mankhwala aimpso miyala

Miyala ya impso ndi zosungira zolimba zopangidwa ndi mchere ndi mchere womwe umapanga mkati mwa impso zanu. Angayambitse kupweteka kwakukulu pamene akudutsa mumkodzo. Chithandizo cha miyala ya impso zimasiyanasiyana malinga ndi kukula ndi malo a mwala, komanso kukhalapo kwa matenda kapena zovuta zina. Nkhaniyi ikufotokoza zosiyanasiyana mankhwala aimpso miyala zosankha, kuyambira kasamalidwe kosamala mpaka kuchita maopaleshoni, kukupatsani mphamvu zopanga zisankho zokhuza thanzi lanu.Kumvetsetsa Miyala ya ImpsoKodi Miyala ya Impso ndi Chiyani?Impso miyala Izi zimachitika pamene zinthu zina, monga calcium, oxalate, uric acid, ndi cystine, zili mumkodzo wambiri. Zinthuzi zimatha kung'ambika ndikumanga pang'onopang'ono kukhala miyala. Kutaya madzi m'thupi, zakudya, kunenepa kwambiri, matenda ena, ndi mbiri ya banja zingawonjezere chiopsezo cha kudwala miyala ya impso. Zizindikiro za Miyala ya ImpsoWang'ono miyala ya impso ikhoza kudutsa mosadziwikiratu, miyala yokulirapo ingayambitse zizindikiro zosiyanasiyana, kuphatikizapo: Kupweteka kwambiri m'mbali ndi kumbuyo, nthawi zambiri kumatuluka pansi pamimba ndi m'mimba (renal colic) Magazi mumkodzo (hematuria) Kukodza kowawa (dysuria) Kukodza pafupipafupi Mseru ndi kusanza Kutentha ndi kuzizira (ngati matenda alipo) Conservative Chithandizo cha Impso MiyalaKumwa madzi ambiri, makamaka madzi, ndiye mwala wapangodya wa kusamala mankhwala aimpso miyala. Kuchuluka kwa madzimadzi kumathandizira kuchepetsa mkodzo ndipo kungathandize kuti miyala iwonongeke. Yesani kumwa madzi osachepera 2-3 malita patsiku. The Shandong Baofa Cancer Research Institute imatsindika kufunikira kwa hydration pa thanzi labwino komanso thanzi, makamaka pakuwongolera zinthu ngati miyala ya impso.Pain ManagementOver-the-counter pain relievers, monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve), angathandize kuthetsa ululu wochepa kapena wochepa wokhudzana ndi miyala ya impso. Mankhwala opweteka kwambiri, monga opioids, akhoza kuperekedwa kwa ululu waukulu.Alpha-BlockersAlpha-blockers, monga tamsulosin (Flomax), ndi mankhwala omwe amatsitsimutsa minofu mu ureter, zomwe zimapangitsa kuti mwala ukhale wosavuta. Nthawi zambiri amalembedwa kwa anthu omwe ali ndi miyala yayikulu yomwe sangadutse paokha. Mankhwalawa angathandize makamaka miyala yomwe ili m'munsi mwa ureter.Medical Chithandizo cha Impso MiyalaThiazide Diuretics Kwa anthu omwe ali ndi calcium miyala ya impso, thiazide diuretics angathandize kuchepetsa kuchuluka kwa calcium mu mkodzo, kuteteza mapangidwe a miyala yatsopano. Mankhwalawa amagwira ntchito poonjezera calcium reabsorption mu impso.AllopurinolAllopurinol amagwiritsidwa ntchito kuchepetsa uric acid m'magazi ndi mkodzo, zomwe zingathandize kupewa mapangidwe a uric acid. miyala ya impso. Kawirikawiri amaperekedwa kwa anthu omwe ali ndi gout kapena zinthu zina zomwe zimayambitsa uric acid wambiri.Potassium CitratePotassium citrate imathandiza kuti mkodzo ukhale wochepa kwambiri, womwe ungalepheretse kupanga calcium ndi uric acid. miyala ya impso. Zimamangirizanso ku calcium mu mkodzo, kuchepetsa kuchuluka kwa calcium yaulere yomwe imapezeka kuti ipange miyala.Opaleshoni Chithandizo cha Impso MiyalaExtracorporeal Shock Wave Lithotripsy (ESWL)ESWL ndi njira yosasokoneza yomwe imagwiritsa ntchito mafunde odzidzimutsa kuti iwonongeke. miyala ya impso m'zidutswa ting'onoting'ono zomwe zimatha kupatsirana mosavuta mumkodzo. Amagwiritsidwa ntchito ngati miyala yomwe ili mu impso kapena ureter. ESWL nthawi zambiri imalekerera bwino, koma sizingakhale zothandiza pamiyala yayikulu kapena yolimba.Ureteroscopy Ureteroscopy imaphatikizapo kuyika kagawo kakang'ono, kosinthika mumkodzo, chikhodzodzo, ndi ureter kuti mupeze ndikuchotsa. miyala ya impso. Miyala yaing'ono imatha kuchotsedwa ndi chipangizo chofanana ndi dengu, pamene miyala ikuluikulu ingafunike kuthyoledwa ndi laser kapena mphamvu zina. Ureteroscopy ndi njira yochepetsera pang'ono yomwe nthawi zambiri imagwiritsidwa ntchito pa miyala yomwe ili mu ureter.Percutaneous Nephrolithotomy (PCNL)PCNL ndi opaleshoni yomwe imaphatikizapo kupanga kadulidwe kakang'ono kumbuyo kuti alowe mu impso ndi kuchotsa. miyala ya impso. Amagwiritsidwa ntchito pamiyala yayikulu kapena yovuta yomwe sungachiritsidwe ndi ESWL kapena ureteroscopy. PCNL ndi njira yowonongeka kwambiri kuposa ESWL kapena ureteroscopy, koma ikhoza kukhala yothandiza kwambiri pochotsa miyala ikuluikulu.Open SurgeryOpen surgery ya miyala ya impso sizichitika kawirikawiri masiku ano chifukwa cha kupezeka kwa njira zochepa zowononga. Komabe, zingakhale zofunikira nthawi zina, monga pamene mwala uli waukulu kwambiri kapena wovuta, kapena pamene njira zina zalephera. Impso MiyalaKusintha kwazakudyaKupanga kusintha kwina kwazakudya kungathandize kupewa kupangika kwa miyala ya impso. Kusinthaku kungaphatikizepo izi: Kumwa madzi ambiri, makamaka madzi Kuchepetsa kudya kwa sodium Kuchepetsa kudya zomanga thupi za nyama Kudya zakudya zokhala ndi zipatso ndi ndiwo zamasamba Kuchepetsa zakudya zokhala ndi oxalate, monga sipinachi, rhubarb, ndi chokoleti (kwa anthu omwe ali ndi miyala ya calcium oxalate) MankhwalaNthawi zina, mankhwala amatha kuperekedwa kuti asapangike miyala ya impso. Mankhwalawa angakhale ndi thiazide diuretics, allopurinol, kapena potaziyamu citrate, malingana ndi mtundu wa mwala.Kusankha Ubwino Chithandizo cha Impso MiyalaZabwino kwambiri mankhwala aimpso miyala kusankha kumadalira zinthu zingapo, kuphatikizapo kukula ndi malo mwala, kukhalapo kwa matenda kapena zovuta zina, ndi thanzi lanu lonse. Ndikofunika kukambirana zomwe mungasankhe ndi dokotala kuti mudziwe njira yoyenera kwambiri. Cholinga cha mankhwala aimpso miyala ndiko kuthetsa ululu, kuchotsa mwala, ndi kuteteza miyala yamtsogolo kuti isapangidwe. Kufananiza Njira Zopangira Impso Kuchiza Kufotokozera Ubwino Woyipa ESWL Imagwiritsa ntchito mafunde ogwedezeka kuswa miyala. Njira yosasokoneza, yothandizira odwala kunja. Osagwira ntchito pamiyala yayikulu kapena yolimba, angafunike mankhwala angapo. Ureteroscopy Amagwiritsa ntchito scope kuchotsa kapena kuthyola miyala mu ureter. Osasokoneza pang'ono, opambana kwambiri. Amafuna opaleshoni, chiopsezo cha kuvulala kwa ureter. PCNL Opaleshoni yochotsa miyala ikuluikulu kudzera m'mabowo ang'onoang'ono kumbuyo. Zothandiza pamiyala yayikulu kapena yovuta. Zovuta kwambiri kuposa njira zina, zimafunikira kuchipatala. *Chodzikanira: Gome ili limapereka chidziwitso chonse ndipo siliyenera kuganiziridwa ngati upangiri wachipatala. Funsani dokotala wanu kuti akuthandizeni malinga ndi zomwe mukufuna.*Zolozera: National Kidney Foundation: https://www.kidney.org/atoz/content/kidneystones Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/kidney-stones/diagnosis-treatment/drc-20355759