Ese ufite imitsi y'ubururu cyangwa umuhengeri igaragara ku maguru yawe? Cyangwa amaguru yawe ahora abyimba kandi akumva aremereye? Nubwo ibi ari ibibazo bikunze kugaragara ku bantu benshi, rimwe na rimwe ibi bishobora kuba ibimenyetso by'indwara ifitanye isano n'imitsi y'amaraso mu mubiri wacu, cyane cyane imitsi. Uyu munsi rero turaganira ku ndwara y'imitsi, cyangwa `(Indwara y'imitsi)`, n'uburyo bwo kuyivura. Ntutinye, ni ngombwa cyane kubimenya.
Mu magambo make, indwara y'imitsi ni iki?
Tekereza, hari urusobe rw'imitsi y'amaraso mu mubiri wacu. Iyi mitsi tuyita imitsi y'amaraso. Muri iyi, imitsi itwara amaraso ava mu mubiri ikayajyana mu mutima ni imitsi. Mu mitsi mizima harimo ibice bito bisa n'umuryango, byitwa valves. Ibi bifunguka mu cyerekezo kimwe gusa. Bityo amaraso ahora atemba yerekeza mu mutima kandi ntagaruke.
Ariko, mu gihe umuntu afite ikibazo nk'iki cyo kutagira imitsi ihagije, izi valve ntizikora neza. Icyo bibaho ni uko amaraso adakomeza kujya imbere, ahubwo agahagarara ahantu hamwe, cyangwa agasubira inyuma. Ibi nibyo dukunze kwita indwara y'imitsi. Kuvura ibi bisubiza amaraso mu buryo bunoze kandi bikagabanya ibyago byo guhura n'ibibazo.
Ubwoko busanzwe bw'indwara zo mu mitsi
- Uduce tw'amaraso: Kuba amaraso yacitse mu mitsi.
- Kudakora neza kw'imitsi mu buryo buhoraho (CVI): Amaraso adakora neza bitewe no gucika intege kw'imitsi mu mitsi igihe kirekire.
- Kuziba kw'imitsi yo mu bwonko (DVT): Kuziba kw'amaraso mu mitsi iri imbere mu mubiri (akenshi mu maguru). Iyi ni indwara iteje akaga gato.
- Kuvunguka kw'amaraso mu mitsi: Kuvunguka kw'amaraso kuva kuri DVT kugera mu bihaha. Iyi ni indwara ikomeye cyane kandi iteje akaga.
- Indwara yo kuvura amaraso mu buryo budasanzwe: Amaraso agwa mu mitsi iri munsi y'uruhu, bigatuma imitsi ibyimba, igahinduka umutuku, kandi ikababara.
- Imitsi y'ibicurane n'imitsi y'ibicurane: Imitsi ibyimbye kandi igoramye igaragara hejuru y'uruhu. Abantu benshi kandi bayita "imitsi y'ibicurane."
Ni ubuhe buryo bwo kuvura hatabayeho kubagwa?
Akenshi, muganga abanza kugerageza kugenzura iyo ndwara nta kubagwa. Ubu buryo bwo kuvura bushobora gukoreshwa ari bwonyine cyangwa bugakoreshwa hamwe n'ubundi buryo bwo kuvura.
| Uburyo bwo kuvura | Bigenda bite kuri ibi? |
|---|---|
| Imiti igabanya amaraso (Anticoagulation) | Iyi miti irinda kubyimba kw'amaraso. Iyi miti ni ingenzi cyane ku ndwara nka DVT no kubuza kubyimba kw'amaraso. |
| Ubwoko bwihariye bw'amasogisi (Amasogisi yo gukanda) | Izi sogisi zishyira igitutu ku maguru, zigabanye kwishyira hamwe kw'amaraso mu mitsi. Zifasha mu kugenzura imitsi itera kuribwa mu nda no mu mitsi itera DVT. |
| Impinduka mu mibereho | Ibimenyetso bishobora kugenzurwa no gukora imyitozo ngororamubiri, kugenda n'amaguru, gukomeza kuzamura amaguru yawe gato, no kugabanya ibiro. |
| Ubuvuzi bwa sclerotherapy | Ubu ni uburyo bwihariye bwo kuvura imitsi itera kuribwa. Muganga atera amazi yihariye mu mitsi itera kuribwa. Ibi bituma imitsi igabanuka ikabura uko igihe kigenda. |
Uburyo bugezweho bwo kuvura hakoreshejwe catheters
Muri ubu buryo, muganga agabanya gato ku ruhu maze agashyiramo katheteri , umuyoboro muto cyane, mu mitsi. Kubera ko ibi bidasaba gukata cyane, igihe cyo gukira kiba gito kandi ingorane ziba nke.
- Angioplasty: Catheter ishyirwa mu mitsi yazibye hanyuma agapira gato ku mpera kakazura umwuka kugira ngo imitsi yongere kwaguka uhereye imbere. Ibi bituma amaraso atembera byoroshye. Hari igihe stent , umuyoboro muto w'imitsi, ushyirwa mu mitsi kugira ngo idasubira kugabanuka.
- Uburyo bwo kuvura indwara ziterwa n’amaraso hakoreshejwe catheter: Catheter ishyirwa mu gace karimo amaraso agizwe n’ibibyimba, hanyuma imiti ikoreshwa mu kuvura amaraso igashyirwamo. Ibi bishongesha amaraso agizwe n’ibibyimba mu masaha make cyangwa iminsi mike.
- Gukoresha ubushyuhe bwo mu mubiri: Ibi kandi byitwa ubuvuzi bwa laser. Catheter ikoreshwa mu kohereza urumuri rwa laser cyangwa ingufu z'ubushyuhe mu mitsi idakora neza, "igafunga" imitsi imbere. Hanyuma imitsi iragabanuka maze amaraso agatangira gutembera mu mitsi mizima.
- Akayunguruzo ka Vena cava:Aka ni akayunguruzo gato kameze nk'umutaka. Gashyirwa mu mutsi mukuru wo mu nda yacu (vena cava). Gakoreshwa mu gukumira ko amaraso afungana mu maguru ajya mu bwonko cyangwa mu bihaha.
Ni mu bihe ibihe kubagwa biba ngombwa?
Ubusanzwe kubagwa bigirwa inama gusa iyo ubundi buryo bworoshye bwo kuvura bwananiwe, cyangwa iyo indwara ikomeye.
Niba iyi ndwara ibangamira cyane imirimo yawe ya buri munsi, cyangwa niba uri mu kaga ko kurwara indwara ikomeye nka DVT cyangwa Pulmonary Embolism, muganga wawe ashobora gutekereza kubagwa.
Hari ubwoko bwinshi bw'ingenzi bwo kubaga:
- Gufunga no gukuramo imitsi: Ibi bisaba gufunga imitsi ifite ikibazo cyo kuribwa no kuyikuraho. Hari igihe ubu buryo bwo kubaga bukorwa hakoreshejwe uburyo bwo gukata intoki hakoreshejwe igikoresho nka endoscope.
- SEPS (kubaga subfascial endoscopic perforator): Ubu buryo bwo kubaga bukorerwa abantu bafite imitsi yangiritse mu maguru yo hasi kandi bafite ibikomere bidakira (ibisebe byo mu mitsi).
- Uburyo bwo kubaga: Kimwe no kubaka inzira yo kunyuramo kugira ngo uce umuhanda urimo imiyoboro myinshi, ibi bikubiyemo gukora inzira nshya ikikije umuyoboro w'amaraso wafunze. Ibi bishobora gukorwa hakoreshejwe igice cy'umutsi wawe cyangwa umuyoboro w'ubukorano (graft).
Ni izihe nyungu n'ingaruka z'ubu buryo bwo kuvura?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka ndetse n'inyungu. Urugero, imiti igabanya amaraso rimwe na rimwe ishobora gutera kuva amaraso. Hari ibyago bike byo kwandura mu gihe cyo kubagwa.
Ariko, mu bihe byinshi, inyungu z'ubu buryo bwo kuvura ziruta kure ingaruka mbi. Ubu buryo bwo kuvura bushobora gufasha gukumira ingorane zishobora guterwa n'ubuzima nko kuvura ibihaha. Bushobora kandi kugabanya ibimenyetso nko kubyimba amaguru, ububabare, uburyaryate, no kubabara imitsi. Muganga wawe azagusobanurira uburyo bwiza bwo kuvura indwara yawe.
Igihe cyo gushaka inama z'abaganga byihutirwa
Niba ufite kimwe muri ibi bimenyetso bikurikira nyuma yo kuvurwa indwara y’imitsi (catheter cyangwa kubagwa), hita ubonana na muganga wawe cyangwa ujye mu bitaro bikuru by’ubutabazi bw’ibanze (ETU) by’ibitaro biri hafi yawe.
- Kubabara mu gatuza
- Kuva amaraso bidashira cyangwa andi mazi aturuka ku bisebe
- Umuriro
- Umutwe
- Isesemi cyangwa kuruka
- Ububabare bukomeye cyangwa kubyimba hafi y'aho hakomeretse
- Gucika intege mu maguru
- Ubushyuhe cyangwa umutuku hafi y'aho habereye incision
Ubutumwa bwo kujyana mu rugo
- Indwara y'imitsi ni indwara ibangamira urujya n'uruza rw'amaraso mu mitsi y'umubiri wacu. Ibi ni ibintu bikunze kugaragara.
- Niba ufite ibimenyetso nko kubyimba amaguru, ububabare, cyangwa imitsi igaragara, ntubyirengagize. Shaka muganga kugira ngo amenye impamvu.
- Hari uburyo butandukanye bwo kuvura buboneka muri iki gihe, harimo imiti, guhindura imibereho, uburyo bugezweho bwo kuvura hakoreshejwe catheter, ndetse no kubaga.
- Si buri wese ukeneye kubagwa. Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura.
- Iyo abantu benshi bavuwe neza, bashobora kwirinda ingorane zikomeye no kubaho ubuzima busanzwe kandi burangwa n'ibikorwa.
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