Kodi mwendo wanu watupa ndipo umapweteka? Izi zitha kukhala chifukwa cha (May-Thurner Syndrome)!

Nthawi zina miyendo yathu imatupa ndi kupweteka popanda chifukwa, eti? Makamaka mwendo wakumanzere. Anthu ambiri salabadira kwambiri izi. Koma izi sizingakhale nkhani yosavuta nthawi zonse. Lero tikambirana za vuto lomwe sitinamvepo, koma lomwe tonse tikudziwa kuti ndi loyenera kupitako. Imeneyo ndi `(May-Thurner Syndrome)`. Izi zimatchedwanso `(Cockett syndrome)` kapena `(Iliac vein compression syndrome)`.

Kodi kwenikweni "May-Thurner Syndrome" ndi chiyani?

Mwachidule, `(May-Thurner Syndrome)` ndi vuto lomwe mitsempha yanu yakumanja ya iliac (`Right Iliac Artery`) ndi mitsempha yanu yakumanzere ya iliac (`Left Iliac Vein`) zimakanikizidwa. Tsopano mwina mukudabwa kuti mitsempha iyi ya iliac ndi mitsempha ndi chiyani. Mitsempha yakumanja ya iliac ndi mitsempha yayikulu yamagazi yomwe imanyamula magazi kupita kumiyendo yanu yakumanja. Mitsempha yakumanzere ya iliac ndi mitsempha yayikulu yamagazi yomwe imanyamula magazi kuchokera kumiyendo yanu yakumanzere kubwerera kumtima. Chifukwa chake, mu `(May-Thurner Syndrome)` iyi, kupsinjika kumeneko kungasokoneze kuyenda kwa magazi kudzera m'miyendo yanu.

Kodi izi zimachita chiyani ndi thupi? Kodi zimakhudza bwanji thupi?

Tsopano mwina mukudabwa kuti izi zimachita chiyani pa thupi ndi momwe zimakhudzira thupi. Chofunika kwambiri ndichakuti chifukwa cha kupanikizika kumeneku, magazi amayamba kusonkhana m'miyendo, makamaka mwendo wakumanzere , m'malo mopita molunjika kudzera m'mitsempha yakumanzere ya iliac, kutanthauza, kupita kumtima. Izi zikachitika, magazi amaundana amatha kupanga m'mitsempha yakuzama . Malinga ndi azachipatala, timatcha izi `(Deep Vein Thrombosis)` kapena `(DVT)`. Uwu ndi vuto lomwe likufunika chisamaliro. Zizindikiro za `(DVT)` zitha kukhala motere:

• Kusintha kwa mtundu wa khungu pa mwendo (mwina wofiira, wabuluu).
• Mitsempha ya miyendo imawoneka yotupa komanso yotupa.
• Kupweteka kwa mwendo, kupweteka kwambiri, kapena kupweteka kwambiri pokhudza.
• Kutupa kwa miyendo ndi kumva kulemera.

Azimayi ena amathanso kukhala ndi vuto la m'chiuno (PBS) limodzi ndi vuto la May-Thurner. Madokotala amakhulupirira kuti kupweteka kwa m'chiuno kosatha kumeneku kumachitika chifukwa cha mavuto a mitsempha ya m'chiuno (monga m'mimba mwa pansi).

Kodi izi zimasokoneza bwanji kuyenda kwa magazi?

Magazi amayenda nthawi zonse m'mitsempha ya magazi ya thupi lathu (mitsempha ndi mitsempha). Monga mukukumbukira, mitsempha imanyamula magazi oyera, okhala ndi mpweya kuchokera mumtima kupita ku ziwalo zina zonse za thupi. Ziwalozo zikalandira mpweya ndi zakudya, mitsempha imanyamula magazi opanda mpweya komanso odetsedwa kubwerera kumtima ndi m'mapapo.

M'malo ena m'thupi lathu, mitsempha iyi ndi mitsempha zimadutsana. Mofananamo, mkati mwa chiuno chathu, mitsempha yakumanja ya iliac ili pamwamba pa mitsempha yakumanzere ya iliac. Kawirikawiri, izi si vuto. Komabe, mwa munthu amene ali ndi `(May-Thurner Syndrome)`, mitsempha yakumanja ya iliac imaika mphamvu pa mitsempha yakumanzere ya iliac. Tangoganizani pali chitoliro cha madzi, chimachitika ndi chiyani ngati wina akupondapo? N'zovuta kuti madzi ayende, sichoncho? Kunena zoona, chinthu chofanana ndi ichi chimachitika apa.Chifukwa chakuti mtsempha wa kumanzere wa iliac umapanikizika, zimakhala zovuta kuti magazi ayende bwino kudzera mmenemo.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Matenda a "May-Thurner Syndrome" awa akuwoneka kuti amapezeka pafupipafupi mwa akazi . Amapezekanso mwa akuluakulu azaka zapakati pa 20 ndi 50 .

Kodi vutoli ndi lofala bwanji?

Ndipotu, thrombosis ya mitsempha ya iliac ndi yofala kwambiri kuposa momwe mungaganizire. Kafukufuku wina akusonyeza kuti munthu m'modzi mwa asanu akhoza kukhala ndi mtundu uwu wa thrombosis! Koma chodabwitsa n'chakuti, ngakhale kuti anthu ambiri ali ndi thrombosis ya mitsempha ya iliac, sapezeka ndi `(May-Thurner Syndrome)`. Chifukwa chimodzi cha izi chingakhale chakuti anthu ambiri samakhala ndi zizindikiro za `(May-Thurner Syndrome)` mpaka atayamba matenda ngati `(DVT)`.

Kodi zizindikiro za `(May-Thurner Syndrome)` ndi ziti?

Anthu ambiri omwe ali ndi May-Thurner Syndrome saona zizindikiro zilizonse , makamaka ngati alibe DVT yomwe takambirana kale. Ngati zizindikirozo zachitika, nthawi zambiri zimakhudza mwendo wakumanzere wokha . Izi zingaphatikizepo:

• Kumva kulemera m'miyendo. Ngati mwala womwe wapachikidwa pamenepo, kumakhala kovuta kwambiri.
• Nthawi zina, mabala osachiritsa (zilonda) amatha kuchitika pa miyendo.
• Mungamve kupweteka kwa mwendo wanu kapena kupweteka kwa m'mimba komwe kumachokera mkati.
• Mtundu wa khungu ukhoza kusintha. Ukhoza kukhala wabuluu kapena bulauni.
• Kutupa kwa miyendo.
• Matenda monga mitsempha ya varicose amatha kuchitika.

Kodi chimayambitsa `(May-Thurner Syndrome)` ndi chiyani?

Chifukwa chachikulu cha izi ndi chakuti mtsempha wa m'mimba wamanja umakankhira mtsempha wamanzere wa m'mimba. Koma madokotala sanapezebe chifukwa chenicheni chomwe izi zimachitikira. Izi zikutanthauza kuti, zitha kukhala chifukwa cha kusintha kwa kapangidwe ka thupi.

Kodi madokotala amazindikira bwanji izi? (Kuzindikira)

Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala ndikumuuza momveka bwino za zizindikiro zanu komanso mbiri yanu yaumoyo. Dokotalayo adzakuyesani. Kenako, angachite mayeso apadera omwe angayang'ane mitsempha yamagazi iyi.

• `CT (Computed Tomography) scan` : Izi zimagwiritsa ntchito X-ray ndi makompyuta apadera kuti ajambule zithunzi za mitsempha yamagazi m'magawo osiyanasiyana. Kenako izi zitha kugwiritsidwa ntchito kuti zione ngati pali kutsekeka kulikonse.
• `MRI (Magnetic Resonance Imaging)` : Izi zimagwiritsa ntchito maginito, mafunde a wailesi, ndi makompyuta kuti apange zithunzi zatsatanetsatane za mitsempha yamagazi.
• Ultrasound: Kuyeza kumeneku kumagwiritsa ntchito mafunde a phokoso kuti aone momwe magazi akuyendera mkati mwa thupi, makamaka m'mitsempha yamagazi (Doppler Ultrasound).
• Venogram : Mu izi, utoto wapadera (utoto wosiyana) umalowetsedwa mu mtsempha ndipo utotowo umawonedwa pansi pa X-ray kuti awone ngati pali kutsekeka kwa magazi.
• "Venogram yochokera ku catheter" ingathenso kuchitidwa. Izi zikutanthauza kuti chubu chaching'ono (catheter) chimalowetsedwa mu mtsempha ndipo utoto umalowetsedwa kudzera mu mtsempha.
• Kuyeza kwa Intravascular Ultrasound (IVUS) : Uku ndi kuyesa kwapamwamba pang'ono. Apa, catheter imayikidwa mu mtsempha wamagazi, ndipo chipangizo chaching'ono cha ultrasound (probe) chimadutsa mu catheter kuti chijambule zithunzi zomveka bwino komanso zatsatanetsatane za mkati mwa mtsempha wamagazi. Izi zimatha kuyeza molondola kuchuluka kwa kuthamanga kwa magazi.

Kodi mankhwala ochizira izi ndi otani?

Pali zolinga ziwiri zazikulu pochiza `(May-Thurner Syndrome)`. Choyamba ndikuwongolera kuyenda kwa magazi . China ndi kuchepetsa chiopsezo cha `(DVT)`. Kutengera ndi matenda anu, dokotala wanu angakulangizeni njira zotsatirazi:

• Angioplasty ndi Stenting : Iyi ndi njira yodziwika kwambiri yochizira. Mu njira imeneyi, catheter yokhala ndi baluni yaying'ono imayikidwa mu mtsempha wamanzere wa iliac wotsekedwa. Ikafika pamalo enieni pomwe pali kutsekeka, baluniyo imadzazidwa. Izi zimatsegula mtsempha wotsekedwa. Kenako, chubu chaching'ono cha mesh, chotchedwa stent , chimayikidwa pamalo otseguka kuti chisatsekenso, ndipo baluniyo imachotsedwa. Izi zili ngati kuchotsa chotsekeka mumsewu ndikumanga mlatho kuti zikhale zosavuta kuwoloka.
• Opaleshoni yodutsa : Nthawi zina, njira yatsopano imapangidwa pogwiritsa ntchito chidutswa cha minofu yotengedwa kuchokera kudera lina kapena chubu chopangira kuti idutse mtsempha wotsekedwa. Izi zimabwezeretsa kuyenda kwa magazi. Iyi ndi opaleshoni yayikulu.
• Kusuntha kwa mtsempha wa iliac wakumanja : Nthawi zambiri, opaleshoni ingachitike kuti isunthe pang'ono mtsempha wa iliac wakumanja kuti ichepetse kupanikizika pa mtsempha wa iliac wakumanzere. Nthawi zina, chidutswa cha minofu chingayikidwe pakati pa mtsempha ndi mtsempha kuti ichepetse kupanikizika.

Kodi mungachite chiyani ngati mwapeza `(DVT)`?

Tsopano tangoganizani kuti muli ndi "DVT" chifukwa cha "May-Thurner Syndrome". Ngati zili choncho, kuwonjezera pa mankhwala omwe atchulidwa pamwambapa, dokotala adzawonjezera mankhwala ena:

• Mankhwala Oletsa Kuundana kwa Magazi : Izi zimaletsa magazi kuundana, zimaletsa magazi kuundana kuti asakule, ndipo zingathandizenso kusungunula magazi kuundana pang'onopang'ono.
• Mankhwala ochotsa magazi m'mitsempha / Thrombolytics : Awa ndi mankhwala amphamvu omwe amaperekedwa mwachindunji kuti asungunule magazi m'mitsempha. Mankhwalawa nthawi zambiri amaperekedwa kudzera mu catheter, mwachindunji m'magazi m'mitsempha.
• `Vena Cava Filter` : Ichi ndi chipangizo chaching'ono chonga maukonde. `Inferior Vena Cava` ndiye mtsempha waukulu kwambiri m'thupi lathu. Apa ndi pomwe magazi ochokera m'miyendo ndi m'mimba amapita kumtima. Pamene fyuluta iyi iikidwa mkati mwa mtsempha umenewo, imaletsa magazi kuundana omwe amapangika m'miyendo kuti asatuluke m'njira ndikupita ku mapapo.

Kodi pali njira yopewera izi kuti zisachitike?

Kunena zoona, palibe njira yotsimikizika yopewera "May-Thurner Syndrome" iyi kuti isachitike., chifukwa chomwe chimayambitsa matendawa sichikudziwikabe. Koma mutha kusunga magazi anu onse ali bwino ndikuchepetsa chiopsezo cha magazi kuundana mwa kuchita izi:

• Osakhala pamalo amodzi kwa nthawi yayitali. Ngati mumagwira ntchito muofesi, imirirani ndikuyenda mozungulira pang'ono, mukutambasula miyendo yanu, osachepera kamodzi pa ola limodzi.
• Imwani madzi ambiri. Ndi bwino kumwa malita osachepera awiri kapena atatu a madzi patsiku.
• Kuchita masewera olimbitsa thupi nthawi zonse , makamaka masewera olimbitsa thupi (monga kuyenda, kuthamanga, ndi kukwera njinga).
• Ngati muli ndi matenda ena monga matenda a shuga, kuthamanga kwa magazi, kapena matenda a mitsempha ya m'mitsempha (PAD), lankhulani ndi dokotala wanu ndipo muwathandize kuti asamavutike.
• Ngati mukusuta, siyani kusuta . Kusuta fodya n'koipa kwambiri pa mitsempha yanu yamagazi.
• Ngati dokotala wanu akulangizani, valani masokisi apadera opondereza. Izi zimathandiza kuchepetsa magazi m'miyendo yanu ndikukuthandizani kukwera mmwamba.

Kodi izi zingayambitse mavuto otani?

Vuto lalikulu la `(May-Thurner Syndrome)` ndi `(DVT)` yomwe tidakambirana. Komabe, pali chinthu china chomwe chingakhale choopsa kwambiri . Izi zikutanthauza kuti, ngati magazi oundana omwe adapangidwa mu mwendo achoka pamenepo, amayenda m'magazi ndikukakamira mumtsempha m'mapapo. Timatcha `(Pulmonary Embolism)` (magazi oundana omwe adakakamira m'mapapo) .

Kutupa kwa m'mapapo ndi vuto lachipatala lomwe lingayambitse imfa. Ngati muli ndi zizindikiro zatsopano kapena zoipiraipira , pitani kuchipatala chapafupi nthawi yomweyo kapena imbani ambulansi:

* Kutsokomola magazi ndi mamina.

* Kugunda kwa mtima (kugunda kwa mtima mofulumira kapena kosakhazikika mwadzidzidzi).

* Kuvuta kwambiri kupuma, kumva ngati ukupuma movutikira (Dyspnea).

* Ngati mwadzidzidzi mukumva kupweteka kwambiri pachifuwa, zimakula kwambiri mukapuma.

Kodi tsogolo la munthu amene ali ndi `(May-Thurner Syndrome)` ndi lotani?

Anthu ambiri amakhala ndi moyo wautali komanso wathanzi ndi May-Thurner Syndrome popanda vuto lililonse. Ngati mulibe zizindikiro, simungadziwe kuti muli ndi vutoli.

Komabe, ngati mukukumana ndi zizindikiro zilizonse za `(Deep Vein Thrombosis - DVT)` zomwe tidakambirana (monga kutupa, kufiira, kupweteka, kutentha kwa mwendo), onetsetsani kuti mwawonana ndi dokotala . `(DVT)` nthawi zambiri imatha kuthetsedwa bwino ndi mankhwala komanso, ngati pakufunika, mankhwala ena.

Mafunso oti mufunse dokotala

Ngati muli ndi, kapena mukuganiza kuti mwina muli ndi, May-Thurner Syndrome, zingakhale zothandiza kufunsa dokotala wanu mafunso awa:

• Kodi zizindikiro za ``May-Thurner Syndrome'' ndi ziti zomwe zimandikhudza?
• Kodi ndi chifukwa chiyani chomwe chingayambitse zizindikiro zanga?
• Ndi mayeso amtundu wanji omwe ndiyenera kuchita kuti ndidziwe izi?
• Kodi zizindikiro za `(DVT)` ndi ziti? Ndiyenera kuchita chiyani ndikazitenga?
• Kodi zizindikiro za `(Pulmonary Embolism)` ndi ziti? Ndiyenera kuchita chiyani ndikazitenga?
• Kodi ndi mankhwala ati omwe mumalimbikitsa pa ``May-Thurner Syndrome''? Kodi ubwino ndi kuipa kwake ndi kotani?
• Kodi pali mwayi wotani woti zizindikiro zibwerenso pambuyo pa chithandizo?

Kodi `(May-Thurner Syndrome)` ndi yoopsa?

`(May-Thurner Syndrome)` siiwopseza moyo mwachindunji. Komabe, ingayambitse vuto loopsa lotchedwa `(Pulmonary Embolism)`. Ndicho chimene chimayambitsa moyo kukhala pachiwopsezo. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro za `(Pulmonary Embolism)` ndikupempha upangiri wa dokotala nthawi yomweyo ngati mukumva choncho.

Kodi mungadziwe bwanji ngati muli ndi `(May-Thurner Syndrome)`?

Ndipotu, simungathe kudziwa ngati muli ndi `(May-Thurner Syndrome)` chifukwa anthu ambiri sadziwa kuti ali nayo mpaka atakhala ndi zizindikiro za `(DVT)`.

Njira yokhayo yodziwira bwino ndikupempha dokotala kuti achite mayeso ojambulira omwe tidakambirana kale (monga CT, MRI, Venogram, IVUS) ndikutsimikizira kuti mtsempha wamanzere wa iliac ukutuluka kuchokera ku mtsempha wamanja wa iliac.

Zinthu zofunika kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, nazi zinthu zofunika kwambiri zomwe muyenera kukumbukira zokhudza ``May-Thurner Syndrome'' zomwe takambirana mwatsatanetsatane:

• Matenda a May-Thurner ndi matenda omwe mitsempha yanu yakumanja ya iliac imakanikiza mitsempha yanu yakumanzere ya iliac, zomwe zimalepheretsa magazi kutuluka kuchokera ku mwendo wanu wakumanzere kubwerera kumtima.
• Izi zimawonjezera chiopsezo chotenga matenda otchedwa ``Deep Vein Thrombosis - DVT'' (magazi amaundana m'mitsempha yakuya) .
• Anthu ambiri saona zizindikiro zilizonse . Zizindikiro zikachitika, nthawi zambiri zimakhala kupweteka mwendo wakumanzere, kutupa, kulemera, komanso kusintha kwa mtundu wa khungu.
• Chithandizochi cholinga chake ndi kuchepetsa kuthamanga kwa magazi, kubwezeretsa kuyenda kwa magazi, komanso kuchepetsa chiopsezo cha DVT. Angioplasty ndi stenting ndi njira zodziwika kwambiri zochiritsira.
• Ngati mukumva zizindikiro za DVT (kutupa mwadzidzidzi, kupweteka, kufiira, kutentha pamene mwendo wanu ukukhudza), pitani kwa dokotala nthawi yomweyo.
• Zizindikiro za ``Pulmonary Embolism'' (kupuma movutikira, kupweteka pachifuwa, kutsokomola magazi, kumva kukomoka) ndi zadzidzidzi zachipatala. Ngati zili choncho, pitani kuchipatala nthawi yomweyo osazengereza.

Ndikofunikira kwambiri kudziwa za vutoli. Chifukwa, ngati litazindikirika msanga, lithandiza kwambiri kupewa mavuto aakulu. Musachite mantha, koma dziwani zizindikiro zomwe zatchulidwa pamwambapa ndipo musazengereze kufunsa upangiri wa dokotala ngati pakufunika kutero.

'Matenda a May-Thurner, Iliac Vein Thrombosis, DVT, Deep Vein Thrombosis, Kutupa kwa Miyendo, Kupweteka kwa Miyendo, Pulmonary Embolism, Magazi Oundana, Matenda a Mitsempha