Mitsempha ya Mesenteric ischemia

Mitsempha ya Mesenteric ischemia imachitika pakachepetsa kapena kutsekeka kwa imodzi kapena zingapo mwa mitsempha itatu yayikulu yomwe imapereka matumbo ang'ono ndi akulu. Izi zimatchedwa mitsempha ya mesenteric.

Mitsempha yomwe imapereka magazi m'matumbo imayenda molunjika kuchokera ku aorta. Minyewa ndiyo mitsempha yayikulu yochokera pansi pamtima.

Kuuma kwa mitsempha kumachitika pamene mafuta, cholesterol, ndi zinthu zina zimakhazikika pamakoma amitsempha. Izi ndizofala kwambiri kwa osuta komanso anthu omwe ali ndi kuthamanga kwa magazi kapena cholesterol yamagazi.

Izi zimachepetsa mitsempha yamagazi ndikuchepetsa magazi kupita m'matumbo. Monga gawo lina lililonse la thupi, magazi amabweretsa mpweya m'matumbo. Pamene mpweya umachepetsedwa, zizindikiro zimatha kuchitika.

Magazi m'matumbo atha kutsekedwa mwadzidzidzi ndi magazi (embolus). Kuundana nthawi zambiri kumachokera mumtima kapena msempha. Kuundana uku kumawonekera kwambiri mwa anthu omwe ali ndi vuto la mtima losazolowereka.

Zizindikiro zomwe zimayambitsidwa ndikuwuma pang'ono kwa mitsempha ya mesenteric ndi monga:

• Kupweteka m'mimba mutatha kudya
• Kutsekula m'mimba

Zizindikiro zamitsempha yadzidzidzi (pachimake) ya mesenteric ischemia chifukwa chamagazi oyenda ndi awa:

• Mwadzidzidzi kupweteka kwam'mimba kapena kuphulika
• Kutsekula m'mimba
• Kusanza
• Malungo
• Nseru

Zizindikiro zikayamba mwadzidzidzi kapena kukulira, kuyezetsa magazi kumatha kuwonetsa kuchuluka kwa maselo oyera am'magazi ndikusintha kuchuluka kwa asidi m'magazi. Pakhoza kukhala kutuluka magazi mu thirakiti la GI.

Kujambula kwa Doppler ultrasound kapena CT angiogram kumatha kuwonetsa zovuta ndi mitsempha yamagazi ndi matumbo.

Mesenteric angiogram ndi mayeso omwe amaphatikizapo kubaya utoto wapadera m'magazi anu kuti muwonetse mitsempha ya m'mimba. Kenako ma x-ray amatengedwa m'derali. Izi zitha kuwonetsa komwe kutsekeka mumitsempha.

Magazi akatsekedwa gawo lina la minofu yamtima, minofu imafa. Izi zimatchedwa matenda a mtima. Kuvulala komweku kumatha kuchitika mbali iliyonse yamatumbo.

Magazi akamadulidwa mwadzidzidzi ndi magazi, zimachitika mwadzidzidzi. Chithandizochi chitha kuphatikizira mankhwala osungunula magazi a magazi ndikutsegula mitsempha.

Ngati muli ndi zizindikiro chifukwa cha kuuma kwa mitsempha ya mesenteric, pali zinthu zomwe mungachite kuti muchepetse vutoli:

• Lekani kusuta. Kusuta kumachepetsa mitsempha. Izi zimachepetsa kuthekera kwa magazi kunyamula mpweya ndikuwonjezera chiopsezo chopanga matumbo (thrombi ndi emboli).
• Onetsetsani kuti kuthamanga kwa magazi kukuyang'aniridwa.
• Ngati mukulemera kwambiri, muchepetse kunenepa.
• Ngati cholesterol yanu ili pamwamba, idyani mafuta osagwiritsa ntchito mafuta ambiri komanso mafuta ochepa.
• Onetsetsani kuchuluka kwa shuga m'magazi anu ngati muli ndi matenda ashuga, ndipo pitirizani kuwayang'anira.

Opaleshoni itha kuchitika ngati vutoli ndi lalikulu.

• Kutsekeka kumachotsedwa ndipo mitsempha imalumikizidwanso ku aorta. Kudutsa mozungulira kutsekeka ndi njira ina. Nthawi zambiri zimachitika ndi katemera wa pulasitiki.
• Kuyika kwa stent. Stent itha kugwiritsidwa ntchito ngati njira ina yochizira poonjezera kutsekeka kwa mtsempha wamagazi kapena kuperekera mankhwala mwachindunji kudera lomwe lakhudzidwa. Iyi ndi njira yatsopano ndipo iyenera kuchitidwa ndi omwe amapereka chithandizo chamankhwala odziwa zambiri. Zotsatira zake nthawi zambiri zimakhala bwino ndi opaleshoni.
• Nthawi zina, gawo lina lamatumbo anu liyenera kuchotsedwa.

Maganizo a mesenteric ischemia ndi abwino atachita opaleshoni yopambana. Komabe, ndikofunikira kusintha momwe moyo umathandizira kuti mitsempha isalimbe.

Anthu omwe ali ndi mitsempha yolimba yomwe imapereka matumbo nthawi zambiri amakhala ndi mavuto omwewo m'mitsempha yamagazi yomwe imapereka mtima, ubongo, impso, kapena miyendo.

Anthu omwe ali ndi mesenteric ischemia nthawi zambiri samachita bwino chifukwa ziwalo zina zamatumbo zimatha kufa opaleshoni isanachitike. Izi zitha kupha. Komabe, ndi kuzindikira mwachangu ndi chithandizo, pachimake mesenteric ischemia imatha kuchiritsidwa bwino.

Kufa kwaminyewa chifukwa chosowa magazi (infarction) m'matumbo ndiye vuto lalikulu kwambiri la mesenteric archem ischemia. Kuchita opaleshoni kungafunike kuchotsa gawo lakufa.

Itanani omwe akukuthandizani ngati muli ndi:

• Zosintha m'matumbo
• Malungo
• Nseru
• Kupweteka kwambiri m'mimba
• Kusanza

Kusintha kwotsatira kwa moyo kungachepetse chiopsezo chanu chochepetsera mitsempha:

• Muzichita masewera olimbitsa thupi nthawi zonse.
• Tsatirani zakudya zabwino.
• Pezani chithandizo cha mavuto a nyimbo.
• Sungani cholesterol yanu yamagazi ndi shuga wamagazi mosamala.
• Siyani kusuta.

Matenda a Mesenteric; Matenda amisempha; Matenda a Ischemic - mesenteric; Matumbo akufa - mesenteric; Matumbo akufa - mesenteric; Atherosclerosis - mesenteric mtsempha wamagazi; Kuumitsa mitsempha - mtsempha wamagazi wa mesenteric

• Mitsempha ya Mesenteric ischemia ndi infarction

Holscher CM, Reifsnyder T. Acute mesenteric ischemia. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 1057-1061.

Kahi CJ. Matenda a m'mimba a mundawo m'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 134.

Onani RC, Schermerhorn ML. Matenda a Mesenteric: epidemiology, pathophysiology, ndi kuwunika kwachipatala. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 131.