Koj sab ceg laug puas o me ntsis thiab hnyav dua li lwm sab? Qee zaum nws tsuas yog mob thiab zoo li nws tingling? Muaj ntau tus neeg tsis quav ntsej txog cov tsos mob no. Tab sis qee zaum qhov laj thawj tom qab qhov no tuaj yeem loj dua li koj xav. Ib qho laj thawj zoo li no yuav yog qhov mob no hu ua 'May-Thurner Syndrome'. Cia peb saib seb nws yog dab tsi.
Hais yooj yim xwb, May-Thurner Syndrome yog dab tsi?
Yooj yim heev. Muaj ob hom hlab ntsha hauv peb lub cev. Peb hu cov hlab ntsha uas nqa cov ntshav uas muaj oxygen los ntawm lub plawv mus rau lwm qhov ntawm lub cev ua 'Arteries' . Ib yam li ntawd, peb hu cov hlab ntsha uas nqa cov ntshav uas siv lawm thiab muaj oxygen rov qab mus rau lub plawv ua 'Veins' .
Hauv qhov mob no hu ua Turner syndrome, cov hlab ntsha tseem ceeb uas nqa ntshav mus rau koj ceg xis (txoj hlab ntsha iliac sab xis) hla dhau cov hlab ntsha tseem ceeb uas nqa ntshav rov qab mus rau koj lub plawv los ntawm koj ceg laug (txoj hlab ntsha iliac sab laug) thiab nias nws. Xav txog nws zoo li ib tug neeg taug kev saum cov yeeb nkab dej. Tom qab ntawd cov dej ntws raug cuam tshuam, puas yog? Ib yam li ntawd, thaum cov hlab ntsha ntawd nias cov hlab ntsha, cov ntshav ntws los ntawm ceg sab laug raug cuam tshuam. Qhov mob no kuj hu ua '(Cockett syndrome)'.
Tus mob no cuam tshuam li cas rau lub cev?
Thaum cov ntshav ntws los ntawm ceg laug mus rau sab saud raug thaiv, qee cov ntshav pib sib sau ua ke lossis tsis txav hauv ceg laug. Qhov txaus ntshai tshaj plaws txog qhov no yog tias thaum cov ntshav sib sau ua ke rau hauv ib qho chaw zoo li no, qhov muaj feem yuav muaj cov ntshav txhaws hauv cov leeg ntshav ntawd nce ntxiv. Hauv kev kho mob, peb hu qhov no tias 'deep vein thrombosis' (DVT) .
DVT yog ib qho mob hnyav uas tuaj yeem tshwm sim sai sai. Yog tias cov ntshav txhaws no tawg thiab daig rau hauv cov leeg ntshav hauv lub ntsws, nws tuaj yeem ua rau tuag taus.
Feem ntau, cov tsos mob zoo li no tuaj yeem tshwm sim thaum DVT tshwm sim.
| Cov tsos mob ntawm DVT | |
|---|---|
| O thiab hnyav | O thiab hnyav, feem ntau nyob rau hauv ib ceg (hauv qhov no, ceg sab laug). |
| Mob | Mob hnyav heev los yog mob nqaij ntuag hauv ceg, tshwj xeeb tshaj yog nyob rau thaj tsam ntawm lub puab tais. |
| Kev hloov xim ntawm daim tawv nqaij | Daim tawv nqaij ntawm ceg liab los yog xiav. |
| Kev tawm ntawm cov leeg ntshav | Cov leeg ntshav hauv ob txhais ceg yuav o thiab pib tshwm rau ntawm qhov chaw. |
Tsis tas li ntawd xwb, qee tus poj niam yuav muaj tus mob hu ua pelvic congestion syndrome nrog rau May-Turner syndrome, uas yog tus mob uas muaj teeb meem nrog cov leeg ntshav hauv plab qis ua rau mob ntev.
Leej twg yuav pom qhov mob no tshaj?
Tus mob May-Turner syndrome feem ntau tshwm sim rau cov poj niam , thiab kuj tshwm sim rau cov neeg laus hnub nyoog ntawm 20 thiab 50 xyoo .
Tiamsis qhov xav tsis thoob yog tias kwv yees li ib ntawm tsib tus neeg muaj tus mob no hu ua "iliac vein compression." Tab sis tsis yog txhua tus neeg muaj cov tsos mob. Muaj ntau tus neeg tsuas pom tias lawv muaj May-Turner syndrome tom qab lawv muaj DVT. Txog thaum ntawd, lawv yuav tsis muaj tsos mob.
Yuav kuaj mob May-Turner syndrome li cas?
Tom qab koj qhia koj tus kws kho mob txog koj cov tsos mob, nws yuav kuaj koj thiab tej zaum yuav pom zoo qee qhov kev kuaj tshwj xeeb uas kuaj koj cov hlab ntsha kom paub meej tias koj muaj mob dab tsi.
| Hom kev xeem | Piav qhia yooj yim xwb |
|---|---|
| Kev kuaj mob ultrasound (Ultrasound) | Ib qho kev kuaj mob uas tsis mob thiab siv cov suab nthwv dej los saib cov hlab ntsha hauv lub cev. Qhov no yog thawj kauj ruam hauv kev kuaj xyuas DVT. |
| Kev luam theej duab CT | Thaij cov duab ntxaws ntxaws ntawm cov hlab ntsha nrog lub tshuab X-ray tshwj xeeb. |
| Kev Ntsuas MRI (MRIs) | Tau txais cov duab meej heev ntawm cov hlab ntsha siv cov hlau nplaum thiab cov nthwv dej xov tooj cua. |
| Venogram | Yuav muab ib yam kua tshwj xeeb (contrast dye) txhaj rau hauv cov hlab ntsha thiab siv cov duab X-ray los saib cov ntshav ntws. Qhov no tuaj yeem pab qhia qhov chaw tseeb ntawm cov hlab ntsha uas raug thaiv. |
| Ultrasound hauv cov hlab ntsha | Ib txoj kev uas raug heev uas siv ib lub raj (catheter) nrog lub koob yees duab me me ntxig rau hauv cov hlab ntsha thiab kuaj cov hlab ntsha los ntawm sab hauv. |
Cov kev kho mob rau qhov no yog dab tsi?
Lub hom phiaj tseem ceeb ntawm kev kho mob rau May-Turner syndrome yog kho cov hlab ntsha uas nqaim kom rov qab zoo li qub, txhim kho cov ntshav ntws, thiab txo qhov kev pheej hmoo ntawm DVT.
Yog tias tsuas muaj cov tsos mob xwb
Feem ntau, rau ib tus neeg uas tsis muaj DVT thiab tsuas muaj cov tsos mob xws li o thiab mob ceg, tus kws kho mob yuav pom zoo cov kev kho mob hauv qab no:
- Angioplasty thiab stenting: Qhov no suav nrog kev ntxig ib lub raj me me uas muaj lub pob me me rau hauv cov leeg ntshav thiab ua kom lub pob loj loj rau ntawm qhov chaw nqaim. Qhov no qhib cov leeg ntshav thiab cia cov ntshav ntws. Tom qab ntawd muab ib lub cuab yeej zoo li lub mesh cylindrical hu ua stent tso rau hauv cov leeg ntshav kom nws tsis txhob nqaim dua.
- Kev Phais Mob: Qee zaum, kev phais mob tuaj yeem ua tau los txav cov hlab ntsha nqaim tawm ntawm cov hlab ntsha. Los yog, kev phais mob bypass tuaj yeem ua tau los tsim txoj hauv kev tshiab rau cov ntshav ntws ncig thaj chaw nqaim.
Yog tias muaj DVT nrog
Yog tias koj muaj DVT vim yog May-Turner syndrome, ntxiv rau kev kho mob uas tau hais los saum toj no, koj yuav tsum ua cov hauv qab no:
- Cov tshuaj Anticoagulants: Cov tshuaj no yog muab los tiv thaiv cov ntshav txhaws kom tsis txhob tsim thiab kom tiv thaiv cov ntshav txhaws uas twb muaj lawm kom tsis txhob loj hlob tuaj.
- Cov tshuaj yaj cov ntshav txhaws: Qee zaum, cov tshuaj raug txhaj ncaj qha rau hauv cov ntshav txhaws los ntawm lub catheter kom yaj nws thiab tshem tawm.
- Lub lim Vena cava: Tsis tshua muaj, ib lub cuab yeej hu ua lub lim raug muab tso rau hauv ib txoj hlab ntsha loj hauv peb lub cev (inferior vena cava) ib ntus lossis tas mus li kom tiv thaiv cov ntshav txhaws hauv ceg kom tsis txhob tawm thiab mus rau hauv lub ntsws.
Qhov teeb meem txaus ntshai tshaj plaws: Pulmonary Embolism
Qhov txaus ntshai tshaj plaws txog May-Turner syndrome yog kev loj hlob ntawm DVT. Qhov txaus ntshai tshaj plaws yog thaum ib daim ntawm DVT ntawd tawg, mus nrog cov ntshav, thiab daig hauv cov hlab ntsha ntawd. Peb hu qhov no tias 'Pulmonary Embolism' .
Qhov no yog ib qho xwm txheej ceev heev uas yuav ua rau koj tuag taus! Yog tias koj lossis ib tus neeg koj paub muaj cov tsos mob hauv qab no, coj lawv mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Ua pa nyuaj sai sai (dyspnea)
- Mob hauv siab hnyav heev uas mob ntxiv thaum ua pa
- Ntshav nrog cov hnoos qeev
- Lub plawv dhia ceev (palpitations)
Tej yam peb ua tau los txo qhov kev pheej hmoo
Tsis muaj ib txoj kev tshwj xeeb los tiv thaiv tus kab mob May-Turner, vim tsis paub meej tias yog vim li cas thiaj ua rau muaj tus kab mob no. Txawm li cas los xij, cov hauv qab no tuaj yeem pab kom koj cov ntshav ncig zoo thiab txo koj txoj kev pheej hmoo ntawm cov ntshav txhaws:
- Tsis txhob nyob twj ywm tib lub sijhawm ntev. Tshwj xeeb tshaj yog tias koj ua haujlwm tsis txav chaw, sawv thiab taug kev tsawg kawg ib teev ib zaug.
- Haus dej ntau.
- Ua si nawv tsis tu ncua, tshwj xeeb yog kev tawm dag zog aerobic.
- Yog koj muaj lwm yam kab mob xws li ntshav qab zib lossis ntshav siab, tswj lawv kom zoo raws li koj tus kws kho mob cov lus qhia.
- Yog koj haus luam yeeb, tsum tam sim ntawd.
- Yog koj tus kws kho mob pom zoo, hnav cov thom khwm tshwj xeeb rau kev nruj.
Yog koj muaj lus nug ntxiv txog tus mob May-Turner syndrome, tsis txhob ntshai nug koj tus kws kho mob. Nws yuav piav qhia txhua yam rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob May-Turner yog ib qho mob uas cov hlab ntsha uas nqa ntshav mus rau ceg sab xis thiab cov hlab ntsha uas nqa ntshav los ntawm ceg sab laug raug nias.
- Qhov no tuaj yeem ua rau cov ntshav ntws mus rau sab ceg laug raug thaiv, ua rau muaj cov tsos mob xws li o thiab mob ceg.
- Qhov teeb meem tseem ceeb thiab txaus ntshai tshaj plaws ntawm tus mob no yog kev tsim cov hlab ntsha tob (DVT).
- Pulmonary embolism (cov ntshav txhaws uas tawg los ntawm DVT thiab nyob hauv lub ntsws) yog qhov xwm txheej ceev uas hem txoj sia.
- Yog tias koj muaj qhov o, mob, lossis hnyav ntawm koj sab ceg laug uas tsis paub meej, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob.
- Qhov no yog ib qho mob uas tuaj yeem tswj tau zoo nrog kev kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
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