آخر تحديث: 18 مايو 2026
تعد مشكلة حصوات الكلى مشكلة شائعة جدًا في عيادة المسالك البولية. بعد مراجعة الأدبيات المتعلقة بحدوث حصوات الكلى، كانت هناك نسبة لا تقل عن 10% من سكان الولايات المتحدة وأوروبا الذين يواجهون هذه المشكلة مرة واحدة في حياتهم بأكملها. ولكن عندما حاولت إجراء المزيد من الأبحاث هنا، تفاجأت بالأرقام التي طارت بالصدفة لتصل إلى 17% من معدل حصوات الكلى. في هذا الموضوع سوف نتعرف على سبب ظهور حصوات الكلى.
Why this happen? – This question is extremely hard to give a certain answer, because it happens from multifactorial factors. When we all know that kidneys are the organ which functioning on infiltration waste-products from our body and then excrete out by urination, so the kidney is the place where some ions for example Calcium, Phosphate, Uric acids and Oxalate – always be in a high concentration. When ions reached their maximum concentration, then they start stone formation.
تنجم حصوات الكلى عن عاملين رئيسيين.
- عامل المضيف
- Race – African American and Caucasian were reporting more incidence than Asian, also some specific race especially Cambodian and Northern east part of Thai population usually suffered a genetic-related disease.
- Sex – Men are suffering more than women with a ratio around 2:1 worldwide.
- Age – Aging is reported around between 40 – 60 years old.
- Underlying medical history – Obesity and Diabetes can increase the rate 55% and 59%, obviously. Basically, for all those diseases will make our body excrete more ions in the urine.
- العوامل البيئية
- Geographic location – The countries area which located in tropical climate has more reported on the incidence. The reason is, people who live in hot weather condition tend to lose body fluid easily from sweating and consequently will experienced in less urine output that will make urine ions more concentrated.
- تناول الماء – Plenty of water intake is the easiest way to reduce the risk. In every 500 mL of increasing daily water intake will significantly reduce the incidence. (Recommendation daily water intake – 2,500 mL)
- Nutrition – High sodium intake, high oxalate intake, high Vitamin C intake, imbalance calcium intake are all involved problems and it tend to increase more risk of stone formation.
- Less citrate intake – Citrate ion possessing an effective on anti-stone, it is riches in Citrus fruit for example lemons. A cup of lemonade juice daily is recommended in patients who aware on stone formation.
Sometimes kidney stone has another name called a metabolic disease because lots of involvement caused that. It might make the patients suffering from this kind of problem. Well educated patient with a strong Doctor-Patient binding would require for the possibly chronic problem like this – Kidney stone problem.
أي أسئلة، لا تتردد في مناقشة مع أنا.
If you have recurrent kidney stones or would like a tailored prevention plan, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. احجز استشارة.
Frequently Asked Questions about Kidney Stone Formation
Kidney stones form when certain minerals and ions in the urine, such as calcium, oxalate, phosphate, and uric acid, reach a concentration high enough to crystallize. The kidneys normally filter these substances from the blood, but when fluid intake is low or dietary intake is excessive, these ions accumulate and begin to aggregate into stones.
Kidney stones are more common in men than women at a ratio of approximately 2:1, and most commonly occur between the ages of 40 and 60. People with obesity, diabetes, or a family history of kidney stones face significantly higher risk. Those living in tropical climates are also more susceptible due to increased fluid loss through sweating.
Yes. Increasing fluid intake is one of the most effective and practical ways to reduce kidney stone risk. Every additional 500 mL of water per day significantly lowers the risk by diluting urinary ion concentrations. A daily water intake of at least 2,500 mL is recommended for stone prevention.
A high intake of sodium, oxalate-rich foods (such as spinach and nuts), excess vitamin C supplements, and imbalanced calcium intake can all increase the risk of stone formation. High-protein diets and excessive animal meat consumption raise urinary uric acid levels, contributing to uric acid stones.
Yes. Lemon and other citrus fruits are rich in citrate, a natural inhibitor of kidney stone formation. Citrate works by binding to calcium in the urine, preventing crystal aggregation. Drinking a glass of lemon juice daily is a simple and evidence-supported dietary measure for patients at risk of calcium oxalate stones.
إخلاء المسؤولية: هذا المحتوى مكتوب ومراجع من قبل الدكتورة سواروي ويراباسون، أخصائية أمراض المسالك البولية المعتمدة في مستشفى بانكوك الرئيسي. الغرض منه تعليمي فقط ولا يشكل نصيحة طبية. استشر دائمًا أخصائي رعاية صحية مؤهل قبل البدء في أي علاج طبي.
مكتوب طبياً ومراجع بواسطة: الدكتورة سوارافي ويراسوبون (الدكتورة بوم) - أخصائية المسالك البولية المعتمدة، مستشفى بانكوك الرئيسي. زمالة دولية: كلية بايلور للطب (الولايات المتحدة الأمريكية) · جامعة جوندندو (اليابان) · مستشفى تشانغ غونغ التذكاري (تايوان).
الدكتور سواراوي ويرسوبون (د. بوم) هو أخصائي مسالك بولية معتمد من البورد في مستشفى بانكوك الرئيسي، متخصص في صحة الرجل، والجراحة الروبوتية (نظام دافنشي)، وعلاج حصوات الكلى. أكمل زمالات دولية في كلية بايلور للطب (الولايات المتحدة الأمريكية)، ومستشفى جامعة جـونتـندو (اليابان)، ومستشفى تشانغ جـونج التذكاري (تايوان). كل المحتوى الطبي الموجود على هذا الموقع مكتوب ومراجع من قبل الدكتور سواراوي بناءً على خبرته السريرية وتدريبه الدولي.
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