Vasculitis

Vasculitis ivuga kwangirika kw'imijyana y'amaraso. Kugira ububabare bishobora gutuma imbibi z'imijyana y'amaraso ziba zikaze, bigatuma inzira y'amaraso iba itose. Niba amaraso adatembera neza, bishobora gutera ibibazo ku mubiri n'ingingo. Hari ubwoko bwinshi bwa vasculitis, kandi ubusanzwe bwinshi muri bwo ni bwo bugira. Vasculitis ishobora kwibasira umubiri umwe, cyangwa se umubiri mwinshi. Iyi ndwara ishobora kuba igihe gito cyangwa igihe kirekire. Vasculitis ishobora kwibasira umuntu uwo ari we wese, nubwo amwe mu moko yayo aba ari menshi mu matsinda runaka y'abantu. Bitewe n'ubwoko ufite, ushobora gukira utabonye ubuvuzi. Ubwoko bwinshi busaba imiti yo kugabanya ububabare no gukumira indwara gukomera.

Ibisumwa rusange n'ibimenyetso by'ubwoko bwinshi bwa vasculitis birimo: Umuhango Umutwe Umunaniro Gutakaza ibiro Ububabare rusange n'ububabare Ubundi bimenyetso n'ibimenyetso bifitanye isano n'ibice by'umubiri byagizweho ingaruka, birimo: Sisitemu y'igogorwa. Niba umwijima wawe cyangwa amara yawe yagizweho ingaruka, ushobora kumva ububabare nyuma yo kurya. Ibyo kubabara n'ibyobo birashoboka kandi bishobora gutuma amaraso aba mu ntege. Amatwi. Ubusembwa, gucucura mu matwi no kubura kumva byihuse bishobora kubaho. Amaso. Vasculitis ishobora gutuma amaso yawe asa yijimye kandi akaryaryata cyangwa agakongoka. Arterite y'uturemangingo dukomeye ishobora gutera kubona ibintu bibiri n'ubupfumu bw'igihe gito cyangwa bw'iteka mu jisho rimwe cyangwa mu yombi. Rimwe na rimwe iki nicyo kimenyetso cya mbere cy'indwara. Ibiganza cyangwa ibirenge. Ubundi bwoko bwa vasculitis bushobora gutera ubusembwa cyangwa intege nke mu kiganza cyangwa ikirenge. Ibishato by'ibiganza n'ibirenge bishobora kubyimba cyangwa gukomera. Ibihaha. Ushobora kurwara guhumeka nabi cyangwa no gukorora amaraso niba vasculitis igize ingaruka ku bihaha byawe. Uruhu. Kuva amaraso munsi y'uruhu bishobora kugaragara nk'ibice by'umutuku. Vasculitis ishobora kandi gutera ibintu by'amasasu cyangwa ibikomere byafunguye ku ruhu rwawe. Tegura gahunda yo kubonana na muganga wawe niba ufite ibimenyetso cyangwa ibimenyetso bikubangamira. Ubundi bwoko bwa vasculitis bushobora kwiyongera vuba, bityo kuvura hakiri kare ari bwo kintu nyamukuru cyo kubona ubuvuzi bufatika.

Egera muganga wawe niba ufite ikimenyetso cyangwa ibimenyetso bikubangamira. Ubwoko bumwe na bumwe bwa vasculitis bushobora kwiyongera vuba, bityo kuvura hakiri kare ari bwo kintu nyamukuru cyo kubona ubuvuzi bufatika.

Impamvu nyakuri y'indwara ya vasculitis ntiirasobanuka neza. Amwe mu moko yayo afitanye isano n'imiterere y'umuntu ku rwego rw'imborerwa. Andi aterwa n'uko ubudahangarwa bw'umubiri bugaba igitero ku tugize utubari tw'amaraso kubera ikosa. Ibintu bishobora gutera iyi myitwarire y'ubudahangarwa bw'umubiri birimo:

• Indwara zandura, nka Hepatitis B na Hepatitis C
• Kanseri y'amaraso
• Indwara ziterwa no kudahangarwa neza kw'umubiri, nka rhumatoïde arthritis, lupus na sclérodème
• Kwivanga n'imiti imwe n'imwe

Vasculitis ishobora kubaho kuri umuntu wese. Ibintu bishobora kongera ibyago byo kurwara indwara zimwe na zimwe birimo:

• Imyaka. Indwara ya Giant cell arteritis ntabwo ikunda kugaragara mbere y'imyaka 50, mu gihe indwara ya Kawasaki ikunda kugaragara cyane mu bana bari munsi y'imyaka 5.
• Amateka y'umuryango. Indwara ya Behcet, granulomatosis ifatanye na polyangiitis na Kawasaki rimwe na rimwe ziba mu miryango.
• Amahitamo yo kubaho. Gukoresha cocaïne bishobora kongera ibyago byo kurwara vasculitis. Kunywa itabi, cyane cyane niba uri umugabo uri munsi y'imyaka 45, bishobora kongera ibyago byo kurwara indwara ya Buerger.
• Imiti. Vasculitis rimwe na rimwe ishobora guterwa n'imiti nka hydralazine, allopurinol, minocycline na propylthiouracil.
• Amazi. Kurwara indwara ya Hepatitis B cyangwa C bishobora kongera ibyago byo kurwara vasculitis.
• Indwara zifata ubudahangarwa bw'umubiri. Abantu barwaye indwara aho ubudahangarwa bwabo bwibasira umubiri wabo bwite bashobora kuba bafite ibyago byinshi byo kurwara vasculitis. Ingero harimo lupus, rhumatoïde arthritis na sclérodème.
• Ibitsina. Indwara ya Giant cell arteritis ikunda kugaragara cyane mu bagore, mu gihe indwara ya Buerger ikunda kugaragara cyane mu bagabo.

Ingaruka z'indwara ya vasculitis ziterwa n'ubwoko n'uburemere bw'uburwayi ufite. Cyangwa zishobora guterwa n'ingaruka mbi z'imiti wanditse ukoresha mu kuvura iyo ndwara. Ingaruka z'indwara ya vasculitis zirimo:

• Gukomeretsa imitsi. Amwe mu moko ya vasculitis ashobora kuba akomeye, akangiza imitsi minini.
• Ibisasu by'amaraso n'ibitonyanga by'imitsi. Isasu ry'amaraso rishobora kuvamo mu mubiri w'amaraso, bikabuza amaraso kugenda. Gake, vasculitis izatuma umubiri w'amaraso ucika intege ukavimba, bigatuma habaho umuvimbo (AN-yoo-riz-um).
• Kubura ubwenge cyangwa ubuhumyi. Iyi ni ingaruka zishoboka z'indwara ya giant cell arteritis idakurikiranwa.
• Amazi. Imwe mu miti ikoreshwa mu kuvura vasculitis ishobora kugabanya ubudahangarwa bw'umubiri. Ibi bishobora gutuma urwara cyane.

Andy Grundstad yari arwaye kandi ananiwe kubona arwaye kandi ananiwe. "Numvaga nk'umuntu w'imyaka 80," Andy avuga, umuhinzi w'imyaka 35 utuye hanze ya Crosby, muri Dakota y'Amajyaruguru. Yari yarwaye vasculitis akiri umwana kandi yabanye n'ibibazo bitandukanye by'ubuzima mu gihe amakipe yita ku barwayi yageragezaga gutanga ubuvuzi burambuye n'ubuvuzi bukoreshwa. Ibimenyetso bya Andy byarushijeho kuba bibi nyuma y'indwara yo gutakaza ubwenge mu 2017. Ubushyuhe buri munsi n'ububabare bw'ingingo byaherekejwe n'ikindi gihe cyo gutakaza ubwenge mu 2020…

Akenshi, muganga wawe azatangira afata amateka yawe y'ubuzima akakora isuzuma rusange. Ashobora kukugira ngo ukorweho ibizamini n'ibikorwa byo kubona indwara, kugira ngo akureho izindi ndwara zisa na vasculitis cyangwa ngo amenye neza ko ufite vasculitis. Ibizamini n'ibikorwa bishobora kuba ibi bikurikira:

• Ibizamini by'amaraso. Ibi bizamini bishakisha ibimenyetso by'uburiganya, nko kugira urwego rwo hejuru rwa poroteyine ya C-reactive. Igipimo cy'uturemangingo tw'amaraso byuzuye gishobora kugaragaza niba ufite uturango tw'amaraso duhagije. Ibizamini by'amaraso bishakisha antijeni zimwe na zimwe - nko gupima anti-neutrophil cytoplasmic antibody (ANCA) - bishobora gufasha kuvura vasculitis.
• Ibizamini byo kubona ishusho. Uburyo bwo kubona ishusho budakora cyane ku mubiri bushobora gufasha kumenya imiyoboro y'amaraso n'imigongo y'umubiri byagizweho ingaruka. Bishobora kandi gufasha muganga gukurikirana niba uri gukira neza. Ibizamini byo kubona ishusho bya vasculitis birimo X-rays, ultrasound, computerized tomography (CT), magnetic resonance imaging (MRI) na positron emission tomography (PET).
• X-rays y'imijyana y'amaraso yawe (angiography). Muri ubu buryo, kateteri yoroshye, isa n'umwenda muto, ishyirwa mu muhogo munini w'amaraso cyangwa mu mubiri. Ibara ryihariye riba rimaze gushyirwa muri kateteri, hanyuma X-rays ifatwa igihe ibara rimaze kuzura umubiri cyangwa umwenda. Imiterere y'imijyana y'amaraso yawe igaragara kuri X-rays iboneka.
• Biopsy. Iyi ni uburyo bwo kubaga aho muganga akuramo igice gito cy'umubiri mu gice cy'umubiri wawe cyagizweho ingaruka. Muganga wawe hanyuma azasuzume uyu mubiri kugira ngo arebe ibimenyetso bya vasculitis.