Urolithiasis: Cov tsos mob thiab kev kho mob nyob rau hauv cov txiv neej. Cov tsos mob thiab tus mob ntawm tus kab mob

Urolithiasis (IBC) - ib tug pathology, uas yog ib txwm nrog mob. Laus tsis xis nyob rau hauv lub qis rov qab feem ntau. Tab sis, yog hais tias lub pob zeb txav mus rau tawm, qhov mob yuav muaj thoob plaws hauv lub plab mog. Tej tsos mob feem ntau ntaub ntawv lub hauv paus ntawm ib tug tsis yog mob thiab ua rau yus ib nyaj tus neeg mob muaj mob hnyuv tws los yog ib lub rwj. Yog li ntawd, cia peb saib tus mob "urolithiasis" Cov tsos mob thiab kev kho mob nyob rau hauv cov txiv neej.

Yuav ua li cas yog lub hauv paus ntawm tus kab mob?

Tus mob yog ntau npaum li cas ntau nyob rau hauv lub muaj zog nrog txiv neej pw dua cov poj niam. Txheeb cais muab cov nram qab cov nuj nqis. Tus txiv neej yog peb lub sij hawm ntau yuav tau kuaj urolithiasis.

Cov ua ntawm tus kab mob, cov kws kho mob yog muab faib ua ob pawg: sab nraud thiab sab hauv yam. Cia peb kawm lawv.

Sab nraud yam uas ua rau cov tsim ntawm lub pob zeb:

1. Kev nyab xeeb nta. Qhuav cua feem ntau ua rau lub cev qhuav dej.
2. Av qauv. Nws muaj feem xyuam rau cov ntsha cov ntsiab lus ntawm cov khoom.
3. Dej. Thaum raum pob zeb kab mob no yuav ua ib qhov chaw dhau heev lawm ntsev nyob rau hauv cov kua kom tsawg. Qhov no ua tau ib siab concentration nyob rau hauv lawv cov zis. Nyob rau hauv tas li ntawd, lub pob zeb tsim muaj feem xyuam rau lub acidity ntawm cov dej.
4. Kuv niaj hnub niaj hnub ua. Lub cev inactivity txhawb rau pathology.
5. Tsis muaj kua. Ib tug me me ntawm dej noj tsub kom kev pheej hmoo ntawm kab mob loj.
6. Noj cov zaub mov. Pob zeb tsim muaj txhawb rau ntau tau ntawm nqaij, thiab khoom noj khoom haus, muaj ib tug plurality ntawm purine bases (spinach, taum mog).

Qhov no tsis yog tsuas qhov chaw ntawm influencing txoj kev loj hlob ntawm tej kab mob raws li urolithiasis. Yog vim li cas yuav ua tau vim internal yam:

1. Cov kab mob ntawm cov mob txeeb zig: urethritis, cystitis, pyelonephritis, prostatitis.
2. Pathologies ntawm cov hnyuv: tsib lub pob zeb, pancreatitis, kab mob siab, mob plab.
3. Kab mob ntawm lwm yam kabmob: osteomyelitis, abrasions, mob caj pas.
4. Txawv txav kev loj hlob ntawm lub zais zis, mob raum, ureter.

symptomatology ntawm tus kab mob

Tsis muaj ib yam kev soj ntsuam ces nyob rau hauv thawj zaug rau theem no yog tsis urolithiasis. Cov tsos mob thiab kev kho mob ntawm cov txiv neej feem ntau nyob rau hauv lub sij hawm no tsis muaj. Pathology tej zaum yuav qhia tau hais tias kev tshawb nrhiav lwm yam kab mob.

Yam ntxwv cov tsos mob ntawm urolithiasis tshwm sim nyob rau hauv tus neeg mob nyob rau hauv mus pob zeb. Cov yooj yim tshaj plaws cov tsos mob loj heev, cia li pib mob. Xws li ib tug lub xeev yog yus li hlaus Colic.

Nws twb tsiag ntawv los ntawm cov nram qab no nta:

1. Paroxysmal mob heev, uas tseg yuav aggravated.
2. Tej zaum yuav muaj ib tug sawv nyob rau hauv kub.
3. Mob tsis xis nyob zoo nkaus li mam li nco dheev, feem ntau thaum lub sij hawm ib tug tuav zog los yog tom qab ib tug loj tus naj npawb ntawm cov tau txais dej, haus dej haus cawv. Hloov txoj hauj lwm ntawm lub cev tsis tshem tawm qhov mob.
4. Cov tsis xis nyob yuav kis tau mus rau lub lumbar cheeb tsam, sab mob plab cheeb tsam, puab tais.

cov tsos mob nta

Localization ntawm kev mob thiab nws tau los mus txiav txim rau qhov xwm ntawm qhov chaw uas lub pob zeb no, yog hais tias tus neeg mob thiaj paub tias yog urolithiasis. Cov tsos mob thiab kev kho mob ntawm cov txiv neej yog lig nyob rau ntawm lawv qhov chaw nyob:

1. Cov tsis xis nyob los nyob rau hauv lub lumbar cheeb tsam (nyob rau hauv lub cheeb tsam ntawm ib tug ntug-vertebral lub) uas kis tau mus rau lub puab tais, yus muaj los ntawm localization ntawm raum pob zeb thiab lawv lub zog raws ureter. Thaum tus kab mob no feem ntau yog cov ntshav zoo nkaus li nyob rau hauv cov zis.
2. Yog hais tias mob yog feeb meej nyob rau sab ntawm lub lumbar cheeb tsam thiab ncua mus rau puab tais, ces lub pob zeb yog high school. Mob tsis xis nyob yog cov kev tshwm sim ntawm kev ncab lub raum capsule.
3. Tsiv pob zeb yog yeej ib txwm mob. BAL radiates, feem ntau yog nyob rau hauv pem hauv ntej ntawm tus ncej puab thiab scrotum.
4. Mob txawv taub hau. Tej zaum tus neeg mob muaj lub sij hawm ntawm nyem yog hloov aggravation. Tej tsos mob raug rau lub localization ntawm lub pob zeb nyob rau hauv lub zais zis.

thiab lwm yam nta tau cai tas li ntawd mus rau saum toj soj ntsuam ces:

• dysuria;
• deterioration ntawm tus neeg mob;
• kub taub hau;
• hematuria;
• xeev siab, ntuav;
• O urinary tuav raws li ib tug tshwm sim ntawm occlusion zais zis caj dab.

mob ntawm tus kab mob no

Yuav kom paub meej tias qhov mob ntawm "raum pob zeb kab mob 'kev kho mob yav dhau los ntawm tus neeg mob los ntawm tus kws kho mob soj ntsuam zoo zoo heev. Cov kws kho mob xav nyob rau hauv lub dhau los lawm nqa tawm cov kev kho mob, nws cov hauj lwm zoo. Tej kev ntsuas ua tau kom raug cob rau kom tsim nyog kho mob.

Mob yog ib tug ntawm cov nram qab no ntaub ntawv:

1. Lub xub ntiag ntawm tus yam ntxwv cov tsos mob ntawm tus neeg mob. Tej lub sij hawm yuav tshwm sim ntse mob nyob rau hauv lub lumbar cheeb tsam, plab los yog puab tais. Uas ua tsis tiav muab nchuav ntawm lub zais zis. Hlawv nov ntawm nqaij tawv thaum tso zis nyob rau hauv lub qhov zis.
2. Cov kev soj ntsuam. Tus kws kho mob pom tau tias hauv lub plab, ua peritoneum cais inflammatory pathologies, xws li pancreatitis, cholecystitis, hnyuv tws. Tapping lub lumbar cheeb tsam thiab lub plab mog ua rau nws tau yuav qha cov pathology ntawm lumbago, sciatica, pyelonephritis. Ib sab nraud kev soj ntsuam ntawm tus neeg mob tej zaum yuav tuab ntau cov kab mob ntawm urinary system. Nws yuav siv sij hawm mus rau hauv tus account tus neeg mob lub hwj tau lub cev, daim tawv nqaij xim, muaj cov edema.
3. Yam ntxwv ntawm lub pathology tsis urinalysis. Raws li ib tug txoj cai, nce ceev yog kuaj. Nyob rau hauv cov zis yog unchanged erythrocytes. Ascertain ib siab concentration ntawm ntsev. Tej kev ntsuas ntawm urinalysis yog tsiag ntawv los ntawm xub ntiag ntawm tus neeg mob lub raum pob zeb.
4. Cov ultrasound. Lub daim ntawv ntsuam xyuas kom meej txog cov mob thiab muab ib lub tswv yim ntawm qhov luaj li cas, zoo thiab qhov chaw ntawm lub pob zeb.
5. CT tau. Lub daim ntawv ntsuam xyuas yog siv yog tias ultrasound tsis muab ib tug tag nrho cov hauj lwm ntawm pathology.
6. Tau ntawm x-ray zoo xeem. Qhov no txoj kev tso cai rau koj mus kawm nyob rau hauv kom meej lub flow ntawm cov zis. Diagnostics qhia, nyob qhov twg muaj ib tug txhaws ntawm lub ducts.

ntau ntau yam ntawm lub pob zeb

Nws yog ib qho tseem ceeb heev tsis tsuas mus rau paub pathologies li urolithiasis. Cov tsos mob thiab kev kho mob ntawm cov txiv neej yog lig nyob rau ntawm lub ntau yam ntawm pob zeb. Uas yog vim li cas nws yog advisable tsis mus rau chaw uasi rau tsoos tshuaj thiab haj yam tso siab lawv noj qab haus huv tej tub txawg.

Peev xwm yuav tsim nram qab no lub pob zeb nyob rau hauv urolithiasis:

1. Oxalate. Tej lub pob zeb raug tsim ntawm calcium ntsev ntawm oxalic acid. Lawv tsiag ntawv los ntawm kev kub ceev, muaj pos nto. Chiv, cov xim dub thiab grey. Yog hais tias lub pob zeb raug mob lub mucosa, vim muaj ib tug ntshav xim nws tiav niam txiv dub los yog tsaus xim av.
2. Phosphate. Lawv muaj ib tug calcium ntsev ntawm phosphoric acid. Feem ntau, lub pob zeb yog tus los yog ib nyuag ntxhib. Nws yuav siv ib tug ntau yam ntawm cov ntaub ntawv. Lub taub hau ntawm mos pob zeb. Nws yog yus muaj los ntawm lub teeb grey los yog dawb. Lub pob zeb no muaj ib tug ib txwm mus ceev ceev txoj kev loj hlob. Nws yog ib qho yooj yim phua li.
3. Urate. Lawv tsim uric acid los yog nws cov ntsev. Lub pob zeb uas txawv thwv cib xim daj xim. Lawv muaj ib tug du nto, tab sis ruaj taub hau. Crushing tau siv cov tshuaj.
4. Carbonate. Lawv muaj ib tug calcium ntsev ntawm carbonic acid. Lub taub hau ntawm lub pob zeb mos, tab sis ib daim ntawv ntawm - ntau haiv neeg. Concrement muaj ib tug du nto thiab muaj ib tug dawb xim.
5. Cystine. Lawv cov ntaub ntawv leej faj compound cysteine amino acids. Lub pob zeb puag ncig, yellowish-dawb xim. Raws li ib tug txoj cai, lawv muaj ib tug du nto, ib tug mos mos taub hau.
6. Protein. Lawv tsim ntawm fibrin txhawb admixture nrog cov kab mob thiab ntsev. Lub pob zeb dawb, me me, mos mos thiab tiaj tus.
7. Cholesterol. Yog tsis tshua muaj heev nyob rau hauv lub raum. Tsim roj uas txhaws taus, muaj ib tug mos mos ntxhib los mos, txawv dub. Cov concretions yog txaus ntshai vim hais tias lawv tau yooj yim crumble.

kev kho mob ntawm tus kab mob no

Tactics rau tshwj kom txhob ib tug pathology txhais los ntawm ib urologist. Siv rau cov kev kho mob ntawm ua hauj lwm txoj kev thiab conservative kev kho mob. Xaiv txoj kev nyob rau tus neeg mob tus mob, nws muaj hnub nyoog, luaj li cas thiab localization ntawm lub pob zeb, tus soj ntsuam cov hoob kawm ntawm tus kab mob, lub xub ntiag ntawm physiological los yog anatomical hloov thiab theem ntawm lub raum tsis ua hauj lwm.

Nyob rau hauv Feem ntau, tshem tawm ntawm lub pob zeb yog tsim nyog mus rau chaw uasi rau kev phais. Tsuav txhob yog cov concrements tsim uric acid. Cov pob zeb yuav ua neej conservative kev kho mob.

Chiv, cov neeg mob tau muab cov hauv qab no formulations nyob rau hauv urolithiasis:

1. Antispasmodics. Lawv tshem tawm cov spasm ntawm lub ureter, txhawb so ntawm nws phab ntsa. Qhov no yuav pab txo qhov mob thiab pab txhawb pob zeb tso cai. Cov neeg mob yuav tsum tau mus muaj xws li tshuaj, "papaverine", "Tsis muaj-spa", "Halidorum", "Diprofen".
2. Painkillers. Lawv cov kws kho nyob rau hauv cov kev tshwm sim ntawm ib tug nres ntawm lub raum Colic. Txhais tau hais tias txig xa mob, "Analgin", "Muab", "Tempalgin", "Baralgin", "Pentalgin", "Tetralgin".

Ib txhia neeg yuav tsum muab tshuaj tua kab mob. Lawv muab nyob rau hauv txoj kev kho, yog hais tias tus kab mob yog txuas mus rau urolithiasis. Xaiv cov tsim nyog tshuaj tua kab mob yuav ua tau ib tus kws kho mob rau lub hauv paus ntawm lub daim ntawv ntsuam xyuas.

xaus ntawm urate

Nws yog tsis tshua muaj ib qho tseem ceeb kom nkag siab txog yuav ua li cas los kho urolithiasis, qhia rau ib tug kws kho mob, vim hais tias mus khaws cov tsim nyog tshuaj yaj calculus yuav ces txiav txim nws hom.

Rau cov kev kho mob ntawm urate, cov nram qab tshuaj:

1. "Allopurinol", "allozyme", "Allopron", "Allupol", "Zilorik", "Milurit", "Remid", "Sanfipurol", "Purinol". Tej cov tshuaj tej zaum yuav txo tus deposition ntawm uric acid ntsev.
2. "Etamid". Cov tshuaj nkoos khaus tshem ntawm urate nyob rau hauv cov zis. Nws yeej txhawb yuav txo tau nyob rau hauv uric acid ntsev.
3. "Urodan". Ua ke npaj uas ua rau mob txeeb alkalization. Cov tshuaj txhawb lub tsim ntawm uric acid-soluble ntsev.
4. "Nyob rau hauv lub Urals '. Txhais tau hais tias siv rau yaj urate. Lawv tiv thaiv lub cev los ntawm cov tsim ntawm tshiab pob zeb.
5. "Blemaren." Cov tshuaj yog tau yaj urate thiab ib co lwm yam urinary pob zeb.
6. "Solimok". Rau yav tom ntej yaj urinary pob zeb, mas urates.

Lub xaus ntawm oxalate

Yog hais tias tus neeg mob thiaj paub tias yog cov ntaub ntawv lub pob zeb, kev kho mob kho muaj xws li tshuaj:

1. "Marelin".
2. "Lov". Herbal npaj, nyias mus nyias yog calcium oxalate pob zeb.
3. Lam nqi №7; №8; №9; №10. Tej nyiaj yog officially lees paub los ntawm lub urologist. Lawv muaj diuretic, litholytic (dissolving lub pob zeb), spasmolytic zog.

phosphate xaus

Yuav kom tshwj kom txhob no pathology feem ntau demanded cov khoom:

1. "Extract madder." Tej cuab tam tso cai fluffing phosphates. Ntxiv mus, cov tshuaj muaj ib tug spasmolytic thiab diuretic.
2. "Marelin". Cov tshuaj tsis tau tsuas yog softens lub pob zeb, tab sis kuj zoo tshem tawm cov spasm ntawm lub raum lub plab mog, ureter. Cov tshuaj relieves mob nyob rau hauv lub genitourinary system.

Lub xaus ntawm cystine pob zeb

Thaum nrhiav kom tau ntawm tus kab mob no yog cov feem ntau tsim nyog los noj cov nram qab no cov tshuaj:

1. "Penicillamine". Txhais tau hais tias ntaub ntawv nrog ib tug tej cystine compound uas yog nkag soluble nyob rau hauv cov zis. Qhov no thiaj li lub pob zeb.
2. "Tiopronin". Los rau hauv lub cev ntawm cov tshuaj uas zoo sib xws rau cov saum toj no-hais tshuaj. Nws yog tshuaj, yog hais tias tus "Penicillamine" muaj pov thawj tsis zoo.
3. "Poov tshuaj citrate", "Sodium Bicarbonate". Cov tshuaj, alkalizing zis. Nyob rau hauv ua cystine pob zeb yaj.
4. "Ural".

hwj chim nta

Tas txhua tus neeg mob tau ua raws li nrog tus kws kho kev kho mob cov khoom noj. Urolithiasis nyob rau hauv cov txiv neej, nyob ntawm seb lub hom ntawm lub pob zeb, imposes tej kev noj haus txwv tsis pub.

Yog hais tias tus neeg mob yog muaj nyob urate, nws yog tsim nyog los txo kom tsawg li tsawg tus siv xws li:

1. Cov khoom noj uas nplua nuj nyob rau hauv purines. Qhov no ntses, nqaij tsiaj, fungi, by-khoom, legumes, broths. Tej zaub mov pub 1 lub sij hawm rau ib lub lim tiam.
2. Haus dej cawv. Cov neeg mob yuav txwv tsis pub siv liab caw, npias.

Kev noj haus cov zaub mov yuav tsum tau raws li nyob rau hauv cov nram no cov khoom noj:

• kua txob, txiv lws suav, Eggplants, qos yaj ywm;
• me me cheese;
• millet, buckwheat, barley grits;
• txiv hmab txiv ntoo thiab berries;
• nplej zom;
• qe;
• mis nyuj, tsev cheese, khoom noj siv mis.

Cov neeg mob uas tshuaj mob oxalates yuav tsum tsis txhob siv cov nram qab no cov khoom:

• spinach, zaub xas lav, sorrel;
• beets, carrots, txiv lws suav;
• sauerkraut;
• kav, zaub txhwb qaib;
• kas fes thiab tshuaj yej;
• jelly, jellies;
• qhob noom xim kasfes, cocoa;
• ntsuab taum;
• nqaij qaib, nqaij nyug;
• Currant, citrus, qaub apples.

Nws yog pom zoo kom txhawb cov khoom noj uas muaj calcium, magnesium, vitamin B6. Dua li cov nram qab no cov khoom noj:

• khoom noj siv mis;
• whole grains, cereals;
• qos yaj ywm, taub dag, zaub qhwv;
• ceev;
• apricots, txiv tsawb, pears, dib liab;
• taum mog.

Nyob rau hauv paub qhov phosphate nyob rau hauv kev noj haus yuav tsum tau tag rau:

• cranberries, currants, cranberries;
• zaub thiab txiv hmab txiv ntoo;
• mis nyuj cov khoom, cheese, cheese, khoom noj siv mis;
• cawv;
• kub txuj lom;
• carbonated dej haus;
• kas fes.

Nws yog pom zoo kom muab nyiam rau cov khoom uas muaj calcium ib tug me ntsis, tab sis muaj ib tug acid cov tshuaj tiv thaiv. Pab vitamin A.

Preference yog muab nyob rau hauv kev noj haus nram qab no cov khoom noj:

• ntau yam kua zaub;
• zaub roj;
• pasta, mov ci;
• butter;
• ntses, nqaij;
• txiv hmab txiv ntoo dej qab zib thiab kua txiv hmab los ntawm acidic txiv hmab txiv ntoo thiab berries (cranberry, citrus txiv hmab txiv ntoo, apples).

Yog hais tias cystine pob zeb yog kev kawm mus rau cov cais tawm ntawm cov nram qab no cov khoom noj:

1. Offal - tus po, daim siab, ob lub raum.
2. Ntses, nqaij. Pub siv tsis muaj ntau tshaj li 3 hnub ib lub lim tiam. Lub hnub koob tshuaj yog 200-250 mg.
3. Qe (tsuas muab ib qho rau ib hnub twg).
4. Nplej hmoov.
5. Legumes.

Nws yog pom zoo kom txhawb kev noj haus ntawm cov zaub mov uas muaj ib tug ntau yam ntawm cov vitamins, xws li:

• dib liab;
• citrus;
• cranberries;
• txiv quav ntswv nyoos;
• txiv pos nphuab;
• raisins;
• grenades;
• tau cov txiv ntseej;
• pears;
• currants;
• carrots;
• ceev;
• blueberries.

xaus

Yog hais tias tsim nyog, cov neeg mob uas muaj ib tug mob ntawm "ICD" (urolithiasis) tej zaum yuav muab kev pom zoo tshwj xeeb pob zeb crushing hom kev kawm. Raws li koj tau pom, nws yog ua tau rau tiv nrog tej yam kab mob. Qhov loj tshaj plaws yog kom tsis txhob muab, thiab nruj me ntsis raws li nrog tag nrho cov tshuaj.