ʻaʻa puʻuwai puʻe. Nā symptoms a me ka lapaʻau papa o ka maʻi

ʻaʻa puʻuwai puʻe, na symptoms o i i hanaʻia o ka ai iiiaanoaa o nā kumumea meaʻano nui ka hypertension-ʻonouʻaʻa puʻuwai parenchymal maʻi aʻaʻa puʻuwai moku. 30-35% o kanaka e loaa ana mai ka hypertension i concomitant hakuʻala maʻi, no ka mea, o ka a aia no he ikaika a me ka ulu puʻe, no ka mea, i ka manaʻo koikoi, a me nā puʻupaʻa i pinepine interrelated.

Nephrogenic hypertension ua maheleia i mau ano: renovascular a me ka parenchymal a lākou i nā loli i kaʻaʻa puʻuwai puʻe. Symptoms o kēia hiki e loa vague, a ua pinepine kuhihewa no nā maʻi. Renovascular hypertension e hoʻomōhala ana i aie i ka unilateral aʻeluaʻaoʻao stenosis paha occlusion o kaʻaʻa puʻuwai artery a me kona lālā. Renovascular hypertension hiki e nā loaa a me innate ano. Parenchymal hypertension, ma ka hapanui o na hihia, kena ae la ia eʻeluaʻaoʻao maʻi pyelonephritis 'ole' ē aʻe hakuʻala maʻi, ua nephrolithiasis (hakuʻala pohaku), tuberculosis,ʻeho keʻano o ka hanaʻana, cysts, hydronephrosis, polycystic a me kekahi mau 'ē aʻe ka maʻi.

Ma awelika, renovascular hypertension ia lŘlŘ ma 5-12% o ka poʻe loaʻa mai hypertension. Aia nō kekahi mau kumu nui congenital kumu o renovascular hypertension, i loaʻa: aneurysm, dysplasia a me nā pathological anomalies o kaʻaʻa puʻuwai arteries, arteriovenous fistula. Mawaena o na kumu i ho'ākāka 'i loaa pepa renovascular hypertension i: ʻaʻa puʻuwai artery stenosis like me kaʻilihune o ka atherosclerosis, hoʻololiʻaʻa puʻuwai arteries aie i ka holumua ai Nephroptosis, embolism paha thrombosis o kaʻaʻa puʻuwai arteries a me kā lākou mau lala, panarteriit, mīkini'opihia o ka artery ma waho hakuʻala (hikoko, cysts a me ka mea e like. d.).

Symptoms a me ka lapaʻau hoikeana o renovascular hypertension

Renovascular hypertension ia lŘlŘ i waena o nā mea a pau makahiki pūʻulu akā, ka loa, he pono ole i ka poʻe ma lalo o 50 makahiki o ka makahiki (93% o na hihia a pau). Ka loa, he pono ole lesions o kaʻaʻa puʻuwai artery mea atherosclerotic sclerosis. Kēiaʻano o ka maʻi uaʻano nui i loaʻa i waena o kane elemakule 35 i ka 40 o kona mau makahiki. Ma nā wāhine, ka papa kuhikuhiE etiological ololi i loko o ka ulu ana o ka maʻi o ka fibromuscularʻaʻa puʻuwai artery stenosis a pau mawaena o'ōpiopio kaikamahine.

ʻaʻa puʻuwai puʻe, na symptoms o i i wehewehe aku e koke hoouka kaua a me ka kokololio (pinepine malignant, i loko o 18-30% o ka hihia) pele. Hypertension ua pu e kiʻekiʻe loa pae o diastolic puʻe (110-125 mm o Hg a oi); kākaʻikahi hiki i ka hoʻoponopono ulia. Renovascular hypertension ua 'ike hou pinepine ma ka ulia.

lapaʻau '

E huai ae i ke alo o renovascular hypertension E undergo ekolu kūlana o ka mahele. Ke kahua mua me ka nānā 'ana i ka pono aortography. E hana i kēia, ohi i piha 'inikua mōʻaukala, mau lapaʻau hoʻohana' ē aʻe ki ina hana like. Ka mōʻaukala Ua pinepine ia ma ke kaawale ana o ka hereditary ano o ka maʻi, i ka hanana o hypertension ma hope o ka eha i loko o ka lumbar māhele 'āina. ʻaʻa puʻuwai puʻe, symptoms o i i blurred, ia mea loa paʻakikī ia e diagnosed a me ka pono koke lapaau i ke kauka i ka hoailona mua.

Ka lua o ke kahua me kŰia hana aortography a me arteriography o nā puʻupaʻa, a, ina e hai i kekahi loli ma nā puʻupaʻa, ua laweʻia i ke koko mai kaʻaʻa puʻuwai aa koko. Koko hookolokolo aku la ia no ka wai koko renin ha awina ma ka hope PalekanaEND_LINK mua.

Ka hope ke kahua o ka anamanaʻo mea e ho'āʻo e hookupaa aku i ka pilina o ka hypertension mai ka hōʻike 'lesions i loko o kaʻaʻa puʻuwai artery. E hoao i kēia wahi o Hawaii i nā kiʻina hana hoʻohana kālaiōewe renografii, eksretornoy urography a me ka noiʻi hope o ka renin. I 8-10% o nā mea maʻi kūkulu i ka ikaika collateral holo, a compensates no ka iaea ooieoeiiaeuiiai hoʻopilikia o ka loli hakuʻala.

lapaʻau

ʻaʻa puʻuwai puʻe lapaʻau hoolaʻi laau a hiki wale e alakai i ka mea complications, pono e ee a ma ka mea o kaʻoki lāʻau lapaʻau 'uao, a ua manaoia e hoihoi hou koko o ka papa kuhikuhiEʻaʻa puʻuwai arteries.