Urolithiasis yog mob, mob. Lawv raug kev txom nyem los ntawm ntau tus neeg uas tab tom nrhiav txoj hauv kev kom tshem tawm qhov teeb meem no. Ib txoj hauv kev los pab lub cev nrog nws yog nrog citrate sib tov. Hais txog nws yog dab tsi, cov tshuaj no ua haujlwm li cas, qhov twg koj tuaj yeem yuav lawv lossis ua noj koj tus kheej hauv tsev, thiab piav qhia ntxiv.
pob zeb hauv cov zis
Urolithiasis yog tshwm sim los ntawm cov pob zeb hauv cov kabmob uas koom nrog hauv cov txheej txheem tsim thiab tso zis. Txog niaj hnub no, cov kws tshawb fawb kho mob tsis tuaj yeem hais meej tias yog vim li cas ib tug neeg pib tsim pob zeb hauv lub raum thiab zais zis, uas nyob rau hauv lub neej niaj hnub hu ua pob zeb. Nws yog assumed tias qhov no yog tag nrho cov complex ntawm causal kev sib raug zoo:
- ua txhaum ntawm phosphorus-calcium metabolism;
- cuam tshuam hauv kev ua haujlwm ntawm plab hnyuv;
- kev ua neej nyob;
- dehydration;
- siab acid tso zis;
- khoom noj tshwj xeeb;
- tsis muaj vitamin A thiab B vitamins;
- noj qee yam tshuaj;
- kev ua haujlwm tshwj xeeb cuam tshuam rau cov txheej txheem metabolic.
Txhua yam no muaj kev cuam tshuam, lawv ua haujlwm ua ke los hloov cov zis muaj pes tsawg leeg, tsis muaj peev xwm ntawm lub cev kom tshem tawm cov tshuaj tsis tsim nyog, lawv stagnation thiab sib sau ua ke nrog tsim cov pob zeb sib txawv.
pob zeb thiab tshuaj
Rau ntau tus neeg zoo tib yam, nyob deb ntawm cov tshuaj thiab tsis ntsib urolithiasis, pob zeb raum, pob zeb hauv lub zais zis yog ib yam dab tsi uas tsis tuaj yeem pom hauv lub cev, cuam tshuam rau lawv txoj kev ua neej ib txwm muaj. Tab sis nws hloov tawm hais tias xws li formations yuav txawv:
- carbonates, oxalates, phosphates, uas yog, inorganic compounds - hom pob zeb ntau tshaj plaws hauv urolithiasis;
- magnesium ntsev yog lub hauv paus ntawm pob zeb hauv 5-10% ntawm tus neeg mob;
- kwv yees 15% ntawm cov neeg mob raug kev txom nyem los ntawm kev tso nyiaj ntawm uric acid derivatives;
- Cov pob zeb Proteic muaj nyob hauv tsawg dua 1% ntawm cov neeg mob kuaj mob urolithiasis;
- txwv tsis pub, pob zeb hauv lub tso zis yog ib qho xwm txheej.
txhawm rau txheeb xyuas cov pob zeb hauv cov zis, txawm tias cov uas tsis muab duab ntxoov ntxoo rau kev kuaj x-ray, qhov sib piv ntawm excretory urography pab. Lub xub ntiag ntawm calculi kuj tau kuaj pom zoo siv ultrasound diagnostics. Tom qab kuaj pom, tus neeg mob tau pom zoo kho mob nyob ntawm cov txiaj ntsig tau txais.soj ntsuam cov txiaj ntsig. Qee qhov xwm txheej, kev phais yog qhia, tab sis tam sim no, kev lag luam kws kho mob tsim cov kev npaj tshwj xeeb uas pab yaj thiab tshem cov pob zeb los ntawm cov zis. Daim ntawv tshuaj rau citrate sib xyaw hauv Latin tsis tas yuav tsum yuav tshuaj ntawm lub tsev muag tshuaj, vim tias cov tshuaj no raug muag hauv lub txee ntawm tus neeg yuav khoom.
Mechanism of citrates
Ntau qhov kev npaj nrov rau kev tawm tsam urolithiasis muaj nyob rau hauv lawv cov muaj pes tsawg leeg xws li cov khoom xyaw nquag xws li citrate sib tov. Cov lus qhia rau kev siv cov tshuaj no yuav tsum muaj tag nrho cov ntaub ntawv ntsig txog kev kho mob nrog cov tshuaj no. Vim li cas citrates ua lub hauv paus rau ntau yam tshuaj uas pab tshem tawm pob zeb hauv cov zis? Los ntawm lawv tus kheej, cov tshuaj sib xyaw no yog cov ntsev ntawm citric acid. Ib zaug nyob rau hauv tib neeg lub cev, lawv sai sai absorbed rau hauv cov ntshav. Lub bioavailability ntawm citrate sib tov yog yuav luag 100%. Nws lub luag haujlwm yog kom yaj thiab tiv thaiv kev tsim cov pob zeb uric acid vim qhov normalization ntawm cov zis acidity, uas yog pH 6, 6-6, 8. rov tshwm sim ntawm lawv tsim. Tsis tas li ntawd, cov citrate sib tov txo qis cov calcium uas tso tawm, tiv thaiv kev tsim cov oxalates hauv cov zis.
normalization ntawm qib acidity ntawm cov kua roj lom, nrog kev pab los ntawm ntau cov khoom tsis tsim nyog raug tshem tawm ntawm lub cev, muaj txiaj ntsig zoo rau kev ua haujlwm ntawm yuav luag txhua lub cev thiabtshuab. Cov citrate sib xyaw ua tshuaj yog siv rau hauv kev kho mob nephrolithiasis thiab raug tshuaj los ntawm tus kws kho mob tshwj xeeb raws li cov txiaj ntsig ntawm kev tshuaj xyuas.
Tshuaj npaj
Kev lag luam kws tshuaj tsim ntau yam tshuaj uas koom nrog pab pawg tshuaj uas tiv thaiv kev tsim thiab txhawb kev tawg ntawm pob zeb. Cov tshuaj no tuaj yeem ua haujlwm raws li cov khoom siv hauv qab no:
- cov khoom noj tsis zoo, piv txwv li, paj ntawm bicarp stalk, stems ntawm reed saxifrage, rhizomes ntawm satiate membranous;
- biologically active qauv ntawm cov hauv paus chiv keeb, xws li pinene, fenchon, borneol thiab lwm yam;
- citrate sib tov, cov lus qhia rau kev siv uas piav qhia txhua yam ntawm cov tshuaj, thiab qhov no yog citric acid thiab potassium citrate.
Yam tshuaj twg yuav tsum tau xaiv hauv txhua kis, tus kws tshaj lij tshwj xeeb yuav qhia txog cov txiaj ntsig ntawm tus neeg mob qhov kev kuaj mob.
Blemarin
Ib qho ntawm cov tshuaj feem ntau tau sau tseg uas pab tiv thaiv nephrourolithiasis yog Blemaren. Nyob rau hauv nws, lub active ingredient yog ib tug sib tov ntawm citrate. Kev siv tau zoo ntawm cov tshuaj no yog vim alkalinization ntawm cov zis, uas tshwm sim vim kev ua haujlwm ntawm cov khoom sib xyaw:
- citric acid;
- sodium citrate;
- poassium bicarbonate.
Cov tshuaj muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj npaj rau kev npaj ntawm fizzy haus. Hauv ib pob tshuaj ntawm 20cov ntsiav tshuaj, nyob rau hauv ib lub raj yas, cov chaw tsim tshuaj paus tso cov cim strips los tswj cov acidity ntawm cov zis thiab ib tug tswj daim ntawv qhia hnub los kos cov kev tshwm sim ntawm kev kho mob. Qhov ntau npaum ntawm cov tshuaj raug xaiv ib tus zuj zus rau txhua tus neeg mob thiab suav tias yog qhov txaus thaum acidity ntawm cov zis tsis tu ncua nyob rau hauv ib txwm muaj. Cov ntsiav tshuaj yog yaj nyob rau hauv ib khob dej kom txog thaum ib tug effervescent homogeneous haus yog tsim, nws yuav luag pob tshab, txawm hais tias tej zaum yuav muaj ib tug me ntsis sediment.
Soluran thiab Uralit-U
Yuav kom yaj pob zeb hauv cov zis, cov kev npaj "Soluran" thiab "Uralit-U" kuj siv, cov khoom ua haujlwm uas yog citrate sib tov. Cov lus qhia piav qhia txog tib yam ntawm cov tshuaj sib xyaw ua ke rau cov tshuaj "Blemaren". Qhov txawv yog tias cov tshuaj sib tov no muaj nyob rau hauv cov hmoov hmoov. Ntxiv rau qhov ntsuas ntsuas thiab daim ntawv qhia hnub, ib rab diav ntsuas tau suav nrog hauv pob, uas pab ntsuas qhov xav tau ntawm cov tshuaj.
Absolute
Hauv cov khw muag tshuaj, koj tuaj yeem hnov cov lus nug ntawm cov neeg siv khoom txog kev yuav cov tshuaj xws li citrate sib tov "Absolute". Tab sis ib yam khoom nrog lub npe no tsis yog tshuaj thiab tsis muag hauv khw muag tshuaj. Nws yog khoom noj khoom haus additive siv nyob rau hauv zus tau tej cov sausages thiab lwm yam nqaij cov khoom. Yog lawm, nyob rau hauv nws cov muaj pes tsawg leeg nws muaj ib tug khoom noj additive nrog lub Performance index E333, uas yog citric acid, tab sis nws kuj muaj suab thaj thiab lub rooj ntsev. Hauv qee kistib neeg tab tom nrhiav kev siv rau ib yam khoom xws li Absolut citrate sib tov ua cov tshuaj uas pab tiv thaiv kev tsim cov pob zeb hauv cov zis. Tab sis qhov no yog qhov tsis txaus ntseeg kiag li! Tsis txhob pauv koj tus kheej kev noj qab haus huv rau qhov pheej yig ntawm cov khoom tsis zoo.
Txoj kev kho mob
Yuav kom tau txais txiaj ntsig zoo ntawm kev kho citrate, nws yog ib qho tsim nyog yuav tsum ua cov haujlwm hauv qab no ua ntej:
- kev ntsuas ntawm pob zeb microstructural ntom siv helical xam densitometry;
- Kev kawm txog cov kab mob metabolic hauv tus neeg mob cov ntshav thiab zis, cov txiaj ntsig tau tso cai rau ob leeg los sau hom kev kho mob thiab taug qab nws cov txiaj ntsig;
- Kev kawm ntawm theem thiab tshuaj lom neeg muaj pes tsawg leeg ntawm cov pob zeb tso zis siv cov khoom zoo, ntau qhov x-ray theem thiab tshuaj tshuaj ntsuam xyuas;
- tsom xam ntawm cov txiaj ntsig ntawm citrate litholysis hauv vivo thiab hauv vitro thiab kev txiav txim siab ntawm kev kho mob ntxiv, kev tshuaj xyuas ntxiv ntawm citrate npaj.
Kev soj ntsuam thiab kev tshawb fawb tshawb fawb tau pom tias kev kho citrate yog ib txoj hauv kev zoo los tiv thaiv kev rov ua dua ntawm calcium oxalate pob zeb tsim. Tsis tas li ntawd, kev tiv thaiv ntawm pawg tshuaj no yog qhov zoo tshaj plaws rau uric acid calculi ua ke los ntawm calcium oxalate, phosphate thiab calcium oxalate. Cov kws kho mob kuj pom tias kev tiv thaiv kev tsim cov pob zeb calcium oxalate siv citrate tshwj xeeb tshaj yog rau:
- hypercalciuria nrog hyperuricosuria;
- muaj calcium oxalate dihydrate hauv cov pob zeb;
- muaj peev xwm txaus ntshai ntawm cov pob zeb rov tshwm sim hauv lub raum ib leeg.
Kev xyaum kho mob tau tsim tias yog tus neeg mob tau txais kev kho mob lithotripsy nyob deb, ces kev siv cov citrate sib tov tuaj yeem txo qhov zaus ntawm kev rov ua dua ntawm calcium oxalate pob zeb tsim los ntawm yuav luag 2 zaug.
Oteopathy thiab citrates
Txawm hais tias muaj kev txhawb nqa kev noj qab haus huv thoob plaws lub neej, kev kuaj mob raws sijhawm thiab kev sau npe ntawm cov poj niam npaj kev ua niam ua txiv, cov kab mob xws li rickets tseem yog ib qho kev noj qab haus huv tsis tu ncua ntawm cov menyuam mos, cuam tshuam rau lub cev loj hlob. Vitamin D3 thiab calcium tsis txaus yog lub ntsiab ntawm qhov teeb meem no. Txhawm rau tshem tawm nws, cov kws tshaj lij pom zoo kom npaj muaj cov vitamins thiab minerals complex, suav nrog calcium, uas tseem ceeb heev rau kev tsim cov pob txha apparatus.
Tab sis txoj kev kho no yuav cuam tshuam rau kev ua haujlwm ntawm cov zis vim muaj peev xwm tsim cov pob zeb hauv ob lub raum thiab cov zis. Nyob rau tib lub sijhawm, citrates txhawb nqa kev nqus ntawm calcium los ntawm txoj hnyuv thiab cov txheej txheem ntawm ossification, inhibit acidosis. Ntau tus niam txiv ntawm cov menyuam yaus, nrog rau cov neeg laus uas yuav tsum tau siv tshuaj los ntxiv dag zog rau lub cev pob txha, xav paub seb qhov sib xyaw citrate puas tsim nyog rau rickets. Tsuas yog tus kws tshaj lij tuaj yeem muab lus teb. Tab sis raws li kev tshawb fawb cov ntaub ntawv, citrate blends los ntawm 2 grams ntawm txiv qaubacids thiab 3.5 grams ntawm sodium citric acid, diluted nyob rau hauv 100 ml ntawm dej, yuav txo tau cov vitamin D thiab calcium ntxiv los ntawm yuav luag ib nrab.
Thaum twg koj yuav tsum tsis txhob noj citrates?
Citrate sib tov rau tshem cov pob zeb yog cov tshuaj zoo, tab sis, zoo li lwm yam tshuaj, lawv muaj lawv cov contraindications rau kev siv. Nov yog:
- metabolic alkalosis;
- kev nyuaj siab;
- noj zaub mov tsis muaj ntsev rau ntshav siab;
- kab mob urinary mob tshwm sim los ntawm urea-splitting kab mob;
- raum tsis ua haujlwm hauv ob qho tib si mob thiab mob ntev;
- zis pH saum 7.
Kev xeeb tub thiab pub niam mis tsis yog contraindications, koj tsuas yog yuav tsum sab laj nrog tus kws kho mob tshwj xeeb. Tab sis kev sim tshuaj ntsuam xyuas txog kev noj cov tshuaj citrate los ntawm cov menyuam yaus hnub nyoog qis dua 12 xyoos tsis tau ua, yog li ntawd, rau cov menyuam yaus, kev noj cov tshuaj no yog qhov tsis xav tau.
Txoj hauv kev ua kom pob zeb tawg
Ntxiv rau cov tshuaj uas yaj cov pob zeb hauv cov zis, ntau tus neeg siv cov zaub mov txawv hauv kev kho mob. Qhov no feem ntau, ntawm chav kawm, decoctions, infusions, teas ntawm cov nroj tsuag tshuaj. Piv txwv li, decoctions ntawm highlander noog, larch, apples, sunflower paus. Hmoov tsis zoo, hauv ntau qhov xwm txheej, kev kho mob zoo li no tsuas yog siv rau kev tiv thaiv, kom yaj cov pob zeb uas twb tau tshwm sim, tshwj xeeb tshaj yog cov loj,zaub zaub mov tsis yooj yim sua. Tab sis muaj cov tshuaj tsoos tshuaj uas tau dhau ntau xyoo ntawm kev sim, uas yog ib qho sib xyaw citrate. Daim ntawv qhia yog qhia hauv qab no.
Ib txoj hauv kev uas muaj hnub nyoog kaum xyoo los tshem cov pob zeb me hauv lub raum thiab zais zis yog raws li hauv qab no:
- 4 txiv qaub loj ntxuav kom huv si, txiav rau hauv slices;
- muab 300 grams qab zib clover los yog roob zib mu rau hauv ib lub hub ntawm iav tsaus;
- ntxiv cov txiv qaub npaj rau zib ntab, sib tov txhua yam;
- tawm 2 hnub.
Cov tshuaj no yog hom citrate sib tov. Daim ntawv qhia tsis muaj cov khoom xyaw uas tsis tsim nyog vim nws tsuas muaj ob yam khoom xyaw ntuj xwb. Noj 1-2 tablespoons tom qab noj mov, haus dej kom ntau. Nws yuav tsum nco ntsoov tias thaum kho lossis tiv thaiv nephrourolithiasis, dej yuav tsum haus tsawg kawg 1.5-2 litres ib hnub. Dej yuav tsum huv, tsis yog ntxhia.
Lwm txoj hauv kev los pab lub cev tiv thaiv urolithiasis yog siv txiv qaub jam. Nws, ntawm chav kawm, tsis yog ib tug sib tov ntawm citrate, tab sis cov lus qhia rau kev siv hais tias nws yuav tsum tau noj raws li ib tug tshuaj, txaus siab rau cov tshuaj yej haus, ntev heev. Txiv qaub thiab qab zib yog noj nyob rau hauv ib tug ratio ntawm 1: 1 los ntawm ntim, thiab cov txiv qaub yog pre-ntxuav nrog dej sov thiab finely tws. Noj lub jam tshaj qis cua sov, stirring qee zaus. Kev npaj ntawm cov tshuaj qab zib yog kuaj los ntawm kev tso ib qho poob rau ntawm lub saucer: nws yuav tsum tsis txhobsib kis.
Kev tshuaj xyuas los ntawm cov kws tshaj lij
Raws li cov kws tshaj lij feem ntau, kws kho mob urologist, citrate sib tov yog ib qho tshuaj zoo hauv kev tawm tsam urate lossis urate-oxalate calculi hauv zos hauv ob lub raum lossis zais zis. Cov tshuaj muaj lawv cov nyhuv txaus yog tias ua raws li cov lus pom zoo ntawm tus kws kho mob tshwj xeeb. Lub nuance nyob rau hauv xws li kev kho mob yog lub sij hawm ntawm kev siv thiab inefficiency nyob rau hauv kev sib ntaus tawm tsam pob zeb ntawm phosphate los yog oxalate keeb kwm.
Cov lus pov thawj tus neeg mob
Cov neeg uas raug kev txom nyem los ntawm urolithiasis paub tias nws mob npaum li cas, nrog kev mob hnyav heev thiab kev hem thawj ntawm kev phais. Yog li ntawd, kev siv tshuaj uas tuaj yeem pab kov yeej tus kab mob yog rau ntau txoj hauv kev tawm ntawm qhov xwm txheej no. Raws li ntau tus neeg mob, citrate sib tov yog ib txoj hauv kev zoo kom tshem tawm pob zeb los ntawm lub raum lossis zais zis yam tsis muaj kev cuam tshuam rau kev phais. Kev tshuaj xyuas txog cov tshuaj no feem ntau yog qhov zoo, tab sis ntau tus ntseeg tias kev kho mob mus ntev yog qhov tsis zoo ntawm cov tshuaj no.
Kev tso pob zeb hauv cov zis yog ib qho teeb meem loj uas muaj kev cuam tshuam tsis zoo rau lub xeev ntawm tag nrho cov kab mob. Kev npaj nrog cov tshuaj xws li citrate sib tov tuaj yeem muaj kev tiv thaiv thiab kho, tab sis tsuas yog pom zoo los ntawm tus kws kho mob raws li cov txiaj ntsig ntawm kev tshuaj xyuas.
