Chikonzero cheperiodic, chinorwadza chinorwadza mukati mechuru chinogona kunge chiri dombo mumusere. Izvi zvinowanikwa neUrolithiasis, kubuda kwematombo. Kurapa kunogona kutungamirira mukuputsa kwekubuda kwemuti, izvo zvinokonzera kliniki chaiyo.
Urolithiasis - chii ichi muvakadzi?
Chirwere ichi, umo mabwe anowanikwa mumushure yevakadzi, kusiyana nemamwe mawaniro echeccili (mafungiro, chikwata), anowanikwa nezvinetso zvinokuvadza. Pamusana pekuputsa kwemaitiro akazara emuti pasi pechiito chacho, kusunungurwa zvishoma nezvishoma kwemukasi wechipupuriro weiyo ureters inoitika. Somugumisiro, kubuda ropa kunowanikwa mu submucosal layer, iyo inokonzera hypertrophy ye mishonga yemisumbu, kuputsa kwekugadzirisa kwekushambadzira. Iko kuchinja kunofambidzana neUrolithiasis .
Kushayikwa kwenguva refu kwechirwere kunokonzera kukura kwechirwere, atrophy yemutsara nemasikironi emisipiresi, kuderera mumutsetse wemasisita weve ureters uye chidimbu. Kakawanda apo ruvara rwemukati runokuvadza, dombo iri muureter rinokonzera utachiona: pyelonephritis, cystitis inokura. Panzvimbo yechinguva refu-yakamira, a decubitus inoumbwa, uye kukanganiswa kwemasvingo kunoitika, izvo zvinoda kupindira kunopfurikidza kwekuvhiya.
Dombo riri mumucherechedzo - zvikonzero
Matombo ari murereter anoonekwa semugumisiro wekufamba kwavo kubva pakushanda kana hoso. Vane maitiro akasiyana uye masimba, maitiro avo uye maitiro angasiyana. Kakawanda mumusana, matombo asina kukwana anonamatira, munzvimbo dzehuviri hwemagetsi - rutivi rwepelvic-ureteric, rine musara nemikombe yeropa ineac. Maererano nekucherechedza kwechiremba, mumatombo emucherechedzo anochengeterwa, iyo yakareba iyo inopfuura 2 mm.
Zvikonzero zvekuumbwa kwematombo mumushure zvinosangana zvakananga ne urolithiasis. Maumbirwo emakontiro anotungamirirwa nezvinhu zvakafanana:
- kusadya kwakakwana;
- unhu hwakanaka hwemvura yekunwa;
- zvirwere zvinotapukira zve genitourinary system ( pyelonephritis , glomerulonephritis );
- kusina kukwana kuvhara kwechidzara.
Kazhinji, urolithiasis inopesana nehutachiona hwezvirwere pamwe chete nekuputsa urate, phosphate uye oxalate metabolism:
- gout;
- osteoporosis;
- Kukuvara kwe musculoskeletal system.
Dombo riri murereter - zviratidzo
Zviduku zviduku, kwete kuvhara chiedza chemuviri, hazvigone kuzviratidza ivo kwenguva yakareba. Urolithiasis, zviratidzo zvaro zviri kunze kwekutsvaira zvakavanzika, hazvivhiringidzi murwere kwenguva yakareba. Mune zvimwe zviitiko, vakadzi vane rusarura rwechidimbu rwehupenzi hwemakumbo ehutu hwemutsvuku. Kana pane kutyora kwekubuda kwemuti, izvo zvinoita kuti dombo rive mukati maro, zviratidzo zvevakadzi zvinowana chimiro chakataurwa:
- kunopinza kunetseka kunorwadza mumakona anoenderana-costocholic-ileal;
- nausea;
- kurutsa;
- flatulence;
- stool retention;
- kushungurudza kwemisungo kwepamberi kumadziro.
Izvi zviratidzo zvinosanganisira renal colic. Iyo inokura pamusana pekuvhiringidza kwe microcirculation uye impso tissues. Izvi zvinosanganisira kutsamwa kwekuguma kwehutano, izvo zvinokonzera kurwadziwa kwakanyanya kunorwisa. Kazhinji kacho kufambiswa kwayo kunobatanidza nekunetseka mupfungwa, kufamba, kutasva kutakura - dombo riri mu ureter rinoshandura nzvimbo yayo. Mune zvimwe zviitiko, kuonekwa kwechirwere colic kunogona kukonzera doro rakawandisa.
Dombo riri murereter - kuongororwa
Vakadzi vanofungidzira chirwere ichi, vanofarira vanachiremba, kana ultrasound inoratidzika muchirwere. Vanachiremba vanocherechedza kuti iyi nzira yekuongororwa ndiyo nzira huru yekusimbisa kuputsa. Ne ultrasound diagnostic, vanachiremba vanogona kufungidzira, vagoona nzvimbo yezvipfeko, iyo yakareba kupfuura 1 mm. Kuti aratidze ureterolithiasis, zviratidzo zvingave zvisipo, dzimwe nzira dzokuongorora dzinoshandiswa:
- ruzivo rwekuongorora urine (sarudza hutano hwe erythrocytes, leukocytes, protein);
- ropa biochemistry;
- bacteriological culture;
- X-ray kuongorora;
- urethroscopy;
- CT of the kidneys.
Iro ibwe rakanamirwa murereter - chii chandinofanira kuita?
Izvi zvinosangana nemarwadzo akaoma, saka zviratidzo zvekutanga zvinofanira kutumidzwa kuti ambulensi. Chirongwa chekurapa chinogadzirwa maererano nemigumisiro yezvidzidzo. Pamberi pematombo ari murereter apwanyika, vanachiremba vanosarudza nzvimbo chaivo, nzvimbo yakakura, yakawanda. Nekukura kwebwe iri mumusere 2-3 mm, vanachiremba vanogona kutora kutarisira kutarisira, kurongedza zvinodhaka zvinokurudzira kugadzirisa kwezvipfeko kubva ku genitourinary system (dombo mumushure wekusara). Kumugumo uyu, ureter inopindwa ne:
- Papaverine;
- Glycerol;
- Procaine.
Kuputswa kwematombo mu ureter
Kuderedza ukuru kwebwe kunobvumira kusunungura kunorwadza kwezvikamu zvaro kunze. Kuputika kwematombo muusreter ne ultrasound inzira inowanzoitwa. Mukuwedzera kwazviri, dzimwe nzira dzinogona kushandiswa:
- laser lithotripsy;
- electrohydraulic lithotripsy.
Remote lithotripsy ne ultrasound ndiyo nzira yakareruka uye isina kurwadza. Panguva imwecheteyo, high frequency wave inofanirwa pane imwe nzvimbo inosvika pane dombo. Pasi pemutungamiri wavo kune kukanganiswa kwechimiro chematombo, ayo anoputika kuva zvikamu. Somugumisiro, kuburikidza nenguva, pane kubuda kuzvimiririra kwezvikamu zve calculus kunze kunze kwematurakiti emuguta.
Dombo rinobuda sei mumusere?
Iro dombo riri muzasi rechitatu rerereter rinowanzokonzera dysuric zvinetso. Kusuruvara kwavo kunosimbiswa nekutama kwe calculus. Varwere vanobudirira nguva dzose, zvinenge zvisinganzwisisiki kukurudzirwa kuti urinate. Izvo zvinotungamirirwa nemanzwiro ekumanikidzwa kwakasimba munharaunda iri pamusoro pe pubis, iyo inokonzerwa nekutsamwiswa kwezvinogamuchirwa. Muna 80-90% yezviitiko, dombo mumuromo we ureter rinokuvadza macrohematuria - kuonekwa kweropa mumugini wakanyanyisa. Nechidiki chiduku chebwe racho mushure mekubuda kwaro, kurwisa kunodzima.
Zviratidzo zvekurapwa kweUrolithiasis
Kana mukadzi asina dombo rimwe chete mumusere, mushonga wemishonga hauwanzopa chigumisiro. Vanachiremba munyaya ino vanoshandisa kupindira kwekupindira. Nzira yekugadzirira kupindira inotsanangurwa pamusana pezviratidziro zvechipatara uye mamiriro emurwere. Zviratidzo zvikuru zvekushanda ndezvi:
- Matombo ane ruzivo rwemasvimita 1.
- Kuvapo kwehutachiona husingaiti chikwereti kumishonga anonzi antibacterial.
- Kurwiswa kwakasimba, kusadzivirirwa kwezita renal colic.
- Kuvhiringidzwa kwepfungwa imwe chete.
- Hapana chiitiko pa lithotripsy.
Kushanda kwekubvisa ibwe kubva murereter
Apo basa racho riri kuitwa, dombo iri murereter rinobviswa nekutsvaga kwakakwana kwairi. Kazhinji, kupindira kwekuvhiya kunosarudzwa munyaya yekuvhara zvakakwana kwererera kana dombo racho rakanamatira muhutachi, nehutachiona kana kuputika kweropa rekuvhenekera. Kuvhiya kunoitwa pasi peanesthesia yakawanda, laparoscopy. Mushure mokuzarura nzvimbo ye retroperitoneal, chiremba anovhiya ibwe uye anoongorora hutano hwemuti. Kana zvisingakwanisi kusvika pa calculus kunze kwekukuvadza iyo nhengo, bvisa ibwe kubva murereter mushure mokunge uifambisa muchokuta.
Kudya ne urolithiasis
Nekuongororwa kweUrolithiasis, kurapwa kunotanga nekururamiswa kwezvokudya. Sezvambotaurwa pamusoro apa, zvimwe zvigadzirwa zvinobatsira pakuumbwa kwematombo matsva nekuwedzera kwavo. Kubva pakudya kunofanirwa kusabvisa michina ine oxalic acid:
- kabbage;
- sipinashi;
- parsley;
- currant;
- sorele.
Muchiitiko ichi, wedzera huwandu hwezvigadzirwa zvine vitamin A (karoti, dzungu). Zvakakosha kutarisa kuwanda kwemvura kudhakwa, kupedza zvinenge 2 maita emvura pazuva. Izvi zvinobatsira kuderedza huwandu hwemuti, hunobvisa kuunganidza masarti muitsvo. Mucheka wemiorivhi unoedzwa zvakakwana kuti usabvisa kubva pakudya kuitira kuti ugadzirire hupenyu hwako nekukurumidza kushandiswa kwerapi.