Bigenda bite iyo ugize igikomere gito cyangwa igisebe? Nyuma y'igihe gito, kuva amaraso kurahagarara, sibyo? Ibyo biterwa n'uburyo butangaje bwo kwirwanaho mu mubiri wacu. Ibyo ni byo twita " gufunga amaraso ." Ariko tekereza uko bigenda iyo iki gikorwa kidakora neza? Kuva amaraso ntibishobora guhagarikwa, cyangwa amaraso akagwa mu mubiri nta mpamvu. Ibyo ni byo twita ubusembwa bwo gufunga amaraso mu buvuzi. Uyu munsi, turaganira kuri ibi mu buryo bworoshye, mu buryo ushobora gusobanukirwa.
Mu magambo make, iki kibazo cyo kuvura amaraso ni iki?
Ibi biroroshye cyane kubyumva. Tekereza imiyoboro y'amaraso yawe nk'umuyoboro utwara amazi. Iyo hari umwobo muto muri uyu muyoboro (ni ukuvuga niba hari igikomere), amaraso azavamo nk'amazi avamo. Umubiri wacu uba umunyabwenge cyane mu bihe nk'ibi. Bihita byohereza "itsinda rishinzwe gusana" aho hantu.
Hari abanyamuryango babiri b'ingenzi muri iri tsinda.
- Platelets : Izi ni ubwoko bw'uturemangingo duto mu maraso yacu. Ni nk'igishishwa cya mbere gipfuka umwobo.
- Ibintu bitera gufungana: Izi ni poroteyine zidasanzwe mu maraso. Zimeze nk'urwego rukomeye rwa sima ushyira hejuru y'iyo sima.
Izi platelets n'ibintu bigabanya amaraso bikorana kugira ngo bikore amaraso akomeye aho yakomeretse, bihagarike kuva amaraso. Iyo imvune imaze gukira, umubiri urashonga ugakuraho ayo maraso .
Rero, indwara yo kuvura amaraso bivuze ko inzira yo kuvura amaraso idakora neza bitewe n'ikibazo kiri muri iri tsinda rishinzwe gusana (platelets cyangwa factors zo kuvura amaraso).
Izi ntege nke zishobora kugabanywamo ubwoko bubiri bw'ingenzi:
Iki kibazo gishobora kubaho mu buryo bubiri bw'ingenzi. Ni ukuvuga ko kuvura amaraso bigabanuka birenze uko bikenewe kandi bikiyongera birenze uko bikenewe. Reka tubisobanure neza mu mbonerahamwe iri hepfo.
| Imiterere y'intege nke | Izina ry'ubuvuzi | Mu magambo make, ni iki kibaho? |
|---|---|---|
| Kugabanuka kw'amaraso mu mitsi | Kuva amaraso menshi (kuva amaraso menshi) | Kuva amaraso igihe kirekire kuruta uko bisanzwe. Ndetse n'igikomere gito gishobora gutuma amaraso menshi ava mu mubiri. |
| Kwiyongera kw'amaraso mu mitsi | Thrombose | Kurema amaraso adakenewe mu mitsi ikora neza nta gikomere, bibuza amaraso gutembera neza. |
Ni izihe mpamvu zitera ibi bihe?
Hari impamvu nyinshi zitera ubu bwoko bw'indwara yo kuvura amaraso. Zimwe ni indwara zikomoka ku ngirabuzimafatizo tuvukana (turazwe) . Izindi zishobora kuboneka mu gihe cy'ubuzima bwacu bitewe n'izindi ndwara cyangwa izindi ndwara.
Reka turebe impamvu nyamukuru za buri bwoko muri ubu.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Impamvu zitera kugabanuka kw'amaraso mu mubiri (kuva amaraso menshi) | |
| Hemofiliya (Hemofiliya A, B, na C) | Iyi ni indwara iterwa ahanini n'uturemangingo. Muri iki kibazo, umubiri ntukora ibintu bimwe na bimwe by'ingenzi bikenewe kugira ngo amaraso avunge. |
| Indwara ya Von Willebrand | Iyi nayo ni indwara umuntu avukana. Muri iyi ndwara, umubiri ubura poroteyine yitwa von Willebrand factor, ifasha amaraso kubumba. |
| Indwara y'umwijima | Umwijima ni wo utanga ibintu byinshi umubiri wacu ukeneye byo kuvura amaraso. Iyo umwijima urwaye, uyu musaruro ushobora kugabanuka kandi amaraso akagabanuka. |
| Kubura Vitamine K | Vitamine K ni vitamine y'ingenzi mu gutuma amaraso yiyongera. Iyo ari make, biragoye guhagarika kuva amaraso. Ibi bigaragara cyane cyane ku bana bonsa gusa. |
| Impamvu zitera kwiyongera kw'amaraso mu mitsi (Trombose) | |
| Factor V Leiden | Iyi ni indwara y’uturemangingo ihererekanywa kuva ku gisekuru kugeza ku kindi. Muri iki gihe, ikintu gituma amaraso agwa (Factor V) kiba gikabije kandi kikarema amaraso adakenewe. |
| Impinduka mu ngirabuzimafatizo za Prothrombin | Iri hinduka ry’uturemangingo rituma umubiri ukora ikindi kintu kinini cyo kuvura amaraso, 'prothrombin'. |
| Indwara yo kurwanya indwara ya Antiphospholipide | Iyi ni indwara iterwa n’ubwiyongere bw’umubiri. Ibi bivuze ko ubwirinzi bw’umubiri bwibasira uturemangingo twabwo. Ibi byongera ibyago byo kubyimba kw’amaraso bidakenewe. |
Ni ibihe bimenyetso by'izi ndwara?
Ibimenyetso biterwa nuko ufite ubwoko bw'amaraso afite ikibazo cyo kuvura amaraso ari make cyangwa menshi.
Ibimenyetso byo kugabanuka kw'amaraso mu mitsi
- Gukomereka byoroshye: Guhinduka ubururu nyuma yo gukomereka gato.
- Kuva amaraso kenshi mu mazuru : Kuva amaraso kenshi mu mazuru nta mpamvu igaragara.
- Amaraso mu nkari: Iyo inkari zawe zihindutse umutuku, umutuku, cyangwa umukara.
- Kuva amaraso mu gikomere kidahagarara: Kuva amaraso igihe kirekire, ndetse no mu gisebe gito.
- Umunaniro ukabije.
- Abagore bamwe bagira amaraso menshi mu gihe cy'imihango.Kuva amaraso .
Ibimenyetso byo kwiyongera kw'amaraso mu mitsi (Trombose)
Ibimenyetso biterwa n'aho amaraso yacitse. Ibi bishobora kuba ibintu biteje akaga cyane.
- Indwara y'Umutima: Iyo amaraso apfutse umutsi w'umutima, ibimenyetso nko kubabara mu gatuza no kugorwa no guhumeka bishobora kubaho.
- Stroke: Iyo amaraso apfutse umutsi ujyana amaraso mu bwonko, ibimenyetso nk'intege nke ku ruhande rumwe rw'umubiri, kugorwa no kuvuga, no kunama mu maso bishobora kubaho.
- Kuvunguka kw'amaraso mu mitsi : Kuvunguka kw'amaraso mu mitsi bijyana amaraso mu bihaha. Ibimenyetso birimo guhumeka nabi no kubabara mu gatuza.
- Indwara yo mu mitsi miremire (DVT): Ubusanzwe amaraso agwa mu mitsi minini mu kuguru. Ibimenyetso by'ingenzi ni ukubyimba, gutukura, no kubabara mu kuguru.
Ni ubuhe buryo bwo kuvura ibi?
Muganga wawe ni we uzaguhitiramo uburyo bwo kuvura bukubereye. Biterwa n'ibintu nk'impamvu nyamukuru y'uburwayi bwawe n'uburemere bw'uburwayi bwawe. Hari indwara zoroheje zishobora kudasaba ubuvuzi bwihariye.
Dore bumwe mu buryo bw'ingenzi bwo kuvura bukoreshwa:
- Imiti: Abantu bafite umuvuduko mwinshi wo kuvura amaraso bahabwa imiti igabanya amaraso, nka ``Warfarin`` cyangwa ``Heparin``. Hariho kandi imiti ifasha abantu bafite umuvuduko muto wo kuvura amaraso.
- Uburyo bwo Gusimbuza Ibintu: Ibi bikubiyemo gutanga ibintu bigabanya amaraso bidafite umubiri mu buryo butaziguye mu mubiri binyuze mu gutera inshinge. Ibi ni ingenzi cyane ku bantu bafite indwara nka hemophilia.
- Guterwa amaraso: Iyo habayeho kuva amaraso menshi, bishobora kuba ngombwa ko hakorwa isuzuma ryo hanze kugira ngo hasimburwe amaraso yatakaye.
- Ubundi buryo bwo kuvura: Hari igihe ibura rya vitamine K rishobora kugenzurwa binyuze mu kuvura impamvu nyamukuru, nko gutanga vitamine K cyangwa kuvura indwara z'umwijima.
Igikuru ni uko utajya gushaka imiti y’izi ndwara ukurikije uko wiyumva cyangwa ibyo undi muntu akubwiye. Buri gihe kurikiza inama z’umuganga w’umuhanga.
Niba uva amaraso menshi, ukagira ibisebe kenshi, cyangwa ufite kimwe mu bimenyetso byavuzwe haruguru, ugomba kujya kwa muganga.Vuga kuri ibi. Nanone, niba ubonye kimwe mu bimenyetso by'amaraso yacitse (kubabara mu gituza mu buryo butunguranye, intege nke ku ruhande rumwe rw'umubiri, kugorwa no guhumeka) , jya kwa muganga mu ishami rishinzwe ubutabazi bwihuse (ETU) vuba. Bishobora kurokora ubuzima bwawe.
Ubutumwa bwo kujyana mu rugo
- Hari ubwoko bubiri bw'ingenzi bw'ibibazo byo kuvura amaraso: kuvura amaraso menshi cyane (hypocoagulation) no kuvura amaraso menshi (hypercoagulation) (kwirema kw'amaraso mu buryo butari ngombwa).
- Izi ndwara zishobora guterwa n'impamvu z'uturemangingo zibaho mu gihe cyo kuvuka cyangwa izindi ndwara ziba mu buzima.
- Menya ibintu nko gukomereka byoroshye, kuva amaraso kenshi mu mazuru, no kuva amaraso bidashobora guhagarara nubwo byaba ari ugukomereka gato.
- Ibimenyetso nko kubabara mu gituza gitunguranye, kugorwa no guhumeka, cyangwa intege nke ku ruhande rumwe rw'umubiri bishobora kuba ibimenyetso biteje akaga by'uko amaraso yacitse. Muri icyo gihe, jya kwa muganga wita ku barwayi ba ETU byihutirwa.
- Niba ufite gushidikanya kuri ibi, menya neza ko wagisha inama muganga w’umuryango wawe.
👩🏽⚕️ Ibibazo by'inyongera (Ibibazo Bikunze Kubazwa)
💬 🖐️ Kuki ibiganza byanjye ari umuhondo? (Kuki ibiganza byanjye ari umuhondo?)
Hari impamvu nyinshi z'ingenzi zituma intoki zihinduka umuhondo. Akenshi, ibi bishobora kubaho iyo uriye ibiryo byinshi nka karoti n'ibihaza (Carotenemia). Ariko, intoki nazo zihinduka umuhondo mu gihe umuntu arwaye indwara y'umwijima, iterwa n'indwara y'umwijima. Kubwibyo, ugomba kwitonda gato kuri ibi.
💬 🩸 Ni iyihe sano iri hagati yo gushonga kw'ibiganza n'ibibazo byo kuvura amaraso (ubumuga bwo kuvura amaraso)?
Hari isano ikomeye hagati y’ibyo byombi. Ibintu byinshi bituma amaraso yacu agwa bikomoka ku mwijima. Rero iyo umwijima udakomeye kandi intoki zigahinduka umuhondo, ibibazo byo kuvura amaraso nabyo bishobora kubaho. Ibyo bivuze ko iyo umwijima urwaye, amaraso ntagwa neza.
💬 🤔 Ese nkwiye guhangayikishwa n'amaboko yanjye afite umuhondo kandi ava amaraso?
Yego, niba intoki zawe ari umuhondo, uva amaraso mu mazuru, uva amaraso mu ishinya, cyangwa ukomereka byoroshye nubwo waba wakomeretse gato, bishobora kuba ari ikibazo cyo gufungana kw'amaraso. Muri ibyo bihe, ni ngombwa cyane kujya kwa muganga ako kanya no gusuzumwa umwijima wawe.
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