I-Mesenteric venous thrombosis

I-Mesenteric venous thrombosis (MVT) ligazi egazini kwenye okanye kweminye yemithambo ephambili ekhupha igazi emathunjini. Umthambo ophezulu we-mesenteric uqhele ukubandakanyeka.

I-MVT sisigodo esivimba ukuhamba kwegazi kwimithambo ye-mesenteric. Kukho imithambo emibini apho igazi liphuma emathunjini. Imeko imisa ukujikeleza kwegazi emathunjini kwaye kunokubangela ukonakala emathunjini.

Oyena nobangela we-MVT awaziwa. Nangona kunjalo, zininzi izifo ezinokukhokelela kwi-MVT. Uninzi lwezifo lubangela ukudumba (ukudumba) kwezicubu ezijikeleze imithambo, kwaye zibandakanya:

• Isihlomelo
• Umhlaza wesisu
• Diverticulitis
• Isifo sesibindi kunye nokuqina kwesibindi
• Uxinzelelo lwegazi oluphezulu kwimithambo yegazi yesibindi
• Utyando lwesisu okanye umothuko
• Ipancreatitis
• Ukuphazamiseka kwamathumbu okudumba
• Ukumelwa yintliziyo
• Iiprotheyini C okanye uS ukusilela
• IPolycythemia vera
• I-thrombocythemia ebalulekileyo

Abantu abaneziphazamiso ezenza ukuba igazi libe nokunamathela ngakumbi (ihlwili) banomngcipheko ophezulu we-MVT. Iipilisi zolawulo lokuzalwa kunye namayeza e-estrogen nawo anyusa umngcipheko.

I-MVT ixhaphake kakhulu emadodeni kunabafazi. Ichaphazela ikakhulu abantu abadala abaphakathi okanye abadala.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Intlungu zesisu, ezinokuba mandundu emva kokutya kunye nexesha
• Ukuqhawula
• Ukuqunjelwa
• Urhudo olunegazi
• Ifiva
• Ukutshatyalaliswa kwe-Septic
• Ukopha emazantsi esiswini
• Ukugabha kunye isicaphucaphu

Ukuvavanywa kwe-CT lolona vavanyo lusetyenziselwa ukufumanisa i-MVT.

Olunye uvavanyo lunokubandakanya:

• I-Angiogram (ifunda ukuhamba kwegazi ukuya emathunjini)
• I-MRI yesisu
• I-Ultrasound yesisu kunye nemithambo ye-mesenteric

Abacoci begazi (i-heparin okanye amayeza ahambelana nawo) asetyenziselwa ukunyanga i-MVT xa kungekho gazi linxulumene noko. Ngamanye amaxesha, amayeza anokuziswa ngqo kwihlwili ukuze alinyibilikise. Le nkqubo ibizwa ngokuba yi-thrombolysis.

Ngaphantsi kakhulu, ihlwili lisuswa ngohlobo lotyando olubizwa ngokuba yi-thrombectomy.

Ukuba kukho iimpawu kunye neempawu zesifo esibi esibizwa ngokuba yi-peritonitis, utyando lokususa amathumbu lwenziwe. Emva koqhaqho, kunokufuneka i-ileostomy (evula ukusuka emathunjini amancinci iye kwingxowa yolusu) okanye icolostomy (ukuvulwa ukusuka kwikholoni iye kulusu) kunokufuneka.

Imbonakalo ixhomekeke kwisizathu se-thrombosis kunye nawo nawuphi na umonakalo emathunjini. Ukufumana unyango ngaphambi kokuba kubhubhe amathumbu kunokubangela ukuba uchache.

Ischemia yamathumbu sisisu esinzulu se-MVT. Inxalenye okanye onke amathumbu asweleka ngenxa yokungenzi gazi kakuhle.

Nxibelelana nomboneleli wakho wezempilo ukuba unezigigaba ezibi okanye eziphindaphindwayo zentlungu esiswini.

MVT

Ifu A, Dussel JN, Webster-Lake C, Indes J. Mesenteric ischemia. Ku: Ewe CJ, ed. Utyando lwe-Shackelford lwe-Alimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 87.

UFuerstadt P, uBrandt LJ. Ischemia yamathumbu emathunjini. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahl. 118.

Uluhlu lwe-CE, Reardon RF. Ukuphazamiseka kwamathumbu amancinci. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: Iikhonsepthi kunye nokuziqhelanisa neKlinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 82.