Amatshe Crushing ku ultrasound izinso: kuzibuyekezo, izintengo

Ezinso - iyinkinga ezivamile namuhla. Ngokuvamile kumiswa yabo kwenzeka iziguli eqenjini yobudala emva kweminyaka engu-30. Ngokwezibalo, eRussia mayelana 3% labantu uhlushwa ezinso.

Ngathola kwetshe izinso ... ukwenzani na? Lo mbuzo okunikezwa iningi iziguli urolithiasis (urolithiasis). On izindlela ukwelapha lesi sifo okuxoxwe ngazo kulesi sihloko. Kodwa okokuqala ake ukubhekana ne okuyizici ezinomthelela ezinso. Ezinso - inqubo kabani izimbangela zingase zishintshe kakhulu. imithi yesimanje inikeza ukwelashwa zakamuva lesi sifo, kuhlanganise nokusetshenziswa laser kanye nokwehlukaniswa ezinso nge-ultrasound. Izibuyekezo iziguli esibonga, okwasiza lokhu kwelashwa, ubufakazi ukusebenza kwabo.

izizathu

Isizathu esiyinhloko ekukhuleni amatshe e-izinso kungukuphula izinqubo umzimba. Ikakhulu ukuba lesi simanga ezithinta umzimba amanzi-usawoti kanye chemical ukwakheka igazi yomuntu. nosawoti Ngakho ngokweqile ivela umchamo - lokhu kuholela ekwakhekeni amakristalu (amatshe).

Yiziphi izici eziwumthelela ukuvela urolithiasis?

Lezi zinto zibandakanya:

• amanzi Ukwandiswa ubulukhuni. Kukhona izindawo lonke ku Russian Federation, lapho amaphesenti iziguli urolithiasis, kuphezulu kakhulu ngenxa yalesi sizathu.
• ukusetshenziswa ngokweqile okunosawoti, okuthosiwe, izitsha okubabayo.
• Ukwephula ukuphuza umbuso. yokuntuleka uketshezi emzimbeni kuholela ekwakhekeni umchamo kanzulu xaxa, lapho ingozi esisemanzini izinso kasawoti zinhlayiya kwandisa.
• Ezindaweni nge eshisayo nge enganele uketshezi eyanele kubantu ingozi ezinso iyakhula.
• Ukungawuvivinyi umzimba kuholela yokujama tsi wegazi. izitho zangaphakathi, ezihlanganisa izinso, zihlupheka ngenxa yokuntuleka zondliwe. It is wafakazela ukuthi kukhona leaching-calcium kusuka amathambo ngesikhathi sokungasebenzi. Lokhu kuholela i okuqukethwe lelitfutfukile calcium umchamo futhi ngenxa yalokho ingozi ezinso ukukhula.
• Ukuphazamiseka kohlelo urinary.
• izifo kanye nezifo kohlelo urinary.
• Ufuzo.
• Ukuntuleka kokukhulumisana noma, kunalokho, ngokweqile abanye amavithamini kuholela ukuphazamiseka izinqubo umzimba. Kuyadingeka ukulinganisela ezinhle amavithamini C, A no iqembu D.
• Ukweqisa ophuzweni oludakayo.
• ukuphuza imithi engalawuliwe ezithile (isisu, sulfa izidakamizwa, njll).

Ukwahlukanisa amatshe nge urolithiasis

Amatshe e urolithiasis kungenzeka kunoma yiziphi izingxenye uhlelo urinary (izinso, kwesinye, ureter). Izinhlobo ezinso zihluke kakhulu. Zingase zihluke e zabo amakhemikhali ukwakheka, ijamo, ubungako, isisindo kanye nobungako. Kukhona calculi eyodwa noma amaningi. Ngezinye izikhathi inombolo yabo ifinyelela emakhulwini amaningana noma ngisho izinkulungwane. Ubukhulu ezinso ziyahlukahluka kusuka okusanhlamvu encane esihlabathini a ukubaluleka isibhakela, nesisindo - kusukela eshumini a igremu a amakhilogramu noma ngaphezulu.

Izinhlobo ezinso ukubunjwa amakhemikhali futhi ahlukahlukene:

• Phosphate - kwakhiwa kusukela wali band acid nosawoti (wali band acid calcium, noma magnesium). Tripelfosfaty - lokhu phosphate ammonia-magnesium. Lezi amatshe yakha e umchamo ane-alikhali, zingabantu okuxekethile, ukungaguquguquki esithambile. Ngokuvamile omhlophe noma ibala lemicu empunga elinamathela othini. Zikhula ngokushesha futhi kahle olwembiza. Lubohlo ukuvuvukala njalo uhlelo urinary.
• Oxalate - usawoti ka oxalic acid (oxalic calcium noma ammonium). It trudnodrobimye obukhulu amatshe omnyama noma obunsundu. Ube unezikhinsi esingemnandi, ngokuvamile spinous.
• Urata - a urate (i-sodium uric noma ammonium). Leli tshe obukhulu, bushelelezi, ngokuvamile ngaphandle amahlumela, ensundu.
• Xanthine - aqukethe xanthine futhi uric acid. Umbala ophuzi lemicu empunga elinamathela othini-luhlaza noma amnyama. obukhulu kakhulu. Akhiwa umchamo ene-asidi. Ezingavamile.
• Carbonates - la matshe yakhiwa calcium carbonate ne-magnesium carbonate calcium. Ziyakwazi mhlophe, ochotshoziwe kalula.
• Cystine - ngokuvamile atholakala kuwo womabili izinso ngesikhathi esisodwa, abushelelezi, shiny, grey okhanyayo ngombala futhi ukungaguquguquki esithambile. Kubonakala iziguli nge ezingavamile esiwufuzo - cystinuria. Wenzeka in iziguli urolithiasis.
• Amaphrotheni - aqukethe fibrin, zokwakheka ezihlukahlukene zama-bacterium nosawoti isicaba ukuma, laminates emhlophe.
• Cholesterol - black, kulula sidilike. Ezingavamile.
• Mixed - itshe, ehlanganisa ezahlukene yizici zamakhemikhali. Duzane ngetshe elilodwa Ukwakheka core kwakhiwa ezinephakathi elilodwa ezinye izakhi zamakhemikhali.

Ngokwezibalo, 80% of the urolithiasis oxalate zenzeka, okungenani - urate (5 kuya ku-15%) kanye ne-phosphate (5 kuya ku-8%). Ezinye izinhlobo ezinso awavamile.

ukuhlola

Indlela yokubona ezinso? Kukhona uphethwe laboratory yokuzimisela nokuzikhandla kwawo wezinsimbi. Eyokuqala ihlanganisa nokuvivinywa okuhlukahlukene laboratory. Instrumental wenziwa usebenzisa imishini ekhethekile.

ukuxilongwa laboratory

1. CBC kuyingxenye ukuhlolwa saziso ngasiphi izifo. Uma uxhuma ukutheleleka kungenziwa wembula lokhu: leukocytosis, leukocyte shift kwesokunxele noma unenkinga yegazi eliphansi.
2. Biochemistry igazi inikezwa ukucacisa lokuhlala ka uric acid, i-calcium, i-magnesium, i-phosphorus wezinto ezingaphili. Igazi labo okusezingeni eliphezulu kungase kubonise kuphula umthetho we izinqubo umzimba emzimbeni.
3. Qedela segazi kufakwe ukuhlolwa saziso at pathologies ezehlukene, ikakhulukazi kohlelo urinary. Lapho urolithiasis e umchamo inzika microscopy kungenzeka erythrocyte samanje, usawoti zinhlayiya, futhi ukubusa ukutheleleka --bacterium inani elikhulu leukocyte.
4. Ukuze abone ezinso babelwa amasampula ezahlukene urinary: Nechiporenko, Amburzhe, Addis Kakovskogo.
5. umchamo kwamakhemikhali.
6. Yenza isiko umchamo flora virus.

ukuhlola

1. esimweni Plain.
2. Phawula umehluko owawukhona phakathi X ray.
3. US uhlelo urinary (izinso, kwesinye).
4. Magnetic resonance imaging.
5. computed tomography.
6. Radioisotope nefrostsintigrafiya.
7. Cystoscopy.

ukwelashwa

Phezu ukuthola urolithiasis ungaboniswa olandelanayo ithuluzi ukuphathwa, imiphumela emibi yokwelashwa ngamakhemikhali (nokonakala ezinso ngokusebenzisa uchungechunge imithi), ebhidliza concrements noma ukwelashwa kuhlinzwa. Ukususwa inikeza udokotela emva luhlolo egcwele isiguli, ikhumbula zonke contraindications eyodwa noma amakhambi.

Uma uthola kwetshe izinso - ukuthi benzeni kulesi simo? Okokuqala kubalulekile ukubhekana kuya Urologist noma udokotela ohlinzayo. Kuye ngobukhulu samatshe, inombolo yabo kanye amakhemikhali ukwakheka indlela yokwelapha siyonikwa.

ukwelashwa ngoludala

Lokhu kwelashwa ihlose okudambisa ubuhlungu ngesikhathi isiqeshana urolithiasis, kanye nokuvinjelwa izinqubo ukuvuvukala kule ngomgudu womchamo. Lokhu kuhlanganisa nokuvimbela yokuphindela urolithiasis kanye nezinkinga. ukuphathwa okulondoloza yalesi sifo ligcwaliswa kuphela uma usayizi calculus akuyona ezingaphezu kuka-4 mm.

imithi

Uma uneminye ukuvuvukala ohlelweni urinary futhi khona amatshe udokotela wokuqala sinquma antibiotic. Kuphela emva ukususwa isinqumo ukuvuvukala mayelana indlela ekwelapheni urolithiasis.

Ukuze esiqoshiwe ubuhlungu ezisetshenziswa analgesics, "Baralgin" "Cha-spa," "ibuprofen", "metamizol sodium," "Indomethacin", "Dikloberl", "Deksalgin", "Morphine", "Baralgetas". Ukusetshenziswa le mithi aqede akanalo nje ubuhlungu, kodwa futhi Kusiza ekudambiseni spasm nge ureters futhi uphumule imisipha kulo lonke uhlelo urinary. Lokhu kusiza kakhulu isimo iziguli futhi ikhuthaza ukufinyelela abazimele ahlukene amatshe amancane.

Ukusebenzisa imithi urolithiasis, ochwepheshe ukweluleka ukuba bagcine ukuphuza umbuso bese ukuhambisa ngaphezulu. Ukhuthaza ukudedelwa amatshe.

Ukwelashwa ngamakhemikhali nokushiswa urolithiasis

Le ndlela yokwelashwa kuhloswe kuqedwa ezinso kanye alkalization urinary. It isetshenziswa ngokuyinhloko khona urate amatshe kanye okuxubile, okuyinto akhiwa i osebenzelana acid. Ukuze wenze lokhu, sebenzisa izidakamizwa ezifana "blemaren" futhi "Ural Y".

Ukuncibilikisa calculi kwezinso futhi biliary wasebenzisa izidakamizwa plant-based "Urolesan", okubandakanya akhiphe fir, Uphinde agibele, marjoram kanye peppermint. Lesi sidakamizwa has nomphumela eqeda ukuvuvukala abese ephumula imisipha bushelelezi okukhuthaza ukudedelwa amatshe amancane.

ukwelashwa op

Uma udokotela wakho baqinisekisa ukuthi isiguli has ezinso umsebenzi wabo ukususwa kungabuye ahlinzekwa. ukuphathwa Steel yalesi sifo engenziwa ovulekile kuhlinzwa operation, endoscopic ukususwa amatshe lithotripsy (oxhumana naye noma akude). Lithotripsy - namatshe kwasani. Le nqubo ingathatha kusetshenziswa laser noma ultrasound.

Ukuhlukana ezinso nge-ultrasound. Izibuyekezo

kokubhubhisa Ngakho calculi kwezinso ungaxhumana noma ukude.

Lithotripsy akude kusetshenziswa ultrasound ukuchayeka amatshe ngokusebenzisa kwemisipha izicubu. Kodwa isicelo sale ndlela kungaholela yezinkinga, t. Ukuze. Umthelela akuyona kuphela calculus, kodwa futhi zezicubu ezizungezile. Lokhu kungaholela contusion kwezinso.

Ngokuvamile labetibambile contact ocindezelayo ezinso nge-ultrasound. Nobufakazi ukukhombisa ukuphumelela kwalesi ukwelashwa. Imininingwane lithotripsy kusetshenziswa imishini endoscopic. Kulokhu, umthelela ultrasound phezu concretions ngokuqondile. Asakaza izincwadi ku izingcezu ezincane ngabanye kanye zakhukhula ketshezi injected noma isuswe ngu ukuncela.

Kuye esibhedlela kusukela 15 kuya ayizinkulungwane 45. Ruble liyobe libiza inqubo enjalo, njengoba nokwehlukaniswa ezinso nge-ultrasound. Izibuyekezo abonisa ukuthi lithotripsy contact kuyabiza ngaphezu akude. Izokubiza isiguli kuka-20 no-50 eziyinkulungwane. Ruble. Intengo kuhlanganisa ukuhlolisisa egcwele, ukubonisana kanye nenqubo uqobo ihlukaniselwe izigaba eziningana.

laser ukuchotshozwa

Lolu hlobo ukwelashwa ungagcina esigulini phakathi kwamatshe noma iyiphi ukwakheka kanye nosayizi e inqubo eyodwa nje. Le ndlela kusebenza futhi lithotripsy contact, okuyinto eyenziwa ngosizo imishini endoscopic. Intengo yale ukwelashwa izikhathi eziningana ephakeme kunaleyo ultrasound.

Uma kutholakala ezinso, i-laser uyakwazi ngokuphepha futhi esidakayo zilandelana ukulondoloza isiguli kusukela amatshe.

Amakhambi kusukela ezinso

Urolithiasis, imithi yendabuko linikeza zokwelapha eziningi. Lokhu kungenxa kakhulu ukusebenzisa amakhambi ahlukahlukene okwelapha. Zisetshenziswa noma singly noma amaqoqo. Iziphungo ezisetshenzisiwe kanye infusions of rose okhalweni, knotweed, Duszniki, amahlamvu birch abasha, umjunipha izithelo, wort imbiza St John sika, utshani, ezinwabuzelayo Thyme, nabanye.

Indlela elula ukulungiselela imithi enjalo - ukwenza ukumnika ngendlela thermos. Ngenxa yalesi into eyodwa. spoon material elomile nakutlhogeka kusihlwa in a thermos futhi uthele nendebe amanzi asanda abilisiwe. Thermos eduze, umuthi ekuseni uzolunga. Ngokuvamile, lezi infusions Kunconywa ukuthatha 1/3 cup ngaphambi kokudla izikhathi 3 ngosuku.

Impatho enjalo kungaba kwenziwe kulezo zimo, uma kutholakala amatshe amancane e-izinso. Nobufakazi ukukhombisa ukusebenza izindlela imithi yendabuko. Ukuze calculi esikhulu izinso (ngaphezu kuka-3 mm) ngaphambi kokufaka noma yiziphi izenzo ukuzithiba ukwelashwa, kubalulekile ukuba kudokotela uyofuna icebiso, ngakho ukuze kungaholela yezinkinga: .. Ngokwesibonelo, uhamba esikhulu itshe futhi babhajwe ureter. Manje kukhona izindlela zesimanje nengebuhlungu kokuphatha urolithiasis.