Yu tink se yu kidni dɛn go de afɛkt yu blɔd prɛshɔn? Lɛ wi tɔk bɔt Renovascular Hypertension!

Ay blɔd prɛshɔn, ɔ as wi ɔl no, "prɛshɔn," na prɔblɛm we bɔku pipul dɛn de gɛt dɛn tɛm ya. Bɔt yu no se sɔntɛnde, yu kidni dɛnsɛf kin mek yu gɛt dis ay blɔd prɛshɔn? Yɛs, na tru. dis ay blכd prεshכn kכndyushכn we de apin na di kidni dεm dεn kכl am bak `(Renovascular Hypertension)` כ `(Renal Hypertension)`. Lɛ wi tɔk bɔt dis ditayli ɛn rili simpul wan tide.

Wetin mek dis kin mek di prɛshɔn na di kidni dɛn go ɔp? (Wetin na Rinovaskul Haypatɛyshɔn?)

fכ simpul wan, dis kכndyushכn kin apin we di men bכdi vεsul dεm we de gi bכdi to yu kidni dεm (wi kכl dεm ``Rεnal Atεri'') de blok. Tink bɔt am lɛk se wata paip de blok, we de mek wata nɔ de flɔ. We dɛn blɔd vesel ya kin blok, di blɔd we kin rich na di kidni dɛn kin go dɔŋ.

Wetin kin apin da tɛm de? Di kidni dɛn no se dɛn nɔ de gɛt inof blɔd. Fɔ ansa dis, di kidni dɛn kin mek wan spɛshal sistɛm we gɛt ɔmon ɛn ɔda tin dɛn wok. dis dεn kכl am di `(RAAS - Renin-Angiotensin-Aldosterone System)`. we dis `(RAAS)` sistεm de aktibכt, i de mek di bכdi prεshכn fכ di ol bכdi go כp. I tan lɛk se di kidni dɛn de sɛn signal se, "Wi nɔ de gɛt inof blɔd, inkrisayz di blɔd prɛshɔn kwik kwik wan!"

Renovascular Hypertension na wan kכmכn fכm fכ sεkכnd haypatεnshכn. Dat min se, ay blɔd prɛshɔn we kin kam wit ɔda sik we pɔsin kin gɛt. Sɔmtɛm, i kin bi bak di kɔz fɔ ay blɔd prɛshɔn we at fɔ kɔntrol pan ɔl we dɛn de tek mɛrɛsin (resistant hypertension). So, if yu no se yu blɔd prɛshɔn gɛt fɔ du wit yu kidni, dat go ɛp yu dɔktɔ fɔ fɛn di rayt tritmɛnt fɔ yu.

Wetin na di sayn dɛm fɔ dis sik? (Symptom dɛm fɔ Rinovaskyuɛl Haypatɛyshɔn)

Bɔrku tɛm, yu nɔr kin gɛt ɛni patikyula sayn na dis `(Renal Hypertension)` kɔndishɔn. Na dat de mek pɔsin fred smɔl. Bɔt, dɔktɔ dɛn go fɛn sɔm tin dɛn we go ɛp yu fɔ no if yu gɛt dis sik.

Na sɔm pan dɛn kayn advays dɛn de:

• Wantɛm we yu gɛt ay blɔd prɛshɔn bifo yu ol 30 ia ɔ afta yu dɔn ol 50. Tink bɔt am, i kin strenj smɔl fɔ gɛt ay blɔd prɛshɔn wantɛm wantɛm afta lɔng tɛm we yu nɔ gɛt ɛni prɔblɛm, rayt bifo di ej we blɔd prɛshɔn kin kam, nɔto so?
• Wan blɔd prɛshɔn we dɛn bin de kɔntrol fayn fayn wan bifo tɛm go ɔp wantɛm wantɛm. Sɔntɛm yu dɔn de tek blɔd prɛshɔn mɛrɛsin fɔ lɔng lɔng tɛm ɛn dɛn dɔn kɔntrol am fayn fayn wan. Bɔt if di mɛrɛsin stɔp fɔ wok wantɛm wantɛm ɛn yu blɔd prɛshɔn go ɔp wantɛm wantɛm, na sɔntin we yu fɔ wɔri bɔt.
• Yu blɔd prɛshɔn nɔ de kam dɔŋ pan ɔl we yu de yuz bɔku kayn mɛrɛsin fɔ yu blɔd prɛshɔn. If yu blɔd prɛshɔn nɔ de kam dɔŋ pan ɔl we yu de tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek, ɔda tin kin de we kin mek yu blɔd prɛshɔn.
• Fɔ gɛt plɛnti plɛnti haypatɛnshɔn kraysis. Dis na tɛm dɛn we blɔd prɛshɔn kin go ɔp wantɛm wantɛm te i denja.
• Sɔdɛn pulmonari ɛdima (flash pulmonary edema) kin apin. Dis kin mek i nɔ izi fɔ blo wantɛm wantɛm.
• Fɔ gɛt histri bɔt plek we de bɔku na ɔda blɔd vesel dɛn na di bɔdi, lɛk di at, nɛk, ɛn leg. Dɛn kin kɔl dis bak atherosclerosis.
• di pen na di chεst kin apin we yu nכ gεt big fεt dεm na di korona at dεm na di at.
• Kidni fayl wit no kɔz we pɔsin kin no.
• Bruit na we di dɔktɔ put stetɔskɔp na yu bɛlɛ ɛn yɛri "swoo... swoo..." sawnd. Dis na abnɔmal sawnd we dɛn kin mek we blɔd de pas na blɔd vesel.

Mɛmba se na dɛn sayn ya we dɔktɔ dɛn kin tink se kin apin. Jɔs bikɔs yu gɛt wan ɔ tu pan dɛn tin ya nɔ min se yu gɛt Renovascular Hypertension. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin kin mek dis apin? (Rɛnovaskyuɛl Haypatɛyshɔn Kɔz)

di men tin we de mek dis kכndyushכn `(Renovascular Hypertension)` na di sכmtεm we di bכdi we de kכri bכdi go na di kidni dεm de sכmtεm (Renal Artery Stenosis) . Bɔku rizin dɛn kin de fɔ dis we di blɔd vesel dɛn kin smɔl:

1. Atɛrosklɛrosis: Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl. Jɔs lɛk aw dɔti ɛn rɔst kin gɛda insay wata paip dɛn, na so di kɔlɔstrel ɛn ɔda fat dɛn kin gɛda insay di blɔd vesel dɛn, ɛn dis kin mek di blɔd flɔ smɔl. Dis kin apin wit di ej, bikɔs i nɔ de it fayn, i gɛt dayabitis, ɛn i de smok.

2. Fibromuscular Dysplasia (FMD): Dis na wan sik we nɔ kin bɔku pas Atherosclerosis. i de sho se di mכsul dεm εn di kכnektiv tisu sεl dεm we de na di wכl dεm na di bכdi vεsul dεm de gro fayn fayn wan, we kin mek di bכdi vεsul dεm sכmtεm sכmtεm sכmtεm. Dis kכndyushכn kin bכku pan yכng uman dεm.

Apat frɔm dɛn tu men rizin ya, ɔda rizin dɛn de we nɔ kin bɔku:

• Inflameshɔn na di blɔd vesel dɛn (Vasculitis) .
• Rεnal Atεri Anεrizm
• Tumɔs we de prɛs pan di kidni ɔ di rεnal at
• Fibrosis we kin kam bikɔs ɔf redyushɔn tɛrapi

Wetin na di kɔmplikɛshɔn dɛm wae kin apun bikɔs ɔf dis? (Kɔmplikeshɔn dɛn we kin kam wit di Rinovaskyuɛl Haypatɛyshɔn)

Ɛni kayn ay blɔd prɛshɔn, inklud di renovaskyuɛl haypatɛnshɔn, kin mek yu gɛt difrɛn prɔblɛm dɛn if dɛn nɔ trit am fayn. Di tin we impɔtant pas ɔl na dat, if pɔsin gɛt ay blɔd prɛshɔn fɔ lɔng tɛm, i kin pwɛl di at. Dɛn kɔl dis at sik we de mek pɔsin gɛt ay blɔd .

Apat frɔm dat, if yu nɔ trit yu ay blɔd prɛshɔn, dat kin mek yu gɛt prɔblɛm dɛn lɛk:

• Kidni Sik: Nɔ wɔnda, nɔto so? Bikɔs di prɔblɛm bigin wit di kidni dɛn, dɛn kin pwɛl mɔ.
• Ritina sik: If di blɔd vesel dɛn we de na di yay pwɛl, dat kin mek i nɔ ebul fɔ si fayn igen.
• Strok
• At Atak we pɔsin kin gɛt

Na dat mek i rili impɔtant fɔ kɔntrol yu blɔd prɛshɔn fayn fayn wan.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Dɔktɔ dɛn nɔ kin no di sik we dɛn kɔl Renovascular Hypertension wit jɔs wan tɛst. Dɛn kin kam to wan kɔnklushɔn bay we dɛn kin put difrɛn tin dɛn we de sho se dɛn de du sɔntin, lɛk ditektiv. Dɛn tin ya kin kam to dɛn:

• Bay we yu de chɛk yu bɔdi: Fɔ ɛgzampul, tin dɛn lɛk di ‘Bruit’ sawnd we wi bin dɔn tɔk bɔt we yu de yɛri wit stetɔskɔp na yu bɛlɛ.
• Bay wae yu de rivyu yu mɛdikal histri: di ditel dɛm lɛk di sik dɛm wae yu bin dɔn gɛt bifo, di sik dɛm wae yu bin gɛt na yu famili, ɛn di mɛrɛsin dɛm wae yu bin de tek.
• Na bay we dɛn de du spɛshal tɛst dɛn.

Na sɔm kayn tɛst dɛn ya we yu kin du:

• Blɔd Tɛst: Chɛk tin dɛn lɛk aw di kidni de wok ɛn di kɔlɔstrel lɛvɛl.
• Yurin Tεst: Chεk if tin dεm lεk protin de kכmכt na di kidni dεm.
• di kidni ultrasound εn כda raydiolojikal tεst dεm we de sho se blכd de fכlכ na di rεnal atεri dεm: Dis kin sho di sayz εn shep fכ di kidni dεm εn if di bכdi vεsul dεm dכn blכk. Wan spɛshal skan we dɛn kɔl Doppler ultrasound kin mɛzhɔ tin dɛn lɛk di spid we di blɔd de flɔ. Yu kin nid fɔ du tɛst bak lɛk CT Angiogram ɔ MR Angiogram.
• raydiografik tεst dεm we de sho se bכdi de fכlכ na כda pat dεm na di bכdi, fכ egzampl, di carotid atεri dεm na di nεk: Dis de chεk fכ prכblεm wit di bכdi vεsul dεm כdasay na di bכdi.

Aw Dɛn kin Trit Rinovaskyuɛl Haypatɛyshɔn?

Di men gol fɔ tritmɛnt na fɔ mek yu blɔd prɛshɔn go dɔŋ ɛn fɔ mek blɔd go fayn fayn wan na yu kidni. Bɔrku tɛm , dɛn kin kɔntrol dis wit mɛrɛsin. Bɔt sɔntɛnde, dɛn kin tɛl yu fɔ du spɛshal tin ɔ ɔpreshɔn fɔ mek yu blɔd go fayn fayn wan na yu kidni.

Di mɛrɛsin dɛn we dɛn kin yuz

Di men tin na fɔ mek di prɛshɔn smɔl. We yu gɛt `(Renal Hypertension)`, dɛn tu kayn mɛrɛsin ya patikyula kin rili wok:

• Angiotensin-Kɔnvɔt Ɛnzaym (ACE) Inhibitɔ dɛn
• Angiotensin Risɛptɔ Blɔka dɛn (ARB) .

Dɛn tu mɛrɛsin ya de wok pan di ``(RAAS)`` sistɛm we wi bin dɔn tɔk bɔt. Dat min se dɛn kin kɔntrol blɔd prɛshɔn bay we dɛn de ridyus di wok we di ɔmon sistɛm we de mek blɔd prɛshɔn go ɔp.

Apat frɔm wan ACE inhibitor ɔ wan ARB, yu kin nid ɔda mɛrɛsin dɛn. Fɔ ɛgzampul:

• Kɔlɔstrel-lɔring ``(Statins)``
• ` (Kalsiɔm Chanɛl Blɔka dɛn)`
• Diuretik (dɛn kin kɔl am bak "wata pils") .

Di dɔktɔ go ɛksplen to yu ustɛm yu nid fɔ tek mɛrɛsin, ɔmɔs yu nid am, ɛn wetin mek yu nid am. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz if di dɔktɔ nɔ advays yu.

Di we aw dɛn fɔ du di wok

Sɔntɛnde, dɔktɔ dɛn kin se dɛn fɔ du wan tin we dɛn kɔl Renal Artery Angioplasty (sɔntɛnde dɛn kin put stent) fɔ trit Renal Hypertension. Dɛn kin du dis pan dɛn kayn tin ya:

• If yu gɛt `(Rɛnal Haypatɛnshɔn)` bikɔs ɔf `(Fibromuscular Dysplasia - FMD)`.
• If yu nɔ ebul fɔ kɔntrol yu blɔd prɛshɔn wit mɛrɛsin nɔmɔ.
• If yu gɛt kɔnjɛstiv at fayl ɔ pulmonari ɛdima fɔ no rizin.

Angioplasty na fɔ mek dɛn blo smɔl balyɔn insay di blɔd vesel we dɔn blok, ɛn mek di blɔd vesel big. Sɔntɛnde, dɛn kin put stent, we na smɔl mɛsh tiub, fɔ mek di say we dɔn big nɔ go blok bak.

Wan nyu tritmɛnt we dɛn jɔs dɔn gri fɔ na we dɛn kɔl renal denervation . dis prosidכs de yuz כt כ כltra saund εnεji fכ ridyus di aktiviti fכ di nεv εnd dεm na di rεnal atεri dεm. Dis kin ɛp bak fɔ ridyus blɔd prɛshɔn.

Bifo yu du ɛni prɔsidyu, di dɔktɔ go ɛksplen ɔltin to yu, ivin di gud ɛn bad tin dɛn, di tɛm we yu go wɛl, ɛn ɔda tin dɛn So dat yu go ɔndastand ɔltin fayn fayn wan ɛn disayd.

Ɔpreshɔn

Dɛn nɔ kin advays fɔ du ɔpreshɔn fɔ di Rɛnal Haypatɛyshɔn. Dɛn kɔl dis Surgical Renal Revascularization ɔ Renal Bypass Surgery .

Insay dis ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin tek wan pat pan ɔda blɔd vesel na yu bɔdi, ɔ wan atifishal tiub, ɛn kɔnɛkt am to yu aɔta ɛn yu kidni. Dis kin mek nyu rod fɔ mek blɔd go na yu kidni, ɛn i kin pas di rεnal at we dɔn blok. I tan lɛk se yu de tek difrɛn rod we dɛn dɔn blok rod.

Ɔpreshɔn kin gɛt prɔblɛm smɔl pas angioplasty, so dɔktɔ dɛn kin jɔs yuz am pan spɛshal kes dɛn. Fɔ ɛgzampul:

• If yu gɛt kɔmpleks rεnal atεri anatomi, we min se i blok di we we de mek i nɔ izi fɔ put stent.
• if di ``Minimally Invasive`` mεtכd dεm we wi bin dכn tכk bכt (lεk angioplasty) nכ de wok fayn.
• If yu nid fɔ du ɔpreshɔn pan yu aorta nia di rεnal at.

Ustɛm A Fɔ Si Mi Wɛlbɔdi Prɔvayda?

We dɛn dɔn no se yu gɛt dis sik, yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam bak fɔ si am. Dɛn fɔlɔp apɔntin ya rili impɔtant bikɔs na di tɛm we yu dɔktɔ kin:

• Chek yu blɔd prɛshɔn fɔ si aw di tritmɛnt go wok fayn.
• Chek yu kidni fɔ wok.
• Chenj yu tritmɛnt plan if nid de.

Dɔn bak, dɛn mitin ya na fayn chans fɔ mek yu aks di dɔktɔ kwɛstyɔn dɛn ɛn tɛl dɛn bɔt wetin de mɔna yu.

Yu tink se dɛn kin mɛn di rεnal haypatɛnshɔn?

Rinovaskul haypatɛyshɔn na wan sik we dɛn kin mɛn we gɛt ay blɔd prɛshɔn. Dis min se yu blɔd prɛshɔn kin kam dɔŋ to wɛlbɔdi lɛvɛl wit mɛrɛsin ɛn ɔda tritmɛnt dɛn. Yu dɔktɔ go tɛl yu mɔ bɔt wetin yu kin ɛkspɛkt bay aw yu sik.

Di tin we impɔtant pas ɔl na fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ se, ɛn fala di instrɔkshɔn dɛn we dɛn gi yu.

Jɛnɛral wan, i rili impɔtant fɔ tek kia ɔf dɛn tin ya:

• Tek ɔl di mɛrɛsin dɛn we di dɔktɔ gi yu di rayt we ɛn di rayt tɛm.
• Fɔ fala yu dɔktɔ in advays bɔt aw fɔ it ɛn ɛksesaiz. (Dεn kin rεkomεnd wan spεshal it plan lεk di DASH Diet. Dis min se yu fɔ it it we nɔ gɛt bɔku sɔl ɛn we gɛt bɔku frut ɛn vɛjitebul.)
• Tɔk to yu dɔktɔ bɔt di kayn we aw yu de du yu bɔdi we fayn fɔ yu.

Wae yu dɔn no se yu gɛt Renovascular Hypertension, yu kin ebul fɔ ɛksplen sɔm pan de "clues" wae yu dɔn de gɛt dis biɛn tɛm. Sɔntɛm yu blɔd prɛshɔn dɔn go ɔp wantɛm wantɛm afta we yu dɔn de nɔmal fɔ lɔng lɔng tɛm. Ɔ sɔntɛm di mɛrɛsin we yu kin yuz fɔ blɔd prɛshɔn nɔ de wok igen.

Ilɛk wetin yu gɛt, if yu no aw yu kidni dɛn kin afɛkt yu blɔd prɛshɔn, dat kin ɛp yu dɔktɔ fɔ plan di rayt tritmɛnt fɔ yu. If yu gɛt ɛni kwɛstyɔn bɔt yu mɛrɛsin ɔ aw fɔ kɔntrol yu sik, mek shɔ se yu aks yu dɔktɔ.

Mesej we yu kin kɛr go na os (Di tin dɛn we impɔtant pas ɔl fɔ mɛmba)

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Renovascular Hypertension na wan sik we de mek yu gɛt ay blɔd prɛshɔn we di vein dɛn we de kɛr blɔd go na di kidni dɛn blok.
• Bɔku tɛm, dis nɔ kin gɛt ɛni patikyula sayn, bɔt dɔktɔ dɛn kin sɔprayz pan am bikɔs ɔf sɔm tin dɛn we kin sho se i gɛt dis sik.
• di men tin dεm we kin mek di bכdi fεt de na di bכdi (Atherosclerosis) εn Fibromuscular Dysplasia (FMD).
• Bɔku tɛm, dɛn kin kɔntrol dis wit mɛrɛsin. Sɔntɛnde, i kin nid fɔ du tin dɛn lɛk ``Angioplasty''.
• I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn fɔ go to di dɔktɔ di rayt tɛm.
• Dis na kɔndishɔn we pɔsin kin kɔntrol. So, i impɔtant fɔ mek yu nɔ fred ɛn go fɛn di rayt tritmɛnt.

If yu tink se yu gɛt dis kayn prɔblɛm, nɔ shem fɔ go to dɔktɔ ɛn gɛt advays. Stay wit wɛlbɔdi!

`Rεnal haypatεnshכn, Rεnovaskulεr haypatεnshכn, rεnal atεri stεnosis, prεshכn, hכy blכd prεshכn, kidni sik