Renovascular hypertension chirwere chechipiri chekuwedzera kwehutano chinokonzerwa nekuchinja kusina kuitika mukugara kweropa nguva dzose kusvika kuitsvo. Kunyange zvazvo renovascular hypertension dzimwe nguva inowanikwa pakarepo kune varwere vanozivikanwa kuti vane zvinetso zvepvo, zvinonyanya kuongororwa pashure penguva yekucherechedza nekuedzwa. Nemhaka yekuti itsvo dzinoshanda sei, renovascular hypertension inowedzera kuipa kana isingatariswi.
Zvinokonzera
Mishonga yakakura- miviri inonzi "renal arteries" inopa mafyvo nehupenyu hunogara huripo hunofanira kushandiswa uye hunodzokera kumuviri wakakwana. Nemhaka yokuti basa rekutsvaira reinso rinonyanya kushandiswa nesimba reropa, itsvo dzakanaka chaizvo pakuona kuchinja kwehutano hweropa. Kana itsvo dzichitaura kuti ropa rinodonha kuderera zvakanyanya kuti rigone kushandiswa kwemazuva ose, rinopindura nekusunungura mahomoni anokonzera kukanda ropa.
Kana kuyerera kweropa kuburikidza nemaroto emvura kunoderedza chero chikonzero chero chipi zvacho, itsvo dzinogona kunyengerwa kuti dzifunge kuti ropa rinoderera zvikuru. Semuenzaniso, chirwere chinonzi renal artery stenosis chinogona kukonzera mishonga yemajoka kuderedza, iyo inoderedza kuwanda kweropa rinopinda muitsvo. Itsvo dzinoona izvi zvichiderera uye kusunungura hormone renin mukuedza kukonzera kusimba kweropa nekudzorera kukwaniswa kweropa.
Zvinetso zvinomuka apo, sezvinoreva renal arteri stenosis, kuderera kwekuyerera kweropa hakubvi kunokonzerwa nekuderera kweropa. Mune zviitiko izvi, itsvo dzinopedzisa kukwira kweropa kune yakakwirira kwazvo kuitira kuti iswedze ropa rakawanda kuburikidza nemakete emadhora echechi.
Kuziva
Mune varwere vanozivikanwa kuva neropa regivha kana zvinetso zvepvo, kamwe kamwe kukudziridza kuwedzera kweropa reropa chiratidzo chesimba chekuti renovascular hypertension inogona kunge ichipa mhosva.
Kazhinji, kazhinji, kuongororwa kunoda kunyatsoongorora uye kuongororwa kwakawanda. Zvimwe zviratidzo zvinoratidza renovascular hypertension ndezvi:
- Kunyanya kukanda ropa mukati mevanhu vaduku vanopfuura 30
- Kamwe kamwe-kamwe kunotanga kuwedzera kwekuwedzera kweropa kune vanhu vanopfuura 55
- Dambudziko reRopa risingabvumiri kurapwa kwemishonga
- Ropa rega rinorega kupindura mishonga inobatsira kare
Kuyera ropa kunowanzoitwa mukunetseka kwezvirwere zvekushandiswa kwehuwandu hwehuwandu hwehutachiona, asi nzira chete yechokwadi yekuongorora chirwere ichi ndechokuona kuderedza mishonga yemajoka. Izvi zvinowanzoitwa nemutambo usingasviki wakaita seMRI kana CT scan, asi dzimwe nguva dzimwe nhanho dzinopisa dzinodiwa. Muzviitiko izvi, catheter shomanana inoshandiswa kuburikidza nekuputika mumusana wezvokudya, uye zvishoma zvidhayi zvinosunungurwa kubva kune catheter tip. Mifananidzo inotorwa inoratidza iyo iyo dye inotevera; izvi zvinoratidzira chero nzvimbo dzakaderera mumatiti.
Kurapa
Kurapa renovascular hypertension haina kufanana nekurapa tsika yepamusoro yeupempa yepamusoro. Nokuti chimwe chezviratidzo zvechirwere ndiko kukundikana kwekuita kune mishonga yemishonga yemagariro, zvinowanzoshandiswa pakurapa hazvisi kubudirira. Iyo yakanyanya kuwedzera ropa inokonzerwa nehuwandu hwehuwandu hwezvemishonga inongova chirwere chepachirwere chemuviri - chidimbu chakaita sora remhuka - icho chinofanira kugadziriswa pakupedzisira.
Zvirwere zvinoshandiswa zvinopesana zvichienderana nei zvinoita kuti ruzivo rwechirwere rudimbure, asi zvinangwa zvakafanana mune imwe neimwe - kuwedzera arteri pachayo uye kudzorera ropa rakati ruchiyerera kusvika kuneivo. Nzira chaiyo iyi inoitwa inobva pane izvo chaizvo zvinoita kuti arteri inopedze munzvimbo yekutanga. Muvanhu vakwegura, kuderedza kunowanzova mugumisiro wemafuta anoisa zvakafanana kune izvo zvinogona kukonzera kushaya mwoyo. Nhanho yekutanga mukurapa kazhinji kuedza mishonga inoparadza idzi mari. Kana izvi zvisingagoneki, dzimwe nzira dzisingasviki dzinogona kudiwa, kusanganisira mumuviri kuwedzerwa mudziyo kudzokera kuhukuru hwahwo hunoshandiswa nemhando yekuita chirongwa chinonzi stenting.
Mune zvimwe zviitiko, kuderedza kunokonzerwa nemamiriro ezvinhu akaoma kutarisira. Zvimwe zvirwere zvinogona kuita masvingo emidziyo yeropa thicken, iyo inogona kuita kuti mudziyo uwedzere. Izvi hazvikwanisi kurapwa nemishonga, saka kunhuwa-kana zvimwe zvinowanzovhiringidza marudzi ekuvhiya - inowanzodiwa. Izvozvo zvinoshandiswa pakushandisa mamiriro ezvinhu izvi zvinoenderana nezvimwe zvinhu zvinogona kusiyana kubva kune varwere kusvika kune murwere, saka zvirongwa zvakananga zvekurapa zvinowanzova zvakanaka kurwara zvakananga.
Kurapa renovascular hypertension kwakaoma kupfuura kuporesa mamwe, mamwe "maitiro" akawanda ekudzvinyirira kweropa, uye kunyange kubudirira kwepamusoro kwakakwirira, zvinotakura ngozi dzakawanda uye zvinogona kuoma. Kushanda nachiremba kuti uwedzere chirongwa chakakodzera chekurapa chiito chinokosha mukurwisa chirwere ichi chakakomba.
> Sources:
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