Urolithiasis mumakati: kurapwa, zviratidzo zvikuru uye zvinokonzera

Urolithiasis chirwere chinowanzoitika mumakati chakabatana nekusagadzikana kwemetabolism. Chirwere chakadaro chakakomba nekurapa kusingatarisirwi kunogona kuva njodzi kuhupenyu hwemhuka. Kuti ugadzikane mamiriro echipfuwo, unofanirwa kusarudza chikafu chakakosha uye kutanga kurapa kwakaoma.

Urolithiasis ndizvo chirwere chisingaperi. Iyo inoratidzirwa nekuumbwa kwejecha kana matombo muitsvo uye ureters, pamwe chete nedundira. Pakutanga, madhipoziti emunyu haaite kuti anzwe, asi zvishoma nezvishoma anowedzera saizi. Somugumisiro, kunyange matombo maduku anogona kukuvadza urinary tract, zvichikonzera kurwadziwa kwakanyanya mukati. Mune zvimwe zviitiko, kuvharika kweiyo ureters kunoitika, nekuda kweiyo kudzika kwemvura uye kudhakwa kunoonekwa. Kuti kuderedze mamiriro emhuka, rubatsiro rwekukurumidzira ruchadiwa, kana zvisina kudaro kuguma kunouraya kunogoneka.

Zvikonzero zvikuru

Zvinenge zvisingabviri kusimbisa chikonzero chaicho chekuonekwa kwechirwere chakadaro. Kazhinji kazhinji, chirwere mumakati chinotungamirira kumararamiro asina kunaka, kusava nehanya uye kudya kusina kukwana.

Zvimwe zvikonzero:

• congenital pathology yekuvandudzwa kweiyo genitourinary system, pamwe chete neatomical features, kusanganisira yakakombama kana yakaonda urethra;
• yakashata mvura yekunwa, iyo ine yakawanda yemaminerari (ndicho chikonzero nei mvura yepombi haifanirwe kupihwa);
• kudya kunoenderana nehuwandu husina kukwana hwemvura;
• kukanganisa kwakasiyana-siyana mukukura kwemuviri, nekuda kwekuti metabolism inononoka;
• kusagadzikana kwechigayo chekudya;
• kusanganisa kana kuchinjana kazhinji kwechikafu chechisikigo uye chikafu chakaoma;
• kudya nguva dzose kwemhuka nehove kana zvokudya zvine mafuta;
• kushandiswa kwezvokudya zvakaderera;
• kugara uchidyisa, izvo zvinotungamirira kune kufutisa;
• kusakwana kwemotokari basa;
• kukuvara kwemapfupa epelvic;
• streptococcal, staphylococcal uye zvimwe zvirwere;
• neoplasms muurinary turakiti.

Urolithiasis uye castration

Zvinotendwa kuti KSD inowanzoonekwa mumakatsi asina kuchena, asi masayendisiti haabvumirani nguva dzose nemafungiro aya. Chero zvazvingava, pane imwe hukama pakati peurolithiasis uye castration. Saka, mushure mekubviswa kwema testes, hormonal background yekati inoshanduka. Iye anowedzera kudzikama uye anorasikirwa nechido mumakati, uye ndizvo chaizvo kushayikwa kwekufamba kunotungamirira kuurolithiasis.

Pane maonero ekuti makati anotsiva kufarira kune zvepabonde nechido chekudya. Nekuda kweizvi, kufutisa kunowedzera, chinova chinokonzera muKSD. Kuti udzivise iyi pathology, zvinodikanwa kupa katsi yakaderera-calori chikafu mune zvishoma. Izvo zvinodiwawo kukanda mhuka dzinenge iine mwedzi mitanhatu yekuzvarwa, uye zviri nani 8-10 mwedzi yekuzvarwa, nekuti panguva yekuvhiya pazera rekutanga, urethra inomira kukura uye inoramba yakamanikana.

Zviratidzo zvikuru zveurolithiasis mumakati

Kana mhuka ichangotanga kukura urolithiasis, zvino zviri nani kuti zviome kuzviongorora., nokuti panguva yekutanga zviratidzo zvishoma. Sezvo mutemo, kati inova shoma. Haadye zvakanaka uye anogona kunzwa kusagadzikana pakuita weti. Zvisinei, zviratidzo zvakadaro hunhu kwete chete urolithiasis.

Kana isina kurapwa, ukuru uye huwandu hwemunyu unowedzera. Nokufamba kwenguva, matombo anoparadzana uye anofamba achidzika mu ureter. Panguva ino, kuongororwa kwechirwere hakukonzeri matambudziko.

Zviratidzo zvakajairika:

• panguva yekudonha, mhuka inochema zvikuru, iyo inotsanangurwa nekurwadziwa kwakanyanya;
• iyo katsi inowanzogara mutireyi, nokuti inonzwa chido chinenge nguva dzose;
• mushure mokunge mhuka ichienda kuchimbuzi, mavara epiniki kana matsvuku anogona kuonekwa mutireyi, iyo inotsanangurwa nekuvapo kwezvikamu zveropa mumuguta;
• weti inogona kumira zvachose, nepo dzimwe nguva kune prolapse ye rectum;
• nerubatsiro rwepalpation, zvinokwanisika kuona kuti dumbu rekati rave rakasimba;
• kunyange mhuka dzinovaraidza dzakanyanyisa dzinotanga kuenda kuchimbuzi panzvimbo isiri iyo;
• katsi vanozvibata uye vanoedza kukwezva kutarisa kwemuridzi, kana kuvanza mukona;
• mhuka yacho inokurumidza kufema;
• Havi yekatsi inenge isipo.

Diagnostics

Kana urolithiasis mukati ichifungidzirwa, enda kukiriniki yezvipfuyo. Nyanzvi ichafunga nezvese zviratidzo, pamwe nekunyora maitiro anokosha. Kuongororwa kweurolithiasis, ultrasound, x-rays uye kuongorora weti sediment inoshandiswa. Zvakakoshawo kuziva rudzi rwemunyu, nokuti nekuda kweizvi zvinokwanisika kusarudza kurapa kwakakodzera. Kuti uwane zvimwe zvidzidzo zvechokwadi, X-ray diffraction uye polarized light microscopy inoshandiswa.

mabatiro

Kana panguva yekuongororwa kwakawanikwa kuti katsi iri kunyatsogadzira urolithiasis, kurapa kwakaoma kunorayirwa. Kutenda kwaari, zvinokwanisika kubvisa kuwedzera uye kugadzirisa mamiriro emhuka. Izvi zvinotora chiyero chekukuvadza, mamiriro ose ekati, danho rechirwere, pamwe chete nehupombwe uye zera remhuka.

Kugadzirisa dambudziko racho, zvose zvinochengetedza kurapa uye kupindira kwekuvhiya zvinogona kushandiswa. Dzimwe nguva kubviswa kwemadhipatimendi uchishandisa catheter kana kubviswa kwavo pasi peanesthesia kunorayirwa.

Kuchengetedza kurapwa

Nzira dzakasiyana-siyana dzinoshandiswa kudzorera kubuda kweweti uye kubvisa kuzvimba. Panguva imwecheteyo, kurapwa kunewo chinangwa chekudzivirira, izvo zvinobatsira kudzivisa zvinogona kuitika uye kudzoka zvakare.

katsi sarudza mhando yemishonga, iyo ichabatsira kudzorera patency yeurinary tract uye kubvisa kumira kwemuti. Saka, antispasmodics uye sedatives zvinorayirwa, kusanganisira baralgin uye neotropin, antibiotics uye homeopathic remedies, kureva cantharis uye magnesia.

Mushure mokumisa kurwisa, mamiriro ekati anovandudza. Kuti kupora kuuye nekukurumidza, lumbar novocaine blockade inoshandiswa. Uyezve, mhuka inovaraidza inofanira kuchengetwa ichidziya.

Operative therapy

Kurapa urolithiasis, kubviswa kwematombo kunowanzorongedzerwa. Kana nokuda kwechimwe chikonzero chisarudzo chakaitwa kuramba kuvhiyiwa, acute pyelonephritis, hematuria, hydronephrotic shanduko uye kurwadziwa kwakanyanya kunogona kukura.

Zvichienderana nezvakawanda zvinhu, nyanzvi inotsanangura urethrostomy kana cystostomy. Sarudzo yekutanga inosanganisira kusikwa kwegwara rekubvisa madhipoziti emunyu, uye yechipiri ibasa rakakomba remudumbu. Inoitwa munyaya yacho apo ukuru hwematombo hunodarika ukuru hwe urethra.

Mushure mekuvhiyiwa, weti inodzoreredzwa, zvisinei, kugadzirisa mamiriro acho, katsi inowedzerwa nzira yemishonga inorwisa mabhakitiriya uye anti-inflammatory therapy.

dhayeti

Mukuwedzera pakurapa, chiremba wemhuka anofanira kupa chikafu chakakosha chemhuka. Inosarudzwa ichifunga nezvekuputsika kwemunyu metabolism. Nekuda kwekudya kwakaringana, zvinokwanisika kudzoreredza metabolic maitiro uye kuchengetedza homeostasis.

Zvokudya zvakasikwa

Kana kati ichidya chikafu chechisikigo, unofanirwa kubvunza chiremba wemhuka uye nhonga zvimwe zvigadzirwa. Mukuwedzera, mavitamini A neboka B anorayirwa. Zvokudya zvinofanira kugadzirirwa nokukurumidza vasati vadya. Kudya kwekati kunofanira kusanganisira nyama yakabikwa yakaonda, cottage cheese, mazai akabikwa, karoti, mupunga uye cheese.

Mhuka hadzifanirwe kupihwa nyama yenguruve, hove, masoseji, uye chikafu chemumagaba. Chikafu chinofanira kunge chisina zvinonhuwira uye chisina mafuta.

Chikafu chakaoma

Kana katsi ikadya chikafu chakagadzirwa, saka mhando dzakagadzirirwa mhuka dzine KSD dzinofanirwa kusarudzwa. Ichi chikafu chine huwandu hwakakwana hwemaminerari. Zvokudya zvakachipa zvine chekuita nekirasi yehupfumi hazvigone kutengwa.

Zvakakosha kuve nechokwadi kuti mhuka inodya mvura yakakwana. Kana katsi ichinwa zvishoma, zvino zviri nani kuti utange kunyura chikafu chakaoma kana kupa chikafu chakakosha chemumagaba.

dziviriro

Kunyange kana kurapwa kwemhuka kwakabudirira, zvakakosha kutevera matanho ekudzivirira, izvo zvichabatsira kudzivisa kudzoka zvakare. Aya ndiwo mazano:

• Kudya kwakakodzera, kunosanganisira kushandiswa kwezvikafu zvakagadzirirwa zvakagadzirirwa katsi neKSD. Iwe unogonawo kupa chikafu chechisikigo, uchifunga nezvese kurudziro yechiremba wemhuka.
• Kudzora uremu hwemhuka. Katsi haifaniri kurema kupfuura 4,5 kg.
• Phytotherapy nekushandisa diuretics.
• Kushandisa mvura yekunwa yakachena yakasefa.
• Kutamba kwemhuka nguva dzose.
• Ultrasound yedundira neitsvo mwedzi mitanhatu yega yega, pamwe nekuongorora weti nguva dzose.

Kutenda kune iyi mitemo iri nyore, chipfuwo chicharamba chichishanda uye chichifara.

Urolithiasis inopa katsi kusagadzikana kwakawanda. Uyezve, mumatambudziko epamusoro pathology inotungamirira kurufu.. Kana pane kufungidzira kweKSD, zvinokurumidza kubvunza chiremba wemhuka, nokuti chete kurapwa panguva yakakodzera, kutarisirwa kwakakodzera uye kudya kwakakwana kunogona kudzorera kati kuhutano.