Ngaba sele ukhe wakha amatye afana ne-'staghorn' ezintso zakho? Masifunde ngeStaghorn Calculus!

Ngaba wakha weva ngamatye ezintso? Le yingxaki eqhelekileyo kwabanye abantu. Kodwa namhlanje siza kuthetha ngohlobo olukhethekileyo lwelitye lezintso. Eli libizwa ngokuba yiStaghorn Calculus . Eli gama livakala lingaqhelekanga, akunjalo? Igama elithi "Staghorn" lithetha iimpondo zenyamakazi. La matye afumana igama lawo kuba akhula aze asasazeke ngaphakathi kwizintso njengeempondo zenyamakazi. Ungacinga ngawo njengeengqaqa zekorale elwandle.

Yintoni iStaghorn Calculus?

Ngamafutshane, i-staghorn calculus luhlobo lwelitye lezintso (i-calculus ithetha ilitye). Kodwa le ayifani namanye amatye amancinci aqhelekileyo. Ingakhula ibe nkulu, ihlume, kwaye isasazeke kuyo yonke i-canal ephambili (i-renal pelvis) kunye nenkqubo ye-canal encinci (ii-calyces) eziqokelela umchamo kwi-kidney . Khawuthelekelele ukuba ukuba izintso bezifana nomzi-mveliso owenza umchamo, eli litye belinokuba njengokuvimba okukhulu kwindlela ye-kidney.

Eyona nto ibangela la matye kukwanda kosulelo lomchamo (ii-UTI) . Amatye avela ngenxa yosulelo olunjalo adla ngokwenziwa ngekhemikhali ebizwa ngokuba yi-struvite . Le yindibaniselwano ye-magnesium, i-phosphate, kunye ne-ammonium. Ngamanye amaxesha, ilitye elincinci linokukhula ngokuhamba kwexesha lize likhule libe lilitye le-staghorn elifana neli. Xa oko kusenzeka, anokwakheka xa i-struvite ixutywe ne -calcium phosphate, i-calcium oxalate , okanye i-calcium carbonate apatite.

Ngokwesiqhelo, olu hlobo lwelitye lwenzeka kwintso enye kuphela. Nangona kunjalo, kunqabile kakhulu ukuba le meko ivele kuzo zombini izintso. La matye anokubangela ukuphazamiseka okukhulu ekusebenzeni kwezintso, kwaye anokubangela nokungasebenzi kakuhle kwezintso .

Ngubani onokukhulisa uninzi lwala 'matye eempondo zeenyamakazi'?

Abanye abantu basengozini enkulu yokuphuhlisa la matye e-staghorn. Makhe sijonge ukuba bangoobani:

• Kwabasetyhini: Le meko ixhaphake kakhulu kwabasetyhini kunakwamadoda.
• Kwabo bafumana usulelo lwe-urinary tract rhoqo (UTIs): Njengoko bekutshiwo ngaphambili, le yimbangela enkulu.
• Kwabo banemilo engaqhelekanga okanye utshintsho kwinkqubo yomchamo: Ukuba kukho ubuthathaka ekuhambeni komchamo, kulula ukwenza amatye.
• Kwabo baneengozi zomqolo.
• Kwabo bane-neurogenic bladder: Oku kubhekisa kwabo bangasebenzi kakuhle ngenxa yomonakalo wemithambo-luvo.

Amatye e-staghorn ayichaphazela njani imizimba yethu?

La matye e-staghorn anokubangela ukuvaleka ngokupheleleyo okanye kancinci kwezintso. Cinga ngayo njengento enkulu evala umbhobho wamanzi. Amasebe eli litye anda aye kwi -renal pelvis , inxalenye efana ne-funnel yezintso eqokelela umchamo. Ukusuka apho, umchamo,Iya kwisinyi ngemibhobho emibini emincinci ebizwa ngokuba zii-ureters. Ngoko ke ukuba i-renal pelvis okanye i-ureter ivalekile, izintso ziqala ukudumba.

Kwakhona, la matye anokuthintela ii-calyces zezintso, apho umchamo uqala ukuqokelelana khona. Ukuba ii-calyces ziyadumba ngenxa yolwelo olongezelelweyo, kuthiwa yi -caliectasis . Ukuba oku akuphathwanga kakuhle, izintso zinokungasebenzi kakuhle.

Zithini iimpawu zoku?

Ukuba une-staghorn stone kwizintso zakho, unokufumana iimpawu ezifana nezi:

• Ifiva.
• Intlungu ecaleni phakathi kweembambo kunye nesinqe. Oku kunokuvakala ngathi yintlungu emqolo.
• Igazi kumchamo (hematuria). Umchamo unokuba bomvu okanye ube mdaka ngebala.
• Ububomvu kunye nomchamo (pyuria). Umchamo unokuba namafu, ube njengobisi, kwaye unokuba nevumba elibi.
• Ndiziva ndidiniwe kakhulu.

Ngamanye amaxesha la matye makhulu anokubakho kodwa angabi nazimpawu . Yiyo loo nto iyingozi kakhulu. La matye anokufunyanwa ngengozi ngexesha lovavanyo olwenziwe ngesinye isizathu.

Kutheni amatye ethanda olu hlobo? Zithini izizathu?

Njengoko bekutshiwo ngaphambili, usulelo oluqhelekileyo lwendlela yomchamo (ii-UTI) luyimbangela enkulu. Ngokukodwa, ezinye iintlobo zeebhaktheriya ezibangela usulelo zivelisa i-enzyme ebizwa ngokuba yi-urease . Umzekelo, iibhaktheriya i-Proteus mirabilis . Le enzyme yehlisa i-acidity (i-pH) yomchamo wakho, oko kuthetha ukuba uba yi-alkaline ngakumbi. Emva koko, kwakheka iikristale, ezithi zihlangane kwaye ziqale ukwenza amatye ezintso.

Kukho nezinye izizathu:

• Umahluko kwi-anatomical: Abanye abantu bathambekele kakhulu ekuphuhliseni amatye ngenxa yomahluko athile azalwa nawo kwinkqubo yabo yomchamo.
• Ukuvaleka kwendlela yomchamo.
• Ukusebenzisa i-catheter yomchamo ixesha elide.
• Ukuba ukhe wayenza inkqubo yokuphambukisa umchamo ngaphambili.
• Imeko yesinyi esibangelwa yi-neurogenic.
• Ukuba namatye ezintso anganyangwa ixesha elide. Amatye amancinci anokukhula abe makhulu aze abangele le meko.

Oogqirha bayibona njani le nto?

Ukuba uneempawu, ugqirha uza kuqala akubuze imibuzo aze akuhlole ngokwasemzimbeni. Emva koko angayalela iimvavanyo ezifana nezi:

• Uvavanyo lwe-X-reyi kwizintso: Amatye e-Staghorn adla ngokuba ngama-radiopaque . Oku kuthetha ukuba la matye awabonakali kakuhle kwi-X-reyi kwaye ngenxa yoko abonakala ngokucacileyo kumfanekiso we-X-reyi.
• Uvavanyo lwe-CT Scan (i-Computed Tomography - i-CT scan):Oku kusenza sibone ubukhulu, imilo, kunye nendawo elikuyo ilitye ngokucacileyo. Rhoqo, kwenziwa i-CT scan ukuba kukho ilitye le-staghorn elirhanelwayo.
• Uvavanyo lomchamo: Jonga ukuba kukho usulelo, igazi, okanye ubomvu.

Iphathwa njani?

Ukunyanga amatye e-staghorn kudla ngokubandakanya utyando . Ilitye kufuneka lisuswe ngokupheleleyo, kungabi ziingceba ezincinci. Ngaphandle koko, ezo zingceba zincinci zinokubangela usulelo kunye nokwakheka kwamatye amatsha.

Kubalulekile: Amatye e-Staghorn yimeko enokonakalisa izintso, ngoko ke ukuba ugqirha ucebisa unyango, kungcono ukwenze ngokukhawuleza.

Kukho iindlela ezininzi zonyango eziphambili ezisetyenziswayo:

1. I-Percutaneous Nephrolithotomy (PCNL)

Le yindlela yotyando eqhelekileyo esetyenziswa ukususa amatye e-staghorn. I-PCNL yinkqubo esusa amatye amakhulu kwizintso, amatye amakhulu kakhulu ukuba angadlula emchameni.

• Kwenziwa njani?: Ugqirha wenza inxeba elincinci emqolo wakho, kufutshane nezintso zakho. Ityhubhu encinci ifakwa okwethutyana ngenxeba elingene kwizintso zakho. Emva koko, kufakwa isixhobo esikhethekileyo esinekhamera esibizwa ngokuba yi-nephroscope ngetyhubhu ukuze kufunyanwe ilitye kwaye liqhekezwe libe ziingceba okanye lisuswe ngokupheleleyo.
• I-Anesthesia: Olu tyando lwenziwa phantsi kwe -anesthesia eqhelekileyo .
• Ukuhlala esibhedlele: Ngokwesiqhelo uza kuhlala esibhedlele usuku olunye okanye ezimbini. Ngamanye amaxesha, umbhobho omncinci wokukhupha amanzi unokushiywa endaweni yawo iintsuku ezimbalwa de izintso ziphiliswe. Nangona kunjalo, amaxesha amaninzi, kufakwa i- ureteral stent , umbhobho omncinci ohlala ngaphakathi emzimbeni, endaweni yoko.

2. Yintoni i-ureteral stent?

Usenokuba ukhe weva "ngotyando olungenazityhubhu," oko kuthetha ukuba ityhubhu yokukhupha amanzi ishiywe ngasemva emva kwenkqubo ye-PCNL. Nangona kunjalo, i-stent isenokufakwa ngaphakathi.

I-ureteral stent yityhubhu encinci yeplastiki efakwa okwethutyana ngaphakathi kwi-ureter , ityhubhu ethwala umchamo ukusuka kwizintso ukuya kwisinyi. Ifakwa:

• Ukuba izintso zakho zivaliwe, nokuba kungenxa yelitye okanye enye into evalekileyo, nceda uzisuse.
• Emva kotyando, i-ureter kufuneka igcinwe ivulekile ukuze umchamo uhambe kakuhle.

Le stent idla ngokususwa kwiiveki ezimbalwa.

3. Unyango lwe-Ureteroscopy

I-ureteroscopy yinkqubo apho ugqirha otyandayo efaka ii-ureters , iityhubhu ezidibanisa izintso kwisinyi. Oku kusebenzisa nezixhobo ezincinci kakhulu. Oku kubizwa ngokuba yi-ureterorenoscopy.Usenokuva ne-URS okanye i-U-scope .

Uhlobo olukhethekileyo lwale nto yi- flexible ureteroscopy , eyaziwa ngokuba yi- retrograde intrarenal surgery (RIRS) . Oku kubandakanya ukufaka izixhobo kwi-urethra ngaphandle kokusikwa kwaye ungene kwizintso ukuze kunyangwe amatye. Le nkqubo idla ngokusetyenziselwa amatye amancinci okanye amaqhekeza amancinci asele emva kwe-PCNL. I-PCNL yeyona nto iphambili yamatye e-staghorn.

4. Ezinye iindlela zeLithotripsy

Kukho ezinye iindlela zokutyumza amatye. Umzekelo, iindlela zelaser ezifana neHolmium laser lithotripsy okanye iThulium fiber laser lithotripsy zingasetyenziswa ukuqhekeza amatye. Ezi zingasetyenziswa kunye nePCNL okanye iUreteroscopy.

5. Unyango oludibeneyo

Ngamanye amaxesha, indlela enye yonyango isenokungakwazi ukususa ilitye ngokupheleleyo. Kwimeko enjalo, unyango oluninzi lunokufuneka lusetyenziswe kunye.

Yazi: Zonke iindlela zonyango zinemingcipheko ethile. Amaqhekeza amancinci amatye asenokusala. Kusenokubakho ukopha okuthile. Emva kotyando, ugqirha wakho uza kukunika amayeza okubulala iintsholongwane kunye neyeza lokudambisa iintlungu. Kukwakho nomngcipheko wosulelo kuba umchamo awucocekanga.

Ndingayinciphisa njani ingozi yokuba la matye aphinde avele emva konyango?

Emva kokuba ilitye lisusiwe, ungazama ukuthintela ukuba lingaphinde lenzeke. Ezi zinto zilandelayo zinokunceda:

• Ukulandela iingcebiso ezithile zokutya ezivela kugqirha wakho: Ugqirha wakho uza kukuxelela into omawuyitye nento omawungayityi kuxhomekeke kuhlobo lwelitye. Umzekelo, banokukuxelela ukuba usele amanzi amaninzi.
• Ukusela amayeza okuthintela i-urease njenge- acetohydroxamic acid : La awafane anikwe, ingakumbi kubantu abavelisa amatye e-struvite, ukuthintela i-enzyme ye-urease.
• Ukusela amayeza okubulala iintsholongwane ukuthintela usulelo: Ukuba unezifo zomchamo ezixhaphakileyo, ugqirha wakho unokucebisa ukuba uqhubeke nokusela amayeza okubulala iintsholongwane ngedosi ephantsi.

Kuthekani ukuba unelitye le-staghorn? Kuthekani ukuba alinyangwa?

Ukuba une-staghorn stone kwaye unyangwa ngokufanelekileyo , uya kukwazi ukuchama ngendlela eqhelekileyo kwaye intlungu iya kuphela. Usenokufumana ilitye kwakhona okanye ungalifumani. Liyahluka ukusuka kumntu ngamnye.

Nangona kunjalo, ukuba ilitye le-staghorn alinyangwa , linokukhokelela kwiimeko eziyingozi ezifana nezi:

• I-Xanthogranulomatous pyelonephritis: Olu luhlobo losulelo olubi kakhulu lwezintso. Lunokubangela i-sepsis.Usulelo olusongela ubomi lunokusasazeka emzimbeni wonke.
• I-Caliectasis: Ukudumba kwee-calyces zezintso ngenxa yokugcina ulwelo.
• Ukungasebenzi kakuhle kwezintso: Izintso zilahlekelwa ngamandla azo okucoca inkunkuma. Oku kunokuba yingozi.
• I-Urosepsis: Usulelo olubi kakhulu kwinkqubo yomchamo. Oku kunokuba yingozi.

Nangona kunjalo, ukuba abanye abantu bakwimeko apho utyando lungenakwenzeka (ngenxa yobudala okanye ezinye izifo), banokuphila ngonyango olungelulo utyando (ulawulo olugcina izinto ngendlela engokwemvelo) phantsi kweliso likagqirha rhoqo.

Kuthatha ixesha elingakanani ukuphiliswa?

Ixesha lokuchacha liyahluka ngokuxhomekeke kunyango. Ukuba utyando olukhulu oluvulekileyo, kuya kuthatha ixesha elide ukuba uphile. Nangona kunjalo, ngeenkqubo ezingangenisi kakhulu ezifana ne-PCNL, unokukwazi ukuya ekhaya ngaloo mini. Ugqirha wakho uya kukuxelela ukuba ungabuyela nini emsebenzini, esikolweni, nakwimisebenzi yokuthwala ubunzima.

Ufanele uye nini kugqirha?

Emva kokunyanga ilitye le-staghorn, bonana nogqirha okanye uye esibhedlele ngokukhawuleza ukuba unenye yezi mpawu:

• Ukuba umkhuhlane ungaphezulu kwe-100 degrees Fahrenheit (malunga ne-37.8 Celsius).
• Ukuba uziva ubanda kwaye uqhaqhazela (ukubanda/ukungcangcazela).
• Ukuba ukopha akuyeki okanye akwandi.
• Ukuba intlungu ayinciphi okanye ayinyuki.
• Ukuba awukwazi ukuchama.

Okokugqibela, izinto ekufuneka uzikhumbule

Amatye e-staghorn, njengamanye amatye ezintso, anokuba yinto ecaphukisayo nebuhlungu kancinci. Kodwa ungakhathazeki. Ugqirha wakho unokukuhlola aze akunike isisombululo esifanelekileyo. Kwiimeko ezininzi, eso sisombululo sinokuba lutyando. Kubalulekile ukunyanga amatye e-staghorn ukuba kunokwenzeka ukuthintela ukungasebenzi kakuhle kwezintso.

Landela indlela yokutya kagqirha wakho, umthambo, kunye neminye imiyalelo ngokuchanekileyo. Emva koko ungaphila ngokukhawuleza kwaye uhlale usempilweni. Uyaqonda? Ukuba unemibuzo, ungaze woyike ukubuza ugqirha wakho.

Amatye ezintso , i-staghorn calculi, usulelo lwendlela yomchamo, i-PCNL, utyando lwezintso, isifo sezintso, inkqubo yomchamo