Ese ufite umutsi w'amaraso mu nda yawe ubyimba nk'umupira w'inyuma? Reka twige kuri ibi (Aneurysm y'imitsi yo mu nda)!

Ese wigeze utekereza ko umuyoboro w'amaraso uri mu mubiri wacu, nk'umuyoboro w'amazi, ushobora gucika intege mu gihe runaka ugakura nk'umupira w'amazi? Ibi byitwa gusa `(Aneurysm)`. Hari igihe ibi bishobora kwihisha hatabayeho ibimenyetso, ariko bishobora guhinduka ikibazo gikomeye mu buzima. Uyu munsi turaganira ku ndwara ishobora guteza akaga, ariko abantu benshi ntibayizi, ari yo `(Visceral Artery Aneurysm)`.

`(Aneurysm y'imitsi yo mu nda)` ni iki? Reka tubisobanukirwe mu buryo bworoshye cyane!

Tekereza, dufite umutsi w'amaraso mu mubiri wacu, kandi urukuta rwawo rukaba rudakomeye. Hanyuma, bitewe n'umuvuduko w'amaraso unyuramo, ako gace gafite intege nke karabyimba nk'umupira w'inyuma. Ibyo nibyo byitwa "Aneurysm". Noneho, iyo "Aneurysm" ibaye nini cyane, bivuze ko umupira umeze nk'umupira w'inyuma ushobora guturika. Iyo bibaye, amaraso atangira gutembera mu mubiri. Ibi tubyita "Kuva amaraso", kandi iki ni ikibazo gishyira ubuzima mu kaga.

None se, iyi "Mitsi yo mu nda" ni iki? Iyi ni yo mitsi y'amaraso ikomeye mu mubiri wacu, "Aorta", itanga amaraso ku ngingo z'ingenzi cyane ziri mu nda yacu.

Izi ngingo ni izi:

• Amara yacu
• Impyiko
• Umwijima
• Pancreas
• Umugongo
• Igifu

Akenshi, izi "Aneurysms zo mu mitsi yo mu nda" zibaho mu mitsi ijyana amaraso mu gituza, mu mpyiko no mu mwijima.

Ese hari ubwoko bwa ``Aneurysms y'imitsi yo mu nda''?

Yego, hari ubwoko bubiri ahanini.

1. Pseudoaneurysms: Ibi bibaho iyo umwobo muto ukozwe mu rukuta rw'imitsi y'amaraso, maze amaraso amwe agasohoka mu mwobo, agaterana mu ngingo zisohoka hanze y'imitsi. Hanyuma, bitewe n'uburyo amaraso agwa mu mubiri wacu, urukuta rudakomeye rukora rukikije amaraso yakusanyijwe. Ariko, kubera ko uru rukuta rudakomeye cyane, izi pseudoaneurysms zishobora guturika cyane.

2. Aneurysms nyakuri: Ibi bibaho iyo igice cy'urukuta rw'imitsi y'amaraso cyacitse intege nk'ibara ry'umuhondo. Nkuko byavuzwe mbere.

Ibi bikunze kugaragara gute? Ni nde ubibona kenshi?

Imitsi yo mu maraso itera imitsi yo mu maraso mu by’ukuri ni indwara idakunze kugaragara. Ariko kubera ko abantu benshi batagira ibimenyetso bigaragaza, biragoye kumenya neza umubare w’abantu barwaye iyo ndwara.

Uburyo bumwe na bumwe bwo kurwara imitsi yo mu mitsi y’imbere mu mubiri buhinduka bitewe n’igitsina. Urugero, abagore bakunze kugira ikibazo cyo kurwara imitsi yo mu mitsi ijyana amaraso mu gifu.

Ni ibihe bimenyetso by'ibi? Ubimenya ute?

Dore ikintu cy'ingenzi cyane. Akenshi, nta bimenyetso bibaho! Abaganga bakunze kubisanga mu buryo bw'impanuka mu gihe cyo gupima indwara, nko gupima ``(CT scan)`` cyangwa ``(MRI scan)```, ku yindi ndwara.

Ariko, iyo umutsi w'amaraso ubyimbye, cyangwa "aneurysm", uturitse, ibimenyetso bizagaragara. Ibimenyetso by'ingenzi ni ibi bikurikira:

• Anemia (bivuze kugabanuka k'umuvuduko w'amaraso mu mubiri)
• Ububabare mu nda cyangwa mu mugongo . Ubu bubabare rimwe na rimwe bushobora kuba budasobanutse neza, rimwe na rimwe bushobora kuba bukomeye. Kubwibyo, rimwe na rimwe biragoye kumenya neza indwara.

Ibindi bimenyetso bishobora gutandukana bitewe n'aho aneurysm iherereye. Urugero:

• Kuruka amaraso
• Amaraso mu ntebe

Niba ugize ububabare bukabije mu nda cyangwa mu mugongo, ntubyirengagize. Ni ngombwa gushaka inama kwa muganga byihutirwa.

Kuki ibi `(Imitsi yo mu Mutsi wo mu Gituza)` bibaho? Ni izihe mpamvu?

Hari impamvu nyinshi z'ingenzi zituma habaho imitsi y'amaraso itera indwara nyayo:

• Ateriosclerosis: Iyi ni yo mpamvu ikunze kugaragara cyane. Ibinure byiyongera mu mitsi yacu y'amaraso, bigatera intege buhoro buhoro inkuta z'imitsi.
• Indwara zo mu mitsi: Urugero, indwara nka Fibromuscular dysplasia, Marfan syndrome, na Ehlers-Danlos syndrome. Izi ndwara zishobora gutuma inkuta z'imitsi zicika intege kuva zivutse.
• Ihungabana: Tekereza impanuka ikomeye, igikomere gikomeye mu nda. Nubwo bimeze bityo, ibintu nk'ibi birashobora kubaho.

Impamvu za pseudoaneurysms ni izi:

• Ibikomere nyuma yo kubagwa umwijima cyangwa pancreas.
• Kubyimba kwa pancreatitis (Pancreatite).
• Ibikomere (biturutse ku mpanuka cyangwa ikindi gikomere).
• Imitsi y'amaraso mu mitsi.

Abaganga bapima iki kibazo gute?

Abaganga bakoresha ahanini ibizamini byihariye byo gupima amashusho nka CT scans (Computed Tomography scans) na MRI scans (Magnetic Resonance Imaging) kugira ngo bapime Visceral Artery Aneurysms. Ibi bizamini bishobora gupima neza ingano ya aneurysm. Kumenya ubu bunini ni ingenzi mu kugena uburyo bwo kuvura.

Hari ikindi kizamini cyihariye, cyitwa `(Angiography)` . Muri iki kizamini, umuyoboro muto cyane (`Catheter`) winjizwa mu mitsi yawe umwe woherezwa kuri `(Visceral Artery)` aho `(Aneurysm)` iherereye. Hanyuma, amazi yihariye (`Irangi ritandukanye`) anyuzwa muri uwo muyoboro. Hanyuma, iyo urebye `(X-ray)` cyangwa `(CT scan)`, amazi agaragaza neza ahantu hadasanzwe mu mitsi y'amaraso. Hari igihe, ubuvuzi bushobora gukorwa icyarimwe n'ubu `(Angiography)`.

Mu bihe bimwe na bimwe, cyane cyane abafite indwara zo mu mitsi yavuzwe haruguru, hashobora kubaho imitsi itera imitsi mu mitsi irenga imwe. Muri ibyo bihe, muganga wawe ashobora gusuzuma imitsi yose iri mu nda yawe.

Ukora iki nyuma yo kumenya ko ufite `(Aneurysm)`? Urategereza gusa? `(Gukurikirana)`

Kuvura cyangwa kutavura biterwa n'ingano n'ubwoko bwa aneurysm. Muri rusange, niba aneurysm nyayo ari ntoya kurusha santimetero 2 , abaganga bakunze gutanga inama yo "gutegereza witonze."

Ibi bivuze ko muganga azagusuzuma buri gihe kugira ngo arebe niba aneurysm irimo kwiyongera. Ashobora kandi kuguha imiti yo kugabanya umuvuduko w'amaraso, kuko umuvuduko ukabije w'amaraso ushobora kongera ibyago byo kwiyongera kwa aneurysm.

Ni ryari ibi bigomba kuvurwa?

Niba utekereza ko indwara ya aneurysm ishobora guturika, ni byiza kuyivura. Cyane cyane mu bihe nk'ibi:

• Indwara za pseudoaneurysm z'ingano iyo ari yo yose: kuko zifite ibyago byinshi byo guturika.
• Udukoko tw’amaraso dufite ubunini burenze santimetero 2: (Ariko, mu gihe cy’indwara y’imitsi yo mu mugongo, gusana ni byiza iyo irengeje santimetero 3).

Nanone, uko ingano y'imitsi yawe ya aneurysm yaba ingana kose, ushobora no gukenera kuvurwa niba ufite ibyago byinshi byo guturika. Ingaruka zawe zishobora kwiyongera niba:

• Niba utwite cyangwa ugeze mu kigero cyo kubyara.
• Niba ufite ibimenyetso bidashira nko kubura amaraso cyangwa kubabara mu gifu/umugongo.
• Niba ukeneye guterwa umwijima cyangwa ubundi buryo bwo kubagwa kugira ngo uvure indwara ya cirrhose.

Nanone, zimwe muri `(Imitsi yo mu Mutsi wo mu Gituza)`, uko zingana kose, zikenera kuvurwa byihuse, bitewe n'aho ziherereye, kuko zifite ibyago byinshi byo guturika. Urugero:

• Udukoko two mu mitsi duto duto (gastroduodenal artery), dutanga amaraso mu gifu, mu gice cyo hejuru cy'amara mato, no mu gice cyo hejuru cy'indurwe.
• Udukoko two mu mitsi ya pancreatoduodenal, dutanga amaraso kuri pancreas no ku gice cyo hejuru cy'amara mato.
• Aneurysm mu mutsi w’amaraso wa mesenteric uruta iyindi, utanga amaraso mu mara mato.

Ni ubuhe buryo bwo kuvura?

Hari uburyo bubiri bw'ingenzi bwo kuvura:

1. Kubagwa ku mugaragaro

2. Uburyo bwo kuvura imitsi y'amaraso mu buryo budakunze kugaragara

Abaganga bahitamo uburyo muri ubu buryo bubiri bukubereye bakurikije ibintu nka:

• Imiterere y'imitsi yawe y'amaraso (nk'imiterere yayo n'ingano yayo).
• `(Aneurysm)` iri he?
• Ingaruka zo kubagwa ku mugaragaro (bitewe n'imyaka yawe n'ubuzima bwawe muri rusange).

Mu kubaga ku mugaragaro `(kubaga ku mugaragaro)`Icyakorwa ni uko, nyuma yo gukata igice kinini, umuganga ubaga ajya aho aneurysm iri, agakuramo igice cyangiritse cy'imitsi, hanyuma agateramo indi mitsi mishya cyangwa agasana isanzwe.

Uburyo bwo kuvura bugabanya ubukana burimo gushyira umuyoboro muto (catheter) mu mitsi y'amaraso, akenshi iva mu kibuno cyawe, ukayiyobora aho aneurysm iri. Hanyuma, ibikoresho bito binyuzwa muri uwo muyoboro kugira ngo bishyigikire aneurysm kandi biyibuze guturika, hakoreshejwe bumwe cyangwa bwinshi muri ubu buryo bukurikira:

• Gushyiramo akayunguruzo cyangwa gushyiramo akayunguruzo: Ibi bikubiyemo gushyiramo akayunguruzo gato cyangwa akayunguruzo ka mashini muri aneurysm hanyuma ukakuzuza.
• Guteranya amazi mu mubiri: Muri ibi, kole yihariye, gel, cyangwa ikindi kintu cy’amazi gishyirwa muri aneurysm hanyuma kigafungwa.
• Gutera amenyo: Muri ibi, umuyoboro (stent) ukozwe mu cyuma gitwikiriwe n'igitambaro ushyirwa mu mitsi aho aneurysm iherereye.

Niba uri gukora angiography kugira ngo ubone aneurysm y'imitsi yo mu nda, rimwe na rimwe ubu buryo bwo kuvura bushobora gukorwa icyarimwe, hakoreshejwe catheter imwe ikoreshwa muri icyo gikorwa cyo gusuzuma.

Ni irihe tandukaniro riri hagati yo kubagwa mu buryo bwihuse no kuvura imitsi yo mu nda?

Ubu buryo bwombi bwo kuvura bwakoreweho ubushakashatsi. Muri rusange, bwombi burimo umutekano kandi bufite akamaro kangana. Ariko, uburyo bwo kuvura budakabije bushobora gutuma umuntu akira vuba kandi akamara igihe gito mu bitaro. Ariko, rimwe na rimwe, ubundi buvuzi bushobora kuba ngombwa.

Ese hari uburyo bwo gukumira ikorwa rya `(Aneurysm y'imitsi yo mu nda)`?

Ubwoko bwinshi bwa `(Aneurysms y'imitsi yo mu nda)` buragoye kwirinda. Ariko, `(Aneurysms)` iterwa no kunanuka no gukomera kw'imitsi ya `(Atherosclerosis)` yavuzwe haruguru ishobora kwirindwa no kugira ubuzima bwiza. Dore bimwe mu bintu ushobora gukora kugira ngo ugabanye ibyago byo kurwara `(Atherosclerosis):

• Genzura cholesterol yawe n'umuvuduko w'amaraso.
• Gukora imyitozo ngororamubiri buri gihe.
• Kurikiza indyo yuzuye umutima .
• Gira ibitotsi bihagije.
• Gabanya kunywa inzoga.
• Genzura imihangayiko.
• Hagarika kunywa itabi n'itabi burundu.

Ni iki giteganijwe kuri iki kibazo? `(Icyizere)`

Iyo Visceral Artery Aneurysm ivunitse, rimwe na rimwe ishobora kwica. Ubushakashatsi bwerekana ko abantu bagera kuri 25% bitabira ibitaro byita ku buvuzi bafite Visceral Artery Aneurysm bagira ikibazo cyo gucika kw'imitsi. Muri bo, nibura 10% barapfa.Ingaruka zo gupfa ku babyeyi batwite bafite ikibazo cyo kubura amaraso mu mubiri (aneurysm) ziriyongera cyane.

Muri rusange, abantu badafite ibimenyetso (ububabare cyangwa kuva amaraso imbere) mbere yo gutangira kuvurwa baba bafite amahirwe menshi yo kugira umusaruro mwiza. Abantu bafite pseudoaneurysm bafite ibyago byinshi byo guturika no gupfa kurusha abafite aneurysm nyayo.

Ni ryari ngomba kujya kwa muganga?

Niba ugize ububabare bukabije mu nda cyangwa mu mugongo, shaka ubufasha bwa muganga ako kanya. Ntugatinde.

Imitsi yo mu mitsi yo mu nda ni ahantu hadakomeye mu nkuta z'imitsi yo mu nda yawe. Iyo izi nkuta zituritse, zishobora gutera kuva amaraso imbere. Si abantu bose bafite iyi ndwara bafite ibimenyetso bikomeye, bityo kwisuzuma bishobora gutinda. Ariko, bitewe n'ikoreshwa ry'ibizamini bya muganga ku zindi ndwara, imitsi myinshi yo mu mitsi yo mu nda iboneka mbere yuko icika. Kubwibyo, kuvurwa hakiri kare bishobora kugabanya ibyago byo gupfa. Nubwo imitsi yose yo mu mitsi yo mu nda idashobora kwirindwa, kubaho ubuzima bwiza bishobora kugabanya ibyago byo kurwara imitsi yo mu mitsi iterwa na atherosclerosis. Vugana na muganga wawe icyo wakora kugira ngo ugabanye ibyago byo kurwara atherosclerosis.

Ubutumwa bwo kujyana mu rugo

• "Aneurysm y'imitsi yo mu nda" ni nk'ipfundo ry'umubumbe mu mitsi y'amaraso iri mu nda. Ibi bishobora guteza akaga cyane iyo bituritse.
• Akenshi, ntabwo igaragaza ibimenyetso. Ishobora kuboneka ku buryo bw'impanuka mu gihe cyo gupima indi ndwara.
• Niba ugize ibimenyetso nko kubabara mu gifu/umugongo mu buryo butunguranye, kuruka amaraso, cyangwa kuva amaraso mu mwanda wawe , hita ubonana na muganga.
• Hari uburyo bwo kuvura. Ubuvuzi bugenwa hashingiwe ku bunini n'ubwoko bw'indwara ya aneurysm, ndetse n'uko ubuzima bwawe buhagaze.
• Ubuzima bwiza (indyo nziza, imyitozo ngororamubiri, no kwirinda kunywa itabi) ni ingenzi cyane mu kwirinda indwara zo mu bwonko ziterwa na atherosclerosis.

Niba ufite ibindi bibazo kuri ibi, ntutindiganye kubaza muganga w'umuryango wawe cyangwa inzobere. Komeza ugire ubuzima bwiza!

Aneurysm , imitsi itera amaraso, inda, guturika kw'imitsi itera amaraso, kuva amaraso imbere mu mubiri, kubagwa, gupima ikoranabuhanga