I-Nephrolithiasis - iyini futhi yiziphi izindlela zokwelashwa?

Abantu abaningi bajwayele isimo lapho udokotela ezwa izinso zezinso. Kodwa lesi sifo sisho i-nephrolithiasis. Kuyini? Leli yigama lenqubo yokwakheka ezintsheni zezakhiwo ezihlukahlukene ze-crystal-like. Ahluke ekwakhiweni kwamakhemikhali, indawo, ububanzi obukhulu ukusuka kumamitha ambalwa kuya kumamitha ayisithupha ububanzi.

Nephrolithiasis. Kuyini futhi yiziphi izimbangela zayo?

Izakhiwo ezinjengamatshe zingabonakala ezintsheni, i-renal pelvis, i- urinary tract. Le nqubo ibonakala ukuthi izinto ezivame ukukhishwa ngaphandle zigcinwa emzimbeni futhi zihlanganisiwe. Kubonakala ukuthi amadoda anezinso ze-nephrolithiasis kakhulu kaningi kunabesifazane. Ukwakhiwa kwamatshe kuthinta uhlobo lomsoco womuntu. Lapho edla amafutha, amaprotheni ezinyamazane, ukudla okuqukethwe okuphezulu kwe-asidi, kuphakamisa ingozi ye-nephrolithiasis. Futhi, imbangela yalesi sifo ingaba yizinga eliphansi le-urine elidonswe (ukukhukhuma okwandisiwe, inani elincane lokushisa elidliwayo). Ukutheleleka kaningi kwesistimu ye-genitourinary, ukuphazamiseka kwemizimba - lezi yizinto ezibangela ukuqala kwesifo. Indlela yokuphila ephansi, ukulahlekelwa kwesisindo esikhulu kungathinta nokubunjwa kwamatshe.

Izimpawu

Ngezinye izikhathi lesi sifo senziwa ngaphandle kwempawu eziphawulekayo. Kodwa-ke, ezimweni eziningi, ungabona izimpawu ze-nephrolithiasis, njengezinhlungu eziphansi emuva kanye nezinso zezinso. Konke lokhu kungahambelana nokukhwabanisa nokuhlanza. I-stool kanye ne-gesi emathunjini ayisukeki, inani lomchamo libonakala ngokuncipha. I-Nephrolithiasis inezibonakaliso: esinye seziguli ezintathu ziphawula ukutholakala kwegazi kumchamo. Lokhu kubangelwa ukulimala ku-mucosa phakathi naleso sitshe. Ukushisa komzimba kungaphakathi kuka-37.5 ° C. Lesi sifo sinesingozi ngenxa yezinkinga zayo. Uma ukwelashwa okungakafiki, izinqubo zokuvuvukala ezinso, ukuqhuma komchamo, ukuphuma kwamanzi kungenzeka. Futhi, ukuthuthukiswa kokuhluleka kwenkunzi akukhishwa.

Izinhlobo zamatshe

Ngokuvamile izinyosi ze-oxalate zakhiwe ezintsheni. Ziyizinhlobo ezinzima kunazo zonke, zingavela ngenxa yokudla ngokweqile kwe-vitamin C, ezinenkinga ngezinqubo zemethamo. Ukubukeka kuyahlukahluka: okuncane, okukhulu, okubushelelezi, okwesibhakabhaka. Ukulinganisa ngezinye izikhathi kufinyelela kumamitha ambalwa. Ukwandisa i-uric acid emzimbeni, ukwephulwa kwe-purine metabolism - yilesi sizathu sokuthi urate i-nephrolithiasis itholakala. Amaphesenti angaba ngu-5% azo zonke izinso zine-phosphate base. Ngisho kancane kancane kukhona ama-cystine noma ama-xanthine. I-Nephrolithiasis yezinso nayo ingaba nesimo esithathelwanayo. Ukuxilongwa okunjalo kuvame ukunikezwa abesifazane kunamadoda.

Ukuxilongwa kwesifo

Uma isiguli sibona izimpawu ze-urolithiasis, ukuvakashela kudokotela akufanele kuhlehliswe. I-Nephrolithiasis itholakale kalula. Okokuqala, ukuhlaziywa komchamo kunqunywe. Njengomthetho, ngisho naseziqenjini zokuqala zesifo kukhona ukwanda kwenani lama-leukocytes, i-ESR iphinde ibe ngaphezu kwavamile. Ama-neoplasms ezintsheni abonakala ngokucacile ekuxilongweni kwe-ultrasound, izithombe zomsakazo. Noma kunjalo, kubalulekile ukuthi uqaphele ukuthi ukuvota akuveli uma usebenzisa i-X ray. Ezimweni eziningi, amatshe abe nokubunjwa okungafani. Ngokujwayelekile, usawoti ohlobo oluthile luba khona, kuyilapho abanye bengokungcola. Yingakho cishe zonke izithako ziyi-radiopaque. Ukuze ucacise ukuxilongwa, ungase udingeke ucwecwe lwe-CT, u- urography we-excretory. Lezi zindlela zikuvumela ukuba ubone zonke izinguquko ezisebenzayo ezithombeni bese ukhetha amaqhinga okwelashwa afanele kakhulu.

I-coronal nephrolithiasis. Kuyini?

Uhlobo oluthile lwe-urolithiasis ukubunjwa kwamatshe e-coral. Kuthiwa ukuthi ngenxa yezimpawu zomzimba wesifazane, ubulili obuhle buhlushwa isifo esinjalo kaningi. Ochwepheshe baqaphele izici eziningi ezingabangela ukuvela kwalolu hlobo lwamatshe. Lokhu kufaka phakathi isifo sezinso (kokubili kokubeletha nokutholwa), isimo sezulu esishisayo, ukudla okunomsoco, imvelo engafanele. Kungenzeka ukuthi ukwakhiwa kwe-nephrolithiasis ngesikhathi sokukhulelwa akupheli. Isizathu salokhu singaba izinguquko ze-hormonal. Futhi, ifa eliyifa liphinde lithande indima. Abanye odokotela bahlanganisa lesi sifo ngezinkinga ze-thyroid. Izimpawu zimi kanje: ubuhlungu ehlane elingezansi, izinso, isitofu, isicanucanu, ukubonakala kwegazi emcimbini. Futhi, iziguli eziningi ziqaphela ukoma okwandisiwe.

Izindlela zokwelapha

Amatshe amancane ashiya umzimba futhi awudingi ukungenelela. Udokotela ukhethe isethi yezinyathelo ezihlose ukunciphisa isimo sesiguli. Kunconywa ukwandisa inani lemanzi umuntu aphuzayo emini. Kukhonjisiwe futhi ukuzama ukukhanya ngokomzimba. Imithi ekhethiwe kanye nemithi ethile ehlisa ukukhukhumeza, ubuhlungu be-syndromes. Ukuzivocavoca kuyindlela yokudilizwa kwetshe uma i-urate nephrolithiasis itholakele. Kuyini, futhi lokhu kwenzeka kanjani? Ukwelashwa kwe-litholytic kunqunywe uma itshe lisezinso. Uchwepheshe ukhethe izidakamizwa eziqeda ukwakheka. Noma kunjalo, kunqatshelwe ukukhetha umuthi ngokwakho. Ngemuva kokubhubhisa uhlobo oluthile lwamatshe, lesi sidakamizwa asinamthelela kwabanye futhi singakhuphula ngisho nokukhula kwabo. Ngakho-ke i-nephrolithiasis, ukwelashwa kwalo kudinga iseluleko somchwepheshe onolwazi.

Ukuchithwa kwamatshe ezinso

Uma itshe likhulu, inqubo yokuchoboza isetshenziswa. Le nqubo ivela usebenzisa i-ultrasound noma i-laser. Leyo yamuva iyona ephumelela kakhulu, njengoba ikuvumela ukuba uchithe noma yimaphi amatshe. Ukuchotshozwa kungase kwenzeke kude, futhi ukushaqeka kwamandla adingekayo kuvela. Futhi, ukuxhumana nokugaya kwenziwa. I-puncture encane ijojowe ngesikhathi esisodwa nge-liquid ekhethekile, ngenxa yokuthi itshe elichotshoziwe lihlanzwa ngokushesha. Inqubo yonke ithatha cishe ihora elilodwa.

Ukuhlinzwa kwe-nephrolithiasis

Enye indlela yokususa amatshe ezinso is endoscopic. Ngesikhathi sokungenelela, ithuluzi elikhethekile lifakwa nge-urethra noma ku-incision ohlangothini (kuye ngokuthi indawo yokwakhiwa). Itshe lichotshoziwe, bese lisuswa nge-loop. Ukusebenza okudinga ukuqubuka okukhulu kwesisu akuvamile. Iningi labachwepheshe bakhetha izindlela zokuphepha zokuqeda ama-crystalline formations.

Izindlela zokuvimbela

Ukuvimbela ukuthuthukiswa kwe-urolithiasis, kubalulekile ukuhambisana nemithetho eminingi. Kubaluleke kakhulu ukuhambisana nombuso ophuzayo wokuphuza. Inani lemali umuntu ayidlayo kufanele libe okungenani ama-1.5 amalitha. Ngaphezu kwalokho, ukunakwa okukhethekile kufanele kunikwe ikhwalithi yayo. Uma indlu yakho inomanzi onzima, awukwazi ukwenza ngaphandle kwezihlungi zekhwalithi. Ungalisebenzisi kabi futhi unamanzi amaminerali, ngoba angasusa lesi sifo. Ukudla okunempilo nakho kuvikela ukulwa nepherolithiasis. Uma kutholakala urate, kuyadingeka ukunciphisa inani lenyama, nge-imikhiqizo. Kubalulekile ukushiya ukusetshenziswa kwemikhiqizo yokubhema. Ama-oxalate amisa ukulinganiselwa kwawo. Ukudla okuqukethe i-oxalic acid akuvumelekile. Isiliva, isipinashi, ubhontshisi, izithelo ze-citrus, ama-strawberries - lolu luhlu olungaphelele lokudla okungasusa lesi simo. Ama-phosphoric-carbonate formation adinga ukukhipha imikhiqizo equkethe amanani amaningi e-calcium.

Izimiso eziyisisekelo zokudla nge-urolithiasis

I-Nephrolithiasis (i-bilateral noma i-unilateral) yenza izinguquko zayo kwimenyu yesiguli. Ngaphezu kokudla nokuphuza, kunezinye izinto okufanele uziqaphele. Ochwepheshe batusa ukunciphisa ukusetshenziswa kwetafula usawoti. Futhi kuyadingeka ukunciphisa ukuphuza utshwala, ikakhulukazi kwekhwalithi engabaza. Qaphela ngokucophelela ukwelapha i-vitamin C, ngoba kungaphezu kwalokho kungadala i-nephrolithiasis yezinso. Ukwelashwa kwemikhuhlane eminingi kuhambisana nokudla okuningi kokudla okucebile kulesi vithamini. Ngakho-ke, abantu abajwayele ukwakheka kwamatshe akufanele badlule isilinganiso sezinsuku zonke (1 gram). Ngenkathi yamakhabethe ungajabulela lezi amajikijolo. Ihlanza izinso kahle, iphinde ikhuthaze umhlabathi kanye namatshe amancane. Kunconywa ukuthi ungabandakanyi imifino ekheniwe, ama-juice. Kungcono ukudla imifino nezithelo ezintsha, futhi ukulungisa okusha.