Ingabe umlenze wakho wesobunxele uvuvukile kancane futhi usinda kunomunye? Ngezinye izikhathi kubuhlungu nje futhi kuzwakale sengathi kuyathuthumela? Abantu abaningi abazinaki kakhulu lezi zimpawu. Kodwa ngezinye izikhathi isizathu salokhu singaba sibi kakhulu kunalokho ocabanga. Esinye sezizathu ezinjalo kungaba yilesi simo esibizwa ngokuthi 'i-May-Thurner Syndrome'. Ake sibheke kalula ukuthi siyini.
Kalula nje, iyini i-May-Thurner Syndrome?
Kulula kakhulu. Kunezinhlobo ezimbili zemithambo yegazi emzimbeni wethu. Sibiza imithambo ethwala igazi elinomoya-mpilo lisuka enhliziyweni liye emzimbeni wonke ngokuthi 'imithambo' . Ngokufanayo, sibiza imithambo ethwala igazi elisetshenzisiwe, elinomoya-mpilo libuyele enhliziyweni ngokuthi 'imithambo' .
Kulesi simo esibizwa ngokuthi i-Turner syndrome, umthambo oyinhloko othwala igazi uye emlenzeni wakho wesokudla (umthambo we-iliac wesokudla) udlula phezu komthambo oyinhloko othwala igazi ulibuyisele enhliziyweni yakho lisuka emlenzeni wakho wesobunxele (umthambo we-iliac wesokudla) bese ulicindezela. Cabanga ngakho njengomuntu onyathela ipayipi lamanzi. Bese ukugeleza kwamanzi kuphazamiseka, akunjalo? Ngendlela efanayo, lapho lowo mthambo ucindezela umthambo, ukugeleza kwegazi kusuka emlenzeni wesobunxele kuyaphazamiseka. Lesi simo sibizwa nangokuthi `(Cockett syndrome)`.
Lesi simo sithinta kanjani umzimba?
Uma ukugeleza kwegazi kusuka emlenzeni wesobunxele kuya phezulu kuvimbekile, elinye igazi liqala ukuhlangana noma ukuma emlenzeni wesobunxele. Into eyingozi kakhulu ngalokhu ukuthi lapho igazi lihlangana endaweni eyodwa kanje, amathuba okuba igazi lihlangane ngaphakathi kwalowo mthambo ayanda kakhulu. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'i-deep vein thrombosis' (DVT) .
I-DVT yisimo esibi kakhulu esingase senzeke ngokuzumayo. Uma leli hlule legazi liqhuma bese libhajwa emthanjeni emaphashini, kungaba yingozi empilweni.
Ngokuvamile, izimpawu ezinjengalezi zingavela uma kuvela i-DVT.
| Izimpawu ze-DVT | |
|---|---|
| Ukuvuvukala nobunzima | Ukuvuvukala kanye nomuzwa wokusinda, ngokuvamile emlenzeni owodwa (kulokhu, umlenze wesobunxele). |
| Ubuhlungu | Ubuhlungu obubukhali noma umuzwa obuhlungu emlenzeni, ikakhulukazi endaweni yesisu. |
| Ukushintsha kombala wesikhumba | Ukushintsha kombala wesikhumba emlenzeni obomvu noma oluhlaza okwesibhakabhaka. |
| Ukuvela kwemithambo yegazi | Imithambo esemilenzeni iyavuvukala bese iqala ukuvela ebusweni. |
Ngaphezu kwalokho, abanye besifazane bangase babe nesifo esibizwa ngokuthi i-pelvic congestion syndrome kanye ne-May-Turner syndrome, okuyisimo lapho izinkinga ngemithambo esesiswini esingezansi zibangela ubuhlungu obungapheli.
Ubani okungenzeka kakhulu ukuthi abone lesi simo?
I-May-Turner syndrome ivame kakhulu kwabesifazane futhi ivame nakubantu abadala abaneminyaka ephakathi kuka-20 no-50 .
Kodwa into emangazayo ukuthi cishe umuntu oyedwa kwabahlanu unalesi simo esibizwa ngokuthi "ukucindezelwa kwemithambo ye-iliac." Kodwa akuwona wonke umuntu onezimpawu. Abantu abaningi bathola ukuthi bane-May-Turner syndrome kuphela ngemva kokuba sebethole i-DVT. Kuze kube yileso sikhathi, bangase bangabi nazimpawu.
I-May-Turner syndrome itholakala kanjani?
Ngemva kokutshela udokotela wakho ngezimpawu zakho, uzokuxilonga futhi angase akuncomele ukuhlolwa okukhethekile okuzohlola imithambo yegazi yakho ukuqinisekisa isimo.
| Uhlobo lokuhlola | Kuchazwe kalula |
|---|---|
| Ukuskena kwe-Ultrasound `(Ultrasound)` | Ukuhlolwa okungenabuhlungu okusebenzisa amaza omsindo ukubheka imithambo yegazi emzimbeni. Lesi yisinyathelo sokuqala sokuhlola i-DVT. |
| Ukuskena kwe-CT | Ukuthatha izithombe ezinemininingwane zemithambo yegazi ngomshini okhethekile we-X-ray. |
| Ama-MRI Scan (ama-MRI) | Ukuthola izithombe ezicacile zemithambo yegazi kusetshenziswa omaginethi namagagasi omsakazo. |
| I-Venogram | Kufakwa uketshezi olukhethekile (idayi yokungafani) emthanjeni bese kusetshenziswa ama-X-ray ukuze kubonwe ukugeleza kwegazi. Lokhu kungasiza ekutholeni indawo eqondile lapho imithambo ivimbeke khona. |
| I-Ultrasound Yemithambo Yegazi | Indlela enembile kakhulu lapho kufakwa khona ithubhu (i-catheter) enekhamera encane kakhulu emthanjeni wegazi bese umthambo uhlolwa ngaphakathi. |
Yiziphi izindlela zokwelapha lokhu?
Umgomo oyinhloko wokwelapha i-May-Turner syndrome ukubuyisela umthambo ovalekile esimweni esijwayelekile, ukuthuthukisa ukugeleza kwegazi, nokunciphisa ingozi ye-DVT.
Uma kunezimpawu kuphela
Ngokuvamile, kumuntu ongenalo i-DVT futhi onezimpawu ezifana nokuvuvukala kwemilenze nobuhlungu, udokotela angase atuse izindlela zokwelapha ezilandelayo:
- I-Angioplasty kanye ne-stenting: Lokhu kuhilela ukufaka ithubhu elincane kakhulu elineziqongo zebhaluni emthanjeni bese lifutha ibhaluni endaweni encishisiwe. Lokhu kuvula umthambo bese kuvumela igazi ukuthi ligeleze. Idivayisi eyisilinda efana ne-mesh ebizwa ngokuthi i-stent ibe isifakwa ngaphakathi komthambo ukuze ivinjwe ukuthi inganciphi futhi.
- Ukuhlinzwa: Kwezinye izimo, ukuhlinzwa kungenziwa ukuze kususwe umthambo oncishisiwe emthanjeni. Noma, ukuhlinzwa kwe-bypass kungenziwa ukuze kudalwe indlela entsha yokuthi igazi ligeleze endaweni encishisiwe.
Uma kuphelezelwa yi-DVT
Uma une-DVT ngenxa ye-May-Turner syndrome, ngaphezu kokwelashwa okukhulunywe ngakho ngenhla, kuzodingeka futhi wenze okulandelayo:
- Ama-Anticoagulant: Le mithi inikezwa ukuvimbela ukwakheka kwamahlule egazi nokuvimbela amahlule akhona ukuthi akhule.
- Imithi yokuncibilikisa amahlule: Ngezinye izikhathi, imithi ifakwa ngqo ehlwini legazi nge-catheter ukuze incibilike bese isuswa.
- Isihlungi se-Vena cava: Akuvamile ukuthi idivayisi ebizwa ngokuthi isihlungi ibekwe okwesikhashana noma unomphela emthanjeni omkhulu emzimbeni wethu (i-vena cava engaphansi) ukuvimbela ukuqhekeka kwegazi emlenzeni ukuthi kungaphumi bese kuya emaphashini.
Inkinga eyingozi kakhulu: I-Pulmonary Embolism
Into eyingozi kakhulu nge-May-Turner syndrome ukuthuthuka kwe-DVT. Okuyingozi nakakhulu yilapho ingxenye yaleyo DVT iphuka, ihamba negazi, bese inamathela emthanjeni wegazi lapho. Lokhu sikubiza ngokuthi 'i-Pulmonary Embolism' .
Lesi yisimo esiphuthumayo sezokwelapha esingathi sína kakhulu, esisongela ukuphila! Uma wena noma othile omaziyo eba nanoma yiziphi izimpawu ezilandelayo ngokuzumayo, myise eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ukuphefumula okunzima ngokuzumayo (ukuphelelwa umoya)
- Ubuhlungu obukhulu besifuba obukhula lapho uphefumula
- Ukopha nge-mucus
- Ukushaya kwenhliziyo (ukushaya kwenhliziyo)
Izinto esingazenza ukuze sinciphise ingozi
Ayikho indlela eqondile yokuvimbela i-May-Turner syndrome, njengoba imbangela yayo eqondile ingaziwa. Kodwa-ke, okulandelayo kungasiza ukugcina ukujikeleza kwegazi lakho kukuhle futhi kunciphise ingozi yakho yokuqhekeka kwegazi:
- Ungahlali endaweni efanayo isikhathi eside. Ikakhulukazi uma unomsebenzi wokuhlala phansi, vuka uhambehamba okungenani kanye ngehora.
- Phuza amanzi amaningi.
- Vivinya umzimba njalo, ikakhulukazi ukuzivocavoca nge-aerobic.
- Uma unezinye izifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, zilawule kahle ngokwemiyalelo kadokotela wakho.
- Uma ubhema, yeka ngokushesha.
- Uma udokotela wakho ekuncoma, gqoka amasokisi akhethekile okucindezela.
Uma uneminye imibuzo mayelana ne-May-Turner syndrome, ungesabi ukubuza udokotela wakho. Uzokuchazela konke.
Umlayezo Wokuya Nawe Ekhaya
- I-May-Turner syndrome yisimo lapho umthambo othwala igazi uye emlenzeni wesokudla kanye nomthambo othwala igazi elivela emlenzeni wesobunxele kucindezelwa khona.
- Lokhu kungabangela ukuthi ukugeleza kwegazi emlenzeni wesobunxele kuvimbeke, okuholela ezimpawini ezifana nokuvuvukala kwemilenze nobuhlungu.
- Inkinga eyinhloko neyingozi kakhulu yalesi simo ukwakheka kwe-deep vein thrombosis (DVT).
- I-pulmonary embolism (ihlule eliphuma ku-DVT bese lihlala emaphashini) iyisimo esiphuthumayo esisongela ukuphila.
- Uma unesifo sokuvuvukala, ubuhlungu, noma isisindo esingachazeki emlenzeni wakho wesobunxele, kubalulekile ukufuna iseluleko sezokwelapha.
- Lesi yisimo esingaphathwa ngempumelelo ngokwelashwa.
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