Rashin hawan jini mai karɓuwa ta jiki shine nau'i na hauhawar jini na biyu wanda ya haifar da canje-canje maras kyau a cikin jini na yau da kullum ga kodan. Yayinda ake karuwar hauhawar jini na zamani a cikin marasa lafiya wanda aka sani da matsaloli na koda, an gano shi fiye da lokacin kallo da gwaji. Saboda yadda kodan keyi aiki, hauhawar jini na renovascular yakan ci gaba da muni idan ba'a bi da shi ba.
Dalilin
Saturan matsakaici da ake kira daɗaɗɗar ƙararraki suna samar da kodan tare da jinin jini wanda dole ne a tsaftace shi kuma ya koma cikin jiki ta al'ada. Saboda aikin gyaran koda yafi amfani da karfi daga karfin jini, kodan suna da kyau a fahimtar canje-canje a cikin karfin jini. Idan kodan sun gane cewa cutar karfin jini yana da ƙananan ƙananan ƙarfin jini, sun amsa ta hanyar yaduwar hormones da ke aiki don tayar da karfin jini.
Idan yaduwar jinin ta wurin karfin jini ya rage saboda kowane dalili, kodan za'a iya yaudare a tunanin cewa cutar karfin jini yana da ƙasa. Alal misali, wata cuta da ake kira tsaka-tsakin ƙarfin zuciya na iya haifar da ƙananan suturar raɗaɗi, wanda zai rage yawan jinin da yake gudana cikin kodan. Kodan ya gano wannan ƙananan kuma ya saki hornone renin a cikin ƙoƙari na tada matsa lamba daga jini da kuma sake dawo da jini na al'ada.
Matsaloli sukan tasowa, kamar yadda a cikin ƙwaƙwalwar ƙwaƙwalwar ƙwayar ƙwayar cuta, rashin karuwar jini ya ƙuƙasa ƙwayar jini. A cikin waɗannan lokuta, kodan sun kawo karshen karfin jini zuwa matakan da ya dace don ƙara ƙarin jini ta hanyar daɗaɗɗun suturar ƙirar.
Sanin asali
A cikin marasa lafiya waɗanda aka sani da samun jini ko matsalolin koda, ba zato ba tsammani ƙaddamar da cutar hawan jini yana da karfi mai sigina da cewa karuwar hauhawar jini zai iya zama zargi.
Yawanci, duk da haka, ganewar asali yana buƙatar bincika bincike da gwaje-gwajen da yawa. Wasu alamomi da ke bayar da shawara cewa hauhawar jini na renovascular shine:
- Kyakkyawan cutar hawan jini a cikin mutane da yawa fiye da 30
- Nan da nan farkon cutar hawan jini a cikin mutane fiye da 55
- Ruwan jini wanda bai amsa maganin magani ba
- Ruwan jini wanda ya dakatar da amsawa ga jiyya
Ana yin gwaje-gwaje ta jini a lokuta masu tsammanin jini na jini, amma hanyar da kawai za a gano ma'anar matsalar ita ce ganin yadda ya kamata a rage ƙananan arteries. Ana yin wannan wannan tareda hanyar da ba ta haɗuwa kamar MRI ko CT scan, amma wani lokaci ana bukatar matakan gaggawa. A cikin waɗannan lokuta, ana ƙara ƙananan catheter ta wurin ƙuƙwalwa a cikin ƙarar daji, kuma an ƙaddamar da ƙwayar ƙwayar ƙwayar daga ƙuƙwalwar katako. Ana daukan hotunan da aka nuna cewa hanya ta biye; Wannan zai nuna duk wani ɓangaren kunkuntar a cikin maganin.
Jiyya
Yin maganin hauhawar jini na renovascular ba daidai yake da magance cutar hawan jini. Saboda daya daga cikin alamun cutar shine rashin nasarar maganin maganin miyagun ƙwayoyi na gargajiya, sababbin hanyoyin kulawa ba su da tasiri. Halin hawan jini na hauhawar jini na renovascular shine ainihin bayyanar cututtuka na ƙwayar cuta - wanda ya zama dole a bi da shi.
Yanayin maganin ya bambanta dangane da abin da ke haifar da ƙananan ƙwayarwa don kunkuntar, amma burin sun kasance daidai a kowane hali - don fadada ƙarfin kansa kuma mayar da jini zuwa al'ada. Ainihin hanyar da wannan ya cika yana dogara ne da abin da ke haifar da ƙwaƙwalwar ƙwaƙwalwa a wuri na farko. A cikin tsofaffi, ƙuntatawa yawanci shine sakamakon kudaden kaya kamar wadanda zasu iya haifar da zuciya. Mataki na farko a magani shi ne yawancin gwada magunguna wanda ya rushe waɗannan adibas. Idan wannan bai samu nasara ba, za'a iya buƙatar wasu zaɓuɓɓuka masu haɗari, ciki har da fadada jiki ta hanyar fadada jirgin ruwa a matsayin girmansa ta hanyar irin aikin da ake kira stenting.
A wasu lokuta, ƙuntatawa ne saboda yanayin da suka fi wuyar sarrafawa. Wasu cututtuka na iya sa ganuwar jini yana ɗaukar nauyi, wanda zai iya sa jirgin ruwa ya kunkuntar. Ba za a iya magance wannan ba tare da maganin, don haka yana da mahimmanci - ko ma fiye da magungunan tiyata - yawanci ana buƙata. Ainihin zafin maganin wadannan lokuta ya dogara ne akan dalilai masu yawa waɗanda zasu iya bambanta daga haƙuri da haƙuri, saboda haka mahimmanci tsarin tsare-tsaren yana da cikakkiyar haƙuri musamman.
Yin maganin hauhawar jini na renovascular ya fi wuya fiye da zaluntar wasu, mafi yawan "al'ada" irin cutar hawan jini, kuma duk da cewa nasarar da aka samu ya yi girma, yana dauke da ƙari da kuma matsalolin da suka dace. Yin aiki tare da likita don bunkasa tsarin kulawa mai dacewa shine muhimmin mataki don magance wannan mummunar cuta.
> Sources:
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