Indwara y’Udukari Twa Ngombwa (Peripheral Artery Disease)? Ibimenyetso, Intandaro, n’Ubuvuzi

Indwara y’udukari twa ngombwa (PAD) ibaho iyo imiyoboro y’amaraso itwara amaraso yuzuyemo ogisijeni mu biganza no mu birenge ihinduka mito cyangwa igafungwa. Tekereza nk’umuyoboro w’amazi uhindutse muto cyangwa ugafumbwa – amazi arabuza kugenda neza, kandi ibice biri inyuma y’aho bifumbwe bibona ibyo bikeneye kugira ngo bikomeze kugira ubuzima bwiza.

Iyi ndwara iza ku bantu benshi, cyane cyane abarengeje imyaka 50. Nubwo bishobora kuba bigoye, gusobanukirwa PAD bigufasha kumenya ibimenyetso hakiri kare ukaba wakorana n’abaganga bawe kugira ngo uyirinde neza.

Indwara y’Udukari Twa Ngombwa Ni Iki?

Indwara y’udukari twa ngombwa ni ikibazo cy’imitsi y’amaraso aho ibinure byitwa plaque byubakira mu mitsi yawe y’amaraso. Ibyo binure bituma imiyoboro y’amaraso ihinduka mito, bigatuma amaraso atagera ku mitsi yawe n’imikaya.

Iyi ndwara ikunda kwibasira imiyoboro y’amaraso yo mu birenge, nubwo ishobora no kwibasira imiyoboro y’amaraso yo mu biganza, mu nda, no mu mpyiko. Iyo imikaya yawe itabona amaraso yuzuyemo ogisijeni ahagije mu gihe ukora imyitozo, ushobora kumva ububabare cyangwa gucika intege.

PAD ni ubwoko bwa atherosclerosis – uburyo bumwe bushobora kwibasira imiyoboro y’amaraso y’umutima kandi bugatera indwara z’umutima. Ubu buhunganire buvuga ko kugira PAD kenshi bugaragaza ko ufite ibyago byinshi byo kugira ibibazo by’umutima n’umwijima.

Ni Ibihe Bimenyetso by’Indwara y’Udukari Twa Ngombwa?

Abantu benshi bafite PAD itaratangira cyane nta bimenyetso baba bagaragaza. Iyo ibimenyetso bigaragaye, bikunda kuza buhoro buhoro kandi bishobora kuba bisa n’ibimenyetso bisanzwe byo gusaza.

Dore ibimenyetso bisanzwe ushobora kugira:

• Gucika intege, kubabara, cyangwa kunanirwa mu mitsi y’ibirenge mu gihe ugenda cyangwa uzamuka
• Ububabare buhita bugenda iyo uhagaritse iminota mike
• Ububabare mu birenge butangirira mu rutugu, mu gatuza, cyangwa mu kibuno
• Kumva udatuza cyangwa kunanirwa mu birenge
• Kugira imbeho mu birenge cyangwa mu kaguru, cyane cyane ugereranyije n’uruhande rumwe
• Ibyo kubabara bitinda gukira ku ntoki, ku birenge, cyangwa ku birenge
• Guhinduka kw’irangi ry’uruhu ku birenge cyangwa ku maguru
• Uruhu rwiza cyangwa gutakaza umusatsi ku birenge no ku maguru
• Umutima udakomeye mu birenge cyangwa mu maguru

Ububabare mu birenge mu gihe ukora imyitozo, bwitwa claudication, kenshi ni bwo bimenyetso bwa mbere abantu babona. Akenshi bumvikana nk’ububabare bw’imitsi buza iyo umaze kugenda urugendo runaka kandi bugakira iyo uhagaritse ukaruhuka.

Gake, bamwe mu bantu bagaragaza ibimenyetso bikomeye bisaba ubuvuzi bw’ihutirwa. Ibyo birimo ububabare bukomeye mu birenge budakira nubwo waruhuka, ibikomere bidakira, cyangwa ububabare bukomeye butunguranye hamwe n’imbeho n’ubudatuza mu gice cy’umubiri.

Ni Ibihe Bwoko by’Indwara y’Udukari Twa Ngombwa?

Abaganga bakunda gusesengura PAD hagendewe ku mitsi y’amaraso ibyibasira n’uburemere bw’aho bifumbwe. Ubwoko busanzwe cyane ni ubwibasira imiyoboro y’amaraso yo mu birenge no mu kibuno.

PAD yo mu birenge iza ku miyoboro y’amaraso itanga amaraso mu birenge no mu maguru. Ibyo birimo imiyoboro y’amaraso ya femoral iri mu gatuza, imiyoboro y’amaraso ya popliteal iri inyuma y’amavi, n’imiyoboro mito yo mu birenge no mu maguru.

PAD yo mu biganza iza ku miyoboro y’amaraso yo mu biganza, nubwo ari gake cyane. Iyo ibayeho, ishobora gutera ububabare mu biganza mu gihe ukora imyitozo nko gufata ibiremere cyangwa gukora imyitozo yo gukoresha intoki.

Abaganga kandi basobanura PAD hagendewe ku buremere bwayo. PAD yoroheje ishobora gutera ibimenyetso gusa mu gihe ukora imyitozo ikomeye, mu gihe PAD ikomeye ishobora gutera ububabare nubwo waruhuka cyangwa ikaba yatera ibikomere bidakira.

Ni Iki Gitera Indwara y’Udukari Twa Ngombwa?

Intandaro nyamukuru ya PAD ni atherosclerosis – uburyo aho ibinure, cholesterol, n’ibindi bintu byubakira ku rukuta rw’imijyana y’amaraso. Uko igihe gihita, ibyo byubakira byitwa plaque bituma imiyoboro y’amaraso ihinduka mito kandi ikaba ikomeye.

Ibintu byinshi bigira uruhare muri ubwo bubakira bwa plaque kandi bikongera amahirwe yo kugira PAD:

• Kunywa itabi cyangwa gukoresha ibicuruzwa by’itabi
• Kugira umuvuduko w’amaraso uri hejuru
• Kugira cholesterol iri hejuru
• Diabete
• Gusaza (cyane cyane nyuma y’imyaka 50)
• Amateka y’umuryango wa PAD, indwara z’umutima, cyangwa umwijima
• Kuba ufite ibiro byinshi
• Kudakora imyitozo ngororamubiri buri gihe
• Kugira indwara z’impyiko zidakira

Kunywa itabi ni bibi cyane kuko yangiza urukuta rw’imijyana y’amaraso kandi bituma amaraso ashobora gukomera. Abantu bafite diabete bafite ibyago byinshi kuko isukari nyinshi mu maraso ishobora kwangiza imiyoboro y’amaraso uko igihe gihita.

Mu bihe bitoroshye, PAD ishobora guterwa n’uburwayi bw’imijyana y’amaraso, imvune mu maguru, imiterere idasanzwe y’imitsi cyangwa imigozi, cyangwa kwandura imirasire. Bamwe mu bantu bavukana uburwayi bw’imijyana y’amaraso bushobora gutera ibibazo by’imitsi y’amaraso mu myaka yabo y’ubukure.

Ni Ryari Ukwiye Kubona Muganga kubera Indwara y’Udukari Twa Ngombwa?

Ukwiye kuvugana n’umuganga wawe iyo wumva ububabare mu birenge, gucika intege, cyangwa kunanirwa bibaho buri gihe mu gihe ugenda cyangwa ukora imyitozo. Nubwo ububabare bwakira iyo waruhuka, ni byiza kubivugana n’umuganga wawe.

Ntugatege amatwi kuvugana n’abaganga iyo ubona ibikomere ku birenge cyangwa ku maguru bitinda gukira cyangwa bidakira na gato. Guhinduka kw’irangi ry’uruhu, itandukaniro ry’ubushyuhe hagati y’amaguru, cyangwa gutakaza umusatsi ku birenge no ku maguru na byo bisaba kuvugana n’abaganga bawe.

Hari ibintu bisaba ubuvuzi bw’ihutirwa. Hamagara muganga wawe cyangwa ujye kwa muganga mu gihe ufite ububabare bukomeye mu birenge, ukaguru kawe kakaba kakonje kandi katatuza, cyangwa ukaba ufite ikomere ryifunguye rigaragaza ibimenyetso by’uburwayi nko gutukura, ubushyuhe, cyangwa ibyuya.

Niba ufite ibyago nka diabete, umuvuduko w’amaraso uri hejuru, cyangwa amateka yo kunywa itabi, tekereza kuvugana n’umuganga wawe ku bijyanye no gusuzuma PAD mu bugenzuzi busanzwe. Kumenya hakiri kare bifasha kwirinda ingaruka mbi no kunoza ubuzima bwawe.

Ni Ibihe Bintu Bigira Uruhare mu Kwandura Indwara y’Udukari Twa Ngombwa?

Gusobanukirwa ibyago byawe bigufasha wowe n’abaganga bawe gufata ibyemezo byiza ku bijyanye no kwirinda no gusuzuma. Hari ibyago bimwe udashobora guhindura, mu gihe ibindi ushobora kubigiraho icyo ukora ukoresheje imibereho yawe.

Ibyago udashobora guhindura birimo:

• Imyaka (ibyago byiyongera nyuma y’imyaka 50, cyane cyane nyuma y’imyaka 65)
• Kuba umugabo (abagabo barwara PAD hakiri kare, nubwo abagore babikuraho nyuma y’igihe cyo kubura imihango)
• Amateka y’umuryango wa PAD, indwara z’umutima, cyangwa umwijima
• Kugira uburwayi bumwe na bumwe bwa gene bwibasira imiyoboro y’amaraso

Ibyago ushobora guhindura birimo:

• Kunywa itabi cyangwa gukoresha ibicuruzwa by’itabi
• Kugira umuvuduko w’amaraso uri hejuru
• Kugira cholesterol iri hejuru
• Diabete cyangwa prediabetes
• Kuba ufite ibiro byinshi cyangwa ukaba umeze nabi
• Kubaho utabyina
• Kugira indwara z’impyiko zidakira
• Kugira urwego rwinshi rw’ibimenyetso by’uburwayi mu maraso yawe

Abantu bafite diabete bafite ibyago byinshi cyane, cyane cyane niba isukari yabo mu maraso idagenzurwa neza. Guhuza kunywa itabi na diabete bituma habaho ikibazo gikomeye cyane ku buzima bw’imijyana y’amaraso.

Ni Izihe Ngaruka Mbi zishoboka za Indwara y’Udukari Twa Ngombwa?

Nubwo abantu benshi bafite PAD babaho ubuzima buzuye, bukora neza, bafite ubuvuzi bukwiye, iyi ndwara ishobora gutera ingaruka mbi zikomeye niba idakurikiranwa. Gusobanukirwa ibyo bishoboka bifasha gukangurira kwita ku buzima bwawe no gukurikirana buri gihe ubuvuzi.

Ingaruka mbi zisanzwe cyane zirimo:

• Ischemia ikomeye y’amaguru – gufungwa bikomeye gutera ububabare nubwo waruhuka
• Ibikomere cyangwa ibyo kubabara bidakira ku birenge no ku maguru
• Uburwayi mu bikomere bushobora kwandura mu mitsi yimbere
• Gangrene – urupfu rw’imikaya kubera kubura amaraso
• Guca imitsi y’intoki, amaguru, cyangwa ibirenge mu bihe bikomeye
• Indwara z’umutima n’umwijima kubera atherosclerosis ikwirakwira

Ischemia ikomeye y’amaguru igaragaza ubwoko bukomeye bwa PAD. Abantu bafite iyi ndwara bagira ububabare buhoraho mu birenge cyangwa mu maguru, nubwo baruhuka. Ububabare bukunze kuba bubi nijoro kandi bushobora kugabanuka gato iyo umuntu amanitse ikirenge ku ruhande rw’igitanda.

Kubera ko PAD igaragaza atherosclerosis mu mubiri wawe wose, abantu bafite iyi ndwara bafite ibyago byinshi byo kugira indwara z’umutima n’umwijima. Ubu buhunganire butuma kwita ku buzima bw’umutima bigomba gukorwa neza, bitari ubuvuzi bwibanda ku bimenyetso byo mu birenge.

Indwara y’Udukari Twa Ngombwa Ishobora Kwibasirwa Gute?

Inkuru nziza ni uko imibereho myiza myinshi irinda umutima wawe kandi ifasha kwirinda PAD. Gukora ibyo bihinduka bishobora kugabanya ibyago byawe cyane, nubwo ufite ibindi byago udashobora guhindura.

Intambwe ikomeye ushobora gutera ni ukureka kunywa itabi cyangwa kutazitangira. Kinywa itabi yangiza imijyana y’amaraso yawe kandi byongera cyane ibyago bya PAD. Niba usigaye unywa itabi, vugana n’umuganga wawe ku bijyanye na gahunda zo kureka kunywa itabi n’imiti ishobora kugufasha.

Imibereho myiza ngororamubiri ifasha kugumisha imijyana y’amaraso yawe ikora neza kandi inonosora imitsi y’amaraso. Gerageza gukora imyitozo yo hagati y’iminota 30 buri munsi. Kugenda, koga, no gusiganwa ku magare ni imyitozo myiza idasaba ibikoresho bidasanzwe cyangwa kujya muri salle de sport.

Kwita ku bindi bibazo byawe by’ubuzima bigira uruhare rukomeye mu kwirinda. Korana n’abaganga bawe kugira ngo umuvuduko w’amaraso, cholesterol, n’isukari mu maraso bibe mu rwego rwiza binyuze mu miti n’impinduka mu mibereho.

Kurya indyo nzima y’umutima yuzuyemo imbuto, imboga, ibinyampeke byuzuye, na poroteyine nke mu gihe ugabanya ibinure byuzuye, ibinure bya trans, na sodium nyinshi bishyigikira ubuzima bwiza bw’imijyana y’amaraso. Kugumisha ibiro byawe mu rwego rwiza bigabanya umuvuduko ku mutima wawe.

Indwara y’Udukari Twa Ngombwa Imenyekanwa Gute?

Kumenya PAD bisanzwe bitangira umuganga wawe akubajije ku bimenyetso byawe n’amateka yawe y’ubuzima. Azashaka kumenya ku bubabare mu birenge mu gihe ukora imyitozo, amateka yawe yo kunywa itabi, niba ufite diabete cyangwa ibindi byago by’indwara z’umutima.

Mu gihe ukora isuzuma, umuganga wawe azagenzura imitima yo mu birenge no mu maguru, yumve imitsi y’amaraso akoresheje stethoscope, kandi arebe ibimenyetso by’umubiri nko guhinduka kw’irangi ry’uruhu cyangwa ibikomere bitinda gukira. Ashobora kandi kugenzura umuvuduko w’amaraso mu biganza no mu birenge.

Isuzuma risanzwe cyane ryo kumenya iyi ndwara ni ankle-brachial index (ABI). Iri suzuma rioroshye kandi ridafite ububabare rigereranya umuvuduko w’amaraso mu kaguru no mu kuboko. Umuvuduko muke mu kaguru ugaragaza imijyana y’amaraso mito mu kaguru.

Niba isuzuma rya mbere ryerekana PAD, umuganga wawe ashobora kugusaba ibindi bisuzumwa by’amashusho. Ultrasound ishobora kwerekana imiterere y’imitsi y’amaraso kandi igaragaze aho bifumbwe. CT cyangwa MRI ishobora gutanga amashusho arambuye y’imijyana y’amaraso yawe kandi ifasha gutegura ubuvuzi.

Mu bihe bimwe, abaganga bakoresha angiography – isuzuma aho ibara ry’ubururu rirushirizwa mu mijyana y’amaraso kugira ngo igaragare ku mashusho ya X-rays. Iri suzuma ritanga ishusho irambuye cyane y’aho bifumbwe kandi rifasha gufata ibyemezo ku bijyanye n’ubuvuzi.

Ni Ubuhe Buvuzi bwa Indwara y’Udukari Twa Ngombwa?

Ubuvuzi bwa PAD bugamije gucunga ibimenyetso, kugabanya iterambere ry’indwara, no kugabanya ibyago byo kugira indwara z’umutima n’umwijima. Gahunda yawe y’ubuvuzi izaterwa n’ibimenyetso byawe, ubuzima bwawe muri rusange, n’uburemere bw’aho bifumbwe.

Guhindura imibereho ni shingiro ry’ubuvuzi bwa PAD. Itsinda ry’abaganga bawe rizakorana nawe kugira ngo bategurire gahunda yo kureka kunywa itabi niba ari ngombwa, bategurire gahunda y’imyitozo, kandi banonosore indyo yawe kugira ngo umutima wawe ukore neza.

Imiti ishobora gufasha gucunga PAD no kugabanya ingaruka mbi. Umuganga wawe ashobora kugutera:

• Imiti igabanya amaraso nka aspirine cyangwa clopidogrel kugira ngo wirinde amaraso gukomera
• Imiti igabanya cholesterol yitwa statins
• Imiti y’umuvuduko w’amaraso niba ufite hypertension
• Imiti ya diabete kugira ngo igenzure isukari mu maraso
• Cilostazol kugira ngo wongere urugendo rwawe kandi ugabanye ububabare mu birenge

Kubera PAD ikomeye, umuganga wawe ashobora kugusaba uburyo bwo kunoza imitsi y’amaraso. Balloon angioplasty ishobora gufungura imijyana y’amaraso mito, rimwe na rimwe ikoresheje stent kugira ngo igumane ifunguye. Mu bihe byo gufungwa cyane, kubaga bypass bituma habaho inzira nshya y’amaraso izunguruka ahari gufungwa.

Ubuvuzi bw’imyitozo bugenzurwa, aho ukora n’inzobere mu myitozo kugira ngo utangire kugenda buhoro buhoro, byagaragaye ko ari byiza cyane mu kunoza ibimenyetso no kunoza ubuzima bw’abantu bafite PAD.

Uko Wakwita ku Buzima Bwawe iwawe mu gihe ufite Indwara y’Udukari Twa Ngombwa

Kwita ku buzima bwawe iwawe mu gihe ufite PAD birimo imyifatire ya buri munsi ishyigikira imitsi yawe y’amaraso n’ubuzima bwawe bw’umutima muri rusange. Ibyo bikorwa byo kwita ku buzima bwawe bikorana n’ubuvuzi bwawe kugira ngo ugume umeze neza kandi wirinde ingaruka mbi.

Kwita ku birenge biba ikintu gikomeye iyo ufite PAD. Suzuma ibirenge byawe buri munsi kugira ngo urebe ko nta bikomere, ibyo kubabara, cyangwa guhinduka kw’irangi cyangwa ubushyuhe. Komereza ibirenge byawe byiza kandi byumye, kora intoki zawe neza, kandi ujye wambara inkweto n’isokozi bikubereye.

Kingira ibirenge byawe imvune utajya ugenda utagira inkweto, nubwo uri mu rugo. Irinde inkweto ndende cyangwa inkweto zikomeye zishobora kubuza amaraso kugenda neza. Niba ubona ibikomere cyangwa ibyo kubabara, vugana n’umuganga wawe vuba aho kugerageza kubivura wenyine.

Komeza ukore imyitozo uko ubishoboye. Kugenda kenshi ni byiza cyane ku bantu bafite PAD. Tangira ugende intera ngufi kandi uzamuke buhoro buhoro uko ubushobozi bwawe buzamuka. Emera ukaruhuka iyo wumva ububabare mu birenge, hanyuma ukomeze iyo bugabanutse.

Gukumisha uruhu rwawe kugira ngo wirinde gucika no kwandura, ariko wirinde gushyira amavuta hagati y’intoki aho ubushuhe bushobora gutera uburwayi bw’ibinyampeke. Kora isuku nziza kandi utekereze gukoresha amavuta yoroheje adafite impumuro nziza ku birenge no ku maguru.

Uko Wakwitegura Kugenda kwa Muganga

Kwita ku kwitegura kugenda kwa muganga bifasha kugira ngo wowe n’umuganga wawe mugire igihe cyiza hamwe. Kwitegura neza bituma habaho itumanaho ryiza kandi gutegura ubuvuzi neza.

Mbere yo kujya kwa muganga, andika ibimenyetso byawe byose, harimo igihe byatangiye, icyabiteye, n’icyo biba byiza cyangwa biba bibi. Bandika intera wagenda mbere yo kumva ububabare mu birenge n’igihe ukeneye kuruhuka kugira ngo ububabare bugabanuke.

Zana urutonde rwuzuye rw’imiti yose ukoresha, harimo imiti y’abaganga, imiti yo mu maduka, n’ibindi bintu byongera imbaraga. Bandika umwanya w’imiti n’igihe uyifata. Ibyo bintu bifasha umuganga wawe kwirinda imiti guhuza nabi no gusobanukirwa ubuvuzi bwawe.

Tegura urutonde rw’ibibazo ushaka kubabaza. Tekereza kubabaza ku byago byawe, uburyo bwo kuvura, guhindura imibereho bishobora kugufasha, n’ibimenyetso bikwiye kukubwira guhamagara kwa muganga.

Niba bishoboka, zana umuntu wo mu muryango wawe cyangwa inshuti yawe mu gihe ugiye kwa muganga. Bashobora kugufasha kwibuka amakuru yavuzwe mu gihe cy’isura kandi bagutere inkunga mu gihe urimo gutegura gahunda yawe y’ubuvuzi.

Icyo Ugomba Kumenya cyane ku bijyanye n’Indwara y’Udukari Twa Ngombwa

Indwara y’udukari twa ngombwa ni indwara ishobora gucungwa kandi iza ku bantu benshi. Nubwo isaba kwitabwaho buri gihe no guhindura imibereho, abantu benshi bafite PAD bashobora gukomeza kubaho ubuzima bukora, buzuye bafite ubuvuzi bukwiye.

Kumenya hakiri kare no kuvura bigira uruhare rukomeye mu musaruro. Niba wumva ububabare mu birenge mu gihe ukora imyitozo ikira iyo waruhuka, ntukabitekerezeho nk’ibimenyetso bisanzwe byo gusaza – vugana n’umuganga wawe ku bijyanye no gusuzuma PAD.

Ibikoresho bikomeye byo gucunga PAD kenshi ni ibyoroshye: kureka kunywa itabi, gukora imyitozo, kurya neza, no gufata imiti yatanzwe buri gihe. Ibyo bikorwa bituma ibimenyetso byo mu birenge bigabanuka ariko binarinda umutima wawe n’ubwonko.

Wibuke ko kugira PAD bivuze ko ufite ibyago byinshi byo kugira indwara z’umutima n’umwijima. Ubu buhunganire butuma kwita ku buzima bw’umutima bigomba gukorwa neza, hibandwa ku buzima bwawe muri rusange aho kuba ku bimenyetso byo mu birenge gusa.

Ibibazo Bikunze Kubazwa ku bijyanye n’Indwara y’Udukari Twa Ngombwa

Indwara y’udukari twa ngombwa irashobora gukira?

PAD ntishobora gukira burundu, ariko ishobora gucungwa neza kandi iterambere ryayo rigabanuka cyane. Hamwe n’ubuvuzi bukwiye harimo guhindura imibereho, imiti, rimwe na rimwe uburyo bwo kuvura, abantu benshi bagaragaza ibimenyetso byiza kandi ubuzima bwabo burahinduka. Ikintu nyamukuru ni ukumenya hakiri kare no gucunga neza ibyago nko kunywa itabi, umuvuduko w’amaraso uri hejuru, na diabete.

Ni byiza gukora imyitozo ngororamubiri ufite indwara y’udukari twa ngombwa?

Imibereho myiza ngororamubiri si byiza gusa ku bantu benshi bafite PAD – ahubwo ni kimwe mu buvuzi bukoreshwa cyane. Gahunda zo kugenda, cyane cyane ubuvuzi bw’imyitozo bugenzurwa, bishobora kunoza cyane urugendo rwawe no kugabanya ububabare mu birenge. Tangira buhoro buhoro kandi uzamuke uko ubushobozi bwawe buzamuka ukurikije inama z’umuganga wawe. Emera ukaruhuka iyo wumva ububabare mu birenge, hanyuma ukomeze iyo bugabanutse.

Ni ibihe biribwa nakwirinda mfite indwara y’udukari twa ngombwa?

Ibanda ku kugabanya ibiryo birimo ibinure byuzuye, ibinure bya trans, na sodium, bishobora kongera atherosclerosis no kongera umuvuduko w’amaraso. Ibyo birimo inyama zitunganyirijwe, ibiryo byagoretswe, ibiryo byuzuye by’amata, n’ibiryo byapfunyitse birimo sodium nyinshi. Ahubwo, ibanda ku mbuto, imboga, ibinyampeke byuzuye, poroteyine nke, n’ibiryo birimo omega-3 fatty acids nka fish. Indyo nzima y’umutima ishyigikira imitsi y’amaraso ikora neza n’ubuzima bw’umutima muri rusange.

Indwara y’udukari twa ngombwa itera imbere vuba gute?

Iterambere rya PAD ritandukanye cyane ukurikije umuntu. Bamwe mu bantu baguma bakora neza imyaka myinshi bafite ubuvuzi bukwiye, mu gihe abandi bashobora kugira ibimenyetso biba bibi vuba. Ibintu bigira uruhare mu iterambere ryabyo birimo kunywa itabi, gucunga diabete, gucunga umuvuduko w’amaraso, no gukurikiza ubuvuzi. Gukurikirana buri gihe n’abaganga bawe bifasha kugenzura impinduka no guhindura ubuvuzi uko bikenewe.

Indwara y’udukari twa ngombwa ishobora kwibasira amaguru yombi kimwe?

PAD ishobora kwibasira ukuguru kumwe kurusha ikindi, cyangwa amaguru yombi kimwe, bitewe n’aho bifumbwe mu mijyana y’amaraso. Ni ibisanzwe ko ibimenyetso biba byigaragaza cyane mu kuguru kumwe, cyane cyane niba uruhande rumwe rufite gufungwa bikomeye. Ariko kandi, kubera ko atherosclerosis ari indwara ikwirakwira mu mubiri wose, amaguru yombi akunda kwibasirwa mu rwego runaka, nubwo ibimenyetso bitaba bimwe.