Cystinuria

Cystinuria chiitiko chisingawanzoitika umo mabwe akagadzirwa kubva kuamino acid inonzi cysteine ​​fomu mune itsvo, ureter, uye bladder. Cystine inoumbwa apo mamorekuru maviri eamino acid anonzi cysteine ​​akasungwa pamwechete. Mamiriro acho akapfuudzwa kuburikidza nemhuri.

Kuti uve nezviratidzo zvecystinuria, iwe unofanirwa kugara nhaka isina kukodzera geni kubva kuvabereki vese. Vana vako vanozogara nhaka kopi yemagenhi akashata kubva kwauri.

Cystinuria inokonzerwa neyakawandisa cystine mune weti. Kazhinji, cystine yakawanda inonyungudika uye inodzokera muropa mushure mekupinda muitsvo. Vanhu vane cystinuria vane hutachiona hunokanganisa maitiro aya. Nekuda kweizvozvo, cystine inovaka mumugini uye inogadzira makristasi kana matombo. Aya makristasi anogona kunamatira muitsvo, ureters, kana bladder.

Anenge mumwe chete muvanhu zviuru zvinomwe vane cystinuria. Matombo ecystine anowanzoonekwa kune vechidiki vechidiki vari pasi pemakore makumi mana. Asingasviki 3% ematombo eurinary matombo ecystine.

Zviratidzo zvinosanganisira:

• Ropa mune weti
• Kurwadziwa kwepamberi kana kurwadziwa kudivi kana kumashure. Marwadzo anowanzo kuve kune rumwe rutivi. Iyo haiwanzonzwikwa pamativi ese ari maviri. Marwadzo anowanzo kuve akaomarara. Zvinogona kuwedzera kupfuura mazuva. Iwe unogona zvakare kunzwa kurwadziwa muchiuno, kugomera, sikarudzi, kana pakati pepadumbu repamusoro uye kumashure.

Mamiriro acho anowanzo kuongororwa mushure mechiitiko cheitsvo matombo. Kuedza matombo aya mushure mekubviswa kunoratidza kuti akagadzirwa necystine.

Kusiyana nematombo ane calcium, mabwe ecystine haaratidze zvakanaka pane yakajeka x-ray.

Kuyedza kunogona kuitwa kuti uone matombo aya uye kuongorora mamiriro acho anosanganisira:

• 24-awa weti kuunganidzwa
• Abdominal CT scan, kana ultrasound
• Intravenous pyelogram (IVP)
• Kuongorora urinal

Chinangwa chekurapa ndechekubvisa zviratidzo uye kudzivirira mamwe matombo kubva pakuumba. Munhu ane zviratidzo zvakakomba angangoda kupinda muchipatara.

Kurapa kunosanganisira kunwa mvura zhinji, kunyanya mvura, kuburitsa huwandu hwakawanda weti. Iwe unofanirwa kunwa angangoita magirazi matanhatu kusvika masere pazuva. Iwe unofanirwa kunwa mvura husiku futi zvekuti unomuka husiku kamwe chete kuti upfuure weti.

Mune zvimwe zviitiko, zvinwiwa zvinogona kuda kupihwa kuburikidza netsinga (ne IV).

Kugadzira iyo weti yakawanda alkaline inogona kubatsira kupwanya iyo cystine makristasi. Izvi zvinogona kuitwa nekushandisa potasium citrate kana sodium bicarbonate. Kudya munyu mushoma kunogona zvakare kudzikisa cystine kuburitswa uye kugadzirwa kwematombo.

Ungangoda marwadzo ekudzora marwadzo mune itsvo kana nzvimbo yedunduru kana iwe uchipfuura matombo. Matombo madiki (e5 mm kana asingasviki mashanu mm) anowanzo pfuura nepakati weti ivo voga. Matombo makuru (anodarika mashanu mm) angangoda mamwe marapirwo. Mamwe matombo makuru angangoda kubviswa pachishandiswa nzira dzakadai se:

• Extracorporeal kuvhunduka wave lithotripsy (ESWL): Mafungu eruzha anodarika nemuviri uye anotarisana nematombo kuti avaputse kuita zvidimbu zvidiki, zvinopfuura. ESWL inogona kusashanda zvakanaka kumatombo ecystine nekuti akaomarara zvakanyanya kana achienzaniswa nemamwe marudzi ematombo.
• Percutaneous nephrostolithotomy kana nephrolithotomy: Iyo diki chubhu inoiswa kuburikidza nepakati akananga mukati meitsvo. Teresikopu inozopfuudzwa nepombi ichatsemura dombo pasi pechiono chakananga.
• Ureteroscopy uye laser lithotripsy: Iyo laser inoshandiswa kuputsa matombo uye inogona kushandiswa kurapa matombo asina kunyanyisa kukura.

Cystinuria isingagumi, yehupenyu hwese mamiriro. Matombo anowanzo dzoka. Zvisinei, mamiriro acho haawanzo kukonzera kutadza kweitsvo. Hazvina kukanganisa dzimwe nhengo.

Zvinetso zvinogona kusanganisira:

• Kukuvara kwedundira kubva padombo
• Itsvo kukuvara kubva padombo
• Utachiona hweitsvo
• Chirwere chetsvo chisingaperi
• Ureteral kuvharirwa
• Urinary turakiti hutachiona

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zvemurinani turakiti matombo.

Kune mishonga inogona kutorwa saka cystine haigadzi dombo. Kumbira mupiki wako nezve iyi mishonga uye yavo mhedzisiro.

Chero ani munhu ane nhoroondo inozivikanwa yematombo muurinary turakiti anofanira kunwa mvura yakawanda kuti agare achiburitsa huwandu hwakawanda weti. Izvi zvinobvumira matombo nemakristasi kuti abve mumuviri usati wakura zvakakwana kukonzera zviratidzo. Kuderedza kunwa kwako munyu kana sodium kuchabatsira zvakare.

Matombo - cystine; Cystine mabwe

• Itsvo matombo uye lithotripsy - buditsa
• Itsvo matombo - kuzvitarisira
• Itsvo mabwe - chii kubvunza chiremba wako
• Percutaneous weti maitiro - kubuda

• Yechikadzi weti turakiti
• Varume urinary turakiti
• Cystinuria
• Nephrolithiasis

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Guay-Woodford LM. Hereditary nephropathies uye kukura kwakasarudzika kweiyo weti turakiti. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 119.

Lipkin INI, Ferrandino MN, Preminger GM. Kuongorora uye kurapwa kwekurapa kweiyo weti lithiasis. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 52.

Sakhaee K, Moe OW. Urolithiasis. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 38.