Kwezinso Umthambo stenosis: izimbangela kungenzeka, izimpawu kanye nezici ukwelashwa

High blood pressure kuyinkinga evamile kakhulu. Ikakhulukazi phakathi abantu abadala kanye oseqinile. Izimbangela nomfutho wegazi ophezulu kungaba eningi. Phakathi kwabo - isifo senhliziyo, izinso, endocrine iziyaluyalu. Njengoba yaziwa, yokucindezeleka okwandayo kungaholela unhlangothi futhi senhliziyo. Ukuze uqonde ukuthi ukubhekana nalokhu uphawu, udinga ukuthola imbangela. Kwezinye izimo, umfutho ophakeme wegazi kwenzeka ngemuva kwalesi zokugula njengoba kwezinso Umthambo stenosis. Qala ekwelapheni lesi sifo kusenesikhathi. Ngemva lwemithambo stenosis kungaholela hhayi kuphela ekwandeni blood pressure, kodwa futhi kwamanye nemiphumela emibi ngendlela efanayo. I zokugula kwenzeka abesilisa phakathi kwabesifazane. Kwezinye izimo, lesi sifo singumbulali azalwa nako. Ngokuvamile kwenzeka ngokumelene okwenza izifo semithambo.

Ukuze uthole ukwaziswa okwengeziwe mayelana kwezinso Umthambo stenosis

Kwezinso Umthambo stenosis - ukuvaleka mafutha anciphisa isikhala esingaphakathi bomkhumbi, ngenxa yezimo ezihlukahlukene sokugembula. Lesi sifo ubhekwa pathologies nefropaticheskim. Umthambo kwezinso - a izitsha ezinkulu igazi letiphakela igazi ukuze izicubu zomzimba. Stenosis kuthiwa ngokuphawulekayo encishisiwe ububanzi. Ngenxa yalokho, inqubo kuyaphazamiseka kwegazi nezinso. Lokhu zokugula kuholela ezifana nokwephula yesibili umfutho wegazi ophakeme, ezingamahlalakhona ukwehluleka kwezinso. Kukhona 2 ukuthuthukiswa indlela stenosis. Phakathi kwabo:

1. inketho Atherosclerotic. It is ebonwe iningi iziguli lesi sifo. indlela ezinjalo stenosis iyona ukuvaleka kancane kancane mafutha anciphisa isikhala esingaphakathi koqweqwe. Uvame ukuzibonisa isitsha occlusion ebonwe asebekhulile.
2. dysplasia Fibromuscular. Lokhu okuhlukile kuyinto zokugula bungavami. Lesi simo singenzeka kunoma abesifazane asebeqinile abaneminyaka namantombazane. Dysplasia kwemisipha izicubu libhekisela ukukhubazeka azalwa naso ngofuzo.

Kuphela ungenza uphethwe "kwezinso Umthambo stenosis" emva ukuhlolwa ithuluzi. ICD - a ngezigaba pathologies, wasebenzisa emhlabeni wonke. Kuhlanganisa sebuningini izifo, ngamunye ephethe ikhodi ethile. Kwezinso Umthambo stenosis ufakwe ngu izindlela ezimbili, kuye ngokuthi imbangela ivela khona. Omunye ongakhetha - a I15.0 cipher, okusho "umfutho wegazi ophakeme renovascular". Okunye ikhodi ICD - Q27.1. Yena imele "azalwa naso kwezinso Umthambo stenosis." Zombili lezi zifo zidinga ukwelashwa Urologist noma udokotela ohlinza imithambo yegazi.

Kwezinso Umthambo stenosis: Ubangela Pathology

Ukuvaleka kwemithambo neuropathy basonta pathologies we isimiso semithambo yegazi. Thola izimbangela ezahlukahlukene stenosis. Okuvame kakhulu babo atherosclerosis. Njengoba yaziwa, ezimweni eziningi lapho livela khona abantu abakhuluphele, okuholela ukuphila umzimba noma isifo sikashukela. Isifo sokuqina kwemithambo yegazi ingaqala ngokuhamba kwesikhathi. Nokho, it is kuyaqabukela kutholakala ukuthi uphethwe yini kuze kube yilapho izimpawu nokuvaleka kwemithambo yegazi. Okunye izimbangela stenosis zihlanganisa:

1. dysplasia Fibromuscular. Le nkulumo ibhekisela isici azalwa naso zofuzo, ngenxa okuyinto kukhona ukuntuleka kwemisipha zesivikelo odongeni semithambo. I zokugula ebonwe abesifazane zanoma iyiphi iminyaka.
2. Useshonile imithambo kwezinso.
3. Izimila neuropathy isifo semithambo.
4. vasculitis azalwa naso futhi wathola.
5. Kokucindezela we kwezinso Umthambo izimila ethathwe kwezicubu izitho eduze.

Lezi izimbangela zenzeka ezimweni ezingajwayelekile. Ngakho-ke, uphethwe yabo ukuqala kuphela emva ukuqedwa isifo sokuqina kwemithambo yegazi.

Mshini nomfutho wegazi ophezulu

Uphawu oyinhloko kwezinso Umthambo stenosis ubhekwa umfutho wegazi. Ngakho-ke, kulesi syndrome yomtholampilo, kwezinso luhlolo uhlelo kudingeka. Njengoba ezihambisana kwezinso Umthambo stenosis kanye nomfutho wegazi ophezulu? Ukwanda igazi nokucindezelwa kuhilela izinqubo ezimbili:

1. Ukuqalisa kohlelo renin-angiotensin. Ngaphansi kwethonya lezi kwezinto eziphilayo eba arteriolar ukuvaleka. Ngenxa neuropathy semithambo ukumelana iyakhula. Ngakho, ingcindezi igazi e imithambo kwandisa.
2. Isenzo aldosterone. Lokhu i-hormone ekhiqizwa cortex adrenal. Kuyinto evamile ekhona emzimbeni unaphakade. Nokho, uma Umthambo stenosis ukukhiqizwa yayo iyakhula. Ngenxa isamba ngokweqile aldosterone ku aqoqana uketshezi lomzimba kanye sodium ion. Lokhu, futhi kubangela ukwenyuka komfutho wegazi.

Ngenxa isifo unesifo sikashukela kukhona ushintsho on the ingxenye uhlelo senhliziyo nemithambo yegazi. Kwesobunxele hypertrophy ventricular, futhi kancane kancane sisalokhu. Lena enye imbangela nomfutho wegazi ophezulu.

Kwezinso Umthambo stenosis: izimpawu isifo

Olugcwele kwemithambo yegazi we nezinso kuholela ngoba sebuningini miphumela. Izimpawu stenosis akuyona ngokushesha, kodwa kuphela occlusion ezinzima. Kulokhu, ukwelashwa ngoludala alusebenti njalo. Ngaphezu iziyaluyalu semithambo, stenosis lwemithambo kuholela izinguquko ischemic ku izinso. Umphumela uba ukuthi filtration okuhlushwa ahlupheke isitho umsebenzi. Njengoba sazi lokhu, kungenzeka ukwaba 2 syndrome emitholampilo ukuthi ukuthuthukisa stenosis. Okokuqala - nomfutho wegazi ophezulu. Lesi sifo libhekene eziningi ukubonakaliswa emtholampilo. Phakathi kwabo:

1. igazi Ukwandiswa ingcindezi. Kungaba noma episodic noma njalo. Okubaluleke kakhulu ngoba sitholakele ukunyuka kwezinga-diastolic blood pressure (100 mm. HG. V.).
2. Ukubukeka umsindo ezindlebeni.
3. Isiyezi.
4. Ukucanuzela kwenhliziyo, okuyinto has azihlangene ukudla.
5. Flashing "Izimpukane" phambi kwamehlo akhe.
6. Emaphilisini ekhanda emathempelini, ebunzini.
7. Ukucasuka.

Eyesibili kuyinto emitholampilo syndrome nephropathy ischemic. Ngenxa yokwephula ka kwezinso ukugeleza kwegazi "ukudla" isitho izitobhi. esiyingozi Ikakhulukazi mabili esisemthethweni kwezinso Umthambo stenosis. Kwegazi - isimo ukuthi kungaba izidakamizwa kancane elawulwa. Ngeshwa, waveza isitho ischemia akuyona correctable usebenzisa izidakamizwa. Izimpawu "umoya-mpilo yokulamba" izinso zihlanganisa: ukhwaliti ubuhlungu emuva, izinguquko esinyeni. Ngokuvamile kukhona ukwehla inani amazinga uketshezi, ubuthakathaka jikelele. I umchamo zingavela admixture wegazi, inzika enodaka.

ukuhlola

Sifo zingenziwa kuphela emva luhlolo "kwezinso Umthambo stenosis." zokugula uphethwe kuhilela ukuqoqwa izikhalazo yakhe nemlandvo wetekwelashwa kwakhe, ukuhlolwa laboratory nezindlela wezinsimbi. Ngokuvamile, a syndrome ehola kuyinto nomfutho wegazi ophezulu kabi elawulwa ukwelashwa antihypertensive. Futhi, iziguli zingase esekhala kabi ngemuva aphansi (oyedwa noma ababili, izinhlangothi), beshintsha yona kanye indlela ukuchama. Ukuhlolwa uhlelo kuhlanganisa:

1. Kla futhi urinalysis.
2. ECG.
3. ukuhlaziywa kwamakhemikhali kwegazi. Lesi sifo abasolwa ukwanda serum creatinine kanye urea.
4. ultrasound kwezinso.
5. ukuhlolwa okubalulekile: umchamo Nechiporenko, Zimnitskiy.
6. -X-ray Ngokuphambene Ukuhlola izitsha - renografiya.
7. Doppler ultrasound imithambo kwezinso.
8. Angiography.
9. CT nama-MRI.

ukuxilongwa umehluko

Sikhishwe yokuthi abanomfutho wegazi ophakeme syndrome yisimo ehamba phambili, kwezinso Umthambo stenosis is umahluko nesifo senhliziyo, isifo sokuqina kwemithambo yegazi le-aorta. Izimpawu zingase futhi zifane Itsengo isifo, Cushing futhi pheochromocytoma.

Uma izimpawu nephropathy ischemic anqobe, le stenosis is umahluko pathologies sokuvuvukala izinso. Lezi zihlanganisa pielo- futhi glomerulonephritis. Njengoba lezi zimpawu kungenzeka uma izinkinga zesifo sikashukela.

ukwelashwa okulondoloza i kwezinso Umthambo stenosis

Ukwelashwa kwezinso Umthambo stenosis iqala izindlela olandelanayo. Kwegazi okubangelwa constriction imithambo kwezinso, kudinga inhlanganisela yemithi eziningana. Kukhethwa ikakhulu inhibitor ka-enzyme angiotensin-kokuguqula. Kodwa le mithi akunconywa in iziguli ezinzima atherosclerotic izilonda semithambo. Inhlanganisela yakhiwa amaqembu elandelayo izidakamizwa:

1. Beta-blocker. Lezi zihlanganisa izidakamizwa, "metoprolol", "coronal", "bisoprolol".
2. Loop isisu. Umuthi lokuzikhethela - isidakamizwa "Furosemide".
3. Calcium channel blocker. Phakathi kwabo - imithi "Verapamil" "Diltiazem".

Ngaphezu kwalokho, isiguli kufanele uthathe imithi edingekayo kanjani lesi sifo ecashile (isifo sokuqina kwemithambo yegazi, isifo sikashukela).

ukuphathwa Steel ka stenosis

Ngeshwa, ezimweni eziningi, ukwelashwa antihypertensive kuyinto ayizwakali. Ngaphezu kwalokho, kunciphisa umfutho wegazi kuchubekisela nephropathy ischemic kuphela. Ngakho-ke kubalulekile ukuba iphendukele ukuhlinzwa. Kuye kube sezingeni ukulimala, khetha indlela yokuhlinzwa yokwelashwa. Ngokuvamile ukuchitha Umthambo stenting usinika izinso. Uma wonke isitsha inesikhala obturated ezindaweni eziningi zomhlaba wenziwa ukuhlinzwa dlula - ukukhishwa ingxenye umkhumbi ukufakelwa. Ngesikhathi kufe nephrectomy izinso wenziwa.

Onalesi sifo emva kokwelashwa kuhlinzwa ka stenosis

Kungakhathaliseki ukuthi iluphi uhlangothi wahlulwa (stenosis kwesokunxele Umthambo kwezinso noma kwesokudla), onalesi sifo ngemva kokuhlinzwa incike nokulandela izincomo udokotela futhi isimo zomzimba zogulayo. Ngokuvamile, ukuhlinzwa ingafinyelela Chile oqondile. Ngemva kwezinyanga ezimbalwa 60-70% kweziguli ukuzinza wegazi kwenzeka.

Izinkinga of stenosis kwezinso

Ngeshwa, kwezinso Umthambo stenosis kutholakala ukuthi uphethwe yini kuphela esikhathini ngasekupheleni yentuthuko. Ngakho-ke, akunakwenzeka ukuba indiva izincomo udokotela. Ngemva okusongela yezinkinga ingaqala ngaphandle ukwelashwa okufanelekile. Phakathi kwabo - a isilethikusebenza nonhlangothi ku ngemuva esibucayi abanomfutho wegazi ophakeme, oyingozi futhi ezingalapheki ukwehluleka kwezinso. Uma isikhathi akusho ukwenza kokuhlinzwa, isiguli kungenzeka ukuthi ulahlekelwe igunya.

zokuvimbela

Izinyathelo zihlanganisa ukuqapha okuqhubekayo wegazi ebukhoneni ngezikhalo isiyezi kanye tinnitus, ukuyeka ukubhema utshwala. Ukuze ugweme ukuqhubeka isifo sokuqina kwemithambo yegazi, kubalulekile ukuhlonipha ekhethekile Ukudla hypolipidemic, yokuphila asebenzayo. Ezinye iziguli kumelwe athathe izidakamizwa ezikhethekile - statin.