Uri kunzwawo kurwadziwa mudumbu kusingatsungiririki here? Kunogona kunge kuri renal colic!

Wakambonzwa kurwadziwa kamwe kamwe, kusingatsungiririki mudumbu mako, kunyanya pasi pembabvu dzako here? Kurwadziwa uku kunogona kupararira kumusana, muhudyu, kana pasi pedumbu. Kunogonawo kuperekedzwa nekurutsa nekurutsa. Vanhu vazhinji vanosangana nedambudziko iri. Mukurapa tinoridaidza kuti renal colic. Usatya zita iri, iri rinowanzova kurwadziwa kwakanyanya kunokonzerwa nematombo eitsvo. Nhasi, tichataura nezvazvo zvakadzama uye zviri nyore.

Chii chinonzi Renal Colic?

Zvichitaurwa zviri nyore, renal colic inorwadza zvakanyanya kana dombo rikabatwa muweti yako, zvakaita seitsvo dzako, ureters (machubhu anotakura weti kubva kuitsvo dzako kuenda kudundira), kana dundira. Zvisinei, dzimwe nguva rudzi urwu rwekurwadziwa runogonawo kukonzerwa nezvimwe zvikonzero, zvakaita sehutachiona hweweti, kuputika kweropa, kana strictures.

Unoziva here kuti matombo aya anoumbwa sei? Mamwe maminerari kana zvimwe zvinhu zviri muchikafu chatinodya zvinoungana mumiviri yedu zvobatana kuti zvigadzire matombo aya, kureva makristaro. Matombo aya anogona kuumbwa chero kupi zvako muhurongwa hweweti yako. Kana akaumbwa muitsvo, tinoati matombo eitsvo , kana akaumbwa mudundira, tinoati matombo edundira , uye kana akaumbwa mudundira reweti, tinoati matombo eureteral . Kurwadziwa kunosiyana zvichienderana nehukuru hwedombo nenzvimbo yaro. Mamwe matombo madiki kwazvo, saizi yejecha. Asi mamwe matombo anogona kukura sebhora regorofu! Fungidzira kuti zvaizorwadza sei kana chimwe chinhu chakadaro chikabatirira mukati.

Renal colic yakajairika zvakadii?

Izvi hazvisi zvisinganzwisisike sezvaungafunga. Nhamba dzinoratidza kuti pakati pe5% ne15% yevanhu pasi rose vachasangana nechirwere cheitsvo pane imwe nguva muhupenyu hwavo. Izvi zvinoreva kuti vanhu vakawanda munyika medu vanofanira kunge vachitambura nekurwadziwa uku.

Ko renal colic inogona kuitika pasina matombo here?

Ehe, zvinogoneka. Dzimwe nguva, rudzi urwu rwekurwadziwa runogona kukonzerwa nekukasira, kusimba kwetsandanyama dziri muurethra kana dundira. Kana tsandanyama idzi dzichikakama, zvinonzwa sekunge kurwadziwa kuri kupisa kana kumonyoroka. Dambudziko iri rinogona kuitika kana paine kana pasina matombo emuweti.

Ndezvipi zviratidzo zve renal colic?

Kazhinji, chiratidzo chikuru kurwadziwa kusingatsungiririki padivi pedumbu, pakati pembabvu dzepasi nepfupa rehudyu (kurwadziwa kweparutivi) . Kurwadziwa uku kunogona kuuya nemafungu, zvichireva kuti hakuenderere mberi, uye kunouya uye kunopera. Kurwadziwa uku kunogona dzimwe nguva kupararira kumusana, muhudyu, kana pasi pedumbu. Vanhu vazhinji vanonzwawo kuda kurutsa nekurutsa pamwe chete nekurwadziwa uku.

Kuwedzera kune zviratidzo zvikuru izvi, zvimwe zviratidzo zvakawanda zvinogona kuonekwa pamwe chete ne renal colic:

• Kunzwa kurwadziwa (sekukuvara, kupisa) paunenge uchiita weti.
• Ropa muweti (weti inogona kuoneka yakatsvuka kana kuti yakatsvukuruka).
• Weti inoonekwa seyakasviba muruvara.
• Kuchinja kweweti: Semuenzaniso, weti inonhuwa zvakaipa, kuita weti zvishoma kana kupfuura, kana kuda weti kamwe kamwe.
• Kuonekwa kwemakristaro muweti.
• Kupindwa nechando.
• Kutonhora.

Zvakakosha: Kana uine chimwe chezviratidzo izvi kana kupfuura, unofanira kuona chiremba.

Ndezvipi zvikonzero zve renal colic?

Chikonzero chikuru matombo emuweti. Kana matombo aya akabatwa muweti, anovhara kuyerera kweweti. Izvi zvinogona kuwedzera kumanikidzwa uye kukonzera kuzvimba munzvimbo iyoyo. Ichi ndicho chikonzero chikuru chekurwadziwa.

Pane zvikonzero zvakawanda zvinoita kuti matombo aumbwe muweti:

• Kushaya mvura mumuviri: Ichi ndicho chikonzero chinowanzoitika. Kana ukanwa mvura shoma, weti yako inova yakawanda, zvichiwedzera njodzi yekuumbwa kwematombo.
• Kuwedzera kwecalcium muweti: Vamwe vanhu vanoburitsa calcium yakawanda muweti zvichienderana nerudzi rwemuviri wavo.
• Mapuroteni akawandisa mukudya: Pane njodzi yekuumbwa kwematombo, kunyanya kana munhu achidya mapuroteni emhuka akawandisa.
• Mimwe mishonga: Mimwe mishonga inogona kukonzera matombo kuumbwa semhedzisiro kana ikashandiswa kwenguva refu.
• Zvimwe zvirwere zvekugaya: Semuenzaniso, vanhu vane zvirwere zvakaita seUlcerative Colitis kana chirwere cheCrohn vane mukana wekuita matombo.
• Hyperparathyroidism: Ichi chirwere chinoita kuti magland eparathyroid ashande zvakanyanya.

Kuwedzera kune izvi, zvimwe zvinhu zvinogona kukonzera renal colic. Kana zvikaonekwa kuti kurwadziwa kwako hakukonzerwi nematombo, chiremba wako anogona kukutumira kuna chiremba weurologist kuti anoongororwa zvakare.

Renal colic inoonekwa sei?

Kana ukaona chiremba, achakuongorora uye achakubvunza nezvezviratidzo zvako uye nhoroondo yezvekurapa, zvakaita sekuti pane mumwe munhu mumhuri mako akambova nematambudziko akafanana. Miedzo inotevera inowanzoitwa kusimbisa kuongororwa kwechirwere cheitsvo:

• Kuongororwa kweCT scan (Computed Tomography scan) yehurongwa hweweti. Izvi zvinogona kuitwa kana kusaitwa nechinhu chakakosha (contrast) chakapihwa.
• Ultrasound yeitsvo .
• Kuongororwa kweX-ray mudumbu .
• Kuongororwa kweitsvo . Izvi zvinogona kuona kuti itsvo dziri kushanda sei.

Miedzo iyi inogona kuratidza zvakawanda, zvakaita sekuti matombo aripo here, ari kupi, uye kuti akakura sei.

Ndeipi mushonga unonyanya kubatsira pakuderedza matombo eitsvo?

Kana kurwadziwa kwacho kuri kudiki, unogona kuwana rubatsiro kubva kumishonga inoderedza marwadzo yakadai seacetaminophen, ibuprofen, kana naproxen sodium. Zvisinei, kana kurwadziwa kwacho kwakanyanya, chiremba wako anogona kukupa mishonga yakasimba yekurwadziwa. Dzimwe nguva, kana kurwadziwa kwacho kuchikonzerwa nekugwinha kwemudumbu, chiremba wako anogonawo kukupa mishonga inozorodza tsandanyama.

Renal colic inorapwa sei?

Kurapwa kweizvi kunoenderana nerudzi rwedombo raunaro. Kune mhando dzakasiyana dzematombo emuweti:

• Matombo ecalcium: Aya anoumbwa necalcium oxalate kana calcium phosphate. Uyu ndiwo rudzi rwakajairika.
• Matombo eUric acid: Akagadzirwa nekuda kwekuwedzera kwehuwandu hweuric acid mumuviri.
• Matombo eStruvite: Aya anoumbwa nechinhu chinonzi struvite. Anogona kuumbwa nehutachiona hwemunzira yeweti.
• Matombo eCystine: Aya anoumbwa kubva kukemikari inonzi cystine. Izvi zvinokonzerwa nechirwere chisingawanzoitiki chinonzi cystinuria.

Uyewo, saizi yedombo inokanganisawo sarudzo yekurapa.

Kurapa kwematombo madiki

Kana uine dombo diki, rinogona kupfuura nemuweti yako. Izvi zvichakubatsira kunwa mvura yakawanda. Chiremba wako achakupa mishonga yekurwadziwa. Dzimwe nguva, uchaudzwa kuti uite weti uchishandisa strainer. Kana ukawana zvidimbu zvedombo, zvinogona kutumirwa kurabhoritari kuti zvionekwe kuti idombo rerudzii.

Kurapa kwematombo makuru

Kana matombo acho akakura, kashoma kuti apfuure nemuweti. Muzviitiko zvakadaro, chiremba anogona kukurudzira nzira yakakosha yekubvisa matombo aya. Mimwe mienzaniso ndeiyi:

• Shock wave lithotripsy: Izvi zvinosanganisira kutumira mafungu ekudengenyeka ane simba guru kubva kunze kwemuviri kuenda kudombo, richipwanya kuita zvidimbu zvidiki. Zvidimbu zvidiki zvinobva zvabuda nyore nyore muweti.
• Ureteroscopy: Mukuita uku, chiremba anoisa chubhu yakatetepa, ine chiedza, uye ine kamera (ureteroscope) kuburikidza neurethra yako. Izvi zvinogona kushandiswa kuwana dombo uye kuribvisa, kana kuripwanya kuita zvidimbu zvidiki uye kuribvisa.
• Percutaneous nephrolithotomy: Izvi zvinoitwa kubvisa matombo makuru eitsvo. Pakuita izvi, kucheka kudiki kunoitwa kumusana uye mudziyo unopinzwa nepakati pawo kuti usvike paitsvo wobvisa dombo. Nzira iyi inowanzo shandiswa pamatombo makuru.
• Kuisa stent muuro: Muzvimwe zviitiko, chiremba anoisa stent (chubhu diki) mukati meurethra. Izvi zvinobatsira kuderedza kuvharika kwenzira yeweti uye kubatsira dombo kuti ripfuure nyore nyore.

Dzimwe nguva, zvingada kuvhiyiwa kanopfuura kamwe chete kuti dombo ribviswe zvachose.

Ko renal colic inogona kudzivirirwa here?

Ehe, zvinokwanisika zvakanyanya. Kuti uderedze njodzi ye renal colic, unofanirwa kuderedza njodzi yekuva nematombo eitsvo. Heano mamwe matipi ari nyore ekubatsira:

• Inwa mvura yakawanda. Edza kunwa marita maviri kusvika matatu emvura pazuva. Izvi zvinonyanya kukosha mumamiriro ekunze anopisa seedu. Deredza kudya soda dzakasviba.
• Deredza munyu mukudya kwako. Usadye zvinopfuura magiramu maviri (2000 milligrams) emunyu pazuva. Izvi zvisingasviki chipunu chimwe chete.
• Deredza mapuroteni emhuka. Deredza mapuroteni emhuka, akadai semombe, huku, nyama yenguruve, nehove, kusvika pahuwandu hwechibage pazuva.
• Deredza kudya zvine oxalate yakawanda. Zvinhu zvakaita sespinachi nenzungu zvine oxalate yakawanda. Zvakanakisisa kuderedza kudya kwako izvi.
• Usabvisa calcium mukudya kwako. Vanhu vazhinji vanofunga kuti chikafu chine calcium yakawanda chinofanira kuderedzwa nekuti chinokonzera calcium stones. Asi izvozvo hazvina kunaka. Zvakakosha kuwana calcium inodiwa nemuviri wako kubva muzvikafu (semuenzaniso chizi, mukaka, yogati, nyemba, miriwo yegirini).

Kana wakambova nematombo eitsvo kare, chiremba wako anogona kukupa mishonga yakaita se potassium citrate kana thiazide diuretics. Mishonga iyi inogona kuderedza njodzi yekuumbwa kwematombo zvakare.

Chii chaunotarisira kana uine renal colic?

Kana uchifunga kuti une renal colic, enda kuna chiremba nekukasika . Iye achaita bvunzo kuti aone chikonzero chaicho chekurwadziwa kwako. Iye achakurudzira kurapwa kwakakodzera kubvisa dombo uye kuderedza zviratidzo zvako.

Marwadzo ecolic eitsvo anogona kugara kwenguva yakareba sei?

Kana kurwadziwa uku kwasvika semafungu, kunogona kugara kwemaminitsi makumi maviri kusvika makumi matanhatu. Muzviitiko zvakakomba, kurwadziwa kunogona kuramba kwenguva yakareba. Kana uine kurwadziwa kusingatsungiririki kusingazoperi, enda kuchipatara chiri pedyo newe.

Kurwadziwa kunokonzerwa nematombo eitsvo kunonzwa sekunge kurwadza kwetsandanyama here?

Dzimwe nguva hongu. Kana dombo rabuda muitsvo yako, unogona kunzwa tsandanyama dzichipwanyika sezvo weti yako ichiedza kurisundira kunze. Uyewo, sezvambotaurwa, unogona kunzwa kurwadziwa kukuru, kubva pasi pembabvu dzako kusvika pamusoro pehudyu yako.

Nzira yekudzivirira sei spasm ye ureter?

Chiremba wako anogona kukupa mishonga yakaita setolterodine yekudzora marwadzo emhasuru. Vamwe vanhu vanoonawo kuti kuita maekisesaizi eKegel nemamwe maekisesaizi epasi pechiuno kunogona kubatsira kuderedza marwadzo aya emhasuru.

Ndinofanira kuona chiremba rini?

Kana uine kurwadziwa kunotanga mudumbu mako kwopararira kusvika mudumbu, kumusana, kana pasi pedumbu, enda kuna chiremba nekukasika. Iye anogona kuona kana kurwadziwa kwacho kuri kukonzerwa ne renal colic kana chimwe chikonzero. Kazhinji, chiremba wako anogona kukupa mishonga inogona kukurumidza kuderedza marwadzo anokonzerwa nematombo eitsvo.

Renal colic idambudziko here?

Kunyangwe kurwadziwa kwe renal colic kuchiwanzova kwakanyanya, hakusi emergency inouraya. Zvisinei, kana uine hutachiona pamwe chete ne renal colic, i emergency. Kana uine zviratidzo zvehutachiona, zvakaita sefivha, dzihwa, uye dzihwa, fonera 911 kana kuenda kuchipatara chiri pedyo nekukurumidza. Izvi zvakakosha zvikuru.

Renal colic idambudziko rekurwadziwa kunokonzerwa nematombo eitsvo kana zvimwe zvirwere zvemudumbu. Kusagadzikana uku kunogona kubva pakushoma kusvika pakukomba. Dzimwe nguva kurwadziwa kwacho kwakanyanya zvekuti hazvigoneke kuita mabasa ezuva nezuva.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, regai ndipfupise mamwe emashoko akakosha atakurukura nhasi kuti akubatsirei kurangarira:

• Kana ukanzwa kurwadziwa mudumbu kamwe kamwe kusingatsungiririki (kunyanya kunotanga nedivi rimwe chete wobva wapararira kumusana kana muhudyu) pamwe nekurutsa nekurutsa, zvinogona kunge zviri renal colic. Usavhunduke uye tsvaga rubatsiro kuna chiremba.
• Chikonzero chikuru matombo emuweti, asi dzimwe nguva panogona kunge paine zvimwe zvikonzero.
• Kunwa mvura yakawanda ndiyo nzira yakanakisisa yekudzivirira kuumbwa kwematombo. Inwa marita maviri kusvika matatu pazuva.
• Deredza kudya zvine munyu wakawanda, mapuroteni emhuka, uye maoxalates.
• Kana uchinzwa kurwadziwa , enda kuna chiremba wowana kurapwa kwakakodzera. Matombo madiki anogona kupfuudzwa nemishonga nemvura. Kune mishonga yakakosha yematombo makuru.
• Kana zviratidzo zvakaita sefivha, dzihwa, uye kudedera zvichiperekedzwa nemarwadzo, idambudziko. Enda kuchipatara nekukasika.
• Kana wakambova nematombo kare, tevera mirairo yachiremba wako kuti asazoumbazve.

Kuongororwa kwechirwere nekukurumidza uye kurapwa kwakakodzera ndiyo nzira dzakanakisisa dzekupora. Kana uine mimwe mibvunzo nezveizvi, usazeza kubvunza chiremba wako. Ramba uine hutano hwakanaka!

` Renal Colic, Matombo eItsvo, Matombo eWeti, Marwadzo eDumbu, Sisitimu yeWeti, Marwadzo, Kurapa