Ib tug neeg noj qab nyob zoo ib txwm muaj me me ntawm calcium oxalate crystals hauv cov zis. Kev nce hauv lawv cov lej tuaj yeem yog qhov cim ntawm urolithiasis, mob pyelonephritis, kev loj hlob ntawm lub raum tsis ua haujlwm. Tib txoj kev los tiv thaiv tus mob no yog ua raws li kev noj haus.
Oxalate yog dab tsi?
Nov yog lub npe ntawm oxalic acid ntsev, sawv cev los ntawm calcium los yog ammonium compounds, tawm los ntawm ob lub raum. Kwv yees li tsib feem pua ntawm lawv yog tsim los ntawm cov khoom noj. Calcium oxalate yog tawm ntawm lub cev los ntawm ob lub raum hauv cov zis. Nrog nws cov secretion ntau ntxiv, ib qho mob hu ua oxaluria tshwm sim.
oxalates zoo li cas?
Oxalate pob zeb yog tawv, tsaus xim av lossis dub. Lawv muaj cov pob txha uas ua rau cov ntaub so ntswg ntawm cov zis thiab ua rau los ntshav. Ntshav, xim pob zeb, muab xim tsaus. Thaum tsis muaj ntshav, oxalates yog sib dua. Yog tias lwm cov tshuaj ntxiv rau calcium ntsev ntawm cov oxalate loj hlob, ces ntawm kev txiav koj tuaj yeem ua taupom tias cov qauv ntawm lub pob zeb yog txheej.
Qhov ntau ntawm pob zeb txawv ntawm ob peb millimeters (cov pob zeb no hu ua xuab zeb lossis microliths) txog plaub lossis ntau dua centimeters. Cov xwm txheej zoo ua rau muaj qhov tseeb tias calcium oxalate tuaj yeem hloov mus rau hauv pob zeb coral uas nyob tag nrho lumen ntawm lub raum.
Dab tsi ua rau oxaluria?
Muaj ob hom oxaluria. Thawj yog ib yam kab mob uas tshwm sim thiab hu ua oxalosis. Qhov ua rau nws tshwm sim yog suav tias yog kev cuam tshuam ntawm kev sib pauv ntawm glycine thiab glyoxylic acid. Tus kab mob manifests nws tus kheej raws li cov cim qhia ntawm urolithiasis. Tshuaj lom nrog cov tshuaj lom uas tsis tuaj yeem tawm los ntawm lub raum, kev ua haujlwm tsis zoo, ua rau lub raum tsis ua haujlwm thiab lub xeev hnyav ntawm uremia.
Secondary oxaluria yog ib yam kab mob kis tau. Yog vim li cas rau nws tej zaum yuav yog ib tug tshaj nyob rau hauv cov zaub mov ntawm cov khoom noj uas cov ntsiab lus ntawm oxalic acid thiab vitamin C yog nce. Koj yuav tsum tsis txhob oversaturate koj cov zaub mov nrog spinach, parsley, sorrel, citrus txiv hmab txiv ntoo, beets, currants, sawv hips, cocoa, chocolate, thiab lwm yam. Calcium oxalate crystals nyob rau hauv cov zis ntau ntxiv ua rau lub cev tsis nqus calcium, tsub zuj zuj hauv cov ntshav, thiab qhov no tuaj yeem ua rau kev txhim kho pob txha.
Nyob rau hauv qee qhov pathologies (pyelonephritis, ntshav qab zib mellitus, ulcerative colitis, inflammatory txheej txheem nyob rau hauv txoj hnyuv, Crohn tus kab mob), qhov nce ntawm cov oxalates tuaj yeem pom. Oxalate pob zeb kuj tshwm sim nrog vitamin B6 tsis txaus, thiabmagnesium, uas tiv thaiv lawv tsim. Noj qee yam tshuaj xws li ascorbic acid, ethylene glycol, calcium ntxiv ua kom cov oxalate hauv cov zis.
Symptoms
Kev tshwm sim ntawm oxaluria yog micro- thiab macrohematuria. Hauv thawj qhov sib txawv, ntshav tshwm hauv cov zis, tab sis qhov no tsuas yog pom los ntawm lub tshuab tsom. Nrog rau tag nrho hematuria, kev hloov pauv hauv cov zis yog pom ntawm qhov muag liab qab, nws zoo li cov nqaij slops. Qhov no yog vim calcium oxalate crystals ua rau cov phab ntsa ntawm cov zis.
Tus kab mob tuaj yeem pib thaum yau, tshwm sim nws tus kheej raws li qhov mob hauv lub plab, qhov txo qis hauv cov zis txhua hnub, cov zis muaj xim saturated. Tsis tas li nrog tus kab mob muaj cov tsos mob. Calcium oxalate raug kuaj pom los ntawm lub sijhawm, thaum kuaj zis, kuaj X-ray, lossis thaum cov tsos mob ntawm lub raum colic tshwm sim nyob rau hauv daim ntawv ntawm qhov mob ntawm sab nraub qaum ntawm ib sab. Mob tshwm sim thaum lub pob zeb txav los ntawm lub ureter. Kev mob mus ntev ua rau muaj cov ntsev ntau ntxiv hauv cov ntaub so ntswg ntawm ob lub raum, thiab lub raum tsis ua haujlwm ntev yuav tshwm sim.
kuaj zis qhia tau dab tsi?
Raws li tau hais los saum toj no, tus kab mob no tshwm sim los ntawm lub sijhawm. Thaum ua kev soj ntsuam dav dav ntawm cov zis, calcium oxalate pom nyob hauv nws. Tsis tas li ntawd, nrog oxaluria, erythrocytes thiab leukocytes tuaj yeem kuaj pom hauv kev tshuaj ntsuam.
Calcium oxalate hauv poj niam cov zis yuav tsum nyob nruab nrab228-626 μmol / hnub, hauv ib tug txiv neej - 228-683 μmol / hnub. Ib qho kev kawm ntxiv yuav xav tau nrog x-ray ntawm lub raum, urography, ultrasound ntawm lub raum.
Yuav pub tso zis rau oxalates li cas?
Ua ntej kev xeem, koj tsis tuaj yeem noj beets, carrots, nrog rau cov khoom noj uas cuam tshuam rau cov zis xim. Ib qho yuav tsum tau ua ua ntej yog kev ua kom huv ntawm lub genitalia sab nraud ua ntej sau. Cov poj niam thaum hnub tseem ceeb yuav tsum tsis txhob sim.
Thawj sawv ntxov tso zis tsis suav nrog, tsuas yog lub sijhawm sau tseg. Thaum nruab hnub, cov zis tau sau rau hauv ib lub thawv. Hnub tom qab thaum sawv ntxov muaj qhov kawg sau cov zis. Tom qab ntawd, tag nrho cov ntim ntawm secretions ib hnub yog ntsuas, kwv yees li 200 milliliters yog poured rau hauv ib lub thawv cais thiab xa mus rau lub chaw kuaj. Daim ntawv lo yuav tsum muab txuas rau hauv lub thawv thiab qhia cov zis txhua hnub.
Yuav kho li cas?
Yog tias pom muaj calcium oxalate hauv cov zis, tus kws kho mob tau sau cov zaub mov. Nws yog ib qho tsim nyog kom tshem tawm ntawm cov nqaij noj, ntses, nceb broths, kub spices, smoked nqaij, khoom noj qab zib, kev txuag. Tsis tas li ntawd, koj yuav tsum txwv tsis pub siv cov khoom noj xws li sorrel, spinach, beets, citrus txiv hmab txiv ntoo, strawberries, txiv ntseej, taum, chocolate. Koj tsis tuaj yeem tsim txom tshuaj yej thiab kas fes.
Nyob rau hauv cov txheej txheem ntawm kev kho mob, lub cev xav tau alkalization ntxiv, uas yog yooj yim los ntawm kev suav nrog qhuav apricots thiab prunes hauv kev noj haus. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tau noj magnesium npaj, vitamin B6. Txhawm rau tiv thaiv crystallization ntawm oxalates hauv cov zis, koj yuav tsum haus dej kom ntau. Dissolution ntawm ntsev yog yooj yim los ntawm infusions thiab decoctions ntawm knotweed, dill, strawberry nplooj, horsetail, thiab lwm yam Rowan kua txiv yog tsis tshua muaj txiaj ntsig (3 tablespoons peb zaug ib hnub ib nrab ib teev ua ntej noj mov) rau ib hlis. Parsley kua txiv tov nrog zib mu (2 tablespoons peb zaug ib hnub twg ua ntej noj mov) pab kho.
kev tawm dag zog ib txwm muaj txiaj ntsig. Khiav, taug kev, dhia pab tshem cov pob zeb me me, xuab zeb.
Nyob ntawm seb qhov kev kuaj zis qhia tau li cas, kev kho mob nrog potassium citrate lossis sodium citrate, tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob yuav xav tau. Thaum kis tau tus kab mob, nws yuav tsum tau noj tshuaj tua kab mob thiab sulfonamides (cov tshuaj "Ceftriaxone", "Biseptol", "Sulfadimetoksin"). Txhawm rau txo qis spasm thiab pab txhawb kev nkag mus ntawm oxalate los ntawm txoj hlab zis, nws yog ib qho tsim nyog yuav tau noj tshuaj antispasmodic (Baralgin, No-shpa, Platyfillin, Papaverine). Cov mob hnyav uas muaj cov tsos mob ntawm lub raum colic yog kho nrog kev phais.
Kev Tiv Thaiv
Kev noj zaub mov kom zoo tuaj yeem pab tiv thaiv cov oxalate ntau hauv cov zis. Kev noj zaub mov yuav tsum muaj cov khoom noj uas muaj magnesium. Nws yog qhov tsim nyog los siv oatmeal, buckwheat, millet porridge, txiv hmab txiv ntoo qhuav, qhob cij wholemeal. Kev tshem tawm ntawm oxalic acid yog yooj yim los ntawm kev siv cov txiv hmab txiv ntoo,quinces, pears, uas yog siv tau ob qho tib si tshiab thiab nyob rau hauv daim ntawv ntawm ib tug decoction.
Thaum kuaj pom qee cov tsos mob, kev kho mob raws sij hawm yog qhov tsim nyog, vim tias qhov xwm txheej no tuaj yeem ua rau muaj qhov tshwm sim loj hauv daim ntawv ntawm urolithiasis thiab lwm yam pathologies. Kev saib xyuas koj tus kheej txoj kev noj qab haus huv yuav cawm koj ntawm qhov tshwm sim tsis zoo.
