I-vein vein thrombosis

I-renal vein thrombosis yisigaxa segazi esikhula emthanjeni okhipha igazi ezinso.

I-renal vein thrombosis yisifo esingajwayelekile. Kungabangelwa:

• I-aneurysm yesisu esiswini
• Isimo se-Hypercoagulable: ukuphazamiseka kokuqina
• Ukwehla kwamanzi emzimbeni (ikakhulukazi ezinganeni)
• Ukusetshenziswa kwe-Estrogen
• I-Nephrotic syndrome
• Ukukhulelwa
• Ukwakheka kwe-Scar ngokucindezela emthanjeni wezinso
• Ukuhlukumezeka (emuva noma esiswini)
• Isimila

Kubantu abadala, imbangela ejwayelekile yi-nephrotic syndrome. Ezinganeni, imbangela evame kakhulu ukuphela kwamanzi emzimbeni.

Izimpawu zingafaka:

• Ukuqina kwegazi emaphashini
• Umchamo onegazi
• Ukwehla kokukhishwa komchamo
• Ubuhlungu beFlank noma ubuhlungu obuphansi emuva

Ukuhlolwa kungenzeka kungadaluli inkinga ethize. Kodwa-ke, kungakhombisa i-nephrotic syndrome noma ezinye izimbangela ze-renal vein thrombosis.

Izivivinyo zifaka:

• Iskena se-CT esiswini
• I-MRI yesisu
• I-ultrasound yesisu
• Ukuhlolwa kwe-Duplex Doppler yemithambo yezinso
• Ukuhlolwa komchamo kungabonisa amaprotheni emchameni noma kumaseli abomvu egazini kumchamo
• I-X-ray yemithambo yezinso (venography)

Ukwelashwa kusiza ukuvimbela ukwakheka kwamahlule amasha futhi kunciphise ubungozi behlwili elihambela kwezinye izindawo emzimbeni (ukuhlanganiswa).

Ungathola imishanguzo evimbela ukujiya kwegazi (ama-anticoagulants). Ungatshelwa ukuthi uphumule embhedeni noma wehlise umsebenzi okwesikhashana.

Uma ukuhluleka kwezinso okungazelelwe kwenzeka, ungadinga i-dialysis isikhathi esifushane.

I-renal vein thrombosis ivame ukuba ngcono ngokuhamba kwesikhathi ngaphandle kokulimala okungapheli ezinso.

Izinkinga zingafaka:

• Ukwehluleka okukhulu kwezinso (ikakhulukazi uma i-thrombosis ivela enganeni engenamanzi)
• Isifo sokuqedwa kwezinso
• Ukuqina kwegazi kuya emaphashini (embolism pulmonary)
• Ukwakhiwa kwamahlule amasha egazi

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezimpawu ze-renal vein thrombosis.

Uma uhlangabezane ne-renal vein thrombosis, shayela umhlinzeki wakho uma une:

• Nciphisa ukukhishwa komchamo
• Izinkinga zokuphefumula
• Ezinye izimpawu ezintsha

Ezimweni eziningi, ayikho indlela ethile yokuvimbela i-renal vein thrombosis. Ukugcina uketshezi olwanele emzimbeni kungasiza ekunciphiseni ubungozi.

I-Aspirin kwesinye isikhathi isetshenziselwa ukuvimbela i-renal vein thrombosis kubantu abaye bafakelwa izinso. Izinciphisi zegazi ezinjenge-warfarin zinganconywa kwabanye abantu abanesifo esingapheliyo sezinso.

Ukujiya kwegazi emthanjeni wezinso; Ukuvalelwa - umthambo wezinso

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo

I-Dubose TD, iSantos RM. Ukuphazamiseka kwemithambo yegazi yezinso. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 125.

I-Greco BA, Umanath K.Ukuphakama komfutho wegazi ophakeme kanye nephropathy ye-ischemic. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 41.

I-Ruggenenti P, i-Cravedi P, i-Remuzzi G. Izifo ze-Microvascular kanye ne-macrovascular yezinso. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 35.