Koj txhais ceg puas o thiab mob? Qhov no tej zaum yog vim muaj tus kab mob hu ua '(May-Thurner Syndrome)'!

Qee zaum peb ob txhais ceg o thiab mob yam tsis muaj laj thawj, puas yog? Tshwj xeeb tshaj yog sab ceg laug. Muaj coob tus neeg tsis quav ntsej txog qhov no. Tab sis qhov no yuav tsis yog ib qho yooj yim tas li. Hnub no peb yuav tham txog ib qho mob uas peb tsis tau hnov ​​​​dua, tab sis peb txhua tus paub tias nws tsim nyog mus xyuas. Ntawd yog '(May-Thurner Syndrome)'. Qhov no kuj hu ua '(Cockett syndrome)' lossis '(Iliac vein compression syndrome)'.

"May-Thurner Syndrome" yog dab tsi tiag?

Hais yooj yim xwb, `(May-Thurner Syndrome)` yog ib qho mob uas koj cov hlab ntsha iliac sab xis (`Right Iliac Artery`) thiab koj cov hlab ntsha iliac sab laug (`Left Iliac Vein`) raug nias. Tam sim no koj yuav xav paub tias cov hlab ntsha iliac thiab cov leeg no yog dab tsi. Cov hlab ntsha iliac sab xis yog cov hlab ntsha tseem ceeb uas nqa ntshav mus rau koj ceg xis. Cov hlab ntsha iliac sab laug yog cov hlab ntsha tseem ceeb uas nqa ntshav los ntawm koj ceg sab laug rov qab mus rau lub plawv. Yog li, hauv `(May-Thurner Syndrome)` no, qhov kev nias ntawd tuaj yeem cuam tshuam rau cov ntshav ntws los ntawm koj ob txhais ceg.

Qhov no ua li cas rau lub cev? Nws cuam tshuam li cas rau nws?

Tam sim no tej zaum koj xav paub tias qhov no ua li cas rau lub cev thiab nws cuam tshuam li cas rau nws. Qhov tseem ceeb yog vim muaj qhov siab no, cov ntshav pib sib sau ua ke hauv ob txhais ceg, tshwj xeeb tshaj yog sab laug ceg , es tsis txhob mus ncaj qha los ntawm sab laug iliac vein, uas yog, mus rau lub plawv. Thaum qhov no tshwm sim, cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov leeg ntshav tob . Peb hu qhov no hauv kev kho mob tias '(Deep Vein Thrombosis)' lossis '(DVT)'. Qhov no yog ib qho mob uas xav tau kev saib xyuas. Cov tsos mob ntawm '(DVT)' tuaj yeem zoo li no:

• Kev hloov xim ntawm daim tawv nqaij ntawm ceg (tej zaum liab, xiav).
• Cov leeg ntshav hauv ob txhais ceg zoo li bulging thiab o.
• Mob ceg, mob heev, lossis mob thaum kov.
• Ceg o thiab xav tias hnyav.

Tej tus poj niam kuj yuav muaj tus mob pelvic congestion syndrome (PBS) nrog rau tus mob May-Thurner syndrome. Cov kws kho mob ntseeg tias qhov mob pelvic no yog los ntawm teeb meem nrog cov leeg ntshav hauv lub pelvis (piv txwv li, lub plab qis).

Qhov no cuam tshuam li cas rau kev ntws ntshav?

Cov ntshav yeej ib txwm khiav mus los hauv peb lub cev cov hlab ntsha (cov hlab ntsha hauv lub cev thiab cov leeg ntshav). Raws li koj yuav nco qab, cov hlab ntsha nqa cov ntshav huv, muaj pa oxygen los ntawm lub plawv mus rau txhua qhov ntawm lub cev. Tom qab cov feem ntawd tau txais pa oxygen thiab cov as-ham, cov leeg ntshav nqa cov ntshav tsis huv, tsis muaj pa oxygen rov qab mus rau lub plawv thiab lub ntsws.

Hauv qee qhov chaw hauv peb lub cev, cov hlab ntsha thiab cov leeg no hla ib leeg. Ib yam li ntawd, hauv peb lub duav, cov hlab ntsha sab xis nyob saum cov hlab ntsha sab laug. Feem ntau, qhov no tsis yog teeb meem. Txawm li cas los xij, rau ib tus neeg uas muaj '(May-Thurner Syndrome)', cov hlab ntsha sab xis muab kev nyuaj rau cov hlab ntsha sab laug. Xav txog tias muaj ib lub yeeb nkab dej, yuav ua li cas yog tias ib tug neeg taug kev rau ntawm nws? Nws nyuaj rau cov dej ntws, puas yog? Yog hais kom meej, ib yam dab tsi zoo sib xws tshwm sim ntawm no.Vim tias cov leeg ntshav sab laug iliac raug nias, nws ua rau cov ntshav ntws tau yooj yim los ntawm nws.

Leej twg yuav muaj tus mob no ntau dua?

Qhov "May-Thurner Syndrome" no zoo li tshwm sim ntau dua rau cov poj niam . Nws kuj tseem tshwm sim ntau rau cov neeg laus hnub nyoog ntawm 20 thiab 50 xyoo .

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, cov hlab ntsha iliac thrombosis yog qhov tshwm sim ntau dua li koj xav. Qee qhov kev tshawb fawb qhia tias muaj li ntawm ib ntawm tsib tus neeg yuav muaj hom thrombosis no! Tab sis qhov xav tsis thoob yog, txawm hais tias ntau tus neeg muaj cov hlab ntsha iliac thrombosis, lawv tsis tau kuaj pom tias muaj '(May-Thurner Syndrome)'. Ib qho laj thawj rau qhov no yuav yog tias ntau tus neeg tsis muaj cov tsos mob ntawm '(May-Thurner Syndrome)' kom txog thaum lawv muaj tus mob zoo li '(DVT)'.

Cov tsos mob ntawm '(May-Thurner Syndrome)' yog dab tsi?

Muaj coob tus neeg uas muaj tus kab mob May-Thurner Syndrome tsis muaj tsos mob dab tsi li , tshwj xeeb tshaj yog tias lawv tsis muaj DVT uas peb tau tham ua ntej. Yog tias muaj cov tsos mob tshwm sim, feem ntau lawv tsuas yog cuam tshuam rau sab ceg laug xwb . Cov no yuav suav nrog:

• Qhov kev xav tias hnyav rau ntawm ob txhais ceg. Zoo li lub pob zeb dai ntawm kuv txhais ceg, nws ua rau kuv tsis xis nyob heev.
• Qee zaum, cov qhov txhab uas tsis kho (ulcers) tuaj yeem tshwm sim rau ntawm ob txhais ceg.
• Tej zaum koj yuav mob koj ceg lossis mob plab los ntawm sab hauv.
• Xim tawv nqaij yuav hloov pauv. Nws yuav xiav los yog xim av.
• Ceg o.
• Cov mob xws li varicose veins tuaj yeem tshwm sim.

Dab tsi ua rau muaj '(May-Thurner Syndrome)'?

Qhov laj thawj tseem ceeb rau qhov no yog vim tias cov hlab ntsha sab xis thawb rau ntawm cov hlab ntsha sab laug. Tab sis cov kws kho mob tseem tsis tau nrhiav tau qhov laj thawj tseeb tias vim li cas qhov no thiaj tshwm sim. Qhov ntawd yog, nws tsuas yog vim muaj kev hloov pauv hauv lub cev.

Cov kws kho mob kuaj qhov no li cas? (Kev kuaj mob)

Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob thiab tham kom meej txog koj cov tsos mob thiab koj keeb kwm kev noj qab haus huv. Tus kws kho mob yuav kuaj koj. Tom qab ntawd, lawv yuav ua qee qhov kev kuaj tshwj xeeb uas tuaj yeem saib cov hlab ntsha no.

• `CT (Computed Tomography) scan` : Qhov no siv cov duab X-rays thiab cov khoos phis tawj tshwj xeeb los thaij cov duab hla ntawm cov hlab ntsha. Qhov no ces siv tau los saib seb puas muaj qhov thaiv.
• `MRI (Magnetic Resonance Imaging)` : Qhov no siv cov hlau nplaum, cov nthwv dej xov tooj cua, thiab cov khoos phis tawj los tsim cov duab ntxaws ntxaws ntawm cov hlab ntsha.
• Ultrasound: Qhov kev kuaj no siv cov suab nthwv dej los saib cov ntshav ntws hauv lub cev, tshwj xeeb tshaj yog nyob rau hauv cov hlab ntsha (Doppler Ultrasound).
• Venogram : Hauv qhov no, ib qho xim tshwj xeeb (xim sib piv) raug txhaj rau hauv cov leeg ntshav thiab cov xim raug pom hauv qab X-rays kom pom tias puas muaj kev thaiv hauv cov ntshav ntws.
• Kuj tseem yuav ua tau ib qho "catheter-based venogram" . Qhov no txhais tau tias yuav tsum muab ib lub raj me me (catheter) ntxig rau hauv cov hlab ntsha thiab cov xim zas yuav raug txhaj los ntawm nws.
• Kev Siv Ultrasound Hauv Cov Hlab Ntshav (IVUS) : Qhov no yog kev kuaj mob uas nyuaj dua me ntsis. Hauv qhov no, ib lub catheter raug ntxig rau hauv cov hlab ntsha, thiab ib lub cuab yeej ultrasound me me (probe) raug xa mus rau hauv lub catheter kom thaij duab meej heev thiab ntxaws ntxaws ntawm sab hauv ntawm cov hlab ntsha. Qhov no tuaj yeem ntsuas qhov siab ntawm cov hlab ntsha kom raug.

Cov kev kho mob rau qhov no yog dab tsi?

Muaj ob lub hom phiaj tseem ceeb thaum kho tus kab mob 'May-Thurner Syndrome'. Ib qho yog los txhim kho kev ncig ntshav . Qhov thib ob yog los txo qhov kev pheej hmoo ntawm kev mob '(DVT)'. Nyob ntawm koj tus mob, koj tus kws kho mob yuav pom zoo cov kev kho mob hauv qab no:

• Angioplasty thiab Stenting : Qhov no yog kev kho mob feem ntau. Hauv cov txheej txheem no, ib lub catheter nrog lub npas me me raug ntxig rau hauv cov leeg ntshav sab laug iliac uas raug thaiv. Thaum nws mus txog qhov chaw tseeb ntawm qhov kev thaiv, lub npas yuav raug nthuav tawm. Qhov no qhib cov leeg ntshav uas raug thaiv. Tom qab ntawd, ib lub raj me me, hu ua stent , raug muab tso rau hauv qhov qhib kom nws tsis txhob kaw dua, thiab lub npas raug tshem tawm. Qhov no zoo li tshem tawm qhov kev thaiv hauv txoj kev thiab tsim ib lub choj kom yooj yim hla.
• Kev phais hla txoj hlab ntsha : Qee zaum, txoj kev tshiab raug tsim los ntawm kev siv ib daim nqaij uas tau los ntawm lwm thaj chaw lossis ib lub raj mis cuav los hla txoj hlab ntsha uas raug thaiv. Qhov no rov qab ua kom cov ntshav ntws tau zoo. Qhov no yog ib qho kev phais loj.
• Kev txiav cov hlab ntsha sab xis ntawm lub plab : Tsis tshua muaj, kev phais yuav ua tau los txav cov hlab ntsha sab xis ntawm lub plab me ntsis kom txo qhov siab ntawm cov hlab ntsha sab laug ntawm lub plab. Qee zaum, ib daim nqaij yuav raug muab tso rau ntawm cov hlab ntsha thiab cov hlab ntsha kom txo qhov siab.

Yog koj muaj tus kab mob "DVT" ces yuav ua li cas?

Tam sim no xav txog tias koj muaj '(May-Thurner Syndrome)' thiab koj kuj muaj '(DVT)'. Yog li ntawd, ntxiv rau cov kev kho mob uas tau hais los saum toj no, koj tus kws kho mob yuav ntxiv qee qhov kev kho mob ntxiv:

• Cov Tshuaj Anticoagulants : Cov no tiv thaiv cov ntshav kom tsis txhob txhaws, tiv thaiv cov ntshav txhaws uas twb muaj lawm kom tsis txhob loj hlob, thiab tej zaum yuav pab yaj cov ntshav txhaws uas twb muaj lawm maj mam.
• Cov tshuaj uas pab kom cov ntshav tsis txhob khov / Cov tshuaj uas ua rau cov ntshav tsis khov : Cov no yog cov tshuaj muaj zog uas muab ncaj qha los yaj cov ntshav txhaws. Cov tshuaj no feem ntau muab los ntawm lub catheter, ncaj qha mus rau hauv cov ntshav txhaws.
• `Lub Lim Vena Cava` : Qhov no yog ib lub cuab yeej me me zoo li lub mesh. Lub `Inferior Vena Cava` yog cov leeg ntshav loj tshaj plaws hauv peb lub cev. Qhov no yog qhov chaw uas cov ntshav los ntawm ob txhais ceg thiab lub plab mus rau lub plawv. Thaum lub lim no raug muab tso rau hauv cov leeg ntshav ntawd, nws tiv thaiv cov ntshav txhaws uas tsim nyob rau hauv ob txhais ceg kom tsis txhob tawm ntawm txoj kev thiab mus rau lub ntsws.

Puas muaj ib txoj kev los tiv thaiv qhov no kom tsis txhob tshwm sim?

Yog hais qhov tseeb, tsis muaj ib txoj kev tseeb uas yuav tiv thaiv tau qhov "May-Thurner Syndrome" no kom tsis txhob tshwm sim., vim tias qhov ua rau muaj qhov no tseem tsis tau paub meej. Tab sis koj tuaj yeem ua kom koj cov ntshav ncig zoo thiab txo koj qhov kev pheej hmoo ntawm cov ntshav txhaws los ntawm kev ua cov hauv qab no:

• Tsis txhob zaum hauv ib qho chaw ntev dhau. Yog tias koj ua haujlwm hauv chaw ua haujlwm, sawv thiab taug kev ib ncig me ntsis, ncab koj ob txhais ceg, tsawg kawg ib teev ib zaug.
• Haus dej ntau. Zoo rau haus tsawg kawg 2-3 liv dej ib hnub.
• Ua kom lub cev tawm dag zog tsis tu ncua , tshwj xeeb yog kev tawm dag zog aerobic (xws li taug kev, khiav, thiab caij tsheb kauj vab).
• Yog koj muaj lwm yam mob xws li mob ntshav qab zib, ntshav siab, lossis mob hlab ntsha hauv lub plawv (PAD), nrog koj tus kws kho mob tham thiab tswj koj tus kheej kom zoo.
• Yog koj haus luam yeeb, tso tseg kiag . Kev haus luam yeeb tsis zoo rau koj cov hlab ntsha.
• Yog koj tus kws kho mob pom zoo, hnav cov thom khwm tshwj xeeb uas nias kom nruj. Cov no pab txo cov ntshav sib sau ua ke hauv koj ob txhais ceg thiab pab koj txav mus rau saum.

Qhov no ua rau muaj teeb meem dab tsi?

Qhov teeb meem tseem ceeb ntawm '(May-Thurner Syndrome)' yog '(DVT)' uas peb tau tham txog. Txawm li cas los xij, muaj ib yam dab tsi uas tuaj yeem ua rau muaj kev phom sij ntau dua . Ntawd yog, yog tias cov ntshav txhaws uas tau tsim nyob rau hauv ceg tawg ntawm qhov ntawd, mus ncig los ntawm cov ntshav thiab daig rau hauv cov leeg ntshav hauv lub ntsws. Peb hu qhov ntawd '(Pulmonary Embolism)' (cov ntshav txhaws daig rau hauv lub ntsws) .

Kab mob ntsws txhaws yog ib qho xwm txheej ceev uas ua rau tuag taus. Yog tias koj muaj ib qho ntawm cov tsos mob tshiab lossis cov tsos mob hnyav zuj zus , mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws tam sim ntawd lossis hu rau lub tsheb thauj neeg mob:

* Hnoos ntshav nrog cov hnoos qeev.

* Lub plawv dhia ceev ceev (lub plawv dhia ceev ceev lossis tsis xwm yeem).

* Ua pa nyuaj heev, zoo li koj tab tom ua tsis taus pa (Dyspnea).

* Yog tias koj mob hauv siab sai sai uas zuj zus tuaj thaum koj ua pa.

Yav tom ntej rau ib tus neeg uas muaj '(May-Thurner Syndrome)' yuav zoo li cas?

Muaj coob tus neeg nyob ntev thiab noj qab nyob zoo nrog May-Thurner Syndrome yam tsis muaj teeb meem dab tsi. Yog tias koj tsis muaj tsos mob, tej zaum koj yuav tsis paub tias koj muaj tus mob no.

Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob ntawm '(Deep Vein Thrombosis - DVT)' uas peb tau tham txog (xws li o, liab, mob, sov ntawm ceg), nco ntsoov mus ntsib kws kho mob . '(DVT)' feem ntau tuaj yeem tswj tau zoo nrog tshuaj thiab, yog tias tsim nyog, lwm yam kev kho mob.

Cov lus nug uas yuav tsum nug tus kws kho mob

Yog tias koj muaj, lossis xav tias koj yuav muaj, May-Thurner Syndrome, nws yuav pab tau koj nug koj tus kws kho mob cov lus nug no:

• Cov tsos mob ntawm "May-Thurner Syndrome" uas cuam tshuam rau kuv yog dab tsi?
• Dab tsi yog qhov ua rau kuv cov tsos mob feem ntau?
• Kuv yuav tsum ua cov kev ntsuam xyuas dab tsi kom paub meej txog qhov no?
• Cov tsos mob ntawm tus kab mob "(DVT)" yog dab tsi? Kuv yuav tsum ua li cas yog tias kuv muaj cov tsos mob no?
• Cov tsos mob ntawm '(Pulmonary Embolism)' yog dab tsi? Kuv yuav tsum ua li cas yog tias kuv muaj lawv?
• Koj pom zoo kom muaj kev kho mob dab tsi rau tus mob "May-Thurner Syndrome"? Cov txiaj ntsig thiab qhov tsis zoo yog dab tsi?
• Muaj feem yuav muaj cov tsos mob rov tshwm sim tom qab kho mob li cas?

Puas yog '(May-Thurner Syndrome)' muaj kev phom sij rau lub neej?

`(May-Thurner Syndrome)` tsis yog qhov txaus ntshai rau lub neej. Txawm li cas los xij, nws tuaj yeem ua rau muaj teeb meem txaus ntshai hu ua `(Pulmonary Embolism)`. Qhov ntawd yog qhov txaus ntshai rau lub neej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob ntawm `(Pulmonary Embolism)` thiab nrhiav kev pab kho mob tam sim ntawd yog tias koj xav tias muaj ib yam dab tsi zoo li ntawd.

Koj paub li cas yog tias koj muaj '(May-Thurner Syndrome)'?

Qhov tseeb, tej zaum koj yuav tsis paub tseeb tias koj puas muaj '(May-Thurner Syndrome)' vim tias ntau tus neeg tsis paub tias lawv muaj nws kom txog thaum lawv muaj cov tsos mob ntawm '(DVT)'.

Tib txoj kev kom paub tseeb yog kom tus kws kho mob ua cov kev kuaj duab uas peb tau tham txog ua ntej (xws li CT, MRI, Venogram, IVUS) thiab paub tseeb tias cov leeg ntshav sab laug iliac ntws tawm ntawm cov leeg ntshav sab xis iliac.

Tej yam tseem ceeb uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li, ntawm no yog cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov txog "May-Thurner Syndrome" uas peb tau tham txog ntev lawm:

• May-Thurner Syndrome yog ib qho mob uas koj cov hlab ntsha sab xis nias koj cov hlab ntsha sab laug, thaiv cov ntshav ntws los ntawm koj ceg sab laug rov qab mus rau koj lub plawv.
• Qhov no ua rau muaj kev pheej hmoo ntawm kev mob hu ua "Deep Vein Thrombosis - DVT" (ntshav txhaws hauv cov leeg ntshav tob) .
• Feem ntau cov neeg tsis muaj tsos mob dab tsi li . Yog tias muaj cov tsos mob tshwm sim, feem ntau yog mob sab ceg laug, o, hnyav, thiab hloov xim tawv nqaij.
• Kev kho mob lub hom phiaj yog kom txo qhov siab, rov qab cov ntshav ntws, thiab txo qhov kev pheej hmoo ntawm DVT. Angioplasty thiab stenting yog cov kev kho mob feem ntau.
• Yog tias koj muaj cov tsos mob ntawm DVT (o tam sim ntawd, mob, liab, sov so rau kov hauv koj ceg), mus ntsib kws kho mob tam sim ntawd.
• Cov tsos mob ntawm "Pulmonary Embolism" (ua pa luv luv tam sim ntawd, mob hauv siab, hnoos tawm ntshav, tsaus muag) yog qhov xwm txheej ceev hauv kev kho mob. Yog tias ua li ntawd, mus rau tsev kho mob tam sim ntawd yam tsis muaj kev ncua.

Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tus mob no. Vim tias, yog tias paub thaum ntxov, nws yuav pab tau ntau yam hauv kev tiv thaiv cov teeb meem loj. Tsis txhob ntshai, tab sis yuav tsum paub txog cov tsos mob uas tau hais los saum toj no thiab tsis txhob yig mus nrhiav kev pab kho mob yog tias tsim nyog.

`Kab Mob May-Thurner, Kab Mob Iliac Vein Thrombosis, DVT, Kab Mob Deep Vein Thrombosis, O Ceg, Mob Ceg, Mob Pulmonary Embolism, Ntshav Txhaws, Kab Mob Vein