Ese ukuboko kwawe kwabyimbye kandi kw'ubururu? Ese ibi byaba ari Venous Thoracic Outlet Syndrome (VTOS)? Reka tubirebe!

Ese wigeze ubona ukuboko kwawe gutunguranye kumva ububabare budasanzwe cyangwa uburemere budasanzwe? Wenda byabyimbye kandi byuzuye ubururu? Akenshi dutekereza ko ibi ari ukuvunika gusa cyangwa ikintu kibaho bitewe n'umunaniro. Ariko rimwe na rimwe, inyuma y'ibi bimenyetso bisa n'ibisanzwe, twagombye kwitonda gato, kuko hashobora kuba hari indwara itazwi cyane yihishe inyuma yayo. Imwe muri izo ndwara ni `Venous Thoracic Outlet Syndrome`. Nubwo izina rishobora gusa nkaho ari rirerure, reka tubisobanukirwe mu buryo bworoshye.

Indwara yo mu kibuno (VTOS) ni iki?

Mu magambo make, Venous Thoracic Outlet Syndrome (cyangwa VTOS mu magambo ahinnye) ni indwara aho umutsi wo mu mubiri wacu witwa umutsi utera cyane. Iyi mitsi itwara amaraso yakoreshejwe, cyangwa amaraso afite umwuka muke, ikayasubiza mu mutima no mu bihaha iva mu ngingo z'umubiri wacu. Muri VTOS, umutsi mukuru ufatwa n'indwara ni umutsi wo mu bwoko bwa subclavian, uherereye inyuma y'igufwa ryacu (clavicle). Uyu mutsi uba mu rutugu.

Agace uyu mutsi unyuramo kitwa `(Twaracic outlet)`. Tekereza nk'umuyoboro w'amazi. Hari igihe, iyo uyu mutsi ufunze, ni bwo ikibazo gitangira. Ibyo ni byo biba ku muntu urwaye `VTOS`. `(Twaracic vein)` irakandamizwa muri uyu mutsi. Ni bwo ubona ibintu nko kubabara ukuboko, kubyimba, ndetse rimwe na rimwe no guhinduka ibara mu kuboko. Irindi zina ry'iyi ndwara ni `Paget-Schroetter syndrome (PSS).`

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara?

Nubwo iyi ndwara yitwa `VTOS` ishobora kugaragara ku muntu uwo ari we wese, hari abantu bashobora kuyirwara cyane.

• Abagore bari hagati y'imyaka 20 na 50 muri rusange bakunze kurwara indwara ya "Thoracic Outlet Syndrome" (ari na yo nyigo nini igaragaramo).
• Nanone, abakina siporo zisaba gukoresha ukuboko no ku rutugu buri gihe (urugero, volleyball, tennis, koga, baseball) cyangwa abakora akazi gasaba kugenda buhoro buhoro (tekereza nk'umuntu uterura ukuboko umunsi wose kugira ngo apakire ibintu, cyangwa umuntu ukoresha ukuboko kwe mu buryo bumwe mu nganda) bari mu kaga ko kurwara iyi ndwara.

Ese VTOS ishobora guteza akaga? Ni izihe ngorane ziterwa nayo?

Yego, `VTOS` ni indwara ishobora guteza akaga iyo tuyirengagije. Kuko, iyo uwo mutsi ushyizwemo, amaraso atemberamo araziba. Hanyuma amaraso ashobora kuzura muri uwo mutsi wa ``Subclavian``. Kubera ayo maraso afunganye, amaraso atembera mu kuboko no mu kuboko ashobora kuziba burundu.

Si ibyo gusa, hari igihe iki gipfundikizo cy'amaraso gishobora gucika kikanyura mu mitsi y'amaraso kikagera mu bihaha. Iyo ni indwara iteje akaga cyane. Tuyita "Pulmonary embolism". Iyo bibaye, ibimenyetso nko kubabara mu gatuza bitunguranye, gukorora, no guhumeka bigoranye bishobora kubaho.Niba ufite ibimenyetso nk'ibi, ni ngombwa kwihutira gushaka abaganga.

Kubwibyo, niba ubona ko ufite ibimenyetso bya Thoracic Outlet Syndrome, ni ngombwa kujya kwa muganga kugira ngo umenye neza ikibazo kirimo.

Kuki iyi VTOS ibaho? Ni izihe mpamvu?

Umutsi wo mu bwoko bwa subclavian uherereye hagati y'igufwa ryacu ry'umugongo (clavicle) n'urubavu rwa mbere, kandi utwara amaraso ava mu kuboko kwacu akayajyana mu mutima wacu. Abantu benshi bafite umwanya uhagije kugira ngo uyu mutsi unyuremo nta nkomyi. Ariko, hari abantu bavuka bafite umwanya muto.

Kuri abo bantu, iyo amaboko yabo n'ibitugu byabo bikoreshejwe buri gihe kandi kenshi, imitsi iri muri uwo mwanya muto iba ishobora gukandamizwa cyangwa gukandamizwa. Uku gukandamizwa gushobora kwangiza urujya n'uruza rw'amaraso no gutuma amaraso afungana.

Uretse iyi mpamvu nyamukuru, hari n'izindi mpamvu nyinshi zishobora gutuma habaho `VTOS`:

• Umubyibuho ukabije : Iyo twiyongereye ibiro, bishyira igitutu cyinshi ku ngingo zacu. Ibyo nabyo bishobora kugira ingaruka kuri ibi.
• Ibikomere by'umubiri : Ibikomere ku rutugu cyangwa ijosi byatewe n'impanuka y'imodoka cyangwa kugwa.
• Imiterere : Uburyo twicara kandi duhagaze. Imiterere mibi ishobora no gushyira igitutu kidakenewe kuri iki gice.
• Gutwita : Iyi ndwara ishobora kubaho rimwe na rimwe bitewe n'impinduka mu mubiri mu gihe cyo gutwita.
• Ingendo zisubiramo : Nkuko byavuzwe haruguru, iyo ukora ibintu byinshi nko gutera umupira, guterura ibintu hejuru y'umutwe wawe, cyangwa kuzunguza ikintu nk'inkoni ya baseball vuba.

Ni ibihe bimenyetso by'indwara ya VTOS mu by'ukuri?

Akenshi, abantu bafite `VTOS` bagaragaza ibimenyetso mu kuboko kumwe no mu kiganza. Ibi ni byo bimenyetso by'ingenzi:

• Kumva ububabare cyangwa ububabare mu kiganza .
• Uruhu rwo ku kuboko ruhinduka ibara ry'ubururu n'umuhengeri .
• Kumva uremerewe mu kiganza.
• Kubyimba .
• Hari igihe imitsi yo ku ruhande rumwe rw'urutugu, ukuboko, cyangwa igituza itangira kugaragara neza .

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza kubyitaho.

Wamenya ute ko ufite VTOS? Ni ibihe bipimo?

Niba ufite ibimenyetso bya 'VTOS', umuganga azabanza agusuzume urutugu, ijosi, n'ukuboko. Bazagusubiza ukuboko imbere n'imbere mu myanya itandukanye kugira ngo barebe aho unyura.

Byongeye kandi, uzabazwa ibimenyetso byawe kandi umuvuduko w'amaraso yawe uzasuzumwa. Niba muganga akeka ko ufite VTOS, azakugira inama yo gupimwa ibindi bipimo byihariye kugira ngo urebe aho umuyoboro w'igifu usohoka.

Ibizamini byo kumenya niba VTOS ihari:

Ibipimo byo gupima ubusanzwe bikoreshwa kuri ibi. Ni ukuvuga ibizamini bishobora kureba imitsi, izindi ngingo, n'inzira y'amaraso mu mubiri.

• (Isuzuma rya CT): Ibi bikubiyemo kuyobora imirasire ya X mu mpande zitandukanye no gukoresha mudasobwa kugira ngo hakorwe amashusho arambuye, nk'igice cy'umubiri gikwiye.
• (MRI) : Ibi bikoresha rukuruzi zikomeye n'imiraba ya radiyo kugira ngo bigaragaze amashusho y'imbere mu mubiri asobanutse neza kandi arambuye.
• Ultrasound : Ibi bikoresha imiraba y'amajwi kugira ngo birebe imbere mu mubiri. Bishobora no kureba uko amaraso atembera mu mitsi.
• (Venogram) : Iki ni ikizamini cyihariye gato. Aha, umuyoboro muto, woroshye (`(catheter)`) n'amazi yihariye (`(irangi ritandukanye)`) bishyirwa mu mitsi, hanyuma hagafatwa ifoto ya ``X-ray``. Amazi agaragaza neza imitsi.
• (X-ray) : Ishusho isanzwe ya X-ray irashobora kandi gukoreshwa mu gusuzuma ibitagenda neza mu magufwa.

Muganga ashobora kumenya niba ufite VTOS cyangwa udafite, akoresheje kimwe cyangwa byinshi muri ibi bizamini.

Ni ubuhe buryo bwo kuvura VTOS?

Hari ubwoko bubiri bw'ubuvuzi bwa VTOS: budasaba kubagwa n'ububagaji. Ubusanzwe, umuganga abanza kugerageza gushonga amaraso apfutse iyo ahari. Ibi bikorwa atanga imiti ibuza amaraso kuvura (anticoagulants) . Urugero, bashobora gutanga Warfarin (Coumadin®) cyangwa imiti igabanya kuvura amaraso mu kanwa (Xarelto®) cyangwa Eliquis®.

Nyuma yuko amaraso ashongeshejwe, hashobora kuba ngombwa kubagwa kugira ngo amaraso ahagarike kongera kugaragara no kugabanya umuvuduko ku mitsi . Mu gihe cyo kubagwa, muganga ashobora:

• Kuraho ingingo cyangwa imitsi irenze urugero ikikije umutsi wo mu gice cya subclavian ishobora gutera igitutu ku mutsi.
• Hari igihe amaraso ashobora gutembera mu buryo bunyuranyije n'imitsi yangiritse maze amaraso agasubira gutembera neza.

Umuganga ni we uzaguhitiramo uburyo bwo kuvura bukubereye, hashingiwe ku ndwara yawe.

Ni gute wagabanya ibyago byo kurwara VTOS?

Nubwo nta buryo bwo gukumira burundu icyorezo cya `VTOS`, hari ibintu byinshi dushobora gukora kugira ngo tugabanye ingaruka mbi ziterwa n’izi zamuka ry’ingufu:

• Komeza kugira ibiro bizima bikwiranye n'imyaka yawe, igitsina cyawe, n'imiterere y'umubiri wawe.
• Irinde gutwara imifuka iremereye ku rutugu rumwe gusa. Ni byiza gukoresha imifuka ikwirakwiza uburemere.
• Gabanya ingendo zo hejuru zisubiramo. Niba ugomba kubikora, fata akaruhuko hagati.
• Kora imyitozo ikomeza amagufwa yawe. Imyitozo yo kwirinda cyangwa guterura ibiremereye ishobora kugufasha muri ibi.
• Kora imyitozo yo kunanura imitsi mu ijosi, mu bitugu no mu gituza buri munsi.

Ukurikije izi ntambwe, ushobora kugabanya iyi ngaruka ku rugero runaka.

Ibintu by'ingenzi ugomba kumenya kuri VTOS (Ubutumwa bwo kujyana mu rugo)

Rero, `Venous Thoracic Outlet Syndrome` ni indwara igira ingaruka ku mitsi yacu ya `(Subclavian vein)`. Uyu mutsi ushobora gukandamizwa, ugatera kubyimba, guhinduka ibara, no kubabara ukuboko. Niba inzira ijya kuri uwo mutsi mu mubiri wawe ari ntoya mu buryo busanzwe, cyangwa niba ufite akazi gakoresha urutugu rwawe n'ukuboko, ushobora kurwara `VTOS`.

Igikuru ni uko iyo iyi ndwara itavuwe, ishobora gutera ingorane zikomeye nko kubyimba kw'amaraso. Ariko, iyo umenye ibimenyetso hakiri kare kandi ugatangira kuvurwa vuba, ushobora kugera ku musaruro mwiza cyane. Ubushakashatsi bwagaragaje ko gutangira kuvurwa mu minsi 14 ya mbere ibimenyetso bitangiye byongera cyane amahirwe yo kugira umusaruro mwiza .

Niba ufite kimwe muri ibi bimenyetso, nyamuneka ntukirengagize ahubwo uhite ubonana na muganga. Azagusuzuma akakubwira uburyo bwo kuvura bukubereye. Nta kintu na kimwe cyo guhangayikishwa nacyo, ariko ni ngombwa kugira icyo ukora vuba!

Niba ufite ibindi bibazo kuri ibi, ushobora kubaza muganga wawe:

• Ni iyihe mpamvu nyamukuru ishobora gutuma ngira ibi bimenyetso?
• Ni ibihe bizamini ngomba gukora?
• Ni ubuhe buryo bwo kuvura mfite?
• Ese uburyo bwo kuvura butari ubwo kubaga buzagabanya ibimenyetso byanjye?
• Ni izihe mpinduka nakora ku mibereho yanjye kugira ngo gabanyirize ibi bimenyetso?

Ni byiza kubaza ibibazo nk'ibi no gusobanukirwa neza uko umerewe.

` Venous Thoracic Outlet Syndrome, VTOS, Paget-Schroetter syndrome, imitsi yo mu bwoko bwa subclavian, amaraso apfutse, imitsi yo mu bihaha, kubyimba ukuboko, kubabara ukuboko, kubyimba ukuboko, kubyimba amaraso, indwara yo mu gituza, imitsi yo mu mitsi yo mu mitsi