Gushobora Kuba Iki? Stenosis y'Umutima w'Impyiko, Ibimenyetso, Impamvu n'Uko Uvuzwa

Stenosis y'umutima w'impyiko ni uburwayi aho imitsi itwara amaraso mu mpyiko zawe iba yagabanutse cyangwa ikingiranye. Iyo igabanuka rigabanya umuvuduko w'amaraso ugana mu mpyiko imwe cyangwa zombi, ibyo bikaba bishobora gutera umuvuduko ukabije w'amaraso n'ibibazo by'impyiko mu gihe kirekire.

Tekereza kuri hose y'ubwato yagize ikibazo cyangwa ikintu kiyikingiye. Kimwe n'uko amazi make anyura mu hose y'ubwato yakingiye, amaraso make agera ku mpyiko zawe iyo iyi mitsi ikomeye igabanutse. Impyiko zawe zikenera umuvuduko uhagije w'amaraso kugira ngo zitunganye imyanda kandi zigufashe kugenzura umuvuduko w'amaraso, bityo iki kibazo gishobora gutera ibibazo byinshi by'ubuzima.

Ni ibihe bimenyetso bya Stenosis y'Umutima w'Impyiko?

Abantu benshi bafite Stenosis y'umutima w'impyiko ntabwo bagira ibimenyetso bigaragara mu ntangiriro. Ubu burwayi busanzwe butera gahoro gahoro, kandi umubiri wawe ushobora kwihanganira ibyo bihinduka mu ntangiriro udatanze ibimenyetso byihariye.

Iyo ibimenyetso bigaragaye, bisanzwe bijyana n'umuvuduko ukabije w'amaraso n'impinduka mu mikorere y'impyiko. Dore ibimenyetso ushobora kubona:

• Umuvuduko ukabije w'amaraso ugora kuvura n'imiti
• Gutangira kw'umuvuduko ukabije w'amaraso, cyane cyane niba uri munsi y'imyaka 30 cyangwa urengeje 50
• Kubyimbagira mu maguru, mu birenge cyangwa mu birenge
• Igabanuka ry'imikorere y'impyiko ryerekana mu bipimo by'amaraso
• Ijwi ryumvikana nk'iry'umuyaga (bruit) muganga yumva iyo atega amatwi mu nda yawe
• Uburwayi bw'umutwe bufite aho buhuriye n'umuvuduko ukabije w'amaraso
• Uruguruka cyangwa intege nke
• Impinduka mu buryo bwo kwinjira

Ibi bimenyetso bishobora kuba bito kandi bishobora gutinda amezi cyangwa imyaka. Niba ubona umuvuduko ukabije w'amaraso cyangwa ikindi kimenyetso icyo ari cyo cyose, birakwiye kubiganiraho n'abaganga bawe.

Ni iyihe mityo ya Stenosis y'Umutima w'Impyiko?

Hariho ubwoko bubiri nyamukuru bwa Stenosis y'umutima w'impyiko, buri bwoko bufite impamvu n'imiterere bitandukanye. Kumenya ubwoko ufite bigufasha kuyobora uburyo bwiza bwo kuvura.

Stenosis y'umutima w'impyiko iterwa na Atherosclerotic ni bwo bwoko busanzwe, bugera kuri 90% by'ababafite. Ibi bibaho iyo amasukari n'ibyondo byubatswe mu mitsi y'impyiko, kimwe n'uko bibaho mu ndwara z'umutima. Bisanzwe bikunda kugaragara mu bantu bakuze kandi bikunda kugaragara hamwe n'izindi ndwara z'umutima.

Fibromuscular dysplasia (FMD) ni gake ariko ikunda gufata abantu bakiri bato, cyane cyane abagore bari hagati y'imyaka 15 na 50. Muri ubwo bwoko, imikaya n'umubiri w'umutsi mu rukuta rw'umutima bikura nabi, bigatuma habaho ishusho ya “umunyenye” mu bipimo byo kugenzura. Impamvu nyamukuru ya FMD ntiyamenyekanye neza, ariko ntibijyanye na atherosclerosis.

Ni iki gitera Stenosis y'Umutima w'Impyiko?

Impamvu za Stenosis y'umutima w'impyiko ziterwa n'ubwoko ufite. Kumenya izi mpamvu bishobora kugufasha wowe n'umuganga wawe gutegura ingamba nziza zo kwirinda no kuvura.

Ku bw'iya Stenosis y'umutima w'impyiko iterwa na atherosclerotic, ibintu bimwe na bimwe bigira uruhare mu ndwara z'umutima ni byo birimo:

• Uruhare rukabije rwa cholesterol rutera kubaka ibyondo
• Diabete, yangiza imitsi y'amaraso mu gihe kirekire
• Itabi, rihutisha kwangirika kw'imitsi
• Umuvuduko ukabije w'amaraso uterwa n'umuvuduko w'imitsi
• Impinduka ziterwa n'imyaka mu mitsi y'amaraso
• Amateka y'umuryango w'indwara z'umutima

Fibromuscular dysplasia ifite impamvu zitandukanye, zitazwi neza. Abashakashatsi bemeza ko bishobora kuba birimo:

• Ibintu by'umurage bigira ingaruka ku iterambere ry'imitsi y'amaraso
• Ingaruka z'imisemburo, cyane cyane mu bagore
• Ukuzura kw'uturemangingo mu rukuta rw'umutima

Mu bihe bitoroshye, izindi ndwara zishobora gutera Stenosis y'umutima w'impyiko, harimo indwara zimwe na zimwe z'uburwayi nk'iya Takayasu arteritis cyangwa neurofibromatosis. Izi ndwara zigira ingaruka ku mitsi y'amaraso mu mubiri wose kandi zishobora kuba zirimo imitsi y'impyiko nk'igice cy'ishusho rusange.

Ni ryari ukwiye kujya kwa muganga kubera Stenosis y'Umutima w'Impyiko?

Wagombye gutekereza kujya kwa muganga niba ufite umuvuduko ukabije w'amaraso ugora kuvura cyangwa niba watangiye gitunguranye. Ibi ni ingenzi cyane niba uri munsi y'imyaka 30 cyangwa urengeje 50, kuko ibyo byiciro by'imyaka bifite ibyago byinshi bya Stenosis y'umutima w'impyiko.

Shaka ubufasha bw'abaganga niba ufite ibi bibazo:

• Umuvuduko wawe w'amaraso ukomeza kuba mwinshi nubwo ufata imiti myinshi
• Ubona umuvuduko ukabije w'amaraso vuba
• Ibisubizo by'amaraso byerekana igabanuka ry'imikorere y'impyiko
• Ufite kubyimbagira mu maguru, mu birenge cyangwa mu birenge
• Ufite uburwayi bw'umutwe buhoraho hamwe n'umuvuduko ukabije w'amaraso
• Ufite amateka y'umuryango w'ibibazo by'impyiko cyangwa indwara z'umutima zihuse

Ntugatege amatwi niba ufite ibimenyetso bibangamira. Kumenya hakiri kare no kuvura birashobora kwirinda ingaruka mbi kandi bigafasha kubungabunga imikorere y'impyiko zawe. Muganga wawe ashobora gukora ibizamini byoroshye kugira ngo asuzume imiterere y'umuvuduko w'amaraso yawe n'imikorere y'impyiko.

Ni ibihe bintu byongera ibyago bya Stenosis y'Umutima w'Impyiko?

Ibintu byinshi bishobora kongera ibyago byo kurwara Stenosis y'umutima w'impyiko. Bimwe muri byo ushobora kubigenzura binyuze mu guhindura imibereho, ibindi bikaba bijyanye n'umurage wawe cyangwa amateka yawe y'ubuzima.

Ibintu byongera ibyago bya Stenosis y'umutima w'impyiko iterwa na atherosclerotic birimo:

• Imyaka irengeje 50
• Itabi cyangwa ikoreshwa ry'itabi
• Uruhare rukabije rwa cholesterol
• Diabete
• Umuvuduko ukabije w'amaraso
• Amateka y'umuryango w'indwara z'umutima cyangwa stroke
• Kuba umugabo (ibyago biyongereye gato)
• Umurire
• Ubuzima butameze neza

Ku bw'iya Fibromuscular dysplasia, ibintu byongera ibyago bitandukanye:

• Kuba umugore, cyane cyane hagati y'imyaka 15-50
• Amateka y'umuryango wa FMD
• Kugira izindi ndwara z'imitsi

Kumenya ibintu byongera ibyago byawe bigufasha gukorana n'itsinda ryawe ry'ubuvuzi kugira ngo ukure amaso ku buzima bwawe neza kandi ukore impinduka mu mibereho zishobora kugabanya ibyago by'ingaruka mbi.

Ni iyihe ngaruka mbi zishoboka za Stenosis y'Umutima w'Impyiko?

Iyo Stenosis y'umutima w'impyiko idavuwe, ishobora gutera ingaruka mbi zikomeye zigira ingaruka ku mpyiko zawe no ku gice cy'umutima. Izi ngaruka mbi ziterwa gahoro gahoro uko uburwayi buzamuka mu gihe.

Ingaruka mbi zisanzwe zirimo:

• Indwara z'impyiko zidakira cyangwa gucika kw'impyiko
• Umuvuduko ukabije w'amaraso ugora kuvura
• Ibibazo by'umutima, harimo ikibazo cy'umutima n'ikibazo cy'umutima
• Stroke iterwa n'umuvuduko ukabije w'amaraso
• Kubika amazi no kubyimbagira
• Kugira umwanya utari mwiza w'ibintu by'umubiri

Mu bihe bikomeye, ushobora kugira icyo bita “flash pulmonary edema,” aho amazi aterana mu bihaha byawe. Ibi ni ubutabazi bw'ubuzima bukeneye kuvurwa vuba. Inkuru nziza ni uko, ukurikije ubugenzuzi n'ubuvuzi bikwiye, ingaruka mbi nyinshi zishobora kwirindwa cyangwa gucungwa neza.

Stenosis y'Umutima w'Impyiko imenyekanwa ite?

Kumenya Stenosis y'umutima w'impyiko bisanzwe bitangira muganga wawe asuzuma ibimenyetso byawe n'amateka yawe y'ubuzima. Azita ku buryo umuvuduko w'amaraso wawe umeze n'impinduka zose mu mikorere y'impyiko zerekana mu bipimo bisanzwe by'amaraso.

Muganga wawe azatangira asuzumye umubiri, atega amatwi kugira ngo yumve amajwi adasanzwe yitwa bruits hejuru y'inda yawe. Aya majwi yumvikana nk'umuyaga ashobora kugaragaza umuvuduko w'amaraso udasanzwe unyura mu mitsi yagabanutse.

Ibizamini byinshi byo kugenzura bishobora kwemeza uburwayi:

• Doppler ultrasound ipima umuvuduko w'amaraso unyura mu mitsi y'impyiko
• CT angiography itanga amashusho arambuye y'imitsi y'amaraso yawe
• MR angiography ikoresha uburyo bwa magnétique kugira ngo ibone imitsi yawe
• Renal angiography ni ikizamini cyiza cyane ariko bisaba gushyiramo catheter

Ibisubizo by'amaraso bizagenzura imikorere y'impyiko zawe kandi bikareba ibimenyetso byo kugabanuka kw'isukura. Muganga wawe ashobora kandi gutegeka ibindi bizamini kugira ngo akureho izindi mpamvu z'umuvuduko ukabije w'amaraso cyangwa ibibazo by'impyiko.

Ni ikihe kivura cya Stenosis y'Umutima w'Impyiko?

Kuvura Stenosis y'umutima w'impyiko byibanda ku kugenzura umuvuduko w'amaraso, kubungabunga imikorere y'impyiko, no kwirinda ingaruka mbi. Uburyo bwo kuvura biterwa n'uburemere bw'uburwayi bwawe n'ubuzima bwawe muri rusange.

Kuvura kwa muganga bisanzwe bitangira mbere kandi birimo:

• ACE inhibitors cyangwa ARBs kugira ngo bagabanye umuvuduko w'amaraso kandi babungabunge impyiko
• Diuretics kugira ngo bafashe gukuraho amazi y'umubiri arenze urugero
• Calcium channel blockers kugira ngo bagenzure umuvuduko w'amaraso
• Statins kugira ngo bagenzure urugero rwa cholesterol
• Antiplatelet therapy kugira ngo birinde amaraso gukomera

Ku bw'ibibazo bikomeye, muganga wawe ashobora kugutegeka gukora ibikorwa byo gufungura imitsi yakingiye:

• Angioplasty na stenting kugira ngo bagufiye umutima wagabanutse
• Guhindura imitsi kugira ngo hakorwe inzira nshya y'umuvuduko w'amaraso

Guhitamo hagati yo kuvura kwa muganga n'uburyo bwo kuvura biterwa n'ibintu nk'uburemere bw'igabanuka, ibimenyetso byawe, n'imikorere y'impyiko zawe. Itsinda ryawe ry'ubuvuzi rizakorana nawe kugira ngo ribone uburyo bwiza bukubereye.

Uko wakwitwara mu rugo mugihe ufite Stenosis y'Umutima w'Impyiko

Guhuza Stenosis y'umutima w'impyiko mu rugo bijyana no guhindura imibereho no kugenzura neza bishigikira uburyo bwawe bwo kuvura. Ibi bintu bishobora kugufasha kugenzura umuvuduko w'amaraso yawe no kubungabunga imikorere y'impyiko zawe.

Ibanda kuri ibi bice by'ingenzi:

• Fata imiti yawe nk'uko yategetswe, nubwo wumva umeze neza
• Genzura umuvuduko w'amaraso yawe buri gihe mu rugo
• Kugira indyo itishimira umunyu kugira ngo ufashe kugenzura umuvuduko w'amaraso
• Kora imyitozo ngororamubiri hamwe n'uburenganzira bwa muganga wawe
• Reka kunywa itabi niba ubinywa
• Gahoroza kunywa inzoga
• Kugira ibiro bikwiye
• Gucunga umunaniro binyuze mu buryo bwo kuruhuka

Komeza ukure amaso ku bimenyetso byawe n'ibipimo by'umuvuduko w'amaraso kugira ngo ubisangize itsinda ryawe ry'ubuvuzi. Aya makuru arabafasha guhindura gahunda yawe yo kuvura uko bikenewe. Ntuhindura imiti yawe udahamagaye muganga wawe mbere.

Uko Stenosis y'Umutima w'Impyiko ishobora kwirindwa

Nubwo utazi kwirinda ibintu byose bya Stenosis y'umutima w'impyiko, ushobora kugabanya cyane ibyago binyuze mu gucunga ibintu bigira uruhare mu ndwara ya atherosclerotic. Uburyo bwinshi bumwe na bumwe bukingira umutima wawe kandi bukingira impyiko zawe.

Uburyo bwo kwirinda burimo:

• Ntutabire cyangwa ureke niba ubinywa
• Genzura umuvuduko w'amaraso yawe binyuze mu mirire n'imyitozo ngororamubiri
• Genzura diabete neza niba uyifite
• Kugira urugero rwa cholesterol rukwiye
• Kora imyitozo ngororamubiri buri gihe hamwe n'ubuyobozi bwa muganga wawe
• Kurya indyo nziza y'umutima yuzuyemo imbuto n'imboga
• Gahoroza umunyu munsi ya 2,300 mg ku munsi
• Kugira ibiro bikwiye

Kujya kwa muganga buri gihe ni ingenzi kugira ngo hamenyekane hakiri kare. Niba ufite ibintu byongera ibyago bya Stenosis y'umutima w'impyiko, muganga wawe ashobora kugutegeka kugenzura umuvuduko w'amaraso yawe n'imikorere y'impyiko kenshi.

Uko wakwitegura mu gihe ugiye kwa muganga

Kwitoza mbere yo kujya kwa muganga bigufasha kubona byinshi mu ruzinduko rwawe kandi bigatuma muganga wawe abona amakuru akenewe kugira ngo aguhe ubufasha neza. Gutegura neza bishobora gutuma habaho kumenya neza uburwayi no kuvurwa neza.

Mbere y'uruzinduko rwawe, kora ibi bikurikira:

• Andika imiti yawe yose, harimo n'umwanya wo kuyifata
• Andika ibimenyetso byawe n'igihe byatangiye
• Zana ibipimo by'umuvuduko w'amaraso biheruka niba ubigenzura mu rugo
• Andika amateka y'umuryango wawe w'ibibazo by'impyiko cyangwa umutima
• Tegura ibibazo ku burwayi bwawe n'uburyo bwo kuvura

Tegereza kuzana umuntu wo mu muryango cyangwa inshuti ishobora kugufasha kwibuka amakuru yavuzwe mu ruzinduko. Andika ibibazo byawe mbere kugira ngo utabyibagirwa kubabaza. Muganga wawe arashaka kugufasha kumva uburwayi bwawe kandi ukumva ufite icyizere ku gahunda yawe yo kuvurwa.

Icyingenzi kuri Stenosis y'Umutima w'Impyiko

Stenosis y'umutima w'impyiko ni uburwayi bushobora gucungwa neza iyo bamenyekanye hakiri kare kandi bukavurwa uko bikwiye. Nubwo bishobora gutera ingaruka mbi zikomeye niba bitavuwe, abantu benshi bafite ubu burwayi bashobora kubaho ubuzima busanzwe, bwiza hamwe n'ubuvuzi bukwiye n'imibereho myiza.

Ikintu cy'ingenzi cyo kwibuka ni uko kumenya hakiri kare no kuvura bigira uruhare rukomeye mu bizava mu buzima bwawe mu gihe kirekire. Gukorana n'itsinda ryawe ry'ubuvuzi no gukurikiza gahunda yawe yo kuvura bishobora gufasha kwirinda ingaruka mbi no kubungabunga imikorere y'impyiko zawe.

Ntuzuyaze kubabaza ibibazo cyangwa gushaka ubundi buryo bwo kuvura niba uhangayikishijwe n'uburwayi bwawe. Uri umufatanyabikorwa ukomeye mu buzima bwawe, kandi kumva uburwayi bwawe bikuguha ububasha bwo gufata ibyemezo byiza ku bijyanye no kuvurwa kwawe n'imibereho yawe.

Ibibazo byakunda kubazwa kuri Stenosis y'Umutima w'Impyiko

Q.1: Stenosis y'umutima w'impyiko irashobora gukira burundu?

Stenosis y'umutima w'impyiko ishobora gucungwa neza, kandi rimwe na rimwe, ibikorwa nk'angioplasty bishobora gusubiza umuvuduko w'amaraso usanzwe mu mpyiko. Ariko, ibintu byabiteye, nka atherosclerosis, bisaba gucungwa mu gihe kirekire. Hamwe no kuvurwa neza, abantu benshi bagaragaza iterambere rikomeye mu kugenzura umuvuduko w'amaraso n'imikorere y'impyiko. Ikintu cy'ingenzi ni ugukorana n'itsinda ryawe ry'ubuvuzi kugira ngo ubone imiti ikubereye.

Q.2: Stenosis y'umutima w'impyiko itera gute?

Uburyo Stenosis y'umutima w'impyiko itera butandukanye cyane ukurikije umuntu ku wundi. Stenosis y'umutima w'impyiko iterwa na atherosclerotic isanzwe itera gahoro gahoro mu myaka myinshi, mu gihe fibromuscular dysplasia ishobora gutera vuba mu bihe bimwe na bimwe. Ubugenzuzi buhoraho bufasha muganga wawe gukurikirana impinduka zose no guhindura uburyo bwo kuvura uko bikenewe. Abantu benshi bafite stenosis yoroheje baguma mu mutekano imyaka myinshi hamwe no gucungwa neza kwa muganga, mu gihe abandi bashobora gukenera uburyo bukomeye bwo kuvura.

Q.3: Hariho imihango yo kurya mugihe ufite Stenosis y'Umutima w'Impyiko?

Abantu benshi bafite Stenosis y'umutima w'impyiko bagira akamaro mu mirire myiza y'umutima idafite umunyu mwinshi n'amavuta yuzuye. Uzifuza kugabanya umunyu munsi ya 2,300 mg ku munsi kugira ngo ufashe kugenzura umuvuduko w'amaraso. Niba imikorere y'impyiko yawe yagize ingaruka, muganga wawe ashobora kugutegeka kugabanya ibiryo bya poroteyine cyangwa fosfore. Ariko, ibyo kurya bikenerwa bitandukanye bitewe n'uburwayi bwawe n'imikorere y'impyiko, bityo ni byiza gukorana n'umuhanga mu mirire ushobora kugukorera gahunda ikubereye.

Q.4: Immyitozo ngororamubiri ifasha kuri Stenosis y'Umutima w'Impyiko?

Yego, imyitozo ngororamubiri isanzwe ifasha cyane abantu bafite Stenosis y'umutima w'impyiko, kuko ifasha kugenzura umuvuduko w'amaraso kandi ikarushaho kunoza ubuzima bw'umutima. Ariko, ugomba kubona uburenganzira bwa muganga wawe mbere yo gutangira gahunda y'imyitozo ngororamubiri. Bashobora kugutegeka ibikorwa bikwiye bitewe n'ubuzima bwawe ubu n'ibikorwa waba waramaze gukora. Abantu benshi bashobora gukora imyitozo ngororamubiri nk'ugenda, koga, cyangwa kugendera kuri velo uko uburwayi bwabo buhagaze.

Q.5: Nzakenera dialyse niba mfite Stenosis y'Umutima w'Impyiko?

Abantu benshi bafite Stenosis y'umutima w'impyiko ntibakenera dialyse, cyane cyane iyo uburwayi bumenyekanye hakiri kare kandi bukavurwa uko bikwiye. Dialyse irakenewe gusa niba imikorere y'impyiko igabanutse cyane, ibyo bisanzwe bishobora kwirindwa hamwe no kuvurwa neza. Intego yo kuvura Stenosis y'umutima w'impyiko ni ukubungabunga imikorere y'impyiko no kwirinda kwangirika kw'impyiko. Hamwe no gucungwa neza kwa muganga n'impinduka mu mibereho, abantu benshi babungabunga imikorere ihagije y'impyiko mu buzima bwabo bwose.