Yu fil se yu lɛft kidni vein de tayt? Dɛn kɔl am Nutcracker Syndrome! Lɛ wi tɔk bɔt am.

Yu dɔn ɛva gɛt pen na yu lɛft say na yu bɛlɛ ɔ yu rib? Ɔ yu dɔn notis se blɔd de na yu urine? Sɔntɛnde, dɛn kin ignore dɛn tin ya. Bɔt dɛn kin bi sayn bak fɔ wan sik we yu nid fɔ pe atɛnshɔn to sɔm tɛm. Wan pan dɛn kayn sik ya, we dɛn nɔ kin tɔk bɔt bɔku, bɔt we impɔtant fɔ no bɔt, dɛn kɔl am Nutcracker Syndrome. Tide, wi go tɔk bɔt am ditayli ɛn simpul wan.

Wetin na Nutcracker Syndrome? Wetin rili apin?

Fɔ tɔk am simpul wan, Nutcracker Syndrome na wan sik we wan big blɔd vesel frɔm yu lɛft kidni (dɛn kin kɔl am bak ``left renal vein``) kin blok. Dis blɔd vesel na in de kɛr di blɔd we dɛn dɔn klin frɔm yu lɛft kidni bak to yu at. So, we dis vein blok, blɔd nɔ de flɔ.

Imajin, dis blɔd vesel we de kɔmɔt na yu lɛft kidni, gɛt fɔ go na di at tru tu big blɔd vesel dɛn we de insay wi bɛlɛ. wan na di men at we de na wi bכdi, we na di ``abdominal aorta``. di כda wan na di ``superior mesenteric artery``. nכmal wan, di rεnal vein kin pas tru dεn tu atεri dεm ya we nכ de ambɔg.

Bɔt pan pɔsin we gɛt di sik we dɛn kɔl nutcracker syndrome, dɛn tu big at dɛn de kin kam togɛda lɛk di tu mɔt dɛn we natkraker kin gɛt, ɛn dɛn kin swɛt di rεnal vein . Lɛk nat we dɛn de krak wit nat. Na dat mek i gɛt di nem "nutcracker." We i tayt, di blɔd prɛshɔn kin go ɔp insay di rεnal vein, ɛn blɔd kin bigin fɔ flɔ bak. Dis kin mek bak di smɔl smɔl blɔd vesel dɛn we de rawnd am swel.

Tu men kayn dεm de dipכnt pan aw dis tayt de apin:

• Anterior Nutcracker Syndrome: Dis na di kayn we we dɛn kin gɛt mɔ. i kin apin we di rεnal vein kכmprεs bifo di bכdi aorta, we min na di fכnt pan di bכdi.
• Posterior Nutcracker Syndrome: Dis kin shɔt smɔl. na ya, di rεnal vein de kכmprεs bihayn di abdominal aorta, usay i de pas bitwin di spayna εn di aorta.

Ɔda we dɛn de we nɔ kin apin so ɔltɛm, bɔt wi nɔ nid fɔ tɔk bɔt dɛn tumɔs.

Di difrɛns bitwin di Nutcracker Phenomenon ɛn di Nutcracker Syndrome

Nɔ kɔnfyus di tu. Di Nutcracker Phenomenon na we di rεnal vein de sכmtεm, bכt nכ simptom dεm de. Sɔntɛnde, dɛn kin no am bay we dɛn de skan fɔ ɔda sik.

Bɔt, Nutcracker Syndrome na we, apat frɔm di tayt, yu kin gɛt sɔm sayn dɛm bak. Dat min se yu de gɛt diskɔmfɔt bikɔs ɔf dis tayt. Na da tɛm de dɛn nid fɔ gɛt tritmɛnt.

Wetin mek dɛn kɔl dis "The Nutcracker"?

As a bin dɔn tɔk bifo tɛm, insay 1937, wan man we de stɔdi bɔt mɛrɛsin bin tɔk se dis sik na di tu big at dɛn we de na di bɛlɛ “lɛk di tu jaw dɛn we mɔnki gɛt we de swɛt di rεnal vein.” I se bak se i "lɛk banana we mɔnki de krɔs." Na dat mek dɛn kɔl am dis. di fכmal mεdikal nem fכ dis na `lεft rεnal vein εntrapmεnt sεndrכm .'

Udat dɛn kin afɛkt mɔ pan dis sik? Aw i kɔmɔn?

Nutcracker syndrome kin afɛkt pikin dɛn ɛn big pipul dɛn te to 60. Bɔt sɔm risach dɔn sho se i kin apin mɔ to pipul dɛn we ol twɛnti, twɛnti, ɛn tati ia . I kin apin bak pan pipul dɛm wae gɛt low body mass index (BMI), we min se dɛn kin tan lɛk tin .

Dɛn kin tek dis as sik wae nɔr kin bɔrku , bɔt nɔr gɛt data bɔt ɔmɔs pipul dɛn gɛt am.

Wetin na di denja fɔ Nutcracker Syndrome? Ɛni prɔblɛm dɛn de we kin apin?

Sɔntɛnde dis nɔ kin mek pɔsin gɛt ɛni big big sayn ɛn i kin ivin sɔlv fɔ insɛf, mɔ pan pikin dɛn. Bɔt if dɛn nɔ trit am, i kin mek i gɛt prɔblɛm dɛn as tɛm de go. Dɛn tin ya na:

• di bכdi kכlכt dεm de fכm insay di rεnal vein.
• di kidni dεm we de pwεl de apin bikoz di prεshכn we de go כp na di rεnal vein dεm ova tεm.
• Man kin gɛt man infεrtiliti ɔ uman kin gɛt uman infεrtiliti .
• Bɔrku pen wae kin afɛkt yu layf kin kam.

Impɔtant: Nɔto ɔlman go gɛt dɛn prɔblɛm ya. Bɔt if yu gɛt sɔm sayn dɛn, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm fɔ advays yu.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Wetin yu go fil ɛn wetin yu dɔktɔ go fɛn

Bɔku sayn dɛn de we de sho se pɔsin gɛt di sik we dɛn kɔl nutcracker syndrome. Tin dɛn we yu go gɛt na:

• Blɔd we de na di urine (hematuria): Dis na di sayn we kin apin mɔs. Di urine kin gɛt pink, rɛd, ɔ brawn kɔlɔ.
• Fɔ fil diziz we yu tinap (orthostatic hypotension): Dis min se we yu tinap wantɛm wantɛm, yu yay kin blu ɛn yu kin fil diziz.
• Lεft flank pen: Pen kin apin na di lεft say, jכs bihayn di rib dεm.

Dɛn sayn ya kin difrɛn smɔl bak dipen pan man ɔ uman.

Fɔ man dɛn: Wan sik we dɛn kɔl varicocele , we na we di blɔd vesel dɛn na di tɛstikul dɛn kin swel, kin apin.

uman dεm kin gεt simptom dεm fכ pεlvik kכnjεshכn sεndrכm, we kin kכz fכ blכd we de kכlכp na di pεlvik εria. Dɛn tin ya na:

• Pen we yu de du mami ɛn dadi biznɛs (dyspareunia).
• Pen we yu de pis (dysuria).
• pen na di lכw bכdi, dat na, na di bכdi εria (pεlvik pen).

Apat frɔm dɛn tin ya, sɔm sayn dɛn de bak we dɔktɔ kin no tru tɛst. Yu nɔ go ebul fɔ si dɛn.

• Wan rɛd blɔd sɛl dɛn we nɔ de na di blɔd, dat na , we nɔ gɛt bɛtɛ blɔd .
• Maykrohεmaturia na di bכdi we de insay di urine we so sכmtεm we yu kin si am כnda maykroskכp nכmכ.
• Proteinuria na di prεsεns fכ tu mכch protin na di urine.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Di men tin we kin mek yu gɛt Nutcracker Syndrome na we yu blɔd vesel dɛn de chenj . Sɔntɛnde dɛn chenj ya kin apin we yu stil de na yu mama in bɛlɛ, we yu blɔd vesel dɛn de fɔm. Ɔda tɛm, i kin apin we di ayt go ɔp wantɛm wantɛm (grɔw spurt) we i yɔŋ, ɔ we i dɔn big (we i de lɔs in wet). Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni rizin .

Aw yu go no dis kɔrɛkt wan? Us tɛst dɛn dɛn kin du?

I kin tek sɔm tɛm fɔ no if yu gɛt Nutcracker Syndrome, bikɔs dɔktɔ dɛn nid fɔ pul bɔku ɔda sik dɛn. Bɔku tɛm, dɛn kin bigin fɔ no if pɔsin gɛt di sik . Yu dɔktɔ go aks yu bɔt yu sik ɛn aks yu bɔt yu sik. Dɔn, dɛn kin ɔda wan ɔ mɔ pan dɛn tɛst ya fɔ no mɔ:

• Blɔd tɛst dɛn
• CT skan (CT skan - Kɔmpyuta Tomografi skan) .
• Doppler ɔltra saund tɛst `(Doppler ɔltra saund)`
• Intravaskul ɔltra saund (IVUS) .
• MRI skan (MRI - Magnɛtik Rɛsɔnans Imej skan) .
• Venogram (we yu tek ɛkstrem rayt fɔ di vein dɛn afta yu dɔn injɛkt wan day) .
• Urinalysis we dɛn kin du

Wetin na di tritmɛnt dɛm fɔ Nutcracker Syndrome?

Di tritmɛnt de dipen pan yu ej ɛn aw yu sik bad bad wan. Dipen pan yu sik, yu dɔktɔ kin bigin wit tritmɛnt dɛn we nɔ kin rili bad . If dɛn tin ya nɔr ɛp, ɔr if yu sik de wɔs, yu kin nid fɔ du ɔpreshɔn.

Kɔnsɔvativ Manejmɛnt

Fɔ bɔku pipul dɛn, mɔ pikin dɛn we nɔ rich 18 ia yet , dis na di fɔs tin we yu fɔ du fɔ mek yu pikin nɔ gɛt bɔku bɔku bɔdi. If yu pikin gɛt nutcracker syndrome, yu dɔktɔ kin se dɛn fɔ kɔntinyu fɔ du dis fɔ te tu ia. Dis kin min fɔ ɛp yu pikin fɔ gɛt mɔ wet we yu de wach di sik. as di wet de go כp na di bכdi, di prεshכn pan di rεnal vein de dכn. Dɛn kin advays big pipul dɛn fɔ tray dis we fɔ lɛk siks mɔnt.

Dis jεnarכl mεnejmεnt kin inklud mεdikeshכn dεm bak we de εp di kidni dεm fכ wok. Fɔ ɛgzampul:

• ACE inhibito dɛn we de mek pɔsin nɔ ebul fɔ du am
• Aspirin we dɛn kin yuz

Ɔpreshɔn Intɛrvɛnshɔn

If yu gɛt siriɔs sik ɛn di tritmɛnt dɛm wae yu kin gɛt nɔr de woke, yu kin nid fɔ gɛt ɔpreshɔn ɔr nɔr gɛt bɛtɛ tritmɛnt. Yu dɔktɔ go tɔk to yu bɔt di tin dɛn we yu go ebul fɔ du, di gud ɛn bad tin dɛn we yu go du, ɛn if di tin dɛn we yu fɔ du we nɔ go mek yu nɔ gɛt bɔku prɔblɛm, fayn fɔ yu.

Di men gol fɔ di ɔpreshɔn na fɔ mek wan smol rod we nɔ gɛt ɛnitin fɔ ambɔg fɔ mek blɔd kɔmɔt na di kidni to di at.

Sɔm pan di ɔpreshɔn ɛn prɔsidyu dɛm we dɛn kin du fɔ Nutcracker Syndrome na:

• di rεnal vein transpכzishכn: dis involv fכ pul yu lεft rεnal vein εn riat am to wan big vein we dεn kכl infεriכr vena cava. dis de mek yu nכ nid fכ go tru di supεriכr mεsεntrik atεri εn di aorta. Dɛn kin du dis wit laparoscopically , we min se dɛn kin du sɔm smɔl smɔl say dɛn.
• we yu put stent: dis min se yu de put wan sכm sכm tכb we dεn k כl stent insay di rεnal vein we dεn blכk tru wan sכmכl ol na di skin. Dis tiub de opin di vein ɛn mek di blɔd flɔ fri wan.
• rεnal כtotransplant כpεrayshכn: Insay dis, dεn kin pul yu lεft kidni εn transplant bak insay yu bכdi, insay di hip bon.

Yu tink se dɛn ɔpreshɔn dɛn ya denja?

Ɛvri ɔpreshɔn fɔ Nutcracker Syndrome kin gɛt sɔm risk. Tek tɛm tɔk to yu dɔktɔ bɔt di prɔblɛm dɛn we kin apin we dɛn du di ɔpreshɔn we dɛn go du.

rεnal כtotransplant na di mכst invayv pan dεn כpεrayshכn dεm ya. Di men prɔblɛm dɛn we i kin gɛt na we di kidni nɔ de wok fayn ɛn we i de blɔd. Di risk fɔ gɛt prɔblɛm dɛn kin ridyus if dɛn du tritmɛnt na big ɔspitul wit dɔktɔ dɛn we gɛt ɛkspiriɛns fɔ du ɔpreshɔn ɛn we kin du dɛn kayn ɔpreshɔn dɛn de ɔltɛm .

Yu tink se we de fɔ ridyus dis tin we kin apin?

Infakt, no we nɔr de fɔ ridyus di risk fɔ gɛt dis sik. Di sik we dɛn kɔl Nutcracker syndrome kin kam klos wan wantɛm wantɛm, ɛn i nɔ kin kɔmɔt frɔm dɛn mama ɛn papa.

Bɔt sɔntɛnde, dɔktɔ dɛn kin si di natkraker fenomen (asymptomatic renal vein stenosis) bay aksidɛnt we dɛn de du tɛst fɔ ɔda rizin dɛn. So, i rili impɔtant fɔ kip yu mɛdikal tɛst ɛn klinik apɔntinmɛnt. Dɔn, yu kin no if yu gɛt rεnal vein stenosis bifo yu gɛt di sayn dɛm. Dɔn, yu go no se yu nid fɔ go to tritmɛnt kwik kwik wan if yu gɛt di sik.

Wetin de apin to pipul dɛm wae gɛt Nutcracker Syndrome tumara bambay?

Insay pikin dɛn, di tin we kin apin kin rili fayn. Bɔku pikin dɛn kin wɛl we dɛn nɔ gɛt big tritmɛnt, lɛk ɔpreshɔn. Na big pipul, di tin wae kin apun kin difrɛn difrɛn wan fɔ di kayn sik ɛn di tɛm wae i kin tek fɔ bigin tritmɛnt. Tɔk to yu dɔktɔ bɔt aw yu go si yu sik.

Ustɛm a fɔ go to di dɔktɔ? Us kwɛstyɔn dɛn a fɔ aks?

If yu gɛt sayn dɛn fɔ nutcracker syndrome, ɔ if yu sik de wɔs , mek shɔ se yu go to dɔktɔ.

If dɛn du yu ɔpreshɔn, tek tɛm fala wetin yu dɔktɔ tɛl yu bɔt aw fɔ kia fɔ yusɛf na os. Dɔn bak, mek shɔ se yu go na di say dɛn we dɛn kin go fɔ fala di apɔntinmɛnt dɛn .

If yu dɔktɔ tɛl yu se yu gɛt Nutcracker Syndrome, yu kin gɛt bɔku kwɛstyɔn dɛn. E fayn fɔ lan as yu kin lan bɔt di tritmɛnt opshɔn dɛm wae yu kin gɛt ɛn di bɛst tɛm fɔ go to tritmɛnt. Na sɔm kwɛstyɔn dɛn we yu kin aks:

• Aw dis sik kin afɛkt mi bɔdi?
• Aw siriɔs mi sik de?
• A nid tritmɛnt? If na so i bi, ustɛm?
• Us tritmɛnt opshɔn we bɛtɛ fɔ mi?
• Wetin na di sakses rεt fɔ dis tritmɛnt?
• Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt tritmɛnt?
• Aw lɔng i go tek fɔ mek i wɛl?

Sɔm pipul dɛm wae gɛt nutcracker syndrome kin gɛt ɔda vein prɔblɛm bak. Tɔk to yu dɔktɔ bɔt ɛni ɔda sik we yu gɛt ɛn aw fɔ mɛn am.

If yu dɔn gɛt di sik fɔ sɔm tɛm bɔt yu nɔr no di kɔz, e kin mek yu fil fayn fɔ dɔn gɛt diagnosis. Bɔt i kin mek yu fred smɔl bak fɔ tink bɔt di tritmɛnt dɛn we yu go gɛt ɛn if yu go nid fɔ gɛt ɔpreshɔn. Di gud nyus na dat, di wan dɛm wae de du risach de lan mɔr ɔltɛm bɔt dis sik ɛn aw fɔ mɛn am wit di we dɛn we nɔ de ambɔg am. Tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt plan fɔ yu ɛn wetin fɔ ɛkspɛkt fɔ go bifo.

Fɔ dɔn, sɔm impɔtant pɔynt dɛn (Take-Home Message) .

Okay, so wi don tok plenti boht Nutcracker Syndrome. Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• Dis na wan sik we kin kam we wan blɔd vesel na di lɛft kidni blok .
• If yu gɛt sɔm sayn dɛn lɛk blɔd na yu urine ɔ pen na yu lɛft say, go to dɔktɔ.
• Bɔku tɛm, pikin dɛn kin wɛl fɔ dɛnsɛf .
• Difrɛn tritmɛnt dɛn de fɔ big pipul dɛn, ivin ɔpreshɔn, i go dipen pan di sayn dɛm.
• Nɔ fred, bɔt i impɔtant fɔ mek dɛn tɛl yu. Tɔk wit yu dɔktɔ opin wan ɛn pik di tritmɛnt we go fayn fɔ yu.

A op se yu si dis infɔmeshɔn yusful. Stay wit wɛlbɔdi!

` Nutkraker sindrom, kidni sik, di lεft rεnal vein, blכd vεsεl stεnosis, blכd na di urine, bεlε pen, כpεrayshכn