Reka twige ku ndwara ya Wallenberg Syndrome, ibaho iyo amaraso atembera mu bwonko agabanutse.

Ese wigeze wumva indwara yitwa Wallenberg Syndrome? Izina rishobora kumvikana nk'irya none kuri wewe. Ariko ni indwara y'imitsi ishobora kubaho iyo amaraso afunganye mu bwonko, cyane cyane indwara yo gucika kw'imitsi cyangwa amaraso agwa, bigatuma amaraso atembera mu bwonko . Tekereza nawe, byagenda bite niba ugize ikibazo cyo kumira, isereri, cyangwa amaso yawe agatangira kugenda vuba? Ibi ni ibimenyetso uzabona muri uru rubanza.

None se Wallenberg Syndrome ni iki?

Mu magambo make, Wallenberg Syndrome ni indwara ibaho iyo amaraso agana igice runaka cy'ubwonko, igice cyo ku ruhande cya medulla oblongata, ahungabanye. Ibi bishobora guterwa no kuziba kw'imitsi ijyana amaraso mu bwonko yitwa posterior inferior cerebellar artery (PICA). Hari igihe muganga wawe ashobora no kuyita lateral medullary syndrome cyangwa posterior inferior cerebellar artery syndrome, kuko ibyangiritse biba kuri utwo duce.

Iyo iki kibazo kibaye, ibimenyetso nko kugorwa no kumira, gushyuha cyane, kwitsamura kenshi, kubura uburyohe, kwihuta mu maso (nystagmus), kureba kabiri, kubura kuringaniza, kuzerera no kumva uzunguruka (vertigo), ndetse no kubabara cyangwa kugira ibinya bishobora kubaho. Tekereza ukuntu byaba bigoye kugenda iyo ibintu byose wabonye bisa nkaho birekuye kandi udashobora kugumana kuringaniza neza.

Igikuru ni ukumenya icyateye iyi ndwara no kuyivura vuba bishoboka . Ubu ni bwo buryo ushobora kugera ku musaruro mwiza no kugabanya ibyago byo guhura n'ingorane.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, indwara ya Wallenberg Syndrome ni yo ikunze kugaragara nyuma yo gucika intege mu bwonko, iterwa no kubura amaraso agana inyuma y’ubwonko. Ubushakashatsi bwagaragaje ko abantu barenga 60.000 bandura buri mwaka muri Leta Zunze Ubumwe za Amerika gusa. Ibi bivuze ko iyi atari indwara idasanzwe.

Ni ibihe bimenyetso by'indwara ya Wallenberg syndrome?

Twabiganiriyeho gato mbere, ariko iyo tubirebye mu buryo burambuye, ibi bimenyetso bishobora gutandukana gato bitewe n'umuntu ku wundi, bitewe n'agace k'ubwonko kangiritse.

• Kugorwa no kumira: Ushobora kudashobora kumira n'ibiryo bike cyangwa amazi. Hari igihe ibiryo urya bishobora no kwinjira mu muhogo wawe.
• Ijwi rituje: Ijwi rirahinduka iyo uvuga, rigahinduka rituje.
• Kwihagarika kenshi: Ushobora kugira kwihagarika kenshi ku buryo bidashoboka.
• Kubura uburyohe: Uburyohe bw'ibiryo buragabanuka.
• Ingendo z'amaso zihuta kandi zitabishaka (nystagmus):Amaso yanjye atangira kugenda vuba cyane, hejuru no hasi, asa n'aho nta kintu na kimwe agenzura.
• Kubona ibintu bibiri icyarimwe: Kubona ibintu bibiri icyarimwe.
• Ibibazo byo kuringaniza no guhuza imikorere: Kugorwa no kugumana uburinganire mu gihe ugenda, kudashobora guhuza amaguru n'amaguru neza.
• Kuzungera no kuzunga: Kumva umutwe wawe umeze nk'uzunguruka kandi ibintu bikukikije birimo kuzunguruka.
• Ububabare cyangwa gucika intege: Ushobora kugira ububabare, gucika intege, cyangwa kubura ibyiyumvo bitewe n'ubushyuhe cyangwa ubukonje, cyane cyane ku ruhande rumwe rw'isura yawe, mu gihe urundi ruhande ari ibisanzwe.

Tekereza, nta kintu na kimwe ushobora kumva iburyo bw'isura yawe, ariko ibumoso ni ibisanzwe. Ibi ni ibimenyetso ubona muri iki kibazo.

Ibi bimenyetso bishobora kwiyongera buhoro buhoro mu masaha make cyangwa iminsi mike.

Ni iki gitera ibi?

Impamvu nyamukuru ni indwara yo mu bwonko . Iyi ishobora kuba:

• Bitewe no kwangirika kw'igice cyo ku ruhande cya medulla oblongata mu bwonko bwacu.
• Bitewe no kuziba kw'amaraso mu mitsi yo mu bwonko (PICA), ijyana amaraso mu bwonko cyangwa mu mutsi wo mu bwonko mu gice cy'ubwonko.

Izi ni zo mpamvu z'ingenzi. Ariko, hashobora kubaho izindi mpamvu nyinshi zidasanzwe:

• Guca imitsi yo mu mugongo: Iyi ni icika ry'urukuta rw'imitsi minini ijyana amaraso mu bwonko.
• Ubusembwa bw'imitsi itera amaraso mu mitsi: Ibi biragoye kurushaho. Mu magambo make, ni ukwivanga kudasanzwe kw'imitsi itera amaraso mu bwonko.
• Gukomereka mu mutwe : Gukomereka bikomeye ku mutwe.
• Multiple sclerosis: Iyi ni indi ndwara ifata uturemangingo tw'imitsi.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Hari abantu bashobora kurwara indwara ya Wallenberg Syndrome cyane. Reka turebe abo ari bo:

• Abantu banywa itabi cyangwa bakoresha ibikomoka ku itabi.
• Abantu bafite umuvuduko ukabije w'amaraso (hypertension).
• Abantu barwaye diyabete.

Uretse ibi, abantu bafite ibibazo by’ingirangingo zishobora no kuba mu kaga. Urugero:

• Indwara ya Marfan
• Indwara ya Ehlers-Danlos
• Kudakora neza kw'imitsi mu buryo bwa Fibromuscular dysplasia

Ibi ni ibihe bidasanzwe.

Ni izihe ngorane ibi bishobora gutera?

Indwara yitwa Wallenberg Syndrome ishobora gutera impinduka zihoraho nyuma yo gufatwa n'indwara yo mu bwonko. Izi zirimo:

• Kugorwa no kugenda: Ushobora kuba udashobora kugenda neza, kandi ushobora gukenera gukoresha icyuma gifasha kugenda.
• Ububabare budakira: Ushobora kuba uhura n'ububabare buhoraho.
• Igicuri: Ibi bivuze indwara zimeze nk'iz'igicuri.
• Ingorane zo kwiga: Bishobora kugorana kwiga no kwibuka ibintu bishya.

Ubimenya ute?

Umuganga asuzuma iyi ndwara binyuze mu isuzuma ry’umubiri, isuzuma ry’imitsi, n’ibindi bipimo byihariye .

Muganga azabanza arebe niba ibimenyetso byawe bigira ingaruka ku ruhande rumwe rw'umubiri wawe gusa. Urugero, niba udashobora kumva uburyohe ku ruhande rw'iburyo rw'ururimi rwawe, muganga ashobora gutekereza ko uruhande rw'ibumoso rw'igihimba cy'ubwonko bwawe rwangiritse. Ibi biterwa nuko ubwonko bwacu bukora nk'indorerwamo. Uruhande rw'iburyo rw'ubwonko rugenzura uruhande rw'ibumoso rw'umubiri, naho uruhande rw'ibumoso rugenzura uruhande rw'iburyo rw'umubiri. Urabyumva?

Kugira ngo yemeze ko indwara isanzwe ihari, muganga ashobora gukora ibizamini nka:

• Isuzuma rya MRI (Magnetic Resonance Imaging): Ibi bishobora gufata amashusho arambuye y'ubwonko.
• Angiogramu: Iki kizamini kigenzura imiterere y'imitsi y'amaraso.

Hari igihe hashobora gukorwa ibizamini by'amaraso cyangwa electrocardiogram (ECG) kugira ngo harebwe uko umutima uhagaze kugira ngo hamenyekane izindi ndwara zifite ibimenyetso bisa.

Ivurwa ite?

Mu kuvura indwara ya Wallenberg, ikintu cya mbere kibandaho ni ukuvanaho kuziba kw'amaraso ajya mu bwonko. Niba indwara yo mu bwonko ari yo itera, muganga wawe ashobora kuguha uburyo bumwe cyangwa bwinshi muri ubu buryo:

• Umuti utera amaraso ku ngingo (tPA): Uyu ni umuti uterwa mu mitsi (IV) utangwa kugira ngo ushongeshe amaraso apfunditse.
• Umuti ugabanya amaraso cyangwa ugabanya amaraso: Ubuza amaraso gukomeza kuzura.
• Gukuraho amaraso mu nda: Hari igihe hashyirwamo catheter kugira ngo amaraso akurweho.

Nyuma yo kuvura ikibazo cyo kuziba kw'imitsi, uzatangira guhangana n'ibimenyetso n'ingorane . Ibi bishobora kuba birimo ibintu nk'ibi:

• Gushyiramo no gukoresha umuyoboro wo kugaburira: Ibi ni ngombwa niba bigoye kumira.
• Kwambara indorerwamo zidasanzwe (prism) ku bibazo byo kutabona.
• Ubuvuzi bwo kuvuga: Ku bibazo byo kuvuga no kumira.
• Ubuvuzi bw'umubiri: Kuvugurura uburyo umubiri ukora n'uburyo ugenda uhuza imikorere yawo.
• Ubuvuzi bw'akazi: Gutozwa gukora imirimo ya buri munsi ku giti cyawe.

Ni ubuhe bwoko bw'imiti butangwa kuri ibi?

Niba ufite ububabare budakira hamwe na Wallenberg Syndrome, muganga wawe ashobora kukwandikira umuti witwa gabapentin . Nubwo uyu ari umuti uvura igicuri, ushobora no gufasha ku bubabare bw'imitsi.

Niba usanzwe ufata indi miti cyangwa inyongeramusaruro, ni ngombwa kubanza kuvugana na muganga wawe mbere yo gutangira imiti mishya. Ashobora kukugira inama ku ngaruka mbi zishobora guterwa n’iyo miti.

Ese hari umuti wuzuye w'ibi?

Ikibabaje ni uko nta muti uhari wa Wallenberg Syndrome. Ariko, iyo ubonye ibimenyetso bya mbere by'indwara yo mu bwonko hanyuma ugatangira kuvurwa hakiri kare , ushobora kugabanya cyane ibyago byo kurwara. Iyo uvuwe, ushobora kugenzura ibimenyetso byawe no kugerageza gusubiza ubuzima bwawe mu buzima busanzwe.

Uko icyerekezo kimeze kose? (Icyerekezo)

Muganga wawe ashobora kuguha amakuru nyayo kuri ibi, kuko ibi bitandukanye bitewe n'umuntu ku giti cye. Biterwa n'ibintu byinshi, nko mu gace k'ubwonko kangiritse n'uburemere bw'ibyangiritse.

Hari abantu bashobora kugabanuka mu byumweru bike cyangwa amezi make bagatangira kumva uko bari bameze mbere yo kurwara indwara yo mu bwonko. Ariko, indwara yo mu bwonko ishobora no gutera kwangirika burundu ndetse n'impinduka mu mitsi zigira ingaruka ku buzima bwa buri munsi. Ariko ntugahangayike, hari uburyo bwo kuvura bushobora kugufasha guhangana n'izi ndwara nyuma yo kurwara indwara yo mu bwonko no kumenyera ubuzima bushya.

Ese indwara ya Wallenberg syndrome ishobora kwirindwa?

Nubwo bidashoboka gukumira burundu buri kibazo, ushobora kugabanya ibyago byawe ukora ibi bikurikira:

• Niba unywa itabi, rireke, cyangwa wirinde gukoresha ibikomoka ku itabi.
• Gufata neza izindi ndwara ziterwa n'uburwayi (urugero: umuvuduko ukabije w'amaraso, diyabete).
• Kurya indyo yuzuye no gukora imyitozo ngororamubiri buri gihe .

Ni ryari ukwiye kujya kwa muganga?

Niba wowe cyangwa uwo ukunda mu buryo butunguranye mugize ibimenyetso byo kurwara indwara yo mu bwonko, hamagara 911 ako kanya cyangwa ujye mu biro byita ku butabazi bwihuse by’ibitaro biri hafi yawe.

Ibimenyetso by'indwara yo mu bwonko bishobora kuba birimo:

• Kugorwa no kuvuga cyangwa kumira.
• Ibibazo byo kuringaniza no guhuza ibikorwa.
• Impinduka mu buryo bw'ibyumviro, nko kugira ibinya no gucika intege ku ruhande rumwe rw'umubiri.
• Vertigo n'izunguzungu.
• Impinduka mu iyerekwa.

Ubonye ikimenyetso nk'iki , gukora vuba udatakaje igihe bishobora kurokora ubuzima.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ushobora kubaza muganga wawe ibi bibazo kugira ngo usobanukirwe neza iyi ndwara:

• Kuki nagize indwara ya Wallenberg Syndrome?
• Ni ubuhe bwoko bw'ubuvuzi usaba?
• Ese imiti ishobora gutera ingaruka mbi?
• Ese hazabaho ingorane z'igihe kirekire?
• Ni iki giteganyijwe ku ndwara yanjye?

Indwara ya Wallenberg igira ingaruka ku bantu bose mu buryo butandukanye, kuko ibyangiritse biterwa no gucika intege mu bwonko bitamenyerewe. Bishobora kuba ibintu biteye ubwoba cyane kuri wowe no ku muryango wawe. Nubwo ibimenyetso bimwe na bimwe bishobora kugabanuka mu mezi make, hari igihe ingorane zivuka. Ibi bishobora kugira ingaruka ku buryo wumva umeze n'uko ukora imirimo yawe ya buri munsi.

Igikuru ni uguhamagara abaganga b’inkeragutabara ukimara kubona ibimenyetso by’indwara yo mu bwonko. Muri ubu buryo, muganga wawe ashobora gusuzuma vuba indwara ya Wallenberg Syndrome n’icyayiteye, no gutangira kuvurwa kugira ngo hirindwe ko yangirika kurushaho.

Niba ufite ikibazo cyangwa impungenge ku ndwara yawe, umuganga wawe ni we wenyine ushobora kuguha amakuru nyayo kandi agezweho. Ni we ushobora kugufasha guhangana n'ibimenyetso byawe.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero, ukurikije ibyo twavuze, ibi ni byo bintu by'ingenzi ugomba kwibuka:

• Wallenberg Syndrome ni indwara ikomeye y’imitsi iterwa no kugabanuka kw’amaraso ajya mu bwonko (akenshi iterwa no gucika intege mu bwonko).
• Ibimenyetso bishobora kuba birimo kugorwa no kumira, isereri, kwitwara mu maso nta bushake, impinduka mu ijwi, no kugira ibinya ku ruhande rumwe rw'umubiri .
• Niba ugize ibimenyetso bya stroke (kunanirwa kuvuga, guta ubwenge ku ruhande rumwe rw'umubiri, isereri itunguranye) , ni ngombwa kwihutira kujya mu bitaro.
• Kuvurwa hakiri kare bishobora kugabanya ingorane no gutuma umuntu akira ku rugero runaka . Nubwo nta muti wuzuye uhari, hari uburyo bwo kuvura no gusubiza mu buzima busanzwe bushobora kunoza ubuzima.
• Ingaruka zo kurwara iyi ndwara zishobora kugabanuka hakoreshejwe ibintu nko kwirinda kunywa itabi, kugabanya umuvuduko ukabije w'amaraso, na diyabete .

Ndizera ko aya makuru azaba ingirakamaro kuri wewe. Komeza ugire ubuzima bwiza!

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