Ukutholakala kwamatshe esithombeni, kanye namatshe e-urethra nase-ureters, kuyisibonakaliso sokuthuthukiswa kwe-urolithiasis kumuntu. Lesi sifo sivame ukuvela emadodeni, kunabesifazane, futhi kaningi kuneminyaka engama-6 noma emva kweminyaka engamashumi amahlanu.
Amatshe angakhiwa ngenxa yokuthi ngenxa yezizathu ezithile, izici zomzimba nezamakhemikhali ziphulwa, noma zingase zihlotshaniswe nezifo ezibangelwa umuthi (ezitholakalayo noma ezinqenqemeni).
Amatshe angesigodini angaba nezinhlobo ezahlukene. Zihlukile ngombala, ukuma, ubukhulu, isakhiwo. Zingaba eziningi noma ezingashadile, ezithambile futhi ezinzima, ezibushelelezi nezimbi, ziqukethe oxalates kanye ne-calcium phosphates, u-uric acid usawoti, i-uric acid.
Iziphetho esithombeni zingakwazi ukuziveza zona ekuqaleni, futhi umuntu angakwazi ukufunda ngengozi kuphela uma edlulisa ucwaningo ngesinye isifo.
Izimpawu ezijwayelekile ezibonisa ukuba khona kwamatshe esithombeni kukhona:
- Ubuhlungu engemuva engezansi, okungase kube namandla ngokushintsha kwesimo somzimba noma ukusebenza ngokomzimba. Ngemuva kokuhlaselwa okunzima okukhulu kobuhlungu, isiguli sithola ukuthi itshe liphuma esikhwameni lapho uchama.
- I-renal colic esifundeni se-lumbar, ehlala izinsuku eziningana. Kanjalo iba yincane, bese iqinisa futhi.
- Ukuvuthwa njalo kanye nesisa lapho uchitha isisu. Lesi sibonakaliso sibonisa ukuthi itshe likhona ku-ureter noma kwesinye. Uma itshe lingena e-urethra ukusuka lapho, ukugcina ngokuphelele umchamo noma umchamo kungase kuthuthuke. Uma itshe liyingxenye ye-urethra yangemva, futhi kancane kancane kulesi sikhumba, ukungabikho kwengqondo okuyingxenye kungase kwenzeke ngenxa yokuvulwa njalo kwe-sphincter.
- Ukuvela emcimbini wegazi ngemva kokusebenza ngokomzimba noma ubuhlungu obukhulu. Lokhu kwenzeka uma itshe lihlanganiswe entanyeni yesigqila, noma kukhona ukuhlukumeza kwezindonga zesisindo. Uma izitsha ezikhukhulayo zentanyeni yesondlo zilimala, khona-ke zingabangela ukuthi inani elilodwa le-hematuria lenzeke.
- Ifule umchamo.
- Ukwandisa ukucindezeleka kwegazi nokushisa kuze kube ku-38-40ยบ.
- I-Enuresis ne-priapism (ebuntwaneni).
- Uma ujoyina amatshe okutheleleka kwe-microbial, lesi sifo singaba nzima yi-pyelonephritis noma i-cystitis.
Ukuxilongwa ngamatshe esithombeni
Ukuze ekugcineni uhlolisise, izikhalazo zeziguli kuphela akwanele. Kubuye kudingekile ukuba kwenziwe isifundo se-laboratory yezinto eziphilayo kanye nokuhlolwa kokusebenza kwesiguli.
Ngaphambi kokuhlaziywa kwamanzi omcibisholo kubonisa okuqukethwe okwandisiwe kwama-erythrocytes, ama-leukocytes, ama-salts, amabhaktheriya.
On form u hyerechoic formations abe nesithunzi acoustic kwembulwa.
Isiza ukuthola amatshe kanye ne-cystoscopy. I-Cystography kanye ne-urography yenza kube lula ukuhlola isimo se-urinary tract, ukuthola izithako kanye nezifo eziqhamukayo.
Ukususwa kwamatshe avela kulesi sifo
Amatshe amancane angashiya umchamo ngokuzenzekelayo.
Uma ubukhulu bamatshe bungabalulekile, isiguli sinconywa ukuba silandele ukudla okukhethekile futhi uthathe izidakamizwa ezisekela i-alkaline balance of urine.
Uma isiguli siboniswa ukwelashwa okusebenzayo, izindlela ezihlukahlukene zokwelashwa okunjalo zisetshenziswa:
- ukuhlukaniswa kwamatshe esithombeni ngesifo se-perrapaneous suprapubic litholapaxy, uxhumano lwe-transstythotripsy, i-endoscopic lithoextraction;
- ukusika ngamatshe nge-cystolithotomy evulekile.