Ntau tus neeg paub txog qhov xwm txheej thaum tus kws kho mob pom lub raum pob zeb. Tus kab mob no tseem hu ua nephrolithiasis. Nws yog dab tsi? Qhov no yog lub npe muab rau cov txheej txheem ntawm kev tsim ntawm ntau yam crystalline lug nyob rau hauv lub raum. Lawv sib txawv ntawm cov tshuaj muaj pes tsawg leeg, qhov chaw, thiab sib txawv ntawm qhov loj me los ntawm ob peb millimeters mus rau ntau tshaj 10 centimeters inch.
Nephrolithiasis. Dab tsi yog nws thiab dab tsi yog qhov ua rau
Cov txheej txheem pob txha tuaj yeem tshwm sim hauv ob lub raum, lub raum plab hnyuv, tso zis. Cov txheej txheem no yog tus cwj pwm los ntawm qhov tseeb tias cov tshuaj uas ib txwm yuav tsum tau muab tshem tawm tau khaws cia hauv lub cev thiab crystallized. Nws tau pom tias cov txiv neej muaj lub raum nephrolithiasis ntau dua li cov poj niam. Kev tsim ntawm pob zeb yog cuam tshuam los ntawm qhov xwm txheej ntawm tib neeg kev noj haus. Qhov ntau nws noj cov rog, cov proteins ntawm cov tsiaj keeb kwm, cov khoom uas muaj cov ntsiab lus ntawm cov kua qaub, qhov kev pheej hmoo ntawm nephrolithiasis ntau dua. Tsis tas li ntawd, qhov ua rau ntawm tus kab mob tuaj yeem ua rau qis qis ntawm cov zis tawm (ua kom tawm hws ntau, me me.haus dej). Cov kab mob nquag ntawm cov kab mob genitourinary, cov kab mob metabolic yog lwm yam uas ua rau muaj qhov tshwm sim ntawm tus kab mob. Kev ua neej tsis muaj zog, qhov hnyav hnyav tuaj yeem cuam tshuam rau cov txheej txheem ntawm kev tsim pob zeb.
Symptoms
Qee zaum tus kab mob tshwm sim yam tsis muaj tsos mob tseem ceeb. Txawm li cas los xij, feem ntau, cov tsos mob ntawm nephrolithiasis xws li mob nraub qaum thiab lub raum colic tuaj yeem pom. Tag nrho cov no tuaj yeem nrog xeev siab thiab ntuav. Lub rooj zaum thiab cov plab hnyuv gases tsis tawm mus, cov zis txo qis heev. Nephrolithiasis kuj muaj cov tsos mob hauv qab no: txhua tus neeg mob thib peb sau tias muaj ntshav hauv cov zis. Qhov no yog vim kev puas tsuaj rau lub mucosa thaum lub sij hawm lub pob zeb. Lub cev kub nyob rau hauv 37, 5 ° C. Tus kab mob no tseem txaus ntshai rau nws cov teeb meem. Nrog kev kho tsis raws sijhawm, cov txheej txheem inflammatory hauv lub raum, stagnation ntawm cov zis, thiab los ntshav yog ua tau. Nws kuj tseem tuaj yeem ua rau lub raum tsis ua haujlwm.
Tim pob zeb
Oxalate pob zeb feem ntau tsim nyob rau hauv ob lub raum. Lawv yog cov txheej txheem nyuaj tshaj plaws uas tuaj yeem tshwm sim vim kev siv cov vitamin C ntau dhau, muaj teeb meem nrog cov txheej txheem metabolic. Cov tsos yog txawv: me me, loj, du, warty. Qhov ntau thiab tsawg qee zaum ncav cuag ob peb centimeters. Ib qho ntxiv ntawm uric acid nyob rau hauv lub cev, kev ua txhaum ntawm purine metabolism - qhov no yog vim li cas urate nephrolithiasis yog kuaj. Kwv yees li 5% ntawm tag nrho lub raum pob zeb yog phosphate. Txawm tias tsawg dua, cystine lossis xanthine pob zeb tau pom. Nephrolithiasisob lub raum kuj tuaj yeem kis tau. Qhov kev kuaj mob no muaj ntau dua rau cov poj niam dua li cov txiv neej.
Kev kuaj kab mob
Yog tias tus neeg mob pom cov tsos mob ntawm urolithiasis, ces kev mus ntsib kws kho mob yuav tsum tsis txhob ncua. Nephrolithiasis yog ib qho yooj yim mus kuaj. Ua ntej tshaj plaws, kev kuaj zis yog sau tseg. Raws li txoj cai, txawm tias nyob rau theem pib ntawm tus kab mob, qhov nce ntawm cov leukocytes tau pom, ESR kuj siab dua li qub. Neoplasms hauv ob lub raum tau pom meej meej ntawm kev kuaj mob ultrasound, cov duab hluav taws xob. Txawm li cas los xij, nws tsim nyog sau cia tias urates tsis tshwm sim thaum siv x-rays. Feem ntau, cov pob zeb muaj qhov sib xyaw ua ke. Feem ntau cov ntsev ntawm ib hom predominate, thaum lwm tus nyob rau hauv daim ntawv ntawm impurities. Yog li ntawd, yuav luag txhua lub pob zeb yog radiopaque. Txhawm rau kom paub meej qhov kev kuaj mob, suav tomography, excretory urography yuav xav tau. Cov txheej txheem no tso cai rau koj pom tag nrho cov kev hloov pauv hauv lub cev thiab xaiv cov kev kho mob uas tsim nyog tshaj plaws.
Coral nephrolithiasis. Dab tsi yog
Ib daim ntawv tshwj xeeb ntawm urolithiasis yog tsim cov pob zeb staghorn. Nws tau raug tsim los ntawm cov yam ntxwv ntawm tus poj niam lub cev, kev sib deev ncaj ncees raug kev txom nyem los ntawm cov kab mob no ntau dua. Cov kws tshaj lij nco txog ntau yam uas tuaj yeem ua rau muaj qhov tshwm sim ntawm hom pob zeb no. Cov no suav nrog cov kab mob raum (ob qho tib si hauv plab thiab kis tau), huab cua kub, kev noj zaub mov tsis zoo, ecology tsis zoo. Tsis suav nrogmuaj peev xwm tsim nephrolithiasis thaum cev xeeb tub. Qhov no tej zaum yuav yog vim kev hloov hormonal. Cov kev hloov pauv tseem ceeb kuj ua lub luag haujlwm tseem ceeb. Qee tus kws kho mob koom nrog tus kab mob no nrog cov teeb meem thyroid. Cov tsos mob ntawm qhov tshwm sim yog raws li nram no: mob nyob rau hauv lub sab nraub qaum, ob lub raum, quav quav, xeev siab, ntshav nyob rau hauv cov zis. Tsis tas li, cov neeg mob feem ntau qhia txog kev nqhis dej ntau ntxiv.
txoj kev kho
pob zeb me me tawm hauv lub cev ntawm lawv tus kheej thiab tsis tas yuav muaj kev cuam tshuam. Tus kws kho mob tau sau ib txheej kev ntsuas los txo tus neeg mob tus mob. Nws raug nquahu kom nce cov dej uas ib tus neeg haus ib hnub. Lub teeb ce kuj qhia. Qee cov tshuaj kuj tau sau tseg, uas txo qhov o, mob mob. Ib txoj hauv kev ua kom lub pob zeb tawg kuj tseem siv tau yog tias kuaj tau urate nephrolithiasis. Nws yog dab tsi thiab qhov txheej txheem no tshwm sim li cas? Txoj kev kho litholytic yog sau tseg yog tias pob zeb tseem nyob hauv lub raum. Tus kws kho mob tshwj xeeb xaiv cov tshuaj uas ua kom yaj cov tsim. Txawm li cas los xij, nws yog txwv tsis pub xaiv cov tshuaj ntawm koj tus kheej. Tom qab tag nrho, rhuav tshem ib hom pob zeb, cov tshuaj tsis cuam tshuam rau lwm tus thiab tseem tuaj yeem txhim kho lawv txoj kev loj hlob. Yog li ntawd, nephrolithiasis, nws txoj kev kho mob yuav tsum tau cov lus qhia ntawm tus kws tshaj lij.
Tshuaj raum pob zeb
Yog lub pob zeb loj, siv cov txheej txheem crushing. Cov txheej txheem no yuav siv qhov chaw siv ultrasound lossis laser. Qhov kawg yog qhov ua tau zoo tshaj plawsraws li nws tso cai rau koj mus tsoo tej pob zeb. Crushing tuaj yeem tshwm sim nyob deb, thiab qhov kev poob siab ntawm lub zog yuav tsum tau tsim. Sib cuag sib tsoo kuj tau xyaum. Los ntawm ib qho me me, cov kua tshwj xeeb yog ib txhij txhaj, ua tsaug rau cov pob zeb crushed tam sim ntawd ntxuav tawm. Tag nrho cov txheej txheem yuav siv li ib teev.
Kev cuam tshuam rau nephrolithiasis
Ib txoj hauv kev tshem cov pob zeb hauv lub raum yog endoscopic. Thaum lub sij hawm kev cuam tshuam, ib qho cuab yeej tshwj xeeb tau muab tso rau hauv qhov tso zis los yog mus rau hauv qhov kev txiav ntawm sab (nyob ntawm qhov chaw ntawm qhov tsim). Lub pob zeb yog crushed, ces tshem tawm nrog ib tug voj. Kev khiav hauj lwm uas yuav tsum tau muaj kev phais loj nyob rau hauv lub plab kab noj hniav yog ua tsawg thiab tsawg. Yeej, cov kws tshaj lij xaiv txoj kev maj mam tshem tawm cov crystalline formations.
txoj kev tiv thaiv
Txhawm rau tiv thaiv kev txhim kho ntawm urolithiasis, koj yuav tsum ua raws li ntau txoj cai. Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua raws li kev haus dej haus cawv. Tus nqi ntawm cov kua uas ib tug neeg noj yuav tsum yog tsawg kawg yog 1.5 litres. Tsis tas li ntawd, kev saib xyuas tshwj xeeb yuav tsum tau them rau nws qhov zoo. Yog tias koj lub tsev muaj dej tawv, ces koj tsis tuaj yeem ua yam tsis muaj cov lim dej zoo. Tsis txhob tsim txom cov dej ntxhia, vim lawv tuaj yeem ua rau tus kab mob no. Kev noj zaub mov kom raug kuj tuaj yeem tiv thaiv nephrolithiasis. Yog tias pom urates, nws yog ib qho tsim nyog los txwv cov nqaij, offal. Nws yog ib qho tsim nyog tso tseg kev siv cov nqaij haus luam yeeb. Oxalate pob zeb impose lawvtxwv. Cov zaub mov uas muaj oxalic acid raug txwv. Sorrel, spinach, taum, citrus txiv hmab txiv ntoo, strawberries - qhov no yog ib tug tsis tiav daim ntawv teev cov khoom noj uas yuav ua rau aggravate qhov teeb meem. Phosphorus-carbonate formations yuav tsum tau cais cov khoom noj uas muaj calcium ntau.
Lub hauv paus ntsiab lus ntawm kev noj zaub mov rau urolithiasis
Nephrolithiasis (ob tog lossis ib leeg) ua rau nws tus kheej hloov kho rau tus neeg mob cov ntawv qhia. Ntxiv nrog rau kev noj zaub mov thiab dej haus, muaj lwm cov ntsiab lus uas koj yuav tsum tau saib xyuas. Cov kws tshaj lij pom zoo kom txwv koj cov ntsev kom tsawg. Nws tseem tsim nyog txo cov dej cawv tsawg, tshwj xeeb tshaj yog qhov tsis zoo. Kev saib xyuas tshwj xeeb yuav tsum tau noj nrog cov vitamin C, vim tias nws yog qhov ntau dhau uas tuaj yeem ua rau lub raum nephrolithiasis. Kev kho mob ntawm ntau yam khaub thuas yog nrog los ntawm kev noj ntau ntawm cov khoom noj uas muaj cov vitamin no. Yog li ntawd, cov neeg nquag tsim cov pob zeb yuav tsum tsis txhob tshaj qhov nyiaj pub dawb txhua hnub (1 gram). Nyob rau hauv lub caij ntawm watermelons, koj muaj peev xwm txaus siab rau no Berry rau koj lub siab lub ntsiab lus. Nws ntxuav lub raum kom zoo, pab tshem tawm cov xuab zeb thiab pob zeb me me. Nws raug nquahu kom tsis suav cov zaub hauv kaus poom, kua txiv hmab txiv ntoo. Nws yog qhov zoo dua los noj zaub thiab txiv hmab txiv ntoo tshiab, nrog rau npaj cov kua txiv tshiab.
