May-Thurner Syndrome

Zvemukati

• Ndezvipi zviratidzo zveMay-Thurner syndrome?
• Ndezvipi zvikonzero uye njodzi zviitiko zveMay-Thurner syndrome?
• Inoonekwa sei?
• Anobatwa sei May-Thurner syndrome?
• Kurapa kwaMay-Thurner syndrome
• Kurapa kweDVT
• Ndeapi matambudziko anosangana naMay-Thurner syndrome?
• Chii chinonzi kupora kubva pakuvhiyiwa senge?
• Kurarama naMay-Thurner syndrome

Chii chinonzi May-Thurner syndrome?

May-Thurner syndrome ndiyo mamiriro anokonzeresa mutsinga wekuruboshwe muhudyu mako kutetepa nekuda kwekumanikidza kubva kurudyi iliac arteri.

Iyo inozivikanwawo se:

• Iliac vein compression syndrome
• iliocaval compression syndrome
• Cockett chirwere

Rwonzi rwekuruboshwe irwo mutsinga mukuru mugumbo rako rekuruboshwe. Inoshanda kuendesa ropa kudzosera pamoyo wako. Arteri kurudyi arteri ndiyo huru arteri mugumbo rako rerudyi. Inoendesa ropa kugumbo rako rerudyi.

Arteri kurudyi arteri dzimwe nguva inogona kuzorora pamusoro peiyo kuruboshwe iliin vein, zvichikonzera kumanikidza uye May-Thurner syndrome. Uku kumanikidza kuruboshwe rweiriac vein kunogona kukonzera kuyerera kweropa zvisina kujairika, izvo zvinogona kuve nemhedzisiro.

Ndezvipi zviratidzo zveMay-Thurner syndrome?

Vazhinji vanhu vane May-Thurner syndrome havaoni chero zviratidzo kunze kwekunge zvichikonzera yakadzika vein thrombosis (DVT).

Nekudaro, nekuti May-Thurner syndrome inogona kuita kuti zvive zvakaoma kuti ropa ripararire ridzokere kumoyo wako, vamwe vanhu vanogona kuona zviratidzo pasina DVT.

Zviratidzo izvi zvinowanzoitika pagumbo reruboshwe uye zvinogona kusanganisira:

• kurwadziwa kwegumbo
• kuzvimba gumbo
• kunzwa kwekuremerwa mugumbo
• kurwadziwa kwegumbo nekufamba (venous claudication)
• kushanduka kweganda
• maronda emakumbo
• yakawedzera tsinga mugumbo

DVT ivhu reropa rinogona kunonoka kana kuvhara kuyerera kweropa mutsinga.

Zviratidzo zveDVT zvinosanganisira:

• kurwadziwa kwegumbo
• nyoro kana kupuruzira mugumbo
• ganda rinotaridzika rakatsvuka, rakatsvuka, kana rinonzwa kudziya kune iro bata
• kuzvimba gumbo
• kunzwa kwekuremerwa mugumbo
• yakawedzera tsinga mugumbo

Vakadzi vanoita pelvic congestion syndrome. Chiratidzo chikuru chepelvic congestion syndrome marwadzo epamuviri.

Ndezvipi zvikonzero uye njodzi zviitiko zveMay-Thurner syndrome?

May-Thurner syndrome inokonzereswa neariac arteri iri pamusoro uye nekuisa kumanikidza kuruboshwe rweiriac mutsinga yako. Vashandi vehutano havana chokwadi nei izvi zvichiitika.

Zvakaoma kuziva kuti vangani vanhu vane May-Thurner syndrome nekuti kazhinji haina chero zviratidzo. Zvisinei, maererano neongororo ya2015, zvinofungidzirwa kuti kune avo vanokudziridza DVT vanogona kuiti ndeyeMay-Thurner syndrome.

Nechidzidzo che2018, May-Thurner syndrome inoitika mumadzimai kana ichienzaniswa nevarume. Pamusoro pezvo, kazhinji kesi dzeMay-Thurner syndrome dzinoitika kune vanhu vari pakati pemakore makumi maviri nemakumi mana, zvinoenderana nenyaya yenyaya ya2013 uye ongororo.

Njodzi zvinhu zvinogona kuwedzera njodzi yeDVT muvanhu vane May-Thurner syndrome vanosanganisira:

• kushanda kwenguva refu
• nhumbu
• kuvhiya
• kupera mvura mumuviri
• hutachiona
• gomarara
• kushandiswa kwemapiritsi ekudzivirira kubata pamuviri

Inoonekwa sei?

Kushaya kwaMay-Thurner syndrome kunogona kuita kuti zviomere vatapi vezvehutano kuti vaone. Anopa hutano hwako anotanga nekukumbira nhoroondo yako yekurapa uye nekukuvhenekera panyama.

Mutapi wako wezvehutano anoshandisa bvunzo dzekufungidzira kuti abatsire kuona kudzikira kwako mutsinga reruboshwe. Pamwe nzira isingasvike kana inokanganisa inogona kushandiswa.

Mimwe mienzaniso yekufungidzira bvunzo yako mupi wehutano anogona kuita anosanganisira:

Noninvasive bvunzo:

• Ultrasound
• CT scan
• MRI scan
• venogram

Invasive bvunzo:

• catheter-based venogram
• intravascular ultrasound, iyo inoshandisa catheter kuti iite ultrasound kubva mukati memvura yeropa

Anobatwa sei May-Thurner syndrome?

Haasi munhu wese ane May-Thurner syndrome anozoziva kuti vanayo. Nekudaro, iyo mamiriro anogona kuda kurapwa kana ikatanga kuburitsa zviratidzo.

Izvo zvakakosha kuti uzive kuti zvinokwanisika kuve naMay-Thurner syndrome usina DVT.

Kuderedzwa kwekuyerera kweropa kwakabatana nekuderera kwetsinga iriac yeropa kunogona kukonzera zviratidzo zvakaita se:

• kurwadziwa
• kuzvimba
• maronda emakumbo

Kurapa kwaMay-Thurner syndrome

Kurapa May-Thurner syndrome inotarisa mukuvandudza kuyerera kweropa mune reruboshwe iliac vein. Iyi nzira yekurapa haingobatsira chete kubvisa zviratidzo, asi zvakare inogona kudzikisa njodzi yako yekuvandudza DVT.

Pane nzira shoma dzinoitwa izvi.

• Angioplasty uye stenting: Kateti kadiki ine bharumu pamuromo wayo inoiswa mutsinga. Bharumu rakafemerwa kuti rivhure mutsinga. Chidiki mesh chubhu inonzi stent inoiswa kuchengetedza tsinga yakavhurika. Bhaluni rakasvibiswa uye rakabviswa, asi stent inogara munzvimbo.
• Bypass kuvhiya: Ropa rinodzoreredzwa rakatenderedza chikamu chakatsindirwa chetsinga nekupfuura kubatanidza.
• Kugadzirisazve iyo irac artery kurudyi: Arteri kurudyi arteri inofambiswa kuseri kweruboshwe vheiri revini, saka haina kuisa kumanikidza pairi. Mune zvimwe zviitiko, tishu dzinogona kuiswa pakati peiyo iliac vein uye kurudyi arteri kuti ubvise kumanikidza.

Kurapa kweDVT

Kana iwe uine DVT nekuda kwaMay-Thurner syndrome, wako mupi wezvehutano anogona zvakare kushandisa zvinotevera kurapwa.

• Ropa rakapfava: Ropa rakapfava rinogona kubatsira kudzivirira kugwamba kweropa.
• Mishonga yekuvhara zvipfeko: Kana vatete veropa vasina kukwana, mishonga yekuvhara-gadzira inogona kuunzwa kuburikidza nekateti kuti ibatsire kupwanya iyo clot. Zvinogona kutora chero kupi kubva kumaawa mashoma kusvika kumazuva mashoma kuti iro ganda rinyungudike.
• Vena cava firita: Sefa yemvura inonzi vena cava inobatsira kudzivirira kugwamba kweropa kubva pakuenda kumapapu ako. Catheter inoiswa mukati mutsinga mumutsipa mako kana kugomera uye wozopinda mune yakaderera vena cava. Sefa inobata machira kuitira kuti asasvike pamapapu ako. Izvo hazvigone kumisa matsva matsva kubva pakuumba.

Ndeapi matambudziko anosangana naMay-Thurner syndrome?

DVT ndiyo inonyanya kuomesa May-Thurner syndrome inokonzeresa, asi inogona zvakare kuve yayo matambudziko. Kana ropa rakavhara mugumbo rakasununguka, rinogona kufamba nemuropa. Kana ikasvika pamapapu ako, inogona kukonzera kuvharika kunozivikanwa seyemapapu embolism.

Izvi zvinogona kuve hupenyu hunotyisidzira hunoda kurapwa kwekukurumidza.

Wana rubatsiro rwekukurumidza kana uchinge wawana:

• mweya wekufema
• kurwadziwa pachipfuva
• kukosora musanganiswa weropa nemamota

Chii chinonzi kupora kubva pakuvhiyiwa senge?

Kumwe kuvhiyiwa kwakabatana neMay-Thurner syndrome kunoitwa kunze kwechipatara, zvichireva kuti unogona kuenda kumba zuva rimwe chete mushure mekuva navo. Iwe unofanirwa kukwanisa kudzokera kune zvakajairika zviitiko mukati memazuva mashoma kusvika pavhiki.

Kune zvakanyanya kubatanidzwa pakuvhiya, iwe unozonzwa kushushikana mushure. Zvinogona kutora mavhiki akati wandei kuti uwanezve zvizere.

Anopa hutano hwako anokuraira kuti kangani kaunoda kutevedzera. Kana iwe uine stent, iwe ungangoda yekutarisa yeultround kwevhiki mushure mekuvhiyiwa, pamwe ne periodic yekutarisa mushure meizvozvo.

Kurarama naMay-Thurner syndrome

Vanhu vazhinji vane May-Thurner syndrome vanoenda kuburikidza nehupenyu vasina kumboziva kuti vanayo. Kana ichikonzera DVT, pane nzira dzakasiyana dzekurapa dzinoshanda. Izvo zvakakosha kuti uve nechokwadi chekuti iwe unoziva zviratidzo zve pulmonary embolism kuitira kuti ugone kuwana nekukurumidza rubatsiro.

Kana uine zviratidzo zvisingaperi zveMay-Thurner syndrome, taura nemupi wako wezvehutano nezve izvo zvinokunetsa. Ivo vanogona kushanda padhuze newe kuti uongorore mamiriro ako uye nekukuraira iwe munzira dzakanakisa dzekurapa nekugadzirisa.