May Thurner syndrome, kana iriac vein compression syndrome, inowanikwa apo kodzero yakakosha yemaari yakaita inopfuura napamhenderekedzo yakasara inowanzo yakaac, ichiipindira pakati peyeri uye musana. Kuchinja uku mumatomu kunowedzera mukana wekuvandudza mhepo yakadzika yepine (DVT) .
Zviratidzo zveMay Thurner Syndrome
Vanhu vose vane May Thurner syndrome havangave nezviratidzo zvechipiri kune kudimbu kwemajasi anowirirana aneakine vein.
Dzimwe nguva, inowanikwa pangozi apo kufungidzira (kunyanya CT scan kana MRI) kunoitwa kune zvimwe zvikonzero. Nguva yakawanda iyo inowanikwa munguva yekushanda-kweDVT yegumbo roruboshwe. Zviratidzo zvinogona kusanganisira kurwadziwa uye / kana kuzvimba. May Thurner chirwere chinowanzoitika kune vakadzi vane makore 20 kusvika ku50.
Kuwedzera Kwengozi Yekuvhara Ropa
Kuomeswa kwemajasi anowirirana eineac vein kunokonzera kushungurudzika / kukuvadzwa kuropa remudziyo, zvichiita kuti kuwedzerwa kweropa remadziro rusvingo. Izvi zvinowedzera kuwedzerwa kweropa (inonziwo stasis), iyo inowedzera dambudziko rekuvhara ropa. Izvi zvinokonzera ngozi pamwe chete nedzimwe njodzi dzinokonzerwa nekuvhara , kufanana nemishonga yekudzivirira kubata pamuviri (kuberekwa kwepiritsi) kana kusakwanisa kwenguva refu kutevera mushure mekuvhiyiwa, kunogona kuwedzeredza dambudziko iri.
Kuziva
Kuongororwa May Thurner syndrome kunogona kuva kwakaoma zvichienderana nenzvimbo yemidziyo yeropa.
Ropa rekuvhara ropa mumakumbo nemakumbo zvinogona kuonekwa nyore nyore paDoppler ultrasound, asi mishonga yeropa yemapapu haisi.
May Thurner syndrome inofanira kuonekwa sechikonzero chekusadzivirirwa (pasina chikonzero chakazivikanwa sekutambudzika kana kutapukirwa) neropa rinoputika muhudyu wekurudyi, kunyanya kana pave neine kamwechete kamwe mugumbo roruboshwe.
Kuongororwa kazhinji kunoda mifananidzo yakajeka yemidziyo yeropa, iyo yakaitwa CT (CAT) venography kana magnetic resonance venography (MRI yemavhuini). Intravascular ultrasound (ultrasound mukati meropa mudziyo) inogona kubatsira zvikuru pakuona kudzvinyirira kwemajasi anowirirana eineac vein.
Mushure mokunge awana May Thurner syndrome, nyanzvi dzakawanda dzinogona kukurudzira basa-kutarisa zvimwe zvipingamupinyi zvekuvhara maitiro. Izvi zvinowanzodanwa basa re hypercoagulable-up.
Treatment Options
Kana ropa rinenge riripo, kurapwa ne anticoagulation kunodiwa. Zvinosuruvarisa, kurapwa kwenguva refu ne anticoagulation (ropa rakanyanyisa se heparin, enoxaparin, kana warfarin) hazvikwanisi kudzivirira mamwe mavara. Kurapa ne "clot buster" mishonga yakadai semapupa plasminogen activator (tPA) kana thrombectomy (kushandiswa kwemagetsi evhatta) inowanzodiwa panguva yekuongororwa. Izvi zvinogona kuitika kuburikidza nevanopindira radiologist kana chirwere chechiremba.
Kurapa ropa clot chikamu chimwe chete chekurapa. Kubvisa ropavhavha hazvizobatisisi dambudziko remukati wekwesara rinowanzoitwa veineacac rinomanikidzirwa, richiriisa pangozi yekuvhara.
Kuchengetedza rimwe ropa rekuvhara mazai, stent , tambo duku yematare, inogona kuiswa kuitira kuchengetedza mutsara. Aya marapirwo (tPA, thrombectomy, kuiswa kwe stent) inogona kuitika panguva imwechete se intravascular ultrasound inobvumira kusimbiswa kwekutsvaga uye kugadziriswa kwemishonga.
Mune nguva pfupi (kusvika pamwedzi 3-6) mushure mekugadziriswa kwechigadziro, anticoagulation mushonga uchaenderera mberi asi hazvizodiwi kwenguva refu.