Ese umuntu mukuru wo mu muryango wawe, wenda mama wawe, sogokuru wawe, cyangwa nyogokuru wawe, sogokuru wawe, agenda urugendo rurerure gato akicara gato, akavuga ati "Maguru yanjye ari kubabara, numva meze nk'aho ngiye gusara"? Cyangwa ufite imitsi y'ubururu cyangwa umuhengeri ku maguru yawe? Ibi bintu mu by'ukuri bishobora guterwa n'ibibazo bimwe na bimwe mu mitsi y'amaraso mu mubiri wacu. Rero hari abaganga bita by'umwihariko ku ndwara zijyanye n'imitsi y'amaraso. Abo ni bo baganga twita Umuganga w'Imitsi . Uyu munsi, reka tuvuge ku Muganga w'Imitsi uwo ari we, indwara avura, ndetse niba nawe ukwiye kubonana na muganga nk'uwo.
Mu magambo make, uyu muganga w’imitsi ni nde?
Umuganga w’imitsi ni umuganga w’inzobere mu ndwara zijyanye n’imitsi y’amaraso, ni ukuvuga uburyo imitsi y’amaraso ikora mu mubiri wacu. Aba baganga bahuguwe mu gukumira, gusuzuma no kuvura indwara z’iyi mitsi y’amaraso.
Tekereza ko umubiri wacu ari umujyi munini. Noneho iyi miyoboro y'amaraso imeze nk'urusobe rw'imihanda muri uwo mujyi. Imwe imeze nk'imihanda minini, indi imeze nk'imihanda mito yo mu cyaro. Ni muri iyo mihanda "ibintu" byitwa ogisijeni n'imirire bijyanwa muri buri karemangingo n'ingingo z'umubiri, maze "imyanda" (ibintu nka dioxyde de carbone) ikorerwa aho ngaho igasubizwa inyuma. Rero, niba hari ikintu cyazibye, cyacitse, cyangwa cyacitse ahantu runaka muri iyo mihanda, umujyi wose uzahungabana, kandi niba hari ikibazo ku miyoboro y'amaraso mu mubiri wacu, kizagira ingaruka ku mubiri wose.
"Injeniyeri" witaye by'umwihariko ku "mihanda" ni Umuganga w'Imitsi.
Imitsi yacu ikora ite?
Hari ibice bitatu by'ingenzi by'iyi gahunda:
1. Imitsi: Iyi ni imitsi minini y'amaraso itwara amaraso meza kandi afite umwuka wa ogisijeni mu mutima ikayajyana mu bice byose by'umubiri. Kimwe n'uburyo bw'amazi bukoreshwa mu mujyi.
2. Imitsi: Iyi ni imitsi itwara amaraso yakoreshejwe, adahumeka neza, kandi yuzuye imyanda ikayajyana mu mutima iturutse mu bice byose by'umubiri. Ni nk'uburyo bwo gusohora amazi akoreshwa mu mubiri.
3. Imitsi mito y'amaraso: Iyi ni imitsi mito cyane y'amaraso. Ihuza imitsi n'imitsi. Niho umwuka n'intungamubiri bihanahana hagati y'uturemangingo tw'umubiri n'aho imyanda ikusanyirizwa.
Umuganga w’imitsi yibanda kuri iyi mikorere yose.
Ni ubuhe bwoko bw'indwara aba baganga bavura?
Ubwoko bw'indwara umuganga w'imitsi avura ni bwinshi cyane. Zimwe zirakunze kugaragara, izindi zishobora kuba zikomeye kurushaho. Reka turebe imbonerahamwe iri hepfo.
| Imiterere | Bisobanuwe mu buryo bworoshye |
|---|---|
| Indwara y'imitsi yo mu mpande (PAD) | Imitsi ijyana amaraso ku maguru no ku maboko iraziba kubera ko hari cholesterol nyinshi. Kimwe mu bimenyetso by'ingenzi ni ububabare mu maguru iyo umuntu agenda. |
| Aneurysm | Urukuta rw'imitsi itwara amaraso rudakomeye kandi rubyimba nk'umupira w'amaguru. Ibi bishobora kubaho mu mitsi migari yo mu nda (aorta). Ibi biramutse bicitse, bishobora gushyira ubuzima mu kaga. |
| Imitsi ya Varicose | Utunyangingo turi mu mitsi yo mu maguru turacika intege, bigatuma amaraso yirundanya ahantu hamwe aho gusubira mu mutima, bigatuma imitsi ibyimba igasa n'ubururu cyangwa umuhengeri. |
| Indwara yo mu mitsi miremire (DVT) | Amaraso apfundika mu mitsi miremire mu kuguru. Ibi bishobora gutera kubyimba no kubabara mu kuguru. Iyo iki gipfundika kikavamo kikajya mu bihaha (pulmonary embolism), bishobora guteza akaga gakomeye. |
| Indwara y'imitsi ya Carotid | Kuziba kw'imitsi yo mu bwonko, itwara amaraso ava ku mpande zombi z'ijosi, ni yo mpamvu ikomeye itera indwara yo gucika kw'imitsi. |
| Ateriosclerosis | Kolesteroli n'ibindi bintu byirundanya mu nkuta z'imitsi (plaque), bigabanyiriza amaraso gutembera neza. Ibi bishobora kubaho mu mitsi iyo ari yo yose mu mubiri. |
| Utunyangingo tw'amaraso | Kubyimba inkuta z'imitsi ijyana amaraso. Ibi bishobora guterwa n'ikibazo cy'ubudahangarwa bw'umubiri. |
| Gutegura imiyoboro y'amaraso yo kwirukanwa mu cyuma (dialysis) ku bantu bafite ikibazo cy'impyiko | Iyo impyiko zidashobora gusukura amaraso, hakorwa fistula yo kubaga mu kuboko kugira ngo ihuzwe n'imashini ikoresha dialysis. |
Icy'ingenzi kurushaho, inyinshi muri izi ndwara zifitanye isano itaziguye n'umuvuduko ukabije w'amaraso , diyabete , kunywa itabi , n'urugero ruri hejuru rwa cholesterol .
Ni ryari ukwiye kujya kwa muganga w’imitsi?
Ushobora kuba wibaza uti "Ese ngomba kubonana n'umuganga nk'uyu?" Ubusanzwe, umuganga w'umuryango wawe (GP) azakohereza ku muganga w'inzobere nk'uyu. Ariko, niba ufite kimwe muri ibi bimenyetso cyangwa ibintu bishobora gutera ibyago, ni ngombwa kubyitondera.
- Kubabara amaguru cyangwa umugongo iyo ugenda: Niba ubabara amaguru, cyane cyane mu matako, iyo ugenda intera ndende kandi bigashira nyuma yo guhagarara akanya gato, bishobora kuba ikimenyetso cya PAD .
- Kubyimba amaguru: Iyo amaguru amwe cyangwa yombi yabyimbye mu buryo budasanzwe, cyane cyane iyo amaguru amwe gusa ari yo atukura kandi afite ubushyuhe bwinshi, bishobora kuba ikimenyetso cy'amaraso yacitse (DVT) .
- Ibikomere bidakira: Niba ibikomere byo ku maguru, cyane cyane ku birenge no ku mano, bifata igihe kirekire kugira ngo bikire, bishobora kuba ikimenyetso cy'uko amaraso aturuka muri ako gace adahagije.
- Guhinduka ibara cyangwa ubukonje bw'amaguru: Iyo amaguru yumva akonje kurusha andi magingo y'umubiri, cyangwa niba uruhu rwo ku maguru ruhindutse ubururu cyangwa ibara ry'umukara.
- Imitsi y'amaraso ya Varicose: Niba ufite imitsi y'ubururu n'umuhengeri mu maguru yawe isa n'aho ifatanye kandi itera ububabare n'uburemere mu maguru yawe.
- Ububabare bukabije bwo mu nda cyangwa mu gituza: Ibi bishobora kuba ikimenyetso cy'uko hari amaraso menshi yacitse. Iki ni ikibazo gikomeye cyane kandi ugomba kujya kwa muganga mu ishami rishinzwe ubutabazi bwihuse (ETU).
Abantu bafite ibintu bishobora gutera ibyago:
Niba urwaye diyabete, umuvuduko ukabije w'amaraso, unywa itabi, cyangwa ufite amateka y'umuryango wawe y'indwara nk'izi z'imitsi y'amaraso, uri mu kaga gakomeye kurusha abandi. Niyo mpamvu ari ngombwa kwisuzumisha kwa muganga buri gihe.
Ni irihe tandukaniro riri hagati y'inzobere mu by'umutima n'umuganga w'imitsi?
Iki ni ikintu gitera urujijo abantu benshi.
- Umuganga w’indwara z’umutima ni umuganga w’inzobere mu by’umutima . Avura imikorere y’umutima, ibibazo by’umutima, indwara z’umutima, n’indwara z’imitsi y’umutima.
- Umuganga w’imitsi ni umuganga wibanda ku mitsi ijyana amaraso mu mubiri wose , uretse umutima. Ibyo bivuze ibintu byose kuva ku maguru, amaboko, igifu, ijosi, kugeza ku mitsi itanga amaraso mu bwonko.
Ariko ibi byombi bikunze gukorana. Kubera ko umutima n'imiyoboro y'amaraso ari sisitemu ebyiri zifatanye. Urugero, inzobere mu ndwara z'umutima ireba imitsi ifunganye itanga amaraso mu mutima (Coronary Arteries), mu gihe inzobere mu mitsi ifunganye ireba imitsi ifunganye mu maguru.
Ni iki ushobora kwitega iyo ugiye kwa muganga?
Iyo woherejwe kwa muganga w’imitsi, abanza kukubaza ikibazo kirambuye ku bimenyetso byawe.
- Ufite ikibazo ki?
- Byatangiye ryari?
- Yiyongera ryari? Igabanuka ite?
Hanyuma, bazabaza amateka yawe n'ay'umuryango wawe. Ni ngombwa cyane kubaza izindi ndwara ufite (diyabete, umuvuduko w'amaraso), imiti ufata, niba unywa itabi, ndetse niba hari umuntu wo mu muryango wawe ufite izo ndwara.
Hanyuma, muganga azagusuzuma umubiri. By'umwihariko,
- Bagenzura imitsi yo mu maguru no mu maboko yawe.
- Ibara, ubushyuhe, n'ubwivumbure bw'amaguru biragenzurwa.
- Umuvuduko w'amaraso urapimwa.
Ni ibihe bizamini bizakorwa?
Kugira ngo umuganga wawe amenye neza indwara, ashobora kugusaba gukora ibizamini bimwe na bimwe.
- Ultrasound y'imitsi (Doppler Scan): Iki ni cyo gipimo gikunze kugaragara cyane. Kimeze nk'igipimo cy'umugore utwite. Nta bubabare. Gishobora kureba neza uko amaraso atembera mu mitsi yawe, kandi niba hari ikintu cyazibye cyangwa amaraso yapfutse.
- Igipimo cy'imitsi yo mu kaguru no mu ruhu (ABI): Iki ni ikizamini cyoroshye cyane. Bapima umuvuduko w'amaraso mu kuboko no ku kaguru hanyuma bakagereranya byombi. Ibi bishobora kuguha igitekerezo cy'uko amaraso yagabanutse mu maguru yawe.
- Angiogramu (CT/MR/Catheter): Iki ni ikizamini kigoye gato. Irangi ritandukanye rishyirwa mu miyoboro y'amaraso, hanyuma hagakoreshwa isuzuma rya X-ray, CT, cyangwa MRI kugira ngo hagaragazwe neza imiyoboro y'amaraso. Ibi bishobora gufasha kumenya neza aho iyi miyoboro yazibye.
Hashingiwe ku bisubizo by'ibi bizamini, muganga wawe ni we uzaguhitiramo uburyo bwo kwivuza ukeneye. Bishobora kuba imiti, guhindura imibereho, cyangwa rimwe na rimwe kubagwa gato cyangwa gukomeye.
Ubutumwa bwo kujyana mu rugo
- Umuganga w’imitsi ni inzobere mu kuvura indwara zifitanye isano n’imitsi yose y’amaraso (imitsi n’imitsi) mu mubiri, uretse umutima.
- Ibimenyetso nko kubabara amaguru iyo ugenda, kubyimba amaguru, ibikomere bidakira, ndetse n'imitsi itera imitsi iri mu maraso bishobora guterwa n'ibibazo by'imitsi itera amaraso. Ntuzigere ubyirengagiza .
- Niba urwaye diyabete, umuvuduko ukabije w'amaraso , cyangwa unywa itabi , uba ufite ibyago byinshi byo kurwara indwara z'imitsi y'amaraso.
- Niba ufite gushidikanya ku bimenyetso ibyo ari byo byose, banza ubaze muganga w’umuryango wawe (GP) kugira ngo akugire inama. Nibiba ngombwa, azakohereza kwa muganga w’imitsi.
- Ushobora kwirinda indwara nyinshi muri izi urya indyo yuzuye, ukora imyitozo ngororamubiri buri gihe, kandi ukirinda kunywa itabi.
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