ka nā konāhua pohaku, kapa ʻia ” nā konāhua pohaku ʻO nā kristal paʻakikī i hana ʻia i loko o nā puʻupaʻa a hiki ke hōʻeha i ka ʻeha nui. Hoʻohana nā kauka i ka huaʻōlelo urolithiasis e koho i kēia mau kristal, hiki ke loaʻa ma ke koena o ka ʻōnaehana urinary: i loko o ka ʻōpū, urethra a i ʻole ureters (e nānā i ke kiʻi).

Ma kahi kokoke i 90% o nā hihia, pōhaku mimi hana i loko o ka puʻupaʻa. He ʻokoʻa ko lākou nui, mai kekahi mau millimeters a i kekahi mau kenimika ke anawaena. ʻO ka hapa nui o lākou (80%) e hoʻopau wale ʻia ma o ka hele ʻana i nā awāwa like ʻole o ka ʻōnaehana urinary a hoʻoulu i nā hōʻailona liʻiliʻi. Eia nō naʻe, ʻo nā ureters, aia ma waena o nā puʻupaʻa a me ka ʻōpū, he mau awāwa liʻiliʻi loa. ʻO ka pōhaku i hana ʻia i loko o ka puʻupaʻa, e hele ana i ka ʻōpū, hiki ke keʻakeʻa i ka ureter a no laila ke kumu. ʻeha ʻeha. Kapa ʻia kēia ka colic hōʻeuʻeu.

ʻO wai ka mea i hoʻopili ʻia?

He mea maʻamau ka maʻi pōhaku, a ua ʻike ʻia ua piʻi ka maʻi maʻi i nā makahiki he 30 i hala. Ma waena o 5% a me 10% o ka poʻe e ʻike i ka hoʻouka ʻana i ka colic renal i ko lākou ola ʻana. ʻOi aku ka nui o nā pōhaku ʻāʻī ma ka quantine. He pālua ko lākou maʻamau mana kanaka ma mua o nā wāhine. Hiki ke pilikia kekahi mau keiki.

ʻOi aku ma mua o ka hapalua o ka poʻe i loaʻa i ka helu helu e loaʻa hou ia i loko o 10 mau makahiki o ka hoʻouka mua ʻana. ʻO ka kahi hoʻololi. no laila he mea nui loa.

Nā kumu

ʻO nā helu ka hopena o crystallization o nā paʻakai mineral a me nā ʻakika i loaʻa i ka ʻike kiʻekiʻe loa i ka mimi. Ua like ke kaʻina hana me ka mea i ʻike ʻia i loko o ka wai i loaʻa ka nui nā paʻakai mineral : Ma waho aʻe o kekahi hoʻopaʻa ʻana, hoʻomaka ka paʻakai e crystallize.

Hiki i nā pōhaku ʻāʻī ke hopena o nā kumu he nui. ʻO ka pinepine, ma muli o ka nele o ka dilution o ka mimi, ʻo ia hoʻi a haahaa loa ka inu wai. ʻO ka meaʻai kūpono ʻole, waiwai nui i ke kō a i ʻole ka protein, hiki ke hewa. I nā manawa he nui, akā naʻe, ʻaʻole ʻike mākou i kahi kumu kikoʻī e hiki ke wehewehe i ke kūkulu ʻia ʻana o nā pōhaku.

ʻOi aku ka kakaikahi, ʻo ka maʻi, kekahi mau lāʻau lapaʻau, kahi genetic (e like me cystic fibrosis a hyperoxaluria) a i ʻole ka maʻi metabolic (e like me ka maʻi diabetes) hiki ke alakaʻi i ke kūkulu ʻana i nā pōhaku mimi. Pēlā nō, hiki ke hoʻopili ʻia nā hemahema o ka ʻāpana mimi, ʻoi aku i nā keiki.

ʻAno helu

ʻO ka haku mele ʻana o ka pōhaku e pili ana i ke kumu, akā aia ka hapa nui o nā pōhaku ʻeke ka pōhaku. ʻO ka hoʻāʻo ʻana i ka mimi a me ka nānā ʻana i nā pōhaku i hoʻihoʻi ʻia e ʻike ʻia ko lākou haku mele ʻana.

Heluhelu ma muli o ka calcium. Aia lākou ma kahi o 80% o nā pōhaku maʻi a pau. Hoʻopili lākou i nā helu e pili ana i ka calcium oxalate (ka mea maʻamau), calcium phosphate a i ʻole ka hui ʻana o nā mea ʻelua. Ma muli o ka wai maloʻo, ka nui o ka huaora D, kekahi mau maʻi a me nā lāʻau lapaʻau, nā kumu hoʻoilina a i ʻole kahi meaʻai waiwai nui i ka oxalate (e nānā i ka ʻai ma ka ʻāpana Kāohi).

Heluhelu Struvite (a i ʻole ammonia-magnesian phosphate). Hoʻopili ʻia lākou i nā maʻi maʻi maʻi maʻi maʻi a i ʻole e hoʻihoʻi hou i ka maʻi maʻi bacterial a hōʻike ma kahi o 10% o nā hihia.¹. ʻAʻole like me nā ʻano pōhaku ʻē aʻe, ʻoi aku ka maʻamau o nā wahine ma mua o nā kāne. ʻO ka manawa pinepine, hana lākou i loko o ka poʻe i loaʻa i kahi catheter maʻi.

Ka helu ʻana i ka ʻakika uric. Hōʻike lākou i ka 5 a 10% o nā pōhaku maʻi. Hoʻokumu ʻia lākou ma muli o ke kiʻekiʻe kiʻekiʻe o ka waika uric i loko o ka mimi. Loaʻa ka poʻe me ka gout a i ʻole ka loaʻa ʻana o ka chemotherapy. Hiki iā lākou ke hoʻokumu ʻia e kahi maʻi.

Pōhaku Cystine. ʻO kēia ʻano ka mea kakaʻikahi. I nā hihia a pau, pili lākou i ka cystinuria, he kīnā genetic e hoʻokuʻu nui ai nā puʻupaʻa i ka cystine (he amino acid). Hiki ke hana ʻia kēia ʻano helu i ka wā kamaliʻi.

Nā pilikia i hiki

He kakaikahi ka pilikia inā mālama maikaʻi ʻia nā pōhaku. Eia nō naʻe, hiki ke hoʻohui i hoʻokahi hoʻopilikia o ka ureter ma ka helu ana, a maʻiʻaʻai noho iho. Hiki i kēia ke alakaʻi i kahi maʻi koko (sepsis) e pono ai ʻike wikiwiki. ʻO kekahi kūlana e lilo i mea koʻikoʻi ke loaʻa wale i ke kanakahoʻokahi puʻupaʻa loaʻa i ka colic renal.