I kal (kidney) thlenga thisen phurtu thisen kalna kawng (arteries) te chu a tawi em? (Renal Artery Stenosis) Hemi chungchang hi han sawi ila!

Kan taksa peng pawimawh ber pakhat chu kal (kidney) hi a ni. Kan taksaa bawlhhlawh awmte tifai tu filter ang an ni. Mahse a chang chuan kan hriat lohvin kal (kidney)-a thisen petu channel lian ber ber, chu chu renal arteries te hi a block thei a ni. Hei hi damdawi lama ‘Renal Artery Stenosis’ (RAS) emaw renal artery disease kan tih chu a ni. Hei hi natna khirh tak a ni thei a, thisen sang (hypertension) , kal natna rei tak (chronic kidney disease), a tawpah chuan kal chak lohna ang chi dinhmun a thlen thei a ni. Chuvangin, hei hi hriat chian a pawimawh hle.

Tute nge he natna vei theihna sang zawk?

A awlsam zawngin, he natna hi tu pawhah lo awm thei mah se, mi thenkhat chu an hlauhawm zawk. Atherosclerosis vei te hi an hlauhawm hle. Atherosclerosis hi kan thisen kalna kawng bangah hian thau tak tak cholesterol leh plaque te a lo awm a, chu chuan a block thei a ni. Hun kal zelah tui pipe bawlhhlawhin a khuh ang maiin han ngaihtuah teh.

Chuvangin, a hnuaia risk factors te hi i neih chuan tlem tal fimkhur a tha ang:

• Diabetes mellitus i neih chuan .
• Chhungkaw zinga mi tu emaw chuan rilru lam natna (chu chu hereditary link tihna a ni) a neih chuan.
• Thisen sang i neih chuan .
• Thisen cholesterol level sang tak i neih chuan .
• Obesity tih awmzia chu taksa rihna tam lutuk tihna a ni.
• Kum upat danah a hlauhawmna a sang chho zel (mipa kum 45 chunglam, hmeichhia kum 55 chunglam).
• Poor diet , chu chu chi, hriak, leh sugar tamna ei tur ei fo tihna a ni.
• If you smoke , hei hi thil tam takah a hlauhawm hle.

Renal artery stenosis leh peripheral artery disease hi eng nge inzawmna?

Hetah hian thil pawimawh dang a awm leh ta. He renal artery stenosis (RAS) hian thisen kal (kidney) thlenga thisen phurtu arteries te a nghawng a ni. Mahse natna dang pakhat ‘Peripheral Artery Disease’ (PAD) tih a awm bawk. Chutah chuan thinlung atanga kut leh ke thlenga thisen phurtu thisen kalna kawngte chu a inkhar ta a ni. Ngaihtuah teh, i kal lai hian i keah natna i nei a, rei vak lo hnuah i kal leh thei ta a, he PAD symptoms hi i hmu thei ang.

RAS leh PAD pahnih hi a chhan ber chu a chunga kan sawi tak atherosclerosis hi a ni fo thin . Zirna hrang hrangah chuan PAD vei zinga 14% leh 35% inkar chuan RAS an vei thei bawk. Chumi awmzia chu an pahnih inkarah hian inzawmna nghet tak a awm tihna a ni.

Tin, RAS avanga lo awm thei, kal natna khirh tak nei te chu PAD vei theihna a sang hle tih hmuhchhuah a ni bawk. Hetiang natna pahnih vei mi chu hriselna lama harsatna lian tak tak, heart attack, stroke, leh taksa peng hrang hrang hloh ang chi a neih theihna a sang zawk hle . Chungte chu kan hriat chian a pawimawh hle a ni.

Eng nge a lan chhuah dan? Engtin nge hei hi kan hriat chian?

Vawi tam tak chu he renal artery stenosis (RAS) chi hi a tir lamah chuan engmah a lang lo. I chungah a rawn luhchilh a, natna a tizual ang mai a ni. Harsatna, thisen sang leh kal (kidney failure) te hi natna a nasat zawk hunah chauh a lo lang tan thin. Kal (kidney) a thawk tha lo a nih chuan heng symptoms te hi a lo awm thei a ni. Heng zinga pakhat tal i neih leh neih loh en rawh:

• I ngaihtuahna seng harsa i nei em, i buai em ?
• Mut thei lo em ni? (Mut harsat) .
• I taksa hmun hrang hrang tuiin a hring chhuak a awm em? (Edema), a bik takin ke leh ke ruh lamah.
• I chau reng reng em ? Hna tlemte thawh hnuah pawh i chau em?
• Lu na i nei fo em ?
• Chaw ei chakna hloh i nei em ?
• Muscle na emaw cramp emaw i nei em ?
• Nausea leh luak chhuak i nei em ?
• Thâwk harsa (dyspnea) i nei em ? Rei vak lo i kal hnuah pawh thawk hah i nei em?
• Vun inthlak danglamna - vun vawt, vun hring, emaw vun dum ang chi thil.
• Chhan awm lovin i thau i tihtlem em? (Sawifiah loha taksa rihna tihtlem) .
• A tlangpui aia tam emaw i zun tlem emaw em?

Heng symptoms pakhat emaw pahnih emaw i neih vang mai mai chuan natna hi i nei tihna a ni lo. Mahse, heng symptoms engemaw zat i neih chuan doctor thurawn lak hi a finthlak hle.

Engvangin nge heng renal arteries te hi an block? A chhante chu engte nge ni?

Hei hi chhan lian tak pahnih a awm a.

1. A tam zawkah chuan RAS vei zinga 60% leh 90% inkar hi kan sawi tawh ang kha , atherosclerosis vang a ni. Hei hi thisen kalna kawng bang-a thau (plaque) awmkhawm, zawi zawiin a ti tawi a ni. Hei hi a chhan tam ber a ni.

2. A bak zawng hi ‘Fibromuscular dysplasia’ tih natna avanga lo awm a ni fo thin. Hei hi a danglam deuh hlek a ni. Hei hi artery walls-a cells te chu a pangngai lo taka an thanlenna hmun a ni a, arteries te chu a zim tir thin. Hei hi thau deposit a ni lo. Hetiang dinhmun hi hmeichhiaah a tam zawk. Genetics emaw hormone emaw avanga lo awm nia ngaih a ni.

Hei hian eng side effect (complication) nge a neih theih?

Renal artery stenosis hi thil awlsam tak a ni lo. A enkawl that loh chuan harsatna dang engemaw zat a thlen thei bawk. Entir nan:

• Chronic kidney disease: Kal hnathawh a tlahniam zauh zauh.
• Coronary artery disease: Thinlung thisen petu artery-ah pawh hetiang bawk hian blockage a awm thei.
• Kidney atrophy: Kal lian leh te a tlahniam thei.
• Kidney failure: A tawpah chuan kidney hian hna a thawk tawh lo vek thei a, dialysis emaw kidney transplant emaw a ngai a ni.
• Peripheral artery disease: Ke ruh leh taksa peng hrang hranga thisen phurtu thisen kalna kawng (arteries) a block.
• Renal hypertension: Renal arteries-a thisen sang sang.

Hei vang hian hetiang dinhmun hi i rinhlelh emaw, symptom i neih emaw chuan doctor pan nghal a pawimawh hle.

Engtin nge he natna hi dik taka hriat theih a nih?

A châng chuan doctor-te chuan renal artery stenosis hi accident-in an hmu ṭhin. Chu chu, condition dang an test lai che tihna a ni. Mahse, i doctor-in RAS i vei nia a rinhlelh chuan test thenkhat an ti thei a, chungte chu:

• Physical exam: A hmasa berin uluk taka enfiah i ni ang. I thisen sang chu enfiah a ni ang. Mi thenkhatah chuan he natna hian thunun theih loh thisen sang a thlen thei a ni. I taksa peng hrang hranga hring (swelling) an zawng ang a, i thawk dan pawh an ngaithla ang. Doctor chuan i kal chungah stethoscope a dah thei a, thisen chhuak chu ngaithla turin. Thisen a kal lai hian ‘whooshing’ ri i hre mai thei. RAS chhinchhiahna ber chu sawifiah theih loh thisen sang hi a ni .
• Kidney function test: A dawtah chuan thisen leh zun test a , i kidney te hnathawh that dan enfiah a ni. Heng test te hian i taksaah bawlhhlawh protein, creatinine , leh nitrogen te level sang tak a zawng thin. Hengte hi i kal (kidney) in i taksa atanga a filter chhuah a ngai a ni. An sang a nih chuan i kal (kidney) hian bawlhhlawh a filter tha lo tihna a ni.
• Imaging scans: Hei bakah hian imaging scan chi hrang hrang a awm a, chu chu i kal (kidney) lian zia leh thisen a kal that dan chiang taka hriat theih a ni. Hengte hian i thisen kalna kawng (arteries) a zim zia a tilang thei bawk. I doctor pawhin a rawt thei bawk aRenal scan, duplex ultrasound, computerized tomographic angiography (CTA), emaw magnetic resonance angiogram (MRA) emaw tihsak i ni thei bawk. Heng scan te hian renal arteries te chu chiang takin a tarlang thei a ni.

Hei hi eng enkawlna nge ni?

He natna (RAS) enkawlna ber chu nunphung thlak danglam leh damdawi te hi a ni . An pahnih hian hman dun tur a ni. Mahse, renal arteries nasa taka a zim chuan arterial occlusion a awm thei a, damdawi in pressure a control theih loh chuan emaw, kidney function a tlahniam zel chuan operation a ngai mai thei bawk.

Engtin nge nunphung tihdanglamna hmangin he dinhmun hi thunun theih ang?

Hei hi a pawimawh hle. Damdawi ei ringawt pawh a tawk lo. I doctor chuan nunphung tihdanglamna engemaw zat a rawn rawt ngei ang a, chu chuan he (RAS) natna hi a thunun thei ang a, i thisen sang a tihhniam bawk ang. Hengte hi i tih tur a ni ngei ang:

• Ei leh in hrisel ei: Chaw thau, cholesterol, chi (sodium), leh sugar tlakchhamna ei tur. Hei hian buhfai hmin, chaw hmin, in tur thlum, leh chaw thau tak tak ei tlem tihna a ni. In lama chin thlai, thei leh nut tam zawk i ei tur ah telh la. Hetiang ang inthlak danglamna tenau te pawh hian danglamna nasa tak a thlen thei a ni.
• Exercise neih fo: Ni khatah minute 30 tal kea kal emaw, cycle khalh emaw ang chi thil ti rawh. Exercise tih hian gym kal tihna a ni hauh lo.
• I taksa rihna tihtlem: I san zawng nena inmil tur rihna vawng reng tum ang che.
• Meizial zuk bansan: Meizial i zuk chuan bansan nghal rawh. Hei hi a harsa thei hle a, mahse tanpuina dawn theih dan a awm.

Damdawi hian eng tanpuina nge a pek?

Nunphung tihdanglam rualin, i doctor chuan thisen sang control-na tur leh kidney natna zual zel tur tihtawp emaw, control-na tur damdawi engemaw zat a pe thei bawk. Hengte hi i doctor-in a sawi ang chiah hian hman tur a ni.

• ACE inhibitor leh Angiotensin Receptor Blockers (ARBs) ang damdawi te hian i thisen kalna kawng tikhawtlai thei hormone thenkhat a block thin.
• Anticoagulants, aspirin -a ang chi hian thisen chu thisen kal tlangin awlsam zawkin a pui a ni.
• Beta-blocker leh calcium channel blocker, thisen sang tihziaawmna a ni.
• Diuretics , ‘water pills’ tia hriat bawk hian i kal (kidney)-in i taksa atanga tui leh chi tam lutuk a paih chhuah theih nan hna a thawk a, i thisen sang a ti hniam a ni.
• Thisen cholesterol level a tihniamStatins te hi a awm.

Hei atan hian eng ang surgery nge awm?

Damdawi leh nunphung thlak danglamna hmanga control theih khawpa natna (RAS) a nih chuan, chu chu thisen kalna kawng 70% aia tam a block lai ang chi a nih chuan operation neih a ngai mai thei. Surgery hi chi thum a awm a, chungte chu:

1. Angioplasty leh stenting: Hei hi tih dan tlangpui a ni. Hetiang tih danah hian surgeon chuan i renal artery blocked chhungah tube te tak te, flexible tak (catheter) a dah lut a, chu chu i groin emaw arm emaw hmangin a dah a ni. Chumi hnuah chuan catheter chu a tawp lamah balloon te tak te hmangin an inflated a, chu chuan artery chu a tizau ta a ni. Chumi hnuah chuan stent (mesh ang chi tube te tak te) chu thisen kalna kawngkhar chhungah dah a ni a, chu chu a khar leh loh nan leh thisen kal (kidney)-a a kal theih nan. Hei hi minimally invasive procedure a ni.

2. Renal artery bypass: Hei hi operation lian tak a ni. Heart bypass ang mai a ni. Hetiang tih danah hian surgeon chuan thisen kalna tur kawng thar a siam a, chu chuan renal artery block emaw block emaw chu a paltlang a ni. Hei hi a tlangpuiin i ke atanga graft emaw, artificial tube emaw hman a ni. He graft emaw tube emaw hi thisen kalna hrisel awm tawh nen a inzawm a, a tawp dang chu thisen kalna kawngkhar (blocked artery) nen a inzawm a, chu chu thisen kalna kawngkhar leh kal inkar chanve vel a ni.

3. Renal endarterectomy: Hetiang tih danah hian surgeon chuan renal artery blocked chu a hawng a, plaque leh thil dang thisen kal dan tikhawlotu chu a paih chhuak thin.

Heng surgery zingah hian eng surgery nge i tan a tha tih i doctor chuan a rel ang.

He natna lakah hian engtin nge kan inven theih ang? (Invenna) 1.1.

"Tihdam aiin invenna a tha zawk," an ti. Chuvangin, he (RAS) natna hi i vei theihna tur tihtlem nan thil i tih theih thenkhat chu hetiang hi a ni:

• Ei leh in inthlau tak ei rawh .
• Exercise tih fo thin ang che .
• I thisen sang enkawl dan . I thisen sang kha enfiah fo thin ang che.
• Taksa rihna hrisel tak vawn reng .
• Meizial zuk suh .

Heng thil tih hian kidney artery blockage a veng mai bakah natna dang tam tak lakah a veng thei bawk.

He natna vei tan hian eng nge a hmalam hun?

Renal artery disease (RAS) hi a zual zel a, hun kal zelah a zual zel a ni . Hetiang natna vei tan hian a hmalam hun tur chu natna nasat dan te, a hriat hma dan te, leh enkawlna an dawn danah te a innghat a ni.

Research atanga a lan dan chuan renal arteries 95% aia tam block nei zinga 48% chauhvin kum li chhung dam theihna an nei a ni. Chumi awmzia chu blockage tluantling tak tak nei zinga a chanve chauh chu an natna hmuhchhuah atanga kum li hnuah an damchhuak tihna a ni.Chuvangin he natna hi hriat hmasak a, enkawlna zawn a pawimawh hle. A hmaa hriatchhuah a nih chuan kal (kidney) chhiatna a tlahniam thei a, dam rei zawng pawh a rei thei bawk.

Hemi chungchangah hian engtikah nge doctor ka hmuh ang?

A hnuaia chhinchhiahna pakhat emaw a aia tam emaw i neih chuan doctor pan nghal rawh . Hengte hi kal hnathawh a tlahniam hle tih chhinchhiahna a ni thei:

• I hmuiah metallic taste i hriat chuan.
• I pum natna i neih chuan .
• I ngaihtuahna seng harsatna, buaina emaw, ngaihtuahna seng harsatna emaw i neih chuan .
• Zun chhuah zat a tlem hle a nih chuan (Low urine output) .
• Nausea leh vomiting a awm reng chuan.
• Seizures i neih chuan .
• I ke, i kut emaw i hmai emaw a hring chhuak .

Heng thilte hi ngaihthah suh. Enkawlna i hmuh thuai chuan chhiatna lian tham i veng thei a ni.

A tawp berah chuan i hriat reng tur thil (Take-Home Message) .

Renal Artery Stenosis (RAS) hi kal (Kidney)-a thisen petu thisen kalna kawng (arteries) a zim (narrowing) a ni. Hei hi a chhan ber chu thisen kalna kawng (atherosclerosis)-a thau awm (atherosclerosis) vang a ni. Hei hian hriselna lama harsatna lian tak tak, thisen sang, kal natna rei tak, kal tha lo te a thlen thei a ni.

Hei hi a tir lamah chuan symptoms a lang lo fo thin tih hre reng la, mahse a enkawl that loh chuan a hlauhawm thei hle.

Nunphung thlak danglam (ei leh in tha, exercise, leh meizuk bânsan) leh i doctor-in damdawi a pek te hi a enkawlna ber a ni. A \henah chuan zai a ngai mai thei. Chuvangin, symptoms ngaihven te, i neih chuan risk factors control te, a hun taka damdawi lam thurawn lak te hi i kal hrisel nan a pawimawh hle. I taksa hi enkawl la, hriselna hi thil hlu ber a nih avangin!

` Renal Artery Stenosis, Thisen sang, Kal natna, Atherosclerosis, Arterial Stenosis, Kal hriselna