Ese imiyoboro y'amaraso yawe ihita ifungana? Ibi byitwa (Vasospasm)!

Ese wigeze wumva ubabaye mu gice kimwe cy'umubiri wawe? Bishobora guterwa n'uko umwe mu mitsi yawe y'amaraso ifunganye mu buryo butunguranye. Mu buvuzi, ibi byitwa vasospasm , cyangwa gufungana kw'imitsi y'amaraso . Mu magambo make, ni nk'aho umuyoboro w'amazi ufunganye mu buryo butunguranye, ugahagarika amazi. Ni ngombwa kubyumva kuko bishobora kugira ingaruka ku bice byinshi bitandukanye by'umubiri wawe.

Iki ni iki mu by'ukuri (Vasospasm)?

Mu magambo make, kubabara mu mitsi ni ukugabanuka gutunguranye kandi igihe kirekire kw'imitsi, cyangwa imitsi y'amaraso, mu mubiri wawe. Tekereza uko bigenda iyo ufunze ibipfunsi byawe ukagabanya intoki zawe igihe runaka? Bitangira kubabara nyuma y'igihe runaka, si byo se? Ibyo ni ko bigenda iyo imitsi yawe ihora ifunganye.

Inkuta z'imitsi yacu zikozwe mu mitsi . Iyi mitsi ihora yihuta kandi ikaruhuka kugira ngo igenzure umuvuduko w'amaraso. Ibi ni ibisanzwe. Ariko, iyo imitsi icitse intege, iyi mitsi irakomera mu buryo budasanzwe kandi igihe kirekire cyane . Ibi bigabanya ingano y'amaraso atembera muri iyo mitsi. Ibi bigabanya ingano ya ogisijeni igera ku ngingo zikikije. Ibi nibikomeza, inkuta z'imitsi zishobora kwangirika.

By’umwihariko, aho hari ibitagenda neza mu mitsi y’amaraso, tubyita (imikorere mibi y’imyakura) , hari amahirwe menshi yo kuba (vasospasm).

Bigenda bite iyo umuvuduko w'amaraso ubaye?

Iyo imitsi itangiye kugabanuka, imitsi yoroshye iri mu nkuta z'imitsi ihita ikora cyane iyo ibonye ibimenyetso byo gucika. Ubusanzwe, iyi mitsi iracika by'agateganyo. Ariko iyo imitsi icitse, iracika igihe kirekire kuruta uko bikenewe.

Ni gute (Vasospasm) igira ingaruka ku mubiri wanjye?

Vasospasm ishobora kubaho mu mitsi myinshi itandukanye mu mubiri wacu, ariko ikunze kugaragara cyane mu bice bimwe na bimwe. Urugero:

• Imitsi yo mu mutima: Iyo imitsi itera amaraso mu mutima itera amaraso mu mitsi, yitwa Prinzmetal angina . Ibi bishobora kubuza amaraso gutembera mu mutima no gutera indwara y'umutima . Tekereza ububabare bukabije mu gatuza, rimwe na rimwe bigatuma guhumeka bigorana.
• Imitsi yo mu bwonko: Iyo imitsi ijyana amaraso mu bwonko (vasospasm) ibayeho, amaraso ashobora kugabanuka, bigatuma ingirabuzima fatizo z'ubwonko zangirika (cerebral infarct) , indwara isa n'indwara y'umutima ("cardial attack") mu bwonko. Ibi bishobora gutera ingorane mu kuvuga no gutakaza amaguru n'amaboko.
• Imitsi yo mu ntoki n'amano: Iyo intoki zigize impumuro mbi, intoki zishobora gukonja, zigahinduka ibinya, kandi zigahinduka ibara. Iyi ni indwara ibabaza cyane.
• Vasospasm y'inyama zo mu nda : Iyo iki kibazo kibaye ku babyeyi bonsa, konsa bishobora kubabaza cyane.

Kubabara mu mitsi bikunze kugaragara gute?

Dukurikije ubushakashatsi bumwe na bumwe, kugeza kuri 20% by'ababyeyi bonsa bashobora kugira ikibazo cyo kubura amaraso mu miyoboro yabo y'amata . Nanone, hagati ya 50% na 90% by'abafite ikibazo nk'ivunika ry'imitsi y'amaraso mu bwonko (aneurysm) bashobora kugira ibyago byo kubura amaraso mu miyoboro y'amata.

Ni ibihe bimenyetso by'indwara yo kugabanya imitsi mu mubiri (vasospasm)?

Ibimenyetso biratandukanye bitewe n'aho vasospasm ibera. Reka turebe uko bikora.

Ibimenyetso bya Vasospasms y'imitsi yo mu mutima

Ibi bikunze kubaho mu gihe cyo kuruhuka, nijoro, mu gitondo cya kare, ndetse no nyuma yo guhura n'ubukonje bukabije . Ubushakashatsi bumwe bwagaragaje ko binafitanye isano n'indwara zo mu mutwe nko guhangayika no kwiheba .

Ibimenyetso by'ingenzi ni ibi bikurikira:

• Umutima uhagaze cyangwa urupfu rw'umutima rutunguranye rwaravuyeho.
• Kunanirwa.
• Angina ihamye: Ibi bivuze ububabare bwo mu gituza, cyane cyane iyo umuntu ashyizeho imbaraga nyinshi.
• Indwara y'umutima ikabije: Iyi ishobora kuba indwara y'umutima cyangwa angina idahindagurika.

Ibimenyetso bya Vasospasms zo mu bwonko

Vasospasm mu bwonko ishobora gutera ibimenyetso nk'ibi:

• Umutwe utunguranye kandi ukomeye urushaho kwiyongera mu masegonda make.
• Gusinzira cyane.
• Kubura ibyiyumvo cyangwa kudashobora kwimura ukuboko, ukuguru, cyangwa uruhande rumwe rw'umubiri.

Ibimenyetso bya Vasospasms mu biganza cyangwa mu birenge

Niba ufite spasm mu kuboko, ku kuguru, cyangwa ku rutoki, ushobora kugira ibimenyetso bikurikira:

• Intoke zikonje cyangwa zidafite ibinya.
• Ibara ry'uruhu rihinduka (rihinduka umweru, ubururu, umutuku).
• Kubabara cyangwa kumva intoki zirimo gutyara.

Ibimenyetso by'indwara yo kugabanya imitsi mu nda y'ababyeyi bonsa

Iyo umubyeyi wonsa ahuye n'iki kibazo, ashobora kugira ibimenyetso nk'ibi:

• Ububabare bukomeye mu ibere .
• Impinduka mu ibara ry'umuyoboro w'amata y'ibere (rishobora guhinduka umweru, hanyuma rigahinduka umutuku, ubururu, cyangwa umuhengeri).

Ni izihe mpamvu zitera vasospasm?

Hari impamvu zitandukanye zitera kubabara mu bice bitandukanye by'umubiri.

Impamvu zitera Vasospasm mu mutima

Nubwo impamvu nyazo zibitera zitaramenyekana, hari ibintu bimwe na bimwe bifitanye isano n’iki kibazo:

• Ikinyabutabire cyitwa Serotonin .
• Uburyo bwo kuvura kanseri (Chimiotherapie).
• Gukoresha ibiyobyabwenge nka kokayine, amfetamine, cyangwa urumogi .
• Impinduka mu miterere y'uturemangingo.
• Kubyimba.
• Migraine.

Impamvu zitera Vasospasm mu bwonko

Vasospasm mu bwonko ishobora guterwa na:

• Ubushobozi bwo gucika kw'imitsi mu bwonko.
• Izindi mpamvu zitera kuva amaraso hirya no hino mu bwonko.
• Guhura n'ibintu bitera imitsi cyangwa imiti.
• Udukoko tw'amaraso dukikije ubwonko (Subarachnoid blood clot).

Impamvu zitera Vasospasm mu biganza cyangwa mu birenge

Impamvu z'ingenzi zibitera ni izi:

• Ikiza cya Raynaud: Muri ibi, amaraso atembera mu ntoki aragabanuka iyo umuntu ahuye n'ibicurane cyangwa stress.
• Scleroderma: Iyi ni indwara ituma uruhu rukomera kandi rugakomera.
• Ateriosclerosis: Kugabanuka kw'imitsi bitewe n'ibinure byinjijwe mu nkuta z'imitsi.
• Amaraso apfutse.

Impamvu zitera imiyoboro y'amashereka mu miyoboro y'amashereka ku babyeyi bonsa

Hari impamvu nyinshi zishobora kugira ingaruka kuri ibi:

• Ikintu cyabaye kuri Raynaud.
• Imiti imwe n'imwe.
• Kubagwa ibere.
• Indwara z’ubudahangarwa bw’umubiri.
• Guhura n'ubukonje.
• Gukura umwana mu kato ako kanya umwana akimara kunywa.
• Imiti irwanya udukoko yo mu bwoko bwa antifungal hamwe n'andi mavuta nka APNO cream.
• Kwangirika kw'imiyoboro y'amashereka bitewe n'uko umwana atanywa neza cyangwa gukoresha ipompo y'amashereka.
• Ikoreshwa ry'itabi.
• Impamvu zitaramenyekana.

Ni gute wamenya (Vasospasm)?

Gusuzuma umubiri kwa muganga ni ingenzi cyane kugira ngo umuntu amenye indwara. Ariko, ibizamini bikurikira nabyo bishobora gukorwa:

• ECG (Electrocardiogram - EKG): Reba imikorere y'amashanyarazi y'umutima.
• Angiogramu: Ikizamini gikubiyemo gutera umuti mu mitsi y'umutima kugira ngo utere imitsi ifungana.
• Isuzuma rya Positron Emission Tomography (PET).
• Gupima CT (Ifoto ya Tomografia - CT).
• Gupima MRI (Ishusho ya Magnetic Resonance - MRI).
• Echocardiogram: Isuzuma ry'umutima hakoreshejwe ultrasound.

Ni ubuhe buryo bwo kuvura (Vasospasm)?

Uburyo bwo kuvura buratandukanye bitewe n'aho vasospasm ibera.

Uburyo bwo kuvura Vasospasm y'imitsi y'umutima

• Gufata imiti yo mu itsinda rishinzwe gukumira imiyoboro ya kalisiyumu .
• Gufata imiti yo mu itsinda rya nitrate .
• Kugabanya ibiro.
• Guhagarika ikoreshwa ry'ibiyobyabwenge n'itabi.
• Niba hari ibibazo by’umutima nko kurwara indwara ya ventricular tachycardia, shyiramo igikoresho cyitwa Implantable Cardioverter Defibrillator (ICD) .

Uburyo bwo kuvura Vasospasm mu bwonko

• Kunywa ibinyobwa byinshi.
• Ubwiyongere bw'umuvuduko w'amaraso (ku nama za muganga).
• Gukuraho icyateye vasospasm.
• Gutanga imiti nka verapamil cyangwa nimodipine binyuze mu mitsi (ishyirwa mu mitsi - IV). Iyi ni imiti igabanya ubukana bw'imitsi.
• Ni gake cyane, iyo bibaye ngombwa, imiti yo kwagura imitsi ishobora gutangwa.

Uburyo bwo kuvura Vasospasm mu biganza cyangwa mu birenge

• Kwambara amasogisi, imifariso, n'indi myenda ishyushye.
• Kwirinda kunywa itabi.
• Gufata imiti yo mu itsinda rishinzwe gukumira imiyoboro ya calcium , urugero nka felodipine cyangwa amlodipine (Norvasc® cyangwa Katerzia®).
• Kubagwa cyangwa guterwa inshinge z'uburozi bwa botulinum.

Uburyo bwo kuvura imitsi y'amaraso mu ngirabuzimafatizo z'amabere

• Gushyushya no kugumana ibiziba by'amashereka bitwikiriye.
• Ibintu bishobora gutuma imiyoboro y'amaraso ifungana, urugero nko kunywa itabi.
• Iyo uburyo bwavuzwe haruguru budashoboye kugenzura iyo ndwara, hari igihe hakenerwa umuti ubuza imiyoboro ya kalisiyumu witwa nifedipine (Nifedical®XL cyangwa Procardia®XL) cyangwa Selective Serotonin Reuptake Inhibitor (SSRI) .

Ese hari ingaruka mbi zikomoka ku buvuzi?

Imiti imwe n'imwe ikoreshwa mu kuvura imitsi ishobora gutera ingaruka mbi nka:

• Umutwe.
• Kubabara mu nda.
• Kuzungera.
• Uburangare .
• Indwara zo mu mutwe - Ibi ni gake cyane.

Ni gute wagabanya ibyago byo kurwara imitsi ifungana?

Uburyo bumwe bwo kugabanya ibyago byo kubabara mu mitsi mu by'ukuri ni bwiza ku buzima rusange bw'umutima wawe n'imitsi y'amaraso (umutima n'imitsi).

• Ntugakoreshe ibikomoka ku itabi.
• Komeza urugero rwa cholesterol yawe ruri mu rugero rusanzwe.
• Gabanya kunywa inzoga.
• Niba urwaye diyabete yo mu bwoko bwa 2, uyigenzure neza.
• Niba ufite umuvuduko w'amaraso ukabije, genzura.
• Irinde gukoresha ibiyobyabwenge nka kokayine.

Ni gute wakwirinda (Vasospasm)?

Kugira ngo hirindwe ko imitsi itera cyane cyane mu bwonko, umuganga ashobora gukora ibintu nk'ibi bikurikira:

• Reba urutonde rw'imiti ufata kandi urebe neza ko nta miti igabanya imitsi ijyana amaraso mu mubiri.
• Kurinda umuvuduko mwinshi w'ubwonko.
• Kuguha umuti ugabanya ubukana bwa calcium channel nka nimodipine cyangwa verapamil.

Icy'ingenzi: Aya makuru ni ay'amakuru rusange gusa. Niba ufite ibimenyetso cyangwa ushaka kumenya byinshi kuri ibi, nyamuneka shaka inama kwa muganga.

Ese Vasospasms ni indwara ikomeye?

Kubabara mu minwe, mu mano, cyangwa mu mabere bishobora kubabaza kandi bigatera ikibazo. Ariko, ntabwo bishyira ubuzima mu kaga .

Ariko, iyo umutima wawe cyangwa ubwonko bwawe bitangiye kugabanuka, amaraso agabanuka ajya muri ibyo bice by'umubiri bishobora kwangiza ingirabuzimafatizo. Ibi bishobora kugira ingaruka zikomeye ku mikorere y'umutima n'ubwonko.

Munsi ya 5% by'indwara zo mu mitsi y'umutima zitera umutima gucika intege. Ariko, uburyo bwo kuvura umutima gucika intege bushobora kunoza ubuzima.

Abantu bafite imitsi ikomeye mu bwonko bashobora kumara ibyumweru byinshi mu bitaro.

Nitwara nte?

• Koresha umuti neza neza nk'uko muganga wawe yabigutegetse.
• Niba ibimenyetso byawe bitagenze neza, menyesha muganga wawe.
• Kwirinda ibintu bitera vasospasm bishobora gufasha gukumira iyi ndwara.
• Niba ufite ibimenyetso by'indwara y'umutima (urugero: kubabara cyane mu gatuza, guhumeka nabi, kuruka), jya mu cyumba cy'ubutabazi bwihuse.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba usanzwe urwaye (vasospasm) cyangwa ukeka ko uyirwaye, ushobora kubaza muganga wawe ibibazo nk'ibi:

• Niba umuti uriho ubu udafashije, hari indi miti nshobora gufata?
• Ese ushobora kunyandikira inzobere ishobora kumfasha mu bibazo byo konsa (niba mfite spasm y'imiyoboro y'amata )?
• Ni kangahe nkwiye kukubona (gahunda zo gukurikirana)?
• Ni iki giteganyijwe ku ndwara yanjye?

Amaherezo, ibintu byo kwibuka

Vasospasm ishobora kugira ingaruka ku mibiri yacu mu buryo butandukanye. Hari ubwoko bumwe na bumwe bwa vasospasm dushobora kugenzura no gukumira. Kubwibyo, niba ufite ikibazo cyangwa gushidikanya kuri ibi, ntugatinye kuvugana na muganga wawe . Azakugira inama ku buryo bwiza bwo kuvura no kwirinda. Komeza ubuzima bwiza!

Vasospasm , imitsi ifungana, imitsi ifungana, indwara z'umutima, indwara z'ubwonko, ibibazo by'inzira z'amaraso, ibinure mu ntoki