May-Thurner Syndrome

Litaba

• Matšoao a lefu la May-Thurner ke lefe?
• Lisosa le lisosa tsa kotsi tsa May-Thurner syndrome ke life?
• E fumanoa joang?
• May-Thurner syndrome e tšoaroa joang?
• Kalafo ea lefu la May-Thurner
• Kalafo bakeng sa DVT
• Ke mathata afe a amanang le May-Thurner syndrome?
• Ho hlaphoheloa ho tloha ho buuoa ho joang?
• Ho phela le lefu la May-Thurner

May-Thurner syndrome ke eng?

May-Thurner syndrome ke boemo bo etsang hore methapo ea leqele e letšehali e fokotsehe ka lebaka la khatello ea methapo e nepahetseng ea iliac.

E boetse e tsejoa e le:

• lefu la khatello ea methapo ea Iliac
• khatello ea iliocaval
• Lefu la Cockett

Mothapo o ka lehlakoreng le letšehali ke mothapo o moholo leotong la hao le letšehali. E sebetsa ho khutlisetsa mali pelong ea hau. Mothapo o nepahetseng oa mokokotlo ke ona o ka sehloohong leotong la hao le letona. E isa mali leotong la hao le letona.

Mothapo o nepahetseng oa iliac ka linako tse ling o ka lula holima mothapo o ka lehlakoreng le letšehali, o baka khatello le lefu la May-Thurner. Khatello ena mothapong o ka lehlakoreng le letšehali e ka baka hore mali a phalle ka mokhoa o sa tloaelehang, o ka bang le litlamorao tse mpe.

Matšoao a lefu la May-Thurner ke lefe?

Batho ba bangata ba nang le lefu la May-Thurner ha ba na matšoao a letho ntle le haeba le baka methapo e tebileng ea methapo ea pelo (DVT).

Leha ho le joalo, hobane lefu la May-Thurner le ka etsa hore ho be thata hore mali a potolohele pelong ea hau, batho ba bang ba ka ba le matšoao ntle le DVT.

Matšoao ana a hlaha haholo-holo leoto la leqele 'me a kenyeletsa:

• bohloko ba leoto
• ho ruruha leoto
• maikutlo a boima leotong
• bohloko ba leoto ka ho tsamaea (venous claudication)
• letlalo le soeufala
• Liso tsa maoto
• methapo e holisitsoeng leotong

DVT ke mali a koalang a ka fokotsang kapa a thibela phallo ea mali mothapong.

Matšoao a DVT a kenyelletsa:

• bohloko ba leoto
• bonolo kapa ho kgoba leoto
• letlalo le shebahalang le soeufetse, le le lefubelu, kapa le ikutloa le futhumetse ha le thetsoa
• ho ruruha leotong
• maikutlo a boima leotong
• methapo e holisitsoeng leotong

Basali ba ba le lefu la pherekano ea pelvic. Letšoao le ka sehloohong la pherekano ea pelvic ke bohloko ba pelvic.

Lisosa le lisosa tsa kotsi tsa May-Thurner syndrome ke life?

May-Thurner syndrome e bakoa ke methapo e nepahetseng ea iliac e holimo le ho beha khatello mothapong o ka letsohong le letšehali pelvis ea hao. Bafani ba tlhokomelo ea bophelo ha ba na bonnete ba hore na hobaneng sena se etsahala.

Ho thata ho tseba hore na ke batho ba bakae ba nang le lefu la May-Thurner hobane hangata ha le na matšoao. Leha ho le joalo, ho ea ka phuputso ea 2015, ho hakanngoa hore ho ba hlahisang DVT ho ka thoe ke la May-Thurner syndrome.

Phuputsong ea 2018, lefu la May-Thurner le hlaha ho basali ha ba bapisoa le banna. Ntle le moo, maemong a mangata a lefu la May-Thurner le hlaha ho batho ba pakeng tsa lilemo tse 20 le 40, ho latela tlaleho ea nyeoe ea 2013 le tlhahlobo.

Lisosa tse kotsi tse ka eketsang kotsi ea DVT ho batho ba nang le lefu la May-Thurner li kenyelletsa:

• ho se sebetse nako e telele
• boimana
• ho buoa
• ho felloa ke metsi 'meleng
• tshwaetso
• mofetše
• ts'ebeliso ea lipilisi tsa thibelo ea bokhachane

E fumanoa joang?

Ho hloka matšoao ha May-Thurner ho ka etsa hore ho be thata ho bafani ba tlhokomelo ea bophelo ho fumana. Mofani oa hao oa tlhokomelo ea bophelo o tla qala ka ho kopa nalane ea hau ea bongaka le ho u etsa tlhahlobo ea 'mele.

Mofani oa hao oa tlhokomelo ea bophelo o tla sebelisa liteko tsa ho nka litšoantšo ho thusa ho bona ho fokotseha mothapong oa hau o ka leqeleng. Ho ka sebelisoa mokhoa o sa hlaseleng kapa o hlaselang.

Mehlala e meng ea liteko tsa litšoantšo tseo mofani oa tlhokomelo ea bophelo a ka li etsang li kenyelletsa:

Liteko tse sa hlaseleng:

• ultrasound
• CT scan
• Ho hlahloba MRI
• venogram

Liteko tse hlaselang:

• venogram e thehiloeng ka catheter
• intravascular ultrasound, e sebelisang catheter ho etsa ultrasound ho tsoa kahare ho sekepe sa mali

May-Thurner syndrome e tšoaroa joang?

Hase motho e mong le e mong ea nang le May-Thurner syndrome ea tla tseba hore o na le eona. Leha ho le joalo, boemo bona bo ka hloka kalafo haeba e qala ho hlahisa matšoao.

Ho bohlokoa ho tseba hore ho a khonahala ho ba le May-Thurner syndrome ntle le ho ba le DVT.

Phokotso ea phallo ea mali e amanang le ho fokotseha ha mothapo o ka lehlakoreng le letšehali ho ka baka matšoao a kang:

• bohloko
• ho ruruha
• Liso tsa maoto

Kalafo ea lefu la May-Thurner

Ho phekola lefu la May-Thurner ho tsepamisitse maikutlo ho ntlafatseng phallo ea mali mothapong o ka letsohong le letšehali. Mokhoa ona oa kalafo ha o thuse feela ho fokotsa matšoao, empa hape o ka fokotsa menyetla ea ho ba le DVT.

Ho na le litsela tse 'maloa tseo sena se ka finyelloang ka tsona:

• Angioplasty le stenting: Catheter e nyane e nang le balune ntlheng ea eona e kentsoe ka mothapong. Balune e butsoetse moea ho bula mothapo. Ho kenngoa peipi e nyane e bitsoang stent ho boloka mothapo o butsoe. Balune e theotsoe 'me ea tlosoa, empa stent e lula sebakeng sa eona.
• Ho buoa ka ho feta Mali a khutlisoa hape ho potoloha karolo e petelitsoeng ea mothapo ka ho hlomathisoa ka tsela e fetang.
• Ho beha mothapo o nepahetseng oa iliac: Mothapo o nepahetseng oa iliac o suthisoa ka morao ho mothapo o ka lehlakoreng le letšehali, ka hona ha o o hatelle. Maemong a mang, lisele li ka beoa lipakeng tsa mothapo oa leqele le letšehali le mothapo o nepahetseng ho imolla khatello.

Kalafo bakeng sa DVT

Haeba u na le DVT ka lebaka la lefu la May-Thurner, mofani oa hao oa tlhokomelo ea bophelo a ka sebelisa mekhoa e latelang ea kalafo:

• Li-thinner tsa mali: Li-thinner tsa mali li ka thusa ho thibela ho koaloa ha mali.
• Meriana e thibelang liaparo: Haeba tšesaane ea mali e sa lekana, meriana e thibang mali e ka tlisoa ka catheter ho thusa ho qhekella lesela. Ho ka nka kae kapa kae ho tloha lihora tse 'maloa ho isa ho matsatsi a' maloa hore lehloa le qhibilihe.
• Sefefo sa Vena cava: Sefa ea vena cava e thusa ho thibela maqeba a mali ho ea matšoafong a hau. Catheter e kenngoa ka mothapong o molaleng oa hau kapa mokokotlong ebe o kenella vena cava e tlase. Sefe e ts'oara makoala hore li se fihle mats'eleng a hau. E sitoa ho emisa masela a macha ho theha.

Ke mathata afe a amanang le May-Thurner syndrome?

DVT ke bothata bo ka sehloohong bo bakoang ke May-Thurner syndrome, empa e ka ba le mathata a eona. Ha leqeba la mali leotong le tsoa, ​​le ka tsamaea ka phallo ea mali. Haeba e fihla matšoafong a hau, e ka baka tšitiso e tsejoang ka hore ke pulmonary embolism.

Sena e ka ba boemo bo sokelang bophelo bo hlokang kalafo ea tšohanyetso.

Fumana thuso hanghang ha o ba le boiphihlelo:

• phefumoloho e kgutshoane
• bohloko ba sefuba
• ho hohlola ka motswako wa madi le mameno

Ho hlaphoheloa ho tloha ho buuoa ho joang?

Tse ling tsa ho buuoa tse amanang le May-Thurner syndrome li etsoa ka ntle ho mokuli, ho bolelang hore o ka ea hae ka lona letsatsi leo kamora ho ba le tsona. U lokela ho khutlela mesebetsing e tloaelehileng matsatsing a 'maloa ho isa ho beke.

Bakeng sa ho buuoa haholo ha motho a feta moo, o tla ba le bohloko bo itseng kamora moo. Ho ka nka libeke tse 'maloa ho ea ho likhoeli tse' maloa ho fola ka botlalo.

Mofani oa hao oa tlhokomelo ea bophelo o tla u ruta hore na u hloka ho latela makhetlo a makae. Haeba u na le stent, u kanna oa hloka tlhahlobo ea ultrasound nako e ka etsang beke kamora 'opereishene, hammoho le tlhahlobo ea nako le nako kamora moo.

Ho phela le lefu la May-Thurner

Batho ba bangata ba nang le lefu la May-Thurner ba phela bophelo ba sa tsebe hore ba na le lona. Haeba e baka DVT, ho na le likhetho tse 'maloa tse sebetsang tsa kalafo. Ho bohlokoa ho netefatsa hore o tseba matšoao a pulmonary embolism hore o tle o fumane thuso hanghang.

Haeba u na le matšoao a sa foleng a May-Thurner syndrome, bua le mofani oa tlhokomelo ea bophelo ka lintho tse u tšoenyang. Ba ka sebetsa haufi-ufi le uena ho fumana boemo ba hau le ho u eletsa ka mekhoa e metle ea ho e phekola le ho e laola.