Renal Artery Stenosis

Renal artery stenosis ndiko kunyengerera kweimwe kana dzakawanda arteries dzinounza ropa kuitsvo dzako (renal arteries). Kunyengerera kwe arteries kunoita kuti ropa rakakwana rakaguta oksijeni risasvike kuitsvo dzako. Itsvo dzako dzinoda kuyerera kwakakwana kweropa kuti dzibatsire kubvisa zvinhu zvisina basa uye kubvisa mvura yakawandisa. Kuyerera kwakaderera kweropa kuitsvo dzako kunogona kukuvadza tishu reitsvo uye kuwedzera kumanikidza kweropa mumuviri wako.

Stenosis ye artery ye renal kazhinji haina kuratidza zviratidzo kana zviratidzo kusvika yakura. Iyo mamiriro angawanikwa zvisingatarisirwi panguva yekuyedza chimwe chinhu. Murwere wako anogonawo kufungidzira dambudziko kana iwe uine: BP yakakwira inotanga kamwe kamwe kana kuipa pasina tsananguro BP yakakwira inotanga usati wazara makore 30 kana mushure memakore 50 Sezvo stenosis ye artery ye renal ichikura, zvimwe zviratidzo nezviratidzo zvinogona kusanganisira: BP yakakwira yakaoma kudzora Inzwi rekuchema sezvo ropa richipfuura nemidziyo yakamanikana (bruit), iyo chiremba wako anonzwa ne stethoscope yakamiswa pamusoro peitsvo dzako mazinga epuroteni akakwira mumukaka kana zvimwe zviratidzo zvedambudziko ne basa reitsvo Kuderera kwemabasa eitsvo panguva yekurapa kweropa rakakwira Fluid overload uye kuzvimba munyama yemuviri wako Kukundikana kwemoyo kunoramba kuchirapwa Ita musangano nachiremba wako kana iwe uine chero zviratidzo kana zviratidzo zvinokunetsa.

Zvikonzero zvikuru zviviri zvekuvhara kwe artery yeruoko zvinosanganisira: Kuwanda kwemvura munyonga weruoko (renal). Mafuta, cholesterol nezvimwe zvinhu (plaque) zvinogona kuunganidzwa mukati nepanzvimbo dzema artery emuromo (atherosclerosis). Sezvo aya madipoziti akakura, anogona kuoma, kuderedza kuyerera kweropa, kukonzera kuchema kwemukomana uye pakupedzisira kuvhara artery. Atherosclerosis inoitika munzvimbo dzakawanda dzemuviri uye ndiyo inonyanya kukonzera kuvhara kwe artery yeruoko.

Fibromuscular dysplasia. Mukufibromuscular dysplasia, tsandanyama iri mudenga re artery haikure sezvaifanira. Izvi kazhinji zvinoitika muhudiki. Renal artery inogona kuva nechikamu chakamanikana chinotsiviwa nechikamu chakafara, zvichipa chitarisiko chakaita sebhuru mumafirimu e artery. Renal artery inogona kuvhara zvakanyanya zvekuti itsvo haina ropa rakakwana. Izvi zvinogona kukonzera kuwedzera kweropa mudiki. Izvi zvinogona kuitika mumukomana mumwe chete kana muviri wose. Nyanzvi hadzina kuziva zvinokonzera fibromuscular dysplasia, asi mamiriro acho akajairika muvakadzi uye angave chimwe chinhu chiripo kubva pakuzvarwa (congenital). Arteries dzemukomana dzakamanikana uye fibromuscular dysplasia dzinogona kukanganisa mamwe ma artery mumuviri wako pamwe ne artery dzemukomana wako uye kukonzera matambudziko. Zvisingawanzoitiki, kuvhara kwe artery yeruoko kunobva kune zvimwe zvirwere senge kuzvimba kwema artery eropa kana kukura kunokura mudumbu rako uye kunomanikidza ma artery etsvo.

Kazhinji zviitiko zve renal artery stenosis zvinokonzerwa neitsvo arteries yakamanikana. Zvinhu zvinokonzera njodzi zvinoita kuti arteries yakamanikana ive yakanyanya muitsvo dzako nemamwe mativi emuviri wako zvinosanganisira: Kukwegura Kufuta kwepfupa Cholesterol yakakwira Zvirwere zve shuga Kutadza Kusvuta nezvimwe zvinhu zvinoshandiswa zvefodya Nhoroondo yemhuri yechirwere chemwoyo chepakutanga Kushaya kurovedza muviri

Zvimwe zvinogona kukanganisa renal artery stenosis zvinosanganisira:

• Kukundikana kweitsvo, zvichiita kuti zvive zvakakosha kurapwa nedialysis kana kupanwa kwetsvo
• Kuwanda kwemvura mumitsipa, zvichikonzera kuzvimba kwemabvi kana tsoka
• Kushaya mweya nekuda kwekuwanda kwemvura kamwe kamwe mumapapu

Kuongororwa kwekuvhara kwe artery yeruoko, mushandi wako wehutano angatanga ne: Kuongororwa kwemuviri kunosanganisira mushandi wako achiteerera ne stethoscope pamusoro penyika dzemafuro kuti anzwe kurira kunogona kureva kuti artery yekuenda kune furo rako yakamanikwa Kuongororwa kwe nhoroondo yako yezvokurapa bvunzo dzeropa ne wee kuti uone basa remafuro ako bvunzo dzeropa ne wee kuti uyere nhamba yehomoni inodzora kumanikidzwa kweropa bvunzo dze mifananidzo dzinoitwa kazhinji kuongorora kuvhara kwe artery yeruoko zvinosanganisira: Doppler ultrasound. Mafungu esound ane simba anobatsira chiremba wako kuona arteries nemafuwo uye kuongorora basa rawo. Iyi nzira inobatsirawo chiremba wako kuwana matambudziko mumatangi eropa uye kuyera ukuru hwawo. CT scan. Panguva ye CT scan, muchina we X-ray wakabatana nekombuta unoita mufananidzo wakajeka unoratidza mifananidzo ye cross-sectional ye arteries yeruoko. Ungagamuchira jekiseni re dye kuti uratidze kuyerera kweropa. Magnetic resonance angiography (MRA). MRA inoshandisa mafungu eradio nema magnetic fields ane simba kuti iite mifananidzo yakajeka ye 3D ye arteries yeruoko nemafuwo. Jekiseni re dye rinopinda mu arteries rinoratidza midziyero yeropa panguva yekuongororwa. Renal arteriography. Iyi bvunzo chaiyo ye X-ray inobatsira chiremba wako kuwana matambudziko mu arteries yeruoko uye dzimwe nguva inovhura chikamu chakamanikwa ne balloon kana stent. Tisati tatora X-ray, chiremba wako anopinda dye mu arteries yeruoko kuburikidza ne tube refu, yakasimba (catheter) kuti aratidze arteries uye aratidze kuyerera kweropa zvakajeka. Iyi bvunzo inoitwa zvikuru kana zvichibvirawo kuti unoda tube duku (stent) yakamiswa mumidziyero yeropa kuti iwedzere. Kutarisirwa paMayo Clinic Chikwata chedu chine hanya che Mayo Clinic vanachiremba vanogona kukubatsira nezvinetso zvako zvehutano zvine chekuita nekuvhara kwe artery yeruoko Tanga pano

Kurapa stenosis ye artery ye renal kunogona kusanganisira kuchinja mararamiro, mishonga uye nzira yekudzoreredza ropa kuenda kumakwande. Dzimwe nguva kusanganiswa kwemishonga ndiko nzira yakanakisa. Zvichienderana nehutano hwako hwese nezviratidzo, ungasada kurapwa kwakakosha. Kuchinja mararamiro Kana kumanikidza kwako kweropa kuri pakati kana kukwirira zvakanyanya, mararamiro ane hutano - kudzora munyu, kudya zvokudya zvine hutano uye kuita zvemuviri nguva dzose - kunogona kubatsira kudzora kumanikidza kwako kweropa. Mishonga Kumanikidza kwepamusoro kweropa - kunyangwe kana kuri kunyanya kubva ku stenosis ye artery ye renal - kazhinji kunogona kurapwa zvakanaka nemishonga. Kuwana mushonga wakakodzera kana kusanganiswa kwemishonga kunogona kutora nguva nekutsungirira. Mimwe mishonga inowanzo shandiswa kurapa kumanikidza kwepamusoro kweropa kunobatanidzwa ne stenosis ye artery ye renal inosanganisira: Angiotensin-converting enzyme (ACE) inhibitors uye angiotensin II receptor blockers (ARBs), izvo zvinobatsira kusunungura ropa rako uye kudzivirira kuumbwa kana migumisiro yechinhu chemuviri chinonzi angiotensin II, chinokombama ropa Diuretics, inozivikanwawo semapiritsi emvura, izvo zvinobatsira muviri wako kubvisa sodium nemvura yakawandisa Beta blockers ne alpha-beta blockers, izvo zvinogona kukonzera kuti moyo wako urove zvishoma uye zvishoma kana kuwedzera (kuwedzera) ropa rako, zvichienderana nemushonga waunoshandisa Calcium channel blockers, izvo zvinobatsira kusunungura ropa Kana atherosclerosis iri chikonzero che stenosis ye artery ye renal, mupi wako anogona kukurudzirawo aspirin nemushonga unoderedza cholesterol. Mishonga ipi iri nani kwauri inotsamira pane mamiriro ako. Maitiro Kune vamwe vanhu nzira inogona kukurudzirwa kudzoreredza ropa kuburikidza ne artery ye renal kuti iwedzere ropa kuenda kuchikwande. Mhedzisiro kubva muedzo wekurapa uchienzanisa mishonga ne renal angioplasty uye stenting haina kuratidza musiyano pakati pemaitiro maviri ekurapa pakuderedza kumanikidza kwepamusoro kweropa uye kuvandudza basa reitsvo kune vanhu vane stenosis ye artery ye renal. Maitiro ekurongedza mudziyo anofanira kufungwa kune vanhu vasina kuita zvakanaka pane mishonga chete, avo vasina kushivirira mishonga, avo vanowanzo chengeta mvura uye vane kukundikana kwemoyo kunoramba kuchirapwa. Maitiro ekurapa stenosis ye artery ye renal anogona kusanganisira: Renal angioplasty uye stenting. Munzira iyi, vanachiremba vanowedzera artery ye renal yakamanikana uye vanoisa chishandiso (stent) mukati me ropa rako rinobata madziro emudziyo wakavhurika uye rinobvumira ropa rakanaka kupfuura. Renal artery bypass surgery. Panguva yekubaya, vanachiremba vanosunga ropa rinotsiva ropa kuenda ku artery ye renal kuita nzira itsva yeropa kusvika kumakwande ako. Dzimwe nguva izvi zvinoreva kubatanidza artery ye renal kumudziyo kubva kune imwe nzvimbo, senge chiropa kana spleen. Aya mabasa kazhinji anoitwa kana angioplasty isina kubudirira, kana paine chikonzero chekuwedzera mabasa ekurapa. Kumbira nguva yekuonana nachiremba