Kubagwa imitsi yawe y'amaraso? Reka tuvuge ku kubagwa imitsi y'amaraso!

Tekereza ko urusobe rw'imitsi y'amaraso mu mibiri yacu rumeze nk'imihanda inyura mu mujyi. Muri iyo mihanda niho amaraso ava mu mutima wacu ajya mu mfuruka zose z'umubiri wacu. None se bigenda bite iyo habayeho kuziba, gucika, gucika, cyangwa ikindi kibazo muri iyo mihanda? Urujya n'uruza rw'imodoka zose rurahungabana, sibyo? Mu buryo nk'ubwo, iyo habayeho ikibazo mu mitsi y'amaraso yacu, twita gusa kubagwa kwihariye gukorwa kugira ngo tuvure `(Kubagwa imitsi)`.

Mu magambo make, 'Kubagwa imitsi' ni iki?

Kubaga imitsi ni ijambo rusange risobanura kubaga no kuvura bijyana n'imitsi y'amaraso (imitsi, imitsi, n'imitsi mito) mu mubiri wacu. Ni uru rusobe rw'imitsi y'amaraso itwara amaraso mu mutima wacu ikayajyana mu zindi ngingo zose n'imitsi mu mubiri, kandi igasubiza amaraso mu mutima.

Iyi mitsi y'amaraso ishobora kwangirika bitewe n'indwara zitandukanye. Hari igihe izi ndwara zishobora gukemurwa hakoreshejwe impinduka mu mibereho no gukoresha imiti. Ariko, hari igihe ushobora gukenera kubagwa kugira ngo ikibazo kidakomeza kwiyongera.

Uku kubagwa ahanini bikubiyemo:

• Gusana ibyangiritse ku mitsi y'amaraso.
• Kugabanya ibyago bikomeye bishobora guterwa n'izi ndwara.
• Gutanga uburyo bwo kugera ku mitsi y'amaraso kugira ngo byorohereze ubuvuzi nka dialyse ku barwayi b'impyiko.

Ni mu bihe bihe 'kubagwa imitsi' bikenewe?

Niba ufite imwe cyangwa nyinshi muri izi ndwara zikurikira, ushobora gukenera kubagwa imitsi. Umwanzuro mwiza kuri ibi ufatwa na muganga wawe.

Ubu buryo bwo kubaga bushobora kuba ngombwa ku zindi ndwara nyinshi nk'izi. Muganga wawe azasuzuma neza ikibazo cyawe maze afate umwanzuro niba kubagwa ari ngombwa hamwe n'imiti.

Ni ubuhe bwoko bw'ingenzi bw'ukubaga?

Hariho uburyo butandukanye bwo kubaga no kuvura ibibazo by'imitsi y'amaraso. Ubwoko bw'ubuganga ukeneye buzaterwa n'uko urwaye. Reka tuvuge ku bwoko bumwe na bumwe bw'ingenzi.

1. Gusana Aneurysm y'imitsi yo mu bwonko

Iyo umutsi munini w'amaraso mu mubiri wacu (aorta) ucitse intege ugatangira kuzura nk'umupira, ugomba gusanwa mbere yuko uturikira. Ubu ni bwo bubagwa bukorerwa ibyo.

• Kubaga Aneurysm Ifunguye: Ibi bikubiyemo gukata mu gituza cyangwa mu nda, gukuramo umuyoboro w'amaraso wangiritse, hanyuma ukawusimbuza umuyoboro w'ubukorano (graft).
• Gusana Aneurysm yo mu mitsi (EVAR): Ibi bisaba kubagwa gake. Umwobo muto ukorwa mu ruhu, umuyoboro w'insinga witwa stent graft ushyirwamo unyuze mu mwobo, maze amaraso agaca mu muyoboro mushya.
• Gusana Aneurysm yo mu gituza (TEVAR): Ibi bisa na `(EVAR)`, ariko bikorwa kuri aneurysm yo mu muyoboro w'amaraso mu gatuza.

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

PAD ni indwara aho plaque yiyongera mu mitsi ijyana amaraso ku maguru no ku maboko. Ibi bishobora gutera ibimenyetso nko kubabara amaguru iyo umuntu agenda.

• Angioplasty na Stenting:Muri ibi, agapira gato gashyirwa mu mitsi y'amaraso yazibye hanyuma kakabyimba kugira ngo kagure umutsi. Hanyuma, hashyirwamo agace gato k'insinga "stent" kugira ngo kadakomeza kuziba. Ni nko gusukura umuyoboro w'amazi wazibye hanyuma ugashyiramo umuyoboro muto kugira ngo kadakomeza kuziba.
• Gukuraho indwara ya Ateri: Ibi bikubiyemo gukoresha icyuma gito ku mpera ya catheter (umuyoboro muto) kugira ngo ukureho ibinure byirundanyije ku nkuta z'imitsi y'amaraso.
• Kubaga imitsi yo mu mitsi yo mu miyoboro y'amaraso: Ibi bikubiyemo gufungura umuyoboro w'amaraso wafunzwe no gushyiraho inzira nshya yo gutemberamo amaraso. Ibi bikubiyemo gukoresha undi muyoboro w'amaraso muzima uturutse mu mubiri cyangwa umuyoboro w'ubukorano. Ni nko kubaka inzira yo kunyuramo kugira ngo uce ku muhanda.

3. Kuvura ibibazo by'imitsi ya Carotid (imitsi yo mu ijosi)

Indwara y'imitsi yo mu bwonko yitwa Carotid ni indwara aho ibinure byiyongera mu mitsi yo mu ijosi igatanga amaraso mu bwonko bwacu. Ibi bishobora gutera indwara zikomeye nka stroke.

• Angioplasty ya Carotid na Stenting: Nkuko byavuzwe mbere, uyu mutsi ugenda waguka ukoresheje ballon na stent.
• Gucibwa kwa Carotid Endarterectomy: Muri ibi, hakorwa icyuho gito mu ijosi, imitsi irafungurwa, urwego rw'ibinure ruri imbere rurakurwaho, maze imitsi iradodwa hamwe.

4. Uburyo bwo kuvura indwara z'imitsi

Amaraso yanduye mu mubiri wacu agaruka mu mutima binyuze mu mitsi. Imitsi, cyane cyane iyo mu maguru, ifite imitsi ifasha mu kohereza amaraso hejuru. Iyo iyo mitsi icitse intege, amaraso yirundanya mu maguru, bigatera indwara nka "imitsi ya Varicose".

• Uburyo bwo gushyira Vena Cava Filter: Ku bantu bafite indwara nka deep vein thrombosis (DVT), akayunguruzo gato gashyirwa mu mutsi munini kugira ngo kabuze amaraso kuzura ngo yereke umutima cyangwa ibihaha.
• Gufunga no gukuramo imitsi: Muri ibi, imitsi irwaye (imitsi ya varicose) iracibwa ikavanwamo.
• Gushyiramo ubushyuhe mu mubiri: Hakoreshejwe imirasire ya laser cyangwa imiraba ya radiyo ifite frequency yo hejuru, umutsi urwaye urafungwa imbere kandi ntukore icyuho kinini.
• Ubuvuzi bwa sclerotherapy: Ibi bikubiyemo gutera umuti uvura imitsi mito itera uburibwe n'imitsi y'igitagangurirwa.

Ni iki kibaho mbere yo kubagwa?

Muganga wawe azagusuzuma neza mbere yo kubagwa.

• Amateka y'ubuvuzi: Vuga ibimenyetso byawe, indwara zabanje, imiti wafataga, hamwe n'ibindi byose ufite ku barwayi.
• Ibizamini:Hazasabwa ibizamini bitandukanye bikenewe mu kubaga. Urugero, ibizamini nka `(Angiogram)`, `(Doppler ultrasound)`, `(Echocardiogram - echo)`, `(Electrocardiogram - EKG)`.
• Imyiteguro yawe: Hari ibintu bike ushobora gukora mbere yo kubagwa.
• Muganga azakubaza niba ukeneye guhagarika gufata imiti usanzwe ufata.
• Uzasabwa kureka kurya no kunywa ijoro ribanziriza kubagwa.
• Niba unywa itabi, ugirwa inama yo kurireka. Ni ngombwa cyane gukurikiza aya mabwiriza neza.

Uburyo bubiri bwo kubaga: Gufungura n'imitsi yo mu nda

Ubundi buryo bwinshi bwo kubaga imitsi bukorwa mu buryo bubiri bw'ingenzi. Muganga wawe azagusobanurira uburyo burimo gukorwaho.

Ni iki kibaho nyuma yo kubagwa? Kandi ni izihe ngaruka zishobora kubaho?

Ibibaho nyuma yo kubagwa biratandukanye cyane bitewe n'ubwoko bw'ukubagwa wakorewe. Kubagwa bimwe na bimwe bikomeye bishobora gufata iminsi mike mu cyumba cyita ku barwayi barembye cyane (ICU). Ariko, nyuma yo kubagwa gato nka sclerotherapy, ushobora gutaha uwo munsi.

Nk’uko bigenda ku kubagwa ukundi kose, ubu buryo bwo kubaga bufite ingaruka zimwe na zimwe.

• Allergie iterwa n'ikinya cyangwa ibikoresho byakoreshejwe.
• Kuva amaraso.
• Amaraso apfutse.
• Kwandura indwara.
• Kwangirika kw'imitsi.
• Indwara y'umutima cyangwa indwara yo gucika kw'imitsi.

Ibi bishobora kwiyongera bitewe n'uburemere bw'uburwayi bwawe, imyaka yawe, n'izindi ndwara ufite, nka diyabete. Vugana na muganga wawe nta guhishanya kuri ibi.

Nkeneye kubonana na muganga vuba!

Niba ugaragaje ibimenyetso by'ingorane mu gihe uri gukira nyuma yo kubagwa, ugomba guhita uhamagara muganga wawe. Menya by'umwihariko ibimenyetso bikurikira.

Kubaga imitsi y'amaraso ni ingenzi cyane mu buvuzi bushobora kurokora ubuzima bwacu no kunoza imibereho yacu. Ntukigere utinya kubaza muganga wawe ikibazo icyo ari cyo cyose ufite, uko cyaba ari gito kose.