiya ya Magnetic Resonance (MRA) hamwe no guhindukira kw'imitsi: Iki kizamini gikoresha imbaraga za rukuruzi n'imirasire ya radiyo kugira ngo harebwe uko imitsi yo mu kaguru imeze no kureba niba hari imitsi ihungabana iyo ukuguru kwagonze kandi kuruhutse.

PAES ivurwa ite?

Muganga wawe ashobora kubaga.Hanyuma, kuraho igice gito cy'imitsi ya gastrocnemius na popliteus. Ibi bizagabanya umuvuduko ku mitsi kandi bitume amaraso atembera neza mu kaguru.

Ubusanzwe ubu buvuzi bumara isaha imwe. Bukorwa hakoreshejwe ikinya rusange.

Hari igihe, mu bihe bikomeye aho imitsi yangiritse kandi igafunga bitewe n’uburyo umubiri ufata imitsi, umuganga ashobora gukenera gusukura imitsi, kuyitunganya, cyangwa gukora inzira nshya ikikije aho imitsi yazibye (bypass).

Kubaga ni bwo buryo bwiza bwo kuvura PAES, kuko ari uburyo bwiza cyane ku bantu benshi. Abantu barenga 90% babazwe bahura n'ibibazo bikomeye mu ndwara zabo.

Ku bafite PAES ikora neza, uburyo bwo kuvura butari ukubaga ni uburozi bwa Botulinum A. Mu gihe muganga ayobora CT cyangwa ultrasound, atera `Botox®` cyangwa `Dysport®` mu mitsi itera kunyara. Ibi bigabanya umutsi by'agateganyo. Icyizere ni uko imitsi izahita inyara burundu.

Ariko ibi bimara amezi atatu kugeza kuri atandatu gusa. Iyo imitsi idagabanutse, ibimenyetso bishobora kugaruka. Ubu buvuzi bwagenze neza ku bantu bari munsi ya 60% nyuma y'umwaka umwe bavuwe.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma y'ubu buryo bwo kuvura?

Bishobora gufata amezi ane kugeza kuri atandatu kugira ngo umuntu akire neza nyuma yo kubagwa.

Nyuma yo kubagwa, uzakenera kurara mu bitaro ijoro ryose. Hanyuma, uzakenera gukora ubuvuzi bw'umubiri (nk'imyitozo ngororamubiri yo kunanura imitsi) mu byumweru bibiri bya mbere. Nyuma y'ibyumweru bibiri, uzakenera gukora imyitozo yo kongera imbaraga no kugorora imitsi kugeza ukize neza.

Bigenda bite ku muntu ufite PAES?

Niba ufite ikibazo cyo kubabara kw'amaguru mu gihe cy'imyitozo ngororamubiri kandi amaguru yawe akaba atari menshi cyane, ushobora kugabanya imyitozo ngororamubiri yawe. Muganga wawe ashobora gukurikirana uburwayi bwawe.

Ariko, nk'uko twabivuze mbere, kubagwa bigerwaho neza ku kigero kirenga 90%, kandi ibyago byo kongera kugaragara ni bike. Abakinnyi benshi basubira mu mirimo yabo isanzwe nyuma yo kubagwa.

Iyo hari imitsi ifata imitsi, abaganga bakugira inama yo kubaga bagakuraho imitsi idasanzwe. Ibi biterwa nuko, iyo bitakozwe, imitsi ishobora kwangirika uko igihe kigenda. Iyo utinze kuvurwa kandi ukaba ufite PAES y’imiterere yangiritse imitsi ya popliteal, ushobora kugira ububabare bw’amaguru buri gihe iyo ugenda. Mu bihe bidasanzwe, ukuguru gushobora gukenera gucibwa. Ariko ibyo ni gake cyane .

Ni ryari ngomba kongera kubonana na muganga?

Nyuma yo kubagwa, uzakenera kubonana na muganga:

• Mu kwezi kumwe.
• Mu mezi atandatu.
• Mu mezi cumi n'abiri.

Muri izi nama:

• Hazakorwa isuzuma rya ultrasound ry'imitsi yawe yavuguruwe.
• Bari kugenzura umuvuduko w'amaraso mu maguru yawe.

Niba imitsi yawe yasubiye ku murongo, nta yindi gahunda izakenerwa keretse ibimenyetso bigarutse cyangwa ukeneye gukorerwa isuzuma ry’imitsi.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ese mfite PAES z'umubiri cyangwa PAES zikora?
• Ese murangira inama yo kubagwa kubera ikibazo cyanjye?

Niba ukiri muto kandi ukaba ubabara amaguru, menya neza ko wagiye kwa muganga. Hari impamvu nyinshi zishobora gutera ubu bubabare. Uko ubonye vuba indwara nyayo, ni ko ushobora gutangira kuvurwa vuba. Niba ufite indwara yo gufunga imitsi yo mu maraso, ganira na muganga wawe niba kubagwa ari amahitamo meza kuri wewe. Ubu buryo bwabaye ubuvuzi bwiza mu bihe byinshi.

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

Noneho reka tuvuge muri make bimwe mu bintu ugomba kwibuka mu byo twavuze:

• PAES ni indwara aho umutsi ufata imitsi inyuma y'ivi, ugabanya amaraso ajya ku kaguru.
• Ibi bigira ingaruka cyane cyane ku bakinnyi bakiri bato , cyane cyane abiruka.
• Niba ubonye ibimenyetso nko kubabara, kuremererwa, cyangwa kuribwa mu kibuno mu gihe cy'imyitozo ngororamubiri, ariko bikagabanuka iyo uruhuka, ushobora kuba ufite PAES.
• Hariho kandi indwara yitwa CECS ifite ibimenyetso bisa, bityo gusuzuma neza ni ingenzi.
• Iyi ndwara ishobora kwemezwa no kuba inzobere igusuzuma (nk'urugero rwa `Ankle-brachial index`, `Duplex ultrasound`, `CTA`, `MRA`).
• Kubagwa akenshi ni bwo buryo bwiza bwo kuvura . Hari abantu bahabwa inshinge za `(uburozi bwa Botulinum A)`.
• Iyo itavuwe, uko igihe kigenda gihita, imitsi ishobora kwangirika kandi indwara ikarushaho kwiyongera.
• Bityo rero, niba ufite ibi bimenyetso, ni ngombwa cyane gushaka inama kwa muganga vuba.

Ntugahangayike, niba ubonye iyi ndwara, hari uburyo bwiza bwo kuvura. Igikuru ni ukubonana na muganga vuba, utirengagije ibimenyetso. Hanyuma ushobora kongera kugira ubuzima bwiza kandi ugakora!

indwara yo gufunga imitsi ya popliteal, PAES, kubabara amaguru, kubabara mu kibuno, imyitozo ngororamubiri, abakinnyi bakiri bato, imitsi y'amaraso , imitsi ya popliteal