Ese hari amaraso yacitse mu mitsi yo mu nda yawe? Reka tumenye iyi ndwara iteje akaga (SMV Thrombosis)!

Ese wigeze wumva ububabare bukabije mu nda yawe, cyangwa ukumva umeze nk'aho inda yawe yuzuye? Hari igihe tudashyira imbere ibintu nk'ibyo, ariko bishobora kuba ikimenyetso cy'ikibazo gikomeye cy'ubuzima. Uyu munsi tugiye kuvuga ku ndwara idasanzwe ariko iteje akaga cyane. Ni ukuvuga (SMV Thrombosis) , cyangwa amaraso akibyimba mu mitsi yo mu bwoko bwa superior mesenteric.

Iki ni iki (SMV Thrombosis)? Reka tubisobanukirwe mu buryo bworoshye?

Mu magambo make, SMV Thrombosis ni ukurema kw'amaraso apfundikiye (thrombus) mu mutsi witwa Superior Mesenteric Vein (SMV) mu nda yawe. Uyu mutsi utwara amaraso ava mu mara yawe mato akayajyana mu mwijima wawe. Kimwe n'umuyoboro w'amazi uzibye, uyu mutsi upfundikiye ubuza amaraso gutembera hagati y'ingingo zitandukanye zo mu nda yawe.

Uku ni ko iyi ndwara iteye akaga: Iyo amaraso adakora neza, ingingo zacu ntizibona umwuka wa ogisijeni zikeneye. Hanyuma uturemangingo (uturemangingo) muri izo ngingo dutangira gupfa. Ubwo bwoko bw'ibyangiritse ku ngingo bushobora kugira ingaruka ku mubiri wose. Iyo iyi ndwara, yitwa SMV Thrombosis, idavuwe vuba, rimwe na rimwe ishobora gushyira ubuzima mu kaga.

Irindi zina ry'ibi ni "mesenteric venous thrombosis." Iri ni izina risanzwe. Bisobanura ko amaraso ashobora kuzura mu mitsi ya mesenteric iri hejuru, mu mitsi ya mesenteric iri hasi, cyangwa mu mitsi iva kuri yo. Ariko, hafi 95% by'igihe, iyi mitsi iravuka mu mitsi ya mesenteric iri hejuru, twavuze mbere. Kubwibyo, amazina yombi akunze gukoreshwa ku ndwara imwe.

Ni ubuhe bwoko bw'ingenzi bwa Mesenteric Venous Thrombosis?

Abaganga bashyira iyi ndwara mu byiciro bakurikije uko ibimenyetso bigaragara.

• Indwara ikabije: Ibimenyetso bigaragara mu buryo butunguranye, mu masaha 24 kugeza kuri 72 nyuma y’uko amaraso apfunditse. Ibi ni byo bikunze kugaragara cyane (60% - 80%) by’abarwayi. Muri iki gihe, amara ashobora kwangirika vuba, kuko amaraso adafite uburyo bwo kuyageraho, amaraso apfunditse iyo nzira.
• Subacute: Muri iki gihe, ibimenyetso bigenda bikura buhoro buhoro mu minsi runaka. Ntabwo biba bikomeye nko mu gihe cy’ubukana. Aha, amaraso amwe yinjira mu mara, ariko ingano yayo ntihagije. Hari abantu bashobora kutabonana na muganga kugeza ku byumweru bibiri nubwo bafite ibimenyetso.
• Indwara idakira: Hari igihe nta bimenyetso bihari. Ibi biterwa nuko imiyoboro mito y’amaraso ikora, igatanga amaraso mu mara. Abaganga bakunze kuvumbura izi ndwara zidakira mu gihe cyo gupima indi ndwara. Iyi ndwara idakira ibaho hagati ya 20% na 40% by’abarwayi.

Iyi ndwara ikunze kugaragara gute?

Iyi ndwara ifatwa nk'idasanzwe . Ibaho ku barwayi 15,000 kugeza ku barwayi 15,000 bari mu bitaro.

Thrombosis yo mu mitsi yo mu bwoko bwa MesentericNubwo ishobora kugaragara mu myaka iyo ari yo yose, akenshi yibasira abantu bari hagati y’imyaka 40-50.

Ni ibihe bimenyetso by'ibi?

Ibimenyetso birashobora gutandukana cyane. Hari abantu bamwe, cyane cyane abafite indwara zidakira, bashobora kutagira ibimenyetso na gato. Ariko, mu bihe bikomeye, kuribwa mu nda gukomeye bishobora kubaho mu buryo butunguranye. Mu bihe biri hasi, ububabare bwo mu nda bushobora kuza bukarangira mu gihe cy'iminsi cyangwa ibyumweru.

Hari abantu bagira ikibazo cyitwa Portal Hypertension bitewe n'iyi ndwara. Hanyuma ushobora kubona ibimenyetso nk'ibi:

• Amaraso mu musego wawe.
• Kugira isesemi no kuruka, rimwe na rimwe amaraso mu birutsi.
• Inda yabyimbye.
• Kubyimba amaguru n'ibirenge (Edema) .
• Urujijo rwo mu mutwe.

Niba ufite ububabare bushya cyangwa bukomeje kwiyongera mu gifu, ugomba guhita ubonana na muganga . Icyo gihe ni bwo hashobora kumenyekana impamvu nyayo.

Ni izihe mpamvu zitera (Superior Mesenteric Vein Thrombosis)?

Abashakashatsi bagabanyije impamvu zibi mu byiciro bitatu by'ingenzi:

1. Kwangirika k'umutsi: Umutsi wawe ushobora kwangirika bitewe n'ubwandu (kubyimba) cyangwa kubagwa.

2. Gutembera buhoro cyangwa gufungana kw'amaraso: Indwara nka cirrhose (indwara y'umwijima), umutima unanirwa, cyangwa ikibyimba cyangwa ikibyimba mu nda bishobora gutuma amaraso atembera buhoro cyangwa agafungana mu mitsi yo mu bwoko bwa mesenteric n'imitsi iyikikije.

3. Indwara zo kuvura amaraso: Izi zongera ibyago byo kuvura amaraso ahantu hose mu mubiri wawe.

Hari igihe abaganga badashobora kubona impamvu yihariye ibi (idiopathike) .

Ni nde uri mu kaga gakomeye ko kwandura iyi ndwara?

Ufite ibyago byinshi byo kurwara indwara ya SMV Thrombosis niba ufite imwe muri izi ndwara zikurikira:

• Indwara zo kuvura amaraso zibaho umwana avutse cyangwa nyuma yaho, harimo n'iziterwa n'imiti imwe n'imwe.
• (Indwara y'amara abyimba - IBD) .
• (Cirrhosis) (indwara y'umwijima).
• (Pancreatite) (kubyimba kwa pancreas).
• Kanseri y'impyiko .
• Umutima unanirwa .
• Uduheri twagutse .
• Kugira ikibyimba kinini cyangwa ikibyimba mu nda.
• Hari ubwandu bwa virusi, harimo na (COVID-19) .

Kubagwa ku nda yawe, nko kubaga splenectomy, bishobora kwangiza igice cy'imbere cy'imitsi yawe (endothelium).Kwangirika gushobora kubaho. Ububyimbirwe buterwa n'ubu bwangiritse byongera ibyago byo kurema amaraso.

Ni izihe ngorane zishobora guterwa na SMV Thrombose?

Iyo amaraso agize ikibazo mu mitsi yawe ya mesenteric, bishobora gutera kubyimba mu mara. Bishobora kandi gutera indwara yitwa mesenteric ischemia , ari yo igabanuka ry'amaraso ajya mu bice bimwe na bimwe by'igogora ryawe.

Iyo ingingo zawe z’igifu zitabonye amaraso ahagije afite umwuka wa ogisijeni, ntizishobora gukora neza. Kandi ingingo zazo zitangira gupfa. Hari ubwo ibi bishobora gutera imyobo mu mara, bigatuma ibiri mu mara bisohoka mu mwanya ukikije. Hari ubwo bagiteri zisanzwe ziba mu gifu cyawe zishobora gukwirakwira mu bindi bice by’umubiri wawe, aho zitagomba kuba ziri. Ibi bishobora gutera sepsis (uburozi bw’amaraso) no kunanirwa kw’ingingo mu buryo bushobora kubangamira ubuzima bw’ingingo.

Bityo rero, iyi ndwara yitwa (SMV Thrombosis) ishobora kwica iyo idavuwe vuba.

Ni gute indwara ya Mesenteric Venous Thrombosis ipimwa?

Abaganga bashobora gukeka ko iyi ndwara ishingiye ku bimenyetso byawe. Ariko, kuyisuzuma bishobora kugorana kuko ibimenyetso byinshi bitagaragara ku giti cyawe . Ni ukuvuga ko bishobora guterwa n'izindi ndwara zitandukanye. Iyo ufite ububabare mu nda cyangwa ibindi bimenyetso, amaraso adakora neza mu mitsi ya mesenteric si cyo kintu cya mbere kiza mu mutwe.

Niba muganga wawe akeka ko ufite amaraso apfunditse, azakora ibizamini byinshi byo gufata amashusho .

(Mesenteric Venous Thrombosis) Ibipimo byo gusuzuma indwara

Ikizamini cya zahabu cyo gusuzuma iyi ndwara ni CT Angiography . Muri iki gipimo, irangi ryihariye rishyirwa mu mutsi maze amaraso akagaragara atembera mu mitsi yawe. Ibi bishobora kwerekana uburyo amaraso atembera neza mu mitsi no mu mitsi yo mu nda yawe ndetse niba hari amaraso afite akabyimba. Ibisubizo by'iki kizamini bizagena gahunda yawe yo kuvura.

Hari igihe abaganga bakoresha ikizamini cyitwa MRI Angiography nk'ubundi buryo cyangwa kugira ngo bemeze ibisubizo bitazwi neza bya CT Angiography . Ibi bizamini bishobora no gukoreshwa kugira ngo barebe uko witwara mu kuvurwa.

Ni ubuhe buryo bwo kuvura (SMV Thrombosis)?

Abaganga bazaguhuza n'ibyo ukeneye mu kuvura. Intego nyamukuru ni uku:

• Gusubiza amaraso mu mara yawe no kuyafasha gukora neza.
• Kurinda cyangwa kugabanya kwangirika kw'amara yawe.
• Kurinda ko amaraso mashya yangirika no kubona impamvu nyamukuru.

Kuvura byihuse ni ingenzi mu kurokora ubuzima.Uko uvurwa vuba, niko amahirwe yawe yo kugira icyo ugeraho aba menshi. Bitewe n'imiterere y'indwara yawe (ikomeye cyangwa idakira) n'ubukana bwayo, muganga wawe ashobora gukoresha bumwe cyangwa bwinshi muri ubu buryo bukurikira:

• Gukingira amaraso: Ubu ni bwo buryo bwa mbere abaganga bakoresha. Ibi bikubiyemo kuguha imiti ifasha gushonga kw'amaraso no gukumira ko amaraso mashya yangirika. Abaganga benshi batangira baguha umuti witwa heparin mu mitsi, hanyuma bagakoresha umuti nka warfarin . Hari abantu bakeneye gufata uyu muti mu gihe cy'amezi atandatu, abandi bakawufata igihe kirekire. Niba ufite ikibazo cyo kuvura amaraso, cyangwa niba waragize amaraso adakingiye nta mpamvu igaragara, ushobora gufata uyu muti ubuzima bwawe bwose.
• Thrombolysis: Muri ubu buryo, muganga wawe akoresha catheter kugira ngo atere imiti mu mitsi yawe kugira ngo ashongeshe amaraso . Uyu muti usanzwe utangwa mu gihe cy'amasaha 24 kugeza kuri 72.
• Gukuraho amaraso mu nda: Ubu buryo bwo kubaga kugira ngo amaraso akureho . Ubu buryo bukoreshwa gusa mu bihe bike, urugero , ku bantu badashobora kubagwa mu nda . Abaganga bashobora gukora ubu buryo bakoresheje uburyo bwo kubaga bufunguye cyangwa uburyo bwo kuvura butari bunini.
• Guca amara: Ibi bikubiyemo kubagwa igice cy'amara yawe . Niba amaraso yazibye inzira y'amara yawe bigatuma amaraso agabanuka burundu, ushobora gukenera gucibwa amara mato cyangwa gucibwamo amara manini. Iyo utangiye kurwanya amaraso mu bitaro, muganga wawe azakurikirana ibimenyetso byawe kugira ngo arebe niba ukeneye kubagwa cyangwa niba hari ingorane zihari.

Ingorane zo kuvurwa

Ingorane zikunze kugaragara mu kuvura ni ukuva amaraso (ari manini cyangwa mato). Ariko, ni ngombwa kwibuka ko iyi ndwara yica iyo itavuwe . Kubwibyo, inyungu zo kuvura ziruta kure ibyago by'ingorane zishobora kubaho.

Ese indwara ya SMV Thrombosis ishobora kwirindwa?

Ntabwo ushobora kwirinda kubyimba kw'amaraso buri gihe. Ariko, ushobora gufata ingamba zo kwirinda indwara nyinshi zishobora gutuma amaraso agabanuka. Dore inama zimwe na zimwe:

• Jya kwisuzumisha kwa muganga rimwe mu mwaka.
• Fata imiti yawe neza neza nk'uko muganga wawe yabigutegetse.
• Bwira muganga wawe niba ugaragaje ibimenyetso bishya cyangwa niba ibimenyetso byawe byarahindutse.
• Baza muganga wawe impinduka mu mibereho yawe kugira ngo ugire ubuzima bwiza.

Bigenda bite iyo ngize (SMV Thrombosis)?

Muganga wawe azakubwira icyo ugomba kwitega mu gihe uvurwa kandi ugakira. Azagusobanurira ibyago byo kurwara amaraso mashya hamwe n'uburyo bwo kuvura kugira ngo agabanye ibyo byago. Ni ngombwa cyane gukurikiza gahunda y'ubuvuzi ya muganga wawe neza. Ibi bishobora kuba birimo gufata imiti ubuzima bwawe bwose. Ibi bizagufasha kwirinda ko amaraso yongera kurwara.

Gukurikirana uko ubuvuzi bugenda

Niba ufata imiti igabanya amaraso, uzakenera gupimwa amaraso buri gihe kugira ngo umenye neza ko ufata imiti ikwiye. Muganga wawe azagukurikirana niba hari amaraso yavuye.

Ni iki giteganyijwe kuri iyi ndwara?

Umuntu mwiza wo kubaza ku bijyanye n'uko uhagaze ni umuganga wawe. Azasuzuma amateka y'ubuzima bwawe n'uko uhagaze, kandi aguhe igitekerezo cy'icyo witeze. Muri rusange, uko uhagaze mu gihe ufite Mesenteric Venous Thrombosis biterwa n'ibintu byinshi:

• imyaka yawe.
• Uburemere bw'uburwayi bwawe.
• Aho amaraso yapfundikiye neza.
• Izindi ndwara ufite.
• Ingano y'ibyangiritse ku mara yawe.
• Niba waragombaga gukurwaho igice cy'amara yawe.
• Uburyo wavuwe vuba.

Indwara ya Mesenteric Venous Thrombosis ishobora kwica. Mu gihe cy’ubukana, ibyago byo gupfa byiyongera uko isaha igenda ishira nyuma y’uko ibimenyetso bitangiye. Iyo idavuwe amasaha arenga 24, ubusanzwe iyo ndwara iba yica.

Ni ryari ngomba kubonana na muganga wanjye?

Mu gihe ukize indwara, ni ngombwa gukurikirana uko wumva umeze no kubwira muganga wawe niba hari icyahindutse. Muganga wawe azakubwira inshuro ugomba kuza mu gihe cyo gukurikirana. Mukomeze ku murongo. Ibi bizafasha muganga wawe gukurikirana ikibazo cyawe no kumenya ibibazo bishya (nk'amaraso mashya). Ariko, ndetse no mu gihe cyo kuvurwa, niba ugaragaje ibimenyetso bishya cyangwa ufite impungenge, ntutindiganye guhamagara muganga wawe ako kanya.

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Niba ufite ububabare bukomeye mu nda cyangwa ibindi bimenyetso bya (SMV Thrombosis) , hamagara 911 cyangwa nimero y'ubutabazi yo mu gace utuyemo ako kanya. Ntugatinde. Ibi ni ingenzi cyane cyane niba ufite ibintu bishobora gutera (SMV Thrombosis) . Kuvurwa hakiri kare ni bwo buryo bwonyine bwo kurokora ubuzima.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ibibazo byawe bishobora gutandukana bitewe n'uburwayi bwawe n'urwego rw'ubuvuzi bwawe. Dore bimwe mu bibazo bikunze kugufasha kubona amakuru ukeneye. Ushobora kubaza ibi bibazo umaze kubimenya (cyangwa ukabibaza uwo ukunda):

• Indwara yanjye ikomeye gute?
• Ni ubuhe buryo bwo kuvura wagerageza mbere na mbere?
• Ni ubuhe buryo bundi bwo kuvura nzakenera?
• Intego z'ubuvuzi ni izihe?
• Ni amahirwe angahe yo kuvurwa neza?
• Ese hari ingaruka mbi zishobora guterwa n'ubuvuzi?
• Uko mbibona bimeze kose?
• Ni ibihe biganiro byo gukurikirana nkeneye kwitabira?
• Ese ngomba guhindura imiti yanjye cyangwa amasaha nyifata?
• Ni izihe mpinduka mu mibereho yanjye wangiriye inama yo gukora nyuma yo gukira?

Ni ibisanzwe kumva ufite ikibazo cy'amaraso mu mubiri wawe. Mu ndwara nka SMV Thrombosis , icyo kibazo gishobora gushyira mu kaga ubuzima bw'amara yawe, ndetse gishobora no guteza ibibazo bishobora gushyira ubuzima bwawe mu kaga.

Niba wowe cyangwa uwo ukunda mufite ibintu bishobora gutuma murwara SMV Thrombosis , ganira na muganga wawe ku ngaruka z’ibyago byanyu bwite n’uko mwabyifatamo. Ntabwo mushobora kwirinda kubyimba kw’amaraso buri gihe. Ariko, kwisuzumisha kwa muganga no kumenya ibimenyetso byabyo bishobora kubafasha gusuzuma no kuvurwa hakiri kare. Igikorwa nk’icyo cya mbere gishobora kurokora ubuzima.

Ibintu by'ingenzi tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

• (SMV Thrombosis) ni ukubyimba kw'amaraso mu mitsi minini y'amaraso mu gifu. Ibi ni bibi cyane kandi bishobora gushyira ubuzima mu kaga iyo bidavuwe vuba.
• Niba ubonye ibimenyetso nko kubabara mu gifu bitunguranye, kubyimba, isesemi, kuruka, cyangwa amaraso mu mwanda wawe, ntutinde. Shaka inama kwa muganga ako kanya.
• Niba ufite ibintu bishobora gutera ibi (urugero: indwara zo kuvura amaraso, indwara y'umwijima, indwara yo kubyimba amara), vugana na muganga wawe kandi ufate ingamba zikenewe.
• Niba ufashwe n'iyi ndwara, kurikiza neza uburyo muganga aguha. Nubwo byaba ngombwa ko ufata imiti ubuzima bwawe bwose, ishobora kugufasha kurokora ubuzima bwawe.
• Gusuzuma indwara hakiri kare no kuyivura vuba ni bwo buryo bwiza bwo kwirinda iyi ndwara. Bityo rero menya ibimenyetso kandi uhite ubonana na muganga niba ufite gushidikanya.

` SMV Thrombosis, Mesenteric Venous Thrombosis, Amaraso agwa, Ububabare bwo mu nda, Imitsi yo mu nda ikomeye, Uduce tw'igogora, Ubuvuzi bwihutirwa