Thapo ea methapo ea pelo

Lefu la methapo ea pelo ke leqhubu la mali le hlahang mothapong o ntšang mali liphio.

Renal vein thrombosis ke boloetse bo sa tloaelehang. E ka bakoa ke:

• Mpeng aortic aneurysm
• Boemo bo ke keng ba fetoloa: mathata a ho koala
• Ho felloa ke metsi 'meleng (haholo masea)
• Tšebeliso ea Estrogen
• Lefu la Nephrotic
• Boimana
• Tlhahiso ea maqeba le khatello ea mothapo oa renal
• Trauma (ho ea mokokotlong kapa mpeng)
• Hlahala

Ho batho ba baholo, sesosa se tloaelehileng ke lefu la nephrotic. Ho masea, sesosa se tloaelehileng ke ho felloa ke metsi 'meleng.

Matšoao a ka kenyelletsa:

• Ho koala mali ho ea matšoafong
• Moroto o nang le madi
• Ho fokotsa tlhahiso ea moroto
• Bohloko ba Flank kapa bohloko bo bohloko ba morao

Tlhatlhobo e kanna ea senola bothata bo itseng. Leha ho le joalo, e kanna ea supa lefu la nephrotic kapa lisosa tse ling tsa thrombosis ea methapo ea pelo.

Liteko li kenyelletsa:

• Tlhaloso ea mpa ea mpa
• MRI ea mpeng
• Mpa ea ka mpeng
• Tlhahlobo ea Duplex Doppler ea methapo ea liphio
• Ho hlahlojoa ha metsi ho ka bontša protheine ka har'a moroto kapa lisele tse khubelu tsa mali ka morong
• X-ray ea methapo ea liphio (venography)

Kalafo e thusa ho thibela ho theoa ha masela a macha le ho fokotsa menyetla ea ho hoama ho ea libakeng tse ling 'meleng (embolization).

U ka fumana meriana e thibelang ho hoama ha mali (li-anticoagulants). U kanna oa bolelloa hore u phomole liphateng kapa u theole mosebetsi nako e khuts'oane.

Haeba ho hloleha ha liphio ka tšohanyetso ho hlaha, o ka hloka dialysis nako e khuts'oane.

Hangata renal vein thrombosis e ba betere ho feta nako ntle le tšenyo e sa feleng liphio.

Mathata a ka kenyelletsa:

• Ho hloleha ho matla ha renal (haholoholo ha thrombosis e hlaha ho ngoana ea felloang ke metsi)
• Qetellong ea lefu la renal
• Ho koala mali ho ea matšoafong (pulmonary embolism)
• Ho thehoa hoa mali a macha

Bitsa mofani oa tlhokomelo ea bophelo haeba u na le matšoao a renal vein thrombosis.

Haeba u kile ua ba le lefu la methapo ea pelo, letsetsa mofani oa hau haeba u na le:

• Fokotsa tlhahiso ea moroto
• Mathata a phefumolohang
• Matšoao a mang a macha

Maemong a mangata, ha ho na mokhoa o ikhethileng oa ho thibela thrombosis ea renal vein. Ho boloka maro a lekaneng 'meleng ho ka thusa ho fokotsa kotsi.

Aspirin ka linako tse ling e sebelisoa ho thibela renal vein thrombosis ho batho ba kileng ba fetisetsoa liphio. Li-thinner tsa mali tse kang warfarin li ka buelloa ho batho ba bang ba nang le lefu le sa foleng la liphio.

Tšelo ea mali mothapong oa renal; Occlusion - renal mothapo

• Anatomy ea liphio
• Liphio - phallo ea mali le moroto

Tose ea Tose, Santos RM. Mathata a vascular a liphio. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 125.

Greco BA, Umanath K. Ho hatelloa ke khatello ea mali le khatello ea kelello. Ho: Feehally J, Floege J, Tonelli M, Johnson RJ, bangoli. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 41.

Ruggenenti P, Cravedi P, Remuzzi G. Maloetse a Microvascular le macrovascular a liphio. Ka: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, li-eds. Brenner le Rector ea Liphio. 10th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 35.