Twese tuzi ko impyiko zacu zisukura amaraso mu mubiri wacu kandi zigakuramo uburozi budakenewe binyuze mu nkari. Bikora nk'akayunguruzo k'amazi mu nzu. Ariko se wigeze wibaza uburyo aya maraso meza kandi asukuye agaruka mu mutima wacu akagenda mu mubiri wose? Niho uyu mutsi udasanzwe w'amaraso tuvuga uyu munsi, umutsi w'impyiko, utabara. Uyu ni umuntu ukora umurimo ukomeye mu mubiri wacu bucece.
Mu magambo make, uyu mutsi w'impyiko ni iki?
Byoroshye cyane. Umutsi w'impyiko ni umutsi w'amaraso utwara amaraso yasukuwe ava mu mpyiko akayajyana mu mutima . Mu buvuzi, ibintu bifitanye isano n'impyiko twita "impyiko". Niyo mpamvu yitwa "umutsi w'impyiko."
Ubusanzwe, twese dufite impyiko ebyiri. Rero, hari umutsi w'impyiko ufitanye isano na buri mpyiko. Ibyo bivuze ko dufite imitsi ibiri y'impyiko.
Imitsi n'imitsi - itandukaniro riri hagati y'ibi byombi ni irihe?
Ushobora kuba warumvise iby'imitsi y'impyiko. Noneho ushobora kuba wibaza niba ibi byombi ari bimwe. Oya, bifite imirimo ibiri itandukanye. Sisitemu yacu yo gutembera kw'amaraso ni nk'urusobe rw'imihanda mu mujyi munini. Imihanda imwe izana imodoka mu mujyi, indi izana imodoka mu mujyi. Uko ni ko bimeze.
Tekereza gato, umwuka wa ogisijeni, intungamubiri, n'imisemburo umubiri wacu ukeneye binyura ahantu hose mu maraso. Kandi umubiri unakura imyanda idakenewe, nka dioxyde de carbone, mu maraso.
Kugira ngo wumve neza imikorere y'uyu mutsi n'imitsi bifitanye isano n'impyiko, reba iyi mbonerahamwe .
| Umuyoboro w'amaraso | Akazi karimo gukorwa | Ubwoko bw'amaraso burimo gufatwa |
|---|---|---|
| Umutsi w'impyiko | Izana amaraso ava mu mutima ajya mu mpyiko. | Amaraso akize kuri ogisijeni, adasukuye (iyo ageze mu mpyiko). |
| Imitsi yo mu mpyiko | Itwara amaraso ava mu mpyiko ayajyana mu mutima. | Amaraso afite umwuka muke wa ogisijeni, ariko asukurwa neza n'impyiko. |
Muri make, amaraso ava mu mitsi yinjira mu mpyiko kugira ngo yezwe. Amaraso yejejwe agaruka mu mubiri binyuze mu mitsi.
Iyi mitsi y'impyiko iherereye he?
Impyiko zacu ziherereye inyuma y'inda yacu, munsi y'urubavu, no hejuru gato y'ikibuno. Imitsi ibiri y'impyiko nayo iherereye aho.
- Umutsi w'impyiko w'ibumoso: Uyu mutsi uherereye ibumoso bw'umubiri, inyuma y'ingingo nka pancreas. Uyu mutsi uri kure gato y'umutsi wo hasi w'impyiko, ari wo mutsi mukuru uhuza n'umutima. Kubwibyo, umutsi w'ibumoso uba muremure kurusha uw'iburyo. Ubusanzwe uba ufite uburebure bwa santimetero 6-10 (santimetero 2-4).
- Umutsi w'impyiko w'iburyo: Uyu mutsi uherereye iburyo bw'umubiri, inyuma y'igice cyo hejuru cy'amara mato. Ni mugufi kuko wegereye umutsi mukuru. Ubusanzwe ufite uburebure bwa santimetero 2-4 (santimetero 1-1.5).
Umutsi w'impyiko uva he amaraso?
Aha kandi, hari itandukaniro rito hagati y'imitsi y'ibumoso n'iy'iburyo.
Umutsi w'impyiko w'iburyo wakira amaraso aturutse mu mpyiko y'iburyo gusa. Biroroshye cyane.
Ariko umutsi w'impyiko w'ibumoso urimo akazi kenshi. Kubera ko ari muremure, ufata amaraso mu zindi ngingo nyinshi mu nzira. Ni nk'umuhanda munini ufite imihanda myinshi yo ku ruhande.
- Umutsi w'inkari w'ibumoso: Amaraso ava mu muyoboro w'inkari ujyana inkari mu ruhago.
- Umutsi w'inyuma w'ijisho: Amaraso ava mu dusabo tw'intanga ku bagore cyangwa mu dusabo tw'intanga ku bagabo.
- Umutsi w'inkondo y'ibumoso: Amaraso aturuka mu ngirabuzimafatizo ikora imisemburo, iri hejuru y'impyiko.
- Umutsi wo mu nda ukomoka ku ibumoso: Amaraso ava muri diaphragm, imitsi idufasha guhumeka.
Kubera iyo mpamvu, umutsi w'impyiko y'ibumoso ukora nk'ihuriro ry'ingenzi cyane mu mubiri wacu.
Ese hari indwara zigira ingaruka ku mitsi y'impyiko?
Yego rwose. Kimwe n'izindi ngingo zose, hari indwara nyinshi zishobora kugira ingaruka kuri iyi mitsi. Dore ebyiri mu zikomeye.
| Indwara | Mu magambo make ... |
|---|---|
| Indwara ya Nutcracker | Ibi bigira ingaruka ku mutsi w’impyiko w’ibumoso. Uyu mutsi ufatana n’imitsi ibiri minini mu nda yacu. Ni nk’aho imbuto ya betel ifatwa mu cyuma gisya imbuto ya betel. Ibi bituma umuvuduko w’amaraso uri mu mutsi wiyongera, bigahagarika amaraso kugera mu mpyiko. |
| Kuziba kw'imitsi y'impyiko | Ibi bibaho iyo amaraso apfunditse mu mitsi y'impyiko. Ibi bishobora guterwa n'indwara nk'indwara cyangwa kanseri ituma amaraso apfundika byoroshye. Uku kupfundika kw'amaraso gushobora no kuziba imitsi burundu. |
Ni ibihe bimenyetso by'uko umutsi ufunze?
Kuziba kw'imitsi y'impyiko ni indwara ikomeye. Iyo ibayeho, ibimenyetso nka:
- Ububabare bukomeye: Ububabare bushobora kubaho, cyane cyane mu kibuno no mu nda.
- Amaraso mu nkari (Hematuria): Inkari zishobora guhinduka umutuku cyangwa umukara.
- Kuzungera iyo uhagaze: Kugabanuka k'umuvuduko w'amaraso (orthostatic hypotension) iyo uhagaze mu buryo butunguranye bishobora gutuma wumva uzungera.
- Ubugumba: Bishobora kwibasira abagabo n'abagore.
- Kwangirika kw'impyiko: Iyo amaraso ahagaze gutembera, imikorere y'impyiko ishobora kwangirika.
- Kugabanuka k'umusaruro w'inkari (Oliguria): Ushobora kubura inkari nke ugereranije n'uko bisanzwe.
- Guhagarika amaraso mu mitsi y'ibihaha: Iyi ni indwara iteje akaga cyane . Igice cy'amaraso yapfutse mu mitsi y'impyiko gishobora gucika kikanyura mu maraso, kikabuza umutsi wo mu bihaha. Iki ni ikibazo gihangayikishije ubuzima.
Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa cyane kujya kwa muganga vuba . Ntukabirengagize.
Ni gute ugenzura ubuzima bw'iyi mitsi?
Muganga wawe niba abikeka ibi, ashobora gutegeka ko hakorwa ibizamini bitandukanye kugira ngo arebe uko imitsi yawe imeze.
- Isuzuma rya CT (CT - isuzuma rya tomography ryakoreshejwe)
- Ultrasound ya Doppler (ultrasound ya Duplex/Doppler)
- MRI scan (Ishusho ya Magnetic resonance - MRI)
- Ultrasound rusange
- Venogram - Isuzuma ryihariye rya X-ray ry'imitsi.
Byongeye kandi, inkari zawe zishobora gupimwa (urinalysis) kugira ngo harebwe niba hari poroteyine nyinshi (proteinuria) cyangwa utuntu tw'amaraso turimo. Ibi bishobora kuguha igitekerezo cy'uko impyiko zawe zangiritse.
Ni gute twakomeza kugira ubuzima bwiza mu mitsi yacu y'impyiko?
Nubwo tudashobora gukoresha imitsi y'impyiko mu buryo butaziguye, dushobora kuyirinda kugira ubuzima bwiza mu kubungabunga ubuzima bwacu muri rusange.
- Gusuzumwa kwa muganga buri mwaka: Jya kwa muganga nibura rimwe mu mwaka kugira ngo agusuzumwe neza. Ibi bizagufasha kumenya ibintu bishobora gutera kubyimba kw'amaraso hakiri kare.
- Fata imiti wanditswe nawe uko wanditswe: Niba warahawe imiti igabanya umuvuduko w'amaraso cyangwa yo gukumira kubyimba kw'amaraso (anticoagulants/blood thinners), fata imiti uko wanditswe nta munsi n'umwe urenze.
- Imyitozo ngororamubiri: Gukora imyitozo ngororamubiri yoroshye nko kugenda n'amaguru buri munsi bituma amaraso atembera neza mu mubiri.
- Nywa amazi menshi: Kunywa amazi akenewe ku munsi ni byiza cyane ku mpyiko no gutembera kw'amaraso.
- Indyo nziza: Kurya indyo ikungahaye ku mbuto n'imboga, irimo amavuta make, umunyu n'isukari.
- Irinde kunywa itabi: Kunywa itabi ni impamvu ikomeye yo kwangiza imiyoboro y'amaraso. Niba rero unywa itabi, gerageza kurireka.
Imitsi y'impyiko ni igice cy'ingenzi cy'umubiri wacu gikora neza bucece. Nubwo dushobora kutabitekerezaho cyane, dushobora kubungabunga ubuzima bwabo dukomeje kugira ubuzima bwiza.
Ubutumwa bwo kujyana mu rugo
- Umutsi w'impyiko ni umutsi w'amaraso utwara amaraso yasukuwe ava mu mpyiko uyajyana mu mutima.
- Umutsi w'ibumoso ni muremure kurusha uw'iburyo kandi ukusanya amaraso mu zindi ngingo nyinshi usibye impyiko.
- Indwara nko kubyimba kw'amaraso mu mitsi zishobora kuba zikomeye, kandi niba ugize ibimenyetso nko kubabara mu kibuno cyangwa amaraso mu nkari, ni ngombwa kwihutira gushaka inama kwa muganga.
- Ushobora kurinda ubuzima bwabo ukurikiza indyo nziza, ukora imyitozo ngororamubiri buri gihe , ukirinda kunywa itabi, kandi ugafata imiti muganga wawe yakwandikiye neza.
- Niba ufite impungenge ku buzima bwawe, ntugatinye kubibwira muganga wawe.
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