Reka twige ibijyanye no kubaga imitsi mu buryo bworoshye.

Umubiri wacu umeze nk'umujyi uhuze. Uyu mujyi ufite imihanda itwara ibintu by'ingenzi, nka ogisijeni n'intungamubiri, mu bice byose byawo. Iyi mihanda ni yo twita "imitsi y'amaraso" cyangwa "imitsi y'amaraso." Hari igihe iyi mihanda irangirika, igafungwa, cyangwa igacika intege kandi ikaba hafi guturika. Ni bwo dukeneye ubufasha bw'inzobere kugira ngo dusane iyi mihanda. Mu buvuzi, ishami rishinzwe uyu murimo ryitwa Kubaga Imitsi y'amaraso.

Mu magambo make, kubaga imitsi y'amaraso ni iki?

Kubaga imitsi y'amaraso si ukubaga kumwe gusa. Ni ijambo rusange rikoreshwa mu kubaga no kuvura bitandukanye bijyana n'imitsi y'amaraso mu mubiri wacu, ni ukuvuga imitsi itwara amaraso mu mutima, imitsi ijyana amaraso mu mutima, n'imitsi mito cyane .

Hari igihe izi ndwara zishobora gukemurwa hakoreshejwe guhindura imibereho n'imiti, ariko hari igihe kubagwa biba ngombwa kugira ngo hirindwe ko indwara irushaho gukomera.

Hariho intego eshatu z'ingenzi zo kubaga imitsi:

• Gusana ibyangiritse ku mitsi y'amaraso.
• Kugabanya ibyago byo kugira ingaruka mbi ziterwa n'izi ndwara.
• Gutegura inzira zo kuvura imitsi nko gukoresha dialyse ku barwayi b'impyiko.

Ni ibihe bibazo bisaba kubagwa imitsi?

Niba ufite imwe cyangwa nyinshi muri izi ndwara, ushobora kuba ukeneye kubagwa imitsi. Ushobora kuba warumvise zimwe muri zo.

• Aneurysm y'imitsi itera amaraso mu mutima: Umutsi munini mu mubiri wacu (aorta) uracika intege kandi ukabyimba nk'umupira w'amapine.
• Amaraso apfutse: Amaraso apfutse, cyane cyane mu mitsi yo mu birenge (Deep Vein Thrombosis - DVT).
• Indwara y'imitsi ya Carotid: Ibinure byinshi biziba imitsi yo mu ijosi itanga amaraso mu bwonko.
• Imitsi y'ubururu: Imitsi y'ubururu igaragara hejuru y'uruhu ku maguru.
• Indwara y'imitsi ifata amaraso mu mitsi (PAD): Kuziba kw'imitsi bitewe n'ibinure byinshi mu mitsi itanga amaraso mu maboko cyane cyane amaguru.
• Gutera imitsi y'impyiko gucika.
• Gushyiraho inzira yo kugera kuri dialyse.

Umuganga w’imitsi azasuzuma indwara yawe maze ahitemo uburyo bwiza bwo kuvura.

Ni ubuhe bwoko bw'ingenzi bwo kubaga imitsi?

Hari ubwoko bwinshi butandukanye bw'ububaji bukoreshwa mu kuvura indwara zitandukanye. Reka turebere hamwe bumwe mu bubaji bukunze gukorwa.

Kubaga Aneurysm y'imitsi

Iyo aneurysm ibaye nini cyane, cyangwa niba hari ibyago byo gucika, hakorwa operation.

• Kubaga Aneurysm Ifunguye: Hakorwa icyuho mu gituza cyangwa mu nda, igice cyangiritse cy'imitsi gikurwaho, hanyuma hagashyirwamo umuyoboro w'ubukorano (graft) mu mwanya wawo.
• Gusana Aneurysm Endovascular Aneurysm (EVAR): Ubu ni ukubagwa bikorwa binyuze mu gukata gato. Umuyoboro muto (catheter) winjizwa mu kibuno, aho umuyoboro w'icyuma (stent graft) woherezwa mu gace gafite ibibyimba, ugakomeza imitsi y'amaraso iturutse imbere.

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

Ubu buryo bwo kuvura bukoreshwa iyo ugize ikibazo cyo kubabara mu maguru (claudication) bitewe n'imitsi y'amaguru yagabanutse, cyangwa niba ibikomere byawe bitarakira.

• Angioplasty na stenting: Catheter yinjizwa mu mitsi yazibye, ikazamura umwuka, hanyuma kuziba kwayo kuraguka. Hanyuma hashyirwamo igikoresho gisa n'urushundura (stent) kugira ngo kuziba kudasubira kubaho.
• Kubaga imitsi yo mu mpande: Nk’uko umuhanda ufunzwe, hakorwa inzira nshya yo kunyura mu mitsi yo mu mpande. Ibi bikorwa hakoreshejwe undi mutsi muzima cyangwa umuyoboro w’ubukorano uturutse mu mubiri.

Kubaga ibibazo by'imitsi yo mu bwoko bwa carotid

Uku kuziba kw'imitsi y'amaraso ni ikintu gikomeye gishobora gutera indwara yo gucika kw'imitsi.

• Guca imitsi yo mu ijosi: Hakorwa icyuho gito mu ijosi, imitsi irafunguka, hanyuma urwego rw'ibinure (plaque) rwibumbiye imbere rukavugururwa.
• Gupima no gupima imitsi yo mu karotide: Nkuko byavuzwe mbere, ibara ry'umuhondo n'icyuma gikingira imitsi bikoreshwa mu kwagura imitsi ifunganye.

Kuvura indwara zifitanye isano n'imitsi

Iyo imitsi yo mu mitsi yo mu maguru icitse intege, amaraso ahita yishyira mu maguru aho gusubira mu mutima. Ibi bitera kubyimba, ububabare, no kuribwa mu mitsi.

• Gufunga no gukuramo imitsi: Ni uburyo busanzwe bwo kuvura imitsi irwaye. Muri ubu buryo, imitsi irwaye ikurwamo burundu mu buryo bwo kubaga.
• Gukoresha ubushyuhe bwo mu mubiri: Hatabayeho gukata cyane, hakoreshejwe laser cyangwa imiraba ya radiyo ifite frequency nyinshi kugira ngo itwike kandi ifunge umutsi urwaye imbere. Ibi bihagarika amaraso atembera mu mutsi.
• Sclerotherapy: Ni uburyo bwo kuvura imitsi mito itera uburibwe n'imitsi y'igitagangurirwa. Umuti uterwa mu mitsi hanyuma ugafungwa.

Ni iki kibaho mbere, mu gihe cyo kubagwa na nyuma yaho?

Mbere yo kubagwa, muganga wawe azagusuzuma byuzuye, agukorere ibizamini byose by'amaraso, akore scan (nka Doppler ultrasound, CT angiogram), kandi aguhe amabwiriza y'ibyo ugomba gukora kugira ngo witegure kubagwa.

• Ushobora gusabwa guhagarika by'agateganyo gufata imiti imwe n'imwe (cyane cyane imiti igabanya amaraso ).
• Uzasabwa kwiyiriza ubusa kuva mu ijoro ribanziriza kubagwa.
• Niba unywa itabi, ni ngombwa cyane kubihagarika burundu ibyumweru bike mbere yo kubagwa.

Hari ubwoko bubiri bw'ingenzi bwo kubaga. Muganga wawe azahitamo uburyo bukubereye.

Igihe cyo gukira nyuma yo kubagwa giterwa n'ubwoko bw'ubuvuzi bwakorewe. Kubagwa bimwe na bimwe bikomeye bishobora gufata iminsi mike mu cyumba cyita ku barwayi barembye cyane (ICU). Nyuma yo kubagwa gato nka sclerotherapy, ushobora gutaha uwo munsi.

Ni izihe nyungu n'ingaruka mbi z'ubu buryo bwo kubaga?

Ibyiza by'ingenzi:

• Bimwe muri ibyo ni ukubaga ubuzima .
• Bituma ubuzima bwawe burushaho kuba bwiza (urugero, kuba ushobora kugenda nta bubabare).
• Ingorane zikomeye nka stroke n'indwara z'umutima zishobora kwirindwa .

Ingaruka zishobora kubaho:

• Kurwara indwara yo gusinziriza cyangwa irangi ryakoreshejwe.
• Kuva amaraso.
• Amaraso apfutse.
• Kwandura indwara aho bakorewe ubuvuzi.
• Kwangirika kw'imitsi.

Ingaruka zishobora gutandukana bitewe n'ibintu nk'imyaka yawe, kuba hari izindi ndwara (diyabete, indwara z'impyiko), n'ibindi. Muganga wawe azaganira nawe kuri ibi bintu byose neza mbere yo kubagwa.

Ni ryari ugomba kujya kwa muganga nyuma yo kubagwa?

Niba ubonye kimwe muri ibi bimenyetso bikurikira mu gihe cyo gukira nyuma yo kubagwa, menyesha muganga wawe ako kanya cyangwa ujye mu bitaro bikuru byihutirwa (ETU) biri hafi yawe.

• Kuva amaraso cyangwa amashyira mu gikomere cyo kubagwa, gutukura no kubyimba, hamwe n'ububabare bukomeye.
• Umuriro.
• Kubura ibinya cyangwa ububabare bukabije cyangwa kubyimba mu maboko cyangwa amaguru.
• Kubabara cyane mu gituza, mu nda, cyangwa mu mugongo.
• Gukorora amaraso cyangwa amatembabuzi y'icyatsi kibisi/umuhondo.
• Kugorwa no kubona cyangwa kuvuga.