Ese ufite igikomere kigenda gikira buhoro ku kuguru kwawe? Reka twige kuri iki gisebe cy'imitsi!

Ese ufite igikomere ku kaguru kawe, cyane cyane hafi y'akaguru kawe, bifata igihe kirekire kugira ngo gikire, rimwe na rimwe hakaba amezi? Cyangwa se uruhu aho igikomere cyari kiri, rwahindutse ibara kandi rugakomera? Hari igihe iki gikomere atari igisebe gisanzwe, ahubwo ni ikintu cyo kwitabwaho. Uyu munsi tugiye kuvuga ku kibazo nk'iki, ari cyo `(Ibisebe byo mu mitsi)` cyangwa igisebe cyo mu mitsi (igisebe kigaragara hafi y'umutsi). Reka turebe neza icyo ari cyo, impamvu kibaho, n'uko twabyitondera.

Igisebe cy'imitsi ni iki?

Mu magambo make, "Igisebe cy'imitsi" ni igisebe kigaragara ku maguru yawe, cyane cyane hejuru y'akaguru, kandi kimara igihe kirekire kugira ngo gikire kurusha igisebe gisanzwe . Ibi biterwa n'ibibazo by'imitsi mu mubiri wacu, ubwoko bw'imitsi ijyana amaraso mu mutima, hamwe n'ibibazo bimwe na bimwe mu bijyanye n'ingendo z'amaraso.

Tekereza kuri ibi, ubusanzwe iyo ugize igikomere, gikira mu minsi mike, icyumweru kimwe cyangwa bibiri. Ariko iki `(Ibisebe byo mu mitsi)` si ko bimeze. Hari igihe ibi bishobora kumara amezi menshi. Mu bihe bikomeye, bishobora kutazigera bikira burundu. Niyo mpamvu ari ingenzi cyane ko tubimenya.

Iki gisebe cy'imitsi gikura gite?

Ibi ni amayobera make. Imitsi yo mu maguru yacu itwara amaraso yakoreshejwe, yakuwemo umwuka mu mutima. Tekereza nk'uruzi rutwara amazi ruzamuka umusozi. Rero, kugira ngo aya maraso agaruke ajye mu mutima, hari utwuma duto muri iyo mitsi. Utwo tuvumbi ni nk'inzugi, tubuza amaraso gusubira inyuma iyo amaze kuzamuka.

Ariko, kuri bamwe, izi valve zishobora kudakora neza, cyangwa bitewe n'ibindi bibazo by'imitsi, amaraso ntatembera neza agatangira kwikusanya mu bice byo hasi by'amaguru. Iyo amaraso yikusanyije gutya, umuvuduko uri imbere mu mitsi uriyongera. Uku kwiyongera k'umuvuduko kwangiza uruhu rukikije, kandi buhoro buhoro hakagaragara igisebe, cyangwa "igisebe". Bimeze nk'igisebe cyuzuye amazi, aho umuvuduko uri imbere wangiza urukuta.

Ni izihe mpamvu nyamukuru zitera ibisebe mu mitsi?

Kimwe mu bintu by'ingenzi bigira ingaruka kuri iyi ndwara ni indwara yitwa `Chronic Venous Insufficiency` . Muri make, ikibaho muri ibi ni uko imitsi yo mu mitsi navuze mbere icika intege cyangwa ntikore neza, ibyo bigatuma amaraso adasubira mu mutima. Iki ni ikibazo kimaze igihe kirekire.

Byongeye kandi, hari izindi mpamvu nyinshi:

• Umuvuduko ukabije w'amaraso (Hypertension): Iyo umuvuduko ukabije igihe kirekire, ushobora kwangiza inkuta z'imitsi yacu y'amaraso.
• Kuziba kw'imitsi: Hari igihe imitsi ishobora kuziba bitewe n'ibintu nk'amaraso azimbye. Ibi kandi bibangamira inzira y'amaraso.
• Kugaruka k'imitsi mu mitsi:Iyo utu tunyangingo tw’amaraso tugize intege nke cyangwa twangiritse, amaraso atangira kumanuka aho kuzamuka. Ibi nabyo ni impamvu ikomeye itera ibisebe.

Ni nde ufite ibyago byinshi byo kurwara ibisebe byo mu mitsi?

Nubwo umuntu wese ashobora kugira iyi ndwara, hari abantu bafite ibyago byinshi byo kuyirwara. Reba niba ibi bintu bikureba:

• Kuziba kw'imitsi miremire (DVT): Iyo amaraso apfunditse mu mitsi minini y'ukuguru, ibisebe nk'ibi bishobora kuvuka nyuma.
• Kugira amateka y'indwara zo mu mitsi mu muryango: Hashobora kandi kuba hari ingaruka ku miterere y'umubiri.
• Umubyibuho ukabije: Iyo ibiro by'umubiri byiyongereye, umuvuduko mwinshi ushyirwa ku mitsi yo mu maguru.
• Gusaza: Uko ugenda usaza, imitsi yo mu mitsi yawe ishobora gucika intege.
• Indwara nko kurwara ubumuga: Amaraso atembera nabi kuko amaguru adashobora kwimuka.
• Ibikomere byo ku maguru byabanje: Niba imitsi yarangiritse, urugero nk'impanuka ikomeye.
• Kutagira imyitozo ngororamubiri, kubaho mu mwanya wo kwicara: Abantu bicaye umunsi wose ntibagende bafite amaraso adatembera neza.
• Kunywa itabi: Kunywa itabi byangiza imiyoboro y'amaraso.
• Kubagwa bimwe na bimwe: Urugero, nyuma yo gusimburwa ivi.
• Imitsi y'ibicurane n'imitsi y'ibicurane: Ibi nabyo ni ibimenyetso by'ibibazo by'imitsi.

Niba ufite kimwe cyangwa byinshi muri ibi bintu bishobora gutera ibyago, ni byiza kwitondera cyane impinduka mu maguru yawe.

Niba ufite igisebe mu mitsi, gisa gute? Ukumva umeze ute?

Ibi bisebe bikunze kugaragara nk'ibisebe bito cyane, bidasa neza, bikwirakwira . Uruhu rukikije igisebe rushobora kuba rwabyimbye kandi rukagira ibara ry'umukara .

Byongeye kandi, ibimenyetso bikurikira bishobora kugaragara:

• Ububabare budakomeye kandi bubabaza: Aho igikomere kiri hashobora kumvikana nk'ububabare budakomeye kandi bubabaza.
• Impumuro mbi: Igikomere gishobora kugira impumuro mbi, cyane cyane iyo hari ubwandu.
• Kurya: Agace gakikije igikomere gashobora kurya cyane.
• Amabyi cyangwa andi mazi ava mu gikomere: Amabyi y'umuhondo cyangwa icyatsi kibisi ashobora kugaragara.
• Kubyimba: Utuguru n'amaguru yo hasi bishobora kubyimba.

Niba ufite ibimenyetso nk'ibi, ni byiza kujya kwa muganga aho gutekereza ko ari imvune isanzwe.

Ni gute muganga asuzuma igisebe cyo mu mitsi?

Ubusanzwe, iyo muganga asuzumye ukuguru kwawe, ashobora kumenya niba ari igisebe cy'imitsi bitewe n'uko igikomere kimeze. Byongeye kandi, amateka y'ubuzima bwaweBaza amateka yawe y'uburwayi. Ibi bivuze kubaza izindi ndwara ufite (nka diyabete cyangwa umuvuduko ukabije w'amaraso), niba hari umuntu wo mu muryango wawe ufite ibyo bibazo, n'imiti ufata. Aya makuru ashobora kugufasha gusobanukirwa icyateye imvune.

Ni ubuhe bwoko bw'ibizamini bizakorwa?

Muganga wawe ashobora kukugira inama yo gupima kugira ngo amenye uburemere bw'imvune n'urugero rw'ikibazo cy'amaraso atemberamo. Ibi bizakenera kandi gusubirwamo buri gihe kugira ngo urebe niba ubuvuzi bwawe bufite akamaro.

Bimwe mu bizamini by'ingenzi byakozwe ni ibi bikurikira:

• Ikizamini cya Ankle-Brachial Index (ABI): Iki gipimo cy'umuvuduko w'amaraso mu maboko no ku maguru. Ibi bishobora kuguha igitekerezo cy'uko amaraso agera ku maguru yawe.
• Inyigo ya Doppler: Ibi ni nko gupima ultrasound. Bishobora kugenzura uko amaraso atembera mu mitsi, niba hari ikintu cyazibye, ndetse niba valves zikora neza.
• Ibindi bizamini byo gufata amashusho: Hari igihe ikintu nka CT scan gishobora gukorwa kugira ngo harebwe ibyangiritse ku mitsi n'uburyo valves zikora neza.

Kuki ari ingenzi cyane kuvura ibisebe byo mu mitsi?

Iki ni cyo kintu cy'ingenzi cyane. Ibisebe byo mu mitsi si ubwoko bw'igisebe cyikiza ubwacyo. Iyo utabyivuje, indwara ishobora kwiyongera.

Iyo bitavuwe, ingingo zikikije igikomere zishobora kwangirika burundu. Uku kwangirika gushobora gukwirakwira no gutera indwara zikomeye. Hari indwara zimwe na zimwe, nka gangrene (urupfu rw'ingingo) , zishobora kuba zikomeye ku buryo zishobora gushyira ubuzima mu kaga cyangwa zikanatuma umuntu atakaza urugingo rw'umubiri.

Mu bihe bikomeye cyane, iyo ubwandu budashobora gukemurwa, gucibwa urugingo rwangiritse bishobora kuba ngombwa. Kubwibyo, gushaka muganga w’inararibonye mu gukira ibikomere vuba bishoboka bishobora kugabanya cyane iyi ngaruka.

Ni ubuhe buryo bwo kuvura ibisebe byo mu mitsi?

Uburyo bwiza bwo kuvura buzaterwa n'ibintu nk'aho imvune yabereye n'uburemere bwayo. Ubusanzwe, nyuma yo gutangira kuvurwa, uzakenera kujya kwa muganga wawe kugira ngo agukurikirane buri gihe kugira ngo umenye neza ko akora.

Uburyo bukunze gukoreshwa cyane ni ubu:

• Antibiyotike: Kugenzura ubwandu mu gikomere niba buhari.
• Udupfuko two gukanda cyangwa amasogisi: Ibi bishyira igitutu cyo hanze ku mitsi yo mu maguru, bigafasha amaraso gusubira mu mutima. Ubu ni uburyo bw'ingenzi cyane bwo kuvura.
• Amavuta yo mu bwoko bwa Antiseptic: Arinda igisebe kwandura mikorobe.
• Imiti igabanya ububabare: Kugenzura ububabare niba hari ububabare.
• Gusukura igikomere no gukuraho ingingo zapfuye (Gukuraho uburibwe):Muganga azasukura kandi akureho uruhu rwose rwapfuye n'amabyi mu gikomere. Ibi bizafasha igikomere gukira vuba.
• Kohereza inzobere mu kuvura izindi ndwara zidakira: Niba ufite indwara nka diyabete, ni ngombwa kuzigenzura neza kugira ngo ibikomere bikire.
• Udupfuko n'udupfuko twihariye: Ibi bifasha gupfuka igisebe, kugenzura ubushuhe, no gukora ahantu heza ho gukira.
• Oza igisebe buri munsi: Ibi ni ingenzi kugira ngo igisebe gikomeze gusukurwa mu rugo no gukuraho bagiteri. Ariko ibi bigomba gukorwa neza nk'uko muganga abikubwira.

Ese hari ubundi buryo bwihariye bwo kuvura?

Niba ufite igisebe gikomeye cyane mu mitsi kidakira hakoreshejwe uburyo busanzwe bwo kuvurwa, ushobora gukenera ubuvuzi bwihariye nka:

• Uburyo bwo kuvura indwara ziterwa n’imikurire: Muri ibi, ibintu byihariye bishyirwa mu gikomere bikurura uturemangingo dufasha igikomere gukira.
• Ubuvuzi bwa ogisijeni ikabije: Muri ibi, umurwayi ashyirwa mu cyumba gifite umuvuduko wihariye kandi agahumeka ogisijeni yuzuye. Ibi byongera umuvuduko wo gukira kw'ibikomere.
• Ubuvuzi bwa Lymphedema: Hari abantu babyimba bitewe no kwirundanya kw'amazi ya lymph. Bavurwa hakoreshejwe uburyo bwihariye bwo gusigwa, uburyo bwo kwita ku ruhu, n'ibipfuko.
• Gufata uruhu: Iyo igikomere ari kinini, uruhu rwiza rukurwa mu kindi gice cy'umubiri rukajyanwa aho igikomere cyabereye.
• Ubuvuzi bw'uturemangingo: Uturemangingo twakuwe mu musokoro w'amagufwa dukoreshwa mu gukora ingingo nzima zifasha mu gukiza ibikomere.
• Uburyo bwo kuvura indwara z'imitsi: Ku bibazo byo guhuriza hamwe amaraso, uburyo bwo kuvura bukoreshwa mu mitsi kugira ngo bunoze urujya n'uruza rw'amaraso (urugero: kubagwa, kuvurwa hakoreshejwe laser).

Ese ibisebe byo mu mitsi bishobora kwirindwa?

Yego, hari ibintu dushobora gukora kugira ngo wirinde iki kibazo ku rugero runaka. Niba warigeze kugira igisebe mu mitsi kandi kikaba cyarakize, ibi bintu ni ingenzi kugira ngo bitazongera kugaruka.

• Kuvura indwara zidakira: Niba ufite indwara zigira ingaruka ku buzima bw'imitsi, nk'umuvuduko ukabije w'amaraso na diyabete, zivurwe neza kandi uzicunge neza.
• Komeza kugira ibiro byiza: Niba ufite umubyibuho ukabije, gabanya ibiro.
• Irinde kunywa itabi: Niba uri umunywi w'itabi, rekera aho.
• Gufata imiti igabanya amaraso (anticoagulants): Niba muganga wawe yagutegetse, fata nk'uko byavuzwe.
• Imyitozo ngororamubiri isanzwe: Imyitozo yoroshye nko kugenda n'amaguru ituma amaraso atembera neza mu maguru.
• Ntugume ahantu hamwe igihe kirekire: Igendere kandi ugende uko bishoboka kose. Komeza amaguru yawe azamuye gato nubwo waba wicaye.
• Kwambara amasogisi yo gukanda:Iyo muganga abigusabye, kwambara ibi bitanga inkunga ku mitsi, cyane cyane ku bakora bahagaze umunsi wose.

Ni iki kizabaho ku muntu ufite igisebe cyo mu mitsi?

Iyo abantu benshi bafite ibisebe byo mu mitsi bavuwe neza, bashobora gukira neza. Ariko, iyo umaze kugira igisebe cyo mu mitsi, uba ufite amahirwe menshi yo kugirwara mu gihe kizaza. Akenshi kigaruka ahantu hamwe n'aho igisebe cyabanje cyari kiri. Niyo mpamvu ari ngombwa gukomeza gukurikiza ingamba zo kwirinda.

Ubuzima bwa buri munsi bw'igisebe cy'imitsi bumeze bute?

Mu gihe uri kuvurwa, ushobora kandi gukora ibintu bizafasha igikomere gukira vuba:

• Indyo nziza: Iyo uhawe intungamubiri nziza, ubushobozi bw'umubiri wawe bwo gukira buriyongera.
• Gusukura igisebe n'uruhu rukikije: Kurikiza amabwiriza ya muganga wawe.
• Gukomeza kuzamura amaguru yawe igihe cyose wicaye: Ibi bigabanya amaraso menshi.
• Gukora imyitozo ngororamubiri yoroheje: Ibintu nko kugenda n'amaguru bishobora gutuma amaraso atembera neza, ariko bitabangamiye igikomere.
• Gukoresha amasogisi yo gukanda neza: Niba muganga wawe yayandikiye, yambare neza nk'uko byavuzwe.

Ingingo ngufi zo kwibuka

Sawa, reka twibuke ingingo z'ingenzi cyane mu byo twavuzeho:

• Ibisebe byo mu mitsi ni ibikomere bikira buhoro buhoro bikura ku maguru bitewe n'ibibazo by'imitsi.
• Ibi ntibizakira ubwabyo , bityo ni ngombwa gushaka ubuvuzi kwa muganga.
• Iyo bitavuwe, indwara zikomeye nko kwandura, gucika kw'umubiri no gucibwamo ibice bishobora kubaho.
• Ubuvuzi burimo gusukura igikomere, gusigwa ibipfuko byo gukanda, n'imiti.
• Nubwo yakira, ishobora kongera kugaruka, bityo rero ni ngombwa gukurikiza uburyo bwo kuyirinda.
• Iyi ndwara ishobora kwitabwaho neza ukurikije ubuzima bwiza kandi ugakurikiza inama za muganga wawe.

Niba wowe cyangwa undi muntu uzi afite ikibazo nk'iki, nyamuneka shaka inama kwa muganga. Bishobora gukumira ibibazo byinshi.

Ibisebe byo mu mitsi, Ibisebe byo ku maguru, Ibikomere bidakira, Amaraso atembera neza, Ibisebe byo ku maguru, Ibibazo by'imitsi