Ese ni iki? Ibimenyetso, Impamvu, n’Ubuvuzi bwa Thrombophlebitis

Thrombophlebitis ni kubyimba kw’umusego guterwa n’umuvuduko w’amaraso. Iki kibazo kibaho iyo umuvuduko w’amaraso ubaye mu musego, akenshi mu maguru, ugatera uruhu rwawo kubyimba no kubabara. Nubwo byumvikana bibi, ubusanzwe ibyo bibazo bikira neza iyo bivuwe hakiri kare.

Tekereza nk’aho ari igihuha mu nzira y’amaraso y’umubiri wawe. Iyo umuvuduko ukingira amaraso mu musego, aho hantu habyimba, kimwe n’uko umuyoboro ufashwe wakwongeramo umuvuduko n’ububyimba. Inkuru nziza ni uko, ubufasha bukwiye, umubiri wawe ushobora gukira iki kibazo burundu.

Ni ibihe bimenyetso bya thrombophlebitis?

Ikimenyetso gikomeye uzabona ni ububabare n’uburyohe ku musego ubangamiwe, akenshi bifatanije n’ubururu n’ububyimba bigaragara. Ibi bimenyetso bisanzwe bigenda buhoro buhoro mu minsi mike, nubwo rimwe na rimwe bishobora kugaragara vuba.

Dore ibimenyetso by’ingenzi ugomba kwitondera, utangiriye ku bimenyetso bisanzwe:

• Ububabare cyangwa ubushyuhe ku musego, cyane cyane mugenda cyangwa uhagaze
• Uruhu rutukura, rushyuha hejuru y’aho hantu
• Ububyimba mu kirenge cyangwa ukuboko byangamiwe
• Kumva ibintu bikomeye, nk’umugozi munsi y’uruhu aho umusego uri
• Inkorora ya make (akenshi ntabwo ari iy’ikiremwamuntu)
• Uruhu rumeze nk’urukomeye cyangwa rwaragurutse hejuru y’aho hantu habyimbye

Mu bihe bitoroshye, ushobora kumva ibimenyetso bibi kurushaho nko guhumeka nabi, kubabara mu gituza, cyangwa gutera k’umutima. Ibi bishobora kugaragaza ko umuvuduko wagiye mu mwijima, bisaba ubuvuzi bw’ihutirwa.

Ibi bimenyetso bikunze kuba bibi iyo uri gukora, ariko ububabare busanzwe ntibugenda burundu nubwo uri kuruhuka. Abantu benshi babivugaho nk’ububabare bukomeye, aho kuba ububabare bukabije.

Ni iyihe mitype ya thrombophlebitis?

Hariho ubwoko bubiri nyamukuru bwa thrombophlebitis, kandi gusobanukirwa itandukaniro bifasha mu gutoranya uburyo bwiza bwo kuvura. Aho umusego ubangamiwe ariho niho hatuma iki kibazo kiba gikomeye.

Thrombophlebitis yo hejuru igera ku misego iri hafi y’uruhu. Ubu bwoko busanzwe budakomeye kandi akenshi bukira hakoreshejwe ubuvuzi busanzwe. Urashobora kubona no kumva umusego ubangamiwe nk’umugozi utukura, ubabaza munsi y’uruhu rwawe.

Thrombophlebitis yo mu mbere, izwi kandi nka deep vein thrombosis (DVT), igera ku misego iri mu mubiri. Ubu bwoko busaba ubuvuzi bw’ihutirwa kuko umuvuduko uri mu misego yo mu mbere ufite amahirwe menshi yo kwangirika no kujya mu mwijima cyangwa mu zindi ngingo.

Ubusanzwe, abantu bagira thrombophlebitis yo hejuru, ikunze kuba itoroshye kuruta kuba ikomeye. Ariko kandi, muganga wawe azakenera kumenya ubwoko ufite kugira ngo aguhe ubufasha bukwiye.

Ni iki gitera thrombophlebitis?

Thrombophlebitis ibaho iyo hari ikintu gitera amaraso yawe gukora umuvuduko mu musego mu gihe bitakwiye. Ibi bishobora kubaho kubera imvune, amaraso agenda arafata, cyangwa impinduka mu maraso yawe zituma umuvuduko w’amaraso uba mwinshi.

Impamvu zisanzwe zirimo:

• Kwicara cyangwa kuryama igihe kirekire (nko mu ngendo ndende cyangwa mu bitaro)
• Imvune ku musego iterwa n’ubuvuzi cyangwa imvune
• Imiti imwe, cyane cyane imiti y’ubuzima bw’imyororokere cyangwa imiti y’imisemburo
• Gutwita n’igihe nyuma yo kubyara
• Kunywisha itabi, bigira ingaruka ku mikorere y’amaraso
• Gukama, bishobora kugabanya umuvuduko w’amaraso
• Indwara zimwe na zimwe nka kanseri cyangwa indwara zifata umubiri wose

Rimwe na rimwe thrombophlebitis ibaho nta mpamvu isobanutse, abaganga babyita “idiopathic”. Ibi bisanzwe bibaho mu bantu bakuze cyangwa abafite ibibazo by’ubuzima bigira ingaruka ku kuvura amaraso.

Mu bihe bitoroshye, indwara z’amaraso zirakomoka zishobora gutuma bamwe mu bantu bagira umuvuduko w’amaraso. Muganga wawe ashobora gupima izi ndwara niba ufite ibibazo byinshi cyangwa ufite amateka y’umuryango w’umuvuduko w’amaraso.

Ni ryari ukwiye kujya kwa muganga kubera thrombophlebitis?

Ukwiye kuvugana na muganga wawe niba ubona ububabare buhoraho, ubururu, n’ububyimba ku musego bidakira mu munsi umwe cyangwa ibiri. Ubuvuzi bwa hakiri kare bushobora gukumira ingaruka mbi kandi bugufasha kumva neza vuba.

Shaka ubuvuzi bw’ihutirwa niba ufite ibimenyetso byo kuburira ibi bikurikira:

• Guhumeka nabi cyangwa kugorana guhumeka
• Kubabara mu gituza bikomeza iyo uhumeka cyane
• Gutera k’umutima cyangwa gucika intege
• Kukohoka amaraso
• Ububyimba bukabije cyangwa ububabare mu kirenge
• Inkorora irenga 101°F (38.3°C)

Ibi bimenyetso bishobora kugaragaza ko umuvuduko w’amaraso wagiye mu mwijima, ari ikibazo cy’ubuvuzi bw’ihutirwa. Ntugatege amatwi cyangwa ugerageze kwihanganira niba ufite ibimenyetso byo kuburira.

Nubwo ibimenyetso byawe bigaragara bito, birakwiye kubipimisha. Muganga wawe ashobora kumenya niba ufite thrombophlebitis yo hejuru cyangwa iyo mu mbere kandi akaguha ubuvuzi bukwiye.

Ni ibihe bintu byongera ibyago bya thrombophlebitis?

Ibintu bimwe na bimwe bishobora kongera amahirwe yo kugira thrombophlebitis, nubwo kugira ibyago ntibisobanura ko uzagira icyo kibazo. Gusobanukirwa ibyago byawe bishobora kugufasha gufata ingamba zo kwirinda.

Ibyago bisanzwe birimo:

• Imyaka irenga 60, kuko umuvuduko w’amaraso ugabanyuka uko umuntu akura
• Kuba uremererwa cyangwa ukaba ufite umubyibuho ukabije
• Kunywisha itabi cyangwa gukoresha ibicuruzwa by’itabi
• Gukoresha imiti y’ubuzima bw’imyororokere cyangwa imiti y’imisemburo
• Kugira amateka y’umuryango w’umuvuduko w’amaraso cyangwa indwara z’amaraso
• Kubagwa vuba, cyane cyane kubagwa amagufwa cyangwa mu nda
• Kanseri cyangwa kuvurwa kanseri nko gufata imiti ya chimiothérapie
• Gutwita cyangwa kubyara vuba
• Kuryama cyangwa kudakora imyitozo igihe kirekire

Indwara zimwe na zimwe z’umuzuko zishobora kongera ibyago byawe binyuze mu kugira ingaruka ku buryo amaraso yawe akora umuvuduko. Ibi birimo Factor V Leiden deficiency, protein C cyangwa S deficiency, na antithrombin deficiency.

Kugira ibyago byinshi ntibisobanura ko uzagira thrombophlebitis. Abantu benshi bafite ibyago byinshi ntibagira ibibazo, mu gihe abandi bafite ibyago bike bagira ibibazo. Ikintu nyamukuru ni ukumenya no gufata ingamba zikwiye aho bishoboka.

Ni iyihe ngaruka zishoboka za thrombophlebitis?

Ubusanzwe, thrombophlebitis yo hejuru ikira idafite ingaruka zikomeye, cyane cyane iyo ivuwe vuba. Ariko rero, birakomeye gusobanukirwa icyabaho niba icyo kibazo kitavuwe neza.

Ingaruka zisanzwe zirimo:

• Pulmonary embolism (umuvuduko w’amaraso mu mwijima) - bishoboka cyane kuri deep vein thrombosis
• Post-thrombotic syndrome, itera ububabare buhoraho mu kirenge n’ububyimba
• Chronic venous insufficiency, itera ibibazo byo gutembera amaraso
• Thrombophlebitis isubiramo mu musego umwe cyangwa mu yindi misego
• Impinduka z’uruhu n’ibisebe mu bihe bikomeye, bitavuwe

Pulmonary embolism ni yo ngaruka ikomeye, nubwo ari nke kuri thrombophlebitis yo hejuru. Ibi bibaho iyo umuvuduko utandukanye ukajya mu mwijima, bishobora kubuza amaraso gutembera no gutuma guhumeka bigorana.

Abantu benshi barakira thrombophlebitis batagize ingaruka z’igihe kirekire. Gukorana na muganga wawe no gukurikiza amabwiriza yo kuvura bigabanya cyane ibyago by’ingaruka mbi.

Uburyo bwo kwirinda thrombophlebitis

Urashobora gufata intambwe nyinshi zo kugabanya ibyago byo kugira thrombophlebitis, cyane cyane niba ufite ibyago bizwi. Kwirinda byibanda ku kugumisha amaraso yawe agenda neza no kwirinda ibintu bituma umuvuduko w’amaraso uba mwinshi.

Dore ingamba zikomeye zo kwirinda:

• Kora siporo buri gihe nko kugenda cyangwa gukora imyitozo
• Kwirinda kwicara cyangwa guhagarara mu mwanya umwe igihe kirekire
• Kwambara imyenda ikingira imisego niba muganga wawe abikubwiye
• Kunywa amazi ahagije, cyane cyane mu ngendo
• Kugira ibiro bikwiye
• Kudanywa itabi cyangwa guhagarika kunywa itabi niba ubinywa
• Kugenda intambwe nyinshi mu ngendo ndende

Niba uri mu kaga kubera kubagwa, gutwita, cyangwa ibibazo by’ubuzima, muganga wawe ashobora kugutegeka ubundi buryo bwo kwirinda. Ibi bishobora kuba harimo imiti igabanya umuvuduko w’amaraso cyangwa gukurikiranwa cyane.

Imigenzo yoroshye ya buri munsi nko kugenda buri gihe, gukora imyitozo y’amaguru iyo wicaye, no kwambara imyenda idakomeye bishobora kugira akamaro kanini. Intego ni ukugumisha amaraso yawe agenda neza mu mubiri wawe wose.

Uburyo bwo kuvura thrombophlebitis

Ubuvuzi bwa thrombophlebitis bugamije kugabanya kubyimba, gukumira umuvuduko w’amaraso gukura, no kugabanya ibimenyetso byawe. Uburyo bwihariye biterwa niba ufite thrombophlebitis yo hejuru cyangwa iyo mu mbere.

Kuri thrombophlebitis yo hejuru, ubuvuzi busanzwe burimo:

• Imiti igabanya ububabare nka ibuprofen cyangwa naproxen
• Gushyushya aho hantu habyimbye
• Kwambara imyenda ikingira imisego kugira ngo amaraso agenda neza
• Guhagarara ikirenge cyangamiwe iyo uri kuruhuka
• Kugenda buhoro buhoro uko ibimenyetso bigenda bigabanuka

Thrombophlebitis yo mu mbere isaba ubuvuzi bukomeye hamwe n’imiti igabanya umuvuduko w’amaraso (anticoagulants). Iyi miti ifasha gukumira umuvuduko w’amaraso gukura no kugabanya ibyago byo kwangirika no kujya mu mwijima.

Mu bihe bitoroshye, bikomeye, abaganga bashobora kugutegeka uburyo bwo gukuraho umuvuduko w’amaraso. Ariko kandi, abantu benshi bakira neza imiti n’ubuvuzi bwo kubafasha.

Ubuvuzi busanzwe buramara ibyumweru cyangwa amezi, bitewe n’uburemere n’ibyago byawe. Muganga wawe azakurikirana uko ugendera kandi agakosora gahunda y’ubuvuzi uko bikenewe.

Uko wakwitaho iwawe mu gihe ufite thrombophlebitis

Kwitaho iwawe bigira uruhare mu gukira kwawe kwa thrombophlebitis. Uburyo bwiza bwo kwitaho ubwawe bushobora kugabanya ububabare, gukumira ingaruka mbi, no kwihutisha gukira.

Dore ibyo ushobora gukora iwawe kugira ngo ugire uruhare mu gukira kwawe:

• Gushyushya aho hantu habyimbye iminota 15-20 incuro nyinshi ku munsi
• Kugumisha ikirenge cyangamiwe hejuru y’umutima iyo uri kuruhuka
• Kwambara imyenda ikingira imisego nk’uko muganga wawe abikubwiye
• Gufata imiti yatanzwe nk’uko byategetswe
• Kugenda buhoro buhoro uko wumva ubishoboye
• Kunywa amazi ahagije kugira ngo ugire amazi ahagije
• Kwirinda kwicara cyangwa guhagarara igihe kirekire

Kuvura ububabare akenshi biba ari ingenzi mu gihe cyo gukira. Imiti igabanya ububabare ishobora kugabanya ububabare n’ububyimba, ariko banza ubanze ubaze muganga wawe mbere yo kuyifata, cyane cyane niba ufashe imiti igabanya umuvuduko w’amaraso.

Witondere uko ibimenyetso byawe bihinduka uko iminsi igenda. Abantu benshi babona ko bigenda bigabanuka mu minsi mike cyangwa mu byumweru. Vugana na muganga wawe niba ibimenyetso byawe bikomeza cyangwa niba ufite ibimenyetso bishya byo kuburira.

Uko wakwitegura kujya kwa muganga

Kwitunganya mbere yo kujya kwa muganga bishobora kugufasha kubona ubuvuzi bukwiye. Kugira amakuru akwiye bitegura bizafasha muganga wawe gusobanukirwa neza uko uhagaze.

Mbere yo kujya kwa muganga, kora ubushakashatsi ku byerekeye:

• Igihe ibimenyetso byawe byatangiye n’uko byahindutse
• Imiti yose n’ibindi byongewemo ufashe
• Ingendo za vuba, kubagwa, cyangwa igihe utari gukora
• Amateka y’umuryango w’umuvuduko w’amaraso cyangwa indwara z’amaraso
• Ibibazo byose byabayeho mbere
• Ibibazo ku kibazo cyawe n’uburyo bwo kuvura

Birakwiye kwandika ibimenyetso byawe no kugenzura ububabare bwawe kuri échelle ya 1-10. Fata amafoto y’aho hantu habyimbye niba ubururu cyangwa ububyimba bigaragara, kuko bishobora gufasha muganga wawe gukurikirana impinduka.

Ntukabe gukemanga kubabaza ibibazo mu gihe uri kwa muganga. Gusobanukirwa uko uhagaze n’uburyo bwo kuvura bizagufasha kumva ufite icyizere mu gukira kwawe.

Icyo ukwiye kumenya kuri thrombophlebitis

Thrombophlebitis ni indwara ivurwa, nubwo idakomeye, isanzwe ikira neza hakoreshejwe ubuvuzi bukwiye. Ikintu nyamukuru ni ukumenya ibimenyetso hakiri kare no gupimwa kugira ngo hamenyekane uburyo bwiza bwo kuvura.

Abantu benshi bafite thrombophlebitis yo hejuru barakira burundu mu byumweru bike hakoreshejwe ubuvuzi bukwiye. Nubwo thrombophlebitis yo mu mbere ikomeye, ishobora kuvurwa neza hakoreshejwe ubuvuzi bugezweho.

Ikintu gikomeye cyo kwibuka ni uko ntugomba guhangana n’iki kibazo wenyine. Ikipe yawe y’abaganga iri aho kugufasha mu buvuzi no kugufasha gukumira ingaruka mbi. Ubufasha bukwiye, urashobora kwitega gusubira mu mirimo yawe.

Kwiringira bikomeza kuba ari yo ngamba yawe yo kwirinda ibibazo by’igihe kizaza. Kuguma ukora siporo, kugira ubuzima bwiza, no kumenya ibyago byawe bishobora kugabanya cyane amahirwe yo kugira thrombophlebitis ukundi.

Ibibazo byakundwa kubazwa kuri thrombophlebitis

Thrombophlebitis ishobora gukira yonyine?

Thrombophlebitis yo hejuru ishobora gukira idavuwe, ariko gupimwa kwa muganga birakomeye kugira ngo hamenyekane niba hari ibindi bibazo bikomeye. Ubuvuzi bukwiye bufasha gukumira ingaruka mbi no kwihutisha gukira. Thrombophlebitis yo mu mbere ihora isaba ubuvuzi kugira ngo hirindwe ingaruka zikomeye nka pulmonary embolism.

Thrombophlebitis imara igihe kingana iki gukira?

Thrombophlebitis yo hejuru isanzwe ikira mu byumweru 1-2 hakoreshejwe ubuvuzi, nubwo gukira burundu bishobora kumara ibyumweru byinshi. Thrombophlebitis yo mu mbere akenshi isaba amezi 3-6 yo kuvurwa hakoreshejwe imiti igabanya umuvuduko w’amaraso. Igihe cyawe cyo gukira giterwa n’uburemere bw’ikibazo cyawe n’uko ugendera ku buvuzi.

Birumvikana gukora siporo ufite thrombophlebitis?

Kugenda buhoro buhoro bisanzwe bikurura kuko bifasha amaraso gutembera no gukumira umuvuduko w’amaraso gukura. Ariko rero, ukwiye kwirinda imyitozo ikomeye kugeza muganga wawe abikwemereye. Uko umuntu ameze kose ni ukundi, rero kurikiza amabwiriza ya muganga wawe ku bijyanye n’imyitozo mu gihe cyo gukira.

Nzakenera gufata imiti igabanya umuvuduko w’amaraso ubuzima bwanjye bwose?

Abantu benshi bafite thrombophlebitis ntibakenera imiti igabanya umuvuduko w’amaraso ubuzima bwabo bwose. Igihe cyo kuvura gisanzwe kiri hagati y’ibyumweru bike n’amezi menshi, bitewe n’ikibazo cyawe n’ibyago byawe. Bamwe mu bantu bafite umuvuduko w’amaraso usubira cyangwa bafite ibibazo by’umuzuko bashobora gukenera kuvurwa igihe kirekire, ariko muganga wawe azapima uko uhagaze.

Thrombophlebitis ishobora gusubira nyuma yo kuvurwa?

Thrombophlebitis ishobora gusubira, cyane cyane niba ibyago bitavuwe. Ariko rero, gukurikiza ingamba zo kwirinda nko gukora siporo, kugira ibiro bikwiye, no kwirinda kudakora imyitozo igihe kirekire bigabanya cyane ibyago byawe. Muganga wawe azakubwira ibyago byawe n’ingamba zo kwirinda bitewe n’uko uhagaze.