ʻO ka maʻi May-Thurner | Hiki paha i kēia ke kumu o ka ʻeha o kou mau wāwae?

Ua pehu iki a kaumaha paha kou wāwae hema ma mua o kekahi? I kekahi manawa ʻeha wale nō ia a manaʻo ʻia e like me ka ʻūlū ʻana? ʻAʻole nui ka poʻe e nānā nui i kēia mau hōʻailona. Akā i kekahi manawa hiki i ke kumu ma hope o kēia ke ʻoi aku ka koʻikoʻi ma mua o kou manaʻo. ʻO kekahi kumu o ia ʻano, ʻo ia paha kēia maʻi i kapa ʻia ʻo 'May-Thurner Syndrome'. E nānā maʻalahi kākou i ke ʻano o ia mea.

I ka pōkole, he aha ka May-Thurner Syndrome?

Maʻalahi loa. ʻElua ʻano o nā kīʻaha koko i loko o ko kākou kino. Kāhea mākou i nā aa koko e lawe ana i ke koko i hoʻopiha ʻia me ka oxygen mai ka puʻuwai a i ke koena o ke kino he 'Arteries' . Pēlā nō, kapa mākou i nā aa koko e lawe ana i ke koko i hoʻohana ʻia me ka oxygen i hoʻihoʻi ʻia i ka puʻuwai he 'Veins' .

Ma kēia kūlana i kapa ʻia ʻo Turner syndrome, hele ke aʻa nui e lawe ana i ke koko i kou wāwae ʻākau (ʻākau iliac artery) ma luna o ke aʻa nui e lawe ana i ke koko i kou puʻuwai mai kou wāwae hema (hema iliac vein) a ʻomi iā ia. E noʻonoʻo e like me kekahi e hehi ana ma luna o kahi paipu wai. A laila ua hoʻopau ʻia ke kahe ʻana o ka wai, ʻeā? Ma ke ʻano like, i ka wā e ʻomi ai kēlā aʻa i ke aʻa, ua hoʻopau ʻia ke kahe ʻana o ke koko mai ka wāwae hema. Ua kapa ʻia hoʻi kēia kūlana ʻo `(Cockett syndrome)`.

Pehea ka hopena o kēia kūlana i ke kino?

Ke ālai ʻia ke kahe o ke koko mai ka wāwae hema a i luna, hoʻomaka kekahi koko e hōʻiliʻili a kū paha ma ka wāwae hema. ʻO ka mea weliweli loa e pili ana i kēia, ʻo ia ka wā e hōʻiliʻili ai ke koko ma kahi hoʻokahi e like me kēia, piʻi nui ka manawa e hana ʻia ai kahi ʻūpā koko i loko o kēlā aʻa koko. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo 'deep vein thrombosis' (DVT) .

ʻO ka maʻamau, hiki ke ʻike ʻia nā hōʻailona e like me kēia ke ulu aʻe kahi DVT.

Eia kekahi, hiki i kekahi mau wahine ke hoʻomohala i kahi maʻi i kapa ʻia ʻo pelvic congestion syndrome me May-Turner syndrome, ʻo ia ke ʻano e pilikia ai nā pilikia me nā aʻa koko ma ka ʻōpū haʻahaʻa e hoʻoulu ai i ka ʻeha mau.

ʻO wai ka mea kūpono loa e ʻike i kēia maʻi?

ʻOi aku ka maʻamau o ka maʻi May-Turner i nā wahine , a he mea maʻamau nō hoʻi i nā pākeke ma waena o 20 a me 50 mau makahiki .

Akā, ʻo ka mea kupanaha, ʻo ia hoʻi, hoʻokahi o kēlā me kēia ʻelima mau kānaka i loaʻa i kēia maʻi i kapa ʻia ʻo "iliac vein compression." Akā, ʻaʻole i loaʻa i nā kānaka a pau nā hōʻailona. ʻIke wale ka poʻe he nui iā lākou ka maʻi May-Turner ma hope o ka loaʻa ʻana o kahi DVT. A hiki i kēlā manawa, ʻaʻohe o lākou hōʻailona.

Pehea e ʻike ʻia ai ka maʻi May-Turner?

Ma hope o kou haʻi ʻana i kāu kauka e pili ana i kāu mau hōʻailona, ​​e nānā ʻo ia iā ʻoe a e ʻōlelo paha i kekahi mau hoʻokolohua kūikawā e nānā i kou mau kīʻaha koko e hōʻoia i ke kūlana.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka pahuhopu nui o ka mālama ʻana no ka maʻi May-Turner, ʻo ia ka hoʻihoʻi ʻana i ke aʻa koko i hoʻopaʻa ʻia i ka maʻamau, hoʻomaikaʻi i ke kahe koko, a hoʻemi i ka pilikia o DVT.

Inā he mau hōʻailona wale nō

ʻO ka maʻamau, no kahi mea ʻaʻohe DVT a loaʻa wale nā ​​​​hōʻailona e like me ka pehu ʻana o ka wāwae a me ka ʻeha, hiki i ke kauka ke ʻōlelo i nā lāʻau lapaʻau penei:

• ʻO Angioplasty a me ka stenting: Pili kēia i ke kau ʻana i kahi ʻōmole liʻiliʻi me ka piko baluna i loko o ke aʻa a me ka hoʻopiha ʻana i ka baluna ma kahi i haiki ʻia. Wehe kēia i ke aʻa a ʻae i ke koko e kahe. A laila hoʻokomo ʻia kahi mea cylindrical e like me ka mesh i kapa ʻia he stent i loko o ke aʻa e pale aku ai i ka haiki hou ʻana.
• ʻOki kino: I kekahi mau hihia, hiki ke hana ʻia ke ʻoki kino e hoʻoneʻe i ke aʻa i haiki ʻia mai ke aʻa koko. A i ʻole, hiki ke hana ʻia ke ʻoki kino bypass e hana i ala hou no ke kahe ʻana o ke koko a puni ka wahi i haiki ʻia.

Inā hele pū me ka DVT

Inā loaʻa iā ʻoe kahi DVT ma muli o ka maʻi May-Turner, me nā lāʻau lapaʻau i ʻōlelo ʻia ma luna, pono ʻoe e hana i kēia mau mea:

• Nā Anticoagulants: Hāʻawi ʻia kēia mau lāʻau lapaʻau e pale i ke kūkulu ʻana o nā ʻōpū koko a e pale i nā ʻōpū koko e ulu nui ana.
• Lāʻau lapaʻau hoʻoheheʻe koko: I kekahi manawa, hoʻokomo pololei ʻia ka lāʻau lapaʻau i loko o ke koko ma o kahi catheter e hoʻoheheʻe a wehe iā ia.
• Kānana Vena cava: I kekahi manawa, ua kau ʻia kahi mea i kapa ʻia he kānana no kekahi manawa a mau loa paha i loko o kahi aa koko nui i loko o ko mākou kino (inferior vena cava) e pale ai i ka hemo ʻana o ke koko i loko o ka wāwae a hele i nā māmā.

ʻO ka pilikia weliweli loa: Pulmonary Embolism

ʻO ka mea weliweli loa e pili ana i ka maʻi May-Turner ʻo ia ka ulu ʻana o ka DVT. ʻO ka mea ʻoi aku ka weliweli ke haki kahi ʻāpana o kēlā DVT, hele pū me ke koko, a paʻa i loko o kahi kīʻaha koko ma laila. Kāhea mākou i kēia ʻo 'Pulmonary Embolism' .

• Ka paʻakikī koke o ka hanu ʻana (dyspnea)
• ʻEha nui o ka umauma e hoʻonui ana i ka hanu ʻana
• Ke kahe koko me ka mucus
• Nā palpitations o ka puʻuwai (palpitations)

Nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia

ʻAʻohe ala kikoʻī e pale aku ai i ka maʻi May-Turner, ʻoiai ʻaʻole ʻike ʻia kona kumu pololei. Eia nō naʻe, hiki i kēia mau mea ke kōkua i ka mālama ʻana i ke kahe koko maikaʻi a hoʻemi i kou pilikia o nā ʻūpā koko:

• Mai noho ma ke kūlana hoʻokahi no ka manawa lōʻihi. ʻOi loa aku inā he hana noho wale kāu, e ala a hele a puni ma ka liʻiliʻi i hoʻokahi manawa i ka hola.
• E inu i ka wai nui.
• E hoʻoikaika kino mau, ʻoiai hoʻi ka hoʻoikaika kino aerobic.
• Inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kaohi pono iā lākou e like me nā kuhikuhi a kāu kauka.
• Inā ʻoe e puhipaka ana, e hoʻōki koke.
• Inā ʻōlelo ʻia e kāu kauka, e ʻaʻahu i nā kāʻei hoʻopaʻa kūikawā.

Inā he mau nīnau hou aku kāu e pili ana i ka maʻi May-Turner, mai makaʻu e nīnau i kāu kauka. E wehewehe ʻo ia i nā mea āpau iā ʻoe.