Matenda oopsa kwambiri

Matenda oopsa a kuthamanga kwa magazi ndi kuthamanga kwa magazi chifukwa cha kuchepa kwa mitsempha yomwe imanyamula magazi kupita ku impso. Matendawa amatchedwanso aimpso artery stenosis.

Renal artery stenosis ndikuchepetsa kapena kutsekeka kwamitsempha yomwe imapereka magazi ku impso.

Chifukwa chofala kwambiri cha aimpso mtsempha wamagazi stenosis ndikutseka m'mitsempha chifukwa chambiri cholesterol. Vutoli limachitika pamene chinthu chomata, chonenepa chotchedwa plaque chimakhazikika pakatikati pamitsempha, ndikupangitsa matenda otchedwa atherosclerosis.

Mitsempha yomwe imanyamula magazi kupita ku impso zanu imakhala yopapatiza, magazi ochepa amayenda impso. Impso zimayankha molakwika ngati kuti magazi anu ndi ochepa. Zotsatira zake, amatulutsa mahomoni omwe amauza thupi kuti ligwiritsenso ntchito mchere ndi madzi ambiri. Izi zimayambitsa kuthamanga kwa magazi kwanu.

Zowopsa za atherosclerosis:

• Kuthamanga kwa magazi
• Kusuta
• Matenda a shuga
• Cholesterol wokwera
• Kumwa mowa kwambiri
• Nkhanza za Cocaine
• Kukula msinkhu

Fibromuscular dysplasia ndi chifukwa china cha aimpso artery stenosis. Amawonekera mwa azimayi ochepera zaka 50. Amakonda kuyenda m'mabanja. Vutoli limayamba chifukwa chakukula kwakanthawi kwamaselo pamakoma amitsempha yopita ku impso. Izi zimayambitsanso kuchepa kapena kutsekeka kwa mitsempha iyi.

Anthu omwe ali ndi vuto la kuthamanga kwa magazi atha kukhala ndi vuto lakuthamanga kwambiri kwa magazi komwe kumakhala kovuta kutsitsa ndimankhwala.

Zizindikiro za matenda oopsa amayamba monga:

• Kuthamanga kwa magazi ali mwana
• Kuthamanga kwa magazi komwe kumakula mwadzidzidzi kapena kumakhala kovuta kuwongolera
• Impso zomwe sizikuyenda bwino (izi zimatha kuyamba mwadzidzidzi)
• Kuchepetsa mitsempha ina m'thupi, monga miyendo, ubongo, maso ndi kwina kulikonse
• Kutuluka kwadzidzidzi kwamadzimadzi m'matumba am'mapapu (m'mapapo mwanga edema)

Ngati muli ndi vuto loopsa la kuthamanga kwa magazi lotchedwa malignant hypertension, zizindikilo zimatha kuphatikizira izi:

• Mutu woipa
• Nseru kapena kusanza
• Kusokonezeka
• Zosintha m'masomphenya
• Kutulutsa magazi m'mphuno

Wopereka chithandizo chamankhwala amatha kumva phokoso "lotetemera", lotchedwa bruit, poyika stethoscope pamimba mwanu.

Mayeso a magazi otsatirawa atha kuchitika:

• Mulingo wa cholesterol
• Magawo a Renin ndi aldosterone
• BUN - kuyesa magazi
• Creatinine - kuyesa magazi
• Potaziyamu - kuyesa magazi
• Chilolezo cha Creatinine

Kuyesa kuyerekezera kumatha kuchitidwa kuti muwone ngati mitsempha ya impso yafupika. Zikuphatikizapo:

• Angiotensin yosintha enzyme (ACE) yoletsa kuyambiranso
• Doppler ultrasound ya mitsempha ya aimpso
• Magnetic resonance angiography (MRA)
• Mtsempha wamagazi angiography

Kuthamanga kwa magazi komwe kumachitika chifukwa chakuchepetsa mitsempha yomwe imabweretsa impso nthawi zambiri kumakhala kovuta kuigwira.

Mankhwala amodzi kapena angapo amafunika kuthandizira kuchepetsa kuthamanga kwa magazi. Pali mitundu yambiri yomwe ilipo.

• Aliyense amayankha mosiyanasiyana mankhwala. Magazi anu ayenera kuyang'aniridwa pafupipafupi. Kuchuluka ndi mtundu wa mankhwala omwe mumamwa mungafunike kusintha nthawi ndi nthawi.
• Funsani omwe amakupatsani zomwe zili zoyenera kwa inu kuwerenga kuthamanga kwa magazi.
• Tengani mankhwala onse momwe woperekayo amawalembera.

Onetsetsani kuti mafuta anu a cholesterol akuyang'aniridwa, ndikuchiritsidwa ngati kuli kofunikira. Omwe amakuthandizani amakuthandizani kudziwa kuchuluka kwama cholesterol mokwanira malinga ndi chiwopsezo cha matenda amtima komanso matenda ena.

Kusintha kwa moyo ndikofunikira:

• Idyani chakudya chopatsa thanzi.
• Chitani masewera olimbitsa thupi pafupipafupi, osachepera mphindi 30 patsiku (funsani dokotala musanayambe).
• Mukasuta, siyani. Pezani pulogalamu yomwe ingakuthandizeni kuyimitsa.
• Malire omwe mumamwa: 1 kumwa tsiku lililonse kwa akazi, 2 patsiku kwa amuna.
• Chepetsani kuchuluka kwa sodium (mchere) womwe mumadya. Ganizirani zosakwana 1,500 mg patsiku. Funsani dokotala wanu za kuchuluka kwa potaziyamu yomwe muyenera kudya.
• Kuchepetsa nkhawa. Yesetsani kupewa zinthu zomwe zimakupangitsani kupanikizika. Muthanso kuyesa kusinkhasinkha kapena yoga.
• Khalani pa thupi lolemera. Pezani pulogalamu yolemetsa yokuthandizani, ngati mukufuna.

Chithandizo china chimadalira chomwe chimapangitsa kuchepa kwa mitsempha ya impso. Wopezayo angakulimbikitseni njira yotchedwa angioplasty ndi kununkhira.

Njirazi zitha kukhala zosankha ngati muli ndi:

• Kuchepetsa kwakukulu kwa mtsempha wamagazi
• Kuthamanga kwa magazi komwe sikuwongoleredwa ndi mankhwala
• Impso zomwe sizikuyenda bwino ndipo zikuipiraipira

Komabe, kusankha kuti ndi anthu ati omwe akuyenera kutsatira njirazi ndi kovuta, ndipo zimadalira pazinthu zambiri zomwe zatchulidwazi.

Ngati kuthamanga kwa magazi sikuyendetsedwa bwino, muli pachiwopsezo cha zotsatirazi:

• Aortic aneurysm
• Matenda amtima
• Mtima kulephera
• Matenda a impso
• Sitiroko
• Mavuto masomphenya
• Magazi osakwanira m'miyendo

Itanani omwe akukuthandizani ngati mukuganiza kuti muli ndi kuthamanga kwa magazi.

Itanani omwe akukuthandizani ngati muli ndi matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda obwera chifukwa cha matenda okhudzidwa ndi matendawa ndipo zizindikilo zikuwonjezereka kapena sizikusintha ndi mankhwala. Itaninso ngati pali zizindikiro zatsopano.

Kupewa matenda a atherosclerosis kumatha kupewa kupweteketsa mtima kwamitsempha. Kuchita izi kungathandize:

• Kuchepetsa thupi ngati muli wonenepa kwambiri.
• Funsani omwe akukuthandizani zakusuta kwanu komanso kumwa mowa.
• Sungani shuga lanu m'magazi ngati muli ndi matenda ashuga.
• Onetsetsani kuti wothandizira wanu akuyang'anira kuchuluka kwa mafuta m'magazi anu.
• Idyani chakudya chopatsa thanzi.
• Muzichita masewera olimbitsa thupi nthawi zonse.

Aimpso matenda oopsa; Kuthamanga kwa magazi - kukonzanso; Aimpso mtsempha wamagazi kutsekeka; Stenosis - mtsempha wamagazi; Aimpso mtsempha wamagazi stenosis; Kuthamanga kwa magazi - kukonzanso

• Impso zowopsa
• Mitsempha ya impso

Siu AL, Gulu Lankhondo Lodzitchinjiriza ku US. Kuyeza kuthamanga kwa magazi kwa achikulire: Ndemanga yothandizidwa ndi US Preventive Services Task Force. Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubed.ncbi.nlm.nih.gov/26458123/.

Zolemba pa SC. Matenda oopsa kwambiri komanso ischemic nephropathy. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 47.

Victor RG. Matenda oopsa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 70.

Victor RG. Matenda oopsa: njira ndi matenda. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 46.

Victor RG, Libby P. Matenda oopsa: kasamalidwe. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 47.