Okugulu kwo kuzimba era kuluma? Kino kiyinza okuba nga kiva ku (May-Thurner Syndrome)!

Oluusi amagulu gaffe gazimba ne gakuluma awatali nsonga, nedda? Naddala okugulu okwa kkono. Abantu bangi kino tebakifaako nnyo. Naye kino kiyinza obutaba nsonga nnyangu bulijjo. Leero tugenda kwogera ku mbeera gye tutawulirangako, naye nga ffenna tumanyi nti esaana okulambulwa. Okwo kwe kugamba `(Obulwadde bwa May-Thurner Syndrome)`. Kino era kiyitibwa `(Cockett syndrome)` oba `(Iliac vein compression syndrome)`.

Kiki ddala ekya ``May-Thurner Syndrome''?

Mu ngeri ennyangu, `(May-Thurner Syndrome)` mbeera omusuwa gwo ogwa ddyo (`Right Iliac Artery`) n'omusuwa gwo ogwa kkono (`Left Iliac Vein`) mwe binyigirizibwa. Kati oyinza okuba nga weebuuza emisuwa n’emisuwa gino egy’omugongo kye ki. Omusuwa gwa ddyo ogw’omusaayi gwe musuwa omukulu ogutwala omusaayi okutuuka ku kigere kyo ekya ddyo. Omusuwa gwa kkono ogw’omusaayi gwe musuwa omukulu ogutwala omusaayi okuva ku kigere kyo ekya kkono okudda ku mutima. Kale, mu kino `(May-Thurner Syndrome)`, okunyigirizibwa okwo kuyinza okutaataaganya okutambula kw’omusaayi okuyita mu magulu go.

Kino kikola ki ku mubiri? Kikikosa kitya?

Kati osanga weebuuza kino kye kikola ku mubiri n’engeri gye kigukosaamu. Ekikulu kiri nti olw’okunyigirizibwa kuno, omusaayi gutandika okukuŋŋaanyizibwa mu magulu naddala ku kigere ekya kkono , mu kifo ky’okugenda waggulu butereevu nga kiyita mu musuwa gwa kkono ogw’omugongo, kwe kugamba, nga gwolekera omutima. Kino bwe kibaawo, okuzimba omusaayi kuyinza okutondebwa mu misuwa emiwanvu . Mu by’obujjanjabi kino tukiyita `(Deep Vein Thrombosis)` oba `(DVT)`. Eno mbeera eyeetaaga okufaayo. Obubonero bwa `(DVT)` buyinza okuba bwe buti:

• Enkyukakyuka mu langi y’olususu ku kigere (oyinza okuba nga kimyufu, bbululu).
• Emisuwa mu magulu girabika nga gifuukuuse era nga gizimba.
• Okulumwa amagulu, okulumwa ennyo oba okunyirira ng’okwatako.
• Okuzimba amagulu n’okuwulira ng’ozitowa.

Abakyala abamu era bayinza okufuna obulwadde bw’okuzimba ekisambi (PBS) wamu n’obulwadde bwa May-Thurner. Abasawo balowooza nti obulumi buno obutawona mu kifuba buva ku buzibu ku misuwa mu kifuba (i.e., olubuto olwa wansi).

Kino kitaataaganya kitya omusaayi okutambula?

Omusaayi gutambula buli kiseera nga guyita mu misuwa gy’omubiri gwaffe (emisuwa n’emisuwa). Nga bw’oyinza okujjukira, emisuwa gitwala omusaayi omuyonjo ogulimu omukka gwa oxygen okuva ku mutima okutuuka mu bitundu by’omubiri ebirala byonna. Ebitundu ebyo bwe bimala okufuna omukka gwa oxygen n’ebiriisa, emisuwa gitwala omusaayi ogutaliimu mukka gwa oxygen, ogutali mulongoofu ne gudda mu mutima n’amawuggwe.

Mu bifo ebimu mu mubiri gwaffe, emisuwa n’emisuwa gino gisalagana. Mu ngeri y’emu, munda mu kifuba kyaffe, omusuwa gw’omugongo ogwa ddyo gusangibwa waggulu w’omusuwa gw’omugongo ogwa kkono. Mu budde obwabulijjo, kino si kizibu. Wabula mu muntu alina `(May-Thurner Syndrome)`, omusuwa gwa ddyo ogw’omugongo guteeka puleesa ku musuwa gwa kkono ogw’omugongo. Teebereza waliwo payipu y’amazzi, kiki ekibaawo singa omuntu agirinnyira? Kizibu amazzi okukulukuta, nedda? Okubeera omutuufu, ekintu ekifaananako bwe kityo kibaawo wano.Olw’okuba omusuwa gw’omugongo ogwa kkono gunyigirizibwa, kizibuwalira omusaayi okuguyita mu ddembe.

Ani asinga okulwala embeera eno?

Kino ``May-Thurner Syndrome'' kirabika kitera okubeerawo katono mu bakyala . Era kitera okubaawo mu bantu abakulu abali wakati w'emyaka 20 ne 50 .

Embeera eno ya bulijjo etya?

Mu butuufu, okuzimba emisuwa gy’omugongo (iliac vein thrombosis) kitera okubaawo okusinga bw’oyinza okulowooza. Okunoonyereza okumu kulaga nti abantu omu ku buli bataano ayinza okuba n’obulwadde bw’okuzimba omusaayi obw’ekika kino! Naye ekyewuunyisa nti, newankubadde abantu bangi balina obulwadde bwa iliac vein thrombosis, tebazuulibwa mu ngeri ey’enjawulo nga balina `(May-Thurner Syndrome)`. Ensonga emu lwaki kino eyinza okuba nti abantu bangi tebafuna bubonero bwa `(May-Thurner Syndrome)` okutuusa nga bafunye embeera nga `(DVT)`.

Bubonero ki obwa `(May-Thurner Syndrome)`?

Abantu bangi abalina obulwadde bwa May-Thurner Syndrome tebafuna bubonero bwonna , naddala nga tebalina DVT gye twayogeddeko emabegako. Singa obubonero bubaawo, butera okukwata ku kigere kya kkono kyokka . Mu bino biyinza okuli:

• Okuwulira ng’amagulu gazitowa. Ng’ejjinja eriwaniridde ku lyo, nga litanyuma nnyo.
• Oluusi, ebiwundu ebitawona (amabwa) bisobola okubeera ku magulu.
• Oyinza okufuna obulumi mu kigere oba okuzimba okuva munda.
• Langi y’olususu eyinza okukyuka. Kiyinza okufuuka kya bbululu oba kitaka.
• Okuzimba amagulu.
• Embeera nga varicose veins ziyinza okubaawo.

Kiki ekivaako `(Obulwadde bwa May-Thurner Syndrome)`?

Ensonga enkulu lwaki kino kiri bwe kityo eri nti omusuwa gwa ddyo ogw’omugongo gusika ku musuwa gw’omugongo ogwa kkono. Wabula abasawo n’okutuusa kati tebannaba kufuna nsonga ntuufu lwaki kino kibaawo. Kwe kugamba, kiyinza okuba nga kiva ku nkyukakyuka mu nsengeka y’omubiri.

Abasawo kino bakizuula batya? (Okuzuula obulwadde)

Bw’oba ​​olina obubonero buno, ky’olina okusooka okukola kwe kulaba omusawo n’oyogera bulungi ku bubonero bwo n’ebyafaayo by’obulamu bwo. Omusawo ajja kukukebera. Oluvannyuma, bayinza okukola ebigezo eby’enjawulo ebiyinza okutunuulira emisuwa gino.

• `CT (Computed Tomography) scan` : Kino kikozesa X-ray ne kompyuta ez'enjawulo okukuba ebifaananyi ebisalasala ku misuwa. Kino olwo kiyinza okukozesebwa okulaba oba waliwo okuzibikira kwonna.
• `MRI (Magnetic Resonance Imaging)` : Kino kikozesa magineeti, amayengo ga leediyo, ne kompyuta okufulumya ebifaananyi ebikwata ku misuwa mu bujjuvu.
• Ultrasound: Okukebera kuno kukozesa amaloboozi okutunuulira entambula y’omusaayi munda mu mubiri naddala mu misuwa (Doppler Ultrasound).
• Venogram : Mu kino, langi ey’enjawulo (contrast dye) efuyirwa mu musuwa era langi eyo ne yeetegereza wansi wa X-rays okulaba oba waliwo okuzibikira mu kutambula kw’omusaayi.
• ``Okukebera emisuwa okusinziira ku catheter'' nakyo kiyinza okukolebwa. Kino kitegeeza nti akatundu akatono (catheter) kayingizibwa mu musuwa ne bamufuyira langi.
• Intravascular Ultrasound (IVUS) : Kino kigezo kya mulembe katono. Wano, ekituli kiyingizibwa mu musuwa, era ekyuma ekitono eky’amaloboozi (probe) ne kiyisibwa mu kituli ekyo okukuba ebifaananyi ebitegeerekeka obulungi ennyo, ebikwata ku musuwa ogw’omunda. Kino kisobola okupima obulungi obungi bwa puleesa.

Bujjanjabi ki obukolebwa ku kino?

Waliwo ebigendererwa bibiri ebikulu nga ojjanjaba `(May-Thurner Syndrome)`. Ekimu kwe kulongoosa entambula y'omusaayi . Ekirala kwe kukendeeza ku bulabe bw'okulwala `(DVT)`. Okusinziira ku mbeera gy’olimu, omusawo ayinza okukuwa amagezi ku bujjanjabi buno wammanga:

• Angioplasty and Stenting : Buno bwe bujjanjabi obusinga okukozesebwa. Mu nkola eno, ekituli ekirimu akapiira akatono kiyingizibwa mu musuwa gwa kkono ogw’omugongo oguzibiddwa. Bwe kituuka mu kifo ekituufu we kizibikira, bbaatule efuumuulwa. Kino kiggulawo omusuwa oguzibiddwa. Oluvannyuma, akatundu akatono akayitibwa stent , kateekebwa mu kifo ekiggule obutaddamu kuggalawo, era bbaatule ne bagiggyamu. Kino kiringa okuggyawo ekizibiti mu luguudo n’ozimba omutala okusobola okwanguyirwa okusomoka.
• Okulongoosa okuyita mu kkubo : Oluusi, ekkubo eppya litondebwawo nga bakozesa ekitundu ky’omubiri ekiggiddwa mu kitundu ekirala oba ttanka ey’ekikugu okuyita ku musuwa oguzibiddwa. Kino kizzaawo omusaayi okutambula. Kino kikwekweto kinene.
• Right iliac artery shunting : Tekitera kubaawo, okulongoosa kuyinza okukolebwa okutambuza omusuwa gwa ddyo ogw’omugongo katono okumalawo puleesa ku musuwa gwa kkono. Oluusi, ekitundu ky’omubiri kiyinza okuteekebwa wakati w’omusuwa n’omusuwa okumalawo puleesa.

Kiki ky'olina okukola singa okola `(DVT)`?

Kati teebereza nti olina ``DVT'' olw'obulwadde bwa ``May-Thurner Syndrome''. Mu mbeera eyo, ng’oggyeeko obujjanjabi obwogeddwako waggulu, omusawo ajja kwongerako n’obujjanjabi obulala:

• Anticoagulants : Bino biremesa omusaayi okuzimba, bikomya ebizimba ebiriwo okukula, era biyinza n’okuyamba okusaanuusa ebizimba ebiriwo mpolampola.
• Eddagala eriziyiza okuzimba omusaayi / Thrombolytics : Lino ddagala lya maanyi eriweebwa butereevu okusaanuusa okuzimba omusaayi. Eddagala lino litera okuweebwa nga liyita mu kituli, butereevu mu kisenge ky’omusaayi.
• `Vena Cava Filter` : Kino kyuma kitono ekiringa akatimba. `Inferior Vena Cava` gwe musuwa ogusinga obunene mu mubiri gwaffe. Wano omusaayi oguva mu magulu n’olubuto we gugenda ku mutima. Omusulo guno bwe guteekebwa munda mu musuwa ogwo, guziyiza ebizimba by’omusaayi ebitondebwa mu magulu okuva mu kkubo ne bigenda mu mawuggwe.

Waliwo engeri y’okuziyiza kino okubaawo?

Mu butuufu, tewali ngeri nkakasa ey'okuziyiza kino ``May-Thurner Syndrome'' okubaawo., kubanga ekituufu ekivuddeko n’okutuusa kati tekinnamanyika. Naye osobola okukuuma entambula y’omusaayi gwo okutwalira awamu ng’eri mu mbeera nnungi n’okukendeeza ku bulabe bw’okuzimba omusaayi ng’okola bino wammanga:

• Totuula mu kifo kimu okumala ebbanga ddene. Bw’oba ​​okolera mu ofiisi, situka otambulako katono, ng’ogolola amagulu, waakiri omulundi gumu mu ssaawa.
• Nywa amazzi mangi. Kirungi okunywa amazzi waakiri liita 2-3 olunaku.
• Dduyiro buli kiseera , naddala dduyiro ow’omukka (nga okutambula, okudduka, n’okuvuga obugaali).
• Bw’oba ​​olina embeera endala ez’obujjanjabi nga ssukaali, puleesa oba obulwadde bw’emisuwa egy’okumpi (PAD), yogerako n’omusawo wo ozifuge bulungi.
• Bw’oba ​​onywa sigala, mazima ddala mulekere awo . Okunywa sigala kibi nnyo eri emisuwa gyo.
• Omusawo bw’aba akuwadde amagezi, yambala sitokisi ez’enjawulo ezinyigiriza. Bino biyamba okukendeeza ku musaayi ogukuŋŋaanyizibwa mu magulu go ne bikuyamba okulinnya waggulu.

Kino kiyinza okuleeta bizibu ki?

Ekizibu ekikulu ekya `(May-Thurner Syndrome)` ye `(DVT)` gye twayogeddeko. Kyokka, waliwo ekintu ekiyinza okuba eky’akabi ennyo . Kwe kugamba, singa ekizimba ky’omusaayi ekikoleddwa mu kigere kikutuka okuva awo, ne kiyita mu musaayi ne kisibira mu musuwa mu mawuggwe. Ekyo tukiyita `(Pulmonary Embolism)` (ekizimba ky’omusaayi ekikwatiddwa mu mawuggwe) .

Pulmonary Embolism mbeera ya mangu ey’obujjanjabi eyinza okutta omuntu. Bw’oba ​​olina ekimu ku bubonero buno obupya oba obweyongera , genda mu kitongole ky’abalwadde ab’amangu mu ddwaaliro ekikuli okumpi mu bwangu oba kuba ambyulensi:

* Okusesema omusaayi nga gulimu omusulo.

* Omutima okukuba (okukuba kw’omutima okw’amangu oba okutali kwa bulijjo).

* Okukaluubirirwa ennyo mu kussa, okuwulira ng’oziyira (Dyspnea).

* Singa ofuna obulumi obw’amaanyi mu kifuba mu bwangu obweyongera ng’ossa.

Ebiseera by'omu maaso eri omuntu alina `(May-Thurner Syndrome)`?

Abantu bangi bawangaala obulamu obuwanvu, nga balamu bulungi nga balina obulwadde bwa May-Thurner Syndrome nga tebalina buzibu bwonna. Bw’oba ​​tolina bubonero, oyinza n’obutamanya nti olina embeera eno.

Wabula bw’oba ​​ofunye obubonero bwonna obwa `(Deep Vein Thrombosis - DVT)` bwe twayogeddeko (nga okuzimba, okumyuuka, obulumi, ebbugumu mu kigere), kakasa nti olaba omusawo . `(DVT)` emirundi mingi esobola okufugibwa obulungi n'eddagala era bwe kiba kyetaagisa, n'obujjanjabi obulala.

Ebibuuzo by’olina okubuuza omusawo

Bw’oba ​​olina, oba olowooza nti oyinza okuba n’obulwadde bwa May-Thurner Syndrome, kiyinza okuyamba okubuuza omusawo wo ebibuuzo bino:

• Bubonero ki obw'obulwadde bwa ``May-Thurner Syndrome'' obunkwatako?
• Kiki ekisinga okuvaako obubonero bwange?
• Bikebe bya ngeri ki bye nnina okukola okuzuula kino kyennyini?
• Bubonero ki obulaga nti omuntu alina `(DVT)`? Singa mba nfunye nkole ntya?
• Bubonero ki obw'obulwadde bwa `(Pulmonary Embolism)`? Singa mba nfunye nkole ntya?
• Bujjanjabi ki bw'oteesa ku bulwadde bwa ``May-Thurner Syndrome''? Ebirungi n’ebibi bye biruwa?
• Emikisa ki egy’obubonero okuddamu okulabika oluvannyuma lw’okujjanjabwa?

`(May-Thurner Syndrome)` eri mu bulabe eri obulamu?

`(May-Thurner Syndrome)` si kya bulabe butereevu eri obulamu. Wabula kiyinza okuvaako ekizibu eky’obulabe ekiyitibwa `(Pulmonary Embolism)`. Ekyo kye kiteeka obulamu mu matigga. N’olwekyo, kikulu nnyo okumanya obubonero bwa `(Pulmonary Embolism)` n’okunoonya amagezi mu bwangu omusawo bw’oba ​​owulira ekintu ng’ekyo.

Omanya otya oba olina `(May-Thurner Syndrome)`?

Mu butuufu oyinza obutasobola kumanya bulungi oba olina `(May-Thurner Syndrome)` kubanga abantu bangi tebamanyi na nti balina okutuusa nga bafunye obubonero bwa `(DVT)`.

Engeri yokka ey’okumanya mu butuufu kwe kuba n’omusawo okukola ebigezo by’ebifaananyi bye twayogeddeko emabegako (nga CT, MRI, Venogram, IVUS) n’okukakasa nti omusuwa gwa kkono ogw’omugongo gukulukuta okuva mu musuwa gwa ddyo ogw’omugongo.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Okay, kale, bino bye bintu ebikulu by'olina okujjukira ku ``May-Thurner Syndrome'' bye twogeddeko mu buwanvu:

• May-Thurner Syndrome mbeera ng’omusuwa gwo ogwa ddyo ogw’omugongo gunyiga omusuwa gwo ogwa kkono, ne gulemesa omusaayi okuva ku kigere kya kkono okudda ku mutima gwo.
• Kino kyongera obulabe bw'okufuna embeera eyitibwa ``Deep Vein Thrombosis - DVT'' (omusaayi okuzimba mu misuwa emiwanvu) .
• Abantu abasinga tebafuna bubonero bwonna . Singa obubonero bubaawo, butera okuba ebintu ng’okulumwa okugulu okwa kkono, okuzimba, okuzitowa, n’okukyuka mu langi y’olususu.
• Obujjanjabi bugenderera okukendeeza puleesa, okuddamu okutambula kw’omusaayi, n’okukendeeza ku bulabe bw’okulwala DVT. Okulongoosa emisuwa n’okussaako stent bye bisinga okukozesebwa.
• Bw’ofuna obubonero bwa DVT (okuzimba amangu, obulumi, okumyuuka, okubuguma ng’okwata ku kigere kyo), laba omusawo mu bwangu.
• Obubonero bwa ``Pulmonary Embolism'' (okussa obubi mu bwangu, okulumwa mu kifuba, okusesema omusaayi, okuwulira ng'ozirika) bwa mangu mu by'obujjanjabi. Mu mbeera eyo, genda mu ddwaaliro mu bwangu awatali kulwa.

Kikulu nnyo okumanya embeera eno. Kubanga, singa kitegeerwa nga bukyali, kijja kugenda wala mu kutangira ebizibu eby’amaanyi. Tosattira, wabula beera mwegendereza obubonero obwogeddwako waggulu era tolwawo kunoonya magezi ga musawo bwe kiba kyetaagisa.

`May-Thurner Syndrome, Iliac Vein Thrombosis, DVT, Deep Vein Thrombosis, Okuzimba kw’amagulu, Okulumwa amagulu, Okuzimba amawuggwe, Okuzimba omusaayi, Obulwadde bw’emisuwa