Urolithiasis ezinjeni

Urolithiasis Ezinjeni: Okubalulekile

1. Izimpawu eziyinhloko ze-urolithiasis ukuchama kaningi, okubuhlungu nokushintsha kombala womchamo.

2. Amatshe angatholakala kuzo zonke izingxenye zesistimu yomchamo: ezinso, ureters, esinyeni kanye ne-urethra.

3. Ukwelashwa kokwelapha kusetshenziswa kabanzi, kodwa kwezinye izimo akunakwenzeka ukwenza ngaphandle kokuhlinzwa.

4. Izindlela ezingcono kakhulu zokuvimbela ukukhuphuka kwamanzi okuphuza, ukudla okuseqophelweni eliphezulu, indlela yokuphila esebenzayo kanye nokungakhuluphali.

Izimpawu

Izimpawu eziyinhloko nezimpawu ze-urolithiasis ezinjeni zihlanganisa ukwanda kwesifiso sokuchama, ngezinye izikhathi isikhathi phakathi kwazo singaba yimizuzu eyi-10-15 kuphela. Inja izohlala icela ukuphuma futhi ingase yenze idamu ekhaya. Kukhona nokuncipha komthamo womchamo okhishwa ngesikhathi. Ungase uqaphele ushintsho kumbala womchamo kusuka ku-pink ophaphathekile kuya kobomvu ngokugqamile. Umchamo ungase uguquguquke, ube nokufaka okungaqinile. Phakathi nesenzo sokuchama, imizwa ebuhlungu esilwaneni ingaqashelwa: ukuma okuqinile, ukukhala, umsila ophakeme kakhulu, abesilisa bangase bayeke ukuphakamisa i-paw yabo. Inja iba yi-lethargic, lethargic, ayidli kahle. Futhi, kwezinye izimo, ukwanda kokoma kanye nokwanda komthamo womchamo kungase kuqashelwe.

Izimpawu zamatshe ezinso enja zingase zingabonakali isikhathi eside. Ukweqisa kuzohambisana nobuhlungu obunzima esifundeni se-lumbar, izimpawu zokuvuvukala kwezinso zizovela: igazi, ubomvu emcinini, ukucindezeleka okujwayelekile.

Uma itshe libhajwa ku-urethra, lizovimba ukuphuma komchamo ngaphandle. Isinye sizogcwala njalo, kuzoba nobuhlungu obubukhali esiswini. Uma usizo lunganikezwa ngesikhathi, iphunga le-ammonia lizovela emlonyeni, ukuhlanza, ukudlikizela, bese kuba nokwehluleka kwezinso nokufa kwesilwane.

Diagnostics

Uma usola i-urolithiasis, kufanele wenze uchungechunge lwezifundo eziphoqelekile. Lezi zihlanganisa i-ultrasound yesistimu yomchamo. I-Ultrasound izokhombisa ubukhona be-urolith, usayizi wabo kanye nendawo ngqo. Izobonisa ingxenye yesakhiwo sezinso, ukuba khona kwenqubo yokuvuvukala ebukhali noma engapheli kuzo. Okunye okukhombisa kakhulu ukuhlaziya okuvamile komchamo. Ingabonisa ukuminyana komchamo, i-pH, ukuba khona kwegazi namangqamuzana avuthayo, i-microflora, kanye nama-urolith amancane kakhulu angadlula ku-urethra. Lapho kukhona i-microflora, isiko lomchamo elinokufakwa kwezidakamizwa ezilwa namagciwane lingaboniswa. Ngezinye izikhathi ama-x-reyi ayadingeka ukuze kuboniswe indawo ye-urolith ye-radiopaque, futhi lokhu kusiza ikakhulukazi ukukhipha ukuvaleka komchamo ezinjeni zesilisa. Ukuhlolwa kwegazi okujwayelekile komtholampilo kanye ne-biochemical kuzosiza ukukhipha izinqubo zokuvuvukala okunamandla kanye nokulimala kwezinso okukhulu.

Izifundo ezingavamile kakhulu zifaka i-urography noma i-cystography ene-ejenti yokuqhathanisa, i-computed tomography.

Ukwelashwa kwe-urolithiasis ezinjeni

Ukwelashwa kwe-urolithiasis ezinjeni kuzoncika esimweni esijwayelekile sesilwane kanye nendawo yokubala. Uma kungekho simo esisongela ukuphila esiphawulwayo, ukwelashwa ngezidakamizwa kungase kuzanywe kuqala. Kusetshenziswa izidakamizwa eziletha i-pH yomchamo eduze nokungathathi hlangothi, i-antibacterial, anti-inflammatory, antispasmodic, diuretic, painkillers. Ukusetshenziswa kokudla okukhethekile kokwelapha kungase kukhonjiswe ukuqedwa kwe-calculi ethile, ama-struvites (ama-tripel phosphates) abolekisa kangcono ekuhlakazweni kwezinja.

Uma kwenzeka ukuvinjelwa kwetshe ku-urethra, usizo lokuhlinzwa luyadingeka. Uma kungenzeka, itshe liphindiselwa esinyeni kusetshenziswa i-catheter ekhethekile. Uma isihlabathi sikhona kanye lapho kuphuma khona urethra, kufanele uzame ukusikhipha. Esimweni lapho kungenakwenzeka ukukhulula i-urethra nge-catheter, noma isimo esinjalo esilwaneni siphindaphinda njalo, kuboniswa ukuhlinzwa kwe-urethrostomy. I-urethra enengxenye yayo ebanzi iboniswa ku-perineum phakathi kwe-scrotum ne-anus, ngenxa yalokhu idlula kalula, ukugoba okumise okwe-S akufakiwe, lapho itshe livame ukukhuphuka khona.

Uma kutholakala amatshe amakhulu esinyeni, ikhambi elingcono kakhulu ukuwasusa ngokuhlinzwa. Amatshe anomphumela odabukisayo odongeni oluthambile lwesinye, futhi aqoqa ukutheleleka okucishe kungenzeki ukukususa ngama-antibiotics. Ezimweni ezinjalo, i-cystotomy noma i-cystoscopy yenziwa kusetshenziswa imishini ye-endoscopic. Ngokuyisisekelo, lokhu kuhlinzwa okubili ngeke kuhluke, ngakho-ke kufanelekile ukunikeza ukukhetha kumasu udokotela wakho ohlinzayo awazi kangcono.

Uma amatshe etholakala ezinso noma ureters, ukwelashwa kokuhlinzwa kusetshenziswa. Imisebenzi efana ne-pyelotomy, nephrotomy, ureteretomy, noma ureteroneocystostomy yenziwa. Futhi, uma imishini efanelekile itholakala, indlela yokuhlakaza amatshe usebenzisa i-shock wave therapy ingasetshenziswa.

Ngakho-ke, ukwelashwa kwe-KSD ezinjeni kudinga indlela edidiyelwe, futhi ukunakwa okukhethekile kufanele kukhokhwe ekuhloleni okuthile.

Prevention

Isilinganiso esihle kakhulu sokuvimbela i-urolithiasis ukusetshenziswa njalo kwamanzi okuphuza ahlanzekile. Uma inja yakho ingaphuzi kakhulu, amanzi angengezwa ngqo ekudleni. Ukudla okunomsoco kufanele kube kwekhwalithi ephezulu, futhi okubaluleke kakhulu, ukulinganisela. Isazi sokudla okunempilo singasiza ekukhetheni nasekulungiseleleni ukudla komuntu ngamunye. Ungakwenza lokhu ku-inthanethi - kuhlelo lokusebenza lweselula lwePetstory, ukubonisana kwenziwa odokotela bezilwane bezobuchwepheshe obuhlukahlukene, kufaka phakathi izazi zokudla. Ungalanda uhlelo lokusebenza kusixhumanisi.

Uma inja ike yatholakala ukuthi ine-urolithiasis, ukudla okwelapha kunganqunywa impilo yonke ukuze kuncishiswe ingozi yokuphindaphinda.

Ezinye izici ekwakhekeni kwamatshe zihlanganisa indlela yokuphila engenzi lutho kanye nokukhuluphala ngokweqile. Inja kumele ihanjwe okungenani izikhathi ezi-2 ngosuku, ingqikithi yehora okungenani. Uma inja "ibekezelela" isikhathi eside, lokhu kunomthelela ekumeni komchamo, ukugxila kwawo ngokweqile, ukuthuthukiswa kokutheleleka kanye nemvula kasawoti.

Ukuvivinya umzimba okusesilinganisweni nokubonisana nesazi sokudla okunempilo nakho kuzosiza ekubhekaneni nesisindo eseqile.

I-athikili ayikona ukubizela esenzweni!

Ukuze uthole ukucwaninga okuningiliziwe kwenkinga, sincoma ukuthi uxhumane nochwepheshe.

Buza udokotela wezilwane

Februwari 8 2021

Kubuyekezwe: 1 Mashi 2021