Ese waba waragize ikibazo cyo kubyimba kw'amaraso mu mitsi yawe, bigatuma ubabara kandi ukabyimba? Reka tuvuge kuri Thrombophlebitis!

Ese wigeze wumva ububabare budasanzwe cyangwa kubyimba umutsi wo ku kaguru cyangwa ku kuboko? Hari igihe ahantu hashobora kuba hatukura kandi hashyushye iyo ukozeho. Niba warigeze guhura n'ikintu nk'iki, ushobora kuba ufite indwara yitwa thrombophlebitis. Ntugahangayike, reka tubiganireho mu buryo bworoshye.

Thrombophlebitis ni iki? Mu magambo make...

Muri make, Thrombophlebitis ni ububyimbirwe bw'imitsi (phlebitis) buterwa n'amaraso yacitse mu mitsi yawe. Bivugwa "thrombophleb-itis".

Niba dusobanuye neza icyo ibi bisobanura:

• "Trombo-" bisobanura amaraso apfunditse. Iki ni ikibyimba cy'amaraso kiba mu mitsi.
• "-phleb-" bivuga umutsi, bivuze ikintu kijyanye n'imitsi.
• "-itis" bivuga ububyimbirwe, bivuze kubyimba, gutukura, ububabare, nibindi.

Rero iyo ibi byose bihuye, indwara yitwa thrombophlebitis ibaho. Nubwo ikunze kugaragara mu mitsi y'amaguru, ishobora no kugaragara mu mitsi iyo ari yo yose mu mubiri.

Iyi ndwara itera gute? Ese ni ukubyimba kw'amaraso bwa mbere? Cyangwa ni ukubyimba?

Ibi ni nk'ikibazo kivuga ngo "inkoko ni yo yabanje, cyangwa igi ni ryo ryabanje". Hari uburyo bubiri indwara ya thrombophlebitis ishobora kubaho:

1. Amaraso abanza kuzura, hanyuma hakavuka ububyimbirwe: Ikibaho hano ni uko amaraso avuka mu mitsi, bigatera ububabare no kubabara ku rukuta rw'imitsi. Niyo mpamvu imitsi ibyimba, igatukura, kandi ikababara.

2. Kubyimba bibaho mbere, hagakurikiraho kubyimba kw'amaraso: Hari igihe imbere mu mitsi (ibyo twita 'Phlebitis' mu buvuzi) bishobora kubyimba no kubyimba bitewe n'ubwandu cyangwa indi mpamvu. Hanyuma, hari amahirwe menshi y'uko amaraso abyimba muri ako gace kabyimba agafatwa.

Ubusanzwe indwara ya Thrombophlebitis ikunze kuba ahantu runaka. Ibi bivuze ko ishobora kugaragara mu mutsi umwe cyangwa mu mitsi myinshi. Ariko, ishobora guteza akaga iyo ikwirakwiriye. Bitewe n'aho ikibyimba cyaturutse, rimwe na rimwe gishobora gutera indwara ikomeye yitwa deep vein thrombosis (DVT) cyangwa indwara yihutirwa ishobora gushyira ubuzima mu kaga yitwa pulmonary embolism (Pulmonary Embolism) .

Ese (Thrombose) na (Thrombophlebitis) ni ibintu bitandukanye?

Yego, nubwo hari isano hagati y’ibyo byombi, ntabwo ari bimwe. Thrombose ni ukurema kw’amaraso mu mitsi yawe imwe. Ni ukuvuga ko Thrombophlebitis ari ikintu gifitanye isano rimwe na rimwe (ariko si buri gihe) kibaho kuri Thrombose. Muri Thrombophlebitis, hagomba kubaho kubyimba k’imitsi hamwe n’amaraso.

Ese hari ubwoko butandukanye bwa Thrombophlebitis?

Yego, thrombophlebitis ishobora kugaragara mu mitsi iyo ari yo yose mu mubiri wawe. Ariko, hari ubwoko butandukanye bw’indwara buterwa n’impamvu n’aho yaturutse. Reka turebe bumwe muri bwo:

Indwara yo mu mitsi miremire (DVT)

Ubu ni bwo bwoko bw'amaraso apfutse cyane abantu benshi bumvise, kandi ni ikibazo gikomeye kurushaho. Indwara yo kuvura imitsi miremire (DVT) ni amaraso apfutse mu mitsi minini mu mubiri wawe (akenshi mu maguru yawe). Iki ni ikibazo cyihutirwa cy’ubuvuzi. Iyo amaraso apfutse agafata imitsi mu bihaha byawe, bishobora gutera indwara ishobora gushyira ubuzima mu kaga yitwa pulmonary embolism .

Thrombophlebitis yo mu rwego rwo hejuru

Ibi biba mu mitsi mito yo mu maboko cyangwa amaguru yawe yegereye uruhu. Ntabwo ari bibi cyane nk'indwara yo mu mitsi miremire (DVT). Ariko, bishobora kuba ikimenyetso cy'uko ushobora kuba ufite indwara yo mu mitsi miremire (DVT). Bishobora kandi gutera izindi ndwara zikomeye.

Thrombophlebitis yimuka

Nk’uko izina ribigaragaza, iki ni igihe amaraso apfundika n’ububyimbirwe bijyana nabyo "biva mu mitsi imwe bijya mu yindi, bivuze ko bigenda. Hari igihe amaraso menshi ashobora kubumba mu mitsi myinshi icyarimwe. Muri iki gihe, hari ibyago byinshi byo kubumba mu mitsi mito ikajya mu mitsi minini, bigatera indwara ikomeye yitwa pulmonary embolism.

Thrombophlebitis yo mu bwoko bwa septic

Muri iki gihe, iyo ndwara (Trombophlebitis) iterwa n'ubwandu, cyangwa (Trombophlebitis) igatera ubwandu. Iyo ubwandu nk'ubwo bubayeho, bushobora gutera indwara zikomeye. Ingero zimwe na zimwe ni izi:

• (Lemierre syndrome): Ibi bibaho iyo indwara yo mu gice cyo hejuru cy’ubuhumekero ikwirakwira mu mutsi munini uri mu ijosi (umutsi wo mu jugular).
• (Pylephlebitis): Muri ibi, imitsi itwara amaraso iva mu nda yawe yo hejuru ijya mu mwijima (imitsi yo mu bwiherero) irabyimba kandi ikandura.
• Kuziba kw'amaraso: Udukoko tw'amaraso twanduye (septic clot) dushobora kuva aho twatangiriye tukajya mu kindi gice cy'umubiri. Ibi bishobora gukwirakwiza ubwandu bw'ibanze, bigafunga imiyoboro imwe cyangwa myinshi y'amaraso, cyangwa byombi.

Indwara ya septic thrombophlebitis ni indwara iteje akaga cyane kuko bivuze ko indwara yakwirakwiriye mu mubiri wose. Ishobora gutera indwara yitwa sepsis , aho ubudahangarwa bw'umubiri bwawe bushobora kwandura cyane iyo bwandujwe. Sepsis ni ikibazo cyihutirwa cy'ubuvuzi gishobora gushyira ubuzima mu kaga. Isaba gusuzumwa no kuvurwa vuba.

Ni nde ushobora kugira iyi ndwara kurusha abandi?

Ibyago byo kuvura amaraso bishobora kubaho mu myaka iyo ari yo yose, cyane cyane ku bantu bafite indwara zimwe na zimwe cyangwa ibintu bimwe na bimwe by’ubuzima. Ariko, ibyago byo kurwara iyi ndwara (thrombophlebitis) byiyongera buhoro buhoro nyuma y’imyaka 45. Ibi byago byiyongera uko ugenda ukura.

Iki kibazo gikunze kugaragara gute?

Bitewe n'ubwoko bwihariye bwa thrombophlebitis, iyi ndwara ishobora kuva ku idakunze kugaragara kugeza ku isanzwe. Urugero ruzwi cyane kandi ruzwi cyane ni thrombosis y'imitsi itemba cyane (DVT). Muri Leta Zunze Ubumwe za Amerika honyine, hari abantu bagera ku 900.000 bandura DVT buri mwaka, naho impfu ziri hagati ya 60.000 na 100.000 buri mwaka ntizikunze kubaho muri Sri Lanka.

Ni ibihe bimenyetso by'ibi?

Hariho ibimenyetso byinshi bigaragara hafi ya byose mu gihe cy'indwara ya thrombophlebitis:

• Kubyimba: Ibi bishobora kugaragara mu buryo butunguranye. Uku kubyimba kugaragara cyane mu mitsi yegereye uruhu. Mu bihe bikomeye, ndetse n'imitsi inyura mu mubiri ishobora kubyimba ku buryo bugaragara. Iyo hari amaraso menshi apfunditse, utu duce dushobora kumera nk'utubyimba. Iyo ibi bibaye ku kuboko cyangwa ku kuguru, birashoboka, nubwo bidakunze kubaho, ko igice cyo hasi cy'ukuboko/ukuguru na cyo kibyimba.
• Impinduka mu buryo imitsi yumva: Iyo ukoze ku mutsi ufunze amaraso cyangwa ubyimbye, wumva ubyibushye kandi ukomeye kurusha umutsi usanzwe. Ibi bishobora kubaho mu mutsi umwe cyangwa mu mitsi myinshi yegereye umutsi.
• Ububabare cyangwa ububabare: Ubusanzwe thrombophlebite ni indwara ibabaza. Agace gakikije n'inyuma y'agapfundikizo gashobora kuba koroshye gukoraho, kubabara gukandaho, cyangwa ububabare budakomeye. Iyo agapfundikizo ari kanini, mu mutsi muto, cyangwa niba hari udupfundikizo twinshi, ububabare bushobora kuba bukomeye. Abantu benshi bavuga ko ububabare ari "kubabara bitewe no kugira isesemi ."

Uretse ibi, hari ibindi bimenyetso rimwe na rimwe bigaragara, ariko atari buri gihe, ni ibi bikurikira:

• Guhinduka kw'ibara ry'uruhu mu gace kabyimbye: Uruhu rwegereye aho amaraso apfundikiye rushobora kugaragara nk'umutuku cyangwa rwirabura kurusha uruhu rukikije. Rushobora kugaragara nk'umutuku ukikije igikomere cyangwa igikomere. Ibi bikunze kubaho iyo amaraso apfunditse mu mitsi yegereye uruhu. Ariko, bishobora no kubaho iyo amaraso apfunditse mu mitsi miremire cyangwa iyo imitsi ifunze cyane.
• Kumva ushyushye: Iyo ukoze ku gice cy'amaraso, cyangwa agace kayikikije, bishobora kumva bishyushye kurusha ahantu kure.

Ni iki gitera iki kibazo?

Indwara ya Thrombophlebite ishobora guterwa n'ibintu bitandukanye. Ibi bikurikira bishobora gutuma amaraso acika, cyangwa bikongera ibyago byo kugabanuka kw'amaraso:

• Indwara z’uturemangingo (uturemangingo): Impinduka (mutations) muri ADN yawe zishobora gutuma amaraso yawe agabanuka byoroshye. Hari abantu bakura izi mpinduka ku babyeyi babo. Nubwo izi ndwara zishobora kuvurwa, ni iz’ubuzima bwose kandi ntizishobora gukira.
• Imitsi y'imitsi: Niba ufite imitsi y'imitsi imeze nk'ubururu mu maguru yawe, uba ufite ibyago byinshi byo kurwara indwara yo mu mitsi itera imitsi muri ako gace.
• Ihungabana: Gukomereka ku mitsi cyangwa hafi yayo bishobora gutera ububyimbirwe, bishobora gutera kubyimba kw'amaraso. Urugero, niba uguye ugakomereka cyane ukuguru, umutsi wo muri ako gace ushobora kwangirika kandi iki kibazo gishobora kubaho.
• Uburyo bwo kuvura n'imiti: Imiyoboro ya IV na catheter (imiyoboro itanga imiti n'amazi binyuze mu mitsi) bishobora gutera kubyimba kw'amaraso (thrombophlebitis). Uburyo bumwe bwo kuvura imisemburo (harimo n'ubwoko bumwe na bumwe bw'ibinini byo kuboneza urubyaro) nabwo bushobora kongera ibyago byo kubyimba kw'amaraso.
• Gukoresha imiti mu minota ya IV: Niba ukoresha ibiyobyabwenge, uba ufite ibyago byinshi byo kurwara thrombophlebitis. Ibi biterwa nuko inshinge zanduye cyangwa zidakoreshejwe neza zishobora gutera indwara zikomeye. Izi ndwara zishobora gutera ububyimbirwe n'iyi ndwara.
• Kutagira aho ujya: Abantu bicaye ahantu hamwe igihe kirekire, urugero, abakora mu biro cyangwa bakoresha mudasobwa, bashobora kugira amaraso adatembera neza. Ibi byongera ibyago byo kubyimba kw'amaraso. Ibi bishobora kubaho ku bantu bafata indege ndende, cyangwa abagenda mu modoka cyangwa mu kindi kinyabiziga igihe kirekire. Tekereza kuri ibyo, nk'iyo ugenda muri bisi uva Colombo ujya Jaffna.
• Izindi ndwara cyangwa ibintu bishobora kugira ingaruka ku kubumba amaraso: Hari ibintu bitandukanye bishobora gutera ibyago, nka kanseri, umubyibuho ukabije, indwara y’ubwiyongere bw’umubiri yitwa lupus , hamwe n’izindi ndwara z’amaraso. Abantu bahora mu buriri cyangwa badashobora kwimuka bitewe n’indwara nk’ubumuga na bo bashobora kuba bari mu kaga gakomeye. Kunywa itabi ni ikintu gishobora guteza akaga mu buzima. Nanone, iyo wabuze amazi mu mubiri, ibyago byawe biriyongera.
• Gutwita cyangwa nyuma gato yo kubyara: Ibyago byo kubyimba kw'amaraso bishobora kwiyongera mu gihe cyo gutwita bitewe n'impamvu zitandukanye. Ibyo byago ntibihita bishira umwana amaze kuvuka.

Ese iyi ni indwara yandura?

Nubwo rimwe na rimwe iterwa n’ubwandu, thrombophlebitis si indwara yandura ubwayo. Ibi binareba indwara zikomoka ku ngirabuzimafatizo. Ni ukuvuga ko izi ndwara, zihererekanywa ku babyeyi kugeza ku bana (DNA), ntabwo zitera thrombophlebitis mu buryo butaziguye, ahubwo zishobora gutera ibibazo byo kuvura amaraso, bishobora gutera iyi ndwara.

Abaganga bapima iki kibazo gute?

Abaganga bakunze gusuzuma indwara ya thrombophlebitis mu bitaro, cyane cyane mu cyumba cy’ubutabazi bw’ibanze. Ibi biterwa nuko thrombophlebitis ifitanye isano rya hafi n’indwara zikomeye kandi zishobora gushyira ubuzima mu kaga nka DVT.

Muganga wawe azasuzuma indwara ya thrombophlebitis akoresheje isuzuma ry’umubiri, ibizamini byo gufata amashusho, n’ibizamini byo muri laboratwari.Ni ngombwa guhuza ubu buryo butandukanye, kuko isuzuma ry’umubiri ryonyine ridashobora gusuzuma indwara ya thrombophlebitis. Hariho izindi ndwara nyinshi zifite ibimenyetso bisa, zimwe muri zo zikaba ziteje akaga cyane. Kubwibyo, ibizamini byo gufata amashusho n’ibizamini byo muri laboratwari ni ingirakamaro cyane, ndetse rimwe na rimwe bikaba ari ngombwa, kugira ngo hirindwe ingorane zikomeye.

Ni ibihe bipimo bikorwa kugira ngo hamenyekane iyi ndwara?

Mu gihe abaganga bashaka indwara yitwa thrombophlebitis, bashobora gukora ibizamini bitandukanye. Bimwe muri ibyo harimo:

• Isuzuma ry'umubiri: Aha, muganga azareba ibimenyetso byose bigaragara bya thrombophlebitis, cyane cyane kubyimba cyangwa impinduka mu ibara ry'uruhu. Akunze gukubita agace kafashwe n'indwara. Ibi bishobora gufasha kumenya ibimenyetso bitagaragara byoroshye ariko bishobora kumvikana. Ashobora kandi gukoresha stethoscope kugira ngo yumve uko umutima wawe utera, cyane cyane mu maguru yo hasi cyangwa mu birenge.
• Ibizamini byo muri laboratwari: Ibizamini bitandukanye byo muri laboratwari bishobora gufasha gusuzuma indwara ya thrombophlebitis, nko gusesengura ubushobozi bw'amaraso yawe bwo kuvura, gushaka ibimenyetso byerekana ko hari ibibyimba bihari, cyangwa gushaka ibimenyetso by'ubwandu.
• Ibizamini byo gupima: Uburyo bw'ingenzi bwo gusuzuma indwara ya thrombophlebitis ni ukureba amaraso apfunditse. Ultrasound (ikoresha amajwi menshi, nk'iya sonar) ni ikizamini gisanzwe gikunze gukorwa kugira ngo hamenyekane indwara aho amaraso apfunditse umutsi. Imirasire ya X (ikoresha amazi yihariye kugira ngo ipfunditse neza) nayo ikunze gukorwa.

Mu bihe bidasanzwe, indwara yo mu bwoko bwa thrombophlebitis yavuzwe haruguru ishobora kuba ikimenyetso cy'ubwoko bumwe na bumwe bwa kanseri, cyane cyane kanseri yo mu gifu. Kubwibyo, abaganga bashobora no gukora ibizamini kugira ngo barebe kanseri nk'izo.

Ibi bishobora kuvurwa gute? Ese bishobora kuvurwa?

Mu gihe cy'indwara ya thrombophlebitis iterwa na catheter ya IV, gukuraho catheter ni yo ntambwe ya mbere. Ubundi buryo bwo kuvura ni ubu bukurikira:

Imiti

Hari ubwoko butandukanye bw'imiti ishobora gufasha mu kugenzura ibimenyetso bya thrombophlebitis no gushonga amaraso ajyanye nayo. Ni:

• Imiti igabanya ububabare: Kubera ko thrombophlebitis ishobora kubabaza cyane, ububabare ni cyo kintu cy'ingenzi cyane. Ibi bikunze gukorwa n'imiti igabanya ububabare yoroheje nka acetaminophen (urugero: Panadol®, Tylenol®), cyangwa imiti idakoresha steroidal igabanya ububabare (NSAIDs) (urugero: Ibuprofen, Naproxen). Iyo ububabare bukabije, muganga wawe ashobora kukwandikira imiti ikomeye igabanya ububabare.
• Imiti igabanya amaraso / Anticoagulant:Thrombophlebitis bivuze ko hari nibura amaraso amwe apfunditse. Ariko, iyo apfunditse, hari ibyago byo kwiyongera. Kugira ngo wirinde ko amaraso menshi apfunditse, cyane cyane amaraso ashobora kuvura nk'ibihaha, abaganga bakunze kuguha imiti igabanya amaraso. Ariko, niba amaraso apfunditse mu mitsi mito, ushobora kudakenera kuvurwa n'imiti igabanya amaraso.
• Imiti igabanya amaraso: Nanone yitwa "imiti igabanya amaraso." Iyi miti ishongesha amaraso yamaze kuzura. Ishobora gutangwa binyuze mu muyoboro wa IV, cyangwa igashyirwa mu gasanduku k'amaraso hakoreshejwe catheter zishyirwa mu mitsi yawe.
• Antibiyotike: Iyo indwara (thrombophlebitis) ifitanye isano n'ubwandu, antibiyotike ni ngombwa. Antibiyotike zishobora gukumira ubwandu gukwirakwira mu mubiri wose (sepsis).

Kubagwa, gukoresha catheter, cyangwa ubundi buryo bwo kuvura

Mu bihe bidakunze kubaho, kubagwa bishobora kuba uburyo bwiza bwo kuvura indwara ikomeye ya thrombophlebitis (cyane cyane mu maguru). Kubagwa bishobora kuba bikubiyemo bumwe cyangwa bwinshi muri ubu buryo bukurikira:

• Guca amenyo: Ibi bishobora gukorwa hakoreshejwe uburyo bwo gukata amenyo kugira ngo umuganga abashe gukuramo amaraso mu mitsi. Ubundi buryo ni ugukoresha catheters kugira ngo bakure amaraso mu mitsi.
• Gukuraho imitsi: Nk'uko izina ribigaragaza, ibi bikubiyemo gukuraho umutsi ufite ikibazo. Muri ubu buryo, umuganga wawe azaca uduce duto duto mu gace kagize ikibazo. Ni muri ubwo buryo ashobora kugera ku mutsi wangiritse, akawukura mu miyoboro y'amaraso, hanyuma akawukuramo.
• Gukuraho imitsi: Ubu ni ubwoko bwo gukuraho imitsi, ariko bukoresha uburyo bwihariye. Mu gukuraho imitsi, umuganga wawe akora uduce duto duto kugira ngo agere ku mutsi uvugwaho maze awuvane n'indi miyoboro y'amaraso. Hanyuma bashyira umugozi muto mu mutsi, bawushyira mu mutsi cyane, kugeza ku rundi ruhande. Iyo umaze kugera ku mpera, bashobora gukurura umugozi, maze umutsi ukazasohokana nawo (nk'uko gushyira ikiganza cyawe mu isogisi hanyuma ukawusubiza imbere).
• Guca mu mitsi: Hari igihe amaraso adashobora gutembera neza mu mutsi wangijwe na thrombophlebitis. Uburyo bumwe bwo gufasha ni ugufata igice cy'umutsi w'amaraso ahandi mu mubiri ukagikoresha mu gukora umutsi mushya uca mu mitsi - ibi bikora nk'aho binyura mu gace kafunzwe, bigatuma amaraso atembera neza.
• Ubuvuzi bwa sclerotherapy:Muri ibi, umuganga, ubusanzwe umuganga ubaga cyangwa undi muntu w’inzobere, atera umuti wihariye mu mitsi yafashwe. Ibi bifunga imitsi. Mu gufunga ahantu hafite ikibazo, amaraso ashobora kwirindwa burundu kongera kubaho.
• Uburyo bwo gukoresha catheter: Abaganga bashobora gukoresha ubu buryo kugira ngo bagure agace gato k'umutsi wafashwe. Bashobora kandi kubukoresha mu gukuramo (uburyo bukoresha ubushyuhe kugira ngo bakore inkovu nkana kandi buhagarike amaraso ajya mu gace gafite ikibazo).

Ibintu byo kwambara bishobora kwambarwa

Muganga wawe ashobora kukubwira kwambara imyenda yo gukanda cyangwa amasogisi yo gukanda. Ibi bintu, nk'amasogisi, amasogisi, cyangwa ibitambaro, bishyiraho igitutu gihoraho (ariko cyoroheje) ku bice bimwe na bimwe by'umubiri wawe. Uwo muvuduko ufasha gukumira ko amaraso mashya yangirika kandi ukagabanya ububabare no kubyimba biva ku maraso asanzwe apfutse.

Nigute nakira ibimenyetso byanjye/nkwitaho?

Kenshi na kenshi, uburyo bwo kuvura bwavuzwe haruguru ntabwo ari ngombwa. Muri ibyo bihe, muganga wawe ashobora kukugira inama yo kugufasha nka:

• Imiti igabanya ububabare: Iyi miti ikunze kuba irimo imiti igabanya ububabare itangwa na muganga, nka NSAIDs.
• Gukaraba mu mazi ashyushye: Ibintu nko kwinika mu mazi ashyushye nabyo bishobora kugabanya ububabare buterwa n'iki kibazo.
• Uburebure: Niba agace kagize ikibazo kari ku kuboko kwawe, cyane cyane ukuguru, kuzamura ukuboko/ukuguru bishobora gufasha kugabanya kubyimba no kubabara.
• Ibisebe by'umuvuduko: Nkuko byavuzwe mu buvuzi bwabanje, ibisebe by'umuvuduko bishobora kwangirika bishobora gufasha mu kuvura ibimenyetso by'amaraso asanzwe afite kandi bikabuza andi mashya kubaho.

Nzumva meze neza nyuma y'igihe kingana iki? Bizatwara igihe kingana iki kugira ngo ngire gukira?

Uburemere bw'indwara yawe n'ubuvuzi uhabwa bizagena igihe bizatwara kugira ngo wumve umeze neza kandi ukire. Muri rusange, uko ibimenyetso byawe bivurwa, cyane cyane ukoresheje imiti igabanya ububabare, ugomba gutangira kumva umeze neza. Abantu benshi bakira indwara ya thrombophlebitis mu minsi mike, ariko bishobora gufata igihe kirekire kuri bamwe (cyane cyane iyo bagize ibibazo, niba amaraso yari mu gace kanini, cyangwa niba barabazwe).

Nigute nakwirinda? Nigute nagabanya ibyago?

Ikintu cy'ingenzi mu kwirinda indwara ya thrombophlebitis ni ukumenya ko uri mu kaga ko kuvura amaraso. Iyo ubizi, muganga wawe ashobora kukwandikira imiti, nk'imiti igabanya amaraso, kugira ngo ifashe guhagarika kuvura amaraso.

Ikibabaje ni uko hari ibintu byinshi bishobora gutuma kwirinda bigorana, cyangwa se bidashoboka. Impamvu imwe ni uko ushobora kuba utazi ko ufite ikibazo cy'ubuzima (cyangwa se cy'imiterere y'umubiri) gitera kuzura amaraso. Urugero, urundi ni uko kuzura amaraso ari ikibazo kidasanzwe mu buzima busanzwe, nko gutwita.

Ariko hari ibintu ushobora gukora kugira ngo ugabanye ibyago byo kurwara amaraso (thrombophlebitis). Ikintu cy'ingenzi ni ukugabanya cyangwa gukuraho ibintu byose bishobora gutuma amaraso agabanuka. Ibyo ushobora kugiraho ingaruka cyane ni ibi bikurikira:

• Kunywa itabi: Hagarika kunywa itabi (harimo no kunywa itabi mu buryo bwa vape cyangwa kurihekenya). Niba utanywa itabi, ntugatangire.
• Gukoresha imiti mu mitsi: Niba ukoresha imiti mu mitsi, kuyihagarika bishobora kugabanya cyane ibyago byo kurwara iyi ndwara. Niba ukomeje gukoresha imiti, ushobora kugabanya ibyago byawe binyuze mu bintu nka gahunda zo guhererekanya inshinge, bifasha mu kwirinda kwandura inshinge zanduye.
• Ingendo: Niba wicaye ahantu hamwe igihe kirekire, haba ku kazi cyangwa mu kiruhuko cyawe, guhaguruka no kugendagenda bishobora kugira ingaruka nziza. Niba uri mu rugendo rurerure rw'imodoka cyangwa mu ndege, ushobora kandi kubona uburyo bwo guhaguruka no kugendagenda.
• Fata imiti yawe neza: Niba muganga wawe yakwandikiye imiti igabanya amaraso, menya neza ko uyifata neza nk'uko byavuzwe. Iyo uhagaritse kuyifata mu buryo butunguranye, ibyago byo kurwara amaraso atagira umuvuduko (bishobora gutera thrombophlebitis) biriyongera cyane.
• Nywa amazi menshi: Kunywa ibinyobwa byinshi bigabanya ibyago byo kurwara thrombophlebitis.
• Fata inshingano ku buzima bwawe: Bumwe mu buryo bwiza bwo kwita ku buzima bwawe n'imibereho myiza yawe ni ukugira gahunda y'umubiri buri mwaka (ikunze kwitwa gusura umubiri cyangwa ubuzima bwiza). Iyi gahunda ngarukamwaka ni amahirwe meza ku muganga wawe yo kumenya ibibazo byose by'ubuzima ushobora kugira nta bimenyetso, harimo n'indwara zongera ibyago byo kubyimba amaraso (thrombophlebitis). Niba ufite indwara zongera ibyago byawe, cyane cyane indwara zo kubyimba amaraso cyangwa kanseri, baza muganga wawe impungenge zawe kuri iyi ndwara.
• Witondere: Kurya indyo yuzuye, gukomeza gukora siporo (nibura iminota 150 yo gukora imyitozo ngororamubiri iciriritse buri cyumweru), no kugira ibiro bizima byose ni ingenzi. Ibi bishobora kugufasha kugabanya ibyago byo kurwara indwara nyinshi zikomeye, harimo no kurwara imitsi.
• Ambara amasogisi yo gukanda cyangwa amasogisi yo gukanda: Muganga wawe ashobora kukugira inama yo kwambara amasogisi yo gukanda cyangwa amasogisi yo gukanda kugira ngo wirinde kubyimba kw'amaraso (thrombophlebitis).

Ni iki nakwitega mu gihe mfite iyi ndwara?

Indwara ya thrombophlebite ni indwara ikomeye, ariko akenshi ntabwo itera ibibazo ubwayo. Akenshi ni ikimenyetso cy'ibibazo byo kuvura amaraso. Ibi bibazo bishobora gutera indwara zikomeye, rimwe na rimwe zigahitana. Iyo ifashwe hakiri kare, thrombophlebite iravurwa, kandi ingorane ntizikunze kubaho. Ariko, uko iyo ndwara igenda ipimwa kandi ikavurwa igihe kirekire, ni ko ibyago byo kugira ibibazo bikomeye birushaho kwiyongera.

Iki kibazo kizamara igihe kingana iki?

Ubusanzwe indwara ya thrombophlebite ni indwara y'igihe gito, cyane cyane iyo umuntu ayisuzumye kandi akayivura vuba. Ni gake cyane ko imara amasaha arenga make, kuko uko uyirwaye igihe kirekire ari ko ibyago byo kuyikuramo ari byinshi.

Ni iki giteganyijwe kuri iki kibazo?

Ubwabyo, thrombophlebitis ntabwo ari ikibazo gikomeye. Ariko, kuyigira bivuze ko uri mu kaga gakomeye ko kurwara izindi ndwara, nka DVT cyangwa Pulmonary Embolism. Ibi byombi ni ibibazo byihutirwa by’ubuvuzi. Uko utinda kubona ubuvuzi, ni ko iki kibazo kirushaho kuba kibi. Gutinda kuvurwa byongera ibyago byo kugira ibibazo by’igihe kirekire, nko kubabara mu mitsi cyangwa inkovu (bishobora kubuza amaraso gutembera).

Nitwara nte?

Niba ufite indwara zongera ibyago byo kubyimba kw'amaraso (thrombophlebitis), ikintu cyiza wakora ni ukwifata muri izo ndwara. Muri zo harimo:

• Jyana na muganga wawe buri gihe.
• Fata umuti wawe nk'uko muganga wawe abikubwiye.
• Irinde imyitwarire cyangwa ibintu bishobora kongera ibyago byawe.

Ni ryari ngomba kuvugana na muganga wanjye cyangwa gushaka ubuvuzi?

Niba ufite ibimenyetso bya thrombophlebitis, ugomba kuvugana na muganga wawe. Reba muganga wawe niba ufite amateka ya thrombophlebitis (cyangwa ibindi bibazo byo kuvura amaraso, nka DVT), kandi niba hari ibimenyetso byawe bigarutse cyangwa bikarushaho kwiyongera mu buryo butunguranye.

Jya kwa muganga mu gihe cy'ubutabazi bwihutirwa!

Niba ufite ibimenyetso by'amaraso yacitse, ugomba guhita ujya kwa muganga. Iyo amaraso yacitse ku kuboko cyangwa ku kuguru, ibi bimenyetso akenshi ni ibi bikurikira:

* Guhindura ibara ry'ukuboko/ukuguru byafashwe (bisa n'aho byera cyane ugereranyije n'ibisanzwe).

* Niba uruhu rwo ku gice cyafashwe cyangwa ku kuboko/kuguru rukonje cyane ugereranije n'uruhu rwo ku bice bitafashwe.

* Niba ufite thrombophlebitis cyangwa ibindi bimenyetso by'amaraso apfutse ukumva utunguranye asa n'aho arimo kuva ahantu hamwe ujya ahandi. Ibi ni ingenzi cyane cyane iyo ufite ububabare mu gituza cyangwa kubura umwuka, cyangwa ikindi kimenyetso cy'amaraso apfutse kigaragara nyuma cyangwa nyuma yaho gato. Iki ni indwara yo mu bihaha.Ibi bishobora kuba ikimenyetso cy'impanuka y'ubuzima ishobora gushyira ubuzima mu kaga. Ibi nibibaho, ugomba guhita uhamagara 1990 (Suwa Seriya), cyangwa nimero y'ubutabazi yo mu gace utuyemo.

Incamake n'ibintu byo kwibuka

Thrombophlebitis ishobora kuba ikimenyetso cy'ingenzi cy'umuburo w'indwara ikomeye kurushaho. Nubwo ubusanzwe atari ikibazo cyonyine, ugomba kujya kwa muganga kugira ngo umenye niba ufite ikibazo. Ibimenyetso bimwe na bimwe bisaba ko wihutira gushaka ubuvuzi bwihutirwa. Iyo ubonye indwara kandi ukayivurwa vuba, thrombophlebitis ntabwo ishobora gutera ibibazo bikomeye cyangwa ngo iguhungabanye mu buzima bwawe. Kubwibyo, ni ngombwa kumenya ibi bimenyetso. Niba utekereza ko ushobora kuyirwara, ntutindiganye kujya kwa muganga.

Thrombophlebitis , kubyimba kw'amaraso, phlebitis, DVT, Kubabara mu bihaha, kubabara amaguru, kubyimba imitsi