Izinso zezinso - ukuzinakekela

Itshe lezinso lingumsindo oqinile owakhiwe ngamakristalu amancane. Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi uthathe izinyathelo zokuzinakekela ukwelapha amatshe ezinso noma uwavimbe ukuthi angabuyi.

Uvakashele umhlinzeki wakho noma isibhedlela ngoba unetshe lezinso. Uzodinga ukuthatha izinyathelo zokuzinakekela. Iziphi izinyathelo ozithathayo zincike ohlotsheni lwetshe onalo, kepha zingabandakanya:

• Ukuphuza amanzi athe xaxa nezinye iziphuzo
• Ukudla okunye kokudla nokunciphisa okunye ukudla
• Ukuthatha imithi yokusiza ukuvimbela amatshe
• Ukuthatha imithi ukukusiza udlulise itshe (izidakamizwa ezilwa nokuvuvukala, ama-alpha-blockers)

Ungacelwa ukuthi uzame ukubamba itshe lakho leso. Ungakwenza lokhu ngokuqoqa wonke umchamo wakho bese uwuhluza. Umhlinzeki wakho uzokutshela ukuthi ungakwenza kanjani lokhu.

Itshe lezinso liyinto eqinile eyakheka ezinso. Itshe lingabhajwa njengoba lishiya izinso. Ingafaka kwelinye lama-ureters akho amabili (amashubhu athwala umchamo kusuka ezinso zakho aye esinyeni sakho), isinye, noma i-urethra (ishubhu elithwala umchamo kusuka esinyeni uye ngaphandle komzimba wakho).

Amatshe ezinso angalingana nesihlabathi noma i-gravel, abe nkulu njengeparele, noma abe mkhulu kakhulu. Itshe lingavimba ukugeleza komchamo wakho futhi lidale ubuhlungu obukhulu. Itshe lingahle ligqashuke futhi lihambe ngomgudu wakho wokuchama lize liphume emzimbeni wakho ngaphandle kokubanga ubuhlungu obukhulu.

Kunezinhlobo ezine ezinkulu zamatshe ezinso.

• I-calcium uhlobo lwetshe oluvame kakhulu. I-calcium ingahlangana nezinye izinto, njenge-oxalate (into ejwayelekile kakhulu), ukwakha itshe.
• A i-uric acid itshe lingahle lakhiwe lapho umchamo wakho uqukethe i-asidi eningi kakhulu.
• A struvite itshe lingakha ngemuva kokutheleleka ohlelweni lwakho lokuchama.
• I-cystine amatshe ayivelakancane. Lesi sifo esidala amatshe e-cystine sigijima emindenini.

Ukuphuza uketshezi oluningi kubalulekile ekwelapheni nasekuvimbeleni zonke izinhlobo zamatshe ezinso. Ukuhlala unamanzi amaningi (ukuba noketshezi olwanele emzimbeni wakho) kuzogcina umchamo wakho uhlanjululwa. Lokhu kwenza kube nzima ukwakheka kwamatshe.

• Amanzi ahamba phambili.
• Ungaphuza futhi i-ginger ale, i-lemon-lime sodas, neziphuzo zezithelo.
• Phuza iziphuzo ezanele usuku lonke ukwenza okungenani amalitha amabili omchamo njalo emahoreni angama-24.
• Phuza ngokwanele ukuze ube nomchamo okhanyayo. Umchamo omnyama ophuzi kuwuphawu lokuthi awuphuzi ngokwanele.

Nciphisa ikhofi lakho, itiye, ne-cola ezinkomishini ezi-1 noma ezi-2 (250 noma 500 milliliters) ngosuku. I-caffeine ingadala ukuthi ulahlekelwe uketshezi ngokushesha okukhulu, okungakwenza ukuthi uphelelwe amanzi emzimbeni.

Landela le mihlahlandlela uma unamatshe ezinso e-calcium:

• Phuza uketshezi oluningi, ikakhulukazi amanzi.
• Yidla usawoti omncane. Ukudla kwaseChina nokwaseMexico, ujusi katamatisi, ukudla okusemathinini okuvamile, nokudla okwenziwe ngomshini kuvame ukuba nosawoti omningi. Funa imikhiqizo enosawoti ophansi noma imikhiqizo engenawo usawoti.
• Yiba nezinsiza ezi-2 noma ezi-3 kuphela ngosuku lokudla okunama-calcium amaningi, njengobisi, ushizi, iyogathi, ama-oysters, ne-tofu.
• Yidla ulamula noma amawolintshi, noma uphuze ulamula. I-citrate kulokhu kudla ivimbela amatshe ukuthi akheke.
• Nciphisa ukuthi udla amaprotheni angakanani. Khetha inyama engenamafutha.
• Yidla ukudla okunamafutha amancane.

Ungathathi i-calcium eyengeziwe noma uvithamini D, ngaphandle kwalapho umhlinzeki ophatha amatshe ezinso ekuncoma.

• Qaphela ama-antacids aqukethe i-calcium eyengeziwe. Buza umhlinzeki wakho ukuthi imaphi ama-antiacid aphephile ukuthi ungathatha.
• Umzimba wakho usadinga inani elijwayelekile le-calcium olithola ekudleni kwakho kwansuku zonke. Ukunciphisa i-calcium empeleni kungandisa amathuba okuthi kwakheke amatshe.

Buza umhlinzeki wakho ngaphambi kokuthatha uvithamini C noma uwoyela wezinhlanzi. Zingaba yingozi kuwe.

Uma umhlinzeki wakho ethi unamatshe e-calcium oxalate, ungadinga futhi ukunciphisa ukudla okunama-oxalate amaningi. Lokhu kudla kufaka:

• Izithelo: i-rhubarb, ama-currants, isaladi lezithelo ezisemathinini, ama-strawberry namagilebhisi e-Concord
• Imifino: ama-beet, amalikhi, isikwashi sasehlobo, ubhatata, isipinashi nesobho likatamatisi
• Iziphuzo: itiye nekhofi elisheshayo
• Okunye ukudla: ama-grits, i-tofu, amantongomane noshokoledi

Gwema lokhu kudla uma unamatshe e-uric acid:

• Utshwala
• Ama-anchovies
• I-asparagus
• Imvubelo yokubhaka noma yokuphisa
• Ukholifulawa
• Ukuphela
• Okubi
• i-herring
• Imidumba (ubhontshisi omisiwe nophizi)
• Amakhowe
• Amafutha
• Inyama yomzimba (isibindi, izinso, nama-sweetbreads)
• Ama-sardine
• Isipinashi

Ezinye iziphakamiso zokudla kwakho zifaka:

• Ungadli ama-ounces angaphezu kwama-3 (85 amagremu) enyama esidlweni ngasinye.
• Gwema ukudla okunamafutha njengokugqokwa kwesaladi, u-ayisikhilimu nokudla okuthosiwe.
• Yidla ama-carbohydrate anele.
• Yidla kakhulu ulamula namawolintshi, uphuze ulamula (lemonade) ngoba i-citrate kulokhu kudla imisa amatshe ekwakheni.
• Phuza uketshezi oluningi, ikakhulukazi amanzi.

Uma wehla emzimbeni, yehlisa kancane. Ukwehla kwesisindo ngokushesha kungadala amatshe e-uric acid.

Shayela umhlinzeki wakho uma une:

• Ubuhlungu obubi kakhulu emhlane noma ohlangothini lwakho obungasuki
• Igazi emchameni wakho
• Umkhuhlane namakhaza
• Ukuhlanza
• Umchamo onuka kabi noma obukeka unamafu
• Umuzwa ovuthayo lapho uchama

I-renal calculi nokuzinakekela; I-Nephrolithiasis nokuzinakekela; Amatshe nezinso - ukuzinakekela; Amatshe e-calcium nokuzinakekela; Amatshe e-oxalate nokuzinakekela; Amatshe e-Uric acid nokuzinakekela

• Ubuhlungu bezinso

UBushinsky DA. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 117.

ULeavitt DA, de la Rossette JJMCH, Hoenig DM. Amasu okuphathwa okungezona ezokwelapha kwe-calculi yomgudu ongaphezulu womchamo. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 93.

• Amatshe esinye
• ICystinuria
• Gout
• Amatshe ezinso
• I-Lithotripsy
• Izinqubo zezinso ezinamandla

• Hypercalcemia - ukukhipha
• Izinso zamatshe kanye ne-lithotripsy - ukukhishwa
• Izinso zamatshe - okufanele ubuze udokotela wakho
• Izinqubo zomchamo ezinamandla - ukukhipha

• Amatshe Ezinso