Isifo sikaMeyi-Thurner

Umxholo

• Zeziphi iimpawu zesifo sikaMeyi-Thurner?
• Zintoni izizathu kunye nemingcipheko yemay-Thurner syndrome?
• Kufunyaniswa njani?
• Uphathwa njani uMeyi-Thurner syndrome?
• Unyango lwe-Meyi-Thurner syndrome
• Unyango lwe-DVT
• Zeziphi iingxaki ezinxulumene nesifo sikaMeyi-Thurner?
• Kukuthini ukubuyela kwimeko yoqhaqho?
• Ukuhlala nesifo sikaMeyi-Thurner

Yintoni iMay-Thurner syndrome?

Isifo sikaMeyi-Thurner yimeko ebangela ukuba umthambo we-iliac wasekhohlo uthambe ngenxa yoxinzelelo kumthambo we-iliac olungileyo.

Kukwaziwa nangokuthi:

• Uxinzelelo lwe-vein ye-iliac
• Uxinzelelo lwe-iliocaval syndrome
• ICockett syndrome

Umthambo we-iliac wasekhohlo ngumthambo ophambili kumlenze wakho wasekhohlo. Kuyasebenza ukuhambisa igazi ulibuyisele entliziyweni yakho. Umthambo olungileyo we-iliac ngumjelo ophambili kumlenze wakho wasekunene. Ihambisa igazi kumlenze wakho wasekunene.

Umthambo olungileyo we-iliac ngamanye amaxesha unokuhlala ngaphezulu komthambo we-iliac wasekhohlo, obangela uxinzelelo kunye noMeyi-Thurner syndrome. Olu xinzelelo kumthambo we-iliac wasekhohlo kunokubangela ukuba igazi ligele ngokungaqhelekanga, elinokuba neziphumo ezibi.

Zeziphi iimpawu zesifo sikaMeyi-Thurner?

Uninzi lwabantu abaneMay-Thurner syndrome alunamava ngaphandle kokuba lubangele i-vein thrombosis (DVT).

Nangona kunjalo, ngenxa yokuba isifo sikaMeyi-Thurner singenza kube nzima ukuba igazi lijikeleze libuyele entliziyweni yakho, abanye abantu banokufumana iimpawu ngaphandle kwe-DVT.

Ezi mpawu zenzeka ikakhulu kumlenze wasekhohlo kwaye zinokubandakanya:

• intlungu yomlenze
• ukudumba komlenze
• imvakalelo yobunzima emlenzeni
• intlungu yomlenze ngokuhamba (i-venous claudication)
• ukujika kwesikhumba
• Izilonda zomlenze
• imithambo eyandisiweyo emlenzeni

I-DVT ligazi elinokucothisa okanye ukuvimba ukuhamba kwegazi emthanjeni.

Iimpawu ze-DVT zibandakanya:

• intlungu yomlenze
• ukuthamba okanye ukubetha emlenzeni
• ulusu olujongeka lubala-luhlaza, lubomvu, okanye luziva lufudumele
• ukudumba emlenzeni
• imvakalelo yobunzima emlenzeni
• imithambo eyandisiweyo emlenzeni

Abasetyhini bahlakulela isifo sokudumba kwethambo. Olona phawu luphambili lwesifo sokudakumba kweplavic ziintlungu zangasese.

Zintoni izizathu kunye nemingcipheko yemay-Thurner syndrome?

Isifo sikaMeyi-Thurner sibangelwa ngumthambo olungileyo we-iliac ongaphezulu kunye nokubeka uxinzelelo kumthambo we-iliac wasekhohlo kwi-pelvis yakho. Ababoneleli ngezempilo abaqinisekanga ukuba kutheni le nto isenzeka.

Kunzima ukwazi ukuba bangaphi abantu abane-May-Thurner syndrome kuba ihlala ingenazo iimpawu. Nangona kunjalo, ngophando luka-2015, kuqikelelwa ukuba kwabo baphuhlisa i-DVT banokuthi yi-May-Thurner syndrome.

Ngophando lwe-2018, iMay-Thurner syndrome yenzeka kubafazi xa kuthelekiswa namadoda. Ukongeza, uninzi lweemeko zikaMeyi-Thurner syndrome zenzeka kubantu abaphakathi kweminyaka engama-20 ukuya kuma-40, ngokwengxelo yetyala ka-2013 kunye nokuphononongwa.

Izinto ezinobungozi ezinokunyusa umngcipheko we-DVT kubantu abane-May-Thurner syndrome zibandakanya:

• ukungasebenzi ixesha elide
• ukukhulelwa
• utyando
• ukuphelelwa ngamanzi emzimbeni
• usulelo
• umhlaza
• ukusetyenziswa kweepilisi zokulawula inzala

Kufunyaniswa njani?

Ukungabikho kweempawu zikaMeyi-Thurner kungenza kube nzima kubanikezeli bezempilo ukuba bafumane isifo. Umboneleli wakho wezempilo uya kuqala ngokucela imbali yakho yezonyango kwaye akunike novavanyo lomzimba.

Umboneleli wakho wezempilo uya kusebenzisa iimvavanyo zokucinga ukuze uncede ubone ukunciphisa kumthambo wakho we-iliac. Nokuba yeyiphi indlela engabonakaliyo okanye engenayo enokusetyenziswa.

Eminye imizekelo yovavanyo lokucinga ukuba umboneleli wakho wezempilo unokuyenza:

Uvavanyo olungafunekiyo:

• Ultrasound
• Ukuskena i-CT
• Ukuskena iMRI
• venogram

Uvavanyo olungenelelayo:

• i-venogram esekwe ngekheyetha
• i-intravascular ultrasound, esebenzisa i-catheter ukwenza i-ultrasound ngaphakathi kwinqanawa yegazi

Uphathwa njani uMeyi-Thurner syndrome?

Asinguye wonke umntu one-May-Thurner syndrome oya kwazi ukuba banayo. Nangona kunjalo, imeko inokufuna unyango ukuba iqala ukuvelisa iimpawu.

Kubalulekile ukuba wazi ukuba kunokwenzeka ukuba ube noMeyi-Thurner syndrome ngaphandle kokuba ne-DVT.

Ukuncitshiswa kokuhamba kwegazi okunxulunyaniswa nokunciphisa umthambo we-iliac wasekhohlo kunokubangela iimpawu ezinje:

• intlungu
• ukudumba
• izilonda zomlenze

Unyango lwe-Meyi-Thurner syndrome

Ukunyanga iMay-Thurner syndrome kugxile ekuphuculeni ukuhamba kwegazi kumthambo we-iliac wasekhohlo. Le ndlela yonyango ayincedi kuphela ukukhulula iimpawu, kodwa ikwanciphisa umngcipheko wokuphuhlisa i-DVT.

Kukho iindlela ezimbalwa zokufezekisa oku:

• I-angioplasty kunye ne-stenting: I-catheter encinci enebhaluni kwincam yayo ifakwe emthanjeni. Ibhaluni inomoya wokuvula umthambo. Umbhobho omncinci obizwa ngokuba yi-stent ubekwa ukugcina umthambo uvulekile. Ibhaluni iyachithwa kwaye isuswe, kodwa i-stent ihlala endaweni.
• Utyando lweBypass: Igazi libuyiswa lijikeleze icandelo elicinezelekileyo lomthambo ngokudityaniswa kwegrafti.
• Ukubeka kwakhona i-artery iliac efanelekileyo: Umthambo olungileyo we-iliac ushukunyiswa emva komthambo we-iliac wasekhohlo, ke awubeki xinzelelo kuwo. Ngamanye amaxesha, izicwili zinokubekwa phakathi kwe-iliac vein kunye nomthambo ofanelekileyo wokunciphisa uxinzelelo.

Unyango lwe-DVT

Ukuba une-DVT ngenxa yesifo sikaMeyi-Thurner, umboneleli wakho wezempilo unokusebenzisa olu nyango lulandelayo:

• Abacoci begazi: Abacoci begazi banokunceda ukuthintela amahlwili egazi.
• Amayeza okuqhekeza ihlwili: Ukuba abacoci gazi abonelanga, amayeza e-clot-busting anokuhanjiswa nge-catheter ukunceda ukuqhekeza ihlwili. Kungathatha naphi na ukusuka kwiiyure ezimbalwa ukuya kwiintsuku ezimbalwa ukuba inyibilika inyibilike.
• Vena cava isihluzo: Isihluzo se vena cava sinceda ukuthintela amahlwili egazi angasuki kwimiphunga yakho. I-catheter ifakwa emthanjeni entanyeni okanye kwi-groin yakho emva koko uye kwi-vena cava engaphantsi. Icebo lokucoca ulwelo libamba amahlwili ukuze angafiki kwimiphunga yakho. Ayikwazi ukuyeka amahlwili amatsha ekuyileni.

Zeziphi iingxaki ezinxulumene nesifo sikaMeyi-Thurner?

I-DVT yeyona ngxaki iphambili kubangelwa sisifo sikaMeyi-Thurner, kodwa inokuba nayo ingxaki yayo. Xa iqabunga legazi emlenzeni liphuma, linokuhamba ngokuhamba kwegazi. Ukuba ifikelela kwimiphunga yakho, inokubangela ukuvaleka okubizwa ngokuba yi-pulmonary embolism.

Oku kunokuba yimeko esongela ubomi efuna unyango olungxamisekileyo.

Fumana uncedo kwangoko ukuba unamava:

• ukuqhawukelwa ngumphefumlo
• iintlungu zesifuba
• ukukhohlela umxube wegazi kunye neencindi

Kukuthini ukubuyela kwimeko yoqhaqho?

Olunye utyando olunxulunyaniswa neMeyi-Thurner syndrome lwenziwa ngaphandle kwesigulana, oko kuthetha ukuba ungagoduka kwangolo suku lunye emva kokuba unazo. Kuya kufuneka ubuyele kwimisebenzi yesiqhelo kwiintsuku ezimbalwa ukuya evekini.

Ngakumbi ukubandakanyeka kotyando, uya kuba noburhalarhume emva koko. Kungathatha iiveki ezimbalwa kwiinyanga nje ezimbalwa ukubuyela kwimeko yesiqhelo.

Umboneleli wakho wezempilo uya kukuyalela ukuba kufuneka ulandele kangaphi. Ukuba une-stent, unokufuna isheke le-ultrasound malunga neveki emva kotyando, kunye nokubeka iliso rhoqo emva koko.

Ukuhlala nesifo sikaMeyi-Thurner

Abantu abaninzi abane-syndrome kaMeyi-Thurner badlula ebomini bengazi ukuba banayo. Ukuba ibangela i-DVT, zininzi iindlela zonyango ezifanelekileyo. Kubalulekile ukuba uqiniseke ukuba uyazi imiqondiso ye-pulmonary embolism ukuze ufumane uncedo kwangoko.

Ukuba uneempawu ezingapheliyo zesifo sikaMeyi-Thurner, thetha nomboneleli wakho wezempilo malunga neenkxalabo zakho. Banokusebenza ngokusondeleyo kunye nawe ukufumanisa imeko yakho kwaye bakucebise ngeendlela ezilungileyo zokuyinyanga nokuyilawula.