Sezintso kwimithambo stenosis: ezibangela kunokwenzeka, iimpawu kunye neempawu unyango

uxinzelelo lwegazi oluphezulu yingxaki eqhelekileyo kakhulu. Ingakumbi phakathi kwabantu abadala kunye eliqina. Oonobangela nomfutho inokuba kakhulu. Phakathi kwabo - isifo sentliziyo, isifo sezintso, ukuphazamiseka yonyango. Njengoko yaziwa, ubunzima obungakumbi kunokukhokelela stroke kunye nesifo sentliziyo. Ukuze siqonde indlela ukujongana nale uphawu, kufuneka ukukhangela unobangela woko. Kwezinye iimeko, i- hypertension kwenzeka imvelaphi yalo ngezifo njengoko sezintso umfula stenosis. Qala unyango lwesi sifo kwangethuba kangangoko kunokwenzeka. Emva emithanjeni stenosis kunokukhokelela kuphela ekwandeni uxinzelelo lwegazi, kodwa neminye imiphumo emibi. Le leengxaki kwenzeka amadoda phakathi kwabafazi. Kwezinye iimeko, isifo naso. Kaninzi kwenzeka sizoku lwisana ukuphazamiseka nemithambo.

Ukuze ufumane inkcazelo engakumbi malunga sezintso umfula stenosis

Sezintso kwimithambo stenosis - a licuthe le mithambo wesitya, ngenxa yokuba iimeko ezahlukeneyo zophendlo lwezifo. Isifo ithathwa ngokuba ezimbi nefropaticheskim. Umthambo sezintso - a imithambo yegazi enkulu ukuba unikezele igazi ukuba inyama yomzimba. Stenosis ngokuphawulekayo zancitshiswa ubukhulu. Ngenxa yoko, inkqubo aphazanyiswa igazi ubonelelo nezintso. Le ngezifo ikhokelela yanyhashwa ezifana lwesibini lwegazi, ukusilela ezinganyangekiyo kwezintso. Kukho 2 Uphuhliso Indlela stenosis. Phakathi kwabo:

1. ukhetho Atherosclerotic. It uyaqapheleka ezininzi izigulana na kwesi sifo. Loo indlela stenosis na ukuvaleka chu le mithambo bathintele. Kudla wavakalisa isitya occlusion iqatshelwe abadala.
2. dysplasia Fibromuscular. Olu uhlobo lo ngezifo azixhaphakanga. Oko kunokuthi kwenzeke aphakathi-abaneminyaka abasetyhini kunye namantombazana amancinane. ijwabu Dysplasia kwezihlunu libhekisela bekhubazekile ilifa.

Nguwe kuphela ukwenza uxilongo "Umthambo stenosis kwezintso" emva ukuhlolwa isixhobo. ICD - a ukuhlelwa ezimbi, kusetyenziswa ehlabathini lonke. Oku kuquka ezininzi izifo, nganye eneyazo ikhowudi ethile. Sezintso kwimithambo stenosis ufakwe ngeendlela ezimbini, kuxhomekeke unobangela ukwenzeka kwayo. Omnye iinketho - a I15.0 cipher, gama elo elithetha "lwegazi renovascular". Okunye ikhowudi e ICD - Q27.1. Umi for "iziphene sezintso kwimithambo stenosis." Zombini ezi zifo zidinga womchamo unyango okanye ugqirha nemithambo.

Sezintso kwimithambo stenosis: Ubangela Pathology

Ukuvaleka kwemithambo yoluvo kuba izinto ezimbi kwenkqubo olujikeleza. Chonga izinto ezahlukeneyo stenosis. Yeyona ixhaphakileyo kubo yegazi. Njengokuba kubhaliwe yaziwa, kwiimeko ezininzi kwenzeka kubantu utyebile, nto leyo uhleli ungenzi okanye isifo seswekile. Yamafutha uyakwazi ukuphuhlisa ngokuhamba kwexesha. Noko ke, kunqabile kwafunyaniswa de iimpawu kwemithambo yegazi. Ezinye izinto ezibangela stenosis ziquka:

1. dysplasia Fibromuscular. Eli binzana libhekisela siphene yemfuza enaso, ngenxa yokuba apho kukho ukunqongophala kwimicu kwezihlunu eludongeni nemithambo. Le pathology waphawula kwabasetyhini na ubudala.
2. Kwemithambo yegazi sezintso.
3. Yamathumba sisifo iperipheral vascular.
4. vasculitis azalwa nayo.
5. Ucinezelo ye nangezilonda kwemithambo sezintso ezithathwe kwizihlunu amalungu ezikufutshane.

Ezi izinto zenzeka kwiimeko ezinqabileyo. Ngoko ke, uphethwe yabo ukuqala kuphela emva ekupheliseni yegazi.

Indlela nomfutho

Uphawu ezingundoqo sezintso kwimithambo stenosis uthathwa ukunyusa uxinzelelo lwegazi. Ngoko ke, kule syndrome lwezonyango, inkqubo yeemviwo sezintso kufuneka. Njengoko ezihambisana sezintso stenosis kwemithambo kunye noxinzelelo lwegazi? Ukunyuka koxinzelelo lwegazi kubandakanya iindlela ezimbini:

1. Ukusebenza kwenkqubo renin-angiotensin. Phantsi yempembelelo ezi eziphilayo iphuhlise arteriolar exineneyo. Ngenxa yoluvo ukunyuka ukumelana nemithambo. Ngenxa yoko, uxinzelelo lwegazi kwi imithambo kwandisa.
2. Isenzo aldosterone. Le hormone ekuveliseni uthinte adrenal. Oku ngesiqhelo khona umzimba ngokusisigxina. Noko ke, ukuba kwemithambo stenosis ukwanda kwemveliso. Ngenxa yobungakanani bomthamo ngokugqithisileyo aldosterone kwi oluhlala incindi yomzimba kunye ion sodium. Oku, kuzakubangela ukwanda koxinzelelo lwegazi.

Ngenxa sisifo esingapheliyo unesifo kukho utshintsho kwi inxalenye yegazi. Ekhohlo hypertrophy ventricular, yaye ngokuthe ngcembe nangengalo. Lo ngomnye unobangela lwegazi.

Sezintso kwimithambo stenosis: iimpawu zesifo

Ukuvala kwemithambo ezintso kukhokelela ukuba nobuninzi kubachaphazela. Iimpawu stenosis asiyi kuba kwaoko, kodwa kuphela occlusion kakhulu. Kulo mzekelo, unyango elondoloza akusoloko olusebenzayo. Ukongeza ukuya kwizigulo semithambo, stenosis esimbaxa ikhokelela utshintsho kobuchopho kwi kwizintso. Isiphumo kukuba ukuhluza okuzikisa ubunzima umsebenzi omzimba. Njengoko oku, kunokwenzeka ukuba ama-2 syndrome onyango ephuhlisa stenosis. Okokuqala - lwegazi. Esi sifo iphawulwa linani ukwenza izinto zonyango. Phakathi kwabo:

1. Ukwanda uxinzelelo lwegazi. Oko isenokuba episodic okanye rhoqo. Eyona nto ibaluleke ngokukodwa lokufunyaniswa ukunyuka koxinzelelo lwegazi ukuzala (100 mm. HG. V.).
2. Imbonakalo ingxolo ezindlebeni.
3. Nesiyezi.
4. Isicaphucaphu, ayinazo uxhulumaniso ndawonye nomnikelo.
5. Emenyezelayo "iimpukane" phambi kwamehlo akhe.
6. Nentloko kwiitempile, ebunzi.
7. Ucaphuka.

Eyesibini i lwezonyango syndrome nephropathy kobuchopho. Ngenxa ukutyeshelwa yokumpompoza kwegazi kwezintso "ukutya" zokumisa omzimba. Ngakumbi yingozi mazwe kwimithambo stenosis kwezintso. Lwegazi - yimeko kuba amachiza ezilawulwa ngokuyinxenye. Ngelishwa, wavakalisa ilungu ischemia ayikho correctable usebenzisa iziyobisi. Iimpawu "oxygen yindlala" kwizintso ziquka: intlungu eliphantsi umva, utshintsho lwesinye. Kudla kukho ukuhla imali amanqanaba fluid, ubuthathaka jikelele. Umchamo kubonakale admixture igazi, intlenga ezinodaka.

ekuxilongweni

Uxilongo kungenziwa kuphela emva kokuba uviwo "sezintso kwimithambo stenosis." ngezifo uphethwe kubandakanya ukuqokelelwa izikhalazo kunye imbali yezonyango, iimvavanyo elebhu kunye neendlela zomculo. Amaninzi, kukho syndrome phambili yi lwegazi ezilawulwa kakubi unyango umfutho. Kwakhona, izigulane usenokukhalaza kabi ngasemva elisezantsi (kunye macala omnye okanye emibini), ukutshintsha uhlobo ukuchama. isicwangciso kuhlolwa ibandakanya:

1. Kla kunye urinalysis.
2. ECG.
3. Uhlalutyo ezinto igazi. Isifo kurhanelwa kunye ukwanda serum creatinine kunye urea.
4. ultrasound kwezintso.
5. Iimvavanyo ezizodwa: umchamo Nechiporenko, Zimnitskiy.
6. X-reyi nshita yoviwo iimpahla - renografiya.
7. Doppler ultrasound kwemithambo sezintso.
8. Angiography.
9. CT kunye MRI.

diagnosis umehluko

Ngenxa yokuba unesifo syndrome yiyo ehamba phambili, sezintso kwimithambo stenosis liza kwahlulwa kunye nesifo sentliziyo, yamafutha le aorta. Iimpawu kwakhona zifana isifo Itsengo, Cushing kunye pheochromocytoma.

Ukuba iimpawu nephropathy kobuchopho kuphola stenosis liza kwahlulwa kunye ezimbi yokukrala sezintso. Ezi ziquka pielo- kunye glomerulonephritis. Njengoko ezi mpawu kunokwenzeka xa iingxaki seswekile.

Unyango Conservative for sezintso umfula stenosis

Unyango lwe sezintso kwimithambo stenosis luqala ngeendlela angqingqwa. Lwegazi okubangelwa constriction nobeempahla kwezintso, kufuna indibanisela zamachiza ezininzi. Kukhethwa inikwa inhibitors enzyme angiotensin-ukuguqulela. Kodwa ke la machiza hayi yanconywa izigulane kunye izibhaxu atherosclerotic nemithambo. Indibaniselwano ubunjwe maqela alandelayo kwamachiza:

1. Beta-blocker. Ezi ziquka iziyobisi, "metoprolol", "Coronal", "bisoprolol".
2. Loop womchamo. Ichiza azikhethele - ichiza "Furosemide".
3. blocker Calcium channel. Phakathi kwabo - amayeza "Verapamil" "Diltiazem".

Ukongeza, isigulane kufuneka uthathe amayeza ukuze ukunyanga esi sifo engundoqo (yegazi, diabetes).

unyango zoqhaqho stenosis

Ngelishwa, kwiimeko ezininzi, unyango umfutho na alusebenzi. Ngaphezu koko, sinciphise uxinzelelo lwegazi kukhule kuphela nephropathy kobuchopho. Ngoko kuyimfuneko ukuba bangabheneli uqhaqho. Kuxhomekeka ubungakanani umonakalo, khetha indlela zoqhaqho unyango. Kakhulu akholisa ukuchitha Umthambo stenting usinika kwizintso. Ukuba lonke sayo isitya obturated phezu indawo enkulu wenziwa utyando bypass - ukutshintshwa icandelo le isitya ukufakelwa. Ngelo ukufa nephrectomy kwezintso luyenziwa.

I-ALS emva konyango zoqhaqho stenosis

Nokuba leliphi na icala woyiswa (stenosis kwemithambo sezintso ekhohlo okanye ekunene), i-ALS emva kotyando ixhomekeke ngokuthotyelwa kwezo ngcebiso kagqirha kunye nemeko yesigulana. Ngokufuthi, utyando nako ukuphumeza iziphumo ezidibanisayo. Emva kweenyanga ezimbalwa 60-70% ezigulane kunye kuqheleke wegazi kwenzeka.

Iingxaki stenosis sezintso

Ngelishwa, sezintso kwimithambo stenosis kwafunyaniswa kuphela kade inqanaba lophuhliso. Ngoko ke, akunakwenzeka ukuba ngoyaba ingcebiso kagqirha. Emva zisongele ezinobuzaza ukuphuhlisa ngaphandle unyango olufanelekileyo. Phakathi kwabo - i iposi engabalulekanga nobetho kwisiqalo lobunzima unesifo, etsolo kunye ezingapheliyo ukusilela kwezintso. Ukuba ixesha lingasebenzi utyando, umguli inokungabi igunya.

ukuvimbela

amanyathelo azizithintelo ziquka esweni rhoqo wegazi phambi izikhalazo isiyezi kunye ukuduma, ukuyeka ukutshaya kunye notywala. Ukuze kuthintelwe ukuqhubela phambili ngenxa yamafutha, kuyimfuneko ukuba ukuhlonipha ekhethekileyo ukutya hypolipidemic, yokuphila esebenzayo. Ezinye izigulane kufuneka uthathe iziyobisi ezikhethekileyo - statins.