Stenosis iatuku tākihi: te take ka taea, tohu me ngā āhuatanga maimoatanga

pēhanga toto High ko te raruraru tino noa. Rawa i roto i te iwi paari me waenganui-koroheke. Take o te takawhita taea e te rota. I roto ia ratou - mate ngakau, mate tākihi, disorders endocrine. Ka rite ki mohiotia te, Ka taea e nui haere te pēhanga arahi ki te patunga me te whakaeke ngakau. Ki te mārama me pēhea te ki te mahi ki tenei tohu, e hiahia ana koe ki te whakatau i te take. I roto i ētahi wā, puta takawhita i te papamuri o tenei māuiuitanga rite stenosis iatuku tākihi. Tīmata maimoatanga o tenei mate rite wawe rite taea. I muri i taea matua stenosis arahi ki te hua i roto i te pēhanga toto e kore anake, engari ano hoki ki ētahi atu nunua mamafa. Puta ana te māuiuitanga i roto i nga tangata e rua, me te i roto i nga wahine. I roto i ētahi wā, he congenital te mate. Nuinga o ngā wā puta reira ki te puipuitua o disorders iaia.

Mō ētahi atu pārongo e pā ana ki stenosis iatuku tākihi

stenosis tākihi iatuku - he whāiti o te lumen o te oko, e tika ana ki ngā tikanga pathological. whakaaro te mate te ki hei pathologies nefropaticheskim. iatuku tākihi - he oko toto nui e tuku toto ki te kiko tinana. E mārika i iti Stenosis te whānui. Ka rite ki te hua, ohorere te tukanga e toto supply ki te whatukuhu. arata'i tēnei māuiuitanga ki taua maumaui nui rite Tuarua takawhita, ma'i täkihi. E 2 te whanaketanga tikanga stenosis. I roto ia ratou:

1. kōwhiringa atherosclerotic. Kei te kitea te reira i roto i te nuinga o te tūroro mate i tenei mate. he tikanga pērā o stenosis ko te blockage āta o te lumen o tohu. E mea pinepine faaite occlusion oko kitea i roto i te paari.
2. dysplasia Fibromuscular. Tenei kē he māuiuitanga iti noa. Ka taea e puta te reira i roto i te waenganui-pakeke wahine me nga kotiro taitamariki. pā Dysplasia uaua kikokiko ki te hē congenital riro.

Anake ka taea e hanga e koe te tātaritanga "stenosis iatuku tākihi" i muri i te tirohanga taputapu. ICD - he whakarōpū o pathologies, whakamahia puta noa i te ao. Kei roto te reira i te plurality o mate, ia o nei he tetahi waehere. whakawaeheretia stenosis iatuku tākihi e tikanga e rua, i runga i te take o tona takanga rānei. Ko tētahi o nga kōwhiringa - he I15.0 KarereHuna, e te tikanga "takawhita renovascular". Ētahi atu waehere i roto i ICD - Q27.1. tu ia hoki "congenital stenosis iatuku tākihi." tikanga rua rapu roma mimi maimoatanga hauora taote iaia ranei.

Tākihi stenosis iatuku: Okú Pathology

Whāiti o te pera piringa no ki te pathologies o te pūnaha iaia. Te tāutu take rerekē o stenosis. Ko te noa tino o ratou he atherosclerosis. Ka rite ki te mea i mohiotia he, i roto i te nuinga o te wā puta ai i roto i te iwi ki te taumaha, ārahi i te āhua sedentary mate huka ranei. Ka taea e te atherosclerosis whakawhanake i runga i te wā. Heoi, kei te uaua pāngia reira tae noa ki nga tohu o pera tanumia. Ētahi atu take o te stenosis ngā:

1. dysplasia Fibromuscular. E pā ana tēnei wā ki te koha iranga congenital, rite ki te hua o nei i reira ko te kore o weu uaua i roto i te taiepa iaia. Te māuiuitanga kitea i roto i nga wahine o tetahi tau.
2. Aneurysm pera tākihi.
3. Te pukupuku o te mate iaia piringa.
4. vasculitis congenital ka riro.
5. Kōpeketanga o nga puku iatuku tākihi i takea mai i te kopa whekau pātata.

Enei take tupu i roto i te wā onge. Na reira, tīmata ratou tātaritanga muri anake i te whakakorenga o te atherosclerosis.

Ko te tikanga o te takawhita

whakaaro te tohu matua o te stenosis iatuku tākihi te ki ake i te pēhanga toto. Na reira, i roto i tenei syndrome haumanu, Me pūnaha whakamātautau tākihi. Ka rite ki te hāngai stenosis iatuku tākihi me te takawhita? Ko te hua i roto i te pēhanga toto tā rua tikanga:

1. Te faaitoitoraa o te pūnaha renin-angiotensin. I raro i te mana o enei matū koiora whakawhanake arteriolar whāiti. Ka rite ki te hua o piki ātete iaia piringa. Ko te kupu, te pēhanga toto i roto i te pera whakanuia ana.
2. Ko te mahi o te aldosterone. hua ana tēnei taiki e i roto i te uho adrenal. Ko reira te tikanga reira i roto i te tinana tūturu. Heoi, ki te stenosis te iatuku ona piki production. Nā ki te nui nui o te aldosterone i roto i nga piki inu tinana me katote konutai. Tenei, i roto i te tahuri, hoki meinga he hua i roto i te pēhanga toto.

Ka rite ki te hua o te mate hypertensive ma'i i reira ko te huringa i runga i te wahi o te pūnaha Cardiovascular. Mahue hypertrophy ventricular, a āta totoro. Ko tetahi atu take o te takawhita tenei.

stenosis iatuku tākihi: tohu mate

Whāiti o nga pera o te whatukuhu arata'i mo te plurality o pānga. e kore te mea tonu tohu o stenosis, engari anake ki occlusion nui. I roto i tenei take, e kore te mea whai hua tonu maimoatanga momo. I tua atu ki disorders iaia, arata'i stenosis matua ki huringa rere pūroto i roto i te tākihi. Ko te hua ko e te filtration me kukū mamae okana mahi. Homai tenei, ko reira taea ki te tohatoha 2 syndrome haumanu e whakawhanake stenosis. Tuatahi - takawhita. āhuatanga tēnei syndrome e te maha o faaiteraa haumanu. I roto ia ratou:

1. pēhanga toto Nui ake. E nehenehe te reira rānei wā tamau ranei. O te faufaa ngā mo te tātaritanga o te ara i roto i te pēhanga toto diastolic (100 mm. HG. V.).
2. Ko te ahua o te ngangau i roto i te taringa.
3. Whanoke.
4. Whakapairuaki, e kua kore hononga ki te kai.
5. E rarapa ana "namu" i roto i te mua o ona kanohi.
6. Ānini i roto i te mau hiero, rae.
7. Kārangirangi.

Ko te tuarua ko te syndrome nephropathy rere pūroto haumanu. Nā ki maumaui o te rere toto tākihi "kai" tūnga okana. Rawa kino më stenosis iatuku tākihi. Takawhita - he tu'unga e taea e taero wāhanga whakahaere. Kia aroha mai, faaite e kore he correctable okana ischemia te whakamahi i taero. Tohu "hāora te hemokai" tākihi ngā: mamae hoki iti, huringa i roto i te tōngāmimi. E mea pinepine i reira he he hekenga i roto i te nui o ngā taumata inu, ngoikore whānui. kia puta te mimi hawhekaihe o toto, parataiao paruparu.

tātaringa

Ka taea te hanga tātaritanga muri anake i te whakamātautau "tākihi stenosis uaua." māuiuitanga tātaritanga tā te kohinga o amuamu me te hītori hauora, whakamātautau taiwhanga me tikanga mauhaa. Nuinga o ngā wā, he syndrome ārahi he takawhita painga te mana therapy antihypertensive. Hoki, kia amuamu tūroro o te hūhi i roto i te hoki o raro (ki tetahi e rua ranei taha), te huri i te āhua o te urination. mahere tirohanga ngā:

1. KLA me urinalysis.
2. ECG.
3. tātari matüora o toto. whakapae ana te mate te ki te hua i roto i te serum creatinine me te tiomimi.
4. ultrasound tākihi.
5. whakamātautau Motuhake: mimi Nechiporenko, Zimnitskiy.
6. X-ray whakamātautau rerekē o nga oko - renografiya.
7. Doppler ultrasound o nga pera tākihi.
8. Angiography.
9. CT ko MRI.

tātaritanga pārōnaki

Homai te meka e syndrome hypertensive ko te tino, stenosis iatuku tākihi te rerekëtanga ki te mate ngakau, atherosclerosis o te haoraora. kia hoki rite tohumate mate Itsengo, Cushing me pheochromocytoma.

Ki te taea tohu o nephropathy rere pūroto, rerekëtanga te stenosis te ki pathologies inflammatory o te tākihi. Ko ētahi o ēnei pielo- me glomerulonephritis. Ka rite ki kia puta enei tohu ka pōauautanga o te mate huka.

therapy tūpato hoki stenosis iatuku tākihi

Maimoatanga o te stenosis iatuku tākihi tīmata ki tikanga momo. Takawhita meinga e constriction o oko tākihi, titau te huinga o te maha taero. Ko te tino hiahia ki inhibitors o whākōkī angiotensin-tahuri. Otiia kahore e enei taero tūtohutia i roto i te tūroro ki nui pāpaka iaia atherosclerotic. tito te huinga e o te rōpū e whai ake nei o taero:

1. Beta-blockers. Ēnei ngā taero, "metoprolol", "Coronal", "bisoprolol".
2. Diuretics Koromeke. Ko te tarukino o kōwhiringa - te tarukino "Furosemide".
3. blockers Calcium hongere. I roto ia ratou - rongoā "Verapamil" "Diltiazem".

I tua atu, kia tangohia te manawanui te rongoā e hiahiatia ana ki te hamani i te mate whāriki (atherosclerosis, mate huka).

maimoatanga hāparapara o stenosis

Kia aroha mai, i roto i te nuinga o te wā, he whai hua therapy antihypertensive. pēhanga toto ano, heke anake kē atu nephropathy rere pūroto. Na reira ko te reira e tika ana ki te huihui ki te pokanga. Tei runga i te whānuitanga o te kino, te whiriwhiri i te tikanga hāparapara o te maimoatanga. Nuinga o ngā wā noho iatuku stenting tuku i te tākihi. Ki te obturated runga nga lumen oko katoa whakamana te wāhi nui te karo pokanga - whakakapinga o te wāhanga o te oko ki te transplant. I te matenga o te nephrectomy tākihi whakamana te.

Ko te waitohunga i muri i te maimoatanga hāparapara o stenosis

Ahakoa o i patua taha i (stenosis o te iatuku tākihi maui ranei tika), te waitohunga i muri i te pokanga, tei runga i tautukunga ki ngā taunakitanga o te tākuta, me te huru tinana o te manawanui. E mea pinepine, Ka taea e pokanga te whakatutuki i te hua pai. I muri i te marama torutoru i roto i te 60-70% o te tūroro ki te māori o te pēhanga toto puta.

Fifi o te stenosis tākihi

Kia aroha mai, pāngia stenosis iatuku tākihi anake i te wāhanga mutunga o te whanaketanga. Na reira, e kore e taea ki te tau'a ore tūtohutanga o te tākuta. I muri i te whakawehi pōauautanga taea te whakawhanake, kahore maimoatanga tika. I roto ia ratou - he infarction myocardial me patu ki runga ki te papamuri o raruraru hypertensive, whakapeka, me te ma'i täkihi. Ki te kore e wa mahi te pokanga, kia te manawanui ngaro te mana.

ārai

āraihia atu ngā te aroturuki tonu o te pēhanga toto i roto i te aroaro o amuamu o whanoke me te tinnitus, hoatu ake kai paipa, me te waipiro. Ki te karo i te ahunga whakamua o te atherosclerosis, he mea e tika ana ki te faatura i te motuhake kai hypolipidemic, āhua kaha. Me tango ētahi tūroro drugs motuhake - statins.