Gumbo rako rakazvimba uye rinorwadza here? Izvi zvinogona kunge zvichikonzerwa ne (May-Thurner Syndrome)!

Dzimwe nguva makumbo edu anozvimba uye anorwadziwa pasina chikonzero, handiti? Kunyanya gumbo rekuruboshwe. Vanhu vazhinji havanyatsoteerera izvi. Asi izvi zvingasava nyaya iri nyore nguva dzose. Nhasi tichataura nezvechirwere chatisati tanzwa nezvacho, asi chatinoziva tese kuti chakakodzera kushanyirwa. Ndiyo `(May-Thurner Syndrome)`. Izvi zvinonziwo `(Cockett syndrome)` kana `(Iliac vein compression syndrome)`.

Chii chaizvo chinonzi "May-Thurner Syndrome"?

Zvichitaurwa zviri nyore, `(May-Thurner Syndrome)` chirwere apo tsinga yako yekurudyi (`Right Iliac Artery`) netsinga yako yekurudyi (`Left Iliac Vein`) zvinomanikidzwa. Iye zvino ungave uchishamisika kuti idzi tsinga netsinga dzemumuromo dziri kudivi rerudyi chii. Tsinga yekurudyi ndiyo tsinga huru yeropa inotakura ropa kuenda kugumbo rako rekurudyi. Tsinga yekuruboshwe ndiyo tsinga huru yeropa inotakura ropa kubva pagumbo rako rekuruboshwe kudzokera kumoyo. Saka, mune iyi `(May-Thurner Syndrome)`, kudzvanywa ikoko kunogona kukanganisa kufamba kweropa kuburikidza nemakumbo ako.

Izvi zvinoitei kumuviri? Zvinoita sei kuti muviri uve nechirwere ichi?

Iye zvino ungangove uchishamisika kuti izvi zvinoitei kumuviri uye kuti zvinoukanganisa sei. Chinhu chikuru ndechekuti nekuda kwekumanikidzwa uku, ropa rinotanga kuungana mumakumbo, kunyanya gumbo rekuruboshwe , pachinzvimbo chekukwira zvakananga nemutsinga yekuruboshwe, ndiko kuti, kuenda kumoyo. Kana izvi zvikaitika, mavharo eropa anogona kuumbwa mutsinga dzakadzika . Mukurapa tinoti izvi `(Deep Vein Thrombosis)` kana `(DVT)`. Ichi chirwere chinoda kutariswa. Zviratidzo zve `(DVT)` zvinogona kunge zvakaita seizvi:

• Kuchinja kweruvara rweganda pagumbo (zvichida rutsvuku, bhuruu).
• Tsinga dzemakumbo dzinoita sedzakazvimba uye dzakazvimba.
• Kurwadziwa kwegumbo, kurwadziwa kwakanyanya, kana kurwadza kubata.
• Kuzvimba makumbo uye kunzwa kuremerwa.

Vamwe vakadzi vanogonawo kuva nechirwere chepelvic congestion syndrome (PBS) pamwe chete nechirwere cheMay-Thurner. Vanachiremba vanotenda kuti kurwadziwa uku kusingaperi kwepelvic kunokonzerwa nematambudziko etsinga dziri mupelvic (kureva, pasi pedumbu).

Izvi zvinokanganisa sei kufamba kweropa?

Ropa rinoramba richifamba nemutsinga dzeropa dzemuviri wedu (tsinga netsinga). Sezvamungayeuka, tsinga dzinotakura ropa rakachena, rine oxygen kubva pamoyo kuenda kune dzimwe nhengo dzese dzemuviri. Mushure mekunge nhengo idzodzo dzagamuchira oxygen nezvinovaka muviri, tsinga dzinotakura ropa risina oxygen, risina kuchena kudzokera kumoyo nemapapu.

Mune dzimwe nzvimbo mumuviri wedu, idzi tsinga netsinga dzinosangana. Saizvozvowo, mukati mechiuno chedu, tsinga yekurudyi yeiliac iri pamusoro petsinga yekuruboshwe yeiliac. Kazhinji, izvi hazvisi dambudziko. Zvisinei, kune munhu ane `(May-Thurner Syndrome)`, tsinga yekurudyi yeiliac inoisa kumanikidzwa patsinga yekuruboshwe yeiliac. Fungidzira paine pombi yemvura, chii chinoitika kana mumwe munhu akatsika pairi? Zvinonetsa kuti mvura ifambe, handiti? Kutaura chokwadi, chimwe chinhu chakafanana chinoitika pano.Nekuda kwekuti tsinga yekuruboshwe yeiliac yakamanikidzwa, zvinova zvakaoma kuti ropa riyerere zvakasununguka nepakati payo.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Chirwere ichi chinonzi "May-Thurner Syndrome" chinoratidzika kunge chinowanzoitika zvishoma kuvakadzi . Chinowanzoitikawo kune vanhu vakuru vane makore ari pakati pe20 ne50 .

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, thrombosis yetsinga yemutsinga (iliac vein thrombosis) yakajairika kupfuura zvaungafunga. Dzimwe ongororo dzinoratidza kuti vanhu vanosvika mumwe chete pavanhu vashanu vanogona kunge vaine rudzi urwu rwethrombosis! Asi chinoshamisa ndechekuti, kunyangwe vanhu vazhinji vaine thrombosis yetsinga yemutsinga yemutsinga, havaonekwi vaine `(May-Thurner Syndrome)`. Chimwe chikonzero cheizvi chingave chekuti vanhu vazhinji havaoni zviratidzo zve`(May-Thurner Syndrome)` kusvika vaita chirwere chakaita se`(DVT)`.

Ndezvipi zviratidzo zve `(May-Thurner Syndrome)`?

Vanhu vazhinji vane May-Thurner Syndrome havaratidzi zviratidzo , kunyanya kana vasina DVT yatakambotaura nezvayo. Kana zviratidzo zvikaitika, zvinowanzo kanganisa gumbo rekuruboshwe chete . Izvi zvinogona kusanganisira:

• Kunzwa kurema mumakumbo. Sedombo rakarembera pariri, hazvifadzi zvachose.
• Dzimwe nguva, maronda asingapore (maronda) anogona kuitika pamakumbo.
• Unganzwa kurwadziwa mugumbo rako kana kuti kurwadziwa kunobva mukati.
• Ruvara rweganda runogona kuchinja. Runogona kuchinja ruvara rwebhuruu kana brown.
• Kuzvimba kwemakumbo.
• Zvirwere zvakaita semitsipa yeropa inogona kumuka.

Chii chinokonzera `(May-Thurner Syndrome)`?

Chikonzero chikuru cheizvi ndechekuti tsinga yerudyi yeIliac inosundira patsinga yekuruboshwe yeIliac. Asi vanachiremba havasati vawana chikonzero chaicho nei izvi zvichiitika. Kureva kuti, zvinogona kunge zvichikonzerwa nekuchinja kwemaumbirwo emuviri.

Vanachiremba vanoongorora sei izvi? (Kuongororwa)

Kana uine zviratidzo izvi, chinhu chekutanga chaunofanira kuita kuona chiremba wotaura zvakajeka nezvezviratidzo zvako uye nhoroondo yehutano hwako. Chiremba achakuongorora. Zvadaro, vanogona kuita bvunzo dzakakosha dzinogona kutarisa mitsipa iyi yeropa.

• `CT (Computed Tomography) scan` : Izvi zvinoshandisa X-rays nemakombiyuta akakosha kutora mifananidzo yetsinga dzeropa. Izvi zvinozoshandiswa kuona kana paine kuvharika.
• `MRI (Magnetic Resonance Imaging)` : Izvi zvinoshandisa magineti, mafungu eredhiyo, uye makomputa kugadzira mifananidzo yakadzama yetsinga dzeropa.
• Ultrasound: Kuongororwa uku kunoshandisa mafungu eruzha kuti vaone kuyerera kweropa mumuviri, kunyanya mutsinga dzeropa (Doppler Ultrasound).
• Venogram : Muizvi, dhayi yakakosha (dhayi yakasiyana) inopinzwa mutsinga uye dhayi inoonekwa pasi peX-rays kuti ione kana paine kuvharika kweropa.
• "Venogram yakagadzirwa necatheter" inogonawo kuitwa. Izvi zvinoreva kuti chubhu diki (catheter) inopinzwa mutsinga uye dhayi inopinzwa nayo.
• Kuongororwa kweIntravascular Ultrasound (IVUS) : Uku kuyedzwa kwakatonyanya kunaka. Pano, catheter inoiswa mutsinga yeropa, uye mudziyo mudiki we ultrasound (probe) unopfuudzwa necatheter kuti utore mifananidzo yakajeka uye yakadzama yemukati metsinga yeropa. Izvi zvinogona kuyera huwandu hwekumanikidzwa.

Ndezvipi zvinorapwa izvi?

Pane zvinangwa zviviri zvikuru pakurapa `(May-Thurner Syndrome)`. Chimwe ndechekuvandudza kutenderera kweropa . Chimwe ndechekuderedza njodzi yekurwara `(DVT)`. Zvichienderana nemamiriro ako ezvinhu, chiremba wako anogona kukurudzira kurapwa kunotevera:

• Angioplasty neStenting : Uku ndiko kurapwa kunonyanya kuitwa. Mukuita uku, catheter ine bharumu diki inopinzwa mutsinga yekuruboshwe yakavharika. Kana yasvika panzvimbo chaiyo yakavharika, bharumu rinofuridzirwa. Izvi zvinovhura tsinga yakavharika. Zvadaro, chubhu diki inonzi stent , inoiswa muburi kuti isavharwe zvakare, uye bharumu rinobviswa. Izvi zvakafanana nekubvisa chakavharika mumugwagwa nekuvaka zambuko kuti zvive nyore kuyambuka.
• Kuvhiyiwa kweBypass : Dzimwe nguva, nzira itsva inogadzirwa nekushandisa chidimbu chenyama chakatorwa kubva kune imwe nzvimbo kana chubhu yekugadzira kuti ipfuure tsinga yakavharika. Izvi zvinodzorera kuyerera kweropa. Uku kuvhiyiwa kukuru.
• Kuvhiya kwetsinga yerudyi yeIliac : Kashoma kuti kuvhiyiwa kuitwe kuti kufambise tsinga yerudyi yeIliac zvishoma kuderedza kumanikidzwa kwetsinga yekuruboshwe yeIliac. Dzimwe nguva, chidimbu chenyama chinogona kuiswa pakati petsinga netsinga kuti kuderedzwa kumanikidzwa.

Chii chaunofanira kuita kana ukawana `(DVT)`?

Zvino fungidzira kuti une "DVT" nekuda kwe "May-Thurner Syndrome". Kana zvakadaro, pamusoro pemishonga yataurwa pamusoro apa, chiremba achawedzera mimwe mishonga:

• Mishonga Inorwisa Kugwamba Kweropa : Iyi inodzivirira kugwamba kweropa, inomisa kugwamba kweropa kuripo kuti kusakure, uye inogona kutobatsira kunyungudutsa kugwamba kuripo zvishoma nezvishoma.
• Mishonga inobvisa mavanga eropa / Thrombolytics : Iyi mishonga ine simba inopihwa zvakananga kunyungudutsa mavanga eropa. Mishonga iyi inowanzopihwa kuburikidza necatheter, zvakananga muropa.
• `Vena Cava Filter` : Ichi chishandiso chidiki chakaita semesh. `Inferior Vena Cava` ndiyo tsinga huru mumuviri wedu. Apa ndipo panoenda ropa kubva kumakumbo nedumbu kuenda kumoyo. Kana firita iyi ikaiswa mukati metsinga iyoyo, inodzivirira mavanga eropa anoumba mumakumbo kuti asabude munzira oenda kumapapu.

Pane nzira yekudzivirira izvi kuti zvisaitike here?

Kutaura chokwadi, hapana nzira chaiyo yekudzivirira chirwere ichi che "May-Thurner Syndrome" kuti chisaitike., nekuti chikonzero chaicho hachisati chazivikanwa. Asi unogona kuchengetedza kutenderera kweropa rako rose kuri mumamiriro akanaka uye kuderedza njodzi yekugwamba kweropa nekuita zvinotevera:

• Usagare panzvimbo imwe chete kwenguva yakareba. Kana uchishanda muhofisi, simuka ufambe-fambe kwechinguva, uchitambanudza makumbo ako, kanenge kamwe chete paawa.
• Inwa mvura yakawanda. Zvakanaka kunwa marita maviri kusvika matatu emvura pazuva.
• Rovedza muviri nguva dzose , kunyanya kurovedza muviri kwe aerobic (sekufamba, kumhanya, uye kutasva bhasikoro).
• Kana uine zvimwe zvirwere zvakaita sechirwere cheshuga, BP, kana chirwere che peripheral artery (PAD), taura nachiremba wako uye zvidzorerwe zvakanaka.
• Kana uchisvuta, rega zvachose . Kusvuta kwakaipa kwazvo patsinga dzeropa rako.
• Kana chiremba wako achikurudzira, pfeka masokisi akakosha ekudzvanya. Izvi zvinobatsira kuderedza kuungana kweropa mumakumbo ako uye zvinokubatsira kufamba-famba.

Ndezvipi zvinetso zvinogona kukonzera izvi?

Dambudziko guru re `(May-Thurner Syndrome)` ndiro `(DVT)` ratakataura nezvaro. Zvisinei, pane chimwe chinhu chinogona kuva nengozi zvakanyanya . Kureva kuti, kana ropa rakaumbwa mugumbo rikatsemuka kubva ipapo, richifamba nemuropa robva ranamatira mutsinga iri mumapapu. Tinoridaidza kuti `(Pulmonary Embolism)` (ropa rakavhara mumapapu) .

Kukuvadzwa kwemapapu chirwere chinouraya. Kana uine chimwe chezviratidzo izvi zvitsva kana kuti zviri kuipa , enda kuchipatara chiri pedyo nekukurumidza kana kufonera amburenzi:

* Kukosora ropa netsvina.

* Kurova kwemoyo (kurova kwemoyo kunokurumidza kana kusina kurongeka).

* Kutadza kufema zvakanaka, kunzwa sekunge uri kudzipwa (Dyspnea).

* Kana ukangoerekana wanzwa kurwadziwa kwakanyanya pachipfuva, zvinozowedzera kana uchifema.

Ramangwana remunhu ane `(May-Thurner Syndrome)` rakaita sei?

Vanhu vazhinji vanorarama hupenyu hurefu uye hune hutano neMay-Thurner Syndrome vasina matambudziko. Kana usina zviratidzo, ungasatomboziva kuti une chirwere ichi.

Zvisinei, kana ukaona chimwe chezviratidzo zve `(Deep Vein Thrombosis - DVT)` zvatakataura nezvazvo (zvakaita sekuzvimba, kutsvuka, kurwadziwa, kudziya kwegumbo), iva nechokwadi chekuona chiremba . `(DVT)` inogona kudzorwa zvinobudirira nemishonga uye, kana zvichidikanwa, nedzimwe nzira dzekurapa.

Mibvunzo yekubvunza chiremba

Kana uine, kana kuti uchifunga kuti ungave uine, May-Thurner Syndrome, zvingabatsira kubvunza chiremba wako mibvunzo iyi:

• Ndezvipi zviratidzo zve "May-Thurner Syndrome" zvinondibata?
• Chii chinonyanya kukonzera zviratidzo zvangu?
• Ndedzipi mhando dzebvunzo dzandinofanira kuita kuti ndizive izvi chaizvo?
• Ndezvipi zviratidzo zve `(DVT)`? Ndinofanira kuitei kana ndikadziwana?
• Ndezvipi zviratidzo zve `(Pulmonary Embolism)`? Ndinofanira kuitei kana ndikavawana?
• Ndeapi marapirwo amunokurudzira e "May-Thurner Syndrome"? Ndezvipi zvakanakira nezvakaipira?
• Ndeipi mikana yekuti zviratidzo zvidzoke zvakare mushure mekurapwa?

Ko `(May-Thurner Syndrome)` ine njodzi kuhupenyu here?

`(May-Thurner Syndrome)` haisi njodzi chaiyo kuhupenyu. Zvisinei, inogona kutungamira kune dambudziko rine njodzi rinonzi `(Pulmonary Embolism)`. Ndizvo zvinotyisidzira hupenyu. Saka, zvakakosha kuziva zviratidzo zve `(Pulmonary Embolism)` uye kutsvaga rubatsiro rwechiremba nekukasika kana ukanzwa chimwe chinhu chakadaro.

Ungaziva sei kana uine `(May-Thurner Syndrome)`?

Kutaura zvazviri, ungasakwanisa kuziva zvechokwadi kana uine `(May-Thurner Syndrome)` nekuti vanhu vazhinji havatombozivi kuti vanayo kusvika vava nezviratidzo zve`(DVT)`.

Nzira chete yekuziva chokwadi ndeyekuita kuti chiremba aite bvunzo dzemifananidzo dzatakataura nezvadzo kare (dzakadai seCT, MRI, Venogram, IVUS) uye obva asimbisa kuti tsinga yekuruboshwe iri kubuda kubva mutsinga yekuruboshwe iri.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, hezvino zvinhu zvakakosha zvaunofanira kuyeuka nezve "May-Thurner Syndrome" yatataura nezvayo kwenguva yakareba:

• May-Thurner Syndrome chirwere apo tsinga yako yekurudyi inodzvanya tsinga yako yekuruboshwe, zvichivharira kuyerera kweropa kubva pagumbo rako rekuruboshwe kuenda kumoyo wako.
• Izvi zvinowedzera njodzi yekubatwa nechirwere chinonzi ``Deep Vein Thrombosis - DVT'' (kugwamba kweropa mutsinga dzakadzika) .
• Vanhu vazhinji havaoni zviratidzo . Kana zviratidzo zvikaitika, zvinowanzova zvinhu zvakaita sekurwadziwa kwegumbo rekuruboshwe, kuzvimba, kurema, uye kuchinja kweruvara rweganda.
• Kurapa kwacho kunonangana nekuderedza kumanikidzwa kweropa, kudzorera kuyerera kweropa, uye kuderedza njodzi yeDVT. Angioplasty ne stenting ndiwo marapirwo akajairika.
• Kana ukaona zviratidzo zveDVT (kuzvimba kamwe kamwe, kurwadziwa, kutsvuka, kudziya kusvika pagumbo rako), enda kuna chiremba nekukasika.
• Zviratidzo zve"Pulmonary Embolism" (kupererwa nemweya kamwe kamwe, kurwadziwa pachipfuva, kukosora ropa, kunzwa kupera simba) inyaya yekukurumidzira. Kana zvakadaro, enda kuchipatara nekukasika pasina kunonoka.

Zvakakosha kuziva nezvechirwere ichi. Nekuti, kana chikaonekwa nekukurumidza, chinobatsira zvikuru kudzivirira matambudziko akakomba. Usavhunduke, asi ziva zviratidzo zvataurwa pamusoro apa uye usazeza kutsvaga mazano echiremba kana zvichidikanwa.

'May-Thurner Syndrome, Iliac Vein Thrombosis, DVT, Deep Vein Thrombosis, Kuzvimba Kwemakumbo, Marwadzo Emakumbo, Pulmonary Embolism, Kuvhara Maropa, Chirwere Chetsinga