Ingaba umlenze wakho uvuvukile kwaye ubuhlungu? Oku kusenokuba kubangelwa yi-(May-Thurner Syndrome)!

Ngamanye amaxesha imilenze yethu iyadumba kwaye ibuhlungu ngaphandle kwesizathu, akunjalo? Ingakumbi umlenze wasekhohlo. Abantu abaninzi abayinaki kangako le nto. Kodwa oku kusenokungabi yinto elula rhoqo. Namhlanje siza kuthetha ngemeko esingazange siyive, kodwa sonke esiyaziyo ukuba ifanelekile ukuyityelela. Leyo yi-`(May-Thurner Syndrome)`. Oku kukwabizwa ngokuba yi-`(Cockett syndrome)` okanye `(Iliac vein compression syndrome)`.

Yintoni kanye kanye i-"May-Thurner Syndrome"?

Ngamafutshane, `(May-Thurner Syndrome)` yimeko apho umthambo wakho wasekunene we-iliac (`Right Iliac Artery`) kunye nomthambo wakho wasekhohlo we-iliac (`Left Iliac Vein`) zixinzelelwe. Ngoku usenokuba uzibuza ukuba zeziphi ezi mithambo kunye nemithambo ye-iliac. Umthambo wasekunene we-iliac ngumthombo wegazi oyintloko othwala igazi ukuya emlenzeni wakho wasekunene. Umthambo wasekhohlo we-iliac ngumthombo wegazi oyintloko othwala igazi ukusuka emlenzeni wakho wasekhohlo ukuya entliziyweni. Ngoko ke, kule `(May-Thurner Syndrome)`, loo xinzelelo lunokuphazamisa ukuhamba kwegazi emilenzeni yakho.

Oku kwenza ntoni emzimbeni? Kuwuchaphazela njani?

Ngoku mhlawumbi uyazibuza ukuba oku kwenza ntoni emzimbeni kwaye kuyichaphazela njani. Eyona nto iphambili kukuba ngenxa yolu xinzelelo, igazi liqala ukuqokelelana emilenzeni, ingakumbi umlenze wasekhohlo , endaweni yokuba linyuke ngqo ngemithambo yasekhohlo ye-iliac, oko kukuthi, liye entliziyweni. Xa oku kusenzeka, amahlwili egazi anokwenziwa kwimithambo enzulu . Ngokwezonyango sibiza oku ngokuthi `(Deep Vein Thrombosis)` okanye `(DVT)`. Le yimeko efuna ingqalelo ethile. Iimpawu ze `(DVT)` zinokuba ngolu hlobo:

• Utshintsho kumbala wesikhumba emlenzeni (mhlawumbi obomvu, oluhlaza okwesibhakabhaka).
• Imithambo esemilenzeni ibonakala ivuvukile kwaye idumbile.
• Intlungu yomlenze, iintlungu eziqatha, okanye ukuthamba xa uyichukumisa.
• Ukudumba kwemilenze kunye nokuziva unzima.

Abanye abafazi banokuba nesifo sokuxinana kwemisipha ye-pelvic (PBS) kunye ne-May-Thurner syndrome. Oogqirha bakholelwa ukuba le ntlungu ingapheliyo ye-pelvic ibangelwa ziingxaki zemithambo ye-pelvic (oko kukuthi, isisu esisezantsi).

Oku kuphazamisana njani nokuhamba kwegazi?

Igazi lihamba rhoqo kwimithambo yegazi yomzimba wethu (imithambo yegazi kunye nemithambo yegazi). Njengoko unokukhumbula, imithambo yegazi ithwala igazi elicocekileyo, elineoksijini lisuka entliziyweni ukuya kuzo zonke ezinye iindawo zomzimba. Emva kokuba ezo ndawo zifumene ioksijini kunye nezondlo, imithambo yegazi ithwala igazi elingenaoksijini, elingcolileyo libuyele entliziyweni nasemiphungeni.

Kwezinye iindawo emzimbeni wethu, le mithambo kunye nemithambo iyanqumlana. Ngokufanayo, ngaphakathi kwi-pelvis yethu, umthambo we-iliac wasekunene ufumaneka ngaphezulu komthambo we-iliac wasekhohlo. Ngokwesiqhelo, oku akuyongxaki. Nangona kunjalo, kumntu one-`(May-Thurner Syndrome)`, umthambo we-iliac wasekunene ubeka uxinzelelo kumthambo we-iliac wasekhohlo. Khawuthelekelele ukuba kukho umbhobho wamanzi, kwenzeka ntoni ukuba umntu unyathela kuwo? Kunzima ukuba amanzi ahambe, akunjalo? Ukuchaneka, kwenzeka into efanayo apha.Ngenxa yokuba umthambo we-iliac wasekhohlo ucinezelwe, kuba nzima ukuba igazi lihambe ngokukhululekileyo kuwo.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Le "May-Thurner Syndrome" ibonakala ngathi iyenzeka rhoqo kubasetyhini . Ikwaxhaphake kakhulu nakubantu abadala abaphakathi kweminyaka engama-20 ukuya kwengama-50 ubudala .

Ixhaphake kangakanani le meko?

Enyanisweni, i-iliac vein thrombosis ixhaphake kakhulu kunokuba unokucinga. Ezinye izifundo zibonisa ukuba umntu omnye kwabahlanu unokuba nolu hlobo lwe-thrombosis! Kodwa into emangalisayo kukuba, nangona abantu abaninzi benayo i-iliac vein thrombosis, abafumaniswanga ngokukodwa ukuba bane-`(May-Thurner Syndrome)`. Esinye isizathu soku kukuba abantu abaninzi ababi nazimpawu ze-`(May-Thurner Syndrome)` de babe nemeko efana ne-`(DVT)`.

Zithini iimpawu ze-`(May-Thurner Syndrome)`?

Abantu abaninzi abaneMay-Thurner Syndrome abanazo naziphi na iimpawu , ingakumbi ukuba abanayo i-DVT esixoxe ngayo ngaphambili. Ukuba iimpawu ziyenzeka, zihlala zichaphazela umlenze wasekhohlo kuphela . Ezi zinokubandakanya:

• Ukuziva ubunzima emilenzeni. Njengelitye elixhonywe kulo, akukhululekanga kwaphela.
• Ngamanye amaxesha, amanxeba angapholiyo (izilonda) anokubakho emilenzeni.
• Usenokufumana iintlungu emlenzeni wakho okanye ukukrala okuvela ngaphakathi.
• Umbala wolusu usenokutshintsha. Usenokuba luhlaza okwesibhakabhaka okanye mdaka.
• Ukudumba kwemilenze.
• Iimeko ezinje ngemithambo ye-varicose zinokuvela.

Yintoni ebangela `(i-May-Thurner Syndrome)`?

Eyona sizathu siphambili kukuba umthambo we-iliac wasekunene utyhala umthambo we-iliac wasekhohlo. Kodwa oogqirha abakafumani sizathu sichanekileyo sokuba oku kwenzeke. Oko kukuthi, kusenokwenzeka ukuba kungenxa yotshintsho kwisakhiwo somzimba.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha uze uthethe ngokucacileyo ngeempawu zakho kunye nembali yakho yempilo. Ugqirha uza kukuhlola. Emva koko, banokwenza uvavanyo olukhethekileyo olunokujonga le mithambo yegazi.

• `I-CT (i-Computed Tomography) scan` : Oku kusebenzisa ii-X-ray kunye neekhompyutha ezikhethekileyo ukuthatha imifanekiso yemithambo yegazi enqamlezileyo. Oku kungasetyenziselwa ukubona ukuba kukho na ukuvaleka.
• `I-MRI (Umfanekiso weMagnetic Resonance)` : Oku kusebenzisa iimagnethi, amaza erediyo, kunye neekhompyutha ukuvelisa imifanekiso eneenkcukacha zemithambo yegazi.
• I-Ultrasound: Olu vavanyo lusebenzisa amaza esandi ukujonga ukuhamba kwegazi emzimbeni, ingakumbi kwimithambo yegazi (i-Doppler Ultrasound).
• I-Venogram : Kule nto, kufakwa idayi ekhethekileyo (idayi yokwahlula) emthanjeni kwaye idayi ibonwa phantsi kwe-X-rays ukuze kubonwe ukuba akukho kuvalwa kwegazi.
• I- "venogram esekelwe kwi-catheter" nayo ingenziwa. Oku kuthetha ukuba ityhubhu encinci (i-catheter) ifakwa kumthambo kwaye idayi ifakwe kuwo.
• I-Intravascular Ultrasound (IVUS) : Olu luvavanyo oluphucukileyo kancinci. Apha, kufakwa i-catheter kwimithambo yegazi, kwaye isixhobo esincinci se-ultrasound (iprobe) sidlula kwi-catheter ukuze kuthathwe imifanekiso ecacileyo neneenkcukacha zangaphakathi kwemithambo yegazi. Oku kunokulinganisa ngokuchanekileyo ubungakanani boxinzelelo.

Zithini iindlela zonyango zoku?

Kukho iinjongo ezimbini eziphambili xa kunyangwa i-`(May-Thurner Syndrome)`. Enye kukuphucula ukujikeleza kwegazi . Enye kukunciphisa umngcipheko wokufumana i-`(DVT)`. Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa olu nyango lulandelayo:

• I-Angioplasty kunye ne-Stenting : Olu lolona nyango luqhelekileyo. Kule nkqubo, i-catheter enebhaluni encinci ifakwa kumthambo we-iliac ovalekileyo wasekhohlo. Xa ifika kwindawo echanekileyo yokuvaleka, ibhaluni iyavuthelwa. Oku kuvula umthambo ovalekileyo. Emva koko, ityhubhu encinci ye-mesh, ebizwa ngokuba yi-stent , ifakwa kwindawo evulekileyo ukuze ingavaleki kwakhona, kwaye ibhaluni iyasuswa. Oku kufana nokususa isithintelo endleleni kunye nokwakha ibhulorho ukuze kube lula ukuwela.
• Utyando lokudlula kwimithambo yegazi : Ngamanye amaxesha, indlela entsha yenziwa ngokusebenzisa isiqwenga sethishu esithathwe kwenye indawo okanye ityhubhu yokwenziwa ukuze kudlule umthambo ovalekileyo. Oku kubuyisela ukuhamba kwegazi. Olu lutyando olukhulu.
• Ukushukuma kwemithambo yegazi yasekunene : Amaxesha amaninzi, utyando lunokwenziwa ukuze kushukunyiswe imithambo yegazi yasekunene ukuze kuncitshiswe uxinzelelo kumthambo wegazi yasekhohlo. Ngamanye amaxesha, isiqwenga sesicwili sinokubekwa phakathi komthambo nomthambo ukuze kuncitshiswe uxinzelelo.

Yintoni omawuyenze ukuba uphuhlise i-`(DVT)`?

Ngoku khawucinge ukuba une-"DVT" ngenxa ye-"May-Thurner Syndrome". Kwimeko enjalo, ukongeza kunyango olukhankanyiweyo apha ngasentla, ugqirha uza kongeza olunye unyango:

• Ii-Anticoagulants : Ezi zithintela ukujiya kwegazi, ziyeke ukujiya kwegazi okukhoyo ukuba kukhule, kwaye zinokunceda nokunyibilikisa amahlwili akhoyo kancinci kancinci.
• Amayeza okususa amahlwili egazi / iThrombolytics : La ngamayeza anamandla anikwa ngokuthe ngqo ukunyibilikisa amahlwili egazi. La mayeza adla ngokunikezelwa nge-catheter, ngqo kwihlwili legazi.
• `Isihluzi seVena Cava` : Esi sisixhobo esincinci esifana ne-mesh. `I-Inferior Vena Cava` yeyona vein inkulu emzimbeni wethu. Kulapho igazi elivela emilenzeni nasesiswini liya khona entliziyweni. Xa esi sihluzi sifakwa ngaphakathi kweso sihluzi, sithintela amahlwili egazi aphuma emilenzeni ukuba angaphumi endleleni aye emiphungeni.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Inyaniso kukuba, akukho ndlela iqinisekileyo yokuthintela le "May-Thurner Syndrome" ukuba ingenzeki., kuba unobangela ochanekileyo awukaziwa. Kodwa ungagcina ukujikeleza kwegazi lakho lonke kwimeko entle kwaye unciphise umngcipheko wokuqhekeka kwegazi ngokwenza oku kulandelayo:

• Musa ukuhlala kwindawo enye ixesha elide. Ukuba usebenza eofisini, vuka uhambehamba kancinci, wolule imilenze yakho, ubuncinane kanye ngeyure.
• Sela amanzi amaninzi. Kungcono ukusela ubuncinane iilitha ezi-2-3 zamanzi ngosuku.
• Zilolonge rhoqo , ingakumbi umthambo we-aerobic (njengokuhamba, ukubaleka, kunye nokukhwela ibhayisekile).
• Ukuba unezinye izifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, okanye isifo semithambo yegazi ejikeleze umzimba (i-PAD), thetha nogqirha wakho uze uzilawule kakuhle.
• Ukuba uyatshaya, yeka ngokuqinisekileyo . Ukutshaya kubi kakhulu kwimithambo yegazi yakho.
• Ukuba ugqirha wakho uyacebisa, nxiba iikawusi ezikhethekileyo zokucinezela. Ezi zinceda ekunciphiseni ukuhlangana kwegazi emilenzeni yakho kwaye zikuncede unyuke.

Zeziphi iingxaki ezinokubangela oku?

Ingxaki ephambili ye-`(May-Thurner Syndrome)` yi-`(DVT)` esithethe ngayo. Nangona kunjalo, kukho into enokuba yingozi nangakumbi . Oko kukuthi, ukuba ihlwili legazi elenziwe emlenzeni liyaqhekeka apho, lihamba ngegazi lize libambeke emthanjeni emiphungeni. Siyibiza ngokuba yi -`(Pulmonary Embolism)` (ihlwili legazi elibambeke emiphungeni) .

I-Pulmonary Embolism yimeko engxamisekileyo yezonyango esongela ubomi. Ukuba unayo nayiphi na kwezi mpawu zintsha okanye eziya zisiba mandundu , yiya kwicandelo lezonyango elikufutshane ngokukhawuleza okanye utsalele i-ambulensi:

* Ukukhohlela igazi nge-mucus.

* Ukubetha kwentliziyo ngokukhawuleza (ukubetha kwentliziyo okukhawulezayo ngequbuliso okanye okungahambelaniyo).

* Ubunzima obukhulu bokuphefumla, uzive ngathi uyafuthaniseka (Dyspnea).

* Ukuba ngequbuliso uva iintlungu eziqatha esifubeni, oko kuya kuba mandundu xa uphefumla.

Liyintoni ikamva lomntu one-`(May-Thurner Syndrome)`?

Abantu abaninzi baphila ubomi obude nobusempilweni beneMay-Thurner Syndrome ngaphandle kweengxaki. Ukuba awunazo iimpawu, usenokungazi nokuba unayo le meko.

Nangona kunjalo, ukuba ufumana naziphi na iimpawu ze-`(Deep Vein Thrombosis - DVT)` esithethe ngazo (ezifana nokudumba, ukubomvu, iintlungu, ukufudumala emlenzeni), qiniseka ukuba ubona ugqirha . `(DVT)` idla ngokulawulwa ngempumelelo ngamayeza kwaye, ukuba kuyimfuneko, nezinye iindlela zonyango.

Imibuzo yokubuza ugqirha

Ukuba unayo, okanye ucinga ukuba unayo, iMay-Thurner Syndrome, kunokuba luncedo ukubuza ugqirha wakho le mibuzo:

• Ziziphi iimpawu ze-"May-Thurner Syndrome" ezindichaphazelayo?
• Yintoni enokubangela iimpawu zam?
• Luhlobo luni lovavanyo ekufuneka ndilwenze ukuze ndifumanise oku kanye kanye?
• Zithini iimpawu ze-`(DVT)`? Ndingenza ntoni ukuba ndizifumana?
• Zithini iimpawu ze-`(Pulmonary Embolism)`? Ndingenza ntoni ukuba ndizifumana?
• Zeziphi iindlela zonyango ozicebisayo kwi-"May-Thurner Syndrome"? Zithini izinto ezilungileyo nezingalunganga?
• Zithini amathuba okuba iimpawu ziphinde zivele emva konyango?

Ngaba i-`(May-Thurner Syndrome)` ibeka ubomi esichengeni?

`(Isifo sikaMeyi-Thurner)` asisongeli ubomi ngokuthe ngqo. Nangona kunjalo, sinokukhokelela kwingxaki eyingozi ebizwa ngokuba yi`(Isifo sikaMilo esibuhlungu)`. Yiloo nto isongela ubomi. Ke ngoko, kubaluleke kakhulu ukuqaphela iimpawu ze`(Isifo sikaMilo esibuhlungu)` kwaye ufune ingcebiso kagqirha ngokukhawuleza ukuba uziva into enjalo.

Uyazi njani ukuba une-`(May-Thurner Syndrome)`?

Enyanisweni, usenokungakwazi ukuqiniseka ukuba unayo na i-`(May-Thurner Syndrome)` kuba abantu abaninzi abazi nokuba banayo de babe neempawu ze-`(DVT)`.

Eyona ndlela yokwazi ngokuqinisekileyo kukuba ugqirha enze uvavanyo lwemifanekiso esithethe ngalo ngaphambili (njenge-CT, i-MRI, i-Venogram, i-IVUS) aze aqinisekise ukuba umthambo we-iliac wasekhohlo uphuma kwi-artery yasekunene ye-iliac.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ke, nazi izinto ezibalulekileyo ekufuneka uzikhumbule malunga ne-"May-Thurner Syndrome" esele sithethe ngayo ixesha elide:

• I-May-Thurner Syndrome yimeko apho umthambo wakho wasekunene we-iliac ucinezela umthambo wakho wasekhohlo we-iliac, uthintela ukuhamba kwegazi ukusuka emlenzeni wakho wasekhohlo ukuya entliziyweni yakho.
• Oku kwandisa umngcipheko wokuba nesifo esibizwa ngokuba yi-"Deep Vein Thrombosis - DVT" (ukuqhekeka kwegazi kwimithambo enzulu) .
• Uninzi lwabantu alunazo naziphi na iimpawu . Ukuba ziyenzeka ezi mpawu, zihlala zizinto ezifana neentlungu emlenzeni wasekhohlo, ukudumba, ubunzima, kunye notshintsho kumbala wolusu.
• Unyango lujolise ekunciphiseni uxinzelelo, ukubuyisela ukuhamba kwegazi, kunye nokunciphisa umngcipheko we-DVT. I-Angioplasty kunye ne-stenting zezona ndlela zonyango zixhaphakileyo.
• Ukuba ufumana iimpawu ze-DVT (ukudumba ngequbuliso, iintlungu, ukubomvu, ukufudumala xa uchukumisa umlenze wakho), bona ugqirha ngoko nangoko.
• Iimpawu ze-"Pulmonary Embolism" (ukuphelelwa ngumoya ngequbuliso, iintlungu esifubeni, ukukhohlela igazi, ukuziva utyhafile) zizinto ezingxamisekileyo kwezonyango. Kwimeko enjalo, yiya esibhedlele ngokukhawuleza ngaphandle kokulibazisa.

Kubaluleke kakhulu ukuqaphela le meko. Kuba, ukuba iqatshelwe kwangethuba, iya kunceda kakhulu ekuthinteleni iingxaki ezinkulu. Musa ukoyika, kodwa qaphela iimpawu ezikhankanyiweyo apha ngasentla kwaye ungathandabuzi ukufuna ingcebiso kagqirha ukuba kuyimfuneko.

"Isifo sikaMeyi-Thurner, i-Iliac Vein Thrombosis, i-DVT, i-Deep Vein Thrombosis, ukudumba kwemilenze, iintlungu zemilenze, i-Pulmonary Embolism, amahlwili egazi, isifo semithambo yegazi