I-vein vein thrombosis

I-renal vein thrombosis ligazi eligcina igazi elivelisa umthambo okhupha igazi kwizintso.

I-renal vein thrombosis sisifo esingaqhelekanga. Ingabangelwa ngu:

• Isisu esine-aortic aneurysm
• Isimo esingenakunyanzeliswa: ukuphazamiseka kwengqondo
• Ukuphelelwa ngamanzi emzimbeni (ikakhulu kwiintsana)
• Ukusetyenziswa kwe-Estrogen
• Isifo seNephrotic
• Ukukhulelwa
• Ukwakheka kobunzima ngoxinzelelo kwimithambo ye-renal
• Umothuko (ngasemva okanye esiswini)
• Ithumba

Kubantu abadala, esona sizathu siqhelekileyo sisifo se-nephrotic. Kwiintsana, oyena nobangela uqhelekileyo kukuphelelwa ngamanzi emzimbeni.

Iimpawu zingabandakanya:

• Igazi elixineneyo liye emiphungeni
• Umchamo wegazi
• Ukuncipha kwemveliso yomchamo
• Intlungu yeflank okanye iintlungu ezisezantsi

Uviwo alunakuveza ngxaki. Nangona kunjalo, inokubonisa isifo se-nephrotic okanye ezinye izizathu zentliziyo ye-vein thrombosis.

Uvavanyo lubandakanya:

• Ukuskena kwe-CT esiswini
• I-MRI yesisu
• I-ultrasound yesisu
• Uvavanyo lweDuplex Doppler lwemithambo ye-renal
• Uhlalutyo lomchamo lunokubonisa iproteni kumchamo okanye iiseli ezibomvu zegazi kumchamo
• X-reyi yemithambo yezintso (venography)

Unyango lunceda ukuthintela ukwenziwa kwamahlwili amatsha kunye nokunciphisa umngcipheko wokugubungela ukuhamba ukuya kwezinye iindawo emzimbeni (embolization).

Unokufumana amayeza athintela ukujiya kwegazi (ii-anticoagulants). Unokuxelelwa ukuba uphumle ebhedini okanye unciphise umsebenzi okwexeshana.

Ukuba ukusilela kwezintso ngesiquphe kuyenzeka, unokufuna i-dialysis okwexeshana.

I-renal vein thrombosis ihlala ibangcono ngokuhamba kwexesha ngaphandle komonakalo ongapheliyo kwizintso.

Iingxaki zinokubandakanya:

• Ukungaphumeleli kakuhle kwezintso (ngakumbi ukuba i-thrombosis ivela kumntwana ophelelwe ngumzimba)
• Ukuphela kwesifo sezintso
• Ihlwili legazi lihamba liye emiphungeni (pulmonary embolism)
• Ukwenziwa kwamahlwili egazi amatsha

Fowunela umboneleli wakho wezempilo ukuba uneempawu ze-renal vein thrombosis.

Ukuba ufumene i-renal vein thrombosis, biza umnikezeli wakho ukuba unayo:

• Ukuncipha kwimveliso yomchamo
• Iingxaki zokuphefumla
• Ezinye iimpawu ezintsha

Kwiimeko ezininzi, akukho ndlela ikhethekileyo yokuthintela i-renal vein thrombosis. Ukugcina ulwelo olwaneleyo emzimbeni kunokunceda ukunciphisa umngcipheko.

I-Aspirin ngamanye amaxesha isetyenziselwa ukuthintela i-renal vein thrombosis kubantu abaye bafakelwa izintso. Ukuncitshiswa kwegazi njenge-warfarin kunokucetyiswa kwabanye abantu abanesifo esinganyangekiyo sezintso.

Ihlwili legazi kwimithambo yegazi; Indawo yokuhlala - umthambo wezintso

• I-anatomy yezintso
• Izintso - ukuhamba kwegazi kunye nomchamo

IDubose TD, iSantos RM. Ukuphazamiseka kwemithambo yegazi kwizintso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl. 125.

I-Greco BA, Umanath K.Uxinzelelo lwegazi kunye nephropathy ye-ischemic. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 41.

I-Ruggenenti P, i-Cravedi P, i-Remuzzi G. Izifo ze-Microvascular kunye ne-macrovascular izifo zezintso. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-10. IPhiladelphia, PA: Elsevier; 2016: isahluko 35.