Aimpso mtsempha thrombosis

Aimpso vein thrombosis ndi magazi omwe amapezeka mumtsinje womwe umatulutsa magazi kuchokera ku impso.

Renal vein thrombosis ndimatenda achilendo. Itha kuyambitsidwa ndi:

• M'mimba mwake aortic aneurysm
• Dziko losasunthika: zovuta zamagulu
• Kutaya madzi m'thupi (makamaka makanda)
• Kugwiritsa ntchito Estrogen
• Matenda a Nephrotic
• Mimba
• Kupanga zipsera ndi kukakamiza kwa mitsempha ya impso
• Zoopsa (kumbuyo kapena pamimba)
• Chotupa

Akuluakulu, chifukwa chofala kwambiri ndi nephrotic syndrome. Kwa makanda, chifukwa chofala kwambiri ndikutaya madzi m'thupi.

Zizindikiro zimaphatikizapo:

• Kuundana kwamagazi mpaka m'mapapu
• Mkodzo wamagazi
• Kuchepetsa mkodzo
• Kumva kupweteka kumbuyo kapena kupweteka kwa msana

Mayeso sangatulutse vuto lenileni. Komabe, zitha kuwonetsa nephrotic syndrome kapena zina zomwe zimayambitsa impso thrombosis.

Mayeso ndi awa:

• M'mimba mwa CT scan
• M'mimba mwa MRI
• M'mimba ultrasound
• Kuyesa kwa Duplex Doppler kwamitsempha ya impso
• Kuwunika kumatha kuwonetsa mapuloteni mumkodzo kapena maselo ofiira mumkodzo
• X-ray ya impso mitsempha (venography)

Mankhwalawa amathandiza kupewa mapangidwe atsopano ndipo amachepetsa chiopsezo choundana kupita kumadera ena m'thupi (kuphatikiza).

Mutha kupeza mankhwala omwe amaletsa magazi kuundana (maanticoagulants). Mutha kuuzidwa kuti mupumule pabedi kapena muchepetse ntchito kwakanthawi kochepa.

Ngati vuto la impso mwadzidzidzi likukula, mungafunike dialysis kwakanthawi kochepa.

Matenda a impso nthawi zambiri amakhala bwino pakapita nthawi osawonongeka impso.

Zovuta zingaphatikizepo:

• Kulephera kwapachimake (makamaka ngati thrombosis imachitika mwa mwana wopanda madzi)
• Mapeto siteji aimpso matenda
• Kuundana kwamagazi kumasunthira m'mapapu (pulmonary embolism)
• Mapangidwe atsopano a magazi

Itanani omwe akukuthandizani ngati muli ndi vuto la impso.

Ngati mwakumana ndi vuto la impso, imbani omwe amakupatsani ngati muli ndi:

• Kuchepetsa kutulutsa mkodzo
• Mavuto opumira
• Zizindikiro zina zatsopano

Nthawi zambiri, palibe njira yeniyeni yopewera impso thrombosis. Kusunga madzi okwanira mthupi kungathandize kuchepetsa ngozi.

Aspirin nthawi zina amagwiritsidwa ntchito popewera impso thrombosis mwa anthu omwe adalandira impso. Ochepetsa magazi monga warfarin atha kulimbikitsidwa kwa anthu ena omwe ali ndi matenda a impso.

Magazi kuundana mu aimpso mtsempha; Occlusion - aimpso mtsempha

• Matenda a impso
• Impso - kutuluka magazi ndi mkodzo

Dubose TD, Santos RM. Matenda a impso. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 125.

Greco BA, Umanath K.Kubwezeretsanso kwa magazi ndi ischemic nephropathy. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 41.

Ruggenenti P, Cravedi P, Remuzzi G.Matenda ochepetsa matenda a impso. Mu: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, olemba. Brenner ndi Rector a Impso. 10th ed. Philadelphia, PA: Elsevier; 2016: chap 35.