Matenda a May-Thurner

Zamkati

• Kodi zizindikiro za matenda a May-Thurner ndi ziti?
• Kodi zifukwa zoyambitsa matenda a May-Thurner ndi ziti?
• Kodi amapezeka bwanji?
• Kodi matenda a May-Thurner amathandizidwa bwanji?
• Chithandizo cha matenda a May-Thurner
• Chithandizo cha DVT
• Ndi zovuta ziti zomwe zimakhudzana ndi matenda a May-Thurner?
• Kodi kuchira kuchokera ku opareshoni kuli bwanji?
• Kukhala ndi matenda a May-Thurner

Kodi May-Thurner syndrome ndi chiyani?

Matenda a May-Thurner ndi omwe amachititsa kuti mtsempha wa kumanzere ukhale wochepa chifukwa cha kupanikizika kwa mitsempha yoyenera.

Amadziwikanso kuti:

• Matenda a iliac vein compression
• kupanikizika kwa iliocaval
• Matenda a Cockett

Mitsempha yakumanzere ndiyo mitsempha yayikulu mu mwendo wanu wamanzere. Zimagwira ntchito kuti mubweretse magazi kumtima kwanu. Mitsempha yamtundu woyenera ndiyo mitsempha yayikulu mu mwendo wanu wamanja. Amapereka magazi kumiyendo yako yakumanja.

Mitsempha ya iliac yolondola nthawi zina imatha kukhala pamwamba pa mtsempha wa iliac kumanzere, ndikupangitsa kukakamizidwa ndi matenda a May-Thurner. Kupanikizika uku pamitsempha ya iliac kumanzere kumatha kuyambitsa magazi kutuluka modabwitsa, zomwe zimatha kukhala ndi zotsatirapo zoyipa.

Kodi zizindikiro za matenda a May-Thurner ndi ziti?

Anthu ambiri omwe ali ndi matenda a May-Thurner samakumana ndi zizindikiritso zilizonse pokhapokha atayambitsa vuto la mitsempha yozama (DVT).

Komabe, chifukwa matenda a May-Thurner atha kupanga zovuta kuti magazi azizungulira mumtima mwanu, anthu ena amatha kukhala ndi zizindikilo popanda DVT.

Zizindikirozi zimachitika makamaka mwendo wamanzere ndipo zimatha kuphatikiza:

• kupweteka kwa mwendo
• kutupa kwa mwendo
• kumva kulemera mwendo
• kupweteka kwa mwendo ndikuyenda (venous claudication)
• khungu
• Zilonda zam'miyendo
• mitsempha yotukuka mwendo

DVT ndi magazi omwe amatha kuchepetsa kapena kulepheretsa magazi kuthamanga mumitsempha.

Zizindikiro za DVT ndizo:

• kupweteka kwa mwendo
• kukoma kapena kuponda mwendo
• khungu lomwe limawoneka lofiira, lofiira, kapena lotentha ndikuligwira
• kutupa mwendo
• kumva kulemera mwendo
• mitsempha yotukuka mwendo

Azimayi amadwala matenda am'chiuno. Chizindikiro chachikulu cha matenda am'chiuno ndikumva kupweteka kwa m'chiuno.

Kodi zifukwa zoyambitsa matenda a May-Thurner ndi ziti?

Matenda a May-Thurner amayamba chifukwa cha mtsempha wolondola womwe uli pamwamba pake ndikuyika kukakamiza pamitsempha ya kumanzere m'mimba mwanu. Othandizira azaumoyo sakudziwa chifukwa chake izi zimachitika.

Ndizovuta kudziwa kuti ndi anthu angati omwe ali ndi matenda a May-Thurner chifukwa nthawi zambiri samakhala ndi zisonyezo. Komabe, malinga ndi kafukufuku wa 2015, akuti anthu omwe amapanga DVT amatha kuyambitsa matenda a May-Thurner.

Pakafukufuku wa 2018, matenda a May-Thurner amapezeka mwa amayi poyerekeza ndi amuna. Kuphatikiza apo, matenda ambiri a May-Thurner amapezeka mwa anthu azaka zapakati pa 20 ndi 40, malinga ndi lipoti la 2013 ndikuwunikanso.

Zowopsa zomwe zitha kuwonjezera chiopsezo cha DVT mwa anthu omwe ali ndi matenda a May-Thurner ndi awa:

• kusagwira ntchito kwanthawi yayitali
• mimba
• opaleshoni
• kusowa kwa madzi m'thupi
• matenda
• khansa
• kugwiritsa ntchito mapiritsi olera

Kodi amapezeka bwanji?

Kulephera kwa matenda a May-Thurner kungapangitse kuti zikhale zovuta kuti othandizira azaumoyo azindikire. Wothandizira zaumoyo wanu ayamba kufunsa mbiri yanu yazachipatala ndikukuyesani.

Wopereka chithandizo chamankhwala adzagwiritsa ntchito mayeso a kujambula kuti athandizire kuchepa mumitsempha yanu yakumanzere. Njira yachilendo kapena yolanda ikhoza kugwiritsidwa ntchito.

Zitsanzo zina za mayesero ojambula omwe wothandizira zaumoyo wanu angachite ndi awa:

Mayeso osadziwika:

• akupanga
• Kujambula kwa CT
• Kujambula kwa MRI
• kachilombo

Mayeso ovuta:

• venogram ofotokoza catheter
• intravascular ultrasound, yomwe imagwiritsa ntchito catheter kuti ipange ultrasound kuchokera mkati mwamitsempha yamagazi

Kodi matenda a May-Thurner amathandizidwa bwanji?

Sikuti aliyense amene ali ndi matenda a May-Thurner angadziwe kuti ali nawo. Komabe, vutoli lingafune chithandizo ngati liyamba kutulutsa zizindikilo.

Ndikofunika kudziwa kuti ndizotheka kukhala ndi May-Thurner syndrome osakhala ndi DVT.

Kuchepetsa kuthamanga kwa magazi komwe kumakhudzana ndi kuchepa kwa mitsempha ya kumanzere kumatha kuyambitsa zizindikilo monga:

• ululu
• kutupa
• Zilonda zam'miyendo

Chithandizo cha matenda a May-Thurner

Kuchiza matenda a May-Thurner kumayang'ana pakukweza magazi mumitsempha ya kumanzere. Njira yothandizirayi sikuti imangothandiza kuchepetsa zizindikilo, komanso imachepetsa chiopsezo chokhala ndi DVT.

Pali njira zingapo zomwe zingakwaniritsire izi:

• Angioplasty ndi stenting: Catheter yaying'ono yokhala ndi buluni kunsonga kwake imalowetsedwa mumtsempha. Buluni yadzaza kuti atsegule mitsempha. Tepu yaying'ono yotchedwa stent imayikidwa kuti mitsempha ikhale yotseguka. Buluni imachotsedwa ndikuchotsedwa, koma stent imakhalabe m'malo.
• Opaleshoni yolambalala: Magazi amabweretsedwanso mozungulira gawo lopanikizika la mtsempha ndi kulambalala.
• Kuyikanso mtsempha wolondola wa iliac: Mitsempha ya iliac yolondola imasunthidwa kuseri kwa mtsempha wa iliac wakumanzere, chifukwa chake siyimakakamiza. Nthawi zina, minofu imatha kuikidwa pakati pa mtsempha wa kumanzere ndi mtsempha woyenera kuti muchepetse kupanikizika.

Chithandizo cha DVT

Ngati muli ndi DVT chifukwa cha Meyi-Thurner syndrome, omwe amakuthandizani azaumoyo atha kugwiritsa ntchito mankhwalawa:

• Opaka magazi: Ochepetsa magazi amatha kuthandiza kupewa magazi.
• Mankhwala osokoneza bongo: Ngati opopera magazi sakukwanira, mankhwala osokoneza bongo amatha kuperekedwa kudzera pa catheter kuti athandizire kuphwanya. Zitha kutenga kulikonse kuyambira maola ochepa mpaka masiku ochepa kuti chovalacho chisungunuke.
• Fyuluta ya Vena cava: Fyuluta ya vena cava imathandiza kuteteza magazi kuundana kuti musasunthire m'mapapu anu. Catheter imalowetsedwa mumtsempha m'khosi kapena kubuula kwanu kenako ndikulowa m'malo otsika otsika. Chosefacho chimagwira kuundana kuti asafikire pamapapu anu. Sizingaletse kuundana kwatsopano kupanga.

Ndi zovuta ziti zomwe zimakhudzana ndi matenda a May-Thurner?

DVT ndiye vuto lalikulu la May-Thurner syndrome, koma limakhalanso ndi zovuta zake. Magazi atagundika mwendo atuluka, amatha kuyenda m'magazi. Ngati ifika pamapapu anu, imatha kuyambitsa kutsekeka kotchedwa pulmonary embolism.

Izi zitha kukhala zoopsa zomwe zimafunikira chithandizo chadzidzidzi.

Pezani thandizo mwachangu mukakumana ndi izi:

• kupuma movutikira
• kupweteka pachifuwa
• kutsokomola chisakanizo cha magazi ndi ntchofu

Kodi kuchira kuchokera ku opareshoni kuli bwanji?

Opaleshoni ina yokhudzana ndi matenda a May-Thurner yachitika mwachipatala, kutanthauza kuti mutha kupita kwanu tsiku lomwelo mukatha. Muyenera kubwereranso kuzinthu zabwinobwino masiku angapo mpaka sabata.

Kuti muchite zambiri pochita opaleshoni, mudzakhala ndi zowawa pambuyo pake. Zitha kutenga milungu ingapo kwa miyezi ingapo kuti achire.

Wothandizira zaumoyo wanu adzakulangizani momwe mungafunikire kutsatira. Ngati muli ndi stent, mungafunike kuyang'aniridwa ndi ultrasound patatha sabata mutachitidwa opaleshoni, komanso kuwunika kwakanthawi pambuyo pake.

Kukhala ndi matenda a May-Thurner

Anthu ambiri omwe ali ndi matenda a May-Thurner amadutsa m'moyo osadziwa kuti ali nawo. Ngati imayambitsa DVT, pali njira zingapo zothandizira. Ndikofunika kuti muwonetsetse kuti mukudziwa zizindikilo za m'mapapo mwanga kuti muthe kupeza thandizo mwachangu.

Ngati muli ndi zizindikilo zosatha za Meyi-Thurner syndrome, lankhulani ndi omwe amakuthandizani pazazovuta zanu. Amatha kugwira ntchito limodzi nanu kuti adziwe momwe aliri ndikukulangizani za njira zabwino zochiritsira ndikusamalira.