Yu dɔn gɛt ston dɛn we tan lɛk ‘staghorn’ na yu kidni? Mek wi lan bɔt Staghorn Calculus!

Yu dɔn ɛva yɛri bɔt ston na yu kidni? Dis na prɔblɛm we kin apin to sɔm pipul dɛn. Bɔt tide wi go tɔk bɔt wan spɛshal kayn kidni ston. Dɛn kɔl dis Staghorn Calculus . Di nem de saund likl strenj, no bi so? "Staghorn" min di ant fɔ dia. Dɛn ston ya gɛt dɛn nem bikɔs dɛn kin branch ɛn skata insay di kidni lɛk dia ant. Yu kin tink bak bɔt dɛn lɛk kɔral rif dɛn na di si.

Wetin na Staghorn Calculus?

Fɔ tɔk am simpul wan, staghorn kalkyulɔs na wan kayn kidni ston (kalkyulɔs min ston). Bɔt dis wan nɔ tan lɛk ɔda ɔdinari smɔl ston dɛn. i kin gro big, branch, εn spre כlsay na di men kanal (rεnal pεlvis) εn di sכmכl kanal sistεm (calyces) we de kכlekt urine na di kidni . Imajin se if di kidni bin tan lɛk faktri we de mek urine, dis ston go tan lɛk big blɔk we de na di paip na da faktri de.

Di men tin we kin mek dɛn ston ya na we pɔsin kin gɛt urinary tract infection (UTI) bɔku tɛm . Bɔku tɛm dɛn kin mek di ston dɛn we kin mek bikɔs ɔf dɛn kayn infɛkshɔn dɛn de wit wan kemikal we dɛn kɔl struvite . Dis na wan kɔmbaynshɔn we gɛt magnɛsiɔm, fɔsfɛt, ɛn amɔniɔm. Sɔntɛnde, smɔl ston kin gro as tɛm de go ɛn branch fɔ bi staghorn ston lɛk dis wan. We dat apin, dɛn kin fɔm we dɛn miks struvayt wit kalsiɔm fɔsfɛt, kalsiɔm ɔksalɛt , ɔ kalsiɔm kabɔnɛt apatyt.

Bɔku tɛm, dis kayn ston kin fɔm na wan kidni nɔmɔ. Bɔt nɔto ɔltɛm dis sik kin apin na ɔl tu di kidni dɛm. Dɛn ston ya kin mek di kidni nɔ wok fayn, ɛn i kin ivin mek di kidni nɔ wok fayn .

Udat kin gro di mɔs pan dɛn ‘diya antlɛr ston’ ya?

Sɔm pipul dɛn kin gɛt bɔku risk fɔ gɛt dɛn staghorn ston ya. Lɛ wi tek wan luk pan udat dɛn bi:

• Fɔ uman dɛn: Dis sik kin bɔku pan uman dɛn pas man dɛn.
• Fɔ di wan dɛn we kin gɛt urinary tract infection (UTI) ɔltɛm: As wi bin dɔn tɔk, dis na di men tin we kin mek dɛn gɛt dis sik.
• Fɔ di wan dɛn we gɛt abnɔmal shep ɔ chenj na di urinary system: If ɛni wikɛd tin de na di flɔ we di urine de flɔ, i kin izi fɔ mek ston fɔm.
• Fɔ di wan dɛn we gɛt injuri na dɛn spɛnal kɔd.
• fכ dεn wan dεm we gεt nyurojεnik blad: Dis de tכk bכt dεn wan dεm we dεn blad nכ de wok fayn bikɔs dεn nεv dεm dεm dεm.

Aw staghorn ston dɛn kin afɛkt wi bɔdi?

Dɛn staghorn ston ya kin mek di kidni dɛn blok ɔl ɔ sɔm pat pan am. Tink bɔt am lɛk big tin we de blok wata paip. di branch dεm fכ dis ston de go insay di rεnal pεlvis , we na wan pat we lεk fכnel na di kidni we de kכlekt urine. Frɔm de, urine, .i de go na di blad along tu tin tכb dεm we dεn kכl ureter. So if di rεnal pεlvis כ di ureter blok, di kidni kin bigin fכ swel.

כlso, dεn ston dεm ya kin blok di kalis dεm na di kidni, usay di urine kin fכs kכlekt. If di kalis swel bikɔs ɔf di ɛkstra wata, dɛn kin kɔl am kaliɛktasis . If dɛn nɔ trit dis fayn, di kidni dɛn kin pwɛl.

Wetin na di sayn dɛm fɔ dis?

If yu gɛt staghorn ston na yu kidni, yu kin gɛt sɔm sayn dɛn lɛk:

• Fiva.
• Sayd pen bitwin di rib ɛn di hip. Dis kin fil bak lɛk bak pen.
• Blɔd we de na di urine (hematuria). Di urine kin tɔn rɛd ɔ dak brawn.
• Pus wit urine (pyuria). Di urine kin gɛt klawd, i kin tan lɛk milk, ɛn i kin gɛt bad bad smel.
• Fɔ fil se yu taya pasmak.

Sɔntɛnde dɛn big big ston ya kin de bɔt dɛn nɔ kin gɛt ɛni sayn . Dat na di tin we denja pas ɔl. Dɛn kin fɛn dɛn ston ya bay mistek we dɛn de du tɛst fɔ ɔda rizin.

Wetin mek ston dɛn lɛk dis kin fɔm? Wetin na di tin dɛn we kin mek i apin?

As wi bin dɔn tɔk, we pɔsin kin gɛt urinary tract infection (UTI) bɔku tɛm na di men tin we kin mek i apin. Na sɔm kayn baktri dɛm we kin mek pɔsin gɛt infɛkshɔn kin mek wan ɛnzaym we dɛn kɔl urease . Fɔ ɛgzampul, di bɔdi we dɛn kɔl Proteus mirabilis . dis εnzym de lכs di asid (pH) na yu urine, we min se i de bi mכr alkaline. Dɔn, kristal dɛn kin kam, we kin gɛda togɛda ɛn bigin fɔ mek ston dɛn na di kidni.

Ɔda rizin dɛn de bak:

• difrεns dεm na di anatomical: sכm pipul dεn kin mכr fכ divεlכp ston bikoz fכ sכm difrεns dεm we dεn bכn wit na dεn urinary sistεm.
• Urinary tract we nɔ de wok fayn.
• Yuz urinary catheter fɔ lɔng tɛm.
• If yu bin dɔn gɛt urinary diversion prosidur bifo.
• Nyurojɛnik blad kɔndishɔn.
• Fɔ gɛt kidni ston we dɛn nɔ bin dɔn trit fɔ lɔng tɛm. Smɔl ston kin gro big ɛn mek dis sik.

Aw dɔktɔ dɛn kin no dis?

If yu gɛt sɔm sayn dɛn, dɔktɔ go aks yu kwɛstyɔn dɛn fɔs ɛn du ɛgzam fɔ yu bɔdi. Dɔn dɛn kin ɔda tɛst dɛn lɛk:

• X-ray egzamin fɔ di kidni dɛn: Staghorn ston dɛn kin gɛt rediopak . Dis min se dɛn ston ya nɔ kin transparent to ɛkstrem rayt ɛn dat mek dɛn kin sho klia wan pan ɛkstrem rayt.
• CT Skan (Kɔmpyut Tomografi - CT skan) tɛst:Dis de mek wi ebul fɔ si di saiz, shep, ɛn usay di ston de rili klia wan. Bɔku tɛm, dɛn kin du CT skan if dɛn tink se dɛn gɛt staghorn ston.
• Yurin tɛst: Chɛk fɔ si if yu gɛt infekshɔn, blɔd, ɔ pus.

Aw dɛn kin trit am?

Fɔ trit staghorn ston dɛn kin gɛt ɔpreshɔn . Dɛn fɔ pul di ston kpatakpata, nɔto ivin smɔl smɔl pat dɛn. If nɔto dat, dɛn smɔl smɔl tin dɛn de kin mek pɔsin gɛt infɛkshɔn ɛn nyu ston dɛn kin mek.

Impɔtant: Staghorn ston na wan sik we kin pwɛl di kidni, so if dɔktɔ tɛl yu fɔ trit yu, i bɛtɛ fɔ du am kwik kwik wan.

Bɔku men we dɛn de fɔ trit pɔsin:

1. Pɛrkyutan Nɛfrolitɔtɔmi (PCNL) .

Dis na di ɔspitul we dɛn kin yuz fɔ pul di ston dɛn we de na di stagɔn. PCNL na wan we we de pul big ston dɛn na di kidni, ston dɛn we tu big fɔ pas tru di urine.

• Aw dɛn kin du am?: Di dɔktɔ we de du di ɔpreshɔn kin kɔt smɔl na yu bak, nia yu kidni. Dɛn kin put smɔl tiub fɔ sɔm tɛm tru di say we dɛn kɔt insay yu kidni. Dɔn, dɛn kin put wan spɛshal tin we gɛt kamɛra we dɛn kɔl nɛfroskɔp insay di tiub fɔ fɛn di ston ɛn brok am ɔ pul am kpatakpata.
• Anestezi: Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi .
• Yu go de na ɔspitul: Yu go de na ɔspitul fɔ wan ɔ tu dez. Sɔntɛnde, dɛn kin lɛf wan smɔl drenaj tiub na in ples fɔ sɔm dez te di kidni wɛl. Bɔt bɔku tɛm, dɛn kin put wan ureteral stent , we na smɔl tiub we kin de insay di bɔdi, insted.

2. Wetin na ureteral stent?

Yu go dɔn yɛri bɔt "tubeless surgery," we min se dɛn kin lɛf wan drenage tube na di bak afta dɛn dɔn du PCNL prosidur. Bɔt dɛn kin stil put stent insay.

ureteral stent na smɔl plastic tiub we dɛn kin put insay di ureter fɔ sɔm tɛm , di tiub we de kɛr urine frɔm di kidni to di blad. I de put am:

• If yu kidni blok, ilɛksɛf na bikɔs ɔf ston ɔ ɔda tin we de ambɔg, ɛp fɔ pul am.
• Afta di ɔpreshɔn, dɛn fɔ kip di ureter opin fɔ ɛp di urine flɔ fayn fayn wan.

Dɛn kin pul dis stent insay sɔm wiks.

3. Yureteroscopy tritmɛnt

ureteroscopy na wan we we di ɔspitul de go insay di ureters , di tiub dɛn we de kɔnɛkt di kidni dɛn to di blad. Dis kin yuz rili smɔl inschrumɛnt dɛn bak. Dɛn kɔl dis ureterorenoscopy.Yu kin yɛri bak URS ɔ U-scope .

wan spɛshal kayn dis na fleksibul ureteroscopy , we dɛn kin kɔl bak retrograde intrarenal surgery (RIRS) . dis involv fכ put instrכmεnt dεm tru di urethra we dεn nכ sכk εn insay di kidni fכ trit di ston dεm. Dis prosidur kin yus fɔ smɔl ston ɔ fɔ smɔl smɔl pat dɛn we lɛf afta PCNL. PCNL na di men tin fɔ mek staghorn ston dɛn.

4. Ɔda we dɛn fɔ du Lithotripsy

Ɔda we dɛn de fɔ krɔs ston. Fɔ ɛgzampul, dɛn kin yuz lɛsa we dɛn kin yuz fɔ brok ston dɛn lɛk Holmium laser lithotripsy ɔ Thulium fiber laser lithotripsy . Dɛn kin yuz dɛn tin ya togɛda wit PCNL ɔ Ureteroscopy.

5. Kɔmbayn tɛrapi

Sɔntɛnde, wan tritmɛnt we dɛn kin yuz nɔ kin ebul fɔ pul di ston kpatakpata. If na so i bi, dɛn kin nid fɔ yuz bɔku tritmɛnt dɛn togɛda.

No: Ɔl di tritmɛnt dɛn gɛt sɔm prɔblɛm dɛn. Smɔl smɔl ston dɛn kin lɛf. Sɔntɛm sɔm blɔd go de. Afta di ɔpreshɔn, yu dɔktɔ go gi yu antibayɔtik ɛn mɛrɛsin fɔ mek yu fil pen. Risk de bak fɔ gɛt di sik bikɔs di urine nɔ klin.

Aw a go ridyus di risk fɔ mek dɛn ston ya kam bak afta dɛn dɔn trit mi?

Afta dɛn dɔn pul wan ston, yu kin tray fɔ mek i nɔ fɔm bak. Dɛn tin ya kin ɛp:

• Fɔ fala di patikyula tin dɛn we yu dɔktɔ tɛl yu fɔ it: Yu dɔktɔ go tɛl yu wetin fɔ it ɛn wetin yu nɔ fɔ it dipen pan di kayn ston we yu gɛt. Fɔ ɛgzampul, dɛn kin tɛl yu fɔ drink bɔku wata.
• Fɔ tek urease inhibitor mɛrɛsin lɛk acetohydroxamic acid : Dɛn nɔ kin gi dɛn tin ya, mɔ to pipul dɛn we gɛt struvite ston, fɔ blok di urease enzyme.
• Fɔ tek antibayɔtik fɔ mek yu nɔ gɛt di sik: If yu kin gɛt infekshɔn na yu urinary tract bɔku tɛm, yu dɔktɔ kin tɛl yu fɔ kɔntinyu fɔ tek antibayɔtik we nɔ gɛt bɔku.

Wetin go apin if yu gɛt staghorn ston? Wetin fɔ du if dɛn nɔ trit am?

If yu gɛt staghorn ston ɛn dɛn trit yu fayn , yu go ebul fɔ pis nɔmal wan ɛn di pen go dɔn. Yu kin gɛt ston igen ɔ yu nɔ kin gɛt am. I kin difrɛn frɔm wan pɔsin to ɔda pɔsin.

Bɔt if dɛn nɔ trit wan stagɔn ston , i kin mek i gɛt prɔblɛm dɛn lɛk:

• Xanthogranulomatous pyelonephritis: Dis na wan bad bad infεkshכn na di kidni dεm. I kin mek pɔsin gɛt sɛpsis.Wan sik we de mek pɔsin in layf de pan denja kin skata ɔlsay na di bɔdi.
• Caliectasis: di calyces na di kidni de swεla bikoz fכ di wata we de rεtεn.
• Rεnal fεil: Di kidni dεm de lכs dεn abiliti fכ filta west prodakt dεm. Dis kin kil pɔsin.
• Yurosepsis: Na bad bad infεkshכn na di urinary sistεm. Dis kin kil pɔsin bak.

Bɔt if sɔm pipul dɛn de na say we nɔ pɔsibul fɔ ɔpreshɔn (bikɔs ɔf di ej ɔ ɔda sik dɛn), dɛn kin liv wit tritmɛnt we nɔ gɛt ɔpreshɔn (kɔnsɔvativ mɛnejɛmɛnt) ɔnda di sɔpɔt we dɔktɔ de gi dɛn ɔltɛm.

Aw lɔng i kin tek fɔ mek i wɛl?

Di tɛm fɔ wɛl kin difrɛn difrɛn wan fɔ di tritmɛnt. If dɛn du big ɔpreshɔn pan yu we yu opin, i go tek lɔng tɛm fɔ mek yu wɛl. Bɔt wit di minimally invasive prosidur dɛm lɛk PCNL, yu kin ebul fɔ go na os di sem de. Yu dɔktɔ go tɛl yu ustɛm yu go ebul fɔ go bak na wokples, skul, ɛn fɔ bia wet.

Ustɛm yu fɔ go to dɔktɔ?

Afta yu dɔn trit wan staghorn ston, go to dɔktɔ ɔ go na ɔspitul wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:

• If yu gɛt fiva we pas 100 digri F (lɛk 37.8 sɛlshiɔs).
• If yu fil kol ɛn de shek shek (chills/shaking).
• If di blɔd nɔ stɔp ɔ i go bɔku.
• If di pen nɔ go dɔŋ ɔ i go bɔku.
• If yu nɔ ebul fɔ pis.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Staghorn ston, lɛk ɔda kidni ston, kin anɔynt smɔl ɛn i kin mek yu fil pen. Bɔt nɔ wɔri. Yu dɔktɔ kin chɛk yu ɛn gi yu di bɛst sɔlvishɔn. Bɔku tɛm, da sɔlv de kin bi ɔpreshɔn. I impɔtant fɔ trit staghorn ston if i pɔsibul fɔ mek di kidni nɔ wok fayn.

Fɔ fala yu dɔktɔ in it, ɛksesaiz, ɛn ɔda tin dɛn we i tɛl yu fɔ du. Dɔn yu kin wɛl kwik kwik wan ɛn gɛt wɛlbɔdi. Dɔn gɛt am? If yu gɛt ɛni kwɛstyɔn, nɔ ɛva fred fɔ aks yu dɔktɔ.

` Kidni ston, staghorn kalkyuli, urinary tract infεkshכn, PCNL, kidni כpεrayshכn, kidni sik, urinary sistεm