Stone ari itsvo: Zviratidzo zviri varume, zvinokonzera, dziviriro, kuongorora chirwere uye kurapwa

Chimwe chezvinhu zvakafanana zvirwere nezvezvimwe zvinetso zvedundira ndiye urolithiasis, panguva iyo munhu itsvo ibwe. Zviratidzo zviri varume ave refu havana unooneka nguva. Vazhinji varwere havasi kutomboziva pamberi chirwere. Asi kana zvinoita huzivikanwe, munhu anosangana dzakasiyana-siyana anorwadza nezvekufadza. Kakawanda, ndicho vamiririri akasimba pabonde zvinochengetwa itsvo matombo. Zviratidzo (varume kazhinji vanonyanya kutaurwa) uye kurapwa chirwere akacherekedza muudzame mu kwataita.

Zvinoitwa chirwere

Pfungwa paumbwe itsvo mabwe, Urinary turakiti kana dundira kwakajairika mushonga zvinoreva urolithiasis kana nephrolithiasis. Chirwere munogona munhu chero zera. Asi anowanzodanwa chirwere Varwere makore 30-60 ekuberekwa. Chimbofunga kuti nei Mabwe achiumbwa itsvo kubva kuvanhu? Inokonzera, zviratidzo uye pakurapa chirwere kunoda kudzidza hwakadzama.

Netsvo vari aiwanzopiwa wokushanda, bhinzi serin'i nhengo, vemunyika mune abdominal mhango. Ivo vanoita mabasa anokosha vane basa dzichibvisa tsvina uye dongo kubva ropa. Asi dzimwe nguva zvinokuvadza vasiri kuratidzwa zvachose. Kwakadaro tsvina dzinotanga kuunganidza uye chimiro crystals. Kana zvinhu zvakaoma zviri iiswe itsvo, murwere nechirwere cheitsvo.

Concretions kuonekwa pakarepo. dzidzo yavo kunotora mwedzi uye dzimwe nguva kwemakore. Yakanaka ezvinhu nokuti chidzoke pematombo marefu kuwanda munyu uye mapuroteni iri weti, iri dzakaona kana yezvikanganiso vari kushanda renal hurongwa.

Pakutanga concrements vane hukuru diki, uye kazhinji vane puroteni mavambo. Zviri ivo vari yemibvunzo iri iyo Mabwe aumba. calculi Small anogona kubuda pachavo panguva weti. Asi kana dombo ndee ari itsvo, rwunotanga "kukura" ari deposits vatsva munyu. Muchiitiko chino, zviri kuwedzera uye anogona kusvika yese makuru.

Nematombo vasvika mhando dzakasiyana. Kazhinji mabwe akaumbwa karusiyamu. Asi unogona kusanganisira amino acids (mapuroteni) kana uric acid. Kazhinji pane matombo ane zvakasiyana siyana.

The Mhando chikuru mabwe

• calcium oxalate;
• phosphate;
• cystine (mapuroteni);
• urate (uric acid);
• concrements ane magnesium;
• yakavhenganiswa.

Kakawanda pane yakasananiswa itsvo matombo. Zviratidzo, kurapwa uye anoita kuti paumbwe matombo zvizere.

Vanonyanya kupa chirwere

Kusvikira nhasi, usingazivi kuti vamwe, zvichiguma nokuumbwa itsvo nematombo nevanhu. Zviratidzo, zvinokonzera, mishonga kuramba kudzidzwa kuvarapi. Zvinokwanisika kusiyanisa siyana, zvichiita kuti chimiro concretions.

Vanachiremba vanoti huru precipitating chinhu - nemagene kubatwa. Zvinonzi akacherechedza kuti kana hama murwere vakatambura kubva itsvo mabwe, murwere anogona kuva chirwere.

Chokuziva mashandiro kuti panowanikwa zvokurwara riri sezvinotevera. Kunyange noncritical zvinetso metabolic pezvakaitwa kungaita kuti deposition pamusoro insoluble munyu, izvo concrements akaumba vakazochinja. Asi nokuda dzidzo yavo basa rinokosha exogenous uye endogenous zvinhu.

zvikonzero Internal zvokutaurira Kukundikana metabolic pezvakaitwa kuti kuguma dzakakwirira kuwanda zvinochengetwa iri weti:

• uric asidhi;
• oxalate;
• phosphates;
• karusiyamu munyu.

Uyezve, chichiwedzera wevasungwa pamusoro uric asidhi riri vakacherechedzawo muropa.

Kutsamwisa kutyorwa vakadaro zvekunze zvinokonzera:

• kunyanya microflora;
• murombo mvura hwakanaka;
• Kudya kukodzera;
• rwakakwana yaunodya emura;
• zvisingafadzi. ekunze.

Uyezve, tichifunga sei pane matombo ari itsvo, zviratidzo, kurapwa, zvinoita kuti pave nekukurukurirana inotungamirwa kwavo, zvinokosha kutaura pamusoro zvisina kunanga zvinokonzera. Mabwe kazhinji chirwere vakadzi vane basa chichibatanidza ndakagara mararamiro. Varume, inova ngozi chinhu bhizimisi ngozi.

A guru muchinangwa deposition kuti itsvo mabwe ane kunaka kudya. Vanachiremba vanoti hwaro chirwere kazhinji dhefisiti kuti kudyiwa mavhitamini A, B uye kushandisa zvekudya wakafuma:

• vhitamini C;
• mapuroteni;
• oxalic asidhi;
• karusiyamu;
• munyu.

chirwere budiriro kungakonzera comorbidities:

• zvirwere genitourinary hurongwa;
• Gastrointestinal zvirwere;
• zvirwere;
• zvirwere biliary turakiti;
• chiropa chirwere;
• zvirwere zvirwere;
• kukuvara, vakaomerwa mufambo.

A chikonzero zvinowanzovapo ibwe inotungamirwa nevanhu ndiko prostatitis.

symptomatology chirwere

Vanhu vazhinji havazivi kunyange kuti vakaumba pebwe itsvo. Zviratidzo zviri varume, Somuenzaniso, angava ndisipo kwenguva refu. Dzimwe nguva zvokurwara dzakaonekwa nemasanga panguva kuzviongorora muviri.

In varwere izvi, kutanga kuratidzwa zvekuchipatara kuitika chete kana calculus anotanga kufamba kubudikidza ureter. Muchiitiko chino, itsvo mabwe zviratidzo kuvimba kukura nokuumbwa. Kana calculus iri diki, izvozvo anokwanisa vakazvimirira anozombobuda muviri panguva weti. ibwe guru achaita zvisingafadzi zviratidzo zvizhinji uye anogona chete kubviswa surgically.

Mune dzimwe varwere kukiriniki chirwere iziviswe. Funga kuti kuitwa akanzwa itsvo matombo.

Zviratidzo kuti inoratidza chirwere:

1. Pain. Vane simba asi inoratidza. Marwadzo rikaitika rezasi shure, achipa mudumbu, groin nharaunda. Varume, zvingava tichiratidza kuti sikarudzi.
2. Kuita weti kakawanda.
3. Kuda kurutsa, kurutsa kupedza.
4. Ko akambomiswa weti. Dzimwe murwere anogona "kuenda chimbuzi" chete muna imwe nzvimbo.
5. Cloudy weti. It ropa kunogona kuvapo.
6. Chakakomba kusanzwa uye inopisa manyawi panguva weti.

renal colic

Uyu ndiwo mumwe chikuru zvekuchipatara zviratidzo itsvo namabwe. mabwe makuru kukonzera kusagadzikana munyika lumbar nharaunda.

Kutsamwisa renal colic inokwanisa zvinhu zvinotevera:

• refu kumhanya kana kufamba;
• kokusimudzwa mabhazi, motokari;
• kunyanyisa chaiko mupfungwa.

Zvisinei zvisingafadzi zvingaratidza zvinokonzerwa nezvimwe zvirwere: pfungwa nomuviri zvemwana asati, tsvikinyidza heniya, appendicitis. Ndokusaka zvichikosha kuti uonekwe mune zvokurapa jeri.

mbudo anosaina matombo kubva itsvo nevanhu:

1. Pain. Zvinonzi vemunyika muna lumbar nzvimbo uye anogona kupfeka unopinza hunhu. Kana renal chiuno kuzadza staghorn guru, kurwadziwa inova mikukutu, mikukutu.
2. Bloating - ndiwo maitiro chiratidzo pamberi matombo ari itsvo.
3. Problem weti. Kazhinji, murwere kazhinji zvinovawo zvakakodzera kuti "kuenda kuchimbuzi." Kana paine Urinary chengetedzo, kiriniki kwakadaro kunoratidza blockage ureteral ibwe.
4. Wedzerai kumanikidzwa.
5. Kuvapo ropa weti. Chiratidzo chinoratidza zvakakanganisika masvingo ureteral ibwe. Zvisinei, kungava chiratidzo zvimwe zvirwere chakakomba, chakadai bundu iri itsvo, dundira, glomerulonephritis.
6. Nezvinetso bowel sangano.
7. Zvakakomba dzungu, kunokonzerwa ane chimbichimbi nokuchinja muviri chinzvimbo.
8. The yakakwirira tembiricha. The symptomatology zvingaratidza pyelonephritis kana zvimwe anogumbura pezvakaitwa mu neitsvo.

Marwadzo syndromes kuvaka siyana maitikiro. Dzimwe zvaitika kanoverengeka mwedzi. Vamwe vanhu vari kunetseka renal colic 1 2-3 makore ose. Kazhinji zvisingafadzi zviratidzo kunotora maawa 1-2. Asi dzimwe nguva kunogona anotambudza zuva murwere uye zvakawanda, ane zvinovhiringidza shoma.

zvinogoneka yematambudziko

Kana refu kuteerera zvokurwara ichi, sedombo iri itsvo, zviratidzo zviri varume, uye vakadzi zvingamuka zvakakomba.

Untreated chirwere kungaita kuti kwaita:

• pyelonephritis;
• hydronephrosis;
• urosepsis;
• renal insufficiency.

Migumisiro izvi dzimwe nguva kuva nezviratidzo. Zvinosuruvarisa, vamwe vavo vari kurwisa upenyu murwere. Saka, mushonga anokwanisa kumutsa munhu purulent kuzvimba. Hydronephrosis kunotungamirira itsvo kuzvimba, izvo nokukurumidza inova yakaoma kukundikana.

kuongorora chirwere zvirwere

Saka, zvinokosha kuti chiremba kana uchifungidzira kuti akaumba itsvo matombo. Zviratidzo zviri varume - ichi kwakakomba chiratidzo pamusoro kudiwa kurapwa.

Nokuti mashoko nechirwere chiremba wezvedundira rinogadza rinokosha ongororo:

1. Urinalysis. Rinoti uwandu masero matsvuku eropa uye anopa mashoko pamusoro Urinary turakiti zvirwere.
2. Daily weti. It anosarudza mamiriro metabolic pezvakaitwa kuti namabasa paumbwe namabwe.
3. Blood nemakemikari omuviri. It anosarudza chokupika urea, creatine, calcium, uric asidhi mu plasma serum.
4. Complete count ropa. Dzinoratidzwa anogumbura kwendangariro.
5. Renal Ultrasound. Kudzidza anopa mashoko pamusoro mhingaidzo (hydronephrosis), uye anosarudza nzvimbo matombo dundira neitsvo.
6. Intravenous urography, pyelography. Kundorondedzera kushandisa kusiyana mumiririri. The kuongorora anopa mashoko pamusoro chaiyo nzvimbo pematombo, chimiro chavo uye kukura. Rinoratidza anatomical abnormalities kuti atungamirire kuti paumbwe namabwe.
7. Radioisotope nefrostsintigrafiya. It anopa yakarurama kupfuura mufananidzo renal anatomi.

kurapwa

Kana nechirwere itsvo mabwe varume, zviratidzo uye kurapwa vanofanira nguva dzose kukurukurwa nachiremba wako. No rakazvimirira kuedza kurwisa zvokurwara haumanikidzwi kutora mumamiriro ezvinhu aya. It hwakazara migumisiro, uye exacerbation ose yaivapo chirwere.

Pane nzira dzakasiyana-siyana pakurwisa chirwere:

• mishonga kurapa;
• rakavhurika Kuvhiya;
• nephrolithotripsy kuburikidza ganda;
• extracorporeal kuvhunduka chinozunguzirwa lithotripsy;
• endoscopic kuvhiyiwa.

Kazhinji, kushandisa zvishoma invasive nzira. For rakavhurika pokuvhiyiwa chikauya kashoma, uye chete zviitiko apo dzimwe nzira kurapwa isashande.

zvinodhaka kurapa

Kana nechirwere itsvo mabwe cheitsvo nevanhu, mabatiro ayo yaifanira comprehensively.

Pakusarudza nzira kurwisa zvokurwara kunotemwa chete nachiremba uye anoenderana zvinhu zvakawanda. Ivo:

• isa calculus localization;
• Inzwi rayo, arambe achirema, mamiriro;
• nemamiriro of ureter;
• Kusavapo kana kuvapo concomitant zvirwere.

Kubvisa itsvo mabwe anoshandiswa dzakasiyana-siyana zvinodhaka:

• mishonga;
• antispasmodics;
• dzokutindivadza;
• zvinodhaka, kunoita zvinoyerera uye pokufa namabwe;
• Supplements.

Zvakakodzera kudzokorora kuti vaizviita iri ngozi chaizvo! Mishonga kuti zvinopa ndima ibwe, vakagadzwa chete kana matombo asina yakakura kupfuura 5 neMM, dzidzo sezvo refu anogona kukonzera blockage pamusoro ureter uye kukonzera renal colic.

mishonga yakasiyana, ane anticalculus Mishonga "Phytolysinum", "Cystone." mishonga yakadaro kwenyama tsandanyama dzomuviri kuti itsvo uye ureter, kuparadza deposits havi goho concrement zvoga. Apore anogona seranonoka kwenguva refu, asi nguva dzose anobudirira.

Tinofanira kurangarira kuti mishonga Generic, vachibvumira kukurumidza mabwe, anongoti haako. Mumwe mushonga ane zvainoita kuti calculus imwe mhando - alkaline kana acidic. Ndokusaka zvakakosha chaizvo kuti uonekwe uye kutora mishonga ushandiswe nachiremba.

Mukuwedzera, chinodiwa kuti abudirire kurapwa kuri kudhayeta. Chiremba ringavakurudzira zvokudya chete pashure pokuongororwa vanyatsofunga chii chinokonzera itsvo mabwe Zviratidzo zviri varume. Kudya kurapwa inobvawo pamusoro concretion.

kushanda kupindira

Shandisa zvinotevera invasive nzira:

1. Extracorporeal kuvhunduka chinozunguzirwa lithotripsy. nzira akadaro rakapfupikiswa sezvo DLT. Achibatsirwa kuvhunduka mafungu amabwe kuparadzwa. kupindira Izvi zvakanaka akashivirira nevarwere. Positive zvabuda vakanga kuchengetwa 90% vose nyaya. Asi zvinosuwisa, vamwe matombo ESWL havagoni kuparadza.
2. Percutaneous nephrolithotripsy. Rinoshandiswa kuti kuroora kubvisa gobvu kana makuru mabwe, zvisingagone kurarama nzira pamusoro apa. Nephroscope jekiseni muimba itsvo kubudikidza ganda. Anoparadza ibwe uchinyanya ballistic kana ultrasonic namano.
3. Open kuvhiya chidobi. Rinoshandiswa kubvisa matombo makuru ari varwere matambudziko akasiyana-siyana.

Kudzivirira chirwere

Zvino kuti munoziva sei nengozi pebwe itsvo. Zviratidzo zviri varume uyewo nevakadzi zvinoda fanira kurapwa. Ndiyo nzira inokosha muzvidzivirire. Kana kusanzwa, iva nechokwadi kuti chiremba uye zvakaitika bvunzo. Pashure pezvose, kunyange kubudirira kurapwa haapi chivimbo chokuti calculus rirege zvakapararira zvakare munguva yemberi.

Inoshanda kudzivirira nzira ndedzinotevera:

1. Vanoomerera kudya zvinovaka muviri, Kuderedza yaunodya pamusoro wakawanda, acidic, zara mafuta, Spicy chikafu.
2. Kushandisa zvicherwa mvura izvo ndakarumbidzwa nachiremba wako.
3. Kurega doro.
4. Dzivisa mupfungwa.
5. Regai vachidyisa uye kudzivisa chimbichimbi kufuta.
6. Dzivirirai pamusoro supercooling, kunyanya lumbar nzvimbo.
7. Rwomuranda motokari basa.

Uye yeuka kuti unofanira kumbotambudzika kuongorora pagore pedyo chiremba wezvedundira! kurumbidza kwakadaro kuchaita kuderedza mukana dzokororo.