Uaʻikeʻia ka Urolithiasis ma ke kālaiʻiaʻana o nā pōhaku (concrements) i loko o nā'ōpū o ka'ōnaehana urinary. ʻO kekahi inoa no ka pilikino he urolithiasis. Wahi a nāʻikepili, ua pālahalaha loa kēia maʻi i loaʻa iā ia ma kahi kekelē aʻo nā mea'ē aʻe i nā lima o nā mea makua.
Urolithiasis - kumu
Hanaʻia nāʻano papa pōhaku likeʻole i loko o ka pahuhoki, ka palaʻa, a me keʻano o ka lehua ma ka poʻe 20-45 mau makahiki, akā i kekahi manawa - ai ka wā kamaliʻi. Heʻokoʻa keʻano o ka hoʻonaʻauaoʻana, no laila ua paʻakikī ke hoʻokaʻawaleʻana i kekahi mea hoʻonāukiuki. Ma keʻano laulā, pili nā kumu o urolithiasis i ka haʻalē i nā hana hana i loko o ke kino, e pili ana i ka hoʻokumuʻiaʻana o nā'ōmole urinary o ka pūnaeho kupanaha.
ʻO nā kumu kūpono no ka hoʻomōhalaʻana i kēia maʻi, penei:
- hoʻomana;
- hoʻohana i ka wai i loaʻa kahi nui o kekahi mau minera;
- ka nuiʻole o ka wai hoʻonā;
- ola maʻamau;
- nā maʻiʻehaʻeha a me nā maʻi inflammatory o ka'āpana urinary;
- nā maʻi lōʻihi o ka'ōnaehana'ōpiopio;
- ka hoʻomauʻana i nā meaʻona, acidic, a me ka paʻakai i ka meaʻai;
- hoʻohana nui i kekahi mau huahana (mea kanu, meaʻai, nā mea laʻa, ke kī ikaika, a me nā mea'ē aʻe);
- nā meaʻinoʻole o nā puʻupaʻa, nā mahuka (constrictions, nā moku'ē aʻe);
- nā maʻi lapaʻau pūnaewele ( gout , hyperparathyroidism );
- lawe i kekahi mau lāʻau, a pēlā aku.
Urolithiasis - mauʻano pōhaku
Hiki keʻikeʻia ka Urolithias me nā pōhaku hoʻokahi aʻoi paha, me kahiʻano'ē aʻe - mai 1 mm a 10 knm aʻoi aʻe paha. I ka nui o nā pōhaku liʻiliʻi liʻiliʻi, ua kapaʻia lākou he one. E like me keʻano, e hiki ke hoʻopili pālahalahaʻia nā pōhaku urinary, a puni, me nāʻaoʻaoʻoi a me nāʻalani. Kapaʻia ka'āpana'ohemele, inā e waihoʻia ana ma loko o ke kumukū a noho kokoke i konaʻaoʻao a pau, e hana i "'ākea" o ka pūnaha calyx-pelvis.
ʻO ka pōhakuʻo ka pōhaku kilokilo o nā paʻakai urinary, i hoʻopaʻaʻia me nā pāpili pūʻokoʻa likeʻole. ʻO ka hapa nui o lākou he mea hana likeʻole, akā naʻe pinepine lākou i ka hoʻomaluʻia e kekahi mau pūpū. Ua hoʻokaʻawaleʻia ka Urolithiasis (urolithiasis) ma kaʻenehanaʻenehana o concrements i nāʻanoʻano likeʻole:
- bipi kau;
- urate;
- phosphate;
- ʻoiaʻiʻo.
'Oxalate Urolithiasis
Pono ka hoʻolahaʻana i nā pōhaku ma urolithiasis no ka mea e mālama ponoʻia ai. I loko o nā maʻi he nui (e like me 70%) hana hoʻolālā e kauʻia ana i ka oxalate calcium a me ka oxalate ammonium salts. ʻO ko lākou mau hiʻohiʻona heʻano kiʻekiʻe loa, haʻahaʻa haʻahaʻa, kahi'ālahalaha. Ke hoʻoukaʻana,ʻo ia mau pōhaku e hōʻehaʻeha i nāʻiʻo mucous o ka'ōmumu urinarya, aʻo ka hopena o ke koko e kōkua iā lākou e pale i keʻanoʻeleʻele aʻeleʻele.
ʻO kahi o ke kumu no ka hoʻokumuʻana i nā papa mele o kēiaʻano, he meaʻai ia e waiho nuiʻia ai ka waika ascorbic, ka wai oxalic i ka nui, he hapa o ka magnesium a me ka hua B6. Eia kekahi, ke hoʻonāukiukiʻia lākou e ka hopena o nā maʻi palupalu o nā puʻupaʻa, nā hana ma ka'āpana o ka maʻi o ka maʻi, ka maʻi o endocrine.
Phosphate urolithiasis
Ke wehewehe nei i nā pōhaku i keʻano o urolithiasis,ʻike nā kauka he nui loa nā pōhaku phosphate, a ma ka nui o nā hihia - i nā wāhine. ʻO lākou kaʻaila phosphoric a me ka paʻakai calcium a he mau leʻaleʻa, hana'āpala o kahi hue hina a me ke keʻokeʻo. ʻO ia mau pōhaku e hiki ke ulu koke, e noho ana i ka'ōlohelohe,ʻo ia hoʻi. i kūkuluʻia nā'enela.
I loko o nā kumu he nui, nā hana pilikino i loko o ka'ōnaehana urinary, e alakaʻi i ka pilina o ka mimi, e lilo i wahi hoʻomaka no ka uluʻana o nā phosphates. ʻO kekahi kumu maʻamau ka maʻamau o nā pulu parathyroid, e hiki ai i ka haunaele o ka metabolism phosphate. Kūʻai ka hana maʻamau i kahi hana, a ua pau ka wai a me ke kahe nui i kaʻai, akā,ʻikeʻia ka pauʻole o ka lāʻauʻo A, E, D.
ʻO nā urolithiasis
ʻO nā pōhaku struvitic i ka urolithiasis i loaʻa i kahi o 15% o nā maʻi. ʻO kēia mau pōhaku me nā huaʻoluʻolu, hiki iā lākou ke ulu koke. I ka hoʻohuiʻana,ʻo kēia mau pūnaehu ka ammonium a me ka magnesium phosphate, a me ka apatite carbonate. ʻO ke kumu o ka hilinaʻi i ko lākou hiʻohiʻona, he maʻi ia o ka'āpana urogenital, aʻo nā mea hoʻohālikelike o ia mau mea he'elemaile urea pa'ū. Loaʻa nā'ōpala i nā pōhaku.
I pinepine pinepineʻia ka hoʻokumuʻana i nā concrements o ka struvite ma keʻano haʻahaʻa liʻiliʻi, hikiʻole ke hoʻokuʻuʻana i ka'awahoila, me ka hoʻoulu i ka hoʻohu. I loko o ka pūʻulu pilikia - nā maʻi me ka maʻi diabetes a me kahi pelvic kahi iʻehaʻia me ka hoʻokaumaha mau loa. Hiki i kaʻaiʻai ke kōkua i kaʻai o nā meaʻai o ka protein i ka meaʻai (ʻo kaʻiʻo maoli).
Urartic urolithiasis
Ma kahi o ka hapakolu o nā maʻi me ka urolithiasis e hana i nā pōhaku urate - nā pōhaku'ōmaʻomaʻo-pōhaku a me nā pōhakuʻula-pōhaku me kahi papa keʻokeʻo a me kahi pālaʻoluʻolu. ʻO ke kinikona ka paʻakai o kaʻeleʻele uric. Hiki i kēia mau papahana ke hōʻiliʻili i loko o nā puʻupaʻa, nā mea maʻamau, nā mumua urinary.
I nā wāhine, uaʻikeʻia kēiaʻano urolithiasis i kahiʻano liʻiliʻi pinepine, a no ka kumu paha o kekahi o nā kumu nui - ka hoʻohana pinepineʻana i nā meaʻai i loko o ka purines. ʻO kēia mau mea i loaʻa i loko o ka nui o kaʻiʻo o nā holoholona'ōpio, nā pulu, nā anu, nā legumes, etc. Eia kekahi, hiki ke hanaʻia kēia maʻi ma muli o nā maʻi o ka maʻi me ka piʻi nui i ka mahele o ka waikiki uric i ke kino.
Urolithiasis - hōʻailona
ʻO nā hōʻailona maʻamau o nā urolithiasis penei:
- ka wīwī maʻamau i ka'āpana'āina (ma kekahiʻaoʻao, ma nāʻaoʻaoʻelua) aiʻole ma ka'āpana'āpana o kahi kino a me ka pīhoihoi, e huki ana i keʻano;
- ka pinepine i ka urinate ;
- ka eha, ka hopena ahi i ka wā e urinating;
- uaʻikeʻia keʻano o ke koko i loko;
- ka pihu o ka maka, nā lālā.
ʻO ka manawa pinepine,ʻaʻole hiki keʻikeʻia ka pilikino no ka manawa lōʻihi, aʻo nā hōʻailona o urolithiasis no ka manawa mua e hiki ke hōʻike iā ia iho i ke kōpili kōpili , i ka wā i komo ai ka pōhaku i loko o ka purera a hoʻokuʻiʻia. I kēia hihia,ʻo nā hōʻailona e hōʻike nei:
- he helehelenaʻoi aku o nāʻehaʻehaʻeha ma ka'āina lumbar;
- ka hopena o ka wikiwiki pinepine i ka urinate, a laila hiki ke mālama i ke anuria;
- ka hoʻonuiʻia o ke kinohana;
- nā'ōpū;
- nausea;
- ka wela maʻamau;
- blanching, etc.
Urolithiasis - hōʻoia
Hiki ke hoʻoholo i ka Urolithiasis ma muli o ke kahakiʻi o nā puʻupaʻa, nā'awaʻawe a me nā tubū urinary. ʻO kaʻikepili o ka hoʻokomo moʻomohohua a me nā diagnostics diagnostics ua hiki ke hoʻomaopopo pono i keʻano, ka nui a me ka maʻalahi o nā pōhaku, e nānā i ke kahe o ka urine, e hoʻoholo ai i ka hana kūpono o nā leʻaleʻa urinary. Inā noʻonoʻoʻia ka urolithiasis,ʻo ka ho'āʻoʻana a me nā ho'āʻo koko e kōkua i ka hoʻokumuʻana i keʻano o nā maʻi kinemolic a hōʻike i nā mea lāʻau.
Urolithiasis - ka lāʻau
He mauʻano likeʻole no ka hanaʻana i nā poʻe maʻi me nā pōhaku i loko o ka'ōnaehana urinary, e pili ana i kahi o nā pōhaku, kā lākou hanaʻana, ka nui, nā hōʻailona o ka maʻi, ka nui o nā maʻi kīnāʻole, a pēlā aku. Ma waho aʻe o ka weheʻana i nā hōʻailona pilikino mai ke kino, hoʻololi i nā maʻi i kaʻikeʻia i hōʻikeʻia, kahi i hanaʻia e like me nā kumu hopena.
Hoʻomaʻoʻia keʻano o nā urolithiasis me nā pōhaku liʻiliʻi liʻiliʻi e nā lāʻau lapaʻau me ka dietotherapy. I nā'ōnaehana a me nāʻano nui, he pono no ko lākou puʻupuʻu (lithotripsy) aiʻole no ka loli wikiwikiʻana. E noi i nāʻano non-invasive o ka wāwahi pōhaku:
- ʻO ka lithotripsy liʻiliʻi -ʻo kaʻiliʻana i nā pōhaku ma ka mea hanahana o nā nalu huhū, i hoʻolakoʻia mai waho mai, a ma muli o ka hopena kūlohelohe me ka mimi e hele nei.
- Hoʻokaʻaʻike lithotripsy he hana i hanaʻia ma o ka hoʻokomoʻana i kahi endoscope i loko o ka pūpū, ka'ureter, a me ke pelvis, kahi e hoʻouka ai i nā'alehana, me ka hoʻokuʻuʻana i nā pōhaku me ka hoʻoukuʻana a me nā puka looposcopic.
Urolithiasis - nā lāʻau lapaʻau (lāʻau lāʻau)
No ka hoʻohaʻahaʻa i kaʻeha i ka wā o ka hopuʻana, ua kauʻia nā kīʻaha anti-inflammatory non-steroidal (Diclofenac, Indomethacin ) a me spasmolytics ( No-shpa , Atropine, Nifedipine). Pono nā Spasmolytics e ho'ēmi i ka leo o ke kuʻina o ka'ōmene urinary a hoʻololi i ka laweʻana i nā pōhaku liʻiliʻi. Eia kekahi, he nui nā māla ulu e loaʻa nā hana antispasmodic a me nā mea anti-inflammatory (Kanefron, Cystenal, Olimetin).
ʻO nā lāʻau lapaʻau no nā urolithiasis, ka mea i loaʻa ka hopena pōhaku ma ka hoʻololiʻana i ka acidity o ka mimi, hiki ke hoʻohanaʻia no nāʻano o nāʻano pōhaku likeʻole, koe wale nō nā mea. No kēia mea, hiki ke hāʻawiʻia i nā lāʻau lapaʻau:
- me ka oxalate urolithiasis - Piroxidine, Thiamin plus Asparcum, kaʻonika magnesium;
- ma nā pōhaku phosphate - Aluminum hydroxide, Tsiston;
- me nā hālāwai kūʻokoʻa - Blemaren, Soluran, Magurlit, Allopurinol.
Inā hele pūʻia ka urolithiasis me ke kūkuluʻiaʻana o nā pōhaku i kālaiʻia, ua hōʻikeʻia ka lāʻau antibacterial, no nā lāʻau e like me:
- Cefepime;
- Ofloxacin;
- Meropenem a me nā mea'ē aʻe.
Urolithiasis - me nā lāʻau lapaʻau
Ma ka hanaʻana i nā urolithiasis,ʻike nui nā lāʻau lapaʻau. I kēia hihia,ʻaʻole hiki ke hoʻohanaʻia kekahi o ia mau mea ma keʻano hoʻokahi, me kaʻaelikeʻoleʻole me ke kauka, tk. hiki ke pilikia. Ma keʻano laulā, ua hoʻohanaʻia nāʻano hana ulu lāʻau,ʻo keʻano o ia mea i kohoʻia ma muli o keʻano mekini, ka nui a me kahi o nā pōhaku. Hiki i ka hoʻohuiʻana i nā kumu lāʻau lāʻau ke komo i nā mea kanu lāʻau lapaʻau:
- witi stigmas;
- kumu pakiaka;
- nā lālā hiʻi;
- ʻekolu lālā liʻiliʻi;
- nā pūnona dandelion;
- nā hua waina;
- nā lau lau, a pēlā aku.
ʻO kaʻai me ka urolithiasis
Ma muli o keʻano o nā'ōhumu a me nā maʻi i hōʻikeʻia e ka lāʻau, hoʻoponopono ke kauka i meaʻaiʻai no urolithiasis. Ma keʻano laulā, me nāʻanoʻokoʻa o nā maʻi, he meaʻai me urolithiasis e hoʻolako ana i:
- ka piʻiʻana i loko o ka waihona wai (i 2 mau lihi ma ka lā);
- ka ho'ēmi o ka nui o nā'āpana;
- hoʻonui i kaʻai waiwai i ke fiber;
- ka palena o ka paʻakai, nā meaʻala;
- ka palena o ka hoʻohanaʻana i ka meaʻai a me nā mea inu me nāʻano pōhaku (nā meaola holoholona, purines, oxalic acid, a pēlā aku).
Ke hana me nā urolithiasis
Ināʻikeʻia ka'ahuke urolithiasis a iʻole ka nui o nā concrements, hiki iāʻoe ke hoʻohana i nā lithotripsy - keʻokiʻia nā pōhaku ma o ke ultrasound, ka mea i hānaiʻia ma o ka pāʻana i kaʻili a hoʻokomo i ka endoscope. I kekahi mau mea, hikiʻole i kekahi ke hana me kaʻaʻaʻole - me ka lōʻihi loa o ka hopena o ka hopena conservative, ka hoʻopololeiʻana i ka urinary tract, kahi hana hoʻonāukiuki nui, a me nā mea'ē aʻe.
- pyelolithotomy;
- nephrolithotomy;
- ureterolithotomy.
ʻO ka palekana o urolithiasis
ʻO nā pāpālua a me ke kālua o nā urolithiasis e komo pū nā'ōlelo hou:
- ka hoʻonaʻauao kūpono;
- ʻO nā meaʻai kai maikaʻi e pono ai;
- hōʻole i nā hanaʻino;
- ka hoʻonui i ka hana kino;
- hoʻoponopono kūpono i nā maʻi;
- nā hoʻokolohua lapaʻau maʻamau.