Kei te pupuhi tō waewae, kei te mamae hoki? Tērā pea nā te (May-Thurner Syndrome) tēnei!

I ētahi wā ka pupuhi, ka mamae hoki ō tātou waewae, kāore he take, tika? Ina koa ko te waewae maui. He tokomaha te hunga kāore e aro nui ana ki tēnei. Engari, kāore pea tēnei i te mea ngāwari i ngā wā katoa. I tēnei rā ka kōrero tātou mō tētahi mate kāore anō kia rongohia, engari e mōhiotia ana e tātou katoa he mea tika kia toro atu. Koia te (May-Thurner Syndrome). Ka kiia hoki tēnei ko te (Cockett syndrome) ko te (Iliac vein compression syndrome) rānei.

He aha rawa te "Mate May-Thurner"?

Ki te kī ngāwari, ko te (May-Thurner Syndrome) he āhuatanga e pēhia ana te uaua iliac matau (Right Iliac Artery) me te uaua iliac maui (Left Iliac Vein). Tērā pea kei te whakaaro koe he aha ēnei uaua me ngā uaua iliac. Ko te uaua iliac matau te uaua toto matua e kawe ana i te toto ki tō waewae matau. Ko te uaua iliac maui te uaua toto matua e kawe ana i te toto mai i tō waewae maui ki te ngākau. Nō reira, i roto i tēnei (May-Thurner Syndrome), ka taea e taua pēhitanga te whakararuraru i te rere o te toto i roto i ō waewae.

He aha te pānga o tēnei ki te tinana? He aha ngā pānga ki a ia?

Tērā pea kei te whakaaro koe he aha te pānga o tēnei ki te tinana, me pēhea hoki tōna pānga ki a ia. Ko te mea nui, nā tēnei pēhanga, ka tīmata te toto ki te kohi i roto i ngā waewae, inā koa te waewae maui , kaua e haere tika atu mā te uaua iliac maui, arā, ki te ngākau. Ina tupu tēnei, ka puta he toto toto i roto i ngā uaua hohonu . E kiia ana tēnei e te rongoā ko te (Deep Vein Thrombosis) ko te (DVT) rānei. He āhuatanga tēnei e hiahia ana kia arohia. Ko ngā tohu o te (DVT) penei pea:

• Ngā panonitanga o te tae o te kiri o te waewae (tērā pea he whero, he kikorangi).
• He āhua pupuhi, he pūwero hoki ngā uaua o ngā waewae.
• Mamae waewae, mamae nui, ngawari rānei ina pā atu.
• Te pupuhi o te waewae me te ahua o te taumaha.

Tērā pea ka pāngia ētahi wāhine e te mate pūngao o te pelvis (PBS) me te mate May-Thurner. E whakapono ana ngā tākuta ko tēnei mamae pelvic mau tonu i puta mai i ngā raruraru o ngā uaua i roto i te pelvis (arā, te puku o raro).

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He aha te pānga o tēnei ki te rere o te toto?

Kei te rere tonu te toto i roto i ngā oko toto o tō tātou tinana (ngā uaua me ngā uaua). E mahara ana koe, ka haria e ngā uaua te toto ma, whai hāora mai i te ngākau ki ngā wāhanga katoa o te tinana. I muri i te whiwhinga o te hāora me ngā matūkai i aua wāhanga, ka haria e ngā uaua te toto kore hāora, poke ki te ngākau me ngā pukahukahu.

I ētahi wāhi o tō tātou tinana, ka whiti ēnei uaua me ngā uaua tetahi ki tetahi. Waihoki, i roto i tō tātou hope, kei runga ake te uaua iliac matau i te uaua iliac maui. I te nuinga o te wā, ehara tēnei i te raruraru. Heoi, i roto i te tangata e pāngia ana e te (May-Thurner Syndrome), ka pēhia e te uaua iliac matau te uaua iliac maui. Whakaarohia he paipa wai, he aha ka tupu mēnā ka takahia e te tangata? He uaua ki te rere o te wai, tika? Hei tika, he rite tonu te mea ka tupu i konei.Nā te pēhitanga o te uaua iliac maui, ka uaua te rere o te toto mā roto.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ko te "May-Thurner Syndrome" te āhua nei he nui ake te kitea i roto i ngā wāhine . He mea noa anō hoki i roto i ngā pakeke i waenga i te 20 me te 50 tau te pakeke .

He pēhea te noa o tēnei āhuatanga?

Ina hoki, he nui ake te kitea o te thrombosis o te uaua iliac i tō whakaaro. E ai ki ētahi rangahau, kotahi i roto i te rima tāngata ka pāngia e tēnei momo thrombosis! Engari ko te mea miharo, ahakoa he maha ngā tāngata e pāngia ana e te thrombosis o te uaua iliac, kāore i te tautuhia motuhaketia te mate o te (May-Thurner Syndrome). Ko tētahi take pea mō tēnei, he maha ngā tāngata kāore e pāngia e ngā tohu o te (May-Thurner Syndrome) tae noa ki te whanaketanga o te mate pēnei i te (DVT).

He aha ngā tohu o te (May-Thurner Syndrome)?

He tokomaha ngā tāngata e pāngia ana e te Matepukupuku May-Thurner kāore e pāngia e tetahi tohu , inā koa mēnā kāore i a rātou te DVT i kōrerotia i mua ake nei. Mēnā ka puta ngā tohu, ko te waewae maui anake te nuinga o te wā ka pāngia . Tērā pea ko ēnei:

• Te taumaha o ngā waewae. Pēnei i te kōhatu e iri ana i tōku waewae, he tino kore whakamarie.
• I ētahi wā, ka puta ngā patunga kore e ora (ngā mate pukupuku) ki ngā waewae.
• Tērā pea ka pāngia koe e te mamae o tō waewae, e te kōroke rānei i roto.
• Tērā pea ka rerekē te tae o te kiri. Tērā pea ka kikorangi, ka parauri rānei.
• Te pupuhi o te waewae.
• Ka puta pea ngā āhuatanga pēnei i te uaua varicose.

He aha te take o te (May-Thurner Syndrome)?

Ko te take matua mō tēnei, ko te pēhi a te uaua iliac matau ki te uaua iliac maui. Engari kāore anō kia kitea e ngā tākuta te take tika mō tēnei. Arā, tera pea nā te huringa o te hanganga o te tinana.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

Ki te pā mai ēnei tohu ki a koe, ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta, me te kōrero mārama mō ō tohu me tō hītori hauora. Ka tirohia koe e te tākuta. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau motuhake hei tirotiro i ēnei uaua toto.

• Matawai CT (Tomography Rorohiko) : Ka whakamahia e tēnei he hihi-X me ngā rorohiko motuhake hei tango whakaahua whakawhiti-wāhanga o ngā uaua toto. Kātahi ka taea te whakamahi hei tirotiro mēnā he aukati.
• MRI (Whakaahua Āhua Aukume) : Ka whakamahia e tēnei ngā aukume, ngā ngaru reo irirangi, me ngā rorohiko hei whakaputa whakaahua taipitopito o ngā uaua toto.
• Ultrasound: Ka whakamahia e tēnei whakamātautau ngā ngaru oro hei tirotiro i te rere o te toto i roto i te tinana, inā koa i roto i ngā uaua toto (Doppler Ultrasound).
• Venogram : I tēnei mahi, ka werohia he tae motuhake (tae rerekē) ki roto i te uaua, ā, ka tirohia te tae i raro i ngā hihi-X hei tirotiro mēnā he aukati kei roto i te rere o te toto.
• Tērā pea ka mahia he "venogram e hangai ana ki te catheter" . Ko te tikanga o tēnei ka whakauruhia he ngongo iti (catheter) ki roto i te uaua, ā, ka werohia te tae mā roto.
• Te Whakamātautau Ira-ā-roto (IVUS) : He whakamātautau matatau ake tēnei. I konei, ka whakauruhia he catheter ki roto i te oko toto, ā, ka tukuna he taputapu ultrasound iti (tirotiro) mā roto i te catheter hei tango pikitia mārama, taipitopito hoki o roto o te oko toto. Ka taea e tēnei te ine tika i te nui o te pēhanga.

He aha ngā maimoatanga mō tēnei?

E rua ngā whāinga matua mō te rongoā i te (May-Thurner Syndrome). Ko tētahi he whakapai ake i te rere o te toto . Ko tētahi he whakaiti i te mōrearea o te whakawhanake i te (DVT). I runga i tō āhua, ka tūtohu pea tō tākuta i ēnei maimoatanga e whai ake nei:

• Angioplasty me te Stenting : Koinei te maimoatanga tino noa. I roto i tēnei tikanga, ka whakauruhia he catheter me te poihau iti ki roto i te uaua iliac maui kua āraia. Ina tae ki te wāhi tika o te aukati, ka pupuhihia te poihau. Mā tēnei ka huaki te uaua kua āraia. Kātahi ka whakanohoia he ngongo mata iti, e kiia nei ko te stent , ki roto i te whakatuwheratanga kia kore ai e kati anō, ā, ka tangohia te poihau. He rite tēnei ki te tango i te aukati i te rori me te hanga piriti kia māmā ake ai te whiti.
• Pokanga karo : I ētahi wā, ka hangaia he ara hou mā te whakamahi i tētahi wahi kiko i tangohia mai i tētahi atu wāhi, i tētahi ngongo horihori rānei hei karo i te uaua kua āraia. Mā tēnei ka whakahokia mai te rere o te toto. He pokanga nui tēnei.
• Te tango i te uaua iliac matau : He onge te mahi pokanga hei neke i te uaua iliac matau kia māmā ake ai te pēhanga i runga i te uaua iliac maui. I ētahi wā, ka whakatakotoria he wahi kiko ki waenganui i te uaua me te uaua hei whakamama ake i te pēhanga.

Me aha koe mēnā ka pāngia koe e te (DVT)?

Whakaarohia inaianei kei a koe te "DVT" nā te "May-Thurner Syndrome". Mēnā koinei te āhua, hei tāpiri atu ki ngā maimoatanga kua whakahuatia i runga ake nei, ka tāpirihia e te tākuta ētahi atu maimoatanga:

• Ngā rongoā ārai toto : Ka ārai ēnei i te totoka, ka aukati i te nui haere o ngā totoka, ā, ka āwhina pea ki te whakarewa haere i ngā totoka.
• Ngā rongoā whakakore toto toto / Ngā rongoā thrombolytic : He rongoā kaha ēnei e hoatu tika ana hei whakarewa i ngā toto toto. He maha ngā wā ka hoatu ēnei rongoā mā te catheter, tika tonu ki roto i te toto toto.
• Tātari Vena Cava : He taputapu iti tēnei, he rite ki te mata. Ko te Inferior Vena Cava te uaua nui rawa atu o tō tātou tinana. Koinei te wāhi e rere ai te toto mai i ngā waewae me te puku ki te ngākau. Ina whakanohoia tēnei tātari ki roto i taua uaua, ka ārai i ngā toto e puta mai ana i roto i ngā waewae kei mawhiti atu ki te haere ki ngā pukahukahu.

He ara kei reira hei ārai i tēnei mea kei tupu?

Ki te pono, kāore he huarahi tino tika hei ārai i tēnei "Mate Mei-Thurner" kei puta., nā te mea kāore anō kia mōhiotia te tino take. Engari ka taea e koe te pupuri i te rere o te toto kia pai , me te whakaiti i te tūponotanga o te toto totoka mā te mahi i ēnei e whai ake nei:

• Kaua e noho roa i te wāhi kotahi. Ki te mahi koe i te tari, whakatika, ka hikoi mō tētahi wā poto, me te totoro i ō waewae, kia kotahi te iti rawa i te haora.
• Inumia he nui te wai. He mea pai kia inu i te iti rawa i te 2-3 rita wai i te rā.
• Whakakorikori tinana i ngā wā katoa , inā koa ko ngā mahi whakakorikori tinana (pērā i te hikoi, te oma, me te eke pahikara).
• Mena kei a koe ētahi atu mate hauora pēnei i te mate huka, te toto toto tiketike, te mate uaua ā-roto rānei (PAD), kōrero ki tō tākuta kia pai ai te whakahaere i aua mate.
• Ki te kai paipa koe, kati rawa . He tino kino te kai paipa mō ō uaua toto.
• Ki te tūtohutia e tō tākuta, mauria he tōkena pēhi motuhake. Ka āwhina ēnei ki te whakaiti i te toto e pupū ana i roto i ō waewae, ā, ka āwhina hoki i a koe ki te neke ake.

He aha ngā raruraru ka pā mai i tēnei?

Ko te raruraru matua o te (May-Thurner Syndrome) ko te (DVT) i kōrerohia e tātou. Heoi, tera tetahi mea ka nui ake te morearea . Arā, ki te pakaru mai te toto kua puta i te waewae i reira, ka haere mā roto i te toto, ka mau ki roto i te uaua o ngā pukahukahu. Ka kiia tēnā e tātou ko te (Pulmonary Embolism) (he toto kua mau ki roto i ngā pukahukahu) .

He āhuatanga ohorere hauora e morearea ana te Pulmonary Embolism. Mēnā kei a koe ētahi o ēnei tohu hou, kei te kino haere rānei , haere tonu ki te tari ohorere o te hōhipera tata , waea atu rānei ki te waka tūroro:

* Te maremare toto me te hūpē.

* Te tere ohorere o te manawa (te tere ohorere, te koretake rānei o te manawa).

* He uaua rawa te manawa, me te mea kei te whakamomori koe (Dyspnea).

* Ki te pāngia koe e te mamae nui o te uma, ka kino haere ina manawa koe.

He aha te heke mai mō te tangata e pāngia ana e te (May-Thurner Syndrome)?

He maha ngā tāngata e ora roa ana, e ora hauora ana me te mate May-Thurner, kāore he raruraru. Ki te kore ō tohu, kāore pea koe e mōhio kei a koe te mate.

Heoi, ki te pāngia koe e tētahi o ngā tohu o te (Deep Vein Thrombosis - DVT) i kōrerohia e tātou (pēnei i te pupuhi, te whero, te mamae, te mahana o te waewae), me toro atu ki te tākuta . He maha ngā wā ka taea te whakahaere angitu i te (DVT) mā te rongoā, me ētahi atu maimoatanga mēnā e tika ana.

Ngā pātai hei pātai atu ki te tākuta

Mena kei a koe, kei te whakaaro rānei koe kei a koe te mate May-Thurner, he pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha ngā tohu o te "May-Thurner Syndrome" e pāngia ana e au?
• He aha te tino take o aku tohumate?
• He aha ngā momo whakamātautau me mahi e au kia tino kitea ai tēnei?
• He aha ngā tohu o te (DVT)? Me aha ahau mēnā ka pā mai ēnei tohu?
• He aha ngā tohu o te (Pulmonary Embolism)? Me aha ahau mēnā ka pā mai ēnei tohu?
• He aha ngā maimoatanga e taunaki ana koe mō te "May-Thurner Syndrome"? He aha ngā painga me ngā huakore?
• He aha ngā tūponotanga ka puta anō ngā tohu i muri i te maimoatanga?

He mate mōrearea te (May-Thurner Syndrome)?

Ehara i te mea he mate mōrearea te (May-Thurner Syndrome). Heoi, ka taea e ia te arahi ki tētahi raruraru kino e kiia nei ko te (Pulmonary Embolism). Koinei te mea e mate mōrearea ana. Nō reira, he mea tino nui kia mōhio koe ki ngā tohu o te (Pulmonary Embolism) me te rapu tohutohu hauora tonu mēnā ka pāngia koe e tētahi mea pēnei.

Me pēhea koe e mōhio ai kei a koe te (May-Thurner Syndrome)?

Ina hoki, kāore pea koe e tino mōhio mēnā kei a koe te (May-Thurner Syndrome) nā te mea he tokomaha te hunga kāore e mōhio kei a rātou tae noa ki te puta mai o ngā tohu o te (DVT).

Ko te huarahi anake hei tino mōhio ko te tono i tētahi tākuta kia whakahaerehia ngā whakamātautau whakaahua i kōrerotia i mua ake nei (pēnei i te CT, MRI, Venogram, IVUS) me te whakaū kei te rere te uaua iliac maui mai i te uaua iliac matau.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, anei ngā mea tino nui hei maumahara māu mō te "Mate Mei-Thurner" kua roa nei tātou e kōrero ana mōna:

• Ko te mate May-Thurner he āhuatanga e pēhia ai e te uaua iliac matau te uaua iliac maui, ka aukati i te rere o te toto mai i tō waewae maui ki tō ngākau.
• Ka piki ake te mōrearea o te whakawhanake i tētahi āhuatanga e kiia nei ko te "Deep Vein Thrombosis - DVT" (ngā toto totoka i roto i ngā uaua hohonu) .
• Ko te nuinga o te tangata kāore e pāngia e tetahi tohu . Mena ka puta ngā tohu, he maha ngā wā ka rite ki te mamae o te waewae maui, te pupuhi, te taumaha, me te huri i te tae o te kiri.
• Ko te whāinga o te maimoatanga he whakaiti i te pēhanga, he whakaora i te rere o te toto, me te whakaiti i te mōrearea o te DVT. Ko te angioplasty me te stenting ngā maimoatanga tino noa.
• Mena ka pāngia koe e ngā tohu o te DVT (te pupuhi ohorere, te mamae, te whero, te mahana o tō waewae ina pā), me toro atu ki te tākuta tonu.
• He āhuatanga ohorere hauora ngā tohu o te "Pulmonary Embolism" (te poto ohorere o te manawa, te mamae o te uma, te maremare toto, te ngoikore). Mēnā koinei te āhua, haere tonu ki te hōhipera, kaua e whakaroa.

He mea tino nui kia mōhio koe ki tēnei mate. Nā te mea, ki te kitea wawe, ka āwhina nui ki te ārai i ngā raruraru nui. Kaua e mataku, engari kia mōhio ki ngā tohu kua whakahuatia i runga ake nei, ā, kaua e mangere ki te rapu tohutohu hauora mēnā e tika ana.

Te Mate o May-Thurner, Te Thrombosis o te Uaua Iliac, DVT, Te Thrombosis o te Uaua Hōhonu, Te Pupuhi o te Waewae, Te Mamae o te Waewae, Te Pupuhi o te Pūkahukahu, Ngā Totoka, Te Mate o te Uaua