Ukuvalwa komzimba okunamandla - izinso

Ukuvalwa okunamandla kwezinso ukuvinjelwa okungazelelwe, okunzima komthambo okunikeza igazi ezinso.

Izinso zidinga ukunikezwa kwegazi okuhle. Umthambo omkhulu wezinso ubizwa ngokuthi umthambo wezinso. Ukwehla kwegazi ngomthambo wezinso kungalimaza ukusebenza kwezinso. Ukuvaleka okuphelele kokugeleza kwegazi kuye ezinso kungaphumela ekuhlulekeni kwezinso ngokuphelele.

Ukuvaleka okunamandla komthambo we-renal kungenzeka ngemuva kokulimala noma ukuhlukumezeka esiswini, ohlangothini, noma emuva. Amahlule egazi ahamba egazini (emboli) angangena emthanjeni wezinso.Izingcezu zoqweqwe oluvela ezindongeni zemithambo zingaxegiswa (zodwa noma ngesikhathi senqubo). Le nkunkuma ingavimbela umthambo omkhulu wezinso noma omunye wemikhumbi emincane.

Ingozi yokuvinjelwa kwemithambo yezinso iyanda kubantu abanezifo ezithile zenhliziyo, ezibenza babe namahlwili egazi. Lokhu kufaka phakathi i-mitral stenosis kanye ne-atrial fibrillation.

Ukuncipha komthambo wezinso kuthiwa yi-renal artery stenosis. Lesi simo sandisa ingozi yokuvaleka okungazelelwe.

Ungahle ungabi nezimpawu lapho izinso elilodwa lingasebenzi ngoba izinso zesibili zingalihluza igazi. Kodwa-ke, umfutho wegazi ophakeme (umfutho wegazi ophakeme) ungafika ngokuzumayo futhi kube nzima ukuwulawula.

Uma ezinye izinso zakho zingasebenzi ngokugcwele, ukuvinjelwa komthambo wezinso kungadala izimpawu zokwehluleka okukhulu kwezinso. Ezinye izimpawu zokuvalwa okunamandla komthambo wezinso zifaka:

• Ubuhlungu besisu
• Ukwehla okungazelelwe kokukhishwa komchamo
• Ukuhlungu obusemhlane
• Igazi emchameni
• Ubuhlungu beFlank noma ubuhlungu ohlangothini
• Izimpawu zomfutho wegazi ophezulu njengokuphathwa yikhanda, ukushintsha kokubona nokuvuvukala

Qaphela: Kungenzeka kungabi bikho buhlungu. Ubuhlungu, uma bukhona, buvame ukukhula ngokungazelelwe.

Umhlinzeki wezokunakekelwa kwempilo ngeke akwazi ukukhomba inkinga ngokuhlolwa kuphela ngaphandle kokuthi ube nokuhluleka kwezinso.

Ukuhlolwa ongakudinga kufaka:

• Ukuhlolwa kwe-Duplex Doppler ultrasound yemithambo yezinso ukuhlola ukugeleza kwegazi
• I-MRI yemithambo yezinso, engakhombisa ukungahambi kwegazi liye ezinso ezithintekile
• I-renal arteriography ikhombisa indawo ngqo yokuvinjelwa
• I-Ultrasound yezinso ukuhlola usayizi wezinso

Imvamisa, abantu abadingi ukwelashwa. Amahlule egazi angaba ngcono ngokwawo ngokuhamba kwesikhathi.

Ungaba nokwelashwa ukuvula umthambo uma ukuvinjelwa kutholakala ngokushesha noma kuthinta izinso okuwukuphela kwazo ezisebenzayo. Ukwelashwa kokuvula umthambo kungafaka:

• Imithi yokuqothula amahlwili (thrombolytics)
• Imithi evimbela igazi ekunqandeni (ama-anticoagulants), njenge-warfarin (Coumadin)
• Ukulungiswa kokuhlinzwa komthambo wezinso
• Ukufakwa kweshubhu (ipayipi) emthanjeni wezinso ukuvula ukuvimba

Ungadinga i-dialysis yesikhashana ukwelapha ukwehluleka okukhulu kwezinso. Imithi yokwehlisa i-cholesterol ingadingeka uma ukuvinjelwa kungenxa yamahlule avela ku-plaque buildup emithanjeni.

Ukulimala okubangelwa ukuvinjelwa kwegazi kungaphela. Kodwa-ke, ezimweni eziningi, ihlala unomphela.

Uma kuthinteka inso elilodwa kuphela, izinso ezinempilo zingathatha ukuhlunga igazi futhi zikhiqize umchamo. Uma unenso elilodwa kuphela elisebenzayo, ukuvinjelwa kwegazi kuholela ekuhlulekeni okukhulu kwezinso. Lokhu kungakhula kube ukwehluleka kwezinso okungamahlalakhona.

Izinkinga zingafaka:

• Ukungasebenzi kahle kwezinso
• Isifo sezinso esingalapheki
• Umfutho wegazi ophezulu
• Umfutho wegazi ophezulu obulalayo

Shayela umhlinzeki wakho uma:

• Uyeka ukukhiqiza umchamo
• Uzwa ubuhlungu obungazelelwe, obunzima emuva, ohlangothini, noma esiswini.

Thola usizo lwezokwelapha oluphuthumayo ngokushesha uma unezimpawu zokuvaleka komzimba futhi unenso elilodwa lokusebenza.

Ezimweni eziningi, lesi sifo asivimbeki. Indlela ebaluleke kakhulu yokunciphisa ubungozi ukuyeka ukubhema.

Abantu abasengozini yokuthola amahlule egazi kungadingeka ukuthi bathathe imishanguzo yokuqeda amahlule. Ukuthatha izinyathelo zokulawula izifo ezihlobene ne-atherosclerosis (ukuqina kwemithambo yegazi) kunganciphisa ubungozi bakho.

I-acute renal arterial thrombosis; I-embolism yomthambo we-renal; Ukuvinjelwa komthambo omkhulu we-renal; Embolism - umthambo wezinso

• Ukwakheka kwezinso
• Izinso - ukugeleza kwegazi nomchamo
• Ukunikezwa kwegazi lezinso

I-DuBose TD, iSantos RM. Ukuphazamiseka kwemithambo yegazi yezinso. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 125.

UMyers DJ, uMyers SI. Izinkinga zesistimu: i-renal. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 44.

I-Ruggenenti P, i-Cravedi P, i-Remuzzi G. Izifo ze-Microvascular kanye ne-macrovascular yezinso. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 35.

I-Watson RS, i-Cogbill TH. I-atherosclerotic renal artery stenosis. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 1041-1047.