Ingabe nawe uzwa ubuhlungu besisu obungabekezeleleki? Kungaba yi-renal colic!

Wake wabhekana nobuhlungu obungazelelwe, obungabekezeleleki ohlangothini lwesisu sakho, ikakhulukazi ngaphansi kwezimbambo zakho? Lobuhlungu ngezinye izikhathi bungasakazekela emhlane wakho, embotsheni, noma esiswini esingezansi. Bungabuye buhambisane nokucanuzela kwenhliziyo nokuhlanza. Abantu abaningi babhekene nalesi simo. Ngokwezokwelapha sikubiza ngokuthi i-renal colic. Ungesabi igama, lokhu kuvame ukuba ubuhlungu obukhulu obubangelwa amatshe ezinso. Namuhla, sizokhuluma ngalokhu ngokuningiliziwe nangokulula kakhulu.

Kuyini i-Renal Colic?

Kalula nje, i-renal colic ubuhlungu obukhulu obuvela lapho itshe libhajwa ohlelweni lwakho lomchamo, njengezinso zakho, ama-ureter (amapayipi athwala umchamo usuka ezinso zakho uye kwesinye), noma esinyeni. Kodwa-ke, ngezinye izikhathi lolu hlobo lobuhlungu lungabangelwa ezinye izizathu, njengokutheleleka komgudu womchamo, ukuqaqamba, noma ukuqina.

Uyazi ukuthi la matshe akheka kanjani? Amanye amaminerali noma ezinye izinto ekudleni esikudlayo ziqoqana emizimbeni yethu futhi zinamathele ndawonye ukuze zakhe la matshe, okungukuthi, amakristalu. La matshe angakheka noma kuphi ohlelweni lwakho lomchamo. Uma akheka ezinso, siwabiza ngamatshe ezinso , uma akheka esinyeni, siwabiza ngamatshe esinyeni , futhi uma akheka endleleni yomchamo, siwabiza ngamatshe ase-ureteral . Ubuhlungu buyahlukahluka kuye ngobukhulu betshe nendawo elikuyo. Amanye amatshe mancane kakhulu, alingana nohlamvu lwesihlabathi. Kodwa amanye amatshe angaba makhulu njengebhola legolfu! Cabanga ukuthi kungaba buhlungu kanjani uma into efana naleyo ingena ngaphakathi.

Ivame kangakanani i-renal colic?

Lokhu empeleni akuyona into engavamile njengoba ungase ucabange. Izibalo zibonisa ukuthi phakathi kuka-5% no-15% wabantu emhlabeni bazobhekana ne-renal colic ngesikhathi esithile empilweni yabo. Lokhu kusho ukuthi abantu abaningi ezweni lethu kumele ukuthi bahlushwa yilobu buhlungu.

Ingabe i-renal colic ingenzeka ngaphandle kwamatshe?

Yebo, kungenzeka. Ngezinye izikhathi, lolu hlobo lobuhlungu lungabangelwa ukufinyela okusheshayo nokunamandla kwemisipha ese-urethra noma esinyeni. Lapho le misipha ifinyela, kuzwakala sengathi ubuhlungu obuvuthayo noma obusontekile. Lesi simo singavela noma singenawo amatshe omchamo.

Ziyini izimpawu ze-renal colic?

Ngokuvamile, uphawu oluyinhloko ubuhlungu obungabekezeleleki ohlangothini lwesisu, phakathi kwezimbambo ezingezansi kanye nethambo lesinqe (ubuhlungu be-flank) . Lobuhlungu bungafika ngamagagasi, okusho ukuthi abuqhubeki, futhi buyafika budlule. Lobuhlungu ngezinye izikhathi bungasakazekela emhlane, embotsheni, noma esiswini esingezansi. Abantu abaningi baphinde babe nesicanucanu nokuhlanza kanye nalobu buhlungu.

Ngaphezu kwalezi zimpawu eziyinhloko, ezinye izimpawu eziningana zingabonakala kanye ne-renal colic:

• Ukuzwa ubuhlungu (njengokulunywa, ukusha) lapho uchama.
• Igazi emchameni (umchamo ungase ubonakale ubomvu noma upinki).
• Umchamo ubonakala umnyama ngombala.
• Izinguquko emchameni: Isibonelo, umchamo onephunga elibi, ukuchama cishe noma kancane kunokuvamile, noma isidingo sokuchama ngokuzumayo.
• Ukuvela kwamakristalu emchameni.
• Imfiva.
• Ukugodola.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, kufanele nakanjani ubone udokotela.

Ziyini izimbangela ze-renal colic?

Imbangela eyinhloko amatshe omchamo. Uma la matshe ebhajwa emgudwini womchamo, avimba ukugeleza komchamo. Lokhu kungandisa ingcindezi futhi kubangele ukuvuvukala kuleyo ndawo. Lena imbangela eyinhloko yobuhlungu.

Kunezizathu eziningana zokuthi kungani kwakheka amatshe ohlelweni lomchamo:

• Ukuphelelwa amanzi emzimbeni: Lena yimbangela evame kakhulu. Uma uphuza amanzi amancane, umchamo wakho uba mkhulu, okwandisa ingozi yokwakheka kwamatshe.
• Ukwanda kwe-calcium emchameni: Abanye abantu bakhipha i-calcium eningi emchameni kuye ngohlobo lomzimba wabo.
• Ukudla okuneprotheyini eningi: Kukhona ingozi yokwakheka kwamatshe, ikakhulukazi uma udla iphrotheyini eningi yezilwane.
• Imithi ethile: Eminye imithi ingabangela ukwakheka kwamatshe njengomphumela ongemuhle uma isetshenziswa isikhathi eside.
• Izimo ezithile zesistimu yokugaya ukudla: Isibonelo, abantu abanezifo ezifana ne-Ulcerative Colitis noma isifo sikaCrohn banamathuba amaningi okuthola amatshe.
• I-Hyperparathyroidism: Lesi yisimo lapho izindlala ze-parathyroid zisebenza ngokweqile.

Ngaphezu kwalezi zimbangela, ezinye izici zingabangela i-renal colic. Uma kutholakala ukuthi ubuhlungu bakho abubangelwa amatshe, udokotela wakho angakudlulisela kudokotela wezifo zomchamo ukuze ahlolwe kabanzi.

I-renal colic ihlolwa kanjani?

Uma ubona udokotela, uzokuxilonga futhi akubuze ngezimpawu zakho kanye nomlando wezokwelapha, njengokuthi ngabe kukhona yini emndenini wakho oke waba nezimo ezifanayo ngaphambili. Ukuhlolwa okulandelayo kuvame ukwenziwa ukuqinisekisa ukutholakala kwe-renal colic:

• I-CT scan (i-Computed Tomography scan) yesistimu yomchamo. Lokhu kungenziwa noma kungenziwa ngoketshezi olukhethekile (umehluko) olunikeziwe.
• I-ultrasound yezinso .
• Ukuhlolwa kwe-X-ray yesisu .
• Ukuskena kwezinso . Lokhu kungahlola ukuthi izinso zisebenza kanjani.

Lezi zivivinyo zingaveza imininingwane eminingi, njengokuthi amatshe akhona yini, ukuthi akuphi, nokuthi makhulu kangakanani.

Yimuphi umuthi wokuqeda izinhlungu ongcono kakhulu wamatshe ezinso?

Uma ubuhlungu buncane, ungathola impumuzo emithini yobuhlungu evamile efana ne-acetaminophen, i-ibuprofen, noma i-naproxen sodium. Kodwa-ke, uma ubuhlungu bukhulu, udokotela wakho angase akunike imithi yobuhlungu enamandla. Ngezinye izikhathi, uma ubuhlungu bubangelwa ukuqaqamba komchamo, udokotela wakho angase akunike imithi yokuphumula imisipha.

Iphathwa kanjani i-renal colic?

Ukwelashwa kwalokhu kuncike ohlotsheni lwetshe onalo. Kunezinhlobo eziningana zamatshe omchamo:

• Amatshe e-calcium: Lawa akhiwe nge-calcium oxalate noma i-calcium phosphate. Lolu uhlobo oluvame kakhulu.
• Amatshe e-uric acid: Akhiwe ngenxa yokwanda kokuhlushwa kwe-uric acid.
• Amatshe e-Struvite: Lawa akhiwe nge-mineral ebizwa ngokuthi i-struvite. Angakheka ngokutheleleka komgudu womchamo.
• Amatshe e-Cystine: Lawa akhiwa ngekhemikhali ebizwa ngokuthi i-cystine. Lokhu kubangelwa yisimo esingavamile esibizwa ngokuthi i-cystinuria.

Futhi, ubukhulu betshe buthinta nesinqumo sokwelashwa.

Ukwelashwa kwamatshe amancane

Uma unetshe elincane, lingadlula emchameni wakho. Lokhu kuzokusiza uphuze amanzi amaningi. Udokotela wakho uzokunikeza imithi yobuhlungu. Ngezinye izikhathi, uzotshelwa ukuthi uchame nge-strainer. Uma uthola noma yiziphi izingcezu zetshe, zingathunyelwa elabhorethri ukuze kutholakale ukuthi luhlobo luni lwetshe.

Ukwelashwa kwamatshe amakhulu

Uma amatshe amakhulu, mancane amathuba okuthi adlule emchameni. Ezimweni ezinjalo, udokotela angase ancome inqubo ekhethekile yokususa la matshe. Ezinye izibonelo yilezi:

• I-Shock wave lithotripsy: Lokhu kuhilela ukuthumela amaza okushaqeka anamandla aphezulu avela ngaphandle komzimba aye etsheni, aliqhekeze abe yizicucu ezincane. Izicucu ezincane zibe seziphuma kalula emchameni.
• I-Ureteroscopy: Kule nqubo, udokotela ohlinzayo ufaka ishubhu elincane, elikhanyayo, nelifakwe ikhamera (ureteroscope) nge-urethra yakho. Lokhu kungasetshenziswa ukuthola itshe bese ulisusa, noma ukuliphula libe yizicucu ezincane bese ulisusa.
• I-Percutaneous nephrolithotomy: Lokhu kwenziwa ukuze kususwe amatshe amakhulu ezinso. Kulokhu, kwenziwa i-incision encane emhlane bese kufakwa ithuluzi ngayo ukuze kufinyelelwe ezinso bese kususwa itshe. Le ndlela ivame ukusetshenziswa ematsheni amakhulu.
• Ukubekwa kwe-stent yomgudu womchamo: Kwezinye izimo, udokotela uzofaka i-stent (ithubhu elincane) ngaphakathi kwe-urethra. Lokhu kusiza ukunciphisa ukuvaleka kwendlela yomchamo futhi kusize itshe lidlule kalula.

Ngezinye izikhathi, kungadingeka ukuhlinzwa okungaphezu kokukodwa ukuze kususwe itshe ngokuphelele.

Ingabe i-renal colic ingavinjelwa?

Yebo, kungenzeka ngezinga elikhulu. Ukuze unciphise ingozi ye-renal colic, udinga ukunciphisa ingozi yokuthola amatshe ezinso. Nazi ezinye izeluleko ezilula zokusiza:

• Phuza amanzi amaningi. Zama ukuphuza okungenani amalitha angu-2-3 amanzi ngosuku. Lokhu kubaluleke kakhulu esimweni sezulu esishisayo njengesethu. Nciphisa ukudla kwakho ama-soda amnyama.
• Nciphisa usawoti ekudleni kwakho. Ungadli ngaphezu kwamagremu amabili (2000 milligrams) kasawoti ngosuku. Lokho kungaphansi kwethisipuni.
• Nciphisa amaprotheni ezilwane. Nciphisa amaprotheni ezilwane, njengenyama yenkomo, inkukhu, ingulube, nenhlanzi, kube yisilinganiso sesundu ngosuku.
• Nciphisa ukudla okune-oxalate eningi. Izinto ezifana nesipinashi namantongomane zino-oxalate eningi. Kungcono ukunciphisa ukudla kwakho lokhu.
• Ungayisusi i-calcium ekudleni kwakho. Abantu abaningi bacabanga ukuthi ukudla okune-calcium eningi kufanele kuncishiswe ngoba kubangela amatshe e-calcium. Kodwa lokho akulungile. Kubalulekile ukuthola i-calcium oyidingayo emzimbeni wakho ekudleni (isib. ushizi, ubisi, iyogathi, amalentili, imifino eluhlaza).

Uma uke waba namatshe ezinso esikhathini esidlule, udokotela wakho angase akunike imithi efana ne-potassium citrate noma i-thiazide diuretics. Le mithi inganciphisa ingozi yokwakheka kwamatshe futhi.

Yini ongayilindela uma une-renal colic?

Uma ucabanga ukuthi une-renal colic, bona udokotela ngokushesha . Uzokwenza izivivinyo ukuze athole imbangela eqondile yobuhlungu bakho. Uzobe esencoma ukwelashwa okufanele ukuze kususwe itshe futhi kuncishiswe izimpawu zakho.

Ubuhlungu be-renal colic bungathatha isikhathi esingakanani?

Uma lobu buhlungu bufika ngamagagasi, bungahlala noma kuphi kusukela emizuzwini engama-20 kuya kwengama-60. Ezimweni ezimbi kakhulu, ubuhlungu bungahlala isikhathi eside nakakhulu. Uma unobuhlungu obungabekezeleleki obungapheli, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze nawe.

Ingabe ubuhlungu obubangelwa amatshe ezinso buzwakala njengokuqina kwemisipha?

Ngezinye izikhathi yebo. Ngemva kokuba itshe liphume ezinso zakho, ungase uzizwe ukuqina kwemisipha njengoba uhlelo lwakho lomchamo luzama ukulikhipha. Futhi, njengoba kushiwo ngaphambili, ungase uzwe ubuhlungu obukhulu, obuvela ngaphansi kwezimbambo zakho kuya ngaphezu kwenqulu yakho.

Ungamisa kanjani i-spasm ye-ureter?

Udokotela wakho angase akunike imithi efana ne-tolterodine ukulawula ukufinyela kwemisipha. Abanye abantu bathola nokuthi ukwenza izivivinyo ze-Kegel kanye nezinye izivivinyo zaphansi kwe-pelvic kungasiza ekunciphiseni lokhu kufinyela kwemisipha.

Kufanele ngimbone nini udokotela?

Uma unesihlungu esiqala ohlangothini lwesisu sakho bese sisakazekela embotsheni yakho, emhlane, noma esingezansi kwesisu, bona udokotela ngokushesha. Anganquma ukuthi ubuhlungu bubangelwa yi-renal colic noma enye imbangela. Ezimweni eziningi, udokotela wakho angakunikeza imithi engaqeda ngokushesha ubuhlungu obubangelwa amatshe ezinso.

Ingabe i-renal colic iyisimo esiphuthumayo?

Nakuba ubuhlungu be-renal colic buvame ukuba bukhulu, akuyona into ephuthumayo esongela ukuphila. Kodwa-ke, uma unegciwane kanye ne-renal colic, kuyisimo esiphuthumayo. Uma unezimpawu zokutheleleka, njengomkhuhlane, ukugodola, kanye nokugodola, shayela u-911 noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Lokhu kubaluleke kakhulu.

I-renal colic uhlobo oluthile lobuhlungu olubangelwa amatshe ezinso noma ezinye izifo zesimiso somchamo. Lokhu kungakhululeki kungasukela kokuncane kuya kokukhulu. Ngezinye izikhathi ubuhlungu bukhulu kangangokuthi akunakwenzeka ukwenza imisebenzi yansuku zonke.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake ngifingqe amanye amaphuzu abaluleke kakhulu esixoxe ngawo namuhla ukuze sikusize uwakhumbule:

• Uma uzwa ubuhlungu besisu obungazelelwe, obungabekezeleleki (ikakhulukazi obuqala kolunye uhlangothi busakazekele emhlane noma embotsheni) kanye nesicanucanu nokuhlanza, kungaba yi-renal colic. Ungesabi futhi funa iseluleko sezokwelapha.
• Imbangela eyinhloko amatshe omchamo, kodwa ngezinye izikhathi kungaba nezinye izimbangela.
• Ukuphuza amanzi amaningi kuyindlela engcono kakhulu yokuvimbela ukwakheka kwamatshe. Phuza okungenani amalitha angu-2-3 ngosuku.
• Nciphisa ukudla okunosawoti omningi, amaprotheni ezilwane, kanye nama-oxalates.
• Uma uzwa ubuhlungu , bonana nodokotela bese uthola ukwelashwa okufanele. Amatshe amancane angadluliselwa ngemithi namanzi. Kunezindlela ezikhethekile zokwelapha amatshe amakhulu.
• Uma izimpawu ezifana nomkhuhlane, ukubanda, nokuthuthumela kuhambisana nobuhlungu, kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha.
• Uma uke waba namatshe ngaphambili, landela imiyalelo kadokotela wakho ukuze uwavimbele ukuthi angaphinde akheke.

Ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kuyindlela engcono kakhulu yokuba ngcono. Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela wakho. Hlala uphilile!

I- Renal Colic, Amatshe Ezinso, Amatshe Omchamo, Ubuhlungu Besisu, Uhlelo Lomchamo, Ubuhlungu, Ukwelashwa