unyango amatye kwizintso

Amatye ezintso ziidiphozithi ezinzima ezenziwe ngeeminerali kunye neetyuwa ezihlala ngaphakathi kwezintso zakho. Zinokubangela intlungu enkulu ngelixa udlula kwi-urinary tract. Unyango lwe amatye ezintso iyahluka ngokuxhomekeka kubukhulu kunye nendawo yelitye, kunye nobukho bosulelo okanye ezinye iingxaki. Eli nqaku liphonononga ezahlukeneyo unyango amatye kwizintso iinketho, ukusuka kulawulo olululo ukuya kungenelelo lotyando, ukuxhobisa ukuba wenze izigqibo ezizizo malunga nempilo yakho.Ukuqonda Amatye EzintsoYintoni Amatye Ezintso?Amatye ezintso Xa izinto ezithile, ezifana ne-calcium, i-oxalate, i-uric acid, kunye ne-cystine, zikhona kwiindawo eziphezulu kumchamo. Ezi zinto zinokucwebezela kwaye ngokuthe ngcembe zakhele abe ngamatye. Ukuphelelwa ngamanzi emzimbeni, ukutya, ukutyeba, iimeko ezithile zonyango, kunye nembali yentsapho inokunyusa umngcipheko wokukhula amatye ezintso. Iimpawu zeKidney StonesNgelixa lincinci amatye ezintso inokudlula ingabonakali, amatye amakhulu angabangela uluhlu lweempawu, ezibandakanya: Iintlungu ezibuhlungu kwicala nangasemva, zihlala zikhupha kwisisu esisezantsi kunye ne-groin (renal colic) Igazi kumchamo (hematuria) Umchamo obuhlungu (dysuria) Ukuchama rhoqo I-Nausea kunye nokuhlanza Umkhuhlane kunye ne-chills (ukuba usulelo lukhona) I-Conservative Unyango Kidney StonesUkusela amanzi amaninzi, ngakumbi amanzi, ngundoqo wokonga unyango amatye kwizintso. Ukunyuka kwamanzi okungena kunceda ukuhlambulula umchamo kwaye kunokunceda ekugqithiseni amatye amancinci. Jonga ubuncinane iilitha ezi-2-3 zamanzi ngosuku. I IZiko loPhando ngoMhlaza laseShandong Baofa igxininisa ukubaluleka kwe-hydration kwimpilo yonke kunye nokuphila kakuhle, ngakumbi ekulawuleni iimeko ezifana amatye ezintso.Pain ManagementOver-the-counter pain relievers, ezifana ne-ibuprofen (Advil, Motrin) okanye i-naproxen (Aleve), inokunceda ukulawula intlungu ephantsi ukuya kwimodareyitha ehambelana nayo. amatye ezintso. Amachiza eentlungu ezinamandla, ezifana ne-opioids, inokumiselwa kwiintlungu ezinzima.I-Alpha-BlockersAlpha-blockers, njenge-tamsulosin (i-Flomax), ngamayeza akhulula izihlunu kwi-ureter, okwenza kube lula ukuba ilitye lidlule. Zihlala zimiselwe abantu abanamatye amakhulu angenakukwazi ukuzidlula ngokwawo. La mayeza anokuba luncedo ngakumbi kumatye abekwe kwi-ureter.Medical ephantsi Unyango Kidney StonesI-Thiazide DiureticsKubantu abane-calcium amatye ezintso, i-thiazide diuretics inokunceda ukunciphisa inani le-calcium kumchamo, ukukhusela ukubunjwa kwamatye amatsha. La mayeza asebenza ngokwandisa i-calcium reabsorption kwizintso.I-AllopurinolAllopurinol isetyenziselwa ukunciphisa amanqanaba e-uric acid egazini kunye nomchamo, enokunceda ukuthintela ukubunjwa kwe-uric acid. amatye ezintso. Ngokuqhelekileyo imiselwe kubantu abane-gout okanye ezinye iimeko ezibangela amanqanaba aphezulu e-uric acid.I-Potassium CitrateI-Citrate yePotassium inceda ukwenza umchamo ube ne-acidic, enokuthintela ukubunjwa kwe-calcium kunye ne-uric acid. amatye ezintso. Ikwabophelela kwi-calcium kumchamo, ukunciphisa inani le-calcium yamahhala ekhoyo ukwenza amatye.Ukuhlinzwa Unyango Kidney StonesI-Extracorporeal Shock Wave Lithotripsy (ESWL)ESWL yinkqubo engahlaseliyo esebenzisa amaza othusayo ukohlukana. amatye ezintso zibe ngamaqhekeza amancinci anokosulelwa ngokulula ngakumbi emchameni. Ngokuqhelekileyo isetyenziselwa amatye abekwe kwizintso okanye ureter ephezulu. I-ESWL inyamezeleka ngokubanzi, kodwa isenokungasebenzi kumatye amakhulu okanye aqina ngakumbi.UreteroscopyUreteroscopy ibandakanya ukufaka umda obhityileyo, obhetyebhetye kwi-urethra, isinyi, kunye ne-ureter ukuze ufumane indawo kwaye uyisuse. amatye ezintso. Amatye amancinci anokususwa ngesixhobo esifana nebhasikithi, ngelixa amatye amakhulu anokufuna ukuphulwa nge-laser okanye omnye umthombo wamandla. I-Ureteroscopy yinkqubo encinci ye-invasive ehlala isetyenziselwa amatye abekwe kwi-ureter.I-Percutaneous Nephrolithotomy (PCNL) i-PCNL yinkqubo yotyando ebandakanya ukwenza i-incision encinci kumqolo ukuze ifikelele kwizintso kwaye isuse. amatye ezintso. Ngokuqhelekileyo isetyenziselwa amatye amakhulu okanye anzima angenakunyangwa nge-ESWL okanye ureteroscopy. I-PCNL yinkqubo ehlaselayo ngakumbi kune-ESWL okanye i-ureteroscopy, kodwa inokusebenza kakhulu ekususeni amatye amakhulu.Open SurgeryOpen surgery for amatye ezintso kunqabile ukwenziwa kwezi ntsuku ngenxa yokufumaneka kobuchule obuncinci bokuhlasela. Nangona kunjalo, kunokuba yimfuneko kwiimeko ezithile, njengaxa ilitye likhulu kakhulu okanye lintsonkothile, okanye xa ezinye iinkqubo ziye zasilela. Amatye ezintsoUkuguqulwa kokutyaUkwenza utshintsho oluthile lokutya kunokunceda ukuthintela ukubunjwa kwe amatye ezintso. Olu tshintsho lunokubandakanya: Ukusela ulwelo oluninzi, ngakumbi amanzi Ukunciphisa ukutya kwesodium Ukunciphisa ukutya kweprotheyini yezilwanyana Ukutya ukutya okutyebileyo kwiziqhamo nemifuno Ukunciphisa ukutya okutyebileyo kwe-oxalate, okufana nesipinatshi, irhubarb, netshokolethi (kubantu abanamatye e-calcium oxalate) amatye ezintso. La mayeza angabandakanya i-thiazide diuretics, i-allopurinol, okanye i-potassium citrate, kuxhomekeke kuhlobo lwamatye.Ukukhetha iLungelo Unyango Kidney StonesEyona ilungileyo unyango amatye kwizintso ukhetho luxhomekeke kwizinto ezininzi, kubandakanywa ubungakanani kunye nendawo yelitye, ubukho bosulelo okanye ezinye iingxaki, kunye nempilo yakho iyonke. Kubalulekile ukuxoxa ngeenketho zakho kunye nogqirha wakho ukuze unqume eyona ndlela ifanelekileyo yokwenza. Injongo ye unyango amatye kwizintso kukuphelisa intlungu, ukususa ilitye, kunye nokuthintela amatye exesha elizayo ukuba enze. Ukuthelekiswa kweeNdlela zokuNyangwa kweLitye leZintso IiNgcaciso zoNyango Izinto eziluncedo Ezingalunganga ESWL Isebenzisa amaza othusayo ukuqhekeza amatye. I-non-invasive, inkqubo yezigulane zangaphandle. Ayisebenzi kumatye amakhulu okanye aqinileyo, inokufuna unyango oluninzi. Ureteroscopy Isebenzisa ububanzi ukususa okanye ukwaphula amatye kwi-ureter. Ukuhlasela kancinci, izinga eliphezulu lempumelelo. Ifuna i-anesthesia, ingozi yokulimala kwe-ureter. I-PCNL Inkqubo yokuhlinzwa yokususa amatye amakhulu ngokusebenzisa i-incision encinci ngasemva. Isebenza kakuhle kumatye amakhulu okanye anzima. Ukuhlasela ngakumbi kunezinye iinkqubo, kufuna ukulaliswa esibhedlele. *Ukuzihlangula: Le theyibhile ibonelela ngolwazi ngokubanzi kwaye akufuneki ithathelwe ingqalelo njengengcebiso yezonyango. Qhagamshelana nogqirha wakho malunga neengcebiso ezenzelwe wena.*IiReferensi: I-National Kidney Foundation: https://www.kidney.org/atoz/content/kidneystones Iklinikhi yaseMayo: https://www.mayoclinic.org/diseases-conditions/kidney-stones/diagnosis-treatment/drc-20355759