Ngaba uhlala uziva iintlungu kumqolo wakho osezantsi okanye esiswini esisezantsi ngasekhohlo? Okanye ngaba ukhe waphawula igazi elincinci kumchamo wakho ? Ukuba uneempawu ezinje, unobangela usenokuba yimeko engaqhelekanga ongazange uve ngayo. Namhlanje sithetha ngale meko ibizwa ngokuba yiNutcracker Syndrome. Ungoyiki ukuva oku. Oku akuqhelekanga ukuba yingozi, kwaye ingcali eyaziyo ngale nto inokukunceda.
Ngamafutshane, yintoni iNutcracker Syndrome?
Cinga nge-nutcracker. Kufana nokuqhekeza i-nut nge-nutcracker. Kule meko, umthambo ophambili okhupha igazi kwizintso zakho zasekhohlo, i-aorta, uxinwa phakathi kweminye imithambo yegazi emibini emikhulu esiswini sakho. Yiyo loo nto ibizwa ngokuba yi-Nutcracker Syndrome.
Xa umthambo uvalekile ngale ndlela, ukuhamba kwegazi kuyehla, okanye uxinzelelo lwegazi luyenyuka kwaye igazi liqale ukuhamba ngendlela engalunganga. Yile nto ebangela iimpawu ezifana neentlungu kunye negazi kumchamo .
Amaxesha amaninzi, lo mthambo uvalelwa phakathi komthambo oyintloko ovela entliziyweni yethu (i-aorta) kunye nomthambo ohambisa igazi emathunjini ethu (umthambo ongaphezulu kwe-mesenteric). Oku kubizwa ngokuba yi -anterior nutcracker syndrome . Amaxesha amaninzi, lo mthambo unokuvalelwa phakathi komthambo oyintloko kunye nomqolo . Oku kubizwa ngokuba yi -posterior nutcracker syndrome .
“Musa ukoyika,” utshilo uGqr. Caitlin Hicks, ugqirha wotyando lwemithambo yegazi kwiYunivesithi yaseJohns Hopkins. “Kubalulekile ukubona ingcali eyaziyo le nto uze uthethe ngezinto onokukhetha kuzo. Kodwa uninzi lwexesha, ezi mpawu ziyaphela ngokwazo ngokuhamba kwexesha.”
Zithini iimpawu zeNutcracker Syndrome?
Ekuqaleni, usenokungaqapheli nto ibalulekileyo. Kodwa ukuba umthambo uvalekile ixesha elide, iimpawu ezahlukeneyo zinokuvela. Makhe sijonge ezi kwitheyibhile.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu eziqhelekileyo |
|
| Iimpawu ezithile kubafazi | |
| Iimpawu ezithile kumadoda |
Xa igazi lingakwazi ukuhamba kakuhle ngemithambo yezintso, uxinzelelo lwelo gazi lunokuchaphazela neminye imithambo ekwisinqe. Yiyo loo nto iimpawu zahluka ngokuxhomekeke kwisini.
Le ntlungu ayihlali ihleli. Ngamanye amaxesha inokuba mandundu xa uhambahamba, kwiindawo ezithile, okanye ngexesha lokuya exesheni kwabasetyhini.
Umahluko phakathi kweNutcracker Phenomenon kunye neNutcracker Syndrome
Kufuneka siqonde enye into apha. Nguwo lowo umahluko phakathi kwezi zimbini.
- Ingxaki yeNutcracker: Kwimeko enjalo, nangona umthambo wezintso okhankanywe apha ngasentla uvaliwe, awunazo iimpawu .
- I-Nutcracker Syndrome: Kwimeko enjalo, umthambo uvalekile, kwaye nawe ufumana iimpawu .
Oogqirha abadli ngokunyanga esi sigulo. Kodwa ukuba iimpawu zibonakala kamva, ngokuqinisekileyo kuya kufuneka ubonane nogqirha wakho uze uthethe ngaso.
Zithini izizathu zale meko?
Akukho "siphoso" kuwe ukuba oku kwenzeke. Ezona zizathu zixhaphakileyo zezi:
- Ukuncitshiswa kwe-engile apho imithambo yegazi ikhoyo.
- Ukulahlekelwa ngamafutha esiswini (ngenxa yokuba mncinci okanye ukwehla kobunzima ngequbuliso).
- Ukukhula ngokukhawuleza (ukukhula ngokukhawuleza, ingakumbi ngexesha lobutsha).
Ngamafutshane, ezi zinto zinciphisa indawo yomthambo wegazi. Ngokwesiqhelo, kukho indawo yokutyeba apho ukukhusela umthambo. Xa oko kuba mncinci, okanye xa indawo yemithambo yegazi itshintsha, umthambo unokuvaleka.
Ezinye izizathu ezingaqhelekanga:
- Iithumba ezenzeka kufutshane nepancreas okanye ngaphakathi esiswini.
- Ii-lymph nodes ezivuvukileyo.
- I-aorta ekhulisiweyo.
- Ukukhulelwa (ngenxa yokwanda kwesibeleko esicinezela imithambo ejikelezileyo).
- Iingxaki zomqolo (ezifana nokugoba okungaphezulu komqolo ongezantsi).
Yenziwa njani le nto yokuxilonga?
I-Nutcracker Syndrome inokuba nzima ukuyifumanisa kuba iimpawu (iintlungu zesisu, igazi kumchamo) zifana kakhulu nezinye iimeko eziqhelekileyo, ezinje ngamatye ezintso, usulelo lomchamo, kunye ne-endometriosis. Ngoko ke ugqirha wakho uya kuqala ajonge ezinye izizathu.
Xa ezo zizathu zisusiwe, ukuba kurhanelwa ukuba iNutcracker Syndrome inesifo, kunokwenziwa olu vavanyo lulandelayo ukujonga ukuvaleka kwemithambo yezintso:
- Uhlalutyo lomchamo: Oku kungafumanisa nokuba amathontsi amancinci egazi amancinci kakhulu ukuba angabonwa ngamehlo enyama.
- I-Doppler ultrasound: Olu luvavanyo olungenabuhlungu olusebenzisa amaza esandi ukulinganisa ukuba igazi lihamba ngesantya esingakanani kwimithambo yezintso. Nangona oku kukodwa kungenakukuqinisekisa ukuxilongwa, kunokubonelela ngezikhokelo ezibalulekileyo.
- I-CT angiography (CTA) okanye i-MR angiography (MRA): Olu hlobo lwezikrini lunokuvelisa umfanekiso ocacileyo wemithambo yegazi esiswini. Ziyakwazi ukubona ngokuchanekileyo ukuba umthambo uvaliwe, ukuba igazi libuyela umva, okanye ukuba lithatha enye indlela.
- I-Venogram: Oku kuquka ukufaka umbhobho omncinci emthanjeni kunye nokulinganisa uxinzelelo ngaphambi nasemva kokuvaleka. Ukuba kukho umahluko omkhulu kuxinzelelo, obu bubungqina obuqinileyo bokuba le meko ikhona. Indlela ebizwa ngokuba yi-IVUS (intravascular ultrasound) ingasetyenziswa ngeli xesha ukujonga ngaphakathi emthanjeni.
Zithini iindlela zonyango?
Unyango luxhomekeke ekubeni iimpawu zakho zichaphazela kangakanani ubomi bakho bemihla ngemihla. Abanye abantu bayaphila ngonyango olulula kwaye ngokuhamba kwexesha. Abanye banokufuna utyando.
Ukubeka esweni kunye nokulawula iimpawu
Ukuba iimpawu zakho azikho qatha, ugqirha wakho unokucebisa ukuba ulinde ubukele. Ingakumbi kubantwana abancinci, le meko inokuphucula ngokwayo njengoko umzimba ukhula. Ngeli xesha:
- Iipilisi zokubulala iintlungu (umz. i-paracetamol) zingasetyenziswa.
- Amanye amayeza anceda izintso (umz. i-ACE inhibitors) anokunikwa.
- Ukuba ukwehla kobunzima yimbangela, ungacetyiswa ukuba utyebe kancinci.
- Le meko ijongwa rhoqo nge-scan okanye uvavanyo lomchamo.
Utyando kunye nezinye iindlela
Ukuba iimpawu aziphucuki okanye ziphazamisa kakhulu ubomi bakho bemihla ngemihla, kunokufuneka ucinge ngotyando. Eyona ndlela ilungileyo kuwe iya kuxhomekeka kwiminyaka yakho, impilo, kunye nohlobo lweempawu zakho.
- Ukutshintshwa kwemithambo yezintso: Oku kuquka ukususa umthambo ovalekileyo nokuwudibanisa kwakhona kwindawo enesithuba esingaphezulu. Olu lolona tyando luqhelekileyo noluphumeleleyo.
- Ukukhupha i-stenting: Ityhubhu encinci ye-mesh (i-stent) ifakwa ngaphakathi komthambo ovalekileyo ukuze ihlale ivulekile. Nangona kunjalo, le ayilona khetho lufanelekileyo kubantu abancinci, njengoko ezi stenting zingahlali ngonaphakade.
- Ukuvaleka kwemithambo yegazi kwi-gonadal: Oku kusetyenziselwa ukunyanga imithambo yegazi evuvukileyo kwi-pelvis. Kuthintela ukuhamba kwegazi ukuya kuloo mithambo yegazi. Oku kunokuba luncedo ukuba intlungu ye-pelvis yeyona ngxaki iphambili.
- Ukufakelwa kwezintso ngokuzenzekelayo: Intso yonke iyasuswa ize ityalwe kwenye indawo efanelekileyo emzimbeni. Oku kwenziwa kuphela ukuba zonke ezinye izinto aziphumelelanga.
Umyalezo Wokuya Ekhaya
- I-Nutcracker Syndrome yimeko engaqhelekanga ebangelwa kukucinezelwa komthambo kwizintso zasekhohlo.
- Iimpawu eziphambili ziintlungu zomqolo/isisu kwicala lasekhohlo kunye negazi kumchamo.
- Oku kubonakala rhoqo kubantu abancinci nabancinci kwaye kunokuziphilela ngokwako njengoko umzimba ukhula.
- Musa ukuzityeshela iimpawu. Ukuba ziyaqhubeka okanye ziba nzima, qiniseka ukuba ufuna ingcebiso kagqirha.
- Iindlela zonyango ziqala ekujongweni ukuya kutyando, kwaye zimiselwa ngugqirha wakho ngokusekelwe kwimeko yakho.
I-Nutcracker Syndrome, Intlungu yezintso, Igazi kumchamo, Intlungu yecala, I-Hematuria, Intlungu yecala lasekhohlo
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