Ese wigeze wibaza ibiri mu maguru yacu, cyane cyane mu gice cy'ikibuno? Hari igihe iyo tubabara cyangwa tubyimba amaguru, twibaza tuti "Kuki ibi ari byo?" Uyu munsi tugiye kuvuga ku gice gito cy'umubiri wacu kiba ingenzi mu bihe nk'ibi, ariko ntitukivugaho cyane. Uwo ni umutsi witwa "Umutsi wo mu gice cy'inyuma cy'ikirenge". Nubwo izina rishobora kumvikana nk'irigoye, imikorere yaryo ni yoroshye cyane kandi ni ingenzi cyane.
Mu magambo make, umutsi wo mu gice cyo hagati cy'ikirenge ni iki?
Umutsi wo mu gice cyo hasi cy'ikirenge cyawe, munsi y'ivi. Iyi mitsi si imitsi gusa, ahubwo ni iyo mu bwoko bw'imitsi yitwa imitsi miremire . Hariho imitsi ibiri mu kuguru kwawe kw'iburyo n'indi ibiri mu kuguru kwawe kw'ibumoso.
Akamaro nyamukuru k'iyi mitsi ni ugukusanya amaraso mu mutwe wawe, ku maguru no ku birenge byawe hanyuma ukayasunika, agana ku mutima wawe. Tekereza ko ari moteri nto ikura amazi mu kirere.
Ese twakwibutsa gato uburyo amaraso atembera mu mubiri wacu?
Kugira ngo dusobanukirwe imikorere y'uyu mutsi, ni byiza kumenya gato uburyo amaraso atembera mu mibiri yacu. Ni sisitemu itangaje cyane.
1. Reka dutangire n'umutima: Umutima wacu ni wo pompe nyamukuru. Utuma amaraso akungahaye kuri ogisijeni mu mubiri wose binyuze mu mitsi y'amaraso yitwa imitsi . Aya maraso ajyana ogisijeni n'intungamubiri kuri buri selile n'urugingo rw'umubiri wacu.
2. Ihererekanya ry'uturemangingo: Nyuma yuko ogisijeni igeze mu turemangingo, dioxyde de carbone, imyanda iva muri utwo turemangingo, yongerwa mu maraso. Noneho aya maraso "arahumanye".
3. Ihindagurika ry'imitsi: Niho imitsi, kimwe n'umuntu ukomeye, igaragara. Iyi mitsi ikusanya amaraso adahumeka, akungahaye kuri dioxyde de carbone, kandi adasukuye aturutse impande zose z'umubiri, ikayagarura mu mutima.
4. Gusukurwa n'ibihaha: Amaraso yanduye yinjiye mu mutima ava mu mutima ajya mu bihaha. Ogisijeni twinjiza iyo duhumeka yongerwa mu maraso, kandi dioxyde de carbone yari mu maraso irekurwa iyo duhumeka. Ubu amaraso yongeye kuba meza, yuzuye ogisijeni.
5. Gusubira mu ntangiriro: Aya maraso meza kandi afite ogisijeni agaruka mu mutima, aho anyura mu mubiri wose. Iyi ngendo ikomeza igihe cyose tukiriho.
Urabona rero ko `Umutsi wo mu gice cyo hasi cy'amaguru` ari ingenzi cyane muri uru rugendo rukomeye. Ntabwo ari akazi koroshye kugarura amaraso mu maguru.
Uyu mutsi uherereye he neza neza?
Umutsi wo mu gice cy'imbere cy'ikibuno utangira ku kaguru kawe. Kuva aho, uzamuka imbere mu itako ryawe. Urangirira munsi y'ivi ryawe.
Iyo igeze mu mutsi wa popliteus inyuma y'ivi, uyu mutsi uhurira n'undi mutsi, Anterior Tibial Vein. Yombi ahurira hamwe agakora umutsi munini witwa Popliteal Vein. Kuva aho, amaraso azamuka cyane.
Ni ubuhe bwoko bw'imitsi miremire iri mu kuguru?
Hari ubwoko butatu bw'ingenzi bw'imitsi miremire iri mu maguru yacu munsi y'ivi. Yose uko ari itatu iherereye hafi y'indi kandi ikusanya amaraso mu bice bitandukanye.
| Izina ry'imitsi | Agace ko gukusanya amaraso | Aho biherereye |
|---|---|---|
| Umutsi wo mu gice cy'inyuma cy'ikirenge | Ikusanya amaraso mu birenge. | Inyura imbere mu musatsi. |
| Umutsi wo mu gice cy'imbere cy'ikirenge | Amaraso aturuka mu gice cyo hejuru cy'ukuguru (dorsum). | Inyura inyuma y'umusatsi. |
| Umutsi w'imbere w'ikirenge (tibial vein) | Ikusanya amaraso mu gice cyo ku ruhande rw'ukuguru. | Imanuka hagati mu musatsi. |
Ibintu bishobora kugira ingaruka ku mutsi wo mu gice cyo hagati cy'ikirenge
Nubwo dushobora kutabibona kugeza igihe byose bikora neza, ibibazo bishobora kuvuka bigira ingaruka ku mikorere y'iyi mitsi. Ni bwo dutangira kugira ibimenyetso.
| Indwara | Bisobanuwe mu buryo bworoshye |
|---|---|
| Indwara yo mu mitsi miremire (DVT) | Uku ni ukwirema kw'amaraso mu mitsi miremire. Ibi bishobora guteza akaga gakomeye. Kuko iyo aya maraso acitse akabuza imitsi mu bihaha (Pulmonary Embolism), bishobora gushyira ubuzima mu kaga. |
| Imitsi ya Varicose | Iyo inkuta z'imitsi zicitse intege cyangwa utunyangingo turimo tudakora neza, amaraso atangira gutemba inyuma. Hanyuma imitsi irahindagurika, ikabyimba, igasa n'ubururu kandi ipfutse ku ruhu. |
| Kubura imitsi mu buryo buhoraho | Indwara aho imitsi yo mu maguru igorwa no gusubiza amaraso mu mutima. Ibi biterwa n'uko utunyangingo turi mu mitsi ducika intege bigatuma amaraso ava hasi. Ibi bishobora gutera kubyimba amaguru, ububabare, ndetse n'impinduka mu ibara ry'uruhu. |
Ni gute ugenzura ubuzima bw'iyi mitsi?
Niba ufite ibimenyetso nko kubyimba ukuguru, ububabare butunguranye, cyangwa gutukura k'uruhu, ugomba guhita ubonana na muganga . Azagusuzuma kandi nibiba ngombwa akohereze ibizamini bikurikira:
- Duplex Ultrasound: Iki ni cyo kizamini gikunze gukoreshwa cyane. Ni nk'isuzuma ry'umwana. Gishobora kugenzura amaraso mu mitsi mu buryo bworoshye kandi butababaza ndetse no kureba niba hari amaraso afite ibibyimba.
- Venogram: Ibi bikubiyemo gutera amazi yihariye (ibintu bitandukanya) mu mitsi no gufata amashusho ya X-ray. Ibi bigufasha kubona neza niba hari ikibazo cyo kuziba kw'amaraso.
Ni ubuhe buryo bwo kuvura izi ndwara?
Uburyo bwo kuvura buterwa n'uburwayi bwawe n'uburemere bwabwo. Muganga wawe azaguha inama nziza kuri ibi.
- Amasogisi yo gukanda: Aya ni amasogisi yakozwe mu buryo bwihariye atuma amaguru akanda buhoro. Ibi bifasha kugabanya amaraso atembera neza kandi bigafasha kongera kuzamuka.
- Imiti: Muganga wawe ashobora kukwandikira imiti ibuza amaraso kuzura (anticoagulants) n'imiti igabanya amazi menshi mu mubiri (diuretics).
- Uburyo bwihariye bwo kuvura: Hari igihe habaho uburyo bugezweho bwo kuvura nka "Catheter-directed thrombolytic therapy" (ubuvuzi bwa "thrombolytic therapy"), "Laser therapy" (ubuvuzi bwa "laser"), na "Sclerotherapy" (ubuvuzi bwa "Sclerotherapy"), butera imiti mu mitsi kugira ngo ihagarike ubwo buryo.
- Kubagwa: Mu bihe bimwe na bimwe bikomeye, kubagwa bishobora kuba ngombwa kugira ngo bikureho, bisanwe, cyangwa habeho ubundi buryo bwo gutembera kw'amaraso ('bypass') mu mitsi yangiritse.
Ibintu byoroshye dushobora gukora kugira ngo tubungabunge ubuzima bw'imitsi yacu
Bavuga bati: “Kwirinda biruta kwivuza.” Rero, kugira ngo twirinde cyangwa tugabanye ibyago nk’ibyo, hari ingeso nke zoroshye dushobora gushyira mu buzima bwacu bwa buri munsi.
- Ntukarenge amaguru yawe wicaye. Kurenga ukuguru kumwe hejuru y'ukundi bishobora kubangamira imitemberere y'amaraso.
- Komeza amaguru yawe azamutse gato. Iyo wicaye ku ntebe, shyira amaguru yawe ku ntebe nto. Iyo usinziriye, shyira umusego munsi y'amaguru yawe. Ibi bifasha amaraso gusubira mu mutima wifashishije imbaraga rukuruzi.
- Imyitozo ngororamubiri buri gihe. Imyitozo ngororamubiri nko kugenda, kwiruka no koga ikora ku buryo imitsi yo mu maguru yawe ikora, kandi iyo iyo mitsi ikora ku buryo irushaho kwaguka, ifasha kwagura imitsi no kohereza amaraso hejuru.
- Ntukagume mu mwanya umwe igihe kirekire. Niba akazi kawe gasaba kwicara cyangwa guhagarara ahantu hamwe, kora urugendo rugufi, uzunguze amaguru yawe, kandi uhindure imiterere byibuze rimwe mu isaha.
- Genzura ibiro byawe. Uko ibiro by'umubiri wawe byiyongera, niko umuvuduko mwinshi ushyirwa ku mitsi yo mu maguru yawe.
- Irinde kunywa itabi. Kunywa itabi bishobora kwangiza imiyoboro y'amaraso.
Rero, `Umutsi wo mu gice cy'imbere cy'uturemangingo` ni igice gito, ariko cy'ingenzi cyane mu mubiri wacu. Kwita ku buzima bwacyo ni ingenzi cyane ku buzima bwacu muri rusange.
Ubutumwa bwo kujyana mu rugo
- Umutsi wo mu gice cy'imbere cy'ikirenge cyawe witwa 'Posterior Tibial Vein' ni umutsi uherereye mu gice cy'ikirenge cyawe. Ukusanya amaraso mu birenge byawe no mu birenge byawe ukayajyana mu mutima.
- Kuziba kw'amaraso muri iyi mitsi (`Deep Vein Thrombosis` - DVT) bishobora kuba ikibazo gikomeye. Niba ufite ububabare butunguranye, kubyimba, cyangwa gutukura ku kuguru kwawe, shaka ubufasha bwa muganga byihutirwa.
- Imitsi yo mu bwoko bwa Varicose hamwe no kudakora neza kw'imitsi yo mu bwoko bwa Varicose ni izindi ndwara zikunze kwibasira iyi mitsi.
- Gukora imyitozo ngororamubiri ihoraho, kugenzura ibiro, kwirinda kwicara igihe kirekire, no gukomeza kuzamura amaguru bishobora gufasha kurinda ubuzima bw'imitsi yawe.
- Niba ubonye ikintu kidasanzwe mu maguru yawe, ntukirengagize. Ni ngombwa cyane kuvugana na muganga wawe no kukugira inama ikwiye.
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