Imbangela yezikhathi ezithile, izinzwa ezibukhali ezibucayi ohlangothini lungase libe yitshe edwaleni. Lesi simo sibonakala nge-urolithiasis, ukuphuma kwamatshe. Ukukhubazeka kungaholela ekwephuleni ukuphuma komchamo, okubangela umtholampilo othize.
Urolithiasis - yini lokhu kwabesifazane?
Lesi sifo, lapho amatshe atholakale khona ekugqilazweni kwabesifazane, ngokungafani nezinye izindawo ze-calculi (izinso, isisindo), kubhekene nezinkinga eziyingozi. Ngenxa yokwephula ukuphuma okujwayelekile komchamo ngaphansi kwesenzo saso, ukukhishwa kancane kancane kwebhubhisi lamangqamuzana le-ureters kwenzeka. Ngenxa yalokho, ukuphuma kwegazi kuvela ezingxenyeni ezingaphansi kwe-submucosal, okubangela ukuxoshwa kwezicubu zomzimba, ukwephulwa kwenqubo yokuchama. Lezi zinguquko zihambisana ne- urolithiasis .
Ukungabi khona isikhathi eside kwelashwa kuholela ekuqhubekeleni kwesifo, i-atrophy ye-nerve ne-muscle fibers, ukwehla kwezwi le-muscle le-vestiva. Ngokuvamile lapho i-membrane yamangqamuzana ibonakalisiwe, itshe elisebhenqweni lidala ukutheleleka: i-pyelonephritis, i-cystitis iqala. Esikhundleni somncintiswano omude, i-decubitus isakhiwe, futhi i-perforation yezindonga zenzeka, okudinga ukungenelela okuphuthumayo okuphuthumayo.
Amatshe ahamba phambili - izizathu
Amatshe atholakalayo avela ngenxa yokufuduka kwabo kusuka kwesinye isisu noma izinso. Zinezobunjwa nobukhulu obuhlukile, isakhiwo sabo nokubunjwa kwabo kungahluka. Ngokuvamile emgumbini, amatshe angashadile anamathele, ezindaweni zokuqina komzimba - ingxenye ye-pelvic-ureteric, ngesiphambano nemithambo yegazi e-aliac. Ngokusho kokubheka odokotela, kutholakala amatshe okugcoba, ububanzi bawo bungaphezu kuka-2 mm.
Izimbangela zokwakhiwa kwamatshe kulezi zimbangi zihlobene ngokuqondile ne-urolithiasis. Ukwakhiwa kwezingcingo kuqhutshwa yizici ezifanayo:
- ukungondleki;
- izinga eliphansi lamanzi okuphuza;
- izifo ezithathelwanayo zesistimu ye-genitourinary ( pyelonephritis , glomerulonephritis );
- ukukhipha okungaphelele kwesinye isisu.
Ngokuvamile, i-urolithiasis kwenzeka ngokumelene nesizinda sezifo ezihambisana nokuphulwa komfutho we-urate, i-phosphate ne-oxalate:
- i-gout;
- i-osteoporosis;
- ukulimala ohlelweni lwe-musculoskeletal.
Amatshe ayingqayizivele - izimpawu
Izingqinamba ezincane, hhayi ukugqokisa ukukhanya kwe-ureter, kungenzeka zingabonakali ngokwabo isikhathi eside. I-urolithiasis, izimpawu zazo ezingaphandle kwe-aggravation zifihliwe, zingase zingaphazamisi isiguli isikhathi eside. Kwezinye izimo, abesifazane abaqhekeke ngokungafani izinhlungu zokugqoka zomuntu oyimfihlo. Uma kukhona ukwephulwa kokuphuma komchamo, okuvusa itshe ku-ureter, izimpawu zabesifazane zithola uhlamvu olucacile:
- ubuhlungu obunzima obubukhali ekhoneni elilinganayo leleal elihambisanayo;
- isicasuli;
- ukuhlanza;
- flatulence;
- isitoreji sokugcina;
- ukuhlukunyezwa kwemisipha kwodonga olungaphambili.
Lezi zimpawu ziyisici se-renal colic. Ivela ngenxa yokuphazanyiswa kwe-microcirculation kanye nama-tissus tissues. Lokhu kuhlanganisa ukucasuka kokuphela kwezinzwa, okubangela ukuhlaselwa ubuhlungu obukhulu. Ngokuvame ukuthuthukiswa kwayo kuhlotshaniswa nokucindezeleka ngokomzimba, ukuhamba, ukugibela ukuthutha - itshe elingu-ureter lishintsha indawo yalo. Kwezinye izimo, ukubukeka kwe-renal coal kungabangela ukuphuza okuningi.
I-stone in the ureter - diagnostic
Abesifazane abasolisa lesi sifo, banesithakazelo odokotela, ngabe i-ultrasound iyabonakala yini kulesi sigameko. Odokotela bayaqaphela ukuthi le ndlela yokuxilongwa yindlela esemqoka yokuqinisekisa ukwephula. Ngokuxilongwa kwe-ultrasound, odokotela bayakwazi ukubona ngeso lengqondo, banqume ukuthi indawo yenzani, engamamitha ayi-1 mm. Ukudalula i-ureterolithiasis, izimpawu ezingase zingekho, izindlela ezengeziwe zokuxilonga zisetshenziswa:
- ukuhlaziywa komchamo jikelele (kunquma izinga lama-erythrocytes, i-leukocytes, amaprotheni);
- igazi legazi biochemistry;
- isiko le-bacteriological;
- Ukuhlolwa kwe-X-ray;
- urethroscopy;
- CT of izinso.
Itshe linamathele - yini engingayenza?
Lesi simo sihambisana nezinhlungu ezinkulu ze-paroxysmal, ngakho-ke izimpawu zokuqala kufanele zibizwa ngokuthi i-ambulensi. I-algorithm yokwelashwa ithuthukiswa ngokusho kwemiphumela yezifundo. Ngaphambi kokuba amatshe ase-ureter achotshozwe, odokotela banquma indawo yabo, ububanzi, ubuningi. Njengoba ubukhulu betshe ku-2-3mm ureter, odokotela bangathatha ukuphathwa okulindelekile, ukubeka izidakamizwa ezikhuthaza ukuphuma kwezimboni kusuka ohlelweni lwe-genitourinary (itshe elingaphandle kwe-ureter). Kulokhu, i-ureter ifakwe nge:
- I-Papaverine;
- I-Glycerol;
- I-Procaine.
Ukuchithwa ngamatshe ku-ureter
Ukunciphisa ubukhulu betshe kuvumela ukususwa okungenabuhlungu kwezinhlayiya zayo ngaphandle. Ukuchotshozwa kwamatshe e-ureter yi-ultrasound kuyindlela ejwayelekile. Ngaphezu kwalokho, ezinye izindlela zingasetshenziswa:
- i-laser lithotripsy;
- lithotripsy electrohydraulic.
I-lithotripsy ekude ne-ultrasound yindlela elula futhi engenabuhlungu. Ngesikhathi esifanayo, umvuthwandaba ophezulu wevolumu uklanyelwe endaweni yendawo lapho utholakala khona itshe. Ngaphansi kwethonya labo kukhona ukuphazanyiswa kwesakhiwo samatshe, ahlukanisa abe izingxenye. Ngenxa yalokho, ngokuhamba kwesikhathi, kukhona ukuphuma okuzimele kwezingxenye zokubala ngaphandle ngaphandle kwamapheshana omchamo.
Ilitje liphuma kanjani e-ureter?
Itshe elingaphansi kweyesithathu le-ureter ngokuvamile lidala izifo ze-dysuric. Ubuqili babo buqiniswa ukufuduka kwe-calculus. Iziguli zakha isifiso esivame ukuphazamiseka, esingaphenduliwe sokuguqula. Zihambisana nomzwelo wokucindezela oqinile kule ndawo ngenhla kwe-pubis, okubangelwa ukucasuka kwe-receptors ye-vestila. Ezingama-80-90% zamacala, itshe emlonyeni we-ureter livusa ama-macrohematuria - ukubukeka kwegazi emcinini okhulelwe. Ngesisindo esincane setshe ngemva kokuphuma kwayo, lesi sihlasela siyeka.
Izinkomba zokwelapha ukwelashwa kwe-urolithiasis
Uma owesifazane engenaye itshe elilodwa, ukwelapha imithi ngokuvamile akunikeza umphumela. Odokotela kuleli cala basebenzisa ukungenelela okuhlinzayo. Inqubo yokwelapha okuhlinzekwa ngokuhlinzekwa ngokunqunywa kuncike ngesisekelo semiboniso yemitholampilo nesimo sesiguli. Izinkomba eziyinhloko zokusebenza ziyi:
- Amatshe anamandla angaphezu kuka-1 cm.
- Ukutholakala kokutheleleka okungazibophezeli ekwelapheni kwe-antibacterial.
- Ukuhlaselwa okunzima, okungavinjelwe kwe-renal colic.
- Ukuqedwa kwezinso ezilodwa.
- Akukho mphumela ku-lithotripsy.
Ukusebenza ukukhipha itshe kusuka ku-ureter
Lapho ukusebenza kwenziwa, itshe lombhalo likhishwa ngokufinyelela ngqo kulo. Ngokuvamile, ukungenelela kokuhlinzwa kunqunywe esimweni sokuvalwa okuphelele kwe-urethra uma itshe linamathele emzimbeni, ngokutheleleka noma ukuvuvukala komgudu we-urinary. Ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele, i-laparoscopy. Ngemuva kokuvula isikhala se-retroperitoneal, udokotela ohlinzayo ususa itshe futhi ahlole ubuciko bomchamo. Uma kungenakwenzeka ukuba ufinyelele ku-calculus ngaphandle kokulimaza isitho, susa itshe kusukela ku-ureter ngemuva kokuyithuthela kwisinye.
Yidla nge-urolithiasis
Njengoba kutholakala ukuthi urolithiasis, ukwelashwa kuqala ngokulungiswa kokudla. Njengoba kuphawuliwe ngenhla, imikhiqizo ethile yenza iqhaza ekwakheni amatshe amasha nokukhula okuqhubekayo. Kusukela ekudleni kumele kubandakanyeke imikhiqizo equkethe i-oxalic acid:
- iklabishi;
- isipinashi;
- i-parsley;
- i-currant;
- i-sorrel.
Kulesi simo, ukwandisa inani lemikhiqizo equkethe i-vitamin A (izaqathe, ithanga). Kubalulekile ukuqapha ivolumu yokudakwa, ukudla okungenani amalitha amabili ketshezi ngosuku. Lokhu kusiza ukunciphisa umthamo we-urine, kuqeda ukuqoqwa kosawoti ezinso. Usawoti wokupheka uhlolwe ngokuphelele ukuba ungabandakanyi ekudleni ukuze wenze lula impilo yakho futhi uphuthukise inqubo yokwelapha.