Itsvo dzako dzinogona kunge dzichikanganisa BP yako here? Ngatitaurei nezve Renovascular Hypertension!

Kukwira kweropa, kana kuti sezvatinozviziva tose, "kumanikidzwa," idambudziko riri kusangana nevanhu vazhinji mazuva ano. Asi waizviziva here kuti dzimwe nguva itsvo dzako dzinogonawo kuva chikonzero chekuwedzera kweropa uku? Ehe, ichokwadi. Dambudziko iri rekuwedzera kweropa rinowanikwa muitsvo rinonziwo `(Renovascular Hypertension)` kana `(Renal Hypertension)`. Ngatitaurei nezvazvo zvakadzama uye zviri nyore nhasi.

Sei izvi zvichiwedzera kumanikidzwa muitsvo? (Chii chinonzi Renovascular Hypertension?)

Zvichitaurwa zviri nyore, chirwere ichi chinoitika kana mitsipa mikuru yeropa inoendesa ropa kuitsvo dzako (yatinoidaidza kuti "Renal Arteries") yavharika. Funga nezvazvo sepombi yemvura yavharika, izvo zvinoderedza kuyerera kwemvura. Kana mitsipa iyi yeropa yavharika, huwandu hweropa hunosvika kuitsvo hunoderera.

Chii chinoitika ipapo? Itsvo dzinoziva kuti hadzisi kuwana ropa rakakwana. Mukupindura, itsvo dzinoita kuti pave nehurongwa hwakakosha hwemahormone nezvimwe zvinhu. Izvi zvinonzi `(RAAS - Renin-Angiotensin-Aldosterone System)`. Kana hurongwa uhwu hwe`(RAAS)` hwaitwa, hunokwidza BP yemuviri wese. Zvinoita sekunge itsvo dziri kutumira chiratidzo chekuti, "Hatisi kuwana ropa rakakwana, wedzera BP nekukurumidza!"

Kuwedzerwa kweropa muropa (Renovascular Hypertension) imhando yakajairika yeBP yechipiri. Kureva kuti, BP yakakwira inokonzerwa nechimwe chirwere. Dzimwe nguva, inogonawo kuva chikonzero cheBP yakakwira iyo inonetsa kudzora pasinei nemishonga (resistant hypertension). Saka, kuziva kuti BP yako ine chekuita neitsvo dzako kunogona kubatsira chiremba wako kuwana kurapwa kwakakodzera kwauri.

Ndezvipi zviratidzo zvechirwere ichi? (Zviratidzo zveBP yeRenovascular)

Kazhinji, ungasaona zviratidzo zvakananga mudambudziko iri rekuti '(Renal Hypertension)'. Ndizvo zvinotyisa zvishoma. Zvisinei, vanachiremba vachawana zvimwe zviratidzo kubva munhoroondo yako yezvekurapa uye bvunzo kuti vafungidzire chirwere ichi.

Heano mamwe mazano akadaro:

• Kukurumidza kutanga kweBP usati wasvitsa makore makumi matatu kana kuti wapfuura makore makumi mashanu. Funga nezvazvo, zvinoshamisa kuti kamwe kamwe uve neBP yakakwira mushure menguva yakareba pasina matambudziko, nguva pfupi BP isati yasvika, handiti?
• Kuwedzera kweBP kamwe kamwe kwaimbove kwakadzorwa zvakanaka. Ungave wave nemakore uchitora mishonga yeBP uye yave yakadzorwa zvakanaka. Asi kana mushonga ukangoerekana wamira kushanda uye BP yako ikangoerekana yakwira, chinhu chekufunga nezvacho.
• Kukwira kweropa rako hakusi kudzikira kunyangwe uchishandisa mishonga yakasiyana-siyana yekurapa BP yako. Kana BP yako isiri kudzikira kunyangwe watora mishonga yawakanyorerwa nachiremba, panogona kunge paine chimwe chikonzero chiripo.
• Kuva nematambudziko akawanda eBP. Idzi inguva apo BP inokwira kamwe kamwe kusvika padanho rine njodzi.
• Kuzvimba kwemapapu kamwe kamwe (flash pulmonary edema) kunogona kuitika. Izvi zvinogona kukonzera kuoma kwekufema kamwe kamwe.
• Kuva nenhoroondo yekuunganidza plaque mumimwe mitsipa yeropa mumuviri, yakadai semwoyo, mutsipa, nemakumbo. Izvi zvinonziwo atherosclerosis.
• Kurwadziwa pachipfuva kunoitika pasina mafuta akawanda akachengetwa mutsinga dzemwoyo.
• Kutadza kushanda kweitsvo pasina chikonzero chinozivikanwa.
• Chinobuda apo chiremba anoisa stethoscope padumbu rako onzwa ruzha rwekuti "swoo...swoo...". Iri ruzha rusingawanzoitiki runobuda kana ropa richiyerera nemutsinga yeropa.

Yeuka kuti izvi ndizvo zviratidzo zvinofungirwa navanachiremba. Kungoti une chimwe kana zviviri zvezviratidzo izvi hazvirevi kuti une Renovascular Hypertension. Zvisinei, kana uine chimwe chezviratidzo izvi, kuchenjera kuona chiremba.

Chii chinokonzera izvi? (Zvikonzero zveBP inokwira mutsinga dzeropa)

Chikonzero chikuru chechirwere ichi `(Renovascular Hypertension)` kutetepa kwetsinga dzeropa dzinotakura ropa kuenda kuitsvo (Renal Artery Stenosis) . Panogona kuva nezvikonzero zvakawanda zvinoita kuti tsinga dzeropa dzitete:

1. Atherosclerosis: Ichi ndicho chikonzero chinowanzoitika. Kungofanana nevhu nengura zvinoungana mumipombi yemvura, cholesterol nemamwe mafuta zvinoungana mutsinga dzeropa, zvichiita kuti ropa riderere. Izvi zvinogona kuitika nekukura, nekuda kwekudya zvisina kunaka, chirwere cheshuga, uye kusvuta.

2. Fibromuscular Dysplasia (FMD): Ichi chirwere chisingawanzoitiki seAtherosclerosis. Chinoratidzwa nekukura kusina kujairika kwemasero emhasuru nemasero ekubatanidza mumadziro etsinga dzeropa, izvo zvinogona kukonzera kutetepa kwetsinga dzeropa. Chirwere ichi chinowanzoitika kuvakadzi vechidiki.

Kuwedzera kune zvikonzero zviviri zvikuru izvi, kune zvimwe zvikonzero zvisingawanzoitiki:

• Kuzvimba kwetsinga dzeropa (Vasculitis)
• Aneurysm yetsinga dzeitsvo
• Kudzvanya bundu patsinga yeitsvo kana yeitsvo
• Fibrosis inokonzerwa nemwaranzi

Ndezvipi zvinetso zvinogona kuitika nekuda kweizvi? (Matambudziko eBP yeRenovascular)

Chero rudzi rweBP yakakwira, kusanganisira renovascular BP, inogona kukonzera matambudziko akasiyana-siyana kana ikasarapwa nemazvo. Chinonyanya kukosha ndechekuti BP yakakwira kwenguva refu inogona kukuvadza mwoyo. Izvi zvinonzi chirwere chemwoyo chine BP .

Uye zvakare, BP isina kurapwa inogona kukonzera matambudziko akadai se:

• Chirwere cheItsvo: Hazvishamisi, handiti? Nekuti dambudziko rakatanga neitsvo, dzinogona kukuvara zvakanyanya.
• Chirwere cheRetinal: Kukuvadzwa kwetsinga dzeropa dzakatetepa mumaziso kunogona kukonzera kurasikirwa nekuona.
• Kurohwa
• Kumira kurova kwemoyo

Ndosaka zvichikosha kudzora BP yako nemazvo.

Vanachiremba vanoongorora sei chirwere ichi?

Vanachiremba havaoni chirwere cheBP yeRenovascular nekungoongororwa kamwe chete. Vanosvika pamhedziso nekubatanidza zviratidzo zvakasiyana-siyana, semupurisa. Zviratidzo izvi zvinouya kwavari:

• Nekukuongorora muviri wako: Semuenzaniso, zvinhu zvakaita seruzha rwataurwa pamusoro apa rwekuti 'Bruit' rwaunonzwa ne stethoscope padumbu rako.
• Nekuongorora nhoroondo yako yezvekurapa: ruzivo rwakadai sezvirwere zvekare, zvirwere zvemhuri, uye mishonga yaunotora.
• Nekuita bvunzo dzakakosha.

Heano mamwe marudzi emiedzo yaunogona kuita:

• Kuongororwa kweRopa: Tarisa zvinhu zvakaita sekushanda kweitsvo uye huwandu hwecholesterol mumuviri.
• Kuongororwa kweweti: Tarisa kana zvinhu zvakaita seprotein zviri kuburitswa muitsvo.
• Kuongororwa kweitsvo neultrasound nedzimwe bvunzo dzeX-ray dzinoratidza kuyerera kweropa mutsinga dzeitsvo: Izvi zvinogona kuratidza saizi nechimiro cheitsvo uye kana tsinga dzeropa dzakavharika. Kuongororwa kwakakosha kunonzi Doppler ultrasound kunogona kuyera zvinhu zvakaita sekumhanya kwekuyerera kweropa. Ungangodawo kuita bvunzo dzakadai seCT Angiogram kana MR Angiogram.
• Kuongororwa kweX-ray kunoratidza kuyerera kweropa mune dzimwe nhengo dzemuviri, semuenzaniso, tsinga dzeropa dziri mumutsipa: Izvi zvinoongorora matambudziko ari mutsinga dzeropa dziri kune dzimwe nzvimbo mumuviri.

Kurapa KweBP Yekudzokera Muropa Kunorapwa Sei?

Chinangwa chikuru chekurapa ndechekuderedza BP yako uye kuvandudza kuyerera kweropa muitsvo dzako. Kazhinji , izvi zvinogona kudzorwa nemishonga. Zvisinei, mune dzimwe nguva, nzira yakakosha kana kuvhiyiwa kunogona kukurudzirwa kuti ropa rifambe zvakanaka muitsvo dzako.

Mishonga

Chinhu chikuru ndechekuderedza pressure. Kana uine `(Renal Hypertension)`, mhando mbiri idzi dzemishonga dzinogona kushanda zvakanyanya:

• MaInhibitors eAngiotensin-Converting Enzyme (ACE)
• MaAngiotensin Receptor Blockers (ARBs)

Mishonga iyi yese inoshanda pane yambotaurwa kare inonzi ``(RAAS)`` system. Kureva kuti, inodzora BP nekuderedza mashandiro ehormone system inowedzera BP.

Pamwe chete nemushonga weACE inhibitor kana ARB, ungangoda mimwe mishonga. Semuenzaniso:

• Kuderedza Cholesterol ``(Statins)``
• ` (Vadzivisi veCalcium Channel)`
• Mishonga inobvisa mvura mumuviri (inonziwo "mapiritsi emvura")

Chiremba achakutsanangurirai chaizvo kuti mushonga upi waunoda, muhuwandu hupi, uye nei. Musamborega kutora mushonga wenyu kana kuchinja mwero wemushonga musina kurayirwa nachiremba.

Maitiro

Dzimwe nguva, vanachiremba vanokurudzira nzira inonzi Renal Artery Angioplasty (dzimwe nguva ine stenting) kurapa Renal Hypertension. Izvi zvinoitwa muzviitiko zvinotevera:

• Kana uine `(BP yeitsvo)` nekuda kwe`(Fibromuscular Dysplasia - FMD)`.
• Kana usingakwanise kudzora BP yako nemishonga chete.
• Kana ukatanga kukundikana kwemoyo kana kuzvimba kwemapapu pasina chikonzero chakajeka.

Angioplasty inosanganisira kuputira bharumu diki mutsinga yeropa yakavharika, zvichiita kuti tsinga yeropa iwedzere kukura. Dzimwe nguva, stent, chubhu diki yemesh, inoiswa kudzivirira nzvimbo yakafara kuti isavharika zvakare.

Kurapa kutsva kwakagamuchirwa munguva pfupi yapfuura ndekwekubvisa nhengo dzetsinga mutsinga dzeitsvo . Maitiro aya anoshandisa simba rekupisa kana re ultrasound kuderedza mashandiro etsinga mutsinga dzeitsvo. Izvi zvinogonawo kubatsira kuderedza BP.

Chiremba asati aita chero kuvhiyiwa, achakutsanangurira zvese, kusanganisira zvakanakira nezvakaipira, nguva yekupora, nezvimwewo. Kuti unzwisise zvese zvakanaka uye uite sarudzo.

Kuvhiya

Kuvhiyiwa hakuwanzokurudzirwa kune vane chirwere cheBP yeitsvo. Izvi zvinonzi Surgical Renal Revascularization kana Renal Bypass Surgery .

Mukuita uku, chiremba anotora chikamu cheimwe tsinga yeropa mumuviri wako, kana kuti chubhu yekugadzira, ochibatanidza neaorta yako neitsvo yako. Izvi zvinogadzira nzira itsva yekuti ropa riyerere kuenda kuitsvo yako, richipfuura tsinga yeitsvo yakavharika. Zvakafanana nekutora imwe nzira kana mugwagwa wakavharwa.

Kuvhiyiwa kune njodzi shoma pane angioplasty, saka vanachiremba vanongoishandisa chete muzviitiko zvakakosha. Semuenzaniso:

• Kana uine tsinga dzeitsvo dzakaoma, zvinoreva kuti tsinga dzako dzakavharika nenzira inoita kuti zviome kuisa stent.
• Kana nzira dzataurwa kare dze "Minimally Invasive" (senge angioplasty) dzisiri kubudirira.
• Kana uchida kuvhiyiwa paaorta yako pedyo netsinga yeitsvo.

Ndinofanira Kuona Mupi Wehutano Wangu Rini?

Kana wangoonekwa uine chirwere ichi, chiremba wako achakuudza kuti unofanira kudzoka kangani kuzomuona. Kusangana kwekutevera uku kwakakosha zvikuru nekuti ndiyo nguva iyo chiremba wako anogona:

• Tarisa BP yako kuti uone kuti kurapwa kwacho kwabudirira sei.
• Tarisa mashandiro eitsvo dzako.
• Chinja hurongwa hwako hwekurapa kana zvichidikanwa.

Uyewo, misangano iyi mukana wakanaka wekubvunza chiremba mibvunzo uye kuudzawo zvinokunetsa.

Kukwira Kweropa muItsvo Kunogona Kurapwa Here?

Kuwedzerwa kweropa muropa (renovascular hypertension) chirwere cheBP chinorapika. Izvi zvinoreva kuti BP yako inogona kudzikiswa kusvika padanho rakanaka nekushandisa mishonga nemimwe mishonga. Chiremba wako achakuudza zvakawanda nezvezvaungatarisira zvichienderana nemamiriro ako ezvinhu.

Chinhu chinonyanya kukosha kutora mushonga wacho sezvataurwa nachiremba, uye kutevedzera mirairo yakapihwa.

Kazhinji, zvakakosha zvikuru kutarisira zvinhu izvi:

• Inwa mishonga yese yakanyorerwa nachiremba panguva chaiyo uye nemazvo.
• Tevedzera zano rachiremba wako nezvekudya uye kurovedza muviri. (Vanogona kukurudzira chirongwa chekudya chakadai seDASH Diet. Izvi zvinoreva kudya chikafu chine munyu mushoma uye chine michero nemiriwo yakawanda.)
• Taura nachiremba wako nezvehuwandu hwemaekisesaizi emuviri akakunakira.

Kana wangoonekwa uine Renovascular Hypertension, unogona kutsanangura zvimwe zve "zviratidzo" zvawave uchiona munguva pfupi yapfuura. Pamwe BP yako yakawedzera kamwe kamwe mushure mekunge yagara kwenguva refu. Kana kuti pamwe mishonga yako yeBP haisi kushanda.

Chero mamiriro ako ezvinhu, kuziva kuti itsvo dzako dzinokanganisa sei BP yako kunogona kubatsira chiremba wako kuronga kurapwa kwakakodzera kwauri. Kana uine mibvunzo nezvemishonga yako kana kuti ungagadzirisa sei dambudziko rako, iva nechokwadi chekubvunza chiremba wako.

Mharidzo Yekuenda Nayo Kumba (Zvinhu Zvakakosha Kuyeuka)

Zvakanaka, ngatipfupisei zvimwe zvezvinhu zvaunofanira kurangarira kubva pane zvatataura nezvazvo:

• Kukwira kweropa mutsinga dzeropa (Renovascular Hypertension) chirwere cheBP chakakwira chinokonzerwa nekuvharika kwetsinga dzinotakura ropa kuenda kuitsvo.
• Izvi zvinogona kunge zvisina zviratidzo chaizvo, asi vanachiremba vanofungidzira kuti zvichibva pane zvimwe zviratidzo.
• Zvikonzero zvikuru kuunganidzwa kwemafuta mutsinga dzeropa (Atherosclerosis) uye Fibromuscular Dysplasia (FMD).
• Izvi zvinogona kudzorwa nemishonga. Dzimwe nguva, nzira dzakadai se "Angioplasty" dzinogona kudiwa.
• Zvakakosha kutevedzera mirairo yachiremba nemazvo uye kuona chiremba nenguva.
• Ichi chirwere chinogona kudzoreka. Saka, zvakakosha kuti usavhunduke wotsvaga kurapwa kwakakodzera.

Kana uchifunga kuti une dambudziko rakafanana, usazeza kuona chiremba wowana mazano. Ramba uine hutano hwakanaka!

'Kukwira Kweropa muItsvo, Kukwira Kweropa muItsvo, Kukwira Kweropa muItsvo, Kukwira Kweropa muItsvo, Kurwara neItsvo