Tharo-tšoaetso ea venous thrombosis

Mesenteric venous thrombosis (MVT) ke mali a koalehang methapong e le 'ngoe kapa ho feta e tsoang mali maling. Hangata methapo ea mesenteric e amehang.

MVT ke lesela le thibang phallo ea mali mothapong oa mesenteric. Ho na le methapo e 'meli eo mali a tsoang ka maleng ka eona. Boemo bona bo emisa ho potoloha ha mali a mala mme bo ka baka tšenyo mala.

Lebaka la 'nete la MVT ha le tsejoe. Leha ho le joalo, ho na le maloetse a mangata a ka lebisang ho MVT. Maloetse a mangata a baka ho ruruha (ho ruruha) ha lisele tse potileng methapo, mme a kenyeletsa:

• Sehlomathiso
• Kankere ea mpa
• Diverticulitis
• Lefu la sebete le lefu la ho thatafala ha sebete
• Khatello ea mali e phahameng methapong ea mali ea sebete
• Ho buuoa ka mpeng kapa ho sithabela maikutlo
• Pancreatitis
• Mathata a ho ruruha a mala
• Ho hloleha ha pelo
• Ho haella ha protheine C kapa S.
• Polycythemia vera
• Thrombocythemia ea bohlokoa

Batho ba nang le mathata a etsang hore mali a khone ho khomarela (clot) ba na le kotsi e kholo ea MVT. Lipilisi tsa thibelo ea bokhachane le meriana ea estrogen le tsona li eketsa kotsi.

MVT e atile haholo ho banna ho feta basali. E ama haholo batho ba baholo kapa ba baholo.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Bohloko ba mpeng, bo ka mpefalang kamora ho ja le ho feta nako
• Ho senya
• Ho sokela
• Letšollo le nang le mali
• Feberu
• Tšabo ea septic
• Ho tsoa mali ka mpeng ka tlase
• Ho hlatsa le ho nyekeloa

CT scan ke teko e ka sehloohong e sebelisetsoang ho fumana MVT.

Liteko tse ling li ka kenyelletsa:

• Angiogram (ho ithuta phallo ea mali ho ea mala)
• MRI ea mpa
• Ultrasound ea mpa le mesifa ea mesenteric

Li-thinner tsa mali (hangata li-heparin kapa meriana e amanang le tsona) li sebelisetsoa ho phekola MVT ha ho se na mali a amanang. Maemong a mang, moriana o ka tlisoa ka kotloloho leqoeng ho o qhala. Tsamaiso ena e bitsoa thrombolysis.

Nako le nako, lehloa le tlosoa ka mofuta oa opereishene o bitsoang thrombectomy.

Haeba ho na le matšoao a tšoaetso e matla e bitsoang peritonitis, ho etsoa opereishene ea ho ntša mala. Kamora 'opereishene, ho ka hlokahala leostomy (e tsoang maling a manyane ho ea ka mokotleng letlalong) kapa colostomy (lesoba le tsoang kolone ho ea letlalong).

Ponahalo e ipapisitse le sesosa sa thrombosis le tšenyo efe kapa efe ea mala. Ho fumana kalafo ea sesosa pele mala a hlokahala ho ka fella ka ho hlaphoheloa hantle.

Ischemia ea ka mpeng ke bothata bo tebileng ba MVT. Karolo kapa mala kaofela a shoa ka lebaka la phepelo e mpe ea mali.

Ikopanye le mofani oa tlhokomelo ea bophelo haeba u e-na le linako tse matla kapa tse phetoang tsa bohloko ba mpeng.

MVT

Cloud A, Dussel JN, Webster-Letša la C, Indes J. Mesenteric ischemia. Ka: Yeo CJ, e hlophisitsoeng. Phekolo ea Shackelford ea Alimentary Tract. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 87.

Feuerstadt P, Brandt LJ. Ischemia ea mala. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 11th ed. Philadelphia, PA: Elsevier; 2021: khaolo ea 118.

Motsoako CE, Reardon RF. Mathata a mala a manyane. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 82.