Ezinso

Kusukela izifo ezifana ezinso, ahlupheke kuze 5% abantu emhlabeni. Nokho, unikezwa ingozi yokuba lesi sifo okungenani kanye phakathi nokuphila, ibha kufanele iphakanyiswe cishe amabili izikhathi. Ezinso ziye zaba enye yezindawo sezifo ezivamile kwamazwe asethuthukile, okuyinto lihlotshaniswa amazinga ethuthukisiwe zokuphila, ngaphezu ubuhlanga, ubuzwe kanye nendawo yokuhlala. Nokho, izimbangela zezinkumbulo ezinso ayigcini. Ngaphezu kwalokho, ingozi itshe umthelela kanye ukuhluka kwesizini izinso, lapho lizinga lelisetulu calcium oxalate ezingabantu kugujwa ehlobo, futhi abesifazane - ekuqaleni ebusika. In amadoda, izinso amatshe zenzeka ezikhathini ezimbili kakhulu ukudlula abantu besifazane. emngceleni Iningi okuyingozi ngabesifazane leli cebo - iminyaka engu-30. Abesifazane, esikhundleni salokho, kukhona ezimbili ubudala esiyingozi - 35 kanye neminyaka engu-55 ngokulandelana. Ukulandela oda efanayo wabunjwa kuqala is itshe izinso, ematfuba ukwakha itshe yesibili kule minyaka 5-7 olandelayo 50%.

Ucwaningo lwamuva nje luthole ukuthi ukwakheka ezinso sithinta Isifo esibangelwa nezilwanyana ezincane-nanobacteria, ezihlobene Helicobacter pylori, futhi isilonda duodenal. Nanobacteria - esincane amagciwane microcellular ukwakha igobolondo calcium-phosphate. Lezi nanobacteria ingatholakala cishe yonke ezinso (97%), kanye zingcwecwe amaminerali (zingcwecwe Randall) ku papilla kwezinso.

crystallization ephakeme kanye nokukhula zamatshe elihlobene ne ukuchayeka nezici endogenous futhi wezokudla. Umchamo ivolumu, solute okuhlushwa inhibitor ezingeni ezinomthelela ekuthuthukisweni ezinso (citrates, pyrophosphates, glycoproteins) tintfo letibaluleke ukuthi kuthinte kumiswa itshe. Empeleni, itshe uqala crystallize lapho lokuhlushwa ion ezimbili idlula iphuzu ukugcwaliswa yesixazululo.

Nokho, isici ukuthi ngqo okubangelwa ukuthuthukiswa ezinso, ngokuvamile hhayi sitholakale. It is kuphela eyaziwa ukuthi ingozi yokuba ezinso luyanda kathathu, uma umndeni wakho bekulokhu kubantu abaphethwe ezinso. Ngaphezu kwalokho, indima eyadlalwa insulin ukumelana nesimo, umfutho wegazi ophakeme, futhi umlando sifo, hyperparathyroidism eyinhloko, ezingamahlalakhona lactic umzimba , kwabadala kuhlinzwa. Abesifazane finyelela menopause, nesenzakalo ezinso ezihambisana nokuqukethwe ongaphakeme magnesium nomfutho wegazi ophezulu kanye ne-calcium ekudleni.

Ezinso zivamile ngaphezulu kulezo ziguli okungekho kukhona kwezinso ezicacile zomzimba ka ngomgudu womchamo, okungaholela yokujama tsi umchamo. Iningi leziguli (kufika ku-80%) kanye ezinso angaphansi eyodwa noma ngaphezulu engcupheni. 25% ezinso ekuqaleni idiopathic. Futhi, njengoba side effect kwezidakamizwa ezithile kukhona ingozi ukwanda zamatshe ku izinso.

Kufinyeta

Calcium oxalate (ngawodwana, lihambisana) indaba ezivamile kuyiphi aqukethe ezinso.

ivolumu okuphansi umchamo iyona angahlangani ezivamile futhi isici esibaluleke kuphela, okuyinto kufanele sinake ukugwema ukwehluleka kwesikhashana.

Ingozi sokuphinda 50% isikhathi esiyiminyaka engu-5 kuya ku-7.

Ukwelashwa ezinso kungadinga ongaphakeme usawoti ekudleni (<50 mmol / usuku) nokudla equkethe amaprotheni silwanyana (<52 g / ngosuku) njengendlela elithile ekunciphiseni ukuvama ngangibuye ngihluleke.

Nizkorkaltsiumnye indlela yokudla ehambisana nempilo akunconywa lokubuya kwesifo lokuvikela ngesilinganiso, njengoba ukwandisa excretion of oxalate futhi kungathikameza kabi calcium ibhalansi emzimbeni.

ezinso Iningi esingaphansi 5 mm ububanzi ngaphandle komzimba ngokwawo.