So wowɔ asaabo mu abo nso? (Kidney Stones) - Momma yɛnka eyi ho asɛm nkɔ akyiri!

So woanya ɛyaw mpofirim a wuntumi nnyina ano wɔ w’akyi anaa wo yafunu ase, a ɛyɛ den sɛ wobɛtow nsu ka ho pɛn? Anaasɛ mogya bi ahyɛ wo nsu mu? Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ebia w’asaabo mu abo. Mma ɛnhaw wo, momma yɛnhwehwɛ eyi ho nsɛm pii nnɛ.

Dɛn ne asaabo mu abo yi?

Sɛ yɛbɛka no tiawa a, asaabo mu abo yɛ nneɛma a ɛyɛ den a ɛte sɛ abo a ɛba yɛn asaabo mu. Saa abo yi ba bere a nneɛma bi a ɛwɔ yɛn nsu mu te sɛ mineral ne acid ka bom no. Wobetumi ayɛ nketewa te sɛ anhwea bi, anaasɛ ɛntaa nsi koraa sɛ wobetumi ayɛ akɛse te sɛ golf bɔɔl. Nnuruyɛfo nso frɛ eyinom "renal calculi."

Fa no sɛ, sɛ ɔbo a ɛwɔ w’asaabo mu no sua koraa a, ebia worennya yare no ho sɛnkyerɛnne biara na ebetumi ato wo nsu mu. Nanso, sɛ ɛsõ kakra a, ebetumi akɔhyɛ afiri a ɛde nsu fi asaabo no mu kɔ akisikuru mu, a ɛyɛ nsu a ɛkɔ nsu mu no mu. Ɛno na ɔhaw ahorow no fi ase. Nsu no nsen yiye na efi ase boaboa ano, asaabo no ntumi nyɛ n’adwuma a ɛne sɛ ɛbɛyi nwura mu yiye, na ɛtɔ mmere bi mpo a mogya betumi atu.

Mpɛn pii no, egye bɛyɛ adapɛn abiɛsa ansa na ɔbo a ɛte sɛɛ no ​​ankasa afa nsu no mu. Nanso, ɛtɔ mmere bi a abo nketewa mpo tumi de ɛyaw a wontumi nnyina ano. Ebia ɛho behia sɛ oduruyɛfo bubu abo akɛse anaa oprehyɛn yi fi hɔ.

Asaabo mu abo abu so dɛn?

Eyi yɛ tebea a abu so sen sɛnea ebia wubesusuw ankasa. Sɛ wɔkyekyem pɛpɛɛpɛ a, bɛyɛ nnipa du biara mu biako benya asaabo mu abo wɔ wɔn nkwa nna mu. Saa tebea yi abu so titiriw wɔ mmarima a wɔadi fi mfe 30 kosi 40 mu.

Dɛn ne asaabo mu abo ho sɛnkyerɛnne?

Nsɛnkyerɛnne a ɛtaa ba ne ɛyaw a emu yɛ den wɔ akyi, yafunu no fã, anaa akyi berɛmo mu. Ebia ɛyaw yi kɔ so daa anaasɛ ɛba na ɛkɔ. Ɛtɔ da bi a wɔfrɛ no ``colicky pain'' ɛfiri sɛ ɛba wɔ asorɔkye mu.

Ɛyaw yi akyi no, ebia sɛnkyerɛnne afoforo wɔ hɔ:

• Akisikuru ne ɔfe.
• Mogya a ɛwɔ nsu mu (nsu no betumi ayɛ kɔkɔɔ, pink, anaa bruu).
• Ɛyaw a wobɛte nka bere a woretow nsu no.
• Nsu a wontumi ntow anaasɛ nsu kakraa bi pɛ.
• Nkate a ɛne sɛ ɛsɛ sɛ wɔtaa tow nsu.
• Atiridii ne awɔw (eyi betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne).
• Nsu a ne kɔla yɛ tuntum anaasɛ ne hua yɛ fĩ.

Kae sɛ, sɛ wowɔ abo nketenkete paa a, ebia worennya ɛyaw anaa sɛnkyerɛnne foforo biara.

Dɛn nti na asaabo mu abo yi ba?

Nneɛma ahorow te sɛ calcium, sodium, oxalate, ne uric acid wɔ yɛn nsu mu. Sɛ yɛnom nsu kakraa bi, anaa sɛ saa nneɛma yi dɔɔso dodo wɔ yɛn nsu mu a, ɛbata ho, boaboa ano, na ɛyɛ abo. Saa abo yi ntumi nyɛ anadwo biako pɛ, na mmom nkakrankakra wɔ asram pii mu, ɛtɔ mmere bi a mfe pii mu.

So asaabo mu abo ahorow wɔ hɔ?

Yiw, wɔkyekyɛ abo yi mu sɛnea nneɛma a wɔde yɛ no te. Ahorow atitiriw pii wɔ hɔ:

• Calcium-oxalate ne calcium phosphate abo: Eyinom ne abo ahorow a abu so sen biara. Saa abo yi betumi ayɛ bere a wudi nnuan pii a oxalate pii wom (te sɛ spinach ne nnuaba bi), di aduan a calcium nnim pii, na wunnom nsu a ɛdɔɔso no.
• Uric acid abo: Nnipa a wodi mmoa mu protein pii (te sɛ nantwinam, akokɔnam, mprako nam, mpataa, ne nkesua) no wɔ asiane kɛse mu sɛ wobenya ɔbo a ɛte sɛɛ.
• Struvite abo: Mpɛn pii no, mmoawa a wɔde nyarewa ba na ɛde eyinom ba. Sɛ wotaa nya ɔyare mmoawa wɔ wo nsu mu a, wubetumi anya staghorn calculus kɛse paa. Ɛsɛ sɛ wɔde oprehyɛn yi abo yi fi hɔ.
• Cystine abo: Eyinom ho yɛ na kakra. Awosu mu tebea bi a wɔfrɛ no cystinuria na ɛde ba. Cystine yɛ amino acid bi.

Dɛn ne nneɛma a ɛde asaabo mu abo ba?

Nnipa binom taa nya asaabo mu abo. Nneɛma bi a ebetumi ama aba saa ni:

• Nsu a ɛnnɔɔso: Eyi ne ade titiriw nti.
• Nam, mpataa ne nnuan afoforo a protein pii wom a wobedi.
• Aduan a nkyene (sodium) ne asikre (titiriw sucrose ne fructose) pii wom a wobedi.
• Vitamin C a wɔde ma a wɔnom a ɛho nhia.
• Sɛ obi a ɔwɔ w’abusua mu anya asaabo mu abo (agyapade su).
• Sɛ wowɔ akwanside bi wɔ nsu a ɛkɔ nsu mu no mu.
• Sɛ wɔayɛ wo oprehyɛn wɔ wo yafunu anaa wo dwensɔtwaa mu (e.g., gastric bypass oprehyɛn).
• Sɛ wokɔ so de nnuru bi di dwuma (sɛ nhwɛso no, nnuru bi a ɛma obi ho yɛ hyew, nnuru a ekum asikre a ɛwɔ calcium, ne nnuru bi a wɔde sa akisikuru).
• Ayaresa mu tebea afoforo bi a wowɔ.

Tebea horow a ɛma asiane a ɛwɔ hɔ sɛ asaabo mu abo bɛba no yɛ kɛse

Aduruyɛ mu tebea horow bi wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya asaabo mu abo no yɛ kɛse. Nhwɛso ahorow bi ni:

• `(Cystic fibrosis)`
• Cystinuria, awosu mu yare a ɛma cystine boaboa ano wɔ nipadua no mu
• Asikyireyareɛ
• Gout
• Mogya mmoroso
• Calcium dodow a ɛkɔ soro wɔ nsu mu (hypercalciuria) .
• Yare a ɛma obi ho hyehye no (IBD) .
• Asaabo mu akisikuru
• Obolo
• Nnompe mu yare
• Parathyroid yare a ɛwɔ nipadua no mu
• `(Primary hyperoxaluria)` (tebea a ɛma oxalate boro so) .
• Tebea horow te sɛ obubuafo (Hemiplegia anaa paraplegia) .

Dɛn ne nsɛnnennen a ebetumi afi asaabo mu abo mu aba?

Asaabo mu abo nyɛ ɔhaw ara kwa, ɛtɔ mmere bi a ebetumi de ɔhaw ahorow a emu yɛ den aba.

• Nsuo kwan no siw, nsuo no kɔ akyi, na asaabo no hohoro (hydronephrosis).
• Asaabo mu yare (pyelonephritis).
• Asaabo mu opira a emu yɛ den (ɛtɔ mmere bi a wobetumi asa eyi).
• Nsuo mu yareɛ (UTIs) a ɛtaa ba.
• Asiane a ɛwɔ hɔ sɛ obi benya Asaabo mu Yare a Enni sabea (CKD).

Wobɛyɛ dɛn ahu sɛ wowɔ asaabo mu abo?

Sɛ oduruyɛfo bi gyina wo sɛnkyerɛnne ahorow so susuw sɛ biribi anyɛ yiye a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii.

• Nsu mu nhwehwɛmu: Eyi betumi ahwɛ sɛ mogya wɔ nsu mu, ahwehwɛ a ebetumi ayɛ abo, ne sɛnkyerɛnne a ɛkyerɛ sɛ ɔyare no wɔ hɔ.
• Mfonini a wɔde yɛ nhwehwɛmu: X-ray, CT scan (computed tomography scans), ne ultrasound scan betumi aboa ma wɔahu abo no kɛse, ne nsusuwii, beae a ɛwɔ, ne dodow.
• Mogya mu nhwehwɛmu: Eyinom betumi aboa ma wɔahu nneɛma a ebetumi ama abo ayɛ te sɛ asaabo dwumadi, ɔyare mmoawa, ne mogya mu calcium dodow.

Ɔkwan bɛn so na wɔsa asaabo mu abo?

Sɛ wowɔ ɔbo ketewa bi a ɛda adi sɛ n’ankasa bɛtwam a, wo duruyɛfo bɛka akyerɛ wo sɛ hwɛ sɛnea yare no ho sɛnkyerɛnne bi wɔ hɔ na twɛn ma ɛtwam. Saa bere yi de, ebia wɔbɛkyerɛw nnuru a ɛbɛboa ma ɛyaw no so atew na aboa ma ɔbo no atwam ntɛmntɛm.

Nanso, sɛ abo akɛse wɔ hɔ a, ayaresa no begyina nneɛma te sɛ ne kɛse, beae a ɛwɔ, sɛ ebia ɛde ɔyare no reba, ne sɛnea yare no ho sɛnkyerɛnne no mu yɛ den so. Sɛ ɔbo no ankasa ntwam wɔ adapɛn kakraa bi akyi anaasɛ sɛ biribi siw a, oduruyɛfo betumi akamfo akyerɛ sɛ ɛsɛ sɛ wobubu ɔbo no na wonyi, anaasɛ wɔnyɛ oprehyɛn yi.

Nnuru a wɔde yɛ nnuru

Wɔ obi a abo nketewa a n’ankasa twa na ɛnyɛ ɔyare no fam no, oduruyɛfo betumi akyerɛw nnuru a ɛte sɛ eyinom ama no:

• Nnuru a ɛma ntini a ɛwɔ ureter no mu no dwo na ɛboa ma abo twam ntɛmntɛm: sɛ nhwɛso no, nnuru te sɛ tamsulosin (Flomax®) ne nifedipine (Adalat® anaa Procardia®).
• Aduru a wɔde siw akisikuru ne ɔfe ano.
• Nnuru a wɔde siw ɛyaw ano: Ɛtɔ mmere bi a abo nketewa mpo tumi de ɛyaw a emu yɛ den ba. Ebia oduruyɛfo bi bɛkyerɛw nnuru a wɔde kum ɛyaw. Nanso, hwɛ hu sɛ wubebisa oduruyɛfo ansa na woanom nnuru te sɛ ibuprofen.Eyinom a wobɛnom bere a wote ɛyaw kɛse esiane asaabo mu abo nti no betumi ama asiane a ɛwɔ hɔ sɛ wubenya asaabo a entumi nyɛ adwuma yiye no ayɛ kɛse, titiriw sɛ wowɔ ayaresa mu tebea afoforo a.

Ayaresa titiriw a wɔde sa asaabo mu abo

Sɛ abo bi wɔ hɔ a n’ankasa ntumi ntwa anaasɛ ɛresiw nsu a ɛkɔ nsu mu no ano a, oduruyɛfo betumi akamfo ɔkwan titiriw bi a wɔbɛfa so abubu ne/anaasɛ ayi abo no akyerɛ. Eyi begyina nneɛma te sɛ ɔbo no kɛse ne beae a ɛwɔ so.

• Shockwave lithotripsy (SWL): Nea ɛka eyi ho ne sɛ wɔde afiri titiriw bi a ɛwɔ nipadua no akyi di dwuma de soma asorɔkye a ahoɔden kɛse wom ma ɛbubu ɔbo no. Afei ɛnyɛ den sɛ wɔde asinasin a wɔabubu no bɛto nsu no mu.
• Ureteroscopy: Wɔ saa adeyɛ yi mu no, oduruyɛfo bi de adwinnade a ɛyɛ tratraa a mfoninitwa afiri (scope) wom fa urethra , fa akisikuru no mu, kɔ ureter no mu, na ohu ɔbo no. Afei, wɔde nnwinnade pa afoforo a wɔde fa adwinnade no mu di dwuma de bubu ɔbo no mu anaa woyi fi hɔ asinasin.
• Percutaneous nephrolithotomy (PCNL): Sɛ akwan afoforo antumi annyi ɔbo no afi hɔ a, wɔde saa adeyɛ yi di dwuma . Nea ɛka eyi ho ne sɛ wɔbɛtwa honam ani fã ketewaa bi, de afiri bi akɔ asaabo no mu tẽẽ, na wɔde biribi te sɛ ultrasound asorɔkye adi dwuma de abubu ɔbo no na wɔayi afi hɔ.
• Oprehyɛn a wɔde laparoscopic yɛ: Nea ɛka eyi ho ne sɛ wotwa yafunu no mu nketenkete pii na wɔde mfoninitwa afiri ne nnwinnade pa hyɛ mu de yi ɔbo no. Ɛntaa mma koraa sɛ ebia ɛho behia sɛ wɔyɛ oprehyɛn a wɔabue ano, a nea ɛka ho ne sɛ wɔbɛtwa kɛse bi.

So asaabo mu abo no ankasa kɔ?

Yiw, asaabo mu abo bɛyɛ ɔha biara mu nkyem 80 tow wɔn ankasa denam nsu a wɔtow so. Bere a egye no gu ahorow gyina ɔbo no kɛse ne beae a ɛwɔ so. Ɔbo a ne tenten nnu milimita 4 (mm) tumi twam wɔ dapɛn biako anaa abien mu. Ɔbo a ɛsõ sen saa betumi agye bɛyɛ adapɛn abien kosi abiɛsa. Sɛ ɔbo no du akisikuru no mu pɛ a, ɛtaa tom wɔ nna kakraa bi mu.

Ade a ɛho hia sen biara ne sɛ, sɛ wususuw sɛ wowɔ asaabo mu abo a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn, ma wɔhwɛ, na wohwɛ sɛ nsɛnnennen biara te sɛ nsu a ɛkɔ wo nsu mu a asiw anaa. Sɛ ɔbo no ntwam wɔ adapɛn anan kosi asia akyi a, ɛsɛ sɛ wosan kɔ oduruyɛfo nkyɛn bio.

So wobetumi asiw asaabo mu abo ano?

Nea yedi na yɛnom no nya asiane a ɛwɔ hɔ sɛ yebenya asaabo mu abo no so nkɛntɛnso kɛse. Wo ne wo duruyɛfo anaa aduan ho ɔbenfo nkasa mfa akwan a wobɛfa so atew asiane a ɛwɔ hɔ no so. Ebia wɔbɛkamfo nneɛma te sɛ:

• Nom nsu pii: anyɛ yiye koraa no, lita 2-3 da biara.
• To mmoa protein (nam, mpataa) ano hye.
• Tew nnuan a asikre ne nkyene pii wom so.
• To nnuan a oxalate pii wom ano: Sɛ wotaa nya calcium oxalate abo a, wobetumi atu wo fo sɛ tew nnuan te sɛ akutu, atoko, ne awi a wɔayam no so.
• Kura mu duru a ɛfata a ɛfata wo mu.
• Di nnuan a calcium wom: Ebia eyi bɛyɛ te sɛ nea ɛyɛ nwonwa, nanso nnuan a calcium wom betumi aboa ankasa ma woasiw asaabo mu abo ano. Nanso, calcium a wɔde ka aduan ho ne nnuru a ekum acid a calcium wom no mmoa. Wobetumi ama asiane a ɛwɔ hɔ sɛ abo bɛtɔ no ayɛ kɛse ankasa.
• Nnuru a wɔkyerɛw ma: Sɛ nsakrae a wɔyɛ wɔ w’aduan mu no nnɔɔso a, oduruyɛfo betumi akyerɛw nnuru a ɛbɛboa ma woasiw asaabo mu abo ano. Egyina ɔbo ko a wowɔ so.

Sɛ wowɔ asaabo mu abo a, dɛn na wobɛhwɛ kwan?

Aboɔ nketewa a ne kɛseɛ nnu mm 6 no bɛyɛ 90% na aboɔ akɛseɛ a ne kɛseɛ nnu mm 6 bɛyɛ 60% nam wɔn ankasa so. Sɛ ɔbo kɛse bi wɔ hɔ anaasɛ ɛresiw nsu a ɛsen no kwan a, ebia ebehia sɛ wobubu anaa woyi fi hɔ. Ɛtɔ mmere bi a, abo nketewa a wosusuw sɛ wɔn ankasa twam mpo tumi nyin nkakrankakra anaasɛ ɛtu ma ɛde akwanside ba.

Sɛ woanya asaabo mu abo pɛnkoro a, ɛda adi sɛ daakye wobɛsan anya bi bio. Enti, ebehia sɛ wokɔ so yɛ nsakrae wɔ w’aduan mu na ebia wonom nnuru.

Dɛn ne ɔkwan pa a wobɛfa so ayi asaabo mu abo afi hɔ ntɛm?

Sɛ wo duruyɛfo susuw sɛ ɔbo no ankasa bɛtwam a, ɛnde ɛsɛ sɛ wonom nsu pii de boa ma ɛtwam. Fa w’aduru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ. Di wo duruyɛfo akwankyerɛ a ɛfa nea ɛsɛ sɛ wudi ne nea ɛnsɛ sɛ wudi ho akyi.

So ebetumi aba sɛ wobɛtra ase sɛnea ɛsɛ a asaabo mu abo wɔ hɔ?

Ɛho nhia sɛ asaabo mu abo gyae wo da biara da dwumadi ahorow anaasɛ ɛtew asetra mu anigye a wunya no so. Asaabo mu abo nyɛ nea ɛtra hɔ daa, efisɛ ɛfa nsu mu na ayaresa ahorow wɔ hɔ a wobetumi de adi dwuma.

So asaabo mu abo de asaabo mu yare ba?

Sɛ wowɔ asaabo mu abo a, asiane wom sɛ wubenya abo pii na woanya asaabo mu yare a enni sabea nso.

So asaabo mu abo tumi kum nnipa?

Dabi, asaabo mu abo mma obi wuwu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ asaabo mu abo ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm. Sɛ wowɔ ɔbo a, sɛ wubehu baabi a ɛwɔ ne sɛnea ɛsõ a, ɛho hia yiye sɛ wubenya ayaresa na woasiw nsɛnnennen ano.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

Sɛ ɛyaw no yɛ nea wontumi nnyina ano a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara. Wɔbɛma wo nnuru ama ɛyaw no ne akisikuru/akisikuru biara a wowɔ.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wo ne wo duruyɛfo hyia a, wubetumi abisa nsɛm te sɛ eyinom:

• So mewɔ asaabo mu abo, anaasɛ biribi foforo bi wɔ hɔ a ɛde saa sɛnkyerɛnne ahorow yi ba?
• Asaabo mu ɔbo bɛn na mewɔ?
• M’asaabo mu ɔbo no kɛse te dɛn?
• Ɛhe na ɛwɔ?
• Abo ahe na mewɔ?
• So mihia ayaresa, anaasɛ eyi ankasa befi hɔ?
• So ɛsɛ sɛ meyɛ nhwehwɛmu sɛ ebia asaabo mu yare anaa?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’aduan mu?
• Dɛn ne ayaresa a eye sen biara a mede beyi abo afi hɔ?

Awiei koraa no, nkrasɛm a wode bɛkɔ fie:

Asaabo mu abo betumi ayɛ tebea a ɛhyɛ abufuw kɛse na ɛyɛ yaw wɔ mmere bi mu. Nanso, sɛnea ɛbɛyɛ na tebea no ansɛe no, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara na wohwehwɛ afotu. Ɛyaw no betumi ayɛ kɛse, na ebia ɛho behia sɛ wɔyɛ oprehyɛn. Kae: fa w’aduru no sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ, nom nsu pii, na di w’aduan akyi. Afei nso, asaabo mu abo yɛ bere tiaa mu tebea. Wɔrenhaw wo daa. Nya apɔwmuden!

` Asaabo Aboɔ, Asaabo mu Aboɔ, Asaabo mu Yareɛ, Nsuo mu Aboɔ, Akyi Ɛyaw, Renal Calculi, Asaabo mu Aboɔ Ayaresa