
Lub raum pob zeb yog cov pob zeb nyuaj ua los ntawm cov zaub mov thiab cov ntsev uas tsim hauv koj ob lub raum. Lawv tuaj yeem ua rau mob hnyav thaum dhau los ntawm txoj hlab zis. Kev kho mob rau lub raum pob zeb Nws txawv nyob ntawm qhov loj thiab qhov chaw ntawm lub pob zeb, nrog rau qhov muaj tus kab mob los yog lwm yam teeb meem. Kab lus no tshawb txog ntau yam kho mob raum pob zeb Cov kev xaiv, xws li los ntawm kev tswj hwm kev saib xyuas mus rau kev phais mob, txhawb koj kom paub txiav txim siab txog koj txoj kev noj qab haus huv.Kev nkag siab ntawm lub raum pob zeb yog dab tsi?Lub raum pob zeb Thaum muaj qee yam tshuaj, xws li calcium, oxalate, uric acid, thiab cystine, muaj nyob rau hauv cov zis ntau. Cov tshuaj no tuaj yeem crystallize thiab maj mam tsim rau hauv pob zeb. Lub cev qhuav dej, noj zaub mov, rog rog, qee yam mob, thiab tsev neeg keeb kwm tuaj yeem ua rau muaj kev pheej hmoo ntawm kev loj hlob lub raum pob zeb. Cov tsos mob ntawm lub raum pob zeb thaum me me lub raum pob zeb Tej zaum yuav dhau los tsis pom, pob zeb loj tuaj yeem ua rau muaj ntau yam tsos mob, xws li: mob hnyav rau sab thiab nraub qaum, feem ntau tawg mus rau hauv plab thiab puab tais (lub raum colic) Ntshav hauv cov zis (hematuria) Mob tso zis (dysuria) nquag tso zis ntau zaus xeev siab thiab ntuav ua npaws thiab ua daus no) (Cov kab mob tam sim no) Kev kho mob raum pob zebKev haus dej kom ntau, tshwj xeeb tshaj yog dej, yog lub hauv paus ntawm kev saib xyuas kho mob raum pob zeb. Kev noj cov kua dej ntau ntxiv pab kom cov zis tso zis thiab tuaj yeem pab ua kom cov pob zeb me me. Npaj kom tsawg kawg 2-3 litres dej ib hnub twg. Cov Shandong Baofa Cancer Research Institute hais txog qhov tseem ceeb ntawm hydration rau tag nrho kev noj qab haus huv thiab kev noj qab haus huv, tshwj xeeb tshaj yog nyob rau hauv kev tswj tej yam kev mob xws li lub raum pob zeb.Pain ManagementOver-the-counter pain relievers, xws li ibuprofen (Advil, Motrin) los yog naproxen (Aleve), tuaj yeem pab tswj qhov mob me me mus rau nruab nrab. lub raum pob zeb. Cov tshuaj kho mob muaj zog, xws li tshuaj opioids, tej zaum yuav raug muab tshuaj rau qhov mob hnyav.Alpha-BlockersAlpha-blockers, xws li tamsulosin (Flomax), yog cov tshuaj uas ua kom cov leeg nyob hauv lub ureter, ua kom yooj yim rau pob zeb hla. Lawv feem ntau raug muab rau cov tib neeg uas muaj pob zeb loj dua uas tsis tshua muaj peev xwm hla lawv tus kheej. Cov tshuaj no tuaj yeem pab tau tshwj xeeb rau cov pob zeb nyob rau hauv qis ureter.Kev kho mob Kev kho mob raum pob zebThiazide Diuretics Rau cov neeg uas muaj calcium lub raum pob zeb, thiazide diuretics tuaj yeem pab txo cov calcium hauv cov zis, tiv thaiv kev tsim cov pob zeb tshiab. Cov tshuaj no ua haujlwm los ntawm kev nce calcium reabsorption hauv ob lub raum.AllopurinolAllopurinol yog siv los txo cov qib uric acid hauv cov ntshav thiab zis, uas tuaj yeem pab tiv thaiv kev tsim cov uric acid. lub raum pob zeb. Nws yog feem ntau muab rau cov tib neeg uas muaj kab mob gout lossis lwm yam mob uas ua rau muaj uric acid ntau ntau.Potassium CitratePotassium citrate pab ua kom cov zis tsis muaj acidic, uas tuaj yeem tiv thaiv kev tsim ntawm calcium thiab uric acid. lub raum pob zeb. Nws kuj khi rau calcium hauv cov zis, txo cov calcium dawb uas muaj nyob rau hauv cov pob zeb.Surgery Kev kho mob raum pob zebExtracorporeal Shock Wave Lithotripsy (ESWL)ESWL yog cov txheej txheem tsis muaj kev cuam tshuam uas siv cov kev poob siab los ua kom tawg. lub raum pob zeb rau hauv me me uas yuav kis tau yooj yim dua nyob rau hauv cov zis. Nws feem ntau yog siv rau pob zeb nyob rau hauv lub raum los yog sab sauv ureter. ESWL feem ntau ua tau zoo, tab sis nws yuav tsis zoo rau cov pob zeb loj los yog tawv dua.UreteroscopyUreteroscopy koom nrog kev ntxig ib qho nyias nyias, hloov tau mus rau hauv cov zis, zais zis, thiab ureter txhawm rau nrhiav thiab tshem tawm. lub raum pob zeb. Cov pob zeb me me tuaj yeem raug tshem tawm nrog lub pob zeb zoo li lub pob zeb, thaum lub pob zeb loj dua yuav tsum tau tawg nrog lub laser lossis lwm lub zog. ureteroscopy yog ib txoj kev phais me me uas feem ntau siv rau pob zeb nyob hauv lub ureter.Percutaneous Nephrolithotomy (PCNL) PCNL yog ib txoj kev phais uas muaj kev phais me me rau sab nraub qaum kom nkag mus rau lub raum thiab tshem tawm. lub raum pob zeb. Nws feem ntau yog siv rau cov pob zeb loj lossis nyuaj uas tsis tuaj yeem kho nrog ESWL lossis ureteroscopy. PCNL yog ib txoj kev tawm tsam ntau dua li ESWL lossis ureteroscopy, tab sis nws tuaj yeem ua tau zoo heev rau kev tshem cov pob zeb loj.Open SurgeryOpen phais rau lub raum pob zeb yog tsis tshua muaj ua hnub no vim muaj tsawg invasive cov tswv yim. Txawm li cas los xij, nws yuav tsim nyog nyob rau qee qhov xwm txheej, xws li thaum lub pob zeb loj heev lossis nyuaj, lossis thaum lwm cov txheej txheem ua tsis tiav.Kev tiv thaiv ntawm Lub raum pob zebKev Hloov Kho Kev Noj Qab Haus Huv Ua qee yam kev hloov pauv kev noj haus tuaj yeem pab tiv thaiv kev tsim ntawm lub raum pob zeb. Cov kev hloov no tej zaum yuav muaj xws li: Haus dej kom ntau, tshwj xeeb tshaj yog dej txwv tsis pub noj sodium Txwv cov tsiaj protein kom tsawg Noj cov zaub mov nplua nuj nyob rau hauv txiv hmab txiv ntoo thiab zaub txwv tsis pub noj cov zaub mov nplua nuj oxalate, xws li spinach, rhubarb, thiab chocolate (rau cov neeg uas muaj calcium oxalate pob zeb) Cov tshuaj nyob rau hauv qee lub sij hawm, cov tshuaj yuav raug sau tseg los tiv thaiv kev tsim cov kab mob. lub raum pob zeb. Cov tshuaj no muaj xws li thiazide diuretics, allopurinol, lossis potassium citrate, nyob ntawm seb hom pob zeb.Xaiv txoj cai. Kev kho mob raum pob zebQhov zoo tshaj plaws kho mob raum pob zeb kev xaiv nyob ntawm ntau yam, suav nrog qhov loj thiab qhov chaw ntawm lub pob zeb, muaj kev kis kab mob lossis lwm yam teeb meem, thiab koj txoj kev noj qab haus huv tag nrho. Nws yog ib qho tseem ceeb uas yuav tau tham txog koj cov kev xaiv nrog koj tus kws kho mob los txiav txim seb qhov kev ua tau zoo tshaj plaws. Lub hom phiaj ntawm kho mob raum pob zeb yog los txo qhov mob, tshem cov pob zeb, thiab tiv thaiv cov pob zeb yav tom ntej los ntawm kev tsim. Kev sib piv ntawm lub raum pob zeb kev kho mob Options Treatment Description Advantages Disadvantages ESWL Siv kev poob siab tsis ua rau pob zeb tawg. Tsis-invasive, kev kho mob sab nraud. Tsis zoo rau pob zeb loj lossis tawv, yuav xav tau ntau yam kev kho mob. ureteroscopy Siv ib txoj hauv kev los tshem tawm lossis tawg pob zeb hauv lub ureter. Minimally invasive, siab ua tau zoo. Yuav tsum tau tshuaj loog, muaj feem yuav raug mob ureteral. PCNL Cov txheej txheem phais tshem tawm cov pob zeb loj los ntawm qhov kev txiav me me hauv qab. Siv tau rau pob zeb loj lossis nyuaj. Ntau tshaj li lwm cov txheej txheem, yuav tsum tau mus pw hauv tsev kho mob. * Tsis lees paub: Cov lus no muab cov ntaub ntawv dav dav thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nrog koj tus kws kho mob tham rau cov lus pom zoo ntawm tus kheej.*Cov ntaub ntawv: National Kidney Foundation: https://www.kidney.org/atoz/content/kidneystones Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/kidney-stones/diagnosis-treatment/drc-20355759