Hakuʻala na pohaku

Mai na maʻi like hakuʻala na pohaku, e ae mai i ka 5% o ko ke ao nei ka heluna. Naʻe, haawi mai i ka pilikia o ka ma i ka wa e ola ana ka ulu 'i ka maʻi ma ka liʻiliʻi loa, hoʻokahi houʻana, e e hoalaia mai e aneane elua manawa o ka noho hookolokolo. Hakuʻala pohaku Ua lilo kekahi o na maʻi loa, he pono ole i loko o ka ulu ao nei, a ua pili i hoonui ae i mau hae o ka poʻe e ola ana, a, ma ka hou e heihei, ohana, a me ka wahi o noho ai. Naʻe, ke kumu o ka hakuʻala pohaku i ole kaupalena '. Eia hou, i ka pilikia o ka pōhaku hopena, a naciiiuo likeʻole i loko o nā puʻupaʻa, ma a he nui kiʻekiʻe o ke kalipuna oxalate i loko o na kanaka kaulana i loko o ke kau, a no na wahine - i loko o ka hoʻomaka o ka hooilo. I na kanaka, i ka hakuʻala pohaku ana i loko o nā manawa oi pinepine ma mua o nā wāhine. Most risky mau kihi no na wahine ma keia manao - 30 makahiki. Women, ma ka huli, ma laila nō nā mea pepehi makahiki - 35 a me ka 55 makahiki pakahi. Ma hope o ka ia mea, e like me ka pōhaku hakuʻala ua hana mua, o ka pahiki o ka ho okumu i ka pohaku lua i loko o ka hope 5-7 makahiki he 50%.

Nā haʻawina Ua loaʻa i ke kahua o ka hakuʻala pohaku e loli ai i maʻi, kena ae la ia e microorganisms-nanobacteria, e pili Helicobacter pylori, a me duodenal ulcer. Nanobacteria - he wahi koʻohune microcellular ho okumu i iwi o ke kalipuna posapahate. Mau nanobacteria Hiki ke loaʻa i loko o aneane pau hakuʻala pohaku (97%), e like me mea pōhaku plaques (plaques Randall) i loko o kaʻaʻa puʻuwai papilla.

E möakäka hou crystallization a me ka ulu ana o ka pōhaku pili me ka waiū i endogenous a me ka dietary aʻe. Mimi buke, solute lehulehu a me ka inhibitor pae i alakaʻi ai i ka hooulu ana o ka hakuʻala pohaku (citrates, pyrophosphates, glycoproteins) nō ka nui aʻe ana i pili i ka pohaku ho okumu. Maoli, o ka pohaku hoʻomaka e crystallize ka wā o ka lehulehu o na Ion mau aku i ka saturation wahi o ka pāʻoihana.

Naʻe, i ka ololi e 'ana, kena ae la i ka hooulu ana o ka hakuʻala pohaku, ua IeAUPIIe, IAa IO ole diagnosed. Ua ua wale ike i ua hoonuiia ka pilikia o ka ulu hakuʻala pohaku i loko o ekolu manawa, ina kou ohana i Ua kanaka e loaa ana mai ka hakuʻala na pohaku. Eia hou, ke kūlana hoʻokani ma ka insulina-hoʻopale moku'āina, hypertension, a me ka mōʻaukala o ka gout, iniiaiie hyperparathyroidism, maʻi metabolic acidosis , aʻoki lāʻau lapaʻau menopause. Women ka poe i pili ia menopause, hanana o ka hakuʻala pohaku pili me ka hypertension a me ka haahaa o ka maʻiʻo makanekiuma a me kalipuna i loko o kaʻai.

Hakuʻala na pohaku i oi, he pono ole i loko o kēlā mau nā mea maʻi i loko ona, he mea anatomic abnormalities o ka urinary'āpana, a hiki alakai i ka stagnation o ka mimi. Ka hapanui o nā mea maʻi (i ka 80%) me ka hakuʻala pohaku i malalo iho i kekahi a oi kamepiula aʻe. 25% o ka hakuʻala pohaku mua idiopathic. Nō hoʻi, e like me kaʻaoʻao kanawai o kekahi ai 'he mea he hua pilikia o nā pōhaku i loko o ka hakuʻala.

e hōʻuluʻulu

Kalipuna oxalate (e iho, a ma ka hui pu ana,) o ka loa e like me ka mea mai i komo hakuʻala pohaku.

Low ka leo o ka mimi o ka loa e like me ka abnormality a me ka wale nui ololi, a e hoʻolohe, e pale aku relapses.

Ka pilikia o ka recurrence o 50% no ka wā o ka 5 a hiki i 7 makahiki.

Lapaʻau o ka hakuʻala pohaku e koi i ka haʻahaʻa paakaiʻai (<50 mmol / lā) a me kaʻai i loaʻa iki holoholona nā polokina (<52 g. / Lā) me ke ana o ka hoemi i ke alapine (frequency) o relapses.

Nizkorkaltsiumnyeʻai hoʻi ka mea,ʻaʻole e waiho like relapse Kāohi ana, e like me ka mea hoomahuahua i ka excretion o oxalate a me ke kūlana maikaʻiʻole kalipuna koena i loko o ke kino.

Hapanui hakuʻala pohaku emi o 5 mm o ka anawaena mai o ke kino wale.