Ingaba umlenze wakho wasekhohlo uvuvukile kwaye unzima kunomnye? Ngamanye amaxesha ubuhlungu nje kwaye uvakala ngathi uyarhawuzelela? Abantu abaninzi abazinaki kakhulu ezi mpawu. Kodwa ngamanye amaxesha isizathu soku sinokuba sibi kakhulu kunokuba ucinga. Esinye sezizathu ezinjalo sinokuba yile meko ibizwa ngokuba yi-'May-Thurner Syndrome'. Makhe sijonge ngokulula ukuba yintoni.
Ngamafutshane, yintoni i-May-Thurner Syndrome?
Kulula kakhulu. Kukho iintlobo ezimbini zemithambo yegazi emzimbeni wethu. Sibiza imithambo ethwala igazi elineoksijini ukusuka entliziyweni ukuya emzimbeni wonke ngokuthi 'yiMithambo' . Ngokufanayo, sibiza imithambo ethwala igazi elisetyenzisiweyo, elineoksijini ukubuyela entliziyweni ngokuthi 'yiMithambo' .
Kule meko ibizwa ngokuba yi-Turner syndrome, umthambo oyintloko othwala igazi ukuya emlenzeni wakho wasekunene (umthambo we-iliac wasekunene) udlula phezu komthambo oyintloko othwala igazi ubuyela entliziyweni yakho ukusuka emlenzeni wakho wasekhohlo (umthambo we-iliac wasekhohlo) uze uwucinezele. Cinga ngayo njengomntu onyathela umbhobho wamanzi. Emva koko ukuhamba kwamanzi kuyaphazamiseka, akunjalo? Ngendlela efanayo, xa loo mthambo ucinezela umthambo, ukuhamba kwegazi ukusuka emlenzeni wasekhohlo kuyaphazamiseka. Le meko ikwabizwa ngokuba yi-`(Cockett syndrome)`.
Le meko iwuchaphazela njani umzimba?
Xa ukuhamba kwegazi ukusuka emlenzeni wasekhohlo ukuya phezulu kuthintelekile, elinye igazi liqala ukuxinana okanye ukuma emlenzeni wasekhohlo. Eyona nto iyingozi ngale nto kukuba xa igazi lixinana kwindawo enye efana nale, amathuba okuba igazi liqhekeke ngaphakathi kuloo mthambo ayanda kakhulu. Ngokwezonyango, oku sikubiza ngokuba yi -'deep vein thrombosis' (DVT) .
I-DVT yimeko embi kakhulu enokwenzeka ngequbuliso. Ukuba eli hlwili legazi liyaqhekeka lize libhajwe emthanjeni emiphungeni, linokuba yingozi ebomini.
Ngokwesiqhelo, iimpawu ezinje zinokwenzeka xa kuvela i-DVT.
| Iimpawu ze-DVT | |
|---|---|
| Ukudumba kunye nobunzima | Ukudumba kunye nokuziva unzima, rhoqo emlenzeni omnye (kule meko, umlenze wasekhohlo). |
| Intlungu | Intlungu ebukhali okanye ukurhawuzelelwa emlenzeni, ingakumbi kwindawo yempumlo. |
| Ukutshintsha kombala wolusu | Ukutshintsha kombala wesikhumba emlenzeni kube bomvu okanye luhlaza okwesibhakabhaka. |
| Ukuphuma kwemithambo yegazi | Imithambo esemilenzeni iyadumba ize iqale ukubonakala phezu komphezulu. |
Ukongeza, abanye abafazi banokuba nesifo esibizwa ngokuba yi-pelvic congestion syndrome kunye ne-May-Turner syndrome, esisifo apho iingxaki zemithambo-luvo esezantsi kwesisu zibangela iintlungu ezingapheliyo.
Ngubani onokuthi abonakale kakhulu kule meko?
I-May-Turner syndrome ixhaphake kancinci kubasetyhini kwaye ixhaphake nakubantu abadala abaphakathi kweminyaka engama-20 ukuya kwengama-50 .
Kodwa into emangalisayo kukuba malunga nomntu omnye kwabahlanu unale meko ibizwa ngokuba yi-"iliac vein compression." Kodwa ayinguye wonke umntu oneempawu. Abantu abaninzi bafumanisa ukuba bane-May-Turner syndrome emva kokuba befumene i-DVT. Kude kube ngoko, basenokuba abanazo iimpawu.
Ifunyanwa njani i-May-Turner syndrome?
Emva kokuba uxelele ugqirha wakho ngeempawu zakho, uza kukuhlola aze akucebise ngezinye iimvavanyo ezikhethekileyo ezivavanya imithambo yegazi yakho ukuqinisekisa imeko.
| Uhlobo lovavanyo | Icacisiwe ngokulula |
|---|---|
| Iskeni ye-ultrasound `(Ultrasound)` | Uvavanyo olungenabuhlungu olusebenzisa amaza esandi ukujonga imithambo yegazi emzimbeni. Eli linyathelo lokuqala lokujonga i-DVT. |
| Iiskeni ze-CT | Ukufota imithambo yegazi ngesixhobo esikhethekileyo se-X-ray. |
| Ii-MRI Scans (ii-MRI) | Ukufumana imifanekiso ecacileyo yemithambo yegazi kusetyenziswa iimagnethi kunye namaza erediyo. |
| I-Venogram | Kufakwa ulwelo olukhethekileyo (idayi yokwahluka) emthanjeni kwaye kusetyenziswa ii-X-ray ukujonga ukuhamba kwegazi. Oku kunokunceda ekufumaneni indawo echanekileyo yokuvaleka kwemithambo. |
| I-Ultrasound yeMithambo | Indlela echanekileyo kakhulu apho kufakwa ityhubhu (i-catheter) enekhamera encinci kakhulu kwimithambo yegazi kwaye imithambo yegazi ihlolwe ngaphakathi. |
Zithini iindlela zonyango zoku?
Injongo ephambili yonyango lwe-May-Turner syndrome kukubuyisela umthambo oxineneyo kwimeko yesiqhelo, ukuphucula ukuhamba kwegazi, kunye nokunciphisa umngcipheko we-DVT.
Ukuba kukho iimpawu kuphela
Ngokwesiqhelo, kumntu ongena-DVT kwaye eneempawu ezifana nokudumba kwemilenze kunye nentlungu, ugqirha unokucebisa olu nyango lulandelayo:
- I-Angioplasty kunye ne-stenting: Oku kuquka ukufaka ityhubhu encinci kakhulu ene-balloon encamini yomthambo kunye nokufaka ibhaluni kwindawo enciphileyo. Oku kuvula umthambo kwaye kuvumele igazi ukuba lihambe. Isixhobo esisilinda esifana ne-mesh esibizwa ngokuba yi-stent sifakwa ngaphakathi komthambo ukuze singanciphi kwakhona.
- Utyando: Kwezinye iimeko, utyando lunokwenziwa ukuze kususwe umthambo oxinanisiweyo emthanjeni. Okanye, utyando lwe-bypass lungenziwa ukuze kudalwe indlela entsha yokuba igazi lijikeleze indawo exinanisiweyo.
Ukuba ihamba ne-DVT
Ukuba une-DVT ngenxa ye-May-Turner syndrome, ukongeza kunyango olukhankanyiweyo apha ngasentla, kuya kufuneka wenze oku kulandelayo:
- Ii-Anticoagulants: La mayeza anikwa ukuthintela ukwakheka kwamahlwili egazi kunye nokuthintela amahlwili akhoyo ukuba angakhuli.
- Amayeza okunyibilikisa amahlwili: Ngamanye amaxesha, amayeza afakwa ngqo kwihlwili legazi nge-catheter ukuze linyibilike lize lisuswe.
- Isihluzi seVena cava: Amaxesha amaninzi, isixhobo esibizwa ngokuba sisihluzi sifakwa okwethutyana okanye ngokusisigxina kumthambo omkhulu emzimbeni wethu (i-vena cava engaphantsi) ukuthintela ukuba igazi elijiyileyo emlenzeni lingaphumi liye emiphungeni.
Eyona ngxaki iyingozi kakhulu: I-Pulmonary Embolism
Eyona nto iyingozi kakhulu nge-May-Turner syndrome kukukhula kwe-DVT. Okuyingozi nangakumbi kuxa iqhekeza laloo DVT liqhekeka, lihamba negazi, lize linamathele emthanjeni wegazi apho. Oku sikubiza ngokuba yi -'Pulmonary Embolism' .
Le yingxamiseko yezonyango enzulu kakhulu, esongela ubomi! Ukuba wena okanye umntu omaziyo ngequbuliso ufumanisa naziphi na zezi mpawu zilandelayo, mse kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Ubunzima bokuphefumla ngequbuliso (ukuphelelwa ngamandla)
- Intlungu ebuhlungu esifubeni eyandayo xa uphefumla
- Ukopha nge-mucus
- Ukubetha kwentliziyo (ukubetha kwentliziyo)
Izinto esinokuzenza ukunciphisa umngcipheko
Akukho ndlela ithile yokuthintela i-May-Turner syndrome, njengoko unobangela wayo ochanekileyo ungaziwa. Nangona kunjalo, oku kulandelayo kunokunceda ukugcina ukujikeleza kwegazi lakho kulungile kwaye kunciphise umngcipheko wokuqhekeka kwegazi:
- Musa ukuhlala kwindawo efanayo ixesha elide. Ingakumbi ukuba unomsebenzi ohlala phantsi, vuka uhambehamba ubuncinane kanye ngeyure.
- Sela amanzi amaninzi.
- Zilolonge rhoqo, ingakumbi umthambo we-aerobic.
- Ukuba unezinye izifo ezifana nesifo seswekile okanye uxinzelelo lwegazi, zilawule kakuhle ngokwemiyalelo kagqirha wakho.
- Ukuba uyatshaya, yeka ngoko nangoko.
- Ukuba ugqirha wakho uyayicebisa, nxiba iikawusi ezikhethekileyo zokucinezela.
Ukuba uneminye imibuzo malunga ne-May-Turner syndrome, ungoyiki ukubuza ugqirha wakho. Uza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- I-May-Turner syndrome yimeko apho umthambo othwala igazi uye emlenzeni wasekunene kunye nomthambo othwala igazi ukusuka emlenzeni wasekhohlo zixinzelelwa khona.
- Oku kunokubangela ukuba ukuhamba kwegazi emlenzeni wasekhohlo kuthinteleke, nto leyo ekhokelela kwiimpawu ezinje ngokudumba kwemilenze kunye nentlungu.
- Eyona ngxaki iphambili neyingozi kakhulu yale meko kukwakheka kwe-deep vein thrombosis (DVT).
- I-Pulmonary embolism (ihlwili eliphuma kwi-DVT lize lihlale emiphungeni) yimeko engxamisekileyo esongela ubomi.
- Ukuba unokudumba okungaziwayo, iintlungu, okanye ubunzima emlenzeni wakho wasekhohlo, kubalulekile ukufuna ingcebiso kagqirha.
- Le yimeko enokulawulwa ngempumelelo ngonyango.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho