Ngaba wakha waba nentlungu emqolo enganyamezelekiyo okanye intlungu ecaleni kwesisu sakho? Ngamanye amaxesha le ntlungu ingavakala ngathi iya emqolo wakho. Kunye noku, ungaziva unesicaphucaphu kwaye ungade ukhuphe igazi kumchamo wakho. Xa into efana nale isenzeka, sihlala soyika. Esinye sezizathu eziphambili zoku kukwenzeka kwamatye ezintso. Namhlanje, siza kuthetha ngale nto ngendlela elula ukuze uqonde ukuba yenzeka njani, zithini iimpawu, indlela yokuyinyanga, kunye nendlela yokuyithintela ukuba ingaphindi ivele.
Zithini ezi zitshetshe zezintso?
Ngamafutshane, amatye ezintso ziingceba eziqinileyo, ezifana nelitye ezithi zakheke ngaphakathi kwezintso zethu. Zenziwa xa iiminerali kunye nee-asidi kumchamo wethu zidibana kwaye ziqine ngokuhamba kwexesha. Ngokuchanekileyo, oku kubizwa ngokuba yi-`(Renal Calculi)` okanye `(Nephrolithiasis)` ngokwezonyango.
Cinga nje, la matye anokuba mancinci njengentlabathi, okanye kwiimeko ezingaqhelekanga, anokuba makhulu njengebhola yegalufa. Usenokungazi nokuba unelitye lezintso. Oku kungenxa yokuba ukuba ilitye lincinci kakhulu , linokuphuma emzimbeni ngomchamo ngaphandle kwentlungu .
Kodwa ingxaki iqala xa eli litye likhula kancinci. Emva koko linokunamathela kwi-ureter, umbhobho omncinci othwala umchamo ukusuka kwizintso ukuya kwisinyi. Xa oku kusenzeka, umchamo awukwazi ukuhla uze uqale ukuzalisa ngaphakathi kwizintso. Oku kunokubangela ukuba umsebenzi wezintso uphazamiseke kwaye kukhokelele ekuphumeni kwegazi. Le yimbangela yaloo ntlungu inganyamezelekiyo.
Kudla ngokuthatha malunga neeveki ezintathu ukuba ilitye elincinci lidlule emchameni. Kodwa kwanamatye amancinci ngamanye amaxesha anokubangela iintlungu ezinzima. Ukuba ilitye likhulu okanye alizidluli ngokwalo, ugqirha unokufuneka aliqhekeze okanye alisuse ngotyando.
Zithini iimpawu zamatye ezintso?
Uphawu oluphambili noluqhelekileyo lwamatye ezintso yintlungu. Le ntlungu inokuvakala emqolo ongezantsi, esiswini, okanye emqolo. Isenokuvakala ngathi iya emqolo. Ngamanye amaxesha yintlungu encinci , kodwa inokuba yintlungu ebukhali, ekhawulezileyo. Ikwabizwa ngokuba yi-"Colicky pain" kuba intlungu ifika ize ihambe ngamaza.
Ukongeza kule ntlungu iphambili, kunokubakho nezinye iimpawu ezininzi. Masibone ukuba zithini.
| Uphawu | Inkcazo |
|---|---|
| Isicaphucaphu nokuhlanza | Intlungu ebuhlungu ingahamba nesicaphucaphu kunye nokuhlanza. |
| Igazi kumchamo | Umchamo unokuba pinki, bomvu, okanye ube mdaka. Oku kungenxa yokuba ilitye likrwela umchamo. |
| Intlungu xa uchama | Usenokuziva utshisa okanye uqaqanjelwa xa uchama. |
| Ukudinga rhoqo ukuchama | Uziva ngathi kufuneka uchame rhoqo kuba isinyi sakho asikapheleli ngokupheleleyo. |
| Ukungakwazi ukuchama | Ukuba ilitye livale ngokupheleleyo indlela yomchamo, kunokuba nzima ukuchama. |
| Umkhuhlane kunye nokubanda | Ukuba unosulelo lomchamo, unokufumana iimpawu ezinje ngomkhuhlane kunye nokubanda. |
| Umchamo onamafu okanye onevumba elibi | Umchamo unokuba mnyama ngombala okanye ube nevumba elibi njengophawu losulelo. |
Khumbula, ukuba unamatshe ezintso amancinci kakhulu, usenokungabi nazo naziphi na ezi mpawu.
Kutheni sifumana amatye ezintso?
Kulula kakhulu ukuyiqonda le nto. Khawucinge ukuba songeza iswekile kwiglasi yamanzi size siyinyibilikise. Ukuba songeza iswekile engakumbi, kunye neswekile engakumbi, ekugqibeleni iswekile ayizukunyibilika kwaye iya kuhlala ezantsi kweglasi, akunjalo? Yiloo nto eyenzekayo ngaphakathi kwezintso zethu.
Umchamo wethu unezinto ezininzi ezifana ne-calcium, i-sodium, i-oxalate, kunye ne-uric acid. Xa singaseli manzi aneleyo,, umchamo uba mkhulu. Emva koko uxinano lwezi zinto luyanda, ziyanamathelana, kwaye iikristale ezincinci ziqala ukwakheka. Ezi kristale ziyaqokelelana ngokuhamba kwexesha zibe ngamatye. Le nkqubo inokuthatha iinyanga, kwaneminyaka.
Kukho iintlobo ezahlukeneyo zamatye ezintso.
Amatye anokwahlulwa abe ziintlobo ezine eziphambili ngokusekelwe kuhlobo lweekristale azenzayo.
1. Amatye eCalcium: La ngawona aqhelekileyo. Kukho iintlobo ezimbini: `(Calcium-oxalate)` kunye `(Calcium phosphate)`. Ukungaseli manzi aneleyo, ukutya ukutya okune-oxalate eninzi (njengespinatshi, amandongomane), kunye nokutya ukutya okune-calcium encinci kunokubangela ukuba avele.
2. Amatye e-Uric acid: Abantu abatya kakhulu iiproteni zezilwanyana, njengenyama yenkomo, inkukhu, inyama yehagu, amaqanda, kunye nentlanzi, banokukhula kwezi ntlobo zamatye.
3. Amatye eStruvite: La matye enziwa ngenxa yosulelo lweentsholongwane kwindlela yomchamo. Kumntu onezifo ezixhaphakileyo, la matye anokwakheka kwaye ngamanye amaxesha akhule abe ngamatye amakhulu kakhulu abizwa ngokuba yi-"Staghorn calculi" asasazeka kwizintso. La matye adla ngokususwa ngotyando.
4. Amatye e-Cystine: La anqabile. Abangelwa yimeko yelifa ebizwa ngokuba yi-"Cystinuria".
Ngubani osengozini enkulu yokufumana amatye ezintso?
Abanye abantu banamathuba amaninzi okuba namatye ezintso kunabanye. Makhe sijonge ukuba zeziphi ezo zinto ziyingozi.
- Ukungaseli manzi aneleyo: Esi sesona sizathu siphambili.
- Ukutya: Ukutya inyama kakhulu, ukutya okunetyuwa eninzi, kunye nokutya okuneswekile eninzi (i-sucrose kunye ne-fructose).
- Izithako zeVithamin C: Ukusela izithako zeVithamin C ezininzi kunokuchaphazela nabanye abantu.
- Imbali yosapho: Ukuba kukho umntu kusapho lwakho okhe waba namatye ezintso, nawe unokuba nawo.
- Ukuvaleka kwendlela yomchamo: Ukubakho kokuvaleka kwendlela yomchamo.
- Utyando oluthile: Utyando lwesisu okanye amathumbu, ingakumbi ukwehlisa umzimba, njengotyando lwesisu oluhamba ngesantya sesisu.
- Amanye amayeza: Amanye amayeza afana ne-diuretics kunye ne-antacids equlethe i-calcium.
- Ezinye iimeko zonyango: Iimeko ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, i-gout, ukutyeba kakhulu, kunye nesifo samathumbu esidumbileyo (IBD) nazo ziyandisa umngcipheko.
Ziziphi ezinye iingxaki ezinokubakho ngenxa yamatye ezintso?
Amatye ezintso awabuhlungu nje kuphela. Ukuba awanyangwa kakuhle, anokubangela ezinye iingxaki zempilo ezinzulu.
- Ukudumba kwezintso (iHydronephrosis):Ilitye linokuvala umchamo, libangele ukuba umchamo ubuye umva, kwaye libangele ukuba izintso zidumbe.
- Usulelo lwezintso (iPyelonephritis): Iintsholongwane zinokukhula kumchamo ovalekileyo zize zisasazeke kwizintso.
- Ukulimala kwezintso ngokukhawuleza: Ukusebenza kwezintso kungayeka ukusebenza ngequbuliso. Kodwa oku kunokuguqulwa rhoqo.
- Usulelo oluqhelekileyo lwendlela yomchamo (UTIs) .
- Isifo sezintso esinganyangekiyo (CKD): Ukonakala kwexesha elide kwezintso kunokukhokelela ekulahlekelweni ngumsebenzi osisigxina.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha oneempawu zakho, uza kukuhlola aze emva koko acele uvavanyo oluninzi ukuqinisekisa ukuba unamatye ezintso.
- Uvavanyo lomchamo: Olu vavanyo lujonga igazi kumchamo, iintlobo zamatye, kunye neempawu zosulelo.
- Ukufota: I-X-ray, i-ultrasound scan, okanye i-CT scan inokunceda ekumiseleni ubungakanani, imilo, indawo, kunye nenani lamatye.
- Uvavanyo lwegazi: Olu vavanyo lunceda ukujonga indlela ezisebenza ngayo izintso zakho kunye namanqanaba ezinto ezifana ne-calcium egazini lakho.
Zithini iindlela zonyango zoku?
Unyango lumiselwa bubungakanani belitye, indawo elikuyo, kunye neempawu elizibangelayo.
Amayeza
Ukuba ilitye lincinci, oko kuthetha ukuba linokudlula ngokwendalo kunye nomchamo, ugqirha wakho uya kukunika amayeza okunceda ukulawula iintlungu kunye nokunceda ilitye lidlule ngokulula.
- Amayeza anceda ekudluliseni amatye: Amayeza afana neTamsulosin aphumza umchamo aze avumele ilitye ukuba lidlule lula.
- Izithomalalisi zentlungu: Ekubeni iintlungu zinzima, kunikwa amayeza okulawula intlungu. Nangona kunjalo, musa ukuthatha amayeza afana ne-ibuprofen ngaphandle kokubonisana nogqirha wakho. Ngamanye amaxesha, anokonakalisa izintso zakho.
- Amayeza okunyanga isicaphucaphu nokuhlanza.
Utyando kunye nezinye iindlela
Ukuba ilitye likhulu, livala urethra, okanye alizidluli lodwa emva kweeveki ezimbalwa, ugqirha unokucebisa inkqubo ekhethekileyo yokuliqhekeza okanye ukulisusa.
| Indlela yonyango | Kwenzekani? |
|---|---|
| i-Shockwave lithotripsy | Amaza esandi aphuma ngaphandle komzimba athunyelwa ukuze aqhekeze amatye. Iziqwenga ezityumkileyo emva koko ziphuma lula emchameni. |
| I-Ureteroscopy | Ityhubhu encinci enekhamera (i-scope) idluliselwa kwi-urethra iye kwilitye, apho iqhekezwa khona nge-laser beam okanye esinye isixhobo, kwaye iziqwenga ziyasuswa. |
| I-Percutaneous nephrolithotomy | Oku kwenziwa ngamatye amakhulu kakhulu. Kwenziwa umngxuma omncinci ngasemva, kudlule ityhubhu kuwo iye ngqo kwizintso, kwaye ilitye liyaqhekeka lize lisuswe. |
| Utyando lweLaparoscopic | Kwiimeko ezingaqhelekanga kakhulu, ilitye lisuswa ngotyando kusetyenziswa ikhamera ngokusebenzisa imingxunya embalwa esiswini. |
Ngaba amatye ezintso angathintelwa ukuba angaphindi avele?
Ewe, kunokwenzeka ngokuqinisekileyo. Umntu okhe waba namatye ezintso ngaphambili unamathuba amaninzi okuphinda abe nawo. Ngoko ke, kubaluleke kakhulu ukwenza ezi zinto ukuze angaphindi adlule kula mava abuhlungu.
- Sela amanzi amaninzi: Kubalulekile ukusela ubuncinane iilitha ezi-2-3 zamanzi ngosuku. Ukuba umchamo wakho utyheli okanye awunambala, oko kuthetha ukuba usela amanzi aneleyo.
- Nciphisa iiproteni zezilwanyana: Nciphisa inani lenyama, intlanzi, kunye namaqanda owatyayo.
- Nciphisa ityuwa neswekile: Musa ukutya ukutya okupakishwe kwiipakethe, ukutya okukhawulezayo, kunye neziselo ezineswekile kangangoko unako.
- Nciphisa ukutya okune-oxalate eninzi: Ukuba ukhe wavelisa amatye e-calcium oxalate, ugqirha wakho unokukucebisa ukuba unciphise ukutya okufana nesipinatshi, amandongomane, kunye nengqolowa.
- Gcina ubunzima bakho busempilweni.
- Yitya ukutya okutyebileyo kwi-calcium: Oku kunokubonakala kumangalisa, kodwa ukutya ukutya okutyebileyo kwi-calcium, njengobisi, iyogathi, kunye netshizi, kunokunceda ekuthinteleni ukwakheka kwamatye. Nangona kunjalo, ukuthatha izongezo ze-calcium kunokunyusa umngcipheko wakho. Ke ngoko, musa ukuthatha izongezo ze-calcium ngaphandle kokubonisana nogqirha wakho.
Ndifanele ndimbone nini ugqirha?
Ukuba unesikrokro sokuba uneempawu zamatye ezintso, bonana nogqirha ngokukhawuleza. Kubalulekile ukwazi ukuba ilitye liphi, likhulu kangakanani, kwaye uqale unyango ngaphambi kokuba kubekho iingxaki.
Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU)?
Ukuba unentlungu enganyamezelekiyo , ehamba neempawu ezifana nokuhlanza, umkhuhlane, kunye nokubanda , musa ukuchitha ixesha kwaye yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Amatye ezintso anokuba ngamava abuhlungu kakhulu. Kodwa khumbula, le yimeko yexeshana enokunyangeka ngokupheleleyo ngonyango olufanelekileyo. Ngoko ke ungoyiki. Landela imiyalelo kagqirha wakho ngokuchanekileyo, thatha amayeza akho ngexesha, kwaye usele amanzi amaninzi.
Umyalezo Wokuya Ekhaya
- Eyona sizathu sokuba kubekho amatye kwizintso kukungaseli manzi aneleyo. Ngoko ke, qiniseka ukuba usela ubuncinane iilitha ezi-2-3 zamanzi ngosuku.
- Ukuba ufumana iimpawu ezinje ngentlungu ebuhlungu emqolo, esiswini, okanye esinqeni, igazi kumchamo wakho, okanye umkhuhlane, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba uneentlungu ezinganyamezelekiyo, ungathandabuzi ukuya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ayizizo zonke iitshe zentso ezifuna utyando. Uninzi lwamatye amancinci adlula ngokwawo kunye namayeza kunye nolwelo oluninzi.
- Xa amatye evele, umngcipheko wokuba aphinde avele uphezulu. Ngoko ke, kubaluleke kakhulu ukwenza utshintsho kwindlela yokutya nendlela yokuphila njengoko ugqirha wakho ekucebisa.
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