Unonzwa sekuti tsinga yako yekuruboshwe iri kusimba here? Inonzi Nutcracker Syndrome! Ngatitaurei nezvazvo.

Wakamborwadziwa here neruboshwe rwako rwemudumbu kana mbabvu dzako? Kana kuti wakaona ropa muweti yako? Dzimwe nguva zvinhu izvi zvinogona kuregeredzwa. Zvisinei, zvinogonawo kuva zviratidzo zvechirwere chinoda kutarisirwa. Chimwe chezvirwere zvakadaro, chisingataurwi zvakanyanya, asi chakakosha kuziva nezvacho, chinonzi Nutcracker Syndrome. Nhasi, tichataura nezvazvo zvakadzama uye zviri nyore.

Chii chinonzi Nutcracker Syndrome? Chii chinoitika chaizvo?

Muchidimbu, Nutcracker Syndrome chirwere apo tsinga huru yeropa inobva muitsvo yako yekuruboshwe (inonziwo "tsinga yekuruboshwe yeitsvo"`) inovharika. Iyi tsinga yeropa ndiyo inotakura ropa rakacheneswa kubva muitsvo yako yekuruboshwe kudzokera kumoyo wako. Saka, kana tsinga iyi yavharika, kufamba kweropa kunovharika.

Fungidzira, tsinga iyi yeropa inobva muitsvo yako yekuruboshwe, inofanira kuenda kumoyo kuburikidza netsinga mbiri hombe dziri mudumbu medu. Imwe ndiyo tsinga huru mudumbu medu, inova "abdominal aorta". Imwe ndiyo tsinga yepamusoro yemesenteric. Kazhinji, tsinga yeitsvo inogona kupfuura nemutsinga idzi mbiri pasina chipingamupinyi.

Zvisinei, mumunhu ane chirwere che nutcracker, tsinga mbiri idzodzo huru dzinosangana semiromo miviri ye nutcracker, dzichidzvanya tsinga yeitsvo . Senzungu iri kutsemuka ne nzungu. Ndosaka ichitumidzwa zita rekuti "nutcracker." Kana yaoma, BP inowedzera mukati metsinga yeitsvo, uye ropa rinotanga kuyerera richidzokera kumashure. Izvi zvinogonawo kukonzera kuti tsinga diki dzeropa dzakaipoteredza dzizvimbe.

Kune mhando mbiri huru zvichienderana nekuti kusimbisa uku kunoitika sei:

• Anterior Nutcracker Syndrome: Iyi ndiyo mhando inonyanya kuitika. Inoitika kana tsinga yeitsvo yakamanikidzwa pamberi peaorta yedumbu, zvichireva kuti pamberi pedumbu.
• Posterior Nutcracker Syndrome: Izvi hazviwanzoitiki. Pano, tsinga yeitsvo inomanikidzwa kuseri kwe abdominal aorta, uko inopfuura nepakati pemusana ne aorta.

Kune dzimwe nzira dzisingawanzoitiki, asi hatifaniri kutaura nezvadzo zvakanyanya.

Musiyano uripo pakati peNutcracker Phenomenon neNutcracker Syndrome

Musavhiringa zvinhu zviviri izvi. Chinhu chinonzi Nutcracker chinoitika kana paine kutetepa kwetsinga yeitsvo, asi pasina zviratidzo. Dzimwe nguva chinowanikwa netsaona panguva yekuongororwa kwechimwe chirwere.

Zvisinei, Nutcracker Syndrome inyaya yekuti, pamusoro pekuomarara, unotangawo kuva nezviratidzo. Kureva kuti, uri kunzwa kusagadzikana nekuda kwekuomarara uku. Ndipo panodiwa kurapwa.

Sei ichinzi "Nutcracker"?

Sezvandambotaura, muna 1937, mumwe muongorori wezvekurapa akatsanangura chirwere ichi setsinga mbiri huru dziri mudumbu "seshaya mbiri dzetsoko dziri kudzvanya tsinga yetsvo." Akatiwo "zvakafanana nebhanana riri kupwanywa netsoko." Ndosaka richinzi izvi. Zita repamutemo rezvekurapa reizvi ndi 'left renal vein entrapment syndrome .'

Ndiani anonyanya kubatwa nechirwere ichi? Chinowanzoitika sei?

Chirwere cheNutcracker chinogona kubata vana pamwe chete nevakuru vane makore anosvika makumi matanhatu. Zvisinei, kumwe kutsvagurudza kunoratidza kuti chinowanzoitika kuvanhu vane makore makumi maviri, makumi maviri, uye makumi matatu . Chinowanzoitikawo kuvanhu vane low body mass index (BMI), zvichireva kuti vatete .

Ichi chirwere chinoonekwa sechinhu chisingawanzoitiki , asi hapana ruzivo rwekuti vanhu vangani vane chirwere ichi.

Ndeipi njodzi yeNutcracker Syndrome? Panogona kuva nematambudziko here?

Dzimwe nguva izvi hazvikonzeri zviratidzo zvikuru uye zvinogona kutopera zvega, kunyanya kuvana. Zvisinei, kana zvikasarapwa, zvinogona kukonzera matambudziko nekufamba kwenguva. Izvi zvinosanganisira:

• Maronda eropa anoumbwa mukati metsinga yeitsvo.
• Kukuvara kweitsvo kunoitika nekuda kwekumanikidzwa kwakanyanya mutsinga dzeitsvo nekufamba kwenguva.
• Varume vanogona kusangana nekushaya mbereko kwevarume kana kuti vakadzi vanogona kusangana nekushaya mbereko kwevakadzi .
• Kurwadziwa kwakanyanya kunogona kukanganisa hupenyu hwako kunogona kuitika.

Zvakakosha: Havasi vese vanozosangana nematambudziko aya. Zvisinei, kana uine zviratidzo, zvakanaka kuti uone chiremba nekukasika kuti akupe mazano.

Zviratidzo zvacho ndezvipi? Zvaunganzwa uye zvingawanikwa nachiremba wako

Pane zviratidzo zvakawanda zve nutcracker syndrome. Zvinhu zvaunogona kusangana nazvo zvinosanganisira:

• Ropa muweti (hematuria): Ichi ndicho chiratidzo chinowanzoitika. Weti inogona kuva neruvara rwepingi, rutsvuku, kana kuti shava.
• Kunzwa dzungu kana wakamira (orthostatic hypotension): Izvi zvinoreva kuti paunongoerekana wasimuka, maziso ako anova ebhuruu uye unonzwa dzungu.
• Kurwadziwa kweruboshwe: Kurwadziwa kunogona kuitika kuruboshwe, seri kwembabvu.

Zviratidzo izvi zvinogonawo kusiyana zvishoma zvichienderana nekuti munhurume kana kuti munhukadzi here.

Kuvarume: Chirwere chinonzi varicocele , icho chiri kuzvimba kwetsinga dzeropa mumachende, chinogona kuitika.

Vakadzi vanogona kuona zviratidzo zvechirwere chekuvharika kwechiuno, izvo zvinokonzerwa nekuungana kweropa munzvimbo yechiuno. Izvi zvinosanganisira:

• Kurwadziwa panguva yebonde (dyspareunia).
• Kurwadziwa pakuita weti (dysuria).
• Kurwadziwa mudumbu repazasi, kureva kuti, munzvimbo yechiuno (kurwadziwa kwepelvic).

Pamusoro peizvi, kunewo zviratidzo zvinogona kuonekwa nachiremba kuburikidza nekuongororwa. Haukwanise kuzviona.

• Kushomeka kwemasero matsvuku eropa muropa, kureva kuti , anemia .
• Microhematuria iropa riri muweti diki zvekuti rinogona kuonekwa chete nemaikorosikopu.
• Proteinuria zvinoreva kuvapo kwemapuroteni akawandisa muweti.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Chikonzero chikuru cheNutcracker Syndrome kuchinja kwemaumbirwo etsinga dzeropa . Dzimwe nguva kuchinja uku kunoitika uchiri mudumbu raamai vako, apo tsinga dzako dzeropa dziri kuumbwa. Dzimwe nguva, zvinogona kuitika kana kukwirira kwakanyanya (kukura nekukurumidza) muhudiki, kana kudzikira uremu kamwe kamwe muhukuru (kudzikira uremu). Mune zvimwe zviitiko, hapana chikonzero chingawanikwe .

Unonyatsoona sei izvi? Ndedzipi bvunzo dzinoitwa?

Zvinogona kutora nguva kuti Nutcracker Syndrome ionekwe, nekuti vanachiremba vanofanira kubvisa zvimwe zvirwere zvakawanda. Kuongororwa kunowanzo tanga nekuongororwa kwemuviri . Chiremba wako achakubvunza nezvezviratidzo zvako uye achakubvunza nezvezviratidzo zvako. Zvadaro, vanogona kuraira imwe kana kupfuura yemiedzo inotevera kuti vawane rumwe ruzivo:

• Kuongororwa kweropa
• Kuongororwa kweCT (CT scan - Computed Tomography scan)
• Kuongororwa kweDoppler ultrasound `(Doppler ultrasound)`
• Ultrasound yemutsinga dzeropa (IVUS)
• Kuskena kweMRI `(MRI - Kuskena kweMagnetic Resonance Imaging)`
• Venogram (kutora X-ray yetsinga mushure mekubaya dhayi)
• Kuongororwa kweweti

Ndeipi mishonga yekurapa Nutcracker Syndrome?

Kurapwa kunoenderana nezera rako uye kuoma kwezviratidzo zvako. Zvichienderana nemamiriro ako ezvinhu, chiremba wako anogona kutanga nekurapwa kushoma . Kana izvi zvikasabatsira, kana zviratidzo zvako zvikawedzera, ungangoda kuvhiyiwa.

Kutarisira kwekuchengetedza

Kune vanhu vazhinji, kunyanya vana vari pasi pemakore gumi nemasere , iyi ndiyo nhanho yekutanga mukutarisira huremu hwemwana wenyu. Kana mwana wenyu aine nutcracker syndrome, chiremba wenyu anogona kukurudzira kuti varambe vachiita izvi kwemakore maviri. Izvi zvinosanganisira kubatsira mwana wenyu kuwedzera huremu uku achitarisa mamiriro acho ezvinhu. Sezvo huremu huchiwedzera mudumbu, kumanikidzwa kwetsinga yeitsvo kunoderera. Vakuru vanokurudzirwa kuti vaedze nzira iyi kwemwedzi mitanhatu.

Kurapa uku kunogona kusanganisira mishonga inobatsira itsvo kushanda zvakanaka. Semuenzaniso:

• Mishonga inodzivirira ACE
• Asipirini

Kupindira Kwekuvhiya

Kana uine zviratidzo zvakakomba uye marapirwo akajairika asingashande, ungangoda kuvhiyiwa kana kuvhiyiwa kusinganyanyi kukuvadza . Chiremba wako achataura newe nezvesarudzo dzako, zvakanakira nezvakaipira, uye kana nzira dzisinganyanyi kukuvadza dzakakunakira.

Chinangwa chikuru chekuvhiyiwa uku ndechekugadzira nzira yakapfava, isina kuvharwa yekuti ropa riyerere kubva muitsvo kuenda kumoyo.

Mamwe mavhiyirwo nemaitiro anoitwa Nutcracker Syndrome ndeaya:

• Kuchinja tsinga yeitsvo: Izvi zvinosanganisira kubvisa tsinga yako yeitsvo yekuruboshwe woibatanidzazve kune tsinga hombe inonzi inferior vena cava. Izvi zvinobvisa kudiwa kwekupinda nepakati pe superior mesenteric artery ne aorta. Izvi zvinogona kuitwa ne laparoscopically , zvichireva kuti kuburikidza nekucheka kudiki.
• Kuisa stent: Izvi zvinosanganisira kuisa chubhu diki inonzi stent mutsinga yeitsvo yakavharika neburi diki riri paganda. Chubhu iyi inovhura tsinga uye inobvumira ropa kuti riyerere zvakasununguka.
• Kuvhiyiwa kwekuzviisira paitsvo: Mukuita izvi, itsvo yako yekuruboshwe inobviswa yodzorerwa mumuviri wako, mubhonzo rehudyu.

Kuvhiyiwa uku kune njodzi here?

Kuvhiyiwa kwese kweNutcracker Syndrome kune njodzi. Taura nachiremba wako nokungwarira nezvenjodzi dzekuvhiyiwa kwauchaita.

Kuvhiyiwa kweitsvo otomatiki ndiko kunonyanya kukanganisa kuvhiyiwa uku. Matambudziko makuru akwo kutadza kushanda kweitsvo uye kubuda ropa. Njodzi yematambudziko inogona kuderedzwa nekurapwa kuchipatara chikuru chine vanachiremba vane ruzivo vanogara vachiita kuvhiyiwa kwakadaro .

Pane nzira yekuderedza chiitiko ichi here?

Kutaura zvazviri, hapana nzira inozivikanwa yekuderedza njodzi yekuva nechirwere ichi. Nutcracker syndrome inokura nekukurumidza, uye haisi yekuzvarwa nayo.

Zvisinei, vanachiremba dzimwe nguva vanoona chiitiko che nutcracker (asymptomatic renal vein stenosis) netsaona panguva yekuongororwa kwakaitwa nekuda kwezvimwe zvikonzero. Saka, zvakakosha kuti urambe uchienderera mberi nekuongororwa kwako kwechiremba uye kugadzwa kukiriniki. Zvadaro, unogona kuziva kana uine renal vein stenosis usati wava nezviratidzo. Zvadaro, uchaziva kuti unofanira kutsvaga kurapwa nekukurumidza kana zviratidzo zvikaitika.

Remangwana revanhu vane Nutcracker Syndrome rakamira sei?

Kune vana, mhedzisiro yacho inowanzova yakanaka kwazvo. Vana vazhinji vanopora vasina kurapwa kwakakura, sekuvhiyiwa. Kune vakuru, mhedzisiro yacho inosiyana zvichienderana nekuoma kwezviratidzo uye nguva inotora kutanga kurapwa. Taura nachiremba wako nezvemamiriro ehutano hwako.

Ndinofanira kuona chiremba riini? Mibvunzo ipi yandinofanira kubvunza?

Kana uine zviratidzo zve nutcracker syndrome, kana zviratidzo zvako zvikawedzera , iva nechokwadi chekuona chiremba.

Kana uchivhiyiwa, nyatsoteerera mirairo yachiremba wako nezvekuti ungazvichengeta sei uri kumba. Uyewo, iva nechokwadi chekuenda kumisangano yekutevera .

Kana chiremba wako akakuudza kuti une Nutcracker Syndrome, ungave nemibvunzo yakawanda. Zvakakosha kudzidza zvakawanda sezvaunokwanisa nezvesarudzo dzako dzekurapa uye nguva yakanakisa yekutsvaga kurapwa. Heano mimwe mibvunzo yaunogona kubvunza:

• Dambudziko iri rinokanganisa sei muviri wangu?
• Dambudziko rangu rakakomba zvakadii?
• Ndinoda kurapwa here? Kana zvakadaro, rini?
• Ndeipi nzira yekurapa yakanakira ini?
• Kubudirira kwekurapwa uku kwakabudirira sei?
• Ndeipi njodzi dzekurapwa?
• Zvinotora nguva yakareba sei kuti murwere apore?

Vamwe vanhu vane nutcracker syndrome vanogonawo kuva nemamwe matambudziko etsinga. Taura nachiremba wako nezvemamwe matambudziko auri kusangana nawo uye maitiro ekuzvigadzirisa.

Kana wave nezviratidzo kwenguva yakati asi usingazive chikonzero, zvinogona kukubatsira kuti uwane chirwere ichi. Asi zvinogonawo kutyisa kufunga nezvenzira dzekurapa uye kana uchida kuvhiyiwa. Mashoko akanaka ndeekuti vaongorori vari kugara vachidzidza zvakawanda nezvechirwere ichi uye maitiro ekurapa nacho nenzira dzisinganyanyi kukuvadza. Taura nachiremba wako nezvehurongwa hwakanakisa hwekurapa kwauri uye zvekutarisira mune ramangwana.

Pakupedzisira, mamwe mapoinzi akakosha (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezveNutcracker Syndrome. Heano mamwe ematambudziko akakosha ekurangarira:

• Ichi chirwere chinokonzerwa nekuvharika kwetsinga yeropa muitsvo yekuruboshwe .
• Kana ukaona zviratidzo zvakaita seropa muweti yako kana kurwadziwa kuruboshwe, enda kuna chiremba.
• Vana vanowanzogona kupora vega .
• Kune nzira dzakasiyana dzekurapa vanhu vakuru, kunyangwe kuvhiyiwa, zvichienderana nezviratidzo.
• Usatya, asi zvakakosha kuti uzive zvakawanda. Taura pachena nachiremba wako uye sarudza mushonga wakakunakira.

Ndinovimba kuti ruzivo urwu runobatsira. Ramba uine hutano hwakanaka!

Nutcracker syndrome, chirwere cheitsvo, tsinga yetsvo yekuruboshwe, stenosis yetsinga yeropa, ropa muweti, kurwadziwa mudumbu, kuvhiyiwa