Kumvetsetsa Chifukwa Chake Zimachitika ndi momwe Tingapewere Izo
Miyendo ya impso ndi yowongoka, ngati maluwa omwe amapezeka mu mchere ndi mchere zomwe zakhala zikugwera mumtsinje. Njirayi, yomwe imatchedwa urolithiasis, ikhoza kukhala ndi mwala wawung'ono umene umangowamba mosavuta panthawi yokakamiza kapena mwala wawukulu womwe ungatseke ureter (umodzi mwa maipi omwe amachititsa mkodzo ku impso).
Zizindikiro
Pamene chiwonongeko chimachitika, munthu amatha kumva ululu wopweteka kwambiri kuchokera kumbuyo ndi kumbali kumapiri, kubuula, ndi malo amtundu.
Zizindikiro zina ndizo:
- malingaliro akuti muyenera kuzungulira nthawi zonse (changu chokweza mkodzo)
- kuyaka kwakukulu pamene iwe uyesa kukodza
- malungo ndi kuzizira
- magazi mu mkodzo wanu
- kunyoza ndi kusanza
- Mitsempha yamtambo kapena mkodzo umene umatulutsa zoipa
- kusowa kwa njala
- thukuta
- kupuma
Zowopsa
Matumbo a impso ambiri amapangidwa chifukwa cha zamoyo zonse komanso zachilengedwe. Amuna amatha kukhala ndi miyala ya impso kuposa amayi omwe ali pakati pa zaka 30 ndi 60.
Zowonjezera zina ndizo:
- mitsempha ya mchere wa calcium
- Kutaya madzi / kusamwa madzi okwanira
- mbiri ya banja ya impso miyala
- kunenepa kwambiri
- zakudya zamapuloteni ambiri
- zakudya zochepa zamagetsi
- kudya kwambiri sodium
- kumwa madzi otentha
- kutenga calcium yambiri, vitamini C, kapena vitamini D zowonjezera
- ntchito yowonongeka kwambiri
- gout
Miyendo ya impso ikufalikira kumwera kwa United States, kumene kulimbika, kutentha kowonjezera ndi zakudya zimathandiza kuti chitukuko chikhale chonchi.
Chotsatira chake, dera lanu nthawi zambiri limatchedwa "Impso Yamiyala Yamwala."
Mitundu
Pali mitundu yambiri ya miyala ya impso, yomwe imagwirizanitsidwa ndi mitundu yambiri ya zamoyo, chilengedwe, majini, ndi zakudya zimayambitsa:
- Mwala wa calcium ndiwo mtundu wofala kwambiri. Amawoneka kawirikawiri m'mayi omwe amatha kumwa mankhwala am'thupi omwe amatenga calcium ndi vitamini D zowonjezereka (zazikulu kuposa 1000 mg ndi 400 IU, mwachitsanzo).
- Mafuta a Uric acid amapezeka mwa anthu omwe ali ndi mchere wamchere (monga momwe amachitira ndi gout).
- Mwala wamtengo wapatali umayamba kukula chifukwa cha matenda.
- Mphepo yamkuntho ndi yachilendo ndipo imakhala yothamanga m'mabanja.
Kudziwa
Mayesero ojambula, kuphatikizapo X-ray, ultrasound, ndi computed tomography (CT scan), angagwiritsidwe ntchito kufotokoza kukula kwake ndi malo enieni a mwalawo. Mayeserowa ndi othandiza kwambiri pakuzindikira ngati mwalawo udzadutsa mwachibadwa kapena umafuna mankhwala oopsa.
Kuchiza
Pali masukulu ambiri oganiziridwa okhudza chithandizo cha impso. Nthaŵi zambiri, zosankha zimadalira kukula ndi malo a mwalawo. Maphunziro a zachipatala ndi zochitika zowonjezereka adzawongolera njira yomwe katswiri wa urologist angatenge.
Chithandizo chodziletsa nthawi zambiri chimasonyeza anthu omwe ali ndi miyala yaying'ono. Adokotala akukulangizani kuti mumwe madzi ambiri ndikukupatsani mankhwala opatsirana kuti muthe kupirira ululu. Mwinanso mukhoza kupemphedwa kuti mukhale ndi mphepete pamanja kuti mutenge mwalawo ukadutsa kotero kuti ukhoze kufufuza mu labu. Izi zingathandize kudziwa zakudya kapena zifukwa zomwe zimapangitsa kuti miyalayo ipangidwe.
Kwa miyala ikuluikulu, njira yowopsya ingakhale yofunika, kuphatikizapo:
- Zomwe zimakhala zosavuta kuzidzidzimutsa (ESWL) ndi njira yomwe imagwiritsa ntchito makina apadera kuti iwononge mwala kuchokera kunja kwa thupi lanu, kukulolani kudutsa mwala mosavuta.
- Nthenda yotchedwa nephrolithotomy (PCNL) imaphatikizapo kuika chubu kudzera pang'onoting'ono kamene kamathandiza kuthyola impso.
- Ureteroscope (chida chaching'ono chofanana ndi chubu chokhala ndi kamera) chikhoza kulowetsedwa mu urethra (kutsegula kumene mkodzo umathamangitsidwa mu thupi) kuti mutulutse mwalawo mwalawo kapena kuwuphwanya iwo kukhala zidutswa zing'onozing'ono.
Kupewa
Pali njira zingapo zomwe zingapewere mawere a impso ngati mwakhala nawo kale kapena muli pangozi yoti mukhale nawo:
- Imwani madzi ochulukirapo kuti muthamangitse mtsinje.
- Pewani kumwa makapu oposa awiri kapena awiri a zakumwa za khofi tsiku lililonse.
- Pewani kudya kwa cola kapena zakumwa zomwe zili ndi phosphoric acid.
- Idyani mapuloteni ochepa a nyama ndi shuga woyengedwa.
- Zonjezerani kudya kwanu kwa acric acid, makamaka kuchokera ku mandimu kapena madzi a mandimu.
- Pewani zakudya zopangidwa ndi manyuchi a chimanga a fructose.
- Peŵani kwambiri vitamini C supplementation.
- Kuti mukhale ndi miyala ya oxalate, musalole kudya madzi a citrus, chokoleti, mowa, tiyi, kapena masamba obiriwira.
- Ma miyala a calcium, osalowetsa mchere
- Kwa miyala ya uric asidi, kuchepetsa kudya kwa nyama, nsomba, ndi nkhuku.
- Pewani calcium yambiri ndi vitamini D.
Dokotala wanu amatha kupatsanso mankhwala a diuretic, cellulose phosphate, kapena citrate ya potassium kuti athandize calcium excretion ngati muli ndi miyala ya calcium.
Zotsatira
- > Chitukuko cha National Diabetes ndi Matenda a Digestive ndi Impso, National Institutes of Health. "Miyala ya Impso." Bethesda, Maryland; zasinthidwa mwezi wa September 2016.