Y Urinary diathesis yog ib qho teeb meem metabolic uas urates thiab oxalates nyob hauv lub cev. Kuj tseem muaj qhov nce qib ntawm purines thiab uric acid. Nyob rau tib lub sijhawm, qhov no tuaj yeem ua rau kev loj hlob ntawm urolithiasis thiab gout. Qhov no pathology manifest nws tus kheej li cas? Thiab yuav ua li cas kom tshem tau cov ntsev ntau dhau hauv lub cev? Peb yuav teb cov lus nug no hauv kab lus.
Kev piav qhia ntawm pathology
Urinary diathesis yog ib yam kab mob uas lub cev muaj ntau cov ntsiab lus ntawm calcium ntsev ntawm uric acid, feem ntau urates thiab oxalates. Txwv tsis pub, qhov no pathology hu ua uricuria. Muaj ob txoj hauv kev uas qhov teeb meem no tshwm sim:
- Cov ntsev yog tsim kom muaj ntau ntxiv vim muaj cov kab mob metabolic. Cov kab mob metabolic zoo li no tuaj yeem tshwm sim los yog kis tau. Yog li ntawd, cov ntsev ntau dhau tau tso rau hauv lub raum thiab tom qab ntawd tawm hauv cov zis.
- Calcium ntsev yog tsim nyob rau hauv ntau ntau vim tsis noj mov. Lawv cov tsos yog txhawb los ntawm cov zaub mov nrog siabcov ntsiab lus ntawm cov organic acids. Yog tias ib tug neeg ua phem rau nqaij thiab ntses zaub mov, qhov no tuaj yeem ua rau muaj kev nce ntxiv ntawm urates. Yog tias kev noj zaub mov muaj zaub mov, ces qib oxalates hauv cov zis yuav nce.
Lub cev qhuav dej ua rau muaj kev txhim kho pathology. Nrog rau qhov tsis muaj dej, ntsev tsis ntxuav tawm ntawm lub cev. Nyob rau hauv kev tsom xam ntawm cov zis, ib tug sediment nyob rau hauv daim ntawv ntawm reddish xuab zeb yog pom. Nrog urinary-ntsev diathesis, echogenic inclusions raug kuaj pom nyob rau hauv lub raum. Lawv raug txiav txim siab thaum kuaj ultrasound.
Uricuria suav hais tias yog lub xeev ciam teb ntawm qhov qub thiab pathological. Nyob rau tib lub sijhawm, tus neeg mob nce qhov ntom thiab acidity ntawm cov zis, uas ua rau lub crystallization ntawm cov xuab zeb. Kev pheej hmoo ntawm urolithiasis, uas tshwm sim nws tus kheej hauv kev tawm tsam hnyav ntawm lub raum colic, nce.
Etiology
Xav txog cov laj thawj tseem ceeb ntawm kev tso zis diathesis. Kev kho tus kab mob no feem ntau nyob ntawm nws cov etiology. Nws yog ib qho tsim nyog los tshem tawm qhov tseem ceeb uas ua rau muaj ntsev ntau ntxiv.
Cov laj thawj hauv qab no tuaj yeem ua rau muaj kev loj hlob ntawm diathesis:
- caj ces predisposition rau dej- ntsev tsis sib npaug;
- tsim txom nqaij, ntses kaus poom, qab ntsev, rog thiab ntsim;
- mob ntev ntawm cov kab mob hauv lub cev;
- raug mob thiab nqaij tawv nqaij;
- haus dej tsawg (tsawg dua 1.5 litres ib hnub);
- avitaminosis;
- kev tiv thaiv kev tiv thaiv;
- tshaib plab;
- nquag lom nrog raws plab thiab ntuav;
- siv tsis tau tshuaj tua kab mob;
- kev siv lub cev ua haujlwm dhau.
Cov tsos mob ntawm cov zis diathesis hauv cov poj niam feem ntau tshwm sim thaum cev xeeb tub. Nyob rau lub sijhawm no, lub cev raug kev ntxhov siab ntau ntxiv. Tsis tas li ntawd, uricuria feem ntau tshwm sim thaum cev xeeb tub vim kev hloov pauv hormonal.
Kev faib tawm thoob ntiaj teb ntawm cov kab mob
ICD-10 urinary diathesis code - E79. Qhov no pathology yog hais txog cov kab mob metabolic ntawm purines thiab pyrimidines. Uricuria tshwm sim vim kev cuam tshuam ntawm metabolic ntawm cov protein sib txuas.
Yog tias cov kab mob twb dhau mus rau theem ntawm urolithiasis, ces nws txoj cai raws li ICD-10 yog N20.0. Cov pab pawg no suav nrog cov kab mob nrog rau qhov pom ntawm pob zeb hauv lub raum.
Symptomatics
Cov tsos mob thiab kev kho mob urinary diathesis nyob ntawm theem ntawm pathology. Thaum ntxov, uricemia feem ntau tsis ua rau tus neeg tsis xis nyob. Tus neeg mob tsis txawm xav tias nws muaj teeb meem hauv excretory system. Feem ntau, diathesis raug tshawb pom los ntawm lub sijhawm thaum kuaj cov zis.
Pathology ua rau nws tus kheej hnov tsuas yog thaum muaj ntsev ntau hauv ob lub raum. Harbiners ntawm tus mob theem mob tshwm sim: xeev siab, raws plab, chim siab, tsis qab los noj mov. Tom qab ntawd thawj cov tsos mob ntawm urinary diathesis tshwm sim:
- mob hauv cheeb tsam lumbar thiab qis plab;
- tso zis ntau zaus nrog kub hnyiab;
- txo cov zis tawm;
- pom cov ntshav impurities hauv cov zis;
- fever.
Ntau zaus, cov neeg mob ua yuam kev cov tsos mob no rau cov tsos mob ntawm cystitis lossis urethritis. Nws muaj peev xwm sib txawv uricuria los ntawm inflammatory pathologies ntawm lub excretory kab mob tsuas yog nrog kev pab los ntawm kev sim kuaj.
Yog tias tsis muaj kev kho nyob rau theem no, cov ntsev deposits crystallize. Cov neeg mob tsim cov tsos mob tshiab ntawm urinary diathesis:
- o ntawm lub ntsej muag thiab qis extremities;
- ntshav siab;
- mob taub hau;
- chim siab thiab nquag hloov siab;
- thirst;
- nausea;
- tshwm sim ntawm acetone ua pa tsw tsw.
Cov tsos mob zoo li no qhia tias muaj kev qaug dab peg ntawm lub cev thiab muaj kev cuam tshuam hauv cov metabolism hauv cov ntsev thiab dej.
Cov tsos mob thiab kev kho mob urinary diathesis ntawm cov poj niam thiab txiv neej yog tib yam. Txawm li cas los xij, cov neeg mob tuaj yeem coj qhov tshwm sim thawj zaug ntawm uricuria rau cov tsos mob ntawm gynecological pathology. Tom qab tag nrho, cov kab mob inflammatory ntawm cov poj niam ntawm qhov chaw mos cov kab mob kuj yog nrog los ntawm qhov mob nyob rau hauv lub plab mog thiab sab nraub qaum. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem kuaj qhov sib txawv, yog li kev mus ntsib kws kho mob yuav tsum tsis txhob ncua.
Ntawm ntawm pathology hauv menyuam yaus
Uricuria nyob rau hauv cov menyuam yaus feem ntau yog congenital. Nws yog txuam nrog kev txawv txav ntawm caj ces hauv cov qauv ntawm lub raum. Tsis tas li ntawd, tus kab mob no feem ntau pom thaum puberty. Qhov ua rau pathology hauv cov tub ntxhais hluas feem ntau yog kev tsis txaus noj nrog cov protein ntau hauv kev noj haus.
Cov tsos mob thiab kev kho mob urinary diathesis hauv tus menyuam yog tib yam lihauv cov neeg laus. Txawm li cas los xij, thaum yau, cov cim qhia ntawm lub raum puas feem ntau ua ke nrog cov tsos mob neuropsychiatric:
Nyob zoo ib tsoom phooj ywg;
Cov me nyuam mob qeeb hauv kev loj hlob, lawv nyuaj rau kev kawm. Tus me nyuam muaj qhov hnyav thiab qhov hnyav tsis tsim nyog.
Ntau tus neeg laus ntseeg tias diathesis ib txwm nrog pob khaus thiab khaus. Txawm li cas los xij, qhov no yog kev xav yuam kev. Lub sij hawm "diathesis" yog hais txog ib pawg loj ntawm pathologies. Cov pob khaus tawv nqaij yog cov yam ntxwv ntawm kev ua xua thiab hemorrhagic daim ntawv ntawm tus kab mob. Uricuria tsis yog nrog pob khaus. Tus kab mob no tsis tuaj yeem txheeb xyuas los ntawm kev tshwm sim ntawm daim tawv nqaij.
Muaj feem cuam tshuam
Y Usinary diathesis yog ib qho kev phom sij txaus ntshai. Yog tsis muaj kev kho mob, tus kab mob no tuaj yeem ua rau muaj teeb meem hauv qab no:
- Gout. Tus kab mob yog nrog los ntawm tsub zuj zuj ntawm uric acid ntsev nyob rau hauv cov ntaub so ntswg. Cov tshuaj no muaj kev cuam tshuam tsis zoo rau lub cev musculoskeletal. Ib tug neeg muaj mob hnyav hauv pob qij txha. Qhov teeb meem no tshwm sim hauv 10% ntawm cov neeg mob.
- YUrolithiasis. Nyob rau tib lub sij hawm, ntsev deposits nyob rau hauv lub raum undergo crystallization, thiab pob zeb tsim nyob rau hauv lub excretory kabmob. Thaum lub calculus dhau los ntawm lub ureter, ib qho kev tawm tsam ntawm lub raum colic tshwm sim. Tus neeg mob tsim qhov mob tsis txaus ntseeg, uas tsis tuaj yeem daws tau los ntawm kev noj cov tshuaj analgesics. Tus mob no yuav tsum tau mus pw hauv tsev kho mob tam sim, thiab qee zaumphais.
Diagnosis
Urinary diathesis yog qhov nyuaj heev los kuaj pom thaum ntxov. Cov neeg mob tsis tshua mus ntsib kws kho mob thaum ntxov, vim tias tus kab mob kis mus yam tsis muaj tsos mob hnyav.
Tus kws kho mob urologist lossis nephrologist cuam tshuam nrog kev kuaj mob ntawm cov kab mob no. Nws yog ib qho tseem ceeb heev kom paub qhov txawv diathesis los ntawm cov kab mob inflammatory ntawm cov kab mob urinary. Cov neeg mob tau teem sijhawm rau kev kuaj hauv qab no:
- clinical urinalysis;
- xeem los ntawm Zimnitsky thiab Nechiporenko;
- kuaj ntshav rau biochemical tsis thiab pH;
- kuaj zis rau cov kab mob;
- Ultrasound ntawm lub raum;
- urography nrog qhov sib txawv nruab nrab.
Kev kho mob
Kev kho cov zis diathesis yog txhawm rau txo cov concentration ntawm uric acid hauv lub cev. Ua ntej tshaj plaws, cov tshuaj tau sau tseg uas txo cov khoom ntawm cov khoom sib xyaw no. Cov no suav nrog:
- "Allopurinol".
- "Soluran".
- Y"Urocyte".
- "Blemarin".
Cov neeg mob kuj tau pom cov tshuaj uas pab tshem cov ntsev ntawm lub cev:
Y "Phytolysin".
Koj tuaj yeem pom ntau cov lus pom zoo los ntawm cov neeg mob txog tee "Nefrodez". Nws yog tshuaj ntsuab uas tsis muaj mob. Nws muaj cov nyhuv anti-inflammatory thiab diuretic. Phytopreparation sai tshem cov ntsev tawm ntawm lub cev thiab tiv thaiv cov teeb meem.
Ntau dhau uric acid muaj tshuaj lom rau lub cev. Yog li, cov neeg mob raug pom zoo kom noj Enterosgel sorbent. Txhawm rau kom normalize cov txheej txheem metabolic, cov tshuaj multivitamin complexes tau sau.
Yog tias tus neeg mob kuaj pom muaj pob zeb hauv lub raum, ces cov tshuaj raug qhia los pab tshem pob zeb:
Y "Phytolysin".
Noj cov tshuaj no rau pob zeb me xwb. Yog hais tias tus neeg mob muaj calculi loj, ces kev siv cov nyiaj no yog categorically contraindicated. Txwv tsis pub, tus neeg mob yuav muaj mob hnyav ntawm lub raum colic. Pob zeb loj tsuas yog tshem tawm los ntawm kev phais.
Yog tias tus neeg mob mob gout, ces cov tshuaj "Colchicine" qhia. Nov yog tshuaj ntsuab uas pab txo qhov mob pob qij txha.
Cov ntsiab lus ntawm kev noj haus
Kev kho tau zoo yog ua tsis tau yam tsis muaj kev noj haus. Tom qab tag nrho, cov ntsev yog tsim nyob rau hauv ib qho kev nce ntxiv nrog rau ntau tshaj ntawm cov proteins nyob rau hauv kev noj haus thiab haus dej tsawg. Nws yog ib qho tsim nyog yuav tsum ua raws li cov cai ntawm kev kho mob khoom noj khoom haus nruj me ntsis.
Cov khoom hauv qab no yuav tsum raug cais tawm ntawm cov ntawv qhia zaub mov:
- fatty meats;
- ntses ntses;
- nqaij qaib broth;
- sausages, frankfurters thiab wieners;
- smoked nqaij;
- chocolate;
- -pickles thiab marinades;
- strong tshuaj yej;
- cocoa;
- coffee.
Kev txwv tsis pub muaj protein ntau hauv cov zaub mov tsis tau txhais hais tias tus neeg mob yuav tsum tso tseg cov nqaij thiab ntses tag nrho. Kev noj zaub mov tsis tsim nyog rau txhua tus, thiab hom kev noj zaub mov no yog contraindicated rau cov menyuam yaus. Tom qab tag nrho, lub cev loj hlob xav tau cov proteins. Yog li ntawd, nws raug tso cai haus cov nqaij ntshiv thiab ntses nyob rau hauv boiled los yog ci daim ntawv.
Nqaij thiab ntses tsuas noj tau me me xwb. Lub hauv paus ntawm kev noj haus yuav tsum yog cov khoom noj siv mis thiab zaub:
- qos yaj ywm (tshwj xeeb yog ntau yam qab zib);
- pumpkin;
- carrot;
- zaub qhwv;
- txiv hmab txiv ntoo tshiab thiab txiv hmab txiv ntoo qhuav;
- zaub xam lav los ntawm cov zaub tshiab thiab pickled;
- txhua yam cereals thiab pasta;
- miv;
- ryazhenka;
- cream;
- kefir;
- mis nyuj, qaub cream lossis zaub kua zaub;
- khob cij dawb;
- cookies.
Nws yog ib qho tseem ceeb heev uas yuav tsum tau haus tsawg kawg 2.5 litres dej ib hnub twg. Qhov no yuav pab kom tshem tawm cov ntsev tawm ntawm lub cev thiab txo qhov ntom ntawm cov zis. Nws raug nquahu kom haus dej haus txiv hmab txiv ntoo los ntawm berries, freshly squeezed kua txiv, raws li zoo raws li qhuav txiv hmab txiv ntoo compotes. Cov dej cawv raug txwv nruj, vim cawv ua rau lub cev qhuav dej.
tshuaj ntsuab
Kev kho neeg pej xeem tuaj yeem siv los ua ib txoj hauv kev kho mob ntxiv. Tsuas yog tus kws kho mob tuaj yeem xaiv cov nroj tsuag tshuaj uas tsim nyog tshaj plaws. Cov neeg mob tau pom tias noj decoctions thiabinfusions ntawm tshuaj ntsuab nrog diuretic thiab anti-inflammatory kev txiav txim. Nws yog ib qho tseem ceeb kom nco ntsoov tias tshuaj ntsuab diuretics yog nruj me ntsis contraindicated nyob rau hauv lub xub ntiag ntawm pob zeb.
Koj tuaj yeem siv cov zaub mov hauv qab no:
- Dill noob. Koj yuav tsum noj 1 tablespoon ntawm zaub raw cov ntaub ntawv, ncuav ib khob ntawm boiling dej thiab insist rau 1 teev. Cov muaj pes tsawg leeg yog noj 1 tablespoon peb zaug ib hnub twg.
- Nkauj hmoob kho siab (nkauj kho siab). Ib tablespoon ntawm nplooj ntawm cov nroj tsuag yog poured rau hauv ib khob ntawm boiled dej sov. Cov muaj pes tsawg leeg yog rhuab rau 25 feeb ntawm ib chav da dej, ces txias thiab lim. Cov decoction yog noj 150 ml tom qab noj mov.
- Cowberry nplooj. 20 g ntawm qhuav raw cov ntaub ntawv yog poured rau hauv ib khob ntawm boiling dej. Cov muaj pes tsawg leeg yog insisted rau 30 feeb thiab noj nyob rau hauv ib tug tablespoon peb zaug ib hnub twg.
Uricuria tuaj yeem ua rau muaj kev txhim kho ntawm cov txheej txheem inflammatory hauv cov kab mob excretory. Nrog rau cov teeb meem zoo li no, kev noj raum tshuaj yej yog qhia. Npaj-ua sau cov tshuaj ntsuab tuaj yeem yuav ntawm cov khw muag tshuaj.
Cov neeg mob tawm tswv yim zoo txog kev kho uricuria nrog tshuaj ntsuab. Kev siv tshuaj yej thiab decoctions raws li lingonberry nplooj thiab dill noob pab kom sai sai tshem tawm ntsev ntawm lub cev. Kev ua tau zoo ntawm cov tshuaj ntsuab tau raug lees paub los ntawm cov txiaj ntsig ntawm kev kuaj sim. Nyob rau tib lub sijhawm, cov ntawv ceeb toom qhia tias kev kho tshuaj ntsuab yuav tsum tau ua ke nrog tshuaj thiab noj zaub mov.
Huab cua
Nrog kev kuaj mob raws sijhawm thiab kev kho mob, qhov kev cia siab ntawm tus kab mob yog qhov zoo. Txawm li cas los xij, txawm tias tom qab tshem tag nrho cov ntsev, tus neeg mob tseem pheej ua rau uricuria. Lub raum tso nyiaj tuaj yeem rov tshwm sim. Yog li ntawd, cov neeg mob no yuav tsum tau mus ntsib kws kho mob urologist tsawg kawg ib xyoos ib zaug.
Yog tias cov kab mob cuam tshuam los ntawm urolithiasis, kev saib xyuas kev kho mob tsis yog ib txwm ua tau zoo. Feem ntau, kev phais tshem tawm ntawm pob zeb yog tsim nyog. Qhov kev mob tshwm sim hnyav zuj zus yog tias tus neeg mob ua rau lub raum tsis ua haujlwm ntev.
Kev Tiv Thaiv
Yuav tiv thaiv uricuria li cas? Nephrologists qhia ua raws li cov lus qhia no:
- haus dej txaus ib hnub (tsawg kawg 2 litres);
- tsis txhob tsim txom cov nqaij rog, ntses thiab nqaij haus;
- ua kom koj cov zaub mov muaj vitamin noj;
- zam kev yoo mov thiab txwv kev noj zaub mov ntau dhau;
- kho lub sijhawm kho cov kab mob ntawm lub plab zom mov;
- ua urinalysis tsis tu ncua;
- nrog cov kev xav tau los tsim cov ntsev, mus ntsib kws kho mob urologist tsawg kawg ib xyoos ib zaug.
Cov kev ntsuas no yuav pab kom tsis txhob muaj ntsev ntau ntxiv thiab pom cov pob zeb hauv cov plab hnyuv siab raum.
