ukwelashwa amatshe ezinso

Amatshe ezinso amatshe aqinile enziwe ngamaminerali nosawoti akha ngaphakathi kwezinso zakho. Bangabangela ubuhlungu obukhulu ngenkathi bedlula emgudwini womchamo. Ukwelashwa kwe amatshe ezinso kuyahlukahluka kuye ngobukhulu kanye nendawo yetshe, kanye nokuba khona kokutheleleka noma ezinye izinkinga. Lesi sihloko sihlola ezihlukahlukene ukwelashwa amatshe ezinso ongakhetha kukho, kusukela ekuphathweni ngendlela ehlelekile kuya ekuhlinzekeni, okukunika amandla okwenza izinqumo ezinolwazi ngempilo yakho.Ukuqonda Amathambo EzinsoKuyini Amatshe Ezinso?Amatshe ezinso kwakheka lapho izinto ezithile, njenge-calcium, i-oxalate, i-uric acid, ne-cystine, zikhona ekugxilweni okuphezulu emchameni. Lezi zinto zingacwebezela futhi kancane kancane zakhele zibe amatshe. Ukuphelelwa amanzi emzimbeni, ukudla okudlayo, ukukhuluphala ngokweqile, izimo ezithile zezokwelapha, nomlando womndeni kungandisa ingozi yokuba nesifo amatshe ezinso. Izimpawu Zamatshe EzinsoNgenkathi encane amatshe ezinso angase adlule engabonakali, amatshe amakhulu angabangela uhla lwezimpawu, okuhlanganisa: Ubuhlungu obukhulu ohlangothini nangemuva, ngokuvamile obukhiphela ngaphansi kwesisu kanye ne-groin (renal colic) Igazi emchameni (hematuria) Ukuchama okubuhlungu (dysuria) Ukuchama njalo Isicanucanu nokuhlanza Ukushisa nokugodola (uma ukutheleleka kukhona)I-Conservative Ukwelapha Izinso StonesIHydrationUkuphuza uketshezi oluningi, ikakhulukazi amanzi, kuyinsika yokugcinwa kwemvelo ukwelashwa amatshe ezinso. Ukuphuza uketshezi okwengeziwe kusiza ukunciphisa umchamo futhi kungasiza ekudluleni kwamatshe amancane. Khomba okungenani amalitha angu-2-3 amanzi ngosuku. I I-Shandong Baofa Cancer Research Institute igcizelela ukubaluleka kwe-hydration empilweni kanye nokuphila kahle, ikakhulukazi ekulawuleni izimo ezifana amatshe ezinso.Ukuphathwa KwezinhlunguOver-the-counter relievers, njenge-ibuprofen (Advil, Motrin) noma i-naproxen (Aleve), ingasiza ekulawuleni ubuhlungu obuncane kuya kobumaphakathi obuhambisana amatshe ezinso. Imithi yobuhlungu eqinile, njengama-opioid, ingase inqunywe ubuhlungu obukhulu.I-Alpha-BlockersAlpha-blockers, njenge-tamsulosin (Flomax), imithi ekhulula imisipha ku-ureter, okwenza kube lula ukuthi itshe lidlule. Zivame ukunikezwa abantu abanamatshe amakhulu okungenzeka ukuthi badlule ngokwabo. Le mithi ingaba usizo ikakhulukazi kumatshe atholakala ku-ureter ephansi.Medical Ukwelapha Izinso StonesI-Thiazide DiureticsKubantu abane-calcium amatshe ezinso, i-thiazide diuretics ingasiza ekunciphiseni inani le-calcium emchameni, ukuvimbela ukwakheka kwamatshe amasha. Le mithi isebenza ngokwandisa i-calcium reabsorption ezinso.I-AllopurinolI-Allopurinol isetshenziselwa ukunciphisa amazinga e-uric acid egazini nasemchamweni, engasiza ekuvimbeleni ukwakheka kwe-uric acid. amatshe ezinso. Ngokuvamile inikezwa abantu abane-gout noma ezinye izimo ezibangela amazinga aphezulu e-uric acid.I-Potassium CitrateI-Potassium citrate isiza ukwenza umchamo ube ne-acidic, engavimbela ukwakheka kokubili kwe-calcium ne-uric acid. amatshe ezinso. Iphinde ibophezele ku-calcium emchameni, inciphise inani le-calcium yamahhala etholakalayo ukwenza amatshe.Ukuhlinzwa Ukwelapha Izinso StonesI-Extracorporeal Shock Wave Lithotripsy (ESWL)ESWL iyinqubo engahlaseli esebenzisa amaza okwethuka ukuze ihlukane. amatshe ezinso zibe izingcezu ezincane ezingadluliselwa kalula ngomchamo. Ngokuvamile isetshenziselwa amatshe atholakala ezinso noma ureter ophezulu. I-ESWL ivame ukubekezelelwa kahle, kodwa ingase ingasebenzi kumatshe amakhulu noma aqinile.I-UreteroscopyUreteroscopy ihilela ukufaka indawo encane, eguquguqukayo ku-urethra, esinyeni, kanye ne-ureter ukuze kutholakale futhi kukhishwe. amatshe ezinso. Amatshe amancane angasuswa ngomshini ofana nobhasikidi, kuyilapho amatshe amakhulu angase adinge ukuhlukaniswa ngelaser noma omunye umthombo wamandla. I-Ureteroscopy iyindlela encane yokuhlasela evame ukusetshenziselwa amatshe atholakala ku-ureter.I-Percutaneous Nephrolithotomy (PCNL)PCNL iyinqubo yokuhlinzwa ehilela ukusika okuncane emhlane ukuze ufinyelele izinso futhi ukhiphe. amatshe ezinso. Ngokuvamile isetshenziselwa amatshe amakhulu noma ayinkimbinkimbi angeke alashwe nge-ESWL noma ureteroscopy. I-PCNL iyinqubo ehlasela kakhulu kune-ESWL noma i-ureteroscopy, kodwa ingasebenza kahle kakhulu ekususeni amatshe amakhulu.Open SurgeryOpen surgery for amatshe ezinso akuvamile ukwenziwa kulezi zinsuku ngenxa yokutholakala kwamasu angavamisile. Nokho, kungase kudingeke ezimweni ezithile, njengalapho itshe likhulu kakhulu noma liyinkimbinkimbi, noma lapho ezinye izinqubo zehlulekile.Ukuvimbela Izinso StonesIzinguquko ZokudlaUkwenza izinguquko ezithile zokudla kungasiza ukuvimbela ukwakheka kwe amatshe ezinso. Lezi zinguquko zingase zihlanganise: Ukuphuza uketshezi oluningi, ikakhulukazi amanzi Ukunciphisa ukudla kwe-sodium Ukunciphisa ukudla kwamaprotheni ezilwane Ukudla ukudla okucebile ngezithelo nemifino Ukunciphisa ukudla okune-oxalate okucebile, njengesipinashi, i-rhubarb, noshokoledi (kubantu abanamatshe e-calcium oxalate) ImithiKwezinye izimo, imithi ingase inqunywe ukuvimbela ukwakheka kwe-oxalate. amatshe ezinso. Le mithi ingase ihlanganise i-thiazide diuretics, i-allopurinol, noma i-potassium citrate, kuye ngohlobo lwetshe.Ukukhetha Okulungile Ukwelapha Izinso StonesOkungcono kakhulu ukwelashwa amatshe ezinso inketho incike ezicini eziningana, kuhlanganise ubukhulu kanye nendawo itshe, ukuba khona ukutheleleka noma ezinye izinkinga, kanye nempilo yakho iyonke. Kubalulekile ukuxoxa ngezinketho zakho nodokotela wakho ukuze uthole inkambo efanele kakhulu yesenzo. Umgomo we ukwelashwa amatshe ezinso iwukuqeda ubuhlungu, ukususa itshe, nokuvimbela amatshe esikhathi esizayo ukuthi angakheki. Ukuqhathanisa Izinketho Zokwelashwa Kwetshe Lezinso Incazelo Izinzuzo Ububi I-ESWL Isebenzisa amaza okwethuka ukuphahlaza amatshe. Inqubo engavamisile, yeziguli zangaphandle. Ayisebenzi kumatshe amakhulu noma aqinile, ingadinga ukwelashwa okuningi. I-Ureteroscopy Isebenzisa i-scope ukususa noma ukuphula amatshe ku-ureter. Ihlasela kancane, izinga lempumelelo eliphezulu. Idinga i-anesthesia, ingozi yokulimala kwe-ureter. I-PCNL Inqubo yokuhlinzwa yokukhipha amatshe amakhulu ngokusebenzisa i-incision encane ngemuva. Isebenza kahle kumatshe amakhulu noma ayinkimbinkimbi. Ukuhlasela kakhulu kunezinye izinqubo, kudinga ukulaliswa esibhedlela. *Umshwana wokuzihlangula: Leli thebula lihlinzeka ngolwazi olujwayelekile futhi akufanele lithathwe njengeseluleko sezokwelapha. Xhumana nodokotela wakho ukuze uthole izincomo eziqondene nawe.*Izithenjwa: I-National Kidney Foundation: https://www.kidney.org/atoz/content/kidneystones I-Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/kidney-stones/diagnosis-treatment/drc-20355759