Ese uri kugira ubu bubabare budasanzwe mu nda yawe? Reka tuvuge kuri (Rectus Sheath Hematoma)!

Ese wigeze ugira ububabare butunguranye kandi bukomeye mu nda bukumva nk'ikibyimba mu nda yawe? Cyangwa wigeze ugira inkorora ikomeye hanyuma ukabona ikintu cy'ubururu ku gifu cyawe? Nubwo ibi bintu bidakunze kugaragara cyane, rimwe na rimwe bishobora kuba ibimenyetso by'indwara yitwa `(Rectus Sheath Hematoma)` igaragara mu gifu cyacu. None rero uyu munsi, reka tubiganireho mu buryo burambuye, kuko ni ngombwa cyane kubimenya.

Reka tubanze turebe icyo iyi `(Rectus Sheath)` ari cyo?

Mu magambo make, `(Rectus Sheath)` yawe ni igipfundikizo gikomeye, gifite uturemangingo duto gikikije imitsi iri imbere mu nda yawe. Mu by'ukuri, ni ururenda runini (rwitwa kandi `(aponeurosis)`). Imbere muri iki gipfundikizo hari imitsi ibiri y'ingenzi y'inda yawe, `(rectus abdominis)` (ibyo dukunze kwita "imitsi itandatu") na `(pyramidalis)`.

Tekereza, iyi `(Rectus Sheath)` ifite urukuta rw'imbere (imbere) n'urukuta rw'inyuma (inyuma). Izi nkuta zigizwe n'urukuta rumwe (`(fascia)`) rukikije indi mitsi yo mu nda yawe. Ni ukuvuga:

• "Imitsi yawe yo hanze y'inda (imitsi yo hanze y'inda)" (imitsi yo hanze y'inda)
• "Imitsi yawe ya oblique y'imbere mu nda" (imitsi ya oblique y'imbere mu nda)
• Imitsi yawe yo mu nda inyura mu bice bitandukanye by'umubiri (transversus abdominis))

"Rectus Sheath" ikozwe mu bitwikirizo by'izi nyama.

Nanone, imitsi yo mu gice cyo hagati cy’imbere n’iyo hasi, ari yo mitsi y’amaraso ijyana amaraso mu mitsi yo mu nda yawe, inyura muri iyi `(Rectus Sheath). Bityo rero, akazi k’ingenzi k’iyi `(Rectus Sheath)` ni ukurinda iyi mitsi, imitsi y’amaraso, n’ingingo zikikije urukuta rw’inda.

Ariko hari akantu gato. Iyi '(Rectus Sheath)' ntabwo itwikira neza ibiri imbere. Igice cyo hejuru cy'imitsi yawe ya '(rectus abdominis)' gitwikiriwe n'iyi '(Rectus Sheath)' ku mpande zombi, imbere n'inyuma. Ariko, hari umupaka uri hagati y'igice cyo hejuru n'icyo hasi cy'iyi mitsi, witwa '(arcuate line)'. Uyu murongo uri hafi kimwe cya gatatu cy'inzira imanuka uva mu nda yawe ukagera aho amagufwa yawe abiri yo mu kibuno ahurira imbere (`(pubic symphysis)`).

Icy'ingenzi ni uko, munsi y'uyu murongo wa `(arcuate line)`, igice cyo hasi cy'imitsi yawe ya `(rectus abdominis)` gitwikiriwe gusa na `(Rectus Sheath)` imbere. Nta `(posterior rectus sheath)` iherereye inyuma! Ibyo bivuze ko nta gikoresho nk'icyo cyo kurinda igice cyo hasi cy'imitsi ya `(rectus abdominis)`. Wibuke ibi, kuko ibi ni ingenzi ku ndwara ya `(Rectus Sheath Hematoma)` tuvuga.

None se `(Rectus Sheath Hematoma)` ni iki?

Mu magambo make, `(Hematoma)` ni uruhurirane rw'amaraso mu ngingo zawe. Noneho, niba `(imitsi yo mu gice cy'imbere cy'inyuma)` iri mu gice cy'inyuma ...

Muri iki gihe, kuva amaraso, cyane cyane ava mu mitsi yo mu gice cya epigastric, bishobora kuba bibi cyane. Kuko, nk'uko twabivuze mbere, nta gipfundikizo kiri munsi y'umurongo ufunganye, kandi iyo amaraso atangiye kuva aho, nta ngingo zihari zo kubuza amaraso gukwirakwira. Bityo, amaraso menshi ashobora kwirundanya.

Ni nde urebwa cyane n'iki kibazo?

Indwara yo mu bwoko bwa Rectus Sheath Hematoma ikunze kugaragara ku bagore kurusha ku bagabo, kandi ikunze kugaragara no ku bantu barengeje imyaka 60 .

Iyi ndwara ikunze kugaragara gute?

Indwara yo mu nda ya Rectus Sheath Hematoma mu by'ukuri ni indwara idakunze kugaragara cyane . Ifata gusa 1% kugeza kuri 2% by'abarwayi bagaragaza ububabare bwo mu nda. Kubwibyo, ushobora kutabyumva kenshi.

Ibimenyetso ni ibihe?

Ikimenyetso gikunze kugaragara cy'iyi ndwara ni ububabare bwo mu nda . Ubu bubabare:

• Ushobora guhita utangira.
• Bishobora kuba ububabare bukomeye kandi budashobora kwihanganira.
• Bishobora kandi kuba ububabare buhoraho.
• Ububabare bushobora kwiyongera iyo unyeganyeje, ugondamye, cyangwa urimo kugora imitsi yo mu nda.

Byongeye kandi, rimwe na rimwe iyo ukoze ku nda yawe, ushobora kumva ikintu gisa n'ikibyimba .

Izindi bimenyetso zishobora kugaragara harimo:

• Isesemi no kuruka
• Umuriro
• Uruhu rw'umukara cyangwa ibisebe (cyane cyane mu gice cy'igifu)
• Anemia (bivuze kugabanuka k'umuvuduko w'amaraso)
• Ukwiyongera k'umuvuduko w'umutima (tachycardia)
• Umuvuduko w'amaraso uri hasi (hypotension)

Ni iki gitera ibi?

Impamvu nyamukuru itera `Rectus Sheath Hematoma` ni ukuva amaraso mu `(Rectus Sheath).` Ibi bikunze kubaho iyo hari ubwoko bw'ihungabana ku rukuta rw'inda .

Mu magambo make, iyi ndwara ishobora kubaho iyo `(imitsi yo mu gice cya epigastric)`, imitsi mito y'amaraso iva kuri yo, cyangwa imitsi ya `(rectus abdominis)` ubwayo yangiritse. Nkuko twabivuze mbere, imitsi yo mu nda ihabwa amaraso n'imitsi yo mu gice cya epigastric iri hejuru n'iyo hasi. Nanone, iyo `(imitsi yo mu gice cya epigastric iri hasi)` yangiritse, ibintu bishobora kuba bibi cyane, kuko nta burinzi bufite munsi ya `(umurongo wa arcuate)`.

Tekereza, niba ukubiswe igifu cyawe, cyangwa niba ukoresheje imbaraga nyinshi mu buryo butunguranye ku mitsi yo mu nda (urugero, niba ukorora cyane igihe kirekire, cyangwa niba unaniza igifu cyawe uterura ikintu kiremereye), iyi `(imitsi yo mu gice cya epigastric)` ishobora guturika igatangira kuva amaraso, igakora `(hematoma)`.

Ni ibihe bintu bishobora gutera ibi?

Ikintu gikomeye gishobora gutera `Rectus Sheath Hematoma` ni ugukoresha imiti ibuza amaraso kuzura (`(anticoagulants)` cyangwa ``blood thinners``) . Hafi 70% by'abantu bagira `Rectus Sheath Hematoma`` bafata ubwoko bumwe bw'imiti ``(anticoagulant)``. Iyi miti igabanya umuvuduko wo kuva amaraso, bigatuma habaho amahirwe menshi yo kurwara ``(hematoma)``.

Indi mpamvu ikomeye ishobora gutera indwara y'impyiko ni indwara idakira . Hafi 60% by'abantu barwara hematoma yo mu gituza cy'impyiko bafite indwara y'impyiko yo mu cyiciro cya 3 cyangwa irenga.

Izindi mpamvu zishobora gutera ibyago zirimo:

• Kubagwa mu nda vuba aha
• Gukoresha imiti igabanya ubukana bw'umubiri cyangwa imiti igabanya ubukana bw'umubiri
• Inkorora ikomeye cyane kandi idashira
• Gufata `Umuti ugabanya udukoko two mu maraso` (umuti ubuza udukoko two mu maraso kwivanga)
• Gutwita
• Indwara zidakira, nko kurwara umuvuduko ukabije w'amaraso na atherosclerosis (kugabanuka kw'imitsi bitewe n'ibinure byishyize ku nkuta z'imitsi)

Icy'ingenzi: Niba ufata imiti nk'iyi igabanya amaraso, ugomba kwitonda cyane cyane mu gihe ugize ububabare mu gifu butunguranye.

Isuzuma rikorwa rite?

Hari igihe bigorana kumenya hematoma yo mu gifu, kuko ibimenyetso byayo bishobora gusa n'iby'izindi ndwara zo mu nda.

Muganga wawe ashobora kubanza gupima amaraso kugira ngo apime urugero rwa hemoglobine yawe na hematocrit. Abantu barenga kimwe cya kabiri bafite hematoma yo mu gituza cya rectus bazagira urugero rwa hemoglobine ruri hasi cyane (bivuze ko bafite ingano nto y'amaraso).

Hanyuma, muganga wawe ashobora gukora ultrasound ku rukuta rw'inda yawe. Ibi bishobora gufasha kumenya niba hari amazi asa n'amaraso mu rukuta rw'inda n'ingano ya hematoma.

Hari igihe, CT scan ishobora gukorwa kugira ngo haboneke ishusho nyayo kandi isobanutse neza y’ikibazo. CT scan, cyane cyane ikoresha irangi ritandukanye, ishobora kwerekana neza aho irangi riva mu mitsi y’amaraso yangiritse. Ibi bishobora kandi gufasha muganga kumenya aho kuva amaraso bituruka.

Ivurwa ite?

Inkuru nziza ni uko hematoma nyinshi zo mu gice cyo hagati cy’uturemangingo zikira ubwazo kandi ntizikenera ubuvuzi bwihariye. Ubusanzwe ubusanzwe ubuvuzi bw’iyi ndwara bukubiyemo:

• Gushyiramo udupaki tw'urubura (urubura cyangwa udukoresho two gukaraba dukonje)
• Ikiruhuko
• Gukoresha imiti igabanya ububabare isanzwe (`(imiti igabanya ububabare)`)

Hafi 80% bya hematoma zo mu gice cyo hagati cy'umugongo zivurwa hakoreshejwe uburyo bworoshye nk'ubu.

Ariko, niba ubu buryo bworoshye bwo kuvura budafashije, cyangwa niba ikibazo gikomeye kurushaho, umuganga ashobora gukoresha uburyo bwitwa "angioembolization." Ubu si ukubaga. Bikubiyemo guhuza "angiography" (uburyo bwo gufata amafoto y'imitsi y'amaraso) na "embolization" (uburyo bwo gufunga imitsi y'amaraso), kugira ngo haboneke umutsi uva amaraso hanyuma ufungwe.

Iyo ubu buryo bwa "angioembolization" budafashe neza, kubagwa bishobora kuba ngombwa nk'uburyo bwa nyuma. Mu gihe cyo kubagwa, amaraso yagabanijwe (``hematoma``) arakurwaho maze umutsi uva amaraso ugafungwa.

Mu gihe cyo kuvurwa na nyuma yaho, muganga wawe azakurikirana ikibazo cyawe akoresheje ibizamini by'amaraso na ultrasound. Ibi bishobora gufasha kumenya niba amaraso cyangwa ubwandu byongeye kugaruka.

Ni iki kizakurikiraho? Ese azakira?

Inyinshi mu ndwara zo mu gice cyo hagati cy’inyuma zihita zishira mu mezi abiri cyangwa atatu . Abantu benshi barwaye iyi ndwara bakira neza kandi ntibagira izindi ngorane.

Ariko, mu bihe bimwe na bimwe - cyane cyane mu bantu bafata imiti igabanya amaraso - iyi ndwara ishobora kwica . Ariko, ni gake cyane. Dukurikije amakuru aheruka, munsi ya 2% by'abantu bapfa bazize Rectus Sheath Hematoma.

Nkuko bimeze ku ndwara iyo ari yo yose, gusuzuma indwara hakiri kare no kuyivura hakiri kare byongera amahirwe yo gukira . Kubwibyo, niba utekereza ko ufite ibimenyetso bya 'Rectus Sheath Hematoma', jya ugisha inama kwa muganga.

Amaherezo, ibintu byo kwibuka

`(Rectus Sheath)` yawe ni icyuma cy'ingenzi kirinda ingingo, ingirabuzimafatizo, n'imiyoboro y'amaraso mu rukuta rw'inda yawe. Iyo urukuta rw'inda rwawe rwakomeretse mu buryo ubwo aribwo bwose, `(imitsi yo mu gice cy'imbere cy'inda)` ishobora gucika igatera `(Rectus Sheath Hematoma)`.

Akenshi, iyi ndwara ntisaba ubuvuzi bukomeye. Ibintu byoroshye nko gusiga barafu, kuruhuka, no gufata imiti igabanya ububabare bishobora gufasha.

Ariko, hari ubwo burwayi bushobora kuba bukomeye kurushaho. Niba ufite ububabare bukabije mu gifu, ni byiza kujya kwa muganga kugira ngo amenye niba ukeneye kuvurwa. Ntugatinye, ariko ni ngombwa ko wowe n'umuryango wawe mumenya ibi bintu.

Hematoma yo mu gifu, ububabare bwo mu nda, kuva amaraso mu nda, imitsi yo mu gice cya epigastric, imiti igabanya amaraso, ububabare bwo mu nda , ububabare bwo mu nda