Ingabe kukhona ihlule legazi emthanjeni wakho wesisu? Masiqaphele lesi simo esiyingozi (i-SMV Thrombosis)!

Wake wazizwa ubuhlungu obukhulu esiswini sakho ngokuzumayo, noma umuzwa ongajwayelekile wokuthi isisu sakho sigcwele? Ngezinye izikhathi asizinaki kakhulu izinto ezinjalo, kodwa zingaba uphawu lwenkinga enkulu yempilo. Namuhla sizokhuluma ngesimo esingavamile kodwa esiyingozi kakhulu. Lokho (i-SMV Thrombosis) , noma ihlule legazi emthanjeni we-mesenteric ophakeme.

Kuyini lokhu (i-SMV Thrombosis)? Ake sikuqonde kalula?

Kalula nje, i-SMV Thrombosis ukwakheka kwehlule legazi (i-thrombus) emthanjeni obizwa ngokuthi i-Superior Mesenteric Vein (SMV) esiswini sakho. Lo mthambo uthwala igazi lisuka emathunjini akho amancane liye esibindini sakho. Njengombhobho wamanzi ovalekile, leli hlule legazi livimba ukugeleza kwegazi phakathi kwezitho ezahlukene esiswini sakho.

Nansi indlela lesi simo esiyingozi ngayo: Uma ukugeleza kwegazi kungasebenzi kahle, izitho zethu azitholi umoya-mpilo eziwudingayo. Khona-ke amaseli (izicubu) kulezo zitho ziqala ukufa. Lolu hlobo lomonakalo wezitho lungathinta umzimba wonke. Uma lesi simo, esibizwa ngokuthi i-SMV Thrombosis, singelashwa ngokushesha, ngezinye izikhathi singasongela ukuphila.

Elinye igama lalokhu yi- "mesenteric venous thrombosis." Leli igama elivamile. Lisho ukuthi ihlule legazi lingakheka emthanjeni we-mesenteric ophakeme, emthanjeni we-mesenteric ophansi, noma emithanjeni ehlukana nawo. Kodwa-ke, cishe ama-95% esikhathi, leli hlule legazi lakha emthanjeni we-mesenteric ophakeme, esikhulume ngawo ngaphambili. Ngakho-ke, womabili la magama avame ukusetshenziselwa isimo esifanayo.

Yiziphi izinhlobo eziyinhloko ze-Mesenteric Venous Thrombosis?

Odokotela bahlukanisa lesi simo ngokusekelwe endleleni izimpawu ezibonakala ngayo.

• Okubukhali: Izimpawu zivele ngokuzumayo, zingakapheli amahora angama-24 kuya kwangama-72 kusukela kwakheka ihlule legazi. Lena yimeko evame kakhulu (60% - 80%). Kulesi simo, amathumbu angonakala ngokushesha, ngoba igazi alinandlela yokufika kuwo, ihlule legazi livimba leyo ndlela.
• I-Subacute: Kulesi simo, izimpawu zikhula kancane kancane phakathi nezinsuku ezithile. Azibi kakhulu njengasesigabeni esibucayi. Lapha, igazi elithile liyangena emathunjini, kodwa inani alanele. Abanye abantu bangase bangamboni udokotela kuze kube amasonto amabili yize benezimpawu.
• Isimo esingamahlalakhona: Ngezinye izikhathi azikho izimpawu. Lokhu kungenxa yokuthi kwakheka imithambo emincane ehambisanayo, enikeza amathumbu igazi. Odokotela bavame ukuthola lezi zimo ezingamahlalakhona ngesikhathi sokuhlolwa kwesithombe sesinye isimo. Lesi simo esingamahlalakhona senzeka cishe kuma-20% kuya kuma-40% ezimo.

Sivame kangakanani lesi simo?

Empeleni lokhu kubhekwa njengesimo esingavamile . Kwenzeka cishe kwesiguli esisodwa kwezi-5,000 kuya kwesiguli esisodwa kweziyi-15,000 esibhedlela.

I-Mesenteric venous thrombosisNakuba kungakhula kunoma yimuphi ubudala, ngokuvamile kuthinta abantu abaneminyaka ephakathi kuka-40 no-50.

Ziyini izimpawu zalokhu?

Izimpawu zingahluka kakhulu. Abanye abantu, ikakhulukazi labo abanezimo ezingamahlalakhona, bangase bangabi nazimpawu nhlobo. Kodwa-ke, ezimweni ezibucayi, ukuqaqamba okukhulu kungavela ngokuzumayo. Ezimweni ezingaphansi kwesifo, ubuhlungu besisu bungafika budlule isikhathi sezinsuku noma amasonto.

Abanye abantu baba nesimo esibizwa ngokuthi i-Portal Hypertension ngenxa yalesi simo. Khona-ke ungase ubone izimpawu ezifana nalezi:

• Igazi esitulweni sakho.
• Ukucanuzela nokuhlanza, ngezinye izikhathi igazi liphuma ekuhlanzeni.
• Isisu esivuvukele.
• Ukuvuvukala kwemilenze nezinyawo (i-Edema) .
• Ukudideka kwengqondo.

Uma unezinhlungu zesisu ezintsha noma eziya ziba zimbi, kufanele ubonane nodokotela ngokushesha . Kulapho kuphela lapho kungatholakala khona imbangela eqondile.

Yiziphi izimbangela ze-(Superior Mesenteric Vein Thrombosis)?

Abacwaningi bahlukanise izizathu zalokhu ngezigaba ezintathu eziyinhloko:

1. Ukulimala okuqondile emthanjeni: Umthambo wakho ungalimala ngqo ngenxa yokutheleleka (ukuvuvukala) noma ukuhlinzwa.

2. Ukugeleza kwegazi okuhamba kancane noma okuvinjiwe: Izimo ezifana ne -cirrhosis (isifo sesibindi), ukwehluleka kwenhliziyo, noma isimila noma ubunzima esiswini kungabangela ukugeleza kwegazi okuhamba kancane noma okuvinjiwe emthanjeni we-mesenteric kanye nemithambo ezungezile.

3. Izinkinga zokujiya kwegazi: Lokhu kwandisa ingozi yokwakheka kwamahlule egazini noma kuphi emzimbeni wakho.

Ngezinye izikhathi odokotela abakwazi ukuthola imbangela ethile yalokhu (idiopathic) .

Ubani osengozini enkulu yalesi sifo?

Usengozini enkulu yokuthola i-SMV Thrombosis uma unezinye zezimo zezokwelapha ezilandelayo:

• Izinkinga zokujiya kwegazi ezenzeka ngesikhathi sokuzalwa noma kamuva, okuhlanganisa nalezo ezibangelwa imithi ethile.
• (Isifo Sokuvuvukala Kwamathumbu - IBD) .
• (Isifo sofuba) (isifo sesibindi).
• (i-pancreatitis) (ukuvuvukala kwe-pancreas).
• Umdlavuza we-pancreatic .
• Ukwehluleka kwenhliziyo .
• Ubende obukhulu .
• Ukuba nesimila esikhulu noma inqwaba esiswini.
• Ezinye izifo ezibangelwa amagciwane, okuhlanganisa (i-COVID-19) .

Okunye ukuhlinzwa esiswini sakho, njengokuhlinzwa kwe-splenectomy, kungalimaza ulwelwesi lwangaphakathi lwemithambo yegazi yakho (i-endothelium).Umonakalo ungenzeka. Ukuvuvukala okubangelwa yilo monakalo kwandisa ingozi yokwakheka kwamahlule egazi.

Yiziphi izinkinga ezingaba khona ze-SMV Thrombosis?

Uma kwakheka ihlule legazi emithanjeni yakho ye-mesenteric, lingabangela ukuvuvukala kwezicubu zamathumbu. Lingaphinde liholele esimweni esibizwa ngokuthi i-mesenteric ischemia , okuwukwehla kokugeleza kwegazi ezingxenyeni zesistimu yakho yokugaya ukudla.

Uma izitho zakho zokugaya ukudla zingatholi igazi elanele elinomoya-mpilo, azikwazi ukusebenza kahle. Futhi izicubu zazo ziqala ukufa. Kwezinye izimo, lokhu kungabangela izimbobo emathunjini, okuvumela okuqukethwe ngamathumbu ukuthi kuvuze endaweni ezungezile. Kwezinye izimo, amabhaktheriya avame ukuhlala ohlelweni lwakho lokugaya ukudla angasakazeka kwezinye izingxenye zomzimba wakho, lapho kungafanele khona. Lokhu kungaholela ku -sepsis (ubuthi egazini) kanye nokwehluleka kwezitho okusongela impilo.

Ngakho-ke, lesi simo esibizwa ngokuthi (i-SMV Thrombosis) singaba yingozi uma singelashwa ngokushesha.

I-Mesenteric Venous Thrombosis ihlolwa kanjani?

Odokotela bangase basole lesi simo ngokusekelwe ezimpawu zakho. Kodwa-ke, ukuxilonga kungaba nzima ngoba izimpawu eziningi aziqondile . Okusho ukuthi, zingabangelwa ezinye izimo ezahlukahlukene. Uma unezinhlungu zesisu noma ezinye izimpawu, ihlule legazi emthanjeni we-mesenteric akuyona into yokuqala efika engqondweni.

Uma udokotela wakho esola ukuthi une-blood clot, uzokwenza izivivinyo eziningana zezithombe .

(Ukuhlolwa Kokuxilongwa Kwe-Mesenteric Venous Thrombosis)

Ukuhlolwa okujwayelekile kwegolide kokuthola lesi sifo yi -CT Angiography . Kulesi sikeni, kufakwa idayi ekhethekile emthanjeni bese igazi libonakala ligeleza emithanjeni yakho. Lokhu kungabonisa ukuthi igazi ligeleza kahle kangakanani emithanjeni nasemithanjeni esiswini sakho nokuthi ngabe kukhona yini ihlule legazi. Imiphumela yalesi sivivinyo izonquma uhlelo lwakho lokwelashwa.

Ngezinye izikhathi, odokotela basebenzisa ukuhlolwa okubizwa ngokuthi i-MRI Angiography njengenye indlela noma ukuqinisekisa imiphumela engacacile evela ku -CT Angiography . Lokhu kuhlolwa kungasetshenziswa futhi ukubona ukuthi usabela kanjani ekwelashweni.

Yiziphi izindlela zokwelapha (i-SMV Thrombosis)?

Odokotela bazokwenza uhlelo lwakho lokwelashwa luhambisane nezidingo zakho. Imigomo eyinhloko yile:

• Ukubuyisela ukugeleza kwegazi emathunjini akho nokuwasiza ukuthi asebenze ngendlela evamile.
• Vimbela noma unciphise umonakalo emathunjini akho.
• Ukuvimbela ukwakheka kwamahlule egazi amasha nokuthola imbangela eyisisekelo.

Ukwelashwa okusheshayo kuyisihluthulelo sokusindisa izimpilo.Uma uthola ukwelashwa ngokushesha, amathuba akho okuthola umphumela ophumelelayo ayanda. Kuye ngohlobo lwesimo sakho (esibi noma esingamahlalakhona) kanye nobunzima baso, udokotela wakho angase asebenzise eyodwa noma ngaphezulu yalezi zindlela zokwelapha ezilandelayo:

• Ukuvimbela ukujiya kwegazi: Lokhu kuvame ukuba ukwelashwa kokuqala odokotela abakusebenzisayo. Lokhu kuhilela ukukunikeza imithi yokusiza ekuncibilikiseni ihlule futhi kuvimbele ukwakheka kwamahlule amasha. Odokotela abaningi baqala ngokukunikeza umuthi obizwa ngokuthi i-heparin ngemithambo yegazi, bese besebenzisa umuthi ofana ne -warfarin . Abanye abantu badinga ukuthatha lo muthi cishe izinyanga eziyisithupha, kanti abanye kungadingeka bawuthathe isikhathi eside. Uma unesifo sokujiya kwegazi, noma uma ube nehlule legazi ngaphandle kwesizathu esicacile, kungadingeka ukuthi uwuthathe lo muthi impilo yakho yonke.
• I-Thrombolysis: Kule nqubo, udokotela wakho usebenzisa i-catheter ukufaka umuthi emithanjeni yakho ukuze ancibilikise ihlule . Lo muthi uvame ukunikezwa amahora angama-24 kuya kwangama-72.
• Ukususwa Kwegazi: Lena inqubo yokuhlinzwa yokususa ihlule legazi . Lokhu kwelashwa kusetshenziswa kuphela ezimweni ezimbalwa, isibonelo , kubantu abangakwazi ukuhlinzwa nge-thrombolysis . Odokotela bangenza le nqubo besebenzisa ukuhlinzwa okuvulekile noma izindlela ezingangenisi igazi kakhulu.
• Ukususwa Kwamathumbu: Lokhu kuhilela ukususa ingxenye yamathumbu ngokuhlinzwa . Uma ihlule legazi livimbe ukugeleza kwegazi emathunjini akho futhi labangela umonakalo ohlala njalo, kungadingeka ukuthi uhlinzwe amathumbu amancane noma uhlinzwe i-large bowel colectomy. Uma uqala ukuvimbela ukujiya kwegazi esibhedlela, udokotela wakho uzoqapha izimpawu zakho ukuze abone ukuthi udinga ukuhlinzwa noma kukhona yini izinkinga.

Izinkinga zokwelashwa

Inkinga evame kakhulu yokwelashwa ukopha (okukhulu noma okuncane). Kodwa-ke, kubalulekile ukukhumbula ukuthi lesi sifo siyabulala uma singelashwa . Ngakho-ke, izinzuzo zokwelashwa zidlula kakhulu izingozi zezinkinga ezingaba khona.

Ingabe i-SMV Thrombosis ingavinjelwa?

Awukwazi ukuvimbela njalo ukuqhekeka kwegazi. Kodwa-ke, ungathatha indlela yokubhekana nempilo yakho ngokuvimbela nokuphatha izimo eziningi eziyisisekelo ezandisa ingozi yakho. Nazi ezinye izeluleko:

• Hamba uyohlolwa udokotela kanye ngonyaka.
• Phuza imithi yakho njengoba nje udokotela wakho ekuyalele.
• Tshela udokotela wakho uma uthola izimpawu ezintsha noma uma izimpawu zakho zishintsha.
• Buza udokotela wakho ukuthi yiziphi izinguquko zendlela yokuphila okudingeka uzenze ukuze uzuze impilo yakho.

Kwenzekani uma ngine-(SMV Thrombosis)?

Udokotela wakho uzokutshela ukuthi yini okufanele uyilindele njengoba welapha futhi ululama. Bazochaza ingozi yokuthola amahlule egazi amasha kanye nokwelashwa abakuncomayo ukuze banciphise leyo ngozi. Kubaluleke kakhulu ukulandela uhlelo lokwelashwa lukadokotela wakho ngqo. Lokhu kungafaka phakathi ukuthatha imithi impilo yakho yonke. Lokhu kuzosiza ekuvimbeleni ukuthi amahlule egazi aphinde akheke.

Ukuqapha impendulo yokwelashwa

Uma uthatha imithi yokuvimbela ukuvuza kwegazi, kuzodingeka uhlolwe igazi njalo ukuqinisekisa ukuthi uthatha inani elifanele lemithi. Udokotela wakho uzokuqapha futhi ukuthi akukho yini ukopha.

Iyini inhloso yalesi simo?

Umuntu ongcono kakhulu ongambuza ngombono wakho ngudokotela wakho. Bazobuyekeza umlando wakho wezokwelapha kanye nesimo sakho futhi bakunike umbono walokho ongakulindela. Ngokuvamile, umbono wakho nge -Mesenteric Venous Thrombosis uncike ezintweni eziningana:

• iminyaka yakho.
• Ubunzima besimo sakho.
• Indawo eqondile lapho kuqhekeka khona igazi.
• Ezinye izimo zezokwelapha onazo.
• Ubukhulu bomonakalo emathunjini akho.
• Ukuthi kwadingeka yini ukuthi kususwe ingxenye yamathumbu akho.
• Indlela othole ngayo ukwelashwa ngokushesha.

I-Mesenteric Venous Thrombosis ingaba yingozi. Esigabeni esibi kakhulu, ingozi yokufa iyanda ngehora ngalinye elidlula ngemva kokuqala kwezimpawu. Uma ingelashwa isikhathi esingaphezu kwamahora angu-24, lesi simo sivame ukuba yingozi.

Kufanele ngimbone nini udokotela wami?

Njengoba ululama ekwelashweni, kubalulekile ukulandelela indlela ozizwa ngayo nokutshela udokotela wakho uma kukhona okushintshayo. Udokotela wakho uzokutshela ukuthi kufanele uze kangaki ukuze uthole ama-aphoyintimenti okulandelela. Gcina isikhathi esibekiwe. Lokhu kuzosiza udokotela wakho ukuthi aqaphe isimo sakho futhi athole noma yiziphi izinkinga ezintsha (njenge-blood clot entsha). Kodwa-ke, ngisho nangesikhathi sokwelashwa kwakho, uma uthola noma yiziphi izimpawu ezintsha noma unenkinga, ungangabazi ukushayela udokotela wakho ucingo ngokushesha.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma unezinhlungu zesisu ezinzima noma ezinye izimpawu ze- (SMV Thrombosis) , shayela u-911 noma inombolo yakho yesimo esiphuthumayo yasendaweni ngokushesha. Ungalibali. Lokhu kubaluleke kakhulu uma unezici eziyingozi ze- (SMV Thrombosis) . Ukwelashwa kusenesikhathi kuyindlela kuphela yokusindisa impilo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Imibuzo yakho ingahluka kuye ngesimo sakho kanye nesigaba sokwelashwa. Nazi ezinye zemibuzo evamile ukukusiza ukuthi uthole ulwazi oludingayo. Ungabuza le mibuzo ngemva kokuxilongwa (noma kothandekayo wakho):

• Isimo sami sibi kangakanani?
• Yikuphi ukwelashwa ongakuzama kuqala?
• Yiziphi ezinye izindlela zokwelapha engizozidinga?
• Iyini imigomo yokwelashwa?
• Angakanani amathuba okuba ukwelashwa kuphumelele?
• Ingabe zikhona izingozi ekwelashweni?
• Unjani umbono wami?
• Yiziphi izikhathi zokulandelela engizodinga ukuya kuzo?
• Ingabe kudingeka ngishintshe imithi yami noma izikhathi engiyithatha ngazo?
• Yiziphi izinguquko zendlela yokuphila ongincoma ukuthi ngizenze ngemva kokululama?

Kuvamile ukuzizwa wesaba uma uthola ukuthi une-blood clot endaweni ethile emzimbeni wakho. Esimweni esifana ne -SMV Thrombosis , lelo clot legazi lingasongela impilo yamathumbu akho, futhi lingabangela nezinkinga ezisongela ukuphila.

Uma wena noma othandekayo wakho ninezici ezingabangela i-SMV Thrombosis , khuluma nodokotela wakho ngezinga lakho lengozi nokuthi ungaliphatha kanjani. Awukwazi ukuvimbela njalo ukuqhekeka kwegazi. Kodwa, ukuhlolwa kwezokwelapha nokuqaphela izimpawu kungakusiza ukuthi uthole ukuxilongwa nokwelashwa kusenesikhathi. Isenzo esinjalo sokuqala singasindisa impilo.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

• I-SMV Thrombosis iwukuqhekeka kwegazi emthanjeni omkhulu wegazi esiswini. Lokhu kuyingozi kakhulu futhi kungaba yingozi empilweni uma kungelashwa ngokushesha.
• Uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu obungazelelwe, ukuqunjelwa, isicanucanu, ukuhlanza, noma igazi esitulweni sakho, ungalibali. Funa iseluleko sezokwelapha ngokushesha.
• Uma unezici eziyingozi zalokhu (isib., izinkinga zokujiya kwegazi, isifo sesibindi, isifo samathumbu esivuvukalayo), khuluma nodokotela wakho ngakho bese uthatha izinyathelo ezidingekayo.
• Uma kutholakale ukuthi unesifo, landela ukwelashwa udokotela wakho akunikeza kona ngqo. Ngisho noma kufanele uphuze imithi impilo yakho yonke, ingakusiza ukusindisa impilo yakho.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa okusheshayo kuyindlela engcono kakhulu yokugwema lesi sifo. Ngakho-ke qaphela izimpawu bese ubona udokotela ngokushesha uma unemibuzo.

I- SMV Thrombosis, I-Mesenteric Venous Thrombosis, I-Clot yegazi, Ubuhlungu besisu, I-mesenteric vein ephezulu, Uhlelo lokugaya ukudla, Ukwelashwa okuphuthumayo