Ese imitsi yawe itwara amaraso iva mu gice cyo hejuru cy'umubiri wawe ijya mu mutima yafunzwe? Reka twige kuri Superior Vena Cava Syndrome!

Ese hari igihe wumva ufite umwuka ubura, isura yawe, ijosi, cyangwa amaboko yawe yumva yabyimbye? Cyangwa ubona imitsi ibyimbye mu ijosi cyangwa mu gituza? Ni byiza kutiganyira cyane ibi, si byo se? Kuko ibi bishobora kuba ibimenyetso by'ikibazo cy'umuyoboro munini w'amaraso mu gituza cyawe. Uyu munsi turimo kuvuga kuri imwe muri izo ndwara, yitwa "Superior Vena Cava Syndrome" cyangwa "SVCS". Ntugahangayike, tuzabivugaho mu buryo bworoshye kandi mu buryo ushobora kumva.

None se, iyi `(Superior Vena Cava Syndrome)` ni iki?

Mu magambo make, `(Superior Vena Cava Syndrome)` ni uruhurirane rw'ibimenyetso bibaho iyo hari ikibazo cyo gutembera kw'amaraso mu muyoboro munini w'amaraso mu gituza cyacu. Uyu muyoboro w'amaraso ni wo twita `(Superior Vena Cava)`. Tekereza nk'umuhanda utwara amaraso yakoreshejwe, adahumeka neza ava mu gice cyo hejuru cy'umubiri wacu - ni ukuvuga ava ahantu nko ku mutwe, mu ijosi, mu maboko no mu gituza cyo hejuru - akayasubiza mu mutima.

None se, bigenda bite iyo, ku mpamvu runaka - bishobora kuba ikibyimba kigaragara mu mubiri, cyangwa bikaba amaraso yacitse - uyu muyoboro w'amaraso ufunze cyangwa ugafunga imbere? Ni bwo ikibazo gitangira. Amaraso ntashobora kugera ku mutima maze agafata muri uwo muyoboro, yuzura.

Ariko imibiri yacu nayo yaremwe mu buryo butangaje. Hari igihe, nk'uko bigenda iyo hari umuvuduko w'imodoka mu muhanda, imodoka zifata inzira, maze amwe muri ayo maraso afunganye akagerageza gukoresha indi mitsi mito iri hafi aho kugira ngo igere ku mutima. Muri ubwo buryo, amaraso ashobora gutembera mu mutima ku rugero runaka. Ariko, iyo uku kuziba kubayeho mu buryo butunguranye cyangwa bikomeye cyane , bishobora guteza ikibazo gikomeye ku gutembera kw'amaraso, ndetse rimwe na rimwe bikaba byanashyira ubuzima mu kaga .

Ese hari ubwoko bw'ibi?

Yego, hari ubwoko bubiri bw'ingenzi bwa "Superior Vena Cava Syndrome". Ubwo bwoko bubiri bugabanyijemo ibice bitewe n'impamvu y'ibimenyetso:

1. Sida ya SVC mbi: Iyi ni indwara iterwa na kanseri . Urugero, ikibyimba gishobora gukanda imitsi minini y'amaraso, kikabuza amaraso gutembera neza. Abantu bagera kuri 7 kuri 10 bafite sida ya SVC (70%) bafite ubwo bwoko.

2. Indwara ya SVC idakomeye: Iyi ndwara ntabwo iterwa na kanseri . Ishobora guterwa n'izindi ndwara. Abantu bagera kuri 3 kuri 10 (30%) bazahura n'iyi ndwara.

Ni ibihe bimenyetso bishobora kuba ari ibi?

Niba ufite SVC syndrome, ushobora kugira kimwe cyangwa byinshi muri ibi bimenyetso. Bimwe muri ibi bimenyetso ni byo bigaragara bwa mbere, bityo ugomba kubyitondera cyane.

• Kubyimba: Kubyimba mu maso, mu ijosi, mu gituza cyo hejuru, no mu maboko. Iki ni cyo kimenyetso cya mbere kigaragara .
• Imitsi igaragara: Imitsi yo mu ijosi cyangwa mu gituza itangira kugaragara nk'ibyimbye kandi yagutse. Ibi nabyo niIkimenyetso gishobora kugaragara mbere na mbere .
• Kubona nabi.
• Inkorora.
• Umutwe.
• Ijwi rituje, impinduka.
• Kubabara umutwe cyangwa gucika intege.
• Guhumeka nabi.

Igikuru ni uko ibi bimenyetso bishobora kwiyongera cyane iyo uryamye . Ugomba no kubimenya.

Kuki ubu bwoko bwa `(SVC Syndrome)` butera? Ni izihe mpamvu?

Reka turebe impamvu nyamukuru zishobora kugira ingaruka kuri iki kibazo.

Impamvu mbi zitera kanseri

Nkuko byavuzwe mbere, kanseri niyo mpamvu ikomeye itera indwara ya SVC. Ubwoko bw'iyi kanseri cyane cyane bushobora kugira ingaruka kuri ibi bikurikira:

• Kanseri y'ibihaha: Iyi ni yo mpamvu ikunze kugaragara cyane .
• Kanseri zo mu mitsi, urugero nka `(Lymphoma)`.
• Niba kanseri y'ibere yarakwirakwiriye kandi ikagira ingaruka ku mitsi iri muri mediastinum yawe.
• Mesothelioma (Iyi ni kanseri ikunze kugaragara mu ruhu rutwikira ibihaha).
• Thymoma (kanseri y'agahu ka thymus).

Izindi mpamvu zitari kanseri (Impamvu Zitagira Ingwara)

Iyi ndwara ishobora kubaho nta kanseri. Impamvu zishobora kubaho ni izi zikurikira:

• Ibikoresho byo kwa muganga byashyizwemo: Iyi ni yo mpamvu ikunze kugaragara itari kanseri.
• Tekereza ku bintu nk'imiyoboro mito (catheters) yinjizwa mu mibiri yacu kugira ngo ivure indwara zimwe na zimwe (urugero: catheters zo mu mitsi yo hagati), pacemakers zifasha imikorere y'umutima, defibrillators, na catheters za hemodialysis zikoreshwa mu gusukura amaraso y'abarwayi b'impyiko.
• Iyo insinga cyangwa catheter z'ibi bikoresho ziri muri Superior Vena Cava, rimwe na rimwe hashobora kubaho gukururana cyangwa igitutu ku rukuta rw'uwo mutsi. Hanyuma hashobora kubaho ububyimbirwe , inkovu , cyangwa amaraso akagwa . Ibi bishobora kuziba umutsi.
• Ariko kandi ni ngombwa kwibuka: Si buri wese ufite igikoresho nk'iki cyashyizwe mu mubiri we uzarwara indwara ya SVC. Ingaruka ziterwa n'ibintu nk'ubwoko bw'igikoresho gikoreshwa n'igihe kimaze mu mitsi.
• Ingorane zishobora kubaho mu gihe cyo kuvurwa n'abaganga.
• Indwara y'umusonga.
• Indwara zitandukanye, urugero nka syphilis cyangwa igituntu.
• Ibibyimba bitari kanseri.
• Indwara nka `(Sarcoidosis)`.
• Inkovu ziva mu mitsi nyuma yo kuvurwa hakoreshejwe imirasire, cyangwa rimwe na rimwe nta mpamvu igaragara, zishobora kuziba imitsi.

Abaganga babisobanukirwa bate neza?

Niba ufite ibimenyetso bya SVC syndrome, muganga wawe azabanza gukora isuzuma ry’umubiri. Hanyuma, bashobora gutegeka ibizamini bitandukanye kugira ngo bemeze iyo ndwara kandi bamenye icyayiteye. Ibizamini by’amashusho, cyane cyane, bishobora gufasha kumenya niba amaraso atembera neza mu mitsi ya Superior Vena Cava (SVC) cyangwa niba yahindukiye bitewe no kuziba.

Bimwe mu bizamini ushobora kugira ni ibi bikurikira:

• X-ray yo mu gituza.
• `(CT scan)` (Ikizamini cya Computerized Tomography).
• Ultrasound y'imitsi (Iyi irashobora gukoreshwa mu kureba uburyo amaraso atembera n'uko imitsi y'amaraso iziba).
• `(Venogram)` (Muri ibi, hashyirwamo amazi yihariye mu mutsi hanyuma hagafatwa amashusho ya `X-ray` kugira ngo harebwe uko umutsi umeze).

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura indwara ya SVC buterwa n'impamvu n'uburemere bw'ibimenyetso byawe . Uburyo bukoreshwa kuri buri muntu bushobora gutandukana.

Hari uburyo bwinshi busanzwe bwo kuvura:

• Gukoresha stent mu mitsi: Ibi bikubiyemo gushyira umuyoboro muto w'amaraso (`stent`) mu mitsi ifunze kugira ngo imitsi ikomeze gufungura. Ibi bigarura amaraso.
• Niba impamvu ari igikoresho cy’ubuvuzi: Iyo ikibazo cyatewe n’igikoresho cy’ubuvuzi cyashyizwemo, gishobora gukurwaho cyangwa gusimbuzwa ikindi gikwiye.
• Imiti igabanya amaraso: Iyo amaraso apfutse bitewe n'amaraso apfutse, imiti yihariye (yaba iterwa mu miyoboro ya IV cyangwa se ikoreshwa mu kunywesha) ishobora gutangwa kugira ngo ishongeshe amaraso apfutse.
• Kuvura kanseri: Niba impamvu ari kanseri, haba hakoreshejwe imirasire cyangwa imiti ivura kanseri bishobora gukoreshwa mu gusenya uturemangingo twa kanseri.
• Kubaga:
• Iyo hari ibibyimba bya kanseri, bishobora gukurwaho hakoreshejwe kubagwa.
• Ni gake cyane, kubagwa kugira ngo amaraso atembera neza bishobora gukorwa.

Ubu buryo bwo kuvura bufasha kunoza uburyo amaraso atembera mu mutima wawe. Hari igihe hashobora kuba hakenewe uburyo burenze bumwe bwo kuvura. Muganga wawe azagusobanurira uburyo bwo kuvura bukubereye n'ibyiza n'ibibi.

Ni ryari ngomba kujya kwa muganga?

Niba wumva ufite kimwe cyangwa byinshi mu bimenyetso bya `(SVC syndrome)` byavuzwe haruguru, menya neza ko wagiye kwa muganga vuba . Hanyuma muganga ashobora kugusuzuma no kukwohereza kugira ngo uhabwe ubuvuzi bukenewe.

Ni ngombwa kandi gukomeza gukurikirana gahunda zo gukurikirana za muganga wawe nyuma yo kuvurwa. Izi gahunda ni zo muganga wawe azakomeza gukurikirana ubuzima bw'imitsi yawe y'amaraso n'uko ubuvuzi bwawe bugenda neza.

Ni ryari ugomba gushaka ubuvuzi bwihutirwa?

Iyo ubonye ibi bimenyetso, bivuze ko "syndrome ya SVC" ikomeye ndetse ishobora no gushyira ubuzima mu kaga . Muri icyo gihe , jya ku bitaro bikwegereye vuba, cyangwa uhamagare serivisi y’imbangukiragutabara nko mu 1990 .

• Kuzungera cyangwa gucika intege .
• Niba wumva ijwi rito kandi rinini iyo uhumeka cyangwa usohora umwuka.
• Niba uhuye n'impinduka mu bushobozi bwawe bwo gutekereza cyangwa kumenya ibikukikije (urugero: urujijo, kugabanuka k'ubuhanga bwo gutekereza).

Ibi bimenyetso bikomeye bishobora guterwa no kubyimba mu bwonko bwawe cyangwa inzira z'ubuhumekero, cyangwa kutageza amaraso ahagije ku ngingo z'ingenzi z'umubiri wawe. Iyi ni indwara iteje akaga cyane , bityo ni ngombwa ko abaganga bihutira kuvura!

Ni ubuhe bwoko bw'ibyiringiro nagira muri iki gihe?

Iteganyagihe ry’umuntu urwaye indwara ya Superior Vena Cava Syndrome rishobora gutandukana cyane. Biterwa n’ibintu byinshi, harimo icyateye iyo ndwara, uburemere bw’ibimenyetso, ndetse n’uburyo umuntu yitabira kuvurwa .

• Hari ubwo, iyo impamvu nyamukuru itera SVC syndrome ivuwe neza, iyo ndwara ishobora gukira burundu .
• Ariko, ni gake cyane , ibi bishobora kwica.
• Muri rusange, abantu barwara indwara ya SVC bitewe n’impamvu zitari kanseri (impamvu mbi) bakunze kubaho igihe kirekire kurusha abarwara iyi ndwara bitewe na kanseri (ubwoko bubi).

Muganga wawe ashobora kuguha amakuru nyayo kuri ibi, kuko indwara yateye indwara ya SVC ishobora no kugira ingaruka ku buzima bwawe.

Guhangana n'ikibazo nk'iki bishobora kugutera imihangayiko myinshi . Ushobora kuba usanzwe urimo kuvurwa kanseri, kandi ibi bimenyetso bishya bishobora gutuma urushaho guhangayika no guhangayikishwa n'ejo hazaza hawe. Cyangwa, ushobora kuba ufite ikibazo cy'uburwayi kirimo kugufasha kubaho, kikaguha ubuvuzi burokora ubuzima.

Uko indwara yawe yaba iri kose, itsinda ry'abaganga bawe riri hano kugira ngo rikwitaho kandi rigufashe . Bashobora gusobanura impamvu y'ibimenyetso byawe no kukugira inama z'ubuvuzi zikubereye. Ntutinye kubaganiriza ku bibazo cyangwa impungenge ushobora kuba ufite. Menya neza ko usobanukiwe byose, harimo n'uburyo ubuvuzi buzakora n'igihe ugomba kugaruka gukorerwa ibizamini byo gukurikirana.

Amaherezo, ibintu by'ingenzi ugomba kwibuka ni

Sawa, twaganiriye cyane kuri `(Superior Vena Cava Syndrome)`. Ni ngombwa ko uzirikana ibi bintu:

• SVC Syndrome ni indwara isaba kwitabwaho . Iterwa no kuziba k'umutsi munini utwara amaraso ava mu gice cyo hejuru cy'umubiri wacu akayajyana mu mutima.
• Menya ibimenyetso nko kubyimba mu maso, mu ijosi no mu maboko, imitsi igaragara mu ijosi no mu gituza, ndetse no kugorwa no guhumeka.
• Niba ufite ibi bimenyetso, jya kwa muganga vuba . Gusuzuma vuba ni ingenzi cyane kugira ngo ubuvuzi bugende neza.
• Hari uburyo butandukanye bwo kuvura ibi. Uburyo bwo kuvura buterwa n'impamvu.
• Kuvura impamvu nyamukuru akenshi ni bwo buryo bwiza bwo kugenzura cyangwa gukiza iyi ndwara.
• Menya ibimenyetso by'impanuka (kuzungera, guta ubwenge, amajwi adasanzwe iyo uhumeka, kubura ubwenge) kandi ushake abaganga vuba niba bibaye.
• Vugana na muganga ku bibazo byawe n'ubwoba bwawe.

Tukwifurije ubuzima bwiza!

Indwara ya Vena Cava yo mu rwego rwo hejuru, SVCS, kuziba kw'imitsi y'amaraso, imitsi yo mu gituza, kubyimba, guhumeka bigoranye, ibimenyetso bya kanseri