Ese ufite ikibazo cy'imitsi y'amaraso mu mugongo wawe? Reka tumenye byinshi ku bijyanye no kwangirika kw'imitsi yo mu bwonko mu mugongo (AVM)!

Ese rimwe na rimwe ubabara umugongo? Cyangwa wumva ufite intege nke mu kuboko cyangwa ku kuguru? Wenda ibi si ibintu bitunguranye gusa. Uyu munsi tugiye kuvuga ku ndwara idakunze kuvugwaho cyane, ariko ishobora kuba ingenzi cyane. Iyo ni imitsi y'amaraso mu ruti rw'umugongo, indwara yitwa `(Spinal Arteriovenous Malformation)` cyangwa `(AVM)` mu buvuzi.

Iyi `(AVM yo mu Mugongo)` ni iki?

Mu magambo make, AVM yo mu Mugongo ni indwara aho imiyoboro y'amaraso (imiyoboro y'amaraso) igongana ikagongana hirya no hino cyangwa ku mugongo wawe (umutsi uri mu mugongo wawe). Uzi uko ibi bibaho? Imibiri yacu ifite imiyoboro (imitsi itwara amaraso arimo ogisijeni iva mu mutima) n'imitsi (imitsi itwara amaraso yakoreshejwe ikayajyana mu mutima). Ubusanzwe, iyi miyoboro n'imitsi bihuzwa n'uburyo bw'imiyoboro y'amaraso myiza cyane yitwa capillaries . Iyi miyoboro ni yo ikwirakwiza ogisijeni mu mugongo wacu no mu ngingo ziwukikije.

Ariko, muri iki kibazo cya `(AVM)`, umutsi uhuza umutsi neza n'umutsi. Sisitemu y'imitsi iri hagati irarenga. Tekereza, bimeze nk'umuvuduko w'imodoka uturutse mu muhanda munini uhita ugana mu muhanda muto hanyuma ugasubirana mu muhanda munini. Ni iki kibaho? Ingano ya ogisijeni uturemangingo two mu mugongo dukenera iragabanuka. Nanone, iyi sano idasanzwe ishobora gutuma imitsi y'amaraso yaguka, igahindura umuvuduko, ndetse rimwe na rimwe igaturika . Iyo bibaye, kuva amaraso menshi `(Kuva amaraso menshi)` bishobora kubaho, bishobora gushyira ubuzima mu kaga . Ariko ntugahangayike, hari uburyo bwo kwirinda iki kibazo. Hari igihe abaganga babyita `(Spinal Arteriovenous Shunt)`, nk'uko wabyumvise.

Ni ubuhe bwoko bw'ingenzi bwa `(Spinal AVM)`?

Noneho reka turebe ubwoko bw'ingenzi bwa `(Spinal AVM)`. Mu by'ukuri hari ubwoko butanu bw'ubusembwa bw'imitsi y'amaraso bugaragara mu ruti rw'umugongo. Muri ubwo bwoko harimo `(Spinal Arteriovenous Malformations - AVM)` na `(Spinal Arteriovenous Fistula - AVF)`. Muri ibi byombi, habaho isano idasanzwe hagati y'imitsi n'umutsi. Ariko, `(AVM)` igaragara mu ruti rw'umugongo. `(AVF)` igaragara mu `(Dura mater)` , urwego rutwikira urutirigongo.

Dore ubwoko butanu bw'ingenzi:

• Ubwoko bwa I: Dural AVF: Iyi iherereye inyuma cyane y'umugongo (dura mater).
• Ubwoko bwa II: Intramedullary glomus AVM: Iyi iba iri imbere mu mugongo.
• Ubwoko bwa gatatu: Intramedullary juvenile AVM: Ibi bishobora gukwirakwira mu ruti rw'umugongo ndetse no mu ngingo ziwukikije. Bikunze kugaragara cyane mu bana no mu rubyiruko.
• Ubwoko bwa IV: AVF y'inyuma: Iyi iherereye mu ngingo zikikije uruti rw'umugongo.
• Ubwoko bwa V: AVF idasanzwe: Iyi iri mu mwanya uri hanze y'aho isanzwe ikorera.

Ikintu kimwe cyo kwibuka ni uko iyo AVM yacitse, ibimenyetso bishobora kuba bikomeye kurusha ibya AVF. Ibi biterwa nuko AVM yacitse mu buryo butaziguye mu mubiri, mu gihe AVF ikunze kuba iri mu gice cy’umubiri gitwikiriye, ibyo bikaba bitanga uburinzi.

Iyi ndwara ikunze kugaragara gute?

Iyi ndwara yitwa `(Spinal AVM)` ikunze kugaragara gute? Mu by'ukuri, ni yo ndwara ikunze kugaragara cyane mu mitsi y'amaraso igaragara mu mugongo. Ariko, biragoye kuvuga neza umubare w'abantu bayirwaye. Ibi biterwa nuko abantu benshi batazi ko bayirwaye kugeza igihe bagaragaje ibimenyetso. Hari igihe iboneka ku buryo butunguranye mu gihe cyo gupima indi ndwara. Kubwibyo, akenshi ifatwa nk'indwara idasanzwe .

Ni ibihe bimenyetso bya `(AVM yo mu Mugongo)`?

Ibimenyetso bya `(Spinal AVM)` bibaho kubera ko imitsi y'amaraso igonganye ikandagira imizi y'imitsi y'uruti rw'umugongo n'uruti rw'umugongo ubwarwo. Mu buvuzi, ubu bwoko bw'umuvuduko twita `(Myelopathy)` . Ibimenyetso bikunze kugaragara ni ibi:

• Kubabara umugongo .
• Ubunebwe cyangwa gukomera kw'imitsi (mu ijosi, amaboko, n'amaguru).
• Kubura ibyiyumvo, kubura ibyiyumvo, cyangwa kumva ibintu bidasanzwe mu maguru.
• Umutwe .
• Kubura uburinganire, kugorwa no kugenda .
• Kugorwa no kugenzura inkari n'umwanda .

Ibi bimenyetso biratandukanye bitewe n'ubwoko bwa AVM, ubukana bwayo, n'aho iherereye mu mugongo. Urugero, niba AVM iri mu mugongo wawe wo hejuru cyangwa mu gituza, ibimenyetso bishobora kugaragara mu gituza cyawe, mu gituza, mu mugongo, mu maboko no mu maguru. Iyo iri mu mugongo wawe wo hagati cyangwa wo hasi, ibimenyetso bishobora kugira ingaruka ku nda yawe yo hasi, mu mugongo, cyangwa ku maguru.

Ibi bimenyetso bishobora kugaragara ku ruhande rumwe rw'umubiri cyangwa ku mpande zombi. Hari igihe ushobora kubona ko bigenda byiyongera uko igihe kigenda gihita, cyangwa bikaba byaza bigashira. Wibuke ko hari abantu bashobora kugira AVM yo mu mugongo badafite ibimenyetso.

Ariko, ni ngombwa kujya kwa muganga ibimenyetso bikimara gutangira. Ikintu nk'ububabare butunguranye kandi bukomeye bw'umugongo gishobora kuba ikimenyetso cy'uko AVM yacitse. Iki ni ikibazo cyihutirwa cy'ubuvuzi, bityo shaka ubuvuzi vuba.

Ibimenyetso bitangira ryari?

Ibi bimenyetso bya `(AVM)` bishobora kugaragara ku myaka iyo ari yo yose. Ariko, abantu benshi bagaragaza ibimenyetso hagati y'imyaka 15 na 60. Bishobora kandi gutandukana bitewe n'ubwoko bwa `(AVM)`. Akenshi, ibi bibazo bya `(Spinal AVM)` biba ari ibyo kuvukana . Ibi bivuze ko umwana ashobora kuba yarahuye n'ibibazo by'iyi mitsi y'amaraso akiri mu nda. Ariko, rimwe na rimweIyi ndwara ishobora no kubaho nyuma yo gukura (kwibasirwa).

Ni izihe mpamvu za `(Spinal AVM)`?

Abaganga ntibaramenya neza icyateye iyi ndwara ya `(Spinal AVM)`.

Ku bijyanye n'impinja zivukana (Spinal AVM) zagaragaje ko mu gihe cy'uruhinja (igihe umwana arimo gukura mu nda), imiyoboro y'amaraso ikikije uruti rw'umugongo ikura mu buryo budasanzwe. Urugero, bishobora guterwa n'impinduka mu nzira y'amaraso kugira ngo hirindwe imbogamizi.

Nyuma yo kuvuka, "AVM yo mu Mugongo" ishobora kubaho nyuma y'impanuka, kubagwa, cyangwa ikindi gikomere ku mugongo .

Ni izihe ngorane ibi bishobora gutera?

Ingorane zishobora guterwa na `(Spinal AVM)` rimwe na rimwe zishobora gushyira ubuzima mu kaga . Izingenzi ni izi:

• Kuva amaraso: AVM ishobora guturika igatangira kuva amaraso mu mubiri.
• Ischemia: Iki ni cyo gihe amaraso ahagarara. Ibi bigabanya ingano ya ogisijeni n'intungamubiri ibice by'umubiri bikenera. Ibi bishobora gutuma uturemangingo duhagarika gukora neza, kandi uko igihe kigenda gihita, ibyangiritse bishobora kwiyongera.
• Kurema: Iyo uruti rw'umugongo rwangiritse, bishobora gutera ubumuga, indwara ituma ibice bimwe by'umubiri bidashobora kwimuka.

Wamenya ute niba ufite `(Spinal AVM)`?

Ni gute umuganga asuzuma indwara yo mu mugongo ya AVM? Bazabanza kugusuzuma umubiri , hanyuma bagukorere isuzuma ry’imitsi . Byongeye kandi, bashobora no gutumiza ibizamini byihariye byo gufata amashusho .

Ibi bizamini byo gufata amashusho bishobora gufasha kumenya ingano ya AVM n'aho iherereye mu mugongo. Muganga wawe ashobora gukoresha ibizamini nk'ibi:

• Isuzuma rya Magnetic Resonance (MRI).
• Ikizamini cya Magnetic Resonance Angiography (MRA) (iki gikorwa kireba cyane cyane imiyoboro y'amaraso)
• Isuzuma rya Myelogram na CT (Computed Tomography - CT).

Byongeye kandi, niba ufite ikibazo cyo kubura cyangwa intege nke z'imitsi, ibizamini byo kuyobora imitsi n'ibipimo bya electromyography (EMG) bishobora gukorwa.

Ni gute `(AVM yo mu Mugongo)` ivurwa?

Hari uburyo bwinshi bw'ingenzi bwo kuvura `(AVM yo mu Mugongo)`:

• Guhindura imiterere y'umubiri:Muri ibi, umuganga ubaga akoresha umuyoboro muto cyane (catheter) kugira ngo agere ku mitsi y'amaraso yangiritse kandi ahagarike kuva amaraso cyangwa afunge isano ridasanzwe.
• Kubaga: Umuganga ubaga akuraho burundu AVM kandi agatuma imiyoboro y'amaraso itembera neza.
• Kubaga hakoreshejwe imirasire ya stereotactic: Muri ibi, imirasire ifite ingufu nyinshi iyoborwa neza aho AVM iri, igasenya kandi igafunga imiyoboro y'amaraso idasanzwe.

Muganga wawe azagusobanurira uburyo bwiza bwo kuvura indwara yawe. Ingano ya AVM n'aho iherereye bizagena uburyo bwiza kandi bwizewe bwo kuvura. Azakubwira kandi ingaruka mbi z'uburyo bwo kuvura kugira ngo ufate icyemezo ukurikije amakuru.

Mu bihe byinshi bya `(Spinal AVM)`, kubagwa birakenewe kugira ngo hirindwe ingorane zavuzwe haruguru. Kugeza ku munsi wo kubagwa, muganga wawe ashobora kukwandikira imiti igabanya ububabare cyangwa ubundi buryo bwo kuvura kugira ngo ugenzure ibimenyetso byawe kandi ukomeze kumererwa neza.

Nzumva meze neza nyuma y'igihe kingana iki?

Nyuma yo kubagwa, uzatangira kumva ukize ibimenyetso nko kubabara no kubabara umutwe. Ariko, igihe bifata kugira ngo ukire neza kizatandukana bitewe n'ubwoko bw'ikibagwa muganga yagusabye. Ubusanzwe bishobora gufata ibyumweru bike. Nyuma yo kubagwa, ushobora kandi gukenera ubuvuzi bw'umubiri cyangwa ubuvuzi bw'akazi kugira ngo ukomeze imitsi yawe kandi wongere kuringaniza umubiri wawe.

Ni iki giteganyijwe kuri iki kibazo?

Indwara zo mu mugongo zishobora kuvurwa no kubagwa. Ibisubizo byiza bigerwaho iyo indwara imenyekanye kandi ikavurwa hakiri kare, mbere yuko ibibazo bivuka. Ariko, ibi si ko buri gihe biba byoroshye. Hari igihe, nubwo indwara yo mu mugongo yagaragara, ibimenyetso bishobora kudahita bigaragara. Iyo itavuwe, ishobora gutera ingorane zikomeye, zishyira ubuzima mu kaga nko gucika intege no kuva amaraso.

Kubaga AVM yo mu Mugongo byagenze neza gute?

Kubaga uruti rw'umugongo (AVM) muri rusange biragira icyo bigeraho . Ubushakashatsi bumwe bwagaragaje ko uburyo bwo kuvura indwara zo mu mugongo no kuzikuraho bwagize icyo bugeraho ku kigero cya 74% na 88%. Muri ubwo bushakashatsi, 70% by'abavuwe bakize ibimenyetso.

Ariko, ingaruka z'ukubagwa ziterwa n'ibintu byinshi, nko ubuzima bwawe muri rusange, ingano ya AVM, n'aho iherereye. Muganga wawe ashobora kukugira inama nziza ku bijyanye n'uburwayi bwawe.

Ugutwita kw'umugongo (spinal AVM) n'igifu

Nubwo bishoboka ko utwite neza ufite `(AVM yo mu Mugongo)`, ibyago byo kugira ibibazo ni byinshi.Hari ibyago byinshi byo gucika kwa AVM, bigatera ububabare bukomeye no gucika intege. Ibi bishobora gushyira ubuzima bw'umubyeyi n'umwana uri mu nda mu kaga. Kubwibyo, muganga wawe azakugira inama ku buryo bwizewe bwo kuvura indwara yawe n'uburyo bwo kwitegura gutwita neza.

Ese ibi bishobora kwirindwa?

Kugeza ubu nta buryo buzwi bwo gukumira iki kibazo (Spinal AVM). Ubushakashatsi bukomeje gukorwa kugira ngo hamenyekane impamvu y’ibi bibazo.

Ni ryari ugomba kujya kwa muganga?

Niba wumva ufite ibimenyetso bya `(Spinal AVM)`, jya kwa muganga nta kabuza .

Hari igihe AVM ishobora guturika mu buryo butunguranye. Iki ni ikibazo cyihutirwa cy’ubuvuzi. Niba ubonye kimwe muri ibi bimenyetso bikurikira, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro ako kanya:

• Ububabare bw'umugongo butunguranye kandi budashobora kwihanganira.
• Uruhu rwerurutse, ubukonje, ibyuya.
• Kugorwa no guhumeka.
• Igipimo cy'umutima kiriyongera.
• Isesemi cyangwa kuruka.
• Gutakaza uburinganire mu mubiri.
• Urujijo, gutakaza kwibuka.
• Kugorwa no kwimuka cyangwa kuzunguza ijosi.
• Kuribwa umutwe cyane.
• Gutakaza ubwenge.

Ibibazo ugomba kubaza muganga wawe

Ibibazo bimwe na bimwe ugomba kubaza muganga wawe:

• `(AVM yo mu Mugongo)` yanjye iherereye he?
• Ni ubuhe buryo bwo kuvura usaba?
• Ingaruka mbi z'ubuvuzi ni izihe?
• Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo kubagwa?
• Ese AVM ishobora kongera gukura nyuma yo kuyikuraho?
• Niba umwe mu bagize umuryango wanjye wa hafi afite agakoko gatera indwara yo mu mugongo (Spinal AVM), ese nanjye nagombye gupimwa imiterere y’uturemangingo?

Ikintu cy'ingenzi cyane ugomba kwibuka!

Iyo ibimenyetso bigaragaye mu buryo butunguranye, harimo impinduka mu mikorere y'umubiri n'imbaraga z'imitsi, bishobora gutera ubwoba. Niba wumva ikintu kidasanzwe, menya neza ko wagiye kwa muganga . Ububabare bukomeye bw'umugongo akenshi ni ikimenyetso gikomeye cy'uko hari ikintu kitagenda neza cyane. Iyi ndwara, yitwa malformation y'imitsi yo mu mugongo (AVM), ishobora gutera ingorane zishobora gushyira ubuzima mu kaga . Kubwibyo, uko indwara ivurwa vuba kandi igakira, niko umusaruro uba mwiza . Kubagwa bishobora gukosora imiterere idasanzwe y'iyi mitsi y'amaraso.

` AVM yo mu ruti rw'umugongo, umugongo, imiyoboro y'amaraso, ububabare bw'umugongo, AVM, kuva amaraso, kubagwa