Urolithiasis yana cikin siffar duwatsu (concrements) a cikin kwayoyin urinary. Wani suna don pathology shine urolithiasis. Bisa ga kididdigar, wannan cutar ta kasance tartsatsi cewa tana rinjayar zuwa digiri daya ko kowane kowane mai shekaru biyar.
Urolithiasis - haddasawa
Hanyoyin da suka shafi dutse kamar koda, cututtuka, ko mafitsara sun fara bayyana sau da yawa a cikin mutane 20-45 years old, amma wani lokacin - kuma a cikin yara. Hanyoyin da suka samu shine bambancin, saboda haka yana da wuyar warware duk wani abin da yake haifarwa. Gaba ɗaya, abubuwan da ke haifar da urolithiasis suna haɗuwa da cin zarafin matakai na jiki, a cikin abin da aka samo burbushin urinarya na crystallizing mahadi.
Abubuwan da suka dace da ci gaba da cutar sune:
- ladabi;
- amfani da ruwa dauke da babban adadin wasu ma'adanai;
- rashin isasshen ruwan sha;
- salon zama;
- cututtuka na cututtuka da cututtuka na flammatory na urinary fili;
- ciwo na kullum na tsarin narkewa;
- da yawancin abinci mai hatsari, acidic, salty a cikin abinci;
- Amfani da kima ga wasu samfurori (ganye, nama, kayan kiwo, shayi mai karfi, da sauransu);
- abun ciki ko ƙananan ƙananan kodan, ƙyama (ƙuntatawa, ƙarin tasoshin);
- Kwayoyin cuta na rayuwa ( gout , hyperparathyroidism );
- shan wasu magunguna, da dai sauransu.
Urolithiasis - nau'i na duwatsu
Urolithiasis za a iya bincikar su tare da ma'auni ko duwatsu masu yawa, suna da girman girman - daga 1 mm zuwa 10 cm ko fiye. A gaban kananan ƙananan duwatsu suna kiran su yashi. Bisa ga siffar, urinary duwatsu zai iya zama lebur, zagaye, tare da gefen kaifi da spines. An yi amfani da katako a matsayin coral, idan yana cikin koda kuma yana da kusan dukkanin ɓangarensa, yana yin "mold" na tsarin sallar calyx-pelvis.
Dutsen suna lu'ulu'u ne na salts urinary, wanda aka haɗa da mahaɗin sunadarai daban-daban. Yawancin su suna da nauyin hade mai hade, amma sau da yawa sukan mallaki wasu magunguna. Urolithiasis (urolithiasis) a cikin tsarin sunadaran kwayoyin halitta ya kasu kashi iri ɗaya:
- oxalate;
- kulla;
- phosphate;
- gwaji.
Oxalate Urolithiasis
Tsarin gine-gine a cikin urolithiasis yana da mahimmanci ga mahimmancin magani. A yawancin marasa lafiya (kimanin 70%) tsarin oxalate kunshi calcium oxalate da oxalate ammonium salts an gano. Abubuwan da suke da ita sune yawa, low solubility, spiny surface. Lokacin da motsiwa, waɗannan duwatsu sukan cutar da ƙwayoyin mucous na tsarin urinary, kuma jini wanda zai haifar da shi zai iya sa su cikin duhu mai launin ruwan kasa, kusan launin fata.
Ɗaya daga cikin dalilan da aka samo irin wannan nau'in shine abincin abinci inda ascorbic acid, oxalic acid yake da yawa, akwai rashi na magnesium da bitamin B6. Bugu da ƙari, suna nuna fushi da bayyanar cututtuka na ƙwayoyin ƙwayar kodan, ayyuka akan gastrointestinal fili, endocrine dysfunction.
Phosphate urolithiasis
Da yake bayanin abin da dutse yake a cikin urolithiasis, masana sun lura cewa duwatsu phosphate suna da yawa, kuma a mafi yawan lokuta - a cikin mata. Sun kunshi phosphoric acid da gishiri da kuma gishiri mai laushi, kayan aiki mai laushi na launin launin launin launin launin fata. Irin wadannan duwatsu zasu iya girma sosai, suna zaune a cikin kullun, wato. kirkirar rassan coral.
A yawancin lokuta, matakai na ciwon maɗamfari a cikin tsarin urinary, wanda ke haifar da ƙaddamar da fitsari, ya zama farkon wurin ci gaban phosphates. Wani mawuyacin hanyar shine hyperfunction na girar parathyroid, wanda zai haifar da rushewa daga metabolism na phosphate. Abubuwan cin abinci na yau da kullum suna taka muhimmiyar rawa, inda yawancin shayi da kofi suna cinyewa, rashin lafiyar bitamin A, E, D.
Struvitous urolithiasis
Struvitic duwatsu a urolithiasis suna bincikar lafiya a game da 15% na marasa lafiya. Wadannan duwatsu suna da rubutu mai laushi, zasu iya girma da sauri. A cikin abun da ke ciki, waɗannan mahadi sune ammonium da magnesium phosphate, da carbonate apatite. Wani lamari mai tsinkaya ga bayyanar su shine kamuwa da cuta na urogenital, da magunguna wadanda ke da kwayar cutar urea. Ana gano pathogens a kan duwatsu.
Sau da yawa sau da yawa, ƙaddamar da ƙwayar maganganu yana taimakawa ta hanyar motsa jiki mai sauƙi, rashin cikawa daga mafitsara, haifar da ciwon fitsari. A cikin hadari - marasa lafiya tare da ciwon sukari mellitus kuma suka ji rauni pelvic yankin tare da tilasta dogon lokaci immobilization. Abincin abinci zai iya zama abincin abinci mai gina jiki a cikin abincin (yafi nama).
Urartic urolithiasis
Kimanin kashi ɗaya cikin uku na marasa lafiya da urolithiasis sun zama duwatsu masu daraja - launin launin ruwan kasa-launin ruwan kasa ko tubali - launin duwatsu masu launin dutse tare da tsarin sassaucin jiki da santsi mai dadi. Ta hanyar sinadarai sunada salts na acid uric. Wadannan tsari zasu iya tarawa a cikin kodan, mafitsara, ƴan buro.
A cikin mata, wannan nau'i na urolithiasis an gano shi da ɗan lokaci kaɗan, wanda tabbas ne saboda daya daga cikin dalilai masu muhimmanci - cin abinci mai yawa a cikin purines. Wadannan abubuwa suna samuwa a cikin yawan dabbobi a cikin nama na yara, a cikin broths, sanyi, legumes, da dai sauransu. Bugu da ƙari, za a iya gina cutar saboda cututtuka na rayuwa tare da karuwa mai karuwa a cikin maida hankali akan kwayar uric acid.
Urolithiasis - bayyanar cututtuka
Mafi yawan alamun urolithiasis sune:
- matsanancin ciwo a cikin yankin lumbar (a daya hannun, a gefe biyu) ko a cikin ɓarna na ɓangaren ƙananan hali kuma mai laushi;
- Tambaya akai-akai don urinate ;
- ciwo, haɗuwa mai zafi lokacin urinating;
- zubar da fitsari, bayyanar jini a cikinta;
- kumburi daga fuska, bangarori.
Sau da yawa, ilimin likita na dogon lokaci ba ya jin kansa, kuma alamar bayyanar urolithiasis a karo na farko zai iya nuna kansa a cikin takalmin kullun , lokacin da dutse ya shiga cikin ureter kuma ya sa shi ya zubar. A wannan yanayin, wadannan bayyanar cututtuka sun faru:
- bayyanar mummunan ciwo mai tsanani a yankin lumbar;
- abin da ake nufi da buƙatar gaggawa don urinate, bayan haka za'a iya kula da iyara;
- ƙara yawan yawan zafin jiki;
- launi;
- Nausea;
- sanyi gumi;
- blanching, da dai sauransu.
Urolithiasis - ganewar asali
Ullithiasis za a iya ƙaddamar da duban kodan da kodan, da mafitsara da urinary tubes. Bayanan da aka lissafa da rubutu da labarun radiocontrast sune ya yiwu a tabbatar da siffar, girman da kuma yawa daga cikin duwatsun, don bincika zubar da fitsari, don gane yiwuwar yiwuwar urinary ducts. Idan ana zargin urolithiasis, gwajin kwayoyin cutar da gwaje-gwajen jini zai taimaka wajen kafa yanayin cututtuka na rayuwa da kuma bayyana abubuwa masu launin dutse.
Urolithiasis - magani
Akwai hanyoyin da dama don magance marasa lafiya da duwatsu a cikin tsarin urinary, dangane da wurin da duwatsu, da abin da suke ciki, girmansa, bayyanuwar cututtuka na cutar, da nauyin rashin lafiya na aikin jinya, da dai sauransu. Bugu da ƙari don cire tsarin nazarin halittu daga jikin jiki, gyaran maganganun da aka saukar da kwayar cutar, wadda take aiki a matsayin abubuwan haɗari, ana buƙatar.
Jiyya na urolithiasis tare da duwatsu na kananan size ne sau da yawa yi ta hanyar magani tare da dole dietotherapy. A matsakaici da manyan tsari, akwai buƙatar ko dai don rabuwa (lithotripsy) ko don saurin cirewa. Aiwatar da wadannan abubuwa masu banƙyama na murkushe duwatsu:
- Ƙarin lithotripsy mai zurfi - giraguwa ta yin amfani da na'ura mai sarrafawa ta raƙuman ruwa, wanda aka ba da daga waje, daga bisani ya kasance tare da haɓakar halitta tare da halin yanzu na fitsari.
- Saduwa da lithotripsy shine hanyar da aka sanya ta hanyar sakawa a cikin magungunan magungunan ƙwayar cuta, mai laushi ko ƙananan kwalliya, ta hanyar yin amfani da magungunan ultrasonic, motsi na pneumatic ko radiation laser don halakar da duwatsu tare da ƙarin kwashewa ta hanyar bege ko yin amfani da madaukai na endoscopic.
Urolithiasis - magani (kwayoyi)
Don rage jin zafi a lokacin kullun, kwayoyi masu maganin cututtukan cututtuka (Diclofenac, Indomethacin ) da kuma spasmolytics ( No-shpa , Atropine, Nifedipine) an tsara. Dogaro masu dacewa suna da muhimmanci don rage sautin da ake ciki na suturar urinary kuma taimakawa cire ƙananan duwatsu. Bugu da ƙari, akwai shirye-shirye na ganye da yawa waɗanda ke da alamun antispasmodic da anti-inflammatory (Kanefron, Cystenal, Olimetin).
Magunguna don urolithiasis, wanda ke da tasiri na dutse ta hanyar canza acidity na fitsari, za'a iya amfani dashi kusan dukkanin duwatsu, sai dai aikin. Don haka, ana iya bada ƙwayoyi kamar haka:
- tare da oxalate urolithiasis - Piroxidine, Thiamin da Asparcum, Magnesium oxide;
- a phosphate duwatsu - Aluminum hydroxide, Tsiston;
- tare da ƙididdigar urate - Blemaren, Soluran, Magurlit, Allopurinol.
Idan urolithiasis yana tare da kafa gine-ginen gwaje-gwajen, ana nuna alamar cutar ta antibacterial, wacce magunguna suke kamar:
- Safarar;
- Ofloxacin;
- Meropenem da sauransu.
Urolithiasis - magani tare da magunguna
A kan yadda za a bi da urolithiasis, likitocin gargajiya sun san yawa. A wannan yanayin, babu wata hanyar da za a iya amfani dashi, ba tare da yarjejeniyar da likita ba, tk. yana iya zama haɗari. Bugu da ƙari, ana amfani da shirye-shiryen kayan lambu daban-daban, wanda aka zaɓa wanda aka zaɓa dangane da abun da ke cikin sinadaran, girman da wuri na duwatsu. Abin da ke cikin magungunan magani zai iya haɗawa da wadannan tsire-tsire masu magani:
- masarar masara;
- burdock tushe;
- tashi kwatangwalo.
- launi uku-launi;
- Dandelion Tushen;
- ganye na inabõbi;
- currant ganye, da dai sauransu.
Cin abinci tare da urolithiasis
Dangane da nau'in tsarin urinary kuma saukar da nakasasshen cuta, likita ya tsara abinci don urolithiasis. Gaba ɗaya, tare da nau'o'in nau'i daban daban, wani cin abinci tare da urolithiasis yana samar da:
- haɓaka cikin cin abinci (akalla lita 2 a kowace rana);
- rage a cikin ƙarar rabo;
- karuwa a cin abinci mai arziki a cikin fiber;
- ƙuntataccen gishiri, kayan yaji;
- ƙuntatawa da yin amfani da abincin da abin sha tare da magungunan dutse (furotin dabba, purines, oxalic acid, da dai sauransu).
Yin aiki tare da urolithiasis
Idan an gano alamar urolithiasis ko manyan ƙididdiga, ana iya yin amfani da lithotripsy - wanda ya shafe duwatsu ta hanyar duban dan tayi, wadda aka ciyar ta hanyar fashewa a cikin fata da kuma jigon karshe. A wasu lokuta, mutum ba zai iya yin ba tare da tiyata ba - tare da jinkirin rashin amfani da farfadowa na ra'ayin mazan jiya, ɓarna na yau da kullum na urinary fili, wani mummunan tsari, da dai sauransu.
- Pyelolithotomy;
- neprolithotomy;
- ureterolithotomy.
Yin rigakafin urolithiasis
Dukkan rigakafi na farko da na biyu na urolithiasis sun hada da wadannan shawarwari:
- cikakken mulki;
- Abincin abinci mai gina jiki mai bambanta;
- kin amincewa da mummunan halaye;
- ƙara yawan aiki na jiki;
- magani na dace da cututtuka;
- gwaji na likita.