Urolithiasis mumakati nembwa

Urolithiasis (UCD) chirwere chinoratidzwa nekuumbwa kwematombo (calculi) munhengo dzeurinary system - muitsvo uye dundira.

Zviratidzo zvakajairika

Urolithiasis inogona kuva isina zviratidzo kwenguva yakareba. Mhuka hairatidzi kunetseka, ine weti yakajairika. Zvisinei, pane imwe nguva, zviratidzo zvakadai se:

• kuita weti yakaoma. Makati anogara patireyi kwenguva yakareba, uye nekudaro, hapana weti zvachose kana madonhwe akati wandei, vanogona kuramba kuenda kuchimbuzi mutireyi uye kutsvaga dzimwe nzvimbo dzechimbuzi. Imbwa dzinogarawo pasi kana kusimudza tsoka dzadzo kwenguva yakareba, kazhinji pasina chimuko.
• chimiro chisina kujairika paunenge uchiita weti;
• kuwedzera kuzvidya mwoyo, inzwi, utsinye, perineal licking;
• ropa muweti;
• dzimwe nguva mushure mekuita weti, unogona kuwana jecha kana kunyange matombo maduku;
• nguva dzose chido chekuenda kuchimbuzi, zvikamu zviduku kana kuti pasina weti zvachose;
• kurwadziwa kwedumbu munzvimbo yedundira kana itsvo;
• kuderera kana kushaya chido.

Zviratidzo izvi zvinogona kuva zviratidzo zvezvimwe zvirwere, saka zvakakosha kuita maitiro ekuongorora.

Ngozi ICD

Chii chinonzi urolithiasis? Matombo eitsvo anogona kugara kwenguva yakareba uye asingaite kuti anzwe zvachose. Dzimwe nguva ivo vanongoerekana vawana kana mhuka iri x-ray nekuda kwechimwe chirwere kana panguva yekuvhiyiwa. Njodzi huru inoitika apo calculus inopinda mu ureters - yakamanikana maburi nhengo iyo weti kubva kuitsvo inopinda mudundira. Dombo rinogona kugadzira kuvharika kwechikamu kana chakazara che ureter. Muchiitiko chekuvhara zvachose mumhuka, zviratidzo zvinokura nokukurumidza. Weti haigone kupfuura, asi inoramba ichiumbwa, hydronephrosis inoitika uye itsvo inogona kufa. Kukuvara kwakanyanya kweitsvo kunokura, kunoratidzwa nekuwedzera kwe creatinine, urea, potassium muropa, iyo inouraya katsi nembwa. Nekuongororwa panguva yakakodzera, kuvhiyiwa kunoitwa kubvisa dombo uye kuisa stent mu ureter. Kana matombo akaumbwa mudundira, hazvinyanyi kutyisa. Mukati nevarume, urethra yakareba uye yakaonda uye matombo maduku kana jecha rine mucus, epithelium, masero eropa anongomira mairi. Saizvozvo, zvakare, kuvharika uye kufashukira kwedundira kunoitika, asi itsvo ipapo "hadzizivi" pamusoro peizvi, ichiramba ichiburitsa mvura uye kukuvara kwakanyanya kweitsvo kunotanga zvakare. Mukati nemabhichi, urethra kazhinji haina kuvharwa. Matombo madiki nejecha zvinopfuudzwa panguva yeweti, asi panogona kunge paine matombo makuru mudundira. Matombo anokuvadza dundira uye urethra, zvichikonzera kukanganisa, kubuda ropa, kuzvimba kwakanyanya, uye anogona kutokura kuva mucous membrane. Nomuzvarirwo, zvose izvi zvirongwa zvinoperekedzwa nemarwadzo makuru.

 Zvikonzero zveICD

Pane zvakawanda zvezvikonzero zvekuitika kweurolithiasis:

• Kudya kwakashata.
• Kutyora kwemaminerari nemvura kuchinjana mumuviri.
• Zvirwere zvinotapukira zveurinary system. Chimwe chezvikonzero zvikuru zveurolithiasis mumbwa.
• Kunwa mvura shoma. Nekuda kweizvozvo, makristasi anoumba muweti yakanyanyisa.
• Maumbirwo.
• Zvirwere zvisingaperi zve excretory system.
• Kushungurudzika.
• Kuita kwakaderera.
• Kufutisa.
• Congenital malformations yeurinary system.

Mhando dzemakristasi

Zvinoenderana nekuumbwa kwavo uye mavambo, makristasi emhando dzakasiyana. Zvakakosha kuziva kuti matombo makuru anogona kuva nemhando dzakasiyana dzekristasi, masero eropa, dundira epithelium, mucus uye zvimwe zvinhu.

• Struvites imhando inonyungudika yemakristasi, ndiwo anonyanya kuzivikanwa. Iwo akaumbwa zvakanyanya mualkaline weti, ane yakatenderedzwa yakatsetseka chimiro uye chena ruvara.

•  Oxalates ndiyo insoluble type. Radiopaque calculi, ine mipendero yakapinza uye makona, uye ruvara rwebrown. Yakagadzirwa kunyanya mune acidic weti. Matombo akadaro anogona kudzivirirwa chete.

•  Urates inoumbwa mune acidic weti. Kuonekwa kwemhando iyi yebwe kunonyanya kukosha uye kuenderera mberi kwekuongorora kunobvumirwa sezvo dambudziko iri rinowanzobatanidzwa ne portosystemic shunt mumbwa. Vanoita kunge tsanga dzejecha nehurungudo dzeyero kana dzebrown.

• Cystins matombo anoitika nekuda kwecystinuria (kusakanganiswa kutorwa kwemaamino acids). Maumbirwo acho haana kuenzana muchimiro, yero kana chena. Chirwere ichi chinozviratidza kakawanda kune vakwegura (vanopfuura makore mashanu) zera. 

1 - struvite 2 - oxalate 3 - urate 4 - cystine

Diagnostics

Zvakakosha kuita zvidzidzo zvekuongororwa panguva yakakodzera.

• General weti kuongorora. Muenzaniso mutsva chete unofanirwa kuendeswa kunoongororwa. Weti iyo yakamira kunyange kwemaawa akati wandei haichakodzeri kuongororwa, sezvo makristasi enhema anowedzera mairi, zvichiteerana, mhuka inogona kuongororwa zvisirizvo. 
• General kiriniki, biochemical ropa bvunzo kuona renal kukundikana. Zvakare, pakuona kwekutanga kwechirwere cheitsvo, weti inotorwa kune reshiyo yeprotein / creatinine uye ropa reSDMA.
• X-ray. Inobatsira kuona kusiyanisa uroliths.
• Ultrasound. Inodiwa pakuona kwekuchinja kwemaitiro muitsvo, ureters, dundira. Kazhinji, ureters haisi kuonekwa pa ultrasound. Zvidzidzo zvinofanirwa kuitwa dundira rakazara.
• Bhakitiriya tsika yeweti ine subtitration yemishonga inorwisa mabhakitiriya. Izvo zvinodikanwa kuziva hutachiona uye kuronga kurapwa kwakakodzera. Mukati nembwa, weti inotorwa ne cystocentesis kuti irege kusvibiswa - kuburikidza nekuputika kwemadziro emimba nejekiseni yesirinji pasi pekutonga kwe ultrasound sensor. Usanetseka, mhuka dzinoshivirira nyore nzira iyi.
• Spectral kuongorora uroliths. Inoitwa mushure mekubviswa kubva kumhuka, inofanirwa kuongororwa kwakarurama kwekuumbwa kwematombo, nokuda kwekusarudzwa kwemamwe maitiro ekurapa uye kudzivirira kuumbwa kwematombo matsva.

mabatiro

Kurapa kune chinangwa chekubvisa chinokonzera urolithiasis uye zviratidzo zvayo. Shandisa mishonga yehemostatic, antispasmodics, antimicrobials, kana zvichidiwa, infusor therapy uye kumanikidzirwa diuresis. Bladder catheterization nekuvharika kweiyo urethra, mune dzimwe nguva, kugezwa uye kuiswa kwemishonga yemishonga intravesically. Kune makati ane urinary retention, zvakakosha kupa rubatsiro rwechiratidzo nekubuda kwenhengo dzeurinary. Kuti uite izvi, catheterization inonyatsoitwa, bhanhire rinoputika rinoshambidzwa, maitiro anoitwa nguva dzose - kusvikira kati inotanga kuenda kuchimbuzi pachayo. Munguva yekuvhiyiwa, matombo anobviswa kubva muhutu, dundira kana urethra. Dzimwe nguva zvakakosha kubvisa itsvo yakakuvadzwa. Uyewo, nekuvharwa kunowanzoitika kweurethra kana nekuvhara kwakanyanya, urethrostomy inoitwa. Zvechokwadi, mushure mekuvhiyiwa, mhuka inoda kutarisirwa kwakakosha: kupfeka chivharo chekudzivirira kana magumbeze, kusona, kutora mishonga, kazhinji inoda kuti chipatara chemazuva ose chigare pasi pekutarisirwa kweveterinarians. Zvinowanzoitika pakurapa uye kuvhiyiwa kurapwa ndiko kugadzwa kwekudya kwakasarudzika - yakaoma uye yakanyorova chikafu chakagadzirirwa zvese katsi nembwa, uye mamwe madhiragi anorairwa nachiremba wemhuka. Kuzvirapa kwemhuka chero ipi zvayo haifaniri kuva.

dziviriro

Nokuda kwekudzivirira, ipai mhuka nekurovedza muviri kwakakodzera, kuronga kudya kwakakodzera. Ita shuwa kuti chipfuyo chako chiri kuwana hunyoro hwakakwana. Edza kuisa midziyo yakawanda yemvura muimba, katsi kazhinji haadi kunwa kubva mundiro pedyo nezvokudya zvavo. Zvakare, mukuwedzera kune macroquettes, wedzera pouches kana pâtés pakudya kwako. Inokurudzirwa kushandisa zvokudya zvakanyorova uye zvakaoma kubva kumugadziri mumwe chete. Uye, chokwadi, gara uchitarisa kune veterinarian, kunyanya kana iwe uchiziva kuti chipfuwo chinowanzoita urolithiasis.