Mei-Thurner Syndrome

Anter

• He aha nā hōʻailona o Mei-Thurner Syndrome?
• He aha nā kumu a me nā pilikia o ka maʻi Mei-Thurner?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai ka maʻi Mei-Thurner?
• Hoʻomaʻo no ka maʻi Mei-Thurner
• Lapaʻau no DVT
• He aha nā pilikia e pili pū me ka Mei-Thurner Syndrome?
• Pehea ke ola ʻana mai ke ʻoki kino?
• Noho me ka maʻi ʻo Mei-Thurner

He aha ka maʻi ʻo Mei-Thurner?

ʻO Mei-Thurner Syndrome kahi kūlana e hoʻonāukiuki ai ka ʻili iliac hema i loko o kāu pelvis no ka kaomi o ke aʻa pono ʻiliac.

ʻIke ʻia ia ma ke ʻano:

• maʻi ʻaʻai ʻili iliac
• maʻi pāhili iliocaval
• ʻO Cockett Syndrome

ʻO ka maʻi ʻili ʻili ka hema o ke aʻa nui i kou wāwae hema. Hana ia e hoʻihoʻi i ke koko i kou puʻuwai. ʻO ke aʻa pono iliac ke aʻa nui i kou wāwae ʻākau. Hāʻawi ia i ke koko i kou wāwae ʻākau.

Hiki ke kau i ke aʻa ʻiliaka ʻākau i kekahi manawa ma luna o ka ʻaoʻao hema o ka ʻili iliac, e hoʻoulu ana i ke kaomi a me ka maʻi ʻo Mei-Thurner. Hiki i kēia kaomi ma ka ʻaoʻao ʻaoʻao hema ke hiki ke kahe i ke koko ma ke ʻano ʻino, a he hopena koʻikoʻi paha kona.

He aha nā hōʻailona o Mei-Thurner Syndrome?

ʻO ka hapa nui o ka poʻe me Mei-Thurner Syndrome ʻaʻole lākou e ʻike i kekahi ʻōuli ke ʻole ke kumu o ka thrombosis hohonu (DVT).

Eia nō naʻe, no ka mea hiki i ka Mei-Thurner syndrome ke paʻakikī i ka holo ʻana o ke koko i kou puʻuwai, e ʻike paha kekahi poʻe i nā ʻōuli me ka ʻole o ka DVT.

Kū pinepine kēia mau ʻōuli i ka wāwae hema a hiki ke hoʻopili pū ʻia:

• ʻeha wāwae
• pehu wāwae
• manaʻo kaumaha i ka wāwae
• ʻeha wāwae me ka hele wāwae (venous claudication)
• ʻiliʻiliʻili
• ulcer wāwae
• hoʻonui i nā uaua i ka wāwae

ʻO kahi DVT kahi kīʻaha koko e hiki ai ke hoʻolohi a pale paha i ke kahe o ke koko i ka aa.

Nā hōʻailona o ka DVT:

• ʻeha wāwae
• palupalu a hū paha i ka wāwae
• ʻili e nānā discolored, ʻulaʻula, a mehana mehana i ka hoʻopā
• pehu i ka wāwae
• manaʻo kaumaha i ka wāwae
• hoʻonui i nā uaua i ka wāwae

Hoʻomohala nā wahine i ka maʻi pelvis. ʻO ka hōʻailona nui o ka maʻi pelvic congest Syndrome ka ʻeha pelvic.

He aha nā kumu a me nā pilikia o ka maʻi Mei-Thurner?

Hoʻokumu ʻia ʻo Mei-Thurner Syndrome e ke aʻa pono o ka iliac ma luna o a kau i ke kaomi ma ka ʻaoʻao ʻaoʻao hema i kou pelvis. ʻAʻole maopopo i nā mea lawelawe mālama ola ke kumu o kēia.

He paʻakikī e ʻike i ka nui o ka poʻe i loaʻa iā May-Thurner Syndrome no ka mea ʻaʻohe o nā hōʻailona maʻamau. Eia nō naʻe, e like me kahi noiʻi 2015, ua manaʻo ʻia o ka poʻe e hoʻomohala i kahi DVT hiki ke hāʻawi iā ia iā May-Thurner Syndrome.

Ma kahi noi 2018, ʻike ʻia ʻo Mei-Thurner Syndrome i nā wahine i hoʻohālikelike ʻia i nā kāne. Hoʻohui ʻia, ʻo ka hapa nui o nā hihia o Mei-Thurner Syndrome e kū i kēlā me kēia kanaka ma waena o 20 a 40 mau makahiki, e like me ka hōʻike a me ka loiloi 2013 hihia.

Nā kumu pilikia e hiki ke hoʻonui i ka makaʻu no ka DVT i ka poʻe me Mei-Thurner maʻi pū kekahi:

• hoʻolōʻihi lōʻihi
• hāpai keiki
• ʻoki kino
• hoʻomake wai
• maʻi maʻi
• maʻi ʻaʻai
• ka hoʻohana ʻana i nā lāʻau kaohi hānau

Pehea ia ʻike?

ʻO ka hemahema o nā hōʻailona ʻo May-Thurner Syndrome hiki ke hana paʻakikī i nā mea lawelawe olakino e hōʻoia. E hoʻomaka kāu mea mālama ola ma ke noi ʻana i kāu mōʻaukala olakino a hāʻawi iā ʻoe i kahi hoʻokolokolo kino.

E hoʻohana kāu kauka olakino i nā hoʻokolohua kiʻi e kōkua ai i ka ʻike ʻana i ka liʻiliʻi o kou aʻa ʻiliac hema. A i ʻole noninvasive a i ʻole invasive hoʻokokoke hiki ke hoʻohana ʻia.

ʻO kekahi mau laʻana o nā hoʻokolohua kiʻi ʻana i kāu mea mālama ola e hana pū paha:

Nā hōʻike noninvasive:

• ultrasound
• CT scan
• MRI hoʻoili
• venogram

Nā hoʻāʻo invasive:

• venogram-ma muli o ka catheter
• intravascular ultrasound, kahi e hoʻohana ai i ka catheter e hana i kahi ultrasound mai loko o kahi kīʻaha koko

Pehea e mālama ʻia ai ka maʻi Mei-Thurner?

ʻAʻole ʻike ka poʻe i loaʻa iā Mei-Thurner Syndrome e loaʻa iā lākou. Eia naʻe, hiki i ke ʻano ke koi i ka lāʻau inā hoʻomaka ia e hana i nā hōʻailona.

He mea nui ia e ʻike he hiki ke loaʻa iā May-Thurner Syndrome me ka ʻole o ka DVT.

ʻO ka hoʻoliʻiliʻi o ke kahe o ke koko e pili ana me ka hoʻopili ʻana o ka ʻaoʻao ʻili ʻili i hiki ke hana i nā ʻōuli e like me:

• ʻeha
• pehu
• ulcer wāwae

Hoʻomaʻo no ka maʻi Mei-Thurner

ʻO ka mālama ʻana iā May-Thurner Syndrome e kia ana i ka hoʻomaikaʻi ʻana i ke kahe o ke koko i ka maʻi ʻili ʻili. ʻAʻole kōkua kēia ʻano hana e hōʻoluʻolu i nā ʻōuli, akā hiki nō hoʻi ke hoʻohaʻahaʻa i kou makaʻu i ka hoʻomohala ʻana i ka DVT.

Aia kekahi mau ala i hiki ke hoʻokō i kēia:

• Angioplasty a me ka stenting: Hoʻokomo ʻia kahi catheter liʻiliʻi me kahi baluna ma kona piko i loko o ka aa. Hoʻonui ʻia ka pāluna e wehe i ke aa. Hoʻokomo ʻia kahi ʻōmole mesh i kapa ʻia he stent e hāmama ai ke aʻa. Hoʻopau ʻia a hoʻoneʻe ʻia ka baluna, akā paʻa ka stent i kahi.
• ʻOki kino Bypass: Hoʻopili hou ʻia ke koko a puni ka ʻāpana i hoʻopaʻa ʻia o ka aa me kahi kuʻina bypass.
• Ke hoʻonohonoho hou nei i ke aʻa iliac kūpono: Hoʻoneʻe ʻia ke aʻa iliac ʻākau ma hope o ka ʻili iliac hema, no laila ʻaʻole ia e kau i ke kaomi. I kekahi mau hihia, e kau ʻia kaʻiʻo ma waena o ka ʻili iliac hema a me ke aʻa kūpono e hōʻoluʻolu i ke kaomi.

Lapaʻau no DVT

Inā loaʻa iā ʻoe ka DVT ma muli o ka Mei-Thurner Syndrome, hiki i kāu kauka olakino ke hoʻohana i nā ʻano lawelawe aʻe:

• Nā koko lahilahi: Hiki i nā mea lahilahi o ke koko ke kōkua i mea e pale aku ai i ke koko koko.
• Nā lāʻau lapaʻau hōʻano lole: Inā lawa ʻole nā ​​mea lahilahi o ke koko, hiki ke hāʻawi ʻia nā lāʻau hoʻōla i loko o ka catheter e kōkua ai e wāwahi i ka hāpala. Hiki iā ia ke lawe ma nā wahi āpau mai kekahi mau hola a i kekahi mau lā no ka mea e hemo ai ka ʻaukā.
• Kānana Vena cava: Kōkua kahi kānana vena cava i ka pale ʻana i nā koko koko mai ka neʻe ʻana i kāu mau māmā. Hoʻokomo ʻia kahi catheter i loko o kahi aa i kou ʻāʻī a i ʻole nā ​​ʻūlū a laila i loko o ka vena cava inferior. Hoʻopaʻa ka kānana i nā clots i hiki ʻole i kāu mau māmā. ʻAʻole hiki iā ia ke ho'ōki i nā clots hou mai ka hoʻokumu ʻana.

He aha nā pilikia e pili pū me ka Mei-Thurner Syndrome?

ʻO ka DVT ka pilikia nui May-Thurner syndrome ke kumu, akā hiki ke loaʻa iā ia nā pilikia ponoʻī. Ke wāwahi kahi kōkuʻu koko i ka wāwae, hiki iā ia ke hele ma waena o ke koko. Inā hiki i kou mau māmā, hiki iā ia ke kumu i kahi blockage i ʻike ʻia ma ke ʻano he embolism pulmonary.

Hiki i kēia ke lilo i mea hoʻoweliweli e koi ai i ka lāʻau lapaʻau olakino.

E kōkua koke inā ʻike ʻoe:

• pokole o ka hanu
• ʻeha ka umauma
• ke kuʻi nei i ka hui ʻana o ke koko a me ka ʻūhū

Pehea ke ola ʻana mai ke ʻoki kino?

ʻO kekahi o nā ʻoki lāʻau e pili pū ana me ka maʻi ʻo May-Thurner e hana ʻia ma kahi kumu o waho, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā like ma hope o ka loaʻa ʻana iā lākou. Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o kekahi mau lā a i hoʻokahi pule.

No nā ʻoki bypass i pili hou aʻe, e loaʻa iā ʻoe kekahi ʻeha ma hope. E hala paha i mau pule i kahi mau mahina ʻelua e ola hou ai.

E aʻo aku kāu kauka iā ʻoe i ka manawa pinepine e pono ai e nānā. Inā loaʻa iā ʻoe kahi stent, pono paha ʻoe i kahi kaha ultrasound e pili ana i hoʻokahi pule ma hope o ke kaha ʻana, a me ka nānā manawa ʻana ma hope o kēlā.

Noho me ka maʻi ʻo Mei-Thurner

He nui ka poʻe me Mei-Thurner Syndrome e hele i loko o ke ola me ka ʻike ʻole o ka maʻi o lākou. Inā kumu ia DVT, aia kekahi mau koho lapaʻau maikaʻi. He mea nui ia e ʻike pono i nā hōʻailona o ka pulmonary embolism i hiki ai iā ʻoe ke kōkua koke.

Inā loaʻa iā ʻoe nā ʻōuli maʻi mau o ka Mei-Thurner Syndrome, e kamaʻilio me kāu kauka no kāu hopohopo. Hiki iā lākou ke hana pū me ʻoe e hōʻoia i kou ʻano a aʻoaʻo iā ʻoe e pili ana i nā ala maikaʻi e mālama a mālama ai.