Ese wigeze ubona ko iyo uhagaze igihe kirekire cyangwa uko ugenda ukura, amaguru yawe aba ubururu agasa n'aho afite amapfundo? Hari abantu bafite amaguru yabyimbye, agoramye kandi aremereye. Ibi ni byo twita indwara y'imitsi. Ntugatinye iyo wumvise iri zina. Iyi ni indwara ikunze kugaragara cyane. Uyu munsi, turaganira kuri ibi n'uburyo bivurwa mu buryo bworoshye cyane ushobora gusobanukirwa.
Indwara y'imitsi ni iki?
Reka tubanze turebe icyo ari cyo. Dufite ubwoko bubiri bw'imitsi y'amaraso mu mubiri wacu. Umwe ni imitsi itwara amaraso meza ava mu mutima mu mubiri wose. Undi ni imitsi itwara amaraso yanduye ikayajyana mu mutima.
Tekereza iyi mitsi nk'inzira imwe . Iyi nzira ifite inzugi nto zibuza amaraso gutembera inyuma. Tuyita valve. Izi nzugi zirakinguka iyo amaraso agiye hejuru, hanyuma zikongera zigafunga kugira ngo amaraso atembera inyuma.
Ubu, indwara y'imitsi ni igihe iyo nzira igenda nabi. Cyane cyane iyo utwo tuzugi duto navuze, utuzugi, ntabwo dukora neza. Iyo tudafunze neza, amaraso atangira gutemba inyuma aho kujya hejuru, cyangwa agahagarara. Ni bwo havuka ibibazo.
Ubwoko busanzwe bw'indwara zo mu mitsi
Ku bijyanye n'indwara zo mu mitsi, ntabwo ari ubwoko bumwe gusa, ahubwo hari n'izindi ndwara nyinshi ziterwa na zo.
- Uduce tw'amaraso: Kuba amaraso yacitse mu mitsi.
- Kunanirwa k'imitsi mu mitsi (CVI): Indwara ituma imitsi yo mu mitsi y'amaguru icika intege, amaraso ntagasubire mu mutima neza.
- Kuziba kw'imitsi miremire (DVT): Amaraso agwa mu mutsi munini kandi wimbitse imbere mu mubiri. Iyi ni indwara iteje akaga gato.
- Kuvubura amaraso mu mitsi: Kuvubura amaraso mu mitsi, bisa na DVT, biva mu mitsi bikajya mu mitsi mu bihaha. Ibi ni ibintu byihutirwa.
- Kubyimba kw'imitsi munsi y'uruhu hamwe n'amaraso apfutse.
- Imitsi y'ibicurane n'imitsi y'ibicurane: Imitsi isa n'aho yabyimbye, yavunitse, kandi ifite ubururu n'umuhengeri, igaragara mu ruhu.
Ni ubuhe bwoko bw'abaganga bavura ubwo bwoko bw'indwara?
Niba ufite ikibazo nk'iki, uzavurwa na muganga ufite ubumenyi muri uru rwego. Hari ubwoko bubiri bw'inzobere.
1. Umuganga w'imitsi n'amaraso:Aba baganga basuzuma kandi bakanatanga imiti ivura indwara z'imitsi. Bashobora kandi gukora ibikorwa bidatera indwara nyinshi.
2. Kubaga imitsi: Aba baganga banasuzuma indwara kandi bakavura. Ariko, bafite n'amahugurwa yihariye yo kubaga iyo bibaye ngombwa.
Iyo ugiye kwa muganga w’umuryango wawe bwa mbere (GP), azasuzuma indwara yawe hanyuma akwohereze ku muganga w’inzobere nk’uyu nibiba ngombwa.
Ni ubuhe buryo bwo kuvura butari ubwo kubaga?
Si imitsi yose itera imitsi isaba kubagwa. Kenshi na kenshi, ishobora gukemurwa n'uburyo bworoshye bwo kuvura butari ubwo kubaga. Hari igihe iyi mitsi ikoreshwa hamwe n'ubundi buryo bwo kuvura.
- Kugabanya amaraso: Iyi miti kandi yitwa imiti igabanya amaraso. Iyi miti ibuza amaraso kuzura kandi ikabuza amaraso kuzura kwiyongera. Iyi miti ni ingenzi cyane ku ndwara nka DVT.
- Amasogisi yo gukanda: Aya ntabwo ameze nk'amasogisi asanzwe. Aya masogisi ashyira igitutu ku maguru. Ni nk'aho umuntu arimo kuyakanda. Uyu gitutu ufasha amaraso yo mu maguru kuzamuka, yerekeza ku mutima, aho guhagarara.
- Impinduka mu mibereho: Ndetse n'impinduka nto mu myitwarire yawe ya buri munsi zishobora kugira ingaruka zikomeye.
- Gukora imyitozo ngororamubiri, nko kugenda n'amaguru .
- Iyo wicaye, komeza amaguru yawe hejuru nk'intebe .
- Kugenzura ibiro by'umubiri .
- Sclerotherapy: Ubu ni uburyo bwo kuvura imitsi itera imitsi iri mu mitsi. Umuti wihariye uterwa mu mitsi ifite ikibazo. Uyu muti utuma imitsi ibyimba, ikagira ubushyuhe, kandi igakora. Amaraso atembera muri uwo mutsi arahagarara maze amaraso agatangira gutembera mu mitsi mizima. Uko igihe kigenda gihita, umubiri ufata umutsi udakora.
Kuvura hakoreshejwe catheter
Catheter ni umuyoboro muto cyane kandi woroshye . Muri ubu buryo bwo kuvura, muganga akora akantu gato cyane ku ruhu maze agashyiramo uyu muyoboro muto mu mitsi. Akamaro k'ubu buryo ni uko nta kantu kanini gakorerwa, bityo igihe cyo gukira kikaba gito kandi ibyago byo kugira ibibazo bikaba bike.
| Uburyo bwo kuvura (Uburyo) | Mu magambo make, ni iki kibaho? |
|---|---|
| Angioplasty | Agapira gato kari ku mpera ya catheter kaba karimo umwuka mwinshi imbere mu mitsi yazibye. Ibi bifungura imitsi yazibye kandi bigasubiza amaraso mu muyoboro wayo. Hari igihe umuyoboro muto witwa stent ushyirwamo kugira ngo wirinde ko yongera kuziba. |
| Uburyo bwo kuvura indwara ziterwa n'imitsi buyobowe na catheter | Umuti ushobora gushonga amaraso apfundikiye uterwa muri catheter ukagera aho amaraso apfundikiye. Uyu muti uhita ugera ku gice cy'amaraso apfundikiye, bigatuma gishonga mu masaha make cyangwa iminsi mike. |
| Gusohora ubushyuhe mu buryo bw'ingufu | Ibi kandi byitwa uburyo bwo kuvura hakoreshejwe laser. Aha, imirasire ya laser cyangwa ingufu z'ubushyuhe bikoreshwa mu gutwika umutsi ufite ikibazo imbere no kuwutuma udakora. Hanyuma, amaraso arahagarara gutembera muri uwo mutsi, maze imitsi myiza igakora akazi kayo. |
| Akayunguruzo ka Vena cava | Uru ni akayunguruzo kameze nk'umutaka muto. Gashyirwa mu mutsi munini mu mubiri wacu, Vena Cava. Uru yunguruzo rubuza amaraso atera mu maguru gucika no kujya mu mutima cyangwa mu bihaha. Ni nk'umuyoboro wo gufata umwanda. Gashobora gushyirwaho by'agateganyo cyangwa burundu. |
Kuvurwa binyuze mu kubagwa
Mu bihe bimwe na bimwe, kubagwa birakenewe.
Ni ryari kubagwa biba ngombwa?
- Niba ubundi buryo bwo kuvura bworoshye butatanze umusaruro mwiza.
- Niba indwara yawe y'imitsi ibangamira ibikorwa byawe bya buri munsi ku buryo udashobora gukora ikintu icyo ari cyo cyose.
- Niba ufite ibyago byinshi byo kurwara indwara iteje akaga nka DVT cyangwa pulmonary embolism.
Ubwoko bw'ingenzi bw'ububaji
- Gufunga no gukuramo imitsi: Imitsi ya Varicose ikurwaho hakoreshejwe uburyo bwo kuyifunga no kuyikuraho burundu.
- Kubaga SEPS (Kubagwa hakoreshejwe uburyo bwo gukata imashini igabanya ububabare mu gice cyo hasi cy’imbere):Ubu ni uburyo bugoye gato bwo kubaga. Bukorerwa abantu bafite ibisebe byo mu mitsi mu maguru yabo bidakira bitewe n'imitsi yangiritse. Imitsi yangiritse iracibwa maze amaraso agahita ajyanwa mu mitsi mizima.
- Kubaga mu buryo bwo kunyura mu mitsi: Ni nko kubaka inzira yo kunyura mu mitsi kugira ngo irenge aho imitsi ifunganye. Niba hari aho imitsi ifunganye ibuza amaraso gutembera, muganga wawe azashyiraho inzira nshya yo gutemberamo amaraso. Ibi bishobora gukorwa hakoreshejwe igice cy'imitsi yawe cyangwa umuyoboro w'ubukorano.
Ese izi ndwara zishobora gukira burundu?
Iki ni ikibazo abantu benshi bibaza. Hari ubwo biba ari yego. Urugero, niba ufite imitsi irwaye indwara yo kubabara, gukuraho iyo mitsi bizakemura burundu ikibazo. Ariko, ntibizabuza imitsi mishya irwaye indwara yo kubabara kubaho ahandi hantu.
Ariko si indwara zose zo mu mitsi zishobora gukira burundu. Hari igihe intego yo kuvura iba ari ukugenzura ibimenyetso no gukumira ingorane zikomeye, nko kubyimba kw'amaraso mu bihaha.
Urugero, akayunguruzo ka vena cava gahagarika amaraso kugabanuka ajya mu bihaha, ariko ntigakuraho amaraso asanzwe. Imiti igabanya amaraso ibuza amaraso kugabanuka, ariko ntishobora gushonga asanzwe. Bityo rero intego yo kuvura izatandukana bitewe n'uburwayi bwawe.
Ni izihe nyungu n'ingaruka mbi zo kuvurwa?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, ubu buvuzi bufite akamaro ndetse n'ingaruka zimwe na zimwe.
Akamaro nyamukuru ni ukurinda ingorane zishobora gushyira ubuzima mu kaga. Binatanga ihumure ku bimenyetso bishobora kubangamira ubuzima bwa buri munsi, nka:
- Kubabara mu gifu cyangwa umugongo
- Imitsi yabyimbye
- Kuremererwa no kubabara amaguru
- Ibisebe biryana cyangwa bitakira
- Kubyimba
Tuvuze ku ngaruka zishobora kubaho, imiti igabanya amaraso rimwe na rimwe ishobora gutera kuva amaraso ku bushake. Hari amahirwe make yo kwandura indwara ziturutse mu kubagwa no mu bundi buryo.
Ariko icy'ingenzi ni uko akenshi, inyungu zo kuvurwa ziruta ingaruka ntoya. Muganga wawe azagusobanurira uburyo bwiza kandi bwizewe bwo kuvura hashingiwe ku buzima bwawe.
Igihe cyo gukira n'igihe cyo kubonana na muganga
Nyuma yo kuvurwa ukoresheje catheter, ubusanzwe ushobora gusubira mu mirimo isanzwe mu minsi mike. Ariko, niba warabazwe cyane, bishobora gufata ibyumweru bibiri cyangwa birenga kugira ngo ukire neza.
Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo kuvurwa cyangwa kubagwa, bimenyeshe muganga wawe ako kanya.
| Ibimenyetso byo kwitondera | |
|---|---|
| - Kubabara mu gituza | - Umutwe |
| - Kuva amaraso kenshi cyangwa andi mazi ava mu gikomere cyo kubagwa | - Kugira isesemi cyangwa kuruka |
| - Umuriro | - Ububabare cyangwa kubyimba hafi y'igikomere (edema) |
| - Kubura ibinya mu biganza cyangwa mu birenge | -Ubushyuhe cyangwa umutuku hafi y'igikomere |
Niba ubonye kimwe muri ibi bimenyetso, ntukirengagize. Bishobora kuba ikimenyetso cy'ubwandu cyangwa ikindi kibazo.
Ubutumwa bwo kujyana mu rugo
- Indwara y'imitsi ni indwara ibaho iyo utunyangingo (amarembo) mu mitsi tudakora neza, bigatuma amaraso ahagarara cyangwa agasubira inyuma.
- Imitsi y'imitsi itera ubwivumbure, kubyimba amaguru, no kuremererwa mu maguru ni ibimenyetso bisanzwe by'iyi ndwara.
- Hari uburyo bwinshi butandukanye bwo kuvura ibi, harimo imiti, amasogisi yihariye, guhindura imibereho, ubuvuzi bwa catheter, no kubagwa.
- Muganga wawe ni we uzagena uburyo bwo kuvura bujyanye n'uburwayi bwawe.
- Niba ubonye ibimenyetso bidasanzwe nyuma yo kuvurwa, nko kubabara mu gatuza, umuriro, cyangwa kuva amaraso mu gisebe, hamagara muganga wawe vuba.
- Witinya, hamwe n'ubuvuzi bugezweho bwo muri iki gihe, abantu benshi bashobora kugenzura ibi bibazo no kubaho ubuzima bwuzuye kandi burangwa n'ibikorwa.
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