Ama-Kidney Stones yini? Izimpawu, Izimbangela, & Ukwelashwa

Ama-kidney stones yi-deposits ezinzima zeziminerali ezakhiwa ngaphakathi kwezinso zakho lapho izinto ezithile ezinhlanganweni yakho yomchamo ziqina kakhulu. Cabanga ngawo njengekristali ezincane ezihlanganisana ndawonye, ubukhulu bawo buhluka kusuka ezinhlanganweni ezincane zesihlabathi kuya ezindlebeni ezinkulu ezingaba khulu njengobhola legolfi.

Ama-kidney stones amaningi aphatheka kalula, futhi abantu abaningi bayawadlula ngokwemvelo ngaphandle kokudinga ukuhlinzwa. Nakuba ngokuqinisekile angabangela ukungakhululeki, ukuqonda ukuthi ayini nokuthi ungaphatha kanjani kungakusiza uzizwe ukhululekile ngokuhamba kwempilo yakho.

Ama-kidney stones yini?

Ama-kidney stones akhiwa lapho umchamo wakho unezinto eziningi ezakha ama-kristali njengekhalsiyam, i-oxalate, ne-uric acid kunalokho okungadlulisa amanzi omchamo wakho. Izinso zakho ngokuvamile zihlanza ukhukhwini egazini futhi zenze umchamo, kodwa ngezinye izikhathi lezi zinto zikhukhwini zinamathela ndawonye esikhundleni sokuchithwa ngokuphelele.

Le nqubo ivame ukwenzeka kancane kancane ezinyangeni noma ezinyangeni eziningi. Umuthi wakho uzama ukugeza lezi kristali, kodwa zingakhula zibe khulu futhi zinamathele endleleni yakho yomchamo. Yilapho ungase uqale ukuzwa izimpawu.

Kunezinhlobo ezine eziyinhloko zama-kidney stones ezingakha, ngayinye inezinga ezahlukene nezici. Ama-calcium stones ayavamile kakhulu, enza cishe u-80% yazo zonke izimo, kuyilapho ama-uric acid, ama-struvite, nama-cystine stones awavamile kodwa kubalulekile ukuwaqonda.

Ziyini izimpawu zama-kidney stones?

Awungase uzwe lutho nhlobo lapho ama-kidney stones encane futhi ahlala ngokuthula ezinsonini zakho. Izimpawu zivame ukuvela lapho itshe liqala ukuhamba endleleni yakho yomchamo noma liba likhulu ngokwanele ukuvimba ukugeleza komchamo.

Nazi izimpawu ongazihlangabezana nazo, uqale ngezivamile kakhulu:

• Ubuhlungu obukhulu, obucindezelayo emhlane, eceleni, phansi kwesisu, noma emadolweni obuza futhi buhambe ngamaza
• Ubuhlungu noma ukuvutha lapho ukhishwa
• Umshini opinki, obomvu, noma obusundu ngenxa yegazi
• Umshini onamafu noma onuka kabi
• Ukuzizwa sengathi udinga ukuya eceleni njalo kunokujwayelekile
• Ukuya eceleni kancane kancane njalo
• Ukuphefumula nokugabha
• Ukuvuvukala nokuthanda ukubanda uma kutholakala ukutheleleka

Ubuhlungu obuvela ezitsheni zezinkalankala buchazwa njengolunye lwemiqondo eqinile kakhulu abantu abake baba nayo. Lungashintsha izindawo njengoba itshe lihamba ngendlela yakho yokukhipha umchamo, okuvamile ngokuphelele kodwa kuyaphatha ukukhathazeka.

Ngokungavamile, abanye abantu baba nobuhlungu obuthambile obuhlala njalo kunokuba bukhulu, ikakhulukazi ngamatshe amakhulu angahambisi kakhulu. Ungase futhi uqaphele ukushintsha kombala noma ukunuka komchamo wakho ngaphandle kokubuhlungu okubonakalayo.

Ziyini izinhlobo zamatshe ezinkalankala?

Ukuqonda uhlobo lwetshe lenkalankala olinayo kusiza udokotela wakho ukuba enze uhlelo lokwelapha oluhle kuwe. Uhlobo ngalunye lubunjwa ngezizathu ezahlukene futhi lungadinga izindlela ezithile zokuvimbela amatshe esikhathi esizayo.

Amatshe ekhalsiyam yiyona uhlobo oluvamile kakhulu, ngokuvamile enziwe ngekhalsiyam oxalate noma ikhalsiyam phosphate. Lezi zivame ukukhula lapho unezinga eliphezulu lekhhalsiyam noma i-oxalate emchameni wakho, nakuba ukuba ne-citrate encane kakhulu kungase futhi kuhlanganyele.

Amatshe e-uric acid akha lapho umchamo wakho ukhulu kakhulu, ngokuvamile kuhlobene nokudla amaprotheni amaningi ezilwane noma ukuba nezimo zezokwelapha ezithile njengogout. La matsheni ayizinkimbinkimbi ngoba ngezinye izikhathi angachithwa ngemithi kunokuba adinge ukususwa ngokomzimba.

Amatshe e-Struvite avame ukukhula ngemuva kokutheleleka kwezindlela zokukhipha umchamo ngamabhaktheriya athile enza umchamo wakho ube alkali. Lezi zingakhula kakhulu futhi ngezinye izikhathi zibizwa ngokuthi amatshe “e-staghorn” ngenxa yesimo sawo esiqinile.

Amatye e-cystine ayindlela engavamile kakhulu, abangelwa yisifo esidluliselwa ngezofu esibizwa ngokuthi i-cystinuria lapho izinso zakho zikhishwa khona i-amino acid e-cystine eningi kakhulu emathunjini akho. Uma uneleli bhubesi, cishe uzophinde uthole amatye ngokuphindaphindiwe ekuphileni kwakho.

Yini ebangela amatye esikhumba?

Amatye esikhumba akhiwa lapho izinga lamanzi, ama-salt, namanyosi emathunjini akho liphazamiseka. Isizathu esivamile ukungaphuzi amanzi anele, okwenza ukuba amanzi akho abe nzima futhi avumele ama-crystal ukuba akheke kalula.

Izinto eziningi zokudla zingandisa ingozi yakho yokuthola amatye:

• Ukudla usawoti omningi, okwandisa i-calcium emathunjini akho
• Ukusebenzisa inyama eningi yezilwane njengenyama, i-fish, kanye nenyama yenyoni
• Ukuthola i-calcium eningi noma encane kakhulu ekudleni kwakho
• Ukudla ukudla okune-oxalate eningi njenge-spinach, ama-nuts, kanye ne-chocolate
• Ukungatholi i-citrate eyanele eziqweni nasezimila

Izimo zezokwelapha zingase futhi zifake isandla ekwakheni amatye. Ukutheleleka kwe-urinary tract, isifo se-inflammatory bowel, kanye ne-hyperparathyroidism konke kushintsha ikhemikhali yamanzi akho ngezindlela ezithuthukisa ukwakheka kwama-crystal.

Eminye imithi iyandisa ingozi yakho yamatye, kufaka phakathi ama-diuretics athile, ama-antacids asekelwe kwi-calcium, kanye ne-vitamin C supplements ngamathani aphezulu. I-genetics yakho idlala indima futhi, njengoba amatye esikhumba evame ukubaleka emindenini.

Ngokungavamile, izinkinga zokwakheka komzimba nge-urinary tract yakho zingakha izindawo lapho amanzi ahlangana khona futhi ama-crystal abe nesikhathi esiningi sokwakha. Izifo ezithile ezingavamile ze-metabolic zingase futhi zikhulise kakhulu ingozi yakho yamatye.

Nini okumele ubheke udokotela ngamatye esikhumba?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlushwa ubuhlungu obukhulu obuvimba ukuba uhlale phansi noma uthole isikhundla esikhululekile. Leli banga lobuhlungu livame ukubonisa ukuthi ilitye lihamba nge-urinary tract yakho futhi lingadinga ukuphathwa ngochwepheshe.

Shaya udokotela wakho ngokushesha uma uhlushwa ubuhlungu kanye ne-fever ne-chills, njengoba le nhlanganisela isikisela ukutheleleka okungenzeka okudingayo ukwelashwa ngokushesha. Igazi emanzini akho, ikakhulukazi uma libonakala ngamehlo, futhi lidingi ukubiza umhlinzeki wakho wezempilo.

Kufanele uphinde uxhumane nodokotela wakho uma ungakwazi ukuthamba nhlobo, njengoba lokhu kungasho ukuthi ilitshe livalekile ngokuphelele indlela yakho yokuphuma kwamathumbu. Ukuhlanza okuqhubekayo nokugabha okukuvimbela ekuphumeni kwamanzi okunye isizathu sokufuna ukunakekelwa.

Ngisho noma izimpawu zakho zithambile, kufanele uhlele i-aphoyintimenti uma uthi ungase ube namathumbu. Udokotela wakho angaqinisekisa ukuxilongwa futhi akusize ukwakha uhlelo lokulawula amatshe akhona nokuvimba amanye esikhathini esizayo.

Iyini imizamo yokuthola amatshe emithunzini?

Izinto eziningi zingakwenza kube lula ukuthola amatshe emithunzini, yize ukuba nemizamo yokuthola amatshe emithunzini akusho ukuthi uzowathola. Ukuqonda ingozi yakho siqu kungakusiza ukuthi uthathe izinyathelo zokuvikela.

Ubudala nobulili kudlala indima ebalulekile ekwakheni amatshe. Amadoda amaningi anezinto eziningi kunabesifazane, futhi ingozi yakho iyakhula njengoba ukhula, abantu abaningi behlangabezana ne-stone yabo yokuqala phakathi kweminyaka engama-20 nama-50.

Umlando wakho womndeni ubaluleke kakhulu. Uma abazali bakho noma abafowenu babe namathshe emithunzini, kungenzeka kakhulu ukuthi uzowathola ngenxa yezinto ezifana ne-genetic ezihlanganisa indlela imithunzi yakho esebenza ngayo imigodi.

Nawa amanye ama-risk factors abalulekile okufanele uwaqaphele:

• Ukuphila ezindaweni ezishisayo, ezomile lapho ulahlekelwa khona ngamanzi amaningi ngokukhulukazi
• Ukuba nokuphila okuhleli phansi okungenayo imisebenzi yomzimba
• Ukuba olukhulu, okuthinta amazinga e-asidi emanzini akho
• Ukuba nesifo sikashukela, okuthinta indlela umzimba wakho uqapha ngayo ushukela naminerali
• Ukuba nokucindezeleka kwegazi
• Umbhalo wangaphambili wamatye eqolo
• Izifo ezithile zokugaya ukudla njenge-Crohn's disease
• Ukuba uqale uchikithi lwe-gastric bypass

Imithi ethile ingandisa ingozi yakho, ikakhulu uma uyithatha isikhathi eside. Lokhu kufaka phakathi imithi ethile yokucindezeleka kwegazi, ama-antacids, kanye nezinhlanganisela zevithamini uma zithathwa ngobuningi.

Isimo esingavamile se-genetic njenge-hyperoxaluria noma i-cystinuria kwandise kakhulu ingozi yamatye futhi ngokuvamile kudinga ukuphathwa kwezokwelapha okukhethekile ekuphileni konke.

Ziyini izinhlanganisela ezingaba khona zamatye eqolo?

Abantu abaningi badlula amatye eqolo ngaphandle kokubhekana nezinhlanganisela ezinkulu, kodwa kusiza ukuqonda ukuthi yiziphi izinkinga ezingase zenzeke. Ukuba uqaphele lezi zinto kukunceda ubone ukuthi nini ungadinga ukunakekelwa kwezokwelapha okwengeziwe.

Inhlanganisela evame kakhulu ukutheleleka kwe-urinary tract, okuthuthukiswa lapho itshe livala ukugeleza kwe-urine futhi lidala indawo lapho amabhaktheriya angakhula khona. Uzovame ukubona ukuqhuma, ukuthandaza, nobuhlungu obukhulu uma lokhu kwenzeka.

Ukonakala kweqolo kungase kwenzeke uma itshe elikhulu livala ukugeleza kwe-urine isikhathi eside. Iqolo lakho lidinga ukuphuma kahle ukuze lihlale liphilile, futhi ukuvinjelwa isikhathi eside kungabangela ukukhula nokunciphisa umsebenzi weqolo.

Nawa amanye ama-complications angathuthuka:

• Isifo sokugula kwesibindi esingapheli ngenxa yokubuyela kwamatye njalo
• Ukuphelelwa amanzi okukhulu ngenxa yokuhlehlisa okungapheli
• I-sepsis, ukutheleleka okubulalayo okusakazwa ngegazi lakho
• Isidingo semisebenzi yokuhlinzwa ephuthumayo yokususa amatye abambe khona
• Ukulimala endleleni yakho yomchamo ngenxa yokudlula kwamathuluzi njalo

Abanye abantu bathola amatye abuye njalo, okusho ukuthi baqhubeka benza amatye amasha ngisho nasemuva kokwelashwa. Le ndlela ivame ukukhombisa inkinga yokuguqula umzimba edinga ukuphathwa okuqhubekayo.

Ngokungavamile, amatye amakhulu kakhulu angabangela ukuvimbela okuphelele kwesibindi noma adinge izinqubo eziningi zokususa. Lezi zimo azivamile kodwa zigcizelela ukubaluleka kokufuna ukunakekelwa komtholampilo okufanele uma izimpawu ziveleka.

Ungawuvimba kanjani amatye esibindi?

Izindaba ezinhle ukuthi amaningi amatye esibindi angavimbeka ngezinguquko ezilula zokuphila. Isinyathelo esibaluleke kakhulu ongasithatha ukuphuza amanzi amaningi usuku lonke ukuze ugcine umchamo wakho uhlanzekile.

Hlose okungenani ama-8-10 ama-glasi amanzi nsuku zonke, futhi wandise leli nani uma uhlala endaweni efudumele noma uqeqesha njalo. Umchamo wakho kufanele ube mnyama oluhlaza okwesibhakabhaka noma cishe uhlanzekile uma uthambile.

Ukushintsha kokudla kunganciphisa kakhulu ingozi yamatye akho. Ukulinganisela ukudla kwesinkwa kusiza ukuvimbela i-calcium ekugxileni emchameni wakho, kuyilapho ukudla inani elifanele lokudla okunama-calcium empeleni kusiza ukuvimbela izinhlobo ezithile zamatye.

Nazi izindlela eziyisisekelo zokudla ezingasiza:

• Nciphise ukudla kwesinkwa kuya ngaphansi kwama-2,300 mg ngosuku
• Dla inani elijwayelekile le-calcium kodwa gwema izithasiselo eziphezulu uma zingabhalwanga
• Linganisela ukudla kweprotein yezilwane ngamasayizi afanele
• Wandise izithelo nemifino, ikakhulukazi izithelo ze-citrus
• Nciphise ukudla okunama-oxalate aphezulu uma uke waba namatye e-oxalate
• Linganisela iziphuzo ezithambile ezinezucwane

Ukugcina isisindo esinempilo ngokuzivocavoca njalo nokudla okulinganisekile kusiza futhi ukuvimbela amatshe. Ukuzivocavoca komzimba kungasiza ikalsiyam ukuba ihlale emathanjeni akho kunokuba igxile emanzini akho.

Uma uke waba namatheshe ngaphambili, udokotela wakho angakuncoma imithi ethile noma izithasiselo zokudla ngokusekelwe ohlotsheni lwetshe lakho nezici eziyingozi eziyisisekelo. Ukulandela lezi zincomo eziqondene nomuntu kubalulekile ekuvimbeleni ukubuyela kwazo.

Amatshe ezinso abonakala kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha, egxila kakhulu ohlotsheni nendawo yobuhlungu bakho. Bayafuna ukwazi ngomlando womndeni wakho, imithi, kanye nemikhuba yokudla.

Ukuhlolwa komzimba kusiza udokotela wakho ukuthi ahlole ubuhlungu bakho futhi ahlole izimpawu zokutheleleka noma ezinye izinkinga. Ngokuvamile bayocindezela emhlane nakesiswini sakho ukuze baqonde izindawo ezibuhlungu futhi bangahlola izimpawu zakho eziphilayo.

Izivivinyo zegazi zingaveza ulwazi olubalulekile mayelana nokusebenza kwezinso zakho futhi zisize ukuqonda izimo ezingase zifake isandla ekwakhekeni kwamathe. Lezi zivivinyo zibuka amazinga ekhalsiyam, ifosforasi, i-uric acid, nezinye izinto egazini lakho.

Izivivinyo zamatha emchamo zibaluleke kakhulu ekuxilongeni amatshe ezinso. Udokotela wakho uzohlalutya umchamo wakho ngamakristalu, amabhaktheriya, igazi, nezinye izinto ezibonisa ukwakheka kwamathe noma ukutheleleka.

Izivivinyo zobumfanekiso zisiza udokotela wakho ukuba abone amatshe futhi aqonde usayizi nendawo yawo:

• I-CT scans inikeza izithombe ezinemininingwane kakhulu futhi ingathola cishe zonke izinhlobo zamatheshe
• I-Ultrasounds iphephile futhi isebenza kahle, ikakhulukazi kubesifazane abakhulelwe
• I-X-rays ingabonisa ezinye izinhlobo zamatheshe kodwa ingase ilahle amancane
• I-IVP (intravenous pyelogram) isebenzisa umbala wokuphambuka ukuze ikhanyise indlela yakho yokukhishwa kwamatha

Uma uphasa ilitshe, udokotela wakho cishe uzofuna ukulihlaziya ukuze aqonde ukuthi liyini. Ulwazi lolu lusiza ekukhetheni izindlela zokuvimbela nezinqubo zokwelapha ezizayo.

Iyini impilo yamagqabi omkhondo?

Ukwelashwa kwamagqabi omkhondo kuncike ikakhulu ekubukhulu kwawo, indawo, nobunzima bezimpawu zakho. Amagqabi amaningi amancane azophasa ngokwawo ngenxa yokunakekelwa okuhambisanayo, kanti amagqabi amakhulu angadinga ukungenelela kwezokwelapha.

Ngamagqabi amancane anethuba lokuphasa ngokwemvelo, udokotela wakho uzogxila ekuphatheni ubuhlungu bakho nokusiza ilitshe lihambe ngesistimu yakho. Le ndlela, ebizwa ngokuthi "ukulinda ngokuqapha," isebenza kumagqabi amaningi angaphansi kwama-millimitha angu-4.

Ukulawulwa kobuhlungu kuvame ukuba yikhathalelo elikhulu kunazo zonke. Udokotela wakho angancoma imithi yokuhlupheka kusukela ezinketho ezingaphezu kokuthengwa kwesitolo kuya emithi enamandla yokubhalwa yi-dokotela, kuye ngezinga lobuhlungu bakho.

Nazi izinketho zokwelapha eziyinhloko udokotela wakho angazikhuthaza:

• Abaphambanisi be-Alpha ukuze bakhulule imisipha esiswini sakho futhi basize amagqabi aphase
• Ukusetshenziswa okwandisiwe koketshezi ukuze kuhlanzwe ilitshe
• Imithi yokulwa nokugula uma uhlushwa ukugabha
• Ama-antibayothi uma kukhona izimpawu zokutheleleka

Ngamagqabi amakhulu noma alawo abangela izimpawu ezinkulu, izinqubo zezokwelapha kungadingeka. I-Shock wave lithotripsy isebenzisa amaza omsindo ukuphula amagqabi abe yizicucu ezincane ezingaphasa kalula.

I-Ureteroscopy ihilela ukufaka ipayipi elincane ngendlela yakho yokukhishwa kwamathumbu ukuze ususe noma uphule amagqabi ngokuqondile. Le nqubo ivame ukusetshenziswa kumagqabi abambezeleke esiswini noma alawo amakhulu kakhulu okuphasa ngokwemvelo.

Ngokwesikhathi esincane, amagqabi amakhulu kakhulu angadinga i-percutaneous nephrolithotomy, lapho ochwepheshe bokuhlinzwa benza isiqu eceleni lakho ukuze basuse ilitshe ngokuqondile. Le ndlela ivame ukugcinelwa amagqabi amakhulu kunama-sentimitha angu-2.

Indlela yokuphatha amagqabi omkhondo ekhaya?

Ukukhathalela ekhaya kudlala indima ebalulekile ekusizeni amatshe amancane ukuba adlule futhi kuphathe izimpawu zakho ngokunethezeka. Into ebaluleke kakhulu ongayenza ukupuza amanzi amaningi ukuze usize ukugeza itshe ngesistimu yakho.

Hlose ukupuza amanzi anele ukuze uphuze okungenani ama-litha ama-2 ngosuku. Lo mkhondo wokukhuluphala wesisu ungasiza ekuhambiseni itshe futhi unciphise ingozi yakho yokuthuthukisa amatshe amasha.

Izinhlungu zokunciphisa ubuhlungu ezingatholakala ezitolo ezinjenge-ibuprofen noma i-acetaminophen zingasiza ekuphatheni ubuhlungu, kodwa landela imiyalelo yokulinganisela ngokucophelela. Ukwelapha ngokushisa, njengokubeka iphadi lokushisa emhlane wakho noma eceleni, kungase futhi kunikeze impumuzo ethile.

Nazi ezinye izindlela zokunakekela ekhaya ezingasiza:

• Hlala usebenza ngangokunokwenzeka, njengoba ukuhamba kungasiza itshe ukuba lidlule
• Gcoba umchamo wakho nge-mesh elihle ukuze ubanjwe amatshe azohamba
• Gcina umbhalo wezinga lobuhlungu bakho kanye nezimpawu
• Dla ukudla okulula, okulula ukulihlanza uma uzizwa usicansiwe
• Zama amasu okuphumula ukuze usize ukuphatha ubuhlungu nokukhathazeka

Qapha izimpawu zakho ngokucophelela futhi ungangabazi ukuthintana nodokotela wakho uma ubuhlungu bakho bukhulu kakhulu, uthuthukisa ubushushu, noma awukwazi ukuphuza. Lezi zibonakaliso zibonisa ukuthi udinga ukunakekelwa kwezokwelapha ngokushesha.

Abanye abantu bathola ukuthi izikhundla ezithile, njengokuqina eceleni elihlukile lapho itshe likhona, zingakunikeza impumuzo yesikhashana. Ukugqoka amanzi afudumele kungasiza futhi ekuphumuleni imisipha yakho nokunciphisa ubuhlungu.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela kahle isivakashi sakho sodokotela kusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu kanye nenqubo yokwelapha ephumelelayo. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zinzima kangakanani.

Gcina umbhalo oluqondile lobuhlungu bakho, uqaphele indawo yalo, ubukhulu besikali lika-1-10, nokuthi yini eyenza kube ngcono noma kubi. Landelela futhi noma yikuphi ukuguquka ekuphepheni kwakho, kufaka phakathi umbala, ubukhulu, kanye nanoma yiziphi izinzwa zokushisa.

Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, kuhlanganise nezinye izidakamizwa ezinikwa ngumdokotela, izidakamizwa ongazithenga ngaphandle kokubonisana nodokotela, amavithamini, kanye nezinye izongezelelo. Udokotela wakho udinga lolu lwazi ukuze aqonde izimbangela ezingase zibe khona.

Nanku okunye okufanele ukulungiselele ngaphambi kokubonisana kwakho:

• Bhala imibuzo ofuna ukuyibuza udokotela wakho
• Letha ilungu lomndeni noma umngani ukuze akusize uma kudingeka
• Butha noma yimaphi amarekhodi ezempilo adlule ahlangene nezinkinga zezinso
• Qaphela umlando womndeni wakho wamatye ezinsweni noma izimo ezihlobene nazo
• Letha noma yimaphi amatye owaphelise ukuze ahlolwe
• Bala ukusetshenziswa kwamanzi kwakho kwansuku zonke kanye nemikhuba yokudla

Uma kungenzeka, letha isampula yomchamo evela ekushiseni kwakho kokuqala kosuku, njengoba lokhu kuvame ukuba lukhulu futhi lunolwazi. Ihhovisi likaDokotela wakho lingakunikeza imiyalo ekhethekile yokuthatha lesi sampula ngendlela efanele.

Cabanga ukuthi ugcine idayari yokudla izinsuku ezimbalwa ngaphambi kokubonisana kwakho, njengoba lolu lwazi lungasiza ekuqondeni izici zokudla ezingase zibe nomthelela ekwakheni amatye.

Iyini into ebaluleke kakhulu ngamatye ezinsweni?

Amatye ezinsweni yisimo esivamile futhi esiphatheka kalula esithinta izigidi zabantu minyaka yonke. Nakuba angabangela ukungakhululeki okukhulu, amaningi amatye adlula ngokwemvelo ngokunakekelwa okusekayo futhi awabangeli izinkinga zempilo ezihlala njalo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi amatye ezinsweni avame ukuvimbeka ngokwenza izinguquko ezilula zendlela yokuphila, ikakhulukazi ukuhlala unamanzi futhi ugcine ukudla okuqondile. Ngisho noma uke waba namatye ngaphambili, ukulandela amasu okuvimbela kunganciphisa kakhulu ingozi yokuthuthukisa amatye amasha.

Ungavumeli ukwesaba amatye ezinsweni kulawule impilo yakho. Ngokunakekelwa okufanele kwezokwelapha kanye nokulungiswa kwendlela yokuphila, ungaphatha lesi simo ngokuphumelelayo futhi uqhubeke uphethwe kahle futhi uqiniseke.

Uma ubhekene nezimpawu ezingase zibonise izinkwa zezinkalankala, xhumana nodokotela wakho ngokushesha. Ukuxilongwa kwasekuqaleni nokuphathwa kungakusiza ukuthi uzizwe ukhulu ngokushesha futhi kuvimbele izinhlupheko ezingase zenzeke.

Imibuzo evame ukubuzwa mayelana nezinkwa zezinkalankala

Ingabe izinkwa zezinkalankala zingabuya ngemva kokwelashwa?

Yebo, izinkwa zezinkalankala zingabuya, ikakhulukazi uma izimbangela eziyisisekelo zingaxazululwanga. Cishe ingxenye yabantu abake baba nezinkwa zezinkalankala bazophinde babe nazo phakathi kweminyaka eyi-10. Noma kunjalo, ukulandela amasu okuvimbela njengokugcina umzimba uqhele, ukudla ukudla okuqondile, nokusebenzisa imithi ebekiwe kunganciphisa kakhulu ingozi yokuphinda kube khona.

Ingabe izinkwa zezinkalankala zivame kakhulu kubantu besilisa noma besifazane?

Amadoda anezikhathi ezimbili ezingaphezulu zokuthuthukisa izinkwa zezinkalankala kunabesifazane, yize igebe liye lancipha eminyakeni yamuva. Ingozi yabesifazane iyanda ngemva kokuphela kwesikhathi sokubeletha ngenxa yenguquko ye-hormonal ethonya ukusebenza kwe-calcium. Ukukhulelwa kungase futhi kukhulise isikhashana ingozi yenzwa ngenxa yenguquko ekusebenzeni komchamo nasemsebenzini wezinkalankala.

Kuthatha isikhathi esingakanani ukuze inkwa yenkalankala idlule?

Izinkwa ezincane ngokuvamile zidlula phakathi kweviki eli-1-3, yize lokhu kungase kuhluke kakhulu kuye ngobukhulu benzwa, indawo, nokwakho komzimba. Izinkwa ezincane kunamamilimitha angu-4 ngokuvamile zidlula phakathi kwezinsuku ezimbalwa kuya emavikini amabili, kuyilapho izinkwa ezinkulu zingase zithathe isikhathi eside noma zidinga ukungenelela kwezokwelapha ukuze zisuswe.

Ingabe ukuphuza utshwala noma ezinye izidakamizwa kungasiza ekuthuthukiseni izinkwa zezinkalankala?

Nakuba utshwala lunemiphumela encane yokukhulula amanzi, alona ukwelashwa okuphumelelayo kwezinkwa zezinkalankala futhi empeleni lungenza ukuphelelwa amanzi kube sibi. Amanzi ahlala yiwona uketshezi oluhle kakhulu lokusiza izinkwa ukuba zidlule. Amanye ucwaningo ephakamisa ukuthi utshwala bungaba nemiphumela encane yokuthintela ukwakheka kwezinkwa, kodwa ubufakazi abunamandla ngokwanele ukuncoma utshwala njengokuvimbela.

Ingabe izinkwa zezinkalankala zihlale zibangela ubuhlungu obukhulu?

Akuwona wonke amatye emithunzini abangela ubuhlungu obukhulu. Amatye amancane adlula kalula angase abangele ubuhlungu obuncane noma angaphawulwa nhlobo. Amatye amakhulu ahlala ngokuthula emithunzini angase abangele ubuhlungu obuthambile, obuhlala njalo kunokuba kube buhlungu obukhulu. Ubuhlungu obukhulu buvamise ukwenzeka lapho amatye ehamba ngomthambo omncane we-ureter noma evinja ukugeleza kwelitshe.