Ingaba kukho igazi elijiyileyo emthanjeni wakho wesisu? Masiqaphele le meko iyingozi (i-SMV Thrombosis)!

Ngaba wakha waziva ngequbuliso intlungu ebukhali esiswini sakho, okanye uzive ungaqhelekanga ngathi isisu sakho sigcwele? Ngamanye amaxesha asizihoyi kangako izinto ezinjalo, kodwa zinokuba luphawu lwengxaki enkulu yempilo. Namhlanje siza kuthetha ngemeko engaqhelekanga kodwa eyingozi kakhulu. Oko kukuthi (i-SMV Thrombosis) , okanye ihlwili legazi kwimithambo ye-mesenteric ephezulu.

Yintoni le (i-SMV Thrombosis)? Masiyiqonde ngokulula?

Ngamafutshane, i-SMV Thrombosis kukwakheka kwehlwili legazi (i-thrombus) kumthambo obizwa ngokuba yiSuperior Mesenteric Vein (SMV) esiswini sakho. Lo mthambo uthwala igazi lisuka emathunjini akho amancinci liye esibindini sakho. Njengombhobho wamanzi ovalekileyo, eli hlwili legazi lithintela ukuhamba kwegazi phakathi kwamalungu ahlukeneyo esiswini sakho.

Nantsi indlela eyingozi ngayo le meko: Xa ukuhamba kwegazi kungasebenzi kakuhle, amalungu ethu awafumani ioksijini ayidingayo. Emva koko iiseli (izicubu) kwezo zitho ziqala ukufa. Olu hlobo lomonakalo kwilungu lunokuchaphazela umzimba wonke. Ukuba le meko, ebizwa ngokuba yi -SMV Thrombosis, ayinyangwa ngokukhawuleza, ngamanye amaxesha inokuba yingozi ebomini.

Elinye igama lale nto yi- "mesenteric venous thrombosis." Eli ligama eliqhelekileyo. Lithetha ukuba ihlwili legazi linokuvela kwi-superior mesenteric vein, kwi-inferior mesenteric vein, okanye kwi-veins eziphuma kuyo. Nangona kunjalo, malunga ne-95% yexesha, eli hlwili legazi lenziwa kwi -superior mesenteric vein, esiyikhankanyileyo ngaphambili. Ke ngoko, omabini la magama adla ngokusetyenziselwa imeko efanayo.

Ziziphi iintlobo eziphambili zeMesenteric Venous Thrombosis?

Oogqirha bahlula le meko ngokwendlela iimpawu ezibonakala ngayo.

• I-Acute: Iimpawu zibonakala ngequbuliso, kwiiyure ezingama-24 ukuya kuma-72 emva kokuba igazi liqhekekile. Eli lelona xesha lixhaphakileyo (60% - 80%) lamatyala. Kwimeko enjalo, amathumbu anokonakala ngokukhawuleza, kuba igazi alinandlela yokufikelela kuwo, ihlwili legazi livala loo ndlela.
• I-Subacute: Kwimeko enjalo, iimpawu zikhula kancinci kancinci kangangeentsuku ezithile. Azikho nzima njengakwinqanaba elikhawulezileyo. Apha, igazi elithile lingena emathunjini, kodwa ubungakanani balo alwanelanga. Abanye abantu basenokungamboni ugqirha kangangeeveki ezimbini nangona beneempawu.
• Imeko engapheliyo: Ngamanye amaxesha akukho zimpawu. Oku kungenxa yokuba kwakheka imithambo emincinci exhasa amathumbu, enika amathumbu igazi. Oogqirha badla ngokufumanisa ezi meko ezingapheliyo ngexesha lovavanyo lomfanekiso wesinye isifo. Le meko engapheliyo yenzeka malunga nama-20% ukuya kuma-40% amatyala.

Ixhaphake kangakanani le meko?

Oku kuthathwa njengengxaki engaqhelekanga . Kwenzeka malunga nesinye kwizigulane ezingama-5,000 ukuya kwesinye kwizigulane ezili-15,000 ezibhedlele.

I-Mesenteric venous thrombosisNangona inokukhula nakweyiphi na iminyaka, idla ngokuchaphazela abantu abaphakathi kweminyaka engama-40-50.

Zithini iimpawu zoku?

Iimpawu zingahluka kakhulu. Abanye abantu, ingakumbi abo banezigulo ezingapheliyo, basenokungabi nazo kwaphela iimpawu. Nangona kunjalo, kwiimeko ezibukhali, ukuqaqamba okukhulu kunokuvela ngequbuliso. Kwiimeko ezingaphantsi kobunzima, iintlungu zesisu zinokufika zize zidlule kangangeentsuku okanye iiveki.

Abanye abantu baba nesifo esibizwa ngokuba yiPortal Hypertension ngenxa yesi sifo. Emva koko ungabona iimpawu ezifana nezi:

• Igazi esitulweni sakho.
• Isicaphucaphu nokuhlanza, ngamanye amaxesha kunye negazi ekuhlanzeni.
• Isisu esidumbileyo.
• Ukudumba kwemilenze neenyawo (i-Edema) .
• Ukudideka kwengqondo.

Ukuba unentlungu yesisu entsha okanye esibi kakhulu, kufuneka ubone ugqirha ngoko nangoko . Kulapho kuphela apho unokufumanisa unobangela ochanekileyo.

Zithini izizathu ze (Superior Mesenteric Vein Thrombosis)?

Abaphandi bahlukanise izizathu zoku zibe ziindidi ezintathu eziphambili:

1. Ukonakala ngqo komthambo: Umthambo wakho unokonakala ngokuthe ngqo ngenxa yosulelo (ukudumba) okanye utyando.

2. Ukuhamba kwegazi okucothayo okanye okuvalekileyo: Iimeko ezinje nge -cirrhosis (isifo sesibindi), ukungasebenzi kakuhle kwentliziyo, okanye ithumba okanye ubunzima esiswini zinokubangela ukuhamba kwegazi okucothayo okanye okuvalekileyo kumthambo we-mesenteric kunye nemithambo ejikelezileyo.

3. Iingxaki zokunqanda igazi: Ezi zinyusa umngcipheko wokuba amahlwili egazi akheke naphi na emzimbeni wakho.

Ngamanye amaxesha oogqirha abakwazi ukufumana unobangela othile woku (idiopathic) .

Ngubani osengozini enkulu yesi sifo?

Usengozini enkulu yokuba ne -SMV Thrombosis ukuba unenye yezi meko zilandelayo zonyango:

• Iingxaki zokunqanda igazi ezenzeka ekuzalweni okanye kamva, kuquka nezo zibangelwa ngamayeza athile.
• (Isifo samathumbu esibangelwa kukudumba - IBD) .
• (Isifo sesibindi) (isifo sesibindi).
• (iPancreatitis) (ukudumba kwepancreas).
• Umhlaza wepancreatic .
• Ukumelwa yintliziyo .
• I-spleen ekhulisiweyo .
• Ukuba nethumba elikhulu okanye ubunzima esiswini.
• Ezinye izifo ezibangelwa yintsholongwane, kuquka (i-COVID-19) .

Ezinye iindlela zotyando esiswini sakho, ezifana ne -splenectomy, zingonakalisa ulwelo lwangaphakathi lwemithambo yegazi yakho (i-endothelium).Umonakalo unokwenzeka. Ukudumba okubangelwa ngulo monakalo kwandisa umngcipheko wokwakheka kwamahlwili egazi.

Ziziphi iingxaki ezinokubakho ze-SMV Thrombosis?

Xa igazi liqhekeka kwimithambo yakho ye-mesenteric, linokubangela ukudumba kwizicubu zamathumbu. Linokukhokelela kwimeko ebizwa ngokuba yi -mesenteric ischemia , ekhokelela ekunciphiseni ukuhamba kwegazi kwiindawo ezithile zenkqubo yakho yokugaya ukutya.

Xa amalungu akho okugaya ukutya engafumani igazi elaneleyo elineoksijini, awakwazi ukusebenza kakuhle. Kwaye izicubu zawo ziqala ukufa. Kwezinye iimeko, oku kunokubangela imingxunya emathunjini, okuvumela umxholo wamathumbu ukuba uvuze kwindawo ejikelezileyo. Kwezinye iimeko, iintsholongwane ezihlala kwinkqubo yakho yokugaya ukutya zinokusasazeka ziye kwezinye iindawo zomzimba wakho, apho zingafanele zibe khona. Oku kunokukhokelela kwi -sepsis (ityhefu yegazi) kunye nokusilela kwamalungu omzimba okusongela ubomi.

Ngoko ke, le meko ibizwa ngokuba yi- (SMV Thrombosis) inokubulala ukuba ayinyangwa ngokukhawuleza.

Ifunyanwa njani iMesenteric Venous Thrombosis?

Oogqirha banokukrokrela le meko ngokusekelwe kwiimpawu zakho. Nangona kunjalo, ukuyifumanisa kunokuba nzima kuba uninzi lweempawu azichazi ngqo . Oko kukuthi, zinokubangelwa ziintlobo ngeentlobo zezinye iimeko. Xa unentlungu yesisu okanye ezinye iimpawu, ihlwili legazi kwimithambo ye-mesenteric ayisoloko iyinto yokuqala efika engqondweni.

Ukuba ugqirha wakho ukrokrela ukuba unehlwili legazi, uza kwenza uvavanyo oluninzi lwemifanekiso .

(Uvavanyo lweMesenteric Venous Thrombosis) Uvavanyo lokuxilonga

Uvavanyo oluqhelekileyo lokuchonga esi sifo yi -CT Angiography . Kolu vavanyo, kufakwa idayi ekhethekileyo emthanjeni kwaye igazi libonakala lihamba ngemithambo yakho. Oku kungabonisa indlela igazi elihamba ngayo ngemithambo kunye nemithambo esiswini sakho kunye nokuba kukho ihlwili legazi na. Iziphumo zolu vavanyo ziya kumisela isicwangciso sakho sonyango.

Ngamanye amaxesha, oogqirha basebenzisa uvavanyo olubizwa ngokuba yi-MRI Angiography njengenye indlela okanye ukuqinisekisa iziphumo ezingacacanga ezivela kwi -CT Angiography . Olu vavanyo lunokusetyenziswa ukubona indlela osabela ngayo kunyango.

Ziziphi iindlela zonyango lwe-(SMV Thrombosis)?

Oogqirha baza kulungelelanisa isicwangciso sakho sonyango ngokweemfuno zakho. Iinjongo eziphambili zezi:

• Ukubuyisela ukuhamba kwegazi emathunjini akho nokuwanceda asebenze ngokuqhelekileyo.
• Thintela okanye unciphise umonakalo emathunjini akho.
• Ukuthintela ukwakheka kwamahlwili egazi amatsha nokufumanisa unobangela oyintloko.

Unyango olukhawulezileyo lubalulekile ekusindiseni ubomi.Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba akho okuphumelela enyuka. Ngokuxhomekeke kuhlobo lwemeko yakho (eqatha okanye engapheliyo) kunye nobunzima bayo, ugqirha wakho angasebenzisa olunye okanye ngaphezulu kwezi ndlela zonyango zilandelayo:

• Ukuthintela ukugabha kwegazi: Olu lunyango lokuqala olusetyenziswa ngoogqirha. Oku kuquka ukukunika amayeza okunceda ukunyibilikisa ihlwili kwaye kuthintele ukwakheka kwamahlwili amatsha. Oogqirha abaninzi baqala ngokukunika iyeza elibizwa ngokuba yi-heparin ngemithambo, baze basebenzise iyeza elifana ne -warfarin . Abanye abantu kufuneka balithathe eli yeza kangangeenyanga ezintandathu, ngelixa abanye banokufuna ukulithatha ixesha elide. Ukuba unengxaki yokugabha igazi, okanye ukuba ubunehlwili legazi ngaphandle kwesizathu esicacileyo, unokufuna ukulithatha eli yeza ubomi bakho bonke.
• I-Thrombolysis: Kule nkqubo, ugqirha wakho usebenzisa i-catheter ukufaka amayeza emithanjeni yakho ukuze anyibilikise ihlwili . Eli yeza lidla ngokunikezelwa iiyure ezingama-24 ukuya kuma-72.
• Utyando lweThrombectomy: Olu lutyando lokususa ihlwili legazi . Olu nyango lusetyenziswa kuphela kwiimeko ezimbalwa, umzekelo , kubantu abangenako ukuhlinzwa kwe-thrombolysis . Oogqirha banokwenza olu tyando besebenzisa utyando oluvulekileyo okanye iindlela ezingaphantsi kakhulu.
• Ukususwa Kwamathumbu: Oku kuquka ukususwa kwenxalenye yamathumbu ngotyando . Ukuba ihlwili legazi livale ukuhanjiswa kwegazi emathunjini akho kwaye lenze umonakalo ongunaphakade, kunokufuneka ukuba ususwe amathumbu amancinci okanye utyando olukhulu lwamathumbu. Ukuba uqala ukuthintela ukugabha kwegazi esibhedlele, ugqirha wakho uya kujonga iimpawu zakho ukuze abone ukuba udinga utyando okanye kukho naziphi na iingxaki.

Iingxaki zonyango

Eyona ngxaki ixhaphakileyo yonyango kukuphuma kwegazi (elincinci okanye elikhulu). Nangona kunjalo, kubalulekile ukukhumbula ukuba esi sifo siyabulala ukuba asinyangwa . Ke ngoko, iingenelo zonyango zingaphezulu kakhulu kuneengozi zeengxaki ezinokubakho.

Ngaba i-SMV Thrombosis ingathintelwa?

Awunakuyithintela rhoqo i-blood clots. Nangona kunjalo, ungathatha indlela yokuzikhusela kwimpilo yakho ngokuthintela nokulawula uninzi lweemeko ezibangela umngcipheko. Nazi ezinye iingcebiso:

• Yiya kuhlolo lwezonyango kube kanye ngonyaka.
• Sela amayeza akho kanye njengoko ugqirha wakho ekuyalele.
• Xelela ugqirha wakho ukuba ubonakalisa iimpawu ezintsha okanye ukuba iimpawu zakho ziyatshintsha.
• Buza ugqirha wakho ukuba zeziphi iinguqu omele uzenze kwindlela ophila ngayo ukuze uzuze impilo yakho.

Kuza kwenzeka ntoni ukuba ndine (SMV Thrombosis)?

Ugqirha wakho uza kukuxelela into omawuyilindele njengoko unyanga kwaye uphila. Baza kuchaza umngcipheko wokufumana amahlwili egazi amatsha kunye nonyango abalucebisayo ukunciphisa loo mngcipheko. Kubaluleke kakhulu ukulandela isicwangciso sonyango sikagqirha wakho ngokuchanekileyo. Oku kungabandakanya ukuthatha amayeza ubomi bakho bonke. Oku kuya kunceda ukuthintela amahlwili egazi ukuba angaphinde avele.

Ukubeka iliso kwindlela esabela ngayo kunyango

Ukuba usela amayeza okuthintela ukugabha kwegazi, kuya kufuneka uvavanywe igazi rhoqo ukuqinisekisa ukuba usela amayeza afanelekileyo. Ugqirha wakho uya kukujonga ukuba akukho nakuphi na ukopha.

Iyintoni imbonakalo yale meko?

Umntu ofanelekileyo onokumbuza ngemeko yakho ngugqirha wakho. Baza kuhlola imbali yakho yezonyango kunye nemeko yakho baze bakunike umbono wento omawuyilindele. Ngokubanzi, imeko yakho ngeMesenteric Venous Thrombosis ixhomekeke kwizinto ezininzi:

• iminyaka yakho.
• Ubunzima bemeko yakho.
• Indawo echanekileyo apho igazi liqhekeka khona.
• Ezinye iimeko zempilo onazo.
• Ubungakanani bomonakalo emathunjini akho.
• Nokuba bekufuneka ususwe inxalenye yamathumbu akho.
• Indlela okhawuleze ngayo ukufumana unyango.

I-Mesenteric Venous Thrombosis inokubulala. Kwinqanaba elibukhali, umngcipheko wokufa uyanda ngeyure nganye edlulayo emva kokuqala kweempawu. Ukuba ayinyangwanga kangangeeyure ezingaphezu kwama-24, imeko idla ngokuba yeyokubulala.

Ndifanele ndimbone nini ugqirha wam?

Njengoko uphola emva konyango, kubalulekile ukugcina umkhondo wendlela oziva ngayo kwaye uxelele ugqirha wakho ukuba kukho into etshintshayo. Ugqirha wakho uza kukuxelela ukuba kufuneka uye kangaphi kwintlanganiso zokulandelela. Zigcine zisexesheni. Oku kuya kunceda ugqirha wakho ukuba ajonge imeko yakho kwaye abone naziphi na iingxaki ezintsha (ezifana nokuqhekeka kwegazi elitsha). Nangona kunjalo, nangona ngexesha lonyango lwakho, ukuba ubonakalisa iimpawu ezintsha okanye uneengxaki, ungathandabuzi ukufowunela ugqirha wakho ngoko nangoko.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba unentlungu ebuhlungu esiswini okanye ezinye iimpawu ze (SMV Thrombosis) , fowunela u-911 okanye inombolo yakho yongxamiseko yasekuhlaleni ngoko nangoko. Musa ukulibazisa. Oku kubaluleke kakhulu ukuba unezinto ezinokubangela umngcipheko we (SMV Thrombosis) . Unyango lwangethuba yeyona ndlela yokusindisa ubomi.

Ndingayibuza yiphi imibuzo ugqirha wam?

Imibuzo yakho ingahluka ngokuxhomekeke kwimeko yakho ethile kunye nenqanaba lonyango. Nazi ezinye zemibuzo eqhelekileyo ukukunceda ufumane ulwazi olufunayo. Ungabuza le mibuzo emva kokuba uxilongiwe (okanye ngenxa yomntu omthandayo):

• Ingxaki yam inzulu kangakanani?
• Luluphi unyango oza kuqala uzame?
• Zeziphi ezinye iindlela zonyango endiza kuzidinga?
• Zithini iinjongo zonyango?
• Zithini amathuba okuba unyango luphumelele?
• Ngaba kukho naziphi na iingozi kunyango?
• Injani indlela endijonga ngayo izinto?
• Zeziphi iindibano zokulandelela endiza kuzidinga ukuze ndiye kuzo?
• Ngaba kufuneka nditshintshe amayeza am okanye amaxesha endiwasebenzisa ngawo?
• Zeziphi iinguqu kwindlela yokuphila ondicebisa ukuba ndizenze emva kokuba ndiphilile?

Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba unehlwili legazi kwindawo ethile emzimbeni wakho. Kwimeko efana ne -SMV Thrombosis , elo hlwili legazi linokusongela impilo yamathumbu akho, kwaye linokubangela iingxaki ezisongela ubomi.

Ukuba wena okanye umntu omthandayo unezinto ezinokubangela ukuba ube ne -SMV Thrombosis , thetha nogqirha wakho malunga nenqanaba lakho lomngcipheko kunye nendlela yokulilawula. Awunakuyithintela rhoqo i-blood clots. Kodwa, ukufumana uhlolo lwezonyango kunye nokwazi iimpawu kunokukunceda ufumane ukuxilongwa kunye nonyango kwangethuba. Elo nyathelo lokuqala linokusindisa ubomi.

Izinto ezibalulekileyo ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

• I-SMV Thrombosis yi-blood clot ekwimithambo yegazi emikhulu esiswini. Oku kuyingozi kakhulu kwaye kunokuba yingozi ebomini ukuba akunyangelwa ngokukhawuleza.
• Ukuba ufumana iimpawu ezinje ngentlungu yesisu eqatha ngequbuliso, ukudumba, isicaphucaphu, ukuhlanza, okanye igazi eliphuma kwindle yakho, musa ukulibazisa. Funa ingcebiso kagqirha ngoko nangoko.
• Ukuba unezinto ezibangela oku (umz., iingxaki zokujiya kwegazi, isifo sesibindi, isifo samathumbu esidumbayo), thetha nogqirha wakho ngaloo nto uze uthathe amanyathelo afunekayo.
• Ukuba ufunyaniswe unesifo, landela unyango olunikwa ngugqirha wakho ngokuchanekileyo. Nokuba kufuneka usele amayeza ubomi bakho bonke, anokukunceda usindise ubomi bakho.
• Ukuxilongwa kwangoko kunye nonyango olukhawulezileyo yeyona ndlela ilungileyo yokuphepha esi sifo. Ngoko ke qaphela iimpawu kwaye ubone ugqirha ngokukhawuleza ukuba unamathandabuzo.

I- SMV Thrombosis, I-Mesenteric Venous Thrombosis, Igazi eliqhekekileyo, Intlungu yesisu, Umthambo we-mesenteric ophezulu, Inkqubo yokugaya ukutya, Unyango olungxamisekileyo