Nutcracker Syndrome: Zomwe Muyenera Kudziwa

Zamkati

• Chidule
• Zizindikiro zofala
• Zomwe zimayambitsa komanso zoopsa
• Momwe amadziwika
• Momwe amathandizidwira
• Kulimba
• Opaleshoni ya chotengera magazi
• Maganizo ake ndi otani?

Chidule

Impso zanu ndi ziwalo ziwiri zopangidwa ndi nyemba zomwe zimayang'anira ntchito zofunika mthupi lanu, monga:

• kuchotsa zinyalala m'magazi ako
• kulinganiza madzi amthupi
• kupanga mkodzo

Impso iliyonse imakhala ndi mtsempha umodzi womwe umanyamula magazi osakanizidwa ndi impso mumadongosolo azungulira. Izi zimatchedwa mitsempha ya impso.Nthawi zambiri pamakhala m'modzi kumanja wina kumanzere. Komabe, pakhoza kukhala kusiyanasiyana.

Mu matenda a nutcracker, zizindikilo zimayambitsidwa nthawi zambiri pamene mtsempha wa impso wakumanzere wochokera ku impso zakumanzere umapanikizika ndipo magazi samatha kuyenda bwinobwino. M'malo mwake, magazi amayenda cham'mbuyo kupita mumitsempha ina ndikuwapangitsa kutupa. Izi zitha kuchulukitsanso impso zanu ndikupangitsa zizindikilo monga.

Pali mitundu iwiri yayikulu ya matenda a nutcracker: anterior and posterior. Palinso ma subtypes angapo. Akatswiri ena amaika magulu ang'onoang'onowa m'gulu lachitatu lotchedwa "osakanikirana."

Mu anterior nutcracker syndrome, mtsempha wam'mimba wamanzere umapanikizika pakati pa aorta ndi mtsempha wina wam'mimba. Uwu ndiye mtundu wofala kwambiri wa matenda a nutcracker.

Mu matenda am'mbuyo a nutcracker, mtsempha wam'mimba wamanzere umakhala wopanikizika pakati pa aorta ndi msana. Mumtundu wosakanikirana, pamakhala kusintha kosiyanasiyana kwamitsempha yamagazi komwe kumatha kuyambitsa zizindikilo.

Matenda a Nutcracker adatchulidwa chifukwa kupanikizika kwa mitsempha ya impso kuli ngati nutcracker ikuphwanya mtedza.

Zizindikiro zofala

Matendawa akakhala kuti alibe zizindikiro, nthawi zambiri amadziwika kuti nutcracker phenomenon. Zizindikiro zikangochitika amatchedwa matenda a nutcracker. Zizindikiro zofala zimaphatikizapo:

• magazi mkodzo wanu
• kupweteka kwa m'chiuno
• kupweteka m'mbali kapena pamimba panu
• mapuloteni mumkodzo wanu, omwe amatha kudziwa ndi dokotala
• kupweteka panthawi yogonana
• mitsempha yowonjezera m'matumbo
• mutu wopepuka mutayimirira, koma osakhala pansi

Zomwe zimayambitsa komanso zoopsa

Zomwe zimayambitsa matenda a nutcracker zimatha kusiyanasiyana. amabadwa ali ndi mitsempha yambiri yamagazi yomwe ingayambitse zizindikiritso za nutcracker syndrome. imatha kukhala ndi matendawa chifukwa chosintha m'mimba. Zizindikiro ndizofala kwambiri mwa akazi azaka za 20 ndi 30, koma zimatha kukhudza aliyense wazaka zilizonse.

Zina mwazomwe zingapangitse mwayi wokhala ndi matenda a nutcracker ndi awa:

• zotupa za kapamba
• zotupa m'matumba okutira m'mimba mwanu
• khola lakuthwa kwambiri lakumunsi
• nephroptosis, impso yanu ikagwa m'chiuno mukamaimirira
• aneurysm m'mimba mwanu msempha
• kusintha msanga msinkhu kapena kulemera
• mndandanda wotsika wa thupi
• ma lymph node owonjezera m'mimba mwanu
• mimba

Kwa ana, kukula msanga msinkhu kumatha kubweretsa matenda a nutcracker. Pamene thupi limasintha, mitsempha ya impso imatha kupanikizika. Ana amakhala ndi zizindikiro zochepa poyerekeza ndi achikulire. Matenda a Nutcracker sanatengere cholowa.

Momwe amadziwika

Choyamba, dokotala wanu adzakuyesani. Kenako, atenga mbiri ya zamankhwala ndikufunsani za zisonyezo zanu kuti ziwathandize kuchepetsa matenda omwe angachitike.

Ngati akuganiza kuti nutcracker syndrome, dokotala wanu amatenga zitsanzo za mkodzo kuti afufuze magazi, mapuloteni, ndi mabakiteriya. Zitsanzo zamagazi zitha kugwiritsidwa ntchito kuwunika kuchuluka kwa maselo amwazi wamagazi ndi impso. Izi ziwathandiza kuti muchepetse matenda anu.

Kenaka, dokotala wanu angakulimbikitseni Doppler ultrasound m'dera lanu la impso kuti muwone ngati muli ndi magazi osazolowereka kudzera m'mitsempha ndi m'mitsempha yanu.

Kutengera mawonekedwe anu ndi zizindikilo zanu, dokotala wanu amalimbikitsanso CT scan kapena MRI kuti ayang'ane impso zanu, mitsempha yanu, ndi ziwalo zina kuti muwone komwe mitsempha imapanikizika. Angathenso kulangiza biopsy ya impso kuti ithetse zina zomwe zingayambitse zofananira.

Momwe amathandizidwira

Nthaŵi zambiri, ngati zizindikiro zanu ndizochepa, dokotala wanu angakulimbikitseni kuti muwone matenda anu a nutcracker. Izi ndichifukwa choti nthawi zina zimatha zokha, makamaka kwa ana. Kwa ana ochepera zaka 18, kafukufuku akuwonetsa kuti zizindikiritso za nutcracker syndrome zitha kudzithetsa pafupifupi nthawiyo.

Ngati dokotala akulangizani kuti muwone, adzakuyesani mkodzo pafupipafupi kuti muwone momwe matenda anu akuyendera.

Ngati zizindikiro zanu ndizolimba kwambiri kapena sizikusintha mukatha kuwona miyezi 18 mpaka 24, mungafunike chithandizo. Pali zosankha zosiyanasiyana.

Kulimba

Stent ndi chubu chaching'ono chomwe chimagwira mitsempha yopanikizika ndikulola magazi kuyenda bwinobwino. Njirayi yakhala ikugwiritsidwa ntchito kwa zaka pafupifupi 20 pochiza vutoli.

Dokotala wanu amatha kuyiyika podula kachidutswa kakang'ono mwendo wanu ndikugwiritsa ntchito catheter kuti musunthire stent pamalo oyenera mkati mwa mtsempha wanu. Komabe, monga njira iliyonse, pali zoopsa.

Pafupifupi 7 peresenti ya anthu amasunthika. Izi zitha kubweretsa zovuta monga:

• kuundana kwamagazi
• kuvulala kwa mtsempha wamagazi
• misozi yayikulu mu khoma la mtsempha wamagazi

Kukhazikitsidwa kolimba kumafunikira kukhala mchipatala usiku wonse ndikuchira kwathunthu kumatha kutenga miyezi ingapo. Inu ndi dokotala muyenera kukambirana za kuopsa ndi phindu la njirayi, komanso njira zina zamankhwala.

Opaleshoni ya chotengera magazi

Ngati muli ndi zizindikiro zowopsa, opaleshoni yamitsempha yamagazi ikhoza kukhala njira yabwinoko kwa inu. Dokotala wanu angakulimbikitseni njira zosiyanasiyana zochitira opaleshoni kuti muchepetse kupanikizika. Zosankha zitha kuphatikizira kusunthira mtsempha ndikuyiyikanso, chifukwa siyikupezeka m'malo omwe ingafinyidwe.

Njira ina ndikudutsira opaleshoni, momwe mtsempha wotengedwa kuchokera kwina kulikonse mthupi lanu umalumikizidwa kuti usinthe mtsempha woponderezedwa.

Kuchira kuchokera ku opaleshoni kumadalira mtundu wa opareshoni ndi thanzi lanu lonse. Zimatenga miyezi ingapo.

Maganizo ake ndi otani?

Matenda a Nutcracker amatha kukhala ovuta kuti madokotala azindikire, koma akawapeza, mawonekedwe ake amakhala abwino. Kuwongolera vutoli kumadalira choyambitsa.

Nthawi zambiri kwa ana, matenda a nutcracker omwe ali ndi zizindikilo zofatsa amadzisintha okha pakatha zaka ziwiri. Ngati muli ndi zizindikilo zowopsa, njira zingapo zitha kupezeka kuti zithetse mitsempha yomwe yakhudzidwa ndikukhala ndi zotsatira zabwino zopumulira kwakanthawi kochepa komanso kwakanthawi.

Mwa iwo omwe ali ndi matenda a nutcracker chifukwa cha matenda ena kapena zotupa, kukonza vuto lamagazi kumafunikira kukonza kapena kuchitira chomwe chikuyambitsa.