Kugadziriswa kweBP

Renovascular hypertension yakakwira BP nekuda kwekudzikira kwetsinga dzinoendesa ropa kuitsvo. Aya mamiriro anonziwo renal artery stenosis.

Renal artery stenosis kudzikira kana kuvhara kwetsinga dzinopa ropa kuitsvo.

Chikonzero chakanyanya kukonzereswa ne renal artery stenosis kuvharika mutsinga nekuda kwecholesterol yakawanda. Dambudziko iri rinoitika kana chinhu chinonamira, chakakora chinonzi plaque inovaka pamusoro pemukati memutsinga, zvichikonzera mamiriro anozivikanwa se atherosclerosis.

Kana tsinga dzinotakura ropa kuitsvo dzako dzikadzikira, shoma ropa rinoyerera kuenda kuitsvo. Itsvo dzakanganisa kupindura sekunge yako BP yakaderera. Nekuda kweizvozvo, vanoburitsa mahormone anotaurira muviri kuti ubatisise kune yakawanda munyu nemvura. Izvi zvinoita kuti BP yako isimuke.

Njodzi zvinhu zveatherosclerosis:

• Kuwedzera kweropa
• Kusvuta
• Chirwere cheshuga
• Cholesterol yakakwira
• Kunwa doro zvakanyanya
• Kushungurudzwa kwecocaine
• Kuwedzera zera

Fibromuscular dysplasia ndechimwe chikonzero cheiyo renal artery stenosis. Inowanzoonekwa mumadzimai ari pasi pemakore makumi mashanu. Inowanzo mhanya mumhuri. Mamiriro acho anokonzerwa nekukura zvisina kujairika kwemasero mumadziro etsinga dzinoendesa kuitsvo. Izvi zvakare zvinotungamira kudzikira kana kuvharika kwetsinga idzi.

Vanhu vane renovascular hypertension vanogona kuve nenhoroondo yekukwirisa kweropa iyo yakaoma kudzikisa nemishonga.

Zviratidzo zve renovascular hypertension zvinosanganisira:

• Kuwedzera kweropa pazera diki
• Yakakwira neBP iyo inongoerekana yawedzera kana kuti yakaoma kudzora
• Itsvo dzisiri kushanda zvakanaka (izvi zvinogona kutanga kamwe kamwe)
• Kudimbudzira kweimwe tsinga mumuviri, senge kumakumbo, huropi, maziso uye kumwe kunhu
• Kamwe kamwe kuvaka kwemvura mumhepo masaga emapapu (pulmonary edema)

Kana iwe uine fomu ine njodzi yekukwira kweropa inonzi yakaipa malypertension, zviratidzo zvinogona kusanganisira:

• Musoro wakashata
• Kusvotwa kana kurutsa
• Kuvhiringidzika
• Shanduko muchiono
• Mhino dzemhino

Anopa hutano anogona kunzwa ruzha rwe "whooshing", rwunonzi bruit, kana uchiisa stethoscope pamusoro penzvimbo yako yedumbu.

Kuongororwa kweropa kunotevera kunogona kuitwa:

• Cholesterol mazinga
• Renin uye aldosterone mazinga
• BUN - kuongororwa kweropa
• Creatinine - kuongororwa kweropa
• Potassium - kuongororwa kweropa
• Chibvumirano cheCreatinine

Kufungidzira bvunzo kunogona kuitwa kuti uone kana itsvo tsinga dzakadzikira. Zvinosanganisira:

• Angiotensin inoshandura enzyme (ACE) inhibition renography
• Doppler ultrasound yeiyo renal arteri
• Magnetic resonance angiography (MRA)
• Renal tsinga angiography

Kuwedzera kweropa kunokonzerwa nekuderera kwetsinga dzinoendesa kuitsvo kazhinji kunonetsa kudzora.

Mumwe kana yakawanda mishonga inodiwa kubatsira kudzora BP. Kune mhando dzakawanda dziripo.

• Wese munhu anopindura kumushonga zvakasiyana. Ropa rako rinofanira kuongororwa kazhinji. Huwandu uye mhando yemishonga yaunotora inogona kuda kuchinjwa nguva nenguva.
• Kumbira mupiki wako kuti iko kuverenga kweropa kwakakukodzera.
• Tora mishonga yese nenzira yavakarairwa nemupi wako.

Ita kuti huwandu hwecholesterol yako hutariswe, uye kurapwa kana zvichidikanwa. Wako mupi achabatsira kuona akakora cholesterol mazinga ako zvinoenderana neyako chirwere chemoyo njodzi uye mamwe mamiriro ehutano.

Mararamiro ehupenyu akakosha:

• Idya kudya kunovaka moyo.
• Ita muviri nguva dzose, maminitsi makumi matatu pazuva (tarisa nachiremba wako usati watanga).
• Kana uchisvuta, rega. Tsvaga chirongwa chinokubatsira kumira.
• Limit doro rakawanda raunonwa: 1 chinwa pazuva kune vakadzi, 2 pazuva kuvarume.
• Deredza huwandu hwesodium (munyu) waunodya. Vavarira isingasviki 1,500 mg pazuva. Tarisa nachiremba wako nezvehuwandu hwe potassium iwe yaunofanirwa kunge uchidya.
• Deredza kushushikana. Edza kudzivisa zvinhu zvinokushungurudza iwe. Iwe unogona zvakare kuyedza kufungisisa kana iyo yoga.
• Gara pane huremu hwemuviri hwakanaka. Tsvaga chirongwa chehuremu-chekubatsira iwe, kana uchichiida.

Kuenderera mberi kurapwa kunoenderana nezvinokonzera kudzikira kwetsinga dzeitsvo. Wako mupi anogona kukurudzira maitiro anonzi angioplasty nekunhuwa.

Maitiro aya anogona kuve sarudzo kana iwe uine:

• Yakadzika kudzikira kweiyo renal arteri
• Ropa kumanikidza risingakwanise kudzorwa nemishonga
• Itsvo dzisiri kushanda nemazvo uye dziri kuwedzera kuipa

Nekudaro, iyo sarudzo yekuti ndeapi vanhu vanofanirwa kuve nemaitiro aya akaomarara, uye zvinoenderana nezvakawanda zvezvinhu zvakanyorwa pamusoro.

Kana yako yeropa isina kunyatso kudzorwa, uri mungozi yezvinetso zvinotevera:

• Aortic aneurysm
• Kumira kurova kwemoyo
• Kutadza kwemoyo
• Chirwere chetsvo chisingaperi
• Kurohwa
• Matambudziko ekuona
• Ropa rakaipa kumakumbo

Fonera mupiki wako kana iwe uchifunga kuti une yakakwira BP.

Fonera mupi wako kana iwe uine renovascular hypertension uye zviratidzo zvichitowedzera kana kusavandudza nemushonga. Zvakare fona kana zviratidzo zvitsva zvikamuka.

Kudzivirira atherosclerosis kunogona kudzivirira renal artery stenosis. Kutora matanho anotevera kunogona kubatsira:

• Deredza uremu kana iwe uri kufuta.
• Kumbira mupiki wako nezve yako yekuputa uye yekushandisa doro.
• Chengetedza shuga yako yeropa kana uine chirwere cheshuga.
• Ita shuwa kuti mupi wako ari kuongorora ako eropa cholesterol mazinga.
• Idya kudya kunovaka moyo.
• Gara uchiekisesaiza.

Renal neBP; Hypertension - renovascular; Renal tsinga kuvharirwa; Stenosis - itsvo tsinga; Renal tsinga stenosis; Yakakwira BP - renovascular

• Hypertensive itsvo
• Tsinga dzetsvo

Siu AL, US Yekudzivirira Services Task Force. Kuongororwa kweropa rakakwira muvanhu vakuru: US Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Textor SC. Renovascular hypertension uye ischemic nephropathy. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsama 47.

Victor RG. Arterial neBP. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 70.

Victor RG. Systemic hypertension: maitiro uye kuongororwa. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits.

Victor RG, Libby P. Systemic hypertension: manejimendi. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 47.