Gumbo rako rekuruboshwe rakazvimba zvishoma uye rinorema kupfuura rimwe here? Dzimwe nguva rinongorwadza uye rinonzwa sekunge riri kurwadza? Vanhu vazhinji havanyatso teerera zviratidzo izvi. Asi dzimwe nguva chikonzero cheizvi chinogona kunge chakakomba kupfuura zvaunofunga. Chimwe chikonzero chakadaro chingave chirwere ichi chinonzi 'May-Thurner Syndrome'. Ngationei zviri nyore kuti chii.
Zvichitaurwa zviri nyore, chii chinonzi May-Thurner Syndrome?
Zviri nyore kwazvo. Kune mhando mbiri dzetsinga dzeropa mumuviri wedu. Tinodaidza tsinga dzinotakura ropa rine oxygen kubva pamoyo kuenda kumuviri wese kuti 'Arteries' . Saizvozvowo, tinodaidza tsinga dzinotakura ropa rakamboshandiswa, rine oxygen kudzokera kumoyo kuti 'Veins' .
Muchirwere ichi chinonzi Turner syndrome, tsinga huru inotakura ropa kuenda kugumbo rako rekurudyi (tsinga yekurudyi yeiac) inopfuura nepamusoro petsinga huru inotakura ropa kudzokera kumoyo wako kubva pagumbo rako rekuruboshwe (tsinga yekurudyi yeiac) yoidzvanya. Funga nezvazvo semunhu ari kutsika pombi yemvura. Ipapo kuyerera kwemvura kunokanganiswa, handiti? Nenzira imwecheteyo, kana tsinga iyoyo ichidzvanya tsinga, kuyerera kweropa kubva pagumbo rekuruboshwe kunokanganiswa. Chirwere ichi chinonziwo `(Cockett syndrome)`.
Dambudziko iri rinokanganisa sei muviri?
Kana ropa richibva pagumbo rekuruboshwe richidzika kusvika kumusoro, rimwe ropa rinotanga kuungana kana kumira mugumbo rekuruboshwe. Chinhu chine njodzi zvikuru panyaya iyi ndechekuti kana ropa richiungana panzvimbo imwe chete seizvi, mikana yekuti ropa riungane mukati metsinga iyoyo inowedzera zvakanyanya. Mukurapa, tinodana izvi kuti 'deep vein thrombosis' (DVT) .
DVT chirwere chakakomba chinogona kuitika kamwe kamwe. Kana ropa iri rikabuda robva ranamatira mutsinga yemapapu, rinogona kuisa hupenyu panjodzi.
Kazhinji, zviratidzo zvakaita seizvi zvinogona kuitika kana DVT ikatanga.
| Zviratidzo zveDVT | |
|---|---|
| Kuzvimba uye kurema | Kuzvimba uye kunzwa kuremerwa, kazhinji mugumbo rimwe chete (muchiitiko ichi, gumbo rekuruboshwe). |
| Marwadzo | Kurwadziwa kwakanyanya kana kunzwa kurova kwegumbo, kunyanya munzvimbo yehudyu. |
| Kuchinja ruvara rweganda | Kushanduka kweruvara rweganda pagumbo kutsvuku kana bhuruu. |
| Kubuda kwetsinga | Tsinga dziri mumakumbo dzinozvimba dzotanga kuoneka pamusoro. |
Pamusoro pezvo, vamwe vakadzi vanogona kuva nechirwere chinonzi pelvic congestion syndrome pamwe chete neMay-Turner syndrome, inova mamiriro ezvinhu apo matambudziko etsinga dziri mudumbu anokonzera kurwadziwa kusingaperi.
Ndiani angangoona chirwere ichi zvakanyanya?
Chirwere cheMay-Turner chinowanzoitika kuvakadzi uye chinowanzoitikawo kuvakuru vane makore ari pakati pe20 ne50 .
Asi chinoshamisa ndechekuti munhu mumwe chete pavanhu vashanu ane chirwere ichi chinonzi ``iliac vein compression``. Asi havasi vese vane zviratidzo. Vanhu vazhinji vanongoziva kuti vane May-Turner syndrome mushure mekunge vaita DVT. Kusvika panguva iyoyo, vanogona kunge vasina zviratidzo.
Chirwere cheMay-Turner chinowanikwa sei?
Mushure mekunge maudza chiremba wenyu nezvezviratidzo zvenyu, iye achakuongororai uye anogona kukukurudzirai kuti muongorore mitsipa yenyu yeropa kuti muone kana paine chirwere ichi.
| Rudzi rwekuyedza | Zvakatsanangurwa zviri nyore |
|---|---|
| Kuongororwa kweUltrasound `(Ultrasound)` | Kuongororwa kusingarwadzi kunoshandisa mafungu eruzha kutarisa mitsipa yeropa iri mumuviri. Iri ndiro danho rekutanga pakuongorora DVT. |
| Kuongororwa kweCT | Kutora mifananidzo yakadzama yetsinga dzeropa nemuchina weX-ray. |
| Kuongororwa kweMRI (MRI) | Kuwana mifananidzo yakajeka yetsinga dzeropa uchishandisa magineti nemasaisai eredhiyo. |
| Venogram | Mvura yakakosha (dhayi yekuenzanisa) inopinzwa mutsinga uye maX-ray anoshandiswa kuona kufamba kweropa. Izvi zvinogona kubatsira kuona nzvimbo chaiyo yakavharika tsinga. |
| Ultrasound yeMutsinga weMtsipa | Nzira chaiyo iyo chubhu (catheter) ine kamera diki kwazvo inopinzwa mutsinga yeropa uye tsinga yacho inoongororwa kubva mukati. |
Ndezvipi zvinorapwa izvi?
Chinangwa chikuru chekurapa chirwere cheMay-Turner ndechekudzorera tsinga yakamanikana kuti iite sezvayakajairika, kunatsiridza kuyerera kweropa, uye kuderedza njodzi yeDVT.
Kana paine zviratidzo chete
Kazhinji, kune munhu asina DVT uye ane zviratidzo zvakaita sekuzvimba kwemakumbo nekurwadziwa, chiremba anogona kukurudzira kurapwa kunotevera:
- Angioplasty uye stenting: Izvi zvinosanganisira kuisa chubhu diki ine muromo webharumu mutsinga uye kuputira bharumu panzvimbo yakamanikana. Izvi zvinovhura tsinga uye zvinoita kuti ropa riyerere. Chinhu chakaita se mesh chinonzi stent chinozoiswa mukati metsinga kuti chisanyanya kumanikana zvakare.
- Kuvhiyiwa: Muzvimwe zviitiko, kuvhiyiwa kunogona kuitwa kuti tsinga yakamanikana ibve mutsinga. Kana kuti, kuvhiyiwa kwe bypass kunogona kuitwa kuti pave nenzira itsva yekuti ropa riyerere munzvimbo yakamanikana.
Kana uchiperekedzwa neDVT
Kana uine DVT nekuda kweMay-Turner syndrome, pamusoro pekurapa kwataurwa pamusoro apa, unofanirawo kuita zvinotevera:
- Mishonga Inorwisa Kubuda Kweropa: Mishonga iyi inopihwa kudzivirira kuumbwa kweropa rinovhara ropa uye kudzivirira kuumbwa kweropa rinovhara ropa kuti risakure.
- Mushonga unonyungudutsa ropa: Dzimwe nguva, mushonga unopinzwa zvakananga muropa rakagwamba kuburikidza necatheter kuti unyungudike wobviswa.
- Sefa yeVena cava: Kashoma, mudziyo unonzi sefa unoiswa kwenguva pfupi kana zvachose mutsinga huru mumuviri wedu (vena cava yakaderera) kudzivirira ropa rakagwamba mugumbo kuti risabude richienda kumapapu.
Dambudziko guru rine njodzi: Pulmonary Embolism
Chinhu chine njodzi huru pamusoro pechirwere cheMay-Turner ndiko kukura kweDVT. Chinonyanya kuipa ndechekuti chidimbu cheDVT ichocho chikatyoka, chikafamba neropa, chobva chanamira mutsinga yeropa ipapo. Tinodaidza izvi kuti 'Pulmonary Embolism' .
Iyi idambudziko guru rezvehutano rinotyisidzira hupenyu! Kana iwe kana mumwe munhu waunoziva akangoerekana aona chimwe chezviratidzo zvinotevera, muendesei kuchipatara cheEmergency Department (ETU) nekukasika.
- Kutadza kufema kamwe kamwe (dyspnea)
- Kurwadziwa kwakanyanya pachipfuva kunowedzera kana uchifema
- Kubuda ropa nemadzihwa
- Kurova kwemoyo (kurova kwemoyo)
Zvinhu zvatinogona kuita kuderedza njodzi
Hapana nzira chaiyo yekudzivirira chirwere cheMay-Turner, sezvo chikonzero chacho chaicho chisingazivikanwe. Zvisinei, zvinotevera zvinogona kubatsira kuchengetedza kufamba kweropa rako kwakanaka uye kuderedza njodzi yekugwamba kweropa:
- Usagare panzvimbo imwe chete kwenguva yakareba. Kunyanya kana uchishanda usingagari, simuka ufambe-fambe kanenge kamwe chete paawa.
- Inwa mvura yakawanda.
- Maekisesaizi nguva dzose, kunyanya maekisesaizi eaerobic.
- Kana uine zvimwe zvirwere zvakaita sechirwere cheshuga kana BP, zvidzore zvakanaka zvichienderana nemirairo yachiremba wako.
- Kana ukasvuta, rega ipapo ipapo.
- Kana chiremba wako achikurudzira, pfeka masokisi akasarudzika ekudzvanya.
Kana muine mimwe mibvunzo nezveMay-Turner syndrome, musatya kubvunza chiremba wenyu. Iye achakutsanangurirai zvese.
Mharidzo Yekuenda Nayo Kumba
- May-Turner syndrome chirwere chinobata tsinga dzinotakura ropa kuenda kugumbo rekurudyi netsinga dzinotakura ropa kubva pagumbo rekuruboshwe.
- Izvi zvinogona kukonzera kuti ropa riende kugumbo rekuruboshwe rivharike, zvichikonzera zviratidzo zvakaita sekuzvimba kwegumbo uye kurwadziwa.
- Dambudziko guru uye rine njodzi zvikuru rechirwere ichi kuumbwa kwe deep vein thrombosis (DVT).
- Kuvharika kwemapapu (ganda rinobuda kubva muDVT ropinda mumapapu) idambudziko rinotyisidzira hupenyu.
- Kana uine kuzvimba, kurwadziwa, kana huremu husingatsananguriki mugumbo rako rekuruboshwe, zvakakosha kutsvaga rubatsiro rwechiremba.
- Ichi chirwere chinogona kurapwa zvinobudirira nekurapwa.
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