Raws li kev txheeb cais, 5 txog 15% ntawm cov neeg raug kev txom nyem los ntawm kev tsim cov uric acid raum pob zeb. Feem ntau, nephrolithiasis yog asymptomatic mus txog thaum nws tshwm sim loj tshaj plaws - raum colic. Qhov no yog qhov xwm txheej ceev uas yuav tsum tau mus pw hauv tsev kho mob sai, thiab txhawm rau tiv thaiv nws, nws yog ib qho tseem ceeb kom paub qhov ua rau ntawm cov pob zeb urate, nrog rau cov yam ntxwv ntawm kev kho mob thiab kev tiv thaiv kab mob txaus ntshai.
Yuav ua li cas pob zeb urate tsim
Potassium urate thiab sodium urate yog cov ntsev ntsev ntawm uric acid, uas yog tsim los ntawm cov txheej txheem metabolic, yog ib feem ntawm cov zis thiab tsis ua rau muaj kev phom sij me me.
Thaum tus nqi ntawm urate nce, lub peev xwm lim dej ntawm lub raum txo qis, thaum uric acid ntsev crystallize thiab precipitate. Qhov tsim ntawm calculi pib - ntom formations, uas yog hu ua uric acid los yog urate pob zeb. Thaum cov deposits pom nyob rau hauv lub raum pelvis thiabkhob, tus neeg mob tau kuaj mob raum pob zeb (nephrolithiasis). Yog tias cov txheej txheem pathological tau cuam tshuam rau tag nrho cov zis, kev kuaj mob ntawm urolithiasis (urolithiasis) yog tsim.
Txawm tias ib zaug pom lub raum pob zeb zoo li cas (daim duab), tsis zoo li tus neeg yuav xav nqa qhov phom sij txaus ntshai no rau hauv lub cev.
Cov no yog qhov sib npaug, du saum npoo ntawm qhov loj ntawm 1 - 2 hli mus rau ob peb cm, feem ntau daj-xim av xim. Cov qauv ntawm cov pob zeb uric acid yog xoob heev, ua tsaug rau lawv tuaj yeem yaj thiab tshem tawm ntawm lub cev yam tsis muaj kev phais.
Urate deposition: pheej hmoo yam
Qhov laj thawj tseem ceeb ntawm kev tsim cov uric acid raum pob zeb yog cov tshuaj tiv thaiv acidic ntawm cov zis: yog tias pH yog < 5.5, muaj peev xwm txo qis hauv cov zis tso zis thiab tso tawm ntsev sediment.
Lub ntsiab tseem ceeb ua rau cov kua qaub ntawm cov zis thiab ua rau kev loj hlob ntawm lub raum pob zeb:
- nyob rau thaj tsam uas muaj huab cua qhuav, huab cua kub, qhov uas muaj kev pheej hmoo siab ntawm lub cev qhuav dej;
- muaj nyob rau hauv cov dej haus uas muaj siab concentration ntawm hardness ntsev (Ca, Mg);
- tsis haus dej;
- hypodynamia (sedentary lossis sedentary txoj kev ua neej);
- kev noj zaub mov tsis zoo, xws li noj cov tsiaj protein ntau dhau lossis tshaib plab;
- ua txhaum ntawm calcium metabolism.
Cov pab pawg muaj kev pheej hmoo suav nrog cov neeg uas muaj keeb kwm yav dhau los rau kev tsim cov pob zeb raum urate. Lawv raug qhia ib ntustshawb xyuas cov tshuaj tiv thaiv ntawm cov zis uas siv cov cuab yeej tshwj xeeb - pH meter lossis qhov pom kev kuaj strips "Uri-pH". Feem ntau, yuav tsum muaj cov tshuaj tiv thaiv alkaline (6.0 - 7.0). Yog tias ntev npaum li qhov ntsuas tsis poob qis dua 5.5 units, thiab txoj kev ua neej tseem zoo li qub, tus neeg tau raug pov hwm los ntawm kev tsim cov pob zeb uric acid.
Kev xaiv rau kev txhim kho raum pob zeb
Kev phom sij ntawm tus kab mob nyob hauv nws cov kev kawm asymptomatic. Nyob rau hauv qhov zoo tshaj plaws, pathology raug kuaj pom, piv txwv li, thaum kuaj lub cev, qhov no feem ntau tshwm sim nyob rau theem pib ntawm kev suav lej. Nyob rau hauv lub xub ntiag ntawm urate raum pob zeb, lawv dissolution thiab noj zaub mov kom tshem tawm tag nrho cov kev loj hlob ntawm tus kab mob thiab tej zaum yuav tshwm sim loj.
Lwm cov ntaub ntawv: cov khoom me me tuaj yeem tsim, tawg thiab ntxuav tawm ntawm lawv tus kheej yog tias cov kua qaub ntawm cov zis tau them los ntawm kev haus dej ntau (tsawg kawg 1.5 litres ib hnub) thiab noj zaub mov zoo.
Thaum cov txheej txheem ntawm pob zeb tsim nyob rau hauv ob lub raum cuam tshuam kev tsim cov zis, thiab cov tso nyiaj loj tiv thaiv nws tawm, cov tsos mob ntawm cov kab mob tshwm sim sai sai thiab qhov hnyav tshaj plaws.
Lub raum colic thiab lwm yam tsos mob ntawm uric acid pob zeb
Obturation, lossis, yooj yim dua, txhaws ntawm cov zis tsis tuaj yeem ua tsis tau. Saib seb pob zeb urate loj npaum li cas hauv daim duab, thiab xav txog tias ib qho ntawm lawv thaiv sab laug lossis sab xis ureter.
Tag nrho lossis ib nrabobstruction ua rau kom lub siab ntawm cov zis thiab stretching ntawm phab ntsa ntawm lub hollow tubular lub cev, thiab ces lub raum.
Ib tug neeg tau ntsib qhov mob tsis txaus ntseeg tam sim ntawd hauv qab nraub qaum, feem ntau ntawm sab xis lossis sab laug, tsis tshua muaj tus cwj pwm ntawm shingles. Thaum sim hloov txoj haujlwm ntawm lub cev, sawv ntsug lossis pw, tsis muaj kev hloov pauv. Mob tshwm sim los ntawm sab nraub qaum thiab radiates mus rau hauv plab thiab puab tais - cov no yog cov cim qhia ntawm lub raum colic. Nyob rau tib lub sijhawm, nws tsis tuaj yeem nres qhov mob, cov tshuaj analgesics tsis pab.
Kev mob hnyav tuaj yeem nrog rau lwm cov tsos mob:
- bloating;
- mob siab ua pa;
- tawm hws ntau dhau;
- xeev siab, ntuav;
Cov tsos mob zaum kawg tuaj yeem qhia txog kev txhim kho ntawm cov ntaub so ntswg ntawm lub raum, tab sis txawm li cas los xij, daim duab kho mob tag nrho yog qhov tseeb: tus neeg mob xav tau kev kho mob xwm txheej ceev.
Yog tias lub pob zeb loj npaum li cas tso cai rau nws hla lub ureter yam tsis muaj kev puas tsuaj rau phab ntsa, qhov kev tawm tsam yuav ploj mus ntawm nws tus kheej. Txawm li cas los xij, cov tsos mob zoo sib xws tau pom nrog kev xeeb tub ectopic, zes qe menyuam rupture los yog pancreatitis, yog li nws yog ib qho tseem ceeb heev uas yuav tau hu rau tus kws kho mob raws sij hawm uas tuaj yeem kuaj xyuas qhov sib txawv.
Risk of Complications
Zoo li txhua yam txheej txheem pathological, tsim cov pob zeb urate zuj zus, thiab dhau sijhawm, cov lej loj hlob thoob plaws hauv lub raum plab nrog cov txheej txheem hauv txhua lub calyx. Ib qho kab mob hnyav zuj zus - staghorn nephrolithiasis, thaum txoj kev sib cais tsis pab ntxiv lawm, thiab kev kho mobpathology, nephrolithotripsy yog xav tau, thiab tshwj xeeb tshaj yog mob hnyav, tshem tawm ntawm lub raum cuam tshuam.
Uric acid deposits feem ntau provoke o ntawm lub raum tubules (pyelonephritis), nrog rau kev loj hlob ntawm mob raum tsis ua hauj lwm los yog ntev.
Tawm tsam keeb kwm yav dhau los ntawm qhov siab ntawm uric acid, ntsev tau tso rau hauv cov pob qij txha thiab cov kab mob metabolic txaus ntshai - gout.
Koj yuav tsum tsis txhob tos kom txog thaum lub cev tau txais tag nrho pawg ntawm cov teeb meem, cov kev kuaj mob niaj hnub tso cai rau koj txhawm rau txheeb xyuas cov uric acid deposits thaum pib ntawm lawv tsim.
Kev kuaj mob urates
Qee lub sij hawm kuaj xyuas ultrasound yog txaus los kuaj cov pob zeb uric acid, cov txiaj ntsig ntawm kev txiav txim siab seb lub raum pob zeb zoo li cas: lawv qhov chaw, cov duab thiab qhov loj me. Ultrasound yeej ib txwm siv rau hauv cov xwm txheej ceev thaum tsis muaj sijhawm los kuaj xyuas.
Nyob rau hauv cov xwm txheej tsis saib xyuas, nrog rau thaum muaj cov kab mob sib xyaw ua ke ntawm cov kab mob hauv nruab nrog cev, yuav tsum ntsuas kev kuaj mob ntxiv:
- excretory urography:
- kev kawm siv cov tshuaj radiopaque los ntsuas qhov xwm txheej ntawm lub raum thiab ureters;
- MRI thiab CT ntawm lub raum: cov kev tshawb fawb qhia tau zoo uas feem ntau raug sau rau kev kuaj mob sib txawv;
- ncua cov zis thiab kuaj ntshav kom paub meej tias lub pob zeb zoo li cas.
Raws li cov txiaj ntsig ntawm kev kuaj mob, tus kws kho mob nephrologist tau sau cov kev kho mob txaus rau cov pob zeb hauv lub raum:Kev kho tshuaj tsom rau cov pob zeb tawg, tsoo nrog ultrasound lossis phais.
Kev rhuav tshem ntawm pob zeb uric acid: kev kho mob raum pob zeb
Vim cov qauv ntxeem tau, urate pob zeb qiv lawv tus kheej zoo rau kev tawg. Txawm li cas los xij, cov txheej txheem ntawm kev tshem cov pob zeb tawm ntawm lub cev tsis tas yuav mob, thiab thaum lub sijhawm kuaj, tus neeg mob yuav raug kuaj pom tias muaj kab mob urinary ib txwm muaj.
Yog li ntawd, feem ntau, tus kws kho mob tau sau ntawv kho mob siv ntau yam tshuaj:
- pob zeb tawg: "Blemaren", "Urolesan", "Solimok", "Kanefron";
- nthuav tawm ntawm cov zis: "Spasmalgon", "No-shpa", "Papaverine";
- tshem tawm cov kab mob sib kis: Amoxiclav, Nitroxoline, Klaforan;
- tshem tawm qhov mob syndrome: "Revalgin", "Ketorol", "Baralgin"
Txhawm rau tiv thaiv kev tsim cov tso nyiaj tshiab, nws yog ib qho tseem ceeb kom hloov cov tshuaj tiv thaiv ntawm cov zis los ntawm acidic rau alkaline. Txhawm rau ua qhov no, tus neeg mob tau hais kom haus dej ntau ntxiv, suav nrog cov dej ntxhia alkaline, xws li Borjomi lossis Kislovodsk Narzan. Thiab tau kawg, kev noj zaub mov rau urate raum pob zeb yog ib qho tseem ceeb rau kev rov ua kom tiav thiab tiv thaiv kev tso tawm ntawm uric acid ntsev.
Nyob zookhoom noj khoom haus rau lub raum pob zeb
Kev noj zaub mov zoo yuav tsis tsuas yog ntxuav lub raum ntawm cov kab mob pathological, tab sis kuj tiv thaiv lawv rov tshwm sim. Lub hauv paus ntawm kev noj haus yuav tsum yog cov khoom hauv qab no:
- zaub, zoo dua dib, txiv lws suav, taub dag, carrots, beets;
- diuretic txiv hmab txiv ntoo - txiv apples, mangoes, qhuav apricots (qhuav apricots);
- berries - watermelon, cranberries, cranberries;
- cereals - nplej, buckwheat, oatmeal;
- txiv ntseej thiab noob;
- mis nyuj, khoom noj siv mis thiab dej haus;
Ntses, nqaij rog thiab nqaij qaib thaum kho yog zoo dua kom tshem tawm. Tau kawg, koj yuav tsum tsis txhob haus cov nqaij, pickles thiab cawv, txo cov tshuaj yej, kas fes thiab chocolate.
Yog tias koj muaj urate raum pob zeb, ua rau lawv nrog tshuaj thiab noj zaub mov kom zoo, txawm li cas los xij, ua raws li cov kev cai yooj yim ntawm kev tiv thaiv, koj tuaj yeem zam rov qab.
Tiv thaiv cov pob zeb uric acid
Los ntawm kev ua raws li kev haus dej haus cawv, koj yuav zam cov teeb meem cuam tshuam nrog acidification ntawm cov zis. Rau cov neeg laus, 1.5 litres ntawm cov dej lim huv yog txaus ib hnub, nyob rau hauv lub tshav kub tus qauv nce mus rau 2.5 litres. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qhov no siv tau rau cov neeg uas tsis muaj mob plawv mob hnyav, nyiam ua rau mob edema thiab kuaj pom lub raum tsis ua haujlwm.
Raws li prophylaxis, lawv ib txwm haus cov tshuaj ntsuab infusions uas tiv thaivpob zeb tsim, piv txwv li:
- juniper;
- lingonberry nplooj;
- licorice thiab wheatgrass cag;
- Highlander noog (knotweed);
- Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Urate raum pob zeb tsis yog kab lus tuag, yog li tsis tas yuav tsum ua raws li kev noj zaub mov nruj, tab sis tseem ceeb heev kom tsis txhob haus cawv, qab ntsev thiab rog.
Thov nco ntsoov: Tag nrho cov lus pom zoo saum toj no cuam tshuam txog kev tiv thaiv thiab kho pob zeb raum thiab muaj txiaj ntsig zoo sib xws rau cov pob zeb urate hauv lub zais zis (urolithiasis). Txawm li cas los xij, kev siv tshuaj rau tus kheej tsis tuaj yeem lees txais. Kev teem caij tshuaj thiab tshuaj ntsuab yuav tsum tau ua los ntawm tus kws tshaj lij - kws kho mob nephrologist.
