Urolithiasis emakati: ukwelashwa, izimpawu eziyinhloko kanye nezimbangela

I-Urolithiasis yisifo esivamile samakati esihambisana nokuphazamiseka kwe-metabolic. I-pathology engathi sína enjalo ngokwelashwa okungakafiki isikhathi ingaba yingozi empilweni yesilwane. Ukuze uzinzise isimo sesilwane esifuywayo, udinga ukukhetha ukudla okukhethekile futhi uqale ukwelashwa okuyinkimbinkimbi.

Urolithiasis ukugula okungapheli. Kubonakaliswa ukwakhiwa kwesihlabathi noma amatshe ezinso nasezindongeni ze-ureters, kanye nesinye. Ekuqaleni, amadiphozi kasawoti awazenzi azizwe, kodwa kancane kancane akhula ngosayizi. Ngenxa yalokho, ngisho namatshe amancane angalimaza umgudu womchamo, abangele ubuhlungu obukhulu ekati. Kwezinye izimo, ukuvinjelwa kwe-ureters kwenzeka, ngenxa yokuthi ukugeleza kwamanzi nokudakwa kubonakala. Ukuze unciphise isimo sesilwane, usizo oluphuthumayo luzodingeka, ngaphandle kwalokho umphumela obulalayo ungenzeka.

Izizathu eziyinhloko

Cishe akunakwenzeka ukusungula imbangela eqondile yokuvela kwe-pathology enjalo. Ngokuvamile, lesi sifo emakati siholela endleleni yokuphila engenampilo, ukuntuleka kokunakekelwa kanye nokudla okungenakulinganisela.

Izizathu ezingenzeka:

• i-congenital pathology yokuthuthukiswa kwesistimu ye-genitourinary, kanye nezici ze-anatomical, kuhlanganise ne-urethra egobile noma encane kakhulu;
• amanzi okuphuza asezingeni eliphansi, aqukethe amaminerali amaningi (kungenxa yalesi sizathu ukuthi amanzi ampompi akufanele anikezwe);
• ukudla okusekelwe enanini elinganele loketshezi;
• ukuphazamiseka okuhlukahlukene ekuthuthukiseni umzimba, ngenxa yokuthi i-metabolism iyancipha;
• ukungasebenzi kahle kwesistimu yokugaya ukudla;
• ukuxuba noma ukushintshanisa njalo ukudla kwemvelo nokudla okomile;
• ukudla okuvamile kwesilwane ngezinhlanzi noma ukudla okunamafutha;
• ukusetshenziswa kokudla okuphansi kwekhwalithi;
• ukudla ngokweqile njalo, okuholela ekukhuluphaleni;
• umsebenzi wezimoto onganele;
• ukulimala kwamathambo e-pelvic;
• i-streptococcal, i-staphylococcal nezinye izifo;
• ama-neoplasms ku-urinary tract.

Urolithiasis kanye nokuthenwa

Kukholelwa ukuthi i-KSD ivame ukubonwa kumakati angenayo i-neutered, kodwa ososayensi abavumelani nalo mbono ngaso sonke isikhathi. Kunoma yikuphi, kukhona ukuxhumana phakathi kwe-urolithiasis nokuthenwa. Ngakho-ke, ngemva kokukhishwa kwama-testes, isizinda se-hormonal yekati siyashintsha. Yena iba nokuzola futhi ulahlekelwa isithakazelo kumakati, futhi ukuntuleka kokuhamba okuholela ku-urolithiasis.

Kunombono wokuthi amakati ashintsha isithakazelo kubulili obuhlukile ngokuthanda ukudla. Ngenxa yalokhu, ukukhuluphala kuyakhula, okuyimbangela ye-KSD. Ukuze ugweme le pathology, kuyadingeka ukunikeza amakati ukudla okunekhalori ephansi ngamanani amancane. Kuyadingeka futhi ukuthena izilwane okungenani ezinezinyanga eziyisithupha ubudala, futhi okungcono kunezinyanga eziyi-8-10, ngoba ngesikhathi sokuhlinzwa zisencane, i-urethra iyayeka ukukhula futhi ihlala incane.

Izimpawu eziyinhloko ze-urolithiasis emakati

Uma isilwane sisanda kuqala ukuthuthukisa urolithiasis, ke kunalokho kunzima ukukuxilonga., ngoba ekuqaleni izimpawu zithambile. Njengomthetho, ikati liba namandla kancane. Akadli kahle futhi angaphatheka kabi ngesikhathi echama. Kodwa-ke, izimpawu ezinjalo azibonakali nje nge-urolithiasis.

Uma ingelashwa, ubukhulu kanye nenani lamadiphozithi kasawoti liyakhula. Ngokuhamba kwesikhathi, amatshe ahlukana futhi ehla nge-ureter. Kulesi sigaba, ukutholakala kwalesi sifo akubangeli ubunzima.

Izimpawu ezijwayelekile:

• ngesikhathi sokuchama, isilwane sikhala ngokuzwakalayo, okuchazwa ubuhlungu obukhulu;
• ikati livame ukuhlala kuthreyi, ngoba lizwa isifiso cishe ngaso sonke isikhathi;
• ngemva kokuba isilwane siye endlini yangasese, amabala apinki noma abomvu angabonakala kuthreyi, okuchazwa ngokuba khona kwezinhlayiya zegazi emchameni;
• ukuchama kungase kume ngokuphelele, kuyilapho ngezinye izikhathi kukhona i-prolapse ye-rectum;
• ngosizo lwe-palpation, kungenzeka ukuthi uqaphele ukuthi isisu sekati siqinile;
• ngisho nezilwane ezifuywayo eziziphethe kahle ziqala ukuya endlini yangasese endaweni engafanele;
• amakati aziphatha kabi futhi azame ukuheha ukunaka komnikazi, noma acashe ekhoneni;
• isilwane siphefumula ngokushesha;
• Isifiso sekati cishe asikho.

Diagnostics

Uma kusolwa i-urolithiasis ekati, yisa emtholampilo wezilwane. Uchwepheshe uzocabangela zonke izimpawu, futhi anikeze izinqubo ezikhethekile. Ukuxilongwa kwe-urolithiasis, i-ultrasound, i-x-ray kanye nokuhlolwa kwe-sediment yomchamo kusetshenziswa. Kubalulekile futhi ukunquma uhlobo lwamadiphozi kasawoti, ngoba ngenxa yalokhu kungenzeka ukukhetha ukwelashwa okufanele. Ukuze uthole izifundo ezinembe kakhudlwana, kusetshenziswa i-X-ray diffraction kanye ne-polarized light microscopy.

Ukwelashwa

Uma ngesikhathi sokuhlolwa kwatholakala ukuthi ikati liyakhula ngempela urolithiasis, ukwelashwa okuyinkimbinkimbi kunqunyiwe. Ngenxa yakhe, kungenzeka ukususa ukukhushulwa futhi uthuthukise isimo sesilwane. Lokhu kucabangela izinga lomonakalo, isimo esijwayelekile sekati, isigaba sesifo, kanye nobulili kanye neminyaka yesilwane.

Ukuze kuxazululwe inkinga, kokubili ukwelashwa okulondolozayo kanye nokungenelela kokuhlinzwa kungasetshenziswa. Ngezinye izikhathi ukukhishwa kwamadiphozi usebenzisa i-catheter noma ukususwa kwabo ngaphansi kwe-anesthesia kunqunyelwe.

Ukwelashwa okulondolozayo

Izinqubo ezihlukahlukene zisetshenziselwa ukubuyisela ukuphuma komchamo nokuqeda ukuvuvukala. Ngesikhathi esifanayo, ukwelashwa kubuye kuhloswe ekuvimbeleni, okusiza ukugwema izinkinga ezingenzeka nokubuyela emuva.

cat khetha uhla lwezidakamizwa, okuzosiza ukubuyisela i-patency ye-urinary tract futhi kuqede ukubola komchamo. Ngakho-ke, ama-antispasmodics nama-sedative anqunyelwe, kufaka phakathi i-baralgin ne-neotropin, ama-antibiotics namakhambi e-homeopathic, okuyi-cantharis ne-magnesia.

Ngemva kokumisa ukuhlasela, isimo sekati siyathuthuka. Ukuze ukululama kufike ngokushesha, i-lumbar novocaine blockade isetshenziswa. Futhi, isilwane esifuywayo kufanele sigcinwe sifudumele.

Ukwelashwa kokusebenza

Ukwelapha i-urolithiasis, ukususwa kwamatshe kuvame ukunqunywa. Uma ngesizathu esithile kwenziwa isinqumo sokwenqaba ukusebenza, i-pyelonephritis eyingozi, i-hematuria, ukuguqulwa kwe-hydronephrotic kanye nesifo esibuhlungu esibuhlungu singase sithuthuke.

Kuye ngezici eziningana, uchwepheshe ichaza i-urethrostomy noma i-cystostomy. Inketho yokuqala ihilela ukwakhiwa kwesiteshi sokususa amadiphozi kasawoti, kanti okwesibili kuwukuhlinzwa okungathi sína kwesisu. Kwenziwa esimweni lapho ubukhulu bamatshe budlula ubukhulu be-urethra.

Ngemuva kokuhlinzwa, ukuchama kuyabuyiselwa, kodwa-ke, ukuze isimo sijwayelekile, ikati liphinde libekwe inkambo yama-antibiotic kanye nokwelapha okulwa nokuvuvukala.

Ukudla

Ngaphezu kokwelashwa, udokotela wezilwane kufanele anikeze ukudla okukhethekile kwesilwane. Kukhethwa kucatshangelwa ukwephulwa kwe-salt metabolism. Ngenxa yokudla okufanele, kungenzeka ukubuyisela izinqubo ze-metabolic futhi kugcinwe i-homeostasis.

Ukudla kwemvelo

Uma ikati lidla ukudla kwemvelo, kufanele uthintane nodokotela wezilwane kanye thatha imikhiqizo ethile. Ngaphezu kwalokho, amavithamini A kanye neqembu B anqunyelwe. Ukudla kufanele kulungiswe ngokushesha ngaphambi kokuphakelwa. Ukudla kwekati kufanele kufake inyama ebilisiwe ebilisiwe, i-cottage shizi, amaqanda abilisiwe, izaqathe, irayisi noshizi.

Izilwane akufanele zinikezwe ingulube, inhlanzi, amasoseji nokudla okusemathinini. Ukudla akufanele kube okubabayo futhi kungabi namafutha.

Ukudla okomile

Uma ikati lidla ukudla osekulungele, khona-ke izinhlobo ezikhethekile ezihloselwe izilwane ezine-KSD kufanele zikhethwe. Lokhu kudla kuqukethe inani eliphelele lamaminerali. Ukudla okushibhile okuhlobene nesigaba somnotho akukwazi ukuthengwa.

Kuyadingeka ukuqinisekisa ukuthi isilwane sisebenzisa amanzi anele. Uma ikati liphuza kancane, ngakho-ke kungcono ukucwilisa ukudla okomile ngaphambili noma unikeze ukudla okukhethekile okusemathinini.

Prevention

Ngisho noma ukwelashwa kwesilwane kuphumelele, kuyadingeka ukulandela izinyathelo zokuvimbela, ezizosiza ukugwema ukuphindeka. Lezi izincomo:

• Ukudla okufanele, okubandakanya ukusetshenziswa kokudla okunemithi okuklanyelwe ngokukhethekile amakati ane-KSD. Ungakwazi futhi ukunikeza ukudla kwemvelo, ucabangela zonke izincomo zodokotela wezilwane.
• Ukulawula isisindo sesilwane esifuywayo. Ikati akumele libe nesisindo esingaphezu kuka-4,5 kg.
• I-Phytotherapy isebenzisa ama-diuretics.
• Ukusetshenziswa kwamanzi okuphuza ahlanzekile ahlungiwe.
• Ukudlala kwezilwane ezifuywayo njalo.
• I-Ultrasound yesinye nezinso njalo ngemva kwezinyanga eziyisithupha, kanye nokuhlolwa komchamo okuvamile.

Ngenxa yale mithetho elula, isilwane esifuywayo sizohlala sisebenza futhi sijabule.

I-Urolithiasis inikeza amakati ubuhlungu obukhulu. Ngaphezu kwalokho, ezimweni eziphambili I-pathology iholela ekufeni.. Uma kukhona izinsolo ze-KSD, kuyaphuthuma ukubonisana nodokotela wezilwane, ngoba ukwelashwa okufika ngesikhathi kuphela, ukunakekelwa okufanele kanye nokudla okulinganiselayo kungabuyisela ikati empilweni.