Wake waba nobuhlungu obungabekezeleleki, obukhubazayo obuqala ngokuzumayo ohlangothini olulodwa lomhlane wakho buhambe buze bufike esiswini sakho esingezansi? Abanye abantu baqhathanisa lobu buhlungu nobuhlungu bokubeletha. Uma unobuhlungu obukhulu kanje, futhi kunzima ukuchama , noma uma unegazi emchameni wakho, kungaba uphawu lokuthi itshe lezinso linamathele emchameni. Namuhla sikhuluma ngamatshe e-Ureteral, angamatshe ezinso anamathela emchameni. Ungakhathazeki, ake sichaze konke ngamagama alula.
Kalula nje, ayini amatshe e-ureteral?
Itshe le-ureteral empeleni liyitshe lezinso eliphuke lahlala epayipini elincane elithwala umchamo lisuka ezinso liye esinyeni. Leli payipi libizwa ngokuthi i-ureter. Sonke sinepayipi ezimbili ezinjalo zezinso zethu.
Cabanga ngakho njengezihlungi ezimbili emzimbeni wethu. Zihlanza igazi futhi zisuse imfucuza njengomchamo. Ngezinye izikhathi, amaminerali nosawoti emchameni wakho kungakha amatshe amancane, anamaqhubu. Yilokhu esikubiza ngokuthi amatshe ezinso noma i-calculi. Uma nje la matshe esezinso , angase angabangeli izinkinga. Kodwa uma ephuma futhi eqala ukuhamba ngepayipi elincane, inkinga iqala. Ipayipi lincane, ngakho itshe linamathela lapho. Bese ukugeleza komchamo kuvimbekile, ipayipi liyavuvukala, futhi yilokho okubangela ubuhlungu obungabekezeleleki.
La matshe angafika ngobukhulu obahlukahlukene. Amatshe amancane kakhulu, amancane kakhulu ukuba angabonakala ngeso lenyama, aphuma emzimbeni nomchamo ngaphandle kwezinkinga. Kodwa lapho itshe likhula, liyabhajwa emgudwini bese liqala ukubonisa izimpawu.
Khumbula, amatshe ezinso awavamile njengoba ungase ucabange. Umuntu oyedwa kwabayishumi emhlabeni angaba nalesi simo. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Yiziphi izinhlobo eziyinhloko zamatshe ezinso?
La matshe akheka emizimbeni yethu awafani. Kunezinhlobo eziningana eziyinhloko ezisekelwe kumakhemikhali abangela wona. Ukwazi ukuthi hlobo luni lwetshe onalo kungakusiza ukuthi uliphathe futhi ulivimbele ukuthi lingaphinde liphinde livele.
| Uhlobo Lwetshe | Kwakhiwe kanje: |
|---|---|
| Amatshe e-calcium | Lezi yizinhlobo ezivame kakhulu. Uma inani le-calcium emchameni landa, lihlangana ne -calcium oxalate noma i-calcium phosphate ukuze kwakhiwe la matshe. |
| Amatshe e-uric acid | Lolu hlobo lwetshe lungakheka uma une-uric acid eningi kakhulu emchameni wakho. Abantu abadla inyama ebomvu nenhlanzi eningi futhi abangaphuzi amanzi anele basengozini enkulu. |
| Amatshe e-Struvite | La matshe avame ukwakheka ngemva kokutheleleka ngomgudu womchamo (UTI) . Amabhaktheriya abangela ukutheleleka ashintsha ukwakheka kwamakhemikhali komchamo, okubangela ukuba kwakheke la matshe. |
| Amatshe e-cystine | Lokhu kuyinto engavamile. La matshe akheka ngenxa yesimo sofuzo esizuzwa njenge -Cystinuria, esibangela ukuthi i-amino acid cystine ivuze izinso iye emchameni. |
Yiziphi izimpawu zokubhajwa kwetshe?
Amatshe amancane amaningi adlula emzimbeni ngaphandle komsindo. Kodwa uma itshe likhulu ngokwanele ukuvimba umsele, uzoqala ukulizwa. Lezi zimpawu zingaqala ngokuzumayo.
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obubukhali obuqala ohlangothini olulodwa lomhlane, ngaphansi nje kwezimbambo. Lobuhlungu abuhlali njalo, kodwa buya futhi buphele (ngokwesikhashana). Lobuhlungu bungasakazekela esiswini esingezansi kanye nasesinqeni. |
| Ubuhlungu ngesikhathi sokuchama | Ukushisa noma ubuhlungu lapho uchama. |
| Izinguquko emchameni | Umchamo ungase ubonakale upinki, ubomvu, noma unsundu ngenxa yegazi elisemchameni. Umchamo ungase ubonakale unamafu. |
| Isidingo sokuphuza njalo | Ngisho noma isinyi singagcwele, kunomuzwa ovamile wokudinga ukuchama. Kodwa-ke, uma uchama, kuphuma inani elincane kakhulu. |
| Ukuhlanza kanye nesicanucanu | Isicanucanu nokuhlanza kungase kwenzeke kanye nobuhlungu obukhulu. |
| Umkhuhlane kanye nokubanda | Uma ukutheleleka komgudu womchamo kwenzeka kanye netshe, izimpawu ezifana nomkhuhlane, ukubanda, nokuthuthumela nazo zingase zivele. |
Izimbangela kanye nezici eziyingozi zokwakheka kwamatshe
Isizathu esilula ukuthi kunamakhemikhali akha amatshe amaningi (amakristalu) emchameni wakho kunamanzi. Uma siphuza amanzi anele, la makhemikhali ayancibilika futhi akhishwe emchameni. Kodwa uma siphuza amanzi amancane, umchamo uba mkhulu futhi lezi zinto ziqala ukuhlangana ndawonye futhi zakhe amatshe.
Nakuba noma ubani engakha amatshe, abanye abantu basengozini enkulu kancane.
- Kwabesilisa: Nakuba abesifazane nezingane nabo bengakha amatshe, amadoda anamathuba amaningi okwakha amatshe.
- Abantu abaneminyaka ephakathi kuka-40 no-60 ubudala: Abantu abakuleli qembu leminyaka basengozini enkulu.
- Ukuba nomlando wokwakheka kwamatshe ngaphambilini: Uma uke waba namatshe ngaphambili, kungenzeka ukuthi uzophinde uwathole.
- Umlando womndeni : Uma othile emndenini wakho (umama, ubaba, izingane zakini) eke waba namatshe enyongo, nawe usengozini.
- Ukungaphuzi amanzi anele: Abantu abasebenza kanzima noma abavocavoca umzimba basengozini enkulu uma bengaphuzi amanzi anele.
- Izimo ezithile zezokwelapha: Isifo sikashukela sohlobo lwesibili , ukukhuluphala ngokweqile (i-BMI engaphezu kuka-30), izifo zamathumbu ezivuvukalayo njengesifo sikaCrohn noma i-ulcerative colitis, kanye nesifo sezinso se -polycystic kungandisa ingozi yokwakheka kwamatshe.
Ukuthola kanjani lokhu, Dokotela?
Uma unezimpawu ezishiwo ngenhla, kufanele ubonane nodokotela ngokushesha okukhulu. Uzokubuza ngezimpawu zakho kanye nomlando womndeni wakho. Ngemuva kwalokho, bazoyala ukuhlolwa okuthile ukuqinisekisa ukuthi ngabe yitshe lezinso.
- Ukuhlolwa komchamo: Lokhu kuhlola umchamo wakho ukuze kutholakale izimpawu zokutheleleka, igazi, kanye namaminerali angabangela amatshe. Ukuhlolwa komchamo nakho kungenziwa uma kusolwa ukuthi kukhona ukutheleleka.
- Ukuhlolwa kwegazi: Lokhu kungathola ukuthi izinso zakho zisebenza kanjani, ukuthi unesifo yini, nokuthi ngabe zikhona yini ezinye izinkinga ezingaba nomthelela ekwakhekeni kwamatshe.
- Ukuskena:
- Ukuskena nge-ultrasound: Kusebenzisa amaza omsindo ukuhlola ukuvaleka kwendlela yomchamo.
- I-X-ray: Ezinye izinhlobo zamatshe zingabonakala ngokuhlolwa kwe-X-ray.
- Ukuskena kwe-CT (i-Computed Tomography - i-CT scan): Lolu vivinyo olunembe kakhulu oluvame ukwenziwa. Lunganquma ngokunembile usayizi, indawo, kanye nobunzima betshe. Lolu lwazi lubaluleke kakhulu ekuhleleni ukwelashwa.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ngobukhulu betshe, indawo elikuyo, kanye nezinto ezenziwe ngalo. Udokotela wakho uzocabangela zonke lezi zici futhi ancome ukwelashwa okungcono kakhulu kuwe.
Kwamatshe amancane
Uma itshe lincane kune-4-5 millimeters, cishe lizophuma emzimbeni wakho nomchamo. Lokhu kungathatha isonto elilodwa kuya kwamabili. Phakathi nalesi sikhathi:
- Ama-Painkiller: Udokotela unikeza imithi yokulawula ubuhlungu obukhulu.
- Umuthi wokuhlanza: Uma kukhona isicanucanu nokuhlanza, kuzonikezwa umuthi walokho futhi.
- Imithi yokusiza amatshe ukuba adlule (Medical Expulsive Therapy - MET): Imithi efana ne-"alpha-blockers" inganikezwa ukuze kuphumule imisipha e-urethra futhi kusize itshe ukuba lidlule kalula.
Phakathi nalesi sikhathi, uzotshelwa ukuthi uphuze okungenani amalitha amathathu amanzi ngosuku . Lokhu kuzokhipha umchamo futhi kusize itshe lidlule ngokushesha.
Kwamatshe amakhulu noma ukuvinjelwa
Uma itshe likhulu, libangela ubuhlungu obukhulu, noma livimba ngokuphelele ukugeleza komchamo, udokotela wakho (ngokuvamile udokotela wezifo zomchamo) angaphakamisa enye yalezi zindlela zokwelapha ezilandelayo:
| Indlela yokwelapha | Kuchazwe kalula |
|---|---|
| I-Shock wave lithotripsy | Amagagasi okushaqeka anamandla aphezulu aqondiswa ngaphandle komzimba ukuze aphule amatshe. Izingcezu ezincane zibe seziphuma kalula emchameni. |
| Ureteroscopy (ukususwa kwamatshe ngepayipi) | Ipayipi elincane, elide, eliguquguqukayo elinekhamera enamathiselwe lifakwa nge-urethra, bese itshe lifinyelelwa, libanjwe, bese lisuswa. Uma itshe likhulu, kusetshenziswa umsebe we-laser ukuliqhekeza nokususa izingcezu. |
| Ukususwa kwetshe ngenxeba elincane esikhumbeni (i-Percutaneous nephrolithotomy) | Lokhu kwenziwa ngamatshe amakhulu kakhulu. Kwenziwa ukusika okuncane ngemuva, lapho kufakwa khona ithuluzi ngqo ezinso ukuze kutholakale futhi kususwe itshe. |
| Ama-stents e-Ureteral | Lesi yisisombululo sesikhashana. Kufakwa ipayipi elincane e-urethra ukusiza umchamo udlule lapho kuvimbeke khona amatshe. Lokhu kuwusizo kakhulu ezimweni eziphuthumayo. |
Ingabe amatshe angavinjelwa ukuthi aphinde akheke?
Yebo, kungenzeka ngempela! Uma umuntu esenetshe, cishe uzophinde alithole. Yingakho kubalulekile ukwenza izinguquko ezincane endleleni yakho yokuphila kanye nemikhuba yakho yokudla.
- Amanzi, amanzi, amanzi engeziwe! Into engcono kakhulu ongayenza ukuphuza amanzi amaningi. Phuza okungenani amalitha amathathu oketshezi ngosuku. Amanzi angcono kakhulu. Izinto ezifana nejusi likalamula kanye nejusi lewolintshi nazo zinhle. Indlela engcono kakhulu yokwazi ukuthi uphuza amanzi anele yini ukuhlola umbala womchamo wakho. Uma uphuzi kancane, uphuza amanzi anele.
- Nciphisa amaprotheni ezilwane: Ukudla amaprotheni ezilwane amaningi njengenyama ebomvu, inhlanzi, namaqanda kungakhuphula amazinga e-uric acid futhi kuholele ekwakhekeni kwamatshe. Esikhundleni salokho, engeza amaprotheni asekelwe ezitshalweni njenge-lentile, ama-chickpeas, ubhontshisi oluhlaza kanye ne-soy ekudleni kwakho.
- Lawula usawoti: Nciphisa inani likasawoti olidlayo ngosuku. Esikhundleni sikasawoti, engeza ilayisi, upelepele, nezinongo ekudleni kwakho ukuze uthuthukise ukunambitheka kwako.
- Nciphisa ukudla okune-oxalate eningi: Ukudla okufana nesipinashi, amakinati, ama-cashew, amazambane, kanye nama-beet kuqukethe i-oxalate eningi. Akudingeki ukuthi ukugweme ngokuphelele lokhu, kodwa kungcono ukunciphisa ukudla kwakho. Ukudla lokhu nokudla okune-calcium eningi (ubisi, iyogathi) kungasiza ekunciphiseni ingozi yokwakheka kwamatshe.
Udokotela wakho angakunika isihluzo esikhethekile sokuqoqa amatshe aphumayo. Uzobe esehlola amatshe futhi, kuye ngohlobo lwawo, akunike imiyalelo ethile yokuvimbela amatshe azayo.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu obubangelwa itshe lezinso bukhulu kakhulu. Uma unezimpawu ezifana nobuhlungu obukhulu obungazelelwe emhlane/emlenzeni, igazi emchameni wakho, bona udokotela ngokushesha. Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Indlela engcono kakhulu nelula yokuvimbela ukwakheka kwamatshe ukuphuza amanzi anele nsuku zonke.
- Amatshe amancane avame ukudlulela ngokwawo kanye nemithi futhi aphuze amanzi amaningi. Manje kunezindlela zokwelapha ezisebenza kahle kakhulu neziphephile zamatshe amakhulu.
- Ngokushintsha indlela odla ngayo nendlela ophila ngayo, unganciphisa kakhulu ingozi yokuphinda uthole amatshe esikhathini esizayo.
- Nakuba lesi simo sicasula futhi sibuhlungu, singelapheka ngokuphelele ngokwelashwa okufanele. Ngakho-ke ungesabi futhi ulandele imiyalelo kadokotela wakho.
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