Urolithiasis: Izimpawu kanye Ukwelashwa ezingabantu. Izimpawu kanye ukuxilongwa isifo

Urolithiasis (IBC) - a zokugula, okuyinto sonke isikhathi sihambisana ubuhlungu. Kuhunyushelwe ukungakhululeki ephansi emuva kaningi. Kodwa uma itshe lithuthela ophumayo, ubuhlungu okungase kuthintwe kulo esiswini. Ngokuvamile izimpawu ezinjalo uyisisekelo sokutholakala ukuthi une-engalungile futhi kuholela omunye usola isiguli appendicitis noma isilonda. Ngakho-ke, ake sibheke uphethwe "urolithiasis" Izimpawu kanye Ukwelashwa ezingabantu.

Siyini isisekelo lesi sifo?

Ukugula kuvamile kakhulu kwabobulili namandla kunomFilisti abesifazane. Izibalo unikeza izibalo ezilandelayo. Amadoda kathathu kungenzeka urolithiasis sitholakale.

Izimbangela isifo, odokotela zihlukaniswe amaqembu amabili: izici zangaphakathi nezangaphandle. Ake sihlole kubo.

iziphi izici zangaphandle eziholela kumiswa amatshe:

1. Climate Izici. umoya owomileyo ngokuvamile kuholela ekuphelelweni amanzi emzimbeni.
2. Inhlabathi isakhiwo. Kuthinta okuqukethwe electrolyte imikhiqizo.
3. Amanzi. Lapho ezinso kungaba umthombo isifo nosawoti ngokweqile baphuza uketshezi. Lokhu kuholela emakamu eliphezulu e umchamo wabo. Ngaphezu kwalokho, ukwakheka itshe kuthinta asidi yamanzi.
4. umkhuba wami wansuku zonke. Ukungawuvivinyi umzimba kunomthelela egunjini lokuhlolwa kwezifo.
5. Ukungabi uketshezi. Inani elincane amanzi ukusetshenziswa kwandisa ingozi yesifo sina.
6. Ukudla. Stone kumiswa kunomthelela ukusetshenziswa ngokweqile kwemikhiqizo inyama, futhi ukudla, ehlanganisa sebuningini purine elisekela (isipinashi, uphizi).

Lokhu akulona imithombo kuphela nomthelela ekuthuthukiseni izifo ezifana urolithiasis. Izizathu kungaba ngenxa izici yangaphakathi:

1. Izifo of ngomgudu womchamo: urethritis, cystitis, pyelonephritis, prostatitis.
2. Pathologies ka ipheshana wokugaya ukudla: nenyongo amatshe, pancreatitis, isifo sokusha kwesibindi, nesifo.
3. Ukutheleleka nezinye izitho osteomyelitis, imihuzuko, umphimbo obuhlungu.
4. ukuthuthukiswa okungavamile kwesinye, izinso, ureter.

symptomatology lesi sifo

Ayikho ukubonakaliswa ethile yomtholampilo emabangeni kokuqala akukhona urolithiasis. Izimpawu kanye nokwelashwa amadoda ngokuvamile ngalesi sikhathi ayitholakali. Pathology ingase ibonise uma ukuxilonga nezinye izifo.

izimpawu Isici urolithiasis zenzeka isiguli lokuhambisa amatshe. Uphawu eyisisekelo kunazo inzima, ukuqala ngokuzumayo ubuhlungu. isimo esinjalo libhekene njengoba colic kwezinso.

Ubethula libhekene izici ezilandelayo:

1. Paroxysmal sebuhlungwini obunzima, okuyinto ngezikhathi kuba ngemandla.
2. Kungase kube ukunyuka kwezinga lokushisa.
3. ukungakhululeki Buhlungu livela ngokuzumayo, ngokuvamile ngesikhathi ukunyakaza ukuqhaqhazela noma ngemva inombolo enkulu wathola uketshezi, utshwala. Ukushintsha ukuma komzimba alubuqedi ubuhlungu.
4. Ukungakhululeki Zingase zande zisakazekele nakwezinye nesifunda lumbar, endaweni besisu ephansi, imbilapho.

izimpawu Izici

Kwasendaweni zobuhlungu kungenzeka yayo ukucacisa uhlobo endaweni lapho amatshe kukhona, uma isiguli sekutholakele ukuthi sine- urolithiasis. Izimpawu kanye nokwelashwa amadoda bathembele ngokuphelele indawo yabo:

1. Ukungakhululeki zingaveli esifundeni lumbar (eduze emphethweni-vertebral engeli) ukuthi usabalala imbilapho, libhekene kwasendaweni ezinso kanye nokunyakaza elalihamba ureter. Lapho lesi sifo ngokuvamile igazi ivela umchamo.
2. Uma ubuhlungu bagxila ohlangothini esifundeni lumbar futhi kudlulela imbilapho ke itshe kuphezulu. ukungakhululeki Buhlungu kuwumphumela esisuka capsule izinso.
3. Ukuhambisa itshe uhlale ezibuhlungu. Bahl akhanye, ngokuvamile phambi kwethanga futhi scrotum.
4. Ubuhlungu ukungaguquguquki ezahlukene. Ngezinye izikhathi isiguli izinkathi wokukhululeka esikhundleni okubi kakhulu. izimpawu enjena ivamile ngokuba kwasendaweni amatshe esinyeni.

kanye nezinye izici kungabonakala nasemkhakheni Ngaphezu ukubonakaliswa emitholampilo ngenhla:

• dysuria;
• Ukuwohloka esigulini;
• umkhuhlane;
• hematuria;
• ukucanuzela kwenhliziyo, ukuhlanza,
• O nokugcinwa urinary ngenxa occlusion esinyeni entanyeni.

sitholakele isifo

Ukuqinisekisa sitholakele "izinso itshe umlando isifo 'yezokwelapha isiguli nge udokotela ukuba khona bahlola ngokucophelela. Odokotela abanesifiso esidlule eyenziwa ekwelapheni, ekulenzeni libe namandla. Izinyathelo ezinjalo enze kube nokwenzeka ukuba kahle ukwabela ukwelashwa okufanele.

Sifo kuwumphumela idatha elandelayo:

1. Ukuba khona izimpawu nobuntu isiguli. Ngezikhathi avele ubuhlungu obuhlabayo esifundeni lumbar, esiswini noma imbilapho. Ukuthulula Akuphelele lwesinye. Burning ukuzwa ngenkathi echama ku urethra.
2. Lezi ukuhlolwa. Udokotela azizwa esiswini, okubangela peritoneum ayifakiwe pathologies ukuvuvukala, ezifana pancreatitis, cholecystitis, appendicitis. Ukuthepha esifundeni lumbar futhi esiswini kwenza kube nokwenzeka ukwehlukanisa zokugula we sokuqaqanjelwa yiqolo, umfutho sciatica, pyelonephritis. Kungasizuzisa kakhulu ukuhlola kwangaphandle nesineke angase elichaza eziningi izifo zesimiso urinary. Ucabangela ukuma lesiguli, ibala lesikhumba, khona-edema.
3. Sici zokugula imingcele urinalysis. Njengomthetho, ke uthole ukuminyana owengeziwe. Ngo umchamo kukhona erythrocyte zinjalo. Nithole lokuhlushwa eliphezulu nosawoti. izinkomba ezinjalo urinalysis libhekene khona ezinso lesiguli.
4. Lezi ultrasound. Ucwaningo ikhomba ngokunembile Ihlahlubo kunikeza umbono walokho ubukhulu, ijamo kanye nendawo zamatshe.
5. CT Imiphumela. Ucwaningo isetshenziswa uma ultrasound alisiniketi kwebalingisi ephelele egunjini lokuhlolwa kwezifo.
6. Imiphumela-X-ray Ngokuphambene izivivinyo. Le ndlela ikuvumela ukuba ukukufunda ngokuningiliziwe ukugeleza umchamo. Ukuxilonga ikhomba, lapho kwakukhona khona ukuvaleka mapayipi.

izinhlobonhlobo amatshe

Kubalulekile kakhulu hhayi kuphela ukubona pathologies ezifana urolithiasis. Izimpawu kanye nokwelashwa amadoda bathembele ngokuphelele phezu ezihlukahlukene amatshe. Yingakho kungcono baphendukele imithi yesintu ukuphathisa impilo wazibonela ochwepheshe yabo.

Zingase zimiswe kulandela amatshe e urolithiasis:

1. Oxalate. amatshe okunjalo akhiwa-calcium usawoti oxalic acid. Basuke izimpawu high density, ebusweni prickly. Ekuqaleni, umbala omnyama futhi grey. Uma itshe elimaza le mucosa, ngenxa sombala igazi kuba omnyama noma obunsundu.
2. Phosphate. Ziqukethe usawoti calcium of wali band acid. Ngokuvamile, itshe elibushelelezi noma kancane olunzima. Kungathatha ezihlukahlukene amafomu. Ukuvumelana zamatshe esithambile. It libhekene grey ukukhanya noma amhlophe. Leli tshe enokuthambekela ekwandeni okusheshayo. Kulula behlukana.
3. Urate. Basuke kwakhiwa uric acid noma usawoti yayo. Amatshe ezahlukene umbala ophuzi-isitini. Sinenkosi surface bushelelezi, kodwa ukungaguquguquki ngokuqinile. Crushing kungenzeka usebenzisa izidakamizwa.
4. Carbonate. Ziqukethe calcium usawoti carbonic acid. Ukuvumelana edwaleni uthambile, kodwa uhlobo - ahlukahlukene. Concrement has surface bushelelezi futhi uba nombala omhlophe.
5. Cystine. Yabo amafomu sulphur kwakwakhe cysteine amino acid. Amatshe round, umbala aphuzi-white. Njengomthetho, banayo surface bushelelezi, ukungaguquguquki esithambile.
6. Amaphrotheni. kumiswa kwabo fibrin kunomthelela admixture bacterium nosawoti. Amatshe elimhlophe, amancane, soft futhi flat.
7. Cholesterol. Ingabe ezingavamile kakhulu kule izinso. Njengoba yabhalwa cholesterol, abe ukuthungwa elithambile, abamnyama ezahlukene. Lezi concretions kuyingozi ngoba kalula sidilike.

ekwelapheni lesi sifo

Amaqhinga ukuze silwe a zokugula lechazwa ngembono Urologist. Isetshenziselwa ukwelapha izindlela zokusebenza kanye therapy olandelanayo. Ukukhetha indlela kuncike isimo lesiguli, ubudala baso, ubungako kanye kwasendaweni itshe, inkambo basemtholampilo isifo, khona izinguquko bokuphila noma yokwakheka nasesigabeni sokukhula ukwehluleka kwezinso.

Ezimweni eziningi, ukususwa amatshe kuyadingeka ukuze iphendukele ukuhlinzwa. Okuhlukile concrements kwakhiwa uric acid. Lezi amatshe kungenziwa oncibilikiswe ukwelashwa olandelanayo.

Ekuqaleni, iziguli iqondiswa le ukwakhiwa elandelayo urolithiasis:

1. Antispasmodics. Bona ukuqeda spasm we ureter, ukukhuthaza ukuphumula kwezingange zawo. Lokhu kusiza ekunciphiseni izinhlungu futhi lula itshe ndima. Iziguli belulekwa imithi ezilandelayo: "papaverine", "Cha-spa", "Halidorum", "Diprofen".
2. Painkillers. Basuke ebekiwe uma kwenzeka ngokuhlasela colic kwezinso. Kusho ekuqedeni kahle ubuhlungu, "Analgin", "Kuthathe", "Tempalgin", "Baralgin", "Pentalgin", "Tetralgin".

Ezinye iziguli ingasatshenziswa antibiotic. Basuke yaphathwa yokwelapha, uma isifo unamathele urolithiasis. Ukukhethwa antibiotic oludingekayo angakhiqiza udokotela ngesisekelo inhlolovo.

ekuhlakazekeni urate

Kubaluleke kakhulu ukuba siqonde indlela yokuphatha urolithiasis, tshela udokotela, ngoba eyolanda imithi edingekayo ukuncibilikisa calculus Ungakwazi ke ukunquma uhlobo yayo.

Ukuze ekwelapheni urate, okulandelayo izidakamizwa:

1. "Allopurinol", "allozyme", "Allopron", "Allupol", "Zilorik", "Milurit", "Remid", "Sanfipurol", "Purinol". imithi enjalo kungehlisa sebethule uric acid nosawoti.
2. "Etamid". Umuthi kuvusa ukuhoxiswa okukhulu urate umchamo. Ukhuthaza nokuncipha uric acid nosawoti.
3. "Urodan". Kuhlanganiswe ukulungiselela esibangela alkalization urinary. Umuthi Akhuthaza ukwakheka kwe-uric acid nosawoti-encibilikayo.
4. "Esikhathini Urals." Kusho esetshenziswa ukuncibilikisa urate. Kuvikela umzimba kusuka kumiswa amatshe entsha.
5. "Blemaren". Umuthi uyakwazi ukuncibilikisa urate namanye amatshe urinary.
6. "Solimok". Excellent chaza amatshe urinary, ikakhulukazi urate.

Nokuqedwa oxalate

Uma isiguli sekutholakele ukuthi sine- amatshe idatha, ukwelashwa yezokwelapha kuhlanganisa izidakamizwa:

1. "Marelin".
2. "Break". ukulungiselela Engamakhambi, nenkinga yokuhlukanisa kwabazali kuba calcium oxalate ngamatshe.
3. Izimali Imithi №7; №8; №9; №10. izimali ezinjalo ngokusemthethweni obonwa Urologist. They possess isisu litholytic (amatshe Ukuqedwa), izakhiwo spasmolytic.

nokonakala phosphate

Ukuze ulwe zokugula imikhiqizo yafuna kakhulu:

1. "Khiphela madder." ithuluzi olunjalo olwenza fluffing zikasawoti. Ngaphezu kwalokho, izidakamizwa has a spasmolytic futhi isisu.
2. "Marelin". Umuthi ithambisa hhayi kuphela amatshe, kodwa futhi uqede kahle spasm we ukhalo kwezinso, ureter. Umuthi aqede ukuvuvukala ohlelweni genitourinary.

Nokuqedwa cystine amatshe

Phezu ukuthola lesi sifo efaneleka kakhulu ukuthatha imithi ezilandelayo:

1. "Penicillamine". Kusho amafomu nge cystine ezithile kwakwakhe okuyinto kalula encibilikayo umchamo. Lokhu kunciphisa amatshe.
2. "Tiopronin". Imiphumela emzimbeni zomuthi afana izidakamizwa oshiwo ngenhla. It ezinqunyiwe, uma "Penicillamine kwathiwa" akabanga ayizwakali.
3. "Potassium Citrate", "Sodium Bicarbonate". Imithi, umchamo alkalizing. Ngenxa yalokho, cystine amatshe chaza.
4. "Ural".

amandla Izici

Ngempela zonke iziguli athobele ebekiwe ukwelashwa Ukudla. Urolithiasis ezingabantu, kuye ngohlobo lwamatshe, unemingcele ezithile zokudla.

Uma isiguli kutholakala urate, kubalulekile ukunciphisa esiphansi ukusetshenziswa:

1. Ukudla okune-purines. Lokhu inhlanzi, inyama izilwane, isikhunta, ngu-imikhiqizo, okusabhontshisi, broths. ukudla okunjalo uvunyelwe isikhathi esingu-1 ngesonto.
2. Utshwala. Iziguli kwenqatshelwe ukuyisebenzisa newayini elibomvu, ubhiya.

ukudla zokudla kufanele esekelwe ukudla okulandelayo:

• pepper, utamatisi, ama-eggplant, amazambane;
• ushizi omnene;
• amabele, nokunye okufana nokolweni, nebhali oluthile lokudla;
• izithelo izithelo;
• pasta;
• amaqanda;
• ubisi, cottage shizi, nemikhiqizo yobisi.

Iziguli uxilongwe oxalates kufanele ukhawule ukusetshenziswa kwemikhiqizo elandelayo:

• isipinashi, ulethisi, Sorrel;
• beet, izaqathe, utamatisi;
• neklabishi;
• isilimo esidliwayo esinamagatsha anamanzi, parsley;
• yini ikhofi noma itiye;
• jelly, jellies;
• ushokoledi, ukhokho;
• ubhontshisi oluhlaza;
• inkukhu, inyama yenkomo,
• currant, ezisawolintshi, apula omuncu.

Kunconywa yokucebisa nokudla okune-calcium, magnesium, B6. Ithanda ukudla okulandelayo:

• imikhiqizo yobisi;
• okusanhlamvu, okusanhlamvu;
• amazambane, ithanga, iklabishi;
• nati;
• amabhilikosi, ubhanana, amagonandoda, ikhabe;
• uphizi.

Ekukhombeni phosphate ekudleni kufanele igcine:

• cranberry, currants, cranberry;
• imifino kanye nezithelo;
• imikhiqizo yobisi, ushizi, ushizi, imikhiqizo yobisi;
• utshwala;
• izinongo hot;
• uphuzo carbonated;
• ikhofi.

Kunconywa ukuba makudle imikhiqizo equkethe calcium kancane, kodwa kokuba ukusabela acid. Ngilusizo Vitamin A.

Kukhethwa ikakhulu ekudleni ekudleni kokulandelayo:

• isobho ahlukahlukene;
• amafutha yemifino;
• pasta, isinkwa;
• ibhotela;
• inhlanzi, inyama;
• izithelo iziphuzo nesiphuzo kusuka izithelo esidi amajikijolo (cranberry, izithelo ezisawolintshi, apula).

Uma cystine amatshe kungaphansi inyumbazane ekudleni kokulandelayo:

1. Offal - ubende, isibindi, izinso.
2. Izinhlanzi, inyama. Ivunyelwe ukusebenzisa izinsuku hhayi ningi than 3 ngesonto. Umthamo nsuku zonke 200-250 mg.
3. Amaqanda (ucezu olulodwa kuphela ngelanga).
4. ufulawa kakolweni.
5. Izitshalo.

Kunconywa ekucebiseni Ukudla ukudla aqukethe ezihlukahlukene amavithamini, njenge:

• ikhabe;
• ezisawolintshi;
• cranberry;
• amagilebhisi;
• strawberry;
• omisiwe;
• amabhomu;
• iminqumo;
• amagonandoda;
• currants;
• izaqathe;
• nati;
• aluhlaza okwesibhakabhaka.

isiphetho

Uma kudingeka, iziguli kwathiwa unesifo "ICD" (urolithiasis) kungenzeka Kunconywa amasu ezikhethekile itshe kwasani. Njengoba ubona, kungenzeka okubhekana nanoma isiphi isifo. Into esemqoka ukuthi bangayeki, futhi ngokuqinile ukuhambisana nayo yonke imithi.