Renal vein thrombosis

Renal vein thrombosis ropa rinovhara iro rinobuda mutsinga inoburitsa ropa kubva muitsvo.

Renal vein thrombosis chirwere chisingawanzoitika. Inogona kukonzerwa ne:

• Abdominal aortic aneurysm
• Hypercoagulable nyika: kuomesa kusagadzikana
• Kupera mvura mumuviri (kunyanya muvacheche)
• Estrogen kushandiswa
• Nephrotic chirwere
• Kubata pamuviri
• Mavara ekuumbwa nekumanikidza pane iyo renal vein
• Trauma (kumashure kana mudumbu)
• Bundu

Muvanhu vakuru, chinonyanya kukonzerwa nephrotic syndrome. Mune vacheche, chinonyanya kukonzeresa kushaya mvura mumuviri.

Zviratidzo zvinogona kusanganisira:

• Ropa rinovhara kumapapu
• Uropa weti
• Yakaderera weti kubuda
• Flank kurwadziwa kana kurwadziwa kwepashure

Bvunzo dzinogona kusaratidza dambudziko chairo. Nekudaro, inogona kuratidza nephrotic syndrome kana zvimwe zvikonzero zveitsvo vein thrombosis.

Miedzo inosanganisira:

• Abdominal CT scan
• Abdominal MRI
• Abdominal ultrasound
• Duplex Doppler bvunzo yeiyo itsvo tsinga
• Urinalysis inogona kuratidza mapuroteni mumuguta kana masero matsvuku eropa mumurini
• X-ray yeitsvo tsinga (venography)

Mushonga unobatsira kudzivirira kuumbwa kwemachira matsva uye kunoderedza njodzi yekugwamba kuenda kune dzimwe nzvimbo mumuviri (embolization).

Unogona kuwana mishonga inodzivirira kugwamba kweropa (anticoagulants). Iwe unogona kuudzwa kuti uzorore pamubhedha kana kutapudza pane chiitiko kwenguva pfupi.

Kana kukurumidza kweitsvo kukundikana, ungangoda dialysis kwenguva pfupi.

Renal vein thrombosis inowanzo kuve nani nekufamba kwenguva pasina kukuvara kusingaperi kune itsvo.

Zvinetso zvinogona kusanganisira:

• Kukundikana kwakanyanya kweitsvo (kunyanya kana thrombosis ikaitika mumwana asina mvura)
• End danho renal chirwere
• Ropa rinovhara rinoenda kumapapu (pulmonary embolism)
• Kuumbwa kweropa idzva

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zveitsvo vein thrombosis.

Kana iwe wakamboona renal vein thrombosis, fonera mupi wako kana iwe uine:

• Kupera mukubuda kweweti
• Matambudziko ekufema
• Zvimwe zviratidzo zvitsva

Muzviitiko zvakawanda, hapana imwe nzira chaiyo yekudzivirira renal vein thrombosis. Kuchengeta mvura yakakwana mumuviri kunogona kubatsira kudzikisa njodzi.

Aspirin dzimwe nguva inoshandiswa kudzivirira renal vein thrombosis muvanhu vakamboiswa itsvo. Ropa rakapfava senge warfarin inogona kukurudzirwa kune vamwe vanhu vane chirwere chisingaperi cheitsvo.

Ropa rinovhara mumutsipa weitsvo; Kuvhara - itsvo tsinga

• Itsvo anatomi
• Itsvo - kuyerera kweropa uye weti

Dubose TD, Santos RM. Vascular kusagadzikana kwetsvo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 125.

Greco BA, Umanath K.Renovascular hypertension uye ischemic nephropathy. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 41.

Ruggenenti P, Cravedi P, Remuzzi G.Microvascular uye macrovascular hosha dzeitsvo. Mune: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner uye Rector Iyo Itsvo. 10th ed. Philadelphia, PA: Elsevier; 2016: chits. 35.