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Thehealthtouch » حصيات الكلية

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حصيات الكلية

حصيّات الكلية

1- ماهي الأدوية التي يجب أن تناولها مصاب بالحصيات الكلية كي تذوب الحصاة و تنتهي هذه المشكلة؟ 
في الواقع فإنّ مايقارب 80% من حصيّات الجهاز البولي هي حصيّات كلسيّة بمختلف أشكالها (وهي تظهر بلون أبيض على الأشعة السينية), و هذه الحصيّات لايوجد لها حتّى الآن أي دواء معروف أو وسيلة ناجحة لإذابتها أو انحلالها. 

18% من الحصيات هي حصيات حمض البول ( وهي شفّافة لاتظهر على الأشعة السينيّة), و هذه الحصيّات قابلة للذوبان و الانحلال في البول القلوي, و بالتالي فهي قابلة للعلاج الدوائي لكنّها تستغرق وقتاً طويلاً للانحلال (قد يمتدّ إلى أشهر أو حتّى سنوات). 

ماتبقّى من انواع الحصيّات فهي نادرة الحدوث جداً و تختلف قابليّتها للانحلال الدوائي من حالةٍ لأخرى. 

لذلك.. حين تصاب بحصاة كلية عليك أن تدرك أن العلاج الدوائي هو في غالباغير مجدٍ و عليك اللجوء إلى العلاج الجراحي (جراحة, تنظير, تفتيت من داخل أو خارج الجسم) خصوصاً عندما تسبّب الحصاة إنسداداً في أحد أجزاء الجهاز البولي حيث لايوجد مجالٌ للانتظار أو التأخير. 
2- اذا أجريت عمل جراحي و تخلّصتُ من الحصاة, هل سنتهي مشكلتك هنا؟ 
نعم.. و لا.. 

نعم, لقد زال خطر الانسداد البولي و تأثيره المخرّب للكلية, و زال أيضاً خطر الانتان  الذي يمكن أن يكون مهدّداً ليس للكلية فحسب بل للحياة أيضاً. 

لا, عليك أن تعلم أن مايقارب 60 % من المصابين بحصيات الجهاز البولي يتعرّضون لخطر الإصابة ثانيةً خلال السنوات الخمس التالية للإصابة الأولى. 

لذا عليك أن تكون حذراً و تغيّر قليلاً من أسلوب حياتك و تتبّع تعليمات الطبيب في المتابعة الشعاعية و المخبرية بشكل دوري. 
المشكلة في الحصيّات أنّ سببها الرئيسيّ هو طبيعة الجسم نفسه و كميّة (مضادّات التبلور) الموجودة في الكلية و التي يمكن لها أن تمنع تجمّع الأملاح البولية و تشكيل البلّورات الأوليّة التي تتطوّر إلى حصيّاتٍ في وقتٍ لاحق. 
3- ماهي الأطعمة المفيدة في تجنّب عودة الحصيّات ثانيةً؟
– الماء.. الماء.. الماء.. 

تخيّل أن تضع قليلا من تراب ناعم في جدولٍ راكد يتحرّك ببطء شديد،  انظر كيف يتجتمّع التراب على نفسه مشكّلاً (كومةً) صغيرة. لكن إن وضعت ذات الكميّة في نهرٍ جارٍ فالتراب سيتبدّد على الفور دون حتّى أن تلاحظه. 

هذا ما يحدث في الكلية التي تتلقّى كميّات وافرةٍ من الماء مما يخفّف من تركيز الأملاح و يمنع تجمّعها و تبلورها في شكل حصاة. 

♡كميّة الماء المطلوبة تختلف من شخص لآخر حسب طبيعة الجسم و قابلية التعرّق بشكل عام  يجب شرب الماء بتكرارِ حتّى يصبح لون البول قريباً إلى الشفافيّة. و لا تنسَ أنّ أهمّ كأس ماء تشربه على الإطلاق هو كأس ماقبل النوم, و كأس الريق المعروف بفائدته. 


🍶🍶 الحليب و مشتقّاته🧀

 الدراسات الحديثة تفيد أنّ تخفيض كمية الكالسيوم الطعامي قد يكون مؤذياً و محرّضاً للحصيّات (الآلية معقّدة نسبياً و لاداعي لشرحها هنا). 

🍋☘ عصير الليمون و البقدونس🍋☘

نعم.. عصير الليمون غنيّ بالسيترات و هي مادةٌ تلعب دوراً أساسياً في منع التبلور. مثله مثل البقدونس (خاصّة أعواد البقدونس أكثر من أوراقه) حيث أنّها تلعب دوراً إضافياً مدراً. 
 الكولا: اهرب منها فرارك من السبع🍺
 الشوكولا🍩, القهوة☕, الشاي🍵: لا تمتنع عنها إطلاقاً لكنّ تخفيفها قد يكون فكرةً جيّدة. 
 الملح 🍚و السكر🍭🍬: خفّف قدر إمكانك من كميّة الملح و السكّر التي تتناولها فمن المعلوم أن الصوديوم الموجود في ملح الطعام و السكّر يشكّلان أساساً محرّضاً لعمليّة التبلور.
– أكثر من تناول الفواكه و  الأطعمة 🍉🍓🍌🍇الحاوية على فيتامين B خصوصاً B6. 🍗🍖و خفّف إلى حد ما من اللحوم. 
4- هل هناك أدويةً معيّنة تمنع تشكّل الحصيّات؟ 💊💊💊
نعم, طبيبك سوف يصف لك أدويةً مضادة للتبلور, أو لتعديل درجة حموضة البول أو حسب مايراه الطبيب, اتّبع تعليمات طبيبك بدقّة و لا تترك دواءكَ فجأة دون دراسة. 
كلّ ماسبق هو حول حصيّات الكلسية ….أمّا حصيّات حمض البول فامرها مختلفٌ قليلاً و لها حديثٌ منفصل.

التعليقات مغلقة.


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