Ese urwagashya rwawe ruri mu kaga? Uyu munsi turaganira kuri (Urwagashya)!

Ese wigeze utekereza ku gice gito kiri ibumoso bw'inda yawe, munsi y'imbavu zawe? Ibi ni byo twita agahu. Gafite ingano y'ikiganza cyawe. Ariko gakora akazi gakomeye. Ariko rimwe na rimwe aka gahu gashobora gukomereka no gucika. Iyo bibaye, bishobora kuba bikomeye gato.

Uduheri ni iki? Iyo ducitse bivuze iki?

Mu magambo make, agace kawe k’uruhu ni akagingo gato ariko gafite akamaro cyane gaherereye ibumoso bw’inda yawe yo hejuru, kangana n’agapfunsi. Gakora nk’akayunguruzo. Gafata hafi kimwe cya kane cy’amaraso mu mubiri wacu igihe icyo ari cyo cyose, kagasukura, kandi kagabika uturemangingo dutukura n’udupira tw’amaraso. Bifasha kandi gukora uturemangingo tw’umweru turwanya indwara. Agace k’uruhu ni urugingo rumeze nk’agafuka imbere, gatwikiriwe n’urugingo ruto rw’ingirangingo. Imitsi y’amaraso nayo inyuramo.

Ariko, bitewe n'aho agahu gaherereye, cyane cyane iyo gakubiswe cyane, gashobora gukomereka cyane. Iyo igipfukisho cyo hanze navuze cyacitse cyangwa cyacitse, ni cyo twita 'agahu gacitse' . Iyo agahu gacitse, ugereranije n'izindi ngingo zo mu nda yacu, hari amahirwe menshi yo kuva amaraso mu mubiri, bishobora gushyira ubuzima mu kaga. Kubwibyo, agahu gacitse ni ikibazo cyihutirwa gisaba ubuvuzi bwihuse. Hari igihe, kubagwa bishobora kuba ngombwa.

Ni izihe mpamvu zitera gucika kw'umwobo w'impyiko?

Noneho reka turebe impamvu urwagashya rucika gutya.

Akenshi, impamvu nyamukuru ibitera ni imvune iturutse ku mpanuka. Urugero, tekereza impanuka y'imodoka. Impanuka nk'izo zigera kuri 50% kugeza kuri 75% zishobora gutera gucika kw'umuheha. Ibyo ni nako bigenda ku mvune zibaho mu gihe cyo gukina siporo. Ibi bishobora kubaho cyane cyane mu mikino isaba gukoranaho n'umubiri, nka rugby. Hari igihe, umuheha ushobora gucika bitewe n'ikintu gikomeye nko gukubitwa cyane, gukubitwa icyuma, cyangwa gukomeretswa n'isasu.

Igikuru ni uko rimwe na rimwe agahu gashobora gucika ako kanya nyuma y’impanuka. Ariko rimwe na rimwe, nyuma y’impanuka, igikomere kirabyimba kandi agahu gashobora gucika. Ibi byitwa 'Gutinda Gucika'.

Ese urwagashya rushobora gucika nta ngaruka ruteye?

Noneho ushobora gutekereza ko keretse habayeho impanuka, nta kintu na kimwe kizaba kuri ruhago. Ariko, nubwo bidakunze kubaho, ruhago ishobora gucika mu buryo butunguranye nta mpanuka iyo ari yo yose. Ibi biratangaje kumva, si byo se?

Ibi bibaho iyo urwagashya rutangiye kubyimba bitewe n'indi ndwara iri mu mubiri. Uko rubyimba, icyo gipfukisho cyo hanze navuze mbere kigenda gicika intege buhoro buhoro, amaherezo gishobora gucika.

Zimwe mu ndwara zishobora gutera ubu bwoko bw'uduheri kubyimba ni izi:

• Ubwoko bwa kanseri, urugero `(Lymphoma)`.
• Indwara zandurira mu mubiri,Nka `(Mononucleosis)` cyangwa `(Malariya)`.
• Indwara zidakira zo kubyimbirwa , nka hepatite, indwara y'umwijima, cyangwa pancreatitis.

Ubyumva ute iyo urwagashya rwawe rucitse?

Noneho reka turebe uko byaba bimeze niba urwagashya rwawe rucitse.

Uduheri, nk'uko nabivuze, tuba mu gice cyo hejuru cy'ibumoso cy'inda yawe, munsi gato y'urubavu rwawe rw'ibumoso na diaphragm. Iyo utwo duheri twacitse, ushobora kumva ububabare bukabije muri ako gace.

Ariko hari ikindi kintu hano. Impanuka zimwe na zimwe zitera urwagashya rwacitse zishobora no gutera izindi mvune, sibyo? Urugero, ushobora kuvunika urubavu. Hanyuma, ushobora kudashobora gutandukanya ububabare n'urwagashya rwacitse n'ububabare n'izindi mvune.

Nyuma yo gucika kwa plaque, ushobora kumva ububabare bugera mu gituza cyangwa ku rutugu rw'ibumoso. Ibi byitwa ikimenyetso cya Kehr . Ibi bibaho kuko iyo plaque ivuye amaraso, amaraso akanda imitsi iva mu ijosi inyura mu gituza cy'ibumoso (imitsi y'ibumoso ya phrenic). Ushobora kumva ububabare burushaho kwiyongera iyo uhumeka.

Ese hari ibindi bimenyetso by'uko uruhago rwacitse?

Uretse ububabare, ushobora kugira ibindi bimenyetso biterwa no kuva amaraso imbere mu mubiri no kugabanuka k'umuvuduko w'amaraso mu buryo butunguranye. Reba niba ibi bisa n'ibisanzwe:

• Kuzungera cyangwa kugira umutwe ukeye
• Guhungabana mu mutwe cyangwa kubura icyerekezo
• Kureba nabi
• Ubusa n'ubusa
• Kubura amahoro cyangwa guhangayika
• Isesemi

Bigenda bite iyo urwagashya rucitse? Ni iki cyakorwa?

Tekereza ufite ububabare bukomeye mu gice cyo hejuru cy'ibumoso cy'inda yawe, cyangwa ufite ikimenyetso cya Kehr navuze. Niba ibi bimenyetso bigaragaye nubwo nyuma y'igihe gito nyuma y'impanuka, ugomba guhita ujya mu cyumba cy'ubutabazi bwihutirwa (ER). Hamagara imbangukiragutabara niba bibaye ngombwa.

Aho ngaho, uzakenera kubwira abaganga ibimenyetso byawe, impanuka zose uherutse guhura nazo, indwara zose wanduye, cyangwa indwara zidakira ufite. Itsinda ry’abaganga rizasuzuma uburwayi bwawe kandi rikore ibishoboka byose kugira ngo rigufashe, harimo no kugutera amaraso nibiba ngombwa.

Wamenya ute ko urwagashya rwawe rwacitse?

Noneho reka turebe uko abaganga babigenza kugira ngo babisobanure.

Ubwa mbere, niba indwara yawe ihagaze neza (bivuze ko ibintu nk'umuvuduko w'amaraso n'umuvuduko w'umutima biri hafi kumera neza), itsinda ry'abaganga rizagusuzuma intambwe ku yindi.Ubwa mbere, hakorwa isuzuma ry’umubiri. Hanyuma , hakorwa ibizamini byo gufata amashusho, nko gupima.

Ariko niba wakomeretse mu mpanuka ukagera mu cyumba cy’ubutabazi bw’ibanze, itsinda ry’abaganga rizabanza gukora ultrasound yihariye yo ku buriri. Iyi ultrasound yitwa "FAST ultrasound." Iyi ultrasound ireba niba hari amaraso ava mu nda yawe.

Iyo ultrasound ya FAST yemeje ko uruva amaraso, kandi ibimenyetso by'ubuzima bwawe bikaba bidasobanutse neza, itsinda ry'abaganga rizi ko urwagashya rwawe rwacitse kandi ko rukeneye kuvurwa byihuse.

Nubwo indwara yawe yaba imeze neza, niba hari ukeka ko ufite imvune mu gifu, akenshi bazakora "CT scan" . Ibi bishobora kureba neza imvune n'ingano yayo. Hanyuma imvune ishyirwa mu byiciro kuva kuri I kugeza kuri V, bitewe n'uburemere bw'imvune.

Indwara yo gucika kw'umuheha ivurwa ite?

Uburyo bwo kuvura urwagashya rwacitse biterwa n'uburemere bw'imvune. Udukomere duto duto dushobora guhagarika kuva amaraso ubwatwo. Ariko, hari n'utundi dushobora gukenera ubuvuzi bwihutirwa. Udukomere duto cyane (mu cyiciro cya V) dukenera kubagwa splenectomy kugira ngo urwagashya rukureho. Ariko, imvune ikomeye splen ishobora kudahita igaragara. Hari igihe umurwayi udafite indwara ashobora kunanirwa nyuma y'amasaha make bitewe no kuva amaraso menshi.

Dore bumwe mu buryo bw'ingenzi bwo kuvura urwagashya rwacitse:

• Gutera amaraso mu maraso: Ubu buryo bushobora gufasha mu kugenzura kuva amaraso mu bikomere byo mu cyiciro cya gatatu n'icya kane, haba mbere cyangwa aho kubagwa. Gutera amaraso mu maraso ni uburyo butarimo kubagwa. Bukorwa n'inzobere mu by'imirasire. Hakoreshejwe ubuhanga bwo gufata amashusho ya radiology, umuyoboro muto (catheter) winjizwa mu mitsi y'amaraso hanyuma agasaro gato kameze nk'ikironge gashyirwamo kugira ngo amaraso ahagarike.
• Splenorrhaphy: Ku mvune zo mu cyiciro cya gatatu cyangwa icya kane, ibi bishobora gukorwa hiyongereyeho no gufunga. Splenorrhaphy ni uburyo bwo kubaga kugira ngo hakorwe agahu. Ibi bishobora kuba birimo gukurura igikomere, gukoresha amashanyarazi, cyangwa gukoresha imiti yo mu gituza kugira ngo amaraso ahagarike. Iyo bigenze neza, ibi bishobora kwirinda gukurwaho igice cyangwa agahu kose.
• Kubaga amenyo y'umugongo: Iyo kuva amaraso menshi bidashobora gukemurwa mu bundi buryo ubwo aribwo bwose, kandi nta buryo bwo gukiza amenyo y'umugongo, igice cyangwa amenyo yose ashobora gukenera gukurwaho.Hafi 20% by'ibyuka byo mu nda birangira muri ubu buryo. Kubera ko ubu ari ukubaga byihutirwa, birashoboka cyane ko bikorwa nk'ukubaga inda ifunguye. Ibi byorohereza umuganga ubaga guhangana n'ikibazo cyawe cyihutirwa.

Ni ayahe mahirwe yo kurokoka uruhago rwacitse?

Ibi biterwa cyane n'uburyo igisebe cyawe cyangiritse n'uburyo ugisangamo vuba kandi ukakivura. Igisebe gito kizava amaraso buhoro buhoro. Bityo rero ufite igihe, ariko gishobora kubura byoroshye. Iyo kiva amaraso menshi, ibimenyetso bizagaragara, ariko ni bibi cyane. Iyo kiva amaraso menshi mu mubiri, urupfu rushobora kubaho mu masaha make iyo kidavuwe ako kanya. Rero iki si ikintu cyo gufata nk'ikintu cyoroshye.

Bifata igihe kingana iki kugira ngo urwagashya rukire?

Bitewe n'ingano y'imvune yawe n'uburyo wavuwe, bishobora gufata ibyumweru kuva kuri bitatu kugeza kuri cumi na bibiri kugira ngo ukire. Niba warabazwe, ushobora kuzakenera kuguma mu bitaro iminsi mike nyuma yaho. Nyuma yo kubagwa ku mugaragaro, hari igisebe kinini cyo gukira. Ushobora guhabwa imiti igabanya ububabare iyo ugiye mu rugo. Ku rundi ruhande, udukomere duto dukira vuba.

Nkwiye kwiyitaho nte mu gihe mbaho ​​nta gaheri?

Yego, ushobora kubaho udafite agahu kawe. Ariko bigira ingaruka ku budahangarwa bw'umubiri wawe. Kubera ko agahu ari urugingo rw'ingenzi rurinda indwara, ushobora kwandura indwara buhoro buhoro nyuma yo gukurwaho agahu kawe (splenectomy).

Umuganga wawe azagusaba inkingo nyinshi zidasanzwe zo kukurinda kwandura haba mu bitaro ndetse no mu gihe ugiye mu rugo. Azakugira inama yo gufata imiti yica udukoko mu gihe ugize ikibazo cy’ubwandu.

Muri make, icyo tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, ubu ni bwo butumwa bw'ingenzi cyane tugomba kujyana mu kiganiro cyose.

Kwangirika k'umwobo kwaba ari guto cyangwa gukomeye, ni ikibazo cyihutirwa. Kuva amaraso imbere mu mubiri bishobora gushyira ubuzima mu kaga iyo bidakozwe neza.

Ariko, inkuru nziza ni uko uduheri twinshi two mu bwoko bwa splenic, iyo tubonetse kandi tugavurwa hakiri kare, dushobora gukemurwa n'ingamba zoroshye zishobora kurokora utwo duheri. Ariko ibi biterwa n'uburyo umenya vuba kandi ukavura imvune yawe.

Niba ufite amakenga make ko ufite ikibazo ku gasabo k'inkari, ikintu cyiza ni ugushaka inama kwa muganga ako kanya hanyuma akagusuzuma niba nta maraso arimo kuva.

` Impanuka, Impanuka yacitse, Impanuka yacitse, Kuva amaraso imbere, Ububabare bwo mu nda, Ubuvuzi bwihutirwa, ikimenyetso cya Kehr