Itsvo mabwe

Kubva zvirwere zvakadai itsvo mabwe, vanotambura kusvika 5% yevanhu vepasi. Zvisinei, vakapiwa mukana kuva chirwere kanenge kamwe muhupenyu, kubhawa anofanira akarerwa kusvika kaviri. Itsvo mabwe vava mumwe rakajairika nezvirwere munyika dzakabudirira, ndiko chokuita nani zvinodiwa pakurarama, uye, mukuwedzera norudzi rwavo uye nzvimbo dzokugara. Zvisinei, zvinokonzera itsvo matombo hakugumiri. Uyezve, mukana ibwe aaiitawo uye pamwaka zvakasiyana itsvo, umo yakakwirira pamwero calcium oxalate nevanhu vakapemberera muzhizha, uye vakadzi - pakutanga yechando. Varume, kuti itsvo mabwe kuitika kaviri kakawanda kupfuura vakadzi. Most ngozi kwekumaodzanyemba vanhukadzi mune zano ichi - makore 30. Women, akavapindurawo, pane vaviri zera ngozi - 35 uye makore 55 azvaitwa. Zvichitevera chete kuti sezvo itsvo ibwe iri akatanga kuumbwa, mukana rokuumba ibwe wechipiri inotevera 5-7 Makore ndiyo 50%.

Zvidzidzo Recent vakawana kuti paumbwe itsvo matombo kunokanganisa chirwere kunokonzerwa tusingaoneki-nanobacteria, ukama Helicobacter pylori, uye duodenal urikanwi. Nanobacteria - duku bacteria microcellular Anoumba goko kuti karusiyamu phosphate. nanobacteria izvi zvinogona kuwanikwa zvinenge zvose itsvo matombo (97%), uyewo chicherwa plaques (plaques Randall) ari renal papilla.

Uyezve crystallization uye kukura namabwe chokuita nezvemidzimu endogenous uye Mishonga zvinhu. Weti vhoriyamu, solute wevasungwa uye inhibitor pamwero nekufemera kukura itsvo matombo (citrates, pyrophosphates, glycoproteins) ndiwo zvinokosha kuti kukanganisa ibwe inotungamirwa. Chaizvoizvo, ibwe anotanga crystallize apo wevasungwa pakati ions maviri akapfuudza saturation pfungwa mhinduro.

Zvisinei, chakaita kuti akaita kukura itsvo mabwe zvakananga, kazhinji haana chirwere. Zvinonzi chete anozivikanwa kuti pangozi yokuita itsvo matombo yakawanda katatu, kana mhuri yako yave vanhu vachitambura kubva itsvo matombo. Uyezve, basa reDare jekiseni nemishonga mamiriro, BP, uye nhoroondo gout, chikuru hyperparathyroidism, chisingaperi metabolic acidosis , uye kuvhiya kubereka. Vakadzi avo zvasvika kubereka, panowanikwa itsvo mabwe chokuita neBP uye pasi zviri magnesium uye calcium yakawanda mune zvokudya.

Itsvo mabwe zvakawanda mune avo varwere maari pane anatomic abnormalities nezvezvimwe zvinetso zvedundira turakiti, izvo zvingaita kuti kurega kunotanga kuti weti. Vazhinji varwere (80%) chete itsvo mabwe inozviisa mumwe kana kupfuura zvinokonzera njodzi. 25% kubva itsvo mabwe pakutanga idiopathic. Uyewo, sezvo ari divi mugumisiro zvimwe zvinodhaka pane kuwedzera ngozi matombo ari itsvo.

To muchidimbu

Karusiyamu oxalate (roga, uye pamwe chete) ndiyo mashoko rakajairika kubva acho itsvo matombo.

Low Vhoriyamu weti ndicho abnormality uye bedzi chinokosha, izvo zvinofanira kuteerera kudzivisa zvazvo.

Ngozi dzokororo ndiyo 50% kwenguva 5 kusvika 7 makore.

Mabatirwo itsvo mabwe kungada kamari munyu kudya (<50 mmol / zuva) uye zvokudya rine zvishoma mapuroteni mhuka (<52 g / zuva) chiyereso kuderedza kakawanda zvazvo.

Nizkorkaltsiumnye zvokudya hadzina ndaizoitwa Kudzivirira kuitazve nechiyero, sezvo ivo kuwedzera excretion kuti oxalate uye kunogona kukanganisa karusiyamu zvakanakanaka mumuviri.

Most itsvo mabwe asingasviki 5 mm mu dhayamita kunze muviri pachawo.