Reka twige kuri Subclavian Steal Syndrome - indwara "yiba" amaraso mu bwonko!

Ese rimwe na rimwe wumva umeze nk'ufite isereri cyangwa ufite ikibazo cyo kutabona neza? Cyangwa wumva ukuboko kwawe gutangiye kugira ikibazo cyangwa gucika intege, cyane cyane iyo ukora ikintu ukoresheje amaboko yawe, uterura ikintu kiremereye, cyangwa uhindukije umutwe wawe ujya ku ruhande mu buryo butunguranye? Ibi nibibaho, bishobora kuba indwara tuvuga uyu munsi yitwa "Subclavian Steal Syndrome." Izina rishobora kumvikana nk'aho ritangaje gato, nk'aho "Ese iyi ni indwara yo kwiba?" Ntugahangayike, reka tubiganireho mu buryo bworoshye kandi busobanutse.

Syndrome yo kwiba ya Subclavian ni iki mu by'ukuri?

Mu magambo make, indwara yo kwiba ya subclavian ni igihe amaraso amwe yagombye kujya mu bwonko bwawe "yiba" mu kuboko kwawe. Ibi bibaho kubera ko umutsi wa subclavian, umutsi munini w'amaraso utanga amaraso ku kuboko kwawe (akenshi uwo ku ruhande rw'ibumoso), uba uzibye cyangwa ufunze.

Tekereza muri ubu buryo. Urimo kugerageza kurya isahani irimo ibiryo. Ni nk'aho umuntu uri iruhande rwawe "arya" rimwe cyangwa abiri mu biryo urimo kugerageza kurya. Amwe mu maraso atunga umubiri agomba kujya mu bwonko bwawe "arya" mu ntoki zawe. Bityo ingano y'amaraso ashobora kujya mu bwonko bwawe iragabanuka, nk'uko ingano y'ibiryo ushobora kurya igabanuka.

Uko uyu mutsi ugenda urushaho kuziba, amaraso atembera mu mutsi wa subclavian ku muvuduko muto. Ariko, umuvuduko w'amaraso mu yindi mitsi iri hafi uba mwinshi. Kubera iyo mpamvu, amaraso atembera mu mutsi wo mu ruti rw'umugongo, uva mu mutsi wa subclavian ukajyana amaraso mu bwonko, arahinduka. Hanyuma amwe muri ayo maraso yinjira mu mutsi wa subclavian akajya mu kuboko. Ibyo nibyo byitwa "kwiba."

Hari indi ndwara yitwa "coronary steal syndrome". Iki ni cyo gihe amaraso agomba kujya mu mitsi y'umutima afungwa. Ibi ntibibaho kuri buri wese, ahubwo bibaho no ku bantu bamwe na bamwe babazwe ubwoko bumwe na bumwe bw'umutima (coronary artery bypass surgery). Impamvu nyamukuru y'izi ndwara zombi ni ukwiyongera kw'ibinure mu nkuta z'imitsi, cyangwa "plaque", indwara yitwa "atherosclerosis" mu buryo bw'ubuvuzi. Cyangwa hashobora kuba hari izindi mpamvu zituma imitsi ya subclavian igabanuka.

Iyi ndwara ikunze kugaragara gute?

Abashakashatsi ntibashobora kuvuga neza umubare w’abantu bafite indwara ya subclavian steal syndrome, ariko bavuga ko hagati ya 0.6% na 6.4% by’abaturage bashobora kuba bayirwaye. Byongeye kandi, abantu bagera kuri 18% bafite indwara y’imitsi yo mu mpande na bo bafite iyo ndwara.

Iyi ndwara ikunze kugaragara ku bagabo n'abantu barengeje imyaka 55 .

Ariko, bitewe n'ubuhanga buhanitse bwo gufata amashusho buboneka muri iki gihe, iyi ndwara yarushijeho kugaragara ndetse no ku bantu badafite ibimenyetso.

Ni ibihe bimenyetso by'indwara ya subclavian steel syndrome?

Ibimenyetso bya subclavian steel syndrome bikunze kugaragara iyo ukora akazi gakomeye k'amaboko cyangwa uhindukije umutwe wawe ujya ku ruhande.Reba niba ufite kimwe muri ibi biranga:

• Kureba nabi
• Kuzungera
• Ububabare, kugira ibinya, kuribwa mu gituza, cyangwa kumva uburemere mu kiganza
• Kuzinduka
• Gutakaza ubushishozi (bidasanzwe)
• Kumva umeze nk'uri kuzenguruka (Vertigo)
• Ataxia ni indwara aho umubiri utakaza uburinganire kandi ntushobore kugenda neza.

Ariko abantu benshi nta bimenyetso bagira. Ibyo biterwa nuko ubwonko bwabo bubona amaraso ahagije aturutse mu yindi mitsi ikora neza. Ntibakeneye kuvurwa.

Ni iki gitera indwara ya subclavian steel syndrome?

Hari impamvu nke z'ingenzi zibitera:

• Ateriosclerosis - Iyi ni yo mpamvu ikunze kugaragara cyane.
• Udukoko tw’imitsi itera imitsi (imiyoboro idasanzwe y’amaraso n’imitsi)
• Gucika kw'imitsi y'amaraso mu bwonko (aortic dissection)
• Arteritis ya Takayasu, indwara yo kubyimba kw'imitsi
• Dysplasia ya Fibromuscular ni ukwiyongera kudasanzwe kw'inkuta z'imitsi.

Izi mpamvu zisa n'izitera stenosis y'imitsi yo mu bwoko bwa subclavian artery.

Ni nde uri mu kaga gakomeye kuri ibi?

Dore bimwe mu bintu byongera ibyago byo kurwara indwara ya subclavian steel syndrome:

• Niba warabazwe kugira ngo ukosore agace k'umuyoboro w'amaraso (coarctation of the aorta).
• Iyo hari ikibazo ku muyoboro w'amaraso cyangwa imwe mu mitsi y'amaraso kuva umwana avutse.
• Gukanda imitsi yo mu bwoko bwa subclavian (ibi bikunze kugaragara ku bakinnyi bamwe na bamwe).
• Niba hari urubavu rw'inyongera (urubavu rwo mu mura) mu ijosi.

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Niba ufite ibihe byo gucika intege bitewe na subclavian steal syndrome, bishobora gutera kugwa no gukomereka. Bishobora kandi gutuma bigorana gukora akazi ako ari ko kose ukoresheje ukuboko kwafashwe.

Ni gute indwara ya subclavian steel syndrome ipimwa?

Ikintu cya mbere umuganga akora kugira ngo amenye ibi ni ugusuzuma umubiri. Muganga azita cyane ku mitsi yo mu biganza byawe no ku maboko yawe. Azanasuzuma imitsi ya carotid ku mpande zombi z'ijosi ryawe no ku mitsi ya subclavian, ashakisha amajwi adasanzwe ya "swoosh..." (amajwi y'umukara). Iyo wumvise ijwi nk'iryo ukoresheje stethoscope, hashobora kuba hari ikibazo muri iyo mitsi.

Ni ibihe bimenyetso bya "Steele Syndrome" biboneka mu gihe cyo gusuzumwa kwa muganga?

Niba ufite indwara ya subclavian artery syndrome, muganga wawe azapima umuvuduko w'amaraso yawe mu maboko yombi maze arebe itandukaniro mu bipimo. Umuvuduko w'amaraso mu kuboko kumwe ushobora kuba uri hejuru ya milimetero 15 za mercure (mmHg) kurusha urundi.

Nanone, iyo imivuduko ya radial igenzuwe icyarimwe, imivuduko yo ku ruhande rufite subclavian steel syndrome ishobora kugaragara nk'aho idakomeye kandi igashobora kumva nk'aho ari nk'igikuba.

Ni ibihe bizamini bikorwa kugira ngo byemezwe?

Muganga azabanza gukora ultrasound mu mitsi yawe ya subclavian. Nyuma yibyo, ibizamini bikurikira nabyo bishobora gukorwa, uko bikenewe:

• Ikizamini cya MRA (magnetic resonance angiogram).
• Ikizamini cya CT Angiogram (CT - computed tomography angiogram).
• Angiogramu yo gukuramo ibice by'umubiri hakoreshejwe ikoranabuhanga - Ubu ni uburyo bwihariye bukuraho ibindi bice by'umubiri ku ishusho kandi imiyoboro y'amaraso ni yo yonyine igaragara neza.

Ibi bizamini byemerera abaganga gushyira mu byiciro ubukana bwa subclavian steel syndrome (yoroheje cyangwa ikomeye). Bakoresha icyiciro cya I, icya II, n'icya III, aho icyiciro cya III ari cyo gikomeye cyane. Binafasha kumenya ubwoko bw'ubuvuzi bukenewe.

Ni ubuhe buryo bwo kuvura indwara ya subclavian steel syndrome?

Niba ufite ibimenyetso, ushobora kubagwa kugira ngo amaraso atembera neza mu mitsi ya subclavian mu rwego rwo kuvura indwara ya subclavian artery stenosis. Bitewe n'uko urwaye, ibi bishobora kuba kubagwa mu buryo bufunguye cyangwa kubagwa mu mitsi yo mu nda (uburyo busaba gushyiramo ibikoresho bito mu mitsi ijyana amaraso). Ugomba kwirinda gukoresha cyane ukuboko kwafashwe kugeza igihe ubazwe.

Niba udakwiriye kubagwa, muganga wawe ashobora kukwandikira imiti igabanya amaraso cyangwa imiti igabanya amaraso.

Iyo ufite ibimenyetso byoroheje, bishobora koroha uko igihe kigenda gihita. Muri ibyo bihe, muganga wawe ashobora kukwandikira imiti yo kugabanya umuvuduko w'amaraso na cholesterol.

Igikuru ni uko abantu badafite ibimenyetso akenshi badakenera kuvurwa. Ariko, niba ufite umutsi wo mu bwoko bwa subclavian artery ufunganye, hari amahirwe menshi ko bizamera kimwe no mu yindi mitsi. Ibi biterwa nuko ubu bwoko bw'imitsi itera plaque (atherosclerosis) bukunze kugira ingaruka ku mitsi yose mu mubiri.

Bityo rero, ugomba kuvurwa izi plaque. Niba unywa itabi, ugomba kureka kunywa itabi, no kugenzura umuvuduko w'amaraso wawe ukabije na cholesterol nyinshi . Ibi bintu bishobora gufasha kwirinda indwara y'umutima cyangwa indwara yo gucika imitsi mu gihe kizaza.

Ni ubuhe buryo bwihariye bwo kuvura/kubaga bukoreshwa kuri ibi?

Ushobora gukenera bumwe cyangwa bwinshi muri ubu buryo:

• Kubaga kugira ngo habeho inzira yo kunyuramo hakoreshejwe guhuza umutsi wa subclavian n'undi mutsi (urugero, umutsi wa carotid).
• Angioplasty na stent - Ibi bikubiyemo kwagura agace kafunzwe ukoresheje ikintu kimeze nk'umupira hanyuma ugashyiramo stent isa n'umuyoboro kugira ngo wirinde ko yongera gufunga.
• Kugabanya ububabare bw'imitsi - Ibi bivuze gukuraho plaque mu mitsi.
• Gukuraho igice cy'imbere cy'umuyoboro w'amaraso.

Ese hari ingorane zishobora guterwa no kuvurwa?

Yego, ingaruka ziratandukanye bitewe n'uburyo bwo kuvurwa. Zishobora kuba zirimo:

• Umutsi wawe wo mu bwoko bwa subclavian urimo wongera kugabanuka.
• Amaraso ashobora kuzura, ndetse ashobora no gutera indwara yo mu bwonko.
• Kwangirika k'imitsi cyangwa imitsi y'amaraso.
• Kugira ibibazo bimwe na bimwe mu gihe cyo gukira.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma y'ubu buryo bwo kuvura?

Gukira nyuma yo kuvurwa indwara ya subclavian steel syndrome bishobora gufata iminsi mike, icyumweru, cyangwa se igihe kirekire kurushaho. Gukira nyuma yo kubagwa akenshi ni byo bimara igihe kirekire.

Ni iki nakwitega mu gihe mfite indwara ya subclavian steel syndrome?

Abantu barenga 95% bavurwa indwara ya subclavian steel syndrome ntibaba bakeneye kongera kubagwa. Muri rusange, icyitegererezo cyabo ni cyiza.

Ese indwara yo kwiba ya subclavian irashyira ubuzima mu kaga?

Oya, iyi si indwara ishobora gushyira ubuzima mu kaga. Ariko, ni ikimenyetso gikomeye cy'umuburo! Bisobanura ko ufite indwara ya atherosclerosis, indwara y'imitsi. Iyo plaque yikubise mu mitsi yawe, umutima wawe cyangwa ubwonko bwawe bishobora kutazabona umwuka uhagije mu gihe kizaza. Ibi byongera ibyago byo kurwara indwara y'umutima cyangwa indwara yo gucika imitsi.

Ese indwara ya subclavian steel syndrome ishobora kwirindwa?

Ntidushobora kugenzura zimwe mu mpamvu zitera indwara ya subclavian steel syndrome (nk'ibintu bigize genetiki). Ariko, iterambere ry'iyi ndwara rishobora kwirindwa ahanini binyuze mu gukumira kwirema kw'ibice bya plaque (atherosclerosis), akenshi ikaba ari yo mpamvu .

Ni gute nagabanya ibyago byanjye?

Ushobora kugabanya ibyago byo kurwara iyi ndwara - bityo n'ibyago byo kurwara indwara ya subclavian steel syndrome - ukoresheje izi mpinduka mu buzima bwawe bwa buri munsi:

• Komeza kugira ibiro bizima bikubereye.
• Kora imyitozo ngororamubiri (imyitozo ngororamubiri) nibura iminota 30 ku munsi mu minsi myinshi.
• Irinde burundu ikoreshwa ry'ibikomoka ku itabi (nk'itabi na beedis).
• Kurya ibiryo bikungahaye ku mutima (bifite ibinure bike byuzuye n'ibinure bya trans).
• Niba ufite indwara nka cholesterol nyinshi, umuvuduko ukabije w'amaraso, na diyabete, zigenzure neza.

Nitwara nte?

Niba ufite indwara ya subclavian steel syndrome, ni ngombwa gufata imiti yawe nk'uko muganga wawe yabigutegetse, kubagwa uko bikenewe kose, no kugenzura umuvuduko ukabije w'amaraso, cholesterol nyinshi, na diyabete (niba uyifite) no kwirinda itabi.

Ni ryari ngomba kubonana na muganga wanjye?

Nyuma yo kuvurwa, ugomba kwisuzumisha buri gihe, cyane cyane niba ibimenyetso byawe bigarutse. Niba muganga wawe atekereza ko imitsi yawe ya subclavian yongeye kugabanuka, ashobora gusaba ko isuzuma ryiyongera. Uzakenera kwisuzumisha nyuma y'ukwezi kumwe, amezi atandatu, cyangwa umwaka umwe nyuma yo kuvurwa. Nyuma y'ibyo, ushobora kubonana na muganga wawe rimwe mu mwaka.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ni byiza kubaza muganga wawe ibibazo nk'ibi:

• Nkeneye kuvurwa vuba gute?
• Ni ubuhe buryo bwo kuvura bunkwiriye?
• Ni ikihe gipimo cy'intsinzi yawe mu kuvura abantu bafite iyi ndwara?

None se, ni ikihe kintu cy'ingenzi tugomba kwibuka muri ibi byose?

Nubwo ijambo "Kwiba" mu izina ryayo, indwara yo kwiba ya subclavian ni indwara ivurwa. Abantu benshi ntibakeneye kuvurwa. Ariko ubutumwa bukomeye tubona muri ibi ni uko plaque yiyongera (atherosclerosis) mu mitsi yawe. Umubiri wawe urimo kukubwira uti "Tangira ingeso nziza z'umutima ubu, cyangwa unoze izo usanzwe ufite." Baza muganga wawe impinduka ushobora gukora kugira ngo urusheho kugira ubuzima bwiza. Ndetse n'impinduka nto ushobora gukora uyu munsi zishobora kugira ingaruka zikomeye. Rero, ntitugire ubwoba, tumenye amakuru, kandi dushyireho urufatiro rw'ubuzima bwiza, si byo se?

` indwara yo kwiba ya subclavian, indwara yo kwiba ya subclavian, kugabanuka kw'amaraso ajya mu bwonko, gucika intege mu kiganza, isereri, indwara yo gucika intege kw'amaraso mu bwonko