He toto totoka kei roto i tō uaua puku? Kia tūpato tātou ki tēnei mate morearea (SMV Thrombosis)!

Kua pāngia koe e te mamae nui i roto i tō puku, i te āhua kē rānei kua kī tō puku? I ētahi wā kāore tātou e aro nui ki ēnei mea, engari he tohu pea ēnei mō tētahi raruraru hauora nui. I tēnei rā ka kōrero tātou mō tētahi mate onge engari he tino morearea. Arā, ko te (SMV Thrombosis) , he toto totoka rānei i roto i te uaua mesenteric o runga.

He aha tēnei (SMV Thrombosis)? Kia mārama noa iho?

Ki te whakarapopoto, ko te SMV Thrombosis te hanganga o te toto totoka (thrombus) i roto i te uaua e kiia nei ko te Superior Mesenteric Vein (SMV) i roto i tō puku. Ka haria e tēnei uaua te toto mai i tō whekau iti ki tō ate. Pērā i te paipa wai kua āraia, ka āraihia e tēnei toto totoka te rere o te toto i waenga i ngā whekau o roto i tō puku.

Koinei te tino mōrearea o tēnei āhuatanga: Ina kore e pai te rere o te toto, kāore e whiwhi ō tātou whekau i te hāora e hiahiatia ana e rātou. Kātahi ka tīmata te mate o ngā pūtau (ngā kiko) o aua whekau. Ka pā tēnei momo kino ki te tinana katoa. Ki te kore e rongoatia wawetia tēnei āhuatanga, e kiia nei ko te SMV Thrombosis, ka taea te whakararu i te ora i ētahi wā.

Ko tētahi atu ingoa mō tēnei ko te "mesenteric venous thrombosis." He ingoa noa tēnei. Ko tōna tikanga ka taea te hanga toto toto i roto i te uaua mesenteric o runga, te uaua mesenteric o raro, ngā uaua rānei e peka atu ana i reira. Heoi, tata ki te 95% o te wā, ka hangaia tēnei toto toto i roto i te uaua mesenteric o runga, i kōrerotia e mātou i mua ake nei. Nō reira, e whakamahia ana ngā ingoa e rua mō te mate kotahi.

He aha ngā momo matua o te Mesenteric Venous Thrombosis?

Ka whakarōpūhia tēnei āhuatanga e ngā tākuta i runga i te putanga mai o ngā tohu.

• Koiora: Ka puta ohorere mai ngā tohu, i roto i ngā haora 24 ki te 72 o te hanganga o te toto totoka. Koinei te mea tino kitea (60% - 80%) o ngā take. I tēnei take, ka tere te pakaru o ngā whekau, nā te mea kāore he ara e tae atu ai te toto ki reira, ka āraia taua ara e te toto totoka.
• Te āhua o te mate pāwera iti: I tēnei wā, ka āta puta haere ngā tohu i roto i ētahi rā. Kāore i te tino kino pērā i te wā o te mate pāwera. I konei, ka uru ētahi toto ki roto i ngā whekau, engari kāore i te rawaka te nui. Tērā pea ētahi tāngata kāore e kite i te tākuta mō te rua wiki ahakoa he tohu kei a rātou.
• Mate pūmau: I ētahi wā kāore he tohu. Nā te mea ka puta mai ngā oko toto iti hei tuku toto ki ngā whekau. He maha ngā wā ka kitea ēnei mate pūmau e ngā tākuta i ngā whakamātautau whakaahua mō tētahi atu mate. Ka puta tēnei mate pūmau i roto i te 20% ki te 40% o ngā take.

He pēhea te noa o tēnei āhuatanga?

He mate onge tēnei e kiia ana. Ka pā mai tēnei mate ki te kotahi i roto i te 5,000 ki te kotahi i roto i te 15,000 tūroro e noho ana i te hōhipera.

Te totohu o te uaua mesentericAhakoa ka taea te whakawhanake i ngā tau katoa, he maha ngā wā ka pāngia te hunga i waenga i te 40-50 tau te pakeke.

He aha ngā tohu o tēnei?

Ka rerekē rawa ngā tohu. Tērā pea kāore he tohu o ētahi tāngata, inā koa ko te hunga e pāngia ana e te mate pūmau. Heoi, i roto i ngā āhuatanga ohorere, ka puta ohorere te mamae o te puku . I roto i ngā āhuatanga iti iho i te ohorere, ka puta, ka memeha haere te mamae o te puku i roto i ngā rā, i ngā wiki rānei.

Ka pāngia ētahi tāngata e te mate e kiia nei ko te Portal Hypertension nā tēnei mate. Kātahi ka kitea pea ngā tohu pēnei i:

• Toto i roto i tō tūtae.
• Whakapairuaki me te ruaki, i ētahi wā he toto kei roto i te ruaki.
• Puku pupuhi.
• Te pupuhi o ngā waewae me ngā kapu waewae (Edema) .
• Te pōhēhētanga hinengaro.

Mena he mamae puku hou tōu, he mamae kino rānei, me toro atu koe ki te tākuta tonu . Ko reira anake ka taea ai te whakatau i te tino take.

He aha ngā take o te (Superior Mesenteric Vein Thrombosis)?

Kua wehea e ngā kairangahau ngā take mō tēnei ki ngā wāhanga matua e toru:

1. Te kino tika ki te uaua: Ka taea te kino tika o tō uaua nā te mate (mumura) nā te pokanga rānei.

2. Te rere o te toto puhoi, te aukati rānei: Mā ngā āhuatanga pēnei i te cirrhosis (mate ate), te ngoikore o te ngākau, te pukupuku rānei, te puranga rānei i roto i te puku ka puhoi, ka aukati rānei te rere o te toto i roto i te uaua mesenteric me ngā uaua e karapoti ana.

3. Ngā mate toto totoka: Ka piki ake te mōrearea o te toto totoka ki ngā wāhi katoa o tō tinana.

I ētahi wā, kāore e taea e ngā tākuta te kimi i tētahi tino take mō tēnei (idiopathic) .

Ko wai te mea tino mōrearea ki tēnei mate?

He nui ake tō tūponotanga ki te pāngia koe e te SMV Thrombosis mēnā kei a koe tētahi o ēnei āhuatanga hauora e whai ake nei:

• Ngā mate toto e pā mai ana i te whānautanga, i muri mai rānei, tae atu ki ngā mea i puta mai i ētahi rongoā.
• (Mate Puku Mumura - IBD) .
• (Mate ate) (mate ate).
• (Pankreatitis) (mumura o te repe taiaki).
• Matepukupuku repeure .
• Te ngoikore o te ngākau .
• Te whēkau nui .
• He nui te pukupuku, he puranga rānei kei roto i te puku.
• Ko ētahi mate huaketo, tae atu ki (COVID-19) .

Ka taea e ētahi pokanga i tō puku, pērā i te tango i te uaua o roto, te kino i te arai o roto o ō oko toto (endothelium).Ka pā mai pea he kino. Mā te mumura e puta mai i tēnei kino ka nui ake te tūponotanga o te toto totoka.

He aha ngā raruraru ka pā mai i te SMV Thrombosis?

Ina puta he toto totoka i roto i ō uaua mesenteric, ka pupuhi pea te kiko o te puku. Ka arahi pea hoki ki tētahi āhuatanga e kiia nei ko te mesenteric ischemia , arā, he whakahekenga o te rere o te toto ki ngā wāhanga o tō pūnaha nakunaku.

Ina kore e nui te toto hāora e whiwhihia ana e ō whekau nakunaku, kāore e taea e rātou te mahi tika. Ā, ka tīmata te mate o ō rātou kiko. I ētahi wā, ka puta he kōhao i roto i ngā whekau, ka taea ai e ngā mea o roto o ngā whekau te turuturu ki te wāhi e karapoti ana. I ētahi atu wā, ka horapa ngā huakita e noho ana i roto i tō pūnaha nakunaku ki ētahi atu wāhanga o tō tinana, ki ngā wāhi kāore i tika kia noho. Ka arahi pea tēnei ki te sepsis (te paihana toto) me te ngoikore o ngā whekau e morearea ana ki te ora.

Nō reira, ka mate pea tēnei āhuatanga e kiia nei ko te (SMV Thrombosis) mēnā kāore e rongoatia wawetia.

Me pēhea te tautuhi i te Mesenteric Venous Thrombosis?

Tērā pea ka whakapae ngā tākuta i tēnei mate e ō tohu. Heoi, he uaua pea te tautuhi i tēnei mate nā te mea he maha ngā tohu kāore i te tino motuhake . Arā, ka puta mai i ētahi atu mate. Ina mamae tō puku, i ētahi atu tohu rānei, ehara i te mea ko te toto totoka i roto i te uaua mesenteric te mea tuatahi ka puta ake ki te hinengaro.

Ki te whakapae tō tākuta he toto totoka tōu, ka whakahaerehia e rātou ētahi whakamātautau whakaahua .

Ngā Whakamātautau Tātaritanga (Mesenteric Venous Thrombosis)

Ko te whakamātautau paerewa koura mō te tautuhi i tēnei mate ko te CT Angiography . I roto i tēnei matawai, ka werohia he tae motuhake ki roto i te uaua, ā, ka kitea te toto e rere ana i roto i ō uaua. Ka taea e tēnei te whakaatu i te pai o te rere o te toto i roto i ngā uaua me ngā uaua i roto i tō puku, me te whakaatu hoki mēnā he toto totoka. Mā ngā hua o tēnei whakamātautau e whakatau tō mahere maimoatanga.

I ētahi wā, ka whakamahia e ngā tākuta tētahi whakamātautau e kīia nei ko te MRI Angiography hei huarahi kē atu, hei whakaū rānei i ngā hua kāore i te mārama mai i te CT Angiography . Ka taea hoki te whakamahi i ēnei whakamātautau hei tirotiro i tō urupare ki te maimoatanga.

He aha ngā maimoatanga mō te (SMV Thrombosis)?

Ka whakaritea e ngā tākuta tō mahere maimoatanga kia rite ki ō hiahia. Ko ngā whāinga matua ko:

• Te whakaora i te rere o te toto ki ō whekau, me te āwhina i a rātou kia mahi noa.
• Āraihia, whakawhāitihia rānei te kino ki ō whekau.
• Te ārai i te hanganga o ngā toto toto hou me te kimi i te pūtake.

Ko te maimoatanga tere te mea nui ki te whakaora i ngā oranga.Ko te wawe o te whiwhi maimoatanga, ko te nui ake o te tūponotanga ka angitu te hua. I runga i te āhua o tō mate (whakapeka, mau tonu rānei) me tōna kaha, ka whakamahia pea e tō tākuta tētahi, ētahi rānei o ngā maimoatanga e whai ake nei:

• Te ārai toto toto: Koinei te maimoatanga tuatahi ka whakamahia e ngā tākuta. Ko te tikanga o tēnei ko te hoatu rongoā ki a koe hei āwhina i te whakarewa i te toto totoka me te ārai i te hanganga o ngā toto totoka hou. He maha ngā tākuta ka tīmata mā te hoatu i tētahi rongoā e kiia nei ko te heparin mā te uaua, kātahi ka whakamahi i tētahi rongoā pēnei i te warfarin . Me tango e ētahi tāngata tēnei rongoā mō te ono marama pea, ko ētahi ia me roa ake te tango. Mena he mate toto totoka tōu, he toto totoka rānei tōu kāore he take e kitea ana, me tango pea e koe tēnei rongoā mō te toenga o tō oranga.
• Te Whakapūpūnga toto: I tēnei tikanga, ka whakamahia e tō tākuta he catheter hei wero i te rongoā ki roto i ō uaua hei whakarewa i te toto totoka . I te nuinga o te wā ka hoatu tēnei rongoā mō te 24 ki te 72 hāora.
• Thrombectomy: He tikanga pokanga tēnei hei tango i te toto totoka . Ka whakamahia noa tēnei maimoatanga i roto i ētahi wā iti, hei tauira , mō te hunga kāore e taea te whai thrombolysis . Ka taea e ngā tākuta te mahi i tēnei tikanga mā te whakamahi i te pokanga tuwhera, i ngā tikanga iti rawa te whakaekenga.
• Te Tangohanga Puku: Ko te tango i tētahi wāhanga o tō puku mā te pokanga . Mena kua āraia e te toto totoka te rere o te toto ki tō puku, ā, kua pāngia tonutia, me tango pea koe i te puku iti, i te puku nui rānei. Mena ka tīmata koe i te rongoā ārai toto i te hōhipera, ka aroturukihia e tō tākuta ō tohumate kia kite ai mēnā me pokanga koe, mēnā rānei he raruraru kei te haere mai.

Ngā raruraru o te maimoatanga

Ko te raruraru tino kitea o te maimoatanga ko te toto (nui, iti rānei). Heoi, he mea nui kia mahara he mate whakamate tēnei mate mēnā kāore e rongoatia . Nō reira, he nui ake ngā painga o te maimoatanga i ngā mōrearea o ngā raruraru ka puta.

Ka taea te ārai i te SMV Thrombosis?

Kāore e taea te ārai i ngā toto totoka i ngā wā katoa. Heoi, ka taea e koe te whai i tētahi huarahi matatau ki tō hauora mā te ārai me te whakahaere i ngā āhuatanga maha e whakanui ana i tō mōrearea. Anei ētahi tohutohu:

• Haere ki te tirotiro hauora kotahi i te tau.
• Tangohia tō rongoā kia rite ki te mea i tohua e tō tākuta.
• Kōrero ki tō tākuta mēnā ka puta he tohu hou ki a koe, mēnā rānei ka rerekē ō tohu.
• Pātai atu ki tō tākuta he aha ngā huringa āhua noho me mahi e koe hei painga mō tō hauora.

He aha ngā mea ka puta mēnā kei a au te (SMV Thrombosis)?

Mā tō tākuta koe e kōrero ki ngā mea hei tumanako atu māu i a koe e rongoā ana, e ora ana hoki. Mā rātou e whakamārama te mōrearea o te whakawhanake i ngā toto toto hou me ngā maimoatanga e taunakitia ana e rātou hei whakaiti i taua mōrearea. He mea tino nui kia whai i te mahere maimoatanga a tō tākuta. Kei roto pea i tēnei ko te tango rongoā mō te toenga o tō oranga. Mā tēnei ka āwhina i te ārai i te hanganga anō o ngā toto toto.

Te aroturuki i te urupare ki te maimoatanga

Mena kei te tango koe i te rongoā ārai toto, me whakamātau toto koe i ia wā kia mōhio ai kei te tangohia e koe te nui tika o te rongoā. Ka tirotirohia anō koe e tō tākuta mō ngā toto katoa.

He aha te tirohanga mō tēnei āhuatanga?

Ko tō tākuta te tangata pai hei pātai atu mō tō tirohanga. Ka arotakehia e rātou tō hītori hauora me tō āhua, ā, ka hoatu he whakaaro ki a koe mō ngā mea hei tumanako atu. I te nuinga o te wā, ko tō tirohanga me te Mesenteric Venous Thrombosis e whakawhirinaki ana ki ētahi āhuatanga:

• tō tau.
• Te kaha o tō āhua.
• Te wāhi tika o te toto totoka.
• Ētahi atu mate hauora kei a koe.
• Te nui o te kino ki ō whekau.
• Ahakoa i tangohia tetahi wāhanga o tō whekau.
• Te tere o te whiwhinga o te maimoatanga.

Ka mate pea te uaua toto o te ngākau . I te wāhanga whakapeka, ka piki ake te mōrearea o te mate i ia haora e pahemo ana i muri i te tīmatanga o ngā tohu. Ki te kore e rongoatia mō te neke atu i te 24 hāora, ka mate pea te mate.

Āhea ahau me toro atu ki taku tākuta?

I a koe e ora ake ana i te maimoatanga, he mea nui kia aroturukihia ō kare ā-roto, me te kōrero ki tō tākuta mēnā he rerekētanga. Mā tō tākuta koe e kōrero ki te auau o tō haerenga mai mō ngā wā tirotiro. Kia rite ki te wā. Mā tēnei ka āwhina i tō tākuta ki te aroturuki i tō āhua me te kite i ngā raruraru hou (pēnei i te toto totoka hou). Heoi, ahakoa i te wā e maimoatanga ana koe, mēnā ka puta he tohu hou, he āwangawanga rānei, kaua e mangere ki te waea atu ki tō tākuta tonu.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Mena kei te pāngia koe e te mamae nui o te puku, e ētahi atu tohu rānei o te (SMV Thrombosis) , waea atu ki te 911, ki tō nama urupare ā-rohe rānei. Kaua e whakaroa. He mea nui tēnei mena he āhuatanga mōrearea tōu mō te (SMV Thrombosis) . Ko te maimoatanga wawe anake te huarahi hei whakaora i te ora.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Tērā pea ka rerekē āu pātai i runga i tō āhua me te wāhanga o te maimoatanga. Anei ētahi pātai noa hei āwhina i a koe ki te tiki i ngā mōhiohio e hiahiatia ana e koe. Ka taea e koe te pātai i ēnei pātai i muri i tō tātaritanga (mō tētahi e arohaina ana rānei):

• He pēhea te kino o tōku āhua?
• He aha te maimoatanga ka whakamātauria e koe i te tuatahi?
• He aha atu ngā maimoatanga e hiahiatia ana e au?
• He aha ngā whāinga o te maimoatanga?
• He aha ngā tūponotanga ka angitu te maimoatanga?
• He tūponotanga kei roto i te maimoatanga?
• Kei te pēhea taku tirohanga?
• He aha ngā wā hui whai muri me haere atu ahau?
• Me whakarerekē rānei aku rongoā, me whakarerekē rānei te roa o te wā e tangohia ai e au?
• He aha ngā huringa āhua noho e taunaki ana koe kia mahia e au i muri i taku whakaoranga?

He mea noa te mataku ina kitea he toto totoka kei roto i tō tinana. I roto i tētahi āhuatanga pērā i te SMV Thrombosis , ka taea e taua toto totoka te whakararu i te hauora o ō whekau, ā, ka pā mai pea ngā raruraru e morearea ai te ora.

Mena kei a koe, kei tētahi rānei o tō whānau ngā āhuatanga mōrearea mō te whakawhanake i te SMV Thrombosis , kōrero ki tō tākuta mō tō taumata mōrearea whaiaro me pēhea te whakahaere i tēnei. Kāore e taea te ārai i ngā toto totoka i ngā wā katoa. Engari, mā te tirotiro hauora me te mōhio ki ngā tohu ka āwhina i a koe ki te kimi i te tautuhi me te maimoatanga i te wā wawe. Mā tēnei mahi wawe ka taea te whakaora i te ora.

Ngā mea tino nui hei maumahara mā tātou (Karere hei tango ki te kāinga)

• Ko te (SMV Thrombosis) he toto totoka i roto i tētahi oko toto nui o te puku. He tino kino tēnei, ā, ka mate pea mēnā kāore e tere te rongoā.
• Ki te pāngia koe e ngā tohu pēnei i te mamae puku nui ohorere, te pupuhi, te whakapairuaki, te ruaki, te toto rānei i roto i tō tūtae, kaua e whakaroa. Rapua he tohutohu hauora tonu.
• Mena kei a koe ngā āhuatanga mōrearea mō tēnei (hei tauira, ngā mate toto totoka, te mate ate, te mate mumura o te whekau), kōrero ki tō tākuta mō tēnei mea, ā, me mahi i ngā mahi e tika ana.
• Ki te kitea kei a koe te mate, me whai i te maimoatanga e hoatu ana e tō tākuta ki a koe. Ahakoa me tango e koe he rongoā mō te toenga o tō oranga, ka taea e ia te āwhina ki te whakaora i tō oranga.
• Ko te tātaritanga wawe me te maimoatanga tere te huarahi pai hei karo i tēnei mate. Nō reira, kia tūpato ki ngā tohu, ā, me toro atu ki te tākuta tonu mēnā he ruarua āu.

` Te totohu o te SMV, Te totohu o te uaua mesenteric, Te toto totoka, Te mamae o te puku, Te uaua mesenteric o runga, Te pūnaha nakunaku, Te maimoatanga ohorere