Wetin na Nutcracker Syndrome? Lɛ wi tɔk bɔt am simpul wan.

Bɔku tɛm yu kin gɛt pen na yu lɛft lɔwa bak ɔ yu bɛlɛ? Ɔ yu dɔn notis smɔl blɔd na yu urine ? If yu gɛt sɔm kayn sik lɛk dis, de kɔz kin bi wan sik wae nɔr kin bɔrku wae yu nɔr dɔn yɛri bɔt. Tide wi de tɔk bɔt dis sik we dɛn kɔl Nutcracker Syndrome. Nɔ fred fɔ yɛri dis. Bɔrku tɛm dis nɔr kin siriɔs, ɛn spɛshal dɔktɔ wae no bɔt dis kin ɛp yu.

Fɔ tɔk am simpul wan, wetin na Nutcracker Syndrome?

Tink bɔt wan natkrɛk. I tan lɛk se yu krak nat wit nɛt krak. Insay dis kɔndishɔn, di men vein we de kɛr blɔd kɔmɔt na yu lɛft kidni, di aorta, kin pinch bitwin tu ɔda big blɔd vesel dɛn na yu bɛlɛ. Dis na di rizin we mek dɛn kɔl am Nutcracker Syndrome.

We wan vein blok dis we, di blɔd we de pas na am kin slo, ɔ blɔd prɛshɔn kin go ɔp ɛn blɔd kin bigin fɔ flɔ na di rɔng say. Dis na wetin kin mek yu gɛt sayn dɛm lɛk pen ɛn blɔd na di urine .

bכku tεm, dis vein kin trכp bitwin di men at we de kכmכt frכm wi at (aorta) εn di at we de gi bכdi to wi intestines (superior mesenteric artery). Dɛn kɔl dis sik we dɛn kɔl anterior nutcracker syndrome . na sכm tεm we dis vein kin trכp bak bitwin di men at εn di spayna . Dɛn kɔl dis sik we dɛn kɔl posita natkraker sindrom .

Wetin na di sayn dɛm fɔ Nutcracker Syndrome?

Fɔs, yu nɔ go notis ɛni big tin. Bɔt if di vein blok fɔ lɔng tɛm, difrɛn sayn dɛn kin sho. Lɛ wi luk dɛn tin ya na wan tebul.

we bכdi nכ kin fכ fכlכ fayn fayn wan tru di rεnal vein, di prεshכn we da bכdi de prεshכn kin afekt כda vein dεm na di bכdi bak. Dis na wae mek di sayn dɛm kin difrɛn difrɛn wan bay wεn man ɔ uman.

Dis pen nɔ kin de ɔltɛm. Sɔntɛnde i kin wɔs we uman dɛn de muv rawnd, na sɔm pozishɔn, ɔ we uman dɛn de gɛt mɔnt.

Di difrɛns bitwin Nutcracker Phenomenon ɛn Nutcracker Syndrome

Wi nid fɔ ɔndastand ɔda tin ya. Dat na di difrɛns bitwin dɛn tu tin ya.

• Nutcracker Phenomenon: Insay dis kes, pan ɔl we di rεnal vein we wi bin dɔn tɔk bɔt dɔn blok, yu nɔ gɛt ɛni sayn .
• Nutcracker Syndrome: Insay dis kayn we, di vein kin blok, ɛn yu de gɛt sɔm sayn dɛn bak .

Bɔku tɛm, dɔktɔ dɛn nɔ kin trit di tin we de apin. Bɔt if di sayn dɛn de sho leta, yu fɔ rili go to yu dɔktɔ ɛn tɔk bɔt am.

Wetin na di rizin dɛn we mek dis kayn tin de apin?

No “fɔlt” nɔ de na yu pat fɔ mek dis apin. Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• di angul usay di bכdi vεsεl dεm de sכmtεm we dεn bכn pikin.
• di bεlε fεt we yu de lכs (biכs i tכn כ we i de lכs we i de lכs wan wan).
• Sɔdɛn ayt we pɔsin kin gɛt (we kin gro kwik kwik wan, mɔ we i yɔŋ).

Fɔ tɔk am simpul wan, dɛn tin ya de ridyus di ples fɔ di blɔd vesel. Nɔmal wan, wan fat pad de de fɔ protɛkt di vein. We dat kin tan, ɔ we di say we di blɔd vesel dɛn de chenj, di vein kin blok.

Ɔda tin dɛn we kin mek pipul dɛn nɔ kin si:

• Tumɔs we kin apin nia di pankrias ɔ insay di bɛlɛ.
• Di limf no dɛm we dɔn swel.
• Di aorta we dɔn big.
• bεlε (bikoz di uterus we big de prεs pan di vein dεm we de rawnd).
• di spεnal prכblεm dεm (lεk di kכva we di lכw bכk de inkrεs).

Aw dɛn kin du di diagnosis?

I kin tranga fɔ no bɔt Nutcracker Syndrome bikɔs di sayn dɛm (blɛ pen, blɔd na di urine) kin rili fiba ɔda kɔmɔn tin dɛm, lɛk kidni ston, urinary tract infection, ɛn endometriosis. So yu dɔktɔ go chɛk fɔs fɔ ɔda tin dɛn we kin mek yu gɛt prɔblɛm.

We dɛn dɔn pul dɛn kɔz dɛn de, if dɛn tink se gɛt Nutcracker Syndrome, dɛn kin du dɛn tɛst ya fɔ chɛk fɔ si if di rεnal vein ɔklushɔn:

• Urinalysis: Dis kin no ivin smɔl smɔl blɔd we tu smɔl fɔ si wit yu yay.
• Doppler ultrasound: Dis na test we nɔ de mek pɔsin fil pen we dɛn de yuz sawnd wev fɔ no aw fast blɔd de muv tru di rεnal veins. Pan ɔl we dis nɔmɔ nɔ kin ebul fɔ kɔnfirm di diagnosis, i kin gi impɔtant tin dɛn fɔ no.
• CT angiography (CTA) ɔ MR angiography (MRA): Dɛn kayn skan ya kin mek wan rili klia tri dimɛnshɔnal pikchɔ fɔ di blɔd vesel dɛn na di bɛlɛ. Dɛn kin si klia wan if wan vein dɔn blok, if blɔd de flɔ bak, ɔ if i de tek ɔda rod.
• Venogram: Dis min se yu fɔ put wan tin tiub insay di vein ɛn mɛzhɔ di prɛshɔn bifo ɛn afta di blɔk. If big difrɛns de pan prɛshɔn, dis na strɔng pruf fɔ sho se dis kɔndishɔn de. wan tεknik we dεn kכl IVUS (intravascular ultrasound) dεn kin yuz bak dis tεm fכ luk insay di vein.

Wetin na di tritmɛnt dɛn?

Tritmɛnt de dipen pan aw yu sik dɛn kin afɛkt yu ɛvride layf. Sɔm pipul dɛn kin wɛl wit simpul tritmɛnt ɛn as tɛm de go. Ɔda wan dɛn kin nid fɔ gɛt ɔpreshɔn.

Monitoring ɛn kɔntrol di simptom dɛn

If yu sik nɔr tranga, yu dɔktɔ kin se yu fɔ wach. Ɛspɛshali pan yɔŋ pikin dɛn, dis sik kin bɛtɛ fɔ insɛf as di bɔdi de gro. Insay dis tɛm:

• Dɛn kin yuz mɛrɛsin fɔ mek pɔsin fil pen (e.g. paracetamol).
• sכm mεdikeshכn dεm we de εp di kidni dεm (e.g. ACE inhibitors) dεn kin gi dεm.
• If na di rizin we mek yu de lɔs yu wet, dɛn kin advays yu fɔ gɛt sɔm wet.
• Dɛn kin wach di kɔndishɔn ɔltɛm wit skan ɔ urine tɛst.

Ɔpreshɔn ɛn ɔda we dɛn

If di sik nɔr de bɛtɛ ɔr de ambɔg yu ɛvride layf bad bad wan, yu kin nid fɔ tink bɔt fɔ ɔpreshɔn. De bɛst tin fɔ yu go dipen pan yu ej, wɛl bɔdi, ɛn di kayn sik wae yu gɛt.

• di rεnal vein transposishכn: dis involv fכ pul di vein we blכk εn kכnekt am bak to say we gεt mכr spεs. Dis na di ɔpreshɔn we dɛn kin du pas ɔl ɛn we kin wok fayn.
• Stent: Dɛn kin put smɔl mɛsh tiub (stɛnt) insay di vein we dɔn blok fɔ mek i opin. Bɔt dis nɔto di bɛst tin fɔ yɔŋ pipul dɛn, bikɔs dɛn stent ya nɔ kin las sote go.
• Gonadal vein embolization: Dɛn kin yuz dis fɔ trit di vein dɛn we dɔn swel na di bɛlɛ. I de mek blɔd nɔ go na dɛn vein dɛn de. Dis kin ɛp if di pen na di bɛlɛ na di men prɔblɛm.
• rεnal כto-transplant: dεn de pul di כl kidni εn transplant am to כda fayn say na di bכdi. Dis na if ɔl ɔda tin nɔ wok.

Nutcracker Syndrome, Kidni pen, Blɔd na urine, Flank pen, Hematuria, Lɛft sayd pen