Ngaba nawe uneentlungu zesisu ezinganyamezelekiyo? Isenokuba yi-renal colic!

Ngaba wakha wafumana intlungu engathethekiyo ecaleni kwesisu sakho, ingakumbi phantsi kweembambo zakho? Le ntlungu ngamanye amaxesha inokusasazeka emqolo, emqolo, okanye esiswini esisezantsi. Ingahamba nesicaphucaphu nokuhlanza. Abantu abaninzi bajongana nale meko. Ngokwezonyango siyibiza ngokuba yi-renal colic. Musa ukoyika igama, eli lihlala libuhlungu kakhulu elibangelwa ngamatye ezintso. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha nangokulula.

Yintoni i-Renal Colic?

Ngamafutshane, i-renal colic yintlungu enzima eyenzeka xa ilitye libhajwa kwinkqubo yakho yomchamo, njengezintso zakho, ii-ureters (iityhubhu ezithwala umchamo ukusuka kwizintso zakho ukuya kwisinyi sakho), okanye isinyi. Nangona kunjalo, ngamanye amaxesha olu hlobo lwentlungu lunokubangelwa zezinye izizathu, ezinje ngosulelo lwendlela yomchamo, ukuxinana, okanye ukuqina.

Uyazi ukuba la matye akhiwa njani? Ezinye iiminerali okanye ezinye izinto ekutyeni esikutyayo ziqokelelana emizimbeni yethu zize zinamathele ndawonye ukuze zenze la matye, oko kukuthi, iikristale. La matye anokwakheka naphi na kwinkqubo yakho yomchamo. Ukuba akhiwe kwizintso, siwabiza ngokuba ngamatye ezintso , ukuba akhiwe kwisinyi, siwabiza ngokuba ngamatye esinyi , kwaye ukuba akhiwe kwindlela yomchamo, siwabiza ngokuba ngamatye e-ureteral . Intlungu iyahluka ngokuxhomekeke kubukhulu belitye kunye nendawo elikuyo. Amanye amatye mancinci kakhulu, anobukhulu bentlabathi. Kodwa amanye amatye anokukhulu njengebhola yegalufa! Khawucinge ukuba kuya kuba buhlungu kangakanani ukuba into enjalo ingena ngaphakathi.

Ixhaphake kangakanani i-renal colic?

Oku akuqhelekanga njengoko unokucinga. Izibalo zibonisa ukuba phakathi kwe-5% kunye ne-15% yabemi behlabathi baya kuba nesifo sezintso ngexesha elithile ebomini babo. Oku kuthetha ukuba bambalwa abantu kwilizwe lethu abajongene nale ntlungu.

Ngaba i-renal colic ingenzeka ngaphandle kwamatye?

Ewe, kunokwenzeka. Ngamanye amaxesha, olu hlobo lwentlungu lunokubangelwa kukuxinana okunamandla ngequbuliso (ukuxinana) kwemisipha ekwi-urethra okanye kwisinyi. Xa ezi misipha zixinana, kuvakala ngathi yintlungu evuthayo okanye ejijekileyo. Le meko inokwenzeka xa kukho amatye omchamo okanye ngaphandle kwawo.

Ziziphi iimpawu ze-renal colic?

Amaxesha amaninzi, uphawu oluphambili ziintlungu ezinganyamezelekiyo ecaleni kwesisu, phakathi kweembambo ezisezantsi kunye nethambo lesinqe (intlungu yecala) . Le ntlungu inokuza ngamaza, oko kuthetha ukuba ayiqhubeki, kwaye iyafika ize iphele. Le ntlungu ngamanye amaxesha inokusasazeka emqolo, emqolo, okanye esiswini esisezantsi. Abantu abaninzi banokufumana isicaphucaphu kunye nokuhlanza kunye nale ntlungu.

Ukongeza kwezi mpawu ziphambili, ezinye iimpawu ezininzi zinokubonakala kunye ne-renal colic:

• Ukuva iintlungu (ezifana nokurhawuzelelwa, ukutsha) xa uchama.
• Igazi kumchamo (umchamo ungabonakala ubomvu okanye upinki).
• Umchamo ubonakala umnyama ngombala.
• Utshintsho kumchamo: Umzekelo, umchamo onevumba elibi, ukuchama kakhulu okanye kancinci kunesiqhelo, okanye imfuneko yokuchama ngequbuliso.
• Ukuvela kweekristale kumchamo.
• Ifiva.
• Ukugodola.

Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Zithini izizathu ze-renal colic?

Unobangela oyintloko ngamatye omchamo. Xa la matye ebhajwe kwindlela yomchamo, athintela ukuhamba komchamo. Oku kunokunyusa uxinzelelo kwaye kubangele ukudumba kuloo ndawo. Le yeyona nto ibangela iintlungu.

Kukho izizathu ezahlukeneyo zokuba kutheni amatye enziwa kwinkqubo yomchamo:

• Ukuphelelwa ngamanzi emzimbeni: Le yeyona nto ixhaphakileyo. Xa usela amanzi amancinci, umchamo wakho uba mkhulu, nto leyo eyandisa umngcipheko wokwakheka kwamatye.
• Ukwanda kwekhalsiyam kumchamo: Abanye abantu bakhupha ikhalsiyam eninzi kumchamo kuxhomekeke kuhlobo lomzimba wabo.
• Iproteni egqithisileyo ekutyeni: Kukho umngcipheko wokwakheka kwamatye, ingakumbi xa utya iproteni eninzi yezilwanyana.
• Amayeza athile: Amanye amayeza anokubangela ukuba amatye abe yimpembelelo embi xa esetyenziswa ixesha elide.
• Iimeko ezithile zenkqubo yokugaya ukutya: Umzekelo, abantu abanezifo ezifana ne-Ulcerative Colitis okanye isifo sikaCrohn banamathuba amaninzi okufumana amatye.
• I-Hyperparathyroidism: Le yimeko apho amadlala e-parathyroid eba negalelo elikhulu ekusebenzeni kakhulu.

Ukongeza kwezi zizathu, ezinye izinto zinokubangela i-renal colic. Ukuba kufumaniseke ukuba intlungu yakho ayibangelwanga ngamatye, ugqirha wakho unokukuthumela kwi-urologist ukuze avavanywe ngakumbi.

Ifunyanwa njani i-renal colic?

Xa ubona ugqirha, uza kukuxilonga aze akubuze ngeempawu zakho kunye nembali yakho yezonyango, njengokuthi kukho umntu kusapho lwakho okhe waba neemeko ezifanayo ngaphambili. Olu vavanyo lulandelayo ludla ngokwenziwa ukuqinisekisa ukufunyaniswa kwe-renal colic:

• I-CT scan (i-Computed Tomography scan) yenkqubo yomchamo. Oku kungenziwa okanye kungenziwa ngolwelo olukhethekileyo (umahluko) olunikiweyo.
• I-ultrasound yezintso .
• Uvavanyo lwe-X-ray esiswini .
• Ukuhlolwa kwezintso . Oku kungajonga indlela ezisebenza ngayo izintso.

Olu vavanyo lunokubonisa iinkcukacha ezininzi, njengokuthi ingaba amatye akhona na, aphi, kwaye makhulu kangakanani.

Yeyiphi imithi yokubulala iintlungu efanelekileyo yamatye ezintso?

Ukuba intlungu incinci, ungafumana isiqabu kwiipilisi zokuthomalalisa iintlungu eziqhelekileyo ezifana ne-acetaminophen, i-ibuprofen, okanye i-naproxen sodium. Nangona kunjalo, ukuba intlungu inzima, ugqirha wakho unokukunika amayeza entlungu anamandla. Ngamanye amaxesha, ukuba intlungu ibangelwa kukuqaqamba komchamo, ugqirha wakho unokukunika amayeza okuphumla kwemisipha.

Iphathwa njani i-renal colic?

Unyango loku luxhomekeke kuhlobo lwelitye onalo. Kukho iintlobo ezahlukeneyo zamatye omchamo:

• Amatye e-calcium: La enziwe nge-calcium oxalate okanye i-calcium phosphate. Olu lolona hlobo luqhelekileyo.
• Amatye e-uric acid: Enziwe ngenxa yokwanda koxinzelelo lwe-uric acid.
• Amatye eStruvite: La enziwe ngeminerali ebizwa ngokuba yi-struvite. Angavela xa kukho usulelo lomchamo.
• Amatye e-Cystine: La enziwa yikhemikhali ebizwa ngokuba yi-cystine. Oku kubangelwa yimeko engaqhelekanga ebizwa ngokuba yi-cystinuria.

Kwakhona, ubungakanani belitye buchaphazela isigqibo sonyango.

Unyango lwamatye amancinci

Ukuba unelitye elincinci, lisenokudlula kumchamo wakho. Oku kuya kukunceda usele amanzi amaninzi. Ugqirha wakho uya kukunika amayeza entlungu. Ngamanye amaxesha, uya kuxelelwa ukuba uchame nge-strainer. Ukuba ufumana naziphi na iziqwenga zelitye, zingathunyelwa kwilabhoratri ukuze kufunyaniswe ukuba loluphi uhlobo lwelitye.

Unyango lwamatye amakhulu

Ukuba amatye makhulu, amathuba okuba adlule kumchamo mancinci. Kwimeko ezinjalo, ugqirha angacebisa inkqubo ekhethekileyo yokususa la matye. Eminye imizekelo yile:

• I-Shock wave lithotripsy: Oku kuquka ukuthumela amaza othuko anamandla aphezulu avela ngaphandle komzimba aye kwilitye, aliqhekeze libe ziingceba ezincinci. Ezi zingceba zincinci emva koko ziphuma lula emchameni.
• I-Ureteroscopy: Kule nkqubo, ugqirha ufaka ityhubhu encinci, ekhanyisiweyo, nefakwe ikhamera (ureteroscope) kwi-urethra yakho. Le nto ingasetyenziselwa ukufumana ilitye nokulisusa, okanye ukuliqhekeza libe ziingceba ezincinci nokulisusa.
• I-Percutaneous nephrolithotomy: Oku kwenziwa ukuze kususwe amatye amakhulu ezintso. Kule meko, kwenziwa umsikelo omncinci emqolo kwaye kufakwa isixhobo ngawo ukuze kufikelelwe kwizintso kwaye kususwe ilitye. Le ndlela idla ngokusetyenziswa kumatye amakhulu.
• Ukubekwa kwe-stent kumchamo: Kwezinye iimeko, ugqirha uza kubeka i-stent (ityhubhu encinci) ngaphakathi kwi-urethra. Oku kunceda ukunciphisa ukuvaleka kwendlela yomchamo kwaye kuncede ilitye lidlule ngokulula.

Ngamanye amaxesha, kunokufuneka utyando olungaphezulu kolunye ukuze kususwe ilitye ngokupheleleyo.

Ngaba i-renal colic ingathintelwa?

Ewe, kunokwenzeka kakhulu. Ukuze unciphise umngcipheko we-renal colic, kufuneka unciphise umngcipheko wokuba namatye ezintso. Nazi ezinye iingcebiso ezilula zokunceda:

• Sela amanzi amaninzi. Zama ukusela ubuncinci iilitha ezi-2-3 zamanzi ngosuku. Oku kubaluleke kakhulu kwimozulu eshushu efana neyethu. Nciphisa ukutya kwakho iisoda ezimnyama.
• Nciphisa ityuwa ekutyeni kwakho. Musa ukutya ngaphezu kweegram ezi-2 (2000 milligrams) zetyuwa ngosuku. Oko kungaphantsi kwetispuni enye.
• Nciphisa iiproteni zezilwanyana. Nciphisa iiproteni zezilwanyana, ezifana nenyama yenkomo, inkukhu, inyama yehagu, kunye nentlanzi, zibe yinxenye yesandla ngosuku.
• Nciphisa ukutya okune-oxalate eninzi. Izinto ezifana nespinatshi kunye namandongomane zinee-oxalate ezininzi. Kungcono ukunciphisa ukutya kwakho kwezi zinto.
• Musa ukuyisusa i-calcium ekutyeni kwakho. Abantu abaninzi bacinga ukuba ukutya okutyebileyo kwi-calcium kufanele kuncitshiswe kuba kubangela amatye e-calcium. Kodwa oko akulunganga. Kubalulekile ukufumana i-calcium efunekayo emzimbeni wakho ekutyeni (umz. itshizi, ubisi, iyogathi, iilentili, imifuno eluhlaza).

Ukuba ukhe waba namatye ezintso ngaphambili, ugqirha wakho unokukunika amayeza anjenge-potassium citrate okanye i-thiazide diuretics. La mayeza anokunciphisa umngcipheko wokwakheka kwamatye kwakhona.

Yintoni onokuyilindela ukuba une-renal colic?

Ukuba ucinga ukuba une-renal colic, bonana nogqirha ngokukhawuleza . Uza kwenza uvavanyo ukuze afumanise unobangela wentlungu yakho. Emva koko uza kucebisa unyango olufanelekileyo lokususa ilitye nokunciphisa iimpawu zakho.

Intlungu ye-renal colic ingahlala ixesha elingakanani?

Xa le ntlungu ifika ngamaza, inokuhlala naphi na ukusuka kwimizuzu engama-20 ukuya kwengama-60. Kwiimeko ezinzima, intlungu inokuhlala ixesha elide nangakumbi. Ukuba unentlungu enganyamezelekiyo engasayi kuphela, yiya kwigumbi likaxakeka kwisibhedlele esikufutshane nawe.

Ngaba intlungu ebangelwa ngamatye ezintso ivakala ngathi kukuxinana kwemisipha?

Ngamanye amaxesha ewe. Emva kokuba ilitye liphume kwizintso zakho, ungaziva ukuxinana kwemisipha njengoko inkqubo yakho yomchamo izama ukulikhupha. Kwakhona, njengoko bekutshiwo ngaphambili, ungaziva intlungu ebukhali, ephuma phantsi kweembambo zakho ukuya ngentla kwesinqe sakho.

Ungayinqanda njani i-ureter spasm?

Ugqirha wakho angakunika amayeza afana ne-tolterodine ukulawula ukushwabana kwemisipha. Abanye abantu bafumanisa ukuba ukwenza umthambo weKegel kunye neminye imithambo yomgangatho we-pelvic kunokunceda ukunciphisa ukushwabana kwemisipha.

Ndifanele ndimbone nini ugqirha?

Ukuba unentlungu eqala ecaleni kwesisu sakho ize isasazeke emqolo, emqolo, okanye ezantsi kwesisu, bona ugqirha ngoko nangoko. Uyakwazi ukubona ukuba intlungu ibangelwa yi-renal colic okanye esinye isizathu. Kwiimeko ezininzi, ugqirha wakho unokukunika amayeza anokunciphisa ngokukhawuleza intlungu ebangelwa ngamatye ezintso.

Ingaba i-renal colic yingxaki engxamisekileyo?

Nangona iintlungu ze-renal colic zihlala zinzima, aziyongxaki esongela ubomi. Nangona kunjalo, ukuba une-renal colic, yingxaki engxamisekileyo. Ukuba uneempawu ze-renal colic, ezinje ngomkhuhlane, ukugodola, kunye nokugodola, fowunela u-911 okanye uye kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko. Oku kubaluleke kakhulu.

I-Renal colic luhlobo oluthile lwentlungu ebangelwa ngamatye ezintso okanye ezinye iingxaki kwinkqubo yomchamo. Oku kungakhululeki kunokusuka kokuncinci ukuya kokukhulu. Ngamanye amaxesha intlungu iba nkulu kangangokuba akunakwenzeka ukwenza imisebenzi yemihla ngemihla.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, makhe ndishwankathele ezinye zezona ngongoma zibalulekileyo esizixubushileyo namhlanje ukukunceda uzikhumbule:

• Ukuba ufumana iintlungu zesisu ezingalindelekanga nezingenakunyamezeleka (ingakumbi eziqala kwelinye icala zize zisasazeke emqolo okanye emqolo) kunye nesicaphucaphu nokuhlanza, isenokuba yi-renal colic. Musa ukoyika kwaye funa ingcebiso kagqirha.
• Isizathu esiphambili ngamatye omchamo, kodwa ngamanye amaxesha kunokubakho nezinye izizathu.
• Ukusela amanzi amaninzi yeyona ndlela ilungileyo yokuthintela ukwakheka kwamatye. Sela ubuncinane iilitha ezi-2-3 ngosuku.
• Nciphisa ukutya okunetyuwa eninzi, iiproteni zezilwanyana kunye nee-oxalates.
• Ukuba uva iintlungu , bona ugqirha uze ufumane unyango olufanelekileyo. Amatye amancinci angadluliselwa ngamayeza namanzi. Kukho unyango olukhethekileyo lwamatye amakhulu.
• Ukuba iimpawu ezinje ngomkhuhlane, ukugodola, kunye nokungcangcazela zihamba nentlungu, yingxamiseko leyo. Yiya esibhedlele ngoko nangoko.
• Ukuba ukhe waba namatye ngaphambili, landela imiyalelo kagqirha wakho ukuze angaphinde akheke.

Ukuxilongwa kwangoko kunye nonyango olufanelekileyo zezona ndlela zilungileyo zokuphola. Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukubuza ugqirha wakho. Hlala usempilweni!

I- Renal Colic, Amatye Ezintso, Amatye Omchamo, Intlungu Yesisu, Inkqubo Yomchamo, Intlungu, Unyango