Urolithiasis i nā pōpoki a me nā ʻīlio

ʻO ka Urolithiasis (UCD) kahi maʻi i hōʻike ʻia e ka hoʻokumu ʻana o nā pōhaku (calculi) i loko o nā ʻāpana o ka ʻōnaehana urinary - i loko o nā puʻupaʻa a me nā ʻōpū.

ʻO nā ʻōuli maʻamau loa

Hiki i ka Urolithiasis ke asymptomatic no ka manawa lōʻihi. ʻAʻole hōʻike ka holoholona i ka hopohopo, he mimi maʻamau. Eia naʻe, i kekahi manawa, nā hōʻailona e like me:

• paʻakikī mimi. Noho lōʻihi nā pōpoki ma luna o ka pā, a ʻo ka hopena, ʻaʻohe mimi a i ʻole ʻelua kulu, hōʻole paha lākou i ka hele ʻana i ka lua i loko o ka pā a ʻimi i nā wahi ʻē aʻe no ka lua. Noho nā ʻīlio i lalo a hāpai paha i ko lākou wāwae no ka manawa lōʻihi, pinepine ʻole.
• ʻano ʻano ʻano ʻino ʻole i ka wā e mimi ana;
• hoʻonui i ka hopohopo, ka leo, ka huhū, ka licking perineal;
• koko i loko o ka mimi;
• i kekahi manawa ma hope o ka mimi ʻana, hiki iā ʻoe ke loaʻa ke one a i ʻole nā ​​ʻiliʻili liʻiliʻi;
• koi pinepine e hele i ka lua, i nā ʻāpana liʻiliʻi a ʻaʻohe mimi iki;
• ka ʻeha o ka ʻōpū ma kahi o ka ʻōpū a i ʻole nā ​​puʻupaʻa;
• emi a nele paha i ka ʻai.

ʻO kēia mau hōʻailona paha he hōʻailona o nā maʻi ʻē aʻe, no laila pono e hoʻokō i nā kaʻina diagnostic.

ICD pilikia

He aha ka urolithiasis weliweli? Hiki i nā pōhaku ʻāʻī ke noho lōʻihi a ʻaʻole hoʻi e ʻike iki iā lākou iho. I kekahi manawa he mea ʻike ʻole ia i ka wā e hoʻoheheʻe ʻia ai ka holoholona ma muli o kekahi maʻi ʻē aʻe a i ka wā o ke kaʻina. ʻO ka pōʻino nui ke komo ka calculus i loko o ka ureters - nā ʻōpū hāiki liʻiliʻi kahi e komo ai ka mimi mai nā puʻupaʻa i loko o ka ʻōpū. Hiki i ka pōhaku ke hana i kahi ʻāpana a i ʻole ke keakea piha o ka ureter. I ka hihia o ke keakea piha i ka holoholona, ​​ulu koke nā hōʻailona. ʻAʻole hiki ke hele ka mimi, akā hoʻomau ka hana ʻana, hiki mai ka hydronephrosis a make paha ke kīpē. Hoʻoulu ʻia ka pōʻino o ka puʻupaʻa, ʻike ʻia e ka piʻi ʻana o ka creatinine, urea, potassium i loko o ke koko, he mea make no nā pōpoki a me nā ʻīlio. Me kahi hōʻailona manawa, hana ʻia kahi hana e wehe i ka pōhaku a kau i kahi stent i ka ureter. Ke hana ʻia nā pōhaku i loko o ka ʻōpū, ʻaʻole i emi iki ka makaʻu. I nā pōpoki a me nā kāne, he urethra lōʻihi a lahilahi a me nā ʻiliʻili liʻiliʻi a i ʻole ke one me ka mucus, epithelium, paʻa wale nā ​​​​pūnaewele koko i loko. No laila, eia hou, hiki mai ka obstruction a me ke kahe ʻana o ka ʻōpū, akā "ʻaʻole ʻike" nā puʻupaʻa e pili ana i kēia, e hoʻomau ana i ka hana ʻana i ka wai a ulu hou ka pōʻino o ka puʻupaʻa. I nā pōpoki a me nā bitches, ʻaʻole paʻa ka urethra. Holo ʻia nā pōhaku liʻiliʻi a me ke one i ka wā mimi, akā aia paha nā pōhaku nui i loko o ka ʻōpū o ka ʻōpū. Hoʻopilikia ka pōhaku i ka ʻōpū a me ka urethra, e hoʻopōʻino ai, kahe koko, ʻeha nui, a hiki ke ulu aʻe i loko o ka membrane mucous. Ma keʻano maʻamau, ua hui pūʻia kēia mau hana a pau me kaʻeha nui.

 Nā kumu o ka ICD

Nui nā kumu no ka hiki ʻana o ka urolithiasis:

• ʻAi hewa.
• ʻO ka hōʻeha i ka hoʻololi ʻana o ka mineral a me ka wai i ke kino.
• ʻO nā maʻi lele o ka ʻōnaehana urinary. ʻO kekahi o nā kumu nui o ka urolithiasis i nā ʻīlio.
• Haʻahaʻa wai inu. ʻO ka hopena, hana ʻia nā kristal i loko o ka mimi koʻikoʻi.
• Predisposition genetic.
• ʻO nā maʻi maʻi o ka ʻōnaehana excretory.
• Ka pilikia.
• Haʻahaʻa hana.
• Kaumaha kaumaha.
• Nā pōʻino kino o ka ʻōnaehana urinary.

Nā ʻano kristal

E like me ko lākou haku mele ʻana a me ke kumu, he ʻano like ʻole nā ​​kristal. He mea pono e hoʻomaopopo i nā pōhaku nui e hiki ke loaʻa i nā ʻano kristal like ʻole, nā koko koko, ka epithelium o ka pūpū, ka mucus a me nā mea ʻē aʻe.

• ʻO Struvites kahi ʻano kristal hiki ke hoʻoheheʻe ʻia, ʻo ia ka mea maʻamau. Hoʻokumu nui ʻia lākou i loko o ka mimi alkaline, loaʻa kahi ʻano maʻemaʻe a me ke kala keʻokeʻo.

•  ʻO nā oxalates ka ʻano hiki ʻole ke hoʻoheheʻe ʻia. Radiopaque calculi, loaʻa nā ʻaoʻao ʻoi a me nā kihi, a me ka waihoʻoluʻu ʻeleʻele. Hoʻokumu nui ʻia i ka mimi waikawa. Hiki ke pale wale ia ia mau pohaku.

•  Hoʻokumu ʻia ka Urates i ka mimi waikawa. He mea koʻikoʻi loa ka ʻike ʻana o kēia ʻano pōhaku a pono nā noiʻi hou aʻe no ka mea pili pinepine kēia pilikia me kahi portosystemic shunt i nā ʻīlio. Ua like lākou me nā ʻāpana o ke one a me nā ʻiliʻili melemele a ʻeleʻele paha.

• ʻO Cystins nā pōhaku i loaʻa ma muli o ka cystinuria (ka hoʻopaʻa ʻia ʻana o nā waikawa amino). ʻAʻole maʻamau ke ʻano o nā ʻano, melemele a keʻokeʻo paha. Hōʻike pinepine ka maʻi iā ia iho i ka poʻe ʻelemakule (ma luna o 5 mau makahiki). 

1 - struvite 2 - oxalate 3 - urate 4 - cystine

lapaʻau '

He mea nui e hana i nā haʻawina diagnostic i ka manawa kūpono.

• Nānā mimi maʻamau. Pono e waiho i kahi la'ana hou no ka hoao ana. ʻAʻole kūpono ka mimi i kū i ʻelua mau hola no ka nānā ʻana, no ka mea, ua hoʻoheheʻe ʻia nā kristal hoʻopunipuni i loko, ʻo ia hoʻi, hiki ke ʻike hewa ʻia ka holoholona. 
• Hoʻāʻo koko maʻamau, biochemical no ka ʻike ʻana i ka hemahema o ka renal. Eia kekahi, no ka ʻike mua ʻana i ka maʻi maʻi, lawe ʻia ka mimi no ka ratio o ka protein / creatinine a me ke koko no SDMA.
• X-ray. Kōkua i ka nānā ʻana i nā uroliths like ʻole.
• ultrasound. Pono no ka ʻike ʻana i nā hoʻololi ʻana o ke kino i loko o nā puʻupaʻa, nā ureters, nā ʻōpū. ʻO ka mea maʻamau, ʻaʻole ʻike ʻia nā ureters ma ka ultrasound. Pono e hana ʻia nā haʻawina me ka ʻōpū piha.
• ʻO ka moʻomeheu bacteria o ka mimi me ka subtitration no nā lāʻau antibiotic. Pono e ʻike i ka maʻi a kuhikuhi i ka lāʻau kūpono. I loko o nā pōpoki a me nā ʻīlio, lawe ʻia ka mimi e ka cystocentesis i mea e pale aku ai i ka hoʻohaumia ʻana - ma o ke kī ʻana i ka paia o ka ʻōpū me kahi nila syringe ma lalo o ka mana o kahi mea ʻike ultrasound. Mai hopohopo, ʻae maʻalahi nā holoholona i kēia kaʻina hana.
• Ka nānā 'ana o nā urolith. Hoʻokō ʻia ia ma hope o ka unuhi ʻana mai ka holoholona, ​​​​pono ia no ka hōʻoia pololei ʻana o ka haku ʻana o nā pōhaku, no ke koho ʻana i nā hana lapaʻau hou aʻe a me ka pale ʻana i ke kūkulu ʻana i nā pōhaku hou.

lapaʻau

Hoʻohana ʻia ka lāʻau lapaʻau e hoʻopau i ke kumu o ka urolithiasis a me kāna mau hōʻailona. E noi i nā lāʻau hemostatic, antispasmodics, antimicrobials, inā pono, infusor therapy a me ka diuresis koi. ʻO ka catheterization o ka pūpū me ka blockage o ka urethra, i kekahi mau hihia, holoi a hoʻokomo i nā lāʻau lapaʻau intravesically. No nā pōpoki me ka paʻa ʻana o ka mimi, he mea nui e hāʻawi i ke kōkua hōʻailona me ka hoʻokaʻawale ʻana o nā ʻōpū mimi. No ka hana ʻana i kēia, mālama pono ʻia ka catheterization, holoi ʻia ka lua o ka ʻōpū, hana mau nā kaʻina hana - a hiki i ka wā e hoʻomaka ai ka pōpoki e hele i ka lua ma kāna iho. I ka wā o ka hoʻomaʻamaʻa ʻana, hoʻoneʻe ʻia nā pōhaku mai ka ureter, bladder a i ʻole urethra. I kekahi manawa pono e wehe i ke kīkini i poino. Eia kekahi, me ka paʻa mau ʻana o ka urethra a i ʻole ke keʻakeʻa nui ʻia, hana ʻia kahi urethrostomy. ʻOiaʻiʻo, ma hope o ka hoʻomaʻamaʻa ʻana, pono ka holoholona i ka mālama kūikawā: ke kau ʻana i ke kola pale a i ʻole nā ​​​​pale, ke kuʻi ʻana, ka lawe ʻana i nā lāʻau lapaʻau, koi pinepine i ka noho hale maʻi a puni ka manawa ma lalo o ka nānā ʻana o nā veterinarians. ʻO ka mea maʻamau i ka lāʻau lapaʻau a me ka lapaʻau ʻana, ʻo ia ke koho ʻana i nā meaʻai kūikawā - nā meaʻai maloʻo a pulu i hoʻolālā ʻia no nā pōpoki a me nā ʻīlio, a me nā lāʻau lapaʻau ʻē aʻe i kuhikuhi ʻia e ke kauka holoholona. ʻAʻole pono ka mālama ponoʻana i ka holoholona i kekahi hihia.

Kāohi

No ka pale ʻana, hāʻawi i ka holoholona i ka hoʻoikaika pono, hoʻonohonoho i ka meaʻai kūpono. E hōʻoia i ka loaʻa ʻana o ka makū o kāu pipi. E ho'āʻo e hoʻokomo i kekahi mau ipu wai i loko o ke keʻena, ʻaʻole makemake pinepine nā pōpoki e inu mai kahi kīʻaha e pili ana i kā lākou meaʻai. Eia kekahi, ma kahi o nā croquettes, e hoʻohui i nā ʻeke a i ʻole nā ​​paté i kāu ʻai. Manaʻo ʻia e hoʻohana i ka meaʻai pulu a maloʻo mai ka mea hana like. A, ʻoiaʻiʻo, e nānā mau me ka veterinarian, ʻoiai inā ʻike ʻoe he mea maʻalahi ka holoholona i ka urolithiasis.