Ischemic ya Mu nda: Ibimenyetso, Impamvu, n’Ubuvuzi

Ischemic ya mu nda ibaho iyo amaraso ajya mu mara adakora neza cyangwa akahagarara. Iyi ndwara ibangamira ingingo z’amara kubona umwuka n’ibindi by’ingenzi bikenewe kugira ngo ikore neza.

Tekereza nk’aho hari ikibazo mu mihanda itwara ibintu mu gice cy’igogorwa ry’ibiribwa. Iyo amaraso atagera mu mara uko bikwiye, ingingo zayo zishobora kwangirika cyangwa zigapfa niba bitavuwe vuba. Nubwo ibi bishobora gutera ubwoba, gusobanukirwa ibimenyetso no kubona ubuvuzi bukwiye bishobora kugira uruhare rukomeye mu buryo ibintu bizagenda.

Ni ibihe bimenyetso bya ischemic ya mu nda?

Ibimenyetso bya ischemic ya mu nda bishobora gutandukana bitewe n’igice cy’amara cyagizweho ingaruka n’uburemere bw’ikibazo cyo kubura amaraso. Umubiri wawe ukunda kuguha ibimenyetso bigaragara ko hari ikintu kitagenda neza.

Dore ibimenyetso bisanzwe ushobora kugira:

• Kubabara mu nda bikomeye cyane, bishobora kugaragara nk’ibirenze ibyo ubonye mu mubiri
• Isesemi n’kuruka
• Impiswi cyangwa imyanda ifite amaraso
• Kuvimba cyangwa kubyimba mu nda
• Umuriro mu bihe bimwe na bimwe
• Gutera kw’umutima
• Kubura ubushake bwo kurya

Mu ndwara zidakira, ushobora kubona kugabanuka k’uburemere bw’umubiri, kubabara mu nda nyuma yo kurya, cyangwa gutinya kurya kubera ububabare. Ibi bimenyetso bishobora kuza buhoro buhoro mu byumweru cyangwa amezi, bigatuma bitorohewe kubibona mu ntangiriro.

Ni iyihe mitype ya ischemic ya mu nda?

Ischemic ya mu nda ifite imyanya itandukanye, buri imwe ifite imico n’igihe cyayo. Gusobanukirwa iyi mitype bishobora kugufasha kumenya icyaba gikubayeho mu mubiri wawe.

Imitype nyamukuru irimo ischemic ya mesenteric ikomeye, itera vuba kandi isaba ubuvuzi bw’ibanze. Uyu muryango utera ububabare bukomeye kandi butunguranye mu nda, kandi ushobora kuba uhatana n’ubuzima niba utavuwe vuba.

Ischemic ya mesenteric idakira itera buhoro buhoro mu gihe. Ushobora kugira ububabare buzana iminkanyari nyuma y’iminota 30 kugeza ku isaha umwe umaze kurya, ibyo bishobora gutuma utinya kurya bikagutera kugabanuka k’uburemere bw’umubiri.

Ischemic colitis igira ingaruka ku ruhago rukuru gusa. Uyu muryango utera ububabare buzana iminkanyari ku ruhande rw’ibumoso bw’inda, hamwe n’imyanda ifite amaraso cyangwa ibara ry’umutuku.

Hari kandi indwara idasanzwe yitwa mesenteric venous thrombosis, aho amaraso aterana mu mitsi itwara amaraso ava mu mara. Ibi bishobora gutera ibimenyetso buhoro buhoro cyangwa vuba bitewe n’uburyo byatera.

Ni iki giterwa na ischemic ya mu nda?

Ischemic ya mu nda ibaho iyo hari ikintu kibangamiye cyangwa kigabanya amaraso ajya mu mara. Ibintu bitandukanye bishobora gutera ibi, kandi kubisobanukirwa bishobora kugufasha kumenya ibyago byawe.

Impamvu zisanzwe zirimo:

• Amaraso aterana ajya mu mitsi y’amara (emboli)
• Atherosclerosis (gukama kw’imitsi) igabanya imitsi y’amaraso
• Amaraso aterana mu mitsi y’amaraso y’amara (thrombosis)
• Igipimo cy’amaraso gito cyangwa gutakaza amaraso byinshi bigabanya amaraso muri rusange
• Imiti imwe na imwe ihagarika imitsi y’amaraso
• Indwara z’umutima zigabanya ubushobozi bw’umutima bwo gutera amaraso

Impamvu zidashimishije ariko zikomeye zirimo hernia y’amara ifata imitsi y’amaraso, ingaruka z’ubuvuzi, cyangwa kukama bikabije. Rimwe na rimwe, kubyimba kw’imitsi y’amaraso cyangwa indwara zimwe na zimwe zifata umubiri wose bishobora gutera kugabanuka kw’amaraso.

Mu bihe bidasanzwe, indwara nka sickle cell disease, kanseri zimwe na zimwe, cyangwa indwara zikomeye zishobora gutera ischemic ya mu nda binyuze mu kugira ingaruka ku maraso cyangwa kongera ibyago byo guterana kw’amaraso.

Ni ryari ukwiye kubona muganga kubera ischemic ya mu nda?

Ukwiye gushaka ubuvuzi bw’ibanze niba ufite ububabare bukomeye mu nda, cyane cyane niba buherekejwe n’ibindi bimenyetso bishishikaje. Ubu bwoko bw’ububabare busanzwe butandukanye n’ububabare busanzwe bw’inda kandi bushobora kugaragara nk’ubukomeye cyane.

Hamagara serivisi z’ubutabazi cyangwa ujye kwa muganga vuba niba ufite ububabare bukomeye mu nda hamwe n’imyanda ifite amaraso, kuruka, umuriro, cyangwa ibimenyetso byo gutakaza amaraso menshi nko gutera kw’umutima no guhinda umutwe.

Ndetse niba ibimenyetso byawe bigaragara nk’ibidafite uburemere, ugomba kuvugana na muganga wawe niba ufite ububabare busubira mu nda nyuma yo kurya, kugabanuka k’uburemere bw’umubiri utazi impamvu, cyangwa guhinduka kudasanzwe mu myanya y’igogorwa.

Gira icyizere icyo umubiri wawe ukubwira. Niba hari ikintu kibabaza cyane, bihora byiza kwirinda no gushaka ubuvuzi vuba.

Ni ibihe bintu byongera ibyago bya ischemic ya mu nda?

Ibintu byinshi bishobora kongera ibyago byo kurwara ischemic ya mu nda. Nubwo kugira ibi bintu bidakubwira ko uzahita urwara iyi ndwara, kubimenya bishobora kugufasha kuba maso ku bimenyetso.

Imyaka ni kimwe mu bintu byongera ibyago, abantu barengeje imyaka 60 bafite ibyago byinshi kubera impinduka zisanzwe mu mitsi y’amaraso mu gihe. Ariko kandi, abantu bato bashobora kurwara iyi ndwara mu bihe bimwe na bimwe.

Indwara z’umutima n’imitsi y’amaraso zongera cyane ibyago byawe:

• Atrial fibrillation cyangwa izindi ndwara z’umutima
• Gucika intege kw’umutima cyangwa guhura n’indwara z’umutima
• Atherosclerosis (gukama kw’imitsi)
• Igipimo cy’amaraso kiri hejuru
• Cholesterol iri hejuru
• Diabete

Imiti imwe na imwe n’indwara zishobora kongera ibyago byawe. Imiti igabanya amaraso, nubwo ifasha mu ndwara nyinshi, rimwe na rimwe ishobora gutera ibibazo byo kuva amaraso. Ibiyobyabwenge by’ubuzima bw’imyororokere n’imiti yo gusimbuza imisemburo ishobora kongera ibyago byo guterana kw’amaraso mu bantu bamwe.

Itabi ryongera cyane ibyago byawe binyuze mu kwangiza imitsi y’amaraso no gutera guterana kw’amaraso. Ibindi bintu byongera ibyago birimo kukama bikabije, kubagwa vuba, n’indwara zigira ingaruka ku guterana kw’amaraso.

Ni iyihe ngaruka zishoboka za ischemic ya mu nda?

Iyo ischemic ya mu nda idavuwe vuba, ingaruka nyinshi zikomeye zishobora kuza. Gusobanukirwa izi ngaruka bishimangira impamvu ubuvuzi bw’ibanze bukomeye.

Ingaruka ikomeye ni necrosis y’amara, aho igice cy’ingingo z’amara gipfa kubera kubura amaraso. Ibi bishobora gutera perforation, aho iminkanyari iba mu ruhago rw’amara, bigatuma bagiteri n’ibiri mu mara bijya mu nda.

Ingaruka zisanzwe zirimo:

• Intestinal perforation na peritonitis (indwara ikomeye y’inda)
• Sepsis (indwara ifata umubiri wose)
• Kwibasirwa burundu kw’ingingo z’amara
• Guhagarika igice cyangiritse cy’amara
• Ibibazo by’igogorwa bidakira
• Imvura mbi kubera kubura ubushobozi bwo gukura intungamubiri

Mu bihe bikomeye, ingaruka zishobora kuba uhatana n’ubuzima, ariyo mpamvu ubuvuzi bw’ibanze bukomeye. Ariko, iyo byafashwe vuba kandi bikavurwa uko bikwiye, abantu benshi barashobora gukira cyangwa bagakomeza kugira ubuzima bwiza binyuze mu buvuzi bukwiye.

Abantu bamwe bashobora kugira ibibazo by’igogorwa bidakira cyangwa bakenera guhindura imirire, ariko binyuze mu buvuzi bukwiye, ibi bishobora gufatwa neza.

Ischemic ya mu nda imenyekanwa gute?

Kumenya ischemic ya mu nda bishobora kuba bigoye kuko ibimenyetso byayo bikunda kumera nk’ibindi bibazo by’igogorwa. Muganga wawe azatangira aganira nawe ku bimenyetso byawe n’amateka yawe y’ubuzima, akita cyane ku gihe ibimenyetso byatangiye n’icyo biba byiza cyangwa bibi.

Mu gusuzuma umubiri, muganga wawe azasoma inda yawe neza kandi yumve amajwi yihariye ashobora kugaragaza ibibazo by’amara. Azareba kandi ibimenyetso byawe by’ubuzima kandi arebe ibimenyetso byo gukama cyangwa gutakaza amaraso menshi.

Ibizamini byinshi bishobora kuba bikenewe kugira ngo hamenyekane indwara:

• CT scan ifite ibara ry’umweru kugira ngo ibone imitsi y’amaraso n’ingingo z’amara
• Ibizamini by’amaraso kugira ngo harebwe ibimenyetso by’indwara, kubyimba, cyangwa kwangirika kw’ingingo
• Angiography kugira ngo ibone ishusho y’imitsi y’amaraso
• Doppler ultrasound kugira ngo ibone uko amaraso agenda
• Colonoscopy mu bihe bimwe na bimwe kugira ngo ibone neza uruhu rw’amara

Muganga wawe ashobora kandi gutegeka ibindi bizamini hashingiwe ku mimerere yawe. Intego ni ukumenya niba ufite ischemic ya mu nda, icyayiteye n’ingaruka zayo.

Rimwe na rimwe, cyane cyane mu bihe by’ubuzima, ubuvuzi bushobora gutangira mbere y’uko ibisubizo by’ibizamini byose biboneka, hashingiwe ku bimenyetso byawe n’ibyavuye mu isuzuma rya mbere.

Ni iki kivura ischemic ya mu nda?

Ubuvuzi bwa ischemic ya mu nda biterwa n’ubwoko ufite, uburemere bwayo, n’icyo gitera. Intego nyamukuru ni ugushyira amaraso mu mara no gukumira kwangirika kw’ingingo.

Kubera indwara zikomeye zisaba ubutabazi bw’ibanze, itsinda ryawe ry’abaganga rizakora vuba kugira ngo bagufashe kandi bashyire amaraso mu mara. Ibi bishobora kuba birimo imiti yo gusesa amaraso, uburyo bwo gufungura imitsi y’amaraso ikingiranye, cyangwa kubagwa.

Uburyo bwo kuvura burimo:

• Imiti yo gusesa amaraso cyangwa gukumira ko aterana
• Angioplasty yo gufungura imitsi y’amaraso
• Gushyira stent kugira ngo imitsi y’amaraso igumane ifunguye
• Kubaga imitsi y’amaraso ikingiranye
• Gukuraho igice cyangiritse cy’amara niba bibaye ngombwa
• Antibiotics yo gukumira cyangwa kuvura indwara

Kubera ischemic ya mu nda idakira, ubuvuzi bukunze kwibanda ku kunoza amaraso mu gihe no gucunga ibimenyetso. Ibi bishobora kuba birimo imiti yo kunoza imitsi y’amaraso, guhindura imirire, n’uburyo bwo gufungura imitsi y’amaraso ikingiranye.

Itsinda ryawe ry’abaganga rizakemura kandi ibibazo by’ubuzima byateye ischemic, nka ibibazo by’umutima, igipimo cy’amaraso kiri hejuru, cyangwa diabete. Ubu buryo burambuye bufasha gukumira ibindi bibazo.

Uko ushobora gucunga ischemic ya mu nda mu rugo

Nubwo ischemic ya mu nda isaba ubuvuzi bw’abaganga, hari uburyo bwiza ushobora gushyigikira gukira kwawe n’ubuzima bwawe muri rusange mu rugo. Ibi bintu bikorana, bitasimbuye, ubuvuzi bwawe bwanditswe.

Kugendera ku mabwiriza ya muganga wawe ku miti ni ingenzi. Niba ufite imiti igabanya amaraso, uyifate uko byategetswe kandi ukomeze gupima. Ntuzigere uhagarika cyangwa uhindura iyi miti utabanje kuvugana na muganga wawe.

Ibintu by’imirire bishobora kugira uruhare mu gukira kwawe:

• Kurya ibiryo bike, byinshi, kugira ngo ugabanye umuvuduko ku gice cy’igogorwa ry’ibiribwa
• Kunywa amazi ahagije n’ibinyobwa bisobanutse
• Kwirinda ibiryo bigoye kugogora mu ntangiriro
• Kugendera ku mabwiriza y’imirire muganga wawe aguhaye
• Suzuma gukorana n’umuhanga mu mirire kugira ngo ugire inama yihariye

Guhindura imibereho bishobora gufasha kunoza imitsi y’amaraso no kugabanya ibyago by’ibindi bibazo. Niba unywa itabi, gucika itabi ni kimwe mu bintu by’ingenzi ushobora gukora kugira ngo ubuzima bw’imitsi y’amaraso bube bwiza.

Jya wikurikirana ibimenyetso byose bisubira cyangwa bikomeza, kandi ntutinye kuvugana na muganga wawe niba uhangayikishijwe n’ikintu icyo ari cyo cyose.

Uko wakwitegura gusura muganga wawe

Kwitoza neza mbere yo gusura muganga wawe bishobora gufasha kugira ngo ubone ubuvuzi bukwiye. Muganga wawe azakenera amakuru arambuye ku bimenyetso byawe n’amateka yawe y’ubuzima.

Mbere yo gusura muganga wawe, andika neza igihe ibimenyetso byawe byatangiye, uko byumvikana, n’icyo biba byiza cyangwa bibi. Bandika niba kurya bigira ingaruka kububabare bwawe, kandi niba ari uko, igihe ububabare busanzwe butangira nyuma yo kurya.

Zana amakuru akomeye:

• Urutonde rwuzuye rw’imiti yose, harimo imiti yo mu maduka n’ibindi
• Inyandiko y’ibimenyetso byawe, harimo igihe bibaho n’uburemere bwabyo
• Urutonde rw’ubuvuzi bwose bwabaye, ibitaro, cyangwa indwara zikomeye
• Amateka y’umuryango w’indwara z’umutima, stroke, cyangwa indwara zo guterana kw’amaraso
• Amakuru y’ubwisungane n’irangamuntu

Tekereza ku bibazo ushaka kubabaza muganga wawe, nko kumenya ibizamini bishobora kuba bikenewe, uburyo bwo kuvura buhari, n’icyo ushobora kwitega mu gukira.

Niba bishoboka, zana inshuti cyangwa umuryango wawe wizewe. Bashobora kugufasha kwibuka amakuru akomeye no kugushyigikira mu gihe gishobora kuba kigoye.

Uko ibintu bigenda kuri ischemic ya mu nda

Uko ibintu bigenda kuri ischemic ya mu nda bitandukana cyane bitewe n’uburyo byamenyekanye kandi bikavurwa vuba, ndetse n’impamvu yabyo. Kumenya indwara hakiri kare no kuvurwa vuba bisanzwe bigira ingaruka nziza.

Kubera ischemic ya mu nda ikomeye, ubutabazi bw’ibanze bushobora gukiza ingingo zangiritse no gukumira ingaruka zikomeye. Abantu benshi babona ubuvuzi vuba barashobora gukira neza, nubwo bamwe bashobora gukenera gukurikiranwa cyangwa guhindura imibereho.

Ischemic ya mu nda idakira ikunze kugira inzira ihoro, kandi binyuze mu buvuzi bukwiye, abantu benshi bashobora gucunga ibimenyetso byabo neza kandi bagakomeza kugira ubuzima bwiza. Ubuvuzi bufasha gukumira ko iyi ndwara ikomeza kugira ingaruka zikomeye.

Uko ibintu bigenda kuri wowe bizaterwa n’ibintu nka ubuzima bwawe muri rusange, ingano y’ingingo zangiritse, n’uko ugendana n’ubuvuzi. Itsinda ryawe ry’abaganga rishobora kuguha amakuru arambuye hashingiwe ku mimerere yawe.

Binyuze mu buvuzi bukwiye no guhindura imibereho, abantu benshi barwaye ischemic ya mu nda bashobora gukomeza kubaho ubuzima buhamye. Ikintu nyamukuru ni ugukorana na muganga wawe no gukurikiza inama ze.

Ibibazo byakunda kubazwa kuri ischemic ya mu nda

Ischemic ya mu nda irashobora gukumirwa?

Nubwo udashobora gukumira ischemic ya mu nda yose, ushobora kugabanya ibyago byayo binyuze mu gucunga ibibazo by’ubuzima n’imibereho myiza. Gucunga igipimo cy’amaraso kiri hejuru, diabete, na cholesterol iri hejuru bifasha kugumisha imitsi y’amaraso ikozwe neza.

Gucika itabi ni kimwe mu bintu by’ingenzi ushobora gukora, kuko itabi ryangiza imitsi y’amaraso kandi ryongera ibyago byo guterana kw’amaraso. Gukora siporo buri gihe, kugira ubuzima bwiza, no kurya indyo nziza byose bigira uruhare mu kunoza imitsi y’amaraso.

Ischemic ya mu nda ihora ikomeye?

Ischemic ya mu nda ikwiye gufatwa nk’ikintu gikomeye, ariko uburemere bwayo bushobora gutandukana cyane. Indwara zikomeye zisaba ubuvuzi bw’ibanze kandi zishobora kuba uhatana n’ubuzima niba zidafashwe vuba.

Ischemic ya mu nda idakira itera buhoro buhoro kandi ishobora gufatwa neza binyuze mu miti no guhindura imibereho, nubwo igikenera ubuvuzi bukomeza kugira ngo ingaruka zikomeye zikumirwe.

Gukira bimamara igihe kingana iki?

Igihe cyo gukira gitandukana cyane bitewe n’ubwoko n’uburemere bwa ischemic ya mu nda, ndetse n’ubuvuzi bukenewe. Abantu bamwe bashobora gutangira kumva neza mu minsi mike yo kuvurwa, abandi bakenera ibyumweru cyangwa amezi kugira ngo bakire neza.

Niba kubagwa byabaye ngombwa, gukira bizatwara igihe kirekire. Itsinda ryawe ry’abaganga rizagufasha kumenya ibyo witeze hashingiwe ku mimerere yawe n’uburyo bwo kuvura.

Ischemic ya mu nda ishobora gusubira?

Yego, ischemic ya mu nda ishobora gusubira, cyane cyane niba ibibazo by’ubuzima bitavuwe neza. Niyo mpamvu ari ingenzi cyane gukurikiza inama za muganga wawe ku miti, guhindura imibereho, no gukurikiranwa buri gihe.

Kunywa imiti uko byategetswe, gucunga ibibazo by’ubuzima nka diabete n’igipimo cy’amaraso kiri hejuru, no kugira imibereho myiza bishobora kugabanya ibyago byo gusubira kw’iyi ndwara.

Ni iki nakora niba ntekereza ko mfite ibimenyetso?

Niba ufite ububabare bukomeye mu nda, cyane cyane hamwe n’ibindi bimenyetso nko kuva amaraso cyangwa kuruka, shaka ubuvuzi bw’ibanze vuba. Ntutegereze kureba niba ibimenyetso bizagenda ubwabyo.

Kubera ibimenyetso bidafite uburemere ariko bikaba bishishikaje nko kubabara mu nda nyuma yo kurya cyangwa kugabanuka k’uburemere bw’umubiri utazi impamvu, vugana na muganga wawe vuba kugira ngo uganire ku bimenyetso byawe kandi umenye niba gusuzuma ari ngombwa.