ʻO kaʻikeʻana o nā pōhaku i loko o ka pūpū, a me nā pōhaku i loko o ka urethra a me nā mahura, he hōʻailona ia o ke uluʻana o urolithiasis i loko o kekahi kanaka. ʻO kēia maʻi i loaʻa pinepine i nā kāne, ma mua o nā wāhine, aʻoi aku ka nui o nā makahiki 6 a ma hope paha o nā kanalima.
Hiki ke hanaʻia nā pōhaku no ka kumu hoʻokahi no kekahi kumu aiʻole kekahi, ua uhakiʻia nāʻano kino a me nā kinona o ka mimi, aiʻole e pili ana i nā maʻi kūpona (loaʻa a piliʻole paha).
ʻO nā pōhaku i loko o ka pūpū lehua. Heʻokoʻa keʻano o kaʻula, keʻano, ka nui, ka hale. Hiki iā lākou he nui a hoʻokahi paha, maʻemaʻe a paʻakikī, maʻalahi a maʻalahi, e loaʻa ana i nā kaupona a me ka calcium phosphates, i nā saila waiuma uric, waikawa uric.
Hiki i nā mea pāʻani ma mua i ka hōʻikeʻana iā lākou iho, a hiki i ke kanaka ke aʻo e pili ana iā lākou wale nō ke heleʻana i kahi noiʻi no kekahi maʻi'ē aʻe.
ʻO nā hiʻohiʻona maʻamau e hōʻike ana i ka hikiʻana o nā pōhaku i loko o ka pūpū he:
- ʻO kaʻeha ma kaʻaoʻao ma lalo, hiki ke lilo i mea ikaika me ka loli o ke kūlana o ke kino a iʻole ka ikaika. Ma hope o ka hōʻeha nui loa o kaʻeha,ʻike ka mea maʻi i ka pōhaku i puka mai i loko o ka momona i ka wā e kolo ai.
- ʻO Renal colic ma ka'āina lumbar, mau loa i nā lā. A laila lilo ia i mea liʻiliʻi, a laila e hoʻonui hou.
- ʻO ka hoʻoikaika pinepine a me ke aloha i ka wā e hoʻonoe ai i ka momona. Ke hōʻike nei kēia hōʻailona i ka pōhaku ma loko o ka mea'enera a me ka pūpū. Inā komo kahi pōhaku i ka uretra mai laila mai, hiki ke hoʻomau i ka paʻaʻana o ka mimi a me ka mimi. Inā kuhi ka pōhaku ma loko o ka'anetra hope, a mahele hoʻi i loko o ka pūpū, a laila, hiki ke kūponoʻole ka hihia ma muli o ka wehe mauʻana o ka sphincter.
- ʻO ka nānāʻana i loko o ka'ōmā o ke koko ma hope o ka ikaika a iʻole kaʻeha nui. Hiki ke hana inā hoʻokomoʻia ka pōhaku ma ka'ā'ī o ka leʻaleʻa, aiʻole he traumatization o nā paia o ka pūpū. Inā uaʻeha nā kīʻahaʻeha o ka'ā'ī o ka leʻaleʻa, a laila, hiki ke loaʻa ka nui o ka hematuria.
- ʻO ka huhū'ōuli.
- Hoʻonuiʻia ke kaheʻokoʻa a me ka mahana a hiki i 38-40º.
- ʻO ke olaʻana a me ke pīpī (i ka wā kamaliʻi).
- Ke hui pūʻoe me nā pōhaku o ka maʻi microbial, hiki ke paʻakikī ka maʻi ma o ka pyelonephritis a iʻole cystitis.
ʻO ka hōʻoiaʻana o nā pōhaku ma ka pūpū
No kaʻikeʻana,ʻaʻole i lawa ka'ōhumu o ka mea maʻi. Pono pono e hana i kahi hoʻokolohua hoʻokolohua no nā mea olaola a hana i keʻano o ka nānāʻana i ka mea maʻi.
Ma kaʻikeʻana o nā pōhaku i ka wikiwikiʻana i ka hōʻike e hōʻike ana i kahi hoʻonuiʻia o nā erythrocytes, leukocytes, salts, bacteria.
Ma nā kūmole hyperechoic i loaʻa i kahi hōʻailona holoʻokoʻa e hōʻikeʻia.
Kōkua eʻike i nā pōhaku a me ka cystoscopy. Hiki i ka papapilika a me nā haʻawina urography ke hoʻomaopopo i ka nohoʻana o ka'āpana urinary, eʻike i nā hopena a me nā maʻi concomitant.
Ke hoʻoneʻeʻana i nā pōhaku mai ka pūpū
Hiki i nā pōhaku liʻiliʻi ke waiho wale i ka mimi ma o ka urethra.
Inā nuiʻole ka nui o nā pōhaku, pono ka mea maʻi e hahai i kekahi meaʻai pono'ī a lawe i nā lāʻau lapaʻau e kākoʻo i ka pale kaulike o ka mimi.
Ināʻikeʻia ka mea maʻi i ka lāʻau hoʻoikaika, a laila hoʻohanaʻia nāʻano likeʻole o iaʻano hana:
- ka'āpana o nā pōhaku i loko o ka pūpū ma ka suprapubic litholapaxy, ka mea transivethral cystolithotripsy, endoscopic lithoextraction;
- kaʻoki pōhaku ma ka cystolithotomy.