I-Renal colic ibhekisela ku-a ubuhlungu ngenxa ukuvinjelwa komgudu womchamo. Iziveza ngobuhlungu Okumnandi wazizwa ngokuzumayo esifundeni se-lumbar, futhi kungenxa yokwanda okungazelelwe kokucindezela komchamo ongasakwazi ukugeleza.

I-renal colic ibangelwa isithiyo emgudwini womchamo ovimbela ukugeleza komchamo.

Ezimweni ezingu-3/4, ubuhlungu bubangelwa a urolithiasis, evame ukubizwa ngokuthi itshe lezinso.

Amatshe ezinso (= izinhlanganisela ezincane eziqinile njengamatshe amancane anobukhulu obuhlukahlukene, ngokuvamile aqukethe i-calcium noma i-uric acid) yakheka emgudwini womchamo, ngokuvamile esensweni noma ku-ureter (amapayipi axhuma izinso esinyeni).

Lapho itshe livimbelwe kwenye ye-ureter, livimbela noma libambezele kakhulu ukudlula komchamo. Nokho, izinso ziyaqhubeka nokukhiqiza umchamo ezingeni eliwumngcingo kakhulu ukuthi ungadlula. Khona-ke ukugeleza komchamo kwehliswa kakhulu, noma kuze kumiswe, kuyilapho izinso ziqhubeka nokuphuma. I-hypertension ekhiqizwa ukunqwabelana komchamo, phezulu kwesithiyo, ibangela ubuhlungu obukhulu.

Ezinye izimbangela ze-renal colic zingaba:

• ukuvuvukala kwe-ureter (= ureteritis ngenxa yesifo sofuba, umlando wokukhipha imisebe),
• isimila se-renal tract,
•  ukukhulelwa umthamo wayo ucindezela i-ureter,
• ama-lymph nodes,
• i-fibrosis yendawo,
• isimila se-pelvic, njll.

Ukwakheka kwalawa matshe kungathandwa yizici ezihlukahlukene:

• izifo ze-urinary tract,
• ukuphelelwa amanzi emzimbeni,
• ukudla okucebile kakhulu ngenyama enamafutha kanye nebandayo,
• umlando womndeni we-lithiasis,
• ukukhubazeka kwe-anatomical kwezinso,
• i-pathologies ethile (i-hyperparathyroidism, i-gout, ukukhuluphala, isifo sikashukela, isifo sohudo esingapheli, izinso zesiponji, uhlobo 1 lwe-renal tubular acidosis, Isifo sikaCrohn, ukwehluleka kwezinso, i-hypercalciuria, i-cystinuria, i-sarcoidosis...).

Ngezinye izikhathi ingozi ye-renal colic iyanda ukuthatha imithi ethile.

Imbangela ye-renal colic ingahlala ingaziwa futhi ibizwa ngokuthi i-idiopathic lithiasis.

La ubuhlungu kwenzeka ngokuzumayo esifundeni se-lumbar, ngokuvamile ekuseni kanye / noma ebusuku. Uyezwa ngakolunye uhlangothi, ezinso ezithintekile Ingadlulela kusukela emuva iye enqenqemeni nasesiswini, i-groin futhi ngokuvamile, lobu buhlungu buphumela esithweni sangasese sangaphandle.

Ubuhlungu buyahlukahluka ngokuqina kodwa buhlangabezana neziqongo ezinzima kakhulu. Izinhlungu ezibuhlungu zivame ukuphikelela phakathi komunye nomunye isiqephu senhlekelele, ubude besikhathi esingasukela emizuzwini eyishumi kuye emahoreni ambalwa.

Izinhlungu ngezinye izikhathi zihambisana nokuphazamiseka kokugaya ukudla (isicanucanu, ukuhlanza, ukuqunjelwa) noma ukuphazamiseka kokuchama (izifiso ezivamile noma ezizumayo zokuchama). Ukuba khona kwegazi emchameni kuvamile. Ukungahlaliseki nokukhathazeka nakho kuvame ukubonwa.

Ngakolunye uhlangothi, isimo esijwayelekile asishintshiwe futhi akukho fever.

Ngenxa yokuqina kobuhlungu, i-renal colic attack iwela ngaphansieziphuthumayo zezokwelapha : Kubalulekile ukuthintana nodokotela ngokushesha nje lapho kuvela izimpawu. Ukuphathwa kokwelapha kwenziwa ngokwezinga lamandla adonsela phansi, kodwa okuhamba phambili kuhlala noma yini eyenzekayo ukukhulula ubuhlungu nokususa isithiyo.

Ukwelashwa kwe-renal colic ngenxa yamatshe ezinso, kuqukethe umjovo, ama-antispasmodics futhi ikakhulukazi. izidakamizwa ezingezona ukuvuvukala, i-alpha blockers kanye ne-calcium channel blockers. I-Morphine ingasetshenziswa futhi njengesidambisi sobuhlungu.

Nciphisa ukuphuza amanzi, ngaphansi kwelitha elingu-1 ngamahora angu-24: lokhu kungase kwenyuse umfutho ezinso inqobo nje uma umgudu womchamo usalokhu uvalekile.

Ezimweni ezingu-10 kuya ku-20%, ukuhlinzwa kuyadingeka uma kuziwa ku-renal colic ngenxa yokubala.¹

Kungenzeka ukunciphisa izingozi nsuku zonke by i-hydration evamile futhi eyanele (1,5 kuya ku-2 amalitha amanzi ngosuku) njengoba lokhu kusiza ekunciphiseni umchamo futhi kunciphise ingozi yokwakheka kwamatshe.

Ukuvimbela ikakhulukazi kuthinta abantu asebevele bahluphekile

i-renal colic.

Kuye ngembangela ye-renal colic, iphathwa.

Uma imbangela ye-colic yinkinga yamatshe ezinso, kunconywa izinyathelo zokudla, zincike esimweni samatshe kakade abonwe kumuntu ngamunye. Ukwelashwa kokuvimbela amatshe nakho kungenziwa.

Phytotherapy

Ukusetshenziswa kwezitshalo ezinezakhiwo ze-diuretic kwenza kube nokwenzeka ukwandisa umthamo womchamo futhi ngaleyo ndlela kuvimbele ukwakheka kwamatshe ezinso abhekene ne-renal colic.

Ikakhulukazi singaphendukela ku-burdock, borage, blackcurrant, mate, nettle, dandelion, horsetail, elderberry noma itiye.

Isexwayiso: lezi zitshalo ziningi ngezinhloso zokuvimbela. Ngakho-ke azifaneleki uma kunesimo esibucayi esibucayi.

isixazululi nkinga yehadiwe nezinsiza

• Ukuvimbela :
  • ekubaleni ama-phosphates nama-oxalates, sincoma i-Oxalicum acidum ku-5 CH ngenani lama-granules angu-3 kathathu ngosuku,
  • ngamatshe ezinso ahambisana ne-albuminuria, kunconywa i-Formica rufa ngesilinganiso esifanayo.
• Uma ulindele i-renal colic nobuhlungu: nciphisa ama-granules angu-5 CH we-Belladonna, i-Berberis vulgaris, i-Lycopodium ne-Pareira brava emanzini asentwasahlobo futhi uphuze usuku lonke.
• Uma ukuchama kunzima: thatha ama-granules ama-3 we-Sarsaparilla kathathu ngosuku.
• Uma kwenzeka kuba ne-renal colic engapheli (umthamo womchamo uyahlukahluka njalo): khetha i-Berberis vulgaris ngokuhlonipha umthamo ofanayo.
• Ekwelapheni kwendawo ukuze ugweme ukuphinda:
  • Izinhlamvu ezi-5 ngosuku zengxube engu-200 K zizokwenziwa ekhemisi elakhiwe iCalcarea carbonica, Collubrina neLycopodium,
  • uma kwenzeka amatshe e-phosphate, thatha i-Calcarea phosphoricum noma i-Phosphoricum acidum (i-dilution efanayo, umthamo ofanayo).