Ukungenelela kwe-Vascular & Non-Vascular Renal

Ukungenelela kwe-Vascular & Non-Vascular Renal

CARE Odokotela abahlinza imithambo yegazi kanye ne-endovascular ngokuvamile basiza abantu abanezifo eziyinkimbinkimbi neziyingozi zemithambo yegazi kanye ne-lymph system (izifo ze-vascular). Ochwepheshe bahlinzeka ngokunakekelwa okuhlangene nokuphelele ezigulini zabo bonke ubudala.

Odokotela bethu abahlinzayo benza ukuhlinzwa kwemithambo kanye ne-endovascular besebenzisa ubuchwepheshe be-Cutting-Edge, okuhlanganisa ukwelapha okuqinile kwe-stenting, ukukhishwa kwehlule legazi, nokuhlinzwa kwe-bypass. Isifo se-peripheral artery, isifo se-aortic, isifo se-mesenteric, i-nutcracker syndrome, nesifo se-carotid artery ziphakathi kwezimo ezibhekwayo.

Odokotela abahlinza imithambo kanye ne-endovascular ezibhedlela ze-CARE babambisana eduze nochwepheshe bemithi ye-vascular, isifo senhliziyo (imithi yenhliziyo), isifo sesistimu yezinzwa (i-neurology), imithi yokwelapha nokuvuselela, kanye ne-imaging (i-radiology). Leli gugu elisebenzisanayo yingakho, ezibhedlela ze-CARE, uthola ukwelashwa okufanele okokuqala ngqa. Ithimba lethu lidala uhlelo lokwelapha oluqondene ngqo nezidingo zakho. Futhi, ezimweni eziningi, ukuhlola kwakho kungase kuqedwe ezinsukwini ezimbalwa.

Odokotela abahlinzayo bezingane babambisana nabanye ochwepheshe bezingane ukuze banikeze izingane ukwelashwa okuphelele.

Ukuxilongwa nokunakekelwa kwezokwelapha okuthuthukisiwe

I-Doppler ultrasonography, i-computed tomography (CT) scan, magnetic resonance angiography (MRA), kanye ne-renal arteriography konke okungamathuba okuxilongwa kwe-renal artery stenosis ezibhedlela ze-CARE.

Izibhedlela ze-CARE ziphinde zinikeze i-imaging ye-magnetic resonance (BOLD) encike ezingeni komoyampilo wegazi, ukuhlola okukhethekile okuhlola ukuthi ungakanani umoya-mpilo otholwa izinso zakho ezihlushwayo ukuze kutholwe ukuthi ukubuyisela ukugeleza kwegazi emithanjeni yezinso zakho kungase kube yinzuzo yini.

Udokotela wakho angase aqale ngokuhlolwa okulandelayo ukuze axilonge i-renal artery stenosis:

Ukuhlolwa komzimba lapho udokotela wakho elalela khona nge-stethoscope phezu kwezifunda zezinso ngemisindo engase ibonise ukuthi umthambo oholela ezinso zakho uvinjelwe.

• Ukuhlolwa komlando wakho wezokwelapha

• Ukuhlolwa kwegazi nomchamo kusetshenziselwa ukuhlola ukusebenza kwezinso zakho.

• Ukuhlolwa kwegazi nomchamo kusetshenziselwa ukunquma amanani amahomoni alawula umfutho wegazi.

Izifundo ezilandelayo ze-imaging zisetshenziswa njalo ukukhomba i-renal artery stenosis:

• I-Ultrasound ene-Doppler. Amagagasi omsindo we-high-frequency avumela udokotela wakho ukuthi abone ngeso lengqondo futhi ahlole imithambo nezinso. Le nqubo iphinde isize udokotela wakho ekutholeni nasekuhloleni ukuvinjelwa komthambo wegazi.

• Iskena se-computed tomography Ngesikhathi se-CT scan, umshini we-X-ray oxhunywe kukhompyutha ukhiqiza isithombe esiningiliziwe esihlanganisa nokubukwa okuhlukene kwemithambo yemithambo yezinso. Ungase unikezwe umjovo wodayi ukukhombisa ukugeleza kwegazi.

• I-Magnetic resonance angiography (MRI) (MRA). I-MRA idala izithombe eziphelele ze-3D zemithambo yezinso nezinso isebenzisa amaza omsakazo nezizibuthe eziphakeme. Ngesikhathi sokuthwebula, umjovo odayi emithanjeni ugqamisa imithambo yegazi.

• I-renal arteriography Lokhu kuhlolwa kwe-X-ray okukhethekile kusiza udokotela wakho ukuthi athole ukuvaleka emithanjeni yezinso futhi, kwezinye izimo, avule ingxenye evinjelwe usebenzisa ibhaluni kanye/noma i-stent. Ngaphambi kokuthatha i-X-ray, udokotela wakho uzojova udayi emithanjeni yezinso esebenzisa ishubhu elide, elincanyana (i-catheter) ukuze agqamise imithambo futhi abonise kangcono ukugeleza kwegazi. Lokhu kuhlola kwenziwa kakhulu uma kungenzeka futhi ukuthi udinge ukubekwa kweshubhu elincane (i-stent) emithanjeni yegazi yakho ukuze uyinwebe.

Ukwelashwa

Ukwelashwa kwe-stenosis yomthambo wezinso kungase kuhlanganise ukuguqulwa kwendlela yokuphila, imithi, kanye nenqubo yokubuyisela ukugeleza kwegazi ezinso. Ingxube yezindlela zokwelapha ngezinye izikhathi iyindlela engcono kakhulu. Angeke udinge noma yikuphi ukwelashwa okukhethekile kuye ngempilo yakho jikelele kanye nezimpawu.

Imithi

Umfutho wegazi ophakeme, ikakhulukazi uma ubangelwa ngokuyinhloko i-renal artery stenosis, ngokuvamile uphathwa ngempumelelo ngemithi. Kungase kuthathe isikhathi nesineke ukuthola umuthi ofanele noma inhlanganisela yemithi.

Phakathi kwezidakamizwa ezivame ukusetshenziselwa ukwelapha umfutho wegazi ophakeme obangelwa i-renal artery stenosis yilezi:

• Ama-angiotensin-converting enzyme (ACE) inhibitors nama-angiotensin II receptor blockers (ARBs), asiza ukuphumuza imithambo yegazi futhi avimbele ukwakhiwa kwemiphumela ye-angiotensin II, into engokwemvelo yomzimba enciphisa imithambo yegazi.

• Ama-diuretics, ngokuvamile aziwa ngokuthi amaphilisi amanzi, asiza umzimba wakho ekukhipheni usawoti namanzi engeziwe.

• Kuye ngomuthi, ama-beta-blockers kanye nama-alpha-beta blockers angabangela inhliziyo yakho ukuthi ishaye kancane futhi ngamandla, noma angase andise (avule) imithambo yegazi lakho.

• I-calcium blockers, esiza ekuphumuleni kwemithambo yegazi

• Izinqubo Kubantu abathile, inqubo yokubuyisela ukugeleza kwegazi emithanjeni yezinso ukuze kuthuthukiswe ukutholakala kwegazi ezinso kungase kukhonjiswe.

Izivivinyo zemitholampilo eziqhathanisa imithi ne-renal angioplasty kanye ne-stenting azitholanga mehluko phakathi kwezinketho ezimbili zokwelapha mayelana nokwehlisa umfutho wegazi nokwandisa ukusebenza kwezinso kubantu abane-stenosis ye-renal renal ethambile. Izinqubo zokuvula umkhumbi kufanele zihlolwe ezigulini ezingaphenduli kahle emithini yodwa, ezingakwazi ukuthatha izidakamizwa, ngokuvamile zigcina uketshezi, futhi zibe nokuhluleka kwenhliziyo ukumelana nokwelashwa.

Izinqubo ezilandelayo zingasetshenziswa ukwelapha i-renal artery stenosis:

• I-angioplasty ye-renal kanye ne-stenting phakathi nalokhu kuhlinzwa, odokotela abahlinzayo banweba umthambo wezinso okhawulelwe futhi bafake isisetshenziswa (i-stent) esiteshini sakho segazi, esigcina izindonga zomkhumbi zivulekile futhi sivumele ukugeleza okukhulu kwegazi.

• Ukuhlinzwa ukuze kudlule imithambo yezinso. Ngesikhathi sokuhlinzwa kwe-bypass, odokotela abahlinzayo baxhumela umthambo omusha wegazi emithanjeni yezinso ukuze banikeze indlela entsha yokuba igazi lifinyelele ezinso zakho. Lokhu kungase kuhlanganise ukuxhuma umthambo wezinso nemithambo evela kwesinye isitho, njengesibindi noma ubende. Lezi zindlela zokwelapha zivame ukwenziwa uma i-angioplasty ingaphumeleli noma uma kudingeka ezinye izinqubo zokuhlinzwa.