Mesenteric venous thrombosis

Mesenteric venous thrombosis (MVT) ndimagazi m'mitsempha imodzi kapena ingapo yomwe imakhetsa magazi m'matumbo. Mitsempha ya mesenteric yapamwamba imakhudzidwa kwambiri.

MVT ndi chotsekemera chomwe chimatseka magazi kutuluka mumitsempha ya mesenteric. Pali mitsempha iwiri yomwe magazi amatuluka m'matumbo. Vutoli limaletsa kuyenda kwa m'matumbo ndipo limatha kuwononga matumbo.

Zomwe zimayambitsa MVT sizikudziwika. Komabe, pali matenda ambiri omwe angayambitse MVT. Matenda ambiri amayambitsa kutupa (kutupa) kwa minofu yozungulira mitsempha, ndikuphatikizanso:

• Zowonjezera
• Khansa yam'mimba
• Zosintha
• Chiwindi matenda ndi matenda enaake
• Kuthamanga kwa magazi m'mitsempha yamagazi ya chiwindi
• Opaleshoni m'mimba kapena zoopsa
• Pancreatitis
• Matenda otupa
• Mtima kulephera
• Mapuloteni C kapena S zofooka
• Polycythemia vera
• Thrombocythemia yofunikira

Anthu omwe ali ndi zovuta zomwe zimapangitsa kuti magazi azikhala omangika pamodzi (clot) ali ndi chiopsezo chachikulu cha MVT. Mapiritsi oletsa kubereka ndi mankhwala a estrogen nawonso amawonjezera chiopsezo.

MVT imadziwika kwambiri mwa amuna kuposa akazi. Zimakhudza makamaka achikulire kapena achikulire.

Zizindikiro zimatha kuphatikizira izi:

• Kupweteka m'mimba, komwe kumatha kuwonjezeka mukatha kudya komanso kupitilira nthawi
• Kuphulika
• Kudzimbidwa
• Kutsekula m'mimba
• Malungo
• Kusokonezeka
• Kutaya magazi m'munsi
• Kusanza ndi nseru

CT scan ndiye mayeso oyeserera omwe amagwiritsidwa ntchito pozindikira MVT.

Mayesero ena atha kuphatikizira:

• Angiogram (kuphunzira momwe magazi amayendera mpaka m'matumbo)
• MRI ya pamimba
• Ultrasound pamimba ndi mitsempha ya mesenteric

Ochepetsa magazi (makamaka heparin kapena mankhwala okhudzana nawo) amagwiritsidwa ntchito pochiza MVT pakakhala kuti palibe magazi. Nthawi zina, mankhwala amatha kuperekedwa molunjika mu chotsekera kuti awasungunule. Njirayi imatchedwa thrombolysis.

Pafupipafupi, chovalacho chimachotsedwa ndi mtundu wa opaleshoni yotchedwa thrombectomy.

Ngati pali zizindikilo za matenda akulu otchedwa peritonitis, opareshoni yochotsa matumbo imachitika. Pambuyo pa opaleshoni, ileostomy (yotsegula kuchokera m'matumbo ang'onoang'ono kupita m'thumba pakhungu) kapena colostomy (kutsegula kuchokera pakoloni kupita pakhungu) kungafunike.

Chiwonetsero chimadalira chifukwa cha thrombosis komanso kuwonongeka kwa m'matumbo. Kulandila chithandizo chamatenda matumbo asanamwalire kumatha kuchira.

Matenda am'mimba ndi vuto lalikulu la MVT. Gawo kapena matumbo onse amafa chifukwa chosowa magazi.

Lumikizanani ndi omwe amakuthandizani ngati muli ndi zowawa m'mimba.

MVT

Cloud A, Dussel JN, Webster-Lake C, Indes J. Mesenteric ischemia. Mu: Yeo CJ, mkonzi. Opaleshoni ya Shackelford ya Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 87.

Feuerstadt P, Brandt LJ. Matenda a ischemia. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 118.

Roline CE, Reardon RF. Kusokonezeka kwa matumbo ang'onoang'ono. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 82.