Ese nawe ufite ibibazo bikomeje mu maguru/amaboko yawe nyuma yo kugira DVT? Reka twige kuri (Post-Thrombotic Syndrome)!

Niba warigeze kugira ikibazo cyo kuzura amaraso mu mitsi miremire mu kuguru cyangwa ku kuboko, kizwi nka Deep Vein Thrombosis (DVT) , ushobora kugira ibibazo birambye. Ni nk'igisebe gikira, ariko gishobora gusiga inkovu nto cyangwa ububabare. Uyu munsi, tugiye kuvuga ku ndwara ishobora kugira ingaruka z'igihe kirekire kuri bamwe nyuma yo kugira DVT. Ibi ni byo abaganga bita Post-Thrombotic Syndrome cyangwa Postphlebitic Syndrome .

Indwara ya Post-Thrombotic Syndrome ni iki? Mu magambo make...

Tekereza ufite indwara yo mu mitsi itemba cyane (DVT) mu kuguru cyangwa ku kuboko kwawe. Nubwo twayivura neza, hari igihe iyo ndwara ishobora kwangiza imitsi. Ni nk'ikintu cyafatiwe mu muyoboro w'amazi kandi iyo uyikuyemo, ikomeza kwangiza umuyoboro.

Uku kwangirika gushobora gutuma imitsi itakaza ubushobozi bwo kugenda neza kandi utunyangingo dufasha amaraso gutembera ntikore neza. Ibi bituma amaraso yishyira mu mitsi yangiritse aho gusubira mu mutima. Iyo amaraso yishyize hamwe muri ubu buryo, umuvuduko uri mu mitsi uriyongera, bigatera ibimenyetso nko kubabara no kubyimba . Ibi ni byo twita gukusanya ibimenyetso (Post-Thrombotic Syndrome). Hari abantu bashobora kugira ibimenyetso byoroheje cyane, ariko abandi bashobora kuba babi cyane ku buryo badashobora no gukora mu buzima bwabo bwa buri munsi.

Niba wararwaye DVT mu myaka ibiri ishize kandi ukaba urimo kubona ibi bimenyetso, hita ubonana na muganga. Bashobora gusuzuma uko umerewe no gutangira kuvurwa neza kugira ngo bagufashe.

Iyi ndwara ikunze kugaragara gute?

Indwara ya nyuma ya thrombotic mu by'ukuri ni indwara ikunze kugaragara mu bantu barwaye DVT. Ifata abantu bari hagati ya 20 na 50 muri buri 100 mu myaka ibiri nyuma yo gupimwa DVT. Ibyo bivuze ko igira ingaruka ku bantu benshi.

Niba ufite indwara ya Post-Thrombotic Syndrome, biragoye cyane ko amaraso ari muri iyo mitsi yangiritse agaruka mu mutima. Uku kwishyira hamwe kw'amaraso ni byo biteza ibibazo bitandukanye.

Ni ibihe bimenyetso by'ibi? Twumva tumeze dute?

Ibimenyetso bya Post-Thrombotic Syndrome (PTS) bigira ingaruka cyane cyane ku kuguru cyangwa ku kuboko aho DVT yabereye. Ushobora guhura n'ibintu nk'ibi:

• Ububabare: Kubabara ukuguru, cyane cyane iyo ugenda cyangwa uhagaze. Ibi rimwe na rimwe byitwa claudication .
• Kubabara cyangwa kubabara nk'aho umutsi uri gutembagazwa .
• Kumva ufite uburemere n'umunaniro mu maboko/amaguru.
• Kuryarya (Pruritus) .
• Kubabara mu mutwe, gushyuha, no kumva umeze nk'umuntu udasanzwe (Paresthesia) .

Ibi bimenyetso bishobora kuba byoroheje kuri bamwe, naho ibindi bikaba bikomeye .Bishobora kukugiraho ingaruka. Ushobora gusanga ibi bimenyetso byiyongera iyo uhagaze cyangwa ugenda igihe kirekire, kandi bikagabanuka iyo uruhuka gato. Ibi bibazo bishobora no kwiyongera umunsi urangiye. Kuri bamwe, ibi bimenyetso bishobora kuba bihoraho, cyangwa bikaza bigakomeza.

Ni ibihe bimenyetso bigaragara inyuma bya Syndrome ya Post-Thrombotic?

Ibimenyetso ni ibintu twumva. Ibimenyetso ni ibintu dushobora kubona. Muganga wawe azasuzuma kandi ibi bimenyetso.

• Kubyimba (Edema): Kubyimba ukuboko cyangwa ukuguru byafashwe.
• Gutukura cyangwa guhinduka ibara ry'uruhu.
• Uruhu rubyimbye , rusa n'uruhu.
• Kugaragara kw'imitsi mishya itera uburibwe.
• Kugaragara kw'imitsi mito y'igitagangurirwa .
• Iyo indwara ibaye ikomeye, ibikomere bidakira (ibisebe byo mu mitsi) bishobora kugaragara.

Kuki ibi (Post-Thrombotic Syndrome) bibaho? Ni iyihe mpamvu?

Impamvu yoroshye ni ukwangirika kw'imitsi yawe bitewe na Deep Vein Thrombosis (DVT) .

Imitsi miremire yo mu maguru no mu maboko yacu ifite uturindantoki tw’icyerekezo kimwe twemerera amaraso gutembera mu cyerekezo kimwe gusa. Kimwe n’urugi, ishobora gufungura mu cyerekezo kimwe gusa. Utu turindantoki dufasha amaraso gusubira mu mutima. Ariko, iyo amaraso apfunditse mu mitsi, akantu k’amaraso gashobora kwangiza utwo turindantoki. Hanyuma uturindantoki ntigakora neza.

Ingaruka zabyo ni uko amaraso agenda buhoro cyane. Aho gutembera neza mu mutima, amaraso ahita yishyira mu mitsi. Ibi byongera umuvuduko mu nkuta z'imitsi, bigatera ibimenyetso byavuzwe haruguru.

Ni nde uri mu kaga gakomeye ko kugira iyi ndwara?

Umuntu wese wagize DVT ashobora kurwara indwara ya Post-Thrombotic Syndrome. Ariko, ibyago ni byinshi iyo wagize DVT inshuro nyinshi , cyane cyane mu kuboko kumwe cyangwa ku kuguru kumwe. Ni ukuvuga niba waragize amaraso menshi ahantu hamwe.

Nanone, ibyago byawe biba byinshi kurushaho niba warigeze kugira kimwe muri ibi bimenyetso by'uko amaraso yanduye mbere:

• Iyo byaba byarakwirakwiriye mu gice kinini cy'imitsi.
• Ukwijima kw'amaraso mu kibero cyo hejuru cyangwa mu kibuno (byitwa DVT yo hafi ) ni ikibazo gikomeye kurusha ukwijima kw'amaraso mu kibuno (byitwa DVT yo hagati ). Ingaruka ziba nyinshi cyane cyane iyo ukwijima kw'amaraso kubaye mu mitsi ya iliac cyangwa mu mitsi isanzwe y'inyuma .
• Niba ufite amaraso apfunditse mu mutsi munini mu gice cyo hejuru cy'umubiri wawe, ku rutugu, cyangwa mu gituza cyo hejuru (ibi byitwa axillo-subclavian vein thrombosis) .
• Iyo habayeho kubyimba kw'amaraso (imitsi isigaye) itarashonga burundu ndetse na nyuma yo kuvurwa.

Byongeye kandi, hari n'ibindi bintu byinshi bishobora gutera ibyago:

• Niba ufite indwara isanzwe nk'indwara idakira yo mu mitsi (CVI) .
• IbyaweNiba igipimo cy'uburemere bw'umubiri wawe (BMI) kirenze 30 (bivuze umubyibuho ukabije).

Ni gute abaganga basuzuma indwara ya Post-Thrombotic Syndrome?

Abaganga basuzuma iyi ndwara cyane cyane binyuze mu isuzuma ry’umubiri . Muri iki kizamini, muganga wawe aza:

• Baza amateka yawe y'uburwayi (nk'uko wagiye urwara DVT mu bihe byashize, uburyo bwo kuvura wahawe).
• Barakubaza ibimenyetso byawe n'uburyo bigira ingaruka ku buzima bwawe bwa buri munsi.
• Amaguru n'amaboko yawe bizasuzumwa kugira ngo harebwe ibimenyetso bya Post-Thrombotic Syndrome (nk'ibibyimba n'impinduka z'uruhu).

Ashingiye kuri aya makuru, muganga azasuzuma niba ufite indwara ya Post-Thrombotic Syndrome, kandi niba ari yo, azasuzuma ubukana bwayo.

Igipimo cya Villalta ni iki?

Ushobora kuba warumvise umuganga wawe avuga ku gipimo cya 'Villalta' . Ubu ni uburyo busanzwe abaganga bakoresha kugira ngo bapime iki kibazo kandi basuzume ubukana bwacyo. Ni nk'urutonde rw'amanota. Rurimo ibimenyetso 5 n'amanota 6. Umuganga atanga amanota kuri buri kimenyetso maze agashyiraho ikimenyetso:

• Amanota 0: Ntayo ibaho.
• Amanota ya 1: Hari gato.
• Amanota ya 2: Ufite uburambe buri hagati.
• Amanota ya 3: Bibi cyane.

Hanyuma muganga ateranya ayo manota yose. Niba amanota yose ari munsi ya 4, ntabwo uba ufite indwara ya Post-Thrombotic Syndrome. Niba ufite amanota 5 cyangwa arenga, uba ufite iyo ndwara.

Iyi ndwara ishyirwa mu cyiciro cyoroheje, kiringaniye, cyangwa gikomeye hashingiwe kuri aya manota:

• Amanota 5 kugeza 9: Indwara yoroheje.
• Amanota 10 kugeza kuri 14: Imiterere iri hagati.
• Iyo hari ibisebe, cyangwa amanota 15 kuzamura: indwara ikomeye.

Muganga wawe azagusobanurira ibi bisubizo kandi akubwire icyo bivuze.

Ese hari ibizamini byihariye byo gusuzuma iyi ndwara?

Nta kizamini cyihariye cyo gusuzuma indwara ya Post-Thrombotic Syndrome gitangwa. Ariko, rimwe na rimwe, abaganga bashobora gusaba 'Duplex ultrasound' kugira ngo barebe uko amaraso atembera mu mitsi.

Ni ubuhe buryo bwo kuvura indwara ya Post-Thrombotic Syndrome?

Ubusanzwe ubuvuzi bukubiyemo uburyo bwo kuvura indwara ziterwa no gukanda, guhindura imibereho, no gukora imyitozo ngororamubiri . Hari abantu bashobora gukenera kubagwa cyangwa kuvurwa ibisebe byo mu mitsi. Abaganga bagena uburyo bwo kuvura bujyanye n'ibyo buri muntu akeneye. Intego y'ingenzi yo kuvura ni ukugabanya ibimenyetso no kunoza ubuzima bwawe.

Ubuvuzi bwo gukanda

Muganga wawe ashobora kukwandikira amasogisi yihariye yo gukanda.Ushobora kuvuga ngo uzambare. Ubu ni bwo buryo bukunze gukoreshwa cyane mu kuvura indwara zo gukanda. Izi sogisi zigomba kwambarwa buri gihe (kenshi buri munsi). Izi sogisi zishyira igitutu ku mitsi y'ibere ryawe kandi zigatuma amaraso atembera neza mu mitsi. Nubwo zishobora kumva zifunze neza iyo zambawe, ntizigomba kubabaza.

Hari ubwoko butandukanye bw'amasogisi atanga urwego rutandukanye rwo gukanda. Muganga wawe azaguha ubwoko bukwiye bw'amasogisi bujyanye n'ibyo ukeneye.

Bishobora gufata igihe kugira ngo umenyere kwambara izi (amasogisi yo gukanda). Ni ngombwa kuganira na muganga wawe ku buryo yumva ameze n'uko ushobora kuyambara neza. Muganga wawe ashobora kandi guhindura urwego rw'ingufu bitewe n'uko wumva umeze n'uburyo amasogisi aguha ihumure ku bimenyetso byawe.

Ubundi buryo bwo kuvura indwara ya thrush burimo:

• Igikoresho gifasha mu kugarura imitsi: Urugero , Venowave® . Iki ni igikoresho gisa n'ipompo umbara mu ijosi kugira ngo gifashe kunoza urujya n'uruza rw'amaraso. Ushobora kucyambara uri mu rugo cyangwa uri hanze.
• Igikoresho cyo gukanda umwuka mu buryo bw'igihe gito (IPC): Iki ni agakoresho gakoreshwa mu mwuka kambarwa ku kaguru mu bitaro.

Impinduka mu mibereho

Guhindura utuntu duto mu mibereho yawe bishobora kugufasha cyane kugabanya ibimenyetso by'indwara. Muganga wawe ashobora kukugira inama y'ibintu nk'ibi:

• Komeza amaguru yawe hejuru y'uburebure bw'umutima wawe , waba wicaye cyangwa uryamye.
• Komeza kugira ibiro byiza by'umubiri .
• Koresha amavuta yo kwisiga kugira ngo uruhu rudacika cyangwa ngo rucike.

Imyitozo ngororamubiri

Imyitozo ngororamubiri ishobora gufasha kunoza urujya n'uruza rw'amaraso no kugabanya ibimenyetso. Urugero, niba indwara ya Post-Thrombotic Syndrome yaragize ingaruka ku maguru yawe, muganga wawe ashobora kukugira inama yo gukora imyitozo ikomeza imitsi y'amaguru yawe.

Ibyo biterwa nuko imitsi y'inyana yawe ari imashini zikomeye zikora nk '"umutima wa kabiri." Iyo ugenda, kwihuta kw'imitsi y'inyana yawe bifasha kohereza amaraso mu maguru no mu birenge byawe bikayasubiza mu mutima wawe. Rero, iyo ukomeje iyo mitsi, imitsi yawe ibona ubufasha ikeneye kugira ngo itware amaraso neza.

Imyitozo ngororamubiri igufasha koroherwa no kwihanganira indwara z'umutima n'imitsi. Buri gihe vugana na muganga wawe mbere yo gutangira gahunda nshya y'imyitozo ngororamubiri. Azakubwira imyitozo ngororamubiri itekanye kandi ijyanye n'ibyo ukeneye.

Kubaga

Mu bihe bimwe na bimwe byihariye, abaganga bashobora kukugira inama yo kubagwa cyangwa kuvurwa mu buryo bw'ingufu (urugero, gusiga stent) kugira ngo amaraso atembera neza mu mitsi. Muganga wawe azakubwira niba ubwo buryo bugukwiriye.

Kuvura ibisebe byo mu mitsi

Iyo indwara ibaye ikomeye , ibisebe byo mu mitsi bishobora kugaragara. Ni ngombwa cyane kuvura ibi bisebe neza kandi witonze. Bitabaye ibyo, hashobora kubaho ingorane zikomeye, nko gucibwamo ibice. Muganga wawe ashobora kukugira inama imwe cyangwa nyinshi muri izi zikurikira:

• Antibiyotike.
• Udupfuko cyangwa udupfuko two gupfuka igikomere.
• Ibipfuko byo gukanda cyangwa amasogisi.
• Gusukura ibikomere buri munsi.
• Amavuta yo kwisiga.
• Imiti igabanya ububabare.
• Gukuraho ibisebe ni ugukuraho ibisebe byapfuye.
• Kohereza inzobere kugira ngo zifashe mu kuvura indwara zidakira nka diyabete.

Indwara ya Post-Thrombotic Syndrome imara igihe kingana iki?

Indwara ya post-thrombotic syndrome ni indwara idakira . Ibi bivuze ko muganga wawe ashobora kugufasha kuyirwanya, ariko ntishobora gukira . Ubuvuzi bushobora kugabanya ibimenyetso byawe no kunoza ubushobozi bwawe bwo gukora, gusabana no kwishimisha uko ubyifuza.

Ese indwara ya post-thrombotic syndrome ishobora kwirindwa?

Indwara ya Post-Thrombotic Syndrome ntishobora kwirindwa buri gihe. Ibi biterwa nuko Deep Vein Thrombosis (DVT) idashobora kwirindwa buri gihe. Ariko, wowe na muganga wawe mushobora gukorana kugira ngo mugabanye ibyago byo kurwara:

• Kumenya no kugabanya ibintu bishobora gutera DVT: Uburyo bwiza bwo kwirinda DVT (Post-Thrombotic Syndrome) ni ukuyirinda kuva mu ntangiriro. Gerageza kugabanya ibintu bishobora gutuma uhinduka. Urugero, ushobora kugabanya ibyago byawe wirinda ibikomoka ku itabi, ugakomeza gukora siporo, kandi ugakomeza kugira ibiro bizima. Muganga wawe azakubwira ibintu bishobora gutera indwara ugomba kwitaho n'uburyo wabitegura.
• Gusuzuma hakiri kare no kuvura DVT neza: Niba ufite DVT, gusuzuma hakiri kare no kuvura bishobora gufasha kugabanya kwangirika kw'imitsi yawe. Bishobora kandi gufasha gukumira DVTs mu gihe kizaza. Ibi biterwa nuko niba ufite DVT indi, uba uri mu kaga ko kurwara indwara ya post-thrombotic syndrome. Muganga wawe ni we uzaguteganyiriza gahunda nziza yo kuvura. Ibi akenshi bikubiyemo gufata imiti igabanya amaraso mu gihe cy'amezi menshi cyangwa arenga.

Nitwara nte?

Muganga wawe azaguha amabwiriza y'uko wakwitaho uri mu rugo. Kurikiza ayo mabwiriza witonze, kandi ubaze ibibazo niba hari ikintu kidasobanutse neza. Ubusanzwe ushobora gukora ibintu nk'ibi:

• Fata umuti wawe neza neza nkuko wabitegetswe .
• Igihe wicaye cyangwa uryamyeKomeza amaguru yawe azamuye.
• Irinde kwicara igihe kirekire uko bishoboka kose. Fata ikiruhuko gito cyo kugendagenda no kunanura umubiri wawe.
• Koresha amavuta yo kwisiga kugira ngo uruhu rwawe rukomeze kuba rwiza.

Ni ngombwa kandi kwita ku buzima bwawe bwo mu mutwe . Kubana na Syndrome ya Post-Thrombotic bishobora gutera imihangayiko yo mu mutwe no mu byiyumvo. Abantu bafite iyi ndwara bashobora kugira ihungabana, guhangayika no kutigirira icyizere. Bashobora guhangayikishwa no kugira ikindi kibyimba cy'amaraso. Bashobora kandi kumva bababaye kuko batagishobora gukora ibyo bakoraga mbere bitewe n'ibimenyetso byabo.

Niba ufite ibyo byiyumvo, kuganira n'umujyanama cyangwa umuvuzi bishobora kugufasha cyane. Bashobora kugufasha guhangana n'ibyo byiyumvo no gushaka ibisubizo bigufasha kumva umeze neza.

Ni ryari ngomba kubonana na muganga wanjye?

Muganga wawe azagukurikirana kugira ngo akurikirane uko umerewe. Ni ngombwa cyane kwitabira gahunda zose kugira ngo muganga wawe ashobore guhindura gahunda yawe yo kuvurwa uko bikenewe.

Niba ugaragaje ibimenyetso bishya cyangwa ibimenyetso byawe bihindutse , hamagara muganga wawe ako kanya.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ibi bibazo bizagufasha kumenya byinshi ku bijyanye n'indwara yawe:

• Ese koko mfite indwara ya Post-Thrombotic Syndrome? Niba ari uko bimeze, ni ikibazo kingana iki?
• Ni ubuhe buryo bwo kuvura wangiriye inama?
• Ni izihe mpinduka ngomba kugira mu mibereho yanjye?
• Ni iyihe myitozo ikwiriye kuri njye?
• Ni iki nzatekerezaho?

Iyo umenye ko ufite indwara ya Post-Thrombotic Syndrome, ushobora kugira ibibazo byinshi n'ubwoba bwinshi. Ariko ntugahangayike, muganga wawe arahari kugira ngo agusubize ibibazo byawe kandi akuyobore mu buryo bwo kuvura. Nubwo iyi ndwara ikunze kugaragara, ibyo ukeneye n'impungenge zawe ni bimwe. Korana na muganga wawe kugira ngo ubone ubufasha bugufasha mu buzima bwawe bw'umubiri n'ubwo mu mutwe.

Ubutumwa bwo kujyana mu rugo

Indwara ya Post-Thrombotic Syndrome (PTS) ni indwara ishobora kubaho nyuma yo gufatwa na DVT kandi ishobora gutera agahinda kenshi. Ariko irashobora gukemurwa .

Igikuru ni ugushaka ubuvuzi bwihuse kandi bukwiye mu gihe ugize DVT, kumenya ibimenyetso byose bikurikira, no gushaka inama kwa muganga mu gihe bibaye ngombwa.

Gukurikiza inama za muganga wawe, guhindura imibereho yawe, cyane cyane gukoresha amasogisi yo gukanda neza bishobora kugufasha kubona uruhu rwiza. Wibuke ko utari wenyine, kandi hari abaganga bashobora kugufasha guhangana n'iki kibazo.

` Indwara ya Post-Thrombotic, DVT, Kuziba kw'amaraso, Indwara y'imitsi, Ububabare bw'amaguru, Kubyimba amaguru, Ibikomere byo mu mitsi