ʻO ke kiʻekiʻe hypertension

ʻO ka hypertension Renovive ke kiʻekiʻe o ke koko ma muli o ka hoʻopili ʻana o nā aʻa e hāpai i ke koko i nā puʻupaʻa. Kapa ʻia kēia ʻano he stenosis artery renal.

ʻO ke stenosis ʻaʻa puʻupuʻu kahi mea liʻiliʻi a blockage paha o nā aʻa e hāʻawi i ke koko i nā puʻupaʻa.

ʻO ke kumu maʻamau o ka stenosis artery renal kahi paʻa i nā aʻa ma muli o ke kiʻekiʻe o ka cholesterol. Hana ʻia kēia pilikia ke kūkulu ʻia kahi mea momona, momona momona i kapa ʻia ka plake ma ka uhi o loko o nā aʻa, e hōʻike ana i kahi ʻano atherosclerosis.

Ke hāiki nā aʻa e lawe i ke koko i kāu mau puʻupaʻa, emi ke kahe o ke koko i nā puʻupaʻa. Kuhi hewa nā hakuʻala e like me ke haʻahaʻa o kou kahe koko. ʻO ka hopena, hoʻokuʻu lākou i nā hormoni e haʻi i ke kino e paʻa i ka nui o ka paʻakai a me ka wai. ʻO kēia ke ala aʻe o kou piʻi koko.

Nā kumu pilikia no ka atherosclerosis:

• Piʻi koko kiʻekiʻe
• Puhipaka
• Diabetes
• Kolesterol kiʻekiʻe
• Hoʻohana nui i ka waiʻona
• Hana ʻino kokain
• Ke hoʻonui nei i ka makahiki

ʻO Fibromuscular dysplasia kekahi kumu o ka stenosis aʻa puʻuwai. ʻIke pinepine ʻia i nā wahine ma lalo o ka makahiki 50. Mālama ʻia i ka holo ʻana i loko o nā ʻohana. Hoʻokumu ʻia kēia ʻano e ka ulu pono ʻole o nā hunaola i nā paia o nā aʻa e alakaʻi i nā puʻupaʻa. Alakaʻi kēia i ka hoʻopili a blockage paha o kēia mau aʻa.

Loaʻa i ka poʻe me ka hanu hyperpension ka moʻaukala o ke koko kiʻekiʻe loa e paʻakikī e lawe i lalo me nā lāʻau.

ʻO nā ʻōuli o ka hanu hypertension e komo pū me:

• ʻO ke koko kiʻekiʻe i ka wā ʻōpio
• ʻO ke kahe kiʻekiʻe e piʻi a paʻakikī paha i ka kaohi
• Nā hakuʻala maikaʻi ʻole (hiki ke hoʻomaka koke kēia)
• ʻO ka hoʻopili ʻana o nā aʻa ʻē aʻe i loko o ke kino, e like me nā wāwae, ka lolo, nā maka a me nā wahi ʻē aʻe
• Kū koke ka wai o ka wai i nā ʻeke ea o nā akemāmā (edema pulmonary)

Inā loaʻa iā ʻoe kahi ʻano weliweli o ke koko kiʻekiʻe i kapa ʻia he hypertension malignant, hiki i nā ʻōuli ke hoʻopili pū.

• ʻEha poʻo poʻo
• Nausea a i ʻole ka luaʻi
• Huikau
• Nā hoʻololi i ka hihiʻo
• Nā Nosebleeds

Lohe paha ka mea mālama ola i kahi walaʻau "whooshing", i kapa ʻia he bruit, ke kau nei i kahi stethoscope ma luna o kou ʻōpū.

E hana ʻia nā hoʻokolohua koko aʻe:

• Nā pae kolesterol
• Nā pae Renin a me aldosteron
• BUN - hoʻāʻo koko
• Creatinine - hoʻāʻo koko
• Potassium - hoʻāʻo koko
• ʻĀina Creatinine

Hiki ke hana i nā hoʻokolohua kiʻi ʻana e ʻike inā ua kāʻei nā aʻa puʻupaʻa. Pākuʻi ʻia lākou:

• ʻO ka Angiotensin hoʻololi i ka ʻenemika (ACE) kāohi ʻana i ka renography
• ʻO Doppler ultrasound o nā ʻaʻaʻaʻa
• Mākēneki resonance angiography (MRA)
• Angiography ʻaʻa puʻuwai

ʻO ke kahe koko kiʻekiʻe ma muli o ka hoʻopili ʻana o nā aʻa e alakaʻi ai i nā puʻupaʻa paʻakikī pinepine e kaohi.

Hoʻokahi aʻoi aku paha nā lāʻau e pono ai e kaohi i ke kahe o ke koko. Nui a hewahewa nā ʻano i loaʻa.

• Pane ka poʻe āpau i ka lāʻau ʻokoʻa. Pono e nānā pinepine i kou kaomi koko. Pono e hoʻololi i ka nui a me ke ʻano o ka lāʻau e lawe ai i kēlā me kēia manawa.
• E nīnau i kāu mea nāna e hāʻawi mai ka pono o ke kaomi koko e kūpono no ʻoe.
• E lawe i nā lāʻau āpau i ke ala a kāu mea hāʻawi i kauoha ai iā lākou.

E nānā i kāu mau pae kolesterol, a mālama ʻia inā pono. E kōkua kāu mea lawelawe i ka hoʻoholo ʻana i nā pae kolesterol kūpono nāu e pili ana i kāu maʻi maʻi puʻuwai a me nā kūlana olakino ʻē aʻe.

He mea nui nā loli nohona:

• ʻAi i ka papaʻai olakino puʻuwai.
• Hoʻomaʻamaʻa mau, ma ka liʻiliʻi 30 mau minuke i ka lā (e nānā me kāu kauka ma mua o ka hoʻomaka ʻana).
• Inā puhi ʻoe, haʻalele. E ʻike i kahi papahana e kōkua iā ʻoe e kū.
• Palena i ka nui o ka waiʻona āu e inu ai: 1 inu i ka lā no nā wahine, 2 i ka lā no nā kāne.
• Palena i ka nui o ka sodium (paʻakai) āu e ʻai ai. Kūpono no ka mea ma lalo o 1,500 mg i kēlā me kēia lā. E hōʻoia me kāu kauka e pili ana i ka nui o ka potassium āu e ʻai ai.
• E hōʻemi i ke koʻikoʻi. E hoʻāʻo e hōʻalo i nā mea e hoʻonāukiuki ai iā ʻoe. Hiki iā ʻoe ke hoʻāʻo i ka noʻonoʻo a yoga paha.
• Noho ma ke kaupaona kino olakino. E ʻike i kahi papahana hoʻēmi kino e kōkua iā ʻoe, inā ʻoe pono.

Pili hou ka mālama ʻana i ke kumu o ka liʻiliʻi o nā aʻa puʻupaʻa. Koi paha kāu mea hāʻawi i kahi hana i kapa ʻia angioplasty me ka stenting.

ʻO kēia mau kaʻina hana he koho inā loaʻa iā ʻoe:

• ʻO ka hoʻoliʻiliʻi koʻikoʻi o ke aʻa ākea
• ʻO ke kaomi koko e hiki ʻole ke kāohi ʻia me nā lāʻau
• ʻO nā hakuʻala maikaʻi ʻole a maikaʻi ʻole

Eia nō naʻe, paʻakikī ka hoʻoholo e pili ana i ka poʻe i kēia mau kaʻina hana, a kaukaʻi ʻia i nā mea i helu ʻia ma luna.

Inā ʻaʻole kaohi maikaʻi ʻia kou kaomi koko, aia ʻoe i ka makaʻu no nā pilikia aʻe:

• Aneurysm ʻaʻano
• Maʻi hohola
• Hewa puʻuwai
• Maʻi maʻi ʻōniʻoniʻo
• Hahau
• Nā pilikia ʻike
• Hāʻawi ke koko maikaʻi ʻole i nā wāwae

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe he koko kiʻekiʻe kou.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ke hypertension a me nā ʻōuli e hele a maikaʻi ʻole a hoʻomaikaʻi ʻole paha me ka lāʻau. Kāhea pū kekahi inā ulu nā ʻōuli hou.

ʻO ka pale ʻana i ka atherosclerosis hiki ke pale aku i ka stenosis arenal renal. Hiki ke kōkua i ka lawe ʻana i nā kaʻina hana penei:

• Lilo i ke kaupaona inā ʻoi nui ʻoe.
• E nīnau i kāu mea hāʻawi e pili ana i kāu puhi a me ka hoʻohana ʻana i ka waiʻona.
• E kāohi i kou kō kō inā loaʻa kou maʻi diabetes.
• E nānā pono i ka mālama ʻana o kāu mea i kāu pae kolesterol.
• ʻAi i kahi papaʻai olakino puʻuwai.
• E kiʻi i ka hoʻoikaika kino maʻamau.

Hypertension Renal; Hypertension - hana hou; Hoʻowahāwahā ʻaʻa Renal; Stenosis - ʻaʻaʻaʻa; Stenosis ʻaʻa puʻuwai; Piʻipiʻi koko kiʻekiʻe - hana hou

• Hakuʻala hypertensive
• ʻO nā ʻaʻa kōkā

Siu AL, Pūʻali Hana lawelawe lawelawe US ​​Preventive. ʻO ka loiloi no ke kiʻekiʻe o ke koko i nā mākua: ʻO ka ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. ʻO Ann Intern Med. 2015; 163 (10): 778-786. PMID: 26458123 pubmed.ncbi.nlm.nih.gov/26458123/.

ʻO Textor SC. ʻO ka hanu hypergension a me ka nephropathy ischemic. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 47.

ʻO Victor RG. Hypertension arterial. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 70.

ʻO Victor RG. ʻO ke kiʻekiʻe hypertension: nā hana a me ka hōʻailona. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 46.

ʻO Victor RG, Libby P. Pūnaehana hypertension: hoʻokele. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 47.