Izimpawu Ezi-3 Nezimpawu Zamatshe Ezinso Akufanele Ungalokothi Uziba

Itshe lezinso libhekisela emalini eqinile eyenziwe ngamaminerali nosawoti akha ngaphakathi kwezinso zakho. Izizathu zokwakheka kwamatshe ezinso zingaba ziningi futhi zihluke kuye ngohlobo lwamatshe. Amatshe ezinso angathinta izingxenye ezahlukene zomgudu wakho womchamo okuhlanganisa isibeletho, izinso, isinye kanye ne-urethra. Udinga ukuqaphela izimpawu ezithile zamatshe ezinso ukuze welashwe kusenesikhathi. Izinso zezinso zingenye yezimo zezokwelapha ezibuhlungu kakhulu futhi zidinga ukwelashwa ngokushesha. Ukwelashwa kwe-Urology eNdiya kuvamile futhi kutholakala kuzo zonke izibhedlela ezweni.

Amatshe ezinso awadali monakalo unomphela kodwa ukuwakhipha emzimbeni kuyinqubo ebuhlungu. Kuye ngesimo sakho kanye nokubekwa kwamatshe, kungase kudingeke ungathathi lutho ngaphandle kwamaphilisi ezinhlungu futhi uphuze amanzi amaningi ukuze uqinisekise ukuthi itshe liyadlula lapho uchama. Ezinye izimo zibandakanya izinkinga lapho kungase kudingeke ukuhlinzwa. Nokho, lokhu kuyivelakancane.

Ngeshwa, itshe lezinso kuyisifo esiqhubekayo futhi ukuqonda izimpawu eziyisixwayiso kungakusiza ugweme ubuhlungu nokuhlupheka okungadingekile.

Izimpawu Zezinso Zezinso

Nazi ezinye izimpawu nezimpawu zamatshe ezinso iziguli ezingase zibe nazo. Lezi akufanele zinganakwa nganoma iyiphi indlela futhi iziguli kufanele zibonane nodokotela bazo kusenesikhathi.

1. Ubuhlungu obukhulu: Amatshe ezinso abangela ubuhlungu obukhulu obungase buphazamise imisebenzi yakho yansuku zonke. Ubuhlungu buvela emhlane wakho ongezansi, esiswini noma e-groin. Umuntu akakwazi ukuthola indawo ekhululekile yokulala noma ukuhlala, njengoba ubuhlungu buza ngamagagasi. Ubuhlungu bungahlala imizuzu engama-20 noma ihora kuye ngobunzima besimo sakho.
2. Ukuphalaza: Ubuhlungu bungase bufike ezingeni lapho umuntu esala ecanuzela inhliziyo noma agcine ehlanza. Uma kunjalo, kufanele uye ekamelweni lezimo eziphuthumayo ngokushesha. Ubuhlungu buvame ukuchazwa njengento embi kakhulu abantu abaningi ababhekana nayo ekuphileni kwabo futhi umuntu akufanele angabaze ekufuneni ukwelashwa okufanayo. I-CARE Hospitals ingesinye sezibhedlela Isibhedlela esingcono kakhulu se-urology eHyderabad futhi inethimba lodokotela abanekhono lokukusiza ezimweni ezinjalo.
3. Igazi emchameni: Igazi elibonakalayo emchameni liwuphawu okungekho muntu ongaziba. Kuyinkomba yamatshe ezinso. Igazi lenzeka lapho itshe lisuka ezinso liya kwesinye futhi libhajwe. Ama-ureters ngokuvamile anobubanzi obungu-3-4 mm futhi noma yiliphi itshe elikhulu kunaleli liyabhajwa futhi lingabangela ukopha. Uma linganakekelwa ngokushesha, itshe lingadabula i-ureter bese lethula igazi emgudwini womchamo.

Lezi izimpawu ezimbalwa okufanele uzigweme ngaphandle kwezindleko futhi uma unolwazi, zidinga ukuhlolwa kusenesikhathi!

Izimbangela Zezinso Stones

Uma umchamo uqukethe amazinga aphezulu ezinto ezithile njenge-calcium, i-oxalate, ne-uric acid, zingacwebezela futhi zenze amatshe ezinso. Izinso zezinso zingabangelwa izici ezihlukahlukene ezifana nalezi: 

• Isisindo somzimba esedlulele singaholela ezinso.
• Ukungatholi amanzi ngokwanele kungaholela ezinso zezinso.
• Ukudla okuphezulu kokudla okunothe nge-oxalate noma i-sodium, kanye nokudla okune-calcium ephansi noma uketshezi, kungaba nomthelela ekuthuthukisweni kwamatshe.
• Izimo ezithile zezokwelapha, njenge-hyperparathyroidism noma izifo zomgudu womchamo, zingandisa ingozi yokwakheka kwamatshe.
• Umlando womndeni noma izici zofuzo zingaholela ezinso zezinso.
• Ukuvinjelwa noma ukunciphisa ukugeleza komchamo ngaphakathi komgudu womchamo kungaholela ekuqongeleleni kwekristalu nokwakheka kwamatshe.
• Okunye ukuhlinzwa: ukuhlinzwa okufana nokuhlinzwa kwesisindo nokuhlinzwa kwe-gastric bypass nakho kungabangela amatshe ezinso.

Ukuqonda lezi zici kungasiza ekuvimbeleni ukwakheka kwamatshe ezinso ngokusebenzisa ukuguqulwa kokudla, i-hydration efanele, nokuphathwa kwezokwelapha kwezimo ezingaphansi.

Izimpawu Zetshe Lezinso

• Uhlangothi lwasemuva noma lwesisu lungase lube buhlungu.
• Ubuhlungu bungaphumela ku-labia (ubuhlungu besitho sangasese sowesifazane kwabesifazane), amasende (ubuhlungu besende emadodeni), kanye nendawo ye-groyne (ukungakhululeki kwe-groyne).

Ezinye izimpawu zingabandakanya:

• Umbala womchamo ongavamile 
• Igazi emchameni
• Fever
• Ama-Chills
• I-nausea 
• Ukuvota 
• Ukuhlolwa nokuxilongwa

Izinhlobo zezinso zezinso

Kunezinhlobo ezahlukene zamatshe ezinso, ahlukaniswe ngokusekelwe ekubunjweni kwawo:

• Calcium Stones: Lezi ziwuhlobo oluvame kakhulu futhi ngokuyinhloko zenziwe nge-calcium oxalate, nakuba zingase zibe ne-calcium phosphate.
• Amatshe e-Uric Acid: Yakheka ngenxa yamazinga aphezulu e-uric acid emchamweni, evame ukuhlotshaniswa nezimo ezifana ne-gout noma ukudla okucebile ngama-purines.
• Amatshe e-Struvite: Ngokuvamile kuvela ezifweni zomgudu womchamo futhi ingase ikhule ngokushesha, ehlanganisa i-magnesium, i-ammonium, ne-phosphate.
• Cystine Stones: Yakheka ngenxa yokuphazamiseka kofuzo okubangela i-cystinuria, lapho izinso zikhipha i-cystine ngokweqile, i-amino acid.

Ukuqonda uhlobo lwetshe lezinso kubalulekile ekutholeni imbangela nokuthuthukisa uhlelo olufanele lokwelapha nokuvimbela. Umhlinzeki wokunakekelwa kwezempilo angenza izivivinyo ukuze abone uhlobo oluthile lwetshe lezinso ukuze alawule ngempumelelo.

Ukuxilongwa Kwezinso Zamatshe

Ukuxilongwa kwamatshe ezinso ngokuvamile kuhilela izindlela ezimbalwa:

• Umlando Wezokwelapha: Udokotela wakho uzoxoxa ngezimpawu zakho, umlando wezokwelapha, nomlando womndeni ukuze ahlole izici zakho zobungozi zamatshe ezinso.
• Ukuhlolwa Kwemvelo: Ukuhlola umzimba kungasiza ekuboneni izimpawu zamatshe ezinso, njengokuthambile kwesisu noma ohlangothini.
• Ukuhlolwa Kwezithombe: Amasu ahlukahlukene wokuthwebula izithombe njengama-X-ray, ama-CT scan, ama-ultrasound, noma ama-pyelograms emithanjeni (IVP) asiza ukubona ngeso lengqondo amatshe ezinso nendawo yawo ngaphakathi komgudu womchamo.
• I-Urinalysis: Ukuhlaziya isampula yomchamo kungathola igazi, amakristalu, noma ezinye izinto ezibonisa ukuba khona kwamatshe ezinso noma izifo ezingaba khona zomzila womchamo.
• Ukuhlaziywa Kwetshe: Uma udlula itshe, udokotela wakho angase aliqoqe futhi alihlaziye ukuze anqume ukwakheka kwalo, esiza ekwelashweni nasekuvimbeleni amasu.

Ukwelashwa Kwamatshe Ezinso

Ukwelashwa kwamatshe ezinso kuncike kusayizi, indawo, uhlobo lwetshe, kanye nobukhulu bezimpawu. Izindlela ezijwayelekile zifaka:

• Ukukhululwa Kwezinhlungu: Imithi yobuhlungu etholakala ngaphandle kwe-counter njenge-ibuprofen noma i-acetaminophen yokuphatha ubuhlungu.
• Ukunyakaza: Ukuphuza amanzi amaningi ukusiza ukukhipha amatshe amancane futhi uvimbele amasha ukuthi akheke.
• Ukwelashwa Ngezokwelapha: Imithi yokuphumuza imisipha ye-ureter noma ukulawula i-acidity yomchamo noma amazinga e-calcium ukuze kube lula ukuhamba kwamatshe.
• I-Extracorporeal Shock Wave Lithotripsy (ESWL): Isebenzisa amagagasi okwethuka ukwephula amatshe amakhulu abe izingcezu ezincane ukuze kube lula ukudlula.
• Izinqubo Zokuhlinzwa: Kumatshe amakhulu noma ayinkinga kakhulu, izinqubo ezifana ne-ureteroscopy, i-percutaneous nephrolithotomy (PNL), noma okungajwayelekile, ukuhlinzwa okuvulekile, kungase kudingeke ukususa noma ukuhlephula amatshe.
• Izinyathelo zokuvimbela: Izinguquko zokudla, imithi, noma ukuguqulwa kwendlela yokuphila ukuze kuvinjelwe ukuphindeka, ngokusekelwe ohlotsheni lwetshe kanye nezimbangela eziyisisekelo.

Izinkinga Zezinso Zezinso

Amatshe ezinso angaholela ezinkingeni eziningana, kuhlanganise:

Amatshe angavimba umgudu womchamo, abangele ubuhlungu obukhulu futhi okungase kuholele ekuvinjweni komchamo, okungase kuthikameze ukusebenza kwezinso.

• Ukutheleleka kwe-Urinary Tract Infections (UTIs): Umchamo omile ngemuva kwetshe ungabangela abantu ukuba babhekane nama-UTIs, okungase kube nzima ukuphatha amatshe ezinso.
• Amatshe ezinso esikhathi eside noma aphindelelayo angalimaza izicubu zezinso, abe nomthelela ekusebenzeni kwezinso futhi okungase kuholele esifweni sezinso esingamahlalakhona.
• I-Sepsis: Ezimweni ezingavamile, uma ukutheleleka komgudu womchamo ohambisana netshe lezinso kusakazeka egazini, kungase kubangele isifo esibi esibizwa ngokuthi i-sepsis, esidinga ukunakekelwa kwezokwelapha ngokushesha.

I-Kidney Stone Risk Factors

Kunezici eziningana ezingandisa ingozi yokuthuthukisa amatshe ezinso:

• Umlando Womndeni noma Womuntu Siqu: Abantu abanomlando womndeni wamatshe ezinso noma labo abake baba namatshe ngaphambilini basengozini enkulu.
• Ukuphelelwa amanzi emzimbeni: Ukuntuleka koketshezi okwanele kungaholela ekuchameni okugxilile, kukhuthaze ukwakheka kwamatshe.
• Izidlo Ezithile: Ukudla okuphezulu kokudla okune-oxalate (isipinashi, amantongomane), i-sodium, noma amaprotheni ezilwane, kanye nokudla okuphansi kwe-calcium, kungandisa ingozi yokwakheka kwamatshe.
• Ukukhuluphala ngokweqile: Ukukhuluphala ngokweqile noma ukukhuluphala kungaba nomthelela ekwandeni kwengozi yokwakheka kwamatshe.
• Izimo Zezokwelapha: Izimo ezithile zezokwelapha ezifana nezifo ze-urinary tract, izifo zokugaya ukudla, kanye nokuphazamiseka kwe-metabolic kungakhuphula ingozi.
• Ukuhlinzwa Okuthile Noma Imithi: Eminye imithi noma izinqubo zokuhlinzwa zingathinta ukumuncwa kwezinto emzimbeni futhi kwandise amathuba okwakheka kwamatshe.
• Indawo: Kwezinye izifunda ezinamazinga okushisa aphezulu kanye nengozi eyengeziwe yokuphelelwa amanzi emzimbeni, ukutholakala kwamatshe ezinso kungase kube phezulu.

Ungambona Nini Udokotela Wezinso Zezinso?

Kufanele ucabange ukufuna usizo lwezokwelapha ngamatshe ezinso uma uhlangabezana:

• Ubuhlungu Obunzima: Ubuhlungu obukhulu, obungabekezeleleki ngemuva, ohlangothini, ngaphansi kwesisu, noma i-groin.
• Izimpawu Eziqhubekayo: Izimpawu eziqhubeka isikhathi esingaphezu kwezinsuku ezimbalwa, ikakhulukazi uma ziba zimbi kakhulu.
• Igazi Emchameni: Igazi elibonakalayo emchameni, elaziwa nge-hematuria.
• Isicanucanu Nokuhlanza: Ukucanuzela kwenhliziyo okungapheli, ukuhlanza, noma izimpawu zokuphelelwa amanzi emzimbeni ngenxa yezimpawu ezihambisanayo.
• I-Fever and Chills: Izimpawu ezibonisa ukuthi kungenzeka ukutheleleka komgudu womchamo noma ukutheleleka kwesistimu.
• Ukungakwazi Ukuchama: Uma ungakwazi ukuchama ngenxa yokuvaleka okubangelwa itshe lezinso.

Uma usola ukuthi unamatshe ezinso noma uhlangabezana nanoma yiziphi zalezi zimpawu, ikakhulukazi uma zinzima noma zihambisana nomkhuhlane noma izimpawu zokutheleleka, ukufuna usizo lwezokwelapha ngokushesha kubalulekile ukuze uthole ukuxilonga nokwelashwa okufanele.

Ukuvimbela Izinso Stones

Amasu okuvimbela okunciphisa ingozi yamatshe ezinso ahlanganisa:

• I-Stay Hydrated: Phuza uketshezi oluningi, ikakhulukazi amanzi, ukuze ukhiqize umchamo owanele futhi uhlambulule izinto ezingakha amatshe.
• Ukushintsha Ukudla: Nciphisa ukudla okunothe nge-oxalate (njengesipinashi, amantongomane), amaprotheni e-sodium, kanye nezilwane. Gcina ukudla okulinganiselayo nokudla okwanele kwe-calcium.
• Gada Ukudla Kasawoti: Yehlisa ukudla kwe-sodium, njengoba ukusetshenziswa kukasawoti okuphezulu kungakhuphula ukuphuma kwe-calcium emchameni.
• Nciphisa Amaprotheni Ezilwane: Ukusetshenziswa okuphezulu kwamaprotheni ezilwane njengenyama nenhlanzi kungandisa ingozi yezinhlobo ezithile zamatshe ezinso. Ukulinganisela kuyisihluthulelo.
• Lawula I-Oxalate Intake: Nciphisa ukudla okune-oxalate ephezulu, kodwa ungakuqedi ngokuphelele, njengoba okunye kunomsoco. Ukulinganisa ukudla nokudla okune-calcium.
• Hlala Ukhuthele: Ukuzivivinya umzimba njalo nokuzivocavoca kungasiza ekuvimbeleni amatshe ezinso ngokusiza ekugcineni isisindo esinempilo nokunciphisa ingozi yezimo ezithile ezihlobene nokwakheka kwamatshe.
• Iseluleko Sezokwelapha: Kubantu abanomlando wamatshe ezinso noma izimo ezingaphansi ezibeka phambili ukwakheka kwamatshe, ukulandela iseluleko somhlinzeki wezempilo mayelana nezinguquko zokudla, imithi, noma izinyathelo ezengeziwe zokuvimbela kubalulekile.

Ukwamukela lezi zinguquko zendlela yokuphila kanye nokuguqulwa kokudla kunganciphisa ingozi yokuthuthukisa amatshe ezinso. Xhumana nochwepheshe bezokunakekelwa kwempilo ukuze uthole izincomo ezenziwe zaba ngezakho ezisuselwe ezimeni zezempilo ngazinye noma ukwakheka kwamatshe kwangaphambilini.