Ese ufite ibibazo by'imitsi yawe y'amaraso? Reka tuvuge ku ndwara y'imitsi y'amaraso!

Ese wigeze utekereza ku kamaro k'iyi mitsi mu mubiri wacu wose? Ni nk'imihanda, iyi mitsi itwara amaraso mu bice byose by'umubiri wacu. Niba rero hari ikibazo muri iyi mitsi, ni ukuvuga mu nzira amaraso anyuramo, icyo gihe tuyita "Indwara y'imitsi" . Iyi si indwara imwe, ariko ubwoko bwinshi bw'indwara ni bwo buyitera.

Sisitemu yo kuzenguruka amaraso ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Tekereza, mu mubiri wacu hari sisitemu imeze nk'urusobe runini rw'imihanda. Ibi ni byo twita sisitemu yo gutembera kw'amaraso . Ibice by'ingenzi bigize iyi ni imiyoboro y'amaraso. Hari ubwoko butatu bw'iyi miyoboro y'amaraso:

1. Imitsi: Iyi ni imitsi minini itwara amaraso meza kandi afite ogisijeni ava mu mutima ajya mu zindi ngingo zose n'uturemangingo. Kimwe n'imiyoboro minini itwara amazi ava mu kigega cy'amazi ajya mu mazu.

2. Imitsi: Iyi ni imitsi ijyana amaraso yakoreshejwe kandi adahumeka neza mu mutima iturutse impande zose z'umubiri. Ni nk'imiyoboro ikusanya amazi yakoreshejwe.

3. Imitsi mito y'amaraso: Iyi ni imitsi mito y'amaraso mu mubiri wacu, ingano y'umusatsi . Iyi mitsi mito itwara ogisijeni n'intungamubiri mu mitsi ikajyana mu turemangingo tw'umubiri wacu, kandi igakusanya imyanda iva mu turemangingo ikayigeza mu mitsi. Ni nk'inzira nto zihuza imihanda minini igana ku mazu mato.

Rero, niba hari ikibazo kuri kimwe muri ibi bice bitatu - imitsi, imitsi, n'imitsi mito - cyangwa amaraso ubwayo, bigira ingaruka ku mitemberere y'amaraso, gishobora kuba indwara y'imitsi ijyana amaraso mu miyoboro y'amaraso, ni ukuvuga "indwara y'imitsi".

Ni ubuhe bwoko bw'indwara z'imitsi?

Iri jambo `(Indwara y'imitsi)` rishobora kuza mu buryo bwinshi. Bumwe bugira ingaruka ku mitsi gusa, ubundi bukagira ingaruka ku mitsi gusa. Hari igihe izi ndwara zishobora kubaho gusa mu bice bimwe na bimwe by'umubiri. Reka turebe ubwoko bumwe na bumwe bw'ingenzi.

1. Indwara y'imitsi yo mu mpande (PAD)

Ikiba muri ibi ni uko, kimwe n'imitsi ijyana amaraso mu mutima, indi mitsi yo hanze y'umutima (cyane cyane imitsi ijyana amaraso ku maguru) ifunga ibinure na cholesterol (ibi byitwa "Atherosclerosis". Uko igihe kigenda gihita, uku kuziba kw'imitsi kuriyongera kandi amaraso atembera neza. Hanyuma, kubera ko amaraso adatembera neza, kwangirika kw'imitsi bishobora kubaho "Ischemia".

Hari ubwoko butandukanye bwa ``Indwara y'imitsi yo mu gice cy'imbere``:

• Indwara y'imitsi yo mu maguru: Iki ni cyo gihe amaraso atembera mu maguru aba make. Hari igihe amaraso atembera burundu, ingingo zo muri ako gace zishobora gupfa (Gangrene) ndetse n'ukuguru bishobora no gucibwa. Tekereza nk'ibiti bipfa iyo umuyoboro w'amazi wo mu busitani ufunze umwanda n'amazi agahagarara gutemba.
• Indwara yo mu mara: Indwara iterwa no kuziba kw'imitsi ijyana amaraso mu mara.
• Indwara y'imitsi ijyana amaraso mu mpyiko: Kuziba kw'imitsi ijyana amaraso mu mpyiko. Ibi bishobora gutera umuvuduko ukabije w'amaraso no kunanirwa kw'impyiko.
• Indwara yo Kubyimba mu Mutsi: Iyi ni indwara idasanzwe, cyane cyane ku bakinnyi bakiri bato, aho umutsi wa popliteal, uherereye inyuma y'ivi, ushobora gukandamizwa n'imitsi n'imitsi yo muri ako gace, bigatuma amaraso atembera nabi.
• Indwara ya Raynaud: Iyo umuntu ahuye n'ubukonje cyangwa afite stress, imitsi mito yo mu ntoki n'amano ihita yifata. Intoki zishobora guhinduka ibara ry'umukara, ubururu, hanyuma zigahinduka umutuku.
• Indwara ya Buerger: Ibi bikunze kwibasira imitsi mito n'iciriritse, imitsi, n'imitsi yo mu biganza no mu birenge. Impamvu nyayo ntabwo izwi, ariko byagaragaye ko bifitanye isano no kunywa itabi (kunywa itabi, guhekenya itabi) . Amaraso anyura mu biganza no mu birenge aragabanuka, bigatera "Ischemia", gupfa kw'ingingo mu ntoki no mu birenge, ndetse rimwe na rimwe bigasaba gucibwamo ibice (Gangrene).

2. Ibibazo by'imitsi ya Carotide

Hari imitsi ibiri y’ingenzi ku mpande zombi z’ijosi ryacu ijyana amaraso mu bwonko. Iyi yitwa "Imitsi ya Carotid". Iyo hari ibibazo kuri iyo mitsi, bishobora guteza akaga gakomeye.

• Indwara y'imitsi ya Carotid: Iyi ni ukufungana cyangwa kugabanuka k'imitsi ijyana amaraso mu bwonko. Ibi bishobora gutera indwara y'ubuhumekero bw'imisemburo (TIA) cyangwa indwara yo gucika imitsi .
• Guca imitsi ya Carotid: Gucika k'urukuta rw'imitsi, bigatuma amaraso ava.
• Umubiri wa Carotid: Utubyimba twibasira imitsi ikikije umutsi wa carotid.
• Aneurysm y'imitsi ya Carotid: Gucika intege k'urukuta rw'imitsi rubyimba nk'ibara ry'umupira. Ibi bishobora no guturika.

3. Indwara y'imitsi

Imitsi ni imitsi y'amaraso yoroshye ifite imitsi imbere yemerera amaraso gutembera mu cyerekezo kimwe gusa. Iyo imitsi yacu ifashe, iyi mitsi irafunguka amaraso atembera hejuru. Iyo turuhuye imitsi yacu, imitsi irafunga amaraso agakomeza gutembera.

Ariko iyo izi valve zangiritse, ntizifunga neza . Hanyuma amaraso atangira gutembera mu byerekezo byombi. Iyo imitsi iruhutse, valve zo mu mitsi yangiritse ntizishobora gufata amaraso. Ibi bituma imitsi yuzura amaraso, ikabyimba, igasa n'aho ipfutse. Ibimenyetso nko kuremererwa mu maguru, ububabare, kubyimba, gushyuha, no kwishima bishobora kubaho. Amaraso ashobora no kuzura.

• Imitsi ya Varicose: Imitsi yabyimbye, y'umuhengeri, igoramye igaragara munsi y'uruhu. Ibi biterwa no kwangirika kw'uturemangingo mu mitsi. Ushobora kuba warabonye iki kibazo ku bantu benshi.
• Imitsi y'igitagangurirwa: Uduce duto dutukura cyangwa tw'umuhengeri tugaragara ku mavi, ku kaguru no ku matako. Ibi biterwa no kubyimba kw'imitsi yo mu bwonko.
• Indwara ya Klippel-Trenaunay (KTS): Iyi ni indwara idakunze kugaragara mu mitsi y'amaraso ivukanwa.
• Indwara ya May-Thurner (MTS): Umutsi w'amaraso wa Iliac y'iburyo ugabanya umutsi w'amaraso wa Iliac y'ibumoso, byongera ibyago byo kurwara imitsi y'amaraso yimbitse (DVT) mu kuguru kw'ibumoso.
• Indwara yo mu gituza (TOS): Itsinda ry'ibimenyetso biterwa no gukandamizwa, gukomereka, cyangwa kurakazwa kw'imitsi n'amaraso (imitsi n'imitsi) mu ijosi ryo hasi, mu kwaha no mu gituza cyo hejuru.
• Kunanirwa k'imitsi mu maraso (CVI): Indwara aho inkuta cyangwa imitsi yo mu maguru idakora neza, bigatuma amaraso asubira mu mutima bigorana.

4. Kuziba kw'amaraso

Amaraso apfundika ni igihe ikintu kiri mu maraso yacu gitera amaraso yacu kuba menshi kandi asa n'umusemburo. Iyo amaraso apfundika mu mitsi, ashobora gucika akagendana n'amaraso, bigatera indwara yo mu mitsi itemba cyane (DVT), indwara yo mu bihaha (Pulmonary Embolism), indwara y'umutima, cyangwa indwara yo gucika kw'imitsi .

Iyo amaraso apfutse mu mitsi, byongera ibyago byo kurwara indwara zo mu bwonko, indwara z'umutima, ububabare bukomeye bw'amaguru, kugenda bigoranye, ndetse wenda no gutakaza urugingo rw'umubiri.

• Imiterere y’amaraso agabanuka cyane / Indwara zo kubumba amaraso: Amaraso ya bamwe agabanuka vuba kurusha uko bisanzwe. Ibi bishobora kuba biterwa n’imiterere y’umubiri (urubyaro) cyangwa bigatera imbere mu buzima. Ibi byongera ibyago byo kubumba amaraso mu mitsi no mu mitsi. Ibi bishobora guterwa n’ibintu byinshi mu maraso bifasha kubumba amaraso, nka `(Fibrinogen)`, `(Factor 8)`, `(Prothrombin)`, cyangwa kugabanuka kwa poroteyine karemano zibuza kubumba amaraso, nka `(Antithrombin)`, `(Poroteyine C)`, `(Poroteyine S)`.
• Indwara yo mu mitsi miremire (DVT): Amaraso agwa mu mitsi miremire imbere mu mubiri.
• Kuziba kw'amaraso mu mitsi: Amaraso agwa mu mitsi acika maze agafata umutsi mu bihaha. Iyi ni indwara iteje akaga cyane .
• Kuziba kw'imitsi yo mu bwoko bwa Axillo-subclavian vein (Paget-Schroetter Syndrome): Indwara y'imitsi y'amaraso ikunze kugaragara ku bakinnyi bakiri bato kandi bahanganye. Ingaruka zo kuziba kw'amaraso ziyongera iyo clavicle, urubavu rwa mbere, cyangwa imitsi iyikikije ikandagiye imitsi yo mu bwoko bwa axilla cyangwa subclavian vein.
• Thrombophlebitis yo hejuru: Amaraso agwa mu mitsi iri munsi y'uruhu agatera kubyimba.

5. Aneurysm y'imiyoboro y'amaraso (Aortic Aneurysm)

Aneurysm ni ugucika intege k'urukuta rw'imitsi itwara amaraso, bigatuma ibyimba nk'umupira. Nubwo bishobora kubaho mu mitsi iyo ari yo yose itwara amaraso, bikunze kugaragara muri aorta, umutsi mukuru w'amaraso uva mu mutima.

• Aneurysm y'imitsi yo mu gituza: Kubyimba kw'imitsi yo mu gituza.
• Aneurysm y'imitsi yo mu nda: Kubyimba kw'imitsi yo mu nda.

Icy'ingenzi: Iyo aneurysm yacitse, ishobora gushyira ubuzima mu kaga, bityo rero ni ngombwa cyane kubimenya.

6. Kurwara indwara zo mu mitsi yo mu bwoko bwa Fibromuscular Dysplasia (FMD)

Iyi ni indwara idakunze kugaragara. Muri iyi ndwara, uturemangingo two mu nkuta z'imitsi iringaniye n'iminini ikura mu buryo budasanzwe. Ibi bishobora guhindura imiterere y'imitsi, bigatuma isa n'aho imeze nk'amasaro, kandi imitsi igafungana. Ibi bishobora gutera ibibazo nko kubura amaraso no gucika kw'imitsi.

7. Lymphedema

Sisitemu y'imitsi ni urusobe rw'imitsi y'amaraso n'uturemangingo tw'amaraso bifasha ubudahangarwa bw'umubiri wacu. Ubu buryo burinda umubiri wacu ibintu biturutse mu mahanga. Lymphedema ni igihe utu turemangingo tw'amaraso cyangwa uturemangingo tw'amaraso twangiritse, twangiritse, cyangwa tukavanwaho, bigatuma amazi y'imitsi y'amaraso yirundanya ahantu hamwe maze akabyimba.

• Lymphedema y'ibanze: Idasanzwe. Hari abantu bavuka badafite utudomo twa lymph cyangwa bafite ibitagenda neza muri two.
• Lymphedema ya kabiri: Ibi bibaho iyo hari ikibazo cyangwa uruziga mu miyoboro y'amaraso. Ibi bishobora guterwa n'ibintu nk'ubwandu, kanseri, kubagwa, inkovu, imvune, DVT, no kuvurwa hakoreshejwe imirasire.

8. Utunyangingo tw'amaraso mu mitsi (Vasculitis)

Iki ni ukubyimba kw'imitsi y'amaraso, bivuze ko ibyimba. Ibi bishobora guterwa n'umuti, ubwandu, cyangwa rimwe na rimwe nta mpamvu iboneka. Ibi bituma amaraso atembera mu mitsi y'amaraso bigorana. Hari igihe bishobora no kujyana n'indwara zo mu bwonko cyangwa indwara zo mu ngingo. Vasculitis ishobora kandi gutera aneurysm.

Ni nde wibasirwa cyane n'indwara z'imitsi?

Hari abantu bakura ibibazo by’imitsi y’amaraso ku babyeyi babo binyuze mu ngirabuzimafatizo. Mu bihe nk’ibi, urugero, indwara zo kuvura amaraso, bagomba kwihanganira ibyo bibazo kuva bakiri bato.

Ariko, indwara nyinshi z’imitsi ziterwa no kwiyongera kw’ibinure na cholesterol (plaque) mu mitsi uko igihe kigenda gihita. Urugero, Indwara y’imitsi yo mu gice cy’imbere cyangwa Indwara y’imitsi yo mu gifu. Ateriosclerosis, ukwiyongera kw’inkuta z’imitsi, ishobora gutangira mu bwana kandi igatera ibibazo mu myaka yo hagati cyangwa nyuma.

Izi ndwara zikunze kugaragara muri Sri Lanka mu rugero rungana iki?

Izi ndwara z'imitsi y'amaraso ubu zimaze kugaragara cyane no muri Sri Lanka. Cyane cyane indwara z'imitsi ziterwa n'amaraso zikunze kugaragara.Ibi byago byiyongera cyane bitewe n'ibintu nko kurya nabi, kwiyongera kwa diyabete, kudakora imyitozo ngororamubiri, no kunywa itabi . Indwara zitwa "Indwara y'imitsi yo mu gice cy'imbere (PAD)" na "Indwara y'imitsi yo mu gice cy'imbere" ni nyinshi.

Ni ibihe bimenyetso by'indwara y'imitsi itera amaraso?

Ibi biratandukanye bitewe n'ubwoko bw'indwara. Reka turebe ibimenyetso by'ubwoko bumwe na bumwe bw'indwara.

Ibimenyetso by'indwara y'imitsi ifata amaraso mu miyoboro y'amaraso (PAD):

• Imitsi ifunganye mu maguru: Ububabare cyangwa gukomera mu maguru mu gihe ukora cyangwa ugenda, bugashira nyuma yo kuruhuka gato. Guhinduka ibara ry'uruhu, ibikomere bidakira, no kumva umunaniro mu maguru.
• Ischemia yo mu mara: Kubabara cyane mu nda, isesemi, kuruka, impiswi, kubura ubushake bwo kurya, no kugabanya ibiro.
• Indwara y'imitsi y'impyiko: Umuvuduko ukabije w'amaraso (Hypertension), umutima unanirwa gukora neza, n'imikorere mibi y'impyiko.
• Indwara yo gucika kw'imitsi: gucika intege, kuribwa mu mutwe, kubura ibyiyumvo, no guhinduka ibara ry'ukuguru n'ikirenge.
• Indwara ya Raynaud: intoki n'amano bihinduka umutuku, ubururu, cyangwa umweru, ukumva bisa n'aho birimo kuribwa, ndetse no kugira ibinya.
• Indwara ya Buerger: Kubabara mu biganza, ibirenge, no ku ntoki ndetse no mu gihe umuntu aruhutse. Intoki zishobora guhinduka ubururu cyangwa ibara ry'umukara.

Ibimenyetso by'ibibazo bifitanye isano n'imitsi migari yo mu ijosi (Carotid Artery):

• Indwara y'imitsi yo mu nda: Akenshi, ibimenyetso ntibigaragara kugeza igihe umuntu arwaye indwara yo mu nda cyangwa indwara ya TIA . Ibimenyetso bya stroke birimo: kunanirwa kubona cyangwa kuvuga, urujijo, no kugira ibibazo byo kwibuka.
• Guca imitsi ya carotid: Kuribwa umutwe, kubabara ijosi, kubabara amaso cyangwa mu maso.
• Ibibyimba byo mu mubiri wa Carotide: Umutima utera cyane, umuvuduko ukabije w'amaraso, ibyuya, kuribwa umutwe.
• Aneurysm y'imitsi yo mu karotide: Indwara ya stroke cyangwa iy'ischemic y'igihe gito (TIA) ishobora kubaho.

Ibimenyetso by'indwara y'imitsi:

• Imitsi y'ibicurane n'imitsi y'ibicurane: kubyimba, kubabara, no kugaragara kw'imitsi y'ubururu cyangwa itukura mu maguru.
• Indwara ya Klippel-Trenaunay (KTS): Ububabare cyangwa uburemere mu kuguru cyangwa ku kuboko.
• Indwara ya May-Turner (MTS): kubyimba amaguru, kubabara iyo umuntu akandagiye, uruhu rutukura cyangwa ruhinduye ibara.
• Indwara yo mu gituza (TOS): Ububabare mu ijosi, ku kuboko no ku rutugu, gucika intege mu kiganza cyangwa ku ntoki.
• Kudakora neza kw'imitsi mu maraso (CVI): Kubabara amaguru, kuremererwa cyangwa kuribwa mu maguru, kubyimba.

Ibimenyetso by'amaraso apfutse:

• Indwara zo kuvura amaraso: `(DVT)` cyangwa `(Pulmonary Embolism`) zishobora kubaho.
• Kubabara mu mitsi miremire (DVT): kubabara amaguru, kubyimba, ubushyuhe, gutukura k'uruhu.
• Kugongana kw'ibihaha: Gukorora amaraso, kubabara mu gituza, guhumeka bigoranye. Ibi ni ibintu byihutirwa!
• Kubyimba kw'imitsi yo mu bwoko bwa Axillo-subclavian vein: kubyimba, kuremererwa cyangwa kubabara ukuboko cyangwa intoki, guhindura ibara ry'uruhu nk'iry'ubururu.
• Kubyimba kw'imitsi yo hejuru bitewe no kubyimba kw'amaraso: kubyimba, ububabare, ubushyuhe, no gutukura k'uruhu rukikije imitsi.

Ibimenyetso bya Aneurysm y'imiyoboro y'amaraso:

• Aneurysm y'imitsi yo mu gituza: kubabara mu gituza, umutima utera vuba, kugorwa no kumira, kubyimba ijosi.
• Aneurysm yo mu nda: Kubabara mu nda cyangwa umugongo, kuzungera, isesemi no kuruka, (niba aneurysm yacitse) umutima utera vuba. Ibi nabyo ni ikibazo cyihutirwa!

Ibimenyetso bya fibromuscular dysplasia (FMD):

Kubabara mu ijosi, impinduka mu kureba, umuvuduko ukabije w'amaraso, isereri, kumva ijwi "ririmo gusogongera" mu matwi, cyangwa kumva umutima utera.

Ibimenyetso bya Lymphedema:

Kubyimba amaboko cyangwa ibirenge, cyane cyane.

Ibimenyetso by'indwara y'imitsi y'amaraso:

Kumva utameze neza, ufite umuriro, ubyimbye.

Ni izihe mpamvu zitera indwara z'imitsi?

Impamvu nyayo itera ibibazo bimwe na bimwe by’imitsi y’amaraso ntabwo iramenyekana, ariko hari impamvu zimwe na zimwe zisanzwe:

• Kolesteroli nyinshi
• Umuvuduko ukabije w'amaraso
• Kunywa itabi cyangwa gukoresha ibikomoka ku itabi (uyu ni umwanzi ukomeye!)
• Diyabete (Diabete Mellitus)
• Ingirabuzimafatizo zarazwe n'ababyeyi
• Imiti imwe n'imwe
• Ibikomere
• Indwara zandurira mu mubiri
• Amaraso apfutse

Indwara y'imitsi ipimwa ite?

Niba ufite ibi bimenyetso, ikintu cya mbere ugomba gukora ni ukubonana na muganga . Muganga azakubaza ibimenyetso byawe, niba hari umuntu wo mu muryango wawe wigeze kugira ibi bibazo, kandi azagukorera isuzuma ry’umubiri. Byagufasha gukuramo inkweto n’amasogisi hanyuma ukamwereka ibirenge.

Bitewe n'ubwoko bw'indwara y'imitsi muganga akeka, ashobora gutumiza ibipimo by'amaraso no gupima byihariye (imaging).

Ni ibihe bipimo byo gusuzuma indwara?

Mu ndwara nyinshi z’imitsi, hari uduce duto cyangwa imbogamizi mu mitsi y’amaraso. Kugira ngo urebe neza ibi, hakoreshwa uburyo bwa ``(Imaging)`` bushobora kureba imbere mu mitsi y’amaraso.

• Ultrasound y'imitsi: Iyi ultrasound ikoresha amajwi kugira ngo ikore amashusho y'imitsi y'amaraso. Ishobora kugenzura urujya n'uruza rw'amaraso no kureba niba hari ibiziba.
• Angiografiya ya Catheter: Umuyoboro muto (catheter) unyuzwa mu miyoboro y'amaraso, hagaterwamo amazi yihariye, hanyuma hagafatwa amashusho ya X-ray. Ibi bituma imbere mu miyoboro y'amaraso hagaragara neza.
• CT Angiography: Isuzuma rya CT rikoresha amazi yihariye kugira ngo rifate amafoto y'imitsi y'amaraso mu buryo butatu.
• MR Angiography: Isuzuma rya MRI rikoreshwa mu gufata amafoto arambuye y'imitsi y'amaraso.

Indwara z'imitsi y'amaraso zivurwa zite?

Nta muti umwe uhari kuri ibi. Uburyo bwo kuvura buratandukanye bitewe n'ubwoko bw'indwara. Hari igihe impinduka mu mibereho nko guhindura indyo yuzuye no gukora imyitozo ngororamubiri zishobora gutanga ubutabazi bugaragara. Indwara zimwe na zimwe zisaba imiti, izindi zigasaba kubagwa.

Reka turebere hamwe muri make uburyo bwo kuvura indwara nyinshi zikomeye:

Uburyo bwo kuvura indwara y'imitsi yo mu mpande (PAD):

• Imitsi ifunganye mu maguru: indyo, imyitozo ngororamubiri, imiti, kubagwa.
• Ischemia yo mu mara: Imiti igabanya ububabare, imiti igabanya amaraso, kubaga gukuraho amaraso. Ku ndwara zidakira, angioplasty, stenting, cyangwa kubagwa bypass.
• Indwara z'imitsi y'impyiko: Indyo idafite umunyu mwinshi, irinda umutima. Imiti igabanya umuvuduko w'amaraso, `(Statins)` (imiti igabanya cholesterol).
• Indwara yo gufungana kw'imitsi: Kubagwa kugira ngo "Umutsi wo mu mitsi wo mu mitsi urekurwe".
• Indwara ya Raynaud: Komeza ushyushye amaboko n'ibirenge. Fata imiti ya ""(Dilated)"" ifasha imiyoboro y'amaraso kuguma ifunguye.
• Indwara ya Buerger: Ni ngombwa kureka burundu kunywa itabi. Komeza ushyushye mu ntoki n'ibirenge. Fata imiti igabanya ubushyuhe bw'amaraso.

Uburyo bwo kuvura ibibazo bifitanye isano n'imitsi migari yo mu ijosi (Carotid Artery):

• Indwara y'imitsi ya Carotid: Indyo nziza. Imiti igabanya amaraso n'imiti igabanya cholesterol. Gukuraho plaque mu mitsi ya Carotid. Gukoresha uburyo bwo gukamura imitsi no kuyisiga stent kugira ngo imitsi ikomeze gufungura.
• Gutandukanya imitsi ya Carotid: `(Antiplatelets)` (imiti ibuza platelets guteranya amaraso), `(Anticoagulants)` (imiti ibuza amaraso guteranya), `(Stinging)`.
• Ibibyimba byo mu mubiri wa Carotid: Gukuraho ikibyimba kubagwa.
• Aneurysm y'imitsi yo mu nda ya Carotid: Imiti igabanya umuvuduko w'amaraso, imiti igabanya cholesterol, imiti igabanya amaraso. Kubagwa hakoreshejwe stent-graft cyangwa bypass.

Uburyo bwo kuvura indwara y'imitsi:

• Imitsi n'imitsi y'igitagangurirwa: Kuyikuraho hakoreshejwe ubushyuhe, amazi y'umunyu, cyangwa laser.
• Indwara ya Klippel-Trenaunay (KTS): Uburyo bumwe n'ubwo kuvura indwara yo mu mitsi itera amaraso mu mitsi.
• Indwara ya May-Turner (MTS): Uburyo bumwe bwo kuvura `(DVT)`.
• Indwara yo mu gifu (TOS): Ubuvuzi bw'umubiri, Imiti.
• Kudakora neza kw'imitsi mu maraso (CVI): Kugenda buhoro buhoro ku maguru, kwambara amasogisi akandamijwe. Kuvura imitsi hakoreshejwe amazi y'umunyu, laser, cyangwa incision.

Uburyo bwo kuvura indwara zo kuzura amaraso:

• Uburyo bwo kuvura indwara zo kuvura amaraso: `(DVT)` na `(Pulmonary Embolism)` ni bumwe.
• Kugabanya amaraso mu mitsi miremire (DVT): Kuzamuka kw'amaguru. Imiti igabanya ububabare n'amaraso.
• Kugabanya amaraso mu mitsi y'ibihaha: Uburyo bwo kugabanya amaraso no kuyagabanya mu mitsi y'amaraso (ibishongesha amaraso). Kubaga kugira ngo hakurweho amaraso.
• Imiti igabanya amaraso mu mitsi ya Axillo-subclavian: `(Thrombolytics)`, imiti igabanya amaraso. Gukuraho amaraso apfunditse.
• Kurwara imitsi yo mu mitsi: Zamura ukuboko/ukuguru byafashwe hejuru y'umutima. Shyiraho ubushyuhe. Ambara amasogisi yo gukanda. Gukuraho imitsi yo mu mitsi.

Uburyo bwo kuvura Aneurysm y'imitsi yo mu bwonko:

• Aneurysm yo mu gituza: Kubaga kugira ngo umuntu ashyiremo agakoresho ko gushyiramo stent cyangwa icyuma gifunganye. Iki gikorwa gishobora kuba igikorwa gikomeye bitewe n'aho giherereye n'uburyo bwo kubaga.
• Aneurysm y'imitsi yo mu nda: Kubaga kugira ngo umuntu ashyiremo agashinge. Gusana imitsi yo mu nda ni uburyo budatera indwara nyinshi.

Uburyo bwo kuvura indwara ya fibromuscular dysplasia (FMD):

Imiti igabanya amaraso, imiti igabanya ububabare. `(Angioplasty)`. Kubagwa kugira ngo imitsi y'amaraso idaturika.

Uburyo bwo kuvura Lymphedema:

Zamura ukuboko/ukuguru kwangiritse hejuru y'urugero rw'umutima wawe mu gihe uryamye iminota 45 kabiri ku munsi. Ambara agatambaro ko gukanda. Koresha ukuboko/ukuguru kwangiritse mu mirimo ya buri munsi. Niba muganga wawe abigusabye, jya ku ivuriro ryihariye rya lymphedema.

Uburyo bwo kuvura Vasculitis:

Muganga ashobora kukwandikira imiti nka steroid.

Ni izihe ngaruka mbi/ingaruka mbi z'ubuvuzi?

Umuti uwo ari wo wose ushobora kugira ingaruka mbi, ariko inyungu zawo akenshi zirakwiye gufatwa. Akenshi, ingaruka mbi zizashira mu minsi mike. Iyo zitabaye, ushobora kuvugana na muganga wawe ku bijyanye no guhindura undi muti.

Mu gihe utekereza kubagwa cyangwa kubagwa, ganira na muganga wawe ku ngaruka n'inyungu byagira. Icyagirira akamaro umuturanyi wawe gishobora kutagufasha.

Ni iki nakora kugira ngo nirinde indwara z'imitsi?

Ntushobora guhindura ibintu nk'imyaka yawe, amateka y'umuryango wawe, cyangwa se imiterere y'uturemangingo. Ariko ushobora gukora ibi bikurikira:

• Genzura diyabete yawe, cholesterol nyinshi, n'umuvuduko w'amaraso uri hejuru .
• Gukora imyitozo ngororamubiri buri gihe. Kugenda n'amaguru nibura iminota 30 ku munsi na byo ni byiza.
• Kurya ibiryo bizima. Gabanya amavuta, isukari n'umunyu. Kurya imbuto nyinshi, imboga n'ibiryo bikungahaye kuri fibre.
• Niba ugomba kwicara cyangwa guhagarara amasaha menshi, genda buhoro kandi ugende nibura rimwe mu isaha .
• Komeza kugira ibiro bizima.
• Gabanya stress.
• Irinde burundu ibikomoka ku itabi. Ibi ni ngombwa.

Ni iki nkwiye kwitega mu gihe mfite indwara y'imitsi itera amaraso (Vasculopathy)?

Indwara z'imitsi rimwe na rimwe zishobora kuba ikibazo cy'ubuzima bwawe bwose. Muganga wawe namara kumenya ko ufite ibinure mu mitsi yawe, azakubwira guhindura imibereho yawe. Uzakenera gukomeza gukora ibintu nk'imyitozo ngororamubiri, kwirinda kunywa itabi, no guhitamo ibiryo byiza. Ushobora kandi gukenera gukomeza gufata imiti kugira ngo ugabanye ibyago byo kurwara indwara y'umutima cyangwa indwara yo gucika imitsi.

Uko iki kibazo giteye

Mu ndwara nyinshi z'imitsi, uko muganga ahita asuzuma ikibazo , ni ko icyerekezo cyiza. Ibibazo byinshi by'imitsi biragorana kuvura uko bigenda birushaho kwiyongera. Hari indwara zimwe na zimwe z'imitsi, nka `(Carotid Artery Dissection)`, `(Abdominal Aortic Aneurysm)` na `(Pulmonary Embolism)`, zishobora gushyira ubuzima mu kaga.

Ni gute nakwiyitaho?

Uretse ibyavuzwe haruguru, ugomba gukomeza gufata imiti nk'uko muganga yabigutegetse kandi ukajya kwisuzumisha kwa muganga ku matariki yagenwe.

Ni ryari ngomba kujya kwa muganga?

Niba hari impinduka mu muvuduko w'amaraso yawe, cyangwa niba ufite ikibazo ku muti wanditswe na muganga wawe, hita ubonana na muganga wawe.

Ni ryari nkwiye kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Niba ubonye kimwe muri ibi bimenyetso , hamagara 911 (1990 muri Sri Lanka) ako kanya :

• Urujijo cyangwa isereri
• Kugorwa no kuvuga (kuvuga nabi)
• Kugwa k'uruhande rumwe rw'isura
• Ububabare bukomeye mu gituza
• Ububabare bukomeye mu gifu
• Gutakaza ubushobozi bwo kureba neza
• Intege nke mu kuboko cyangwa ku kuguru

Ni ibihe bibazo ngomba kubaza muganga wanjye?

• Ni ubuhe buryo bwiza bwo kuvura indwara yanjye?
• Ese hari ikindi kintu nakora kugira ngo nite ku kibazo cy'imitsi yanjye y'amaraso?
• Ese hari izindi ndwara zijyanye n'iki kibazo cy'imitsi y'amaraso nkwiye kumenya?

Ikintu cyiza wakora ku muvuduko w'amaraso yawe ni ukuba maso . Ntukirengagize isuzuma rya muganga cyangwa imiti. Kubera ko hari ibibazo by'umuvuduko w'amaraso bikunze kugaragara mu miryango, gusangira amakuru y'ubuzima bwawe n'umuryango wawe bishobora kubafasha kwirinda no kumenya umuvuduko w'amaraso. Kubera ko umuvuduko ukabije w'amaraso na cholesterol ari ibintu bishobora gutera umuvuduko w'amaraso, saba umuryango wawe nawo ubasuzumishe.

Incamake (Ubutumwa bwo kujyana mu rugo)

Sawa, ndatekereza ko ubu usobanukiwe neza indwara z'imitsi twavuganye uyu munsi. Wibuke ko ibi atari ibintu byo gufata nk'ibintu byoroshye . Ariko, niba ubimenye hakiri kare, ukabivura neza, kandi ugahindura imibereho yawe, ushobora kubaho neza n'izi ndwara. Indyo nziza, imyitozo ngororamubiri ihoraho , no kwirinda kunywa itabi.Ibintu byoroshye nk'ibi bishobora kugira itandukaniro rikomeye. Niba ufite gushidikanya cyangwa ibimenyetso, ntutindiganye gushaka inama kwa muganga. Komeza ugire ubuzima bwiza!

Indwara y'imitsi, Imitsi, Imitsi, Kuziba kw'amaraso, Stroke, Cholesterol