Te iho syndrome vena cava iahoki: Tohu me te rongoā

e kore te Medicine whakaaro he pūtaiao tangohia, a ka kua hāngai ki runga ki te huinga o ngā whakapae, me te tūponotanga, engari e kore e meka. Ko te syndrome o te iahoki vena cava iho - he takanga onge i roto i te mahi haumanu. Ka taea e puta te reira i roto i nga tangata, me nga wahine i tetahi tau, tino maha i roto i te paari. I roto i te wahi tuatahi i mōrearea he wahine hapu. I roto i tenei take, āhuatanga te huru e polyhydramnios hapu, venous me te matua hypotension. Nuinga o ngā wā, te hua i te wa taua nui. A, no te kōpeke Vienna worsens reira rere toto ki te ate me whatukuhu, te kōpū, e pä te whanaketanga o te tamaiti. Ka taea e te huru hua i roto i te paihere o te kiko placental, a ko reira he tūpono nui o whakawhanake uaua tīponapona, thrombophlebitis o nga topito o raro. Ki te kawea mahi i roto i te wāhanga whakawhānau, i reira te mea he tūponotanga nui o tiango.

Ko te ariā o te iahoki vena cava iho

vena cava iho Vienna - he oko whanui. I hanga i e hononga o te rua iliac maui, me te tika, kei roto i te kōhao puku. Kei Vienna te i te taumata o te lumbar, i waenganui 5 me 4 pūwaha. haere te reira i roto i te HWM me tomo te marae tika. Vienna kohikohi toto e haere i roto i te uaua pātata, me homai e te reira ki te uaua ngakau.

Ki te he hauora, he tangata, tukutahitia Vienna te tukanga manawa, e ko, i runga i nga fakalahi exhale me kirimana i roto i inhalation. Ko te rerekētanga matua i te haoraora tenei.

Ko te whakaaro matua o te iahoki vena cava iho - te kohinga o e alangá raro toto venous.

He aha i reira he raruraru

E ai ki ngā tatauranga, e pā ana ki 80% o nga wahine hapu katoa i muri i te 25 wiki i reira ko te kōpeketanga rua, ki te whānuitanga nui iti ranei.

Ki te kore he reira te syndrome vena cava iahoki iho, na te pēhanga i roto i te rua i te taumata nui iti - ko te āhua whaiaroaro noa tenei. Heoi, raruraru i roto i nga kopa e karapoti te rua, kia ofati tona tapatahi, me te rere toto huringa tino. taea ki te fekuki hoki etahi wa te tinana ko, te kimi ara rerekē mō te rere toto. Otiia ki te mea ka ara te pēhanga i roto i te rua i runga 200 mm, kua tonu reira he raruraru. I taua taime, kahore tiaki tonu hauora taea te mutunga katoa i roto i te mate. Na reira, kia waiho nga tohu o te vena cava iho iahoki syndrome mōhio e ki te wa e karanga te waka tūroro, ki te tīmata te raruraru i te manawanui tangata ranei i te utuafare.

pikitia haumanu

Ko te mea tuatahi e hiahia ana koe ki te whakarongo, - huamo, e ai kia ki runga ki te mata, kaki, i roto i te rohe o te paeoro. kitea ana tēnei tohu i roto i 2/3 tūroro. Kia āwangawanga e pā ana ki te mamae o te manawa, mare, whango, ara i era atu, me te tūnga te maungārongo, a ko reira he tūpono nui o airway tukuna ai.

Hoki, kia kia haere tahi te syndrome vena cava iahoki iho e:

- te mamae i roto i te kopu, me te puku;

- huamo o te topito o raro;

- huamo i runga i nga papa, me kikokiko;

- varices oko iti i roto i te huha;

- paruparu;

- pāmahana tinana tiketike;

- whao pakarukaru me te huruhuru mate;

- ataahua tonu;

- raruraru ki nga waewae - ki taimaha rawa te neke, ara mo tawhiti poto;

- wheua fragility;

- pēhanga toto tiketike;

- whakama, tae noa ki te mate wā;

- raruraru ki rongo me te kite;

- uaua tīponapona i roto i te tinana o runga.

E whakarei hoki ēnei tohu ki te tango i te manawanui he tūranga te teka. O te akoranga, i runga i te moe ata, me te tiketike-kōeke e taea e kore pātai. E mea pinepine tūroro ki tenei māuiuitanga ki tonu te anake i te taero rongoa.

He aha ai puta māuiuitanga

Ka rite ki te nuinga o mate, kōpeketanga o te syndrome vena cava iahoki iho i roto i te 80-90% o ngā take e pā ana anake ki te tau'a ore i te ratou ake hauora, ara tupeka. Kua kore ano i whakapumautia te take tangohia o te mate. Ko te nuinga o te syndrome puta rite te tohumate te rere o te mate pukupuku pūkahukahu.

I te tahi atu take hoki e kore neke atu i 20%:

- te pukupuku o te take rerekē, lymphoma, sarcoma, lymphoma, mate pukupuku uma;

- pericarditis constrictive;

- goiter retrosternal;

- silicosis;

- purulent mediastinitis;

- kakakīrehe.

tātaringa

Noatia, kotahi anake o nga tohu o kōpeketanga o te syndrome vena cava iahoki iho e kore e takoto. hiahiatia te tātaritanga tupato te.

Tuatahi o te katoa, kohikohi te tākuta te hītori oti hauora, whakahaere tirohanga. Nui e taea "te mea" te āhua o te uaua i roto i te kaki, me te pito o runga, ka rite ki te tikanga, kua whakawhānui ratou. homai hoki whakamātautau tinana he whakaaro: te cyanosis manawanui popoketanga ranei, ahakoa whatunga venous whänui i roto i te pouaka, ahakoa i reira te pupuhi, rawa o te tinana o runga.

Whakaritea rite whakamātautau X-ray, me te venography. Ka taea te kawea whakamātautau X-ray i ki te awhina o te kaihoko rerekē. kia Koru obligatory i roto i te kōwarotanga autō, me te computed mahere whenua.

I roto i ētahi wā haere tahi te tātaritanga o iho syndrome vena cava iahoki e i roto i-hohonu ako i te ophthalmologist. Ko te whakaaro o te tātaritanga - ki te tautuhi, ki te tetahi, roha o te uaua tuaroa, tetere taea o wāhi peripapillary, tautuhi, nui haere pēhanga intraocular, ahakoa i reira he stagnation i roto i te faatae te.

Hoki te pikitia tino kia hiahiatia ai:

- bronchoscopy;

- unuhanga me sputum lifmaticheskih kōpuku;

- poka sternal;

- mediastinoscopy.

mehua haumanu

Ko symptomatic Treatment o te syndrome vena cava iahoki iho. Tenei māuiuitanga - comorbidities tonu, me hiahia tuatahi ki te hamani i te mate whāriki i meinga te ahua o te syndrome.

Ko te whāinga matua o te maimoatanga - ki te whakahohe i te ope rāhui ā-o te tinana i roto i te tikanga ki te whakanui i te kounga o te ora o te manawanui. Ko te mea tuatahi tūtohutia e te - tata tote-free kai me te hāora inhalation. Pea e ka kia whakaritea taero i te rōpū o corticosteroids Diuretics ranei.

Ki te puta mai te syndrome i te papamuri o te puku, te maimoatanga tino rerekē huarahi.

tohua wawaotanga hāparapara te i roto i te wā e whai ake nei:

- Kei te tere ahu whakamua syndrome;

- kahore he tohanga hei utu;

- blockage o te iahoki vena cava iho.

e kore e wawaotanga hāparapara faaore i te raruraru, engari whakapiki noa matamua venous.

Syndrome me te hapū

I roto i te wā o te hapūtanga wheako nga whekau katoa o nga wahine pikaunga taimaha, faarahi rōrahi toto, me te, rite te putanga, i reira he stagnation. Kōpū, whakanui me te kokopi ana nga okana kore anake e karapoti ana, engari ano hoki nga oko toto. I te syndrome o te iahoki vena cava iho i roto i nga wahine hapu me tukinotia ki te tūpato tino.

timata nga raruraru ki te meka i te wahine, ko te tino uaua ki te takoto i runga i tou hoki, te tikanga ka tīmata tenei huru ki te 25 wiki o te hapūtanga. He he he whanoke iti, ngoikore, wā kore nui hau. Kei te nuinga o te wā heke te pēhanga toto. Tino onge, engari hapūtanga e taea ngaro mahara.

Noatia, i runga i te āhua taketake o te mehua haumanu i roto i hapūtanga kahore e korero, engari te āwhina tonu etahi ture nuku syndrome māmā:

- whai ki te hoatu ake nga mahi katoa, kei te puritia ki te tūranga te maungārongo ki runga i te hoki;

- e kore e moe noho i runga i te hoki;

- kia whakaritea kai te horomanga tote whakararo;

- Ko reira e tika ana ki te whakaiti i te nui o te wai pau;

- ki te whakapai ake pai ki te haere atu, i roto i tenei take, uaua heke i runga i te tibia, ka akiaki tenei tukanga te whakatairanga o te toto venous maha;

- tūtohutia e te puna kaukau, te wai whai wāhi ki pēpēhinga toto i te topito o raro.

Matapae me te ārai

Doctors rorotu e pā ana ki te tūroro ki te syndrome, ki te te kitea reira wawe. Ko te huru anake - aroturuki tonu o te mana hauora me te hanganga ture manawanui ki nga taunakitanga katoa o te rata haere.

Ka rite ki āraihia i roto i te ārai manakohia o mate Cardiovascular. Ki te mea i reira e raruraru ki te toto upoo-, māuiuitanga me te kia kia i raro i te tirotiro tamau hauora, no te mea he enei tūroro i mōrearea. Me whakarere ara te whakaaro o te whaiaro rongoā-.