Urolithiasis: Zviratidzo neMarapirwo muvarume. Zviratidzo uye kuongorora chirwere zvirwere

Urolithiasis (IBC) - munhu zvokurwara, iro nguva dzose pamwe nemarwadzo. Vemunyika kusagadzikana mune rezasi shure kazhinji. Asi kana dombo kunoita kuti mbudo, marwadzo anogona kubatwa yose mudumbu. Zviratidzo zvakadaro kazhinji anoumba hwaro ane kururama nechirwere uye inotungamirira munhu vazondifungira murwere ane appendicitis kana urikanwi. Saka, ngationei nechirwere "urolithiasis" Zviratidzo neMarapirwo muvarume.

Chii chinoita chirwere?

The chirwere zvakawanda mune zvepabonde hwakasimba kupfuura vakadzi. Statistics anopa zvinotevera nenhamba. Varume vane katatu kazhinji kuti uonekwe urolithiasis.

The zvinokonzera chirwere, vanachiremba vari mapoka mapoka maviri: kwokunze uye dzimwe zvinhu. Ngationgororei navo.

External zvinhu zvinoita kuti paumbwe matombo:

1. Climate Features. Dry mhepo kazhinji kunotungamirira kupera mvura mumuviri.
2. Soil mamiriro. Zvinokanganisawo electrolyte zviri zvigadzirwa.
3. Water. Kana itsvo mabwe chirwere kunogona kuva manyuko zvakawandisa munyu iri mvura mvura yaunodya. Izvi zvinotisvitsa yakakwirira pfungwa iri weti yavo. Mukuwedzera, ibwe nokuumbwa kunokanganisa acidity mvura.
4. My zuva nezuva. basa Mumuviri chinowedzera zvokurwara.
5. Kushaya Urume. A shoma mvura manwiro kunowedzera ngozi yokubatwa nechirwere chakakomba.
6. Diet. Stone inotungamirwa chinowedzera kunyanyisa kunwa nyama zvigadzirwa, uye zvokudya kuitika munhu muzvizhinji kuti purine bwezvingoro (sipinachi, pizi).

Izvi handizvo chete anopa nekufemera kukura kwezvirwere zvakadai urolithiasis. Zvikonzero inogona nokuda zvemukati zvinhu:

1. Zvirwere of Urinary turakiti: urethritis, cystitis, pyelonephritis, prostatitis.
2. Pathologies of zvomudumbu turakiti: nduru mabwe, pfungwa nomuviri zvemwana asati, hepatitis, colitis.
3. Chirwere zvimwe nhengo: osteomyelitis, abrasions, kwazvo huro.
4. Zvemamiriro Kugadzirwa dundira, itsvo, ureter.

symptomatology chirwere

No dzakananga zvekuchipatara kuratidzwa mune kwokutanga matanho haisi urolithiasis. Zviratidzo uye mabatiro varume kakawanda iyi haana kuwanikwa. Zvokurwara anogona kuratidza kana rokuongorora zvimwe zvirwere.

Mamirire zviratidzo urolithiasis dzinoitika murwere zvinofamba mabwe. The inokosha chiratidzo kwakakomba, pakarepo kutanga kurwadziwa. ezvinhu akadai inozivikanwa se renal colic.

Akanga dzinoratidzwa anotevera zvinhu:

1. Paroxysmal kurwadziwa, iyo nguva nenguva inosvika kuwedzerwa.
2. Pangava kuwedzera kupisa.
3. Chinorwadza kusanzwa rinooneka kamwe kamwe, kazhinji panguva kuzunungusa kufamba kana pashure vakawanda vari kugamuchira fluid doro. Kuchinja nzvimbo muviri asingadi kubvisa kurwadziwa.
4. The kusagadzikana anogona kuparadzira kusvika lumbar nharaunda, nechepazasi abdominal nharaunda, muhudyu.

zviratidzo Features

Localization kurwadziwa uye ayo Tinokwanisa here kuziva hunhu kunzvimbo mabwe, kana murwere chirwere urolithiasis. Zviratidzo uye mabatiro varume vari kunobva pachido nzvimbo yavo:

1. The kusagadzikana vaityisa lumbar munharaunda (pedyo ane mupendero-vertebral angled) kuti anopararira kusvika groin, vaine localization kuti itsvo matombo uye sangano ravo nenzira ureter. Kana chirwere ichi kazhinji ropa iri weti.
2. Kana marwadzo iri pfungwa parutivi lumbar nharaunda uye kunosvika kuna groin, ipapo ibwe iri kumusoro. Zvinorwadza kusanzwa ndiwo mugumisiro Munotatamura ari itsvo Kamudzira.
3. Kufambira ibwe iri nguva dzose kunorwadza. Bal anoratidza, kazhinji pamberi yehudyu uye scrotum.
4. Marwadzo yakasiyana kusachinja-chinja. Dzimwe murwere ane nguva kuzorodzwa inotsiviwa kusembura. Zviratidzo kwakadaro anowanzoramba nokuda localization pakati matombo dundira.

uye zvimwe zvinhu zvinogona kuchengetwa kuwedzera pamusoro zvekuchipatara kuratidzwa:

• dysuria;
• Kushatiswa murwere;
• fivhiri;
• hematuria;
• kuda kurutsa, kurutsa;
• O Urinary chengetedzo somugumisiro occlusion dundira mutsipa.

chirwere chirwere

Kuzosimbisa chirwere kuti "itsvo ibwe chirwere 'nhoroondo yezvokurapa murwere nokuda kupinda chiremba aongororwe vanyatsohuongorora. Doctors kuziva kare akaita kurapwa, kubudirira kwayo. matanho akadaro kuti tikwanise nemazvo basa akakodzera kurapwa.

Chirwere ari pamusana zvinotevera mashoko:

1. Kuvapo maitiro zviratidzo murwere. Nguva nenguva kuzviratidza marwadzo ari lumbar nharaunda, dumbu kana muhudyu. Kukwana Kuburitswa mu of dundira. Kwerusenzi manzwiro apo vanhurume ari urethra.
2. Izvi kuongorora. Chiremba anonzwa mudumbu, zvichiita peritoneum dziripowo anogumbura pathologies, akadai pfungwa nomuviri zvemwana asati, cholecystitis, appendicitis. Tapping ari lumbar nharaunda uye mudumbu runoita kusiyanisa mashoko zvokurwara pamusoro lumbago, Sciatica, pyelonephritis. An kwokunze kuzviongorora murwere anogona maitiro zhinji zvirwere Urinary hurongwa. It inorangarira murwere mamiriro, ruvara rweganda, kuvapo edema.
3. Chakanangana zvokurwara parameters urinalysis. Kazhinji, izvozvo akawana rakawedzera arambe achirema. In weti muri kuchinja erythrocytes. Kuziva yakakwirira Kuwanda munyu. zviratidzi rwakadaro urinalysis kunoratidzwa pamberi murwere itsvo mabwe.
4. Izvi Ultrasound. The Ongororo Rinonyatsoratidza nechirwere uye anopa pfungwa ukuru, chimiro uye nzvimbo yorukangarabwe.
5. CT zvabuda. The Ongororo rinoshandiswa kana Ultrasound haripi characterization yakazara zvokurwara.
6. Zvakabuda X-ray musiyano bvunzo. Nzira iyi inobvumira kuti kudzidza zvakadzama aibuda weti. Diagnostics rinozivisa, kwaiva blockage pakati ducts.

mhando matombo

Zvakakosha chaizvo kwete chete kuziva pathologies zvakadai urolithiasis. Zviratidzo uye mabatiro varume vari zvachose novimba akasiyana-matombo. Ndokusaka zvinokurudzirwa vasingafaniri kushandisa mushonga chetsika uye kupa utano ruzivo nyanzvi dzavo.

Inogona kuumbwa kutevera matombo urolithiasis:

1. Oxalate. Mabwe vakadaro vakaumba calcium munyu oxalic acid. Vari ne mukuru arambe achirema chipingamupinyi pemvura. Pakutanga, ruvara dema uye pfumbu. Kana ibwe inokuvadza ari mucosa, nokuda ropa ruvara zvinova vatema kana shava.
2. Phosphate. Kuine karusiyamu munyu phosphoric acid. Kazhinji, ibwe iri kumeso kana zvishoma hasha. Zvinogona kutora zvakasiyana-siyana. The kwemashoko ibwe nyoro. It kunoratidzwa chiedza pfumbu kana chena. ibwe iri ane tsika nokukurumidza. Zviri nyore kuti vakarambana.
3. Urate. Vari akaumba uric asidhi kana ayo munyu. Matombo siyana yero-zvidhinha ruvara. Vane pose mvere, asi zvakasimba kusachinja-chinja. Kupwanya zvichibvira kushandisa zvinodhaka.
4. Carbonate. Kuine karusiyamu munyu carbonic acid. The kwemashoko padombo iri nyoro, asi rudzi - siyana. Concrement ane mvere nomumativi ane chena ruvara.
5. Cystine. Dzavo siyana sarufa remubatanidzwa cysteine amino acids. Mabwe rwakapoteredza, yellowish-chena ruvara. Kazhinji, vane pose kumeso, zvinyoronyoro kusachinja-chinja.
6. Protein. inotungamirwa Avo fibrin chinowedzera admixture pamwe utachiona uye munyu. Mabwe chena, diki, nyoro uye sandarara.
7. Remafuta akawandisa. Vari apo neapo munyika itsvo. Chinoumbwa remafuta akawandisa, vane nyoro magadzirirwo, zvakasiyana dema. concretions Ava ngozi nokuti nyore chiwondomoke.

pakurapa chirwere

Nzira kuti tikurire munhu zvokurwara kunorondedzerwa pedyo chiremba wezvedundira. Kushandiswa pakurapa operative nzira uye kuchinja kurapa. Kusarudza nzira inoenderana murwere ezvinhu, ayo zera, ukuru uye localization pabwe, ari kurapwa mukurwara, kuvapo vasiri kana anatomical kuchinja uye padanho renal kukundikana.

Kazhinji, kubviswa mabwe zvakakodzera kushandisa kuvhiyiwa. Anosiyiwa vari concrements vakaumba uric acid. Matombo aya anogona zvichanyungudutswa kuchinja kurapwa.

Pakutanga, varwere vakanga dzakabatwa anotevera Formulations mu urolithiasis:

1. Antispasmodics. Ivo kubvisa spasm ari ureter, kusimudzira kutandara masvingo aro. Izvi zvinobatsira kuderedza marwadzo uye kufambisa ndima ibwe. Varwere vari achaudzwa zvinotevera zvinodhaka: "papaverine", "No-Spa", "Halidorum", "Diprofen".
2. Inonyaradza marwadzo omusoro. Ivo ushandiswe mune chiitiko ane kurwisa renal colic. Kunoreva zvakakwana kubvisa marwadzo, "Analgin", "Akatanga", "Tempalgin", "Baralgin", "Pentalgin", "Tetralgin".

Vamwe varwere vanogona kupiwa mishonga inorwisa mabhakitiriya. Vari kutarisirwa ari kurapa, kana utachiona wanamatira urolithiasis. Pakusarudza anodiwa mishonga zvinogona chiremba pahwaro yacho ongororo.

pokufa urate

Zvinokosha kunzwisisa sei kurapa urolithiasis, taurira chiremba, nekuti kunhonga mishonga inodiwa wokuparadza calculus anogona zvino kuona kwayo mhando.

Nokuti kurapa urate, zvinotevera zvinodhaka:

1. "Allopurinol", "allozyme", "Allopron", "Allupol", "Zilorik", "Milurit", "Remid", "Sanfipurol", "Purinol". mishonga yakadaro kunogona kuderedza deposition pamusoro uric asidhi munyu.
2. "Etamid". The mushonga kunomutsa chaizvo kurega kuti urate iri weti. Inokurudzira zvinoderedza uric asidhi munyu.
3. "Urodan". Combined gadziriro chinokonzera Urinary alkalization. The mushonga rinokurudzira paumbwe uric asidhi-soluble munyu.
4. "Munguva Urals." Zvinoreva kushandiswa wokuparadza urate. Inochengetedza muviri kubva nokuumbwa nematombo matsva.
5. "Blemaren". The mushonga anokwanisa wokuparadza urate nevamwe matombo Urinary.
6. "Solimok". Excellent kuiparadza mabwe Urinary, kazhinji urate.

Pokufa oxalate

Kana murwere chirwere date mabwe, zvokurapa kurapa zvinosanganisira mishonga:

1. "Marelin".
2. "Kurambana". Mishonga gadziriro, mumwe kuparadzwa ndiko karusiyamu oxalate matombo.
3. Somushonga mari №7; №8; №9; №10. Mari yakadaro pamutemo ne chiremba wezvedundira. Ivo nhaka diuretic, litholytic (Kuparadzwa mabwe), spasmolytic ehupfumi.

phosphate nemukuparadzwa

Kuti tikurire zvokurwara ichi zvikuru yaiti zvigadzirwa:

1. "Kusvina madder." chishandiso kwakadaro kunoita fluffing phosphates. Uyezve, kuti mushonga une spasmolytic uye diuretic.
2. "Marelin". The mushonga kwete chete dzinopomhodza namabwe, asi zvakanaka kubvisa spasm ari renal chiuno, ureter. The mushonga Unotsigira kuzvimba munyika genitourinary ino.

Pokufa cystine mabwe

Pamusoro kuonekwa chirwere ichi ndicho chinonyanya kunaka kutora zvinotevera mishonga:

1. "Penicillamine". Zvinoreva mhando neumwe cystine remubatanidzwa riri nyore soluble mu weti. Izvi zvinoderedza mabwe.
2. "Tiopronin". Zvinoitika muviri zvinodhaka akafanana zvinodhaka dzataurwa pamusoro apa. Zvinonzi ushandiswe, kana "Penicillamine" zvakaratidza isashande.
3. "Potassium Citrate", "Sodium Bicarbonate". Mishonga, alkalizing weti. Somugumisiro, cystine matombo nyunguduka.
4. "Ural".

simba Features

Hazvo varwere vose maererano ushandiswe kurapa zvokudya. Urolithiasis nevanhu, zvichienderana nemhando matombo, zvinoisa mamwe mitemo Mishonga.

Kana murwere akawanikwa urate, zvinokosha kuderedza kushoma kushandiswa:

1. Foods akapfuma purines. hove ichi, nyama yemhuka, notumwe tupukanana ne-zvigadzirwa, bhinzi, broths. chikafu kwakadaro anobvumirwa 1 nguva pavhiki.
2. Doro. Varwere vanorambidzwa kushandisa waini tsvuku, doro.

Zvokudya Mishonga inofanira kuvakirwa zvinotevera zvokudya:

• pepper, madomasi, eggplants, mbatatisi;
• munyoro chizi;
• mhunga, Buckwheat, bhari grits;
• michero uye michero;
• Pasta;
• mazai;
• mukaka, koteji chizi, dheri zvigadzirwa.

Varwere vari panoonekwa oxalates vanofanira kutirambidza kushandisa zvinotevera zvigadzirwa:

• sipinachi, lettuce, zvakarungwa;
• beets, makerotsi, nemadomasi;
• sauerkraut;
• celery, parsley;
• kofi netii;
• mondo, jellies;
• chocolate, koko;
• mitema bhinzi;
• huku, nyama;
• the currant, maranjisi, yakashapa maapuro.

Zvinokurudzirwa kuti kuvandudza zvokudya zvine calcium, magnesium, vhitamini B6. Zvinganaka inotevera zvokudya:

• dheri zvinogadzirwa;
• zviyo yose, bota;
• mbatatisi, nhanga, makabheji;
• nzungu;
• apricots, mabhanana, Pears, visi;
• pizi.

Kuona phosphate ari kudya anofanira chete:

• cranberries, currants, cranberries;
• muriwo nemichero;
• mukaka zvigadzirwa, chizi, chizi, dheri zvinogadzirwa;
• doro;
• Hot zvinonhuhwira;
• carbonated zvinodhaka;
• kofi.

Zvinokurudzirwa kupa kupfuura zvinhu zvine calcium yakawanda zvishoma, asi kuva asidhi kuita. Inobatsira vhitamini A.

Aanoda unopiwa mune zvokudya zvokudya zvinotevera:

• siyana soups;
• mafuta muriwo;
• Pasta, chingwa;
• ruomba;
• hove, nyama;
• nokuzvinwira muchero uye facial kubva acidic michero uye michero (cranberry, Citrus zvibereko, maapuro).

Kana cystine mabwe ari pasi achisiya zvinotevera zvokudya:

1. Offal - the chirwatata, chiropa, neitsvo.
2. Fish, nyama. Kubvumirwa kushandisa mazuva hapana anopfuura 3 pavhiki. The daily dose ndiyo 200-250 MG.
3. Eggs (chete chidimbu rimwe pazuva).
4. furawa Gorosi.
5. Bhinzi.

Zvinokurudzirwa rokuvandudza zvokudya zvokudya ine dzakasiyana-siyana mavhitamini, akadai:

• visi;
• Citrus;
• cranberries;
• mazambiringa;
• mastrawberry;
• akawoma;
• magirinedhi;
• maorivhi;
• Pears;
• currants;
• makarotsi;
• nzungu;
• blueberries.

mhedziso

Kana zvakakodzera, varwere chirwere kuti "ICD" (urolithiasis) anogona varumbidzwa ibwe unorema chaiwo nzira. Sezvaunogona kuona, zvinokwanisika kutsungirira chero chirwere. Chinhu chikuru haisi mapfumo, uye zvakasimba zvinoenderana Hupenyu zvose.