Urolithiasis emakati: izimpawu kanye nokwelashwa ekhaya

Yiziphi izinhlobo zamatshe amakati anazo nge-ICD

I-Urolithiasis emakati ibonakala ekwakhekeni kwezinhlobo ezimbili zamatshe: i-struvite ne-oxalate. Owokuqala akhiwa endaweni ene-alkaline futhi anesakhiwo esiqinile. I-alkalination yomchamo ibangelwa ikakhulukazi i-phosphorus ne-magnesium eyengeziwe ekudleni kwekati.

Uhlobo lwesibili lwenzeka uma i-pH yomchamo ine-asidi ephezulu, imbangela yayo ukwanda kokuqukethwe kwe-calcium. Ama-oxalates abonakala ngokuba khona kwemiphetho ebukhali kanye nesakhiwo esixekethile.

Kungani amakati ethola amatshe ezinso?

Phakathi kwezimbangela ze-urolithiasis (elinye igama le-urolithiasis) emakati kukhona:

• amaphutha ekudleni (i-predominance yanoma yiziphi izinto ekudleni);
• ukungabi namanzi noma ukugcwala kwawo ngokweqile ngosawoti;
• ukuba khona kwezifo ezingapheli, i-foci yokuvuvukala, ukuphazamiseka kwe-metabolic emzimbeni wesilwane;
• izici zokuzalwa noma ezitholiwe ze-anatomy;
• isici sofuzo.

I-pathology ibonakala kanjani

Ukuthola ukuthi isilwane esifuywayo sine-urolithiasis ekuqaleni kokukhula kwayo ngeke sisebenze: akakwazi ukukhononda ngokungahambi kahle noma izinkinga zokuchama, ngakho-ke abanikazi bayothola mayelana nokuba khona kwe-pathology eyingozi uma ihambe kakhulu. Udinga ukugijima uye emtholampilo uma kuvela izimpawu ezilandelayo ze-ICD:

• ikati liya endlini yangasese hhayi endaweni evamile, kodwa noma kuphi;
• umchamo omncane ukhishwa, izinhlamvu zesihlabathi, igazi lingabonakala kuwo;
• isifiso sokuchama, ngokuphambene nalokho, siba njalo;
• ubuhlungu nokucasuka komgudu womchamo ngesihlabathi kwenza ikati likhothe umgudu womchamo.

Kancane kancane, izinga lokushisa lomzimba wesilwane liyakhuphuka (kufika ku-40 ˚С), liyenqaba ukudla, linyakaze kancane. Lapho umchamo ungakwazi ukudlula ezindleleni, ikati liba nokungaphumuli kakhulu, i-meows, ithatha isimo sokuma ukuze kube lula ukuphuma.

Kubaluleke kakhulu ukuba nesikhathi sokubona udokotela wezilwane esimweni esiyingozi kakhulu sekati, esibonakala ngezimpawu ezilandelayo ze-urolithiasis:

• isisu siyaqina, umthamo wayo uba mkhulu ngokuphawulekayo;
• njengoba umchamo ungasakwazi ukuphuma, uyanyakaza esinyeni, ubangele ukudakwa okukhulu kwezicubu;
• ikati alinyakazi neze;
• amathe anegwebu aphuma emlonyeni;
• izinga lokushisa lesilwane liyehla, isilwane siyathuthumela;
• ukuhlanza okungenzeka.

Uma kungekho usizo olufika ngesikhathi, isilwane siyafa.

Okubalulekile: ukudakwa kwenzeka ngosuku ngemuva kokuyeka ukuchama!

Kungenzeka yini ukuxilonga i-urolithiasis ekati

I-KSD ekati ingatholakala futhi ezigabeni zokuqala zokukhula kwesifo, uma ukuhlolwa okuvamile kwenziwa. Izindlela ezifana nalezi:

• ukuhlolwa komchamo (okujwayelekile kanye ne-microscopic polarized);
• X-ray
• I-Ultrasound yezitho zesisu.

Ngesikhathi sokuxilongwa, udokotela wezilwane ngokuqinisekile uzobuza umnikazi mayelana nezimo zekati, izici zayo zomzimba, izifo ezidlule kanye nezinye izici. Kubalulekile ukutshela ukuthi izimpawu zokuqala zesifo zibonwa nini, zivela kaningi kangakanani, njalonjalo.

Ukwelashwa kwe-urolithiasis emakati

Lapho uthintana nodokotela wezilwane ngokuhlaselwa kwe-KSD emakati, ukwelashwa kwalesi sifo kuqala ngokubuyiselwa kwe-urinary tract patency. I-catheter isetshenziselwa ukususa itshe lomchamo noma ukuhlanza isihlabathi esinqwabelene. Konke ukukhwabanisa kwenziwa ngaphansi kwe-anesthesia jikelele. Ngemuva kokuthi ukwakheka kususiwe, i-lumen ye-urethra igezwa kahle ngesisombululo sokulungiswa kwe-antiseptic.

Ezimweni ezinzima, odokotela kufanele baqale ukudala umgudu wokufakelwa we-excretory - lokhu kungenelela kubizwa ngokuthi i-urethrostomy. Kodwa-ke, nge-deposit enkulu kakhulu, edlula kakhulu ububanzi be-urethra, kwenziwa ukuhlinzwa kwesisu, ukususa amatshe ngokuqondile.

Ukwelashwa okwengeziwe kuhloswe ukujwayela ibhalansi ye-acid-base emzimbeni wesilwane esifuywayo, ukuhlanza emikhiqizweni enobuthi. Ngokuhambisanayo, inqubo yokuvuvukala iqedwa ngokubeka ama-antibiotics kanye nezidakamizwa ezilwa nokuvuvukala. Isikhathi esiphelele sokwelashwa singaba yizinsuku ezingu-14 noma ngaphezulu, kuye ngokuthi yinkimbinkimbi yokungenelela, isimo sesilwane nezinye izimo.

Izici zokwelapha izidakamizwa

Isiguli esinama-mustachio ekwelapheni i-urolithiasis singanqunywa amaqembu ahlukene ezidakamizwa:

• ama-painkillers (ngokuvamile - i-Papaverine, i-Analgin);
• ama-antibiotics (isibonelo, i-Ceparin);
• izidakamizwa eziqeda inqubo yokuvuvukala (Palin, Furagin nabanye);
• ama-antispasmodics (i-Baralgin).

Uma kunesidingo, ukwelashwa kwesondlo kuboniswa. Lokhu kungaba: ama-vitamin complexes, izimali ezihloselwe ukujwayelekile umsebenzi wenhliziyo, amalungiselelo okubuyisela umgudu wokugaya ukudla. Yonke imithi inqunywe udokotela wezilwane kuphela ngokuhambisana neminyaka nobulili bekati.

Okufanele ukwenze ngemva kokwelashwa

Kungakhathaliseki ukuthi yinkimbinkimbi yokwelashwa (ngisho noma i-urolithiasis ekati yatholwa kusenesikhathi), ukuphila okuqhubekayo kwesilwane esifuywayo kufanele kwenzeke ngaphansi kwezimo zezinyathelo zokuvimbela njalo. Umnikazi uzodingeka ukuthi ahlole njalo isilwane esifuywayo: athathe umchamo ukuze ahlaziywe futhi enze ukuxilongwa kwe-ultrasound yesistimu yomchamo.

Ngaphezu kwalokho, ikati kufanele lidluliselwe ngokushesha ekudleni okufanele okungafaki izingxenye ezibangela ukuthuthukiswa kwalesi sifo. Uma kudingeka, umngane onama-mustachioed uzodinga ukuthi anikezwe ama-antibiotics kanye/noma ama-diuretics ngezikhathi ezithile.

Indlela yokondla ikati (ikati) nge-urolithiasis

Ngokudla okunempilo kuphela, ikati elitholwe line-KSD lingaphila iminyaka eminingana ngaphandle kobuhlungu. Njengoba ezinye izilwane ezifuywayo zithanda ukudla okomile kuphela, kuyilapho ezinye zithanda ukudla okuzenzela, izindlela zokudla zizohluka.

Ukudla kwekati okomile nge-ICD: iyiphi ongayikhetha

Iningi lokudla okomile alifanelekile ngokuphelele ukondla ikati nge-urolithiasis - aqukethe usawoti wamaminerali amaningi. Kodwa kukhona nezingxube ezikhethekile ezingakhethwa kuye ngokuthi uhlobo lwamatshe omchamo, isibonelo:

• I-Oxalates - I-Royal Cannin Urinary S/O LP34, i-Hill's PD Feline K/D;
• I-Struvites - I-Purina Pro Plan Veterinary Diets UR, I-Hill's Prescription Diet C/D.

Udinga kuphela ukuthenga okuphakelayo okungokwesigaba se-premium ne-super-premium.

Ungaphakela kanjani ikati lakho ukudla okuzenzela

Ukuphakelwa kwekati ekhaya nge-urolithiasis nakho kuncike ohlotsheni lwamatshe. Njengoba i-acidity ephezulu yomchamo ibangelwa i-calcium, udinga ukunciphisa isilwane emaqanda nobisi (kanye nokuphuma kwabo). Imifino ecebile kulesi sici kufanele futhi ikhishwe ekudleni kwekati. Ngaphezu kwalokho, ngama-oxalates, akuthandeki kakhulu ukunikeza isilwane isilwane, ngoba aqukethe inani elikhulu le-oxalic acid.

I-monony ekudleni kufanele igwenywe. Imenyu yekati kufanele isekelwe ezitsheni zenyama, kuyilapho ukwengeza ukudla kwezimboni kwanoma yiluphi uhlobo ekudleni akuvunyelwe.

Kubalulekile ukunikeza isilwane ukufinyelela mahhala emanzini. Njengoba amakati ephuza kancane, kufanele uzame ukujwayela isilwane sakho ukuvakashela njalo "umgodi wokunisela". Isitsha samanzi akufanele sibe eduze nengemuva, ukuze ikati lingashintshi ukunaka ukudla.

Amaqiniso abalulekile mayelana namatshe ezinso emakati

Kunamaqiniso amaningana abalulekile mayelana ne-urolithiasis emakati okufanele wonke umnikazi awazi.

• Amakati ahlala ezindaweni ezishisayo asengozini, njengoba amazinga okushisa aphakeme enza umchamo ushube futhi andise ukugxila kwawo.
• Kuyaphawuleka ukuthi ngokuvamile i-urolithiasis iqala ezilwaneni eminyakeni engu-2-6.
• Amakati akhuluphele ngokweqile anesisindo esingaphezu kwamandla awo futhi kungenzeka kakhulu ukuthi athuthuke i-KSD kunamakati anomzimba omncane noma anesisindo esivamile.
• I-Predisposition to deposition of stones in the system of urinary ibonakala kumakati ezinhlobo ezinezinwele ezinde.
• Ngenxa ye-urethra encane, lesi sifo sithinta amakati amaningi kunamakati.
• Lesi sifo sivame ukuqashelwa emakati ngemva kokuthenwa, kanye namakati lapho i-estrus "imosha".
• Ochwepheshe baye baqaphela ukuthi emakati aphethwe yi-urolithiasis, ukuphindaphinda kubonakala kaningi ekwindla (ikakhulukazi ekuqaleni) futhi kusukela ku-1 kuya kwezinyanga ze-4 zonyaka.
• Ukwakheka kwe-struvite kuvame kakhulu ezilwaneni ezingaphansi kweminyaka engu-6 ubudala. Ngesikhathi esifanayo, ukwakheka kwamatshe e-oxalate kuvame kakhulu kumakati amadala kuneminyaka engu-6-7.

I-Urolithiasis kumakati angenayo i-neutered: kuyiqiniso noma cha

Ukuthuthukiswa kwe-urolithiasis kumakati angenayo i-neutered kuqinisekiswa idatha yezibalo. Kodwa-ke, akukho ukuqinisekiswa kwesayensi kweqiniso lomphumela oqondile wokuthenwa ekubunjweni kwamatshe. Kuvele ukuthi womabili amaqiniso ayaphikisana. Eqinisweni, ukuthenwa kunomphumela ongaqondile futhi kuholela ku-KSD ngendlela engaqondile.

Isilwane esithenwe sinokuhluleka kwehomoni okubukhali. Izinguquko emsebenzini wezindlala ze-endocrine zifaka isandla ekubukeni kokunensa kwamakati, ukunganaki okuthile (nakuba isilwane esifuywayo esincane singasebenza kakhulu), kanye nokuzola ekuziphatheni. Ngokukhula, ikati lihamba kancane, lisabela kancane ekushukunyisweni, kuhlanganise nobulili obuhlukile, futhi lidla kakhulu. Konke ndawonye kubangela ukubukeka kwesisindo esiningi, ngezinye izikhathi ukukhuluphala.

Kuyaziwa ukuthi iningi lezilwane ezikhuluphele ngokushesha noma kamuva zenza i-urolithiasis. Ngaphezu kwalokho, ukuhamba kancane kwe-metabolism kuma-castrates kubangela ukuphuma okungajwayelekile kwesinye, okuholela ekuminyaniseni. Futhi uma ukuhlinzwa kwenziwa kusenesikhathi kakhulu, khona-ke umsele womchamo uhlala ungathuthukisiwe futhi umncane, okubuye kubangele ukwakheka kwamatshe. Kungaphethwa ngokuthi amakati angenayo i-neutered asengozini ngempela.

Indlela yokuvimbela urolithiasis emakati (amakati)

Ukuvimbela i-KSD emakatini kanje:

• qaphela ukuhlukahluka kokudla kwesilwane esifuywayo, futhi uma kunesidingo, uthenge ukudla okukhethekile;
• gwema ukuthuthukiswa kokukhuluphala ngokulawula okuqukethwe kwekhalori kokudla (ngalokhu ungathintana nochwepheshe);
• ukukhuthaza ukusetshenziswa kwamanzi njalo ngokuqinisekisa ukutholakala kwawo kanye nokuba masha;
• gcina isilwane sisebenza, singavumeli ubuvila bukhule;
• yenza i-ultrasound scan njalo ezinyangeni eziyisithupha, ikakhulukazi uma kune-predisposition ku-KSD;
• nikela njalo ngomchamo wekati emtholampilo ukuze kutholakale usawoti;
• thola ukwelashwa okuphelele uma kutholakala isihlabathi noma amatshe.

Izinyathelo ezinjalo ezilula zizoqinisekisa impilo yesilwane se-mustachioed iminyaka eminingi. Uma ikati selivele zelashwa nge-urolithiasis, khona-ke bazosiza ukugwema ukuphinda, ngoba akunakwenzeka ukuqeda ngokuphelele lesi sifo.