Whakaheke Toto Whatukuhu

Ko te ngohe o te ātireti whatukuhu te whakaititanga o tetahi, o etahi rānei o ngā ātireti e kawe ana i te toto ki ō whatukuhu (ngā ātireti whatukuhu). Ko te whakaititanga o ngā ātireti ka ārai i te nui o te toto whai-hākikino e tae atu ana ki ō whatukuhu. Me nui te rere o te toto ki ō whatukuhu hei āwhina i te tātaritanga i ngā taonga paru me te tango i ngā wai nui. Ko te iti o te rere o te toto ki ō whatukuhu ka whara pea i te kiko whatukuhu ka piki ake te pehanga toto i roto i tō tinana katoa.

Ko te stenosis o te ātirenal e kore e tino puta he tohu, he tohu rā ano kia tae rawa ki te wā e tupu haere ana. Ka kitea pea te āhuatanga i te wa e whakamātautau ana mō tētahi atu mea. Ka whakaaro pea hoki tō kaiwhakarato hauora he raru kei a koe mena kei a koe: Te toto teitei e tīmata ana i te wa poto, kāore rānei e whakamārama Te toto teitei e tīmata ana i mua i te 30 tau, i muri rānei i te 50 tau I te wā e tupu haere ana te stenosis o te ātirenal, ko ētahi atu tohu, me ngā tohu pea: Te toto teitei e uaua ana ki te whakahaere He oro ngāwari o te toto e rere ana i roto i te oko kua pōkē (bruit), e rangona ana e tō tākuta mā te stethoscope i whakanohoia ki runga i ō whatukuhu Ngā taumata pūmua teitei i roto i te mimi, i ētahi atu tohu rānei o te raru ki te mahi o te whatukuhu Te kino haere o te mahi o te whatukuhu i te wā e whakaora ana i te toto teitei Te nui o te wai me te pupū i roto i ngā kiko o tō tinana Te kore e taea te whakaora i te ngakau Pānui atu ki tō tākuta mena kei a koe etahi tohu, tohu rānei e mau tonu ana e awangawanga ana koe.

Kaore he uauatanga

Ko ngā take nui e rua o te ngoikore o te ātiretā whatukuhu ko: Ko te kōkōtū i runga i ngā ātiretā whatukuhu. Ka taea e ngā ngako, te kolesterol me ētahi atu mea (pūtau) te kōkōtū ki roto, ki runga hoki i ngā pakitara o ō ātiretā whatukuhu (atherosclerosis). I te nui haere o ēnei whakato, ka taea e rātou te whakapakari, te whakaiti i te rere o te toto, te whakaeke i te whatukuhu, ā, ka mutu ka whakaiti i te ātiretā. Ka puta te Atherosclerosis i ngā wāhi maha o te tinana, ā, koia te take tino nui o te ngoikore o te ātiretā whatukuhu.

Fibromuscular dysplasia. I te fibromuscular dysplasia, kāore te uaua i te pakitara o te ātiretā e tipu penei i tōna tika. Ka tīmata pinei i te tamarikitanga. Ka taea e te ātiretā whatukuhu te whai wāhanga kōtiti e taurite ana ki ngā wāhanga whānui ake, ā, ka hoatu he ahua rite ki te piripiri i roto i ngā whakaahua o te ātiretā. Ka taea e te ātiretā whatukuhu te whakaiti kia nui rawa te kore o te whatukuhu i te toto. Ka taea e tēnei te arahi ki te toto teitei i te tamarikitanga. Ka taea e tēnei te puta i tetahi whatukuhu, i ngā whatukuhu e rua rānei. Kāore ngā tohunga e mōhio ki te take o te fibromuscular dysplasia, engari he maha ake te mate i ngā wāhine, ā, he mea pea kei te noho mai i te wā whānau (congenital). Ka taea e ngā ātiretā whatukuhu kōtiti me te fibromuscular dysplasia te pā ki ētahi atu ātiretā i roto i tōu tinana me ō ātiretā whatukuhu hoki, ā, ka puta he raruraru. Ko te tino iti, ka puta mai te ngoikore o te ātiretā whatukuhu i ētahi atu āhuatanga penei i te mumura o ngā oko toto, i te tipu rānei e whanake ana i roto i tō kopu, ā, ka pēhi i ngā ātiretā o ō whatukuhu.

Ko te nuinga o ngā keehi o te ngohe o te ātiretā whatukuhu e puta mai ana i ngā ātiretā whatukuhu kua whakaitihia. Ko ngā take morearea e āhei ai te whakaiti i ngā ātiretā i roto i ō whatukuhu me ētahi atu wāhanga o tō tinana ko: Te koroheketanga Te toto teitei Te kolesterol teitei Te mate huka Te momona Te whakakīkī me ētahi atu whakamahinga tapoko Te hītori whānau o te mate ngākau wawe Te kore o te whakakori tinana

Ngā raruraru pea o te ngoikore o te ātirenal e whai ake nei:

• Korenga o te whatukuhu, e hiahiatia ana te maimoatanga me te dialysis, te whakawhiti whatukuhu rānei
• Te pupuri wai i ō waewae, e puhipuhi ai ō turi, ō waewae rānei
• Te poto o te manawa nā te hanga o te wai i roto i ngā pūkahukahu

Kaore he uauatanga

Mō te whakatau i te ngoikore o te ātiretā whatukuhu, ka tīmata pea tō kaiwhakarato hauora me: Te whakamātautau tinana e whakauru ana ki tō kaiwhakarato e whakarongo ana mā te stethoscope ki runga i ngā wāhi whatukuhu mō ngā āhuatanga e āhei ana te tikanga kua whakaitihia te ātiretā ki tō whatukuhu. Te arotake i tō hītori hauora. Ngā whakamātautau toto me te mimi hei tirotiro i te mahi o tō whatukuhu. Ngā whakamātautau toto me te mimi hei ine i ngā taumata o ngā homoni e whakahaere ana i te pehanga toto. Ngā whakamātautau whakaahua e mahia ana hei whakatau i te ngoikore o te ātiretā whatukuhu: Doppler ultrasound. Ngā ngaru oro teitei e āhei ana ki tō tākuta te kite i ngā ātiretā me ngā whatukuhu me te tirotiro i tō rātou mahi. Ka āhei hoki tēnei tukanga ki tō tākuta te kimi i ngā ārai i roto i ngā oko toto me te ine i tō rātou kaha. CT scan. I te wā o te CT scan, ka hangaia e te mīhini X-ray e hono ana ki te rorohiko he whakaahua taipitopito e whakaatu ana i ngā whakaahua tapawhā o ngā ātiretā whatukuhu. Ka taea e koe te whiwhi i te whakauru tae hei whakaatu i te rere toto. Magnetic resonance angiography (MRA). Ka whakamahi te MRA i ngā ngaru reo me ngā mara pāmahana kaha hei whakaputa i ngā whakaahua 3D taipitopito o ngā ātiretā whatukuhu me ngā whatukuhu. Ka whakarārangihia e te whakauru tae ki roto i ngā ātiretā ngā oko toto i te wā o te whakaahua. Renal arteriography. Ka āhei tēnei momo whakamātautau X-ray motuhake ki tō tākuta te kimi i te ārai i roto i ngā ātiretā whatukuhu, ā, i etahi wā ka whakatuwhera i te wāhanga kua whakaitihia me te poroporo rānei, te stent rānei. I mua i te tango i te X-ray, ka whakauru tō tākuta i te tae ki roto i ngā ātiretā whatukuhu mā te pūpoi roa, angiangi (catheter) hei whakarārangi i ngā ātiretā me te whakaatu i te rere toto kia mārama ake. Ko te nuinga o te wā ka mahia tēnei whakamātautau ki te pea ano hoki ka hiahia koe ki te pūpoi iti (stent) e whakanohoia ana ki tō oko toto hei whānui ake. Ngā tiaki i te Mayo Clinic Ka taea e tā mātou rōpū manaaki o ngā tohunga Mayo Clinic te āwhina i a koe ki ō kōrero hauora e pā ana ki te ngoikore o te ātiretā whatukuhu. Tīmata konei

Ko te rongoā mō te ngoikore o te ātiretā whatukuhu ka uru pea ki ngā huringa oranga, te rongoā, me te tukanga hei whakahoki i te rere o te toto ki ngā whatukuhu. I etahi wā, he huinga o ngā rongoā te huarahi pai. Kei te tūpono kei kore koe e hiahia ki tetahi rongoā motuhake, kei runga i tō hauora whānui me ō tohu. Ngā huringa oranga Ki te mea he nui te pēhanga o tō toto, he iti rānei, he nui rānei, ka taea e te oranga hauora—te whakaiti i te tote, te kai i ngā kai hauora, me te mahi tinana tūturu—te āwhina i te whakahaere i tō pēhanga toto. Rongoā Ko te pēhanga toto teitei—ahakoa he hono nui ki te ngoikore o te ātiretā whatukuhu—ka taea te whakaora pai me ngā rongoā. Ko te kimi i te rongoā tika, i te huinga rongoā rānei, ka hiahia pea ki te wā me te manawanui. Ko ētahi rongoā e whakamahia nuitia ana hei whakaora i te pēhanga toto teitei e hono ana ki te ngoikore o te ātiretā whatukuhu: Ngā kaihoroi angiotensin-converting enzyme (ACE) me ngā kaihoroi angiotensin II receptor (ARB), e āwhina ana i te whakamahana i ō oko toto me te aukati i te hanganga, i ngā pānga rānei o te matū tinana taiao e kiia nei ko te angiotensin II, e whakaiti ana i ngā oko toto Ngā diuretics, e mohiotia ana hoki ko ngā pire wai, e āwhina ana i tō tinana ki te whakakore i te tote me te wai nui Ngā kaihoroi beta me ngā kaihoroi alpha-beta, kei a rātou pea te pānga o te whakaiti i te whiti o tō ngākau me te iti ake te kaha, i te whānui ake rānei (te whakawhanui) i ō oko toto, kei runga i te rongoā e whakamahi ana koe Ngā kaihoroi kauae kōhatu, e āwhina ana i te whakamahana i ngā oko toto Ki te mea ko te atherosclerosis te take o te ngoikore o te ātiretā whatukuhu, ka tūtohu pea tō kaiwhakarato i te aspirin me te rongoā whakaiti kolesterol. Ko ēhea ngā rongoā pai mōu e whakahaeretia ana e tō āhuatanga motuhake. Ngā tukanga Mō ētahi tāngata, ka tūtohu pea he tukanga hei whakahoki i te rere o te toto i roto i te ātiretā whatukuhu hei whakapai ake i te rere o te toto ki te whatukuhu. Ko ngā hua mai i ngā whakamātautau hauora e whakarite ana i te rongoā me te angioplasty whatukuhu me te stenting kāhore i whakaatu he rerekētanga i waenga i ngā huarahi rongoā e rua ki te whakaiti i te pēhanga toto teitei me te whakapai ake i te mahi whatukuhu mō ngā tāngata he ngoikore o te ātiretā whatukuhu. Me whakaarohia ngā tukanga hei whakatuwhera i te oko mō ngā tāngata kaore i pai ki te rongoā anake, kaore e taea te whakamanawanui ki ngā rongoā, e pupuri ana i ngā wai, me te pōuri o te ngakau e ārai ana i te rongoā. Ko ngā tukanga hei whakaora i te ngoikore o te ātiretā whatukuhu ka uru pea ki: Te angioplasty whatukuhu me te stenting. I roto i tēnei tukanga, ka whānui ake ngā tākuta i te ātiretā whatukuhu kīhai, ka whakanoho i te taputapu (stent) ki roto i tō oko toto e pupuri ana i ngā taha o te oko i te tuwhera, ā, ka taea te pai ake te rere o te toto. Te pokanga whakawhāiti ātiretā whatukuhu. I te wā o te tukanga whakawhāiti, ka hono ngā tākuta i te oko toto whakakapi ki te ātiretā whatukuhu hei hanga i te huarahi hou mō te toto ki te tae atu ki ō whatukuhu. I etahi wā, ko te tikanga tenei ko te hono i te ātiretā whatukuhu ki te oko mai i tetahi atu wāhi, penei i te ate, i te kōpū rānei. Ko ēnei mahi te nuinga o te wā ka mahia ki te kore e angitu te angioplasty, ki te hiahiatia rānei ngā mahi tākuta atu. Tono kia whakaritea he whakatau

Kaore he uauatanga