Mishonga yeChinney Stones
Vanenge 12 kubva muzana yevanhu vose vachave neminyo yemabwe pane imwe nguva muupenyu hwavo. Zvechokwadi, itsvo dzemabwe ndiyo yechitatu yakawanda inowanzoitwa urological presentation mushure mekuita urinary maitiro uye zvirwere zve prostate.
Ipi mabwe anonyanya kurwadza uye anokonzera kumashure, kubuda kana kuora kunorwadza. Unhu hwehurombo uhwu hunowanzopindirana. Zvimwe zviratidzo zvinosangana neminyo yemabwe mafungiro , chills, kushungurudza, kurutsira, urinha weropa uye urinha.
Muvanhu vazhinji, kurwadziwa kwebwe reimpvo kunomanikidza rwendo kuenda kune imwe nzvimbo yepamhanho.
Matombo anogona kuumbwa mune bladder, ureters kana inso. Apo mabwe akadaro anowanikwa muinso, anokwanisawo kutumidzwa se renal calculi kana nephrolithiasis. Iropi matombo anogona kunge ari kuvhiringidza kana kusagadzirisa. Kuvhara mafungiro emagetsi makuru (kupfuura 7 mm) uye kuvhara ruzivo rwekuvhenekera saka zvinoda kushungurudzwa. Nzira dzisina kubvongodzwa neminzwa dzakawanda uye dzinowanzopfuura dzoga uye hadzidi kuti chipatara chigare. Pane kudaro, kana iwe uchienda kune imwe nzvimbo yekukurumidzira nematombo angangodarika, uchawana mishonga yemarwadzo (NSAIDs kana kuti pasina opioid) uye mirayiridzo yekuita kuti uite uye kutevera pamwe nechiremba wako.
Ipiyo mabwe kakawanda inoumbwa ne calcium oxalate. Zvisinei, zvichienderana nechinangwa chazvo, kuumbwa kweminwe mabwe kunowirirana, uye zvinogonawo kugadzirwa ne calcium phosphate, struvite, cystine kana uric acid.
Kana mafungiro eminzwa achipfuura mumuguta, anokwanisa kuonekwa semhepo inogona kubatsira mukuongorora chirwere ichi.
Apo munhu anopa chivako kune imwe nzvimbo yekukurumidzira neyekufungidzirwa kuongororwa kweimpso majoko, chirwere chemuviri CT pasina kupikisa kakawanda chinorayirwa kufungidzira chero maipi epipi. Ipi mabwe anogonawo kutariswa achishandisa mamwe maitiro ekuongorora zvinosanganisira ultrasound, x-ray, MRI, uye fluoroscopy.
Uyezve, urinalysis inorayirwawo kuongorora urini hwekristasi uye masero matsvuku eropa (izvo zvinoratidza kubuda ropa).
Kunyanya mafungu makuru emakona anodzivisa ruzivo rwekuvheneka angada kuvhiyiwa kuti abvise. Kuvhiya kweiyo majozi , zvisinei, iye zvino hawanzoitiki. Panzvimbo pezvo, kuwedzera kwekunyanya kunetseka kunonzi wave lithotripsy (ESWL) yave iyo nzira yekuenda kune imwe nguva apo inorapa mainyo emabwe.
Ne ESWL, mazai e-sound waves anoshandiswa kuputsa mafyvo matombo anoonekwa nenzira yekushandisa ultrasound. Aya mabhekwe eminwe inogona kubuda nekusununguka mumugwagwa wemuguta nemuguta. Zvinofadza, teknolojia yakashandiswa kukura ESWL yakavakirwa pa teknolojia inoshandiswa kukura ndege huru.
Kune nzira mbiri iyo ESWL inogona kushandiswa. Kutanga, ESWL inogona kushandiswa nenzira yekushambidza mvura uko iwe uchinge uchinge uchinge uchinge uri mumvura uye mafesheni makuru ane simba anotumirwa mumvura. Zvimwewo, aya akareba-simba mafungu emhepo anokwanisa kutungamirirwa kuburikidza nemvura yakasungirirwa yakaiswa pamusoro peganda rako. Zvose izvi zvinogona kunge zvisinganzwisisiki uye anesthesia inowanzogadziriswa panguva yekuita. Anesthesia inokurumidza kudzorera nguva pashure peSWL.
Kunyangwe nekushandiswa kweanesthesia, ESWL inogona kushungurudza.
Kunyanya, ESWL inorwadza zvikuru apo huwandu hwemasvikiro hunoita kuti inzwi rwuri kufamba mafambiro ari kufamba pakati pemvura uye mishonga kana mishonga nematombo. Nokudaro, marwadzo acho anowanzotarisa, zvakadzika mumutsvo apo ibwe iri.
Kunyange zvazvo ESWL inowanzochengeteka, kazhinji inogona kukonzera mwoyo arrhythmias kana nyvina nevadziviriri. Uyezve, ESWL dzimwe nguva inogona kushandura neropa rekuwedzera uye kuwedzera kukanganisa kwemwoyo. Mamwe maitiro ekukuvara kwechirwere uye kubuda ropa zvinoitika mushure mekushandiswa kwe ESWL.
Mukuwedzera kuvhidhiyo kana ESWL, mune dzimwe mamiriro ezvinhu, ureteroscopy uye endoscopy inogona kushandiswa kuoneka uye kubvisa mawere eminzwa.
Ureteroscopy inoshandiswa kugadzirisa matombo akabatwa mumushure.
Ipi mairo anokonzerwa nekubatana kwezviitiko zve genetics uye zvakatipoteredza. Zvichienderana nechinokonzera, dzimwe nguva unogona kutora matanho ekudzivirira mafungiro eminzwa. Semuenzaniso, iyo inowanzosangana nehutano inobatanidzwa neimpimputa matombo inopera mvura; saka, kunwa mvura yakawanda kana kutora diuretics (mvura yemapiritsi) inogona kubatsira kudzivirira mainyo emabwe. (Chiremba wako anofanirwa kupa mishonga inonzi diuretics.) Uyezve, zvimwe zvokudya zvinogona kubatsira pakuvandudzika kwemhando dzakasiyana dzeepi. Semuenzaniso, sipinashi ine oxalate, chikamu chetsvo nemabwe akabatwa ne calcium oxalate. Uyezve, kuderedza kuwanda kwenyama uye sodium yaunodya kunogonawo kudzivirira calcium oxalate mawere maziso.
Sarudzo Sources
Hwang JQ, Poffenberger C. Hwang JQ, Poffenberger C Hwang, James Q., naCori McClure Poffenberger.Chapter 10. Renal uye Urinary System Ultrasound. Mu: Carmody KA, Moore CL, Feller-Kopman D. Carmody KA, Moore CL, Feller-Kopman D Eds. Kristin A. Carmody, uye al.eds. Handbook of Critical Care uye Emergency Ultrasound . New York, NY: McGraw-Hill; 2011. Yakasvika musi waDecember 12, 2015.
Cereda M, Kennedy S. Cereda M, Kennedy S Cereda, Maurizio, uye Sean Kennedy.Chitsauko 61. Kufungidzira Mafungiro Okugadzira Zvokudya uye Kurapa. Mu: Longnecker DE, Brown DL, Newman MF, Zapol WM. Longnecker DE, Brown DL, Newman MF, Zapol WM Eds. David E. Longnecker, uye al.eds. Anesthesiology, 2e . New York, NY: McGraw-Hill; 2012. Yakasvika musi waDecember 12, 2015.