Koj puas xav tias koj cov leeg ntshav sab laug ntawm koj lub raum nruj zuj zus? Nws hu ua Nutcracker Syndrome! Cia peb tham txog nws.

Koj puas tau muaj mob sab laug ntawm koj lub plab lossis koj cov tav? Los yog koj puas tau pom ntshav hauv koj cov zis? Qee zaum cov no yuav tsis quav ntsej. Txawm li cas los xij, lawv kuj tuaj yeem yog cov cim qhia txog tus mob uas xav tau kev saib xyuas. Ib qho mob zoo li no, uas tsis tshua muaj neeg tham txog, tab sis tseem ceeb kom paub txog, hu ua Nutcracker Syndrome. Hnub no, peb yuav tham txog nws kom meej thiab yooj yim.

Nutcracker Syndrome yog dab tsi? Muaj dab tsi tshwm sim tiag?

Hais yooj yim xwb, Nutcracker Syndrome yog ib qho mob uas cov hlab ntsha loj ntawm koj lub raum sab laug (tseem hu ua "left renal vein"). Cov hlab ntsha no yog qhov uas nqa cov ntshav huv los ntawm koj lub raum sab laug rov qab mus rau koj lub plawv. Yog li, thaum cov hlab ntsha no raug thaiv, cov ntshav ntws raug thaiv.

Xav txog seb, cov hlab ntsha no uas los ntawm koj lub raum sab laug, yuav tsum mus rau lub plawv los ntawm ob lub hlab ntsha loj hauv peb lub plab. Ib qho yog cov hlab ntsha loj hauv peb lub plab, uas yog "abdominal aorta". Qhov thib ob yog "superior mesenteric artery". Feem ntau, cov hlab ntsha hauv lub raum tuaj yeem hla dhau ob lub hlab ntsha no yam tsis muaj kev thaiv.

Txawm li cas los xij, rau ib tus neeg uas muaj tus kab mob nutcracker syndrome, ob lub hlab ntsha loj ntawd sib koom ua ke zoo li ob lub qhov ncauj ntawm tus nutcracker, thiab nias cov hlab ntsha hauv lub raum . Zoo li lub txiv ntoo raug tsoo nrog lub txiv ntoo. Yog vim li cas nws thiaj li tau lub npe hu ua "nutcracker." Thaum nws nruj, cov ntshav siab nce ntxiv hauv cov hlab ntsha hauv lub raum, thiab cov ntshav pib ntws rov qab. Qhov no kuj tseem tuaj yeem ua rau cov hlab ntsha me me nyob ib puag ncig nws o.

Muaj ob hom tseem ceeb nyob ntawm seb qhov kev nruj no tshwm sim li cas:

• Kab Mob Anterior Nutcracker Syndrome: Qhov no yog hom kab mob uas feem ntau tshwm sim. Nws tshwm sim thaum cov hlab ntsha hauv lub raum raug nias rau pem hauv ntej ntawm lub plab aorta, uas txhais tau tias nyob rau pem hauv ntej ntawm lub plab.
• Kab Mob Nutcracker Tom Qab: Qhov no tsis tshua muaj. Ntawm no, cov hlab ntsha hauv lub raum raug nias tom qab lub plab aorta, qhov chaw nws hla ntawm tus txha nraub qaum thiab lub aorta.

Muaj lwm txoj hauv kev uas tsis tshua muaj, tab sis peb tsis tas yuav tham txog lawv ntau dhau.

Qhov sib txawv ntawm Nutcracker Phenomenon thiab Nutcracker Syndrome

Tsis txhob xav tias ob yam no tsis sib haum. Qhov teeb meem Nutcracker yog thaum cov hlab ntsha hauv lub raum nqaim, tab sis tsis muaj tsos mob. Qee zaum nws raug pom thaum lub sijhawm luam theej duab rau lwm yam mob.

Txawm li cas los xij, Nutcracker Syndrome yog thaum, ntxiv rau qhov nruj, koj kuj tsim cov tsos mob. Ntawd yog, koj tab tom ntsib kev tsis xis nyob vim qhov nruj no. Ntawd yog thaum xav tau kev kho mob.

Vim li cas qhov no thiaj hu ua "The Nutcracker"?

Zoo li kuv tau hais ua ntej lawm, xyoo 1937, ib tug kws tshawb fawb txog kev kho mob tau piav qhia txog qhov mob no ua ob txoj hlab ntsha loj hauv plab "zoo li ob lub puab tsaig ntawm tus liab uas nias cov hlab ntsha hauv lub raum." Nws kuj tau hais tias nws yog "zoo li txiv tsawb raug liab tsoo." Yog vim li cas nws thiaj hu ua qhov no. Lub npe kho mob rau qhov no yog 'left renal vein entrapment syndrome .'

Leej twg raug tus mob no ntau tshaj? Nws tshwm sim ntau npaum li cas?

Kab mob Nutcracker syndrome no muaj peev xwm cuam tshuam rau cov menyuam yaus thiab cov neeg laus txog hnub nyoog 60 xyoo. Txawm li cas los xij, qee qhov kev tshawb fawb qhia tias nws feem ntau tshwm sim rau cov neeg hnub nyoog nees nkaum, nees nkaum, thiab peb caug xyoo . Nws kuj tseem feem ntau tshwm sim rau cov neeg uas muaj lub cev hnyav qis (BMI), uas txhais tau tias lawv nyias nyias .

Qhov no suav tias yog ib qho mob tsis tshua muaj , tab sis tsis muaj cov ntaub ntawv qhia tias muaj pes tsawg tus neeg muaj nws.

Qhov txaus ntshai ntawm Nutcracker Syndrome yog dab tsi? Puas muaj teeb meem dab tsi?

Qee zaum qhov no yuav tsis ua rau muaj cov tsos mob loj thiab txawm tias yuav ploj mus nws tus kheej, tshwj xeeb tshaj yog rau cov menyuam yaus. Txawm li cas los xij, yog tias tsis kho, nws tuaj yeem ua rau muaj teeb meem ntxiv mus. Cov no suav nrog:

• Cov ntshav txhaws tsim sab hauv cov hlab ntsha ntawm lub raum.
• Kev puas tsuaj rau lub raum tshwm sim vim muaj kev siab ntxiv hauv cov leeg ntshav ntawm lub raum dhau sijhawm.
• Cov txiv neej muaj peev xwm muaj kev tsis muaj menyuam ntawm txiv neej lossis cov poj niam muaj peev xwm muaj kev tsis muaj menyuam ntawm poj niam .
• Qhov mob hnyav uas tuaj yeem cuam tshuam rau koj lub neej tuaj yeem tshwm sim.

Tseem Ceeb: Tsis yog txhua tus neeg yuav muaj cov teeb meem no. Txawm li cas los xij, yog tias koj muaj cov tsos mob, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob tam sim ntawd kom tau txais kev qhia.

Cov tsos mob yog dab tsi? Tej zaum koj yuav xav li cas thiab tej zaum koj tus kws kho mob yuav pom dab tsi

Muaj ntau yam tsos mob ntawm tus kab mob nutcracker syndrome. Tej yam uas koj yuav ntsib muaj xws li:

• Ntshav nyob hauv cov zis (hematuria): Qhov no yog cov tsos mob feem ntau. Cov zis yuav muaj xim liab, liab, lossis xim av.
• Hnov kiv taub hau thaum sawv ntsug (orthostatic hypotension): Qhov no txhais tau tias thaum koj sawv ntsug tam sim ntawd, koj ob lub qhov muag yuav xiav thiab koj yuav kiv taub hau.
• Mob sab laug: Qhov mob yuav tshwm sim rau sab laug, tom qab tav.

Cov tsos mob no kuj tseem yuav txawv me ntsis nyob ntawm poj niam txiv neej.

Rau cov txiv neej: Tej zaum yuav muaj ib qho mob hu ua varicocele , uas yog qhov o ntawm cov hlab ntsha hauv lub noob qes.

Cov poj niam yuav muaj cov tsos mob ntawm tus mob pelvic congestion syndrome, uas yog los ntawm cov ntshav sib sau ua ke hauv thaj chaw pelvic. Cov no suav nrog:

• Mob thaum sib deev (dyspareunia).
• Mob thaum tso zis (dysuria).
• Mob hauv plab qis, uas yog, mob hauv thaj chaw pelvic (mob pelvic).

Ntxiv rau cov no, kuj tseem muaj cov tsos mob uas tus kws kho mob tuaj yeem kuaj pom los ntawm kev kuaj mob. Koj tsis tuaj yeem pom lawv.

• Tsis muaj cov qe ntshav liab hauv cov ntshav, uas yog , anemia .
• Microhematuria yog qhov muaj ntshav me me hauv cov zis uas tsuas pom tau hauv qab lub tshuab microscope xwb.
• Proteinuria yog qhov muaj protein ntau dhau hauv cov zis.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov ua rau muaj tus kab mob Nutcracker Syndrome no yog kev hloov pauv ntawm cov qauv ntawm koj cov hlab ntsha . Qee zaum cov kev hloov pauv no tshwm sim thaum koj tseem nyob hauv koj niam lub tsev menyuam, thaum koj cov hlab ntsha tab tom tsim. Lwm lub sijhawm, nws tuaj yeem tshwm sim thaum lub sijhawm nce siab sai sai (kev loj hlob sai) thaum hluas, lossis poob phaus sai sai thaum laus (poob phaus). Qee zaum, tsis muaj qhov ua rau .

Koj paub qhov no li cas tiag? Yuav ua li cas thiaj kuaj tau?

Nws yuav siv sijhawm me ntsis los kuaj mob Nutcracker Syndrome, vim tias cov kws kho mob yuav tsum tshem tawm ntau yam mob. Kev kuaj mob feem ntau pib nrog kev kuaj lub cev . Koj tus kws kho mob yuav nug koj txog koj cov tsos mob thiab nug txog koj cov tsos mob. Tom qab ntawd, lawv yuav xaj ib lossis ntau qhov kev kuaj mob hauv qab no kom paub ntau ntxiv:

• Kev kuaj ntshav
• Kev luam theej duab CT (CT scan - Computed Tomography scan)
• Kev kuaj mob ultrasound Doppler (Doppler ultrasound)
• Kev siv ultrasound hauv cov hlab ntsha (IVUS)
• Kev thaij duab MRI (MRI - Kev thaij duab Magnetic Resonance Imaging)
• Venogram (siv duab X-ray ntawm cov leeg tom qab txhaj tshuaj zas xim)
• Kev kuaj zis

Cov kev kho mob rau Nutcracker Syndrome yog dab tsi?

Kev kho mob nyob ntawm koj lub hnub nyoog thiab qhov hnyav ntawm koj cov tsos mob. Nyob ntawm koj tus mob, koj tus kws kho mob yuav pib nrog kev kho mob uas tsis hnyav heev . Yog tias cov no tsis pab, lossis yog tias koj cov tsos mob hnyav zuj zus, koj yuav tsum tau phais.

Kev Tswj Xyuas Kom Zoo

Rau ntau tus neeg, tshwj xeeb tshaj yog cov menyuam yaus hnub nyoog qis dua 18 xyoo , qhov no yog thawj kauj ruam hauv kev tswj hwm koj tus menyuam qhov hnyav. Yog tias koj tus menyuam muaj tus kab mob nutcracker, koj tus kws kho mob yuav pom zoo kom lawv txuas ntxiv txoj hauv kev no mus txog ob xyoos. Qhov no suav nrog kev pab koj tus menyuam nce qhov hnyav thaum saib xyuas qhov mob. Thaum qhov hnyav nce hauv plab, qhov siab ntawm cov hlab ntsha hauv lub raum yuav txo qis. Cov neeg laus raug qhia kom sim txoj hauv kev no li rau lub hlis.

Kev tswj hwm dav dav no kuj tseem yuav suav nrog cov tshuaj uas pab lub raum ua haujlwm. Piv txwv li:

• Cov tshuaj ACE inhibitors
• Tshuaj aspirin

Kev Pab Cuam Phais Mob

Yog tias koj muaj cov tsos mob hnyav heev thiab cov kev kho mob ib txwm tsis ua haujlwm, koj yuav tsum tau phais lossis ua qhov txheej txheem minimally invasive . Koj tus kws kho mob yuav nrog koj tham txog koj cov kev xaiv, qhov zoo thiab qhov tsis zoo, thiab seb cov txheej txheem minimally invasive puas yog rau koj.

Lub hom phiaj tseem ceeb ntawm kev phais mob yog los tsim kom muaj txoj kev du thiab tsis muaj dab tsi thaiv kom cov ntshav ntws los ntawm lub raum mus rau lub plawv.

Qee qhov kev phais thiab cov txheej txheem ua rau Nutcracker Syndrome yog:

• Kev hloov cov hlab ntsha hauv lub raum: Qhov no suav nrog kev tshem koj cov hlab ntsha sab laug hauv lub raum thiab rov txuas nws rau cov hlab ntsha loj hu ua inferior vena cava. Qhov no tshem tawm qhov xav tau mus dhau cov hlab ntsha superior mesenteric thiab aorta. Qhov no tuaj yeem ua tiav laparoscopically , uas txhais tau tias los ntawm ob peb qhov kev txiav me me.
• Kev ntxig lub stent: Qhov no suav nrog kev ntxig ib lub raj me me hu ua stent rau hauv cov hlab ntsha hauv lub raum uas raug txhaws los ntawm ib lub qhov me me hauv daim tawv nqaij. Lub raj no qhib cov hlab ntsha thiab cia cov ntshav ntws tau yooj yim.
• Kev phais hloov lub raum: Hauv qhov no, koj lub raum sab laug raug tshem tawm thiab hloov rov qab rau hauv koj lub cev, hauv pob txha ntawm lub duav.

Cov kev phais no puas txaus ntshai?

Txhua qhov kev phais mob rau Nutcracker Syndrome muaj qee qhov kev pheej hmoo. Tham nrog koj tus kws kho mob kom zoo zoo txog cov kev pheej hmoo ntawm kev phais mob uas koj yuav ua.

Kev hloov pauv lub raum yog qhov kev phais mob uas cuam tshuam tshaj plaws. Nws cov teeb meem tseem ceeb yog kev ua tsis tau haujlwm ntawm lub raum thiab los ntshav. Kev pheej hmoo ntawm cov teeb meem tuaj yeem txo qis los ntawm kev kho mob hauv tsev kho mob loj nrog cov kws phais neeg uas muaj kev paub dhau los uas ua cov kev phais mob no tas li .

Puas muaj ib txoj kev los txo qhov teeb meem no?

Qhov tseeb, tsis muaj ib txoj kev paub uas yuav txo tau qhov kev pheej hmoo ntawm kev mob no. Tus kab mob Nutcracker syndrome tshwm sim yuav luag tam sim ntawd, thiab nws tsis yog los ntawm noob caj noob ces.

Txawm li cas los xij, cov kws kho mob qee zaum pom qhov teeb meem nutcracker (asymptomatic renal vein stenosis) los ntawm kev sib tsoo thaum lub sijhawm kuaj mob ua rau lwm yam laj thawj. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj cov kev kuaj mob thiab kev teem sijhawm mus ntsib kws kho mob. Tom qab ntawd, koj tuaj yeem tshawb pom tias koj puas muaj renal vein stenosis ua ntej koj muaj cov tsos mob. Tom qab ntawd, koj yuav paub tias koj yuav tsum nrhiav kev kho mob sai sai yog tias cov tsos mob tshwm sim.

Yav tom ntej yuav zoo li cas rau cov neeg uas muaj tus kab mob Nutcracker Syndrome?

Rau cov menyuam yaus, qhov tshwm sim feem ntau zoo heev. Muaj ntau tus menyuam yaus zoo rov qab yam tsis tas yuav kho mob loj, xws li phais. Rau cov neeg laus, qhov tshwm sim sib txawv nyob ntawm qhov hnyav ntawm cov tsos mob thiab lub sijhawm siv los pib kho. Tham nrog koj tus kws kho mob txog qhov xwm txheej ntawm koj tus mob.

Thaum twg kuv yuav tsum mus ntsib kws kho mob? Kuv yuav tsum nug cov lus nug dab tsi?

Yog tias koj muaj cov tsos mob ntawm tus kab mob nutcracker syndrome, lossis yog tias koj cov tsos mob hnyav zuj zus , nco ntsoov mus ntsib kws kho mob.

Yog koj muaj kev phais mob, ua raws li koj tus kws kho mob cov lus qhia kom zoo txog yuav ua li cas saib xyuas koj tus kheej hauv tsev. Tsis tas li ntawd, nco ntsoov mus ntsib kws kho mob tom qab .

Yog koj tus kws kho mob qhia rau koj tias koj muaj tus kab mob Nutcracker Syndrome, tej zaum koj yuav muaj ntau lo lus nug. Nws yog ib qho tseem ceeb kom kawm ntau li ntau tau txog koj cov kev kho mob thiab lub sijhawm zoo tshaj plaws los nrhiav kev kho mob. Nov yog qee cov lus nug uas koj tuaj yeem nug:

• Tus mob no cuam tshuam li cas rau kuv lub cev?
• Kuv tus mob hnyav npaum li cas?
• Kuv puas xav tau kev kho mob? Yog tias xav tau, thaum twg?
• Kev kho mob twg zoo tshaj plaws rau kuv?
• Qhov kev kho mob no ua tau zoo npaum li cas?
• Cov kev pheej hmoo ntawm kev kho mob yog dab tsi?
• Yuav siv sijhawm ntev npaum li cas thiaj kho tau?

Tej tus neeg uas muaj tus kab mob nutcracker syndrome kuj yuav muaj lwm yam teeb meem ntawm cov leeg ntshav. Tham nrog koj tus kws kho mob txog lwm yam mob uas koj muaj thiab yuav ua li cas tswj lawv.

Yog tias koj muaj cov tsos mob tau ib ntus tab sis tsis paub qhov ua rau, nws tuaj yeem yog qhov kev nplij siab thaum kawg tau txais kev kuaj mob. Tab sis nws kuj tseem tuaj yeem ua rau ntshai me ntsis los xav txog cov kev xaiv kho mob thiab seb koj puas yuav tsum tau phais. Qhov xov xwm zoo yog tias cov kws tshawb fawb yeej ib txwm kawm ntxiv txog qhov mob no thiab yuav ua li cas tswj nws nrog cov txheej txheem minimally invasive. Tham nrog koj tus kws kho mob txog txoj kev npaj kho mob zoo tshaj plaws rau koj thiab dab tsi yuav tshwm sim rau yav tom ntej.

Thaum kawg, qee cov ntsiab lus tseem ceeb (Cov Lus Qhia Txog Kev Mus Tsev)

Zoo, yog li peb tau tham ntau txog Nutcracker Syndrome. Nov yog qee yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:

• Qhov no yog ib qho mob uas tshwm sim los ntawm kev txhaws ntawm cov hlab ntsha hauv lub raum sab laug .
• Yog koj muaj cov tsos mob xws li ntshav hauv koj cov zis lossis mob sab laug, mus ntsib kws kho mob.
• Cov menyuam yaus feem ntau tuaj yeem rov zoo los ntawm lawv tus kheej.
• Muaj ntau txoj kev kho mob rau cov neeg laus, txawm tias phais, nyob ntawm cov tsos mob.
• Tsis txhob ntshai, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no. Tham nrog koj tus kws kho mob thiab xaiv txoj kev kho mob uas haum rau koj.

Vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig. Nyob kom noj qab nyob zoo!

Kab mob Nutcracker, kab mob raum, cov leeg ntshav sab laug ntawm lub raum, cov hlab ntsha stenosis, ntshav hauv cov zis, mob plab, phais mob