Kodi mitsempha yanu yomwe imanyamula magazi kuchokera kumtunda kwa thupi lanu kupita kumtima yatsekedwa? Tiyeni tiphunzire za Superior Vena Cava Syndrome!

Kodi nthawi zina mumamva kupuma movutikira, nkhope yanu, khosi lanu, kapena manja anu akumva kutupa? Kapena mumaona mitsempha yotupa m'khosi kapena pachifuwa panu? Ndibwino kuti musadandaule kwambiri ndi izi, eti? Chifukwa izi zitha kukhala zizindikiro za vuto la mtsempha waukulu wamagazi pachifuwa panu. Lero tikulankhula za vuto limodzi lotere, lotchedwa ``Superior Vena Cava Syndrome'' kapena ``SVCS''. Musadandaule, tikambirana izi mosavuta komanso mwanjira yomwe mungamvetse.

Ndiye, kodi `(Superior Vena Cava Syndrome)` iyi ndi chiyani?

Mwachidule, `(Superior Vena Cava Syndrome)` ndi mndandanda wa zizindikiro zomwe zimachitika pamene pali choletsa kuyenda kwa magazi kudzera mu mtsempha waukulu wamagazi pachifuwa chathu. Mtsempha wamagazi uwu ndi womwe timautcha `(Superior Vena Cava)`. Taganizirani ngati msewu womwe umanyamula magazi ogwiritsidwa ntchito kale, opanda mpweya kuchokera kumtunda kwa thupi lathu - kutanthauza, kuchokera kumadera monga mutu, khosi, manja, ndi chifuwa chapamwamba - kubwerera kumtima.

Tsopano, chimachitika ndi chiyani ngati, pazifukwa zina - kungakhale chotupa chomwe chimayamba m'thupi, kapena magazi kuundana - mtsempha wamagazi uwu wapanikizika kapena kutsekeka kuchokera mkati? Pamenepo ndi pomwe vuto limayamba. Magazi sangafike pamtima ndipo amamatira mkati mwa mtsemphawo, amadzaza.

Koma matupi athu nawonso adapangidwa modabwitsa. Nthawi zina, monga momwe magalimoto ambiri amayendera pamsewu, magalimoto amadutsa njira ina, ndipo magazi ena otsekedwa amayesa kugwiritsa ntchito mitsempha ina yaying'ono yapafupi kuti ifike pamtima. Mwanjira imeneyi, magazi amatha kuyenda kupita kumtima mpaka pamlingo wina. Komabe, ngati kutsekeka kumeneku kwachitika mwadzidzidzi kapena kwakukulu kwambiri , kungayambitse kusokonezeka kwakukulu kwa kuyenda kwa magazi, ndipo nthawi zina kumatha kupha .

Kodi pali mitundu ya izi?

Inde, pali mitundu iwiri ikuluikulu ya ``Superior Vena Cava Syndrome''. Mitundu iwiriyi imagawidwa malinga ndi chifukwa cha zizindikiro:

1. Malignant SVC syndrome: Iyi ndi matenda omwe amayamba chifukwa cha khansa . Mwachitsanzo, chotupa chingatseke mtsempha waukulu wamagazi, zomwe zimalepheretsa kuyenda kwa magazi. Pafupifupi anthu 7 mwa 10 omwe ali ndi SVC syndrome (70%) ali ndi mtundu uwu.

2. Benign SVC syndrome: Izi sizimayambitsidwa ndi khansa . Zingayambitsidwe ndi matenda ena. Pafupifupi anthu atatu mwa khumi (30%) adzakumana ndi vutoli.

Kodi zizindikiro za izi zingakhale zotani?

Ngati muli ndi matenda a SVC, mutha kukhala ndi chimodzi kapena zingapo mwa zizindikirozi. Zina mwa zizindikirozi ndi zoyamba kuwonekera, choncho muyenera kuziganizira kwambiri.

• Kutupa: Kutupa pankhope panu, pakhosi, pachifuwa chapamwamba, ndi/kapena m'manja. Ichi nthawi zambiri chimakhala chizindikiro choyamba kuwonekera .
• Mitsempha yooneka: Mitsempha ya m'khosi kapena pachifuwa imayamba kuoneka yotupa komanso yotambasuka. Izi ndi zomwensoChizindikiro chomwe chingawonekere poyamba .
• Maso osawoneka bwino.
• Chifuwa.
• Mutu.
• Kusamveka bwino kwa mawu, kusintha.
• Kufooka kapena kukomoka.
• Kupuma movutikira.

Chofunika kwambiri ndichakuti zizindikirozi zitha kukulirakulira ndikuwonjezeka mukagona . Dziwaninso zimenezo.

N’chifukwa chiyani mtundu uwu wa `(SVC Syndrome)` umayamba? Kodi zimayambitsa chiyani?

Tiyeni tsopano tiwone zifukwa zazikulu zomwe zingakhudze vutoli.

Zifukwa Zoopsa za Khansa

Monga tanenera kale, khansa ndi chifukwa chachikulu cha matenda a SVC. Mitundu iyi ya khansa makamaka ingakhudze:

• Khansa ya m'mapapo: Ichi ndi chifukwa chofala kwambiri .
• Khansa za m'maselo a lymph, mwachitsanzo `(Lymphoma)`.
• Ngati khansa ya m'mawere yafalikira ndipo yakhudza ma lymph nodes mu mediastinum yanu.
• Mesothelioma (Iyi ndi khansa yomwe nthawi zambiri imayamba mu nembanemba yomwe imaphimba mapapo).
• Thymoma (khansa ya thymus gland).

Zina zomwe sizimayambitsa khansa (Zoyambitsa Zabwino)

Vutoli likhoza kuchitika popanda khansa. Izi ndi zifukwa zomwe zingachitike:

• Zipangizo zachipatala zoikidwa m'thupi: Ichi ndi chifukwa chofala kwambiri chomwe sichimayambitsa khansa.
• Ganizirani zinthu monga machubu ang'onoang'ono (ma catheter) omwe amaikidwa m'thupi lathu kuti achiritse matenda enaake (monga ma catheter apakati pa mitsempha), makina oletsa kupweteka kwa mtima omwe amathandiza mtima kugwira ntchito, ma defibrillator, ndi ma catheter a hemodialysis omwe amagwiritsidwa ntchito kuyeretsa magazi a odwala impso.
• Pamene mawaya kapena ma catheter a zipangizozi ali mkati mwa Superior Vena Cava, nthawi zina pamakhala kukangana kapena kupanikizika pakhoma la mtsempha umenewo. Kenako pakhoza kukhala kutupa , minofu ya zipsera , kapena magazi kuundana . Izi zimatha kutseka mtsempha.
• Koma ndikofunikiranso kukumbukira: Si aliyense amene ali ndi chipangizo chonga ichi chomwe chaikidwa m'thupi mwake amene adzadwala matenda a SVC. Chiwopsezocho chimadalira zinthu monga mtundu wa chipangizo chomwe chagwiritsidwa ntchito komanso nthawi yomwe chimakhala mumtsempha.
• Mavuto omwe angakhalepo panthawi ya chithandizo chamankhwala.
• Goiter.
• Matenda osiyanasiyana, monga chindoko kapena chifuwa chachikulu.
• Zotupa zopanda khansa.
• Matenda monga `(Sarcoidosis)`.
• Zilonda zomwe zimapangika pambuyo pa chithandizo cha radiation, kapena nthawi zina popanda chifukwa chomveka, zimatha kutseka mtsempha wamagazi.

Kodi madokotala amamvetsa bwanji izi?

Ngati muli ndi zizindikiro za matenda a SVC, dokotala wanu adzachita kaye mayeso akuthupi. Kenako, angakupatseni mayeso osiyanasiyana kuti atsimikizire vutoli ndikupeza chomwe chikuyambitsa. Mayeso ojambula zithunzi, makamaka, angathandize kudziwa ngati magazi akuyenda bwino kudzera mumtsempha wa Superior Vena Cava (SVC) kapena ngati wapatutsidwa chifukwa cha kutsekeka.

Mayeso ena omwe mungakhale nawo ndi awa:

• X-ray ya pachifuwa.
• `(CT scan)` (Mayeso a Computerized Tomography).
• Kuyeza magazi m'mitsempha (izi zingagwiritsidwe ntchito kuona kuyenda kwa magazi ndi kutsekeka kwa mitsempha yamagazi).
• `(Venogram)` (Mu izi, madzi apadera amalowetsedwa mu mtsempha ndipo zithunzi za `X-ray` zimatengedwa kuti ziwone momwe mtsempha ulili).

Kodi mankhwala ochizira izi ndi otani?

Chithandizo cha matenda a SVC chimadalira chomwe chimayambitsa komanso kuopsa kwa zizindikiro zanu . Chithandizo chomwe chimagwira ntchito kwa munthu aliyense chingasiyane.

Pali njira zingapo zodziwika bwino zochiritsira:

• Kutsegula mitsempha yamagazi: Izi zimaphatikizapo kuyika chubu chaching'ono cha mesh (`stent`) mu mtsempha wamagazi wotsekedwa kuti mtsemphawo ukhale wotseguka kachiwiri. Izi zimabwezeretsa kuyenda kwa magazi.
• Ngati chifukwa chake ndi chipangizo chachipatala: Ngati vutoli layambitsidwa ndi chipangizo chachipatala choyikidwa, chingachotsedwe kapena kusinthidwa ndi china choyenera.
• Mankhwala ochotsa magazi oundana: Ngati magazi oundanawo atsekeka chifukwa cha magazi oundana, mankhwala apadera (monga jakisoni wa IV kapena mapiritsi akumwa) angaperekedwe kuti asungunule magazi oundanawo.
• Chithandizo cha khansa: Ngati chifukwa chake ndi khansa, chithandizo cha radiation kapena chemotherapy chingagwiritsidwe ntchito kuwononga maselo a khansa.
• Opaleshoni:
• Ngati pali zotupa za khansa, zimatha kuchotsedwa ndi opaleshoni.
• Kawirikawiri, opaleshoni yosinthira njira yoyendetsera magazi ingachitike.

Mankhwalawa amathandiza kuti magazi aziyenda bwino mumtima mwanu. Nthawi zina pangafunike mankhwala opitilira amodzi. Dokotala wanu adzakufotokozerani chithandizo chomwe chili chabwino kwa inu komanso zabwino ndi zoyipa zake.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuona kuti muli ndi chimodzi kapena zingapo mwa zizindikiro za `(SVC syndrome)` zomwe zatchulidwa kale, onetsetsani kuti mwawonana ndi dokotala nthawi yomweyo . Kenako dokotalayo akhoza kukuyang'anirani ndikukutumizani kuti mukalandire chithandizo chofunikira.

Ndikofunikanso kutsatira nthawi zonse zomwe dokotala wanu wakupatsani mukalandira chithandizo. Nthawi imeneyi ndi komwe dokotala wanu adzapitiriza kuyang'anira thanzi la mitsempha yanu yamagazi komanso kupambana kwa chithandizo chanu.

Kodi ndi liti pamene muyenera kufunafuna chithandizo chamankhwala mwadzidzidzi?

Ngati mukukumana ndi zizindikiro izi, zikutanthauza kuti ``SVC syndrome'' yakula kwambiri ndipo ikhoza kukhala pachiwopsezo cha moyo . Zikatero , pitani kuchipatala chapafupi nthawi yomweyo, kapena imbani ambulansi yadzidzidzi monga 1990 .

• Chizungulire kapena kukomoka .
• Ngati mukumva phokoso lotsika komanso lapamwamba mukamapuma kapena kutulutsa mpweya.
• Ngati mukukumana ndi kusintha kwa luso lanu loganiza kapena kuzindikira zomwe zikukuzungulirani (monga chisokonezo, kuchepa kwa tcheru).

Zizindikiro zazikuluzi zingayambike chifukwa cha kutupa muubongo wanu kapena njira zopumira, kapena kusapereka magazi okwanira ku ziwalo zazikulu za thupi lanu. Uwu ndi vuto loopsa kwambiri , kotero chithandizo chamankhwala mwachangu n'chofunikira!

Kodi ndi chiyembekezo chotani chomwe ndingakhale nacho mtsogolo ndi vutoli?

Mapeto a matendawa kwa munthu amene ali ndi Superior Vena Cava Syndrome amatha kusiyana kwambiri. Zimatengera zinthu zambiri, kuphatikizapo chomwe chimayambitsa matendawa, kuopsa kwa zizindikiro zake, komanso momwe munthu amayankhira chithandizo .

• Nthawi zina, ngati chomwe chimayambitsa matenda a SVC chachiritsidwa bwino, vutoli limatha kuchiritsidwa kwathunthu .
• Komabe, nthawi zambiri izi zimatha kupha.
• Kawirikawiri, anthu omwe amadwala matenda a SVC chifukwa cha zinthu zomwe sizimayambitsa khansa (zoyambitsa zoipa) amakhala ndi moyo wautali kuposa omwe amadwala matendawa chifukwa cha khansa (mitundu yoopsa).

Dokotala wanu angakupatseni chidziwitso cholondola kwambiri pankhaniyi, chifukwa matenda omwe amayambitsa matenda a SVC angakhudzenso moyo wanu.

Kulimbana ndi vuto ngati ili kungakhale kovuta kwambiri . Mwina muli kale ndi chithandizo cha khansa, ndipo zizindikiro zatsopanozi zingakupangitseni kukhala ndi nkhawa kwambiri komanso kuda nkhawa za tsogolo lanu. Kapena, mwina mukukumana ndi vuto lachipatala lomwe likukuthandizani kuti mukhale ndi moyo, kupereka chithandizo chopulumutsa moyo.

Kaya muli ndi vuto lotani, gulu lanu lachipatala lili pano kuti likuthandizeni ndikukuthandizani . Angafotokoze chifukwa cha zizindikiro zanu ndikukupatsani chithandizo choyenera kwa inu. Musaope kulankhula nawo za mafunso kapena nkhawa zomwe mungakhale nazo. Onetsetsani kuti mwamvetsa zonse, kuphatikizapo momwe chithandizocho chidzagwirira ntchito komanso nthawi yomwe muyenera kubweranso kudzayesedwanso.

Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira ndi izi:

Chabwino, takambirana zambiri za `(Superior Vena Cava Syndrome)`. Ndikofunikira kuti muzikumbukira zinthu izi:

• Matenda a SVC ndi matenda omwe amafunika chisamaliro . Amayamba chifukwa cha kutsekeka kwa mtsempha waukulu womwe umanyamula magazi kuchokera kumtunda kwa thupi lathu kupita kumtima.
• Dziwani zizindikiro monga kutupa kwa nkhope, khosi, ndi manja, mitsempha yooneka m'khosi ndi pachifuwa, komanso kuvutika kupuma.
• Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo . Kuzindikira matendawa mwachangu ndikofunikira kwambiri kuti chithandizo chikhale chopambana.
• Pali njira zosiyanasiyana zochizira izi. Chithandizocho chimadalira chomwe chayambitsa.
• Kuchiza chomwe chikuyambitsa vutoli nthawi zambiri ndiyo njira yabwino kwambiri yowongolera kapena kuchiritsa vutoli.
• Dziwani zizindikiro za ngozi (chizungulire, kutaya chidziwitso, phokoso lachilendo mukapuma, kusazindikira bwino) ndipo funsani thandizo lachipatala mwamsanga ngati chochitika choterocho chichitika.
• Lankhulani ndi dokotala za mavuto anu ndi mantha anu.

Tikukufunirani thanzi labwino!

Matenda a Vena Cava Opambana , SVCS, kutsekeka kwa mitsempha yamagazi, mitsempha ya pachifuwa, kutupa, kupuma movutikira, zizindikiro za khansa