Ðe wò afɔ vuvu eye wòle veve sema? Esia ateŋu atso (May-Thurner Syndrome) gbɔ!

Ɣeaɖewoɣi la, míaƒe afɔwo vuvuna hevea mí le susu aɖeke manɔmee, alo? Vevietɔ miamefɔa. Ame geɖe meléa ŋku ɖe esia ŋu boo o. Gake ɖewohĩ esia manɔ bɔbɔe ɣesiaɣi o. Egbea míele nu ƒom tso nɔnɔme aɖe si ŋu míese nu tsoe kpɔ o, gake mí katã míenya be edze be míaɖi tsa ayi la ŋu. Eyae nye `(May-Thurner Dɔléle)`. Wogayɔa esia be `(Cockett ƒe dɔléle)` alo `(Iliac vein compression syndrome)`.

Nuka tututue nye ``May-Thurner Dɔléle''?

Kpuie ko la, `(May-Thurner Syndrome)` nye nɔnɔme si me wotsia wò ɖusime ʋuka (`Right Iliac Artery`) kple wò miame ʋuka (`Left Iliac Vein`) nu. Fifia ɖewohĩ ànɔ ɖokuiwò biam be nukae nye ʋuka siwo me ʋu sina tona kple ʋuka siawo. Nuɖusi ƒe ʋuka si woyɔna be iliac artery ye nye ʋuka vevitɔ si tsɔa ʋu yia wò ɖusifɔ gbɔ. Miame ƒe ʋuka si me ʋu sina tona lae nye ʋuka vevitɔ si tsɔa ʋu tso wò miasi me trɔna yia dzia me. Eyata, le `(May-Thurner Syndrome)` sia me la, nutete ma ate ŋu ado kplamatse ʋu ƒe sisi to wò afɔwo me.

Nukae esia wɔna ɖe ŋutilãa ŋu? Aleke wòkpɔa ŋusẽ ɖe edzii?

Fifia ɖewohĩ èle nusi esia wɔna ɖe ŋutilãa ŋu kple alesi wòkpɔa ŋusẽ ɖe edzii ŋu bum. Nu vevitɔe nye be le nyaƒoɖeamenu sia ta la, ʋu dzea ƒoƒo ɖe afɔawo me, vevietɔ miamefɔ , le esi teƒe be wòayi dzi tẽ to miame ƒe ʋuka si me ʋu sina tona me, si fia be wòayi dzia gbɔ. Ne esia dzɔ la, ʋu ƒe sisi ate ŋu adzɔ le ʋuka gogloawo me . Míeyɔa esia le atikewɔwɔ me be `(Deep Vein Thrombosis)` alo `(DVT)`. Esia nye nɔnɔme si ŋu wòle be woalé ŋku ɖo vie. `(DVT)` ƒe dzesiwo ateŋu anɔ abe esia ene:

• Tɔtrɔ le ŋutigbalẽ ƒe amadede ŋu le afɔa dzi (ɖewohĩ dzĩ, blɔ).
• Edzena abe ʋuka siwo le afɔawo me la do eye wovuvu ene.
• Afɔveve, vevesese sesẽ, alo asikaka ame ŋu ƒe vevesese.
• Afɔ ƒe vuvu kple sese le eɖokui me be yeƒe kpekpeme le kpekpem.

Nyɔnu aɖewo hã ate ŋu axɔ akɔta ƒe ʋuʋu (PBS) kpe ɖe May-Thurner ƒe dɔlélea ŋu. Ðɔktawo xɔe se be ʋuka siwo le akɔta (i.e., ƒodo si le ete) ƒe kuxiwo gbɔe akɔtave sia si nɔa anyi didi la tsona.

Aleke esia doa kplamatse ʋu ƒe sisi?

Ʋu le zɔzɔm to míaƒe ŋutilã ƒe ʋukawo (ʋukawo kple ʋukawo) me ɣesiaɣi. Abe alesi nàɖo ŋku edzi ene la, ʋukawo tsɔa ʋu dzadzɛ si me ɔksidzin le tso dzia me yia ŋutilã ƒe akpa bubuawo katã. Ne akpa mawo xɔ oxygen kple nunyiame vɔ la, ʋukawo tsɔa ʋu si me oxygen mele o, si me mekɔ o la yia dzi kple lãkusi me.

Le míaƒe ŋutilã ƒe teƒe aɖewo la, ʋuka kple ʋuka siawo tsoa wo nɔewo. Nenema ke le míaƒe akɔta me la, ɖusime ʋuka si le ɖusime la le miame akɔta ƒe ʋuka la tame. Zi geɖe la, esia menye kuxi o. Ke hã, le ame aɖe si ŋu `(May-Thurner Syndrome)` le gome la, ɖusime ʋuka si le ɖusime la dea nyaƒoɖeamenu si le miame ƒe ʋuka me. Tsɔe be tsi ƒe pɔmpi aɖe li, nukae adzɔ ne ame aɖe ɖo afɔ edzi? Esesẽna na tsia ƒe sisi, alo? Ne míagblɔe tututu la, nu ma tɔgbe dzɔna le afisia.Esi womia miame ƒe ʋuka si le lãkusia me ta la, eva sesẽna be ʋu nate ŋu ato eme faa.

Amekawoe ate ŋu axɔ nɔnɔme sia wu?

Edze abe ``May-Thurner Syndrome'' sia dzɔna zi geɖe vie le nyɔnuwo me ene . Ebɔ ɖe ame tsitsi siwo xɔ tso ƒe 20 va ɖo ƒe 50 hã dzi vie .

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, ʋuka siwo me ʋu sina tona ƒe ʋukawo me ʋu ƒe sisi bɔ wu alesi nàsusui. Numekuku aɖewo ɖee fia be ʋumenugbagbeviɣidɔ sia ƒomevi ate ŋu anɔ ame ɖeka le atɔ̃ ɖesiaɖe me ! Gake nusi wɔ nuku enye be, togbɔ be iliac vein thrombosis le ame geɖe ŋu hã la, womekpɔe koŋ be `(May-Thurner Syndrome)` le wo ŋu o. Susu ɖeka si tae nye be ame geɖe mekpɔa `(May-Thurner Syndrome)` ƒe dzesiwo o vaseɖe esime woaxɔ nɔnɔme aɖe abe `(DVT)` ene.

Nukae nye `(May-Thurner Syndrome)` ƒe dzesiwo?

Ame geɖe siwo ŋu May-Thurner Syndrome le la mekpɔa dzesi aɖeke o , vevietɔ ne DVT si ŋu míeƒo nu tsoe va yi mele wo ŋu o. Ne dzesiawo dze la, zi geɖe la, miamefɔ koe wòdzena le . Esiawo ate ŋu anye:

• Seselelãme si nye be afɔwo le kpekpem. Abe kpe si le xɔxlɔ̃m le nye afɔ ŋu ene la, meɖea dzi ɖi kura o.
• Ɣeaɖewoɣi la, abi siwo mehaya o (ulcers) ate ŋu adzɔ ɖe afɔawo dzi.
• Àte ŋu ase veve le wò afɔ ŋu alo aɖuɖɔ si tso ememe.
• Ŋutilã ƒe amadede ate ŋu atrɔ. Ate ŋu ava zu blɔ alo aŋutiɖiɖi.
• Afɔ ƒe vuvu.
• Nɔnɔmewo abe ʋuka siwo me ʋu sina tona ene ate ŋu ado mo ɖa.

Nukae hea `(May-Thurner Dɔléle)` vɛ?

Susu vevitɔ si tae nye be ɖusime ʋuka si le ɖusime la tua miame ƒe ʋuka si le ʋuka me. Gake ɖɔktawo mete ŋu ke ɖe susu si tututu tae nusia dzɔna ŋu haɖe o . Eyae nye be ate ŋu atso tɔtrɔ si va le ŋutilãa ƒe wɔwɔme me gbɔ ko.

Aleke ɖɔktawo dea dzesi esiae? (Dɔléle ƒe dzesi) .

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàkpɔ ɖɔkta eye nàƒo nu tso wò dzesiwo kple wò lãmesẽ ŋutinya ŋu eme nakɔ. Ðɔktaa ado wò kpɔ. Emegbe, woate ŋu awɔ dodokpɔ tɔxɛ aɖewo siwo ate ŋu alé ŋku ɖe ʋuka siawo ŋu.

• `CT (Computed Tomography) scan` : Esia zãa X-ray kple kɔmpiuta tɔxɛwo tsɔ ɖea ʋukawo ƒe nɔnɔmetata siwo woɖe tso wo nɔewo ŋu. Emegbe woate ŋu azã esia atsɔ akpɔe ɖa be mɔxenu aɖe li hã.
• `MRI (Magnetic Resonance Imaging)` : Esia zãa magnet, radio ƒutsotsoewo, kple kɔmpiuta tsɔ wɔa ʋukawo ƒe nɔnɔmetata tsitotsito.
• Ultrasound: Dodokpɔ sia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ léa ŋku ɖe ʋu ƒe sisi le ŋutilãa me ŋu, vevietɔ le ʋukawo me (Doppler Ultrasound).
• Venogram : Le esia me la, wodoa amadede tɔxɛ aɖe (contrast dye) ɖe ʋuka aɖe me eye woléa ŋku ɖe amadedea ŋu le X-ray te be woakpɔe ɖa be ʋua xe mɔ na ʋua hã.
• Woateŋu awɔ ``catheter-based venogram'' hã. Esia fia be wotsɔa mɔ̃ sue aɖe (catheter) dea ʋuka aɖe me eye wodoa amadede to eme.
• Intravascular Ultrasound (IVUS) : Esia nye dodokpɔ si de ŋgɔ vie wu. Le afisia la, wotsɔa ka aɖe dea ʋuka aɖe me, eye wotsɔa ultrasound-mɔ̃ sue aɖe (probe) toa ʋukaa me be wòaɖe ʋukaa ƒe akpa si me kɔ ŋutɔ, tsitotsito. Esia ate ŋu adzidze nyaƒoɖeamenu ƒe agbɔsɔsɔme pɛpɛpɛ.

Nukawoe nye atike siwo wozãna na esia?

Taɖodzinu vevi eve li ne wole `(May-Thurner Syndrome)` dam. Ðekae nye be woana ʋu ƒe sisi nanyo ɖe edzi . Bubue nye be woaɖe afɔku si le `(DVT)` xɔxɔ me dzi akpɔtɔ. Le wò nɔnɔmea nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ atike siwo gbɔna:

• Angioplasty and Stenting : Esiae nye atikewɔwɔ si bɔ wu. Le dɔ sia wɔwɔ me la, wotsɔa ka si me ʋuƒo sue aɖe le la dea miame ƒe ʋuka si xe mɔ na ʋuka si xe la me. Ne eɖo afisi tututu mɔxenua le la, wodoa ya ɖe ʋuƒoa me. Esia ʋua ʋuka si xe la. Emegbe wotsɔa mɔ̃ sue aɖe si wotsɔa lãgbalẽ wɔe, si woyɔna be stent , dea ʋuƒoa me be wòagatu ake o, eye woɖea ʋuƒoa ɖa. Esia le abe mɔ aɖe si xe mɔ aɖe ɖeɖeɖa kple tɔdzisasrã tutu be wòate ŋu atsoe bɔbɔe ene.
• Amekoko si toa ʋuka me : Ɣeaɖewoɣi la, wowɔa mɔ yeye to lãmeka aɖe si woɖe tso teƒe bubu alo mɔ̃ si wotsɔ asi wɔe zazã me be woatsɔ ato ʋuka si xe la ŋu. Esia nana ʋu gazɔna. Esia nye amekoko gã aɖe.
• Right iliac artery shunting : Ƒã hafi woate ŋu awɔ dɔ na ame be wòaʋuʋu ɖusime ʋuka si me ʋu sina tona vie be woaɖe nyaƒoɖeamenu si le miame ƒe ʋuka si le ʋuka me dzi akpɔtɔ. Ɣeaɖewoɣi la, woate ŋu atsɔ lãkusi aɖe ade ʋukaa kple ʋukaa dome be wòaɖe nyaƒoɖeamenu dzi akpɔtɔ.

Nukae nàwɔ ne èwɔ `(DVT)`?

Azɔ tsɔe be `(May-Thurner Syndrome)` le ŋuwò eye `(DVT)` hã ​​le ŋuwò. Ne edzɔ alea la, tsɔ kpe ɖe atikewɔwɔ siwo míeyɔ ɖe etame ŋu la, wò ɖɔkta atsɔ atike bubu aɖewo akpe ɖe eŋu:

• Atike siwo tsia ʋumenugbagbeviɣidɔ nu : Esiawo xea mɔ na ʋu ƒe ƒoƒo, woxea mɔ na ʋu ƒe sisi xoxo be woagalolo o, eye woate ŋu akpe ɖe ʋuka siwo li xoxo gɔ̃ hã ŋu be woaʋuʋu vivivi.
• Clot-busting medications / Thrombolytics : Esiawo nye atike sẽŋu siwo wonana tẽ be woatsɔ alɔ ʋu ƒe sisi. Zi geɖe la, wodoa atike siawo to ʋuka si me ʋu sina tona me, yia ʋuka me tẽ.
• `Vena Cava Filter` : Esia nye mɔ̃ sue aɖe si le abe mesh ene. `Inferior Vena Cava` nye ʋuka gãtɔ kekeake le míaƒe ŋutilã me. Afi siae ʋu si tso afɔwo kple ƒodo me yia dzia me le. Ne wotsɔ tsilénu sia de ʋuka ma me la, exea mɔ na ʋuka siwo ƒona ɖe afɔwo me la be medo le mɔa dzi azɔ mɔ ayi lãkusiwo me o.

Ðe mɔ aɖe li si dzi woato axe mɔ na esia be wòagadzɔ oa?

Ne míagblɔe tututu la, mɔ si ŋu kakaɖedzi le meli si dzi woato axe mɔ ɖe ``May-Thurner Syndrome'' sia nu be wòagadzɔ o ., elabena womenya nusi tututu gbɔ wòtso haɖe o. Gake àte ŋu ana wò ʋu ƒe sisi bliboa nanɔ nɔnɔme nyui me eye nàɖe ʋu ƒe sisi ƒe afɔkua dzi akpɔtɔ ne èwɔ nu siwo gbɔna:

• Mèganɔ anyi ɖe teƒe ɖeka ɣeyiɣi didi akpa o. Ne èle dɔ wɔm le ɔfis la, tso nàzɔ atsa vie, nàkeke wò afɔwo, zi ɖeka ya teti le gaƒoƒo ɖeka me.
• No tsi geɖe. Enyo be nàno tsi lita 2-3 ya teti gbesiagbe.
• Kamedede edziedzi , vevietɔ kamedede si me ya le (abe azɔlizɔzɔ, duƒuƒu, kple gasɔdodo ene).
• Ne atikewɔwɔ me dɔléle bubuwo abe suklidɔ, ʋusɔgbɔdɔ, alo ʋuka siwo le lãme na ame (PAD) ene le ŋuwò la, ƒo nu kple wò ɖɔkta eye nàna nàkpɔ wo dzi nyuie.
• Ne ènoa atama la, ke dzudzɔ godoo . Sigaretnono gblẽa nu le wò ʋukawo ŋu ŋutɔ.
• Ne wò ɖɔkta kafui la, do compression stockings tɔxɛwo. Esiawo kpena ɖe ŋuwò be ʋu si ƒoa ƒu ɖe wò afɔwo me dzi ɖena kpɔtɔna eye wokpena ɖe ŋuwò nèʋuna yia dzi.

Kuxi kawoe esia ate ŋu ahe vɛ?

Kuxi vevitɔ si le `(May-Thurner Syndrome)` ŋue nye `(DVT)` si ŋu míeƒo nu tsoe. Gake nane li si ate ŋu anye afɔku si lolo wu . Eyae nye be ne ʋuka aɖe si ƒo ƒu ɖe afɔa me la do le afima, zɔ mɔ to ʋukawo me eye wòtsi ʋuka aɖe me le lãkusi me. Míeyɔa ema be `(Pulmonary Embolism)` (ʋu ƒe sisi si tsi lãkusi me) .

Aklã me Ʋuʋudedi nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Ne dzesi yeye siawo alo esiwo le gbegblẽm ɖe edzi la dometɔ aɖe le ŋuwò la , yi kɔdzi ƒe dɔwɔƒe si te ɖe ŋuwò kpata enumake alo nàyɔ dɔnɔdzikpɔʋu:

* Ʋu si me ʋuʋudedi le ƒe kɔdzi.

* Dzi ƒe tsotso (dzi ƒe tsotso kabakaba alo esi medzɔna edziedzi o kpata).

* Yagbɔgbɔ sesẽna vevie, sese le ɖokuiwò me abe ɖe gbɔgbɔtsixe tsi ƒowò ene (Dyspnea).

* Ne kasia nèse veve vevie le akɔta si nu sẽna ɖe edzi ne èle gbɔgbɔm.

Nukae nye etsɔme na amesi ŋu `(May-Thurner Syndrome)` le?

Ame geɖe nɔa agbe didi le lãmesẽ me kple May-Thurner Syndrome kuxi aɖeke manɔmee. Ne dzesi aɖeke mele ŋuwò o la, ɖewohĩ mànya gɔ̃ hã be dɔlélea le ye ŋu o.

Gake ne èkpɔ `(Deep Vein Thrombosis - DVT)` ƒe dzesi aɖe si ŋu míeƒo nu tsoe (abe afɔ ƒe vuvu, abi, vevesese, dzoxɔxɔ le afɔ me ene) la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Zi geɖe la, woate ŋu aɖu `(DVT)` dzi dzidzedzetɔe to atikewo kple, ne ehiã la, atikewɔwɔ bubuwo zazã me.

Nya siwo wòle be woabia ɖɔktaa

Ne May-Thurner Syndrome le ŋuwò, alo nèsusu be ɖewohĩ yexɔe la, anyo be nàbia nya siawo wò ɖɔkta:

• Nukae nye ``May-Thurner Syndrome'' ƒe dzesi siwo gblẽa nu le ŋunye?
• Nukae ate ŋu ahe nye dzesiawo vɛ wu?
• Dodokpɔ ka ƒomevie wòle be mawɔ be manya esia tututu?
• Nukae nye `(DVT)` ƒe dzesiwo? Nukae wòle be mawɔ ne woxɔ wo?
• Nukae nye `(Pulmonary Embolism)` ƒe dzesiwo? Nukae wòle be mawɔ ne woxɔ wo?
• Atikewɔwɔ kawoe nèkafu na ``May-Thurner Syndrome''? Nukawoe nye viɖe kple kuxi siwo le eme?
• Mɔnukpɔkpɔ kawoe li be dzesiawo nagadze le atikewɔwɔ vɔ megbe?

Ðe `(May-Thurner Syndrome)` nye ame ƒe agbe afɔkua?

`(May-Thurner Syndrome)` menye nusi ade ame ƒe agbe afɔku me tẽ o. Ke hã, ate ŋu ahe kuxi si me afɔku le si woyɔna be `(Pulmonary Embolism)` vɛ. Emae nye nusi dea ame ƒe agbe afɔku me. Eyata ele vevie ŋutɔ be nànya `(Pulmonary Embolism)` ƒe dzesiwo eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èse le ɖokuiwò me be nane le ye ŋu nenema.

Aleke nàwɔ anya ne `(May-Thurner Syndrome)` le ŋuwò?

Le nyateƒe me la, ɖewohĩ màte ŋu anyae kple kakaɖedzi nenye be `(May-Thurner Syndrome)` le ŋuwò o elabena ame geɖe menya gɔ̃ hã be ele yewo ŋu o vaseɖe esime `(DVT)` ƒe dzesiwo dze yewo dzi.

Mɔ ɖeka kolia si dzi míato anya kakaɖedzitɔe enye be nàna ɖɔkta nawɔ nɔnɔmetata dodokpɔ siwo ŋu míeƒo nu tsoe va yi (abe CT, MRI, Venogram, IVUS ene) eye wòaɖo kpe edzi be miame ƒe ʋuka si le ʋuka me la le dodom tso ɖusime ʋuka si me ʋu sina tona me.

Nu vevi siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui tso ``May-Thurner Syndrome'' ŋu si ŋu míeƒo nu tsoe didi lae nye esi:

• May-Thurner Dɔléle nye nɔnɔme si me wò ɖusime ʋuka tea wò miame ʋuka si me ʋu sina tona me, si xea mɔ na ʋu ƒe sisi tso wò miasi me trɔna yia wò dzi me.
• Esia dzia afɔku si le nɔnɔme si woyɔna be ``Deep Vein Thrombosis - DVT'' (ʋu ƒe sisi le ʋuka gogloawo me) xɔxɔ me ɖe edzi.
• Ame akpa gãtɔ mekpɔa dzesi aɖeke o . Ne dzesiawo dze la, zi geɖe la, wonyea nusiwo le abe miamefɔ ƒe vevesese, vuvu, kpekpeme, kple ŋutigbalẽ ƒe amadede ƒe tɔtrɔ ene.
• Dɔdamɔnua ƒe taɖodzinue nye be woaɖe nyaƒoɖeamenu dzi akpɔtɔ, ana ʋu nagayi sisi ake, eye woaɖe DVT ƒe afɔkua dzi akpɔtɔ. Angioplasty kple stenting ye nye atike siwo wozãna wu.
• Ne èkpɔ DVT ƒe dzesiwo (si vuvu kpata, vevesese, bibi, dzoxɔxɔ ne èka asi wò afɔ ŋu) la, yi ɖɔkta gbɔ enumake.
• ``Pulmonary Embolism'' (gbɔgbɔtsixe kpata, akɔtave, ʋu ƒe kɔdzi, sese le eɖokui me be yegbɔdzɔ) ƒe dzesiwo nye atikewɔwɔ kpata. Ne edzɔ alea la, yi kɔdzi enumake eye màhe ɖe megbe o.

Ele vevie ŋutɔ be nànya nɔnɔme sia. Elabena, ne wokpɔe dze sii kaba la, awɔ akpa gã aɖe le mɔxexe ɖe kuxi sesẽwo nu me. Mègatsi dzodzodzoe o, gake nya dzesi siwo míeyɔ ɖe etame eye mègahe ɖe megbe le atikewɔlawo ƒe aɖaŋuɖoɖo didi me ne ehiã o.

`May-Thurner Dɔléle, Iliac Vein Thrombosis, DVT, Deep Vein Thrombosis, Afɔ ƒe Ʋuʋu, Afɔ Vevesese, Aklã me Ʋuʋudedi, Ʋu ƒe Ʋuʋu, Vein Dɔléle