Muduku vena cava chirwere: Zviratidzo neMarapirwo

Mushonga hakunganzi chinhu sainzi chaiyo, uye inobva chine zvekungofungira uye mukana, asi kwete zvinhu. The urwere pakati muduku vena cava - isingawanzowanikwi kuwanikwa muna yokuora tsika. Zvinogona kuitika mune varume nevakadzi chero zera, kazhinji vakwegura. Pakutanga pangozi vakadzi pamuviri. Panyaya iyi, mamiriro ezvinhu kunoratidzwa polyhydramnios pamuviri, venous uye arterial hypotension. Kakawanda, zvibereko panguva imwe chete yakakura. Apo Vienna compressed izvozvo Zvinoipisisa ropa riyerere kuti chiropa uye itsvo, kuti dumbu, hunobata kukura mwana. Mamiriro anogona kuguma svinga placental zvinyama, uye ndizvo pangozi yokuita varicose mutsinga, thrombophlebitis repasi wamativi hombe. Kana basa rinoitwa nomudzimu Caesarean chikamu, pane mukuru ndingangokuvara akawisa.

Pfungwa isinganaki vena cava

Muduku vena Vienna - mudziyo rwakafara. Inoumbwa Fusion ari kuruboshwe nezvakarurama iliac tsinga, iri abdominal mhango. Vienna riri ufanane lumbar, pakati 5 uye 4 vertebra. Nepano ari diaphragm uye anopinda zvakanaka atrium. Vienna anounganidza ropa kuti inopfuura nomunyika pedyo mutsinga, uye akariisa mwoyo tsandanyama.

Kana munhu akanaka, Vienna ari nemasiraidhi akapendwa kufema kwacho, kureva, musi exhale Kunowedzera uye zvibvumirano panguva inhalation. Ndiwo musiyano mukuru kubva yeropa.

Chinangwa chikuru muduku vena cava - kuunganidzwa kwemari akaderera richiripo venous ropa.

Sei pane matambudziko

Maererano nenhamba, vanenge 80% yevakadzi zvose pamuviri pashure pemavhiki 25 pane tsinga compression, kuti mukuru kana muduku papi.

Kana muduku vena cava chirwere asipo, ipapo kumanikidza ari tsinga yakaderera yakakwana pamwero - iri dzose vasiri mamiriro. Zvisinei, matambudziko munyama kuti vakombe tsinga, anogona kuputsa kuvimbika kwaro uye ropa riyerere zvachinja. Kwechinguva muviri anokwanisa kukunda, kutsvaga dzimwe nzira ropa riyerere. Asi kana kumanikidzwa vari tsinga vachamuka kumusoro 200 neMM, ine nguva dzose dambudziko. Panguva dzakadaro, pasina pakarepo kurapwa aigona zvose inopera rufu. Saka, zviratidzo muduku vena cava chirwere vanofanira kuziva kuti nguva kudana amburenzi kana dambudziko rinotanga kubva murwere kana mumwe kubva mhuri.

zvekuchipatara mufananidzo

Chinhu chokutanga unofanira kuteerera, - kuzvimba, izvo zvinogona pachiso, mutsipa, munzvimbo yacho dokeriro. chiratidzo ichi ari kuchengetwa varwere 2/3. Muve nehanya kupfupika mweya, chikosoro, hoarseness, kunyange panguva yokuzorora uye supine chinzvimbo, uye ndizvo njodzi yemweya mhingaidzo hombe.

Uyewo, muduku vena cava chirwere angaperekedzwa:

- marwadzo ari muhudyu uye dumbu;

- kuzvimba repasi wamativi;

- kuzvimba pamusoro magaro uye sikarudzi;

- varices midziyo duku pechidya;

- kusabetsera;

- yakakwirira muviri tembiricha;

- pfava nezvipikiri uye kurasikirwa bvudzi;

- Kugara pallor;

- matambudziko tsoka - kukuremera kutama, kunyange pfupi akareba;

- pfupa fragility;

- cheBP;

- kuvhiringidzika, kusvikira kwenguva nenguva kurasikirwa;

- nematambudziko kunzwa uye zvakaratidzwa;

- varicose mutsinga chokumusoro muviri.

Zviratidzo izvi vari zvakare kunowedzera kana murwere anotora renhema chinzvimbo. Chokwadi, pane imwe hope yakanyarara uye yakakwirira wegiredhi haangazozarurirwi mubvunzo. Kazhinji varwere zvokurwara ichi uzere chete zvinodhaka mishonga.

Sei zvokurwara kuonekwe

Kufanana zvirwere, compression ari muduku vena cava chirwere muna 80-90% nyaya chokuita chete kuzvidza pachavo utano hwavo, kureva fodya. The chikonzero chaiwo chirwere hakusati dzatangwa. Asi zhinji chirwere kunoitika somunhu concomitant chiratidzo kenza yemapapu.

Kune zvimwe zvikonzero zvakawanda kupfuura 20%:

- mapundu akasiyana mavambo, rwekenza yelymphoma, sarcoma, rwekenza yelymphoma, kenza yemazamu;

- constrictive pericarditis;

- retrosternal goiter;

- silicosis;

- purulent mediastinitis;

- fibrosis.

Diagnostics

Sezvingatarisirwa, chete zviratidzo compression ari muduku vena cava chirwere haisi kutsunga. Kunyatsoverenga chirwere kunodiwa.

Chokutanga, chiremba anounganidza rakazara mishonga nhoroondo, kuitisa kuongorora. Zvakawanda zvinogona "kutaura" mamiriro ari mutsinga dziri mumutsipa uye okumusoro kuviri, sezvinoita mutemo, ivo kuwedzerwa. Kuongorora Physical rinopawo pfungwa: murwere cyanosis kana kuzara, kana venous rezvebonde kuwedzerwa ari mubhokisi, kana ari kuzvimba, kunyanya rokumusoro muviri.

Kugadzwa sezvo X-ray kuongororwa uye venography. X-ray Kuongorora anogona kuitwa tichibatsirwa musiyano mumiririri. Vanosungirwa mune rinobva resonance uye computed kwakaita nzvimbo yacho anogona zononoka.

Mune zvimwe zviitiko chirwere kubva kutsoko vena cava chirwere achabatsirwa kudzidza zvakadzama nemunhu ophthalmologist. Chinangwa nechirwere - kuziva, kana ani, rokuwedzera retinal mutsinga, zvinobvira mumatenhere peripapillary nharaunda, kutsanangura, ikawanda intraocular kumanikidzwa, kana pane kurega kunotanga ari optic etsinga.

Nokuti mufananidzo wakakwana kungadiwa:

- bronchoscopy;

- biopsy uye sputum lifmaticheskih nodes;

- sternal ponji;

- mediastinoscopy.

kuchirapa matanho

Pakurapa muduku vena cava chirwere chiri symptomatic. zvokurwara ichi - achiri comorbidities, uye vanofanira kutanga kurapa runotikurudzira chirwere chakaparira pakuonekwa syndrome.

The chinangwa chikuru kurapwa - kuita Activate dzomunyika kuchengeterwa mauto muviri kuti maximize mararamiro murwere. Chinhu chokutanga kuti inokurudzirwa - chinenge munyu-isina kudya uye yakachena inhalation. Zvichida chichakurukurwa akasarudzwa zvinodhaka kubva boka corticosteroids kana diuretics.

Kana urwere akazviratidza pakanyorwa bundu, mishonga zvachose yakasiyana kusvika.

Kuvhiya kupindira unoratidzwa zvinotevera nyaya:

- chirwere yava kufambira mberi;

- hakuna koratararo kutenderera;

- blockage of akaderera vena cava.

Kuvhiya kupindira hakurevi vanyatsopedza dambudziko, asi kungotaura anovandudza venous water drainage.

Syndrome uye pamuviri

Panguva gestation vose nhengo wevakadzi kuona inorema, kunowedzera vhoriyamu ropa uye, sezvo zvakaguma pane kurega kunotanga. Dumbu Achiparadzira uye anorumanya kwete chete akapoteredza zvomukati, asiwo ropa midziyo. Pamusangano urwere pakati muduku vena cava vakadzi vane pamuviri vanofanira kubatwa nokungwarira zvikuru.

The matambudziko kutanga ndechokuti mukadzi zvakaoma chaizvo kuti nhema kumusana kwako, ichi chirwere kazhinji kunotanga 25 vhiki gestation. Pane zvishoma dzungu, utera, neapo kwete mhepo yakakwana. BP kazhinji ipfupi. Very zvisingawanzoitiki, asi pamuviri anogona kurasikirwa kuziva.

Sezvingatarisirwa, pamusoro chinokosha zvakaita kuchirapa matanho panguva yepamuviri havasi kutaura, asi vamwe mitemo vachiri kubatsira kuizunguza urwere nyore:

- kurega zvose zviitwa, inoitiswa imwe supine nechinzvimbo pamusoro shure;

- hope haagari ari shure;

- zvokudya zvinofanira kugadziridzwa rigone munyu yaunodya;

- zvakafanira kuderedza uwandu Urume kuparadzwa;

- kuvandudza nani kufamba zvakawanda, muchiitiko ichi, akaderedza tsandanyama pamusoro tibia, uye izvi anokurudzira kusimudzira venous ropa kumusoro;

- ndakarumbidzwa ari pool, mvura kunoita kuti kudzvinya ropa apasi kumigumo.

Kufembera uye kudzivirira

Doctors netarisiro varwere pamwe chirwere, kana iri dzakaonekwa mangwanani. The chete nezvevakafa - kuramba richiona utano mamiriro uye mwoyo murefu zvaidiwa zvose kunenge dzose kupinda chiremba.

Sezvo matanho ari kudzivirira zvirwere zvemwoyo nyasha. Kana paine matambudziko pakugwamba ropa, zvokurwara uye vanofanira kuva pasi chenguva zvokurapa achitarisirwa, nekuti varwere ava pangozi. Vanofanira kusiya kunyange pfungwa dzokuzvirapa.