Koda matsa lamba. A bayyanar cututtuka da kuma na asibiti hanya da cuta

Koda matsa lamba, da bayyanar cututtuka na wanda an kafa wata jam'i na dalilai ne da gaske a hauhawar jini-jawo koda parenchymal cuta ko na koda tasoshin. 30-35% na mutanen da fama da hauhawar jini da concomitant koda cuta, saboda abin da akwai karfi da kuma kara matsa lamba, saboda matsin lamba da kuma kodan sukan m.

Nephrogenic hauhawar jini ne zuwa kashi biyu iri: renovascular da parenchymal kuma suka shafi da na koda matsa lamba. Alamun wannan na iya zama sosai m kuma sau da yawa kuskure ga sauran cututtuka. Renovascular hauhawar jini tasowa saboda unilateral ko dangantakar stenosis ko occlusion na koda jijiya da kuma rassanta. Renovascular hauhawar jini na iya zama duka biyu samu da kuma m hali. Parenchymal hauhawar jini, a mafi yawan lokuta, ya sa ta hanyar hadin kullum pyelonephritis ko wasu koda cututtuka, irin nephrolithiasis (koda duwatsu), da tarin fuka, ƙari matakai, cysts, hydronephrosis, polycystic kuma da dama wasu cututtuka.

A kan talakawan, renovascular hauhawar jini ya auku a 5-12% na mutanen da fama da hauhawar jini. Akwai da dama manyan nakasar Sanadin renovascular hauhawar jini, da suka hada da: aneurysm, dysplasia da sauran pathological anomalies na koda arteries, arteriovenous fitsari. Daga cikin dalilan takamaiman to samu siffofin renovascular hauhawar jini ne: koda jijiya stenosis a matsayin sakamako na atherosclerosis, ya canjãwa koda arteries saboda m Nephroptosis, embolism ko thrombosis na koda arteries ko rassan, panarteriit, matsawa daga cikin jijiya da waje koda (marurai, cysts da kuma kama. d.).

Alamun da kuma na asibiti manifestations renovascular hauhawar jini

Renovascular hauhawar jini ya auku tsakanin duk shekaru kungiyoyin amma shi ne ya fi kowa a cikin mutane a karkashin shekaru 50 na shekaru (93% na duk lokuta). Mafi na kowa raunuka na koda jijiya ne atherosclerotic sclerosis. Wannan irin cuta ne yafi samu tsakanin maza masu shekaru 35 zuwa shekaru 40 da haihuwa. A mata, babban etiological factor a ci gaba da cuta ne a fibromuscular koda jijiya stenosis da kowa daga 'yan mata matasa.

Koda matsa lamba, da bayyanar cututtuka da wanda ake da halin kwatsam farko da m (sau da yawa m, a 18-30% na lokuta) kwarara. Hauhawar jini yana tare da sosai high matakan da diastolic matsa lamba (110-125 mm Hg ko fiye). da wuya na iya haifar da wani rikicin. Renovascular hauhawar jini da aka gane mafi sau da yawa da hatsari.

bincikowa da

Don gane gaban renovascular hauhawar jini ya kamata sha uku bulan na nazari. A mataki na farko da aka ƙaddara da bukatar aortography. Don yin wannan, tattara cikakken likita tarihi, janar na asibiti amfani da wasu hanyoyin. A tarihin ne sau da yawa alama da rashi na hereditary yanayin da cuta, da ya faru na hauhawar jini bayan da zafi a cikin lumbar yankin. Koda matsa lamba, bayyanar cututtuka na wanda ake Heart, yana da wuya za a yi fama da bukatar nan da nan magani ga likita a farko ãyõyi.

A mataki na biyu ya shafi yin aortography da arteriography da kodan kuma, idan ka lura da wani canje-canje a cikin kodan, da jini da aka dauka daga cikin na koda jijiyoyinmu. Jini yayi nazari ga jini renin aiki a gaba bincike mataki.

A karshe mataki na binciken ne a yi kokarin kafa dangantakar hauhawar jini daga gano raunuka a koda jijiya. Don tabbatar da wannan ra'ayi da hanyoyin amfani isotope renografii, eksretornoy urography da bincike aiki na renin. A 8-10% da marasa lafiya samar da karfi na biyu wurare dabam dabam, wanda Rama ga aikin hanawa na shafa koda.

magani

Koda matsa lamba magani jama'a magunguna wanda zai iya kawai kai ga tsanani da rikitarwa, dole ne a yi gyara ta hanyar m baki, wanda aka yi nufi ga mayar da jini ya kwarara daga cikin manyan koda jijiyoyi.