Ho hloleha ho matla ha methapo - liphio

Ho koaloa ha liphio ka mokhoa o matla ke phallo e potlakileng, e matla ea mothapo o fanang ka mali ho liphio.

Liphio li hloka phepelo e ntle ea mali. Mothapo o moholo oa liphio o bitsoa methapo ea renal. Phokotso ea phallo ea mali ka methapo ea renal e ka utloisa tšebetso ea liphio bohloko. Thibelo e felletseng ea phallo ea mali e kenang liphio hangata e ka baka ho hloleha ha liphio ka ho sa feleng.

Ho koaloa ha methapo e matla ea methapo ea pelo ho ka hlaha kamora ho tsoa kotsi kapa ho sithabela mpeng, lehlakoreng kapa mokokotlong. Lero la mali le tsamaeang ka phallo ea mali (emboli) le ka lula mothapong oa liphio.Likotoana tsa lejoe le tsoang maboteng a methapo li ka lokoloha (ka botsona kapa nakong ea ts'ebetso). Litšila tsena li ka thibela methapo e meholo ea liphio kapa se seng sa likepe tse nyane.

Kotsi ea ho koaloa ha methapo ea methapo e eketseha ho batho ba nang le mathata a itseng a pelo, a etsang hore ba khone ho theha mali. Tsena li kenyelletsa mitral stenosis le fibrillation ea atrial.

Ho fokotseha ha mothapo oa renal ho bitsoa renal artery stenosis. Boemo bona bo eketsa menyetla ea ho thijoa ka tšohanyetso.

Mohlomong ha u na matšoao ha phio e le 'ngoe e sa sebetse hobane liphio tsa bobeli li ka sefa mali. Leha ho le joalo, khatello e phahameng ea mali (hypertension) e ka hlaha ka tšohanyetso mme ho ba thata ho e laola.

Haeba liphio tsa hau tse ling li sa sebetse ka botlalo, ho koaloa ha methapo ea renal ho ka baka matšoao a ho hloleha ha liphio haholo. Matšoao a mang a tšoaetso e matla ea methapo ea renal a kenyelletsa:

• Bohloko ba mpeng
• Ho fokotseha ka tšohanyetso ha tlhahiso ea moroto
• Bohloko ba morao
• Mali ka morong
• Bohloko ba lehlakore kapa bohloko lehlakoreng
• Matšoao a khatello e phahameng ea mali joalo ka hlooho, ho fetoha ha pono le ho ruruha

Tlhokomeliso: Ho kanna ha ba le bohloko. Bohloko, haeba bo le teng, hangata bo hlaha ka tšohanyetso.

Mofani oa tlhokomelo ea bophelo a ke ke a tseba ho tseba bothata ka ho etsa tlhahlobo feela ntle le hore o hlotsoe ke liphio.

Liteko tseo u ka li hlokang li kenyelletsa:

• Duplex Doppler ultrasound e hlahloba methapo ea renal ho leka phallo ea mali
• MRI ea methapo ea liphio, e ka bonts'ang khaello ea phallo ea mali ho liphio tse amehileng
• Renal arteriography e bonts'a sebaka se hantle sa tšitiso
• Ultrasound ea liphio ho lekola boholo ba liphio

Hangata, batho ha ba hloke kalafo. Lero la mali le ka ntlafala le le leng ka nako.

U kanna ua ba le kalafo ea ho bula mothapo haeba ho thiba ho fumanoa kapele kapa ho ama liphio tse sebetsang feela. Kalafo ea ho bula mothapo e ka kenyelletsa:

• Meriana e qhibilihisang lesela (thrombolytics)
• Meriana e thibelang mali hore a se ke a hoama (li-anticoagulants), joalo ka warfarin (Coumadin)
• Ho lokisa ho buoa ha mothapo oa liphio
• Ho kenya tube (catheter) ka mothapong oa liphio ho bula thiba

U kanna ua hloka dialysis ea nakoana ho phekola ho hloleha ho matla ha liphio. Meriana ea ho theola k'holeseterole e kanna ea hlokahala haeba ho thijoa ho bakoa ke ho koaloa ha lejoe methapong.

Tšenyo e bakoang ke ho koaloa ha methapo e ka 'na ea fela. Leha ho le joalo, maemong a mangata, ke ea ka ho sa feleng.

Haeba ho ameha liphio tse le 'ngoe feela, liphio tse phetseng hantle li ka nka ho sefa mali le ho hlahisa moroto. Haeba u na le liphio tse le 'ngoe feela tse sebetsang, ho koaloa ha methapo ho lebisa ho hloleheng ha liphio tse matla. Sena se ka fetoha ho hloleha ho sa foleng ha liphio.

Mathata a ka kenyelletsa:

• Ho hloleha ho matla ha liphio
• Lefu le sa foleng la liphio
• Khatello ea mali e phahameng
• Khatello ea mali e kotsi

Bitsa mofani oa hau haeba:

• O emisa ho hlahisa moroto
• U utloa bohloko ba tšohanyetso, bo bohloko mokokotlong, lehlakoreng kapa mpeng.

Fumana thuso ea bongaka ea tšohanyetso hang-hang haeba u e-na le matšoao a ho koaloa ha methapo 'me u na le liphio tse le' ngoe feela tse sebetsang.

Maemong a mangata, bothata bona ha bo qojoe. Tsela ea bohlokoahali ea ho fokotsa likotsi ke ho emisa ho tsuba.

Batho ba kotsing ea ho ba le liphahlo tsa mali ba ka hloka ho noa meriana e thibelang ho hoama. Ho nka mehato ea ho laola mafu a amanang le atherosclerosis (ho thatafala ha methapo) ho ka fokotsa kotsi ea hau.

A hlobaetsang le renal arterial thrombosis; Embolism ea methapo ea renal; Ho koaloa ha methapo e matla ea renal; Embolism - methapo ea liphio

• Anatomy ea liphio
• Liphio - phallo ea mali le moroto
• Phepelo ea mali a liphio

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DJ oa Myers, Myers SI. Mathata a tsamaiso: renal. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 44.

Ruggenenti P, Cravedi P, Remuzzi G. Maloetse a Microvascular le macrovascular a liphio. Ka: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, li-eds. Brenner le Rector ea Liphio. 10th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 35.

Watson RS, Cogbill TH. Atherosclerotic renal artery stenosis. Ka: Cameron JL, Cameron AM, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 12th ed. Philadelphia, PA: Elsevier; Ka 2017: 1041-1047.