Thrombus ni iki?

Thrombus yerekeza ku bintu bikomeye biba mu mitsi y'amaraso, ubusanzwe bigizwe na plaquettes, uturemangingo dutukura tw'amaraso, uturemangingo tw'amaraso twera na fibrin. Kurema kw'uturemangingo tw'amaraso ni uburyo umubiri ukora iyo ukomeretse cyangwa uvuye amaraso kugira ngo uhagarike kuva amaraso no gutuma ibikomere bikira. Ariko, iyo uturemangingo tw'amaraso twibasiwe mu buryo budasanzwe cyangwa tugakura nabi mu mitsi y'amaraso, bishobora gutuma amaraso adatembera neza, bigatera ibibazo bitandukanye by'ubuzima.

Bitewe n'aho thrombus iherereye n'imiterere yayo, thrombi ishobora kugabanywamo ubwoko bukurikira:

1. Kuziba kw'imitsi: Akenshi biba mu mitsi, akenshi mu ngingo zo hasi, kandi bishobora gutera kuziba kw'imitsi yo mu bwonko (DVT) ndetse bigatera no kuziba kw'imitsi yo mu bwonko (PE).

2. Kurwara imitsi yo mu mitsi: Akenshi biba mu mitsi kandi bishobora gutera indwara y’umutima (cardiovascular infarction) cyangwa indwara yo gucika kw’imitsi yo mu mitsi (stroke).

Uburyo bwo gupima thrombosis burimo ahanini ibi bikurikira:

1.Ikizamini cya D-Dimer: Nkuko byavuzwe mbere, D-Dimer ni ikizamini cy'amaraso gikoreshwa mu gusuzuma niba hari thrombosis mu mubiri. Nubwo urugero rwa D-Dimer rwinshi rutari rwo rugaragara ku maraso, rushobora gufasha mu gukumira thrombosis yo mu mitsi miremire (DVT) na pulmonary embolism (PE).

2. Ultrasound: Ultrasound (cyane cyane ultrasound yo mu mitsi yo hasi) ni uburyo busanzwe bwo kumenya indwara ya thrombosis yo mu mitsi miremire. Ultrasound ishobora kureba niba amaraso afite ibice mu mitsi no gusuzuma ingano yayo n'aho iherereye.

3. CT Pulmonary Arteriography (CTPA): Iki ni ikizamini cyo gupima indwara gikoreshwa mu gusuzuma indwara zifata imitsi yo mu bihaha. Gutera inshinge mu buryo bunyuranye no gukora isuzuma rya CT, amaraso afunganye mu mitsi yo mu bihaha ashobora kugaragara neza.

4. Ishusho ya Magnetic Resonance (MRI): Hari ubwo MRI ishobora no gukoreshwa mu gupima amaraso apfutse, cyane cyane mu gusuzuma amaraso apfutse mu bwonko (nk'indwara yo gucika kw'imitsi).

5. Angiography: Ubu ni uburyo bwo gusuzuma bushobora kureba neza thrombus mu mitsi y'amaraso binyuze mu gutera umuti utandukanya amaraso no gukora isuzuma rya X-ray. Nubwo ubu buryo budakunze gukoreshwa cyane, bushobora no kugira akamaro mu bihe bimwe na bimwe bigoye.

6. Gupima amaraso: UretseD-Dimer, ibindi bipimo by'amaraso (nk'ibipimo by'imikorere y'amaraso) nabyo bishobora gutanga amakuru ku bijyanye n'ibyago byo kurwara thrombosis.

Twibanda ku buhanga bwo gusuzuma indwara kugira ngo turusheho kugira ubuzima bwiza, twamaze guteza imbereAgakoresho ko gupima D-Dimerku mitsi itera amaraso mu mitsi no mu mitsi ikwirakwira ndetse no gukurikirana uburyo bwo kuvura indwara ziterwa n'amaraso