Ake sifunde ngamatshe ezinso kalula. Ingabe nawe unayo le nkinga?

Cishe uke wezwa ngamatshe ezinso. Mhlawumbe omunye wabangani bakho noma izihlobo zakho uke waba nalesi simo. Namuhla, sizoxoxa ngokuthi ayini amatshe ezinso, ukuthi kungani akheka, nokuthi yini okufanele uyenze uma akheka. Akukho okufanele ukwesabe, kubaluleke kakhulu ukuqaphela lokhu.

Ayini amatshe ezinso? Masiqonde kalula.

Kulungile, ake siqale sibone ukuthi la matshe ezinso ayini. Uyazi ukuthi sinezinso ezimbili emzimbeni wethu. Lezi zifana nezihlungi ezimbili emzimbeni wethu. Umsebenzi oyinhloko wezinso ukuhlunga nokuhlukanisa imfucuza engafuneki egazini, ukuyihlanganisa namanzi bese uyikhipha njengomchamo, okungukuthi, umchamo .

Manje cabanga ngakho ngale ndlela, ngezinye izikhathi uma izinto ezithile emchameni wakho, isibonelo i-calcium , i-oxalate , kanye ne -uric acid, ziba ngaphezu kokujwayelekile, ziyahlangana bese zenza amakristalu amancane. Kufana nokuthi uma ufaka ushukela engilazini yamanzi, ushukela uzohlala phansi. Lawo makristalu ayahlangana futhi ngokuhamba kwesikhathi, abe yizinto eziqinile, ezifana namatshe. Yilokho esikubiza ngokuthi amatshe ezinso .

Lawa matshe angafika ngosayizi bonke. Amanye mancane njengohlamvu lwesihlabathi. Angaphuma nomchamo wakho ungaqapheli. Kodwa amanye amatshe makhulu kancane, acishe abe usayizi wephizi, futhi ngezinye izikhathi abe makhulu nakakhulu. Yilapho izinkinga ziqala khona. Lawa matshe amakhulu angabangela ubuhlungu obukhulu , igazi lingaphuma nomchamo wakho , futhi ngezinye izikhathi angavimba i-urethra futhi avimbele umchamo ukuthi ungaphumi.

Kungani kwakheka la matshe ezinso? Ingabe lezi zizathu ziyakuthinta nawe?

"Kungani lokhu kwenzeke kimi?" ungase uzibuze. Akukhona nje imbangela eyodwa yamatye ezinso, kunezici eziningi ezingaba nomthelela kuwo. Ake sibheke izimbangela eziyinhloko:

• Ukuphuza amanzi anele: Lena imbangela eyinhloko nevame kakhulu . Uma ungaphuzi amanzi anele ngosuku, umchamo wakho uba mkhulu. Ngemuva kwalokho, izinto ezifana ne-calcium engikhulume ngayo ekuqaleni zinganqwabelana kalula futhi zakhe amatshe.
• Ukudla: Ukudla ukudla okuthile okuningi kakhulu nakho kungaba nomthelela.
• Ukudla okunosawoti omningi (i-sodium): Ukudla usawoti omningi kungandisa inani le-calcium emchameni.
• Ukudla okuneprotheni eningi yezilwane: Ukudla inyama, inhlanzi, namaqanda amaningi nakho kungabangela ukwakheka kwezinhlobo ezithile zamatshe.
• Ukudla okune-oxalate eningi: Ukudla okufana nesipinashi, amaqabunga etiye, amantongomane, kanye noshokoledi kune-oxalate eningi. Ukudla okuningi kwalokhu nakho kungasiza ekwakhekeni kwamatshe e-calcium oxalate. Kodwa-ke, akudingekile ukuyeka ngokuphelele ukudla lokhu kudla, kodwa kubalulekile ukukulawula ngokweseluleko sezokwelapha.
• Umlando Womndeni: Uma othile emndenini wakho eke waba namatshe ezinso, nawe kungenzeka ukuthi uzowathola. Lokhu kusho ukuthi kungase kube nethonya lezakhi zofuzo.
• Ezinye izimo zezokwelapha:
• Uma uthola izifo zomgudu womchamo ezivame ukwenzeka (UTIs).
• Ezimweni ezifana ne-hyperparathyroidism, izindlala ze-parathyroid zikhiqiza ama-hormone amaningi kakhulu, okuholela emazingeni aphezulu e-calcium egazini nasemchameni.
• Abantu abane-gout bangaba namatshe e-uric acid.
• Abantu abanesifo samathumbu esivuvukalayo (IBD) bangase babe sengozini enkulu yokukhula kwamatshe.
• Imithi ethile: Eminye imithi ingabangela ukwakheka kwamatshe njengomphumela omubi ngisho noma isetshenziswa isikhathi eside. Uma uthatha noma yimuphi umuthi, kuwumqondo omuhle ukukhuluma nodokotela wakho ngalokhu.
• Ukukhuluphala ngokweqile: Kutholakale ukuthi abantu abakhuluphele ngokweqile nabo basengozini enkulu yokuthola amatshe ezinso.
• Amaphutha esakhiwo: Amatshe angakheka futhi ngenxa yamaphutha athile esakhiwo azalwa nawo ohlelweni lomchamo.

Kalula nje , amatshe ezinso awakheki ngobusuku obubodwa. Abangelwa imikhuba nezinguquko emzimbeni eziqongelela ngokuhamba kwesikhathi.

Ingabe kunezinhlobo ezahlukene zamatshe ezinso? Ziyini?

Yebo, amatshe ezinso awafani. Kunezinhlobo eziningana eziyinhloko. Lokhu kuhlukaniswa kusekelwe ezintweni ezenziwe ngazo itshe.

• Amatshe e-Calcium: Lawa uhlobo oluvame kakhulu . Angakheka njenge-Calcium Oxalate noma, ngokungavamile, njenge-Calcium Phosphate.
• Amatshe e-Struvite: Lawa avame ukuhlotshaniswa nokutheleleka komgudu womchamo (UTIs). Lawa matshe angakhula ngokushesha futhi ngezinye izikhathi angasakazeka endaweni enkulu yezinso (`Staghorn calculi`).
• Amatshe e-Uric Acid: Lezi zinhlobo zamatshe zingavela kubantu abaphuza uketshezi oluncane, abadla ukudla okunamaphrotheni amaningi ezilwaneni, noma abane-gout.
• Amatshe e-Cystine: Lawa awavamile. Lawa matshe akheka lapho izinso zikhiqiza i-amino acid cystine eningi kakhulu kubantu abanesimo sofuzo esibizwa ngokuthi i-cystinuria.

Kubalulekile ukwazi uhlobo oluqondile lwetshe, ukuze ukwazi ukunquma ukuthi yini okufanele uyenze ukuze uvimbele ukwakheka kwamatshe futhi.

Wazi kanjani ukuthi unetshe lezinso? Qaphela lezi zimpawu

Esikhathini esiningi, amatshe amancane adlula emchameni ngaphandle kwezimpawu. Kodwa-ke, izimpawu zivela kuphela uma itshe likhulu noma uma lihlala epayipini elincane elithwala umchamo (i-ureter). Lezi zimpawu zingaqala ngokuzumayo.

• Ubuhlungu obukhulu: Lolu uphawu oluyinhloko. Luzwakala endaweni ezungeze izinso, okungukuthi, ngemuva ngaphezu kwe-groin, ngaphansi kwezimbambo.Yilapho lobu buhlungu buqala khona. Lobuhlungu buyanda kancane kancane futhi bungaba nzima futhi bube nzima (i-Renal Colic). Ngezinye izikhathi lobu buhlungu buza buhambe njengegagasi. Ubuhlungu bungasakazekela esiswini esingezansi kanye nasesinqeni .
• Ubuhlungu noma ukusha ngesikhathi sokuchama (i-Dysuria): Kungase kube nobuhlungu noma umuzwa wokusha lapho uchama .
• Ukushintsha kombala womchamo (i-Hematuria): Uma umchamo uphenduka ube pinki, ubomvu, noma ube nsundu, kungase kusho ukuthi kukhona igazi emchameni .
• Izinguquko ekubukekeni komchamo: Umchamo ungase ube namafu noma ube nephunga elibi.
• Isicanucanu Nokuhlanza: Isicanucanu nokuhlanza kuvamile kanye nobuhlungu.
• Ukuchama njalo: Ukuzizwa sengathi udinga ukuchama njalo, kodwa inani elincane lomchamo lingaphuma uma uchama .
• Umkhuhlane kanye Nokugodola: Uma kuvela ukutheleleka komgudu womchamo kanye netshe, kungase kube nomkhuhlane.

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Kufanele ubonane nini nodokotela? Ungazikhohlwa lezi zinto

Amanye amatshe amancane angadluliselwa ngokwelashwa kwasekhaya, njengokuphuza amanzi amaningi. Kodwa-ke, ezimweni ezinjengalezi, kufanele nakanjani ubone udokotela:

• Uma kukhona ubuhlungu obungabekezeleleki .
• Uma kukhona igazi emchameni .
• Uma unenkinga yokuchama , noma uma ukugeleza komchamo wakho kubonakala sengathi kume ngokuphelele.
• Uma unomkhuhlane, ukubanda, kanye nokuthuthumela kanye nobuhlungu.
• Uma ungakwazi ukuphuza lutho ngenxa yesicanucanu esiqhubekayo nokuhlanza .

Ukufuna ukwelashwa ngokushesha ngezikhathi ezinjengalezi kunganciphisa umonakalo ongaba khona ezinso.

Udokotela uwaxilonga kanjani amatshe ezinso? (Ukuxilongwa)

Uma ubona udokotela, bazoqala bakubuze ngezimpawu zakho nokuthi ngabe kukhona yini emndenini wakho oke waba nezimo ezifanayo. Bese benza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, bangenza izivivinyo ezinjengalezi ukuthola ukuthi unamatshe ezinso yini, ukuthi akuphi, nokuthi makhulu kangakanani:

• Ukuhlolwa komchamo: Kuthathwa isampula yomchamo bese kuhlolwa igazi, amagciwane, namakristalu angakha amatshe.
• Ukuhlolwa Kwegazi: Lokhu kusiza ukuhlola ukuthi izinso zisebenza kanjani kanye namazinga ezinto ezifana ne-calcium ne-uric acid egazini.
• Ukuhlolwa Kwezithombe:
• `I-CT scan (i-Computed Tomography scan)`:Lokhu kuvame ukuba yindlela engcono kakhulu yokuhlola amatshe. Kunganikeza imininingwane eminingi, njengendawo lapho itshe likhona, ubukhulu balo, nokuthi izinso zivuvukele yini.
• Ukuskena nge-Ultrasound: Lena futhi indlela engenabuhlungu futhi ephephile. Isetshenziswa ikakhulukazi kulabo abangakwazi ukwenza ukuskena nge-CT, njengabesifazane abakhulelwe.
• Ukuhlolwa kwe-X-ray `(I-X-ray ye-KUB - Izinso, Ama-Ureters, Isinye)`: Ezinye izinhlobo zamatshe zingabonakala ngalokhu. Kodwa-ke, akuwona wonke amatshe abonakala ku-`X-ray`.
• Ukuhlaziywa Kwamatshe Adlulisiwe: Uma udlulisela itshe emchameni wakho , liyise kudokotela wakho . Bangalithumela elebhu ukuthola ukuthi lenziwe ngaluphi uhlobo. Lolo lwazi lungasiza ekuvimbeleni ukwakheka kwamatshe futhi.

Yiziphi izindlela zokwelapha amatshe ezinso? Ungakhathazeki, kunezixazululo.

Ukwelashwa kwamatshe ezinso kuncike ngobukhulu, uhlobo, indawo yetshe, kanye nobunzima bezimpawu zakho.

Ukwelashwa kwamatshe amancane:

Ezimweni eziningi, amatshe amancane kunamamilimitha angu-5-6 angadlula ngaphandle kokwelashwa okukhethekile. Ngenxa yalokhu, udokotela angase akweluleke okulandelayo:

• Phuza amanzi amaningi: Ukuphuza okungenani amalitha angu-2-3 amanzi ngosuku kuzosiza ukwandisa ukukhiqizwa komchamo futhi kusize ekukhipheni itshe. Phuza amanzi kuze kube yilapho umchamo wakho ungenambala noma uphuzi okhanyayo.
• Iziqeda Ubuhlungu: Ukuze ulawule ubuhlungu, ungathatha iziqeda ubuhlungu ezivamile njenge-Ibuprofen, noma iziqeda ubuhlungu ezithambile ezinikezwe udokotela wakho.
• Ukwelashwa Okuxoshiwe Kwezokwelapha: Ngezinye izikhathi kunikezwa ama-alpha-blockers, njenge-tamsulosin. Le mithi iphumuza imisipha e-urethra futhi isize itshe ukuthi lidlule kalula.

Ukwelashwa kwamatshe amakhulu noma ayinkinga:

Uma itshe likhulu, libangela ubuhlungu obungabekezeleleki, libangela ukutheleleka komgudu womchamo, noma uma kubonakala sengathi lilimaza izinso, kungasetshenziswa izindlela zokwelapha ezilandelayo:

• I-Extracorporeal Shock Wave Lithotripsy (ESWL): Lokhu kuhilela ukuthumela amaza omsindo anamandla aphezulu (amaza omsindo oshisayo) avela ngaphandle komzimba ukuze aphule itshe libe yizicucu ezincane. Izicucu ezincane zibe sezikhishwa emchameni . Lokhu kungenziwa nge-anesthesia noma ngaphandle kwe-anesthesia.
• `Ureteroscopy (URS):` Kulokhu, kufakwa ithubhu elincane, elifakwe ikhamera (`Ureteroscope`) nge-urethra (`Urethra`) kanye nangesinye (`Isinyi`) liye kwi-ureter (`Ureter`) noma ezinso ukuze kutholakale itshe. Bese, itshe lisuswa kusetshenziswa amathuluzi akhethekile, noma into efana ne-`Laser` isetshenziswe ukuphula itshe bese ilisusa.
• "I-Percutaneous Nephrolithotomy (PCNL)":Lokhu kuwukuhlinzwa okukhulu kancane. Kwenziwa uma kukhona amatshe amakhulu kakhulu, noma uma izindlela ezifana ne-`ESWL` zingaphumeleli. Kulokhu, kwenziwa ukusika okuncane ngaphandle kwezinso, bese kufakwa ithuluzi kuyo ukuze kususwe itshe.
• Ukuhlinzwa kwe-Parathyroid gland: Ngezinye izikhathi, uma imbangela yamatshe ezinso iyi-hyperparathyroidism, kungase kudingeke ukuhlinzwa ukuze kulungiswe inkinga ngezindlala ze-parathyroid.

Khumbula, udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okukulungele, ngakho-ke kubalulekile ukulandela imiyalelo yakhe.

Ungakwazi yini ukuvimbela ukwakheka kwamatshe ezinso futhi? Zama lezi zinto

Uma usunetshe lezinso, cishe uzophinde ulithole. Kodwa izindaba ezinhle ukuthi ukwenza izinguquko ezincane endleleni yakho yokuphila kanye nemikhuba yakho yokudla kunganciphisa kakhulu le ngozi.

• Amanzi ayinkosi!
• Phuza okungenani amalitha angu-2.5 - 3 amanzi ngosuku. Phuza kakhulu ngezinsuku ezishisayo nalapho uzivocavoca.
• Umgomo uwukuphuza amanzi kuze kube yilapho umchamo wakho uphuzi kancane noma ungenambala .
• Qaphela ukudla kwakho: (Lokhu kungahluka kuye ngohlobo lwetshe olisebenzisayo. Ngakho-ke, kungcono ukubonana nodokotela noma isazi sokudla okunempilo.)
• Nciphisa i-Sodium: Nciphisa inani likasawoti owufaka ekudleni kwakho. Ukudla okucutshunguliwe njengokudla okusemathinini, ama-noodle asheshayo, amasosi, kanye namasosishi kugcwele usawoti.
• Nciphisa Amaprotheni Ezilwane: Nciphisa ukudla kwakho inyama ebomvu, izinkukhu namaqanda. Kunalokho, zama ukuthola amaprotheni akho emifinweni, izithelo, namantongomane.
• Qaphela ukudla okune-oxalate eningi: Uma unamatshe e-calcium oxalate, nciphisa ukudla okune-oxalate eningi, njengesipinashi, i-beetroot, amantongomane, itiye, noshokoledi. Kodwa ungayeki ngokuphelele ukudla ukudla okune-calcium eningi (ubisi, iyogathi, ushizi). Ngoba uma ukudla kwakho kungenayo i-calcium eningi, ungamunca i-oxalate eningi. Funa iseluleko sezokwelapha ngalokhu.
• Nciphisa iziphuzo ezinoshukela kanye nokudla okunoshukela omningi kanye ne-fructose.
• Gcina isisindo esinempilo.
• Imithi kuphela uma inqunywe udokotela: Kwabanye abantu, udokotela angase anikeze imithi efana ne-thiazide diuretics kanye ne-allopurinol ukuvimbela ukwakheka kwamatshe futhi.

Umlayezo Wokuya Nawe Ekhaya

Amatshe ezinso angaba yinto ebuhlungu, kodwa ungesabi.

• Amatshe ezinso ayisifo esingelapheka.
• Uma ubona izimpawu, ikakhulukazi ubuhlungu obukhulu noma igazi emchameni wakho , bona udokotela ngokushesha.
• Ukuphuza amanzi amaningi kuyindlela elula nengcono kakhulu yokuvimbela ukwakheka kwamatshe.
• Landela imiyalelo kadokotela wakho ngokucophelela. Landela imiyalelo enikeziwe yokwelashwa nokuvimbela amatshe ukuthi angaphinde akheke.
• Ungathembeli ekuqageleni. Uma unenkinga, khuluma nodokotela ngayo bese uthola ulwazi olunembile kanye nokwelashwa.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

Amatshe Ezinso , Ubuhlungu Bezinso, Amatshe Omchamo, I-Renal Colic, I-Hematuria, Ukwelashwa Kwamatshe Ezinso