Thisen sang (hypertension) i nei em? Damdawi eng emaw zat i ei hnuah pawh control harsa i ti em? A nih loh leh, doctor chuan chhan hriat lohvin i kal (kidney) a thawk tha lo tih a hrilh che em? A chang chuan heng harsatna thlentu hi kan sawi vak vak loh, mahse a pawimawh em em condition a ni. Vawiin hian kan sawi dawn a ni. Chu chu kal (kidney) panna thisen kalna kawng a zim (zim) a ni a, damdawi lamah chuan hei hi Renal Artery Stenosis kan ti a ni.
A awlsam zawngin, Renal Artery Stenosis hi eng nge ni?
Awle, hei hi hetiang hian i hrethiam ang u. Kan taksaa kal (kidney) pahnih hi filter pahnih ang mai a ni. Kidney hnathawh ber chu taksaa bawlhhlawh awmte thisen atanga filter a, zun anga paih chhuah hi a ni. He hna hi tha taka thawk tur chuan kal (kidney) hian thisen tha tak a dawng a ngai a ni. Kan thinlung atanga kal (kidney) thlenga thisen phurtu thisen kalna kawng lian pahnih a awm a. Hengte hi ‘Renal Arteries’ kan ti thin.
Renal Artery Stenosis hi thisen kal (kidney) thlenga thisen phurtu thisen kalna kawng pakhat emaw, pahnih emaw chu a chhung lam atanga a zim a ni. Tui pipe bawlhhlawhin a tihkhawtlai ang mai a ni. Hetianga thisen kalna kawng (arteries) a inkhar chuan kal (kidney) hian thisen mamawh a hmu lo. Hei hian harsatna lian tak pahnih a thlen thei a ni:
1. Thisen sang (High Blood Pressure): Kal-a thisen kal a tlahniam chuan kal (kidney) chuan taksa pumpui thisen sang chu a tlahniam niin an ngai a. Chuvangin taksaa thisen sang tihsan tum turin hormone an tichhuak thin. Hei hian thisen sang a thlen a, chu chu thunun harsa tak a ni.
2. Kal chhiatna: Thisenin a mamawh ei tur leh oxygen a pek loh rei chuan kal chhunga cell awmte chu a chhe tan thin. Chutianga a kal zel chuan kal natna khirh takah a kal thei a, a tawpah chuan kal (kidney failure) a thlen thei a ni.
He natna hi tu nge vei thei ber?
Hei hi a chhan ber chu Atherosclerosis an tih natna a ni . Kan kitchen sink-a tui pipe awm kha han ngaihtuah teh. Hun a kal zel a, oil leh bawlhhlawh ang chi thil te chu a chhungah a inkhung a, pipe chhungah a inkhung ta a ni lawm ni? Kan thisen kalna kawng chhungah pawh chutiang bawk chu a thleng thin. Kan eitur a oil leh cholesterol ang chi duh loh zawng te chu thisen kalna kawng bang ah chuan crust ang maiin a tang tlat thin. Hei hi ‘plaque’ kan ti a. Hun a kal zel a, he plaque hi a pungkhawm a, veins chhunga hmun awm chu a tihtlem phah a ni. Hei hi kal (kidney)-a thisen phurtu vein-a a thlen chuan Renal Artery Stenosis a lo awm thin.
Chuvangin, atherosclerosis lo awm theihna tura puitu eng pawh hian renal artery stenosis vei theihna a tipung bawk. Chu chu eng nge ni tih i en ang u.
| Risk factor a ni | Engtin nge a nghawng tih chu a awlsam hle. |
|---|---|
| Thisen sang lutuk | Pressure thunun loh chuan thisen kalna kawng bang a tichhia a, plaque a siam awlsam phah bawk. |
| Zunthlum | Thisen sugar level sang hian thisen kalna kawng a tichhe thei a ni. |
| Cholesterol sang tak a ni | Thisena cholesterol tha lo hi thisen kalna kawng (arteries)-a plaque angin a lo awm thin a ni. |
| Meizial zuk | Meizial hian thisen kalna kawng chhung lam a tichhia a, plaque a pung chak zawk bawk. |
| Thau lutuk | Thau lutuk hi thil tam tak bulpui ber a ni a, thisen sang, cholesterol, leh zunthlum te hi a ni. |
| Kum upa lam | Mipa kum 45 chunglam leh hmeichhia kum 55 chunglam te hi an hlauhawm zawk a ni. |
| Chhungkaw chanchin | I chhungkuaa mi tu emaw chuan lung natna emaw, thisen kalna kawng natna emaw a neih chuan nang pawh i hlauhawm zawk a ni. |
Atherosclerosis bakah hian he natna hi thil awm lo tak , Fibromuscular Dysplasia tih vang pawh a ni thei bawk. Hei hi thisen kalna kawngkhar chhunga cell awmte chu a pangngai lo taka an lo thang lian a, thisen kalna kawngte chu a ti tawi a ni. Hetiang dinhmun hi hmeichhiaah a tam zawk.
Eng nge a lan chhuah dan? Engtin nge i neih leh neih loh i hriat theih ang?
Hetah hian buaina lian tak chu a awm. Renal Artery Stenosis hian a nasat lutuk hma chuan symptom a nei lo . Thisen kalna kawng a zim lutuk meuh chuan harsatna a lo chhuak tan thin. A hmaa kan sawi tawh harsatnate chu thisen sang leh kal (kidney failure) te hi a ni.
I kal (kidney) hnathawh a tlahniam zel chuan:
- Taksa hmun thenkhatah a hring: a bik takin ke, ke ruh, leh a chang chuan hmai (edema).
- Chauhna leh mutthilh: Taksaah bawlhhlawh a awm khawm avangin i chau reng thei.
- Thâwk harsa: Hetiang dinhmun hi lung chhunga tui awmkhawm vang a ni thei.
- Chaw ei chak lohna, luak chhuak, leh luak chhuak.
- Thil ngaihtuah harsa, beidawnna.
- Zun tam emaw, zun tam lo emaw.
- Vun inthlak danglamna: Vun a vawt, vun a hring emaw, vun a dum emaw.
- Chhan awm lova thinrim.
- Lu na fo thin.
- Muscle a ti na hle.
A pawimawh ber chu, i thisen sang hi damdawi hmanga control harsa a nih chuan, emaw, kum 30 hnuai lam emaw, kum 50 aia tam emaw i nih a, i pressure a sang nghal a nih chuan, he Renal Artery Stenosis natna hi i doctor nen inbiakna neihpui ngei ang che.
Engtin nge doctor hian he natna hi a hriat theih ang?
Doctor i pan chuan i symptoms leh risk factors a zirin hei hi a ringhlel mai thei. Tichuan, an dinhmun finfiah nan test tlemte an kalpui thei bawk.
1. Taksa endik: Doctor in i thisen sang a teh ang. Stethoscope hi i pum chhungah dah a ni ang a, i kal chungah chiah a awm ang a, ‘whoosh’ ri danglam tak an ngaithla ang a, chu chu thisen kalna kawng tawi tak atanga thisen rawn tlan chhuak ri a ni.
2. Kidney Function Test: Hei hi thisen leh zun sample te endik thin a ni. Thisenah hian bawlhhlawh creatinine leh urea ang chi bawlhhlawh level sang tak an zawng a, zun chhungah protein an zawng bawk. Chûngte chuan kal (kidney) a chhiat leh chhiat loh hriat theihna a pe thei a ni.
3. Imaging Scans: Hei hi veins a block em tih dik taka hriat theih dan tha ber a ni.
- Duplex Ultrasound: Hei hian sound wave hmangin kidney-a thisen phurtu vein te thlalak a la a, thisen kal dan leh vein a block leh block loh enfiah a ni.
- CT angiography (CTA): CT scan hi taksaah special contrast dye inject a ni. Hei hian thisen kalna kawng 3D image a siam a, blockage awmna hmun chiang takin a hmu thei bawk.
- MR Angiography (MRA): Hei hi CTA nen a inang a, mahse magnetic field a hmang thung.
Hei hi eng enkawlna nge ni?
Enkawlna chu i thisen kalna kawng a block dan te, i natna lan chhuah dan te, i kal (kidney) a tihchhiat dan te a innghat a ni. Enkawlna chi thum a awm a.
1. Nunphung thlak danglam
Hei hi a bulpui ber a ni a, a chhan chu a chhan bulpui ber, atherosclerosis control nan a pawimawh hle.
- Ei leh in hrisel: Chaw chi, sugar, oil leh cholesterol tlem te ei tur ngaihtuah thin ang che. I ei tur ah thei, thlai, legumes, leh whole grains tam zawk dah tel bawk ang che.
- Exercise neih fo: Exercise awlsam tak, ni khatah minute 30 tal kea kal ang chi tih hi a pawimawh hle.
- Weight control: I thau lutuk chuan i taksa rihna tihtlem hian thisen sang, cholesterol leh zunthlum te a thunun thei a ni.
- Meizial zuk loh vek: Hei hi i tih ngei ngei tur thil a ni.
2. Damdawi (damdawi chi hrang hrang) .
Nunphung inthlak danglamna rual hian i doctor chuan damdawi engemaw zat a pe thei che a ni.
- Thisen sang damdawi: ACE inhibitor leh ARBs te hi damdawi hman tam ber a ni. Hengte hian thisen kalna kawng tizautu hormone te chu a block a ni. Damdawi dang, beta-blocker leh calcium channel blocker te pawh hman theih a ni.
- Cholesterol tihhniamna damdawi: Statin an tih damdawi chi khat hian thisenah cholesterol tha lo awm zat a tihniam a, plaque awm zat a control bawk.
- Anticoagulants: Aspirin ang damdawi hian thisen a ti thim a, thisen chu thisen kalna kawng tawi tak tak kaltlangin a ti awlsam bawk.
- Diuretics: Hengte hian zun hmanga taksa atanga tui leh chi tam lutuk paih chhuakin thisen sang a tihniam thei a ni.
3. Surgery emaw tih dan dang emaw
Vein blockage hi a nasat lutuk a, damdawi leh nunphung tihdanglamna hmanga control theih a nih loh chuan emaw, kal hnathawh a tlahniam chak hle a nih chuan doctor chuan operation a rawt thei ang.
- Angioplasty leh Stenting: Hei hi enkawl dan tlangpui a ni. Hetiang tih danah hian ke emaw kut emaw chhunga vein pakhat kaltlangin tube (catheter) te tak te tak mai chu renal vein blocked ah an kal a. Tube tawp lama balloon te tak te chu a block na hmun zau zawka siam turin inflated a ni. Tichuan, a khar leh tawh loh nan mesh ang chi tube (stent) te tak te chu vein chhungah dah a ni.
- Renal Artery Bypass: Heart bypass ang bawkin he procedure hian thisenin a blocked artery bypass theihna tur kawng thar siam a huam a ni. Hei hian taksa peng dang atanga thisen kalna kawng khat emaw, artificial tube emaw hmanga lak chhuah a huam a ni.
- Renal Endarterectomy: Hei hi surgical procedure a ni a, thisen kalna kawng a hawng a, a chhunga plaque lo awm tawh chu a paih chhuak thin.
Engtikah nge Doctor i hmuh nghal tur?
Renal Artery Stenosis i vei tih i hriat chuan, emaw, kal natna i nei tih i hriat chuan, a hnuaia symptoms te hi i neih chuan , doctor pan nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
| Ngaihtuah vat ngai symptoms te | |
|---|---|
| Ka chhungah metallic taste a awm tih hriat | Luak chhuak leh luak chhuak |
| Pum natna nasa tak | Kut, ke emaw, hmai emaw a hring chhuak |
| Thil ngaihtuah theih lohna, beidawnna | Seizures a awm thin |
| Zun chhuah a tlem hle emaw, a tawp emaw | |
He dinhmun hi hun kal zelah a zual zel thei a ni. Chuvang chuan hriat hmasak a pawimawh hle a, doctor thupek uluk taka zawm a pawimawh hle. Chutianga i tih chuan i kal (kidney) chhiatna chu i ti tlem thei a, nun pangngaiin i nung thei bawk.
Take-Home Thuchah a ni
- Renal Artery Stenosis chu kal (kidney)-a thisen pe chhuaktu artery pakhat emaw, pahnih emaw a block a ni. Hei hian thisen sang leh kal natna a thlen thei a ni.
- Hei hi a chhan ber chu thisen kalna kawng (atherosclerosis) a cholesterol a pungkhawm vang a ni. Zunthlum, thisen sang, zuk leh hmuam, thau lutuk te hi a hlauhawmna ber a ni.
- A tir lamah chuan symptoms a awm lo fo. Hei hi damdawiin a thunun theih loh thisen sang i neih chuan rinhlelh tur a ni bawk.
- He natna hi nunphung thlak danglam te, damdawi ei te, leh a chang chuan operation te hmangin tha takin a control theih a ni.
- He natna hi i vei nia i rinhlelh emaw, risk factors i neih emaw chuan i doctor nen pawh hemi chungchang hi sawipui ngei ang che. Hriat hmasak hi a tha ber.
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