Zviratidzo, Zvinokonzera, uye Kurapa kweSVC Syndrome
Superior vena cava syndrome (SVC syndrome) inotarisa zviratidzo zvinokonzerwa apo ropa rinopfuurira kuburikidza nepamusoro vena cava (ropa guru mudziyo unodzorera ropa kubva mumuviri wakadzokera kumwoyo) wakavharwa. Iyi syndrome isinganzwisisiki inowanikwa mu2 kusvika ku4 muzana yevanhu vanogara nemukenza wemapapu, uye pane dzimwe nguva chiratidzo chekutanga chinotungamirira pakuongororwa.
Zviratidzo
Zviratidzo zveSVC syndrome zvinokonzerwa nekuvakwa kwekumanikidza mupamusoro vena cava kumusoro kwekuvhara uye kunogona kusanganisira:
- Kufuridzira kwechiso, maoko, kana chifuva rusvingo
- Kuoma kufema kufema ( dyspnea )
- Kuwedzera kwemaketani mumutsipa nepfupa
- Chikoro uye / kana kukonzera ropa (hemoptysis)
- Headache
- Chipfuva chepfu
- Hoarseness
- Dambudziko rokuedza (dysphasia)
- Bluish tinge kune ganda rechiso kana kumusoro (cyanosis)
Apo Icho Chine Ngozi
Superior vena cava syndrome inogona kuitika zvishoma nezvishoma muvarwere vakawanda, asi inogona kuve yakakonzerwa nekenza kune imwe nguva mamiriro ezvinhu. Kana kuvharirwa kwepamusoro vena cava kunoitika nokukurumidza, pangave pasina nguva yeimwe mitsipa yeropa (iyo inonzi inobatwa nemidziyo yeropa kana kuparadzirwa) kuti igone kuwedzerwa kwekuyerera kweropa kunoitika. Chinonyanya kuodza mwoyo chirwere chemapapu-chinokonzerwa neSVC syndrome inokonzera kuvhiringidzwa kwetrachea - mhepo inofamba ichibva mumhino kusvika kubhangi guru rinopinda mumapapu.
Kana uri kutarisana nechimwe chezvi zviratidzo izvi zvakakosha kuita nguva yekuona chiremba wako pakarepo. Zvidzidzo zvinotitaurira kuti vanhu vazhinji vane SVC syndrome vakamirira kwenguva refu vasati vatsvaga kurapwa. Uye kunyange kana iwe uchifunga kuti yakabatana nekenza yako, zvakakosha kutaura nachiremba wako.
Vakawanda vevanhu vanofa neSVC vanofa nekenza yavo - HERE SVC syndrome. Mukuwedzera, pangave pane hutano kunze kwekenza inokonzera dambudziko iri.
Zvinokonzera
Chikonzero chinonyanya kukosha cheSVC syndrome nhasi kushandiswa kwepamusoro wevena cava (SVC) nekenza yekenza. Mukuru wepena vena cava ishinda yakanyorova uye inogona kuomeswa nyore nyore nemakumbo ari kukura pedyo. Kanzira yemaperembudzi, kunyanya iyo inokura mukodzero yakakwirira yepamusoro, ndiyo inonyanya kukonzera, inoteverwa ne lymphomas. Kudya kwevamwe matumbo, akadai sekenza yemazamu kune lymph nodes mu mediastinum (nzvimbo yebhokisi pakati pamapapu) inogonawo kuva nemhosva. Zvimwe zvishoma zvinokonzera zvinosanganisira kuvhara ropa mukati meSVC (kazhinji kechipiri kusvika kumativi ekutambisa mukati kana piraker pacemaker) kana zvirwere zvakadai sehutachi.
Kuziva
SVC syndrome inowanzofungidzirwa nezviratidzo nezviratidzo zvataurwa pamusoro apa. Zvidzidzo zvemashoko akadai sebhokisi x-ray kana CT scan zvinogona kuratidza tumarara kana zviratidzo zvinokurudzira SVC syndrome. Dzimwe mimwe miedzo, yakadai seMRI, ultrasound, kana venography (muedzo wakashandiswa uchishandisa dhayi kumapurisa e-ray-ray) inogona kukurudzirwa zvakare. Kana chiremba wako achifungira kenza iri kukonzera zviratidzo zvako (uye iwe hauna kugadzikana mushonga), mamwe maedzo anozodiwa kuti aongorore kenza isati yatanga kurapwa.
Dzidza zvakawanda pamusoro pekuti mishonga yemapapu inowanikwa sei .
Mishonga
Kurapa kweSVC syndrome kunowirirana zvikuru pamusana pemhosva. Kana zviratidzo zvinokonzerwa nechirwere chinokonzera vena cava yepamusoro, nzira dzokurapa tsvina yakadai semakemikrasi uye remishonga inonzi radiation inowanzoshandiswa. Zvichienderana nekuoma kwezviratidzo zvako, stent inogona kuiswa kuti ibate vena cava yakasununguka. Ropa rakapfava rinogona kushandiswa kudzivirira kubvisa. Muzviitiko zvisingawanzoitiki, chirwere chinopfurikidza nekudzivirira chinogona kudiwa.
Prognosis
Kufanirwa kweSVC syndrome kunowirirana uye kunobva pachikonzero chinokonzera.
Sources:
Cheng, S. Superior vena cava syndrome: kuongororwa kwemazuva ano kwechirwere chinoshamisa. Cardiology in Review . 2009. 17 (1): 16-23.
National Cancer Institute. PDQ Cancer Information Summaries. Cardiopulmonary Syndromes. Health Professional Version Updated 08/31/15. https://www.ncbi.nlm.nih.gov/books/NBK65834/#CDR0000352186__97
National Cancer Institute. Cardiopulmonary Syndromes (PDQ). Superior Vena Cava Syndrome. Patient Version. Updated 09/02/15. https://www.cancer.gov/about-cancer/treatment/side-effects/cardiopulmonary-pdq#section/all.
Nunnelee, J. Superior vena cava syndrome. Nhoroondo yeAvascular Nursing . 2007. 25 (1): 2-5, mhinduro 6.
Walji, N. Nyaya yakajeka inofanirwa kukurumidza kuitika: kuongororwa, kuongorora, uye kutungamirirwa. Postgraduate Medicine Journal . 2008. 84 (994): 418-27.