Renovascular hauhawar jini: abin da yake da shi? Jiyya, haddasawa, cututtuka, yin rigakafi

Lokacin da diamita na takaita na koda jijiya ne da yawa kaskanta koda jini ya kwarara. Pathological sabon abu halayyar wannan cuta a matsayin renovascular hauhawar jini. Wannan shi ne daya daga cikin iri na hauhawar jini, wanda ya auku ne kawai a 3-5% na marasa lafiya fama da cutar hawan jini. Alamun dogara ne a kan dalilai da ya kai ga ta ci gaba. Bari mu bincika pathogenesis, asibiti gabatar, bincike da hanyoyin da magani daga wannan cuta.

Renovascular hauhawar jini - abin da yake da shi?

A halin yanzu, da Pathology na zuciya da jijiyoyin jini tsarin suna ƙara kamu, ba kawai da tsofaffi, amma kuma ƙaramin tsara. Wannan shi ne saboda da korau tasiri daban-daban dalilai: kayyade predisposition, addictions, gaban kullum cututtuka. The rashin lafiya zai iya sa ci gaban sauran irin wannan pathologies. Wata irin wannan cuta ne renovascular hauhawar jini.

Syndrome faruwa da wani bango na takaita na jini a kodan da Sistem deterioration. Idan bar untreated da cutar zai iya kai wa ga nama ischemia, koda gazawar. Take hakkin kamu a kawai karamin adadin marasa lafiya da suke da matsaloli tare da jini. Renovascular hauhawar jini zai iya shafar daya ko biyu kodan a lokaci daya.

pathogenesis

Kamar yadda nazari da kwararru, constriction na koda jijiya sa karin kira na renin - bangaren gudãnar jini da kuma alhakin da rage a cikin juz'i na gefe jini. Wajibi ne ga daidaita jinin samar da kodan. Duk da haka, da rata mai ƙunci arteries ba da damar kafa da jini ya kwarara.

Lokaci guda tare da wannan tsari, akwai karin aiki na aldosterone da angiotensin a cikin jini. A farko sashi ne a hormone secreted da adrenal gland. An saki saboda angiotensin (olegopeptidny hormone) da kuma kawai rinjayar da lafiya koda, da ragewa da fitsari fitarwa saboda sodium riƙewa. Wannan ya hana kodan zuwa cikakken yi ta aiki na tsaftacewa da jini, kuma Yanã da ci gaban da cuta kamar yadda renovascular hauhawar jini.

A pathogenesis da cutar samar da haske game da yadda kunno kai ciwo, da kuma abin da ya kamata a yi don mayar da kodan aiki yadda ya kamata. Lokacin da cikakken daidaita jini ya kwarara a cikin shafa tasoshin da kuma haƙuri da yanayin inganta cuta wuraren.

A Sanadin cutar

A halin yanzu, wasu likitoci kiran cikin manyan dalilan da za su iya zama a matsayin wani impetus ga ci gaban da pathological yanayin. Renovascular (renovascular) hauhawar jini sau da yawa yakan faru a kan bango na da wadannan cututtuka:

• Atherosclerosis - babban dalilin koda jijiya hauhawar jini. Cholesterol plaques kunkuntar da jirgin ruwa lumen ta game da rabin a wuri na shigarwa a cikin koda. The rashin lafiya mafi sau da yawa rinjayar maza masu shekaru 40-55 shekaru. Mata Pathology yakan auku bayan shekaru 60.
• Fibromuscular dysplasia na koda arteries - da kumburi tsari da wanda tsarin dabam jijiyoyin bugun gini tsoka nama. Hyperplasia sau da yawa yakan faru a cikin matasa, kazalika da yara. Bugu da kari ga hyperplasia tsoka Kwayoyin, akwai samuwar microaneurysms. Etiology fibromuscular dysplasia ne ba a sani ba.
• Takayasu ta cuta - wani ciwo hade tare da kumburi a lakã da kuma samuwar wani jini gudan jini. Cutar da ake kuma kira pulseless cuta. By da takaita da jini sakamakon a wani thickening na jijiyoyin bugun gini membranes a bango na halaka da kuma kumburi daga cikin jijiyoyin bugun gini tsoka. The rashin lafiya ne autoimmune etiology.
• Inji matsawa na jini - ya auku a kan wani bango na marurai, cysts da jijiyoyin bugun gini aneurysms. A hali na take hakkin jini ya kwarara tasowa renovascular hauhawar jini. Mẽne ne da kuma yadda za a magance wannan cuta, shi za a tattauna a kasa.

asibiti hoto

Symptomatology da cutar yana da bayyanar cututtuka na hauhawar jini da kuma na koda cuta. Tsanani daga asibiti cuta dogara a kan siffar da ya kwarara daga renovascular hauhawar jini da kuma abubuwan da ya kai ga ta ci gaba. Tare da m ci gaba da halayyar bayyanar cututtuka bayar da shawarar a m irin. Idan Pathology tasowa sannu a hankali - da cutar ne benign.

A mafi yawan lokuta kamu mai tsanani renovascular hauhawar jini. Alamun cutar sun hada da:

• consistently hawan jini ba rage ko da tare da aikace-aikace na kwayoyi.
• kara a diastolic jini da al'ada systolic.
• tsokar hypertrophy.
• kara matsa lamba a kan bango na kaifi zafi a cikin lumbar yankin.
• amo lokacin da sauraron koda jijiyoyi.

A matasa shekaru kaifi tsalle a jini ya kamata a sa damuwa. Wannan Gaskiya ne, a lokuta inda nan da nan iyali bai sha hauhawar jini da kuma cutar ba za a iya daukar kwayar cutar ta hanyar gado.

Ãyõyin benign kuma m renovascular hauhawar jini

Tare da jinkirin a lokacin da ci gaban da pathological tsari ya kasance wani kadan karuwa a cikin "babba" matsa lamba da gagarumin karuwa a "m" matsa lamba. Alal misali, 130/110 ko 140/110 mmHg. Art. A wannan yanayin, da mãsu haƙuri tanã kai ƙãra wani janar tabarbarewar, bayyanar shortness na numfashi, wani rauni.

A bayyanar cututtuka kamar Heart hangen nesa, ciwo mai tsanani a cikin wuyansa, tashin zuciya da kuma amai da kara "m" matsin 120 mm Hg. Art. Ya ce cewa tasowa m renovascular hauhawar jini. Menene hangen nesa a cikin wannan hali ba wani gwani? Musamman talakawa, saboda marasa lafiya da wuya dace neman sana'a taimakon likita.

Domin dace ganewar asali da kuma hana ci gaban tsanani cuta ya kamata a yi kariya a farkon bayyanar cututtuka na hauhawar jini.

hanyoyin da ganewar asali

A farko magani gwani zai aika da mãsu haƙuri a dakin gwaje-gwaje da binciken. M ganewar asali ne kawai daya daga cikin cututtuka da kuma gunaguni na haƙuri a cikin wannan yanayin ne kusan ba zai yiwu. Dole ne ka wuce da gwaje-gwaje domin sanin matakan cholesterol, creatinine, renin, aldosterone, kuma potassium a cikin jini. Analysis na jini magani ACE domin sanin jijiya stenosis. Laboratory nazarin taimakawa bambance da cutar daga kumburi da kodan.

Instrumental hanyoyin da dubawa ake bukata domin da ake zargi da cin gaban tsanani cuta kamar renovascular hauhawar jini. Ganewar asali yawanci fara da duban dan tayi, a cikin abin da zai yiwu a ƙayyade girman da kodan, gaban marurai cysts, mahaukaci Gabar ci gaba.

Don gudanar da bincike da na koda tasoshin amfani angiography. A Hanyar damar kafa mataki na su hani da gabatarwar da wani bambanci wakili. The bincike hanya yana da wasu contraindications abin da ya kamata na farko karanta.

Don tantance Jihar jini a koda sa Doppler. Wannan shi ne daya Hanyar duban dan tayi jarrabawa. Duk da haka, sabanin al'ada da duban dan tayi, Doppler taimaka don samun karin bayani mai muhimmanci. Kuma an wajabta, a unknown etiology na hauhawar jini ga kimantawa na jini da kuma marurai na masu girma dabam cikinta, da ake zargi na koda gazawar.

radionuclide urography

Renovascular hauhawar jini ne sau da yawa kamu da radionuclide urography. A Hanyar shafi gudanarwa ta a kananan adadin rediyoaktif miyagun ƙwayoyi. The aiki na da miyagun ƙwayoyi kama gamma kamara, a gaban wanda da haƙuri da aka located.

A tsawon lokaci da binciken ya dogara da tsanani daga haƙuri da yanayin. hanya mafi yawa ana da za'ayi domin 1 hour. A sakamakon binciken da images samar da wani hango na aikin na biyu kodan da kuma jini ya kwarara a cikin su.

Rediyoaktif kwayoyi, sabanin da bambanci jamiái suna da yawa m iya haifar da ci gaban da wani illa.

Renovascular hauhawar jini: magani

Jiyya wannan irin hauhawar jini buga babba matsaloli. The rashin lafiya sau da yawa bayyana kanta a cikin m tsari da kuma suna resistant zuwa kwayoyi. Tare da m ci gaba da bayyanar cututtuka na iya faruwa tafka magudi a cikin hanta, kwakwalwa da kuma huhu. Yawancin lokaci a cikin wadannan lokuta da wani m baki.

M hanyoyin da magani ba da damar (a mafi yawan lokuta) su hana mai tsanani sakamakon. M baki ne kawai za'ayi yayin da rike kodan na ayyuka. Hanyar yin balan-balan angioplasty. A lokacin aiki a cikin lumen na stenosed jijiya catheter tare da silicone balan-balan a ta tip. Lokacin da kai makogwaro sashe balan-balan ne inflated, da kuma cewa, bi da bi, bayyanar da mikroprotez zubar a karshen da catheter. A m yana da abũbuwan amfãni - low invasiveness kuma babu maganin sa barci for tiyata.

Za a yaba cewa Hanyar aka bayyana a sama ba dace da diagnosing jijiyoyin bugun gini stenosis, located a bakin koda jijiya ko ta da cikakken ƙanƙancewa. A wannan yanayin, shi ne nuna bude tiyata.

Idan cutar ta ~ ullo da kan bango na ƙari, mafitsara ko hematoma, shi wajibi ne su gudanar da aikin tiyata da cire ƙari. Wannan zai maido da jini ya kwarara da kuma sashin jiki aiki.

A benign Pathology kulawa quite nasarar ƙananan jini, don kawar da zafi a cikin kodan ta hanyar ra'ayin mazan jiya far. Hauhawar jini, a Vol. H. Renovascular, bi karkashin tsauraran dubawa na wani gwani. Kawai wani likita a iya zabar hada far da nufin kyautata yanayin haƙuri.

A wani wuri mataki na ci gaba da Pathology nuna wani aikace-aikace na da wadannan kungiyoyin na medicaments:

1. Angiotensin tsoka mai amsa sigina blockers (rage hadarin ciwon zuciya da kuma bugun jini).
2. ACE hanawa da (cytoprotective da vasodilator sakamako).
3. Alli tashar blockers (alli matakan da ake stabilized).

Renovascular hauhawar jini kuma bi da tare da diuretics da kwayoyi da rage hawan jini. Drug Sashi dogara da tsanani daga haƙuri da yanayin. Tare da shafe tsawon amfani da medicaments bukatar duba kowane watanni shida potassium matakin a cikin jini. A mafi furta warkewa sakamako fassara kawai hadaddun far wa matsakaicin sashi regimen.

Traditional hanyoyin

Jiyya renovascular hauhawar jini, da kuma iya za'ayi amfani da m dabaru. Duk da haka, shi ne mafi alhẽri amfani a tare da maganin gargajiya. Traditional girke-girke na taimaka wa normalize jini, tsabta tasoshin daga cholesterol plaques da kuma inganta jini ya kwarara. Good sakamakon da aka samu ta hanyar yin amfani da kwatangwalo. A shuka yana da iko diuretic. Lokacin da zama dole zamanin] aular matsa lamba koda 1 tbsp. l. 'ya'yan kofin, daga ruwan zãfi, to nace a kan ruwa wanka na mintina 15 da kuma dauka a matsayin shayi sau biyu a rana.

Lower hawan jini zai taimaka jiko na ganyen bilberry. Pre ganye (2 tbsp. L.) An murƙushe da kuma kara da 250 ml, daga ruwan zãfi. A sakamakon cakuda da aka nace a kan wani ruwa wanka don a kalla rabin awa, tace, sanyaya da kuma dauka da uku na bututun ƙarfe 3 a rana sau.

Idan renovascular hauhawar jini da aka yi fama da wuri, tun mataki na ci gaba, za ka iya shirya jiko na da wadannan aka gyara:

• ruhun nana - 2 tbsp. l.;
• Inflorescence hawthorn - 3 tbsp. l.;
• Birch bar - 3 tbsp. l.;
• koda shayi ganye - 4 tablespoons. l.;
• Motherwort - 4 tbsp. l.

tarin magani aka gyara dole ne sosai gauraye a raba ganga. Kowace rana ya kamata a shirya sabo broth 3 g na tattara da kuma 300 ml, daga ruwan zãfi. Decoction kamata nace da sa'a guda. Bayan ƙagauta Take sha 100 ml sau uku a kowace rana.

Babban amfani ga tasoshin kawo gwoza ruwan 'ya'yan itace. An shawarar yin amfani da kullum 100-120 ml, baya ƙara zuma ko ruwan diluted da ruwa mai tsabta. The aka gyara dauke a cikin ruwan 'ya'yan itace, da inganta harkokin rugujewar cholesterol plaques da kananan jini clots.

abinci

Mutanen da suka kamu da renovascular hauhawar jini, da rage cin abinci nuna a kan wani akai-akai. Wajibi ne a rage amfani da soya, gishiri, m kuma kyafaffen abinci. Amfana da jiki don kawo tsiren ruwan teku, da kayan lambu, 'ya'yan itatuwa, dabba sunadaran (qwai, madara). Nagari kullum ci daga m kifi.

Carbohydrates - tushen rage cin abinci a koda cuta. Akwai dole ne a kirgawa da adadin furotin cinye a kowace rana. A tsit yanayi lura da marasa lafiya wajabta wani abin da ake ci tebur № 7. Lokacin da alerji zuwa qwai iya maye gurbin su da kiwo kayayyakin.