He pupuhi, he taumaha ake rānei tō waewae maui i tō tetahi atu? I ētahi wā ka mamae noa iho, ka rite ki te ngau? He tokomaha te hunga kāore e aro nui ki ēnei tohu. Engari i ētahi wā ko te take kei muri i tēnei he nui ake te kino i tō whakaaro. Ko tētahi o aua take ko te mate e kiia nei ko te 'May-Thurner Syndrome'. Me titiro ngāwari tātou ki te aha.
He aha te tikanga o te May-Thurner Syndrome?
He tino māmā noa iho. E rua ngā momo uaua toto i roto i tō tātou tinana. Ka karangatia e tātou ngā uaua e kawe ana i te toto whai hāora mai i te ngākau ki te toenga o te tinana ko ngā 'Arēri' . Waihoki, ka karangatia e tātou ngā uaua e kawe ana i te toto whai hāora kua whakamahia ki te ngākau ko ngā 'Uaua' .
I roto i tēnei āhuatanga e kiia nei ko te mate Turner, ka whiti te uaua matua e kawe ana i te toto ki tō waewae matau (te uaua iliac matau) i te uaua matua e kawe ana i te toto ki tō ngākau mai i tō waewae maui (te uaua iliac maui) ka pēhi i te uaua. Whakaarohia he rite ki te tangata e takahi ana i tētahi paipa wai. Kātahi ka motuhia te rere o te wai, tika? Waihoki, ina pēhia te uaua e te uaua, ka motuhia te rere o te toto mai i te waewae maui. E kiia ana hoki tēnei āhuatanga ko te `(Cockett syndrome)`.
He aha te pānga o tēnei āhuatanga ki te tinana?
Ina aukatia te rere o te toto mai i te waewae maui ki runga, ka tīmata te toto ki te noho pūmau, ki te noho rānei i te waewae maui. Ko te mea tino morearea mō tēnei, ina pūmau te toto ki tētahi wāhi pēnei, ka nui ake te tūponotanga o te toto totoka i roto i taua uaua. I roto i ngā kupu hauora, ka kiia tēnei ko te 'thrombosis uaua hohonu' (DVT) .
He mate kino te DVT ka puta ohorere mai. Mēnā ka pakaru tēnei toto totoka, ka mau ki roto i tētahi uaua o ngā pukahukahu, ka mate pea.
I te nuinga o te wā, ka puta pea ēnei tohu ina whanake he DVT.
| Ngā tohu o te DVT | |
|---|---|
| Te pupuhi me te taumaha | Te pupuhi me te taumaha o te tinana, he maha ngā wā ka pā ki te waewae kotahi (i tēnei wā, ko te waewae maui). |
| Mamae | He mamae nui, he mamae rānei i roto i te waewae, inā koa i te rohe o te hope. |
| Te rerekētanga o te kiri | Te whero, te kikorangi rānei o te kiri o te waewae. |
| Te pupūtanga o te uaua | Ka pupuhi ngā uaua o ngā waewae, ka tīmata te puta ki te mata. |
Hei tāpiritanga, ka pāngia pea ētahi wāhine e te mate e kiia nei ko te pelvic congestion syndrome me te May-Turner syndrome, he mate e puta ai te mamae mau tonu i ngā uaua o te puku o raro.
Ko wai te mea tino tūpono ka kite i tēnei āhuatanga?
He paku noa ake te pāngia o ngā wāhine e te mate May-Turner, ā, he mea noa anō hoki i waenga i ngā pakeke i waenga i te 20 me te 50 tau te pakeke .
Engari ko te mea miharo ko te tata ki te kotahi i roto i te rima tāngata he mate e kiia nei ko te "iriac vein compression." Engari ehara i te katoa he tohu. He maha ngā tāngata ka kitea he mate May-Turner i muri i te whanaketanga o te DVT. Kia tae rā anō ki taua wā, tera pea kāore he tohu i roto i a rātou.
Me pēhea te tautuhi i te mate May-Turner?
I muri i tō kōrero ki tō tākuta mō ō tohumate, ka tirotirohia koe e ia, ā, ka tūtohu pea ia i ētahi whakamātautau motuhake hei tirotiro i ō uaua toto hei whakaū i te āhua.
| Momo whakamātautau | He whakamārama ngāwari noa iho |
|---|---|
| Matawai Ultrasound `(Ultrasound)` | He whakamātautau kore mamae e whakamahi ana i ngā ngaru oro hei tirotiro i ngā oko toto i roto i te tinana. Koinei te taahiraa tuatahi ki te tirotiro mō te DVT. |
| Ngā matawai CT | Te tango pikitia taipitopito o ngā uaua toto mā te whakamahi i tētahi mīhini hihi-X motuhake. |
| Ngā Matawai MRI (MRI) | Te tiki whakaahua tino mārama o ngā uaua toto mā te whakamahi i ngā aukume me ngā ngaru reo irirangi. |
| Venogram | Ka werohia he wai motuhake (tae rerekē) ki roto i te uaua, ā, ka whakamahia ngā hihi-X hei tirotiro i te rere o te toto. Ka āwhina tēnei ki te tautuhi i te wāhi tuturu o te uaua kua āraia. |
| Te Ultrasound ā-roto o te Toto | He tikanga tino tika e whakauruhia ai he ngongo (catheter) me tētahi kāmera iti rawa ki roto i tētahi uaua toto, ā, ka tirohia te uaua mai i roto. |
He aha ngā maimoatanga mō tēnei?
Ko te whāinga matua o te maimoatanga mō te mate May-Turner he whakahoki i te uaua kua kuiti ki te āhua noa, te whakapai ake i te rere o te toto, me te whakaiti i te mōrearea o te DVT.
Mena he tohu noa iho
I te nuinga o te wā, mō te tangata kāore he DVT, ā, ko ngā tohumate anake pērā i te pupuhi me te mamae o te waewae, ka tūtohu pea te tākuta i ēnei maimoatanga e whai ake nei:
- Te angioplasty me te stenting: Ko te whakauru i tētahi ngongo iti rawa he pito poihau ki roto i te uaua, ka pupuhi i te poihau ki te wāhi whaiti. Mā tēnei ka huaki te uaua, ka taea ai te rere o te toto. Kātahi ka whakanohoia he taputapu porotaka rite ki te mata, e kiia nei ko te stent, ki roto i te uaua kia kore ai e whaiti anō.
- Pokanga: I ētahi wā, ka taea te mahi pokanga hei neke atu i te uaua whaiti mai i te uaua. Mēnā rānei, ka taea te mahi pokanga taha hei waihanga i tētahi ara hou mō te rere o te toto huri noa i te wāhi whaiti.
Mena kei te haere tahi me te DVT
Mena he DVT tāu nā te mate May-Turner, hei tāpiri atu ki ngā maimoatanga kua whakahuatia i runga ake nei, me mahi anō hoki e koe ēnei e whai ake nei:
- Ngā rongoā ārai toto: Ka hoatu ēnei rongoā hei ārai i te hanganga o ngā toto totoka me te aukati i te nui haere o ngā toto totoka kua puta.
- Rongoā whakarewa toto totoka: I ētahi wā, ka werohia tika te rongoā ki roto i te toto totoka mā te catheter hei whakarewa me te tango.
- Tātari Vena cava: He onge te whakanoho i tētahi taputapu e kiia nei he tātari mō te wā poto, mō te wā tūturu rānei, ki roto i tētahi uaua nui o te tinana (vena cava o raro) hei ārai i te toto totoka i te waewae kei pakaru, kei rere ki ngā pukahukahu.
Ko te raruraru tino morearea: Te Pukupuku Pūkahukahu
Ko te mea tino morearea mō te mate May-Turner ko te whanaketanga o te DVT. Ko te mea tino morearea ko te wā e motu ana tetahi wahi o taua DVT, ka haere tahi me te toto, ka mau ki roto i te uaua toto i reira. Ka kiia tēnei ko te 'Pulmonary Embolism' .
He āhuatanga ohorere hauora tino kino tēnei, he mea morearea ki te ora! Mēnā ka pāngia koe, tetahi atu rānei e mōhio ana koe e tetahi o ēnei tohumate, haria tonutia ia ki te Tari Ohorere o te hōhipera (ETU) .
- Te uaua ohorere ki te manawa (dyspnea)
- Te mamae nui o te uma e piki ake ana i te wa e manawa ana
- Te toto me te hūpē
- Ngā tere o te manawa (palpitations)
Ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea
Kāore he huarahi motuhake hei ārai i te mate May-Turner, nā te mea kāore i te mōhiotia tōna pūtake tuturu. Heoi, mā ēnei e whai ake nei ka āwhina i te pupuri i te rere o te toto kia pai, kia whakaiti hoki i te tūponotanga o te toto totoka:
- Kaua e noho roa i te tūranga kotahi. Ina koa mēnā he mahi noho noa iho tāu, whakatikahia, ka hikoi haere i te iti rawa i te kotahi i te haora.
- Inuhia he nui te wai.
- Whakakorikori tinana i ngā wā katoa, inā koa ko te whakakorikori tinana.
- Mena kei a koe ētahi atu mate pēnei i te mate huka, te toto toto tiketike rānei, me whakahaere pai aua mate kia rite ki ngā tohutohu a tō tākuta.
- Ki te kai paipa koe, kati tonu.
- Ki te tūtohutia e tō tākuta, mauria he tōkena pēhi motuhake.
Mena he pātai anō āu mō te mate May-Turner, kaua e wehi ki te pātai ki tō tākuta. Māna e whakamārama ngā mea katoa ki a koe.
Karere Tangohia ki te Kāinga
- Ko te mate May-Turner he āhuatanga e pēhia ai te uaua e kawe ana i te toto ki te waewae matau me te uaua e kawe ana i te toto mai i te waewae maui.
- Ka ārai pea tēnei i te rere o te toto ki te waewae maui, ka puta ai ngā tohu pēnei i te pupuhi me te mamae o te waewae.
- Ko te raruraru matua me te tino morearea o tēnei mate ko te hanganga o te thrombosis uaua hōhonu (DVT).
- He āhuatanga ohorere e morearea ana te pulmonary embolism (he toto totoka e motu ana i te DVT ka noho ki roto i ngā pukahukahu).
- Mena he pupuhi, he mamae, he taumaha rānei tō waewae maui kāore i te whakamāramatia, he mea nui kia rapu tohutohu hauora koe.
- He āhuatanga tēnei ka taea te whakahaere angitu mā te maimoatanga.
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