Ingabe uvame ukuba nobuhlungu emhlane wakho wesobunxele noma esiswini esingezansi? Noma uke waphawula igazi emchameni wakho? Uma unalezi zimpawu, imbangela ingaba yisimo esingavamile okungenzeka ukuthi awukaze uzwe ngaso ngaphambili. Namuhla, sixoxa nge-Nutcracker Syndrome. Sicela ungakhathazeki—lokhu ngokuvamile akusongeli impilo, futhi ngesiqondiso sochwepheshe onolwazi, ungathola ukwesekwa okufanele nge-Nirogi Lanka.
Kalula nje, iyini i-Nutcracker Syndrome?
Cabanga ngethuluzi le-kitchen nutcracker. Njengoba nje licindezela i-nut, lesi simo senzeka lapho umthambo oyinhloko othwala igazi lisuka ezinso zakho zesobunxele ucindezelwa phakathi kwemithambo yegazi emibili emikhulu esiswini sakho. Yingakho ibizwa ngokuthi i-Nutcracker Syndrome.
Uma lo mthambo ucindezelwe, ukugeleza kwegazi kuyehla, noma umfutho wegazi ukhuphuke, okubangela ukuthi igazi libuyele emuva. Yilokhu okuholela ezimpawini ezifana nobuhlungu kanye negazi emchameni .
Ngokuvamile, lo mthambo ucindezelwa phakathi kwe-aorta (umthambo oyinhloko ovela enhliziyweni yakho) kanye nomthambo we-mesenteric ophakeme, ohlinzeka ngegazi emathunjini . Lokhu kwaziwa ngokuthi i-anterior nutcracker syndrome . Akuvamile ukuthi umthambo ungacindezelwa phakathi komthambo oyinhloko nomgogodla , okubizwa ngokuthi i-posterior nutcracker syndrome .
“Ungesabi,” kusho uDkt. Caitlin Hicks, udokotela ohlinzayo wemithambo yegazi eJohns Hopkins University. “Kubalulekile ukubona uchwepheshe oqonda lesi simo bese uxoxa ngezinketho zakho. Kodwa-ke, ezimweni eziningi, lezi zimpawu ziyaphela ngokwazo ngokuhamba kwesikhathi.”
Ziyini izimpawu ze-Nutcracker Syndrome?
Ungase ungaboni lutho ekuqaleni. Kodwa uma ukucindezeleka kuqhubeka, kungase kuvele izimpawu ezahlukahlukene. Ake sibheke lezi kuthebula elingezansi.
| Isigaba Sezimpawu | Incazelo |
|---|---|
| Izimpawu Ezivamile |
|
| Izimpawu Kwabesifazane | |
| Izimpawu Kwabesilisa |
Uma igazi lingahambi kahle ngomthambo wezinso, ingcindezi ingathinta eminye imithambo etholakala ethangeni. Yingakho izimpawu zihluka ngokuya ngobulili.
Lobuhlungu abuhlali buhlala njalo. Bungase bube bubi ngokunyakaza, ukuma okuthile, noma, kwabesifazane, ngesikhathi sokuya esikhathini.
Umehluko phakathi kwe-Nutcracker Phenomenon ne-Nutcracker Syndrome
Kubalulekile ukuqonda umehluko:
- Isenzakalo se-Nutcracker: Umthambo wezinso uyacindezelwa, kodwa awunazo nhlobo izimpawu .
- I-Nutcracker Syndrome: Umthambo uyacindezelwa, futhi uzizwa izimpawu ngenkuthalo .
Odokotela ngokuvamile abasiphathi lesi simo ngokwaso. Kodwa-ke, uma kuvela izimpawu esikhathini esizayo, kufanele ubonane nodokotela wakho ukuze uxoxe ngazo.
Yini ebangela lesi simo?
Lokhu akuyona into oyenzile ukuze uyibangele. Izici ezivamile zifaka:
- Ukwehluka kokwakheka kwe-engeli yemithambo yegazi.
- Amafutha aphansi esiswini (ngenxa yokuncipha kwesisindo noma ukwehla kwesisindo ngokushesha).
- Ukukhula okusheshayo (okuvamile ngesikhathi sobusha).
Ngamafuphi, lezi zinto zinciphisa isikhala esitholakalayo semithambo. Ngokuvamile, kukhona i-fat pad evikelayo ezungeze indawo. Uma lokhu kuncipha, noma izikhundla zemithambo zishintsha, imithambo ingacindezelwa.
Izimbangela ezingavamile:
- Izimila eziseduze nepancreas noma isisu.
- Ama-lymph node avuvukele.
- I-aorta ekhulisiwe.
- Ukukhulelwa (ngenxa yokucindezeleka kwesibeletho).
- Izinkinga zomgogodla (njengokugoba kwe-lumbar okwandisiwe).
Kutholakala kanjani?
Kunzima ukuxilonga i-Nutcracker Syndrome ngoba izimpawu zayo zifana nezimo ezivame kakhulu njengamatshe ezinso, izifo zomgudu womchamo, noma i-endometriosis. Udokotela wakho uzoqala ngokususa lezi zinkinga ezivame kakhulu.
Uma ezinye sezisusiwe futhi sekusolwa ukuthi i-Nutcracker Syndrome, kungenziwa izivivinyo ezilandelayo:
- Ukuhlolwa komchamo: Ukuthola ngisho namanani amancane egazi angabonakali ngeso lenyama.
- I-Doppler Ultrasound: Ukuhlolwa okungenabuhlungu okusebenzisa amaza omsindo ukukala ijubane lokugeleza kwegazi emthanjeni wezinso.
- I-CT Angiography (CTA) noma i-MR Angiography (MRA): Lezi ziskeni zinikeza izithombe ezinemininingwane ze-3D zemithambo yegazi yesisu, ezibonisa ukuthi umthambo ucindezelwe noma ukuthi igazi liyabuya.
- I-Venogram: I-catheter ifakwa emthanjeni ukuze kulinganiswe ingcindezi ngaphambi nangemva kwendawo yokucindezela. I-intravascular ultrasound (IVUS) ingasetshenziswa futhi phakathi nale nqubo ukuze kubonakale kahle ngaphakathi.
Yiziphi izindlela zokwelapha?
Ukwelashwa kuncike ekutheni izimpawu zakho zithinta kangakanani impilo yakho yansuku zonke. Abanye abantu bayalulama ngokunakekelwa okulondolozayo ngokuhamba kwesikhathi, kanti abanye bangadinga ukuhlinzwa.
Ukuqaphela Nokuphathwa Kwezimpawu
Uma izimpawu zincane, udokotela wakho angase asikisele "ukulinda ngokuqaphela." Ikakhulukazi kubantu abasha, kunethuba elikhulu lokuthi isimo sizothuthuka ngokwaso njengoba umzimba ukhula. Phakathi nalesi sikhathi:
- Iziqeda ubuhlungu (isib. i-acetaminophen) zingasetshenziswa.
- Imithi ethile (isib., ama-ACE inhibitors) inganikezwa.
- Uma ukwehla kwesisindo kuyimbangela, ungase welulekwe ngezindlela ezinempilo zokuthola isisindo.
- Kuzoqashwa njalo ngokusebenzisa amaskeni noma ukuhlolwa komchamo.
Izinqubo Zokuhlinzwa Nezokungenelela
Uma izimpawu ziqhubeka noma zithinta kakhulu ikhwalithi yempilo yakho, kungase kucatshangelwe ukuhlinzwa. Udokotela wakho uzoncoma inketho efaneleke kakhulu ngokusekelwe eminyakeni yakho, isimo sempilo, kanye nobunzima bezimpawu.
- Ukuguqulwa Kwemithambo Yezinso: Umthambo ocindezelwe uyiswa endaweni enesikhala esikhulu. Lena inqubo yokuhlinzwa evame kakhulu futhi ephumelelayo.
- Ukubopha: Ipayipi elincane le-wire mesh (i-stent) lifakwa ngaphakathi komthambo ukuze livuleke. Lokhu akuyona njalo inketho engcono kakhulu yeziguli ezisencane njengoba ama-stent engapheli njalo.
- Ukufakwa kwemithambo ye-Gonadal: Lokhu kuhlasela ukuminyana kwe-pelvic ngokuvimbela ukugeleza kwegazi emithanjeni enenkinga, okungasiza ekunciphiseni ubuhlungu be-pelvic.
- Ukufakelwa Kwezinso Ngokuzenzakalelayo: Inso ikhishwa ngokuhlinzwa bese ifakwa kabusha endaweni engcono. Lokhu kugcinelwe izimo lapho zonke ezinye izinketho zehlulekile.
Umlayezo Wokuya Nawe Ekhaya
- I-Nutcracker Syndrome yisimo esingavamile esibangelwa ukucindezelwa komthambo wezinso wesobunxele.
- Izimpawu ezibalulekile zifaka phakathi ubuhlungu bomhlane/besisu ohlangothini lwesobunxele kanye negazi emchameni.
- Kuvame ukubonakala kubantu abancane, abasebasha futhi kungase kuphele ngokwemvelo njengoba umzimba ukhula.
- Ungazinaki izimpawu zakho. Uma ziqhubeka noma zinzima, xhumana nodokotela wakho ngokushesha.
- Ukwelashwa kuyahlukahluka kusukela ekuqapheni kuya ekuhlinzweni, okwenzelwe izidingo zakho ezithile zomtholampilo.
I-Nutcracker Syndrome, ubuhlungu bezinso, igazi emchameni, ubuhlungu bezinhlangothi, i-hematuria, ubuhlungu obuvela ohlangothini lwesobunxele
