Trombosis aʻa koko

ʻO ka thrombosis o ka ʻāʻī puʻupaʻa he koko koko e hoʻomohala i ka aa koko e hoʻokahe ke koko mai ka puʻupaʻa.

ʻO ka thrombosis Renal vein kahi maʻi maʻamau. E kumu ʻia e:

• Aneurysm aorta ʻōpū
• ʻO ka hypercoagulable state: nā maʻi hōʻuluʻulu
• Dehydration (ka hapanui i nā pēpē)
• Hoʻohana Estrogen
• Nā maʻi Nephrotic
• Hapai keiki
• Hoʻokumu ka scar me ka kaomi ma ka aa koko
• Trauma (i ka hope a i ʻole ka ʻōpū)
• Tumo

I nā mākua, ʻo ke kumu maʻamau ka nephrotic Syndrome. I nā pēpē, ʻo ke kumu maʻamau ka make wai.

Pākuʻi ʻia paha nā ʻōuli:

• Kāpena koko i ka hāhā
• Mimi koko
• Hoʻoemi i ka puka mimi
• ʻEha flank a ʻeha hoʻi i hope

ʻAʻole hōʻike kahi hōʻike i ka pilikia kikoʻī. Eia nō naʻe, kuhikuhi paha ia i ka maʻi nephrotic a i ʻole nā ​​kumu ʻē aʻe o ka thrombosis renal vein.

Loaʻa i nā hoʻāʻo:

• Scanner CT ʻōpū
• ʻO MRI ʻōpū
• ʻO ke ultrasound ʻōpū
• ʻO ka hoʻokolohua Duplex Doppler o nā veins ʻōiwi
• Hōʻike paha ka urinalysis i ka protein i ka mimi a i ʻole nā ​​ʻulaʻula o ke koko i ka mimi
• X-ray o nā puʻupaʻa veins (venography)

Kōkua ka lāʻau e pale i ke kūkulu ʻia ʻana o nā clots hou a hoʻoliʻiliʻi i ka makaʻu o ka hele ʻana i nā wahi ʻē aʻe i ke kino (embolization).

Hiki iā ʻoe ke loaʻa nā lāʻau e pale ai i ke kāpili ʻana o ke koko (anticoagulants). ʻ toldlelo ʻia paha ʻoe e hoʻomaha i kahi moe a ʻoki paha i ka hana no kahi manawa pōkole.

Inā kūleʻa ʻole ka hakuʻala ʻole, pono ʻoe i ka dialysis no kahi manawa pōkole.

ʻOi aku ka maikaʻi o ka thrombosis aʻa puʻuwai ma mua o ka manawa me ka ʻole o ka pōʻino o nā puʻupaʻa.

Komo pū nā pilikia:

• Huʻi koʻokoʻo ʻole (keu hoʻi inā loaʻa ka thrombosis i kahi keiki make wai)
• Hoʻopau i ka maʻi hōʻino
• Holo ke koko i nā akemāmā (pulmonary embolism)
• Ke hoʻokumu ʻia ʻana o nā huʻa koko hou

Kāhea i kāu mea mālama ola inā loaʻa iā ʻoe nā ʻōuli o ka thrombosis urin renal.

Inā ua ʻike ʻoe i ka thrombosis renal vein renal, kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Hoʻoemi i ka puka mimi
• Nā pilikia hanu
• Nā hōʻailona hou ʻē aʻe

I ka hapanui o nā hihia, ʻaʻohe ala kikoʻī e pale aku ai i ka thrombosis urin renal. ʻO ka mālama ʻana i nā wai i loko o ke kino e kōkua i ka hōʻemi ʻana i ka makaʻi.

Hoʻohana ʻia ʻo Aspirin i kekahi manawa e pale aku i ka thrombosis o ke aʻa koko i nā poʻe i loaʻa i kahi transplant kidney. Koi ʻia nā mea lahilahi e like me warfarin no kekahi poʻe me ka maʻi puʻuwai mau.

Koko koko i loko o ka aa koko; ʻOhana - ʻōpū renal

• Anatomia hakuʻala
• ʻO Kidney - ke kahe o ke koko a me ka mimi

ʻO Dubose TD, Santos RM. Nā maʻi kīnā ʻole o ka hakuʻala. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 125.

ʻO Greco BA, Umanath K. ʻO ke kiʻekiʻe hypertension a me ka nephropathy ischemic. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 41.

Ruggenenti P, Cravedi P, Remuzzi G. Microvascular a me nā maʻi macrovascular o ka puʻupaʻa. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 35.