Nutcracker Syndrome ni iki? Reka tubisobanure mu buryo bworoshye

Ese ukunze kubabara umugongo wawe w'ibumoso cyangwa mu nda yo hasi? Cyangwa wabonye amaraso mu nkari zawe? Niba ufite ibi bimenyetso, impamvu ishobora kuba indwara idakunze kugaragara ushobora kuba utari warigeze wumva mbere. Uyu munsi, turimo kuganira kuri Nutcracker Syndrome. Ntugatinye—ibi akenshi ntabwo bishyira ubuzima mu kaga, kandi uyobowe n'inzobere ibifitiye ubumenyi, ushobora kubona ubufasha bukwiye binyuze muri Nirogi Lanka.

Mu magambo make, Nutcracker Syndrome ni iki?

Tekereza ku gikoresho cyo mu gikoni cyo gukaranga imbuto. Nk’uko gikaranga imbuto, iyi ndwara iba iyo umutsi munini utwara amaraso uva mu mpyiko yawe y’ibumoso ushyizwe hagati y’imitsi ibiri minini y’amaraso iri mu nda yawe. Iyi ni yo mpamvu yiswe Nutcracker Syndrome.

Iyo uyu mutsi ushyizwemo umwuka, amaraso agenda buhoro, cyangwa umuvuduko w'amaraso ukiyongera, bigatuma amaraso asubira inyuma. Ibi nibyo bitera ibimenyetso nko kubabara no kurwara amaraso mu nkari .

Akenshi, uyu mutsi ushyirwa hagati y’umutsi ufunganye (aorta) (umutsi mukuru uva mu mutima wawe) n’umutsi ufunganye wa mesenteric, utanga amaraso mu mara . Ibi bizwi nka anterior nutcracker syndrome . Ni gake cyane, umutsi ushobora gushyirwa hagati y’umutsi mukuru n’umugongo , ari byo byitwa posterior nutcracker syndrome .

Ni ibihe bimenyetso by'indwara ya Nutcracker?

Ushobora kutabona ikintu na kimwe mu ntangiriro. Ariko iyo gukandamizwa gukomeje, ibimenyetso bitandukanye bishobora kugaragara. Reka tubirebe mu mbonerahamwe iri hepfo.

Iyo amaraso adashobora gutembera neza mu mitsi y'impyiko, umuvuduko w'amaraso ushobora kugira ingaruka ku yindi mitsi yo mu kibuno. Niyo mpamvu ibimenyetso bitandukanye bitewe n'igitsina.

Ubu bubabare ntibuhora buhindagurika. Bushobora kwiyongera uko umuntu agenda, akagira imyifatire, cyangwa abagore, mu gihe cy'imihango.

Itandukaniro riri hagati ya Nutcracker Phenomenon na Nutcracker Syndrome

Ni ngombwa gusobanukirwa itandukaniro:

• Ikintu cya Nutcracker: Umutsi w'impyiko urakandamizwa, ariko nta bimenyetso na gato ufite.
• Nutcracker Syndrome: Umutsi uba warakandamijwe, kandi urimo ubona ibimenyetso by'indwara .

Muri rusange abaganga ntibavura ikibazo ubwacyo. Ariko, niba ibimenyetso bigaragaye mu gihe kiri imbere, ugomba kubonana na muganga wawe kugira ngo ababwire.

Ni iki gitera iyi ndwara?

Ibi si byo wakoze kugira ngo ubitere. Ibintu bikunze kugaragara birimo:

• Ihindagurika ry'imiterere y'imitsi mu mfuruka y'amaraso.
• Ibinure bike mu nda (biterwa no kunanuka cyangwa kugabanuka ibiro vuba).
• Gukura vuba (bikunze kugaragara mu gihe cy'ubwangavu).

Muri make, ibi bintu bigabanya umwanya uhari w’imitsi. Ubusanzwe, hari ahantu hakingira ibinure hakikije ako gace. Iyo ibi bigabanutse, cyangwa aho imitsi ihagaze hagahinduka, imitsi ishobora gukandamizwa.

Impamvu zidakunze kugaragara:

• Ibibyimba hafi ya pancreas cyangwa inda.
• Utunyangingo tw'imitsi tubyimbye.
• Umuyoboro w'amaraso wagutse.
• Gutwita (biterwa n'umuvuduko w'umura).
• Ibibazo by'umugongo (nk'ubwiyongere bw'impinja zo mu kibuno).

Ipimwa ite?

Indwara ya Nutcracker iragoye kuyisuzuma kuko ibimenyetso byayo bisa n'indwara zikunze kugaragara cyane nko mu mabuye y'impyiko, indwara zo mu nzira y'inkari, cyangwa endometriosis. Muganga wawe azabanza agaragaze ko nta bibazo bikunze kugaragara.

Iyo izindi zitakiriwe kandi hakaba hakekwa ko Nutcracker Syndrome, ibizamini bikurikira bishobora gukorwa:

• Isesengura ry'inkari: Kugira ngo hamenyekane ingano y'amaraso n'utundi duce tutagaragara n'amaso.
• Doppler Ultrasound: Ikizamini kidababaza gikoresha amajwi kugira ngo gipime umuvuduko w'amaraso anyura mu mitsi y'impyiko.
• CT Angiography (CTA) cyangwa MR Angiography (MRA): Izi scan zitanga amashusho arambuye y’imitsi yo mu nda, agaragaza niba imitsi yashyizwemo amaraso cyangwa niba amaraso arimo gusubira inyuma.
• Venogram: Catheter ishyirwa mu mitsi kugira ngo ipime umuvuduko mbere na nyuma y'aho igitutu gitereye. Ultrasound yo mu mitsi (IVUS) ishobora kandi gukoreshwa muri iki gikorwa kugira ngo harebwe neza imbere.

Ni ubuhe buryo bwo kuvura?

Ubuvuzi buterwa n'uburyo ibimenyetso byawe bigira ingaruka ku buzima bwawe bwa buri munsi. Hari abantu bakira bakoresheje ubuvuzi bw'ibanze uko igihe kigenda gihita, abandi bashobora kubagwa.

Kwitegereza no Kugenzura Ibimenyetso

Niba ibimenyetso ari bike, muganga wawe ashobora kukugira inama yo "gutegereza witonze." Cyane cyane mu rubyiruko, hari amahirwe menshi ko indwara izagenda neza ubwayo uko umubiri ukura. Muri iki gihe:

• Imiti igabanya ububabare (urugero: acetaminophen) irashobora gukoreshwa.
• Hari imiti imwe n'imwe (urugero, imiti igabanya ubukana bwa ACE) ishobora gutangwa.
• Niba kugabanya ibiro ari yo mpamvu, ushobora kugirwa inama ku buryo bwiza bwo kongera ibiro.
• Hazakorwa igenzura rihoraho binyuze mu gupima inkari cyangwa gupima ubukana bw'indwara.

Uburyo bwo Kubaga no Kwita ku Baganga

Niba ibimenyetso bikomeje cyangwa bigira ingaruka ku buzima bwawe, kubagwa bishobora gusuzumwa. Muganga wawe azagusaba uburyo bwiza kurusha ubundi bitewe n'imyaka yawe, ubuzima bwawe, n'uburemere bw'ibimenyetso byawe.

• Guhindura imitsi y'impyiko: Umutsi upfunyitse wimurirwa ahantu hafite umwanya munini. Ubu ni bwo buryo bwo kubaga bukunze kugaragara kandi bugira ingaruka nziza.
• Gutera stent: Umuyoboro muto w'insinga (stent) ushyirwa mu mitsi kugira ngo uyifungure. Ubu si bwo buryo bwiza ku barwayi bakiri bato kuko stent zidahora ari nzima.
• Kugabanya imitsi yo mu kibuno: Ibi bigamije kuziba kw'imitsi yo mu kibuno binyuze mu kubuza amaraso gutembera mu mitsi ifite ikibazo, bishobora gufasha kugabanya ububabare bwo mu kibuno.
• Gutera impyiko mu buryo bwikora: Impyiko irakurwaho igashyirwa ahantu heza kurushaho. Ibi bigenerwa igihe andi mahitamo yose yananiranye.

Nutcracker Syndrome, ububabare bw'impyiko, amaraso mu nkari, ububabare bwo mu ruhago, hematuria, ububabare bwo ku ruhande rw'ibumoso