I-Nutcracker Syndrome: Okudingeka Ukwazi

-Delile

• Ukubuka konke
• Izimpawu nezimpawu ezivamile
• Izimbangela nezici zobungozi
• Kutholakala kanjani
• Iphathwa kanjani
• Stent
• Ukuhlinzwa komthambo wegazi
• Uyini umbono?

Ukubuka konke

Izinso zakho ziyizitho ezimbili ezimise ubhontshisi ezilawula imisebenzi ebalulekile emzimbeni wakho, njenge:

• kususa imfucuza egazini lakho
• ukulinganisa uketshezi lomzimba
• ukwakha umchamo

Inso ngalinye livamise ukuba nomthambo owodwa ophethe igazi elihlungwe izinso liye ohlelweni lokujikeleza kwegazi. Lezi zibizwa ngemithambo yezinso.Imvamisa kuba khona omunye ngakwesokunene nomunye ngakwesobunxele. Noma kunjalo, kungaba nokwehluka.

Ku-nutcracker syndrome, izimpawu zivame ukubangelwa lapho umthambo wezinso wesobunxele ovela ezinsoni zesobunxele ucindezelwa futhi igazi alikwazi ukugeleza ngokujwayelekile ngalo. Esikhundleni salokho, igazi lihlehlela emuva liye kweminye imithambo futhi libangele ukuvuvukala. Lokhu futhi kungakhuphula ingcindezi ezinso zakho futhi kubangele nezimpawu ezifana nokuthi.

Kunezinhlobo ezimbili eziyinhloko ze-nutcracker syndrome: ngaphambili nangemuva. Kukhona futhi ama-subtypes amaningana. Abanye ochwepheshe bafaka lawa ma-subtypes esigabeni sesithathu esaziwa ngokuthi “sixubekile.”

Ku-anterior nutcracker syndrome, umthambo wezinso wesobunxele ucindezelwe phakathi kwe-aorta nomunye umthambo wesisu. Lolu uhlobo oluvame kakhulu lwe-nutcracker syndrome.

Ku-posterior nutcracker syndrome, umthambo we-renal wesobunxele ucindezelwa kakhulu phakathi kwe-aorta nomgogodla. Ohlotsheni oluxubekile, kunezinhlobo eziningi zezinguquko zemithambo yegazi ezingadala izimpawu.

I-Nutcracker syndrome ibizwa ngegama layo ngoba ukuminyaniswa komthambo wezinso kufana ne-nutcracker eqhekeza inathi.

Izimpawu nezimpawu ezivamile

Lapho isimo singakhombisi zimpawu, imvamisa saziwa njenge-nutcracker phenomenon. Uma sezivele izimpawu ibizwa ngokuthi yi-nutcracker syndrome. Izimpawu nezimpawu ezijwayelekile zifaka:

• igazi emchameni wakho
• ubuhlungu be-pelvic
• ubuhlungu ohlangothini noma esiswini sakho
• amaprotheni emchameni wakho, onqunywa udokotela
• ubuhlungu ngesikhathi sokuya ocansini
• imithambo ekhulisiwe emasendeni
• inhloko encane ngenkathi imile, kepha hhayi ngenkathi ihleli

Izimbangela nezici zobungozi

Izimbangela ezithile ze-nutcracker syndrome zingahluka. zizalwa ngokuhlukahluka okuthile kwemithambo yegazi okungaholela ezimpawu ze-nutcracker syndrome. ingahlakulela i-syndrome ngenxa yezinguquko ngaphakathi kwesisu. Izimpawu zivame kakhulu kwabesifazane abaphakathi kweminyaka engama-20 nengama-30, kepha zingathinta noma ngubani wobudala.

Ezinye izimo ezingakhuphula ithuba lokuthuthukisa i-nutcracker syndrome zifaka:

• izimila zepancreatic
• izimila ezicutshini ezifaka udonga lwakho lwesisu
• ijika lomgogodla elisezansi elibi kakhulu
• nephroptosis, lapho izinso zakho zehla okhalweni lwakho lapho usukuma
• i-aneurysm esiswini sakho se-aorta
• izinguquko ezisheshayo zokuphakama noma isisindo
• inkomba yomzimba ophansi
• ama-lymph node akhulisiwe esiswini sakho
• ukukhulelwa

Ezinganeni, ukukhula okusheshayo ngesikhathi sokuthomba kungaholela kwi-nutcracker syndrome. Njengoba ubukhulu bomzimba buguquka, umthambo wezinso ungacindezelwa. Izingane zivame ukuba nezimpawu ezimbalwa uma ziqhathaniswa nabantu abadala. I-Nutcracker syndrome ayizuzwa njengefa.

Kutholakala kanjani

Okokuqala, udokotela wakho uzokwenza ukuhlolwa komzimba. Okulandelayo, bazothatha umlando wezokwelapha futhi babuze mayelana nezimpawu zakho zokubasiza ukuthi banciphise ukuxilongwa okungenzeka kube khona.

Uma besola ukuthi i-nutcracker syndrome, udokotela wakho uzothatha amasampula omchamo ukufuna igazi, amaprotheni kanye nama-bacteria. Amasampula egazi angasetshenziselwa ukuhlola ukubalwa kwamaseli egazi nokusebenza kwezinso. Lokhu kuzobasiza ukuthi banciphise ukuxilongwa kwakho ngisho nangaphezulu.

Okulandelayo, udokotela wakho angancoma i-Doppler ultrasound yendawo yakho yezinso ukubona ukuthi unegazi elingajwayelekile yini emithanjeni yakho nasemithanjeni yegazi.

Ngokuya nge-anatomy nezimpawu zakho, udokotela wakho futhi angancoma i-CT scan noma i-MRI ukuthi ibukisise izinso zakho, imithambo yegazi, nezinye izitho ukubona ukuthi umthambo ucindezelwe kuphi nokuthi kungani. Bangaphinde bancome i-biopsy yezinso ukusiza ukukhipha ezinye izimo ezingadala izimpawu ezifanayo.

Iphathwa kanjani

Ezimweni eziningi, uma izimpawu zakho zimnene, udokotela wakho kungenzeka ancoma ukubonwa kwesifo sakho se-nutcracker. Lokhu kungenxa yokuthi kwesinye isikhathi ingahamba yodwa, ikakhulukazi ezinganeni. Ezinganeni ezingaphansi kweminyaka eyi-18, ucwaningo lukhombisa ukuthi izimpawu ze-nutcracker syndrome zingazixazulula cishe isikhathi.

Uma udokotela wakho encoma ukubonwa, bazokwenza ukuhlolwa okuvamile komchamo ukulandelela ukuqhubeka kwesimo sakho.

Uma izimpawu zakho zinzima kakhulu noma zingathuthuki ngemuva kwesikhathi sokubuka sezinyanga eziyi-18 kuya kwezingama-24, ungahle udinge ukwelashwa. Kunezinketho ezahlukahlukene.

Stent

I-stent yishubhu elincane lemeshini eligcina umthambo ocindezelweyo uvuleke futhi uvumela igazi ukuba ligobhoze ngokujwayelekile. Le nqubo isetshenziswe cishe iminyaka engama-20 ekwelapheni lesi simo.

Udokotela wakho angayifaka ngokusika isigaxa esincane emlenzeni wakho bese usebenzisa ipayipi lokuhambisa i-stent endaweni efanele ngaphakathi komthambo wakho. Kodwa-ke, njenganoma iyiphi inqubo, kunezingozi.

Cishe amaphesenti ayi-7 wabantu ahlangabezana nokunyakaza kwe-stent. Lokhu kungaholela ezinkingeni ezinjengalezi:

• amahlule egazi
• ukulimala komthambo wegazi
• izinyembezi ezinzima odongeni lomthambo wegazi

Ukubekwa ngokuqinile kudinga ukuhlala esibhedlela ubusuku bonke nokululama okugcwele kungathatha izinyanga ezimbalwa. Wena nodokotela wakho kufanele nixoxe ngobungozi nezinzuzo zale nqubo, kanye nezinye izindlela zokwelashwa.

Ukuhlinzwa komthambo wegazi

Uma unezimpawu ezinzima kakhulu, ukuhlinzeka ngemithambo yegazi kungaba yindlela engcono kuwe. Udokotela wakho angancoma izinqubo ezehlukene zokuhlinza ukukhulula ingcindezi emthanjeni. Izinketho zingabandakanya ukuhambisa umthambo nokuwufaka kabusha, ngakho-ke awusekho endaweni lapho ubuzocindezelwa khona.

Enye indlela ukuhlinzwa okudlula, lapho umthambo othathwe kwenye indawo emzimbeni wakho unamathiselwe khona ukufaka umthambo ocindezelweyo.

Ukubuyiselwa esimweni kokuhlinzwa kuncike ohlotsheni lokuhlinzwa nempilo yakho yonke. Ngokuvamile kuthatha izinyanga ezimbalwa.

Uyini umbono?

I-Nutcracker syndrome ingaba nzima kodokotela ukuthi bayihlolisise, kodwa uma isitholakele, umbono uvame ukuba muhle. Ukulungisa isimo kuya ngesizathu.

Ezimweni eziningi ezinganeni, i-nutcracker syndrome enezimpawu ezincane izozixazulula phakathi neminyaka emibili. Uma unezimpawu ezinzima kakhulu, izinketho ezahlukahlukene zingatholakala ukuthinta umthambo othintekile futhi ube nemiphumela emihle yokukhululeka kwesikhashana nesikhathi eside.

Kulabo abane-syndrome ye-nutcracker ngenxa yezimo ezithile zezokwelapha noma izicubu, ukulungisa inkinga yokugeleza kwegazi kudinga ukulungisa noma ukwelapha imbangela eyimbangela.