Ingabe umlenze wakho uvuvukile futhi ubuhlungu? Lokhu kungase kube ngenxa ye-(May-Thurner Syndrome)!

Ngezinye izikhathi imilenze yethu iyavuvukala futhi ibuhlungu ngaphandle kwesizathu, akunjalo? Ikakhulukazi umlenze wesobunxele. Abantu abaningi abakunaki kakhulu lokhu. Kodwa lokhu kungase kungabi yinto elula ngaso sonke isikhathi. Namuhla sizokhuluma ngesimo esingakaze sizwe ngaso, kodwa sonke esaziyo ukuthi kufanelekile ukusivakashela. Leso yi-`(May-Thurner Syndrome)`. Lokhu kubizwa nangokuthi `(Cockett syndrome)` noma `(Iliac vein compression syndrome)`.

Iyini ngempela i-"May-Thurner Syndrome"?

Kalula nje, `(May-Thurner Syndrome)` yisimo lapho umthambo wakho we-iliac wangakwesokudla (`Right Iliac Artery`) kanye nomthambo wakho we-iliac wangakwesokunxele (`Left Iliac Vein`) kucindezelwa khona. Manje ungase uzibuze ukuthi lezi mithambo nemithambo ye-iliac iyini. Umthambo we-iliac wangakwesokudla uwumthambo wegazi oyinhloko othwala igazi uye emlenzeni wakho wangakwesokudla. Umthambo we-iliac wangakwesokunxele uwumthambo wegazi oyinhloko othwala igazi lisuka emlenzeni wakho wangakwesokunxele uliyise enhliziyweni. Ngakho-ke, kule `(May-Thurner Syndrome)`, lokho kucindezelwa kungaphazamisa ukugeleza kwegazi emilenzeni yakho.

Lokhu kwenzani emzimbeni? Kuwuthinta kanjani?

Manje cishe uzibuza ukuthi lokhu kwenzani emzimbeni nokuthi kuwuthinta kanjani. Into eyinhloko ukuthi ngenxa yalokhu kucindezela, igazi liqala ukuqongelela emilenzeni, ikakhulukazi umlenze wesobunxele , esikhundleni sokuya ngqo phezulu ngomthambo wesobunxele we-iliac, okungukuthi, enhliziyweni. Uma lokhu kwenzeka, amahlule egazi angakheka emithanjeni ejulile . Ngokwezokwelapha lokhu sikubiza ngokuthi `(Deep Vein Thrombosis)` noma `(DVT)`. Lesi yisimo esidinga ukunakwa okuthile. Izimpawu ze `(DVT)` zingaba kanje:

• Izinguquko embala wesikhumba emlenzeni (mhlawumbe obomvu, oluhlaza okwesibhakabhaka).
• Imithambo esemilenzeni ibonakala ivuvukele futhi ivuvukele.
• Ubuhlungu emilenzeni, izinhlungu ezinzima, noma ukuzwela lapho uthinta.
• Ukuvuvukala kwemilenze kanye nomuzwa wokusinda.

Abanye besifazane bangase babe nesifo sokuminyana kwemisipha ye-pelvic (PBS) kanye nesifo sikaMay-Thurner. Odokotela bakholelwa ukuthi lobu buhlungu obungapheli be-pelvic bubangelwa izinkinga zemithambo ye-pelvic (okungukuthi, isisu esingezansi).

Lokhu kuphazamisa kanjani ukugeleza kwegazi?

Igazi lihamba njalo emithanjeni yegazi yomzimba wethu (imithambo yegazi kanye nemithambo yegazi). Njengoba ungase ukhumbule, imithambo yegazi ithwala igazi elihlanzekile, elinomoya-mpilo lisuka enhliziyweni liye kuzo zonke ezinye izingxenye zomzimba. Ngemva kokuba lezo zingxenye sezithole umoya-mpilo kanye nezakhamzimba, imithambo yegazi ithwala igazi elingenawo umoya-mpilo, elingcolile libuyele enhliziyweni nasemaphashini.

Kwezinye izindawo emzimbeni wethu, le mithambo nemithambo iyaphambana. Ngokufanayo, ngaphakathi kwe-pelvis yethu, umthambo we-iliac wesokudla utholakala ngaphezu komthambo we-iliac wesokudla. Ngokuvamile, lokhu akuyona inkinga. Kodwa-ke, kumuntu one-`(May-Thurner Syndrome)`, umthambo we-iliac wesokudla ubeka ingcindezi emthanjeni we-iliac wesokudla. Cabanga nje ukuthi kukhona ipayipi lamanzi, kwenzekani uma othile enyathela kulo? Kunzima ukuthi amanzi ageleze, akunjalo? Ukuze kube sobala, kwenzeka into efanayo lapha.Ngenxa yokuthi umthambo we-iliac wesobunxele ucindezelwe, kuba nzima ukuthi igazi ligeleze ngokukhululeka kuwo.

Ubani onamathuba amaningi okuthola lesi simo?

Lesi "Sifo sikaMeyi-Thurner" sibonakala sivame kakhulu kwabesifazane . Sivame kakhulu nakubantu abadala abaneminyaka ephakathi kuka-20 no-50 .

Sivame kangakanani lesi simo?

Eqinisweni, i-iliac vein thrombosis ivame kakhulu kunalokho ongakucabanga. Ezinye izifundo ziphakamisa ukuthi abantu abaningi abangaba oyedwa kwabahlanu bangaba nalolu hlobo lwe-thrombosis! Kodwa into emangazayo ukuthi, yize abantu abaningi benayo i-iliac vein thrombosis, abatholakali ngokuqondile ukuthi bane-`(May-Thurner Syndrome)`. Esinye isizathu salokhu kungaba ukuthi abantu abaningi ababi nezimpawu ze-`(May-Thurner Syndrome)` baze babe nesimo esifana ne-`(DVT)`.

Ziyini izimpawu ze-`(May-Thurner Syndrome)`?

Abantu abaningi abane-May-Thurner Syndrome ababi nazo izimpawu , ikakhulukazi uma bengenayo i-DVT esixoxe ngayo ekuqaleni. Uma kuvela izimpawu, ngokuvamile zithinta umlenze wesobunxele kuphela . Lokhu kungafaka:

• Umuzwa wokusinda emilenzeni. Njengetshe elilenga kulo, akukhululekile neze.
• Ngezinye izikhathi, amanxeba angapholi (izilonda) angavela emilenzeni.
• Ungase uzwe ubuhlungu emlenzeni wakho noma ukuqaqamba okuvela ngaphakathi.
• Umbala wesikhumba ungashintsha. Ungase ube luhlaza okwesibhakabhaka noma onsundu.
• Ukuvuvukala kwemilenze.
• Kungavela izimo ezifana nemithambo ye-varicose.

Yini ebangela `(May-Thurner Syndrome)`?

Isizathu esiyinhloko salokhu ukuthi umthambo we-iliac wesokudla ucindezela umthambo we-iliac wesokhohlo. Kodwa odokotela abakakwazi ukuthola isizathu esiqondile sokuthi kungani lokhu kwenzeka. Okusho ukuthi, kungenzeka ukuthi kungenxa yoshintsho esakhiweni somzimba.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela bese ukhuluma ngokucacile ngezimpawu zakho kanye nomlando wakho wezempilo. Udokotela uzokuxilonga. Ngemuva kwalokho, bangenza izivivinyo ezikhethekile ezingabheka le mithambo yegazi.

• `I-CT (Computed Tomography) scan` : Lokhu kusebenzisa ama-X-ray namakhompyutha akhethekile ukuthatha izithombe zemithambo yegazi ezihlukaniswe ngezigaba. Lokhu kungasetshenziswa ukubona ukuthi kukhona yini ukuvaleka.
• `I-MRI (I-Magnetic Resonance Imaging)` : Lokhu kusebenzisa omaginethi, amaza omsakazo, kanye namakhompyutha ukukhiqiza izithombe ezinemininingwane zemithambo yegazi.
• I-Ultrasound: Lolu vivinyo lusebenzisa amaza omsindo ukubheka ukugeleza kwegazi emzimbeni, ikakhulukazi emithanjeni yegazi (i-Doppler Ultrasound).
• I-Venogram : Kulokhu, kufakwa idayi ekhethekile (idayi yokungafani) emthanjeni bese idayi ibonwa ngaphansi kwe-X-ray ukuze kubonakale ukuthi kukhona yini ukuvaleka kokugeleza kwegazi.
• I- "venogram esekelwe ku-catheter" nayo ingenziwa. Lokhu kusho ukuthi ithubhu elincane (i-catheter) lifakwa emthanjeni bese kufakwa idayi ngawo.
• I-Intravascular Ultrasound (IVUS) : Lokhu ukuhlolwa okuthuthuke kancane. Lapha, kufakwa i-catheter emthanjeni wegazi, bese kudluliswa idivayisi encane ye-ultrasound (i-probe) nge-catheter ukuze kuthathwe izithombe ezicacile nezinemininingwane zangaphakathi komthambo wegazi. Lokhu kungalinganisa ngokunembile inani lokucindezela.

Yiziphi izindlela zokwelapha lokhu?

Kunemigomo emibili eyinhloko lapho welapha i-`(May-Thurner Syndrome)`. Eyokuqala iwukuthuthukisa ukujikeleza kwegazi . Enye iwukunciphisa ingozi yokuthola i-`(DVT)`. Kuye ngesimo sakho, udokotela wakho angase ancome izindlela zokwelapha ezilandelayo:

• I-Angioplasty kanye ne-Stenting : Lena yindlela yokwelapha evame kakhulu. Kule nqubo, i-catheter enebhaluni elincane ifakwa emthanjeni we-iliac wesobunxele ovinjiwe. Uma ifika endaweni eqondile lapho kuvinjiwe khona, ibhaluni liyavuvukala. Lokhu kuvula umthambo ovinjiwe. Ngemuva kwalokho, ithubhu elincane le-mesh, elibizwa ngokuthi i-stent , lifakwa embobeni ukuze lingavaleki futhi, bese ibhaluni lisuswa. Lokhu kufana nokususa ukuvinjelwa emgwaqweni nokwakha ibhuloho ukuze kube lula ukuwela.
• Ukuhlinzwa kokudlula : Ngezinye izikhathi, kudalwa indlela entsha ngokusebenzisa ucezu lwezicubu oluthathwe kwenye indawo noma ipayipi lokwenziwa ukuze kudlule umthambo ovalekile. Lokhu kubuyisela ukugeleza kwegazi. Lokhu kuwukuhlinzwa okukhulu.
• Ukujikijela kwemithambo ye-iliac yesokudla : Akuvamile ukuthi kwenziwe ukuhlinzwa ukuze kushukunyiswe imithambo ye-iliac yesokudla kancane ukuze kuncishiswe ingcindezi emthanjeni we-iliac wesokudla. Ngezinye izikhathi, ingxenye yezicubu ingafakwa phakathi komthambo nomthambo ukuze kuncishiswe ingcindezi.

Yini okufanele uyenze uma uthola i-`(DVT)`?

Manje ake sithi une-"DVT" ngenxa ye-"May-Thurner Syndrome". Uma kunjalo, ngaphezu kokwelashwa okukhulunywe ngakho ngenhla, udokotela uzokwengeza okunye ukwelashwa:

• Ama-anticoagulant : Lawa avimbela igazi ekujiyeni, avimbele amahlule egazi akhona ukuthi abe makhudlwana, futhi angasiza ngisho nasekuncibilikiseni amahlule akhona kancane kancane.
• Imithi yokuqeda amahlule/I-Thrombolytics : Lena imithi enamandla enikezwa ngqo ukuncibilikisa amahlule egazi. Le mithi ivame ukunikezwa nge-catheter, ngqo ehlwini legazi.
• `Isihlungi se-Vena Cava` : Lesi yithuluzi elincane elifana ne-mesh. `I-Inferior Vena Cava` iyi-vein enkulu kunazo zonke emzimbeni wethu. Yilapho igazi elivela emilenzeni nasesiswini liya khona enhliziyweni. Uma lesi sihlungi sifakwa ngaphakathi kwalowo mthambo, sivimbela amahlule egazi akheka emilenzeni ukuthi angaphumi endleleni aye emaphashini.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Uma ngikhuluma iqiniso, ayikho indlela eqinisekile yokuvimbela lesi "Sifo sikaMeyi-Thurner" ukuba singabi khona., ngoba imbangela eqondile ayikakaziwa. Kodwa ungagcina ukujikeleza kwegazi lakho lonke kusesimweni esihle futhi unciphise ingozi yakho yokuqhekeka kwegazi ngokwenza okulandelayo:

• Ungahlali endaweni eyodwa isikhathi eside kakhulu. Uma usebenza ehhovisi, vuka uhambe isikhashana, welula imilenze yakho, okungenani kanye ngehora.
• Phuza amanzi amaningi. Kungcono ukuphuza okungenani amalitha amabili kuya kwamathathu amanzi ngosuku.
• Vivinya umzimba njalo , ikakhulukazi ukuzivocavoca nge-aerobic (njengokuhamba, ukugijima, kanye nokugibela ibhayisikili).
• Uma unezinye izimo zezokwelapha ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma isifo semithambo yegazi engaphandle (i-PAD), khuluma nodokotela wakho futhi uzilawule kahle.
• Uma ubhema, yeka nakanjani . Ukubhema kubi kakhulu emithanjeni yakho yegazi.
• Uma udokotela wakho ekuncoma, gqoka amasokisi akhethekile okucindezela. Lawa asiza ekunciphiseni ukuhlangana kwegazi emilenzeni yakho futhi akusize ukuthi ukhuphuke.

Yiziphi izinkinga ezingabangelwa yilokhu?

Inkinga eyinhloko ye-`(May-Thurner Syndrome)` yi-`(DVT)` esikhulume ngayo. Kodwa-ke, kukhona okungaba yingozi nakakhulu . Okusho ukuthi, uma ihlule legazi elakhiwe emlenzeni liphuka lapho, lihamba egazini bese libhajwa emthanjeni emaphashini. Lokho sikubiza ngokuthi `(Pulmonary Embolism)` (ihlule legazi elibhajwe emaphashini) .

I-Pulmonary Embolism iyisimo esiphuthumayo sezokwelapha esisongela impilo. Uma unezinye zalezi zimpawu ezintsha noma eziya ziba zimbi kakhulu , iya emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze ngokushesha noma ushayele i-ambulensi:

* Ukukhwehlela igazi nge-mucus.

* Ukushaya kwenhliziyo okusheshayo (ukushaya kwenhliziyo okusheshayo noma okungajwayelekile ngokuzumayo).

* Ubunzima obukhulu bokuphefumula, uzizwa sengathi uyacinana (Dyspnea).

* Uma uzwa ubuhlungu obukhulu esifubeni ngokuzumayo, lokho kuya ngokuya kuba kubi uma uphefumula.

Liyini ikusasa lomuntu one-`(May-Thurner Syndrome)`?

Abantu abaningi baphila impilo ende nenempilo nge-May-Thurner Syndrome ngaphandle kwezinkinga. Uma ungenazo izimpawu, ungase ungazi nokuthi unalesi simo.

Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ze-`(Deep Vein Thrombosis - DVT)` esikhulume ngazo (njengokuvuvukala, ukubomvu, ubuhlungu, ukufudumala emlenzeni), qiniseka ukuthi ubona udokotela . `(DVT)` ingalawulwa ngempumelelo ngemithi kanye, uma kudingeka, nezinye izindlela zokwelapha.

Imibuzo okufanele uyibuze udokotela

Uma unesifo i-May-Thurner Syndrome, noma ucabanga ukuthi ungaba naso, kungaba usizo ukubuza udokotela wakho le mibuzo:

• Yiziphi izimpawu ze-"May-Thurner Syndrome" ezingithintayo?
• Yini okungenzeka kakhulu ukuthi iyimbangela yezimpawu zami?
• Hlobo luni lokuhlolwa okufanele ngilwenze ukuze ngithole lokhu ngqo?
• Ziyini izimpawu ze-`(DVT)`? Yini okufanele ngiyenze uma ngizithola?
• Yiziphi izimpawu ze-`(Pulmonary Embolism)`? Yini okufanele ngiyenze uma ngizithola?
• Yikuphi ukwelashwa okuncomayo kwe-"May-Thurner Syndrome"? Yiziphi izinzuzo nezingozi?
• Yimaphi amathuba okuthi izimpawu ziphinde zivele ngemva kokwelashwa?

Ingabe i-`(May-Thurner Syndrome)` isongela ukuphila?

`(I-May-Thurner Syndrome)` ayisongeli impilo ngqo. Kodwa-ke, ingaholela enkingeni eyingozi ebizwa ngokuthi `(I-Pulmonary Embolism)`. Yilokho okusongela impilo. Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu ze-`(I-Pulmonary Embolism)` bese ucela iseluleko sezokwelapha ngokushesha uma uzizwa into efana naleyo.

Wazi kanjani ukuthi une-`(May-Thurner Syndrome)`?

Eqinisweni, ungase ungakwazi ukusho ngokuqinisekile ukuthi unayo yini i-`(May-Thurner Syndrome)` ngoba abantu abaningi abazi nokuthi banayo kuze kube yilapho beba nezimpawu ze-`(DVT)`.

Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi udokotela enze izivivinyo zezithombe esikhulume ngazo ngaphambilini (njenge-CT, i-MRI, i-Venogram, i-IVUS) bese eqinisekisa ukuthi umthambo wesobunxele we-iliac uyaphuma emthanjeni wesokudla we-iliac.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, nansi izinto ezibaluleke kakhulu okudingeka uzikhumbule nge-"May-Thurner Syndrome" esesikhulume ngayo kabanzi:

• I-May-Thurner Syndrome yisimo lapho umthambo wakho we-iliac wesokudla ucindezela khona umthambo wakho we-iliac wesokhohlo, okuvimbela ukugeleza kwegazi kusuka emlenzeni wakho wesobunxele kuya enhliziyweni yakho.
• Lokhu kwandisa ingozi yokuba nesimo esibizwa ngokuthi "Deep Vein Thrombosis - DVT" (amahlule egazi emithanjeni ejulile) .
• Iningi labantu alibi nazo izimpawu . Uma kuvela izimpawu, ngokuvamile kuba yizinto ezifana nobuhlungu emlenzeni wesobunxele, ukuvuvukala, ukusinda, kanye nokushintsha kombala wesikhumba.
• Ukwelashwa kuhlose ukunciphisa ingcindezi, ukubuyisela ukugeleza kwegazi, kanye nokunciphisa ingozi ye-DVT. I-Angioplasty kanye ne-stenting yizindlela zokwelapha ezivame kakhulu.
• Uma uzwa izimpawu ze-DVT (ukuvuvukala okungazelelwe, ubuhlungu, ukubomvu, ukufudumala lapho uthinta umlenze wakho), bona udokotela ngokushesha.
• Izimpawu ze-"Pulmonary Embolism" (ukuphelelwa umoya ngokuzumayo, ubuhlungu besifuba, ukukhwehlela igazi, ukuzizwa uphelelwe amandla) ziyisimo esiphuthumayo sezokwelapha. Uma kunjalo, iya esibhedlela ngokushesha ngaphandle kokulibala.

Kubaluleke kakhulu ukuqaphela lesi simo. Ngoba, uma sibonakala kusenesikhathi, sizosiza kakhulu ekuvimbeleni izinkinga ezinkulu. Ungesabi, kodwa qaphela izimpawu ezibalwe ngenhla futhi ungangabazi ukufuna iseluleko sezokwelapha uma kudingeka.

'I-May-Thurner Syndrome, i-Iliac Vein Thrombosis, i-DVT, i-Deep Vein Thrombosis, ukuvuvukala kwemilenze, ubuhlungu bemilenze, i-Pulmonary Embolism, amahlule egazi, isifo semithambo yegazi