Ka emi vena cava maʻi pale: Symptoms a me ka iapaau ana

Medicine ua i noʻonoʻo pono i ka hua'ōlelo 'epekema, a me ka mea, ua nānā' ana ma luna o ka lākou o nā mea mahuʻi a me ka pahiki, akā,ʻaʻole kūʻiʻo. I ka maʻi pale o ka emi vena cava - he ke nānā hanana ma ka lapaʻau hana. Ua hiki ke hana i loko o nā kānaka a me nā wāhine ma kekahi mau makahiki, ka hapanui pinepine i loko o ka kūpuna. Ma ka wahi mua ma kamepiula, ua hapai na wahine. Ma keia hihia, ke ano ua wehewehe aku ma polyhydramnios hapai, a me ka venous arterial hypotension. Loa pinepine, i ka hua ma ka ia manawa nui. A lohe o Vienna'opihia ia worsens koko i ke ake a me konāhua, ka uterus, a e loli ai i ka ulu ana o ke keiki. Ke ano ke 'ai pono i loko o ka pua o ka placental'aʻaʻa, a me ia mea he nui pilikia o ka ulu varicose aa koko, thrombophlebitis o ka laloʻaoʻao. Inā hana ua lawe mai ma Caesarean pauku, he mea he pahiki kiʻekiʻe o ka'opi.

I ka manaʻo o ka emi vena cava

Emi iki mahope o vena Vienna - he palahalaha ipu. I hanaʻia ma ke kuʻi nukeliu o ka hema a me ka akau iliac aa koko, aia i loko o ka abdominal lua. Vienna ua Aia ma ke kiʻekiʻe o ka lumbar, ma waena o 5 a me 4 vertebra. Ua hele ma ka diaphragm, a komo i ka atrium akau. Vienna 'ohi i ke koko e hele ma ka pili aa koko, a ua hoʻopakele ia i ka naʻau Muscle.

Inā kekahi kanaka mea ola, Vienna ua synchronized hanu kaʻina hana, i ka mea, ma luna o ka Exhale Hoʻonui i ka pono a me ka aelike i inhalation. 'O kēia ka papa likeʻole, mai ka aorta.

I ka papa kuhikuhiE manao o ka emi vena cava - i ka ohi ana i lalo, lala venous koko.

No ke aha la, aia no na pilikia

Wahi a ka 'ikepili helu, ma kahi o 80% o nā mea a pau hapai wahine ma hope o 25 pule aia mea he aa koko mīkini'opihia, a hiki i ka nui a uuku loa.

Inā ka emi vena cava maʻi pale mea i ike, laila, i ka puʻe i loko o ke aa koko ma ka haʻahaʻa lawa 'ilikai - keia mea he maʻamau physiological moku'āina. Eia naʻe, pilikia ma na nā'aʻaʻa i puni i ke aa koko, e kue ana i kona pono a me ke koko pele loli dramatically. No kekahi manawa i ke kino, ua hiki ke Makuakane, loaa ia 'ano like ala no ke koko pele. Akā, inā e ala i ka puʻe i loko o ke aa koko ma luna o 200 mm o, ka mea, ua mau ka hoʻoponopono ulia. Ma ia mau minute, me ka koke mālama 'hiki nā mea a pau ma ka make. No laila, i ka symptoms o ka emi vena cava maʻi pale ë he mähele wale i ka manawa, e kapa i ka ambulance ina kaʻina kānāwai i ka ulia mai ka hoʻomanawanui 'ole kekahi mai o kaʻohana.

lapaʻau kiʻi

Ka mua mea e pono nō ia e lohe, - haanou ana, a i ia ma luna o ka maka,'ā'ī, i loko o ka wahi o ka larynx. Kēia symptom ua malama i ka 2/3 nā mea maʻi. Paha e hopohopo nei i pokole o ka hanu, cough, hoarseness, a hiki ma ka maha, a supine kulana, a me ia mea he nui pilikia o ka airway iaʻi.

Nō hoʻi, i ka emi vena cava maʻi pale i ke pu e:

-ʻeha ma ka groin a me ka abdomen;

- haanou ana o ka laloʻaoʻao;

- haanou ana ma luna o nā lākou kīkala a me ka wahine;

- varices moku liʻiliʻi i loko o ka uha;

- impotence;

- kiʻekiʻe kino mehana;

- brittle kui a me ka lauoho me keia poho;

- mau pallor;

- pilikia a me na wawae -, ua kaumaha i kaʻoni aʻe, a hiki no pōkole mamao;

- iwi fragility;

- kiʻekiʻe ke koko;

- ka hilahila, a me ka papa'āweʻaweʻa kemika lilo;

- pilikia a me ka hoolohe, a me ka hihiʻo;

- varicose aa koko i loko o ka luna kino.

i kēia mau symptoms i hoʻokāʻoi 'ina ke hoʻomanawanui i ka moe kūlana. O ka holo ana, ma ka noho malie a me ka kiʻekiʻe-papa moe hiki e ole e ninaninau. Pinepine nā mea maʻi i keia pathology ua piha wale nō me ka ai 'lāʻau.

No ke aha la pathology e hōʻike '

Like loa maʻi, mīkini'opihia o ka emi vena cava maʻi pale i loko o 80-90% o nā hihia pili me ka 'ole no ko lakou mau ola, o ka paka wale nō. Ke mau kumu o ka maʻi i ole i ua hoʻokumu. Akā, ka hapanui o ka maʻi pale ia lŘlŘ like me ka concomitant symptom o ke akemāmā Ka maʻi 'aʻai.

Ma ka 'ē aʻe kumu no, aole oi aku mamua o 20%.

- hikoko o kekahi kumu, lymphoma, sarcoma, lymphoma, umauma Ka maʻi 'aʻai;

- constrictive pericarditis;

- retrosternal goiter;

- silicosis;

- purulent mediastinitis;

- fibrosis.

lapaʻau '

Maoli ai, wale kekahi o na symptoms o ka mīkini'opihia o ka emi vena cava maʻi pale ua ole kona manao. Akaheleʻike, ua koi 'ia.

Mua o nā mea a pau, ke kauka 'ohi i ka piha' inikua mōʻaukala, e mālama nei nana. Nui e "olelo" i ka moku'āina o na aa koko i loko o ka'ā'ī, a keʻenaʻaoʻao, e like me ka rula, e hoʻonui ka mea. Helu ninaninau i haawi ka manao: o ka hoʻomanawanui cyanosis a congestion, ina venous pukapuka hoʻonui i loko o ka pahu, ina he ua hoʻokano, ka oi o ke keena kino.

Hoonohoia e like me ka X-Ray hookolokolo a me ka venography. X-Ray keia hookolokolo ana hiki ke lawe mai i ke kōkua o ke Akä naÿe hope paha. Obligatory maʻume mākenēki resonance a Me 'äina eʻoni iho.

Ma kekahi hihia i kaʻike, a malalo iho vena cava maʻi pale ua pūʻia i loko o-hohonu, study ma ka ophthalmologist. Ke kumu o kaʻike, - e hōʻike, ina kekahi,? Anoe o ka retinal aa koko, e hiki nani o peripapillary wahi, hoakaka, a mahuahua nui intraocular puʻe, ina paha he nui stagnation i loko o ka optic nā aʻalolo.

No ka piha kiʻi i ke koi 'ia:

- bronchoscopy;

- biopsy a me ka sputum lifmaticheskih aka wahi;

- sternal puncture;

- mediastinoscopy.

pākōlea ana

Lapaau o ka emi vena cava maʻi pale ka symptomatic. Kēia pathology - nō comorbidities, a me ka mua nele i ka hana i ka nń ku maʻi e kena ae i ka ano o ka maʻi pale.

ʻO ka pahuhopu nui o ka lapaʻau - e haʻalele i ka maloko hookoe koa o ke kino i ka mea e hoʻonui loa i ka pono o ke ola o ka hoʻomanawanui. Ka mua mea i ua paipaiʻia -ʻaneʻane paʻakai-noaʻai a me ka oxygen inhalation. Paha ia e e koho ai 'mai ka pae ana o corticosteroids a diuretics.

Inā ka maʻi paleʻikeʻia i loko o ke kāʻei kua o kaʻeho, ka iapaau ana pono okoa kokoke loa i kahi.

ʻoki lāʻau lapaʻau 'uao ua hōʻike ma nā kēia hihia.

- maʻi pale ua koke i holopono nō;

- aole he collateral holo;

- blockage o ka emi vena cava.

ʻoki lāʻau lapaʻau 'uao' aʻole e hoʻopau i ka pilikia, akā, wale iaono? Ienoai venous outflow.

Maʻi pale a me ka hāpai keiki

I ka wā o ka gestation na nā loko a pau o nā wāhine 'ike kaumaha wahie, maoli he koko ka leo, a, me ia i kaʻilihune, he mea stagnation. Uterus hoonee aku a compresses ole wale ka puni nā loko, akā, i nā ipu koko. Ma kekahi maʻi pale o ka emi vena cava i hapai wahine pono e hana me ka lōʻihi mālama nui.

Nā pilikia hoʻomaka me ka mea i ka wahine ka loa paʻakikī, e moe ana ma kou kua, keia ano ana i hoʻomaka me 25 pule o ka gestation. Aia He He hōʻemi iki pōniuniu, nawaliwali, kēlā wā i kēia wā,ʻaʻole lawa ka ea. Ke koko, ua ana hoemiia. Loa pohihihi, akā, hāpai keiki ke lilo ike paka i.

Maoli ai, ma ke kumu ano o ka pākōlea ana i hāpai keiki ka mea, e kamailio pu ana, akā, kōkua nō kekahi rula hoʻololi maʻi pale hiki pono:

- i, e haawi aku i na kino a pau, a i paʻa i loko o ka supineʻoihana ma luna o ka hope;

- hiamoe 'Aʻole i noho ma luna o ke kua;

-ʻai e e like ma lalo paakaiʻai ana;

- ka mea, Ua pono, e emi ka nui o ka loli ka lukuia;

- e hoʻoikaika maikaʻi, e hele aku, ma keia hihia, hoemiia Muscle ma ka tibia, a me kēia kaʻina Paipai i ka paipai 'ana i venous koko iluna;

- ka paipai 'ana i ka' auʻau punawai, ka poʻea pau i ka wai a hiki i'ōpā koko mai ka laloʻaoʻao.

I ka olelo wanana a me ka Kāohi

Kauka optimistic e pili ana i ka hoʻomanawanui iki mai i ka maʻi pale, ina ka mea, ua 'akomi i ka wanaʻao. Na wale ano - ana ka mālamaʻana o ke ola kino kūlana haʻahaʻa a me ka hoʻomanawanui kaʻaeʻana i nā koi a pau o ka hele kauka.

Like kāohi ana i loko o ka lokomaikaʻiʻia mai Kāohiʻana o ka mea'ōnaehana mānowai koko ka maʻi. Inā he mau pilikia i ke koko clotting, pathology, a ina e ma lalo ikaika 'inikua hooponopono, no ka mea, i kēia mau hoʻomanawanui iki mai mea i kamepiula. E haalele aku i ka manaʻo o ka hoʻoponopono-ka lapaʻauʻia.