Acute arterial kuvharirwa - itsvo

Acute arterial kuvharirwa kweitsvo iko kungoerekana, kuvharika kukuru kwetsinga kunopa ropa kuitsvo.

Itsvo dzinoda kupihwa ropa kwakanaka. Tsinga huru kuitsvo inonzi renal artery. Yakaderedzwa kuyerera kweropa kuburikidza neiyo renal artery inogona kukuvadza itsvo kushanda. Kuvharika kwakazara kweropa kuyerera kune itsvo kunogona kukonzera kusingaperi kweitsvo kukundikana.

Kuvharika kwekumanikidza kweiyo renal artery kunogona kuitika mushure mekukuvara kana kushungurudzika padumbu, parutivi, kana kumashure. Ropa rakagwamba rinofamba neropa (emboli) rinogona kugara mune renal artery.Zvimedu zveplque kubva kumadziro etsinga zvinogona kubuda (pachavo kana panguva yekuita). Tsvina iyi inokwanisa kuvhara tsinga huru yeitsvo kana imwe yemidziyo midiki.

Njodzi yetsvo yetsinga blockages inowedzera muvanhu vane zvimwe zvinetso zvemwoyo, izvo zvinoita kuti vakwanise kugadzira ropa. Izvi zvinosanganisira mitral stenosis uye atrial fibrillation.

Kudzikira kweiyo renal artery inonzi renal artery stenosis. Aya mamiriro anowedzera njodzi yekukurumidza kuvhara.

Unogona kunge usina zviratidzo kana itsvo imwe ikasashanda nekuti itsvo yechipiri inogona kusefa ropa. Zvisinei, kuwedzera kweropa (hypertension) kunogona kuuya kamwe kamwe uye kuoma kudzora.

Kana imwe yako itsvo isiri kushanda zvizere, kuvharika kweiyo renal artery kunogona kukonzera zviratidzo zveakanyanya itsvo kutadza. Zvimwe zviratidzo zveakanyanya arterial kuvharirwa kweiyo renal artery zvinosanganisira:

• Marwadzo emudumbu
• Kuderera kunongoerekana kwabuda weti
• Kutambudzika shure
• Ropa mune weti
• Flank kurwadziwa kana kurwadziwa kudivi
• Zviratidzo zvekukwira kweropa kwakadai sekurwadziwa nemusoro, shanduko muchiono, uye kuzvimba

Ongorora: Panogona kunge pasina kurwadziwa. Marwadzo, kana aripo, kazhinji kazhinji anokura kamwe kamwe.

Anopa hutano haazokwanise kuona dambudziko nekungoongororwa kunze kwekunge waita itsvo kutadza.

Miedzo iwe yaungangoda inosanganisira:

• Duplex Doppler ultrasound bvunzo yeiyo renal arteries kuyedza kuyerera kweropa
• MRI yeitsvo tsinga, iyo inogona kuratidza kushomeka kweropa kuyerera kune yakakanganiswa itsvo
• Renal arteriography inoratidza iyo chaiyo nzvimbo yekuvharirwa
• Ultrasound yeitsvo kutarisa kukura kweitsvo

Kazhinji, vanhu havadi kurapwa. Kuvhara kweropa kunogona kuita zvirinani pachavo nekufamba kwenguva.

Unogona kuve nemushonga wekuvhura tsinga kana iko kuvharirwa kukawanikwa nekukasira kana kuri kukanganisa itsvo chete inoshanda. Kurapa kwekuvhura arteri kunogona kusanganisira:

• Clot-kupera mishonga (thrombolytics)
• Mishonga inodzivirira ropa kubva mukugwamba (anticoagulants), senge warfarin (Coumadin)
• Kugadziriswa kwekuvhiya kweiyo renal arteri
• Kuisirwa chubhu (catheter) muiyo renal artery kuvhura iyo yakavharika

Iwe ungangoda kwenguva pfupi dialysis yekurapa zvakanyanya itsvo kutadza. Mishonga yekudzikisa cholesterol inogona kudikanwa kana iko kuvharirwa kuri kukonzerwa nekugwamba kubva kune plaque buildup mune tsinga.

Kukuvadza kunokonzerwa nekuvharirwa kwemukati kunogona kuenda. Nekudaro, kazhinji, ndeyekusingaperi.

Kana itsvo imwe chete ikabatwa, itsvo ine hutano inogona kutora kusefa ropa nekugadzira weti. Kana iwe uine itsvo imwechete inoshanda, arterial kuvharirwa kunotungamira kune yakanyanya itsvo kutadza. Izvi zvinogona kukura kuva chisingaperi itsvo kutadza.

Zvinetso zvinogona kusanganisira:

• Yakakomba itsvo kutadza
• Chirwere chetsvo chisingaperi
• Kuwedzera kweropa
• Yakashata hypertension

Fonera mupiki wako kana:

• Unomira kuburitsa weti
• Iwe unonzwa kamwe kamwe, kurwadziwa kwakanyanya kumusana, parutivi, kana mudumbu.

Tora rubatsiro rwechimbichimbi rwekurapa kana uine zviratidzo zvekuvharika uye uine itsvo imwe chete inoshanda.

Muzviitiko zvakawanda, kusagadzikana hakudziviriki. Nzira yakakosha yekudzora njodzi yako ndeyekurega kuputa.

Vanhu vari panjodzi yekuvandudza kugwamba kweropa vangangoda kutora mishonga inorwisa-kugwamba. Kutora matanho ekudzora zvirwere zvine chekuita neatherosclerosis (kuomarara kwetsinga) kunogona kudzikisa njodzi yako.

Renal renal arterial thrombosis; Renal tsinga embolism; Tsinga renal artery kuvharirwa; Embolism - itsvo tsinga

• Itsvo anatomi
• Itsvo - kuyerera kweropa uye weti
• Itsvo kupa ropa

DuBose TD, Santos RM. Vascular kusagadzikana kwetsvo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 125.

Myers DJ, Myers SI. Dambudziko remamiriro: renal. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 44.

Ruggenenti P, Cravedi P, Remuzzi G.Microvascular uye macrovascular hosha dzeitsvo. Mune: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner uye Rector Iyo Itsvo. 10th ed. Philadelphia, PA: Elsevier; 2016: chits. 35.

Watson RS, Cogbill TH. Atherosclerotic renal arteri stenosis. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 1041-1047.