Oxalates hauv cov zis ntawm cov neeg noj qab haus huv tuaj yeem pom tsuas yog hauv qhov me me xwb. Kev nce hauv cov ntsev no feem ntau qhia tias tsis muaj zaub mov noj, vim lawv nkag mus rau hauv lub cev nrog zaub mov. Tsawg dua, oxalaturia yog tshwm sim los ntawm plab hnyuv pathologies, beriberi lossis hypervitaminosis thiab lwm yam kab mob. Yog hais tias qhov nce hauv oxalate pom nyob rau hauv kev tsom xam cov zis, ces qhov no yog ib qho harbinger ntawm urolithiasis. Cov ntsev ntau dhau tuaj yeem ua rau muaj kev cuam tshuam ntawm lub raum colic. Yog hais tias oxalate pob zeb twb tsim nyob rau hauv lub raum, ces nws yog ib qho nyuaj heev kom tshem tau ntawm lawv. Cov deposits no tsis yog amenable rau dissolution thiab fragmentation. Yog li ntawd, oxalaturia yuav tsum tau kho ntxov, ua ntej nws tau mus rau urolithiasis hnyav.
Dab tsi yog oxalates
Oxalate crystals hauv cov zis yog cov ntsev ntawm oxalic acid uas nkag mus rau hauv plab hnyuv los ntawm cov zaub mov. Tom qab ntawd hauv lub cev, cov tshuaj no cuam tshuam nrog calcium. mus rautshuaj binding cov tshuaj tiv thaiv. Yog li ntawd, cov ntsev tau tsim - calcium oxalates lossis calcium oxalate.
Yog tias ntsev (oxalates) hauv cov zis tau pom nyob rau hauv qhov nce ntxiv rau lub sijhawm ntev, tom qab ntawd dhau sijhawm lawv hloov mus ua pob zeb. Cov no yog qhov txaus ntshai heev tsim nyob rau hauv lub raum. Oxalate pob zeb muaj qhov ntxhib ntxhib ntxhib ntxhib los mos thiab ntau lub ntsej muag ntse ntawm qhov chaw. Lawv tuaj yeem ua rau mob hnyav rau lub raum epithelium, uas ua rau pom cov ntshav hauv cov zis. Yog li ntawd, yog tias qhov kev tshuaj ntsuam pom tias muaj cov oxalates nce ntxiv, ces koj yuav tsum tau tshuaj xyuas koj cov zaub mov thiab kho nrog urologist.
Txoj kev tsom xam thiab cov qauv
Cov ntsev no tuaj yeem kuaj tau los ntawm kev kuaj zis niaj hnub. Lawv raug txiav txim los ntawm kev kuaj xyuas microscopic ntawm cov zis sediment. Cov qauv ntawm oxalates nyob rau hauv cov zis nyob rau hauv ib tug neeg laus yog los ntawm 0 mus rau 40 mg, thiab nyob rau hauv ib tug me nyuam - los ntawm 1 mus rau 1.5 mg. Yog tias cov ntsev ntau dhau ntawm cov kev txwv no, peb tuaj yeem tham txog oxalaturia. Txawm li cas los xij, urologists ntseeg tias oxalate ntau dua 25 mg twb ua rau muaj kev pheej hmoo ntawm urolithiasis.
Hauv kev txiav txim siab kuaj zis rau oxalates, qhov ntsuas ib txwm muaj ntawm cov ntsev no tuaj yeem qhia tau raws li hauv qab no:
- mus txog 40 mg hauv 1 liter;
- me me lossis nruab nrab;
- ob hla "++".
Nyob rau tib lub sijhawm, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo saib rau lwm qhov ntsuas ntawm kev tshuaj ntsuam: tus lej ntawm leukocytes, muaj protein ntau, urates thiab phosphates. Lub acidity (pH) ntawm cov zis yuav tsum tau txiav txim siab. NtawmpH theem ntawm 5 mus rau 7 units oxalaturia feem ntau tsis pom. Yog hais tias cov zis muaj ntau alkalinity los yog acidity, ces oxalic acid ntsev precipitate. Hauv qhov no, muaj qhov nce hauv oxalates.
Ua rau muaj oxalate siab
Qhov laj thawj tseem ceeb ntawm calcium oxalate hauv cov zis yog qhov tsis txaus. Feem ntau qhov no yog vim kev noj ntau dhau ntawm cov khoom uas muaj oxalic acid. Cov no suav nrog:
- nplooj qoob loo (sorrel, asparagus, spinach, lettuce);
- txiv lws suav;
- citrus txiv hmab txiv ntoo;
- beets;
- legumes;
- berries;
- qos;
- beets.
Kev noj ntau dhau ntawm tshuaj yej, kas fes, qhob noom xim kasfes ua rau nce qib ntawm oxalic acid ntsev. Tsis tas li, magnesium deficiency hauv lub cev, vitamin B6 tsis txaus, ntau ascorbic acid tuaj yeem ua rau oxalaturia.
Txawm li cas los xij, qhov ua rau nce oxalates tsis yog ib txwm muaj zaub mov tsis txaus. Cov kab mob hauv qab no tuaj yeem ua rau muaj qhov sib txawv:
- Kab mob ntawm txoj hnyuv. Cov kab mob xws li Crohn's kab mob, ulcerative colitis, dysbacteriosis, ua rau lub fact tias oxalates tsis zoo lim nyob rau hauv lub plab zom mov thiab accumulates.
- Mob ntshav qab zib thiab gallstones. Cov kab mob no tau nrog los ntawm cov kab mob metabolic, uas ua rau oxalaturia.
- Ethylene glycol lom. Thaum cov khoom no tau ua tiav hauv lub cev, oxalic acid raug tso tawm, qhov no ua rau muaj ntau ntxivoxalates hauv zis.
- YPrimary hyperoxaluria. Qhov no yog kab mob caj ces uas ib tus neeg muaj qhov tsis txaus ntawm cov enzymes uas yaj cov ntsev ntawm oxalic acid.
- Ntau cov calcium. Qhov ntau dhau ntawm cov khoom no ua rau muaj kev nce hauv oxalates.
Koj tuaj yeem txheeb xyuas cov xwm txheej tsis zoo uas ua rau muaj kev cuam tshuam ntawm oxalaturia. Qhov no yog lub cev qhuav dej, tawm hws ntau ntxiv, nyob hauv huab cua kub thiab ntub dej, haus dej nrog ntau cov ntxhia ntsev. Tawm tsam keeb kwm ntawm kev noj zaub mov tsis txaus, qhov no tuaj yeem ua rau muaj kev loj hlob sai ntawm oxalaturia rau hauv urolithiasis.
Oxalaturia hauv menyuam yaus
Oxalates hauv cov zis ntawm tus menyuam hnub nyoog qis dua 1 xyoos feem ntau pom muaj qhov txawv txav ntawm caj ces. Qhov ua rau ntawm cov kab mob pathology tuaj yeem yog kev tsis sib haum xeeb hauv lub cev (piv txwv li hyperoxaluria). Nrog rau tus kab mob no, tus me nyuam muaj qhov sib txawv loj hauv cov metabolism. Tus kab mob no zuj zus thiab ua rau cov calcium deposition hauv ob lub raum thiab tsim cov pob zeb. Lub raum thiab vascular insufficiency thiab pob txha fragility tau sau tseg.
Ntxiv rau, lwm yam kab mob caj ces, malabsorption syndrome, tuaj yeem ua rau oxalates hauv cov zis thiab cov menyuam mos. Nrog rau tus kab mob no, cov txheej txheem nqus hauv plab hnyuv cuam tshuam, vim qhov no, calcium oxalate accumulates hauv lub cev. Oxalaturia kuj tau sau tseg nyob rau hauv congenital disorders ntawm lub anatomical qauv ntawm cov hnyuv me.
Hauv cov menyuam yaus hnub nyoog qis dua 6 xyoos, oxalaturia yog tsim los ntawm kev noj zaub mov tsis txaus, thiab nws tuaj yeem ua rau muaj kev cuam tshuam tib yam li cov neeg laus (mob ntshav qab zib, kab mob hauv plab, thiab lwm yam).e.)
Oxalaturia hauv cov poj niam cev xeeb tub
Oxalates hauv cov zis thaum cev xeeb tub yog tsawg. Feem ntau, thaum cev xeeb tub, tus nqi ntawm oxalic acid ntsev hauv lub cev raug txo. Txawm li cas los xij, muaj cov mob oxalaturia hauv cov poj niam cev xeeb tub. Cov hauv qab no tuaj yeem ua rau muaj kev ua txhaum cai no:
- Limited kua. Feem ntau cov poj niam cev xeeb tub raug kev txom nyem los ntawm edema. Vim li no, cov poj niam sim haus dej tsawg li tsawg tau. Txawm li cas los xij, tsis muaj dej tuaj yeem ua rau muaj oxalate hauv cov zis.
- Kev noj haus tsis raug. Thaum cev xeeb tub, cov poj niam sim noj zaub thiab txiv hmab txiv ntoo kom ntau li ntau tau thiaj li ua kom lub cev muaj cov vitamins. Txawm li cas los xij, ntau dhau ntawm cov zaub mov no tuaj yeem tsim teeb meem. Qee hom zaub mov cog muaj nplua nuj nyob hauv oxalic acid. Ntau cov txiv hmab txiv ntoo citrus, txiv hmab txiv ntoo, apricots thiab plums hauv kev noj haus tuaj yeem ua rau oxalaturia.
Ntxiv rau, cov kab mob inflammatory ntawm ob lub raum thiab zais zis tuaj yeem ua rau muaj qhov tsis xws luag hauv cov poj niam cev xeeb tub.
Oxalates thiab urates
Hauv cov ntawv sau tseg ntawm kev tshuaj ntsuam, qhov nce ntxiv ntawm urates thiab oxalates hauv cov zis yuav raug qhia. Cov txiaj ntsig no txhais li cas? Urates yog ntsev ntawm uric acid. Ua ke nrog oxalates, cov tebchaw no tau tawm hauv qhov ntau, feem ntau nrog kev noj zaub mov tsis txaus. Qhov no tshwm sim yog tias tus neeg mob noj zaub mov muaj protein ntau dhau. Lwm qhov laj thawj rau qib siab ntawm urates thiab oxalates tuaj yeem yog zaub mov nplua nuj hauv purines. Cov no yog cov khoom lag luam, poov xab, ntses thiab nqaij nruab deg, cocoa, chocolate.
Dhau li ntawm no, yog vim li casKev nce ntxiv ntawm oxalates thiab urates yog lub cev qhuav dej. Qhov no feem ntau tau sau tseg hauv pathologies nrog ntuav thiab raws plab. Qib ntsev ntawm uric thiab oxalic acid nce nrog rau mob raum thiab gout.
Oxalaturia thiab protein
Protein thiab oxalates hauv cov zis tuaj yeem tshwm sim tom qab lub cev ua haujlwm dhau thiab hypothermia ntawm kev tshawb fawb tso zis. Ib qho txiaj ntsig zoo sib xws ntawm kev tshuaj ntsuam kuj tseem tuaj yeem ua rau kis kab mob: kab mob siab, kub taub hau, osteomyelitis. Yog tias cov protein nrog oxalates tau sau tseg hauv cov poj niam cev xeeb tub, qhov no feem ntau cuam tshuam nrog gestational nephropathy.
Oxalates thiab leukocytes
Ntau zaus, cov neeg mob tau nce leukocytes thiab oxalates hauv cov zis. Nws txhais li cas? Feem ntau, cov ntsuas no qhia txog cov kab mob ntawm cov kab mob excretory. Qhov no tej zaum yuav yog ib qho cim ntawm pyelonephritis, cystitis, urethritis. Leukocytes thiab oxalates kuj nce ntxiv hauv qhov mob ntawm qhov chaw mos. Nyob rau tib lub sijhawm, hnoos qeev pom hauv cov zis.
Oxalates thiab Phosphaturia
Phosphaturia yog qhov tso tawm ntawm phosphate compounds ntawm magnesium, calcium los yog txiv qaub nrog rau cov zis. Feem ntau muaj ntau cov phosphates thiab oxalates hauv cov zis. Cov txiaj ntsig kev txheeb xyuas no txhais li cas? Feem ntau, qhov no qhia txog kev tsim txom ntawm cov khoom noj xws li cov ntses hiav txwv, cov khoom noj siv mis, buckwheat thiab oatmeal tais diav. Cov zaub mov no nplua nuj nyob hauv phosphorus.
Qhov muaj cov phosphates thiab oxalates siab hauv cov zis kuj tuaj yeem ua rau pom cov kab mob ntawm cov qog parathyroid, ntshav qab zib mellitus, leukemia thiab qee cov kab mob ntawm lub hlwb. Oxalaturia ua ke nrogphosphaturia hauv cov menyuam yaus hnub nyoog qis dua 5 - 6 xyoo feem ntau cuam tshuam nrog kev tsis muaj vitamin D (rickets).
Cov cim qhia ntawm pathology
Nyob rau theem pib ntawm pathology, muaj oxalates hauv cov zis tsis cuam tshuam rau kev noj qab haus huv ntawm tib neeg. Nrog kev nce me ntsis hauv calcium oxalate, qhov teeb meem no yog asymptomatic.
Txawm tias nyob rau theem ntawm urolithiasis, pathology tsis tas yuav ua rau nws tus kheej hnov. Kev tshwm sim ntawm tus kab mob tshwm sim thaum cov pob zeb ntse oxalate nyob hauv cov zis. Nws yog tus yam ntxwv los ntawm cov tsos mob hauv qab no:
- mob hnyav hauv lub lumbar thiab sab (lub raum colic);
- mob plab plab;
- mob thiab tso zis ntau zaus;
- xim cov zis liab liab, liab lossis liab vim ntshav impurities;
- xeev siab thiab ntuav;
- daim tawv muag o tom qab sawv;
- fever, txias.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tus mob no txaus ntshai. Yog tias cov ntshav tshwm nyob rau hauv cov zis thiab tawm tsam ntawm lub raum colic, koj yuav tsum ceev nrooj nrhiav kev pab kho mob.
Kev kho mob
Nyob rau hauv rooj plaub ntawm oxalaturia, cov tshuaj uas muaj vitamin B6 thiab magnesium yog tshuaj: "Pyridoxine hydrochloride", "Asparkam", "Magne B6". Cov tshuaj no pab tshem tawm oxalate ntsev. Thaum lub sijhawm kho, koj yuav tsum tau saib xyuas qib ntawm hemoglobin, vim tias magnesium tuaj yeem cuam tshuam cov ntsiab lus hlau hauv lub cev.
Txhawm rau kom tshem tawm cov ntsev, lawv kuj tau sivDiuretic tshuaj ntsuab npaj: Urolesan, Uriflorin, Canephron, Phytolysin.
Txhawm rau tiv thaiv kev tsim cov pob zeb, cov tshuaj "Cholestyramine" raug sau tseg. Nws txo qhov nqus ntawm oxalates thiab rhuav tshem cov deposits uas twb muaj lawm.
Nws siv sijhawm ntev los noj tshuaj, vim oxalates nyuaj rau yaj thiab tso tawm.
Kev noj haus
Kev kho tshuaj yuav tsum tau ntxiv los ntawm kev ua raws li kev noj haus nruj. Yog tsis muaj kev noj zaub mov zoo, nws tsis tuaj yeem ua tiav cov txiaj ntsig ntawm kev kho. Cov zaub mov hauv qab no siab oxalic acid yuav tsum zam:
- Npau suav teb: zaub qhwv, zaub xas lav, zaub qhwv, asparagus, spinach, rhubarb, parsnips.
- Qee zaub qoob loo: qos yaj ywm, eggplants, txiv lws suav, beets.
- Cov txiv hmab txiv ntoo uas muaj oxalic acid: citrus txiv hmab txiv ntoo, apricots, plums.
- Red berries: strawberries, raspberries, currants.
- kas fes, cocoa thiab chocolate.
Tseem txwv cov tsiaj protein, cov tshuaj no muaj kev cuam tshuam tsis zoo rau cov zis muaj pes tsawg leeg. Yog tias oxalaturia cuam tshuam nrog cov kab mob hauv plab, ces koj yuav tsum noj cov zaub mov muaj roj tsawg li sai tau.
Tib lub sijhawm, kev noj zaub mov yuav tsum muaj cov tais diav uas muaj vitamin B6 thiab magnesium: wholemeal qhob cij, bran, txiv ntseej, cereals, parsley.
Calcium hauv cov zaub mov yuav tsum tsis txhob txwv, nws tuaj yeem ua rau cov pob txha nkig. Cov khoom no tsis cuam tshuam rau kev tsim cov oxalates. Yog li ntawd, mis nyuj, kefir,yogurt thiab tsev cheese tsis contraindicated.
Hnub ib hnub koj yuav tsum haus dej ntawm 2.5 mus rau 3 litres kua. Qhov no yuav pab tshem tawm cov ntsev. Nws yog qhov tsim nyog los siv cov dej ntxhia: "Truskavetskaya", "Donat Magnesium", "Essentuki", "Borjomi"
Kev Tiv Thaiv
Txhawm rau tiv thaiv oxalaturia, koj yuav tsum noj kom raug. Nplooj, txiv hmab txiv ntoo thiab berries yog tsim nyog raws li lawv saturate peb lub cev nrog cov vitamins. Txawm li cas los xij, cov zaub mov noj qab haus huv no yuav tsum tau noj kom tsawg kom tsis txhob muaj teeb meem rau lub raum.
Koj yuav tsum sim txav ntau thiab haus dej kom txaus (tsawg kawg 1.5 litres ib hnub). Qhov no yuav pab tshem tawm tag nrho cov ntsev thiab cov khoom tso tawm hauv lub cev.
Yog tias ib tus neeg twb muaj cov oxalates ntau ntxiv, ces nws yuav tsum tau mus ntsib kws kho mob tsis tu ncua thiab kuaj. Cov neeg mob zoo li no yuav raug soj ntsuam dynamic. Kev saib xyuas kev kho mob tas li yuav pab kom tsis txhob kis tus kab mob thiab kev loj hlob ntawm urolithiasis.
