Wi go tɔk bɔt di rεnal atεri stenɔsis?

Yu gɛt ay blɔd prɛshɔn (haypa prɛshɔn)? Yu kin fil lɛk se i nɔ kin izi fɔ yu fɔ kɔntrol am ivin afta yu dɔn tek bɔku mɛrɛsin? Ɔ di dɔktɔ dɔn tɛl yu se yu kidni dɛn nɔ de wok fayn fɔ natin? Sɔmtɛm de kɔz fɔ dɛn prɔblɛm ya na wan kɔndishɔn wae wi nɔr kin tɔk bɔt bɔrku, bɔt e rili impɔtant. Tide wi go tok abaut am. dat na di narrowing of di bכdi we de go na di kidni dεm, insay mεdikal wi kin kכl dis Renal Artery Stenosis.

Fɔ tɔk am simpul wan, wetin na Renal Artery Stenosis?

Okay, mek wi ɔndastand dis dis we. Di tu kidni dɛn na wi bɔdi tan lɛk tu filta. di men wok we di kidni dεm de du na fכ filta di dɔti tin dεm we de na di bכdi frכm di bכdi εn kכl dεm as urine. Fɔ mek di kidni dɛn ebul fɔ du dis wok fayn fayn wan, dɛn nid fɔ gɛt gud blɔd. Tu men blɔd vesel dɛn de we de kɛr blɔd kɔmɔt na wi at to di kidni dɛn. Wi kin kɔl dɛn tin ya ‘Renal Arteries’.

di rεnal atεri stεnosis na wan kכndyushכn we wan כ tu pan di atεri dεm we de kכri bכdi to di kidni dεm de sכmtεm sכmtεm frכm insay. I tan lɛk se wata paip de klos wit dɔti. we di at dεm de blok lεk dis, di kidni dεm nכ de gεt di bכdi we dεn nid. Dis kin mek wi gɛt tu men prɔblɛm dɛn:

1. Ay Blɔd Prɛshɔn: We di blɔd we de flɔ to di kidni dɛn go dɔŋ, di kidni dɛn kin tink se di blɔd prɛshɔn na di wan ol bɔdi dɔn go dɔŋ. So dɛn kin pul ɔmon dɛn fɔ tray fɔ mek di blɔd prɛshɔn na di bɔdi go ɔp. Dis kin mek pɔsin gɛt ay blɔd prɛshɔn we i nɔ kin izi fɔ kɔntrol.

. If dis kɔntinyu, i kin go bifo to krɛse sik ɛn leta i kin mek di kidni nɔ wok fayn.

Udat de pan denja fɔ gɛt dis sik?

Di men rizin fɔ dis na wan sik we dɛn kɔl Atherosclerosis . Tink bɔt di wata paip we de na wi kichin sink. As tɛm de go, tin dɛn lɛk ɔyl ɛn dɔti kin stɔp insay ɛn stɔp na di paip, nɔto so? Na di sem tin kin apin insay wi blɔd vesel dɛn. Tin dεm we wi nכ want lεk כyl εn kכlestכl na di it we wi de it kin stכk na di bכdi in wכl dεm lεk krεs. Wi de kɔl dis ‘plek’. as tεm de go, dis plek de kכmכt εn i de ridyus di spεs insay di vein dεm. we dis kin apin na di vein dεm we de kכri bכdi to di kidni dεm, di Renal Artery Stenosis de apin.

So, enitin we de kכntribyut to atεrosklεrosis de inkrεs bak di risk fכ rεnal atεri stεnosis. Lɛ wi si wetin na dɛn tin dɛn de.

Apat frɔm di atrɔsklerɔsis, dis sik kin kam bak wit wan sik we nɔ kin apin so ɔltɛm we dɛn kɔl Fibromuscular Dysplasia . Dis na we di sεl dεm we de na di wכl dεm na di bכdi in bכdi de gro bכku bכku wan, we de mek di bכdi sכmtεm sכmtεm sכmtεm. Dis kכndyushכn kin bכku pan uman dεm.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu go no if yu gɛt am?

Na dis na di big prɔblɛm. Renal Artery Stenosis nɔ de kɔz ɛni sayn te i rili bad. Na we di blɔd vesel dɛn tu smɔl, na in prɔblɛm kin bigin fɔ kam. Di prɔblɛm dɛn we wi bin dɔn tɔk bɔt na di ay blɔd prɛshɔn ɛn di kidni dɛn we nɔ de wok fayn.

As yu kidni dεm de dכn dכn, yu kin gεt sayn dεm lεk:

• swel na di pat dεm na di bכdi: spεshal wan di lεg, di ankכl dεm, εn sכmtεm di fes (εdima).
• Taya ɛn slip: Yu kin fil taya ɔltɛm bikɔs ɔf di dɔti tin dɛn we de gɛda na di bɔdi.
• I nɔ izi fɔ blo: Dis sik kin kam bikɔs wata we de gɛda na di lɔng dɛn.
• I nɔ kin want fɔ it igen, i kin nɔs, ɛn i kin vɔmit.
• I nɔ izi fɔ pe atɛnshɔn pan sɔntin, i nɔ gɛt op igen.
• Yu kin pis bɔku tɛm ɔ we yu nɔ kin pis ɔltɛm.
• Skin chenj: Di skin kin dray, i kin it, ɔ di skin kin dak.
• Fɔ bi tin fɔ no rizin.
• Yu ed kin at ɔltɛm.
• Mɔsul dɛn we de kramp.

Aw dɔktɔ kin no bɔt dis sik?

We yu go to yu dɔktɔ, i kin sɔprayz dis bikɔs ɔf di sayn dɛn we yu gɛt ɛn di tin dɛn we kin mek i gɛt prɔblɛm. Dɔn, dɛn kin du sɔm tɛst fɔ no if pɔsin gɛt di sik.

1. Fɔ chɛk yu bɔdi: Di ​​dɔktɔ go mɛzhɔ yu blɔd prɛshɔn. di stetoskop go de na yu bεlε, jכs oba yu kidni dεm, εn dεn go lisin fכ wan difrεnt ‘whoosh’ sawnd, we na di sawnd we blכd de rכsh tru wan at we sכm.

2. Kidni Fɔnkshɔn Tɛst: Dɛn kin tɛst blɔd ɛn urine sɛmpul fɔ dis. dεn de luk fכ εlevεt lεvεl fכ west prכduk dεm lεk kriaytin εn yuria na di bכdi, εn fכ protin na di urine. Dɛn tin ya kin gi yu aidia fɔ no if di kidni dɛn dɔn pwɛl.

3. Imaging Scans: Dis na di bεst we fכ no kכrekt if di vein dεm dכn blכk.

• Duplex Ultrasound: Dis de yuz sawnd wev fɔ tek pikchɔ fɔ di vein dɛm we de kɛr blɔd go na di kidni dɛm, fɔ chɛk aw di blɔd de flɔ ɛn if di vein dɛm dɔn blok.
• CT angiography (CTA): Dɛn kin du CT skan bay we dɛn injɛkt spɛshal kɔntrast day na di bɔdi. dis de mek 3D imej dεm fכ di bכdi vεsul dεm εn i kin si klia wan εria dεm we blכk.
• MR Angiography (MRA): Dis tan lεk CTA, bכt i de yuz magnεtik fil.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt dipen pan aw yu blɔd vesel dɛn dɔn blok, di kayn sik we yu gɛt, ɛn aw dɛn dɔn pwɛl yu kidni. Tri men kayn tritmɛnt de.

1. Di chenj dɛn we pɔsin de liv in layf

dis na di fawndeshכn, biכs i implεnt fכ kכntrכl di כndalayn kכz, atεrosklεrosis.

• Fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: Pe atɛnshɔn pan it dɛn we nɔ gɛt bɔku sɔl, shuga, ɔyl, ɛn kɔlɔstrel. Put mɔ frut, vɛjitebul, ligɛm, ɛn ɔl di tin dɛn we yu de it.
• Ɛksesaiz ɔltɛm: I rili impɔtant fɔ du simpul ɛksesaiz, lɛk fɔ waka fɔ at le 30 minit ɛvride.
• Fɔ kɔntrol yu wet: If yu fat pasmak, we yu lɛf fɔ it bɔku bɔku it, dat kin ɛp fɔ kɔntrol yu blɔd prɛshɔn, kɔlɔstrel, ɛn dayabitis.
• Nɔ smok atɔl: Dis na sɔntin we yu rili nid fɔ du.

2. Mɛrɛsin (di kayn mɛrɛsin dɛn) .

Apat frɔm di chenj dɛn we yu de chenj yu layf, yu dɔktɔ kin gi yu bɔku mɛrɛsin dɛn.

• Blɔd prɛshɔn mɛrɛsin: ACE inhibitor ɛn ARB na di mɛrɛsin dɛn we dɛn kin yuz mɔ. Dɛn tin ya kin blok di ɔmon dɛn we de mek di blɔd vesel dɛn smɔl. Dɛn kin yuz ɔda mɛrɛsin dɛn lɛk beta-blɔka ɛn kalsiɔm chanɛl blɔk bak.
• Drug dεm we de mek di kכlestכl dכn: Na wan klas dεm we dεn kכl statin de ridyus di lεvεl fכ di bad bad kכlestכl na di bכdi εn de kכntrכl di plek dεm we de bכku.
• Anticoagulants: Mεdikeshכn dεm lεk aspirin tכn di bכdi εn mek am izi fכ blכd fכ fכlכ tru di vein dεm we sכmtεm sכmtεm.
• Diuretics: Dɛn tin ya de ɛp fɔ mek di blɔd prɛshɔn go dɔŋ bay we dɛn de pul di wata ɛn sɔl we pasmak na di bɔdi tru di urine.

3. Ɔpreshɔn ɔ ɔda tin dɛn we dɛn kin du

If di vein blok bad bad wan dat yu nɔ go ebul fɔ kɔntrol am wit mɛrɛsin ɛn chenj dɛn layf, ɔ if di kidni wok de go dɔŋ kwik kwik wan, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn.

• Angioplasty ɛn Stenting: Dis na di tritmɛnt we dɛn kin yuz mɔ. insay dis prosidכs, dεn de pas wan vεri tכn tכb (kateta) tru wan vein na di lεg כ an to di rεnal vein we blכk. Dɛn kin blo wan smɔl balyɔn we de na di ɛnd pan di tiub fɔ mek di say we dɛn blok big. afta dat, dεn kin put wan sכmכl tכb we lεk mεsh (stεnt) insay di vein fכ mek i nכ kכloz igen.
• Renal Artery Bypass: Semweso lɛk aw dɛn kin yuz at baypas, dis tin we dɛn kin du kin mek dɛn mek nyu rod fɔ mek blɔd pas di at we dɔn blok. Dis min se yu fɔ yuz wan pat pan blɔd vesel we dɛn pul frɔm ɔda pat na di bɔdi ɔ wan atifishal tiub.
• Renal Endarterectomy: Dis na ɔpreshɔn we de opin di blɔd vesel ɛn pul di plek we dɔn bil insay.

Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?

If yu no se yu gɛt Renal Artery Stenosis, ɔ if yu gɛt kidni sik, ɛn yu gɛt ɛni wan pan dɛn sik ya , go to dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.

Dis sik kin wɔs smɔl smɔl as tɛm de go. So, i rili impɔtant fɔ no am kwik ɛn fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan. If yu du dat, yu kin mek yu kidni nɔ pwɛl bɛtɛ ɛn yu go liv nɔmal layf.