The kidney stones, inowanzonzi" kidney stones Makristasi akaoma anoumba muitsvo uye anogona kukonzera kurwadziwa kwakanyanya. Vanachiremba vanoshandisa izwi urolithiasis kuratidza makristasi aya, anogonawo kuwanikwa mune yakasara yeurinary system: mudundira, urethra kana ureters (ona mufananidzo).

Munenge 90% yezviitiko, matombo weti kuumba mukati meitsvo. Kukura kwavo kwakasiyana-siyana, kubva pamamirimita mashoma kusvika kumasendimita akawanda mudhayamita. Zvizhinji zvacho (80%) zvinopedzwa zvega nekupfuura nemumatanho akasiyana-siyana eurinary system uye zvinokonzera zviratidzo zvishoma. Zvisinei, ureters, iri pakati peitsvo uye dundira, maduku maduku zvikuru. Dombo rakaumbwa muitsvo, iro riri kufamba richienda kudundira, rinogona kuvharira ureter zviri nyore nekudaro kukonzera. marwadzo anopinza. Izvi zvinonzi the renal colic.

Ndiani anobatwa?

Matombo eitsvo akajairika, uye kupararira kwawo kunoratidzika kunge kwakawedzera mumakore makumi matatu apfuura. Pakati pe30% ne5% yevanhu vachasangana nekurwisa renal colic munguva yehupenyu hwavo. Matombo eitsvo anowanikwa kakawanda mu kugariswa. Iwo anowanikwa zvakapetwa kaviri mukativarume kupfuura muvakadzi. Vamwe vana vanogonawo kukanganiswa.

Inopfuura hafu yevanhu vakatova necalculus vachave nayo zvakare mukati memakore gumi ekurwisa kwekutanga. The shanduko. saka yakakosha zvikuru.

Zvinokonzera

Masvomhu ndiwo mhedzisiro ye crystallization yemaminerari emunyu uye maasidhi aripo mukunyanya kuwanda muweti. Maitiro acho akafanana neanoonekwa mumvura ine zvakawanda zvicherwa munyu : kupfuura imwe pfungwa, mamunyu anotanga kupenya.

Matombo eitsvo anogona kuva chikonzero chezvikonzero zvakawanda. Kazhinji kazhinji, imhaka yekushaya dilution weti, kureva kuti a kushandiswa kwemvura kwakaderera. Zvokudya zvisina mwero, zvakanyanyowanda mushuga kana kuti mapuroteni, zvinogonawo kuva nemhosva. Muzviitiko zvakawanda, zvisinei, hatiwani chikonzero chaicho chinogona kutsanangura kuumbwa kwematombo.

Kunyanya kashoma, hutachiona, mimwe mishonga, genetic (yakadai se cystic fibrosis kana hyperoxaluria) kana chirwere chemetabolism (sechirwere cheshuga) chinogona kutungamirira pakuumbwa kwematombo eurinary. Saizvozvowo, kukanganiswa kweurinary tract malformations kunogona kubatanidzwa, kunyanya muvana.

Mhando dzemasvomhu

Iko kemikari yedombo inoenderana nechikonzero, asi huwandu hwematombo eitsvo hune karusiyamu. Kuongororwa weti uye kuongororwa kwematombo akadzoserwa kunobvumira kuumbwa kwawo kuti kuzivikanwe.

Calcium-based calculations. Vanoverenga nezve 80% yematombo ose eitsvo. Zvinosanganisira kuverenga kwakavakirwa pacalcium oxalate (inonyanya kuzivikanwa), calcium phosphate kana musanganiswa wezviviri. Zvinokonzerwa nekushaya mvura mumuviri, vhitamini D yakawandisa, zvimwe zvirwere nemishonga, nhaka yenhaka kana kudya kwakapfuma muoxalate (ona Diet in the Prevention section).

Struvite kuverenga (kana ammonia-magnesian phosphate). Izvo zvakabatana nekusingaperi kana kudzokororwa weti turakiti zvirwere zvebhakitiriya kwakabva uye inomiririra inenge 10% yezviitiko.¹. Kusiyana nemamwe marudzi ematombo, anowanikwa muvakadzi kupfuura varume. Kazhinji, vanoumba muvanhu vane bladder catheter.

Uric acid kuverenga. Vanomiririra 5 kusvika ku10% yematombo eitsvo. Iwo anoumbwa nekuda kwekuwanda kusingawanzo kweuric acid muweti. Vanhu vane gout kana kuti vanowana chemotherapy vane mikana yakawanda yokuva nayo. Vanogonawo kukonzerwa nehutachiona.

Cystine mabwe. Iyi fomu ndiyo isingawanzo. Muzviitiko zvese, kuumbwa kwavo kunokonzerwa neiyo cystinuria, chirema chemajini chinoita kuti itsvo dzibudise yakawandisa cystine (an amino acid). Rudzi urwu rwekuverenga runogona kuitika kubva paudiki.

Zvinogona kuitika

Zvinetso zvinonyanya kushoma kana matombo akachengetwa zvakanaka. Zvisinei, zvinogona kuitika kuti kuwedzera kune imwe mhingaidzo ye ureter nekuverenga, a chirwere inogadzikana. Izvi zvinogona kutungamirira kuhutachiona hweropa (sepsis) izvo zvinoda dambudziko rinopindura. Imwe mamiriro ezvinhu anogona kuve akakomba ndeye kana munhu aine cheteitsvo imwe ane renal colic.