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).

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