Ngaba wakha waba nentlungu enganyamezelekiyo, ebuhlungu eqala ngequbuliso kwelinye icala lomqolo wakho ize ihambe iye kwisisu sakho esisezantsi? Abanye abantu bathelekisa le ntlungu nentlungu yokubeleka. Ukuba unentlungu enzima ngolu hlobo, kwaye kunzima ukuchama , okanye ukuba unegazi kumchamo wakho, kunokuba luphawu lokuba ilitye lezintso linamathele kwi-urethra. Namhlanje sithetha ngamatye e-Ureteral, angamatye ezintso anamathela kwi-urethra. Ungakhathazeki, masichaze yonke into ngokulula.
Ngamafutshane, yintoni amatye e-ureteral?
Ilitye elikwi-ureteral lilitye lezintso eliqhekekileyo laza lahlala kwityhubhu encinci ethwala umchamo ukusuka kwintso ukuya kwisinyi. Le tyhubhu ibizwa ngokuba yi-ureter. Sonke sinetyhubhu ezimbini ezinjalo zezintso zethu.
Cinga nje ngezihluzo ezibini emzimbeni wethu. Zicoca igazi kwaye zisuse inkunkuma njengomchamo. Ngamanye amaxesha, iiminerali kunye neetyuwa kumchamo wakho zinokwenza amatye amancinci, anamaqhuqhuva. Oku sikubiza ngokuba ngamatye ezintso okanye i-calculi. Logama nje la matye esezintso , asenokungabangeli ngxaki. Kodwa xa ephuma aze aqale ukuhamba ngetyhubhu emxinwa, ingxaki iqala. Ityhubhu imxinwa, ngoko ke ilitye linamathela apho. Emva koko ukuhamba komchamo kuyathinteleka, ityhubhu iyadumba, kwaye yiyo loo nto ibangela iintlungu ezinganyamezelekiyo.
La matye anokuza ngobukhulu obahlukeneyo. Amatye amancinci kakhulu, amancinci kakhulu ukuba angabonwa ngeliso lenyama, aphuma emzimbeni ngomchamo ngaphandle kwengxaki. Kodwa xa ilitye likhula, liyabhajwa emngxunyeni lize liqalise ukubonisa iimpawu.
Khumbula, amatye ezintso awanqabile njengoko unokucinga. Ngumntu omnye kwabalishumi emhlabeni onokuhlakulela le meko. Ngoko ke, kubaluleke kakhulu ukuqaphela oku.
Ziziphi iintlobo eziphambili zamatye ezintso?
La matye akheka emizimbeni yethu akafani onke. Kukho iintlobo ezininzi eziphambili ezisekelwe kwiikhemikhali ezibangela la matye. Ukwazi ukuba loluphi uhlobo lwelitye onalo kunokukunceda ulinyange kwaye ulithintele ukuba lingaphinde lenzeke.
| Uhlobo lweLitye | Yenziwe ngolu hlobo: |
|---|---|
| Amatye e-calcium | Ezi zezona ntlobo zixhaphakileyo. Xa ubungakanani bekhalsiyam emchameni busanda, idibana nekhalsiyam oxalate okanye ikhalsiyam phosphate ukwenza la matye. |
| Amatye e-uric acid | Olu hlobo lwelitye lunokwakheka ukuba une-uric acid eninzi kakhulu kumchamo wakho. Abantu abatya inyama ebomvu neentlanzi ezininzi kwaye bangaseli manzi aneleyo basengozini enkulu. |
| Amatye eStruvite | La matye adla ngokwenzeka emva kosulelo lomchamo (UTI) . Iibhaktheriya ezibangela usulelo zitshintsha ukwakheka kweekhemikhali zomchamo, nto leyo ebangela ukuba la matye akheke. |
| Amatye e-cystine | Oku kunqabile kancinci. La matye enziwa ngenxa yesifo semfuza esibizwa ngokuba yiCystinuria, esibangela ukuba i-amino acid cystine ivuthele izintso iye kumchamo. |
Zithini iimpawu zokuba ilitye libambeke?
Uninzi lwamatye amancinci ludlula emzimbeni ngaphandle kwesandi. Kodwa ukuba ilitye likhulu ngokwaneleyo ukuvala umbhobho, ngokuqinisekileyo uya kuqala ukuliva. Ezi mpawu zinokuqala ngequbuliso.
| Uphawu | Ivakalelwa njani loo nto? |
|---|---|
| Intlungu ebuhlungu | Intlungu ebukhali eqala kwelinye icala lomqolo, ngaphantsi nje kweembambo. Le ntlungu ayihlali ihleli, kodwa ifika ize iphele (ngexesha elifutshane). Le ntlungu inokusasazeka iye kwisisu esisezantsi nakwindawo yemiphunga. |
| Intlungu ngexesha lokuchama | Ukutsha okanye intlungu xa uchama. |
| Utshintsho kumchamo | Umchamo ungabonakala upinki, ubomvu, okanye umdaka ngenxa yegazi elisemchameni. Umchamo ungabonakala unamafu. |
| Ukudinga rhoqo ukuchama | Nangona isinyi singazalanga, kukho imvakalelo eqhelekileyo yokuba kufuneka uchame. Nangona kunjalo, xa uchama, kuphuma inani elincinci kakhulu. |
| Ukuhlanza kunye nesicaphucaphu | Isicaphucaphu nokuhlanza kunokubakho kunye nentlungu eqatha. |
| Umkhuhlane kunye nokubanda | Ukuba usulelo lomchamo luyenzeka kunye nelitye, iimpawu ezinje ngomkhuhlane, ukugodola, kunye nokungcangcazela nazo zinokubakho. |
Izizathu kunye nezinto ezibangela ukwenzeka kwamatye
Eyona nto ilula kukuba kukho iikhemikhali ezenza amatye (iikristale) ezininzi kumchamo wakho kunamanzi. Xa sisela amanzi aneleyo, ezi khemikhali ziyanyibilika kwaye zikhutshwe kumchamo. Kodwa xa sisela amanzi amancinci, umchamo uba mkhulu kwaye ezi zinto ziqala ukubophana kwaye zenze amatye.
Nangona nabani na enokuhlakulela amatye, abanye abantu basengozini enkulu kancinci.
- Kumadoda: Nangona abafazi nabantwana benokuvelisa amatye, amadoda anamathuba amaninzi okuvelisa amatye.
- Phakathi kweminyaka engama-40 ukuya kwengama-60 ubudala: Abantu abakweli qela leminyaka basengozini enkulu.
- Ukuba nembali yokwakheka kwamatye ngaphambili: Ukuba ukhe waba namatye ngaphambili, kunokwenzeka ukuba uphinde uwavelise.
- Imbali yosapho : Ukuba kukho umntu kusapho lwakho (umama, utata, abantakwenu noodadewabo) okhe waba namatye enyongo, nawe usemngciphekweni.
- Ukungaseli manzi aneleyo: Abantu abasebenza nzima okanye abenza umthambo basengozini enkulu ukuba abaseli manzi aneleyo.
- Iimeko ezithile zonyango: Uhlobo lwesibini lwesifo seswekile , ukutyeba kakhulu (i-BMI engaphezulu kwama-30), izifo zamathumbu ezivuthayo ezifana nesifo sikaCrohn okanye i-ulcerative colitis, kunye nesifo sezintso esine-polycystic zinokunyusa umngcipheko wokwakheka kwamatye.
Uyifumana njani le nto, Gqirha?
Ukuba uneempawu ezikhankanyiweyo apha ngasentla, kuya kufuneka ubone ugqirha ngokukhawuleza. Uza kukubuza ngeempawu zakho kunye nembali yosapho lwakho. Emva koko, baya kuyalela uvavanyo oluthile ukuqinisekisa ukuba lilitye lezintso.
- Uhlalutyo lomchamo: Oku kuhlola umchamo wakho ukuba kukho iimpawu zosulelo, igazi, kunye neeminerali ezinokubangela amatye. Ukuhlolwa komchamo kungenziwa ukuba kukho ukrokrelo losulelo.
- Uvavanyo lwegazi: Oku kunokufumanisa indlela ezisebenza ngayo izintso zakho, ukuba unesifo esithile, nokuba kukho ezinye iingxaki ezinokubangela ukwakheka kwamatye.
- Iiskeni:
- I-ultrasound scan: Isebenzisa amaza esandi ukujonga ukuba akukho zithintelo kwindlela yomchamo.
- I-X-reyi: Ezinye iintlobo zamatye zinokubonwa ngokuhlolwa kwe-X-reyi.
- I-CT scan (i-Computed Tomography - i-CT scan): Olu lolona vavanyo luchanekileyo oluhlala lwenziwa. Lunokuchonga ngokuchanekileyo ubungakanani, indawo, kunye nobunzima belitye. Olu lwazi lubaluleke kakhulu ekucwangciseni unyango.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kubukhulu belitye, indawo elikuyo, kunye nezinto ezenziwe ngazo. Ugqirha wakho uza kuziqwalasela zonke ezi zinto aze akucebise ngolona nyango lufanelekileyo kuwe.
Ngamatye amancinci
Ukuba ilitye lincinci kune-4-5 millimeters, lisenokuphuma emzimbeni wakho nomchamo. Oku kungathatha iveki enye ukuya kwezimbini. Ngeli xesha:
- Iipilisi zokunciphisa iintlungu: Ugqirha unika amayeza okulawula iintlungu eziqatha.
- Amayeza okugabha: Ukuba kukho isicaphucaphu nokuhlanza, kuya kunikwa amayeza alo mbandela.
- Amayeza okunceda amatye adlule (Medical Expulsive Therapy - MET): Amayeza anjenge-"alpha-blockers" anokunikwa ukuze kuphumzwe izihlunu kwi-urethra kwaye kuncedwe ilitye lidlule lula.
Ngeli xesha, uza kuxelelwa ukuba usele ubuncinane iilitha ezi-3 zamanzi ngosuku . Oku kuya kukhupha umchamo kwaye kuncede ilitye liphume ngokukhawuleza.
Kwamatye amakhulu okanye imiqobo
Ukuba ilitye likhulu, libangela iintlungu eziqatha, okanye livala ngokupheleleyo ukuhamba komchamo, ugqirha wakho (odla ngokuba yingcali yezifo zomchamo) angacebisa enye yezi ndlela zilandelayo zonyango:
| Indlela yonyango | Icacisiwe ngokulula |
|---|---|
| I-Shock wave lithotripsy | Amaza othuko anamandla aphezulu aqondiswa ngaphandle komzimba ukuze aqhekeze amatye. Emva koko iziqwenga ezincinci ziphuma lula emchameni. |
| Ureteroscopy (ukususwa kwamatye ngetyhubhu) | Ityhubhu ebhityileyo, ende, neguquguqukayo enekhamera eqhotyoshelweyo ifakwa nge-urethra, kwaye ilitye liyafikelelwa, libanjwe, kwaye lisuswe. Ukuba ilitye likhulu, kusetyenziswa umqadi welaser ukuliqhekeza nokususa iziqwenga. |
| Ukususwa kwelitye ngenxeba elincinci eluswini (i-Percutaneous nephrolithotomy) | Oku kwenziwa ngamatye amakhulu kakhulu. Kwenziwa umsikelo omncinci emqolo, apho kufakwa khona isixhobo ngqo kwizintso ukuze kufunyanwe kwaye kususwe ilitye. |
| Iistenti ze-Ureteral | Esi sisisombululo sexeshana. Kufakwa umbhobho omncinci kwi-urethra ukunceda umchamo udlule kwindawo evalekileyo. Oku kuluncedo kakhulu kwiimeko ezingxamisekileyo. |
Ngaba amatye angathintelwa ukuba angaphinde akhiwe?
Ewe, ngokuqinisekileyo kunokwenzeka! Xa umntu sele enesifo selitye, kusenokwenzeka ukuba aphinde abe naso. Yiyo loo nto kubalulekile ukwenza utshintsho oluncinci kwindlela ophila ngayo kunye nendlela otya ngayo.
- Amanzi, amanzi, amanzi angaphezulu! Eyona nto ingcono onokuyenza kukusela amanzi amaninzi. Sela ubuncinci iilitha ezi-3 zolwelo ngosuku. Amanzi angcono kakhulu. Izinto ezifana nejusi yelamuni kunye nejusi yeorenji nazo zilungile. Eyona ndlela ilungileyo yokwazi ukuba usela amanzi aneleyo kukujonga umbala womchamo wakho. Ukuba umchamo utyheli kancinci, usela amanzi aneleyo.
- Nciphisa iiproteni zezilwanyana: Ukutya iiproteni zezilwanyana ezininzi njengenyama ebomvu, intlanzi, kunye namaqanda kunokunyusa amanqanaba e-uric acid kwaye kukhokelele ekwakhekeni kwamatye. Endaweni yoko, yongeza iiproteni ezisekelwe kwizityalo ezifana neelentile, iitshizi, iimbotyi eziluhlaza, kunye nesoya ekutyeni kwakho.
- Lawula ityuwa: Nciphisa umlinganiselo wetyuwa owutyayo ngosuku. Endaweni yetyuwa, yongeza ilayimu, ipepile, kunye neziqholo ekutyeni kwakho ukuze uphucule incasa yayo.
- Nciphisa ukutya okune-oxalate eninzi: Ukutya okufana nespinatshi, amandongomane, ii-cashews, iitapile, kunye nee-beet kuninzi kwi-oxalate. Akunyanzelekanga ukuba uziphephe ngokupheleleyo ezi zinto, kodwa kungcono ukunciphisa ukutya kwakho. Ukuzitya ngokutya okune-calcium eninzi (ubisi, iyogathi) kunokunceda ukunciphisa umngcipheko wokwakheka kwamatye.
Ugqirha wakho angakunika isihluzo esikhethekileyo sokuqokelela amatye aphumayo. Emva koko baya kuwahlola amatye, kwaye, ngokuxhomekeke kuhlobo lwawo, banike imiyalelo ethile yokuthintela amatye azayo.
Umyalezo Wokuya Ekhaya
- Intlungu ebangelwa lilitye lezintso inzima kakhulu. Ukuba uneempawu ezifana nentlungu ebukhali engxamisekileyo yomqolo/umlenze, igazi kumchamo wakho, bona ugqirha ngokukhawuleza. Ukuba kuyimfuneko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Eyona ndlela ilungileyo nelula yokuthintela ukwakheka kwamatye kukusela amanzi aneleyo yonke imihla.
- Amatye amancinci adla ngokuzidlulisela ngokwawo kunye namayeza kwaye asele amanzi amaninzi. Ngoku kukho unyango olusebenzayo nolukhuselekileyo lwamatye amakhulu.
- Ngokutshintsha indlela otya ngayo nendlela ophila ngayo, unganciphisa kakhulu umngcipheko wokuphinda ufumane amatye kwixesha elizayo.
- Nangona le meko icaphukisa kwaye ibuhlungu, inokunyangeka ngokupheleleyo ngonyango olufanelekileyo. Ngoko ke musa ukoyika kwaye ulandele imiyalelo kagqirha wakho.
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