Ese ni iki kibazo cya Thrombose y'Umuvuduko ukomeye? Ibimenyetso, Impamvu, & Ubuvuzi

Thrombose y'umuvuduko ukomeye (DVT) ni umuvuduko w'amaraso uba mu mivuduko ikomeye y'umubiri wawe, cyane cyane mu maguru yawe. Tekereza ko amaraso yawe ari gukomera akaba umubumbe ukomeye uri mu muvuduko uri mu gikari cy'imikaya yawe, aho kuba hafi y'uruhu rwawe.

Nubwo ibi bishobora kuba bigoye, DVT ni uburwayi bushobora kuvurwa iyo bamenyekanye hakiri kare kandi bukavurwa neza. Gusobanukirwa ibimenyetso no kumenya igihe cyo gusaba ubufasha bishobora gutuma habaho itandukaniro rikomeye mu gukira kwawe no mu buzima bwawe bw'igihe kirekire.

Ni ibihe bimenyetso bya Thrombose y'Umuvuduko ukomeye?

Ibimenyetso bya DVT bishobora kuba bito mu ntangiriro, kandi bamwe bashobora kutamenya ibimenyetso na gato. Ibimenyetso bisanzwe bigira ingaruka ku kaguru aho umuvuduko wabaye, nubwo bishobora gutandukana ukurikije umuntu.

Dore ibimenyetso by'ingenzi byo kwitondera:

• Kubyimbagira mu kaguru kamwe, urugurugo, cyangwa ikirenge bidahuye n'uruhande rundi
• Kubabara cyangwa kubabara mu kaguru kawe bishobora kumera nk'ububabare cyangwa ububabare
• Ubushyuhe mu gice cyangiritse iyo ubukozeho
• Uruhu rutukura cyangwa rwahindutse ibara, akenshi rufite ibara ry'ubururu
• Kubabara mu kaguru bikomeza iyo uhindura ikirenge cyawe hejuru
• Kumva uburemere cyangwa ububabare mu kaguru kabyibagira

Rimwe na rimwe DVT ishobora kubaho nta bimenyetso bigaragara, ariyo mpamvu akenshi yitwa uburwayi 'bwucecetse'. Umubiri wawe ushobora kuba ukora kugira ngo ukemure imivuduko mito mu buryo bw'umwimerere, cyangwa umuvuduko ushobora kutazaba ubuza amaraso gutembera bihagije kugira ngo habeho impinduka zigaragara.

Mu bihe bitoroshye, ushobora kugira ibimenyetso mu maboko yawe niba umuvuduko wabaye mu mivuduko yo hejuru. Ibi bishobora kubaho nyuma y'ibikorwa by'ubuvuzi bikubiyemo imivuduko y'amaboko cyangwa kubera imiterere y'amaboko isubiramo mu mirimo imwe cyangwa imikino.

Ese ni iki giteza Thrombose y'Umuvuduko ukomeye?

DVT ibaho iyo imiterere isanzwe y’amaraso yawe ihungabanye, bigatuma habaho ubusembwa bw’amaraso. Amaraso yawe asanzwe aba ashaka kugenda neza mu mitsi yawe, ariko zimwe mu mimerere ishobora kubangamira uwo mujyo.

Ibintu by’ingenzi bigira uruhare mu iterambere rya DVT birimo:

• Kudakora cyane igihe kirekire kubera ingendo ndende z’indege, kuruhuka mu buriri, cyangwa kwicara igihe kirekire
• Kubagwa, cyane cyane ibibazo bikomeye bikorerwa amaguru, ibyenda, cyangwa igifu
• Imvune cyangwa ibikomere ku mitsi yawe biturutse ku mpanuka cyangwa ubuvuzi
• Imiti imwe nka pilule z’ubuzima bw’imyororokere cyangwa imiti isubiza imisemburo
• Ububata n’igihe nyuma yo kubyara kubera umuvuduko wiyongereye n’impinduka z’imisemburo
• Kanseri n’ubuvuzi bumwe na bumwe bwa kanseri bugira ingaruka ku gusemba kw’amaraso
• Indwara z’amasano z’ubusembwa bw’amaraso zikomoka mu muryango

Amaraso yawe aba afite urugero rwiza rw’ibintu bituma amaraso asembera bisanzwe birinda kuva amaraso cyane no kubaho kw’ubusembwa butari ngombwa. Iyo urwo rugero ruhindutse, amaraso yawe ashobora kuba ashobora gusemba nubwo nta gikomere gikenewe gukira.

Gake, DVT ishobora guterwa n’indwara zidasanzwe nka May-Thurner syndrome, aho umusemburo uhindurwa n’umutsi, cyangwa kubera indwara zidasanzwe zigira ingaruka ku mitsi yawe y’amaraso.

Ni ryari ukwiye kujya kwa muganga kubera Deep Vein Thrombosis?

Wagomba guhamagara umuganga wawe ako kanya niba ubona kubyimba gitunguranye, ububabare, cyangwa impinduka z’imibare y’ukuguru kwawe. Ibi bimenyetso bikwiye kuvurwa vuba kuko kuvurwa hakiri kare bishobora gukumira ingaruka zikomeye.

Shaka ubuvuzi bwihuse ako kanya niba ufite ibimenyetso byerekana ko ubusembwa bwagiye mu mwijima, uburwayi bwitwa pulmonary embolism. Ibi bimenyetso byihutirwa birimo guhumeka gitunguranye, ububabare bw’ibituza bukongera uko uhumeka, umutima ukubita cyane, gukorora amaraso, cyangwa kumva ugiye gupfa.

Ntugakomeze gutegereza niba ufite ibi bimenyetso byo kuburira, nubwo utazi neza ko bifitanye isano na DVT. Itsinda ryanyu ry’ubuvuzi ryifuza cyane kukumenya vuba kandi rikamenya ko nta kibazo gikomeye kiriho kuruta ko utinda kuvurwa indwara ishobora guhitana ubuzima.

Ni ibihe bintu byongera ibyago bya Deep Vein Thrombosis?

Kumva ibyago byawe bwite bishobora kugufasha gufata ingamba zo kwirinda no kumenya igihe ushobora kuba ufite ibyago byinshi byo kurwara DVT. Hari ibyago bimwe na bimwe ushobora kugenzura, ibindi bikaba ari igice cy’amateka yawe y’ubuvuzi cyangwa imvange.

Ibyago bisanzwe birimo:

• Imyaka irenga 60, nubwo DVT ishobora kubaho mu myaka yose
• Kuba ufite umubyibuho ukabije cyangwa ubumenyi, bikagira umuvuduko mwinshi ku mitsi y’amaguru
• Kunywa itabi, bigira ingaruka ku mitemberere y’amaraso no gukomera
• Kwicara cyangwa kuryama igihe kirekire buri gihe
• Kuba wararwaye DVT cyangwa pulmonary embolism mbere
• Amateka y’umuryango w’indwara ziterwa no gukomera kw’amaraso
• Kubagwa vuba cyangwa kuba warwariye mu bitaro
• Kanseri ikora cyangwa kuvurwa kanseri

Bamwe mu bantu bafite ibyago byinshi, bishobora kongera ibyago byabo rusange byo kurwara DVT. Ariko rero, kugira ibyago ntibisobanura ko uzahita ubona ubusembwa. Abantu benshi bafite ibyago byinshi ntibabona DVT, mu gihe abandi bafite ibyago bike bashobora kurwara iyo ndwara.

Indwara z’imvange zidafite akamaro nka Factor V Leiden mutation cyangwa protein C deficiency bishobora kongera cyane ibyago byo gukomera kw’amaraso. Izo ndwara zirakomoka mu muryango zigira ingaruka ku buryo amaraso yawe akomera kandi bishobora gusaba gukurikiranwa byihariye mu buzima bwawe bwose.

Ni ibihe bibazo bishoboka bya Deep Vein Thrombosis?

Nubwo abantu benshi barwaye DVT bakira neza bafashijwe n’ubuvuzi bukwiye, ni ingenzi kumva ibibazo bishoboka kugira ngo umenye ibimenyetso byo kuburira kandi ushake ubufasha bukwiye igihe bikenewe.

Ingaruka ikomeye cyane ihita ibaho ni ubusembwa bw’amaraso mu muhogo (pulmonary embolism), buzabaho iyo igice cy’umuvuduko w’amaraso cyavuyemo kikajya mu bihaha byawe. Ibi bishobora kubuza amaraso kugera ku mubiri w’ibihaha byawe kandi bikaba bibangamira ubuzima niba bitavuwe vuba.

Izindi ngaruka zishobora kuza harimo:

• Indwara y’umuvuduko w’amaraso nyuma y’ubwandu (Post-thrombotic syndrome), itera ububabare n’ubwuzu mu kirenge igihe kirekire
• Ubusembwa bw’amaraso mu mitsi y’ibirenge (Chronic venous insufficiency), aho imitsi y’ibirenge idakora neza
• Impinduka z’uruhu n’ibisebe mu gice cyagizweho ingaruka
• Kugaruka kw’ubwandu bwa DVT mu gihe kizaza
• Kugabanuka kw’ubushobozi bwo kugenda n’imibereho myiza bitewe n’ibimenyetso bikomeza kubaho

Indwara y’umuvuduko w’amaraso nyuma y’ubwandu igira ingaruka ku bantu bagera kuri 20-30% bagiye bafite DVT, ikunze kugaragara nyuma y’amezi cyangwa imyaka nyuma y’umuvuduko wa mbere. Imisumari y’imitsi yangiritse ntishobora kohereza amaraso mu mutima wawe neza, bigatuma habaho kubyimba no kubabara bikomeza.

Gake, DVT ikomeye ishobora gutera kubyimba bikomeye bigabanya imitsi y’amaraso igera ku mubiri w’ibirenge byawe, iyi ndwara yitwa phlegmasia cerulea dolens. Iyi mpanuka y’ubuvuzi isaba ubufasha bw’ihutirwa kugira ngo umugongo ukizwe.

Uko DVT ishobora gukumirwa

Inkuru nziza ni uko ingero nyinshi za DVT zishobora gukumirwa binyuze mu guhindura imibereho yawe no kumenya ibyago byawe. Gukumira byibanda ku gutuma amaraso yawe akomeza kugenda neza no kugira imitsi myiza.

Niba uri mu kaga cyangwa uhura n’ibintu byongera ibyago bya DVT, hano hari ingamba zikomeye zo gukumira:

• Kwigendera buri gihe mu rugendo rurerure cyangwa igihe wicaye
• Kwambara imyenda ihambirira nk’uko muganga wawe abigutegeka
• Kunywa amazi ahagije, cyane cyane mu rugendo
• Kugira ibiro bikwiye binyuze mu mirire myiza no gukora imyitozo ngororamubiri
• Kureka kunywa itabi kugira ngo wongere imitsi yawe
• Kunywa imiti igabanya amaraso nk’uko wagendewe
• Kuzuza amaguru yawe igihe uri kuruhuka niba bishoboka

Mu gihe uri mu bitaro cyangwa nyuma y’ubuganga, itsinda ry’abaganga bakwitaho rishobora gukoresha ubundi buryo bwo kwirinda nka serivise zo gukanda imitsi cyangwa imiti igabanya uburyo amaraso akabana. Ibi bikorwa bigereranywa n’uburyo ubuzima bwawe bumeze n’uburyo ufite ibyago.

Imikino yoroshye nko guhindura ibirenge, guhaguruka no kugenda intera ngufi bishobora kunoza cyane imitsi y’amaraso mu birenge byawe. No kugira imyanya mito buri saha bishobora kugira akamaro mu gukumira gukabana kw’amaraso.

Uko Thrombose y’imitsi ikomeye imenyekana

Kumenya Thrombose y’imitsi ikomeye bisanzwe bikubiyemo isuzuma ry’umubiri, isuzuma ry’amateka y’ubuzima, n’ibizamini byihariye byo kureba imitsi y’amaraso. Muganga wawe azatangira akubaza ibibazo ku bimenyetso byawe akanakora isuzuma aho bibabaye.

Ikizamini cyo kubona indwara cyakunzwe cyane ni duplex ultrasound, ikoresha ingufu z’amajwi mu gukora amashusho y’imitsi y’amaraso. Iki kizamini kidakomeretsa gishobora kwerekana niba hari ikibazo cy’amaraso kandi kigafasha kumenya ingano yacyo n’aho kiri.

Ibindi bizamini muganga wawe ashobora kugutegeka birimo:

• Isuzuma ry’amaraso rya D-dimer kugira ngo arebe ibintu byangiza amaraso
• Venography ikoresha ibara ryerekana imitsi kuri X-ray
• CT cyangwa MRI scans ku bintu bigoye cyangwa igihe ultrasound idahagije
• Ibizamini by’amaraso kugira ngo arebe indwara z’amaraso

Isuzuma rya D-dimer ripima ibintu bisohorwa iyo amaraso akabana asenyutse. Nubwo urwego rwo hejuru rushobora kwerekana ko hari amaraso akabana, iri suzuma ridashobora guhagije mu kumenya Thrombose y’imitsi ikomeye kuko hari ibindi bintu byinshi bishobora gutuma urwego rwa D-dimer ruzamuka.

Mu bihe bitoroshye aho ibizamini bisanzwe bidatanga ibisobanuro bihagije, muganga wawe ashobora gutegeka amashusho yihariye nka magnetic resonance venography cyangwa computed tomography venography kugira ngo abone ishusho isobanutse y’imitsi yawe n’imitsi y’amaraso.

Uko Thrombose y’imitsi ikomeye ivurwa

Kuvura indwara ya DVT byibanda ku kubuza umuvuduko gukura, kugabanya ibyago byo kwibasirwa na pulmonary embolism, no kugabanya ingaruka mbi z’igihe kirekire. Abantu benshi bashobora kuvurwa neza hakoreshejwe imiti, nubwo hari ubwo bimwe mu bihe bishobora gusaba ubundi buryo bwo kuvura.

Uburyo nyamukuru bwo kuvura burimo imiti igabanya ubukana bw’amaraso, izwi cyane nka ‘blood thinners’. Iyi miti ntigabanya amaraso ahubwo irabuza ko habaho indi mivuduko mishya kandi ifasha umubiri gusesa imivuduko imaze kubaho mu buryo bw’umwimerere.

Uburyo bwo kuvura busanzwe burimo:

• Injisiya za Heparin zo kugabanya ubukana bw’amaraso ako kanya
• Amapasiti ya Warfarin yo kugabanya ubukana bw’amaraso mu gihe kirekire
• Imiti mishya yo kunywa igabanya ubukana bw’amaraso nka rivaroxaban cyangwa apixaban
• Imyenda ihambira amaguru kugira ngo igabanye kubyimba kandi yorohereze imiterere y’amaraso
• Uburyo bwo gusesa imivuduko minini mu bihe bikomeye

Igihe cyo kuvura gisanzwe kiba hagati y’amezi atatu n’atandatu, nubwo hari abantu bashobora gukenera kuvurwa igihe kirekire bitewe n’ibyago bafite niba ari ubwa mbere barwaye DVT.

Mu bihe bidasanzwe birimo imivuduko minini cyangwa ibyago byinshi bya pulmonary embolism, muganga wawe ashobora kugutekerezaho uburyo bwo kuvura bukomeye nko gukoresha catheter-directed thrombolysis cyangwa kubaga kugira ngo bakureho umuvuduko.

Nigute wakwita kuri Deep Vein Thrombosis iwawe?

Nubwo kuvurwa kwa muganga ari ngombwa, hari ibintu byinshi ushobora gukora iwawe kugira ngo ufashe umubiri wawe gukira kandi ugabanye ububabare. Ibi bintu byo kwita ku buzima bwite bifatanije n’imiti uhawe kugira ngo ugire ubuzima bwiza.

Uburyo bwo guhangana n’ububabare no kubyimba harimo guhagarara ikirenge cyangiritse hejuru y’umutima igihe bishoboka, gushyiraho ibintu bishyushye kugira ngo umere neza, no gufata imiti igabanya ububabare uboneye mu maduka nta rupapuro rwa muganga ukeneye nkuko muganga wawe abyemeje.

Ibintu by’ingenzi byo kwita ku buzima iwawe birimo:

• Kunywa imiti ukurikije amabwiriza ata kusiba dose
• Kwambara amasogisi ahambira amaraso mu gihe cy’umunsi
• Kuguma ukora imyitozo ngororamubiri yoroheje nko kugenda uko umubiri wawe ubikwiye
• Kwirinda kwicara cyangwa guhagarara igihe kirekire
• Kwitondera ibimenyetso by’ingaruka mbi
• Kwitabira ibizamini byo gukurikirana kwa muganga

Imikino yoroheje nko kugenda ishobora kugufasha gukira vuba itera amaraso gutembera neza kandi ikarinda imikaya gushoberwa. Tangira buhoro buhoro wiyongerezeho umuvuduko w’imyitozo uko ibimenyetso byawe bigenda bigabanuka kandi muganga akwemereye.

Kwirinda ibimenyetso by’uburwayi bisaba ubufasha bwa muganga vuba, nko kubabara cyangwa kubyimba bikomeye, guhumeka bigoranye cyangwa kuva amaraso bidasanzwe mugihe ukoresha imiti igabanya amaraso.

Wategura gute uruzinduko kwa muganga?

Gutegura neza uruzinduko rwawe kwa muganga bigufasha kubona ubuvuzi bukwiye n’ubushakashatsi bwiza. Muganga azakenera amakuru arambuye yerekeye ibimenyetso byawe, amateka yawe y’ubuzima, n’imiti ukoresha.

Mbere y’uruzinduko rwawe, andika igihe ibimenyetso byawe byatangiye, icyabirinda cyangwa icyabikomeza, n’ibikorwa cyangwa ibyabiteye. Harimo amakuru yerekeye ingendo za vuba, kubagwa, cyangwa igihe utari ugendagenda.

Zana amakuru akurikira mu ruzinduko rwawe:

• Urutonde rwuzuye rw’imiti n’ibindi ukoresha
• Amateka y’umuryango wawe yerekeye ubusembwa bw’amaraso
• Ubuvuzi bwakozwe vuba cyangwa kuba mu bitaro
• Ibindi bibazo bya DVT cyangwa indwara y’amaraso mu muhogo
• Ibibazo ku bijyanye n’uburyo bwo kuvura n’impinduka mu mibereho

Ntugatinye kubabaza ibibazo ku bijyanye n’uburwayi bwawe, uburyo bwo kuvura, n’icyo witeze mu gihe cyo gukira. Gusobanukirwa gahunda yawe yo kuvura bigufasha kuyikurikiza neza no kumenya igihe ushobora kuba ukeneye ubufasha bwa muganga bwihuse.

Tegereza kuzana umuntu wo mu muryango wawe cyangwa incuti kugira ngo akwibutse amakuru y’ingenzi kandi aguhe inkunga muri ibyo bishobora kugaragara nk’iby’ingenzi.

Ni iki cy’ingenzi cyo kuzirikana kuri Thrombose y’imitsi minini?

Thrombose y’imitsi minini ni indwara ikomeye ariko ivurwa neza iyo imenyekanye vuba kandi ikagenzurwa uko bikwiye. Ikintu cy’ingenzi cyo kuzirikana ni uko gushaka ubuvuzi vuba iyo ubonye ibimenyetso bishobora gukumira ingaruka mbi kandi bigatuma habonwa ibyiza.

Hamwe n’ubuvuzi bukwiye, abantu benshi bafite DVT barakira neza kandi bagaruka mu mirimo yabo isanzwe. Nubwo bamwe bashobora kugira ingaruka z’igihe kirekire, gukurikiza gahunda yawe y’ubuvuzi no gukora impinduka z’ubuzima zigaragazwa bishobora kugabanya cyane ibyago by’ingaruka mbi.

Ingamba zo kwirinda nko kuguma ukora imyitozo ngororamubiri, kugumana ibiro bikwiye, no kumenya ibyago byawe bishobora kugufasha kwirinda kwandura DVT mu gihe kizaza. Ibuka ko kugira ikibazo kimwe ntibisobanura ko uzagira ibindi, cyane cyane hamwe no gufashwa neza kwa muganga.

Ibibazo bikunze kubaho kuri Thrombose y’imitsi minini

Ese DVT ishobora gukira yonyine idakuweho?

Nubwo ibice bito bishobora gusesa ubwabyo, DVT isaba ubuvuzi kugira ngo ikumire ingaruka zikomeye nka embolism ya pulmona. Kureka DVT idakuweho byongera cyane ibyago by’ingaruka zikomeye zishobora kwica, bityo ni ngombwa gushaka ubuvuzi vuba iyo ibimenyetso bigaragaye.

Birama igihe kingana iki gukira DVT?

Abantu benshi batangira kumva barushijeho kumererwa neza mu minsi mike cyangwa mu byumweru bike nyuma yo gutangira kuvurwa, nubwo gukira burundu bishobora gufata amezi menshi. Ubusanzwe ugomba gufata imiti igabanya amaraso byibuze amezi atatu, kandi bimwe mu bimenyetso nko kubyimbagira gato bishobora gukomeza igihe kirekire imitsi yawe ikira.

Nshobora gukora imyitozo ngororamubiri mfite DVT?

Ugenda buhoro buhoro ni byo bisanzwe bikururwa iyo utangiye kuvurwa, kuko bituma amaraso atembera neza kandi bikarinda ingaruka mbi. Ariko rero, ugomba kwirinda imikino ikomeye cyangwa imikino ihuriramo abantu mugihe ufashe imiti igabanya uburibwe bw’amaraso. Irinde gukurikiza inama z’umuganga wawe ku bijyanye n’ibikorwa byawe mugihe cyo kuvurwa.

Mbese nzasubira kwibasirwa na DVT mu gihe kiri imbere?

Ibyago byo kwibasirwa na DVT ukundi biterwa n’ibintu byinshi, birimo icyateye icya mbere n’ibyago uhanganye nabyo. Abantu bagera kuri 10-30% bagira DVT indi mu myaka 10, ariko gukurikiza ingamba zo kwirinda no gucunga ibyago bishobora kugabanya cyane ibyo byago.

Mbese hari ibiryo nakwirinda mugihe mfata imiti igabanya uburibwe bw’amaraso?

Niba ufashe Warfarin, ugomba kugira urwego ruhoraho rwa vitamine K, bisobanura kwitondera imboga z’icyatsi kibisi. Imiti mishya igabanya uburibwe bw’amaraso isanzwe ifite ibyo kurya bike cyane. Umuganga wawe azakugira inama zihariye zishingiye ku muti wawe, kandi ni ngombwa kwirinda kunywa inzoga nyinshi mugihe ufashe imiti igabanya uburibwe bw’amaraso.