Wakambova nekurwadziwa kusingatsungiririki, kunoremadza kunongoerekana kwatanga kune rumwe rutivi rwemusana wako kwofamba kusvika pasi pedumbu rako here? Vamwe vanhu vanofananidza kurwadziwa uku nekurwadziwa kwekubereka. Kana uine kurwadziwa kwakanyanya seizvi, uye zvakaoma kuita weti , kana kana uine ropa muweti yako, zvinogona kuva chiratidzo chekuti dombo reitsvo ranamatira muurethra. Nhasi tiri kutaura nezveMatombo eUreteral, ayo ari matombo eitsvo anonamatira muurethra. Usazvidya moyo, ngatitsanangure zvese nemazwi akareruka.
Zvichitaurwa zviri nyore, chii chinonzi matombo emuuro?
Dombo remuuro wetsvo chaizvoizvo idombo reitsvo rakatyoka ndokugara muchubhu yakatetepa inotakura weti kubva kuitsvo kuenda kudundira. Chubhu iyi inonzi ureter. Tose tine machubhu maviri akadaro eitsvo dzedu.
Funga nezvazvo semafirita maviri ari mumuviri wedu. Anochenesa ropa uye anobvisa tsvina seweti. Dzimwe nguva, zvicherwa nemunyu muweti yako zvinogona kuumba matombo madiki, ane mapundu. Aya ndiwo atinodaidza kuti matombo eitsvo kana kuti calculi. Chero bedzi matombo aya ari muitsvo , anogona kusakonzera matambudziko. Asi paanobuda otanga kufamba pasi pechubhu yakamanikana, dambudziko rinotanga. Chubhu yakamanikana, saka dombo rinonamira ipapo. Ipapo kuyerera kweweti kunovharika, chubhu inozvimba, uye ndicho chikonzero chekurwadziwa kusingatsungiririki.
Matombo aya anogona kuuya muhukuru hwese. Matombo madiki kwazvo, madiki zvekuti haaonekwe nemaziso, anobuda mumuviri weti pasina matambudziko. Asi kana dombo racho rikakura, rinonamira mupaipi yeropa rotanga kuratidza zviratidzo.
Yeukai kuti matombo eitsvo haawanzoitiki sezvamungafunga. Munhu mumwe chete pavanhu gumi pasi rose anogona kuva nechirwere ichi. Saka, zvakakosha kuziva izvi.
Ndeapi marudzi makuru ematombo eitsvo?
Matombo aya anoumbwa mumiviri yedu haasi ese akafanana. Kune marudzi makuru akati wandei zvichienderana nemakemikari anokonzera. Kuziva rudzi rwematombo aunawo kunogona kukubatsira kurapa uye kudzivirira kuti asaumbwe zvakare.
| Rudzi rweDombo | Inongoumbwa seizvi: |
|---|---|
| Matombo ecalcium | Idzi ndidzo mhando dzinonyanya kuwanikwa. Kana huwandu hwecalcium muweti hukawedzera, hunosanganiswa necalcium oxalate kana calcium phosphate kuti hugadzire matombo aya. |
| Matombo eUric acid | Rudzi urwu rwedombo runogona kuumbwa kana uine uric acid yakawandisa muweti yako. Vanhu vanodya nyama tsvuku nehove dzakawanda uye vasinganwi mvura yakakwana vari panjodzi huru. |
| Matombo eStruvite | Matombo aya anowanzo umbwa mushure mehutachiona hweweti (UTI) . Mabhakitiriya anokonzera utachiona anochinja makemikari ari muweti, zvichiita kuti matombo aya aumbe. |
| Matombo eCystine | Izvi hazviwanzoitiki. Matombo aya anoumbwa nekuda kwechirwere chemajini chinonzi Cystinuria, chinoita kuti amino acid cystine ibude kubva muitsvo ichipinda muweti. |
Ndezvipi zviratidzo zvedombo rinonamira?
Matombo madiki mazhinji anopfuura nemuviri pasina ruzha. Asi kana dombo rakakura zvakakwana kuvhara duct, unotanga kurinzwa. Zviratidzo izvi zvinogona kutanga kamwe kamwe.
| Chiratidzo | Izvozvo zvinonzwa sei? |
|---|---|
| Kurwadziwa kwakanyanya | Kurwadziwa kwakanyanya kunotanga kune rumwe rutivi rwemusana, pasi pembabvu. Kurwadziwa uku hakusi kwenguva dzose, asi kunouya uye kunopera (pakati nepakati). Kurwadziwa uku kunogona kupararira kusvika pasi pedumbu nenzvimbo yehudyu. |
| Marwadzo panguva yekuzviitira weti | Kupisa kana kurwadziwa pakuita weti. |
| Kuchinja kweweti | Weti inogona kuoneka yakaita sepingi, tsvuku, kana shava nekuda kweropa riri muweti. Weti inogonawo kuoneka yakaita seyakasvibira. |
| Kuda kuita weti kakawanda | Kunyangwe dundira risina kuzara, pane kunzwa kuda kuita weti kakawanda. Zvisinei, paunoita weti, panobva pabuda shoma chete. |
| Kurutsa uye kuda kurutsa | Kusvotwa nekurutsa zvinogona kuitika pamwe chete nekurwadziwa kwakanyanya. |
| Fivha uye dzihwa | Kana chirwere chemudumbu chikaitika pamwe chete nedombo, zviratidzo zvakaita sefivha, kutonhora, uye kudedera zvinogonawo kuitika. |
Zvinokonzera uye zvinhu zvinokonzera njodzi yekuumbwa kwematombo
Chikonzero chiri nyore ndechekuti mune makemikari anoumba matombo (makristaro) akawanda muweti yako kupfuura mvura. Patinonwa mvura yakakwana, makemikari aya anonyunguduka obva abuda muweti. Asi patinonwa mvura shoma, weti inowedzera kuungana uye zvinhu izvi zvinotanga kubatana pamwe chete zvoita matombo.
Kunyange zvazvo munhu wese achigona kugadzira matombo, vamwe vanhu vari panjodzi yakakura zvishoma.
- Kune varume: Kunyange hazvo vakadzi nevana vachigonawo kugadzira matombo, varume vanowanzogadzira matombo.
- Pakati pemakore makumi mana kusvika makumi matanhatu: Vanhu vari muboka iri vari panjodzi huru yekubatwa nechirwere ichi.
- Kuva nenhoroondo yekuumbwa kwematombo kare: Kana wakambova nematombo kare, une mukana wekuti adzoke zvakare.
- Nhoroondo yemhuri : Kana mumwe munhu mumhuri yako (amai, baba, vanun'una nemadzikoma) akambova nematombo emunduru, iwewo uri panjodzi.
- Kusanwa mvura yakakwana: Vanhu vanoshanda nesimba kana kurovedza muviri vari panjodzi huru kana vakasanwa mvura yakakwana.
- Zvimwe zvirwere: Chirwere cheshuga cherudzi rwechipiri , kufuta (BMI inodarika makore makumi matatu), zvirwere zvemudumbu zvakaita sechirwere cheCrohn kana ulcerative colitis, uye chirwere cheitsvo chinonzi polycystic zvinogona kuwedzera njodzi yekuumbwa kwematombo.
Unoona sei izvi, Chiremba?
Kana uine zviratidzo zvataurwa pamusoro apa, unofanira kuona chiremba nekukurumidza. Achakubvunza nezvezviratidzo zvako uye nhoroondo yemhuri yako. Zvadaro, vachakuraira mimwe miedzo yekusimbisa kana iri dombo reitsvo.
- Kuongororwa kweweti: Izvi zvinoongorora weti yako kuti uone kana paine zviratidzo zvehutachiona, ropa, uye zvicherwa zvinogona kukonzera matombo. Kuongororwa kweweti kunogona kuitwawo kana paine fungidziro yekuti pane hutachiona.
- Kuongororwa kweropa: Izvi zvinogona kuona kuti itsvo dzako dziri kushanda sei, kana uine hutachiona, uye kana paine zvimwe zvinetso zvinogona kukonzera kuumbwa kwematombo.
- Kuskena:
- Ultrasound scan: Inoshandisa mafungu eruzha kutarisa kana paine kuvharika kwenzira yeweti.
- X-ray: Mamwe marudzi ematombo anogona kuonekwa neX-ray test.
- Kuongororwa kweCT (Computed Tomography - CT scan): Uku ndiko kuongorora kwakanyatsojeka kunowanzoitwa. Kunogona kuona saizi, nzvimbo, uye kuoma kwedombo nemazvo. Ruzivo urwu rwakakosha zvikuru pakuronga kurapwa.
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nehukuru hwedombo, nzvimbo yaro, uye zvinhu zvarakagadzirwa nazvo. Chiremba wako achafunga nezvezvinhu izvi zvose uye achakurudzira kurapwa kwakanakira iwe.
Kune matombo madiki
Kana dombo racho riri diki pane 4-5 mm, rinogona kubuda mumuviri wako ne weti. Izvi zvinogona kutora vhiki imwe kusvika mbiri. Munguva iyi:
- Mishonga yekurwadziwa: Chiremba anokupa mishonga yekuderedza marwadzo akanyanya.
- Mushonga wekurutsa: Kana paine kuda kurutsa uye kurutsa, mushonga uchapihwawo.
- Mishonga inobatsira matombo kupfuura (Medical Expulsive Therapy - MET): Mishonga yakaita se "alpha-blockers" inogona kupihwa kuti tsandanyama dziri muurethra dzisununguke uye kuti dombo ripfuure zviri nyore.
Munguva iyi, uchaudzwa kuti unwe marita matatu emvura pazuva . Izvi zvichaburitsa weti uye zvichabatsira dombo kuti ribude nekukurumidza.
Kune matombo makuru kana kuvharika
Kana dombo racho rakakura, richikonzera kurwadziwa kwakanyanya, kana kuti richivhara zvachose kuyerera kweweti, chiremba wako (kazhinji chiremba wezvedundira) anogona kukupa imwe yenzira dzinotevera dzekurapa:
| Nzira yekurapa | Zvakatsanangurwa zviri nyore |
|---|---|
| Shock wave lithotripsy | Mafungu emvura ane simba guru anotungamirwa kubva kunze kwemuviri kuti apwanye matombo. Zvidimbu zvidiki zvinozobuda nyore nyore muweti. |
| Ureteroscopy (kubviswa kwematombo kuburikidza nechubhu) | Chubhu yakatetepa, refu, inochinjika ine kamera yakabatanidzwa inopinzwa nepaurethra, uye dombo rinosvikwa, robatwa, uye robviswa. Kana dombo racho rakakura, danda relaser rinoshandiswa kuripwanya nekubvisa zvidimbu. |
| Kubviswa kwedombo kuburikidza nekucheka kudiki paganda (Percutaneous nephrolithotomy) | Izvi zvinoitirwa matombo makuru kwazvo. Kuchekwa kudiki kunoitwa kumusana, uko mudziyo unopinzwa zvakananga muitsvo kuti uwane dombo uye uribvise. |
| Ma stenti emu ureter | Iyi imhinduro yenguva pfupi. Chubhu yakatetepa inoiswa muurethra kuti ibatsire weti kuyerera kupfuura pakavharwa nematombo. Izvi zvinobatsira zvikuru panguva dzenjodzi. |
Matombo anogona kudzivirirwa kuti asagadzirezve here?
Ehe, zvinogoneka zvechokwadi! Kana munhu angobatwa nedombo, anogona kuriwana zvakare. Ndosaka zvichikosha kuti uchinje mararamiro ako uye maitiro ako ekudya.
- Mvura, mvura, mvura yakawanda! Chinhu chakanakisa chaungaita kunwa mvura yakawanda. Inwa marita matatu emvura pazuva. Mvura ndiyo yakanakisa. Zvinhu zvakaita semuto weremoni nemuto weorenji zvakanakawo. Nzira yakanakisa yekuziva kana uri kunwa mvura yakakwana ndeyekutarisa ruvara rweweti yako. Kana iri yero yakapfava, uri kunwa mvura yakakwana.
- Deredza mapuroteni emhuka: Kudya mapuroteni emhuka akawandisa akadai senyama tsvuku, hove, nemazai kunogona kuwedzera huwandu hwe uric acid uye kukonzera kuumbwa kwematombo. Pane kudaro, wedzera mapuroteni anobva mumiti senge lentils, chickpeas, green beans, uye soy mukudya kwako.
- Dzora munyu: Deredza huwandu hwemunyu waunodya pazuva. Panzvimbo pemunyu, wedzera lime, mhiripiri, nezvinonhuwira muchikafu chako kuti uwedzere kunaka kwacho.
- Deredza kudya zvine oxalate yakawanda: Zvokudya zvakaita sespinachi, nzungu, cashew, mbatatisi, uye beets zvine oxalate yakawanda. Haufanire kurega izvi zvachose, asi zvakanaka kuderedza kudya kwako. Kudya izvi nezvikafu zvine calcium yakawanda (mukaka, yogati) kunogona kubatsira kuderedza njodzi yekuumbwa kwematombo.
Chiremba wako anogona kukupa sefa yakakosha yekuunganidza matombo anobuda. Vachaongorora matombo acho uye, zvichienderana nerudzi rwawo, vanokupa mirairo chaiyo yekudzivirira matombo emangwana.
Mharidzo Yekuenda Nayo Kumba
- Kurwadziwa kunokonzerwa nedombo reitsvo kwakanyanya. Kana uine zviratidzo zvakaita sekurwadziwa kwemusana/gumbo kamwe kamwe, ropa muweti yako, ona chiremba nekukasika. Kana zvichidikanwa, enda kuEmergency Department (ETU) yechipatara chiri pedyo.
- Nzira yakanakisisa uye iri nyore yekudzivirira kuumbwa kwematombo ndeyekunwa mvura yakakwana zuva nezuva.
- Matombo madiki anowanzo shandiswa ega pamwe chete nemishonga uye kunwa mvura yakawanda. Iye zvino kune nzira dzekurapa dzinoshanda uye dzakachengeteka dzematombo makuru.
- Nekuchinja kudya kwako uye mararamiro ako, unogona kuderedza zvakanyanya njodzi yekubuda kwematombo zvakare mune ramangwana.
- Kunyangwe chirwere ichi chichinetsa uye chinorwadza, chinogona kurapwa zvachose nekurapwa kwakakodzera. Saka usavhunduka uye tevera mirairo yachiremba wako.
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