Renovascular tawg

Renovascular hypertension yog ntshav siab vim qhov nqaim ntawm cov hlab ntsha uas nqa ntshav mus rau lub raum. Tus mob no tseem hu ua mob raum leeg ntshav liab.

Cov hlab ntsha raum yog ib txoj kev nqaim lossis txhaws ntawm cov hlab ntsha uas xa ntshav mus rau lub raum.

Feem ntau ua rau lub raum artery stenosis yog qhov txhaws ntawm cov hlab ntsha vim tias muaj cov cholesterol. Qhov teeb meem no tshwm sim thaum lo nplaum, cov khoom siv rog hu ua quav hniav ua rau cov leeg ntawm cov hlab ntsha, ua rau muaj mob hu ua atherosclerosis.

Thaum cov hlab ntsha uas nqa ntshav mus rau koj lub raum ua kom nqaim, cov ntshav tawm mus rau lub raum. Lub raum ua yuam kev qhia zoo li koj cov ntshav siab qis. Raws li qhov tshwm sim, lawv tso tawm cov tshuaj hormones uas qhia rau lub cev kom tuav ntsev thiab dej ntxiv. Qhov no ua rau koj cov ntshav siab nce siab.

Qhov muaj feem yuav ua mob rau atherosclerosis:

• Ntshav siab
• Haus Yeeb
• Mob ntshav qab zib
• Cov roj (cholesterol) siab
• Kev haus cawv ntau
• Kev quav cawv
• Nce hnub nyoog

Fibromuscular dysplasia yog lwm qhov ua rau lub raum leeg ntshav txha caj qaum. Nws feem ntau pom hauv cov poj niam hnub nyoog qis dua 50. Nws nyhav khiav hauv tsev neeg. Tus mob yog tshwm sim los ntawm kev loj hlob txawv txav ntawm cov hlwb nyob hauv phab ntsa ntawm cov hlab ntsha ua rau lub raum. Qhov no tseem ua rau txoj kev nqaim lossis txhaws ntawm cov hlab ntsha no.

Cov neeg muaj ntshav siab los kho kho keeb kwm yuav muaj keeb kwm ntawm ntshav siab heev uas nyuaj rau kev tso tshuaj tsawg.

Cov tsos mob ntawm tus mob renovascular xws li:

• Ntshav siab thaum hnub yau
• Ntshav siab ceev ceev uas tam sim ntawd mob heev los yog tswj tsis tau zoo
• Mob raum tsis zoo (qhov no tuaj yeem pib dheev)
• Nqaim ntawm lwm cov hlab ntsha hauv lub cev, xws li txhais ceg, hlwb, qhov muag thiab lwm qhov
• Cia li tsim dheev ntawm cov kua dej hauv cov hnab pa ntawm lub ntsws (pulmonary edema)

Yog tias koj muaj ib qho kev txaus ntshai ntawm cov ntshav siab hu ua malignant tawg, cov tsos mob tuaj yeem suav nrog:

• Mob taub hau tsis zoo
• Xeev siab los ntuav
• Tsis meej pem
• Hloov pauv qhov tsis pom kev
• Kab Ntsig

Tus kws kho mob yuav hnov ​​lub suab nrov "sib hno", hu ua boob, thaum tso stethoscope rau ntawm koj lub plab.

Kev kuaj ntshav hauv qab no tuaj yeem ua:

• Cov theem roj ntau
• Renin thiab aldosterone qib
• BUN - kuaj ntshav
• Creatinine - kuaj ntshav
• Poov tshuaj - ntshav kuaj
• Creatinine kev tshem tawm

Kev ntsuam xyuas cov duab tuaj yeem ua kom pom tias lub raum cov hlab ntsha tau nqaim. Lawv suav nrog:

• Angiotensin hloov ua enzyme (ACE) inhibition renography
• Doppler ultrasound ntawm cov hlab ntsha hlaus
• Magnetic resonance angiography (MRA)
• Cov leeg angiography pob leeg

Ntshav siab feem ntau tshwm sim los ntawm kev nqaim ntawm cov hlab ntsha uas ua rau lub raum feem ntau nyuaj tswj hwm.

Yuav tsum muaj ib lossis ntau dua tshuaj los pab tswj ntshav siab. Muaj ntau hom.

• Txhua tus neeg muab tshuaj kho sib txawv. Koj cov ntshav siab yuav tsum tau kuaj xyuas ntau zaus. Tus nqi thiab hom tshuaj koj noj tej zaum yuav tau hloov pauv ntawm ib lub sijhawm.
• Nug koj tus kws kho mob seb kev nyeem ntshav siab yog dab tsi rau koj.
• Noj txhua yam tshuaj raws li koj tus kws kho mob hais kom yuav.

Kuaj koj cov qib roj (cholesterol) soj ntsuam, thiab kho yog tias nws xav tau. Koj tus kws kho mob yuav pab txiav txim seb koj cov roj ntshav siab npaum li cas raws li koj cov kab mob plawv thiab lwm yam mob.

Kev hloov lub neej yog qhov tseem ceeb:

• Noj cov zaub mov kom lub plawv tsis muaj mob.
• Kev tawm dag zog tsis tu ncua, tsawg kawg 30 feeb hauv ib hnub (kuaj nrog koj tus kws kho mob ua ntej pib).
• Yog tias koj haus luam yeeb, tsum. Nrhiav ib qho kev pab cuam uas yuav pab tau koj nres.
• Txwv txiav koj haus cawv ntau npaum li cas: 1 haus ib hnub rau cov poj niam, 2 ib hnub rau txiv neej.
• Txwv tsis txhob noj ntsev (ntsev) ntau ntxiv. Ua rau kom tsawg dua 1,500 mg ib hnub twg. Nrog koj tus kws kho mob tham txog seb koj yuav tsum noj zaub mov ntau npaum li cas.
• Txo kev ntxhov siab. Sim zam zam yam uas ua rau koj ntxhov siab. Koj tuaj yeem sim ua kev xav lossis yoga.
• Nyob ntawm lub cev noj qab nyob zoo. Nrhiav qhov hnyav-poob qhov kev pab cuam los pab koj, yog tias koj xav tau.

Txoj kev kho ntxiv yog nyob ntawm dab tsi ua rau kom lub raum ntshav tsis txaus. Koj tus kws kho mob yuav qhia cov txheej txheem hu ua angioplasty nrog stenting.

Cov txheej txheem no yog qhov kev xaiv yog tias koj muaj:

• Txoj kev nruj me me ntawm lub raum leeg
• Ntshav siab uas tsis tuaj yeem tswj tau nrog tshuaj
• Ob lub raum tsis ua haujlwm zoo thiab muaj mob zuj zus

Txawm li cas los xij, kev txiav txim siab hais txog cov neeg twg yuav tsum muaj cov txheej txheem no yog qhov nyuaj, thiab nyob ntawm ntau yam ntawm cov tau hais los saud.

Yog tias koj cov ntshav siab tsis zoo tswj, koj muaj kev pheej hmoo rau qhov tshwm sim hauv qab no:

• Aortic aneurysm
• Plawv nres
• Lub plawv tsis ua hauj lwm
• Mob raum
• Mob stroke
• Cov teeb meem tsis pom kev
• Kev muab ntshav tsis zoo rau cov ceg

Hu rau koj tus kws khomob yog koj xav tias koj muaj ntshav siab.

Hu rau koj tus kws kho mob yog tias koj kho lub plawv tawg thiab cov tsos mob mob heev dua lossis tsis zoo nrog kev kho. Kuj tseem hu yog tias cov tsos mob tshiab tshwm sim.

Tiv thaiv kev mob atherosclerosis tuaj yeem tiv thaiv kev mob raum leeg mob hlwb. Ua raws li cov theem hauv qab no tuaj yeem pab tau:

• Poob ceeb thawj yog tias koj rog dhau.
• Nug koj tus kws kho mob txog kev haus luam yeeb thiab haus dej caw.
• Tswj koj cov ntshav qab zib yog tias koj muaj ntshav qab zib.
• Nco ntsoov tias koj tus kws khomob saib xyuas koj cov qib roj hauv cov ntshav.
• Noj cov zaub mov kom lub plawv tsis muaj mob.
• Ua kom ib ce muaj zog tas li.

Kev kub siab raum; Kev kub siab - kev kho mob tshiab; Cov leeg ntxeev leeg; Stenosis - lub raum leeg; Cov leeg mob leeg ntshav liab; Ntshav siab - kho kom rov zoo

• Kub siab raum
• Hlab ntsha

Siu AL, Pab Pawg Tiv Thaiv Kev Nyab Xeeb. Kev soj ntsuam ntshav siab rau cov neeg laus: US Cov Kev Pabcuam Tiv Thaiv Cov Haujlwm xav tau kev pom zoo. Ann Intern MedCov. Xyoo 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

Textor SC. Renovascular tawg siab thiab ischemic nephropathy. Hauv: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner thiab Rector's RaumCov. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 47.

Victor RG. Arterial tawg. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 70.

Victor RG. Cov kab ke tawg: cov qauv thiab kuaj mob. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 46.

Victor RG, Libby P. Txheej txheem kev kub ntxhov: kev tswj hwm. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 47.