Ọrịa ọbara mgbali ọjọọ

Ọrịa ọbara mgbali dị elu bụ ọbara mgbali elu nke na-abịa na mberede na ngwa ngwa.

Nsogbu a na-emetụta mmadụ ole na ole nwere ọbara mgbali elu, gụnyere ụmụaka na ndị okenye. Ọ na-abụkarị ndị okenye, ọkachasị ụmụ nwoke Africa America.

Ọ na-apụtakwa na ndị mmadụ:

• Nsogbu nke akwara (dịka systemic lupus erythematosus, systemic sclerosis, na periarteritis nodosa)
• Nsogbu akụrụ
• Ime afọ na-ebute ọbara mgbali elu (toxemia)

Are nọ n'ọnọdụ dị elu maka ọbara mgbali ọjọọ ma ọ bụrụ na ị na-a smokeụ sịga ma ọ bụrụ na ị nwere:

• Akụrụ ọdịda
• Ọbara mgbali elu nke akụrụ akwara stenosis

Mgbaàmà nke ọbara mgbali elu na-agụnye:

• Ọhụhụ na-adịghị mma
• Mgbanwe n’echiche, dị ka nchekasị, mgbagwoju anya, ịmụrụ anya na-ebelata, ikike iwepụ uche, ike ọgwụgwụ, erughị ala, ụra, ma ọ bụ nzuzu
• Obi mgbu (mmetụta nke ndinuak ma ọ bụ nsogbu)
• .Kwara
• Isi ọwụwa
• Nausea ma ọ bụ vomiting
• Ọnụ ọgụgụ nke ogwe aka, ụkwụ, ihu, ma ọ bụ ebe ndị ọzọ
• Mbelata mmepụta mmamịrị
• Ọdịdọ
• Iku ume ọkụ ọkụ
• Aka, ụkwụ, ihu, ma ọ bụ ebe ndị ọzọ adịghị ike

Ọrịa ọbara mgbali ọjọọ bụ mberede ahụike.

Nnyocha ahụ na-egosipụtakarị:

• Oké ọbara mgbali elu
• Ellingza ụkwụ na ụkwụ ala
• Mmetụta obi na adịghị mma na ngụgụ
• Mgbanwe n'iche echiche, inwe mmetụta, na mmeghachi omume

Nnyocha anya ga-ekpughe mgbanwe ndị na-egosi ọbara mgbali elu, gụnyere:

• Ọbara nke retina (azụ azụ nke anya)
• Nchikota nke akwara obara n’ime retina
• Ọzịza nke akwara optic
• Nsogbu ndi ozo na retina

Ule iji chọpụta mmebi nke akụrụ nwere ike ịgụnye:

• Nyocha gas gas
• BUN (urea nitrogen ọbara)
• Creatinine
• Urinalysis
• Akụrụ ultrasound

Igwe x-ray nwere ike igosi mkpọchi na ngụgụ na obi buru ibu.

Ọrịa a nwekwara ike imetụta nsonaazụ nke ule ndị a:

• Ọkwa nke aldosterone (hormone sitere na gland adrenal)
• Cardiac enzymes (ihe nrịba ama nke mmebi obi)
• Nyocha CT nke ụbụrụ
• Ihe omuma (EKG)
• Ntọala Renin
• Urinary sedimenti

Ọ ga-adị mkpa ka ị nọrọ n’ụlọ ọgwụ ruo mgbe a na-achịkwa ọbara mgbali elu gị dị egwu. Ga-enweta ọgwụ site na akwara (IV) iji belata ọbara mgbali gị.

Ọ bụrụ na mmiri dị n’akpa ume gị, a ga-enye gị ọgwụ akpọrọ diuretics, nke na - enyere ahụ aka iwepụ mmiri mmiri. Dọkịta gị nwere ike inye gị ọgwụ iji chebe obi gị ma ọ bụrụ na ị nwere ihe ịrịba ama nke mmebi obi.

Mgbe ọbara mgbali elu gị dị ike gachara, ọgwụ ọgwụ ọbara eji ewere ọnụ nwere ike ịchịkwa ọbara mgbali elu. Ọgwụ gị nwere ike ịgbanwe mgbe ụfọdụ. Ọbara mgbali elu nwere ike nhịahụ ịchịkwa.

Ọtụtụ sistemụ ahụ dị oke egwu site na oke ịrị elu nke ọbara mgbali. Ihe ndị ọzọ gụnyere ụbụrụ, anya, akwara ọbara, obi, na akụrụ nwere ike mebie.

Obara ọbara nke akụrụ nwere ike imebi ọbara mgbali elu. Akụrụ akụrụ nwere ike ịmalite, nke nwere ike ịdịgide. Ọ bụrụ na nke a emee, ịnwere ike ịchọ dialysis (igwe na-ewepụ ihe mkpofu na ọbara).

Ọ bụrụ na agwọ ya ozugbo, enwere ike ịchịkwa ọbara mgbali elu na-enweghị nsogbu na-adịgide adịgide. Ọ bụrụ na agwọghị ya ozugbo, ọ nwere ike ịnwụ.

Nsogbu ndị a nwere ike ime:

• Mbibi ụbụrụ (ọrịa strok, ọdịdọ)
• Mbibi obi, gụnyere: nkụchi obi, angina (mgbu obi n'ihi arịa ọbara dị warara ma ọ bụ ike obi ike gwụrụ), ọgba aghara nke obi
• Akụrụ ọdịda
• Nkpu isi na-adịgide adịgide
• Flu na ngụgụ

Gaa na ụlọ mberede ma ọ bụ kpọọ nọmba mberede obodo gị (dịka 911) ma ọ bụrụ na ị nwere mgbaàmà nke ọbara mgbali ọjọọ dị njọ. Nke a bụ ọnọdụ mberede nke nwere ike iyi ndụ egwu.

Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na ị mara na ị chịkwala ọbara mgbali elu nke ọma.

Ọ bụrụ na ị nwere ọbara mgbali elu, jiri nlezianya nyochaa ọbara mgbali gị ma were ọgwụ gị nke ọma iji nyere aka belata ihe egwu gị. Rie nri mara mma nke nnu na abụba dị ntakịrị.

Ọbara dị elu; Arteriolar nephrosclerosis; Nephrosclerosis - arteriolar; Ọbara mgbali elu - ajọ; Ọbara mgbali elu - dị njọ

• Hypertensive akụrụ

Bansal S, Linas SL. Nsogbu ọbara mgbali elu: mberede na ngwa ngwa. Na: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Akwụkwọ ọgụgụ nke Nlekọta Nlekọta. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 87.

Greco BA, Umanath K. Renovascular ọbara mgbali na ischemic nephropathy. Na: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Comprehensive Clinical Nephrology. Nke isii. Philadelphia, PA: Elsevier; 2019: isi 41.

Kaynar AM. Nkọwa gas ikuku ọbara. Na: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Akwụkwọ ọgụgụ nke Nlekọta Nlekọta. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 36.

Levy PD, Brody A. Ọbara mgbali. Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier; 2018: isi 74.