Kev Siv Tshuaj Kho Mob Los Tiv Thaiv Thiab Tiv Thaiv Cov Pob Kws Zais Zis Hauv Cov Miv

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Ib qho ntawm cov khoom zoo hais txog kev kuaj lub zais zis (uroliths) hauv cov miv yog tias peb hom tseem ceeb muaj qhov zoo rau kev tiv thaiv, thiab qee zaum tseem muaj kev kho mob, los ntawm kev noj zaub mov noj.

Lub pob zeb zais zis yog ib qho sau ntawm cov zaub mov thiab lwm yam khoom siv uas sib koom ua ke thaum lub sijhawm thiab tuaj yeem loj hlob rau qhov ntau thiab tsawg thiab / lossis tus lej. Cov miv uas muaj lub pob zeb tso zis muaj qee yam lossis tag nrho cov tsos mob nram no:

• Tso zis rau sab nraum lub litter box
• Straining mus tso zis
• Muaj “mus” ntau zaus tab sis ua tau zis tsawg zaus ib zaug
• Mob plab
• Licking ncig cov zis tso zis
• Tus txiv neej miv yog qhov pheej hmoo yuav ua "txhaws" yog tias lub pob zeb lossis pob zeb thaiv kom nws cov zis ntws los ntawm txoj hlab zis. Nov yog lub neej muaj xwm txheej ceev uas yuav tsum tau hais txog tam sim ntawd; ua lwm yam lus, tsis yog thaum koj tus kws kho tsiaj tsis tu ncua qhib thaum sawv ntxov.

Kev kuaj mob ntawm lub zais zis feem ntau tuaj yeem tsim los ntawm qee qhov sib txuam ntawm cov urinalysis, X-ray, thiab ultrasound. Raws li lub chaw Minnesota Urolith Center (kuaj pom tias cov tsiaj feem ntau siv los ntsuas cov pob zeb tshem tawm ntawm lawv cov neeg mob), 45% ntawm cov qauv uas lawv tau txais los ntawm miv yog pob zeb pob zeb, 43% yog pob zeb calcium oxalate, thiab 5% yog ua los ntawm urates Cov.

Struvite pob zeb yog qhov yooj yim kho. Lawv tuaj yeem ua kom yaj thiab / lossis tiv thaiv los ntawm kev pub zaub mov noj uas muaj phosphorus thiab magnesium tsawg thiab txhawb kev tsim cov kua qaub (cov pH nruab nrab ntawm 6.2 thiab 6.4 yog qhov zoo tagnrho).

Cov pob zeb calcium oxalate yuav tsum tau tshem tawm mus phais lossis los ntawm lwm cov txheej txheem xws li lithotripsy (tawg lub pob zeb nrog ultrasonic poob siab mus txog thaum lawv me txaus kom dhau), tab sis lawv cov rov qab tuaj yeem tiv thaiv (lossis qeeb kawg) los ntawm kev noj zaub mov. Cov lus pom zoo suav nrog kom zam cov zaub mov thiab cov tshuaj ntxiv uas muaj calcium thiab oxalates ntau dua, thiab txhawb kev tso zis pH ntawm siab dua 6.2.

Zoo li calcium oxalate pob zeb, cov uas ua los ntawm urates yuav tsum tau tshem tawm ntawm lub cev los ntawm kev phais mob lossis lwm yam txheej txheem, tab sis tom qab ntawd kev hloov kho kev noj haus tuaj yeem ua lub luag haujlwm hauv kev tiv thaiv lawv rov qab los. Cov hom phiaj xws li txo cov pluas noj purine los ntawm kev pub cov zaub mov uas tsis muaj protein ntau thiab ua kom cov protein muaj qhov zoo tshaj plaws thiab ua cov zis pH ntawm 6.6 lossis siab dua.

Rau tag nrho peb hom pob zeb, txhawb kom muaj dej ntau los ntawm kev pub noj cov kaus poom hauv cov zaub mov xwb thiab txawm sib tov me ntsis dej ntxiv los nqa tus miv cov zis tso cai ntawm lub ntiajteb txawj nqus mus rau 1.030 lossis qis dua kuj pab tau zoo heev. Dilute zis pab khaws cov zaub mov hauv kev daws teeb meem es tsis txhob ua sai thiab ua cov pob zeb.

Ob peb txawv tsiaj khoom noj khoom haus lag luam tsim cov khoom noj muaj txiaj ntsig tau raws li cov kev txwv no. Tus kws kho tsiaj ua tau tuaj yeem pom zoo; ib txhia yuav muab “pob ntawv sampler” kom cov tswv tsev tuaj yeem yooj yim xyuas seb hom khoom noj twg lawv cov miv nyiam. Cov zaub mov ua noj hauv tsev kuj tseem muaj peev xwm, ntev li ntev tau lawv tau npaj los ntawm cov zaub mov txawv uas tsim los ntawm kws kho tsiaj noj zaub noj kom zoo uas paub zoo tshwj xeeb ntawm miv. Thaum kev noj zaub mov yoo ib leeg tsis txaus, cov tshuaj noj (piv txwv li, methionine thiab ammonium chloride kom txo tau urinary pH lossis potassium citrate kom tsa nws) tuaj yeem muab ntxiv rau qhov sib xyaw.

Dr. Jennifer Coates