Ese ufite imitsi ibyimbye mu maguru yawe? Reka tuvuge ku ndwara z'imitsi!

Ese hari igihe ubona imitsi y'ubururu cyangwa umuhengeri mu maguru yawe? Cyangwa amaguru yawe yumva aremereye, afite ububabare, cyangwa ababara? Hari abantu bashobora gutekereza ko ibi ari ibisanzwe, ibintu bibaho nyuma yo guhagarara igihe kirekire cyangwa nyuma yo gukora imyitozo ngororamubiri mike. Ariko, ibi bimenyetso rimwe na rimwe bishobora kuba ikimenyetso cya mbere cy'ikibazo ku mitsi y'umubiri wacu, imitsi itwara amaraso yanduye. None rero uyu munsi, reka tubiganireho mu buryo burambuye, indwara y'imitsi ni iki, uko ikura, n'icyo twakora kugira ngo twirinde iyi ndwara.

Indwara y'imitsi ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Mu magambo make, indwara y’imitsi ni indwara iyo ari yo yose igira ingaruka ku mitsi yo mu mubiri wacu, ubwoko bw’imitsi ijyana amaraso yanduye mu mutima. Urabizi, iyi mitsi imeze nk’imiyoboro yoroshye kandi idafite aho iboshye. Ni igice cy’ingenzi cyane cy’urusobe rw’amaraso rutwara amaraso mu mubiri wacu wose.

Akamaro k'ingenzi k'imitsi ni ugutwara amaraso yangiritse mu mwuka (tuyavuge "amaraso yanduye") mu mutima nyuma yo kuyakoresha mu bice bitandukanye by'umubiri wacu. Hanyuma umutima usukura aya maraso, wongeramo umwuka wa ogisijeni, hanyuma ukayasubiza mu bindi bice by'umubiri. Ku rundi ruhande, imitsi itwara amaraso meza kandi akungahaye kuri ogisijeni mu mutima ikayajyana mu bindi bice by'umubiri. Ni ingenzi cyane ku buzima bwacu ko aya maraso yombi akora neza.

Noneho reba, hari ikintu gitangaje cyane muri iyi mitsi. Yitwa valves . Izi ni nk'inzugi nto. Iyo twimuka, iyo tugenda, iyo imitsi yacu ikoragurika, iyi valves irakinguka. Hanyuma amaraso atembera mu cyerekezo kimwe, ni ukuvuga yerekeza ku mutima, hejuru. Iyo imitsi yongeye kuruhuka, iyi valves irafunga. Hanyuma amaraso ahagarika gusubira hasi bitewe n'imbaraga rukuruzi. Tekereza nk'agapira kabuza amazi gusubira hasi iyo usuka amazi mu kigega cy'amazi.

Ariko, iyo imiyoboro iri mu mitsi yangiritse bitewe n’iyi ndwara y’imitsi, ishobora kudafunga neza. Bigenda bite iyo bibaye? Tekereza, niba urwo rugi rudafunga neza, amaraso atangira kuva inyuma, cyangwa ashobora no gutembera mu byerekezo byombi. Ni bwo ibibazo, ni ukuvuga ibimenyetso bijyanye n’indwara y’imitsi, bitangira kugaragara kimwe kimwe.

Ni ubuhe bwoko bw'indwara zo mu mitsi? Reka tubimenye!

Hari ubwoko bwinshi butandukanye bw'indwara zo mu mitsi. Reka turebe ubwoko bw'ingenzi:

• Amaraso afungana: Ibi bishobora kubaho atari mu maguru no mu maboko gusa, ahubwo no mu mitsi y'imbere nk'impyiko, urwagashya, amara, n'umwijima, mu mitsi y'ubwonko (Cerebral Vein Thrombosis), mu mitsi y'impyiko (Renal Vein Thrombosis), ndetse no mu bihaha (Pulmonary Embolism).
• Indwara yo kuvura imitsi yo mu bwonko (DVT): Iyi ni indwara abantu benshi bumvise, kandi ishobora gutera ubwoba. Ibaho iyo amaraso acitse mu mitsi yo mu bwonko (ubusanzwe mu maguru, rimwe na rimwe mu maboko) yinjira mu mubiri.DVT imwe ntabwo ishyira ubuzima mu kaga. Ariko, iyo iki gipfundikizo cy'amaraso kivuyemo kikanyura mu maraso kigafata umutsi wo mu bihaha, tucyita Pulmonary Embolism (PE), ari byo bihita bishyira ubuzima mu kaga.
• Thrombophlebitis yo hejuru: Ibi bibaho iyo amaraso apfunditse mu mitsi yo hejuru , hafi y'uruhu. Ubu bwoko bw'amaraso apfunditse ntabwo bujya mu bihaha keretse bubanje kugera mu mitsi yo mu nda. Ariko, bushobora gutera ububabare bukomeye.
• Kudakora neza kw'imitsi: Iyi ndwara ibaho iyo amaraso mu mitsi adakora neza kandi agahagarara. Ibi bishobora gutera kubyimba amaguru, kwiyongera k'umuvuduko mu mitsi, guhinduka ibara ry'uruhu (umukara cyangwa umukara), ndetse n'ibikomere bidakira, bizwi nka venous stasis ulcers .
• Imitsi y'ibicurane n'imitsi y'ibicurane: Iyi ni indwara ikunze kugaragara ku bantu benshi, rimwe na rimwe ifatwa nk'ikibazo cyo kwisiga. Iki ni cyo gihe inkuta z'imitsi zicika intege, bigatuma imitsi igorama, ikabyimba, kandi ikagaragara hejuru y'uruhu. Imitsi y'ibicurane ni imitsi mito, isa n'ibicurane.
• Ibisebe byo mu mitsi: Ibi ni ibikomere bifata igihe kirekire kugira ngo bikire cyangwa bikongera kugaragara nyuma yo gukira. Akenshi biboneka munsi y'ivi, imbere mu kuguru, no hejuru gato y'akaguru.
• Fistula yo mu mitsi: Iyi ni indwara idasanzwe aho umutsi (umutsi utwara amaraso meza) n'umutsi (umutsi utwara amaraso yanduye) bihurira nta kintu na kimwe kiri hagati.

Izi ndwara zo mu mitsi zikunze kugaragara gute?

Izi ndwara zikunze kugaragara cyane kurusha uko wabitekereza. Urugero, mu gihugu nka Amerika, bivugwa ko abantu barenga miliyoni 30 bafite izi ndwara. Abashakashatsi bavuga ko uyu mubare uziyongera mu gihe kizaza. Kubera ko uko abantu baramba kandi bakagira ibiro byinshi, ibyago byo kurwara izi ndwara zo mu mitsi nabyo biriyongera.

Bivugwa ko abantu bakuru bagera kuri 33%, cyangwa umwe muri batatu, bafite imitsi itera kuribwa . Nanone, abantu bakuru bagera kuri 1% barwara ibisebe byo mu mitsi ku maguru .

Ni ibihe bimenyetso by'indwara y'imitsi? Menya ibi!

Urwaye imitsi yo mu mitsi, ushobora kugira ibimenyetso nk'ibi mu maguru cyangwa mu maboko yawe:

• Kubabara, kuribwa mu nda, cyangwa kubabara mu maguru.
• Uruhu rutukura cyangwa kumva ushyushye muri ako gace.
• Kumva uburemere mu maguru cyangwa mu maboko.
• Kurya cyangwa kumva ushyushye ku ruhu.
• Kubyimba.
• Imitsi ibyimbye.

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza gushaka inama kwa muganga aho kubyirengagiza.

Kuki izi ndwara zo mu mitsi zibaho? Ni izihe mpamvu?

Hari impamvu nyinshi zitera indwara z'imitsi:

• Kugira inenge mu miterere y'imitsi mu gihe cyo kuvuka.
• Impanuka cyangwa imvune ku mitsi.
• Ingaruka ziterwa n'izindi ndwara zo mu mitsi.
• Gucika intege kw'inkuta z'imitsi bitewe n'ibintu nko gutwita, gusaza, kurwara ibibyimba cyangwa ibibyimba.
• Umuvuduko w'amaraso ukabije.

Ni nde ufite ibyago byinshi byo kurwara izi ndwara zo mu mitsi?

Hari abantu bafite amahirwe menshi yo kurwara indwara zo mu mitsi kurusha abandi. Reka turebe abo ari bo:

• Niba hari umuntu mu muryango ufite indwara zo mu mitsi (amateka y'umuryango).
• Mu gihe cyo gutwita (impinduka mu misemburo n'umuvuduko ku mitsi biterwa n'umwana uri gukura)
• Niba BMI yawe (Body Mass Index) irenga 30. (Ibyo bivuze ko ufite ibiro byinshi ugereranyije n'uburebure bwawe)
• Ku bagore. (biterwa n'ingaruka z'imisemburo)
• Abantu bamara igihe kinini mu mwanya umwe, cyane cyane bahagaze cyangwa bicaye. (urugero: abarimu, abakozi bo mu maduka, abantu bakora mu biro bicaye igihe kirekire)
• Ku bafata ibinini byo kuboneza urubyaro cyangwa imiti isimbura imisemburo.
• Ku bakoresha ibikomoka ku itabi (abanywa itabi).

Ni izihe ngorane zindi zishobora guterwa n'indwara z'imitsi?

Iyo indwara y'imitsi idavuwe neza, ishobora gutera izindi ngorane z'ubuzima. Tekereza, ikibazo kimwe gitera izindi ngorane nyinshi.

• Amaraso apfundika mu mitsi iri hejuru y'uruhu (thrombophlebitis yo hejuru y'uruhu) ashobora gutera thrombosis yo mu mitsi itemba cyane (DVT) .
• DVT ishobora gutera indwara yo kudakora neza kw'imitsi mu maraso (CVI) cyangwa indwara yo mu bihaha (PE) .
• Kuziba kw'imitsi y'ibihaha bishobora gutera umuvuduko ukabije w'amaraso mu bihaha .
• Imitsi yo mu bwoko bwa Varicose ishobora gutera thrombophlebitis cyangwa ibisebe byo mu mitsi .
• Iyo ibisebe byo mu mitsi bidakize neza, bishobora kwandura bigatera indwara zikomeye nka gangrene .

Kubwibyo, niba ufite ibimenyetso by'indwara zo mu mitsi, ni ngombwa cyane kutabyirengagiza, ahubwo ugashaka inama kwa muganga no gushaka ubuvuzi bukwiye.

Wamenya ute ko ufite indwara y'imitsi?

Niba ubona ko ufite ibimenyetso by'indwara zo mu mitsi, ikintu cya mbere ugomba gukora ni ukubonana na muganga. Muganga azakubaza ibimenyetso byawe kandi niba hari umuntu wo mu muryango wawe wigeze kugira izi ndwara (amateka y'ubuzima bw'umuryango). Hanyuma bazakora isuzuma ry'umubiri. Nibiba ngombwa, bashobora kukugira inama yo gupima kugira ngo bemeze ko wanduye.

Ni ibihe bizamini biri gukorwa kuri ibi?

Ibizamini nk'ibi bishobora kuba ingirakamaro mu gusuzuma indwara zo mu mitsi:

• Igipimo cy'ikirenge n'ikirenge (ABI): Iki gipimo cy'amaraso atembera mu maguru.
• Ultrasound: Iki ni cyo gipimo gikunze kugaragara kandi kidatera ububabare. Gishobora kureba ibintu nk'uko amaraso atembera mu mitsi, niba hari amaraso afite ibibyimba, ndetse niba valves zikora neza.
• Ultrasound yo mu mitsi (IVUS): Ibi bikubiyemo gushyira kamera nto mu mutsi kugira ngo uyisuzume.
• Gupima CT (Computed Tomography - CT): Ibi bishobora no gufata amashusho arambuye y'imbere mu mubiri.
• Gupima MRI (Magnetic Resonance Imaging - MRI): Iki ni ikindi kizamini gitanga amashusho asobanutse neza y'imbere mu mubiri.
• Ikizamini cya angiogramu: Muri iki kizamini, haterwa amazi yihariye mu mitsi hanyuma hagafatwa X-ray kugira ngo harebwe niba hari ibiziba mu miyoboro y'amaraso.

Muganga ni we uzagena ibizamini byo gukora bitewe n'uko urwaye.

Ni ubuhe buryo bwo kuvura indwara zo mu mitsi?

Uburyo bwo kuvura indwara zo mu mitsi buterwa n'ibintu byinshi, harimo ubwoko bw'indwara, ubukana bwayo, ndetse n'ubuzima bwawe muri rusange. Hari ubwoko bw'ubuvuzi bukurikira:

• Imiti: Imiti ishobora gutangwa kugira ngo hirindwe kubyimba kw'amaraso, ishongeshe kubyimba kw'amaraso bisanzwe, kandi igabanye ububabare.
• Amasogisi cyangwa ibitambaro byo gukanda: Aya ni amasogisi cyangwa ibitambaro byihariye byambarwa ku maguru. Bishyira igitutu ku mitsi, bigafasha amaraso gutembera hejuru no kugabanya kubyimba.
• Guhindura imibereho: Ibi ni ingenzi cyane. Ibintu nko kurya indyo irimo ibinure bike, gukora imyitozo ngororamubiri buri munsi, no kureka kunywa itabi.
• Uburyo cyangwa kubagwa byihariye: Hari igihe, uburyo cyangwa kubagwa byihariye ku mitsi bishobora kuba ngombwa.

Imiti n'uburyo bwo kuvura byihariye

Imiti n'uburyo bwo kuvura bitangwa biratandukanye bitewe n'ubwoko bw'indwara. Dore ingero zimwe na zimwe:

• Imiti igabanya amaraso: Iyi nayo yitwa imiti igabanya amaraso.
• Imiti igabanya ubukana bw'amaraso: Iyi itangwa mu gihe amaraso yacitse cyane, mu bihe byihutirwa.
• Gukuraho imitsi itera uburibwe mu mubiri:Ibi bikubiyemo gukoresha ikoranabuhanga nka lasers, sclerotherapy, cyangwa radiofrequency kugira ngo igice cy'imitsi cyangiritse kive imbere muri cyo kidakora.
• Gukuraho amaraso apfutse mu mubiri (Thrombectomy): Hari amaraso manini apfutse mu mubiri akurwa muri ubu buryo.
• Akayunguruzo ka Vena Cava: Agakoresho gato kameze nk'akayunguruzo gashyirwa mu mutsi munini kugira ngo wirinde ko amaraso agwa mu bihaha, ku bantu bafite DVT ariko badashobora gufata imiti igabanya amaraso.
• Kubaga imitsi: Kubaga kugira ngo imitsi yangiritse ikureho cyangwa isanwe.

Igikuru ni ukuganira na muganga wawe ku bijyanye n'ubuvuzi bukubereye. Menya neza ibyiza, ibibi n'ingaruka mbi za buri buryo bwo kuvura.

Ese hari ingaruka mbi zikomoka ku buvuzi?

Yego, nk'uko bigenda ku buvuzi ubwo aribwo bwose, kuvurwa imitsi bishobora kugira ingaruka mbi. Biterwa n'ubwoko bw'ubuvuzi uhabwa. Kubwibyo, ni ngombwa kubiganiraho na muganga wawe mbere yo gutangira kuvurwa.

Nzumva meze neza nyuma y'igihe kingana iki?

Ibi kandi biratandukanye bitewe n'umuntu ku giti cye kandi bitewe n'ubwoko bw'ubuvuzi. Uburyo bumwe bwo kuvura bushobora gutanga ubutabazi bwihuse. Indwara nka thrombophlebitis yo hejuru ishobora gukemuka mu byumweru bike. Ariko, zimwe mu ndwara zo mu mitsi zishobora gufata igihe kirekire kugira ngo zikemuke. Hari abantu bashobora kuba bafite indwara idakira yo mu mitsi , bivuze ko bagomba kubana n'iyo ndwara igihe kirekire. Muganga wawe azashobora kuguha inama bitewe n'uko umerewe.

Ni gute wagabanya ibyago byo kurwara imitsi? Kwirinda ni byo byiza cyane!

Kubungabunga ubuzima bw'imitsi yacu n'imitsi yose y'umutima n'amaraso (imitsi y'umutima n'amaraso) bishobora kugabanya ibyago byo kurwara indwara z'imitsi. Dore bimwe mu bintu wakora kugira ngo ubigereho:

• Niba ufite indwara nk'umuvuduko ukabije w'amaraso, cholesterol nyinshi, na diyabete yo mu bwoko bwa 2, zigenzure neza.
• Kora imyitozo ngororamubiri nibura iminota 30-60 ku munsi, iminsi myinshi y'icyumweru. Ibintu nko kugenda n'amaguru, kugendera ku igare no koga ni byiza.
• Niba uri umuntu wicaye cyangwa uhagaze igihe kirekire, gendagenda nibura rimwe mu isaha. Ni nako bigenda iyo uri mu rugendo.
• Irinde gukoresha itabi burundu.
• Komeza kugira ibiro bikwiranye n'uburebure bwawe.
• Kurya indyo irimo umunyu mwinshi n'ibinure byinshi.
• Gucunga neza imihangayiko.

Bigenda bite iyo urwaye indwara y'imitsi? Ntugahangayike, irashobora gukemurwa!

Iyo idavuwe, indwara zo mu mitsi zishobora kugenda zirushaho kwiyongera ndetse zikagira ingaruka ku mibereho yawe. Kubwibyo, kubona ubuvuzi bukwiye bishobora gufasha mu kugenzura iyi ndwara no kunoza imibereho yawe.Indwara zimwe na zimwe zo mu mitsi, urugero nk'imitsi itera uburibwe n'imitsi y'igitagangurirwa , zishobora kugaruka nyuma yo kuvurwa. Ibisebe byo mu mitsi na byo bishobora kugaruka.

Kubwibyo, ni ngombwa cyane gukomeza gupimwa nk'uko muganga yabigutegetse no gukurikiza amabwiriza ya muganga. Ushobora kandi gukenera gusubiramo ibizamini nka ultrasound kugira ngo urebe uko ibintu bigenda.

Nakwiyitaho nte? Hari ibintu nawe ushobora gukora!

Waba wicaye cyangwa uhagaze, niba bishoboka , gendagenda kandi uzunguze amaguru yawe nibura rimwe mu isaha. Ibi bizafasha amaraso yawe gutembera neza. Kwirinda kunywa itabi nabyo ni ingirakamaro cyane ku buzima bw'imitsi yawe y'amaraso. Niba ukeneye ubufasha bwo kuva muri iyo ngeso, baza muganga wawe.

Ni ryari ngomba kujya kwa muganga?

Komeza gahunda zose muganga yaguhaye. Nanone, niba ubonye impinduka mu bimenyetso byawe bisanzwe, cyangwa niba bisa nkaho birushaho kwiyongera, menyesha muganga wawe ako kanya.

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw'Ingoboka (ETU) ? Witondere cyane ibi!

Niba ufata imiti igabanya amaraso/imiti igabanya amaraso kandi uva amaraso menshi cyane , shaka ubufasha bwihutirwa vuba.

Nanone, niba ubonye ibimenyetso by'amaraso yacitse mu bihaha (Pulmonary Embolism - PE) , hamagara 911 cyangwa uhamagare nimero yawe y'ubutabazi bwihuse. Ibi bimenyetso birimo:

• Guhumeka nabi mu buryo butunguranye.
• Kubabara mu gituza.
• Umutima wihuta cyane.
• Inkorora, rimwe na rimwe amaraso.
• Uruhu rw'ubururu.

Niba ufite ibimenyetso nk'ibi, fata ko ari ikibazo cyihutirwa hanyuma ujye kwa muganga vuba.

Ni ibihe bibazo ugomba kubaza muganga?

Iyo ugiye kwa muganga, ushobora kubaza ibibazo nk'ibi kugira ngo usobanukirwe neza ikibazo cyawe:

• Indwara yanjye y'imitsi ikabije gute?
• Nakora iki kugira ngo menye uko iyi ndwara imeze ndi mu rugo?
• Ese nkeneye imiti? Cyangwa se nkeneye uburyo runaka bwo kuvurwa cyangwa kubagwa?
• Ni ubuhe buvuzi nshobora guhabwa mu ivuriro ryawe?

Amaherezo, ibuka...

Indwara y'imitsi ni indwara yibasira abantu benshi, bityo nturi wenyine. Icy'ingenzi ni ukuganira na muganga wawe ku buryo bweruye ku kibazo cyawe no kugerageza kucyifata abifashijwemo na we. Uko urushaho kumenya ikibazo cyawe, ni ko urushaho gufata ibyemezo bisobanutse neza no kwita ku buzima bwawe. Rero, ntutinye kubaza ibibazo, menya amakuru. Tukwifurije ubuzima bwiza!

Indwara y'imitsi, Udukoko tw'amaraso, DVT, Imitsi ya Varicose, Imitsi, Kubyimba amaguru, Gutembera kw'amaraso