Ke ʻeha nei hoʻi ʻoe i ka ʻōpū hiki ʻole ke hoʻomanawanui? He renal colic paha ia!

Ua loaʻa anei iā ʻoe kahi ʻeha koke a hiki ʻole ke hoʻomanawanui ma ka ʻaoʻao o kou ʻōpū, ma lalo pono o kou mau iwi ʻaoʻao? Hiki i kēia ʻeha ke pālahalaha i kou kua, ʻūhā, a i ʻole ka ʻōpū lalo. Hiki ke hele pū me ka nausea a me ka luaʻi. Nui ka poʻe e kū nei i kēia maʻi. Kapa mākou iā ia he renal colic ma ke ʻano lapaʻau. Mai makaʻu i ka inoa, he ʻeha nui kēia i hoʻokumu ʻia e nā pōhaku puʻupaʻa. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi loa.

He aha ka Renal Colic?

I ka ʻōlelo maʻalahi, ʻo ka renal colic kahi ʻeha nui e kū mai ana ke paʻa kahi pōhaku i loko o kāu ʻōnaehana mimi, e like me kou mau puʻupaʻa, nā ureters (nā ʻōmole e lawe ana i ka mimi mai kou mau puʻupaʻa i kou ʻōpū mimi), a i ʻole ka ʻōpū mimi. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kēia ʻano ʻeha e nā kumu ʻē aʻe, e like me nā maʻi ʻōnaehana mimi, nā spasms, a i ʻole nā ​​strictures.

ʻIke anei ʻoe pehea e hana ʻia ai kēia mau pōhaku? Hōʻiliʻili kekahi mau minelala a i ʻole nā ​​mea ʻē aʻe i loko o ka meaʻai a mākou e ʻai ai i loko o ko mākou kino a pili pū e hana i kēia mau pōhaku, ʻo ia hoʻi, nā kristal. Hiki i kēia mau pōhaku ke hana ʻia ma nā wahi āpau o kāu ʻōnaehana mimi. Inā hana lākou i loko o nā puʻupaʻa, kapa mākou iā lākou he mau pōhaku puʻupaʻa , inā hana lākou i loko o ka ʻōpū mimi, kapa mākou iā lākou he mau pōhaku mimi , a inā hana lākou i loko o ke ala mimi, kapa mākou iā lākou he mau pōhaku ureter. ʻOkoʻa ka ʻeha ma muli o ka nui o ka pōhaku a me kona wahi. He liʻiliʻi loa kekahi mau pōhaku, e like me ka nui o kahi hua one. Akā hiki i kekahi mau pōhaku ke nui e like me ka pōpō kolepa! E noʻonoʻo i ke ʻeha inā paʻa kekahi mea e like me ia i loko.

Pehea ka maʻamau o ke colic renal?

ʻAʻole kēia he mea maʻamau e like me kou manaʻo. Hōʻike nā helu helu ma waena o 5% a me 15% o ka heluna kanaka o ka honua e loaʻa i ka renal colic i kekahi manawa o ko lākou ola. ʻO ke ʻano kēia he nui ka poʻe ma ko mākou ʻāina e ʻeha nei i kēia ʻeha.

Hiki ke hana i ka renal colic me ka ʻole o nā pōhaku?

ʻAe, hiki nō. I kekahi manawa, hiki ke hana ʻia kēia ʻano ʻeha e nā ʻūmiʻi koke a ikaika (spasms) o nā ʻiʻo i loko o ka urethra a i ʻole ka mimi. Ke ʻūmiʻi kēia mau ʻiʻo, ua like ia me ka ʻeha e wela ana a wili paha. Hiki ke hana ʻia kēia ʻano me nā pōhaku mimi a me ka ʻole.

He aha nā hōʻailona o ka colic renal?

ʻO ka pinepine, ʻo ka hōʻailona nui ka ʻeha hiki ʻole ke hoʻomanawanui ma ka ʻaoʻao o ka ʻōpū, ma waena o nā iwi ʻaoʻao haʻahaʻa a me ka iwi ʻūhā (ʻeha ʻaoʻao) . Hiki i kēia ʻeha ke hele mai i nā nalu, ʻo ia hoʻi, ʻaʻole ia e hoʻomau, a hele mai a hele. Hiki i kēia ʻeha ke pālahalaha i kekahi manawa i ke kua, ka ʻūhā, a i ʻole ka ʻōpū haʻahaʻa. Nui ka poʻe e ʻike pū ana i ka nausea a me ka luaʻi me kēia ʻeha.

Ma waho aʻe o kēia mau hōʻailona nui, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe me ka renal colic:

• ʻO ka ʻeha (e like me ka maneʻo, ke kuni) i ka wā e mimi ai.
• Koko i loko o ka mimi (hiki ke ʻulaʻula a poni paha ka mimi).
• ʻEleʻele ke kala o ka mimi.
• Nā loli i ka mimi: Eia kekahi laʻana, ka mimi ʻala ʻino, ka mimi ʻana i ʻoi aku a i ʻole ka emi ʻana ma mua o ka maʻamau, a i ʻole ka makemake koke e mimi.
• ʻO ke ʻano o nā kristal i loko o ka mimi.
• Kuni.
• Nā anu.

He mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka.

He aha nā kumu o ka colic renal?

ʻO ke kumu nui, ʻo ia nā pōhaku mimi. Ke paʻa kēia mau pōhaku i loko o ke ala mimi, ke ālai nei lākou i ke kahe o ka mimi. Hiki i kēia ke hoʻonui i ke kaomi a hoʻoulu i ka mumū ma ia wahi. ʻO kēia ke kumu nui o ka ʻeha.

Aia kekahi mau kumu no ke kumu o ka hoʻokumu ʻia ʻana o nā pōhaku i loko o ka ʻōnaehana urinary:

• Ka maloʻo ʻana o ka wai: ʻO kēia ke kumu maʻamau. Ke inu ʻoe i ka wai liʻiliʻi, e ʻoi aku ka nui o kou mimi, e hoʻonui ana i kou pilikia o ka hoʻokumu ʻia ʻana o nā pōhaku.
• Hoʻonui ʻia ka calcium i loko o ka mimi: Hoʻokuʻu kekahi poʻe i ka calcium hou aʻe i loko o ka mimi ma muli o ke ʻano o ko lākou kino.
• Ka nui o ka protein i ka meaʻai: Aia kahi pilikia o ka hoʻokumu ʻia ʻana o nā pōhaku, ʻoiai ke ʻai nui ʻia ka protein holoholona.
• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hana i nā pōhaku e like me ka hopena ʻaoʻao ke hoʻohana ʻia i ka wā lōʻihi.
• ʻO kekahi mau kūlana o ka ʻōnaehana hoʻoheheʻe: No ka laʻana, ʻoi aku ka nui o ka poʻe me nā maʻi e like me Ulcerative Colitis a i ʻole ka maʻi a Crohn e hoʻomohala i nā pōhaku.
• Hyperparathyroidism: ʻO kēia ke ʻano kahi e lilo ai nā kelepa parathyroid i mea hana nui.

Ma waho aʻe o kēia mau kumu, hiki i nā kumu ʻē aʻe ke kumu o ka renal colic. Inā ua hoʻoholo ʻia ʻaʻole i hana ʻia kou ʻeha e nā pōhaku, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi urologist no ka hoʻāʻo hou aku.

Pehea e ʻike ʻia ai ka colic renal?

Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino, e like me ka mea inā ua loaʻa i kekahi o kou ʻohana nā kūlana like ma mua. Hana pinepine ʻia nā hoʻokolohua ma lalo nei e hōʻoia i ka hōʻoia ʻana o ka renal colic:

• ʻO kahi scan CT (Computed Tomography scan) o ka ʻōnaehana mimi. Hiki ke hana ʻia kēia a ʻaʻole paha me kahi wai kūikawā (contrast) i hāʻawi ʻia.
• ʻO ke kani ʻana o nā puʻupaʻa .
• Ka hoʻokolokolo ʻana i ka ʻōpū X-ray .
• He scan renal . Hiki i kēia ke nānā i ke ʻano o ka hana ʻana o nā puʻupaʻa.

Hiki i kēia mau hoʻokolohua ke hōʻike i nā kikoʻī he nui, e like me ka loaʻa ʻana o nā pōhaku, kahi o lākou, a pehea ko lākou nui.

He aha ka lāʻau ʻeha maikaʻi loa no nā pōhaku puʻupaʻa?

Inā ʻoluʻolu ka ʻeha, hiki iā ʻoe ke hoʻomaha mai nā lāʻau hoʻomaha ʻeha maʻamau e like me ka acetaminophen, ibuprofen, a i ʻole naproxen sodium. Eia nō naʻe, inā koʻikoʻi ka ʻeha, hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha ikaika. I kekahi manawa, inā ʻeha ka ʻeha ma muli o nā spasms ureter, hiki i kāu kauka ke kuhikuhi i nā mea hoʻomaha ʻiʻo.

Pehea e mālama ʻia ai ka renal colic?

ʻO ke ʻano o ka lāʻau lapaʻau no kēia mea e pili ana i ke ʻano o ka pōhaku i loaʻa iā ʻoe. Aia kekahi mau ʻano pōhaku mimi:

• Nā pōhaku kalipuna: Hana ʻia kēia mau mea me ka calcium oxalate a i ʻole ka calcium phosphate. ʻO kēia ke ʻano maʻamau.
• Nā pōhaku waikawa uric: I hoʻokumu ʻia ma muli o ka hoʻonui ʻia o ka nui o ka waikawa uric.
• Nā pōhaku Struvite: Hana ʻia kēia mau mea me kahi mineral i kapa ʻia ʻo struvite. Hiki iā lākou ke hana me nā maʻi ʻōpū mimi.
• Nā pōhaku Cystine: Hoʻokumu ʻia kēia mai kahi kemika i kapa ʻia ʻo cystine. Hoʻokumu ʻia kēia e kahi maʻi laha ʻole i kapa ʻia ʻo cystinuria.

Eia kekahi, ʻo ka nui o ka pōhaku e hoʻopilikia pū i ka hoʻoholo ʻana o ka mālama ʻana.

Ka mālama ʻana i nā pōhaku liʻiliʻi

Inā he pōhaku liʻiliʻi kou, hiki ke hele ma o kou mimi. E kōkua kēia iā ʻoe e inu i ka wai he nui. E kuhikuhi kāu kauka i ka lāʻau ʻeha. I kekahi manawa, e ʻōlelo ʻia ʻoe e mimi ma o kahi kānana. Inā loaʻa iā ʻoe kekahi mau ʻāpana o ka pōhaku, hiki ke hoʻouna ʻia i kahi keʻena hoʻokolohua e ʻike pono i ke ʻano o ka pōhaku.

Ka mālama ʻana i nā pōhaku nui

Inā nui aʻe nā pōhaku, ʻaʻole lākou e hele ma o ka mimi. I kēlā mau hihia, hiki i ke kauka ke kuhikuhi i kahi hana kūikawā e wehe ai i kēia mau pōhaku. Eia kekahi mau laʻana:

• ʻO ka lithotripsy nalu haʻalulu: Pili kēia i ka hoʻouna ʻana i nā nalu haʻalulu ikehu kiʻekiʻe mai waho o ke kino i ka pōhaku, e wāwahi ana iā ia i mau ʻāpana liʻiliʻi. A laila e hoʻokuʻu maʻalahi ʻia nā ʻāpana liʻiliʻi i loko o ka mimi.
• Ureteroscopy: Ma kēia kaʻina hana, hoʻokomo ke kauka lapaʻau i kahi ʻōmole lahilahi, hoʻomālamalama ʻia, a me kahi pahupaʻikiʻi (ureteroscope) ma o kou urethra. Hiki ke hoʻohana ʻia kēia e ʻimi i ka pōhaku a wehe iā ia, a i ʻole e wāwahi iā ia i mau ʻāpana liʻiliʻi a wehe iā ia.
• Percutaneous nephrolithotomy: Hana ʻia kēia e wehe i nā pōhaku puʻupaʻa nui. Ma kēia, hana ʻia kahi ʻoki liʻiliʻi ma ke kua a hoʻokomo ʻia kahi mea hana ma o ia mea e hiki ai i ka puʻupaʻa a wehe i ka pōhaku. Hoʻohana pinepine ʻia kēia ʻano hana no nā pōhaku nui.
• Ke kau ʻana o ka stent ureteral: I kekahi mau hihia, e kau ke kauka i kahi stent (kahi paipu liʻiliʻi) i loko o ka urethra. Kōkua kēia i ka hōʻemi ʻana i ka paʻa ʻana o ke ala mimi a kōkua i ka pōhaku e hele maʻalahi.

I kekahi manawa, pono paha e ʻoi aku ma mua o hoʻokahi ʻoki kino e wehe loa ai i ka pōhaku.

Hiki ke pale ʻia ke colic renal?

ʻAe, hiki nō i kahi nui. No ka hōʻemi ʻana i ka pilikia o ka renal colic, pono ʻoe e hōʻemi i ka pilikia o ka loaʻa ʻana o nā pōhaku puʻupaʻa. Eia kekahi mau ʻōlelo aʻoaʻo maʻalahi e kōkua:

• E inu i ka nui o ka wai. E ho'āʻo e inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. He mea nui loa kēia i ke aniau wela e like me ko kākou. E hōʻemi i kāu lawe ʻana i nā soda ʻeleʻele.
• E hōʻemi i ka paʻakai i kāu meaʻai. Mai ʻai ʻoe ma mua o 2 grams (2000 milligrams) o ka paʻakai i kēlā me kēia lā. ʻO ia ka emi ma mua o hoʻokahi teaspoon.
• E kaupalena i ka protein holoholona. E kaupalena i ka protein holoholona, ​​​​e like me ka pipi, ka moa, ka puaʻa, a me ka iʻa, i kahi lawelawe e like me ka nui o ka pāma i kēlā me kēia lā.
• E hōʻemi i nā meaʻai kiʻekiʻe i ka oxalate. ʻO nā mea e like me ka spinach a me nā nati he kiʻekiʻe i ka oxalate. ʻOi aku ka maikaʻi o ka hōʻemi ʻana i kāu ʻai ʻana i kēia mau mea.
• Mai hoʻopau i ka calcium mai kāu papaʻai. Manaʻo ka poʻe he nui e pono e hoʻemi ʻia nā meaʻai waiwai i ka calcium no ka mea ke kumu o nā pōhaku calcium. Akā, hewa kēlā. He mea nui e loaʻa ka calcium e pono ai kou kino mai nā meaʻai (e laʻa me ka tīhi, ka waiū, ka yogurt, nā lentil, nā mea kanu ʻōmaʻomaʻo).

Inā ua loaʻa iā ʻoe nā pōhaku puʻupaʻa ma mua, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me ka potassium citrate a i ʻole nā ​​​​diuretics thiazide. Hiki i kēia mau lāʻau lapaʻau ke hōʻemi i ka pilikia o ka hoʻokumu hou ʻana o nā pōhaku.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka renal colic?

Inā manaʻo ʻoe he renal colic kou, e ʻike koke i ke kauka . E hana ʻo ia i nā hoʻokolohua e hoʻoholo ai i ke kumu pololei o kou ʻeha. A laila e kuhikuhi ʻo ia i ka lāʻau kūpono e wehe i ka pōhaku a hōʻemi i kāu mau hōʻailona.

Pehea ka lōʻihi o ka hiki ʻana o ka ʻeha renal colic?

Ke hiki mai kēia ʻeha ma nā nalu, hiki ke mau i kēlā me kēia wahi mai 20 a 60 mau minuke. I nā hihia koʻikoʻi, hiki i ka ʻeha ke lōʻihi aʻe. Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ʻia ʻaʻole e nalo, e hele i ka lumi pilikia ma ka haukapila kokoke loa iā ʻoe.

Ua like anei ka ʻeha i hoʻokumu ʻia e nā pōhaku puʻupaʻa me ka ʻeha ʻiʻo?

I kekahi manawa ʻae. Ma hope o ka hala ʻana o kahi pōhaku mai kou puʻupaʻa, hiki iā ʻoe ke manaʻo i kahi ʻeha ʻiʻo i ka wā e hoʻāʻo ai kāu ʻōnaehana mimi e hoʻokuke iā ia i waho. Eia kekahi, e like me ka mea i ʻōlelo ʻia ma mua, hiki iā ʻoe ke loaʻa i kahi ʻeha ʻoi a pālahalaha mai lalo o kou mau iwi ʻaoʻao a i luna o kou ʻūhā.

Pehea e hoʻōki ai i ka spasm o ka ureter?

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me tolterodine e kāohi i nā ʻūlū ʻiʻo. Ua ʻike pū kekahi poʻe e hiki i ka hana ʻana i nā hoʻomaʻamaʻa Kegel a me nā hoʻomaʻamaʻa papahele pelvic ʻē aʻe ke kōkua i ka hōʻemi ʻana i kēia mau ʻūlū ʻiʻo.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha e hoʻomaka ana ma ka ʻaoʻao o kou ʻōpū a pālahalaha i kou ʻūhā, kua, a i ʻole ka ʻōpū lalo, e ʻike koke i ke kauka. Hiki iā ia ke hoʻoholo inā he renal colic a i ʻole kekahi kumu ʻē aʻe ka ʻeha. I ka hapanui o nā hihia, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e hiki ke hōʻoluʻolu koke i ka ʻeha i hoʻokumu ʻia e nā pōhaku puʻupaʻa.

He pilikia anei ka renal colic?

ʻOiai ʻo ka ʻeha o ka renal colic he koʻikoʻi pinepine ia, ʻaʻole ia he pilikia e hoʻoweliweli i ke ola. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi me ka renal colic, he pilikia ia. Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi, e like me ke kuni, ke anu, a me ke anu, e kelepona i ka 911 a i ʻole e hele koke i ka lumi pilikia o ka haukapila kokoke loa. He mea nui loa kēia.

ʻO Renal colic kahi ʻano ʻeha kikoʻī i hoʻokumu ʻia e nā pōhaku puʻupaʻa a i ʻole nā ​​​​maʻi ʻē aʻe o ka ʻōnaehana mimi. Hiki i kēia ʻeha ke ʻano mai ka liʻiliʻi a i ka koʻikoʻi. I kekahi manawa ua koʻikoʻi loa ka ʻeha a hiki ʻole ke hana i nā hana o kēlā me kēia lā.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu wau i kekahi o nā mea nui a mākou i kūkākūkā ai i kēia lā e kōkua iā ʻoe e hoʻomanaʻo iā lākou:

• Inā loaʻa iā ʻoe ka ʻeha ʻōpū koke a hiki ʻole ke hoʻomanawanui (ʻoi aku ka mea e hoʻomaka ana ma kekahi ʻaoʻao a pālahalaha i ke kua a i ʻole ka ʻūhā) me ka nausea a me ka luaʻi ʻana, hiki ke he renal colic ia. Mai hopohopo a e ʻimi i ke kōkua lapaʻau.
• ʻO ke kumu nui nā pōhaku mimi, akā i kekahi manawa aia kekahi mau kumu ʻē aʻe.
• ʻO ka inu ʻana i ka nui o ka wai ke ala maikaʻi loa e pale ai i ka hoʻokumu ʻia ʻana o nā pōhaku. E inu ma ka liʻiliʻi he 2-3 lita i ka lā.
• E hoʻēmi i nā meaʻai kiʻekiʻe i ka paʻakai, ka protein holoholona, ​​​​a me nā oxalates.
• Inā ʻeha ʻoe , e ʻike i ke kauka a loaʻa ka lāʻau kūpono. Hiki ke hoʻokahe ʻia nā pōhaku liʻiliʻi me ka lāʻau lapaʻau a me ka wai. Aia nā lāʻau lapaʻau kūikawā no nā pōhaku nui.
• Inā hele pū nā hōʻailona e like me ke kuni, ke anu, a me ka haʻalulu me ka ʻeha, he pilikia ia. E hele koke i ka haukapila.
• Inā ua loaʻa iā ʻoe nā pōhaku ma mua, e hahai i nā ʻōlelo a kāu kauka e pale aku ai iā lākou mai ka hana hou ʻana.

ʻO ka ʻike mua ʻana a me ka mālama kūpono nā ala maikaʻi loa e hoʻomaikaʻi ai. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka. E noho olakino!

ʻO Renal Colic, Nā Pōhaku Puʻupaʻa, Nā Pōhaku Mimi, ʻEha ʻŌpū, ʻŌnaehana Mimi, ʻEha, Lapaʻau