Matšoao a khatello ea kelello ea methapo

Matšoafo a khatello ea kelello ke khatello e phahameng ea mali ka lebaka la methapo e tsamaisang mali ho ea liphio. Boemo bona bo boetse bo bitsoa renal artery stenosis.

Renal artery stenosis ke ho fokotsa kapa ho thiba ha methapo e fepelang mali liphio.

Lebaka le atileng haholo la renal artery stenosis ke ho thiba ha methapo ka lebaka la k'holeseterole e phahameng. Bothata bona bo ba teng ha ntho e khomarelang, e mafura e bitsoang plaque e hahelana ka holim'a bokahare ba methapo, e baka boemo bo tsejoang e le atherosclerosis.

Ha methapo e tsamaisang mali ho ea liphio tsa hau e se e le moqotetsane, mali a fokolang a phallela liphio. Liphio ka phoso li arabela joalokaha eka khatello ea mali ea hao e tlaase. Ka lebaka leo, li ntša lihomone tse bolellang 'mele ho tšoarella letsoai le metsi a mangata. Sena se etsa hore khatello ea mali ea hau e phahame.

Lisosa tse kotsi tsa atherosclerosis:

• Khatello ea mali e phahameng
• Ho tsuba
• Lefu la tsoekere
• Cholesterol e phahameng
• Ho sebelisa joala haholo
• Tlhekefetso ea cocoaine
• Ho eketsa lilemo

Fibromuscular dysplasia ke sesosa se seng sa renal artery stenosis. E bonahala hangata ho basali ba ka tlase ho lilemo tse 50. E tloaetse ho matha ka malapeng. Boemo bona bo bakoa ke kholo e sa tloaelehang ea lisele maboteng a methapo e isang liphio. Sena se boetse se lebisa ho fokotsa kapa ho thiba ha methapo ena.

Batho ba nang le khatello ea methapo ea methapo ba ka ba le nalane ea khatello e phahameng ea mali eo ho leng thata ho e tlisa le meriana.

Matšoao a khatello ea meriana ea khatello ea kelello a kenyeletsa:

• Khatello ea mali e phahameng a sa le monyane lilemong
• Khatello ea mali e phahameng e mpefalang ka tšohanyetso kapa eo ho leng thata ho e laola
• Liphio tse sa sebetseng hantle (sena se ka qala ka tšohanyetso)
• Ho khutsufatsa methapo e meng 'meleng, joalo ka maoto, boko, mahlo le libakeng tse ling
• Mokelikeli o kenang ka tšohanyetso mekotleng ea moea ea matšoafo (pulmonary edema)

Haeba u na le mofuta o kotsi oa khatello e phahameng ea mali e bitsoang malignant hypertension, matšoao a ka kenyelletsa:

• Ho opeloa ke hlooho e bohloko
• Ho nyekeloa kapa ho hlatsa
• Pherekano
• Liphetoho ponong
• Ho tsoa mali

Mofani oa tlhokomelo ea bophelo a ka utloa lerata la "whooshing", le bitsoang bruit, ha a beha stethoscope ka mpeng.

Liteko tse latelang tsa mali li ka etsoa:

• Maemo a k'holeseterole
• Maemo a Renin le aldosterone
• BUN - tlhahlobo ea mali
• Creatinine - tlhahlobo ea mali
• Potassium - tlhahlobo ea mali
• Tlhaloso ea Creatinine

Ho ka etsoa liteko tsa ho bona hore na methapo ea liphio e fokotsehile. Li kenyeletsa:

• Angiotensin e fetolang enzyme (ACE) ho thibela ho nchafatsa
• Doppler ultrasound ea methapo ea liphio
• Ts'ebetso ea Magnetic resonance angiography (MRA)
• Moriana oa renal angiography

Khatello ea mali e phahameng e bakoang ke ho fokola ha methapo e lebisang liphio hangata ho thata ho e laola.

Ho hlokahala moriana o le mong kapa ho feta ho thusa ho laola khatello ea mali. Hona le mefuta e mengata.

• E mong le e mong o arabela meriana ka tsela e fapaneng. Khatello ea mali ea hau e lokela ho hlahlojoa khafetsa. Palo le mofuta oa moriana oo u o nkang o kanna oa hloka ho fetoloa nako le nako.
• Botsa mofani oa hau hore na ho bala khatello ea mali ho nepahetse ho uena.
• Nka meriana eohle ka tsela eo mofani oa hau a u laetseng eona.

Hlahloba hore na li-cholesterol tsa hao li kae, 'me li phekoloe haeba ho hlokahala. Mofani oa hau o tla thusa ho tseba maemo a nepahetseng a k'holeseterole ho latela kotsi ea lefu la pelo le maemo a mang a bophelo bo botle.

Liphetoho bophelong li bohlokoa:

• Ja lijo tse matlafatsang pelo.
• Ikoetlise khafetsa, bonyane metsotso e 30 ka letsatsi (botsa ngaka pele u qala).
• Haeba u tsuba, tlohela. Fumana lenaneo le tla u thusa ho emisa.
• Fokotsa hore na u noa joala bo bokae: 1 noa ka letsatsi bakeng sa basali, 2 ka letsatsi bakeng sa banna.
• Fokotsa palo ea sodium (letsoai) eo u e jang. Ikemisetsa ka tlase ho 1,500 mg ka letsatsi. Botsa ngaka ea hau hore na u lokela ho ja potasiamo e kae.
• Fokotsa khatello ea maikutlo. Leka ho qoba lintho tse u bakelang khatello ea maikutlo. U ka leka ho thuisa kapa yoga.
• Lula boima ba 'mele bo phetseng hantle. Fumana lenaneo la ho theola boima ba 'mele ho u thusa, haeba u le hloka.

Kalafo e tsoelang pele e ipapisitse le se bakang ho fokola ha methapo ea liphio. Mofani oa hau a ka khothaletsa ts'ebetso e bitsoang angioplasty ka stenting.

Tsamaiso ena e kanna ea ba khetho haeba u na le:

• Ho fokotseha ho matla ha mothapo oa liphio
• Khatello ea mali e ke keng ea laoloa ka meriana
• Liphio tse sa sebetseng hantle 'me li ntse li mpefala

Leha ho le joalo, qeto ea hore na ke batho bafe ba lokelang ho ba le lits'ebetso tsena e thata, 'me e ipapisitse le lintlha tse ngata tse thathamisitsoeng kaholimo.

Haeba khatello ea mali ea hau e sa laoloe hantle, o kotsing ea mathata a latelang:

• Aortic aneurysm
• Lefu la pelo
• Ho hloleha ha pelo
• Lefu le sa foleng la liphio
• Leqeba
• Mathata a pono
• Phepelo e fokolang ea mali maotong

Bitsa mofani oa hau haeba u nahana hore u na le khatello e phahameng ea mali.

Bitsa mofani oa thepa ea hau haeba o na le khatello ea kelello ea methapo le matšoao a ho mpefala kapa a sa ntlafatse kalafo. Hape letsetsa haeba matšoao a macha a hlaha.

Ho thibela atherosclerosis ho ka thibela renal artery stenosis. Ho nka mehato e latelang ho ka thusa:

• Fokotsa boima ba 'mele haeba o nonne haholo.
• Botsa mofani oa hau ka ts'ebeliso ea hau ea ho tsuba le joala.
• Laola tsoekere ea mali haeba u na le lefu la tsoekere.
• Etsa bonnete ba hore mofani oa hau o shebile maemo a k'holeseterole ea mali.
• Ja lijo tse matlafatsang pelo.
• Ikoetlise kamehla.

Khatello ea kelello ea renal; Khatello ea kelello - renovascular; Ho koaloa ha methapo ea renal; Stenosis - methapo ea liphio; Renal artery stenosis; Khatello ea mali e phahameng - renovascular

• Liphio tse nang le khatello ea mali
• Metsing ea renal

Siu AL, Sesole sa Mosebetsi oa Ts'ireletso oa US. Ho hlahloba khatello ea mali e phahameng ho batho ba baholo: Polelo ea khothaletso ea Sesole sa Ts'ireletso ea US. Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 e fetotsoe.ncbi.nlm.nih.gov/26458123/.

Mosebetsi oa Textor SC. Matšoafo a khatello ea kelello le nephropathy ea ischemic. Ka: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, li-eds. Brenner le Rector ea Liphio. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 47.

Mohlomphehi RG. Matšoao a khatello ea kelello ea mali. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 70.

Mohlomphehi RG. Ts'ebetso ea khatello ea kelello ea 'mele: mekhoa le tlhahlobo. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 46.

Victor RG, Libby P. Ts'ebetso ea khatello ea kelello ea 'mele: tsamaiso. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 47.