Ndinuak nkume na akụrụ ultrasound: reviews, ahịa

Akụrụ nkume - ọ bụ a na-enwekarị nsogbu taa. Ọtụtụ mgbe ha guzobere pụtara na ọrịa na afọ otu mgbe afọ 30. Dị ka ọnụ ọgụgụ, na Russia banyere 3% nke ndị bi na enwe si na akụrụ nkume.

M hu nkume na akụrụ ... Gịnị na-eme? Ajụjụ a e nyere site na ọtụtụ ndị ọrịa na urolithiasis (urolithiasis). Na ụzọ nke ọgwụgwọ nke ọrịa a tụlere n'isiokwu a. Ma ka anyị buru ụzọ obibi na ihe na-eme ka akụrụ nkume. Akụrụ nkume - a usoro onye na-akpata pụrụ ịbụ nnọọ dị iche iche. Nkà mmụta ọgwụ ọgbara awade ọhụrụ ọgwụgwọ maka ọrịa a, gụnyere ndị laser na fragmentation nke akụrụ nkume na ultrasound. Nyocha nke ekele ọrịa, bụ nke nyeere ndị a agwọ ọrịa, na-egosi ịdị irè ha.

ihe

Isi ihe mere maka uto nke nkume na akụrụ bụ imebi metabolic n'ibu. Tumadi a onu emetụta mmiri nnu metabolism na chemical mejupụtara ọbara nke mmadụ. N'ihi ya ngafe salts na-egosi na mmamịrị - a-eduga ná guzobe nke kristal (nkume).

Olee ihe ndị na-eme ka ntoputa nke urolithiasis?

A ihe na-agụnye:

• Mụbara mmiri ekweghị ekwe. E nwere dum n'ógbè ke Russian Federation, ebe pasent nke ọrịa na urolithiasis, dị nnọọ elu maka nke a.
• Oké oriri nke nnu, e ghere eghe, na-atọkwa ụtọ efere.
• Mebiri nke na-aṅụ ọchịchị. enweghị ọmụmụ ke idem-eduga ná guzobe nke ihe ndọpụ mmamịrị, adịru ize ndụ nke ego na akụrụ nke nnu kristal enwekwu.
• Na ebe a na-ekpo ọkụ ihu igwe na ezughi oke ọmụmụ oriri na ụmụ mmadụ ihe ize ndụ nke akụrụ nkume na-abawanye.
• Emegaghị eduga ọnọdụ na-achọghị ọbara. Esịtidem akụkụ, tinyere akụrụ, na-ata ahụhụ site na enweghi nri. E gosipụtara na e nwere na-leaching nke calcium si ọkpụkpụ n'oge arụghị ọrụ. Nke a na-eduga onye ubara ọdịnaya nke calcium na mmamịrị na N'ihi ihe ize ndụ nke akụrụ nkume ibu.
• Emeghasịkwa nke urinary usoro.
• Adịghị ala ala ọrịa na-efe efe nke urinary usoro.
• Si n'aka ruo n'aka.
• Enweghị ma ọ bụ, na Kama nke ahụ, ngafe nke ụfọdụ vitamin na-eduga ná emeghasịkwa nke metabolic n'ibu. Ọ dị mkpa ịnọgide na-enwe nguzo dị mma nke vitamin C, A na otu D.
• Ịṅụbiga mmanya.
• Achịkwaghị achịkwa na-ewere ụfọdụ ọgwụ (diuretics, sulfa ọgwụ ọjọọ, wdg).

Nhazi ọkwa nke nkume na urolithiasis

Nkume urolithiasis nwere ike ịbụ na ihe ọ bụla nke akụkụ nke urinary usoro (akụrụ, eriri afo, ureter). Ụdị akụrụ nkume dị nnọọ iche. Ha nwere ike iche na ha chemical mejupụtara, udi, size, arọ na ibu. E nwere otu ma ọ bụ multiple calculi. Mgbe ụfọdụ, ha na ọnụ ọgụgụ esịmde ọtụtụ narị ma ọ bụ ọbụna ọtụtụ puku. Akụkụ nke akụrụ nkume ịdị iche iche site na obere ájá ka a bara uru nke a aka, na ibu - si otu ụzọ n'ụzọ iri nke a gram ka a kilogram ma ọ bụ karịa.

Ụdị akụrụ nkume na chemical mejupụtara nwekwara iche iche:

• Phosphates - kpụrụ si phosphoric acid salts (phosphoric acid calcium, ma ọ bụ magnesium). Tripelfosfaty - a amonia-magnesium phosphate. Na nkume ndị a na-etolite na alkaline mmamịrị, ha ndị rụrụ, adụ anọgidesi. Na-emekarị na-acha ọcha ma ọ bụ grayish agba. Ha na-eto ngwa ngwa ma na mma-echi ọnụ n'ala. Na-emekarị kpụrụ ala ala mbufụt nke urinary usoro.
• Oxalate - a nnu nke oxalic acid (oxalic calcium ma ọ bụ ammonium). Ọ trudnodrobimye oké nkume nke nwa ma ọ bụ ọchịchịrị aja aja. Nwere nkekọ na-ekwekọghị bumpy elu, mgbe spinous.
• Urata - a urate (uric sodium ma ọ bụ ammonium). Nkume a oké, ezigbo, na-emekarị na-enweghị puru na, aja aja.
• Xanthine - iso nke xanthine na uric acid. The agba nke grayish-green ma ọ bụ ọchịchịrị-acha odo odo. Nnọọ na ok. Ii na acidic mmamịrị. Na-adịghị ahụkebe.
• Carbonates - na nkume ndị a na-ekewet nke calcium carbonate na magnesium carbonate calcium. Ha na-acha ọcha na agba, mfe agbaji.
• Cystine - ọtụtụ ndị na-hụrụ na ma akụrụ ozugbo, ezigbo, onwunwu, ọtọ isi awọ na agba na adụ anọgidesi. N'Ihe ọrịa na a obere ọrịa e ketara eketa - cystinuria. Ime na ọrịa na urolithiasis.
• Protein - iso nke fibrin, iche iche formations nke bacteria na salts esisịt udi, na-acha ọcha laminates.
• Cholesterol - nwa, mfe ịdakpọsị. Na-adịghị ahụkebe.
• Mixed - a nkume, esịnede dị iche iche chemical mmiri. Around nkume otu mejupụtara isi kpụrụ concentric okirikiri nke ọzọ chemical ọcha.

Dị ka ọnụ ọgụgụ, 80% nke oxalate urolithiasis ime, ọ dịkarịa ala - urate (5 ruo 15%) na phosphate (5 ka 8%). Ndị ọzọ ụdị akụrụ nkume dị ụkọ.

nchọpụta nsogbu

Otú e si amata akụrụ nkume? E nwere a laabu nchoputa nke ha mkpebi siri ike na instrumental. The mbụ na-agụnye iche iche laabu ule. Instrumental na rụrụ iji pụrụ iche akụrụngwa.

laabu nchoputa

1. CBC bụ akụkụ nke amanyere bụ iwu nke ule mgbe ọ bụla ọrịa. Mgbe ejikọta na ọrịa nwere ike-ekpughe: leukocytosis, leukocyte mgbanwe ekpe ma ọ bụ anaemia.
2. N'ihi mmiri ọgwụ ọbara e kenyere ya chọpụta kasịnụ nke uric acid, calcium, magnesium, inorganic site. Ha elu ọbara nwere ike na-egosi na a mebiri nke metabolic Filiks ke idem.
3. Complete ọbara gụnyere ke amanyere bụ iwu ule dị iche iche pathologies, karịsịa nke urinary usoro. Mgbe urolithiasis na mmamịrị sedimenti Microscopy nwere ike ịbụ ugbu erythrocytes, nnu kristal, na accession nke ibute ọrịa - na bacteria na ọnụ ọgụgụ ka elu nke leukocytes.
4. Iji mata akụrụ nkume e kenyere dị iche iche urinary samples: Nechiporenko, Amburzhe, Addis Kakovskogo.
5. Biochemical mmamịrị.
6. Igosi a mmamịrị omenala maka nje osisi.

nchọpụta nsogbu

1. Plain radiography.
2. Tule radiography.
3. US urinary usoro (akụrụ, eriri afo).
4. Magnetik resonance Onyonyo.
5. Agbakọrọ tomography.
6. Radioisotope nefrostsintigrafiya.
7. Cystoscopy.

ọgwụgwọ

N'elu nchọpụta nke urolithiasis nwere ike gosiri mgbanwe ọgwụgwọ ngwá ọrụ, na-anara ọgwụ (mgbasa nke akụrụ nkume site a usoro nke ọgwụ), ndinuak concrements ma ọ bụ ịwa ahụ ọgwụgwọ. Mwepụ awade dọkịta mgbe a zuru nnyocha nke onye ọrịa, na-ewere n'ime akaụntụ niile contraindications na otu ma ọ bụ usoro ọgwụgwọ ndị ọzọ.

Ọ bụrụ na ị hụrụ a nkume na akụrụ - ihe na-eme na nke a? Mbụ niile na ọ dị mkpa iji lebara na urologist ma ọ bụ dọkịta na-awa. Dabere na size nke nkume, ha na ọnụ ọgụgụ na chemical mejupụtara nke ọgwụgwọ usoro a ga-awa.

mgbanwe ọgwụgwọ

Nke a na ọgwụgwọ Aims dochie mgbu n'oge ihe na nwunye nke urolithiasis, na mgbochi mkpali Filiks ke urinary tract. Nke a na-agụnye mgbochi nke nlọghachite nke urolithiasis na nsogbu. Conservative ọgwụgwọ nke ọrịa a bụ naanị na ọdabara ma ọ bụrụ na ndị Calculus size bụghị karịa 4 mm.

ọgwụ

Ọ bụrụ na ị nwere ihe ọ bụla mbufụt na urinary usoro na ọnụnọ nke nkume mbu dọkịta edepụta ọgwụ nje. Nanị mgbe mwepụ nke mbufụt mkpebi banyere usoro nke ọgwụgwọ nke urolithiasis.

Maka enyemaka nke ihe mgbu na-ejikarị analgesics, "Baralgin" "No-spa," "Ibuprofen", "metamizol sodium," "Indomethacin", "Dikloberl", "Deksalgin", "Morphine", "Baralgetas". The ihe ndị a ọgwụ ọjọọ nwere abụghị naanị eliminates mgbu, ma na-enyere aka ibelata spasm na ureters ma zuru ike uru ofụri urinary usoro. Nke a ukwuu mmemmem ọnọdụ nke ndị ọrịa na-akwalite onwe ha ohere iche iche obere nkume.

Ime ọgwụ urolithiasis, ndị ọkachamara na nye ndụmọdụ na-edebe aṅụ ọchịchị na-akpali ndị ọzọ. Ọ na-akwalite orùrù nke nkume.

ọgwụ urolithiasis

Nke a na usoro ọgwụgwọ a na-iji na na mgbasa nke akụrụ nkume urinary alkalization. Ọ na-eji tumadi na ọnụnọ nke urate nkume na weere, nke na-guzobere na acid ọkara. Iji mee nke a, na-eji ọgwụ ọjọọ eme ihe ndị dị otú ahụ dị ka "blemaren" na "Ural Y".

Igbari gbasara akụrụ na biliary calculi eji osisi dabeere ọgwụ "Urolesan", nke na-agụnye a fir wepụ, hops, marjoram na pepemint. A ọgwụ nwere mgbochi mkpali mmetụta ma na-eme ka ezigbo uru na-akwalite orùrù nke obere nkume.

ịkpa ọgwụ

Ọ bụrụ na dọkịta gị ka nkwenye na-enwe ndidi nwere akụrụ nkume maka ha mwepụ ọrụ nwekwara ike-awa. Ịwa ahụ ọgwụgwọ nke ọrịa a nwere ike rụrụ dị ka ihe na-emeghe ịwa ahụ ọrụ, endoscopic mwepụ nkume na lithotripsy (kọntaktị ma ọ bụ n'ime obodo). Lithotripsy - a ndinuak nkume. Nke a na usoro nwere ike rụrụ iji a laser ma ọ bụ ultrasound.

Fragmentation nke akụrụ nkume na ultrasound. Nyocha

N'ihi ya na-ebibi gbasara akụrụ calculi ike ịkpọtụrụ ma ọ bụ remotely.

Lithotripsy remote rụrụ iji ultrasound n'ebe nkume site muscle anụ ahụ. Ma ngwa nke usoro a nwere ike ime ka nsogbu, t. Iji. The mmetụta bụghị naanị na Calculus, ma na-na gburugburu anụ ahụ. Nke a pụrụ iduga gbasara akụrụ contusion.

Ọtụtụ mgbe ẹkenịmde kọntaktị ndinuak nke akụrụ nkume na ultrasound. Nleba egosi ịdị irè nke a ọgwụgwọ. Kpọtụrụ lithotripsy rụrụ iji endoscopic akụrụngwa. Na nke a, na mmetụta nke ultrasound bụ na na concretions. Ha chụsasịrị n'ime onye obere iberibe na asachapụworị agbara mmiri mmiri ma ọ bụ wepụrụ mmiri.

Dabere na ụlọ ọgwụ si 15 45 puku. Ruble ga-ekwesị dị otú ahụ a usoro, dị ka fragmentation nke akụrụ nkume na ultrasound. Nyocha gosiri na kọntaktị lithotripsy bụ oké ọnụ karịa n'ime obodo. Ọ ga-eri a ndidi n'etiti 20 na 50 puku. Rubles. The price na-agụnye a full nnyocha, alo na usoro onwe ya na-kewaa ọtụtụ nkebi.

laser ngwepịa

Nke a na ụdị ọgwụgwọ nwere ike ịzọpụta onye ọrịa si na nkume nke ọ bụla mejupụtara na size nanị otu usoro. Nke a na usoro na-emetụta kọntaktị lithotripsy, nke a rụrụ na-enyemaka nke endoscopic akụrụngwa. The price nke a ọgwụgwọ ọtụtụ ugboro elu karịa ultrasound.

Ọ bụrụ na hụrụ akụrụ nkume, na laser bụ ike nke na n'enweghị ihe na-na a otu nnọkọ ịzọpụta onye ọrịa si na nkume.

Herbs si akụrụ nkume

Urolithiasis, omenala na nkà mmụta ọgwụ-enye ọtụtụ agwọ ọrịa. Nke a bụ tumadi na ojiji nke dị iche iche na ọgwụ herbs. Ha na-eji ma singly ma ọ bụ na ịnakọta. Eji decoctions na infusions nke bilie n'úkwù, knotweed, Duszniki,-eto eto birch epupụta, osisi junipa mkpụrụ, ogwu St. Jọn wort, ahịhịa, na-akpụ akpụ thyme, na ndị ọzọ.

Ihe kacha ụzọ kwadebe dị otú ahụ na nkà mmụta ọgwụ - eme na infusion na a Thermos. N'ihi na nke a otu ihe. ngaji akọrọ ihe onwunwe dị mkpa iji jupụta mgbede na a Thermos na wụsa otu iko freshly sie mmiri. Thermos nso, ụtụtụ ọgwụ ga-adị njikere. A, ndị a infusions na-atụ aro na-1/3 cup tupu nri ugboro 3 a ụbọchị.

Ọgwụgwọ dị otú ahụ nwere ike rụrụ na ndị ahụ, ma ọ bụrụ na hụrụ obere nkume na akụrụ. Nleba egosi ịdị irè nke omenala na nkà mmụta ọgwụ na ụzọ. N'ihi na nnukwu calculi na akụrụ (karịa 3 mm) tupu n'itinye ihe ọ bụla onwe-ọgwụgwọ, ọ dị mkpa iji hụ dọkịta, n'ihi ya, ọ pụrụ iduga nsogbu: .. ka ihe atụ, otu nnukwu nkume Nkea ma na-rapaara na ureter. Ugbu a, e nwere oge a na enweghi mgbu ụzọ nke n'imeso urolithiasis.