Koj lub raum puas yuav cuam tshuam rau koj cov ntshav siab? Cia peb tham txog Renovascular Hypertension!

Ntshav siab, lossis raws li peb txhua tus paub, "siab," yog ib qho teeb meem uas ntau tus neeg tab tom ntsib niaj hnub no. Tab sis koj puas paub tias qee zaum koj lub raum kuj tuaj yeem yog qhov ua rau muaj ntshav siab no? Yog, nws yog qhov tseeb. Qhov mob ntshav siab no uas tshwm sim hauv lub raum kuj hu ua '(Renovascular Hypertension)' lossis '(Renal Hypertension)'. Cia peb tham txog qhov no kom meej thiab yooj yim heev hnub no.

Vim li cas qhov no thiaj ua rau lub siab nce ntxiv hauv lub raum? (Rovascular Hypertension yog dab tsi?)

Hais yooj yim xwb, qhov mob no tshwm sim thaum cov hlab ntsha tseem ceeb uas muab ntshav rau koj lub raum (peb hu ua "Renal Arteries") raug thaiv. Xav txog nws zoo li cov yeeb nkab dej raug thaiv, uas ua rau cov dej ntws tsawg dua. Thaum cov hlab ntsha no raug thaiv, cov ntshav uas mus txog rau lub raum yuav txo qis.

Ces muaj dab tsi tshwm sim? Cov raum paub tias lawv tsis tau txais ntshav txaus. Ua li ntawd, cov raum ua kom muaj ib lub cev tshwj xeeb ntawm cov tshuaj hormones thiab lwm yam tshuaj. Qhov no hu ua '(RAAS - Renin-Angiotensin-Aldosterone System)'. Thaum lub cev '(RAAS)' no ua haujlwm, nws ua rau cov ntshav siab ntawm tag nrho lub cev nce. Zoo li cov raum xa ib lub cim hais tias, "Peb tsis tau txais ntshav txaus, ua kom cov ntshav siab nce sai sai!"

Kev mob ntshav siab dua tshiab yog ib hom mob ntshav siab theem ob uas feem ntau pom. Qhov ntawd yog, ntshav siab uas yog los ntawm lwm yam mob. Qee zaum, nws kuj yog qhov ua rau ntshav siab uas nyuaj rau tswj txawm tias noj tshuaj los xij (tiv taus ntshav siab). Yog li, kev paub tias koj cov ntshav siab muaj feem cuam tshuam nrog koj lub raum tuaj yeem pab koj tus kws kho mob nrhiav kev kho mob zoo rau koj.

Cov tsos mob ntawm tus mob no yog dab tsi? (Cov tsos mob ntawm Renovascular Hypertension)

Feem ntau, tej zaum koj yuav tsis pom muaj cov tsos mob tshwj xeeb hauv qhov mob '(Renal Hypertension)' no. Qhov ntawd yog qhov txaus ntshai me ntsis. Txawm li cas los xij, cov kws kho mob yuav nrhiav tau qee cov lus qhia los ntawm koj keeb kwm kho mob thiab kev kuaj mob kom paub tseeb tias koj muaj tus mob no.

Nov yog qee cov lus qhia zoo li no:

• Muaj ntshav siab sai sai ua ntej hnub nyoog 30 xyoo lossis tom qab hnub nyoog 50 xyoo. Xav txog nws, nws yog qhov txawv me ntsis uas muaj ntshav siab sai sai tom qab lub sijhawm ntev yam tsis muaj teeb meem, ua ntej hnub nyoog uas ntshav siab feem ntau tshwm sim, puas yog?
• Ntshav siab nce sai sai uas yav tas los tswj tau zoo. Tej zaum koj tau noj tshuaj ntshav siab tau ntau xyoo thiab nws tau tswj tau zoo lawm. Tab sis yog tias cov tshuaj ntawd tsis ua haujlwm lawm thiab koj cov ntshav siab nce sai sai, nws yog ib yam uas yuav tsum txhawj xeeb txog.
• Txawm koj siv ntau hom tshuaj kho koj cov ntshav siab los koj cov ntshav tsis qis. Yog tias koj cov ntshav tsis qis txawm koj noj cov tshuaj uas koj tus kws kho mob sau ntawv los xij, tej zaum yuav muaj lwm yam ua rau koj cov ntshav siab poob qis.
• Muaj ntau zaus uas ntshav siab nce siab heev. Cov no yog lub sijhawm uas ntshav siab tam sim ntawd nce mus txog qib txaus ntshai.
• Yuav muaj mob o ntawm lub ntsws tam sim ntawd (flash pulmonary edema). Qhov no yuav ua rau ua pa nyuaj tam sim ntawd.
• Muaj keeb kwm ntawm cov quav hniav sib sau ua ke hauv lwm cov hlab ntsha hauv lub cev, xws li lub plawv, caj dab, thiab ceg. Qhov no kuj hu ua atherosclerosis.
• Mob hauv siab tshwm sim yam tsis muaj cov rog loj hauv cov hlab ntsha ntawm lub plawv.
• Kev ua haujlwm tsis zoo ntawm lub raum uas tsis muaj qhov ua rau pom tseeb.
• Lub suab nrov nrov yog thaum tus kws kho mob muab lub stethoscope tso rau ntawm koj lub plab thiab hnov ​​​​​​lub suab "swoo... swoo...". Qhov no yog lub suab txawv txawv uas ua thaum cov ntshav ntws los ntawm cov hlab ntsha.

Nco ntsoov, cov no yog cov tsos mob uas cov kws kho mob xav tias muaj. Tsuas yog vim koj muaj ib lossis ob qho ntawm cov no tsis tau txhais hais tias koj muaj Renovascular Hypertension. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog qhov zoo uas yuav tsum mus ntsib kws kho mob.

Dab tsi ua rau qhov no? (Ua rau muaj ntshav siab ntxiv)

Qhov ua rau muaj tus mob no "(Renovascular Hypertension)" yog qhov nqaim ntawm cov hlab ntsha uas nqa ntshav mus rau lub raum (Renal Artery Stenosis) . Muaj ntau yam ua rau cov hlab ntsha nqaim no:

1. Kab mob Atherosclerosis: Qhov no yog qhov ua rau feem ntau tshwm sim. Ib yam li cov av thiab xeb sib sau ua ke hauv cov kav dej, cov roj cholesterol thiab lwm yam rog sib sau ua ke hauv cov hlab ntsha, ua rau cov ntshav ntws nqaim. Qhov no tuaj yeem tshwm sim thaum muaj hnub nyoog, vim yog kev noj zaub mov tsis zoo, ntshav qab zib, thiab kev haus luam yeeb.

2. Kab mob Fibromuscular Dysplasia (FMD): Qhov no yog ib qho mob uas tsis tshua muaj ntau dua li kab mob Atherosclerosis. Nws yog tus yam ntxwv los ntawm kev loj hlob tsis zoo ntawm cov leeg nqaij thiab cov hlwb sib txuas hauv cov phab ntsa ntawm cov hlab ntsha, uas tuaj yeem ua rau cov hlab ntsha nqaim. Qhov mob no feem ntau tshwm sim rau cov poj niam hluas.

Ntxiv rau ob qho laj thawj tseem ceeb no, muaj lwm yam laj thawj uas tsis tshua muaj neeg pom:

• Kev o ntawm cov hlab ntsha (Vasculitis)
• Aneurysm ntawm cov hlab ntsha hauv lub raum
• Mob qog nqaij hlav nias rau ntawm lub raum lossis cov hlab ntsha hauv lub raum
• Fibrosis los ntawm kev kho mob hluav taws xob

Cov teeb meem dab tsi uas tuaj yeem tshwm sim vim qhov no? (Cov Teeb Meem ntawm Renovascular Hypertension)

Txhua yam mob ntshav siab, suav nrog mob ntshav siab renovascular hypertension, tuaj yeem ua rau muaj ntau yam teeb meem yog tias tsis kho kom zoo. Qhov tseem ceeb tshaj plaws, mob ntshav siab ntev tuaj yeem ua rau lub plawv puas tsuaj. Qhov no hu ua mob plawv hypertensive .

Ntxiv mus, ntshav siab uas tsis kho tau tuaj yeem ua rau muaj teeb meem xws li:

• Kab Mob Raum: Tsis muaj qhov xav tsis thoob, puas yog? Vim tias qhov teeb meem pib nrog raum, lawv tuaj yeem raug puas tsuaj ntxiv.
• Kab Mob Retinal: Kev puas tsuaj rau cov hlab ntsha hauv lub qhov muag tuaj yeem ua rau tsis pom kev.
• Mob stroke
• Mob plawv nres

Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum tswj koj cov ntshav siab kom zoo.

Cov kws kho mob kuaj mob li cas?

Cov kws kho mob tsis kuaj pom tias muaj ntshav siab dua tshiab los ntawm kev kuaj ib zaug xwb. Lawv xaus lus los ntawm kev muab ntau yam lus qhia ua ke, zoo li tus kws tshawb nrhiav. Cov lus qhia no los rau lawv:

• Los ntawm kev kuaj xyuas koj lub cev: Piv txwv li, tej yam zoo li lub suab 'Bruit' uas koj hnov ​​​​​​los ntawm lub stethoscope ntawm koj lub plab.
• Los ntawm kev tshuaj xyuas koj keeb kwm kev kho mob: cov ntaub ntawv xws li cov kab mob yav dhau los, cov kab mob hauv tsev neeg, thiab cov tshuaj uas koj noj.
• Los ntawm kev ua cov kev ntsuam xyuas tshwj xeeb.

Nov yog qee hom kev ntsuam xyuas uas koj ua tau:

• Kev Kuaj Ntshav: Xyuas tej yam xws li kev ua haujlwm ntawm lub raum thiab cov roj cholesterol.
• Kev Kuaj Zis: Xyuas seb puas muaj cov khoom xws li cov protein raug tso tawm ntawm lub raum.
• Kev kuaj mob ultrasound ntawm lub raum thiab lwm yam kev kuaj mob radiological uas qhia txog kev ntws ntshav hauv cov hlab ntsha ntawm lub raum: Qhov no tuaj yeem qhia qhov loj thiab cov duab ntawm lub raum thiab seb cov hlab ntsha puas raug thaiv. Kev ntsuas tshwj xeeb hu ua Doppler ultrasound tuaj yeem ntsuas tej yam xws li qhov ceev ntawm cov ntshav ntws. Tej zaum koj kuj yuav tsum ua cov kev kuaj mob xws li CT Angiogram lossis MR Angiogram.
• Kev kuaj mob radiographic uas qhia txog kev ntws ntshav hauv lwm qhov ntawm lub cev, piv txwv li, cov hlab ntsha carotid hauv caj dab: Qhov no kuaj xyuas seb puas muaj teeb meem nrog cov hlab ntsha lwm qhov hauv lub cev.

Yuav kho tus mob ntshav siab Renovascular li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob yog kom txo koj cov ntshav siab thiab txhim kho cov ntshav ntws mus rau koj lub raum. Feem ntau , qhov no tuaj yeem tswj tau nrog tshuaj. Txawm li cas los xij, qee zaum, yuav muaj kev phais tshwj xeeb lossis phais mob kom txhim kho cov ntshav ntws mus rau koj lub raum.

Cov tshuaj

Qhov tseem ceeb tshaj plaws yog kom txo qhov siab. Thaum koj muaj '(Redal Hypertension)', ob hom tshuaj no tshwj xeeb tshaj yog tuaj yeem ua tau zoo heev:

• Cov Tshuaj Angiotensin-Converting Enzyme (ACE) Inhibitors
• Cov Tshuaj Angiotensin Receptor Blockers (ARBs)

Ob yam tshuaj no ua haujlwm rau ntawm lub kaw lus "(RAAS)" uas tau hais ua ntej lawm. Qhov ntawd yog, lawv tswj cov ntshav siab los ntawm kev txo cov haujlwm ntawm lub cev hormone uas ua rau cov ntshav siab ntxiv.

Nrog rau ACE inhibitor lossis ARB, koj yuav xav tau lwm yam tshuaj. Piv txwv li:

• Cov tshuaj Statins uas txo cov roj cholesterol
• ` (Cov Tshuaj Calcium Channel Blockers)`
• Cov tshuaj diuretics (tseem hu ua "tshuaj ntsiav dej")

Tus kws kho mob yuav piav qhia rau koj meej tias koj xav tau tshuaj dab tsi, noj ntau npaum li cas, thiab yog vim li cas. Tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau tus kws kho mob qhia.

Cov txheej txheem

Qee zaum, cov kws kho mob pom zoo kom ua ib txoj kev kho mob hu ua Renal Artery Angioplasty (qee zaum nrog stenting) los kho Renal Hypertension. Qhov no ua rau cov xwm txheej hauv qab no:

• Yog koj muaj "(Red hypertension)" vim yog "(Fibromuscular Dysplasia - FMD)".
• Yog tias koj tsuas siv tshuaj xwb los tswj koj cov ntshav siab tsis tau.
• Yog koj muaj mob plawv tsis ua haujlwm lossis mob ntsws o tuaj yam tsis muaj laj thawj pom tseeb.

Kev phais mob angioplasty yog kev siv lub pob me me los tshuab rau hauv cov hlab ntsha uas raug txhaws, ua kom cov hlab ntsha dav dua. Qee zaum, yuav muab ib lub stent, uas yog ib lub raj me me, ntxig rau hauv kom thaj chaw uas raug txhaws ntawd tsis txhob rov qab raug txhaws dua.

Ib txoj kev kho mob tshiab uas nyuam qhuav tau txais kev pom zoo yog kev tshem tawm cov hlab ntsha hauv lub raum . Cov txheej txheem no siv lub zog cua sov lossis lub zog ultrasound los txo cov haujlwm ntawm cov hlab ntsha hauv cov hlab ntsha hauv lub raum. Qhov no kuj tseem yuav pab txo cov ntshav siab.

Ua ntej ua ib qho kev kho mob twg, tus kws kho mob yuav piav qhia txhua yam rau koj, suav nrog qhov zoo thiab qhov tsis zoo, lub sijhawm rov zoo, thiab lwm yam. Yog li ntawd koj thiaj li nkag siab txhua yam kom zoo thiab txiav txim siab tau.

Kev phais mob

Tsis tshua muaj neeg pom zoo kom phais rau mob ntshav siab hauv lub raum. Qhov no hu ua Kev Phais Kho Mob Raum Rov Qab Los Yog Kev Phais Kho Mob Raum Los Ntawm Kev Phais .

Hauv txoj kev phais no, tus kws phais yuav siv ib feem ntawm lwm cov hlab ntsha hauv koj lub cev, lossis ib lub raj yas, thiab txuas nws rau koj lub aorta thiab koj lub raum. Qhov no tsim ib txoj kev tshiab rau cov ntshav ntws mus rau koj lub raum, hla dhau cov hlab ntsha hauv lub raum uas raug thaiv. Nws zoo li taug txoj kev sib txawv thaum txoj kev raug thaiv.

Kev phais mob muaj kev pheej hmoo me ntsis dua li kev phais mob angioplasty, yog li cov kws kho mob tsuas yog siv nws rau cov xwm txheej tshwj xeeb xwb. Piv txwv li:

• Yog tias koj muaj cov hlab ntsha hauv lub raum uas nyuaj rau kev kho, uas txhais tau tias nws raug thaiv uas ua rau nws nyuaj rau tso stent.
• Yog tias cov txheej txheem "Minimally Invasive" uas tau hais ua ntej (xws li angioplasty) tsis ua tiav.
• Yog tias koj xav tau kev phais rau ntawm koj lub aorta ze ntawm cov hlab ntsha hauv lub raum.

Thaum Twg Kuv Yuav Tsum Mus Ntsib Kuv Tus Kws Kho Mob?

Thaum koj tau kuaj pom tias koj muaj tus mob no lawm, koj tus kws kho mob yuav qhia rau koj tias koj yuav tsum rov qab los ntsib nws ntau npaum li cas. Cov kev teem caij rov qab no tseem ceeb heev vim tias lawv yog lub sijhawm uas koj tus kws kho mob tuaj yeem:

• Xyuas koj cov ntshav siab kom pom tias kev kho mob zoo npaum li cas.
• Tshawb xyuas koj lub raum ua haujlwm li cas.
• Hloov koj txoj kev npaj kho mob yog tias tsim nyog.

Tsis tas li ntawd xwb, cov rooj sib tham no yog lub sijhawm zoo rau koj nug cov lus nug rau tus kws kho mob thiab qhia koj cov kev txhawj xeeb.

Puas Kho Tau Kab Mob Ntshav Siab Raum?

Kev mob ntshav siab uas tshwm sim los ntawm cov hlab ntsha tshiab (renovascular hypertension) yog ib yam mob uas kho tau. Qhov no txhais tau tias koj cov ntshav siab yuav txo tau kom mus txog qib zoo nrog kev siv tshuaj thiab lwm yam kev kho mob. Koj tus kws kho mob yuav qhia ntxiv rau koj txog yam koj xav tau raws li koj tus mob.

Qhov tseem ceeb tshaj plaws yog noj tshuaj raws nraim li tus kws kho mob hais, thiab ua raws li cov lus qhia.

Feem ntau, nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas cov no:

• Noj tag nrho cov tshuaj uas tus kws kho mob tau sau tseg kom raug thiab raws sijhawm.
• Ua raws li koj tus kws kho mob cov lus qhia txog kev noj zaub mov thiab kev tawm dag zog. (Lawv yuav pom zoo kom muaj kev npaj zaub mov tshwj xeeb xws li DASH Diet. Qhov no txhais tau tias noj zaub mov uas muaj ntsev tsawg thiab muaj txiv hmab txiv ntoo thiab zaub ntau.)
• Tham nrog koj tus kws kho mob txog qhov ntau npaum li cas ntawm kev tawm dag zog uas tsim nyog rau koj.

Thaum koj tau kuaj pom tias muaj Renovascular Hypertension, tej zaum koj yuav piav qhia tau qee yam "ceeb toom" uas koj tau ntsib tsis ntev los no. Tej zaum koj cov ntshav siab tau nce siab sai sai tom qab nws zoo li qub tau ntau xyoo. Los yog tej zaum koj cov tshuaj ntshav siab ib txwm tsis ua haujlwm lawm.

Txawm koj muaj mob dab tsi los xij, kev paub txog koj lub raum cuam tshuam li cas rau koj cov ntshav siab tuaj yeem pab koj tus kws kho mob npaj txoj kev kho mob zoo rau koj. Yog tias koj muaj lus nug txog koj cov tshuaj lossis yuav ua li cas tswj koj tus mob, nco ntsoov nug koj tus kws kho mob.

Cov Lus Qhia Txog Kev Nqa Mus Tsev (Cov Yam Tseem Ceeb Tshaj Plaws Yuav Tsum Nco Ntsoov)

Zoo, yog li cia peb sau qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Renovascular Hypertension yog ib qho mob ntshav siab uas tshwm sim los ntawm kev thaiv ntawm cov leeg ntshav uas nqa ntshav mus rau lub raum.
• Qhov no feem ntau tsis muaj cov tsos mob tshwj xeeb, tab sis cov kws kho mob xav tias nws raws li qee cov lus qhia.
• Cov ua rau mob plawv yog cov rog hauv cov hlab ntsha (Atherosclerosis) thiab Fibromuscular Dysplasia (FMD).
• Qhov no feem ntau tuaj yeem tswj tau los ntawm kev siv tshuaj. Qee zaum, tej zaum yuav tsim nyog ua cov txheej txheem xws li "Angioplasty".
• Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia kom meej thiab mus ntsib tus kws kho mob raws sijhawm.
• Qhov no yog ib qho mob uas tswj tau. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tsis txhob ntshai thiab nrhiav kev kho mob kom zoo.

Yog koj xav tias koj muaj teeb meem zoo li no, tsis txhob yig mus ntsib kws kho mob thiab tau txais kev qhia. Nyob kom noj qab nyob zoo!

`Mob Ntshav Siab Hauv Lub Raum, Mob Ntshav Siab Hauv Lub Raum, Mob Ntshav Siab Hauv Lub Raum, Mob Ntshav Siab Hauv Lub Raum, Mob Ntshav Siab, Mob Ntshav Siab Hauv Lub Raum