E aʻo kākou e pili ana i nā pōhaku puʻupaʻa ma nā ʻōlelo maʻalahi. Loaʻa iā ʻoe kēia pilikia?

Ua lohe paha ʻoe i nā pōhaku puʻupaʻa. Malia paha ua loaʻa i kekahi o kou mau hoaaloha a ʻohana paha kēia maʻi. I kēia lā, e kamaʻilio wale kākou e pili ana i ke ʻano o nā pōhaku puʻupaʻa, no ke aha lākou e hana ai, a me ka mea e hana ai inā e hana ʻia. ʻAʻohe mea e makaʻu ai, he mea nui loa ka makaʻala i kēia.

He aha nā pōhaku puʻupaʻa? E hoʻomaopopo maʻalahi kākou.

ʻAe, e nānā mua kākou i ke ʻano o kēia mau pōhaku puʻupaʻa. Ua ʻike ʻoe he ʻelua puʻupaʻa ko kākou i loko o ko kākou kino. Ua like kēia me ʻelua kānana i loko o ko kākou kino. ʻO ka hana nui o nā puʻupaʻa, ʻo ia ke kānana a hoʻokaʻawale i nā huahana ʻōpala i makemake ʻole ʻia i loko o ke koko, hoʻohui iā lākou me ka wai a hoʻokuʻu iā lākou ma ke ʻano he mimi, ʻo ia hoʻi, ka mimi .

I kēia manawa e noʻonoʻo e pili ana i kēia ʻano, i kekahi manawa inā lilo kekahi mau mea i loko o kou mimi, no ka laʻana ka calcium , oxalate , a me ka uric acid, i ʻoi aku ma mua o ka maʻamau, hui pū lākou a hana i nā kristal liʻiliʻi. Ua like ia me ka hoʻohui ʻana i ke kō i loko o ke aniani wai, e noho ke kō i lalo. Hui pū kēlā mau kristal a i ka hala ʻana o ka manawa, lilo lākou i mau mea paʻakikī, e like me ka pōhaku. ʻO ia ka mea a mākou e kapa nei he pōhaku puʻupaʻa .

Hiki i kēia mau pōhaku ke loaʻa i nā nui like ʻole. ʻO kekahi he liʻiliʻi e like me kahi hua one. Hiki iā lākou ke puka i waho me kou mimi me ka ʻike ʻole ʻoe. Akā, ʻoi aku ka nui o kekahi mau pōhaku, e like me ka nui o ka pī, a i kekahi manawa ʻoi aku ka nui. ʻO ia ka manawa e hoʻomaka ai nā pilikia. Hiki i kēia mau pōhaku nui ke hōʻeha nui , hiki ke puka mai ke koko me kou mimi , a i kekahi manawa hiki iā lākou ke ālai i ka urethra a kāohi i ka mimi mai ka puka ʻana i waho.

No ke aha e hana ʻia ai kēia mau pōhaku puʻupaʻa? Ke hoʻopilikia nei kēia mau kumu iā ʻoe pū kekahi?

"No ke aha i hiki mai ai kēia iaʻu?" e noʻonoʻo paha ʻoe. ʻAʻole hoʻokahi wale nō kumu o nā pōhaku puʻupaʻa, aia kekahi mau kumu e hiki ke kōkua iā lākou. E nānā kākou i nā kumu nui:

• ʻAʻole lawa ka wai i lawe ʻia: ʻO kēia ke kumu nui a maʻamau . Inā ʻaʻole ʻoe e inu i ka wai lawa i kēlā me kēia lā, e mānoanoa kou mimi. A laila, hiki i nā mea e like me ka calcium aʻu i ʻōlelo ai ma mua ke hōʻiliʻili maʻalahi a hana i nā pōhaku.
• ʻAi: ʻO ka ʻai nui ʻana i kekahi mau meaʻai hiki ke loaʻa ka hopena.
• Nā meaʻai kiʻekiʻe i ka paʻakai (sodium): ʻO ka ʻai ʻana i ka nui o ka paʻakai hiki ke hoʻonui i ka nui o ka calcium i loko o ka mimi.
• ʻO nā meaʻai kiʻekiʻe i ka protein holoholona: ʻO ka ʻai nui ʻana i ka ʻiʻo, iʻa, a me nā hua manu hiki ke hana i ke kūkulu ʻia ʻana o kekahi ʻano pōhaku.
• ʻO nā meaʻai kiʻekiʻe i ka oxalate: ʻO nā meaʻai e like me ka spinach, nā lau kī, nā pīnati, a me ke kokoleka he kiʻekiʻe i ka oxalate. ʻO ka ʻai nui ʻana i kēia mau mea hiki ke kōkua i ka hoʻokumu ʻia ʻana o nā pōhaku calcium oxalate. Eia nō naʻe, ʻaʻole pono e hoʻōki loa i ka ʻai ʻana i kēia mau meaʻai, akā he mea nui e kāohi iā lākou e like me ke aʻo ʻana a ke kauka.
• Moʻolelo ʻOhana: Inā ua loaʻa i kekahi o kou ʻohana nā pōhaku puʻupaʻa, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe. ʻO ke ʻano kēia, aia paha kahi mana hoʻoilina.
• Kekahi mau kūlana olakino:
• Inā loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi (UTI).
• I nā kūlana e like me ka hyperparathyroidism, hana nā kelepa parathyroid i ka nui o ka hormone, e alakaʻi ana i nā pae calcium kiʻekiʻe i ke koko a me ka mimi.
• Hiki i nā kānaka me ka gout ke hoʻomohala i nā pōhaku uric acid.
• ʻO ka poʻe me ka maʻi ʻōpū mumū (IBD) hiki ke piʻi aʻe ka pilikia o ka hoʻomohala ʻana i nā pōhaku.
• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hana i nā pōhaku e like me ka hopena ʻaoʻao ʻoiai ke hoʻohana ʻia no ka manawa lōʻihi. Inā ʻoe e lawe ana i kekahi lāʻau lapaʻau, he mea maikaʻi ke kamaʻilio pū me kāu kauka e pili ana i kēia.
• Momona: Ua ʻike ʻia he ʻoi aku ka nui o ka pilikia o ka poʻe momona i ka loaʻa ʻana o nā pōhaku puʻupaʻa.
• Nā kīnā kūkulu: Hiki ke hana ʻia nā pōhaku ma muli o kekahi mau kīnā kūkulu hānau i loko o ka ʻōnaehana mimi.

I ka ʻōlelo maʻalahi , ʻaʻole e hana ʻia nā pōhaku puʻupaʻa i ka pō hoʻokahi. Hoʻokumu ʻia lākou e nā ʻano a me nā loli i ke kino e hōʻiliʻili ana i ka hala ʻana o ka manawa.

Aia kekahi mau ʻano pōhaku puʻupaʻa like ʻole? He aha lākou?

ʻAe, ʻaʻole like nā ʻano pōhaku puʻupaʻa a pau. Nui nā ʻano nui. Hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma muli o ka mea i hana ʻia ai ka pōhaku.

• Nā Pōhaku Kalipuna: ʻO kēia ke ʻano maʻamau . Hiki iā lākou ke hana ʻia ma ke ʻano he Calcium Oxalate a i ʻole, kākaʻikahi, ma ke ʻano he Calcium Phosphate.
• Nā Pōhaku Struvite: Hoʻopili pinepine ʻia kēia me nā maʻi ʻaʻai mimi (UTI). Hiki i kēia mau pōhaku ke ulu koke a hiki i kekahi manawa ke pālahalaha ma luna o kahi ʻāpana nui o ka puʻupaʻa ('Staghorn calculi').
• Nā Pōhaku ʻakika Uric: Hiki i kēia ʻano pōhaku ke ulu i loko o ka poʻe e inu iki i nā wai, ʻai i ka meaʻai kiʻekiʻe i ka protein holoholona, ​​​​a i ʻole ka gout.
• Nā Pōhaku Cystine: He mea kākaʻikahi kēia. Hoʻokumu ʻia kēia mau pōhaku ke hana nui nā puʻupaʻa i ka amino acid cystine i loko o ka poʻe me kahi maʻi genetic i kapa ʻia ʻo cystinuria.

He mea nui e ʻike i ke ʻano kikoʻī o ka pōhaku, i hiki iā ʻoe ke hoʻoholo i ka mea e hana ai e pale aku i ke kūkulu hou ʻana o nā pōhaku.

Pehea ʻoe e ʻike ai inā he pōhaku puʻupaʻa kou? E makaʻala i kēia mau hōʻailona

ʻO ka hapa nui o ka manawa, hele nā ​​​​pōhaku liʻiliʻi ma o ka mimi me ka ʻole o nā hōʻailona. Eia nō naʻe, ʻike wale ʻia nā hōʻailona inā nui ka pōhaku a i ʻole inā paʻa ia i loko o ka ʻōmole haiki e lawe ana i ka mimi (ka ureter). Hiki i kēia mau hōʻailona ke hoʻomaka koke.

• ʻEha nui: ʻO kēia ka hōʻailona nui. Loaʻa ia ma kahi a puni nā puʻupaʻa, ʻo ia hoʻi, ma ke kua ma luna o ka ʻūhā, ma lalo o nā iwi ʻaoʻao.ʻO kēia kahi i loaʻa ai kēia ʻeha. Hoʻonui mālie kēia ʻeha a hiki ke lilo i mea hiki ʻole ke hoʻomanawanui a koʻikoʻi (Renal Colic). I kekahi manawa hele mai kēia ʻeha a hele e like me ka nalu. Hiki i ka ʻeha ke pālahalaha i ka ʻōpū haʻahaʻa a me ka ʻāpana groin .
• ʻEha a wela paha i ka wā e mimi ai (Dysuria): Aia paha ka ʻeha a i ʻole ka wela i ka wā e mimi ai .
• Ka loli ʻana o ke kala o ka mimi (Hematuria): Inā lilo ka mimi i poni, ʻulaʻula, a ʻeleʻele paha, ʻo ia hoʻi he koko i loko o ka mimi .
• Ka loli ʻana o ke ʻano o ka mimi: Hiki i ka mimi ke lilo i ao a i ʻole he ʻala pilau.
• Ka luaʻi a me ka luaʻi ʻana: He mea maʻamau ka luaʻi a me ka luaʻi ʻana me ka ʻeha.
• Ke mimi pinepine ʻana: Manaʻo e like me ʻoe e mimi pinepine, akā he liʻiliʻi wale nō ka mimi e puka mai i waho ke mimi ʻoe.
• Kuni a me nā Anuanu: Inā ulu pū kahi maʻi ʻaʻai mimi me ka pōhaku, hiki ke kuni.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

Āhea ʻoe e ʻike ai i ke kauka? Mai poina i kēia mau mea

Hiki ke hoʻokuʻu ʻia kekahi mau pōhaku liʻiliʻi me nā lāʻau lapaʻau ma ka home, e like me ka inu ʻana i ka wai he nui. Eia nō naʻe, i nā hihia e like me kēia, pono ʻoe e ʻike i ke kauka:

• Inā he ʻeha hiki ʻole ke hoʻomanawanui .
• Inā he koko i loko o ka mimi .
• Inā pilikia ʻoe i ka mimi ʻana , a inā paha ua pau loa ke kahe ʻana o kou mimi .
• Inā loaʻa iā ʻoe ke kuni, nā anu, a me ka haʻalulu me ka ʻeha.
• Inā ʻaʻole hiki iā ʻoe ke inu i kekahi mea ma muli o ka nausea mau a me ka luaʻi ʻana .

ʻO ka ʻimi koke ʻana i ka lāʻau lapaʻau i nā manawa e like me kēia hiki ke hōʻemi i ka hiki ke hōʻino ʻia i nā puʻupaʻa.

Pehea e ʻike ai ke kauka i nā pōhaku puʻupaʻa? (Diagnosis)

Ke ʻike ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a inā paha ua loaʻa i kekahi o kou ʻohana nā kūlana like. A laila e hana lākou i kahi hoʻokolokolo kino. Eia kekahi, hiki iā lākou ke hana i nā hoʻokolohua e like me kēia e ʻike pono ai inā he mau pōhaku puʻupaʻa kou, ma hea lākou, a pehea ko lākou nui:

• Urinalysis: Lawe ʻia kahi hāpana mimi a nānā ʻia no ke koko, nā germs, a me nā kristal e hiki ke hana i nā pōhaku.
• Nā hoʻāʻo koko: Kōkua kēia i ka nānā ʻana i ka hana ʻana o nā puʻupaʻa a me nā pae o nā mea e like me ka calcium a me ka uric acid i loko o ke koko.
• Nā Hoʻāʻo Kiʻi:
• ʻO ke scan CT (Computered Tomography scan)ʻO kēia ka hoʻāʻo maikaʻi loa e ʻike ai i nā pōhaku. Hiki iā ia ke hāʻawi i nā kikoʻī he nui, e like me kahi o ka pōhaku, kona nui, a inā ua pehu ka puʻupaʻa.
• ʻO ke scan Ultrasound: He ʻano hana palekana a ʻoluʻolu hoʻi kēia. Hoʻohana kūikawā ʻia ia no ka poʻe hiki ʻole ke hana i kahi scan CT, e like me nā wahine hāpai.
• Hoʻokolokolo X-ray `(KUB X-ray - Nā Kidneys, Ureters, Bladder)`: Hiki ke ʻike ʻia kekahi mau ʻano pōhaku me kēia. Eia naʻe, ʻaʻole ʻike ʻia nā pōhaku āpau ma ka `X-ray`.
• Ka Nānā ʻana i nā Pōhaku i Holo: Inā ʻoe e holo i kahi pōhaku i loko o kou mimi , e lawe iā ia i kāu kauka . Hiki iā lākou ke hoʻouna iā ia i kahi keʻena hoʻokolohua e ʻike ai i nā mea i hana ʻia ai. Hiki i kēlā ʻike ke kōkua i ka pale ʻana i nā pōhaku mai ka hoʻokumu hou ʻana.

He aha nā lāʻau lapaʻau no nā pōhaku puʻupaʻa? Mai hopohopo, aia nā hoʻonā.

ʻO ka mālama ʻana no nā pōhaku puʻupaʻa e pili ana i ka nui, ke ʻano, kahi o ka pōhaku, a me ke koʻikoʻi o kāu mau hōʻailona.

Ka mālama ʻana no nā pōhaku liʻiliʻi:

I ka hapanui o nā hihia, hiki i nā pōhaku liʻiliʻi ma mua o 5-6 millimeters ke hele me ka ʻole o kekahi lāʻau kūikawā. No kēia, hiki i ke kauka ke aʻo i kēia mau mea:

• E inu i ka nui o ka wai: ʻO ka inu ʻana ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā e kōkua i ka hoʻonui ʻana i ka hana mimi a kōkua i ka hoʻokahe ʻana i ka pōhaku. E inu i ka wai a hiki i ka wā e lilo ai kou mimi i kala ʻole a melemele māmā paha.
• Nā Lāʻau Hoʻopau ʻEha: No ka hoʻomalu ʻana i ka ʻeha, hiki iā ʻoe ke lawe i nā lāʻau hoʻopau ʻeha maʻamau e like me Ibuprofen, a i ʻole nā ​​lāʻau hoʻopau ʻeha ʻoluʻolu i kuhikuhi ʻia e kāu kauka.
• Lapaʻau Kipaku Lapaʻau: I kekahi manawa ua kuhikuhi ʻia nā alpha-blockers, e like me tamsulosin. Hoʻomaha kēia mau lāʻau lapaʻau i nā ʻiʻo i loko o ka urethra a kōkua i ka pōhaku e hele maʻalahi.

Ka lāʻau lapaʻau no nā pōhaku nui a pilikia paha:

Inā nui ka pōhaku, e hōʻeha ana i ka ʻeha hiki ʻole ke hoʻomanawanui, e hōʻeha ana i ka maʻi urinary tract, a inā paha e hōʻino ana i ka puʻupaʻa, hiki ke hoʻohana ʻia kēia mau lāʻau lapaʻau:

• ʻO ka Extracorporeal Shock Wave Lithotripsy (ESWL): Pili kēia i ka hoʻouna ʻana i nā nalu kani ikehu kiʻekiʻe (nā nalu haʻalulu) mai waho o ke kino e wāwahi i ka pōhaku i mau ʻāpana liʻiliʻi. A laila hoʻokuʻu ʻia nā ʻāpana liʻiliʻi i loko o ka mimi . Hiki ke hana ʻia kēia me ka anesthesia a i ʻole me ka ʻole o ka anesthesia.
• ʻUreteroscopy (URS): Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi i lako me ke kāmela (ʻUreteroscope) ma o ka urethra (ʻUrethra) a ma o ka ʻōpū mimi (ʻBladder) i ka ureter (ʻUreter) a i ʻole ka puʻupaʻa e ʻike i ka pōhaku. A laila, wehe ʻia ka pōhaku me ka hoʻohana ʻana i nā mea hana kūikawā, a i ʻole e hoʻohana ʻia kekahi mea e like me ka ʻLaser e wāwahi i ka pōhaku a wehe iā ia.
• ʻO ka Nephrolithotomy Percutaneous (PCNL)He ʻano hana nui kēia. Hana ʻia ia inā he mau pōhaku nui loa, a inā ʻaʻole holomua nā ʻano hana e like me ka `ESWL`. Ma kēia, hana ʻia kahi ʻoki liʻiliʻi ma waho o ka puʻupaʻa, a hoʻokomo ʻia kahi mea hana ma loko e wehe i ka pōhaku.
• ʻO ke ʻoki ʻana i ka ʻōpū parathyroid: I kekahi manawa, inā ʻo ke kumu o nā pōhaku puʻupaʻa he hyperparathyroidism, pono paha ke ʻoki ʻana e mālama i ka pilikia me nā ʻōpū parathyroid.

E hoʻomanaʻo, na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe, no laila he mea nui e hahai i kāna mau kuhikuhi.

Hiki iā ʻoe ke pale aku i ke kūkulu hou ʻana o nā pōhaku puʻupaʻa? E hoʻāʻo i kēia mau mea

Ke loaʻa iā ʻoe kahi pōhaku puʻupaʻa, ʻoi aku ka nui o ka loaʻa hou ʻana iā ʻoe. Akā ʻo ka nūhou maikaʻi, ʻo ka hana ʻana i nā hoʻololi liʻiliʻi i kou nohona a me nā ʻano ʻai e hiki ke hōʻemi nui i kēia pilikia.

• ʻO ka wai ke aliʻi!
• E inu ma ka liʻiliʻi he 2.5 - 3 lita o ka wai i ka lā. E inu hou aku i nā lā wela a i ka wā e hoʻoikaika kino ai.
• ʻO ka pahuhopu ka inu ʻana i ka wai a hiki i ka melemele māmā a i ʻole ke kala ʻole o kou mimi .
• E makaʻala i kāu ʻai: (Hiki ke ʻokoʻa kēia ma muli o ke ʻano o kou pōhaku. No laila, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka a meaʻai meaʻai paha.)
• E hōʻemi i ka Sodium: E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. ʻO nā meaʻai i hana ʻia e like me nā meaʻai i loko o ka pahu, nā noodles koke, nā mea ʻono, a me nā sausage he nui ka paʻakai.
• E kaupalena i ka protein holoholona: E hōʻemi i kāu ʻai ʻana i ka ʻiʻo ʻulaʻula, ka moa, a me nā hua manu. Akā, e hoʻāʻo e loaʻa kāu protein mai nā mea kanu, nā huaʻai, a me nā nati.
• E makaʻala me nā meaʻai kiʻekiʻe i ka oxalate: Inā loaʻa iā ʻoe nā pōhaku calcium oxalate, e kaupalena i kāu ʻai ʻana i nā meaʻai kiʻekiʻe i ka oxalate, e like me ka spinach, beetroot, peanuts, tī, a me ke kokoleka. Akā, mai hoʻōki loa i ka ʻai ʻana i nā meaʻai waiwai i ka calcium (waiū, yogurt, cheese). No ka mea, inā haʻahaʻa kāu ʻai i ka calcium, hiki iā ʻoe ke omo i ka oxalate hou aku. E ʻimi i ke aʻo lapaʻau e pili ana i kēia.
• E hōʻemi i nā mea inu kō a me nā meaʻai me ke kō a me ka fructose kiʻekiʻe.
• E mālama i ke kaumaha olakino.
• Nā lāʻau lapaʻau inā i kuhikuhi ʻia e ke kauka: No kekahi poʻe, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me ka thiazide diuretics a me ka allopurinol e pale aku i ka hana hou ʻana o nā pōhaku.

Leka Lawe-Home

Hiki i nā pōhaku puʻupaʻa ke lilo i mea ʻeha, akā mai hopohopo.

• He ʻano maʻi hiki ke mālama ʻia nā pōhaku puʻupaʻa.
• Inā ʻike ʻoe i nā hōʻailona, ​​ʻoiai ka ʻeha nui a i ʻole ke koko i loko o kou mimi , e ʻike koke i ke kauka.
• ʻO ka inu ʻana i ka nui o ka wai ka ala maʻalahi a maikaʻi loa e pale ai i ke kūkulu ʻia ʻana o nā pōhaku.
• E hahai pono i nā kuhikuhi a kāu kauka. E hahai i nā kuhikuhi i hāʻawi ʻia no ka mālama ʻana a e pale aku i ka hana hou ʻana o nā pōhaku.
• Mai hilinaʻi i ke kuhi wale ʻana. Inā he pilikia kou, e kamaʻilio me ke kauka e pili ana i ia mea a e loaʻa iā ʻoe ka ʻike pololei a me ka lāʻau lapaʻau.

Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!

Nā Pōhaku Puʻupaʻa, ʻEha Puʻupaʻa, Nā Pōhaku Mimi, Renal Colic, Hematuria, Lapaʻau Pōhaku Puʻupaʻa