Kodi mwendo wanu wakumanzere watupa pang'ono komanso wolemera kuposa wina? Nthawi zina umangopweteka ndipo umamva ngati ukupweteka? Anthu ambiri salabadira kwambiri zizindikirozi. Koma nthawi zina chifukwa cha izi chingakhale chachikulu kuposa momwe mukuganizira. Chimodzi mwa zifukwa zimenezi chingakhale vuto lotchedwa 'May-Thurner Syndrome'. Tiyeni tiwone mosavuta chomwe chili.
Mwachidule, kodi May-Thurner Syndrome ndi chiyani?
Zosavuta kwambiri. Pali mitundu iwiri ya mitsempha yamagazi m'thupi lathu. Mitsempha yomwe imanyamula magazi okhala ndi mpweya kuchokera mumtima kupita ku thupi lonse timayitcha kuti 'Mitsempha' . Mofananamo, mitsempha yomwe imanyamula magazi ogwiritsidwa ntchito, okhala ndi mpweya kubwerera kumtima timayitcha kuti 'Mitsempha' .
Mu vuto ili lotchedwa Turner syndrome, mtsempha waukulu womwe umanyamula magazi kupita ku mwendo wanu wakumanja (mtsempha wakumanja wa iliac) umadutsa pa mtsempha waukulu womwe umanyamula magazi kubwerera kumtima kwanu kuchokera ku mwendo wanu wakumanzere (mtsempha wakumanzere wa iliac) ndikuupanikiza. Taganizirani ngati munthu akuponda paipi yamadzi. Kenako madzi amasokonekera, sichoncho? Mofananamo, mtsempha umenewo ukakanikiza mtsempha, magazi ochokera ku mwendo wakumanzere amasokonezeka. Vutoli limatchedwanso `(Cockett syndrome)`.
Kodi vutoli limakhudza bwanji thupi?
Magazi akamatuluka kuchokera ku mwendo wakumanzere kupita pamwamba, magazi ena amayamba kusonkhana kapena kuima mwendo wakumanzere. Choopsa kwambiri pa izi ndichakuti magazi akasonkhana pamalo amodzi ngati awa, mwayi woti magazi aziundana mkati mwa mtsemphawo umawonjezeka kwambiri. M'mawu azachipatala, timatcha izi kuti 'deep vein thrombosis' (DVT) .
DVT ndi matenda oopsa omwe angachitike mwadzidzidzi. Ngati magazi oundanawa atuluka n’kukakamira m’mitsempha m’mapapo, akhoza kukhala pachiwopsezo chachikulu.
Kawirikawiri, zizindikiro ngati izi zimatha kuchitika DVT ikayamba.
| Zizindikiro za DVT | |
|---|---|
| Kutupa ndi kulemera | Kutupa ndi kumva kulemera, nthawi zambiri mwendo umodzi (pankhaniyi, mwendo wakumanzere). |
| Ululu | Kupweteka kwambiri kapena kupweteka mwendo, makamaka m'mimba. |
| Kusintha kwa mtundu wa khungu | Kufiira kapena buluu kwa khungu la mwendo. |
| Kutuluka kwa mitsempha | Mitsempha ya m'miyendo imatupa ndipo imayamba kuonekera pamwamba. |
Kuphatikiza apo, akazi ena amatha kukhala ndi vuto lotchedwa pelvic congestion syndrome limodzi ndi May-Turner syndrome, lomwe ndi vuto lomwe mavuto a mitsempha ya m'mimba yapansi amayambitsa kupweteka kosatha.
Ndani amene angaone vutoli kwambiri?
Matenda a May-Turner ndi ofala pang'ono mwa akazi ndipo amapezekanso mwa akuluakulu azaka zapakati pa 20 ndi 50 .
Koma chodabwitsa n’chakuti munthu m’modzi pa anthu asanu aliwonse ali ndi vuto lotchedwa ``iliac vein compression``. Koma si aliyense amene ali ndi zizindikiro. Anthu ambiri amangodziwa kuti ali ndi May-Turner syndrome akangoyamba DVT. Mpaka nthawi imeneyo, sangakhale ndi zizindikiro zilizonse.
Kodi matenda a May-Turner amapezedwa bwanji?
Mukauza dokotala wanu za zizindikiro zanu, adzakuyesani ndipo angakulangizeni mayeso apadera omwe angayeze mitsempha yanu yamagazi kuti atsimikizire vutoli.
| Mtundu wa mayeso | Kufotokoza mwachidule |
|---|---|
| Kujambula kwa Ultrasound `(Ultrasound)` | Kuyesa kosapweteka komwe kumagwiritsa ntchito mafunde a phokoso kuti aone mitsempha yamagazi mkati mwa thupi. Iyi ndi sitepe yoyamba pofufuza DVT. |
| Kujambula kwa CT | Kujambula zithunzi za mitsempha yamagazi mwatsatanetsatane pogwiritsa ntchito makina apadera a X-ray. |
| Kujambula kwa MRI (MRI) | Kupeza zithunzi zomveka bwino za mitsempha yamagazi pogwiritsa ntchito maginito ndi mafunde a wailesi. |
| Venogram | Madzi apadera (utoto wosiyana) amalowetsedwa mu mtsempha ndipo ma X-ray amagwiritsidwa ntchito kuwona kuyenda kwa magazi. Izi zingathandize kudziwa komwe mitsempha yatsekeka. |
| Ultrasound ya m'mitsempha yamagazi | Njira yolondola kwambiri yomwe chubu (catheter) chokhala ndi kamera kakang'ono kwambiri chimayikidwa mu mtsempha wamagazi ndipo mtsemphawo umawunikidwa kuchokera mkati. |
Kodi mankhwala ochizira izi ndi otani?
Cholinga chachikulu cha chithandizo cha matenda a May-Turner ndikubwezeretsa mtsempha wotsekeka kuti ukhale wabwinobwino, kukonza kuyenda kwa magazi, ndikuchepetsa chiopsezo cha DVT.
Ngati pali zizindikiro zokha
Kawirikawiri, kwa munthu amene alibe DVT ndipo ali ndi zizindikiro monga kutupa kwa miyendo ndi kupweteka, dokotala angalimbikitse njira zotsatirazi:
- Angioplasty ndi stenting: Izi zimaphatikizapo kulowetsa chubu chaching'ono kwambiri chokhala ndi nsonga ya baluni mumtsempha ndikudzaza baluni pamalo opapatiza. Izi zimatsegula mtsempha ndikulola magazi kuyenda. Chipangizo chozungulira chonga mesh chotchedwa stent chimayikidwa mkati mwa mtsempha kuti chisapapatizenso.
- Opaleshoni: Nthawi zina, opaleshoni ingachitike kuti ichotse mtsempha wopapatiza kuchokera ku mtsempha. Kapena, opaleshoni ya bypass ingachitike kuti ipange njira yatsopano yoti magazi aziyenda mozungulira malo opapatiza.
Ngati muli ndi DVT
Ngati muli ndi DVT chifukwa cha May-Turner syndrome, kuwonjezera pa mankhwala omwe atchulidwa pamwambapa, muyeneranso kuchita izi:
- Mankhwala Oletsa Kuundana kwa Magazi: Mankhwalawa amaperekedwa kuti aletse magazi kuundana komanso kuti magazi kuundana omwe alipo asakule.
- Mankhwala osungunula magazi: Nthawi zina, mankhwala amabayidwa mwachindunji m'magazi oundana kudzera mu catheter kuti asungunuke ndikuchotsedwa.
- Sefa ya Vena cava: Nthawi zambiri, chipangizo chotchedwa sefa chimayikidwa kwakanthawi kapena kosatha mu mtsempha waukulu m'thupi lathu (vena cava yotsika) kuti magazi aziundana mwendo kuti asatuluke ndikupita ku mapapo.
Vuto loopsa kwambiri: Pulmonary Embolism
Chinthu choopsa kwambiri pa matenda a May-Turner ndi kukula kwa DVT. Choopsa kwambiri ndi pamene chidutswa cha DVTchomwecho chathyoka, chikuyenda ndi magazi, ndikukakamira mumtsempha wamagazi pamenepo. Timachitcha 'Pulmonary Embolism' .
Uwu ndi vuto lalikulu lachipatala lomwe lingayambitse imfa! Ngati inu kapena munthu amene mumamudziwa mwadzidzidzi ayamba kudwala zizindikiro zotsatirazi, pitani naye ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Kupuma movutikira mwadzidzidzi (dyspnea)
- Kupweteka kwambiri pachifuwa komwe kumawonjezeka mukapuma
- Kutuluka magazi ndi ntchofu
- Kugunda kwa mtima (kugunda kwa mtima)
Zinthu zomwe tingachite kuti tichepetse chiopsezo
Palibe njira yeniyeni yopewera matenda a May-Turner, chifukwa chomwe chimayambitsa matendawa sichidziwika. Komabe, zotsatirazi zingathandize kuti magazi aziyenda bwino komanso kuchepetsa chiopsezo cha magazi kuundana:
- Musamakhale pamalo omwewo kwa nthawi yayitali. Makamaka ngati muli ndi ntchito yongokhala, imirirani ndikuyenda mozungulira osachepera kamodzi pa ola limodzi.
- Imwani madzi ambiri.
- Kuchita masewera olimbitsa thupi nthawi zonse, makamaka masewera olimbitsa thupi.
- Ngati muli ndi matenda ena monga matenda a shuga kapena kuthamanga kwa magazi, ayang'anireni bwino motsatira malangizo a dokotala wanu.
- Ngati mukusuta, siyani nthawi yomweyo.
- Ngati dokotala wanu akulangizani, valani masokisi apadera opondereza.
Ngati muli ndi mafunso ena okhudza matenda a May-Turner, musaope kufunsa dokotala wanu. Iye adzakufotokozerani zonse.
Uthenga Wopita Nawo Kunyumba
- Matenda a May-Turner ndi matenda omwe mitsempha yamagazi yomwe imanyamula magazi kupita ku mwendo wakumanja ndi mitsempha yomwe imanyamula magazi kuchokera ku mwendo wakumanzere imakakamizidwa.
- Izi zingayambitse kutsekeka kwa magazi kupita ku mwendo wakumanzere, zomwe zimapangitsa kuti pakhale zizindikiro monga kutupa ndi kupweteka kwa mwendo.
- Vuto lalikulu komanso loopsa kwambiri la vutoli ndi kupangika kwa deep vein thrombosis (DVT).
- Kutupa kwa mapapo (kutupa kwa magazi komwe kumatuluka mu DVT ndikukhazikika m'mapapo) ndi vuto lalikulu lomwe lingayambitse imfa.
- Ngati muli ndi kutupa, kupweteka, kapena kulemera kosaneneka kwa mwendo wanu wakumanzere, ndikofunikira kufunafuna upangiri wa dokotala.
- Uwu ndi vuto lomwe lingathetsedwe bwino ndi chithandizo.
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