Kuvapo kwematombo mubhanhire, pamwe nematombo muurethra uye ureters, chiratidzo chekuvandudza urolithiasis mumunhu. Ichi chirwere chinowanzoitika kuvanhu, panzvimbo yevakadzi, uye kakawanda muzera remakore matanhatu kana shure kwe makumi mashanu.
Matombo anogona kuumbwa nekuda kwekuti pane chimwe chikonzero kana chimwe, chimiro uye chemikemikari yemuginhi inoputsika, kana inogona kuenzaniswa nezvinetso zvemagetsi (inowanikwa kana kuti congenital).
Matombo ari mubhanhire anogona kuva emhando dzakasiyana. Izvo zvakasiyana nemuvara, chimiro, chiyero, chimiro. Zvinogona kuva dzakawanda kana dzisina kuroorwa, dzakanaka uye dzakaoma, dzakashata uye dzakashata, dzine oxalates uye calcium phosphates, uric acid salt, uric acid.
Mhedziso mubhedharo pakutanga haagoni kuzviratidza ivo pachavo, uye munhu anogona kushaya njodzi kudzidza pamusoro pavo chete kana achipfuura tsvakurudzo kune imwe hurwere.
Zviratidzo zvinoratidza kuti kuvapo kwematombo mubhanhire ndiko:
- Njodzi iri mumucheto wezasi, iyo inogona kusimba nekuchinja kwomuviri wemuviri kana kushanda muviri. Mushure mokurwisa kunorwadza kwekutambudzika, murwere anoona kuti dombo rakabuda kubva mumukanda kana uchikwira.
- Renal colic munharaunda yemumatare, inogara kusvika kune mazuva anoverengeka. Iko zvino inobva yava duku, zvino inowedzera zvakare.
- Kuramba uchidzoka uye unyoro paunenge uchibvisa chifukidziro. Ichi chiratidzo chinoratidza kuti ibwe iri mune ureter kana chikwata. Kana ibwe rinopinda murerera kubva ipapo, kuchengetwa kwakakwana kwemuti kana urini kunogona kutanga. Kana ibwe rinowanzova mu-posterior urethra, uye zvishoma nezvishoma mumukaka, ipapo kusagadzikana kwepontinence kunogona kuitika nekuda kwekuvhara nguva dzose kwe sphincter.
- Kuonekwa mumuguta weropa mushure mekuita muviri kana kurwadziwa kwakanyanya. Izvi zvinoitika kana ibwe rakanyungirwa mumutsipa wekanyara, kana kuti kune kushungurudzika kwemasvingo echando. Kana iyo midziyo yakawanda yepamusoro yemutsipa wenyuchi yakakuvara, zvino inowedzera humaturia yakawanda inogona kuitika.
- Cloudy urine.
- Kuwedzerwa kweropa nekushisa kusvika kusvika 38-40ยบ.
- Enuresis uye priapism (muhuduku).
- Apo iwe unobatana nematombo ehutachiona hwehutachiona, chirwere chinogona kuva chakaoma ne pyelonephritis kana cystitis.
Kuongororwa kwematombo mubhanhire
Kuti pakupedzisira uongorore, kunyunyuta kwemu murwere chete hakukwani. Izvo zvinodiwawo kuita chidzidzo chebhroatori chezvinhu zvehupenyu uye kuita chiitiko chekuongorora murwere.
Muhupo hwematombo ekuongorora urinhi kunoratidza kuwedzera kwehuwandu hwe erythrocytes, leukocytes, salt, mabhakitiriya.
Pamusoro pemazi hyperechoic maitiro ane chivande mumvuri inobudiswa.
Inobatsira kuongorora mabwe uye cystoscopy. Cystography uye urography zvinoita kuti zvikwanise kuongororwa nyika yeguriti rekuvhenekera, kuona zvirwere uye zvirwere zvinokonzera.
Kubviswa kwematombo kubva mucheka
Matombo maduku anogona kubva pakarepo urusi kuburikidza nehutachiona.
Kana hukuru hwematombo husinganyanyi kukosha, murwere anorayirwa kutevera kudya kwakakosha uye kutora mishonga inotsigira alkaline urari urine.
Kana murwere achiratidzwa chirwere chekushanda, ipapo nzira dzakasiyana-siyana dzokurapa kwakadaro dzinoshandiswa:
- kuparadzaniswa kwematombo mumucheka nechirwere cheperrapaneous chiprapubic litholapaxy, shandisa transurethral cystolithotripsy, endoscopic lithoextraction;
- dombo-kucheka ne cystolithotomy yakavhurika.