Yu tink se di at we de kɛr blɔd go na yu kidni dɛn dɔn smɔl? (Renal Artery Stenosis) Lɛ wi tɔk bɔt dis!

Di kidni na wan pan di impɔtant pat dɛn na wi bɔdi. Dɛn tan lɛk filta we de klin di dɔti we de na wi bɔdi. Bɔt sɔntɛnde, if wi nɔ no, di men chanɛl dɛn we de gi blɔd to di kidni dɛn, dat na di rεnal at, kin blok. Dis na wetin wi kin kɔl ‘Renal Artery Stenosis’ (RAS) ɔr rεnal atεri sik. Dis kin bi siriɔs sik, bikɔs i kin mek yu gɛt tin dɛn lɛk ay blɔd prɛshɔn (haypa prɛshɔn) , sik we nɔ de mɛn na yu kidni (kidni sik we nɔ de mɛn), ɛn leta yu kidni nɔ de wok fayn. So, i rili impɔtant fɔ no bɔt dis.

Udat dɛn kin gɛt dis sik?

Fɔ tɔk am simpul wan, pan ɔl we dis sik kin kam pan ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm. Pipul wae gɛt atherosclerosis kin de pan de risk mɔr. Atεrosklεrosis na wan sik we fεt tin dεm lεk kכlestכl εn plek kin bכku na di wכl dεm na wi bכdi vεsεl dεm, we kin mek wi blכk. Tink bɔt am lɛk se wata paip kin lɔk wit dɔti as tɛm de go.

So, if yu gɛt ɛni wan pan de risk factor dɛm wae de dɔŋ ya, e fayn fɔ de wach smɔl mɔ:

• If yu gɛt dayabitis mɛllitus .
• If pɔsin na di famili gɛt sik we de mek i gɛt at ɛn blɔd (dat na, i gɛt sɔntin fɔ du wit am we i gɛt frɔm in mama ɛn papa).
• If yu gɛt ay blɔd prɛshɔn .
• If yu gɛt bɔku bɔku kɔlɔstrel na yu blɔd .
• Fɔ fat min fɔ gɛt bɔku bɔdi wet.
• Di risk kin go ɔp wit di ej (man dɛn we dɔn pas 45 ia, uman dɛn we dɔn pas 55 ia).
• Poor diet , we min se yu fɔ it tin dɛn we gɛt bɔku sɔl, ɔyl, ɛn shuga ɔltɛm.
• If yu smok , dis kin ambɔg bɔku tin.

Wetin na di rilayshɔn bitwin di rεnal atεri stεnosis εn di pεrifεral atεri sik?

Na wan ɔda impɔtant tin dis. dis rεnal atεri stεnosis (RAS) de afekt di atεri dεm we de kכri bכdi to di kidni dεm. Bɔt ɔda tin de we dɛn kɔl ‘Peripheral Artery Disease’ (PAD) . insay dis, di at dεm we de kכri bכdi frכm di at to di an εn leg dεm kin blכk. Imajin, we yu de waka, yu kin fil pen na yu leg, ɛn afta sɔm tɛm yu kin waka bak, yu kin si di sayn dɛm fɔ dis PAD.

Di men tin we kin mek ɔl tu di RAS ɛn PAD na di at we wi bin dɔn tɔk bɔt . Stɔdi dɔn sho se bitwin 14% ɛn 35% pan di pipul dɛn we gɛt PAD kin gɛt RAS bak. Dis min se strɔng kɔnekshɔn de bitwin dɛn tu.

Apat frɔm dat, dɛn dɔn si se pipul dɛn we gɛt krɛse sik, we kin kam wit RAS, kin gɛt mɔ risk fɔ gɛt PAD. Pɔsin we gɛt dɛn tu sik ya kin gɛt siriɔs wɛlbɔdi prɔblɛm lɛk at atak, strok, ɛn lɔs in an ɛn fut . So, i impɔtant fɔ mek wi no bɔt dɛn tin ya.

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

Bɔrku tɛm, dis kayn rεnal atεri stεnɔsis (RAS) nɔr kin sho ɛni simptom na di fɔs stej. I tan lɛk se i de slip pan yu ɛn mek di sik wɔs. Prɔblɛm, lɛk ay blɔd prɛshɔn ɛn kidni we nɔ de wok fayn, kin jɔs bigin fɔ apia we di sik rili bad. We di kidni dɛn nɔ de wok fayn, dɛn sayn ya kin apin. Si if yu gɛt ɛni wan pan dɛn tin ya:

• I nɔ kin izi fɔ yu fɔ pe atɛnshɔn ɔ yu kin fil se yu kɔnfyus ?
• Yu nɔ ebul fɔ slip? (I nɔ izi fɔ slip)
• Ɛni say dɛn de na yu bɔdi we wata dɔn swel? (Edima), mɔ na di leg ɛn anklɛ.
• Yu kin fil taya ɔltɛm ? Yu kin taya ivin afta yu dɔn du smɔl wok?
• Yu kin gɛt ed pen bɔku tɛm ?
• Yu nɔ kin want fɔ it igen ?
• Yu kin gɛt pen na yu mɔsul ɔ yu kin gɛt kramp ?
• Yu gɛt nɔs ɛn vɔmit ?
• Yu kin gɛt shɔt briz (dyspnea) ? Yu kin fil se yu nɔ gɛt bɛtɛ briz ivin afta yu dɔn waka fɔ shɔt tɛm?
• Skin de chenj - tin dεm lεk dray skin, it, כ di skin dak.
• Yu de lɔs yu wet fɔ natin? (We yu nɔ ebul fɔ ɛksplen di wet we yu de lɔs)
• Yu de pis mɔ ɔ smɔl pas aw yu kin pis?

Jɔs bikɔs yu gɛt wan ɔr tu pan dɛn sayn ya nɔr min se yu gɛt dis sik. Bɔt if yu gɛt bɔku pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek dɛn rεnal atεri ya kin blok? Wetin na di tin dɛn we kin mek i apin?

Tu men rizin dɛn de fɔ dis.

1. to big pat, bitwin 60% εn 90% pan di kes dεm fכ RAS na di kכndyushכn we wi bin dכn tכk bכt , atεrosklεrosis . dis na di fεt dεposit (plak) we de kכlכp na di wכl dεm na di bכdi vεsul dεm, we de mek dεn sכmtεm sכmtεm sכmtεm. Dis na di tin we kin mek pɔsin gɛt dis sik.

2. di rεst kεys dεm kin kכz fכ wan kכndyushכn we dεn kכl ‘Fibromuscular dysplasia’ . Dis na tin we difrɛn smɔl. dis na di say we di sεl dεm na di atεri wכl dεm de gro abnכmal εn mek di at dεm sכmtεm sכmtεm. Dis nɔto fat dipɔsit. Dis kכndyushכn kin bכku pan uman dεm. Dɛn kin tink se na di jenɛtiks ɔ ɔmon dɛn kin mek i kam.

Wetin na di poshubul sayd efεkt (komplikεshכn) dεm we dis kin gεt?

di rεnal atεri stεnosis nכto simpul kכndyushכn. If dɛn nɔ de manej am fayn, i kin mek wi gɛt bɔku ɔda prɔblɛm dɛn. Fɔ ɛgzampul:

• Krכnik kidni sik: Na di kidni fכ wok we de dכn sכmtεm sכmtεm.
• Koronari at sik: Dis sem kayn blɔk kin apin na di at we de gi blɔd to di at.
• Kidni atrofi: Di ​​saiz fɔ di kidni kin go dɔŋ.
• Kidni we nɔ de wok fayn: As tɛm de go, di kidni dɛn kin stɔp fɔ wok kpatakpata, ɛn dɛn kin nid fɔ dayalysis ɔ transplant di kidni.
• Pεrifεral atεri sik: Di atεri dεm we de kכri bכdi to di limb dεm de blok.
• Rinal haypatɛnshɔn: Ay blɔd prɛshɔn na di rεnal at.

Dis na wae mek e fayn fɔ go to dɔktɔ kwik kwik wan if yu sɔspɛkt se yu gɛt dis sik ɔr yu gɛt sɔm kayn sik.

Aw dɛn kin no dis sik kɔrɛkt wan?

Sɔntɛnde, dɔktɔ dɛn kin si se di rεnal atεri stenosis kin apin bay chans. Dat min se, we dɛn de tɛst yu fɔ ɔda kɔndishɔn. Bɔt if yu dɔktɔ tink se yu gɛt RAS, dɛn kin du sɔm tɛst dɛn lɛk:

• Fɔ ɛgzam fɔ yu bɔdi: Fɔs, dɛn go chɛk yu gud gud wan. Dɛn go chɛk yu blɔd prɛshɔn . Na sɔm pipul dɛm, dis sik kin mek dɛn gɛt ay blɔd prɛshɔn we dɛn nɔ ebul fɔ kɔntrol. Dɛn go luk fɔ swel na yu an ɛn fut ɛn lisin to aw yu de blo. Di dɔktɔ kin put stetɔskɔp oba yu kidni fɔ lisin if blɔd de grɔmbul. Yu kin yɛri ‘whooshing’ sawnd as blɔd de flɔ tru wan at we dɔn blok. Di men sayn fɔ RAS na di ay blɔd prɛshɔn we dɛn nɔ ɛksplen .
• Test fɔ di kidni fɔ wok: Dɔn, dɛn kin du blɔd ɛn urine tɛst fɔ si aw yu kidni de wok fayn. Dɛn tɛst ya kin luk fɔ di west prɔdak dɛm lɛk prɔtin, kriaytinin , ɛn naytrɔjen we dɔn go ɔp na yu bɔdi. Dis na tin dɛm we yu kidni nid fɔ filta kɔmɔt na yu bɔdi. If dɛn go ɔp, dat min se yu kidni nɔ de filta dɔti tin dɛn fayn fayn wan.
• Imajin skan: Apat frɔm dat, difrɛn kayn imej skan dɛn de we yu kin yuz fɔ si ustɛm yu kidni dɛn big ɛn aw blɔd de flɔ to dɛn fayn fayn wan. Dɛn tin ya kin sho bak aw yu at dɛn kin smɔl. Yu dɔktɔ kin tɛl yu bak se aDɛn kin aks yu fɔ du rεnal skan, dupleks ɔltra saund, kɔmpyuta tomographic angiography (CTA), ɔ magnetic resonance angiogram (MRA) . Dɛn skan ya kin mek yu si klia wan bɔt di rεnal atεri dεm.

Wetin na di tritmɛnt dɛm fɔ dis?

Di men tritmɛnt fɔ dis sik (RAS) na fɔ chenj yu layf ɛn fɔ tek mɛrɛsin . Dɛn ɔl tu fɔ yuz togɛda. Bɔt if di rεnal at dεm sכmtεm sכmtεm sכmtεm, risk de fכ di at dεm we de kכmכt, if mεdikeshכn nכ ebul fכ kכntrכl di prεshכn, כ if di kidni fכ wok kכntinyu fכ dכn, i kin nid fכ du כpεrayshכn .

Aw dɛn go ebul fɔ kɔntrol dis sik bay we dɛn de chenj dɛn layf?

Dis rili impɔtant. Fɔ tek mɛrɛsin nɔmɔ nɔ go du fɔ yu. Yu dɔktɔ go mɔs tɛl yu sɔm chenj dɛn na yu layf we go ɛp fɔ kɔntrol dis (RAS) ɛn fɔ mek yu ay blɔd prɛshɔn go dɔŋ. Dis na tin dɛn we yu fɔ du fɔ tru:

• Fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: It tin dɛn we nɔ gɛt bɔku fat, kɔlɔstrel, sɔl (sɔdiɔm), ɛn shuga. Dis min se yu fɔ stɔp fɔ it rays we dɛn dɔn frɛsh, it dɛn we dɛn dɔn frɛsh, drink dɛn we gɛt shuga, ɛn snek dɛn we gɛt fat. Put mɔ vɛjitebul, frut, ɛn nɛt we yu plant na yu it. Ivin smɔl chenj dɛn lɛk dis kin mek big difrɛns.
• Fɔ du ɛksɛsayz ɔltɛm: Du sɔntin lɛk fɔ waka ɔ bayk fɔ at le 30 minit ɛvride. Ɛksesaiz nɔ min se yu fɔ go na di jim.
• Fɔ lɔs yu wet: Tray fɔ kip yu wet we fit yu ayt.
• Fɔ lɛf fɔ smok: If yu de smok, stɔp wantɛm wantɛm. Dis kin tranga, bɔt we dɛn de fɔ gɛt ɛp.

Us ɛp mɛrɛsin dɛn kin gi?

Apat frɔm di chenj dɛn we yu de chenj yu layf, yu dɔktɔ kin gi yu bɔku mɛrɛsin fɔ ɛp fɔ kɔntrol ay blɔd prɛshɔn ɛn fɔ stɔp ɔ kɔntrol di sik we yu de gɛt na yu kidni. Dɛn fɔ yuz dɛn tin ya jɔs lɛk aw yu dɔktɔ tɛl yu.

• Mεdikeshכn dεm lεk ACE inhibitor εn Angiotensin Receptor Blockers (ARB) de blכk sכm כmon dεm we kin kכnstrikt yu blכd vεsεl dεm.
• Anticoagulants, lɛk aspirin , de ɛp fɔ mek blɔd flɔ tru di veins izi wan.
• Beta-blɔka ɛn kalsiɔm chanɛl blɔk, we de ridyus di ay blɔd prɛshɔn.
• Diuretics , we dɛn kin kɔl bak ‘wata pills’, de wok bay we dɛn de ɛp yu kidni fɔ pul di wata ɛn sɔl we pasmak na yu bɔdi, we de mek yu blɔd prɛshɔn go dɔŋ.
• I de mek di kɔlɔstrel we de na di blɔd go dɔŋStatin dɛn we dɛn kin yuz.

Us kayn ɔpreshɔn dɛn de fɔ dis?

If di kɔndishɔn (RAS) siriɔs fɔ kɔntrol am bay mɛrɛsin ɛn chenj dɛn layf, lɛk we di at dɔn blok pas 70%, i kin nid fɔ mek dɛn du ɔpreshɔn. Tri men kayn ɔpreshɔn dɛn de:

1. Angioplasty ɛn stent: Dis na di tin we dɛn kin du mɔ. Insay dis we aw dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin put wan tin we kin chenj (kateta) insay yu rεnal at we dɔn blok, i kin pas tru yu groin ɔ yu an. Dɔn dɛn kin blo di kateshɔn wit wan smɔl balyɔn na di ɛnd fɔ mek di at big. Dɔn dɛn kin put wan stent (wan smɔl tiub we tan lɛk mɛsh) na di at fɔ mek i nɔ lɔk igen ɛn fɔ mek blɔd go na di kidni. Dis na wan we we nɔ kin tek bɔku pipul dɛn.

2. Rεnal atεri baypas: Dis na big כpεreshכn. I tan lɛk we pɔsin de baypas na at. Insay dis we aw dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin mek nyu rod fɔ mek di blɔd go na di kidni, ɛn i kin pas di rεnal at we dɔn blok ɔ we dɔn blok. Dis kin min fɔ yuz graft frɔm yu yon leg ɔ atifishal tiub. dis graft כ tכb de kכnekt to wan hεlty at we de naw, εn di כda εnd de kכnekt to di at we blכk, we de haf bitwin di at we blכk εn di kidni.

3. Renal endarterectomy: Insay dis prosidur, di sajin de opin di rεnal at we blכk εn pul di plek εn כda tin dεm we de blכk di bכdi fכ fכlכ.

Yu dɔktɔ go disayd uswan pan dɛn ɔpreshɔn ya we fayn fɔ yu.

Aw wi kin protɛkt wisɛf frɔm dis sik? (Prɛvenshɔn) .

Dɛn se: “Prɛvenshɔn bɛtɛ pas fɔ mɛn am.” So, na sɔm tin dɛm wae yu kin du fɔ ridyus yu risk fɔ gɛt dis (RAS) kɔndishɔn:

• It fayn it .
• Ɛksesaiz ɔltɛm .
• Fɔ kɔntrol yu blɔd prɛshɔn . Chek yu blɔd prɛshɔn ɔltɛm.
• Fɔ mek yu gɛt wɛlbɔdi bɔdi wet .
• Nɔ smok .

If yu du dɛn tin ya, i nɔ go jɔs mek yu kidni at nɔ blok, bɔt i kin protɛkt yu bak frɔm bɔku ɔda sik dɛn.

Wetin na de luk fɔ pɔrsin wae gɛt dis sik?

Rεnal atεri sik (RAS) na wan sik wae de kam bεtεh as tεm de go. De luk fɔ pɔrsin wae gɛt dis sik kin dipen pan aw de sik kin tranga, aw dɛn kin no am kwik kwik wan, ɛn aw dɛn kin du wɛl to tritmɛnt.

Risach dɔn sho se na 48% pan di pipul dɛn nɔmɔ we gɛt 95% ɔ mɔ we dɛn blɔk di rεnal at dɛn kin gɛt fɔ liv rεt fɔ 4 ia. Dat min se na af pan pipul dɛm wae gɛt ɔlmost kɔmplit blɔk kin liv fɔ 4 ia afta dɛn dɔn no se dɛn gɛt dis sik.So, e fayn fɔ no dis sik kwik kwik wan ɛn go to tritmɛnt. If dɛn no am kwik, i kin ridyus di damej we di kidni dɛn gɛt ɛn i kin mek di layf lɔng.

Ustɛm a fɔ go to dɔktɔ bɔt dis?

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm . Dis kin bi sayn dɛm fɔ se di kidni nɔ de wok fayn fayn wan:

• If yu fil wan mɛtal teys na yu mɔt.
• If yu gɛt bɛlɛ pen .
• If yu gɛt prɔblɛm fɔ pe atɛnshɔn, kɔnfyushɔn ɔ yu gɛt prɔblɛm fɔ pe atɛnshɔn .
• If di amount of urine output rili sכm (Lכw urine output) .
• If nɔs ɛn vɔmit kɔntinyu.
• If yu gɛt sik we de mek yu sik .
• Swel na yu leg, yu an ɔ yu fes .

Nɔ ignore dɛn tin ya. If yu gɛt tritmɛnt kwik, yu kin mek big big damej nɔ apin.

Fɔ dɔn, tin dɛn we yu nid fɔ mɛmba (Take-Home Message) .

di rεnal atεri stεnosis (RAS) na di atεri dεm we de gi bכdi to di kidni dεm we de sכmtεm sכmtεm. di men tin we kin mek dis apin na di fεt we de na di at dεm (atherosclerosis) . Dis kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm lɛk ay blɔd prɛshɔn, kidni sik we nɔ de dɔn, ɛn kidni we nɔ de wok fayn.

Mɛmba se, bɔrku tɛm dis nɔr kin sho sɔm kayn sik fɔs, bɔt e kin denja if dɛn nɔr trit am fayn.

Fɔ chenj di we aw yu de liv yu layf (gud it, ɛksesaiz, ɛn fɔ lɛf fɔ smok) ɛn di mɛrɛsin dɛn we yu dɔktɔ gi yu na di men tritmɛnt. Sɔntɛnde, i kin nid fɔ du ɔpreshɔn. So, fɔ pe atɛnshɔn to di sayn dɛm, kɔntrol di tin dɛm we de mek yu gɛt dis sik, ɛn fɔ go to dɔktɔ di rayt tɛm, rili impɔtant fɔ mek yu kidni dɛn gɛt wɛlbɔdi. Tek kia ɔf yu bɔdi, bikɔs wɛlbɔdi na di big tin we yu gɛt!

` Rεnal Atεri Stenosis, Ay Blכd Prεshכn, Kidni Disiz, Atεrosklεrosis, Atεrial Stenosis, Kidni Wεlth