Gbasara akụrụ akwara stenosis: ekwe omume na-akpata, ihe mgbaàmà na ọgwụgwọ atụmatụ

Ọbara mgbali elu bụ nnọọ nkịtị nsogbu. Karịsịa n'etiti ndị agadi na katatụrụ ndị mmadụ. Akpata ọbara mgbali nwere ike ịbụ a otutu. Otu n'ime ha - ọrịa obi, ọrịa akụrụ, ọrịa, endocrine ọrịa. Dị ka a maara, mụbara mgbali nwere ike ime ka ọrịa strok na obi ọgụ. Iji ghọta otú obibi a mgbaàmà, mkpa ka ị chọpụta ihe na-akpata. Mgbe ụfọdụ, ọbara mgbali emee na ndabere nke a daa ọrịa dị ka gbasara akụrụ akwara stenosis. Malite ọgwụgwọ nke ọrịa a dị ka n'oge dị ka o kwere. Mgbe ọbara stenosis pụrụ iduga bụghị nanị na-abawanye na ọbara mgbali, kamakwa ndị ọzọ dị oké njọ na ya pụta. The daa ọrịa emee na ma ndị ikom ma n'etiti ndị inyom. Mgbe ụfọdụ, ọrịa bụ congenital. Ọtụtụ mgbe ọ na-adị megide backdrop nke vaskụla ọrịa.

Maka ozi ọzọ banyere gbasara akụrụ akwara stenosis

Gbasara akụrụ akwara stenosis - a ibelata nke lumen nke arịa, n'ihi na dị iche iche na-enweghị nchịkwa na ọnọdụ. The ọrịa a na-atụle ga-nefropaticheskim pathologies. Gbasara akụrụ akwara - a isi ọbara arịa na-enye ọbara ahụ anụ ahụ. Stenosis na-ịrịba belata n'obosara. N'ihi ya, usoro a nsogbu n'obi inweta ọbara na akụrụ ya. Nke a daa ọrịa na-eduga ná ndị dị otú ahụ dị oké njọ imebi nke abụọ ọbara mgbali elu, ala ala gbasara akụrụ odida. Enwere 2 development usoro stenosis. N'etiti ha:

1. Atherosclerotic nhọrọ. Ọ a hụrụ na ọtụtụ ndị ọrịa na-ata ahụhụ si na ọrịa a. Ndị dị otú ahụ a usoro nke stenosis bụ nwayọọ nwayọọ mkpọchi nke lumen nke ihe e dere ede. Ọtụtụ mgbe owụt arịa occlusion hụrụ ndị agadi.
2. Fibromuscular dysplasia. Nke a variant bụ obere nkịtị daa ọrịa. Ọ nwere ike na-eme n'etiti-agadi nwaanyị na-eto eto ụmụ agbọghọ. Dysplasia muscle anụ ahụ na-ezo aka ihe ketara congenital ntụpọ.

Naanị gị nwere ike ime ka nchoputa "gbasara akụrụ akwara stenosis" mgbe a na ngwá ọrụ nnyocha. ICD - a nhazi ọkwa nke pathologies, mee n'ụwa nile. Ọ na-agụnye a plurality nke ọrịa, ọ bụla nke nwere otu koodu. Gbasara akụrụ akwara stenosis na-koodu site abụọ na usoro, dabere na ihe na-akpata ya na omume. Otu nke nhọrọ - a cipher I15.0, nke pụtara "renovascular ọbara mgbali". Ọzọ koodu ICD - Q27.1. Ọ-anọchi anya "congenital gbasara akụrụ akwara stenosis." Ma na ọnọdụ na-achọ ọgwụgwọ urologist ma ọ bụ vaskụla dọkịta na-awa.

Gbasara akụrụ akwara stenosis: eme Pathology

Ibelata nke elu akwara dịịrị pathologies nke vaskụla usoro. Chọpụta dị iche iche na-akpata nke stenosis. The kasị n'ime ha bụ atherosclerosis. Dị ka ọ na a maara, ọtụtụ mgbe ọ na-adị na ndị mmadụ na ibu ibu, na-eduga a ịnọkarị otu ebe ma ọ bụ ọrịa shuga. Atherosclerosis pụrụ ịzụlite karịrị oge. Otú ọ dị, ọ na-adịkarịghị chọpụtara ruo mgbe mgbaàmà nke clogged akwara. Ndị ọzọ na-akpatara ndị stenosis na-agụnye:

1. Fibromuscular dysplasia. Nke a na okwu na-ezo aka a congenital mkpụrụ ndụ ihe nketa nwere ntụpọ, dị ka a n'ihi nke bụ nke a enweghị muscle ozi ndị dị vaskụla mgbidi. The daa ọrịa hụrụ inyom nke ọ bụla afọ.
2. Aneurysm gbasara akụrụ akwara.
3. Etuto ahụ nke elu vaskụla ọrịa.
4. Congenital na enwetara vasculitis.
5. Mkpakọ nke gbasara akụrụ akwara etuto ewepụtara anụ ahụ n'akụkụ akụkụ.

Ndị a na-akpata ime na obere okwu. Ya mere, ha nchoputa na-amalite bụ nanị mgbe mkpochapu atherosclerosis.

The usoro nke ọbara mgbali

Isi mgbaàmà nke gbasara akụrụ akwara stenosis a na-ewere na-amụba ọbara mgbali. Ya mere, na nke a na-adakarị syndrome, gbasara akụrụ ule usoro mkpa. Dị ka Associated gbasara akụrụ akwara stenosis na ọbara mgbali? The abawanye na ọbara mgbali na-agụnye abụọ usoro:

1. Ebighị nke renin-angiotensin usoro. N'okpuru nduzi nke ndị a ndu bekee amalite arteriolar ibelata. Dị ka a n'ihi nke elu vaskụla eguzogide-abawanye. N'ihi ya, ọbara mgbali na akwara enwekwu.
2. Akparamagwa nke aldosterone. Nke a hormone na-emepụta na adrenal cortex. Ọ bụ ejikari ugbu ke idem-adịgide adịgide. Otú ọ dị, ọ bụrụ na akwara stenosis ya mmepụta-abawanye. N'ihi na oké ego nke aldosterone ke idem ọmụmụ accumulates na sodium ion. Nke a, n'aka nke ya, na-akpata ihe na-abawanye na ọbara mgbali.

N'ihi nke-adịghị ala ala hypertensive ọrịa e nwere mgbanwe na akụkụ nke obi usoro. Ekpe ventricular hypertrophy, na-eji nwayọọ nwayọọ na-agbatị. Nke a bụ ihe ọzọ na-akpata ọbara mgbali.

Gbasara akụrụ akwara stenosis: ọrịa mgbaàmà

Ibelata nke akwara nke akụrụ na-eduga maka a plurality nke pụtara. Mgbaàmà nke stenosis bụghị ozugbo, ma naanị oké occlusion. Na nke a, mgbanwe ọgwụgwọ ọ bụghị mgbe niile irè. Ke adianade vaskụla ọrịa, ọbara stenosis eduga ischemic mgbanwe akụrụ. N'ihi bụ na filtration na ịta ahụhụ ngwa ọrụ. Nyere nke a, ọ bụ omume na-igbunye 2 adakarị syndrome na ịzụlite stenosis. First - ọbara mgbali. Nke a syndrome e ji a ọnụ ọgụgụ nke na-adakarị n'obiọma. N'etiti ha:

1. Mụbara ọbara mgbali. Ọ nwere ike na-abụ ma episodic ma ọ bụ mgbe nile. Of otu dị mkpa maka nchoputa nke a ịrị elu diastolic ọbara mgbali (100 mm. HG. V.).
2. Ọdịdị nke mkpọtụ na nti.
3. Dizziness.
4. Ọgbụgbọ, nke nwere dịghị njikọ na nri.
5. Na-egbu maramara "ijiji" n'ihu n'anya ya.
6. Isi mgbu na ụlọ arụsị, n'egedege ihu.
7. Mgbakasị.

Nke abụọ bụ a na-adakarị syndrome ischemic nephropathy. N'ihi imebi nke gbasara akụrụ ọbara "nri" ngwa akwụsị. Karịsịa dị ize ndụ bilateral gbasara akụrụ akwara stenosis. Ọbara mgbali - a ọnọdụ na ike ikpe-achịkwa ọgwụ ọjọọ. Dị mwute ikwu na, kwuru ngwa ischemia bụghị correctable iji ọgwụ ọjọọ. Mgbaàmà "oxygen agụụ" akụrụ na-agụnye: ala azụ mgbu, mgbanwe eriri afo. Ọtụtụ mgbe, e a ọnụ ke ego nke ọmụmụ etoju, n'ozuzu ike. The mmamịrị pụrụ iyi admixture ọbara, apịtị sedimenti.

nchọpụta nsogbu

Diagnosis nwere ike nanị mgbe ule "gbasara akụrụ akwara stenosis." daa ọrịa nchoputa na-agụnye collection of mkpesa na ọgwụ na akụkọ ihe mere eme, laabu ule na instrumental ụzọ. Ọtụtụ mgbe, a na-eduga syndrome bụ ọbara mgbali agụghị oké achịkwa antihypertensive ọgwụ. Ọzọkwa, ọrịa nwere ike mkpesa nke erughị ala na ala azụ (na otu ma ọ bụ abụọ n'akụkụ), na-agbanwe ọdịdị nke urination. nnyocha plan-agụnye:

1. KLA na urinalysis.
2. ECG.
3. Biochemical analysis of ọbara. The ọrịa a na-enyo enyo na-abawanye na ọbara creatinine na urea.
4. Gbasara akụrụ ultrasound.
5. Special ule: mmamịrị Nechiporenko, Zimnitskiy.
6. X-ray iche ule nke arịa - renografiya.
7. Doppler ultrasound nke gbasara akụrụ akwara.
8. Angiography.
9. CT na MRI.

esi nchoputa

O bu na hypertensive syndrome bụ a na-eduga, gbasara akụrụ akwara stenosis na-ọdịiche dị na ọrịa obi, ọrịa atherosclerosis nke aorta. Mgbaàmà nwekwara ike yiri Itsengo ọrịa, Cushing na pheochromocytoma.

Ọ bụrụ na ihe ịrịba ama nke ischemic nephropathy emeri, na stenosis na-ọdịiche dị na mkpali pathologies nke akụrụ. Ndị a gụnyere pielo- na glomerulonephritis. Dị ka ndị a mgbaàmà nwere ike ime mgbe nsogbu nke ọrịa shuga.

Conservative ọgwụ ndị gbasara akụrụ akwara stenosis

Ọgwụgwọ nke gbasara akụrụ akwara stenosis amalite na mgbanwe ụzọ. Ọbara mgbali kpatara constriction nke gbasara akụrụ arịa, na-achọ a Nchikota ọtụtụ ọgwụ ọjọọ. Mmasị e nyere inhibitors nke angiotensin-n'ịtụgharị enzyme. Ma ọgwụ ndị a na-atụ aro na ọrịa na oké atherosclerotic vaskụla ọnya. Nchikota na-emi esịnede ndị na-esonụ dị iche iche nke ọgwụ ọjọọ eme ihe:

1. Beta-blockers. A na-agụnye ọgwụ ọjọọ, "metoprolol", "Coronal", "bisoprolol".
2. Loop diuretics. The ọgwụ nke oke - ọgwụ "Furosemide".
3. Calcium ọwa blockers. Otu n'ime ha - ọgwụ "Verapamil" "Diltiazem".

Ke adianade do, ọrịa kwesịrị na-ọgwụ dị mkpa na-emeso ndị kpatara ọrịa (atherosclerosis, ọrịa shuga).

Ịwa ahụ ọgwụgwọ nke stenosis

N'ụzọ dị mwute, ọtụtụ mgbe, antihypertensive ọgwụ bụ adighi ike. Ọzọkwa, na-ebelata ọbara mgbali naanị njọ ischemic nephropathy. Ya mere, ọ dị mkpa iji na-amalite ịwa ahụ. Dabere na n'ókè nke mmebi, họrọ nke ogwugwo usoro ọgwụgwọ. Ọtụtụ mgbe na-eji akwara stenting kpọbata akụrụ. Ọ bụrụ na ndị dum arịa lumen obturated n'elu nnukwu ebe a rụrụ wasịrị - nnọchi nke a na ngalaba nke arịa ndị transplant. Na ọnwụ nke akụrụ nephrectomy a rụrụ.

The prognosis mgbe ịwa ahụ ọgwụgwọ nke stenosis

N'agbanyeghị ndị e meriri (stenosis nke ekpe gbasara akụrụ akwara ma ọ bụ nri), ndị prognosis mgbe ịwa ahụ na-adabere na nnabata ya na dọkịta na-atụ aro na ọnọdụ ahụ ike nke onye ọrịa. Ọtụtụ mgbe, ịwa ahụ nwere ike nweta a mma N'ihi. Mgbe ọnwa ole na ole na 60-70% nke ọrịa na normalisation nke ọbara mgbali emee.

Nsogbu nke gbasara akụrụ stenosis

N'ụzọ dị mwute, gbasara akụrụ akwara stenosis chọpụtara naanị na a mbubreyo ogbo nke development. Ya mere, ọ gaghị ekwe omume na-eleghara ihe dọkịta nkwanye. Mgbe egwu nsogbu nwere ike ịzụlite enweghị ọgwụgwọ kwesịrị ekwesị. Otu n'ime ha - a myocardial infarction na strok na ndabere nke hypertensive nsogbu, nnukwu na -adịghị ala ala gbasara akụrụ odida. Ọ bụrụ na oge na-adịghị ịrụ ịwa ahụ, onye ọrịa nwere ike hapụ ikike.

mgbochi

Mgbochi na-agụnye na-aga n'ihu nlekota nke ọbara mgbali na ọnụnọ nke mkpesa nke dizziness na tinnitus, ịkwụsị ịṅụ sịga na-aba n'anya. Iji zere progression nke atherosclerosis, ọ dị mkpa na-akwanyere ndị pụrụ iche hypolipidemic nri, nọ n'ọrụ si ebi ndụ. Ụfọdụ ọrịa ga-pụrụ iche ọgwụ ọjọọ eme ihe - statins.