Ese turimo kuvuga ku muvuduko ukabije w'amaraso mu muyoboro w'amaraso (portal hypertension)?

Ese wigeze wumva iyi ndwara yitwa `(Portal Hypertension)`? Ushobora gusanga izina ritangaje kandi rigoye kuryumva. Ariko iyi ni indwara ishobora kubaho mu mwijima wacu, isaba kwitonda, kandi ishobora kuba ikomeye. Reka tuvuge kuri ibi uyu munsi mu buryo bworoshye, mu buryo ushobora kumva, nk'aho hari umuntu wa hafi yawe urimo kubigusobanurira, sibyo?

Umuvuduko ukabije w'amaraso mu muyoboro wa portal ni iki?

Mu magambo make, "Umuvuduko ukabije w'amaraso" ni igihe umuvuduko w'amaraso mu mitsi mito ('umutsi wo mu bwoko bwa portal') uhujwe n'umwijima wawe ndetse n'imitsi mito ('umutsi wo mu bwoko bwa portal') iva kuri wo izamuka ikarenga urugero rusanzwe. Tekereza ko hari umutsi munini mu nda yawe ukusanya amaraso yanduye mu ngingo nk'igifu cyawe, amara, pancreas, na plaque ukayazana mu mwijima wawe. Ibyo ni byo twita "umutsi wo mu bwoko bwa portal" cyangwa umutsi wo mu bwoko bwa portal. Sisitemu ikorwa n'imitsi mito myinshi ihujwe n'uyu mutsi mukuru yitwa "umutsi wo mu bwoko bwa portal" cyangwa sisitemu yo mu bwoko bwa portal.

Umwijima wacu ni urugingo rw'ingenzi cyane. Ni wo usukura amaraso yakusanyijwe, ugatandukanya intungamubiri zikenewe, hanyuma ukayohereza mu mutima kugira ngo uyakwirakwize mu mubiri wose.

Noneho, niba ku mpamvu runaka amaraso ajya mu mwijima anyuze muri uyu '(umutsi wo mu bwoko bwa portal)' yarafunzwe, cyangwa iyo urugendo rugenda buhoro, umuvuduko muri ubwo buryo bwose bw'imitsi ugenda wiyongera buhoro buhoro. Nk'uko iyo umuyoboro w'amazi ufunzwe hagati, umuvuduko w'amazi ari mu muyoboro uriyongera. Ibyo ni byo twita '(umuvuduko ukabije w'amaraso wo mu bwoko bwa portal)' iyo umuvuduko wiyongereye.

Hanyuma umubiri wacu ugerageza guhangana n'uyu muvuduko wiyongereye. Bityo, utangira kohereza amaraso mu yindi mitsi mito, akenshi isanzwe, aho amaraso make atembera, nk'aho ari ukunyura mu muhanda munini wafunzwe. Ariko iyo ayo maraso yiyongereye yinjira, iyo mitsi mito ntishobora kuyafata no kwaguka, ikarushaho kuba minini, kandi inkuta zayo zishobora gucika intege cyane. Hari igihe iyi mitsi idakomeye ishobora 'gusohora' amazi mu nda, cyangwa imitsi ikaturika ikava amaraso mu buryo butunguranye. Iki ni cyo kintu kibi cyane.

Ni nde ufite amahirwe menshi yo kurwara "Umuvuduko ukabije w'amaraso" (Portal Hypertension)?

Mu bihugu by'Iburengerazuba bw'Isi, impamvu nyamukuru y'iyi ndwara akenshi ni indwara yitwa cirrhosis y'umwijima. Cirrhosis ni indwara aho umwijima wangirika uko igihe kigenda gihita, maze uturemangingo tw'umwijima tuzima tugasimburwa n'inkovu (urugingo rukomeye kandi rufite imiyoboro). Iyi nkovu itera imbogamizi ikomeye ku gutembera kw'amaraso mu mwijima binyuze mu muyoboro w'imbere. Ni nk'ibuye rifunga umuhanda.

Mu bindi bice by'isi, urugero nko mu bihugu bimwe na bimwe bya Afurika na Aziya, bikunze kugaragara bitewe n'indwara yandurira mu mitsi yitwa "schistosomiasis." Iyi ndwara yangiza imitsi y'amaraso mu mwijima. Nk'uko bivugwa n'Ishami ry'Umuryango w'Abibumbye ryita ku Buzima, abantu barenga miliyoni 230 ku isi bafite iyi ndwara.

Iki kibazo gikomeye gute?

Ingorane ziterwa na `(Umuvuduko ukabije w'amaraso mu muyoboro w'amaraso)` rimwe na rimwe zishobora gushyira ubuzima mu kaga.cyane cyane kuva amaraso imbere mu mubiri. Si buri wese ugira ibi bibazo, ariko ibyago biriyongera uko umuvuduko mu mitsi wiyongera. Uko umuvuduko urushaho kwiyongera, ni ko imitsi irushaho kwiyongera, igacika intege, kandi igaturika.

Mu by’ukuri, umuvuduko ukabije w’amaraso mu muyoboro w’amaraso (portal hypertension) n’ingorane zawo ni byo bintu bitera abantu bajyanwa mu bitaro, ndetse rimwe na rimwe n’impfu ku bantu barwaye cirrhose y’umwijima.

Ni ibihe bimenyetso 5 by'ingenzi bya `(Umuvuduko ukabije w'amaraso mu muyoboro wa Portal)`?

Ikibazo kimwe muri ibi ni uko, akenshi, nta bimenyetso bishobora kubaho kugeza igihe habayeho ingorane. Tekereza ko abantu bagera kuri 90% barwaye cirrhose bafite umuvuduko ukabije w’amaraso mu mubiri wabo mbere yuko bagaragaza ibimenyetso. Nanone, hafi 40% bashobora kuba bamaze kugira imitsi myinshi yitwa varices, nta nteguza.

Ibimenyetso bya mbere bigaragara akenshi bifitanye isano n'imitsi mishya, yagutse, iva amaraso, kandi iva amaraso. Ni ibi bikurikira:

• Kuruka amaraso (wenda ndetse n'ibara rimeze nk'iry'ikawa).
• Amaraso mu gituba (akenshi umukara wijimye, gutinda, cyangwa rimwe na rimwe umutuku).
• Igifu gihita kiba kinini kandi kikumva cyuzuye, hamwe no kwiyongera ibiro vuba. (Ibi biterwa no kuzura amazi mu nda).
• Kubyimba amaguru, cyane cyane ku tuguru (edema) .
• Kumva utazi icyo utekereza, gutakaza ubwenge, rimwe na rimwe ukibagirwa uwo uri we n'aho uri (guhungabana mu mutwe) .

Ni izihe ngorane zishobora guterwa n'umuvuduko ukabije w'amaraso mu muyoboro w'amaraso (Portal Hypertension)?

Iyi ndwara ishobora gutera ingorane zitandukanye. Reka tubirebe kimwe kimwe:

• "Ascites": " Ascites" ni ukwirundanya kw'amazi ameze nk'amazi mu nda bivuye mu mitsi yagutse kandi idafite imbaraga, ikajya mu nda (``peritoneal cavity``). Ibi bishobora gutuma inda ibyimba kandi ikumva ibyimbye, kandi bishobora gutera kubura ubushake bwo kurya no kugorwa no gusya. Mu bihe bimwe na bimwe bikomeye, aya mazi ashobora no kuzamuka mu gituza, bigatuma guhumeka bigorana. Binakongera ibyago byo kwandura indwara mu nda (``peritonitis``).

• Kuva amaraso mu gifu: Imitsi yo mu gifu yagutse mu nzira y'igogora (umuyoboro w'amaraso, igifu, amara) (varice) ishobora guturika no kuva amaraso. Ikunze kugaragara muri izi ni varice zo mu gifu . Iyi ni imitsi yegereye uruhu kandi ifite inkuta nto cyane, bityo ishobora guturika byoroshye. Imitsi yo mu gifu nayo ishobora kubyimba (ibi byitwa portal hypertension gastropathy) kandi, mu bihe bikomeye, ishobora kuva amaraso. Iyo uku kuva amaraso gukomeje , amaraso make cyangwa ibura ry'amaraso mu mubiri, bishobora kubaho.

• `Hypersplenisme`:Iyo amaraso atembera mu ruhu agabanutse, uruhu rurushaho kwiyongera amaraso menshi kandi imiyoboro mishya y'amaraso ikura kugira ngo ijyane n'ayo maraso yiyongereyeho. Uruhu runini rutangira gukora cyane kandi rugatangira gukuramo uturemangingo tw'ingenzi mu maraso y'umubiri (urugero, uduce duto tw'amaraso dufasha kubumba amaraso, n'uturemangingo tw'amaraso tw'umweru , ingenzi ku budahangarwa bw'umubiri). Ibi bishobora gutuma amaraso agabanuka (kuva amaraso byoroshye), ndetse n'ubudahangarwa bw'umubiri bugabanuka (kurwara byoroshye).

• Ogisijeni nke mu maraso: Kuri bamwe, iyi "Portal Hypertension" ituma imiyoboro y'amaraso mu bihaha iba minini ku buryo budasanzwe. Hanyuma ibihaha ntibibashe kohereza ogisijeni neza mu maraso. Ingaruka ni uko urugero rwa ogisijeni mu maraso rugabanuka ``(hypoxemia)`` . Iyi ndwara yihariye yitwa kandi ``(hepatopulmonary syndrome)``` .

• Kunanirwa kw'impyiko: Imiyoboro y'amaraso yagutse iterwa n'umuvuduko ukabije w'amaraso mu muyoboro w'amaraso ishobora kugabanya imiyoboro y'amaraso ahandi mu mubiri (cyane cyane iyo itanga amaraso mu mpyiko). Iyo ibi bibaye mu mpyiko, amaraso ajyana impyiko aragabanuka, bigatuma impyiko zinanirwa gukora neza . Iki ni ikibazo kidasanzwe ariko gikomeye cyane, kizwi kandi nka hepatorenal syndrome .

• Ubumuga bwo mu mutwe buto: Uko umubiri wacu ugerageza kumenyera umuvuduko ukabije w’amaraso mu miyoboro y’amaraso (portal hypertension), birema imiyoboro mishya y’amaraso (shunts) inyura mu mwijima. Ariko iyo amaraso anyura mu mwijima akajya mu nzira z’amaraso, uburozi umwijima wagakwiye gusukura ntibuba busukuwe. Ubu burozi buhita bwirunda mu maraso bukagira ingaruka ku mikorere y’ubwonko buhoro buhoro. Ushobora kugira ibimenyetso by’igihe gito nko kwitiranya ibintu, kuvuga nabi, no gutakaza ubwenge. Ibi byitwa hepatic encephalopathy .

Ni izihe mpamvu nyamukuru zitera umuvuduko ukabije w'amaraso mu muyoboro wa Portal?

Nkuko twabivuze mbere gato, hari impamvu zimwe na zimwe z'ingenzi:

• Kurwara umwijima: Iyi ni yo mpamvu ikunze kugaragara cyane. Kurwara umwijima akenshi ni cyo cyiciro cya nyuma cy'indwara y'umwijima ifata igihe kirekire. Ikunze guterwa cyane n'indwara za virusi nka virusi ya hepatite C, hepatite iterwa n'inzoga , n'indwara y'umwijima ifite ibinure bitari inzoga . Iyi nkovu ibuza amaraso gutembera mu mwijima.

• `Granuloma zo mu mwijima`:Granuloma ni uruhurirane rw'uturemangingo tw'ububyimbirwe tubaho hamwe n'indwara zitandukanye (urugero: schistosomiasis) n'indwara z'ububyimbirwe. Zisa n'utubyimbi duto kandi zishobora kuziba inzira y'imitsi yo mu muyoboro w'amaraso. Akenshi ziba imbarutso y'icyorezo cy'umwijima nyuma.

• Kuziba kw'amaraso (Trombose): Iyo amaraso apfunditse (thrombose) ahantu hose mu mitsi yo mu muyoboro w'amaraso, bishobora kubuza amaraso gutembera mu mwijima, binyuze mu mwijima, cyangwa hanze y'umwijima. Ibi bishobora kugira impamvu nyinshi, harimo n'indwara zimwe na zimwe z'amaraso avukana.

Wamenya ute ko ufite `(Umuvuduko ukabije w'amaraso)`?

Kugira ngo umenye neza niba ari uko bimeze, ugomba gupima umuvuduko uri mu mitsi y'umwijima. Ibi bisaba gushyira umuyoboro muto (catheter) mu mitsi. Ariko, iki ni ikizamini kigoye kandi kigoye, kandi akenshi ntigikorwa byoroshye, kandi si buri wese ugikeneye.

Ku bw'amahirwe, abaganga bashobora gusuzuma iyi ndwara (Portal Hypertension) bashingiye ku bimenyetso n'ibimenyetso by'uburwayi. Ni ukuvuga ibyo uvuga n'ibyo babona iyo bakugenzuye. Gupima no gupima amaraso bishobora kwemeza iki kibazo.

Ni ibihe bimenyetso muganga yakwikekaho by’umuvuduko ukabije w’amaraso mu muyoboro wa Portal?

• Imitsi yagutse (varices) (cyane cyane iyo igaragaye mu gihe cyo gupima).
• Urwagashya rwongerewe (haba iyo umuntu akubiswe cyangwa iyo asuzumwe).
• Ibimenyetso by'amaraso anyura mu nzira y'igogora.
• Kugira amazi mu nda (ascites).
• Ibimenyetso by'igabanuka rito ry'imikorere y'ubwonko (nk'uko byavuzwe mbere, ibimenyetso bya 'hepatic encephalopathy').
• Iyo ikizamini cy'amaraso cyerekanye ko umubare w'ubwoko bumwe na bumwe bw'uturemangingo mu maraso (urugero: plaquettes, uturemangingo tw'umweru) ari muto.
• Ibimenyetso birimo gukomereka byoroshye no kuva amaraso menshi.

Ni ibihe bipimo bikorwa kugira ngo byemezwe iyi ndwara?

• Ibipimo by'amaraso: Ibipimo by'amaraso bishobora kukubwira byinshi ku bibera mu ngingo zawe, cyane cyane umwijima n'impyiko. Akanama gashinzwe imikorere y'umubiri gashobora gusuzuma ibibazo byose biri mu mpyiko zawe n'umwijima. Umubare wuzuye w'amaraso (CBC) ushobora gusuzuma niba urwagashya rukora cyane rukuraho uturemangingo twinshi tw'umweru cyangwa plaquettes. Bishobora kandi gusuzuma indwara zimwe na zimwe z'amaraso zishobora gutera umuvuduko ukabije w'amaraso, cyangwa kubura amaraso bitewe no kuva amaraso imbere mu mubiri.

• Ibizamini byo gupima: Gupima hakoreshejwe ikoranabuhanga rya Ultrasound na CT scans bishobora gufasha kumenya niba hari cirrhosis, ascites, ingingo nk'umwobo zirakura, imitsi yo mu muyoboro w'amaraso irakura, kandi imitsi mishya iravuka. Doppler ultrasound ni ingirakamaro cyane.Umuntu ashobora gufata amafoto y'amaraso atembera mu mitsi. Bishobora kugaragaza neza ko amaraso atembera nabi, ndetse niba imitsi ari migari cyangwa mito cyane.

• Endoskopiya: Niba ufite ibimenyetso byo kuva amaraso mu gifu cyawe (amaraso mu birutsi byawe, amaraso mu mwanda wawe), muganga wawe ashobora kuzakenera gukora endoskopiya. Endoskopiya yo hejuru ikubiyemo gushyiramo umuyoboro muremure kandi muto (endoskopiya) hamwe na kamera inyura mu kanwa kawe kugira ngo isuzume umwobo wawe, igifu, n'igice cya mbere cy'amara mato (duodenum). Muganga azareba imitsi miremire yitwa varice, niba iri kuva amaraso, kandi niba hari ahantu hava amaraso hafi aho. Ikintu cyiza ni uko niba ubonye kuva amaraso, akenshi bashobora gushyiramo ibikoresho byihariye binyuze muri endoskopiya kugira ngo bahagarike kuva amaraso.

Ni ubuhe buryo bwo kuvura `(Umuvuduko ukabije w'amaraso mu muyoboro wa Portal)`?

Kuba umuvuduko ukabije w’amaraso wa Portal ushobora gukira burundu biterwa n’impamvu nyamukuru. Urugero, niba indwara cyangwa amaraso ari byo byayiteye, muganga wawe ashobora kuvura impamvu nyamukuru akoresheje imiti, kandi umuvuduko ukabije w’amaraso wa Portal uzagenda urushaho kumera neza, ndetse rimwe na rimwe ukagenda burundu.

Ariko, iyo hari inkovu nyinshi ku mwijima, nka cirrhose, akenshi ntizishira. Ibi bivuze ko inkovu zidashira. Kubwibyo, umuvuduko ukabije w'amaraso mu muyoboro wa portal ushobora gukomeza. Kenshi na kenshi, ubuvuzi bugamije kugenzura ingorane zikomeye ziterwa n'umuvuduko ukabije w'amaraso mu muyoboro wa portal no kugabanya ibyangiritse bitera. Abaganga babanza kugerageza kugenzura indwara zikomeye (urugero: kuva amaraso) hanyuma bagakurikizaho ibisubizo by'igihe kirekire.

Uburyo bwa mbere bwo kuvura kugira ngo hatagira amaraso ava mu nzira y'igogora:

• Ubuvuzi bwa Endoskopi: Muganga avura kuva amaraso mu buryo butunguranye binyuze muri endoskopi. Ubu buryo burimo sclerotherapy (gutera umuti wihariye mu mitsi iva amaraso kugira ngo igabanuke kandi igenzure kuva amaraso) no gupfuka imitsi ( gupfuka imitsi iva amaraso n'udupira duto kugira ngo uhagarike kuva amaraso).
• Imiti: Muganga wawe ashobora kuguha imiti, yaba iri kumwe n'ubuvuzi bwa endoscopique cyangwa itandukanye na yo, kugira ngo ugabanye umuvuduko mu mitsi yawe itera kuribwa no kugabanya ibyago byo kongera kuva amaraso. Imiti yitwa beta-blockers ishobora gufasha kugabanya umuvuduko wa portal, mu gihe vasoconstrictors ishobora gufasha kugabanya imitsi yagutse no kugabanya kuva amaraso.

Uburyo bwa mbere bwo kuvura izindi ngorane:

• Iyo hari `(syndrome y'umwijima)` (ibura rya ogisijeni mu maraso), ogisijeni itangwa `(ubuvuzi bwa ogisijeni)` .
• Dialysis niba hari indwara y'umwijima (impyiko zinanirwa gukora).
• Niba ufite ikibazo cy’imikorere y’ubwonko mu mwijima (hepatic encephalopathy), hari imiti ishobora kugufasha.
• Paracentesis ni ugukura amazi menshi mu nda bitewe n'uturemangingo (ascites) (amazi yiyongera mu nda) hanyuma hagafatwa urugero rw'ayo mazi kugira ngo harebwe niba nta ndwara yanduriye mu nda.

Uburyo bwa kabiri bwo kuvura (niba kuva amaraso cyangwa izindi ngorane bikomeje):

Hari igihe, iyo kuva amaraso bidashobora guhagarara cyangwa izindi ngorane zigakomeza, abaganga bahitamo uburyo bwa kabiri bwo kuvura. Uburyo bubiri bw'ingenzi ni ukubaga "shunt". Ubu buryo bukoreshwa mu guhindura inzira amaraso atemberamo mu "mitsi yo mu muyoboro" no kugabanya umuvuduko w'amaraso.

• Inzira yo gufunga umwijima hakoreshejwe transjugular intrahepatic portosystemic shunt (INAMA): Ubu buryo ntibukoreshwa mu kubaga. Hakoreshejwe amashusho ya X-ray, umuganga w’indwara z’umwijima ashyira stent (umuyoboro muto w’urushundura) mu mwijima wawe. Bakoresha urushinge kugira ngo bakore umuyoboro unyura mu mwijima kandi bahuze umuyoboro w’imbere n’umuyoboro uri mu mwijima (umuyoboro w’umwijima). Ibi bituma amaraso atembera mu muyoboro, bigabanura umuvuduko w’amaraso. Stent ishyirwa kugira ngo umuyoboro ugumane ufunguye. Ubu buryo ni bwiza cyane, ariko uko igihe kigenda gihita, stent ishobora kuziba, kandi ushobora gukenera kongera kuyisana (uburyo bwo gusubiramo).

• Distal splenorenal shunt (DSRS): Ubu buryo ni ukubaga. Kuri bamwe, bushobora kuba ari bwo buryo bwiza kuruta TIPS. Ariko, ugomba kuba ufite ubuzima bwiza buhagije kugira ngo ubagwe kandi ukire. Ariko, bushobora kuba ingirakamaro mu kurwanya indwara mu gihe kirekire. Ubu buryo burimo gukuramo umutsi wawe wa splenic mu mwijima wawe no kuwuhuza n'umutsi w'impyiko w'ibumoso. Ibi bigabanya cyane uburyo amaraso atembera n'umuvuduko ujya mu mwijima no mu gifu.

Hanyuma, ku bafite indwara y'umwijima ikomeye cyane idashobora gukemurwa n'ubundi buryo bwo kuvura, bashobora kwitabwaho no gutera umwijima .

Ni ubuhe bwoko bw'ubuvuzi nkeneye bwo gukurikirana?

Nyuma y'ubu buryo bwose bwo kuvurwa , ni ngombwa gukomeza gukurikiranwa na muganga. Ugomba kwitondera uburwayi bwawe. Uzakenera kujya kwa muganga wawe buri gihe mu mwaka wa mbere nyuma yo kuvurwa kugira ngo urebe niba ubuvuzi bugikora kandi niba hari izindi ngorane nshya zavutse. Nyuma y'ibyo, uzakenera kujya kwa muganga wawe nibura kabiri mu mwaka kugira ngo bagupime umwijima kandi bagupime amaraso kugira ngo barebe imikorere y'umwijima wawe. Ibi ni nko kuba ufite imodoka igusuzumisha, ugomba gukomeza kuyitaho.

Ni iki nakwitega muri iki kibazo?

Iteganyagihe ryawe n'uko uzakira bizaterwa n'uburemere bw'umuvuduko w'amaraso mu muyoboro wawe w'amaraso, niba ufite indwara zo kuva amaraso, ndetse niba ufite izindi ngorane.Mu by’ukuri, ibyago byo gupfa bivuye mu kuva amaraso bwa mbere bishobora kugera kuri 40%. Iyo wongeye kuva amaraso nyuma yo kuvurwa, ibyago byo gupfa bivuye mu kuva amaraso kwakurikiyeho biri hafi ya 30%. Ingaruka ziba nyinshi iyo indwara yawe ya cirrhose ikomeye. Ariko, niba indwara y’umwijima ikiri mu nzira yayo ya mbere, kandi ikavurwa vuba, ibyago bishobora kugabanuka.

Ni gute nakwirinda `(Umuvuduko ukabije w'amaraso mu muyoboro wa Portal)`?

Uburyo bwiza bwo kwirinda iyi ""(Umuvuduko ukabije w'amaraso mu muyoboro w'amaraso)"" ni ukugerageza guhagarika indwara y'umwijima y'igihe kirekire niba bishoboka. Ntushobora kugenzura impamvu zose, ariko zimwe mu mpamvu zikunze kugaragara zishobora gukumirwa iyo zibonetse hakiri kare.

• Indwara z'umwijima ziterwa no kunywa inzoga, cyangwa indwara z'umwijima ziterwa n'indwara z'imikorere y'umubiri (urugero: indwara z'umwijima zirimo ibinure bitari inzoga), zishobora kunozwa n'imirire no guhindura imibereho myiza (nk'imyitozo ngororamubiri).
• Hepatite C irakira burundu hamwe n'imiti mishya irwanya virusi. Kubwibyo, ni ngombwa cyane kwipimisha hepatite C nibura rimwe mu buzima bwawe.

Ni gute nakwiyitaho mu gihe mbayeho n'indwara ya `(Umuvuduko ukabije w'amaraso)`?

Uru rugendo rushobora kuba rutoroshye, ariko nturi wenyine.

• Komeza kuvugana n'itsinda ry'abaganga bawe, harimo n'abaganga bawe n'abaforomo. Umva witonze kandi ukurikize ibyo bavuga.
• Jya kwisuzumisha ku gihe, fata imiti yawe neza nk'uko muganga yabikubwiye, ku gihe bakubwira. Ntucikwe n'umunsi n'umwe.
• Buri gihe banza uganire na muganga wawe mbere yo gufata umuti mushya (waba ari uw'indi ndwara cyangwa vitamine).
• Reka kunywa inzoga burundu, cyangwa uzigabanye uko bishoboka kose. Iyi ni imwe mu nyungu zikomeye ku mwijima.
• Ushobora kuba ukeneye gukurikiza indyo irimo sodi nkeya , cyane cyane niba urimo kubyimba. Cyangwa ushobora kuba ukeneye gukurikiza gahunda y'imirire yagenewe wowe ubwawe. Ni byiza gusaba inama impuguke mu by'imirire.
• Ushobora kuba ufite izindi ndwara zifitanye isano (urugero: diyabete, cholesterol nyinshi). Fasha kuzigenzura ukoresheje imirire n'uburyo uhindura imibereho yawe.

Kubera ko iyi ndwara, yitwa "Portal Hypertension", ifata ingingo nyinshi, kuyivura bishobora kumera nko kuzimya umuriro urimo gushya ahantu hatandukanye. Ushobora gutungurwa, ndetse ugatinya, kumenya ko indwara y'umwijima ishobora kugira ingaruka ku mitsi yo mu gifu cyawe, mu muhogo, mu bihaha no mu mpyiko. Ibi bishobora gutera ubwoba bukomeye, cyane cyane niba utigeze ugira ibimenyetso by'indwara y'umwijima. Ariko icy'ingenzi ni uko iyo uyimenye hakiri kare kandi ukayivurwa neza, uzagira akarusho gakomeye mu kurwanya "Portal Hypertension", n'ingorane zayo. Ntutinye rero, kandi niba ufite gushidikanya, gana muganga kugira ngo akugire inama.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Sawa, rero ukurikije ibyo twaganiriyeho, ndizera ko wasobanukiwe neza `(Umuvuduko ukabije w'amaraso mu muyoboro wa Portal)`. Dore ibintu by'ingenzi ugomba kwibuka:

• Umuvuduko ukabije w'amaraso mu mitsi ni ukwiyongera k'umuvuduko mu mitsi ihuza umwijima. Iyi ishobora kuba indwara ikomeye .
• Impamvu ikunze kugaragara ni indwara ya cirrhose y'umwijima. Kubwibyo, kurinda umwijima ni ingenzi cyane.
• Akenshi, ibimenyetso bishobora kutagaragara mu ntangiriro. Kubwibyo, niba ufite ibintu bishobora gutera ibyago (urugero: indwara y'umwijima idakira, hepatite), jya kwisuzumisha kwa muganga buri gihe.
• Niba ubonye ibimenyetso nko kuruka amaraso, kwitumamo imyanda y'umukara, cyangwa kubyimba inda , hita ubonana na muganga.
• Hari uburyo bwo kuvura, ariko ni byiza kubimenya hakiri kare ugatangira kuvurwa.
• Kurikiza amabwiriza ya muganga wawe neza, fata imiti yawe neza, kandi uhindure imibereho yawe uko bikwiye.

Niba ufite ikindi kibazo kuri ibi, ntutindiganye kuvugana na muganga wawe. Komeza ugire ubuzima bwiza!

Umuvuduko ukabije w'amaraso mu muyoboro wa portal , umwijima, umuvuduko w'imitsi yo mu muyoboro wa portal, cirrhosis, hematemesis, ascites, indwara y'umwijima, (cirrhosis), (varices), (ascites)