Matenda a May Thurner, kapena vuto la mimba ya iacac, amapezeka pamene mitsempha yowongoka yowongoka imadutsa pamtunda wokhoma wamtunduwu, kuumitsa pakati pa mitsempha ndi msana. Kusintha kumeneku m'thupi kumapangitsa kuti pakhale mwayi wokhala ndi mitsempha yothamanga kwambiri (DVT) .
Zizindikiro za May Thurner Syndrome
Anthu onse omwe ali ndi matenda a May Thurner sadzakhala ndi zizindikiro zowonjezereka ndi kupweteka kwa mitsempha yowongoka yomwe imapezeka.
Nthawi zina, zimapezeka mwadzidzidzi pamene kuganizira (makamaka CT scan kapena MRI) kumachitika pazifukwa zina. Nthawi zambiri zimapezeka pa ntchito ya DVT ya mwendo wakumanzere. Zizindikiro zingakhale kuphweteka ndi / kapena kutupa. Matenda a May Thurner amapezeka kawirikawiri kwa amayi a zaka zapakati pa 20 ndi 50.
Kuwonjezeka kwa Mipira ya Magazi
Kupweteka kwa mitsempha yowongoka yomwe imapezeka kumanzere kumayambitsa kukwiya / kuvulala ku chotengera cha magazi, zomwe zimapangitsa kuti mitsempha ya magazi iwonongeke. Kuphulika kwa mitsempha yamagazi kumayambitsa kukhazikitsidwa kwa magazi (komwe kumatchedwanso stasis), zomwe zimapangitsa kuti pakhale chiopsezo chodziwidwa. Choopsya ichi pamodzi ndi zifukwa zina zoopsa zowonongeka , monga kupatsirana kwa pakhosi (mapiritsi oletsa kubereka) kapena kulephera kwanthawi yaitali kukachita opaleshoni, zingapangitse kuti ngoziyi iwonjezeke.
Kudziwa
Kuzindikira matenda a May Thurner kungakhale kovuta chifukwa cha mitsempha ya magazi.
Magazi ambiri m'magazi ndi miyendo amatha kuwoneka pa Doppler ultrasound, koma mitsempha ya magazi ya pelvis siyi.
Matenda a May Thurner ayenera kuonedwa kuti ndi chifukwa chosavomerezeka (popanda chifukwa chodziwika ngati chisonkhezero kapena matenda) magazi amagazi kumbuyo kwa mwendo wakumanzere, makamaka ngati pakhala mzere woposa umodzi kumbuyo kwa mwendo wakumanzere.
Kudziwa zambiri kumafuna chithunzi chodziwika bwino cha mitsempha yamagazi, monga CT (CAT) venography kapena magnetic resonance venography (MRI ya mitsempha). Mitsempha yotchedwa ultrasound (ultrasound mkati mwa mitsuko yamagazi) ikhoza kukhala yothandiza kwambiri pakuwona kuponderezana kwa mzere wokhoma wamtundu wa Iliac.
Atazindikira kuti May Thurner ali ndi matenda, akatswiri ambiri amatha kuyambitsa ntchito yofufuza zina mwazidzidzidzi zowonongeka. Izi nthawi zambiri zimatchedwa ntchito yowonongeka.
Njira Zothandizira
Ngati magazi alipo, mankhwala ndi anticoagulation amafunika. Mwamwayi, chithandizo cha nthawi yayitali ndi antiticoagulation (magazi opaka magazi monga heparin, enoxaparin, kapena warfarin) sali okwanira kuteteza mawonekedwe ena. Chithandizo ndi mankhwala a "clot buster" monga minofu ya plasminogen activator (tPA) kapena thrombectomy (mawotchi amachotsa chophimba) nthawi zambiri amafunika panthawi yomwe amadziwa. Njirazi zikhoza kuchitidwa ndi katswiri wa radiologist kapena opaleshoni yaikulu.
Kuchiza magazi ndi gawo limodzi lokha la mankhwala. Kuchotsa magaziwa sikungagwiritse ntchito vuto lachitsulo lamanzere lomwe limakhala lopangidwa ndi makina, kuti likhale pangozi yowonongeka.
Pofuna kuteteza maonekedwe ena a magazi, tizilombo tating'ono ting'onoting'ono tingatengeke kuti titsegule. Mankhwalawa (tPA, thrombectomy, kuika kwa stent) akhoza kuchitika panthawi imodzimodzimodzi ndi intravascular ultrasound kulola kutsimikiziridwa kwa matenda ndi chitsimikizo.
Pakapita nthawi (miyezi 3 mpaka 6) mutatha kusungidwa malo, mankhwala osokoneza bongo adzapitilizidwa koma sadzafunidwa nthawi yayitali.