I-Mesenteric venous thrombosis

I-Mesenteric venous thrombosis (MVT) iyi-clot yegazi komunye noma ngaphezulu wemithambo emikhulu ekhipha igazi emathunjini. Umthambo omkhulu we-mesenteric uvame ukubandakanyeka.

I-MVT iyihlwili elivimba ukugeleza kwegazi emthanjeni we-mesenteric. Kunemithambo emibili enjalo igazi elishiya ngayo amathumbu. Isimo simisa ukujikeleza kwegazi kwamathumbu futhi singadala ukulimala emathunjini.

Imbangela ngqo ye-MVT ayaziwa. Kodwa-ke, kunezifo eziningi ezingaholela ku-MVT. Izifo eziningi zidala ukuvuvukala (ukuvuvukala) kwezicubu ezizungeze imithambo, futhi zifaka:

• Isithasiselo
• Umdlavuza wesisu
• I-Diverticulitis
• Isifo sesibindi nge-cirrhosis
• Umfutho wegazi ophakeme emithanjeni yegazi yesibindi
• Ukuhlinzwa kwesisu noma ukuhlukumezeka
• I-Pancreatitis
• Izinkinga zamathumbu ezivuthayo
• Ukwehluleka kwenhliziyo
• Amaprotheni C noma uS
• I-Polycythemia vera
• I-thrombocythemia ebalulekile

Abantu abanezinkinga ezenza ukuthi igazi linamathele kakhulu (amahlwili) banengozi enkulu ye-MVT. Amaphilisi okulawula ukubeletha nemithi ye-estrogen nayo inyusa ingozi.

I-MVT ivame kakhulu kwabesilisa kunabesifazane. Kuthinta kakhulu abantu abadala abaphakathi noma abadala.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besisu, obungaba buhlungu kakhulu ngemuva kokudla nokuhamba kwesikhathi
• Ukuqhakaza
• Ukuqunjelwa
• Uhudo olunegazi
• Imfiva
• Ukushaqeka kwe-Septic
• Ukopha okuphansi kwamathumbu
• Ukuhlanza nokuhlanza

Ukuhlolwa kwe-CT ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga i-MVT.

Ezinye izivivinyo zingafaka:

• I-Angiogram (ifunda ngokugeleza kwegazi kuya emathunjini)
• I-MRI yesisu
• I-Ultrasound yesisu kanye nemithambo ye-mesenteric

Ama-thinner egazi (imvamisa i-heparin noma imishanguzo ehlobene) asetshenziselwa ukwelapha i-MVT lapho kungekho ukopha okuhambisanayo. Kwezinye izimo, umuthi ungalethwa ngqo kwihlwili ukuze uwuhlakaze. Le nqubo ibizwa ngokuthi i-thrombolysis.

Ngokuvamile, iqhwa lisuswa ngohlobo lokuhlinzwa olubizwa nge-thrombectomy.

Uma kunezimpawu nezimpawu zokutheleleka okunzima okubizwa nge-peritonitis, ukuhlinzwa kukhishwe amathumbu kuyenziwa. Ngemuva kokuhlinzwa, kungadingeka i-ileostomy (evulwa kusukela emathunjini amancane iye esikhwameni esikhunjeni) noma i-colostomy (ukuvuleka okuvela kukholoni iye esikhunjeni) kungadingeka.

I-Outlook incike kwisizathu se-thrombosis nanoma yikuphi ukulimala emathunjini. Ukuthola ukwelashwa kwesizathu ngaphambi kokushona kwamathumbu kungaholela ekutholeni ukululama okuhle.

Ischemia yamathumbu iyinkinga enkulu ye-MVT. Ingxenye noma lonke ithumbu liyafa ngenxa yokutholakala kwegazi okungekho kahle.

Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo uma uneziqephu ezinzima noma eziphindaphindwayo zobuhlungu besisu.

I-MVT

Cloud A, Dussel JN, Webster-Lake C, Indes J. Mesenteric ischemia. Ku: Yeo CJ, ed. Ukuhlinzwa kukaShackelford kwe-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 87.

UFuerstadt P, uBrandt LJ. Ischemia yamathumbu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 118.

I-Roline CE, i-Reardon RF. Ukuphazamiseka kwamathumbu amancane. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 82.