Nephrolithiasis - ndichiyani ndipo mankhwala chiyani?

Anthu ambiri bwino nkhaniyo pamene dotolo detects miyala impso. Komabe matenda amatchedwa nephrolithiasis. Ndi chiyani icho? Choncho ndi njira ya mapangidwe mu impso oyera nyumba zosiyanasiyana. Iwo ali osiyana mu mipweya, malo osiyanasiyana kukula ndi millimeters angapo masentimita oposa 10 awiri.

Nephrolithiasis. Kodi izo ndi zomwe zimayambitsa

Stone ngati dongosolo angaoneke mu impso ndi mafupa a chiuno aimpso, kapepala mkodzo. Zimenezi amakhala mu zinthu zimene zili bwinobwino kuti linanena bungwe kunja, asungidwa mu thupi ndi kuwumitsa. Zinaonetsa kuti amuna ndi impso nephrolithiasis kwambiri zambiri kuposa akazi. Mapangidwe miyala bwanji chikhalidwe cha zakudya anthu. The zambiri amagwiritsa ntchito mafuta, nyama mapuloteni zakudya ndi okhutira mkulu wa asidi, ndi apamwamba chiopsezo nephrolithiasis. Kuyambitsa matenda angakhale mlingo wochepa wa mkodzo (thukuta, pang'ono madzimadzi ankadya). Matenda kawirikawiri dongosolo genitourinary, matenda kagayidwe kachakudya - apa ndi zinthu zomwe zimathandiza matenda. moyo anafooka, lalikulu kuwonda kungakhudzenso ndondomeko mapangidwe miyala.

zizindikiro

Nthawi zina matenda ndi popanda zizindikiro kwambiri. Komabe, nthawi zambiri n'zotheka kusunga zizindikiro ngati za nephrolithiasis, monga zowawa mmbuyo ndi colic aimpso. Zonsezi zikhoza limodzi ndi kunyansidwa ndi kusanza. Mpando ndi mpweya m'mimba chiyani lisachoke, kuchuluka kwa mkodzo ndi ndinasintha yafupika. Nephrolithiasis ali ndi zizindikiro chotero: yense wopirira lachitatu taonera kukhalapo kwa magazi mu mkodzo. Izi zimachitika chifukwa kuwononga kwa Kakhungu mucous m'kati mwa miyala. Thupi kutentha ndi 37,5 ° C. Matendawa ndi oopsa komanso mavuto ake. Ngati nkotheka mwadzidzidzi kuchiza kutupa mu impso, mkodzo kuchulukana, magazi. N'zothekanso chitukuko cha kulephera aimpso.

mitundu ya miyala

Nthawi zambiri mu impso kupanga kashiamu oxalate miyala. Iwo ali formations chovuta kumachitika chifukwa mowa kwambiri vitamini C, vuto la mavuto ndi njira kagayidwe kachakudya. Maonekedwe osiyanasiyana: wamng'ono, lalikulu, yosalala, warty. Makulidwe nthawizina kufika masentimita angapo. The muyeso uric asidi thupi, chosokoneza cha kagayidwe purine - kuti ndi chifukwa oterewa urate nephrolithiasis. Za 5% ya miyala impso ndi mankwala nsana. Ngakhale n'kukhala anapezazo cystine, kapena xanthine miyala. impso nephrolithiasis mwina ndi chikhalidwe opatsirana. matenda kawirikawiri kuwaika akazi kuposa amuna.

matenda a matenda

Ngati wodwala amaona zizindikiro pa miyala impso, ndiye kudzacheza kwa dokotala sayenera anachedwa. Nephrolithiasis ndi mwachilungamo mosavuta matenda. Choyamba, kusankha mayeso mkodzo. Monga ulamuliro, ngakhale mu magawo oyambirira a matenda pali kuwonjezeka mu woyera achiyesa maselo a magazi, erythrocyte sedimentation mlingo ndi apamwamba kuposa zachibadwa. Neoplasms impso kuoneka bwino pa ultrasound, zithunzi radiographic. Komabe, tisaiwale kuti urate siziwoneka ntchito X-ray. Nthawi zambiri, miyala ndi sanali yunifolomu zikuchokera. Childs mchere amachuluka mtundu winawake, ndipo ena mwa mawonekedwe a zosafunika. Ichi ndi chifukwa chake pafupifupi concrements onse rentgenokontrasny. Kulongosolerana matenda ayenera yopangidwa tomography, excretory urography. Njirazi amakulolani kuona kusintha onse zinchito ziwalo ndi kusankha yoyenera kwambiri mankhwala njira.

Staghorn nephrolithiasis. Kodi ichi

A mwapadera matenda a impso miyala ndi mapangidwe miyala staghorn. Anapeza kuti chifukwa cha chikhalidwe cha thupi wamkazi, kugonana chilungamo akudwala ngati matenda kwambiri zambiri. Akatswiri amanena zifukwa zingapo zimene zingachititse mtundu wa miyala. Zikuphatikizapo matenda aimpso (onse obadwa nawo ndi kuthi), otentha nyengo, chakudya akamakonda, malo osauka. Pali kuthekera kwa nephrolithiasis ndi pa mimba. Chifukwa cha ichi chingakhale kusintha m'thupi. Komanso si udindo otsiriza ndipo amachita kunja chinthu cholowa. Madokotala ena link chikhalidwe ichi ndi matenda a chithokomiro. Zizindikiro zizindikiro zotsatirazi: ululu, impso, mkhutu chopondapo, nseru, magazi mu mkodzo. Komanso, ambiri odwala pali ludzu kukula.

zochiritsira

miyala ing'onoing'ono kusiya thupi paokha ndipo popanda alowererepo. dokotala salamula ya miyeso umalimbana kuchepetsa chikhalidwe cha wodwalayo. Ndi bwino kuwonjezera kuchuluka kwa madzi munthu kumwa patsiku. Amasonyezanso yaikulu wofatsa. Zoikidwiratu ndi zina mankhwala kuti kuthetsa kutupa, ululu syndromes. Umachitikira komanso njira mwala kuvunda ngati matenda urate nephrolithiasis. Kodi izo bwanji ndi ndondomeko imeneyi? mankhwala Litholytic Kwalamulidwa, ngati mwala akadali mu Mphukira. Katswiri amasankha mankhwala kupasuka mapangidwe. Komabe, kusankha mankhwala yekha ndikoletsedwa. Atawononga mtundu wina wa miyala, kukonzekera si yosokoneza ena ndipo amakwanitsa kumapangitsanso kukula. Choncho, nephrolithiasis, mankhwala ake amafuna upo woyenera Katswiri.

Kugawikana miyala impso

Ngati mwala waukulu, njira onongani ntchito. Zimenezi zikachitika ndi ultrasound kapena laser. Otsiriza zothandiza kwambiri, monga timatha inu kuphwanya miyala yonse. Kugawikana angayambe chosonyeza, ndi kwaiye mantha yoweyula chofunika mphamvu. Kuchitanso ndi kukhudzana akupera. Kudzera ang'ambe thupilo kakang'ono, ndipo nthawi yomweyo anayambitsa madzi yapadera, imene mwala wosweka yomweyo yagwa. Ndondomeko lonse limatenga ola limodzi.

Opaleshoni ya nephrolithiasis

Njira imodzi kuchotsa miyala impso - endoscopy. Pa phukusi la chida chapadera umayamba kudzera mkodzo kuti ang'ambe thupilo kapena kumbali (malingana ndi malo mapangidwe a). mwala wosweka, kenako kuchotsedwa ntchito kuzungulira. Ntchito imene amafuna lalikulu ang'ambe thupilo m'mimba zibowo zam'mano, kawirikawiri kwambiri ikuchitika. Kwenikweni, akatswiri amasankhidwa njira yosalekerera wa kutaya formations crystalline.

njira zopewera

Pofuna kupewa chitukuko cha miyala impso, malamulo ena ayenera kutsata. Nkofunika kusunga woyenera kumwa boma. Kuchuluka kwa madzimadzi kuti amagwiritsa munthu ayenera kukhala osachepera 1.5 malita. Komanso mwapadera ziperekedwe kwa zidazo. Ngati nyumba yanu madzi zovuta, ndiye pali simungakhoze kuchita popanda Zosefera apamwamba. Sayenera ozunzidwa ndi mchere madzi, monga iwo zimachititsa matenda. kudya zakudya zopatsa nthanzi komweko akhoza kupulumutsa ku nephrolithiasis. Ngati anapeza urate, muyenera kuchepetsa kuchuluka kwa nyama, zinyalala. Iwo ayenera kusiya ntchito mankhwala kusuta. miyala Oxalate achepetsa. Chakudya muli asidi oxalic, ndikoletsedwa. Chotchezera, sipinachi, nyemba, zipatso, strawberries - ili ndi mndandanda chosakwanira zakudya kuti zingawonjezere vutolo. Phosphorus-carbonate mapangidwe amafuna osati mankhwala okhala yambiri calcium.

Zoyamba za zakudya mu impso miyala matenda

Nephrolithiasis (amgwirizano kapena unilateral) asinthe menyu mtima. Kuwonjezera chakudya ndi kumwa, pali zinthu zina zofunika powasamalira. Akatswiri amalangiza kuchepetsa kudya mchere. Komanso mtengo kuchepetsa mowa, makamaka khalidwe n'ngwokayikitsa. Makamaka kusamala n'kofunika kuchitira vitamini C, chifukwa ndi muyeso wake kangawononge impso nephrolithiasis. Chithandizo cha ambiri chimfine limodzi ndi madyedwe mvula zakudya vitamini imeneyi. Choncho, anthu amene sachedwa mapangidwe miyala, musalumphe mlingo tsiku (1 gram). Mu nyengo ya mavwende mungasangalale zambiri zipatso. Iwo utisambitsa impso, kumalimbikitsa kuchotsa mchenga ndi miyala ing'onoing'ono. Amalangiza kukusalani masamba zam'chitini ndi timadziti. Ndi bwino kudya zamasamba ndi zipatso, komanso kuphika atsopano.