Mesenteric venous thrombosis

Mesenteric venous thrombosis (MVT) inguva yeropa mune rimwe kana akawanda ematsinga makuru anodurura ropa kubva muura. Iyo yepamusoro mesenteric vein inowanzo kuve inobatanidzwa.

MVT idombo rinovhara ropa kuyerera mune mesenteric vein. Pane tsinga mbiri dzakadai dzinobuda neropa ura. Mamiriro acho anomisa kutenderera kweropa muura uye zvinogona kukonzera kukuvara kwemukati.

Icho chaicho chikonzero cheMVT hachizivikanwe. Zvisinei, kune zvakawanda zvirwere zvinogona kutungamirira kuMVT. Zvizhinji zvezvirwere zvinokonzeresa kuzvimba (kuzvimba) kwezvinyama zvakakomberedza mutsinga, uye zvinosanganisira:

• Appendicitis
• Gomarara remudumbu
• Diverticulitis
• Chiropa chirwere chine cirrhosis
• Kuwedzera kweropa mumidziyo yeropa yechiropa
• Kuvhiyiwa kwemimba kana kushungurudzika
• Pancreatitis
• Kuzvimba ura kusagadzikana
• Kutadza kwemoyo
• Mapuroteni C kana S kushomeka
• Polycythemia vera
• Yakakosha thrombocythemia

Vanhu vane kusagadzikana kunoita kuti ropa riwedzere kunamatira pamwechete (kugwamba) vane njodzi yakanyanya yeMVT. Mapiritsi ekudzivirira kuberekwa uye mishonga yesrogen inowedzera njodzi.

MVT yakajairika mune varume kupfuura vakadzi. Inonyanya kukanganisa vakuru vepakati kana vakuru vakuru.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kutambudzika kwepamuviri, uko kunogona kuwedzera zvakanyanya mushure mekudya uye nekufamba kwenguva
• Bloating
• Kuzvimbirwa
• Manyoka eropa
• Kupindwa nechando
• Sepic kuvhunduka
• Kunze kwepamuviri kubuda ropa
• Kusvipa nekusvotwa

A CT scan ndiyo bvunzo huru inoshandiswa kuongorora MVT.

Mimwe bvunzo inogona kusanganisira:

• Angiogram (kudzidza kuyerera kweropa kuenda muura)
• MRI yemudumbu
• Ultrasound yemudumbu uye mesenteric mutsinga

Ropa rakapfava (kazhinji heparin kana mishonga inoenderana) inoshandiswa kurapa MVT kana pasina kubuda ropa kwakabatana. Mune zvimwe zviitiko, mushonga unogona kuendeswa wakananga muhembe kuti uuparadze. Iyi nzira inonzi thrombolysis.

Pasina kazhinji, iro bvudzi rinobviswa nerudzi rwekuvhiya unonzi thrombectomy.

Kana paine zviratidzo nezviratidzo zvehutachiona hwakakomba hunonzi peritonitis, kuvhiya kubvisa ura kunoitwa. Mushure mekuvhiyiwa, ileostomy (kuvhura kubva mudumbu diki kupinda muhombodo paganda) kana colostomy (kuvhura kubva kukoloni kuenda paganda) kunogona kudikanwa.

Maonero anoenderana nechikonzero cheiyo thrombosis uye chero kukuvara kwemukati. Kuwana kurapwa kwechikonzero ura husati hwafa kunogona kukonzera kupora kwakanaka.

Utumbo ischemia idambudziko rakakomba reMVT. Chikamu kana ura hwese hunofa nekuda kwekushaikwa kweropa.

Bata wako mupi wezvehutano kana iwe uine zvakakomba kana kudzokorora zvikamu zvekurwadziwa mudumbu.

MVT

Cloud A, Dussel JN, Webster-Lake C, Indes J. Mesenteric ischemia. Mune: Yeo CJ, ed. Kuvhiya kwaShackelford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 87.

Feuerstadt P, Brandt LJ. Utumbo ischemia. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 118.

Roline CE, Reardon RF. Kushungurudzika kwemukati mudumbu. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 82.