Tsib Hlis-Thurner Syndrome

Zoo Siab

• Cov tsos mob ntawm lub Tsib Hlis-Thurner cov tsos mob zoo li cas?
• Dab tsi yog qhov ua thiab qhov phom sij ntawm Tsib Hlis-Thurner syndrome?
• Nws kuaj tau li cas?
• Yuav kho tus mob May-Thurner syndrome li cas?
• Kev kho rau May-Thurner syndrome
• Kev Kho Mob rau DVT
• Cov teeb meem cuam tshuam dab tsi cuam tshuam nrog May-Thurner syndrome?
• Dab tsi yog qhov rov qab los ntawm kev phais zoo li?
• Nyob nrog Lub Tsib Hlis-Thurner syndrome

Tus Mob May-Thurner syndrome yog dab tsi?

May-Thurner syndrome yog qhov xwm txheej uas ua rau txoj hlab ntsha hauv sab hauv koj lub plab txha nqaim vim tias qhov siab los ntawm txoj cai iliac leeg.

Nws tseem hu ua:

• cov leeg mob hlab ntsha ntsws
• iliocaval kev mob ntsws ntsws
• Cockett mob

Sab laug iliac hlab ntsha yog qhov hlab ntsha tseem ceeb hauv koj sab ceg sab laug. Nws ua haujlwm nqa cov ntshav rov qab rau koj lub plawv. Txoj cai iliac leeg yog txoj hlab ntshav loj hauv koj sab ceg xis. Nws muab ntshav rau koj sab ceg sab xis.

Txoj cai iliac artery tuaj yeem qee zaum so ntawm sab laug ntawm txoj hlab ntsha iliac, ua rau muaj kev nyuaj siab thiab May-Thurner syndrome. Qhov siab ua haujlwm ntawm sab laug ntawm lub cev nqaij ntshiv tuaj yeem ua rau ntshav ntws tsis tuaj yeem, uas tuaj yeem muaj kev rau txim loj.

Cov tsos mob ntawm lub Tsib Hlis-Thurner cov tsos mob zoo li cas?

Cov neeg feem ntau uas muaj May-Thurner syndrome yuav tsis muaj cov tsos mob tshwj tsis yog tias nws ua rau txoj hlab ntshav ntsws (DVT) sib sib zog nqus.

Txawm li cas los xij, vim tias Tsib Hlis-Thurner syndrome tuaj yeem ua rau nws nyuaj rau cov ntshav kom txaus txaus rau hauv koj lub plawv, qee cov neeg yuav muaj cov tsos mob yam tsis muaj DVT.

Cov tsos mob no tshwm sim ntau heev nyob rau sab laug ceg thiab tuaj yeem suav nrog:

• mob ceg
• txhais ceg o
• zoo nkaus li hnyav dua hauv txhais ceg
• mob ceg nrog taug kev (venous claudication)
• tawv nqaij ntxiv
• txhais kiav txhab
• tsam dav leeg hauv txhais ceg

Ib qhov DVT yog qhov ua rau ntshav txhaws tuaj yeem ua kom qeeb los yog txhawm rau ntshav cov hlab ntshav.

Cov tsos mob ntawm DVT suav nrog:

• mob ceg
• rhiab los yog txhaws sab hauv ceg
• tawv nqaij uas zoo li tsis hnov ​​tsw, liab, lossis hnov ​​zoo rau sov so
• o hauv ceg
• zoo nkaus li hnyav dua hauv txhais ceg
• tsam dav leeg hauv txhais ceg

Cov poj niam muaj mob pelvic congestion syndrome. Cov tsos mob tseem ceeb ntawm pelvic congestion syndrome yog pelvic mob.

Dab tsi yog qhov ua thiab qhov phom sij ntawm Tsib Hlis-Thurner syndrome?

Tsib Hlis-Thurner syndrome yog tshwm sim los ntawm txoj cai iliac leeg ntshav tau nyob rau sab saum toj thiab muab siab ntawm sab laug ntawm txoj hlab ntshav hauv koj lub plab mog Cov kws kho mob tsis paub meej tias vim li cas qhov no ho tshwm sim.

Nws yog ib qho nyuaj rau paub txog pes tsawg tus neeg muaj Tsib-Thurner syndrome vim nws feem ntau tsis muaj tsos mob dab tsi. Txawm li cas los xij, raws li kev tshawb fawb 2015, nws tau kwv yees tias ntawm cov neeg uas txhim kho DVT tuaj yeem yog tus mob rau May-Thurner syndrome.

Kev tshawb fawb ib zaug xyoo 2018, Tsib Hlis-Thurner cov tsos mob tshwm sim hauv cov poj niam piv rau cov txiv neej. Ib qho ntxiv, feem ntau ntawm Tsib Hlis-Thurner cov tsos mob tshwm sim rau cov neeg muaj hnub nyoog 20 txog 40 xyoo, raws li tsab ntawv ceeb toom xyoo 2013 thiab tshuaj xyuas.

Cov xwm txheej pheej hmoo uas tuaj yeem ua rau muaj feem ntau rau DVT rau cov neeg uas muaj May-Thurner syndrome muaj xws li:

• lub caij nyoog tsis muaj dab tsi
• cev xeeb tub
• kev phais mob
• lub cev qhuav dej
• kis tau tus mob
• mob cancer
• kev siv tshuaj tiv thaiv kev xeeb tub

Nws kuaj tau li cas?

Tsib Hlis-Thurner cov tsos mob tsis muaj tsos mob tuaj yeem ua rau nws nyuaj rau cov kws kho mob kuaj mob. Koj tus kws kho mob yuav pib los ntawm kev thov koj li keeb kwm kev kho mob thiab muab kev kuaj mob rau koj.

Koj tus neeg saib xyuas kev noj qab haus huv yuav siv cov duab ntsuas los pab pom kev sib deev hauv koj txoj hlab ntsha hauv sab laug. Txawm yog qhov tsis yog siv lossis txoj kev tsis zoo yuav siv tau.

Qee cov piv txwv ntawm cov duab ntsuas uas koj tus kws kho mob yuav ua yog:

Qhov kev kuaj mob tsis yog:

• ultrasound
• Iav scan
• MRI scan
• venogram

Qhov kev sim uas tsis zoo:

• catheter-based venogram
• intravascular ultrasound, uas siv cov ntsuas pa hluav taws xob los ua qhov ntsuas ultrasound los ntawm sab hauv ntawm cov hlab ntsha

Yuav kho tus mob May-Thurner syndrome li cas?

Tsis yog txhua tus neeg uas muaj May-Thurner syndrome yuav paub tias lawv muaj. Txawm li cas los xij, tus mob tuaj yeem xav tau kev kho mob yog tias nws pib tsim cov tsos mob.

Nws yog ib qho tseem ceeb kom paub tias nws muaj peev xwm muaj May-Thurner syndrome yam tsis muaj DVT.

Txoj kev txo qis hauv cov ntshav ntws uas cuam tshuam nrog txoj kev nqaim ntawm txoj hlab ntshav tu ntshav sab laug tuaj yeem ua rau cov tsos mob xws li:

• kev mob
• o tuaj
• txhais kiav txhab

Kev kho rau May-Thurner syndrome

Kho tus mob May-Thurner syndrome tsom rua kev txhim kho kev ntshav ntxiv hauv cov leeg ntshav ntawm sab laug. Hom kev kho mob no tsis tsuas yog pab txo cov tsos mob, tab sis nws tseem tuaj yeem txo koj qhov kev pheej hmoo ntawm kev tsim DVT.

Muaj ob peb txoj kev uas qhov no tuaj yeem ua tiav:

• Angioplasty thiab stenting: Lub raj mis me me nrog lub zais pa ntawm nws cov lus taw yog ntxig rau hauv txoj leeg. Lub zais pa yog inflated rau txoj leeg ntshav. Lub raj me me hu ua stent tau muab tso kom ua kom txoj leeg ntawm leeg. Lub zais zais yog deflated thiab tshem tawm, tab sis stent nyob rau hauv qhov chaw.
• Kev phais me me: Ntshav tau rov ua ib puag ncig ntawm txoj hlab cev ntawm txoj leeg.
• Rov teev cov txoj cai iliac leeg: Txoj cai iliac leeg tau txav tom qab ntawm txoj hlab ntsha hauv qab, yog li nws tsis tso siab rau nws. Qee qhov xwm txheej, cov ntaub so ntswg yuav muab tso rau ntawm sab laug ntawm txoj hlab ntsha thiab txoj hlab ntshav txoj leeg kom txo tau lub siab.

Kev Kho Mob rau DVT

Yog tias koj muaj DVT vim yog Tsib Hlis-Thurner syndrome, koj tus kws kho mob kuj tseem yuav siv cov kev kho mob hauv qab no:

• Ntshav thinners: Ntshav cov ntshav tuaj yeem pab tiv thaiv kom ntshav txhaws.
• Clot-busting tshuaj: Yog tias cov ntshav ua kom tsis txaus, cov tshuaj tiv thaiv kom ntshav txhob tuaj yeem xa tuaj ntawm txoj raj xa khoom kom pab txhaws. Nws tuaj yeem siv nyob txhua qhov chaw los ntawm ob peb teev mus rau ob peb hnub txhawm rau txhawm rau txhaws txhaws.
• Vena cava lim: Lub taub hau lim (vena cava lim) pab tiv thaiv cov ntshav txhaws ntawm kev txav mus rau koj lub ntsws. Ib txoj raj yas tso rau hauv txoj hlab ntshav hauv koj lub caj dab lossis puab tais thiab tom qab ntawd rau hauv qhov ua kom qis qis vena cava. Lub lim lim ntes tau txhaws ua rau lawv tsis tuaj yeem ncav cuag koj lub ntsws. Nws tsis tuaj yeem cheem tau cov tshiab ua pawg.

Cov teeb meem cuam tshuam dab tsi cuam tshuam nrog May-Thurner syndrome?

DVT yog cov kev mob tseem ceeb thaum lub Tsib Hlis-Thurner syndrome ua rau, tab sis nws kuj tseem tuaj yeem muaj nws tus kheej muaj teeb meem. Thaum cov ntshav khov hauv cov ceg tsoo dawb, nws tuaj yeem taug kev los ntawm cov hlab ntshav. Yog tias nws nce mus txog koj lub ntsws, nws yuav ua rau qhov blockage uas hu ua pulmonary embolism.

Qhov no tuaj yeem ua rau tuag taus uas yuav tsum tau kho mob sai sai.

Nrhiav kev pab tam sim yog tias koj pom tias:

• txog siav
• mob hauv siab
• hnoos tau sib xyaw cov ntshav thiab hnoos qeev

Dab tsi yog qhov rov qab los ntawm kev phais zoo li?

Qee qhov kev phais mob txuam nrog May-Thurner syndrome tau ua nyob rau sab nrauv sab nraud, txhais tau tias koj tuaj yeem mus tsev tau tib hnub tom qab muaj lawv. Koj yuav tsum muaj peev xwm rov qab ua si li qub nyob rau ob peb hnub mus rau ib lim tiam.

Rau kev koom nrog kev phais mob ntau ntxiv, koj yuav muaj qee qhov mob tom qab. Nws yuav siv sijhawm li ob peb lub lis piam mus rau ob peb lub hlis txhawm rau kom rov zoo los.

Koj tus neeg saib xyuas kev noj qab haus huv yuav qhia koj kom koj yuav tau taug qab lawv ib zaug npaum li cas. Yog tias koj muaj lub stent, tej zaum koj yuav xav tau kev kuaj ultrasound ntawm ib lub lim tiam tom qab kev phais mob, ntxiv rau kev saib xyuas txhua lub sijhawm tom qab ntawd.

Nyob nrog Lub Tsib Hlis-Thurner syndrome

Coob tus neeg uas muaj May-Thurner syndrome yuav mus tas lub neej yam tsis tau paub dua tias lawv muaj tus mob no. Yog tias nws ua rau DVT, muaj ntau txoj kev kho kom zoo. Nws yog ib qho tseem ceeb kom ntseeg tau tias koj yuav tsum paub cov tsos mob ntsws ntsig ntsws txhawm rau kom koj tuaj yeem tau txais kev pab tam sim ntawd.

Yog tias koj muaj cov tsos mob tshwm sim ntawm May-Thurner syndrome, nrog koj tus kws kho mob tham txog koj cov kev txhawj xeeb. Lawv tuaj yeem ua haujlwm ze nrog koj kom kuaj xyuas koj tus mob thiab qhia koj txog txoj kev zoo tshaj plaws los kho thiab tswj nws.