Lɛ wi lan bɔt aw ston dɛn kin mek na di urinary tract (Ureteral Stones). Yu kin gɛt dis bad bad pen bak?

Sɔntɛnde yu kin fil nɔys wit shap pen na yu ɔnda bak, jɔs dɔŋ yu rib? Yu fil se yu fɔ pis ɛn i kin at, sɔm tɛm yu kin pis smɔl, ɛn di pen kin go na yu bɛlɛ? If na so, yu kin gɛt wan sik we dɛn kɔl " ureteral stones." Lɛ wi tɔk bɔt dis smɔl smɔl tide, jɔs lɛk aw wi de tɔk to wi padi.

Wetin na di Yuritɛral Ston dɛn?

Fɔ tɔk am simpul wan, ureteral ston na wan sɔlid tin we nɔ shep ɔltɛm we kin stɔp na wan pan yu ureters, di tu tin tyub dɛm we kin kɛr urine frɔm yu kidni to yu blad (we dɛn kin kip urine ). Dɛn tan lɛk smɔl smɔl ston dɛn. Yu no se ɛni wan pan wi kidni dɛn gɛt wan ureter?

dis ston dεm kin fכm na di lεft כ rayt say na di urethra. di urethra we big pɔsin kin gɛt kin lɔng bitwin 10 ɛn 12 inch. dis ston dεm kin lod na di כp pat na di urethra, nia di kidni, כ na di lכw pat, nia di blad.

Bɔku tɛm, dɛn ston ya we de na di urinary kin rili smɔl. Sɔm pan dɛn nɔ kin ivin si wit yay. Dɛn kin was dɛn wit urine, so dɛn nɔ kin mek ɛni prɔblɛm.

Bɔt if di ston na di kidni big, i kin mek di urine kɔmɔt na di kidni go na di blad. Na da tɛm de bad bad pen kin apin. dis ston dεm de fכm we di minral dεm εn sכlt dεm na yu urine kכlכm togeda. Fɔs, dɛn kin mek lɛk smɔl smɔl kristal dɛn, dɔn dɛn kin gro to big big ston dɛn.

"So, dis ureteral ston ya na di sem wit kidni ston?" Yes, ureteral stone na rili ston we de fכm na kidni εn brok fri εn lod insay di ureter.

Wetin na di men kayn ston dɛm we de na yu urinary?

Fo men kayn ston dɛn de we kin mek pɔsin urinate:

• Kalsiɔm ston : Dɛn wan ya na di kayn we we dɛn kin gɛt mɔ. tu kayn dεm de: `(Calcium oxalate)` ston dεm εn `(Calcium phosphate)` ston dεm.
• Yurik asid ston: Dɛn kayn ston ya kin kam we di yurik asid we de na yu urine go ɔp.
• Struvite ston: Sɔntɛnde i kin kam wit urinary tract infection ( UTIs).dis ston dεm kin fכm afta di kidni dεm dכn εkspos to di εlimεnt dεm. di men tin dεm we de insay dis ston na magnεsiכm amoniכm fכsfεt (struvayt) εn kalsiכm kabכn-apatyt.
• di sistin ston dεm: dis sistin ston dεm de kכz fכ wan jεnεtik kכndyushכn we dεn kכl ``Cystinuria.`` Dis sik de mek di amino asid sistin de kכmכt na di urine bifo i kכmכt na di kidni dεm.

Udat de pan risk fɔ gɛt ston na yu urinary?

Ɛnibɔdi kin gɛt ston na in kidni, bɔt dɛn pipul ya kin gɛt di risk smɔl:

• Fɔ man dɛn.
• Fɔ wayt pipul (dis na akɔdin to data frɔm ɔda kɔntri dɛn).
• Fɔ pipul dɛn we ol bitwin 40 ɛn 60 ia.
• Fɔ di wan dɛn we dɔn gɛt ston na dɛn urinary bifo.
• If pɔsin na di famili dɔn gɛt ston na in kidni.
• Fɔ di wan dɛn we de drink smɔl wata.
• Fɔ di wan dɛn we gɛt dayabitis (Diabetes Mellitus).
• Fɔ pipul dɛm wae gɛt polycystic kidney disease.

Wi kin si dis sityueshɔn bitwin wi na Sri Lanka bak. In particular , tin dɛm lɛk fɔ drink smɔl wata ɛn fɔ wok na say we de mek yu swet pasmak kin gɛt impak.

Aw kɔmɔn dɛn ston ya we kin kɔmɔt na yu urinary?

Di data we kɔmɔt na Amɛrika sho se na lɛk wan pan ɛvri 1,000 big pipul dɛn kin go na ɔspitul ɛvri ia bikɔs dɛn kin gɛt ston dɛn na dɛn urinary. Dɛn kin tɔk bak se 1 pan ɛvri 8 chans de fɔ mek pɔsin gɛt ston insay in layf. Dis sityueshɔn nɔto tin we nɔ impɔtant na Sri Lanka sɛf.

Wetin na di sayn dɛm fɔ dɛn ston ya we de na yu urinary?

If yu gɛt smɔl smɔl ston dɛn na yu urinary, dɛn kin pas na yu urinary system witout ɛni symptom.

Bɔt if di ston dɛn big fɔ blok yu urinary tract, yu kin gɛt sɔm sayn dɛn lɛk:

• Bɔrku pen: Dis na pen wae de kam wan wan tɛm wae nɔr kin de ɔltɛm. i kin stat na di lכw bak, כnda di rib dεm. I kin tan lɛk se na nɛf de chuk pɔsin.
• Prεd pen: Dis pen kin spre to di lכw bכdi, εn sכmtεm to di jεnital εria.
• Pen ɔ bɔn we yu de pis.
• Fɔ fil lɛk se yu de fil lɛk yu nɔs.
• Fɔ vɔmit.
• Blɔd na di urine ɔ di kɔlɔ we de chenj: Di urine kin brawn, pink, ɔ rɛd.
• Pis we gɛt klawd.
• Di nid fɔ pis ɔltɛm.
• Smɔl urine de lik.

Imajin, wan nɛt, Nilanthi bin fil bad bad pen na in bak wantɛm wantɛm. I nɔ bin ivin ebul fɔ imajin wetin bin dɔn apin. Di pen bin so bad dat i nɔ bin ivin ebul fɔ tinap stret. Na we i go na ɔspitul nɔmɔ i kam fɔ no se wan ston dɔn stɔp na in urethra.

Wetin mek dɛn ston ya we de na di urinary kin fɔm?

di men rizin fכ di fכmeshכn fכ di kidni ston na di inkrεs pan di כmכnt fכ di stכn fכm tin dεm na yu urine. Nɔmal wan, dɛn tin ya kin pas na di urinary system witout ɛni prɔblɛm. Bɔt dis nɔ kin apin bikɔs yu bɔdi nɔ de mek inof urine fɔ sɔlv ɔ was dɛn tin ya. Bɔrku tɛm, dis kin bi bikɔs yu nɔr de drink bɛtɛ wata. Dɔn dɛn tin ya kin gɛda smɔl smɔl ɛn bigin fɔ mek ston.

Di men tin dɛn we dɛn yuz fɔ mek dis ston na:

• Kalsiɔm we dɛn kɔl
• Ɔksalɛt we dɛn kɔl
• Yurik asid
• Fosfɛt we dɛn kɔl
• Sistin we dɛn kɔl
• Xanthine bin de tɔk bɔt am

Aw lɔng ston kin de na di urethra?

Dis na sɔntin we kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bikɔs yu bɔdi difrɛn frɔm ɔda pɔsin in yon, di tɛm we yu kin tek fɔ pas ston kin difrɛn. Sɔntɛnde, yu nɔ go ebul fɔ pas di ston atɔl.

Fɔ bɔku pipul dɛn, wan ston we smɔl pas 4 milimita kin pas insay wan ɔ tu wiks.

Wans ston na di urethra rich di blad, i kin pas insay sɔm dez.

Aw dɔktɔ kin no bɔt dis?

Dɔktɔ go aks yu fɔs bɔt di sayn dɛn we yu gɛt ɛn du ɛgzam fɔ yu bɔdi. Dɔn dɛn kin ɔda fɔ du tɛst lɛk dis fɔ no if yu gɛt ston na yu kidni:

• Urinalysis: Dis de chɛk di urine fɔ sayn dɛm fɔ infekshɔn ɛn di lɛvɛl dɛm fɔ di tin dɛm we kin mek ston fɔm.
• Blɔd tɛst: Dis kin chɛk aw di kidni dɛn de wok fayn, if infɛkshɔn de, ɛn if ɔda prɔblɛm dɛn de we kin mek ston kam.
• Ultrasound scan: I de yuz sawnd wev fɔ chɛk if di urinary tract dɔn blok.
• CT scan (Computed Tomography - CT scan): Dis kin ɛp yu dɔktɔ fɔ no di rayt sayz, usay yu de, ɛn aw i at fɔ yu urinary ston.

Aw yu kin pul dɛn ston ya we de na yu urinary? (Tritmɛnt)

Di we aw dɛn kin pul di ston dɛn we de na di urinary dipen pan di sayz we di ston dɛn gɛt, usay dɛn de, ɛn di tin we dɛn mek wit. Dipen pan di saiz ɛn usay di ston de, yu dɔktɔ kin gi yu gud aidia if yu kin jɔs pas am ɔ nɔ pas am.

If yu gɛt big big ston na yu kidni ɔ yu gɛt blɔk na yu urinary system, yu urolɔg kin tɛl yu fɔ du tritmɛnt dɛn lɛk:

• Shock Wave Lithotripsy (SWL): Dis involv fɔ yuz sawnd wev dɛm we gɛt ay ɛnaji fɔ brok ston dɛm na di urinary tract. Dɔn dɛn kin pas di smɔl smɔl tin dɛn izi wan na di urine. Dis na di tritmɛnt we nɔ de mek pɔsin fil bad, bɔt i nɔ fayn fɔ ɔlman.
• Yureteroskɔpi: .insay dis, dεn kin put wan lכng tכn tכb (ureteroscope) tru di uretra. I gɛt kamɛra we dɛn tay na di ɛnd. dis tכb de pas tru di blad εn insay di urethra fכ fכnshכn di ston. Dɔn dɛn kin pul am ɔ krɔs am wit lɛsa.
• Percutaneous Nephrolithotomy (PCNL): Insay dis prosidur, yu dɔktɔ kin mek smɔl say na yu bak ɛn put skɔp dairekt insay yu kidni fɔ fɛn ɛn pul di ston. Dis tritmɛnt na if di ston rili big ɔ gɛt shep we nɔ de ɔltɛm.
• Yuritɛral stent: Dis na tin, fleksibul, tɛmporari tyub dɛm we de ɛp fɔ mek di yuretra opin, we de mek urine flɔ rawnd wan ston we de blok am.
• Mɛdikal Ɛkspulsiv Tɛrapi (MET): Dis kin wok fayn fɔ smɔl ston dɛn we de dɔŋ di urinary tract. I de yuz mεdikeshכn dεm lεk alfa-blכk, kalsiכm chεnal blכk, kכtikostεroyd, εn fכsfodiεstεrayz-5 inhibito (PDE5).

Speshal mɛrɛsin fɔ sɔm kayn ston dɛn

Dɛn kin gi dɛn kayn mɛrɛsin ya to pipul dɛn we gɛt sɔm kayn ston na dɛn urinary, mɔ:

• Fɔ ston dɛn we gɛt kalsiɔm:
• Potassium citrate: Dis de mek di urine mכr alkaline εn i de ridyus di asid.
• Diuretics: Dɛn tin ya kin ɛp fɔ pul di wata we pasmak ɛn di kalsiɔm we de na di bɔdi tru di urine.
• Fɔ struvayt ston dɛn:
• Antibayɔtik: Dɛn mɛrɛsin ya we de fɛt baktriyal infɛkshɔn.
• Acetohydroxamic acid: Dis de ɛp fɔ mek di amonia nɔ gɛda na di urine.
• Fɔ sistin ston dɛn:
• Tiopronin (mercaptopropionyl glycine): Dis kin ɛp fɔ mek pipul dɛn we gɛt sistinuria nɔ gɛt ston na dɛn kidni.
• `Potashכm saytεt`.

Aw a kin tek kia ɔf misɛf/manage de symptoms?

I rili impɔtant fɔ drink bɔku wata lɛk wata. If yu drink at le 2 to 3 lita wata wan de, i kin ɛp fɔ pas smɔl smɔl ston dɛn na yu urinary.

Yu kin bay nonsteroidal anti-inflammatory drugs (NSAID) na di famasi fɔ smɔl pen ɔ diskɔmfɔt. Di NSAID dɛn we dɛn kin yuz mɔ na aspirin, ibuprofen, ɛn naproxen. Nɔto ɔlman kin tek dɛn NSAID ya, so i fayn fɔ aks yu dɔktɔ ɔ fama bifo yu yuz dɛn.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Bɔrku pipul dɛn kin fil fayn insay sɔm dez afta dɛn dɔn trit dɛn. Bɔt yu kin gɛt sɔm sayd ɛfɛkt dɛn te di las ston pas na yu bɔdi.

Aw yu kin mek yu nɔ gɛt ston na yu urinary?

Bɔku we dɛn de fɔ mek yu nɔ gɛt ston na yu urinary:

• Drink mɔ wata: I fayn fɔ drink at le 2 to 3 lita wata ɛvride. Wata na di bɛst, bɔt ɔda wata lɛk lɛmonayd ɛn ɔrɛnj jus bak fayn.
• Limit animal protin: Animal protin lεk mit, eg, εn fish de mek di yurik asid we de na yu bכdi bכku. Lɛntil, bins, grɛn pis, sɛitan, ɛn tofu na gud tin dɛn fɔ gɛt prɔtin we nɔ de mek di yurik asid bɔku.
• Ridyus sodium na yu it: If yu it lɛs 1,500 miligram sɔl ɛvride, dat kin mek yu nɔ gɛt ston na yu kidni. Yu kin yuz sɔl in ples wit sɔl, spays, lɛmon jus, ɛn vinega we gɛt flawa.
• Limit it dɛn we gɛt bɔku ɔksalɛt: Ɔksalɛt na wan tin we de insay it dɛn lɛk spinach, amɔnd, kash, ɛn pɔt. Bɔt it ɛn drink dɛn we gɛt bɔku kalsiɔm kin ɛp fɔ mek yu nɔ gɛt ɔksalat ston.

Sɔntɛnde yu dɔktɔ go tɛl yu fɔ pis insay spɛshal strɛna ɔ filta te yu ston pas. Dɔn dɛn kin pul di ston ɛn analayz di kemikal we i gɛt. Frɔm da infɔmeshɔn de, yu dɔktɔ kin mek wan tritmɛnt plan fɔ mek ston nɔ fɔm bak.

Wetin a kin ɛkspɛkt if a gɛt ston na mi kidni?

If dɛn no di sik kɔrɛkt wan, di prɔgnosis fɔ pipul dɛn we gɛt kidni ston kin fayn. Bɔt chans de fɔ mek yu gɛt ston na yu kidni bak.

Bɔku pipul dɛn kin pas smɔl smɔl ston na dɛn kidni we dɛn nɔ gɛt tritmɛnt. Fɔ big ston, tritmɛnt kin brok di ston ɛn alaw yu fɔ pas am yusɛf, ɔ dɔktɔ kin pul am. Mεdikeshכn kin εp bak fכ pul di kidni ston dεm εn mek dεn nכ fכm bak.

If yu dɔn gɛt pas wan ston na yu urinary, yu dɔktɔ kin ɛp yu fɔ no di kɔz. Afta dat analisis, yu kin mek chenj na yu layf fɔ mek ston nɔ fɔm bak.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sayn dɛn we de sho se yu gɛt ston na yu kidni, go to dɔktɔ wantɛm wantɛm. If yu nɔr ebul fɔ bia wit yu pen, i kin gi yu mɛrɛsin fɔ pen ɛn nɔs/vɔmit.

If yu gɛt ston na yu kidni, dɔktɔ kin fɛn usay i de ɛn gi yu di rayt tritmɛnt.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

• Aw yu go no if a gɛt kidni ston?
• If a nɔ gɛt kidni ston, us ɔda mɛrɛsin a go gɛt?
• Us kayn kidni ston a gɛt?
• Aw big mi urinary ston big?
• Us urethra mi ston de insay?
• Ɔmɔs urinary ston dɛn a gɛt?
• A go ebul fɔ jɔs pas dis kidni ston, ɔ a nid tritmɛnt?
• Wetin na di bɛst tritmɛnt fɔ mi fɔ pul mi urinary ston?
• Aw a go mek ston dɛn we de na di urinary nɔ fɔm bak?
• Us chenj dɛn a fɔ mek na di it we a de it?
• A nid fɔ tek ɛni mɛrɛsin fɔ mek di kidni ston nɔ fɔm bak?

Fɔ dɔn, wan mɛsej we yu go kɛr go na os:

Fɔ gɛt ston na yu kidni na tin we rili de mek yu vɛks ɛn i de mek yu fil pen. Bɔt dis na tin we kin apin fɔ sɔm tɛm. Yu dɔktɔ kin ɛp yu fɔ mek yu sik nɔ wɔs. So, i fayn fɔ go to dɔktɔ jɔs afta yu notis di sayn dɛn we de sho se yu gɛt ston na yu kidni. I go gi yu bak di instrɔkshɔn dɛn we yu nid fɔ mek yu nɔ gɛt ston na yu kidni bak. Nɔ wɔri, dɛn kin ebul fɔ mɛn dis sik fayn fayn wan wit di rayt tritmɛnt ɛn chenj dɛn layf!

` Urinary ston, kidni ston, urinary tract, pen, urinary tract infection, tritmɛnt, prɛvɛnshɔn