I-Nutcracker Syndrome: Into ekufuneka uyazi

Umxholo

• Ushwankathelo
• Iimpawu eziqhelekileyo kunye neempawu
• Oonobangela kunye nemingcipheko
• Kufunyaniswa njani
• Iphathwa njani
• Ukuqina
• Utyando lwesitya segazi
• Yintoni imbonakalo?

Ushwankathelo

Izintso zakho zizitho ezibini ezinembonakalo yeembotyi ezilawula imisebenzi ebalulekileyo emzimbeni wakho, njenge:

• kususa inkunkuma egazini lakho
• Ukulinganisa ulwelo lomzimba
• ukwenza umchamo

Intso nganye inemithambo enye ephethe igazi elihluzwe zizintso kwinkqubo yokujikeleza kwegazi. Ezi zibizwa ngokuba yimithambo yezintso.Ngokwesiqhelo kukho enye ngasekunene enye ngasekhohlo. Nangona kunjalo, kunokubakho umahluko.

Kwi-nutcracker syndrome, iimpawu zihlala zibangelwa xa umthambo we-renal osekhohlo ovela kwizintso zasekhohlo uxinzelelekile kwaye igazi alinakuhamba ngesiqhelo ngalo. Endaweni yoko, igazi lihamba libuyele kweminye imithambo kwaye libangele ukuba badumbe. Oku kunokunyusa uxinzelelo kwizintso zakho kwaye kubangele iimpawu ezinje.

Zimbini iintlobo eziphambili ze-nutcracker syndrome: ngaphambili nangasemva. Kukho iindidi ezininzi. Ezinye iingcali zibeka ezi ntlobo zincinci kudidi lwesithathu olubizwa ngokuba “luxubene.”

Kwi-anterior nutcracker syndrome, umthambo we-renal wasekhohlo ucinezelwe phakathi kwe-aorta kunye nomnye umthambo wesisu. Olu luhlobo oluqhelekileyo lwe-nutcracker syndrome.

Kwi-posterior nutcracker syndrome, umthambo we-renal wasekhohlo uhlala ucinezelwe phakathi kwe-aorta kunye nomqolo. Kuhlobo oluxubekileyo, kukho uluhlu olubanzi lweenguqu zemithambo yegazi ezinokubangela iimpawu.

Isifo seNutcracker safumana igama kuba uxinzelelo lwe-renal vein lufana ne-nutcracker eqhekeza i-nut.

Iimpawu eziqhelekileyo kunye neempawu

Xa imeko ingabonisi zimpawu, idla ngokubizwa ngokuba yi-nutcracker phenomenon. Emva kokuba iimpawu zivela kuthiwa yi-nutcracker syndrome. Iimpawu kunye neempawu eziqhelekileyo zibandakanya:

• igazi kumchamo wakho
• iintlungu zangasese
• iintlungu kwicala lakho okanye esiswini
• protein kumchamo wakho, enokuchongwa ngugqirha
• iintlungu ngexesha lokwabelana ngesondo
• imithambo eyandisiweyo kumasende
• intloko encinci ngelixa imile, kodwa hayi xa uhleli

Oonobangela kunye nemingcipheko

Izizathu ezithile ze-nutcracker syndrome ziyahluka. bazalwa benemithambo yegazi eyahlukileyo enokukhokelela kwiimpawu zesifo se-nutcracker. inokukhulisa isifo ngenxa yotshintsho ngaphakathi esiswini. Iimpawu zixhaphake kakhulu kubantu ababhinqileyo abakwiminyaka yama-20 nama-30, kodwa inokuchaphazela nawuphina ubudala.

Ezinye zeemeko ezinokunyusa ithuba lokuphuhlisa i-nutcracker syndrome zibandakanya:

• amathumba epancreatic
• amathumba kwithishu efakwe eludongeni lwesisu
• ijika lomqolo elisezantsi kakhulu
• nephroptosis, xa izintso zakho ziwela kwi-pelvis yakho xa usukuma
• i-aneurysm kwisisu sakho esiswini
• utshintsho olukhawulezileyo kubude okanye ubunzima
• ubunzima bomzimba ophantsi
• ii-lymph node ezandisiweyo esiswini sakho
• ukukhulelwa

Kubantwana, ukukhula ngokukhawuleza ngexesha lokufikisa kungakhokelela kwisifo se-nutcracker. Njengokutshintsha kobungakanani bomzimba, umthambo wezintso unokucinezelwa. Abantwana kunokwenzeka ukuba babe neempawu ezimbalwa xa kuthelekiswa nabantu abadala. Isifo seNutcracker asizuzwa njengelifa.

Kufunyaniswa njani

Okokuqala, ugqirha wakho uya kwenza uvavanyo lomzimba. Emva koko, baya kuthatha imbali yonyango kwaye babuze malunga neempawu zakho ukubanceda ukunciphisa uxilongo olunokwenzeka.

Ukuba bayakrokrela isifo se-nutcracker, ugqirha wakho uya kuthatha iisampulu zomchamo ukukhangela igazi, iprotein, kunye neebhaktiriya. Iisampulu zegazi zingasetyenziselwa ukujonga ukubala kweeseli zegazi kunye nokusebenza kwezintso. Oku kuya kubanceda banciphise ukuxilongwa kwakho nangakumbi.

Emva koko, ugqirha wakho unokucebisa i-Doppler ultrasound yengingqi yakho yezintso ukuze ubone ukuba ngaba uhamba ngokungaqhelekanga kwegazi kwiimvini zakho kunye nemithambo.

Ngokuxhomekeke kwi-anatomy kunye neempawu zakho, ugqirha wakho unokucebisa nge-CT scan okanye i-MRI ukuba ijonge ngakumbi kwizintso zakho, imithambo yegazi, kunye namanye amalungu ukuze abone ukuba kutheni kwaye kutheni umthambo ucinezelwe. Banokucebisa nge-biopsy yezintso ukunceda ukulawula ezinye iimeko ezinokubangela iimpawu ezifanayo.

Iphathwa njani

Kwiimeko ezininzi, ukuba iimpawu zakho zincinci, ugqirha wakho uya kuncoma ukujonga isifo sakho se-nutcracker. Kungenxa yokuba ngamanye amaxesha inokuhamba yodwa, ngakumbi ebantwaneni. Kubantwana abangaphantsi kwe-18, uphononongo lubonisa ukuba iimpawu ze-nutcracker syndrome zinokuzisombulula malunga nexesha.

Ukuba ugqirha wakho ucebisa ngokujonga, baya kwenza iimvavanyo zomchamo rhoqo ukujonga imeko yakho.

Ukuba iimpawu zakho zinzima kakhulu okanye aziphuculanga emva kwexesha lokujonga le-18 ukuya kwiinyanga ezingama-24, unokufuna unyango. Kukho iindlela ezahlukeneyo onokukhetha kuzo.

Ukuqina

I-stent yityhubhu encinci enemigca evulekileyo ivule umthambo ovulekileyo kwaye ivumela igazi ukuba ligele ngesiqhelo. Le nkqubo sele isetyenziswe phantse iminyaka engama-20 kunyango lwale meko.

Ugqirha wakho unokuyifaka ngokusika isinqe esincinci emlenzeni wakho kwaye usebenzise iketter yokuhambisa istent kwindawo efanelekileyo ngaphakathi kwethambo lakho. Nangona kunjalo, njengayo nayiphi na inkqubo, kukho umngcipheko.

Phantse iipesenti ezisixhenxe zabantu bafumana ukunyakaza kwe-stent. Oku kunokukhokelela kwiingxaki ezinje:

• amahlwili egazi
• ukwenzakala kwemithambo yegazi
• iinyembezi ezinzima kudonga lwemithambo yegazi

Ukubekwa ngokuqinileyo kufuna ukuhlala esibhedlele ubusuku bonke kunye nokufumana kwakhona ngokupheleleyo kunokuthatha iinyanga ezininzi. Wena nogqirha kufuneka nixoxe ngomngcipheko kunye nezibonelelo zale nkqubo, kunye nezinye iindlela zonyango.

Utyando lwesitya segazi

Ukuba unempawu ezinzima, utyando lwemithambo yegazi kunokuba lolona khetho lubhetele kuwe. Ugqirha wakho unokucebisa ngeendlela ezahlukeneyo zotyando ukuze unciphise uxinzelelo emthanjeni. Okukhethwa kukho kunokubandakanya ukuhambisa umthambo kunye nokuwunikezela kwakhona, ke awusekho kwindawo apho unokucinezelwa khona.

Olunye ukhetho kukudlula kutyando, apho umthambo othathwe kwenye indawo emzimbeni wakho uqhotyoshelwe endaweni yomthambo oxinzelelweyo.

Ukuchacha emva kotyando kuxhomekeke kuhlobo lotyando kunye nempilo yakho iyonke. Kuthatha iinyanga ezininzi.

Yintoni imbonakalo?

I-Nutcracker syndrome inokuba nzima koogqirha ukuyifumanisa, kodwa xa sele ifunyenwe, imeko ihlala ilungile. Ukulungisa imeko kuxhomekeke kwisizathu.

Kwiimeko ezininzi ebantwaneni, isifo se-nutcracker esineempawu ezibuthathaka siyakuzisombulula kwisithuba seminyaka emibini. Ukuba uneempawu ezibi kakhulu, unokukhetha iindlela ezahlukeneyo zokulungisa umthambo ochaphazelekayo kwaye ube neziphumo ezilungileyo zoncedo lwexesha elifutshane nelide.

Kulabo abane-syndrome ye-nutcracker ngenxa yeemeko ezithile zonyango okanye izicubu, ukulungisa ingxaki yokuhamba kwegazi kufuna ukulungisa okanye ukunyanga oyena nobangela.