Ingabe nawe uthatha imithi yokwelapha umfutho wegazi lakho , kodwa awunciphi? Mhlawumbe udokotela wakho uthi, "Ngisho nangemva kokukunikeza izinhlobo eziningana zemithi , umfutho wegazi lakho ngeke wehle." Ngezinye izikhathi, kungakhathaliseki ukuthi ushintsha kangakanani indlela yakho yokuphila, ulawula ukudla kwakho , futhi uvivinya umzimba, umfutho wegazi lakho ungaba phezulu. Ngezikhathi ezinjengalezi, kufanele sicabange ukuthi imbangela ingaba yinkinga ngezinso. Namuhla sizokhuluma ngesimo esinjalo.
Kalula nje, kuyini umfutho wegazi ophakeme we-renovascular?
Nakuba igama lizwakala liyinkimbinkimbi kancane, indaba ilula kakhulu. I-Renovascular Hypertension umfutho wegazi ophezulu obangelwa inkinga ngezinso zakho.
Cabanga ngalokhu. Izinso zingenye yezitho ezibaluleke kakhulu emzimbeni wethu. Umsebenzi wazo oyinhloko ukuhlunga igazi nokukhipha ukungcola njengomchamo . Ukuze zenze lo msebenzi kahle, izinso zidinga ukutholakala kwegazi okuhle. Imithambo yegazi eyinhloko ( imithambo yegazi ) ethwala igazi ezinso ibizwa ngokuthi 'imithambo yezinso'.
Manje cabanga ukuthi ngesizathu esithile le mithambo yegazi iyancipha kancane kancane noma iqala ukuba ncane. Njengombhobho wamanzi ocindezelwa phakathi. Kwenzekani-ke? Inani legazi elifinyelela ezinso liyancipha.
Uma ukugeleza kwegazi kwehla kanje, izinso zethu ezihlakaniphile zicabanga ukuthi, “O, umfutho wegazi wami uphansi kuwo wonke umzimba, yingakho ngithola igazi elincane.” Ngakho-ke, ngoba zifuna ukwenza umsebenzi wazo kahle, zithatha izinyathelo zokwandisa umfutho wegazi emzimbeni. Ukuze zenze lokho, zivuselela uhlelo lwama-hormone emzimbeni. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-RAAS (Renin-Angiotensin-Aldosterone System) . Uma lolu hlelo lwama-hormone lusebenza, imithambo yegazi kuwo wonke umzimba iyancipha, futhi umfutho wegazi uyakhuphuka.
Kalula nje, ngenxa yokuthi igazi alikho elanele eliya ezinso, izinso ngokwazo ziphakamisa ingcindezi emzimbeni wonke. Lokhu kubizwa ngokuthi i-renovascular hypertension.
Lokhu akufani nomfutho wegazi ojwayelekile. Lokhu kuwela esigabeni esibizwa ngokuthi umfutho wegazi ophakeme wesibili. Okusho ukuthi, umfutho wegazi ophakeme obangelwa esinye isimo sezokwelapha.
Ziyini izimpawu zalesi simo? Sisola kanjani?
Inkinga enkulu lapha ukuthi ngokuvamile azikho izimpawu ezithile zalesi simo. Lokho kusho ukuthi ungase ungaboni lutho oluhlukile. Kodwa-ke, uma udokotela ebheka umlando wakho wezokwelapha kanye nemithi oyiphuzayo, angase athole izinkomba ezithile. Lezi yizinto ezenza udokotela asole lokhu.
Ake sibone ukuthi yiziphi lezo zinkomba.
| Uphawu olusolisayo | Incazelo elula |
|---|---|
| Ukuqala kwengcindezi eminyakeni engavamile | Umfutho wegazi ophakeme uvame ukwenzeka ngokuzumayo ngaphambi kokuba uneminyaka engu-30 noma ngemva kweminyaka engu-50. |
| Ukwanda okungazelelwe kwengcindezi okwakulawulwa kahle | Ingcindezi, eyayilawulwa kahle ngemithi isikhathi eside, yakhuphuka ngokuzumayo yafinyelela ezingeni elingalawuleki. |
| Ukwehluleka ukuphendula emithini | Udokotela unikeze izinhlobo eziningana zemithi yomfutho wegazi (emithathu noma ngaphezulu), kodwa umfutho wegazi awukanciphi. Lokhu sikubiza ngokuthi 'umfutho wegazi ophakeme omelana nokumelana'. |
| Inkinga Yomfutho Wegazi Ophakeme | Ukwandisa umfutho wegazi ngokuphindaphindiwe kuze kube amazinga ayingozi (isb., ngaphezu kuka-180/120 mmHg). |
| I-Flash Pulmonary Edema | Izimo eziningana zoketshezi oluzumayo nolungachazeki olugcwalisa amaphaphu. |
| Ukufakwa kwamafutha kweminye imithambo yegazi | Ukuba nomlando wokugcwala kwamafutha (i-plaque) emithanjeni yegazi yenhliziyo, intamo, noma imilenze. |
| Ukwehluleka kwezinso | Ukwehla kancane kancane kokusebenza kwezinso ngaphandle kwanoma yisiphi esinye isizathu esibonakalayo. |
| Umsindo okhethekile ozwiwe udokotela (uBruit) | Uma udokotela efaka i-stethoscope esiswini sakho, uzwa umsindo othi "swooshing" njengoba igazi lihamba ngemithambo yegazi evalekile. |
Kungani lokhu kwenzeka? Yiziphi izizathu eziyinhloko?
Imbangela eyinhloko yokuvaleka kwemithambo yegazi eholela ezinso yisimo esibizwa ngokuthi i-renal artery stenosis . Lokhu kusho ukuthi imithambo yegazi ezinso iyancipha. Kunezizathu ezimbili eziyinhloko zalokhu.
1. I-Atherosclerosis: Lena yimbangela evame kakhulu. Kalula nje, ukuncipha kancane kancane kwemithambo yegazi ngenxa yokuqongelela kwamafutha ne-cholesterol (okubizwa ngokuthi 'i-plaque') ngaphakathi kwezindonga zemithambo yegazi. Lokhu kuvame kakhulu ngokweminyaka, isifo sikashukela, i-cholesterol ephezulu, kanye nokubhema.
2. I-Fibromuscular Dysplasia (FMD): Lesi yisimo esingavamile. Senzeka lapho amangqamuzana (imisipha namangqamuzana ane-fibrous) ezindongeni zemithambo yegazi ekhula ngendlela engajwayelekile, okubangela ukuba imithambo yegazi inciphe ezindaweni ezithile. Lesi simo sivame kakhulu kwabesifazane abasebasha.
Ngaphezu kwalezi zizathu ezimbili eziyinhloko, kungase kube nezinye izizathu eziningana ezingavamile.
| Izimbangela ezingavamile | Incazelo elula |
|---|---|
| I-Vasculitis | Imithambo yegazi iba mincane ngenxa yokuvuvukala. |
| I-Aneurysm ye-Renal Artery | Ubuthakathaka bodonga lomthambo wezinso, okubangela ukuba luvuvuke njengebhaluni. |
| Ingcindezi evela esimila | Isimila esakheka eduze kwezinso noma umthambo wegazi, okubangela ingcindezi ngaphandle komthambo wegazi. |
| Izibazi (i-Fibrosis) ezibangelwa ukwelashwa ngemisebe | Ngemva kokuthola ukwelashwa ngemisebe yesimo esifana nomdlavuza, imithambo yegazi kuleyo ndawo iyaqina, ibe nezibazi, futhi ivaleke. |
Yiziphi izinkinga ezingaba khona uma lokhu kunganakwa?
Njenganoma yiluphi uhlobo lomfutho wegazi ophakeme, lesi simo singaholela ezinkingeni ezinkulu uma singalawulwa isikhathi eside.
- Ukulimala kwenhliziyo: Umfutho wegazi ophakeme isikhathi eside ungabangela inhliziyo ukuthi isebenze kanzima, okuholela ezimweni ezinjengokuqina kwemisipha yenhliziyo, ukuhlaselwa yinhliziyo, kanye nokwehluleka kwenhliziyo.
- Ukulimala okwengeziwe kwezinso: Izinso, esezivele zinokwehla kokugeleza kwegazi, zingalimala kakhulu ngenxa yokucindezeleka okuphezulu, okuholela ekuhlulekeni kwezinso.
- Ukulimala kwamehlo: Ukulimala kwemithambo yegazi ebucayi esweni kungaholela ekulahlekelweni kokubona (isifo se-retinal).
- Isifo sohlangothi: Ukulimala kwemithambo yegazi eholela ebuchosheni kwandisa ingozi yesifo sohlangothi.
Udokotela ukuthole kanjani lokhu ngempela?
Uma udokotela wakho esola lesi simo, uzosebenza njengomseshi, ehlanganisa izinkomba ukuze afinyelele esiphethweni. Le nqubo ihilela izinyathelo eziningana ezibalulekile.
1. Ukuhlolwa komzimba: Udokotela uzokuxilonga, ikakhulukazi ukubeka i-stethoscope esiswini sakho ukuze ahlole umsindo we-'bruit' esikhulume ngawo ekuqaleni.
2. Ukubuza ngomlando wakho wezokwelapha: Uzobuzwa imibuzo eminingi, njengokuthi uneminyaka emingaki lapho waba nomfutho wegazi ophakeme, ukuthi ukhona yini emndenini wakho onawo, ukuthi uthatha yiphi imithi, nokuthi unazo yini ezinye izifo.
3. Ukuhlolwa okukhethekile: Kuzodingeka kwenziwe ukuhlolwa okuningana ukuqinisekisa ukusola.
- Ukuhlolwa kwegazi: Hlola ukusebenza kwezinso (i-creatinine, i-eGFR) kanye namazinga ama-hormone ohlelweni lwe-RAAS.
- Ukuhlolwa komchamo: Hlola izinto ezifana namaprotheni emchameni.
- I-Kidney Ultrasound Doppler: Lesi isivivinyo esibaluleke kakhulu. Silinganisa ijubane lokugeleza kwegazi emithanjeni ethwala igazi liye ezinso futhi singabona ngokunembile noma yikuphi ukuvinjelwa.
- Ezinye izikena: Kwezinye izimo, kunganconywa izikena eziyinkimbinkimbi kakhulu njenge-CT angiogram noma i-MR angiogram.
Kulungile, manje ake sixoxe ngokwelashwa.
Uma lesi simo sesitholakele, akukho okufanele ukwesabe. Kunezindlela zokwelapha ezisebenzayo zalokhu. Umgomo oyinhloko wokwelapha ukulawula umfutho wegazi nokuvikela izinso nezinye izitho zomzimba.
Imithi (izidakamizwa)
Ezimweni eziningi, lesi simo singalawulwa kahle ngemithi. Ngaphezu kwemithi enikezwa umfutho wegazi ojwayelekile, udokotela uzokunikeza imithi eqondene nalesi simo.
- Ama-Angiotensin-Converting Enzyme (ACE) Inhibitors: Isibonelo, imithi efana ne-Enalapril ne-Lisinopril.
- Ama-Angiotensin Receptor Blockers (ARBs): Isibonelo, imithi efana neLosartan neTelmisartan.
Yomibili le mithi ilawula ukusebenza kohlelo lwe -RAAS hormone esikhulume ngalo ngaphambilini futhi ivimbele umfutho wegazi ukuthi ungakhuphuki.
Okubalulekile: Uma uqala le mithi, kungase kube nomthelela omncane ekusebenzeni kwezinso. Ngakho-ke, udokotela wakho uzophinde ahlole ukusebenza kwezinso zakho ngemva kwesonto noma amabili ngemuva kokuqala le mithi. Ungakhathazeki, inqubo evamile.
Ngaphezu kwalokho, eminye imithi efana nama-statin anciphisa i-cholesterol, ama-calcium channel blockers, kanye nama-diuretics inganikezwa kuye ngesimo sakho.
Izinqubo okufanele zenziwe uma kudingeka
Ngezinye izikhathi kunzima ukulawula umfutho wegazi lakho ngemithi yodwa. Noma uma umthambo wegazi uvalekile kakhulu, udokotela wakho angase asikisele inqubo ekhethekile.
- I-Renal Artery Angioplasty kanye ne-Stenting: Lokhu kufana ne-angioplasty yemithambo yegazi enhliziyweni. Ipayipi elincane lifakwa ngomthambo emlenzeni noma engalweni bese liqhubekela phambili emthanjeni wezinso ovinjiwe. Ipayipi libe selivuvulwa ngebhaluni elincane ukuze landise indawo evinjiwe. Ukuze livinjwe lingaphinde livinjwe, kufakwa ipayipi elincane elifana ne-mesh (i-stent) endaweni.
- Ukususwa Kwezinso: Lokhu kuyindlela entsha yokwelapha. Kusebenzisa amandla okushisa noma e-ultrasound ukunciphisa umsebenzi wezinzwa ezizungeze umthambo wezinso. Lezi zinzwa yizo ezithumela izimpawu ebuchosheni ukuze kwandiswe ingcindezi. Ngakho-ke ngokunciphisa umsebenzi wazo, umfutho wegazi ungancishiswa.
Ukuhlinzwa
Ukuhlinzwa akuvamile ukusetshenziswa. Ukuhlinzwa kwenziwa kuphela uma isakhiwo semithambo yegazi siyinkimbinkimbi kakhulu ukuba kwenziwe izinqubo ezifana ne-angioplasty, noma uma lezo zindlela zehluleka.
- Ukuvuselelwa Kwemithambo Yezinso Ngokuhlinzwa: Lokhu kubizwa ngokuthi ukuhlinzwa kwe-renal bypass.Lapha, udokotela ohlinzayo usebenzisa ucezu lomthambo wegazi oluthathwe kwenye ingxenye yomzimba wakho noma ipayipi lokwenziwa ukuze adale indlela entsha (yokudlula) yokuthwala igazi liye ezinso, edlula ingxenye evinjiwe.
Kwenzekani ngemva kokwelashwa?
Ungacabangi ukuthi konke sekuphelile uma usuqalile ukwelashwa. Kubalulekile ukuya emihlanganweni yokulandelela njengoba uqondiswe udokotela wakho.
Kulezi zikliniki, uDkt.
- Balinganisa umfutho wegazi lakho futhi babone ukuthi ukwelashwa kuphumelele kangakanani.
- Ukuhlolwa kwegazi kwenziwa ukuze kuqashwe ukusebenza kwezinso.
- Uma kudingeka, umthamo wemithi yakho uzoshintshwa noma kuzongezwa imithi emisha.
Lokhu kuhlangana kubaluleke kakhulu nakuwe. Leli yithuba elihle lokubuza udokotela noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Ingabe lesi simo singalapheka ngokuphelele?
Umfutho wegazi ophakeme we-renovascular uyinkinga engelapheka . Lokho kusho ukuthi ngemithi efanele, futhi uma kudingeka, ukungenelela okufanele, umfutho wegazi wakho ungancishiswa ube sezingeni elinempilo. Kodwa kunembile kakhulu ukusho ukuthi "ungalawulwa kahle" kunokuba "ulapheke ngokuphelele."
Khumbula, igalelo lakho libaluleke kakhulu kulolu hambo. Kungakhathaliseki ukuthi ukwelashwa kukadokotela kuhle kangakanani, uma ungenzi izinto ezifanele, imiphumela ngeke ibe mihle.
- Phuza imithi yakho ngesikhathi: Phuza imithi yakho njengoba nje udokotela wakho ekuyalele, ngaphandle kokweqa ngisho nosuku olulodwa.
- Nakekela ukudla kwakho: Nciphisa ukudla okunosawoti omningi, uwoyela, kanye noshukela. Uma udokotela wakho encoma ukudla okukhethekile njengokudla kwe-DASH , kulandele.
- Ukuzivocavoca: Buza udokotela wakho ukuthi yikuphi ukuzivocavoca okulungele umzimba wakho nokuthi kufanele ukwenze isikhathi esingakanani, bese wenza ngokufanele.
Uma usuyazi ukuthi lokhu kuyimbangela yomfutho wakho wegazi ophezulu ongalawuleki, uzozizwa ukhululekile kakhulu. Ngoba manje njengoba usuyazi imbangela, ungathola ukwelashwa okufanele ngayo. Ngakho-ke, uma unemibuzo ngalokhu, ungesabi ukukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Umfutho wegazi ophakeme ongenakukwazi ukulawulwa ngisho nangemithi eminingana ungase ubangelwe inkinga yezinso.
- Isizathu esiyinhloko salokhu ukuncishiswa kwemithambo yegazi ethwala igazi ezinso.
- Lesi simo sibeka engcupheni yokulimala kwenhliziyo, ubuchopho kanye nezinso.
- Lesi simo singahlolwa ngokunembile ngokuhlolwa kokuskena.
- Asikho isidingo sokwesaba njengoba kunezindlela zokwelapha ezisebenzayo njengemithi kanye ne-angioplasty.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo nokuya emitholampilo ngesikhathi.
Umfutho wegazi ophakeme, umfutho wegazi ophakeme, ingcindezi, izinso, i-renal artery stenosis, umfutho wegazi ophakeme, umfutho wegazi ophakeme IsiSinhala, isifo sezinso IsiSinhala, isifo sezinso, izimbangela zomfutho wegazi
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho