Chithandizo cha Mwala wa Impso

Zamkati

• 1. Mankhwala
• 2. Opaleshoni
• 3. Mankhwala a Laser
• 4. Chithandizo chachilengedwe

Chithandizo cha mwala wa impso chimatsimikiziridwa ndi nephrologist kapena urologist malingana ndi momwe mwalawo umakhalira komanso kuchuluka kwa ululu wofotokozedwako ndi munthu, ndipo kungalimbikitsidwe kumwa mankhwala opweteka omwe amathandizira kuchotsa mwalawo kapena, ngati sikokwanira, opaleshoni yochotsa mwalawo.

Mwala wa impso ndiwopweteka kwambiri ndipo umatha kukhala wokhudzana ndi kudya madzi ochepa kapena chakudya chopanda thanzi, chomwe chimatha kuyambitsa zinthu zomwe ziyenera kuthetsedwa mumkodzo, kuti ziunjikane, zomwe zimapangitsa kuti apange miyala. Dziwani zambiri pazomwe zimayambitsa miyala ya impso.

Chifukwa chake, malingana ndi zomwe zawonetsedwa, malo ndi mawonekedwe amwalawo, adotolo amatha kuwonetsa chithandizo choyenera kwambiri, njira zazikulu zochiritsira ndi izi:

1. Mankhwala

Nthawi zambiri adokotala amawonetsa ngati munthu ali pamavuto, ndiye kuti, akumva kupweteka kwambiri. Mankhwala amatha kuperekedwa pakamwa kapena mwachindunji mumitsempha, momwe chithandizo chimafulumira kwambiri. Onani zoyenera kuchita pakagwa vuto la impso.

Chifukwa chake, nephrologist amatha kuwonetsa mankhwala osagwiritsa ntchito zotupa, monga Diclofenac ndi Ibuprofen, analgesics, monga Paracetamol, kapena anti-spasmodics, monga Buscopam. Kuphatikiza apo, adotolo atha kunena kuti munthuyo amagwiritsa ntchito mankhwala omwe amalimbikitsa kuchotsa miyala, monga Allopurinol.

2. Opaleshoni

Kuchita opaleshoni kumawonetsedwa ngati mwala wa impso ndi waukulu, woposa 6 mm, kapena ngati ukulepheretsa mkodzo. Poterepa, adotolo angaganize pakati pa njira izi:

• Zowonjezera za lithotripsy: amachititsa kuti miyala ya impso igawanike kudzera m'mafunde ozunguza bongo, mpaka atasanduka fumbi ndikuchotsedwa ndi mkodzo;
• Percutaneous nephrolithotomy: amagwiritsa ntchito kachipangizo kakang'ono ka laser kuti achepetse kukula kwa mwala wa impso;
• Ureteroscopy: amagwiritsa ntchito chida chama laser kuti aswe miyala ya impso ikakhala mu ureter kapena mafupa a chiuno.

Kutalika kwa nthawi yogonera kuchipatala kudzasiyana malinga ndi momwe munthuyo alili, ngati sangapereke zovuta pambuyo pa masiku atatu atha kupita kwawo. Onani zambiri zamankhwala opangira miyala ya impso.

3. Mankhwala a Laser

Chithandizo cha Laser pamiyala ya impso, chotchedwa ureterolithotripsy chosinthika, cholinga chake ndi kugawanika ndikuchotsa miyala ya impso ndipo kumachitika kuchokera ku urethral orifice. Njirayi imawonetsedwa pomwe mwalawo suchotsedwa ngakhale mutagwiritsa ntchito mankhwala omwe amathandizira kuti atuluke.

Ureterolithotripsy imachitidwa pansi pa anesthesia wamba, imatha pafupifupi ola limodzi ndipo, chifukwa palibe mabala kapena kudulira kofunikira, kuchira kumafulumira, ndipo wodwalayo nthawi zambiri amatulutsidwa patadutsa maola 24 chitachitika. Pamapeto pa opaleshoniyi, a catheter otchedwa double J amaikidwa, pomwe malekezero ake ali m'chikhodzodzo ndi ena mkati mwa impso ndipo cholinga chake ndikuthandizira kutuluka kwa miyala yomwe ilipobe ndikuletsa kutsekereza kwa ureter monga kuthandizira kuchiritsa kwa ureter, ngati mwala wawononga ngalandeyi.

Ndi zachilendo kuti pambuyo pa ureterolithotripsy ndikuyika katemera wa J awiri, munthuyo amakhala ndi kafukufuku wakunja m'maola oyamba atamaliza kukhetsa mkodzo.

4. Chithandizo chachilengedwe

Chithandizo chachilengedwe cha miyala ya impso chitha kuchitika pakati pa ziwopsezo ngati palibe kupweteka ndipo zimaphatikizapo kumwa madzi okwanira 3 mpaka 4 malita tsiku kuti athetse miyala yaying'ono. Kuphatikiza apo, ngati pali mbiri m'banja lamiyala ya impso, ndikofunikira kudya zakudya zochepa zomanga thupi ndi zamchere chifukwa izi zitha kuteteza miyala yatsopano kuti isawonekere kapena miyala yaying'ono kuti isakule kukula.

Kuphatikiza apo, njira yabwino yopangira miyala ya impso yaying'ono ndi tiyi wosweka mwala chifukwa kuwonjezera pokhala ndi diuretic ndikuwathandiza kuthana ndi mkodzo, imatsitsimutsanso ureters poyambitsa kutuluka kwa miyala. Kuti mupange tiyi, ingowonjezerani 20 g ya masamba owuma ophwanya miyala pachikho chimodzi cha madzi otentha. Tiyeni tiime, kenako timwe pakatentha, kangapo masana. Onani njira ina yothandizira kunyumba kwa mwala wa impso.

Onani zambiri zamadyedwe amiyala ya impso muvidiyo yotsatirayi: