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Kuzura amaguru bibaho iyo amazi yiyongera mu bice by'amaguru yawe, bigatuma asa nkaho yabyimbye cyangwa yagutse. Iyi ndwara, yitwa edema, ishobora gufata ukuguru kumwe cyangwa byombi kandi ikaba yoroheje cyane cyangwa ikaba iteye isoni. Nubwo akenshi bidateje akaga kandi by'igihe gito, gusobanukirwa icyateye kuzura amaguru yawe birashobora kugufasha gufata icyemezo cyo gushaka ubufasha n'uburyo bwo kubona uburinzi.
Kuzura amaguru ni ukwiyongera kw'amazi menshi mu bice byoroshye by'amaguru yawe, ibirenge, cyangwa imyambaro. Umubiri wawe usanzwe ugumana uburinganire bwiza bw'amazi agenda ava mu bice by'amaraso yawe n'ibice byawe. Iyo ubu buringanire buhungabanye, amazi ashobora kuva mu bice bikikije kandi akaguma aho, bigatuma habaho ububyimbirwe ubona kandi wumva.
Uku kuzura amaguru gushobora kubaho buhoro buhoro mu minsi cyangwa mu byumweru, cyangwa gushobora kugaragara mu buryo butunguranye mu masaha make. Ukwiyongera kw'amazi akenshi gutangirira mu birenge byawe n'imyambaro, hanyuma bikazamuka mu maguru yawe niba birushijeho kuba bibi. Ushobora kubona inkweto zawe zikugenda cyane, amasogisi asiga ibimenyetso ku ruhu rwawe, cyangwa amaguru yawe yumva aremereye kandi adashimishije.
Kuzura amaguru akenshi kumera nk'uburemere cyangwa kuzura mu maguru yawe, bisa no gutwara uburemere bwinshi. Uruhu rwawe rushobora kumva rugenda cyane cyangwa rwarambuye, cyane cyane hafi y'imyambaro yawe n'imvune z'ibirenge byawe. Abantu benshi babisobanura nk'uko amaguru yabo asa nk'aho 'yabyimbye' cyangwa 'yuzuye'.
Ushobora kandi kubona ko gukanda urutoki rwawe mu gice cyabyimbye bisiga akantu gato k'igihe gito kagenda kazura. Ibi byitwa pitting edema, kandi ni kimwe mu bimenyetso byerekana neza ko urimo guhangana no kubika amazi. Abantu bamwe bahura n'ububabare buke cyangwa kubabara, mu gihe abandi basanga amaguru yabo yumva akomeye cyangwa bigoye kugenda neza.
Ubusanzwe ukabyimba bikomeza kwiyongera umunsi wose, cyane cyane niba umaze igihe uhagaze cyangwa wicaye igihe kirekire. Ushobora kubyuka utabyimbye cyane, ariko ukabona byagarutse uko umunsi ugenda.
Kubyimba amaguru bishobora guterwa n'impamvu nyinshi, kuva ku bintu bisanzwe mu buzima bwa buri munsi kugeza ku bibazo by'ubuzima bwihishe. Kumva izo mpamvu biragufasha kumenya icyateye ibimenyetso byawe n'igihe ukwiye guhangayika.
Impamvu zisanzwe zikunze kubaho zirimo:
Izi mpamvu zisanzwe zikunze gutera kubyimba guto, kw'igihe gito gukurwaho no kuruhuka, kuzamura amaguru, cyangwa guhindura imibereho y'umuntu.
Indwara zikomeye z'ubuzima nazo zishobora gutera kubyimba amaguru, nubwo ibi bidakunze kubaho. Ibibazo by'umutima bishobora gutuma umutima wawe utavura amaraso neza, bigatuma amazi agaruka mu maguru yawe. Indwara z'impyiko zigira ingaruka ku bushobozi bw'umubiri bwo gukuraho amazi n'umunyu birenze urugero. Indwara y'umwijima igabanya umusaruro wa poroteyine zifasha kugumisha amazi mu mitsi yawe y'amaraso.
Amabara y'amaraso mu maguru, yitwa thrombosis y'imitsi y'imitsi, ashobora guhagarika imikorere isanzwe y'amaraso kandi akatera kubyimba ku buryo butunguranye, akenshi ku ruhande rumwe. Infesiyo mu bice by'amaguru nazo zishobora gutera kubyimba, akenshi bikaba bijyana n'umutuku, ubushyuhe, n'ububabare.
Ukubyimba kw'ukuguru bishobora kuba ikimenyetso cy'indwara zitandukanye zishingiye ku bintu bitandukanye, kuva ku bito kugeza ku bikomeye. Akenshi, bifitanye isano n'imibereho cyangwa ibihe by'agateganyo bikemuka byonyine. Ariko, ni ngombwa kumenya igihe ukubyimba bishobora kugaragaza ikintu gikeneye ubufasha bw'abaganga.
Indwara zisanzwe, zitari zikomeye zitera ukubyimba kw'ukuguru zirimo:
Indwara zikomeye zishobora gutera ukubyimba kw'ukuguru zisaba ubufasha bw'abaganga bwihuse. Kugufuka k'umutima bibaho iyo umutima wawe udashobora gusukura amaraso neza, bigatuma amazi yiyongera mu maguru yawe no mu bindi bice by'umubiri wawe. Ushobora kandi guhura no guhumeka bigoranye, kunanirwa, cyangwa kutumva neza mu gituza.
Indwara y'impyiko ishobora gutera ukubyimba kuko impyiko zawe zitashobora gukuraho amazi menshi n'imyanda neza. Ibi akenshi biza no guhinduka mu kwihagarika, kunanirwa, cyangwa isesemi. Indwara y'umwijima, cyane cyane cirrhosis, igabanya ubushobozi bw'umubiri wawe bwo gukora poroteyine zituma amazi aguma mu miyoboro y'amaraso yawe.
Amabuye y'amaraso mu mitsi yimbitse y'amaguru yawe ashobora gutera ukubyimba ku buryo butunguranye kandi bubabaza, akenshi mu kuguru kumwe. Ibi ni ibintu byihutirwa mu buvuzi kuko igituntu gishobora kujya mu bihaha byawe. Indwara zitari zimwe nk'indwara zimwe na zimwe z'umutima cyangwa imirire mibi ikabije na byo bishobora gutera ukubyimba kw'ukuguru, nubwo ibi akenshi biza n'ibindi bimenyetso bikomeye.
Yego, kubimba amaguru akenshi biragenda bikira ubwabyo, cyane cyane iyo biterwa n'ibintu by'igihe gito nk'uko guhagarara igihe kirekire, ikirere gishyushye, cyangwa kurya ibiryo birimo umunyu mwinshi. Ubwo bwoko bwo kubimba akenshi burushaho gukira mu masaha make cyangwa umunsi umwe hamwe n'ingamba zoroshye nko kuzamura amaguru yawe, kugenda hirya no hino, cyangwa kugabanya umunyu.
Kubimba bifitanye isano no gutwita akenshi bikira nyuma yo kubyara igihe umubiri wawe usubira mu buryo busanzwe bwo kugenzura amazi. Mu buryo nk'ubwo, kubimba bifitanye isano n'imiti akenshi birushaho gukira igihe uhagaritse gufata umuti ugutera kubimba, nubwo utagomba na rimwe guhagarika imiti wandikiwe na muganga utabanje kuvugana nawe.
Ariko, kubimba kumara iminsi myinshi cyangwa gukomeza kwiyongera akenshi ntigukira ubwabyo. Ubwo bwoko bwo kubimba akenshi bugaragaza ikibazo cyihishe gikeneye kuvurwa. Niba ubonye kubimba kutagabanuka n'ikiruhuko no kuzamura amaguru, cyangwa niba biherekejwe n'ibindi bimenyetso nk'uguhumeka bigoranye, kuribwa mu gituza, cyangwa kuribwa cyane mu maguru, ni ngombwa gushaka ubufasha bwa muganga.
Imiti myinshi yoroshye yo mu rugo ishobora gufasha kugabanya kubimba amaguru no gutanga ubufasha, cyane cyane iyo kubimba ari gake kandi bifitanye isano n'imibereho. Ubu buryo bukora bufasha umubiri wawe gukura amazi neza kandi bugabanya ibintu bituma amazi yiyongera.
Ubuvuzi bwo mu rugo bukora neza cyane burimo:
Imyitozo yoroheje nk'ukugenda na yo ishobora gufasha mu gukora imitsi yawe yo mu gice cy'ikibero, ikora nk'amapompe yo gusubiza amaraso mu mutima wawe. N'iyo utabasha kugenda kure, ibikorwa byoroheje nk'ukuzamura no kumanura ibirenge byawe bishobora kugira icyo bitanga.
Ibyuma bikonja cyangwa kwiyuhagira amazi akonja bishobora gutanga ubufasha bw'igihe gito, cyane cyane niba ubushyuhe bugira uruhare mu kubyimba kwawe. Ariko, irinde gushyira urubura ku ruhu rwawe, kuko ibi bishobora guteza ingaruka ku gice cy'umubiri.
Ubu buvuzi bwo mu rugo bukora neza ku kubyimba guto guterwa n'ibintu bya buri munsi. Niba kubyimba kwawe ari gukabije, guhutiyeho, cyangwa guherekejwe n'ibindi bimenyetso, ni ngombwa kubona umuganga aho kugerageza kubivura mu rugo.
Ubuvuzi bwo mu buvuzi ku kubyimba amaguru buterwa n'icyo kibitera. Muganga wawe azabanza gukora kugira ngo amenye icyateye ikibazo binyuze mu gusuzuma umubiri, amateka y'ubuvuzi, rimwe na rimwe ibizamini nk'ibizamini by'amaraso, ultrasound, cyangwa kwiga imikorere y'umutima.
Ku kubyimba guterwa n'ibibazo by'umutima, ubuvuzi bushobora kuba burimo imiti yitwa diuretics, ifasha impyiko zawe gukuraho amazi yarenze urugero. Muganga wawe ashobora kandi kwandika imiti yo gufasha umutima wawe gukora neza cyangwa kugenzura umuvuduko w'amaraso. Impinduka mu mibereho nk'ugushyiraho umupaka ku munyu no kugenzura ibinyobwa akenshi bigira uruhare runini mu kuvura.
Iyo indwara y'impyiko ari yo itera, ubuvuzi bwibanda ku kurinda imikorere isigaye y'impyiko no kugenzura amazi. Ibi bishobora kuba birimo imiti, impinduka mu mirire, kandi mu bihe bikomeye, dialysis yo gufasha gukuraho amazi yarenze urugero n'imyanda mu mubiri wawe.
Ku gukara kw'amaraso, ubuvuzi bwihuse hamwe n'imiti ituma amaraso atiyongera ni ngombwa kugira ngo birinde ingorane zikomeye. Ushobora gukenera gufata iyi miti mu mezi menshi cyangwa igihe kirekire. Mu bihe bimwe na bimwe, ibikorwa byo gukuraho cyangwa gusenya ibikara bishobora kuba ngombwa.
Udukoko dutera kubyimba amaguru mubisanzwe dukenera imiti yica udukoko. Umuti wihariye ukoreshwa biterwa n'ubwoko bw'icyorezo, kandi kuvura mubisanzwe bikomeza mu cyumweru kimwe cyangwa bibiri. Udukoko dukomeye kurushaho dushobora gusaba ko umuntu arwarira mu bitaro kugira ngo ahabwe imiti yica udukoko inyuzwa mu maraso.
Ku birebana na lymphedema, kuvurwa akenshi bikubiyemo uburyo bwo gukora massage zidasanzwe, imyenda ikanda, na physiotherapy. Iyi ndwara mubisanzwe irashoboka kuyivura ariko mubisanzwe bisaba uburyo bwo kuvura burambye.
Ukwiriye kujya kwa muganga vuba na bwangu niba kubyimba amaguru yawe bije n'ibimenyetso byo kwitondera bishobora kwerekana indwara ikomeye. Ibi bimenyetso bisaba ubufasha bwihuse bw'abaganga kuko bishobora kwerekana ibibazo by'umutima wawe, ibihaha, cyangwa imitsi y'amaraso.
Shaka ubufasha bwihutirwa niba ubona:
Ibi bimenyetso bishobora kwerekana indwara zikomeye nka clot ya maraso, kunanirwa k'umutima, cyangwa udukoko dukomeye dukeneye kuvurwa ako kanya.
Ukwiriye kandi guteganya gusura muganga buri gihe niba kubyimba kwawe bikomeza mu minsi irenga mike nta gihinduka, bikomeza kuba bibi, cyangwa bikabangamira imirimo yawe ya buri munsi. Niba ufite kubyimba mu maguru yombi bigenda bigaragara buhoro buhoro mu byumweru cyangwa amezi, ibi akenshi byerekana indwara yihishe ikeneye isuzumwa n'imiti.
Abantu bafite indwara z'umutima, impyiko, cyangwa umwijima bagomba kuba maso cyane ku kubyimba amaguru bishya cyangwa bikomeza, kuko ibi bishobora kwerekana ko indwara yabo ikomeza cyangwa ko imiti yabo ikeneye guhindurwa.
Ibintu bimwe na bimwe bishobora kongera amahirwe yo kugira amaguru abimba. Gusobanukirwa n'ibi bintu bishobora kugufasha gufata ingamba zo gukumira ukwimba cyangwa kumenya igihe ushobora kwibasirwa cyane no kugira iyi ndwara.
Imyaka ni ikintu cy'ingenzi kuko uko tugenda dusaza, imitsi yacu itangira gukora nabi mu gukura amazi, kandi umutima wacu n'impyiko zacu ntizishobora gukora neza nk'uko byahoze. Abagore bafite amahirwe menshi yo guhura no kwimba amaguru, cyane cyane mugihe batwite cyangwa kubera impinduka za hormone zijyanye n'imihango cyangwa guhinduka kw'imibiri mu gihe cyo gucura.
Ibintu bisanzwe by'imibereho n'ubuzima birimo:
Indwara zisanzwe zongera cyane ibyago byo kugira amaguru abimba. Indwara z'umutima, indwara z'impyiko, indwara z'umwijima, na diyabete byose bigira ingaruka ku bushobozi bw'umubiri wawe bwo gucunga amazi neza. Kugira imitsi y'amaraso yabyimbye cyangwa amateka y'amaraso yiziba na byo bigushyira mu kaga gakomeye.
Gusama, cyane cyane mu gihembwe cya gatatu, ni ikintu cy'akaga k'igihe gito ariko cy'ingenzi. Umwana ukura ashyira umuvuduko ku mitsi y'amaraso, kandi impinduka za hormone zigira ingaruka ku ifatwa ry'amazi. Ukwimba kwose kujyanye no gutwita ni ibisanzwe, ariko ukwimba gutunguranye cyangwa gukabije bishobora kuba ikimenyetso cy'ibibazo bikomeye.
Nubwo kubyimba amaguru akenshi bidateje ibibazo, rimwe na rimwe bishobora kuvamo ingorane, cyane cyane niba bikabije, bikamara igihe kirekire, cyangwa bifitanye isano n'indwara zihishe. Kumva izi ngorane zishobora kuvuka birashobora kugufasha kumenya igihe kubyimba bikwiriye kwitabwaho cyane.
Ingorane zo ku ruhu ziri mu bibazo bikunze kubaho cyane iyo kubyimba amaguru bimaze igihe. Iyo amazi yiyongera mu bice by'umubiri igihe kirekire, uruhu rwawe rushobora kurambuka, rukaba rworoshye, kandi rukaba rworoshye gukomereka. Ibikomere bito cyangwa ibikomere bito bishobora gukira gahoro kandi byoroshye kwandura. Abantu bamwe bagira ibara ry'uruhu rihinduka cyangwa ahantu h'uruhu rukomeye.
Ingorane zikomeye zishobora kuvuka zirimo:
Iyo kubyimba amaguru biterwa n'indwara zikomeye nko kunanirwa k'umutima, kubyimba kutavurwa bishobora kugaragaza ko indwara ihishe irimo iriyongera. Ibi bishobora kuvamo ingorane zikomeye zireba umutima wawe, ibihaha, n'ubuzima muri rusange.
Mu bihe bidasanzwe, kubyimba gukabije kutavurwa bishobora kuvamo indwara yitwa syndrome ya compartment, aho umuvuduko wiyongera mu misitsi no mu bice by'umubiri, bishobora guhagarika urujya n'uruza rw'amaraso. Ibi ni ibintu byihutirwa by'ubuvuzi bisaba kuvurwa ako kanya.
Inkuru nziza ni uko ingorane nyinshi zishobora kwirindwa hamwe n'imiti ikwiye n'ubwitange. Gukurikiranira hafi buri gihe, imiti ikwiye, n'ubwitange bwiza ku ruhu birashobora kugufasha kwirinda ibi bibazo kabone niyo waba ufite kubyimba amaguru bimaze igihe.
Uko kubyimba amaguru rimwe na rimwe bishobora kwitiranywa n'izindi ndwara zitera ibimenyetso bisa, bishobora gutinda kumenya neza indwara no kuyivura. Kumva neza izi ndwara zisa bishobora kugufasha gutanga amakuru yizewe ku muganga wawe.
Imitsi yakomeretse cyangwa yangiritse bishobora gutuma amaguru yumva aremereye kandi asa nk'ayabyimbye, ariko ibi bikunze kujyana n'ububabare bwihariye bujyanye no kugenda ndetse n'amateka agaragara yo gukomereka cyangwa gukoresha cyane. Bitandukanye no kubika amazi, kubyimba bifitanye isano n'imitsi bikunze kumvikana iyo ukozeho kandi bikiyongera iyo ukora imirimo.
Kongera ibiro bishobora gutuma amaguru asa nk'ayabyimbye, ariko ibi bibaho buhoro buhoro mu gihe cy'amezi kandi bikagira ingaruka ku mubiri wose, atari amaguru gusa. Kubika amazi nyayo akenshi bitera impinduka zigaragara mu gihe gito kandi bikunze gutangirira mu birenge no mu binkokora.
Indwara zisanzwe zishobora kwitiranywa no kubyimba amaguru zirimo:
Abantu bamwe bitiranya kumva imyenda cyangwa inkweto zibakanye no kubyimba amaguru, cyane cyane nyuma y'umunsi igihe ibirenge bisanzwe byaguka gato. Ariko, kubyimba nyako akenshi bitera ububyimbane bugaragara kandi bigasiga ibimenyetso iyo bikandagiwe.
Amaraso yiziritse rimwe na rimwe ashobora kwitiranywa no kubyimba bisanzwe, ariko akenshi bitera ububabare bukomeye, gushyuha, no gutukura usibye kubyimba. Kubyimba biturutse ku maraso yiziritse bikunda no kuba byabaho mu buryo butunguranye kandi bikagira ingaruka ku kuguru kumwe gusa.
Yego, ni ibisanzwe rwose ko amaguru abimba gato mu gihe cy'ubushyuhe. Ubushyuhe butuma imitsi y'amaraso yaguka, bigatuma amazi menshi ava mu mitsi akajya mu bice biyikikije. Ubwoko bw'uku kubimba mubisanzwe ntibukabije kandi burashira iyo uhuhutse cyangwa uzamuye amaguru yawe. Kuguma unywa amazi menshi no kwirinda umunyu mwinshi bishobora gufasha kugabanya kubimba bitewe n'ubushyuhe.
Yego, kubimba kw'amaguru bishobora kuba ikimenyetso cya mbere cy'ibibazo by'umutima, cyane cyane guhagarara k'umutima. Iyo umutima wawe udashobora kuvoma neza, amazi asubira inyuma mu mikaya y'amaraso akegerana mu maguru yawe. Ubu bwoko bwo kubimba akenshi butangira buhoro buhoro bukagenda bwiyongera uko igihe gishize. Niba ufite kubimba kw'amaguru hamwe no guhumeka bigoranye, umunaniro, cyangwa kutumva neza mu gituza, ni ngombwa kubonana na muganga vuba.
Kubimba kw'amaguru mubisanzwe bikara umunsi wose kuko uburemere bukura amazi akajya mu maguru yawe iyo uhagaze. Ku mugoroba, umaze amasaha menshi uhagaze cyangwa wicaye, bigatuma amazi yegerana. Ibi nibyo bituma kubimba akenshi kutagaragara cyane mu gitondo nyuma yo kuryama hasi ijoro ryose, bigaha umubiri wawe amahirwe yo gusubiza amazi ahantu hose.
Kubimba kw'amaguru rimwe gusa bishobora kuba bikomeye kurusha kubimba mu maguru yombi, cyane cyane niba bibaye ako kanya cyangwa bikabije. Bishobora kwerekana uruvu rw'amaraso, indwara, cyangwa imvune ku ryo gice rwihariye ry'amaguru. Nubwo kubimba uruhande rumwe bishobora kugira impamvu zitagira ingaruka nk'uko uryamye uruhande rumwe cyangwa imvune nto, birakwiye ko ubisuzumisha umuganga, cyane cyane niba biherekejwe n'ububabare, ubushyuhe, cyangwa umutuku.
Igihe ibibyimba byo ku kuguru bikira biterwa n'icyabiteye. Kubyimba guto guterwa no guhagarara igihe kirekire cyangwa kurya ibiryo birimo umunyu mwinshi akenshi bikira mu masaha make cyangwa umunsi umwe hakoreshejwe gushyira ukuguru hejuru no kuruhuka. Kubyimba guterwa n'imiti bishobora gufata iminsi cyangwa ibyumweru kugira ngo bikire nyuma yo guhagarika umuti. Kubyimba guterwa n'indwara bisaba kuvura icyateye ikibazo kandi bishobora gufata ibyumweru cyangwa amezi kugira ngo bikire neza hamwe n'imiti ikwiye.