Ese hari ikintu kidasanzwe ku mitsi yawe y'amaraso? Reka twige kuri ibi (Imiterere mibi y'imitsi)?

Ese hari ibice by'uruhu rwawe byahinduye ibara, bisa n'utubyimba duto, kandi rimwe na rimwe bibabaza? Cyangwa hari ahantu hadasanzwe ku mubiri wawe umwana wawe yavukiye, ariko bisa nkaho bikura? Ibi bishobora kuba ibintu byoroshye. Ariko, rimwe na rimwe ibi bishobora kuba ibimenyetso by'indwara idasanzwe yitwa Vascular Malformations , ari byo bitameze neza mu miyoboro y'amaraso, cyangwa se, imiyoboro y'amaraso. Rero, ntugahangayike. Reka tubiganireho birambuye kandi byoroshye uyu munsi.

Ubusembwa bw'imitsi ni iki? Mu magambo make...

Ubusembwa bw'imitsi ni ibintu bidasobanutse neza cyangwa impinduka mu mitsi y'amaraso mu mubiri wacu. Ibi akenshi biba ari ibintu bivukanwa. Ariko, rimwe na rimwe bigaragara mu bwana, mu gihe cy'ubugimbi, cyangwa se mu gihe cy'ubukure.

Tekereza ku miyoboro y'amaraso inyura mu mibiri yacu nk'urusobe rw'imihanda. Hari igihe iyo iyi mihanda yubatswe, hashobora kubaho udukosa duto no kudahuza neza. Ibyo nibyo bibaho hano.

Izi ndwara z’imitsi zishobora kubaho ahantu hose ku mubiri wawe, kuva ku mutwe kugeza ku mano. Hari igihe zigaragara nk'uturemangingo tworoshye , ububabare , kubyimba , cyangwa guhindura ibara ry'uruhu . Zimwe zigaragara ku maso, mu ijosi, hafi y'ubwonko, cyangwa mu ruti rw'umugongo. Izindi zisa n'ibibara by'amavuko cyangwa utudomo dutukura.

Ni gake cyane, zishobora kugaruka nyuma y’ihungabana cyangwa ikindi kintu, cyangwa ndetse no mu gihe cy’ubukure. Iyo zitera ububabare, zibangamira icyerekezo cy’amaso, zibangamira imirimo ya buri munsi, zivana amaraso, cyangwa zigatera ibindi bibazo, izi ndwara z’imitsi zigomba kuvurwa.

Ni hehe ku mubiri ibi bikunze kugaragara?

Ijambo "imitsi" risobanura "ibifitanye isano n'imitsi ijyana amaraso." Bityo rero iyi ndwara ishobora kugira ingaruka ku mitsi iyo ari yo yose y'amaraso mu mitsi yacu ijyana amaraso. Ishobora no kugira ingaruka ku mitsi ijyana amaraso mu mitsi yacu ijyana amaraso.

Ubwoko bw'imitsi y'amaraso ishobora kwangirika ni:

• Imitsi n'imitsi itwara amaraso - Iyi ni imitsi itwara amaraso afite umwuka wa ogisijeni mu mutima ikayajyana mu zindi ngingo.
• Kapilari - Urusobe rw'imitsi y'amaraso myiza cyane.
• Imitsi n'imitsi - Ibi nibyo bigarura amaraso yakoreshejwe ava mu ngingo mu mutima.
• Imiyoboro ya Lymphatic- Izi zitwara amazi y'imitsi mu mubiri.

Ni ubuhe bwoko bw'ingenzi bw'indwara z'imitsi?

Izi ndwara rimwe na rimwe zishobora kugaragara nk'ibibara ku ruhu rw'umwana. Cyangwa, nk'uko byavuzwe mbere, zishobora kugaragara ahantu hose mu mubiri, harimo n'ubwonko n'umugongo. Abaganga bagena ubwoko bw'indwara bitewe n'ubwoko bw'imitsi y'amaraso yafashwe.

Izi ni zimwe mu moko akunze kugaragara cyane:

• Ubusembwa bw'imitsi: Ubu ni bwo bwoko bukunze kugaragara cyane. Nk'uko izina ribigaragaza, butera mu mitsi. Imitsi ni imitsi y'amaraso mu mubiri wacu ijyana amaraso adahumeka neza mu mutima. Iyi mitsi ishobora kumera nk'ikibyimba cy'ubururu, kandi rimwe na rimwe ishobora kubabaza kuyikoraho.
• Ubushobozi bwo gutera imitsi mu mitsi (AVM): Ubu ni ukwivanga kudasanzwe kw'imitsi n'imitsi. Ubusanzwe, imitsi irangirira mu mitsi ifunganye, hanyuma imitsi igatangira. Ariko muri AVM, amaraso ava mu mitsi atembera mu mitsi, binyuze mu gice kidasanzwe cy'imiyoboro cyitwa nidus . Iyi ndwara ya AVM ishobora kugira ingaruka ku bwonko cyangwa ku ruti rw'umugongo.
• Telangiectasia yo mu bwonko: Aka ni agace gato k'ubwiyongere bw'imitsi yo mu bwonko. Akenshi, ibi si ikibazo. Ariko, ni gake cyane, bishobora gutera kuva amaraso , ari byo kuva amaraso.
• Ubusembwa bw'imitsi yo mu bwonko: Muri iki kibazo, imitsi yo mu bwonko ifatanye cyane, igakora "imisemburo" miremire. Amaraso atembera buhoro cyane muri iyo mitsi.
• Ubusembwa bw'imitsi yo mu maraso: Muri ibi, imiyoboro y'amaraso yo mu maraso irakura ikarema udukoko twuzuye amazi. Ibi bikunze kugaragara mu ngingo zoroshye nko mu maso, mu ijosi no mu gatuza.

Ni irihe tandukaniro riri hagati y’indwara z’imitsi n’indwara z’amaraso?

Byombi biterwa n'indwara z'imitsi. Byombi bishobora kugaragara nk'uduheri, bisa n'uduheri two mu nda. Ariko hari itandukaniro rigaragara hagati yabyo byombi.

• Hemangiomas: Izi ni ibibyimba by'imitsi bitari kanseri (bitari byiza). Bibaho iyo imitsi y'amaraso yishyize hamwe munsi y'uruhu. Ubwoko bwitwa "hemangiomas z'ibishyimbo" bukunze kugaragara nyuma y'uko umwana avutse. Bikura vuba mu mezi atandatu ya mbere y'umwana. Ariko, ibi bibyimba ntibikunze guteza ibibazo kandi akenshi bishira ubwabyo bitavuwe. Iyo hemangioma ari nini, ikabangamira ibikorwa bimwe na bimwe, igatera ububabare, cyangwa igatera ibindi bibazo, ishobora kugenzurwa n'imiti ituma igabanuka vuba. Kubagwa ntibikenewe cyane.

• Ubusembwa bw'imitsi y'amaraso:Ibi ni ibintu bibaho igihe umuntu avutse, ariko bishobora kutagaragara kugeza igihe umuntu ari umwana cyangwa ageze mu za bukuru. Bikura buhoro buhoro. Nanone, bishobora gukwirakwira cyane mu ngingo n'imiterere bikikije umubiri bigatera ibibazo. Ubusembwa bw'imitsi akenshi busaba kuvurwa.

Muri make: Hemangioma ni ikibyimba kidapfa kwikora gikunze kwiyahura ubwacyo. Ariko, ubumuga bw'imitsi ni indwara zidakira zishobora gukura no guteza ibibazo. Bityo rero ni ngombwa gutandukanya ibyo byombi.

Ni iki kijyanye n'imiterere y'imitsi itembera buhoro kandi itembera vuba?

Ubusembwa bwinshi bw'imitsi bugwa mu cyiciro cy ' "ubusembwa bugenda buhoro" . Ibi bivuze ko amaraso agenda buhoro cyane mu mitsi yanduye. Ingero zabyo ni ubusembwa bw'imitsi, lymphatic, cyangwa byombi (venolymphatic).

Ariko, AVM (Arteriovenous malformation) ni malformation y'imitsi "yihuta cyane" . Muri ibi, amaraso ava mu mitsi ajya mu mitsi ku muvuduko mwinshi, akenshi anyura mu mitsi idasanzwe yitwa nidus . Iyo amaraso agenda vuba gutya muri AVM nini, umutima ugomba gukora cyane. Ibi byongera ibyago byo kunanirwa k'umutima .

Ibi bikunze kugaragara gute?

Ubusembwa bw'imitsi ni indwara idakunze kugaragara. Buboneka hafi 1% by'abana bavuka. Muri ubwo busembwa, imiterere y'imitsi, ubwoko bukunze kugaragara cyane, ifata umuntu umwe muri buri bantu 5,000 kugeza ku 10,000.

Ni iki gitera ubumuga bw'imitsi y'amaraso?

Akenshi, ibi biterwa n'ihindagurika ry'imitsi y'amaraso cyangwa imiyoboro ya limfu mu gihe umwana uri mu nda ya nyina (ari mu nda). Ibi bivuze ko akenshi baba bavukanye .

Akenshi, kwangirika kw'imitsi y'amaraso mu gihe cy'imvune bishobora kutagaragara kandi bigatera ubumuga bw'imitsi uko igihe kigenda gihita. Ububi bw'imitsi bushobora kandi kugaragara bwa mbere nyuma y'impanuka cyangwa bitewe n'impinduka mu misemburo mu gihe cy'ubugimbi cyangwa gutwita .

Mu bihe bidasanzwe cyane, hari abantu bavukana impinduka mu miterere y’uturemangingo (genetic mutations) zongera ibyago byo kurwara indwara z’imitsi. Abashakashatsi baracyari kwiga byinshi kuri izi mpamvu z’uturemangingo.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Hari abantu bavukana impinduka mu ngirabuzimafatizo zishobora kongera ibyago byo kurwara imitsi. Zimwe muri izi ndwara zirimo:

• Indwara ya Blue Rubber Bleb Nevus Syndrome: Iyi ndwara itera imiterere mibi y'imitsi mu mara no mu gifu. Ishobora kandi gutera udusebe tw'ubururu bwijimye, umutuku, cyangwa umukara ku ruhu rwawe.
• Indwara ya CLOPES (kwiyongera kw'amacandwe, ubumuga bw'imitsi, ubumuga bw'inyuma n'ubw'umugongo): Ibi bituma AVM zivuka mu mugongo wawe. Bishobora kandi gutera scoliosis ( kugorama k'umugongo), kumera kw'ibinure, no kugira uduheri twijimye.
• Telangiectasia yo kuva amaraso mu buryo bw'uruhererekane (izwi kandi nka Osler-Weber-Rendu syndrome): Ibi bitera gucikagurika kudasanzwe, cyangwa AVM, mu mitsi mito y'amaraso.
• Indwara ya Klippel-Trenaunay (KTS): Iyi ndwara itera ibimenyetso by'umutuku-umuhengeri byitwa "port-wine stains", imikurire y'amagufwa cyangwa ingingo, hamwe n'imiterere mibi y'imitsi cyangwa imiyoboro ya lymphatic.
• Indwara ya Parkes Weber: Ibi bituma AVM zivuka mu maboko cyangwa amaguru yawe.

Niba ufite indwara nk'izi mu maraso yawe, ni ngombwa kuzimenya.

Ni ibihe bimenyetso by'indwara z'imitsi?

Ibimenyetso biterwa n'ubwoko bw'ubumuga. Ubusembwa bw'imitsi y'amaraso bugira ingaruka ku ruhu rwawe bushobora kumera nk'ikimenyetso cy'umutuku, ubururu, umuhengeri, umukara, cyangwa umukara . Utwo dusebe dushobora kubyimba, kuva amaraso cyangwa kubabara.

Niba ufite AVM mu bwonko bwawe , ushobora kutagira ibimenyetso kugeza igihe ivuye amaraso. Iyo AVM yo mu bwonko ivuye amaraso, ushobora kugira umutwe, ibicurane, cyangwa ubumuga ku ruhande rumwe rw'umubiri wawe .

Ubusembwa bw'imitsi bushobora gutera ububabare, kubyimba, ibibazo byo kuvura amaraso, no kwangirika kw'ingingo.

Ubimenya ute? Umuganga abisanga ate?

Kubera ko indwara z’imitsi zidatera ibimenyetso buri gihe, abaganga rimwe na rimwe bavumbura iyo barimo gukora ibizamini by’ikindi kibazo.

Abaganga bakoresha ibizamini byihariye byo gufata amashusho kugira ngo barebe uburyo amaraso atembera kandi bamenye imiterere mibi y'imitsi. Ibi bizamini birimo:

• Ultrasound , kandi yitwa ultrasound y'imitsi .
• MRI (Magnetic Resonance Imaging) , irimo kandi ikizamini cyitwa MR Angiogram (MRA) .
• Isuzuma rya CT (Computed Tomography scan), rinakubiyemo ikizamini cyitwa CT angiogram .
• Angiogramu na/cyangwa venogramu .
• Imirasire ya X isanzwe.

Ibi bizamini bishobora kwerekana neza imiterere y'imitsi y'amaraso muri ako gace, uburyo amaraso atembera, ndetse niba hari ukugabanuka kudasanzwe cyangwa kwaguka.

Ni ubuhe buryo bwo kuvura ibi?

Intego nyamukuru yo kuvura indwara z’imitsi ni ukugabanya ibimenyetso no kugabanya ingorane zishobora kubaho. Indwara z’imitsi zidatera ikibazo zishobora kudakenera kuvurwa kandi zishobora kugaragara gusa uko igihe kigenda gihita.

Ubuvuzi buterwa n'ubwoko bw'imitsi y'amaraso yangiritse. Akenshi, ubu buryo bwo kuvura busaba gufunga cyangwa kubaga umutsi w'amaraso wangiritse. Ubusembwa bwinshi bushobora kuvurwa hakoreshejwe uburyo budakoresha imbaraga nyinshi . Abaganga bashobora gukoresha uburyo nka:

• Ubuvuzi bwa sclerotherapy: Muri ibi, umuti wihariye uterwa mu mitsi y'amaraso yangiritse, bigatuma imitsi y'amaraso igabanuka ikanafunga.
• Guteranya amaraso mu mitsi: Muri ubu buryo, umuyoboro muto (catheter) unyura mu mitsi y'amaraso hanyuma umuyoboro w'amaraso udasanzwe ugafungwa imbere.
• Uburyo bwo kuvura hakoreshejwe laser: Iyi ikoreshwa ku ruhu rumwe na rumwe rufite ubumuga.
• Ubuvuzi bushingiye ku mirasire (radiosurgery): Ubu bukoreshwa ku burwayi bukabije kandi bugoye gukoreshwa.

Hari igihe muganga wawe ashobora kukugira inama yo gufata igice cy'umubiri kugira ngo gisuzumwe. Ibi bishobora gufasha kwemeza ko wanduye cyangwa kubona ingingo zo gupima imiterere y'umubiri .

Kubera ko indwara z’imitsi ari ingorabahizi kandi zidakunze kugaragara, ni byiza kuzikemura ukoresheje uburyo bw’ikipe bugizwe n’inzobere nyinshi .

Ese ibi bishobora kongera kubaho nyuma yo kuvurwa?

Yego, ubumuga bw'imitsi bushobora kongera kugaruka ndetse na nyuma yo kuvurwa. Kubwibyo, ushobora gukenera kujya kwa muganga buri gihe no gupimwa kugira ngo umenye ubumuga bwongeye kugaruka hakiri kare.

Ese hari uburyo bwo gukumira ibi kugira ngo bitabaho?

Ubusembwa bw'imitsi akenshi buvukanwa , bivuze ko nta buryo bwo kubikumira buhari.

Ariko, niba hari umuntu wo mu muryango wawe ufite ikibazo cy’uturemangingo gitera ubumuga bw’imitsi, ushobora gukenera kubonana n’umujyanama mu by’uturemangingo.Uyu muganga w’inzobere ashobora kugusobanurira uburyo bwo kugabanya ibyago byo kwanduza abana bawe iyi ndwara.

Ni izihe ngorane zishobora guterwa n'ubu burwayi bw'imitsi?

Hari ubumuga bumwe na bumwe budashobora guteza ikibazo kandi bushobora kugaragara gusa. Ariko, mu bihe byinshi, bushobora gutera ububabare no kubyimba .

Hari ubumuga bushobora gutera ububabare, cyangwa imitsi, ingingo, cyangwa imitsi, bishobora kubangamira imyitozo ngororamubiri, siporo, akazi, cyangwa imirimo ya buri munsi .

Ubusembwa bunini kandi bukabije bushobora gutera umutima guhagarara nabi .

Ubusembwa bw'imitsi mu ngingo zikomeye nk'umwijima, impyiko, cyangwa nyababyeyi bushobora gutera imikorere mibi y'ingingo n'izindi ngorane.

Hari ubumuga bumwe na bumwe bw'imitsi, nka AVM mu bwonko cyangwa mu ruti rw'umugongo, bushobora kugabanya ingano y'amaraso afite ogisijeni agera mu bwonko. Ibi bishobora gutera ibibazo bishobora gushyira ubuzima mu kaga, nka:

• Aneurysms ( gucika intege k'urukuta rw'imitsi y'amaraso no kubyimba nk'umupira w'amapine)
• Kuva amaraso mu bwonko
• Gutera imitsi yo mu bwonko (stroke)

Ejo hazaza h'abantu bafite iyi ndwara ni he? Ibi bigira ingaruka zite ku buzima bwabo?

Ubusembwa bw'imitsi, busa n'aho umuntu avuka, bushobora kugira ingaruka ku kuntu umuntu asa n'aho yigirira icyizere. Ibi bishobora gutera indwara zo mu mutwe nko kwiheba no guhangayika . Ariko, inyinshi muri izi ndwara zikira neza iyo umuntu avuwe.

Ubusembwa bukomeye kurushaho, nka AVM mu bwonko, bushobora gushyira ubuzima mu kaga iyo butangiye kuva amaraso.

Ariko, ikiruta byose, indwara nyinshi zishobora kuvurwa kandi zikira neza iyo zivuwe. Kubwibyo, ni ngombwa gushaka inama z'abaganga zikwiye nta guhangayika.

Ni iki wagombye kubaza muganga wawe?

Niba ufite gushidikanya kuri iyi ndwara, cyangwa niba warayirwaye, ushobora kubaza muganga wawe ibi bibazo:

• Narwaye iki kibazo cy'imitsi y'amaraso gute? (Icyabiteye ni ikihe?)
• Ni ubuhe bwoko bw'indwara y'imitsi mpura nayo?
• Ni ubuhe buryo bwiza bwo kuvura kuri njye?
• Ni izihe ngaruka zishobora guterwa n'ubuvuzi cyangwa se ingaruka mbi zishobora guterwa nabwo?
• Ese nkwiye guhangayikishwa n'ibimenyetso by'ingorane? Ibyo bimenyetso ni ibihe?

Ibaze ibi bibazo maze usobanukirwe neza uko umerewe.

Amaherezo, ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, reka turebe gusa ingingo z'ingenzi ugomba kwibuka mu byo twavuze.

• Ubusembwa bw'imitsi ni indwara zidakunze kugaragara mu mitsi y'amaraso, akenshi zigaragara mu gihe cyo kuvuka.
• Ibi bishobora kugaragara ahantu hose ku mubiri , kugaragaza ibimenyetso bitandukanye, cyangwa rimwe na rimwe nta bimenyetso na bimwe bigaragaza.
• Hemangiomas na Vascular Malformations ni ibintu bibiri bitandukanye. Ni ngombwa kumenya itandukaniro riri hagati y’ibyo byombi.
• Hari uburyo butandukanye bwo kuvura iyi ndwara. Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura iyi ndwara.
• Hari ubwoko bukomeye bw'indwara, cyane cyane AVM mu bwonko, bushobora gutera ingorane, bityo ni ngombwa ko muganga akurikirana neza.
• Niba wowe cyangwa umwana wawe mufite kimwe muri ibi bimenyetso, ntimugatinye ahubwo mushake muganga kugira ngo abagire inama.

Wibuke ko utari wenyine mu gihe uhanganye n'iki kibazo. Ukoresheje amakuru akwiye n'ubufasha bw'abaganga, iki kibazo gishobora kwitabwaho neza.

Ubusembwa bw'imitsi , ubusembwa bw'imitsi y'amaraso, ibibara byo mu nda, indwara zo mu mitsi, ubumuga bw'imitsi, ibibazo by'imitsi y'amaraso, indwara zo kuvukana