Ese imvura y'amazi mu gikombe cy'umutima ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Imvura y'amazi mu gikombe cy'umutima ibaho iyo amazi yiyongereye mu gice gito gito gikikuje umutima, kitwa pericardium. Tekereza nk'amazi ateraniye mu isakoshi ikingira umutima wawe. Iyi ndwara ishobora kuba kuva ku ndwara ntoya zidatanga ibimenyetso kugeza ku ndwara zikomeye zisaba ubutabazi bw'abaganga vuba.

Inkuru nziza ni uko abantu benshi bafite imvura y'amazi mu gikombe cy'umutima bashobora kuvurwa neza igihe abaganga bamenye icyateye iyo mvura y'amazi. Gusobanukirwa ibimenyetso no kumenya igihe cyo gushaka ubufasha bishobora gutuma ubona ubuvuzi bukwiye mu gihe gikwiye.

Ese imvura y'amazi mu gikombe cy'umutima ni iki?

Imvura y'amazi mu gikombe cy'umutima ni iteraniro ry'amazi menshi hagati y'imigabane ibiri y'igikombe cy'umutima, ari cyo gikombe gikikuje umutima wawe. Ubusanzwe, uru rubanza rugira amazi make cyane afasha umutima gukora neza.

Iyo amazi menshi ateraniye muri uru rubanza, ashobora gushyira umuvuduko ku nda y'umutima. Uyu muvuduko ushobora kubangamira ubushobozi bw'umutima bwo kuzura neza amaraso hagati y'inkubito. Uburemere bwabyo biterwa n'amazi menshi ateraniye hamwe n'uburyo byihuse byiyongera.

Ubusanzwe umubiri wawe utanga kandi ukakira amazi mu gikombe cy'umutima mu buryo bungana. Iyo ubwo bungana buhindutse kubera imvune, indwara cyangwa izindi ndwara, amazi ashobora kwiyongera vuba kurusha uko umubiri wawe ushobora kuyakuraho.

Ese ibimenyetso by'imvura y'amazi mu gikombe cy'umutima ni ibihe?

Abantu benshi bafite imvura y'amazi mike mu gikombe cy'umutima nta bimenyetso bagira, niyo mpamvu iyo ndwara rimwe na rimwe itaboneka kugeza igihe ibonetse mu bipimo bisanzwe. Ariko, uko amazi yiyongera, ushobora gutangira kubona ibimenyetso by'ubuzima bidakwiye kwirengagizwa.

Ibimenyetso bisanzwe birimo:

• Kubabara mu kifuba bishobora kuba bibi iyo uri kuryamye cyangwa ufite umwuka mwinshi
• Guhumeka nabi, cyane cyane mu gihe ukora imyitozo ngororamubiri cyangwa uri kuryamye
• Uburwayi no kumva unaniwe cyane mu bikorwa bisanzwe
• Inkorora yumye idafite intandaro
• Gukubita kw'umutima cyane cyangwa kutameze neza
• Kuzenguruka cyangwa kumva utuje
• Kubyimbagira mu maguru, mu birenge, cyangwa mu nda

Mu ndwara zikomeye, ushobora kumva icyo abaganga bita cardiac tamponade, aho amazi abangamira cyane imikorere y'umutima. Iyi ni ubutabazi bw'ibanze bukeneye ubufasha bw'abaganga vuba.

Ibimenyetso bikomeye bisaba ubutabazi bw'abaganga vuba birimo kubabara cyane mu kifuba, guhumeka nabi cyane, gucika intege, cyangwa gukubita kw'umutima guhumeka kandi guke. Ibi bimenyetso bigaragaza ko amazi ashyira umuvuduko ukomeye ku mutima wawe kandi bikabuza gukora neza.

Ese icyateye imvura y'amazi mu gikombe cy'umutima ni iki?

Imvura y'amazi mu gikombe cy'umutima ishobora guterwa n'izindi ndwara zitandukanye, kuva ku ndwara kugeza ku ndwara ziterwa n'ubudahangarwa bw'umubiri. Gusobanukirwa intandaro zishoboka bifasha abaganga kumenya uburyo bwiza bwo kuvura ukurikije uko uri.

Intandaro zisanzwe zirimo:

• Indwara ziterwa na virusi nka grippe, COVID-19, cyangwa izindi virusi ziterwa no guhumeka
• Indwara ziterwa na bagiteri zikwirakwira mu gikombe cy'umutima
• Indwara ziterwa n'ubudahangarwa bw'umubiri nka lupus cyangwa rhumatoïde arthritis
• Cancer yagwiriye mu gice gikikuje umutima
• Kubaga umutima cyangwa ibindi bikorwa ku mutima
• Imvune mu kifuba iterwa n'impanuka cyangwa imvune
• Gusinzira kw'impyiko cyangwa indwara ikomeye y'impyiko
• Imiti imwe, cyane cyane imiti imwe ikama amaraso
• Ubuvuzi bw'amiradiyo mu gice cy'ikifuba

Intandaro zidakunze kubaho ariko zikomeye zirimo igituntu, indwara ziterwa n'ibinyampeke, n'izindi ndwara z'umurage zigira ingaruka ku mubiri. Rimwe na rimwe, abaganga ntibashobora kumenya intandaro, kandi ibi bita imvura y'amazi mu gikombe cy'umutima idafite intandaro.

Mu bindi bihe, imvura y'amazi itera nk'ingaruka z'izindi ndwara z'umutima nka stroke cyangwa gucika intege kw'umutima. Muganga wawe azagerageza kumenya intandaro y'ibanze kuko kuvura ikibazo cy'ibanze akenshi ari ingenzi mu gukemura ikibazo cy'amazi menshi.

Ese ugomba kubona muganga igihe ufashe imvura y'amazi mu gikombe cy'umutima?

Ugomba gushaka ubufasha bw'abaganga niba ufite ububabare mu kifuba buhoraho, cyane cyane niba buhinduka bubi iyo uri kuryamye cyangwa uhumeka cyane. Ntugatege amatwi ngo urebe niba ibimenyetso bizagenda ubwabyo, kuko kuvurwa hakiri kare no kubona ubuvuzi hakiri kare bigatuma ubuzima bugenda neza.

Hamagara muganga wawe vuba niba ubona guhumeka nabi bigenda biba bibi, uburwayi budasobanutse, cyangwa kubyimbagira mu maguru no mu birenge. Ibi bimenyetso bishobora kugaragaza ko amazi agira ingaruka ku bushobozi bw'umutima bwo gutera amaraso neza.

Shaka ubutabazi bw'abaganga vuba niba ufite ububabare bukomeye mu kifuba, guhumeka nabi cyane, gucika intege, cyangwa ibimenyetso byo gucika intege nk'umutima uhumeka cyane kandi guke no kubura ubwenge. Ibi bishobora kugaragaza cardiac tamponade, isaba ubuvuzi bw'ibanze kugira ngo birinde ingaruka zikomeye zishobora kwica.

Ndetse niba ibimenyetso byawe bigaragara ko ari bito, birakwiye kubivuga n'umuganga wawe, cyane cyane niba ufite ibyago nka kurwara vuba, indwara ziterwa n'ubudahangarwa bw'umubiri, cyangwa amateka y'ibibazo by'umutima. Kumenya hakiri kare no kuvura hakiri kare bishobora gukumira ingaruka zikomeye.

Ese ibyago byo kugira imvura y'amazi mu gikombe cy'umutima ni ibihe?

Ibintu bimwe bishobora kongera amahirwe yo kugira imvura y'amazi mu gikombe cy'umutima, nubwo ufite ibyo byago bidakubwira ko uzagira iyo ndwara. Kumenya ibyo byago bifasha wowe na muganga wawe kuba maso ku bimenyetso bishoboka.

Ibyago bikuru birimo:

• Indwara za virusi cyangwa bagiteri vuba, cyane cyane indwara zo guhumeka
• Indwara ziterwa n'ubudahangarwa bw'umubiri nka lupus, rhumatoïde arthritis, cyangwa scleroderma
• Cancer, cyane cyane kanseri y'ibihaha, kanseri y'amabere, cyangwa lymphoma
• Indwara y'impyiko cyangwa gusinzira kw'impyiko
• Kubaga umutima mbere cyangwa ibindi bikorwa ku mutima
• Imvune mu kifuba cyangwa imvune
• Kunywa imiti imwe nka imiti ikama amaraso cyangwa imiti imwe yo kuvura kanseri
• Ubuvuzi bw'amiradiyo mu kifuba mbere

Imyaka ishobora kandi kugira uruhare, abantu bafite imyaka y'amaze hagati n'abakuze bakaba bafite amahirwe menshi kubera umubare munini w'indwara zibanze. Ariko, imvura y'amazi mu gikombe cy'umutima ishobora kubaho mu myaka yose, harimo n'abana n'urubyiruko.

Kugira ibyago byinshi ntibyongera ibyago byawe mu buryo bungana. Rimwe na rimwe, imvura y'amazi mu gikombe cy'umutima itera mu bantu badafite ibyago bigaragara, ibyo bikadutera kwibuka ko iyo ndwara ishobora kugira ingaruka kuri buri wese.

Ese ingaruka zishoboka z'imvura y'amazi mu gikombe cy'umutima ni izihe?

Nubwo imvura y'amazi myinshi mu gikombe cy'umutima ikemuka idafite ibibazo bikomeye, birakomeye kumva ingaruka zishoboka kugira ngo umenye ibimenyetso by'ubuzima. Ingaruka ikomeye ibaho iyo amazi yiyongera vuba cyangwa agera ku rugero rw'akaga.

Ingaruka zikuru zirimo:

• Cardiac tamponade, aho amazi abangamira cyane imikorere y'umutima
• Imvura y'amazi mu gikombe cy'umutima ihoraho imara amezi
• Imvura y'amazi isubira kugaruka
• Constrictive pericarditis, aho igikombe cy'umutima kiba gikomeye kandi gifite inkovu
• Umuvuduko w'umutima utari mwiza kubera umuvuduko ku mutima
• Kugabanuka kw'ubushobozi bwo gukora imyitozo ngororamubiri n'imibereho myiza

Cardiac tamponade ni yo ngaruka ikomeye kandi isaba ubutabazi bw'abaganga vuba. Ibi bibaho iyo amazi ateraniye ashyira umuvuduko ukomeye ku mutima ku buryo udashobora kuzura neza amaraso, bigatuma umuvuduko w'amaraso ugwa vuba kandi bigatera ingaruka zishobora kwica.

Imvura y'amazi mu gikombe cy'umutima ihoraho, nubwo idahita itera akaga, ishobora kugira ingaruka ku mikorere y'umutima buhoro buhoro. Bamwe mu bantu bagira ibibazo bisubira kugaruka, bishobora gusaba ubuvuzi bw'igihe kirekire kugira ngo birinde iterambere ry'amazi.

Inkuru nziza ni uko, ubufasha bw'abaganga bukwiye, ingaruka nyinshi zishobora kwirindwa cyangwa kuvurwa neza. Gukurikirana buri gihe n'umuganga wawe bifasha kumenya impinduka hakiri kare.

Ese imvura y'amazi mu gikombe cy'umutima imenyekanwa gute?

Kumenya imvura y'amazi mu gikombe cy'umutima bisanzwe bitangira muganga wawe yumvise ibimenyetso byawe kandi akakusuzuma. Azumva umutima wawe akoresheje stethoscope, akareba niba hari amajwi y'umutima adasobanutse cyangwa imiterere idasanzwe ishobora kugaragaza amazi ari hafi y'umutima.

Isuzuma risanzwe kandi ryiza ryo kumenya ni echocardiogram, ikoresha amajwi ya ultrasound kugira ngo ikore amashusho y'umutima wawe. Iri suzuma rishobora kugaragaza neza iteraniro ry'amazi hafi y'umutima kandi rifasha abaganga kumenya amazi menshi ariho niba agira ingaruka ku mikorere y'umutima.

Ibindi bipimo muganga wawe ashobora kugutegeka birimo amashusho ya X-ray yo mu kifuba kugira ngo arebe umurima w'umutima munini, electrocardiograms kugira ngo arebe impinduka z'amashanyarazi mu mutima wawe, na CT scans cyangwa MRI kugira ngo abone amashusho arambuye. Ibizamini by'amaraso bishobora gufasha kumenya intandaro zibanze nka infection cyangwa indwara ziterwa n'ubudahangarwa bw'umubiri.

Mu bindi bihe, abaganga bashobora gukenera gukora pericardiocentesis, uburyo bakoresha igishishwa kugira ngo bakureho amazi yo gupima. Ibi ntibifasha gusa mu kumenya ahubwo bishobora kandi gufasha vuba niba amazi ashyira umuvuduko ukomeye ku mutima wawe.

Ese ubuvuzi bw'imvura y'amazi mu gikombe cy'umutima ni iki?

Ubuvuzi bw'imvura y'amazi mu gikombe cy'umutima biterwa n'intandaro y'ibanze, umubare w'amazi ariho, niba bigira ingaruka ku mikorere y'umutima wawe. Muganga wawe azakora gahunda y'ubuvuzi ikurikiranye ukurikije uko uri n'ubuzima bwawe muri rusange.

Ku ndwara ntoya zitagira ibimenyetso, abaganga bakunze kugira inama yo gutegereza no gukurikirana buri gihe hakoreshejwe echocardiograms. Niba hari indwara y'ibanze nka infection cyangwa indwara ziterwa n'ubudahangarwa bw'umubiri, kuvura iyo ndwara bifasha gukemura ikibazo cy'amazi mu buryo bw'umwimerere.

Uburyo busanzwe bwo kuvura burimo:

• Imiti igabanya ububabare nka ibuprofen cyangwa colchicine kugira ngo igabanye ububabare
• Kuvura infection zibanze hakoreshejwe antibiotique cyangwa imiti ivura virusi
• Kuvura indwara ziterwa n'ubudahangarwa bw'umubiri hakoreshejwe imiti igabanya ubudahangarwa bw'umubiri
• Pericardiocentesis kugira ngo ikureho amazi menshi igihe bibaye ngombwa
• Kubaga mu ndwara zikomeye cyangwa zisubira kugaruka

Ku ndwara zikomeye, cyane cyane iziterwa na cardiac tamponade, gukuraho amazi vuba ni ngombwa. Ibi bisanzwe bikorwa hakoreshejwe pericardiocentesis, aho igishishwa gito gishyirwa kugira ngo gikureho amazi menshi kandi kigabanye umuvuduko ku mutima.

Mu bihe bike aho imvura y'amazi isubira kugaruka, abaganga bashobora kugira inama yo kubaga nk'uko bakora pericardial window cyangwa bakuraho igice cy'igikombe cy'umutima. Ibi bikorwa bifasha gukumira iterambere ry'amazi mu gihe kizaza ariko bikaba byarakozwe ku ndwara zitavurwa n'ubundi buvuzi.

Ese wakwitwara ute mu rugo ufite imvura y'amazi mu gikombe cy'umutima?

Nubwo imvura y'amazi mu gikombe cy'umutima isaba ubuvuzi bw'abaganga, hari uburyo bwo kwitwara mu rugo ushobora gukora kugira ngo ufashe gukemura ibimenyetso no gufasha gukira. Irinde gukurikiza amabwiriza yihariye y'umuganga wawe kandi ntukoreshe imiti yo mu rugo mu mwanya w'imiti yategetswe.

Ikiruhuko ni ingenzi mu gihe cyo gukira, cyane cyane niba ufite umunaniro cyangwa guhumeka nabi. Irinde ibikorwa bikomeye kugeza igihe muganga wawe akwemereye gukora imyitozo ngororamubiri isanzwe. Ibikorwa byoroheje nko kugenda gato bisanzwe bikwiye keretse muganga wawe akubwiye ibinyuranye.

Witondere aho uri iyo uri kuryamye cyangwa uri kuryama. Abantu benshi basanga kwicara cyangwa kuryama bafite ibyuma bifasha kugabanya guhumeka nabi. Niba kuryama gukomeretsa guhumeka, ntukihate kugira ngo uryame rwose.

Fata imiti yategetswe ukurikije amabwiriza, harimo imiti igabanya ububabare cyangwa imiti y'izindi ndwara. Kora urutonde rw'ibimenyetso byawe kandi ubwira muganga wawe impinduka zose vuba. Kora urutonde rw'ibimenyetso by'ubuzima nko kubabara mu kifuba, guhumeka nabi cyane, cyangwa kubyimbagira mu maguru.

Niba ukeneye amazi menshi kandi ufate indyo iboneye umutima, ariko ukurikije amabwiriza y'umuganga wawe, cyane cyane ku bijyanye no kurya umunyu niba ufite kubyimbagira. Irinde inzoga no kunywa itabi, kuko bishobora kubangamira gukira no kongera ububabare.

Ese wagomba gutegura uko uzajya kwa muganga?

Gutegura uko uzajya kwa muganga bifasha kugira ngo ubone igihe cyiza cyo kuvugana n'umuganga wawe. Andika ibimenyetso byawe, harimo igihe byatangiye, icyabibabaza cyangwa icyabinoza, n'uko bigira ingaruka ku bikorwa byawe bya buri munsi.

Zana urutonde rwuzuye rw'imiti yose, imiti igira ingaruka, na vitamine unywa, harimo umunani n'igihe. Kandi, teka urutonde rw'amateka yawe y'ubuzima, harimo indwara vuba, kubaga, cyangwa imvune, kuko bishobora kuba bifitanye isano n'uburwayi bwawe ubu.

Tekereza ku bibazo ushaka kubaza, nko kumenya icyateye ibimenyetso byawe, ibizamini ushobora gukenera, n'uburyo bwo kuvura buhari. Ntukabe ikibazo cyo kubaza igihe cyo gukira n'igihe ukwiye gushyiraho gahunda yo gukurikirana.

Niba bishoboka, zana umuryango wawe cyangwa inshuti ishobora kugufasha kwibuka amakuru akomeye yavuzwe mu gihe cyo gusura. Tekereza kugira igihe cyo kwandika ibimenyetso byawe mbere yo gusura, ukandika ibimenyetso bya buri munsi, urwego rw'ibikorwa, n'uko wumva muri rusange.

Ese icyingenzi cyo kumenya ku mvura y'amazi mu gikombe cy'umutima ni iki?

Imvura y'amazi mu gikombe cy'umutima ni indwara ishobora kuvurwa igihe imenyekanye kandi ivuwe uko bikwiye. Nubwo bishobora gutera impungenge, abantu benshi barakira neza bafite ubuvuzi bukwiye no kuvura intandaro zibanze.

Ikintu gikomeye cyo kwibuka ni uko kumenya hakiri kare no kuvura hakiri kare bigatuma ubuzima bugenda neza. Ntutirengagize ububabare buhoraho mu kifuba, guhumeka nabi bitasobanutse, cyangwa ibindi bimenyetso bitera impungenge. Gushaka ubuvuzi vuba bishobora gukumira ingaruka kandi bikagufasha kongera kumva umeze neza.

Korana n'itsinda ry'abaganga kugira ngo usobanukirwe uko uri kandi ukore amabwiriza yabo yo kuvura. Ufite ubuvuzi bukwiye no gukurikirana, abantu benshi bafite imvura y'amazi mu gikombe cy'umutima bashobora kwitega gusubira mu bikorwa byabo bisanzwe no kugira ubuzima bwiza bw'umutima.

Wibuke ko kugira imvura y'amazi mu gikombe cy'umutima bidakubwira ko ufite ikibazo gikomeye cy'umutima. Imvura y'amazi myinshi ifitanye isano n'ibibazo by'igihe gito nka infection cyangwa ububabare bukemuka hakoreshejwe ubuvuzi bukwiye.

Ibibazo byakunze kubaho ku mvura y'amazi mu gikombe cy'umutima

Ese imvura y'amazi mu gikombe cy'umutima ishobora gukira ubwayo?

Amazi make mu gikombe cy'umutima rimwe na rimwe ashobora gukira ubwayo, cyane cyane niba yatewe n'ibibazo by'igihe gito nka infection za virusi. Ariko, ntugomba gukeka ko bizagenda ubwabyo utabonye ubuvuzi. Muganga wawe akeneye kumenya intandaro y'ibanze no gukurikirana iyo ndwara kugira ngo abemeze ko idakomeza cyangwa idatera ingaruka.

Ese imvura y'amazi mu gikombe cy'umutima isa na stroke?

Oya, imvura y'amazi mu gikombe cy'umutima si stroke, nubwo zombi zishobora gutera ububabare mu kifuba. Stroke ibaho iyo amaraso ajya mu gice cy'umutima atabona inzira, mu gihe imvura y'amazi mu gikombe cy'umutima ari iteraniro ry'amazi ari hafi y'umutima. Ariko, ubuvuzi bwombi busaba ubufasha bw'abaganga, kandi rimwe na rimwe imvura y'amazi mu gikombe cy'umutima ishobora kuba nyuma ya stroke.

Ese bisaba igihe kingana iki gukira imvura y'amazi mu gikombe cy'umutima?

Igihe cyo gukira gitandukanye bitewe n'intandaro y'ibanze n'uburemere bw'uburwayi bwawe. Indwara ntoya zishobora gukira mu minsi mike cyangwa mu byumweru hakoreshejwe ubuvuzi bukwiye, mu gihe izindi ndwara zikomeye zifite izindi ndwara zishobora kumara amezi. Muganga wawe azakurikirana aho ugeze kandi agahindura ubuvuzi uko bikenewe mu gihe cyo gukira.

Ese ushobora gukora imyitozo ngororamubiri ufite imvura y'amazi mu gikombe cy'umutima?

Imyitozo ngororamubiri itemewe iterwa n'uburemere bw'uburwayi bwawe n'ibimenyetso byawe. Muri rusange, ugomba kwirinda ibikorwa bikomeye kugeza igihe muganga wawe akwemereye. Ibikorwa byoroheje nko kugenda gato bisanzwe bikwiye, ariko uhore ukora amabwiriza yihariye y'umuganga wawe ku bijyanye n'urwego rw'ibikorwa mu gihe cyo kuvurwa no gukira.

Ese imvura y'amazi mu gikombe cy'umutima izagira ingaruka ku buzima bw'umutima wanjye mu gihe kirekire?

Abantu benshi bafite imvura y'amazi mu gikombe cy'umutima ntabibazo by'umutima bagira mu gihe kirekire, cyane cyane iyo iyo ndwara imenyekanye kandi ivuwe vuba. Ariko, bamwe mu bantu bashobora kugira imvura y'amazi isubira kugaruka cyangwa, gake, ingaruka zihoraho. Gukurikirana buri gihe n'umuganga wawe bifasha kumenya ibibazo byose by'igihe kirekire kandi bigafasha kuvurwa hakiri kare.