Ingabe Isifo Sikashukela Siyayandisa Ingozi Yami Yokuthuthukisa Amatshe Ezinso?

-Delile

• Ayini amatshe ezinso?
• Ingabe zikhona izinto eziyingozi ngamatshe ezinso?
• Ukwelapha amatshe ezinso
• Ukuvimbela amatshe ezinso
• DASH yokudla

Yini ukuxhumana phakathi kwesifo sikashukela namatshe ezinso?

Isifo sikashukela yisimo lapho umzimba wakho ungakhiqizi i-insulin eyanele noma ungakwazi ukusisebenzisa kahle. I-insulin ibalulekile ekulawuleni amazinga kashukela egazini. Ushukela wegazi ophakeme ungadala izinkinga kunoma iyiphi ingxenye yomzimba wakho, kufaka phakathi izinso zakho.

Uma une-type 2 yesifo sikashukela, ungahle ube nomchamo one-asidi kakhulu. Lokho kwandisa ingozi yakho yokuthuthukisa amatshe ezinso.

Ayini amatshe ezinso?

Kwakhiwa amatshe ezinso lapho unezingqinamba eziphakeme zezinto ezithile kumchamo wakho. Amanye amatshe ezinso avela ku-calcium oxalate eyeqile. Abanye bakha nge-struvite, i-uric acid, noma i-cystine.

Amatshe angahamba esuka ezinso zakho ngomgudu wakho wokuchama. Amatshe amancane angadlula emzimbeni wakho nangaphandle komchamo wakho ngobuhlungu obuncane noma obungenabo nhlobo.

Amatshe amakhulu angadala ubuhlungu obukhulu. Bangathola nokufakwa kupheshana lakho lomchamo. Lokho kungavimba ukugeleza komchamo futhi kubangele ukutheleleka noma ukopha.

Ezinye izimpawu zamatshe ezinso zifaka:

• ubuhlungu emuva noma esiswini
• isicanucanu
• ukuhlanza

Uma uhlangabezana nezimpawu ezinzima zamatshe ezinso, bheka udokotela wakho. Udokotela wakho angasola amatshe ezinso ngokususelwa kwizimpawu zakho. Ukuhlolwa komchamo, ukuhlolwa kwegazi, kanye nokuhlolwa kwe-imaging kungadingeka ukuqinisekisa ukuxilongwa.

Ingabe zikhona izinto eziyingozi ngamatshe ezinso?

Noma ngubani angakha itshe leso. E-United States, cishe amaphesenti ayi-9 abantu bake bathola okungenani itshe elilodwa leso, ngokusho kweNational Kidney Institute.

Ngaphezu kwesifo sikashukela, ezinye izinto ezinobungozi zamatshe ezinso zifaka:

• ukukhuluphala ngokweqile
• ukudla okunamaprotheni amaningi ezilwane
• umlando womndeni wamatshe ezinso
• izifo nemibandela ethinta izinso
• izifo nemibandela ethinta inani le-calcium nama-acid athile emzimbeni wakho
• iziyaluyalu zomgudu womchamo
• ukuvuvukala okungapheli kwamathumbu

Imithi ethile ingakubeka nasengozini enkulu yokuthola amatshe ezinso. Phakathi kwazo kukhona:

• isisu
• ama-antacids aqukethe i-calcium
• izithasiselo eziqukethe i-calcium
• i-topiramate (i-Topamax, i-Qudexy XR), umuthi olwa nokudlikiza
• indinavir (Crixivan), umuthi osetshenziswa ekwelapheni ukutheleleka nge-HIV

Kwesinye isikhathi, asikho isizathu esinganqunywa.

Ukwelapha amatshe ezinso

Amatshe amancane ezinso awadingi ukwelashwa ngaso sonke isikhathi. Cishe uzokwaziswa ukuthi uphuze amanzi athe xaxa ukusiza ukuwakhipha. Uzokwazi ukuthi uphuza amanzi anele lapho umchamo wakho uphaphathekile noma ucacile. Umchamo omnyama usho ukuthi awuphuzi ngokwanele.

Ukudambisa izinhlungu ezithengiswayo kunganela ukuqeda ubuhlungu betshe elincane. Uma kungenjalo, udokotela wakho angancoma umuthi onamandla. Kwezinye izimo, udokotela wakho angahle anikeze i-alpha blocker ukukusiza udlule itshe ngokushesha.

Amatshe amakhulu ezinso angadinga amaphilisi ezinhlungu anikezwa kadokotela nokungenelela okwengeziwe. Zingadala ukopha, ukutheleleka ngomgudu womchamo, noma zilimaze izinso zakho.

Okunye ukwelashwa okusetshenziswa kakhulu yi-extracorporeal shock wave lithotripsy, esebenzisa amagagasi ashaqisayo ukuqhekeza itshe.

Uma itshe likwi-ureter yakho, udokotela wakho angakwazi ukulihlukanisa ne-ureteroscope.

Uma amatshe akho emakhulu kakhulu futhi ungakwazi ukuwadlula, ungadinga ukuhlinzwa.

Ukuvimbela amatshe ezinso

Uma usuthole itshe lezinso, usengozini enkulu yokuba nelinye. Unganciphisa ingozi yakho yonke ngokugcina ukudla okunomsoco nokulawula isisindo sakho.

Kubalulekile futhi ukuthatha uketshezi oluningi nsuku zonke. Phuza cishe izinkomishi eziyisishiyagalombili, eziyi-8-ounce zamanzi noma iziphuzo ezingezona eze-caloric ngosuku. Amajusi e-citrus nawo angasiza. Funda kabanzi ngamathiphu ngokudla kwesifo sikashukela okungakusiza wehlise isisindo.

Uma usuvele unetshe lezinso futhi ufuna ukuzama ukuvimbela ukwakhiwa kwamatshe ezinso angeziwe, ukwazi ukuthi yini ebangele amatshe kwasekuqaleni kuzokusiza ukuvikela amatshe esikhathi esizayo.

Enye indlela yokuthola imbangela ukuthi kuhlaziywe itshe lakho. Lapho kutholakala ukuthi unetshe lezinso, udokotela wakho uzokucela ukuthi uqoqe umchamo futhi ubambe itshe lapho lidlula. Ukuhlaziywa kwelebhu kungasiza ekunqumeni ukwakheka kwetshe.

Uhlobo lwetshe luzosiza udokotela wakho anqume ukuthi iziphi izinguquko okufanele uzenze ekudleni kwakho.

Amanye amatshe ezinso akha i-calcium oxalate, kodwa lokho akusho ukuthi kufanele ugweme i-calcium. I-calcium encane kakhulu yenza amazinga e-oxalate akhuphuke. Kungcono ukuthola i-calcium yakho yansuku zonke ekudleni. Uzodinga futhi nenani elifanele levithamini D ukumunca kahle i-calcium.

I-sodium eyeqile ingakhuphula i-calcium emchameni wakho. Ukunciphisa ukudla okunosawoti kungasiza.

Amaprotheni amaningi kakhulu ezilwane angakhuphula i-uric acid futhi akhuthaze ukwakheka kwamatshe. Yehlisa ingozi ngokudla inyama ebomvu engaphansi.

Okunye ukudla nakho kungadala ukuthi kukhule amatshe ezinso. Cabanga ukunciphisa ushokoledi, itiye, nesoda.

DASH yokudla

Izindlela Zokudla Ezimisa Ukushisa Komfutho Wegazi (DASH) zingasiza ukwehlisa umfutho wegazi. Kunganciphisa namathuba akho okuthuthukisa amatshe ezinso. Ekudleni kwe-DASH, uzogcizelela ukudla okulandelayo:

• imifino
• izithelo
• imikhiqizo yobisi enamafutha amancane

Uzofaka futhi:

• okusanhlamvu okuphelele
• ubhontshisi, imbewu, namantongomane
• inhlanzi nezinkukhu

Uzodla amanani amancane kuphela we:

• i-sodium
• kwengezwe ushukela namaswidi
• amafutha
• inyama ebomvu

Ukulawulwa kwengxenye nakho kuyinto ebalulekile ye-DASH. Yize kubizwa ngokudla, kuhloswe ukuba kube yindlela yokuphila yokudla okulungile. Buza udokotela wakho noma isazi sokudla ukuze uthole olunye ulwazi mayelana ne-DASH.

Angiqondi ukuxhumana phakathi kwesifo sikashukela namatshe kulesi sigaba sokuqala. Isifo sikashukela nakanjani singazilimaza izinso, kodwa asichazi ukuthi umonakalo ungawakha kanjani amatshe. Kubonakala sengathi yisigaba sesibili kuphela esiphendula imibuzo ye-H1 noma ye-H2.

Ngizamile ukusesha okuqukethwe okuningi kulokhu-kukhona ukuhlobana phakathi kwe-fructose ikakhulukazi namatshe-kodwa angikwazanga ukuza nombhalo ocacisayo.