Bakhiphe elezinga eliphansi vena cava syndrome: Izimpawu kanye Ukwelashwa

Medicine akubhekwa i isayensi ngqo, futhi kusekelwe iqoqo nekucabangela abuye okungenzeka, kodwa hhayi amaqiniso. Lesi sifo ka bakhiphe elezinga eliphansi vena cava - okuyinto eyivelakancane umkhuba emtholampilo. Kungenzeka in abesilisa nabesifazane ngasiphi yobudala, avame kwasebekhulile. Endaweni yokuqala engozini kwabesifazane abakhulelwe. Kulokhu, isimo libhekene polyhydramnios ukhulelwe, pooling eyeqile lwemithambo hypotension. Ngokuvamile, izithelo ngesikhathi esifanayo ezinkulu. Lapho Vienna onomfutho ke siba sibi igazi ligeleze isibindi kanye nezinso, kwesibeletho, okube sekudala izinkinga ingane. Isimo kungaholela isixha izicubu esinomhlapho, futhi kuba ingozi enkulu ekuthuthukiseni varicose emithanjeni, thrombophlebitis wemikhawulo aphansi. Uma zabasebenzi Kwenziwa Ukubeletha, kukhona awokuthi wokugoqa.

Umqondo bakhiphe elezinga eliphansi vena cava

vena phansi kunabaphostoli Vienna - esibuthakathaka ezibanzi. Ezakhiwe Fusion ngakwesokudla iliac vein, etholakala ngaphakathi komgodi ongaphakathi kwamathumbu. Vienna itholakala ezingeni we lumbar, phakathi kuka-5 no-4 vertebra. Udabula diaphragm bese engena ATRIUM kwesokudla. Vienna iqoqa igazi ludlulele ngemithambo eduze, futhi abahambisele ukuba imisipha yenhliziyo.

Uma umuntu enempilo, Vienna ivunyelwanise inqubo ukuphefumula, okungukuthi, phezu Kwenabela exhale futhi izivumelwano phakathi ephefumula. Lena umehluko oyinhloko kusukela aorta.

Injongo eyinhloko bakhiphe elezinga eliphansi vena cava - ukuqoqwa esitho engezansi igazi emithambo yegazi.

Kungani kunezinkinga

Ngokwezibalo, mayelana 80% bonke abesifazane abakhulelwe ngemva kwamasonto 25 kukhona kokucindezelwa vein, ngokwezinga elikhulu noma elincane.

Uma bakhiphe elezinga eliphansi vena cava syndrome engekho, khona-ke umfutho vein ezingeni eliphansi ngokwanele - lena esimweni esejwayelekile bokuphila. Nokho, izinkinga emisipheni ezisizungezile vein, kungaphula ubuqotho nokugeleza kwegazi yayo ushintsho kakhulu. Okwesikhathi esithile umzimba uyakwazi ukubhekana nesimo, ekutholeni izindlela esikhundleni ukugeleza kwegazi. Kodwa uma umfutho vein bayovuka ngenhla 200 mm, it has njalo esibucayi. Ngezikhathi ezinjalo, ngaphandle ukunakekelwa ngezokwelashwa ngokushesha kungenzeka yini ukuthi zonke kugcine ekufeni. Ngakho-ke, izimpawu bakhiphe elezinga eliphansi vena cava syndrome kufanele uqaphele ukuthi isikhathi ukubiza i-ambulensi uma crisis iqala kusukela nesineke noma nothile umndeni.

emitholampilo isithombe

Into yokuqala okudingeka unake, - ukuvuvukala, okungase ebusweni, entanyeni, endaweni amalaka. Lokhu uphawu siyenzeka ezigulini 2/3. Kungase kube ukhathazekile iphika, ukukhwehlela, hoarseness, ngisho uphumule futhi isikhundla lisalele, futhi kuba ingozi enkulu umgudu isimiso.

Futhi, bangase bakhiphe elezinga eliphansi vena cava syndrome ephelezelwa:

- ubuhlungu imbilapho kanye esiswini;

- ukuvuvukala wemikhawulo aphansi;

- ukuvuvukala ezinqeni nesitho sangasese;

- varices izitsha ezincane ethangeni;

- ubuthakathaka;

- lokushisa komzimba okusezingeni eliphezulu;

- izinzipho ziyaqothuka futhi nezinwele;

- pallor njalo;

- nezinkinga izinyawo - esinda kakhulu ukuhambisa, ngisho amafushane;

- amathambo fragility;

- high blood pressure;

- ukudideka, kuze kube ukulahlekelwa ngezikhathi;

- izinkinga bokuzwa futhi umbono;

- varicose emithanjeni emzimbeni elingaphezulu.

Lezi zimpawu futhi ithuthukiswa uma isiguli kuthatha isikhundla amanga. Yiqiniso, ephusheni onokuthula ephezulu grade kungaba kungabaza. Ngokuvamile iziguli nale zokugula ugcwele kuphela izidakamizwa nemithi.

Kungani zokugula zingavela

Njengezinye izifo eziningi, kokucindezelwa ka bakhiphe elezinga eliphansi vena cava sifo ngo-80-90% of amacala ezihambisana kuphela nandaba impilo yabo, okungukuthi ugwayi. Imbangela sifo ingakamiswa aqine. Kodwa iningi syndrome kwenzeka njengoba uphawu concomitant umdlavuza wamaphaphu.

Ngakolunye izizathu bengekho ngaphezu kwama-20%:

- izimila imvelaphi ezahlukene, lymphoma, Sarcoma, lymphoma, umdlavuza webele;

- pericarditis constrictive;

- goiter retrosternal;

- silicosis;

- ubovu mediastinitis;

- cystic.

ukuhlola

Ngokwemvelo, ungoyedwa izimpawu kokucindezelwa ka bakhiphe elezinga eliphansi vena cava syndrome akunqunywa. Imiphumela yaloku kuhlola okungenhla Qaphela liyadingeka.

Okokuqala, udokotela iqoqa umlando yezokwelapha ephelele, eqhuba ukuhlolwa. Kuningi okungase "ithi" isimo ngemithambo entanyeni emikhawulweni engenhla, njengoba umthetho, basuke ukunwetshwa. behlolwa futhi kunikeza umbono: i cyanosis nesineke noma ukuminyana, kungakhathaliseki inethiwekhi emithambo yegazi enwetshiwe esifubeni, kungakhathaliseki kukhona ukuvuvukala, ikakhulukazi emzimbeni elingaphezulu.

Aqokwa njengelungu-X-ray nokuhlolwa kanye venography. -X-ray luhlolo kungaba kwenziwe ngosizo-ejenti ukuze kuvele umehluko. Kuyisibopho e resonance kazibuthe kanye kukhompyutha sendawo kungase Kuvunguza.

Kwezinye izimo uphethwe eliphansi vena cava syndrome kuhambisana Ukulifunda ngijule ngu kudokotela wezifo zamehlo. Injongo uphethwe - ukuhlonza, uma ikhona, ukunwetshwa ngemithambo ngwengwzi, ukuvuvukala kungenzeka endaweni peripapillary, ukuchaza, waqinisa intraocular, noma ngabe kukhona engalulami e emsipheni optic.

Ukuze uthole umbono ophelele kungadingeka:

- bronchoscopy;

- biopsy kanye isikhwehlela lifmaticheskih ISIZINDA;

- wokubhoboza sternal;

- mediastinoscopy.

izinyathelo zokwelapha

Ukwelashwa nokuvikelwa bakhiphe elezinga eliphansi vena cava syndrome siyefana. Lokhu zokugula - namanje comorbidities, futhi kufanele uqale kanjani lesi sifo ecashile oholele ukubukeka lesi sifo.

Umgomo oyinhloko ukwelashwa - ukucupha yangaphakathi reserve amabutho umzimba ukuze wandise izinga lempilo isiguli. Into yokuqala ukuthi Kunconywa - cishe usawoti-free Ukudla okune-oksijini ephefumula. Mhlawumbe ezokwenza oqokiwe izidakamizwa kusukela iqembu corticosteroids isisu.

Uma lesi sifo uvele ngemuva kwe-isimila, indlela ekwelapheni ehluke ngokuphelele.

kokungenela Steel kuboniswa kulezi zimo ezilandelayo:

- sifo ngokushesha ethuthuka;

- akukho kwegazi eseduze;

- ukuvaleka bakhiphe elezinga eliphansi vena cava.

kokungenela Steel alubuqedi inkinga, kodwa nje ngcono outflow emithambo yegazi.

Syndrome nokukhulelwa

Ngesikhathi sokukhulelwa zonke izitho zomzimba abesifazane ukuzwa imithwalo esindayo, kwandisa umthamo wegazi, futhi ngenxa yalokho, kukhona engalulami. Kwesibeletho ithuthukisa futhi licindezele hhayi kuphela izitho ezizungezile, kodwa futhi imithambo yegazi. Ngezinye a syndrome ka bakhiphe elezinga eliphansi vena cava kwabesifazane abakhulelwe kufanele aphathwe ngokuqapha okukhulu.

Izinkinga uqale neqiniso lokuthi lo wesifazane, kunzima kakhulu ukuba alale ngomhlane, kulesi simo ngokuvamile iqala esesibelethweni 25. Kukhona okuncane isiyezi, ubuthakathaka, ngezinye izikhathi ngeke air eyanele. Umfutho wegazi ngokuvamile encishisiwe. Kakhulu ezingavamile, kodwa ukukhulelwa ungalahlekelwa ukwazi.

Ngokwemvelo, ngemvelo eyisisekelo izinyathelo zokwelapha ngesikhathi sokukhulelwa asikhulumi, kodwa ezinye imithetho namanje ukusiza shift syndrome kulula:

- kudingeke uwuyeke zonke izivivinyo, aphethwe esimweni lisalele emuva;

- ubuthongo asihlali ngemuva;

- ukudla kufanele kushintshwe phansi kusawoti;

- kubalulekile ukuba inciphise uketshezi yokuqothulwa;

- ukuthuthukisa kangcono ukuhamba xaxa, kulesi simo, imisipha encishisiwe phezu tibia, futhi le nqubo ikhuthaza ukuthuthukiswa wegazi emithambo yegazi phezulu;

- ezinconywe-swimming pool, amanzi kunomthelela ecindezela igazi bevela emikhawulweni aphansi.

Ukubikezela kanye nokuvinjelwa

Odokotela banethemba lokuthi kuyoba khona iziguli sifo, uma kutholwa ekuseni. Isimo kuphela - nokuqapha okuqhubekayo isimo sezempilo kanye nokuhambisana nesineke nazo zonke izincomo udokotela ukuba khona.

Njengoba izinyathelo esivuna nokuvinjelwa kwezifo zenhliziyo. Uma kukhona izinkinga kanye igazi ekunqandeni, zokugula futhi kufanele kube ngaphansi kweso lwezokwelapha njalo, ngoba kulezi ziguli basengozini. Kufanele ukulahla ngisho nomqondo zokuzelapha.