Ubuwazi ngalo mthambo obalulekile ezinso zakho? Ake sixoxe ngomthambo wezinso!

Wake wezwa "nge-renal vein"? Kungenzeka ukuthi uke wezwa udokotela ekusho lokho, noma kungenzeka ukuthi uke wakufunda ndawana thize. Lena yingxenye ebaluleke kakhulu yomzimba wethu, ikakhulukazi ehlobene nokusebenza kwezinso zethu. Ngakho-ke, ake sixoxe ngakho namuhla ngendlela elula ongayiqonda?

Iyini le mthambo wezinso?

Kalula nje, umthambo wezinso umthambo wegazi othwala igazi lisuka ezinso zakho uliyise enhliziyweni yakho. Igama elithi "izinso" lisho "okuphathelene nezinso." Izinso zifana nesihlungi samanzi endlini yethu. Kufanele kube nendlela yokuthumela lelo gazi elihlungiwe, elihlanziwe emzimbeni. Leyo yindlela umthambo wezinso.

Ngokuvamile, sonke sinezinso ezimbili. Ngakho-ke inso ngayinye inomthambo wezinso ohambisanayo. Okusho ukuthi, kunemithambo emibili ehlukene ethwala igazi lisuka ezinso ezimbili liye enhliziyweni.

Yini eyenziwa umthambo wezinso kanye nomthambo wezinso?

Manje ungase ucabange, akwanele yini ukuba nomthambo wokuletha igazi ezinso? Yebo, uqinisile! Umthambo oletha igazi ezinso ubizwa ngokuthi umthambo wezinso . Kokubili umthambo wezinso kanye nomthambo wezinso kuyingxenye yesimiso sethu sokujikeleza kwegazi .

Cabanga ngohlelo lokujikeleza kwegazi njengohlelo lwemigwaqo emikhulu ethwala igazi emizimbeni yethu. Leli gazi:

• Ithwala umoya-mpilo, ama-hormone, kanye nezakhamzimba ezithweni zethu zomzimba, emisipheni nasezicutshini.
• Kuphinde kusize ekususeni imfucuza engafuneki emizimbeni yethu, njenge-carbon dioxide, ama-asidi, namanzi angaphezulu.

Ngakho-ke, umthambo wezinso uthwala igazi elinomoya-mpilo lisuka enhliziyweni liye ezinso. Izinso bese zihlunga ubuthi nezinto eziphilayo ezingafuneki kulelo gazi. Igazi elingenawo umoya-mpilo, elihlanzwe ngale ndlela, bese lithathwa lisuka ezinso liyiswe enhliziyweni ngomthambo wezinso. Uyaqonda? Kufana nokuletha izinto zokusetshenziswa efektri bese ukhipha umkhiqizo oqediwe.

Zitholakala kuphi lezi zinto emzimbeni wethu?

Izinso zethu zitholakala ngemuva kwesisu (isisu), ngaphansi kwekheji lezimbambo esifubeni, nangaphezu kancane kwesinqe.

• Umthambo Wezinso Ongakwesobunxele: Lona utholakala ohlangothini lwesobunxele lomzimba, ngemuva komthambo we-splenic kanye ne-pancreas. Umthambo wezinso ongakwesobunxele mude kancane kunowokudla ngoba utholakala kude kakhulu ne-vena cava engaphansi, omunye wemithambo emikhulu emzimbeni. Ungaba cishe amasentimitha ayi-6 kuya kwayi-10 (cishe amasentimitha amabili kuya kwayi-4).
• Umthambo Wezinso Ongakwesokudla:Itholakala ngakwesokudla komzimba, ngemuva kwengxenye engenhla yamathumbu ethu amancane (i-duodenum). Imfushane kuneyangakwesobunxele, cishe amasentimitha amabili kuya kwamane (cishe amasentimitha angu-¾ kuya kwangu-1.5).

Umthambo wezinso uthola igazi kuphi?

Umthambo Wezinso Ongakwesobunxele, njengoba ngishilo, mude, ngakho uthola igazi hhayi nje kuphela elivela ezinso ezingakwesobunxele, kodwa futhi nakwezinye izitho eziningana zomzimba. Ake sibone ukuthi ziyini:

• Umthambo Wesitho Sangasese: Ama-ureter yizimbobo ezimbili ezithwala umchamo usuka ezinso uye kwesinye. Igazi elivela ku-ureter ohlangothini lwesobunxele liqoqana kulo mthambo.
• Umthambo We-Gonadal Wesobunxele: Ama-gonad, abizwa ngokuthi ama-ovari kwabesifazane kanye nama-testicles kwabesilisa, athululela emthanjeni wezinso wesobunxele.
• Umthambo We-Adrenal Wesobunxele: Izindlala ze-adrenal ziyizindlala ezimbili ezincane, ezifana ne-cap-like phezu kwezinso. Zikhiqiza ama-hormone abalulekile njenge- cortisol, i-epinephrine (adrenaline), kanye ne-norepinephrine (noradrenaline) . Ngakho-ke, igazi elivela ku-adrenal gland yesobunxele nalo lijoyina lo mthambo.
• Umthambo We-Phrenic Ongaphansi Kwesobunxele: I-diaphragm iyisicubu esikhulu esisisiza ukuphefumula. Igazi elivela kulo mthambo liphinde liphume liye kuMthambo Wezinso Ongaphansi Kwesobunxele.

Kodwa-ke, i-Right Renal Vein ithola igazi elivela ezinso ezingakwesokudla kuphela. Ayiqoqi igazi ezindaweni eziningi njengelesobunxele.

Igazi liya kuphi ngemva komthambo wezinso?

Njengoba sishilo ngaphambili, izinso zihlunga imfucuza egazini. Ngaphezu kwalokho, zisebenzisa umoya-mpilo noshukela (i-glucose) egazini ukukhiqiza amandla. Igazi, elihlanzwe ngale ndlela, kodwa manje selikhishwe umoya-mpilo, lidlula emithanjeni yezinso bese lijoyina i-vena cava engaphansi . Lona umthambo omkhulu oyinhloko othwala igazi elikhishwe umoya-mpilo lisuka engxenyeni engezansi yomzimba wethu liye enhliziyweni. Igazi libe selihamba liye enhliziyweni, lapho liphinde lithathe khona umoya-mpilo bese liqala uhambo lwalo emzimbeni wonke.

Yiziphi izifo ezivamile ezithinta imithambo yezinso?

Nakuba konke kuhamba kahle uma izinto zihamba kahle, ngezinye izikhathi izimo ezithile zezokwelapha zingathinta imithambo yezinso. Eziyinhloko yilezi:

• I-Nutcracker Syndrome: Lokhu kuthinta ngqo i-Left Renal Vein. Kulesi simo, i-Left Renal Vein ibanjwa phakathi kwe-Abdominal Aorta nomunye umthambo esiswini (i-Superior Mesenteric Artery). Kufana ne-nutcracker ebanjwe nhlangothi zombili. Lokhu kubangela ukwanda komfutho wegazi emthanjeni, okuvimba ukugeleza kwegazi ezinso.
• I-Renal Vein Thrombosis: Lokhu ukwakheka kwehlule legazi emthanjeni wezinso. Ezinye izimo zezokwelapha, njengezinkinga zokugoba kwegazi, umdlavuza, kanye ne-nephrotic syndrome, zingabangela lolu hlobo lwehlule legazi.

Kwenzekani uma umthambo wezinso uvaleka?

Uma umthambo wezinso uvaleka, kungaba ngenxa yengozi noma ihlule legazi, kungabangela izinkinga eziningi . Nazi izibonelo ezimbalwa:

• Kungase kube nobuhlungu obukhulu , ikakhulukazi endaweni yesinqe.
• Ungase ube negazi emchameni wakho (i-hematuria).
• Ukuzizwa unesizungu (ukuquleka) kungenzeka uma umile (Orthostatic Hypotension).
• Kungabangela ukungazali kwabesilisa noma kwabesifazane .
• Ukulimala kwezinso kungenzeka.
• Ukuphuma komchamo kungase kube ngaphansi kokujwayelekile (i-oliguria).
• Into eyingozi kakhulu ukuthi ingxenye yaleyo ngxenye yegazi ingaphuka bese inamathela emthanjeni emaphashini (i-Pulmonary Embolism). Lokhu kungaba yingozi empilweni.

Okubalulekile: Uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.

Yiziphi izivivinyo ezenziwayo ukuhlola impilo yemithambo yezinso?

Uma udokotela wakho esola ukuthi kunenkinga ngemithambo yakho yezinso, angase acele ukuhlolwa okuhlukahlukene. Ukuhlolwa okuvame kakhulu yile:

• I-CT Scan (I-CT - I-Computed Tomography Scan)
• I-Duplex/Doppler Ultrasound
• Iskeni se-MRI (I-MRI - Ukufanekisa i-Magnetic Resonance)
• I-Ultrasound
• I-Venogram: Kulokhu, kufakwa uketshezi olukhethekile emithanjeni bese kuthathwa i-X-ray.

Ungase futhi uhlolwe umchamo ukuze kuhlolwe amazinga aphezulu amaprotheni (i-proteinuria) noma igazi emchameni wakho. Kokubili lokhu kungaba izimpawu zokulimala kwezinso.

Singayigcina kanjani imithambo yethu yezinso iphilile?

Kunzima ukwazi ukuthi kukhona yini okwenzekayo ngqo emithanjeni yezinso. Kodwa-ke, ukugcina izinso zethu kanye nohlelo lonke lokujikeleza kwegazi kuphilile kuvikela nempilo yemithambo yezinso.

• Kungumqondo omuhle ukuhlolwa ngokomzimba minyaka yonke. Lokhu kuzokusiza ukuthi wazi kusengaphambili ukuthi usengozini yokuqhekeka kwegazi.
• Udokotela wakho angase akuncome okulandelayo:
• Imithi yokucindezela kwegazi (uma une-high blood pressure).
• Imithi yokuvimbela ukugabha kwegazi noma imithi yokunciphisa igazi (uma kukhona ingozi yokugabha kwegazi).
• Ukuvivinya umzimba njalo kusiza ukugcina ukujikeleza kwegazi okuhle emzimbeni.
• Phuza amanzi amaningi kanye noketshezi.
• Engeza imifino nezithelo ezengeziwe ekudleni kwakho.
• Uma ubhema, yeka.

Okokugcina, izinto okufanele uzikhumbule

Njengoba ubona, imithambo yezinso iyingxenye ebaluleke kakhulu ohlelweni lwethu lokujikeleza kwegazi, ikakhulukazi leyo ethwala igazi elivela ezinso. Singase singaqapheli ngokushesha ukuthi kunezinkinga ngayo. Kodwa-ke, ngokuhlolwa njalo kwezokwelapha, odokotela bangabheka izimpawu zalezi zimo.

Udokotela wakho ungumthombo ongcono kakhulu wolwazi mayelana nokugcina izinso zakho kanye nemithambo yezinso ziphilile. Bazokutshela nokuthi yini ongayilindela uma kunezinkinga. Ngakho-ke, ungesabi ukukhuluma nabo!

Umthambo Wezinso, Izinso, Ukujikeleza Kwegazi, Imithambo, Isifo Semithambo, Impilo Yezinso