How to treat kidney stones Urgent All points are given to you

If the stone is too large, it is recommended to use the drug to expel the stone after lithotripsy**.

Hello, from the analysis of your stone situation, the kidney stone has fallen to the upper ureter, the kidney stone is relatively large, and the appropriate method needs to be considered.

Because the kidney stones are relatively large, and the smallest part of the lower ureters is only, it is no longer possible to pass the stones, which will cause blockage of the ureters and cause hydronephrosis.

It is recommended that you can consider doing external lithotripsy, break the stone to become smaller, and then carry out stone expulsion**, if you still can't remove the stone or can't lithotripsy, you can only consider surgery, you can consider doing ureteroscopic stone removal surgery, the operation enters from the urethral opening, and will not cause harm to the human body, which can be considered.

Hope mine is helpful to you.

Kidney stones** need to depend on the patient's condition, when the kidney stones are less than centimeters and the patient has no infection and no obvious symptoms, you can drink more water conservatively**; When the kidney stone is relatively large, it is necessary to choose the appropriate surgical method according to the specific situation**. Kidney stones are caused by the abnormal accumulation of some crystalline substances (such as calcium, oxalic acid, uric acid, cystine, etc.) and organic substrates (such as matrix A, acidic mucopolysaccharides, etc.) in the kidneys. Not all kidney stones need to be **.

When the stone is small, it is possible to observe and wait and live peacefully with the stone. When the stones are large, the previous ** was mainly open surgery (nephrotomy and lithotomy) or ESWL (extracorporeal shock wave lithotripsy). The former is traumatic, while the latter often requires multiple ESWLs, which in principle have little effect on the kidneys.

However, it is now believed that the interval between ESWLs should be 10-14 days, and the number of ESWLs is recommended to be no more than 3-5 times. After the stone is shattered, it needs to be discharged on its own, which often causes renal colic. The other operation is a non-wound operation, that is, through the flexible ureteroscopy technique, through the natural passage of the urinary system, into the renal pelvis, and then the stone is crushed and flushed out with a laser in the renal pelvis.

Generally, the former scheme is used for large stones, and the latter scheme is used for small stones, and the specific boundary is 2cm in diameter.

Kidney stones are the most common urinary tract stones, and there are calcium-containing stones according to their composition, such as calcium oxalate stones; have uric acid stones; Magnesium ammonium phosphate stones and cystine stones and so on. Stones may cause symptoms such as back pain and hematuria, and may be secondary to hydronephrosis and urinary tract infection, which is harmful to health.

There are many ways to treat kidney stones, which can be roughly divided into two categories, one is emergency treatment, such as kidney colic caused by stones, which requires pain relief with painkillers; Severe infection secondary to hydronephrosis due to stones sometimes requires emergency placement of ureteral stent catheters or nephrostomy to drain urine. The other category is for stones. Including hydration, stone dissolving, stone expulsion, extracorporeal shock wave lithotripsy and surgery.

Hydration is the basic measure of kidney stones, drink more water, and urinate to promote the discharge of small stones. Small uric acid stones and cystine stones can also be used to dissolve stones by means of medications such as alkalizing the urine. Larger and complex kidney stones usually require extracorporeal shock wave lithotripsy or minimally invasive surgery, and the specific method needs to combine the size and number of stones; kidney structure; physical condition; The doctor's technique and the condition of the hospital's equipment.

Among the diseases of nephrology, kidney stones are one of them. There are many factors in life that can easily lead to the appearance of kidney caesthesia. So, what is the most important factor for the number of kidneys to trap the stones? wfz2k

Methods of kidney stones include: drugs, surgery, and traditional Chinese medicine.

Drugs**: commonly used non-steroidal analgesic and anti-inflammatory drugs, opioids, antispasmodics, etc.**Acute renal colic; Drugs such as diclofenac sodium, -receptor blockers, and sodium bicarbonate are commonly used to promote stone expulsion.

Surgical methods include: Extracorporeal shock wave lithotripsy: the shock wave emitted by the shock wave source is continuously fired at the stone, and the stone is gradually crushed into fine sand, and then excreted through the urine, the best indication is the renal pelvis and intermediate and superior calytic stones with a diameter of 5 20 mm; Percutaneous nephrolithotripsy:

The nephroscope is inserted into the renal pelvis calyces from outside the body for internal lithotripsy, which is mainly used for some complex kidney stones, such as 2cm kidney stones, staghorn stones, multiple kidney stones and stones that are difficult to crush with extracorporeal shock waves and fail stones. Ureteroscopic lithotripsy: Ureteroscope is inserted through the urethra, and the stone is removed with lasso or forceps.

This method is suitable for kidney stones with a diameter of less than 2cm, mainly including middle and lower ureteral stones, upper ureteral stones with shock wave failure, negative X-ray ureteral stones, and long-stay incarcerated stones. Laparoscopic or open surgery.

Traditional Chinese medicine ** is mainly to clear away heat and dampness, clear and drain stones, accompanied by regulating qi and activating blood, soft and hard to disperse knots.

Kidney stones are very common, and multiple kidney stones are more harmful, the incidence of kidney stones is very high, and many times patients do not recognize the harm of the disease and cannot see a doctor in time. Experts will introduce the best method for you.

Kidney stones are a disease with a relatively high incidence among men, and the impact on patients is also considerable. Experts say that according to the different sizes and degrees of kidney stones, there are mainly the following methods for kidney stones:

1. Dissolving stones**: Take the medicine Depu's Shiqi tea, drink plenty of water, regulate urine pH value, control the type of diet, etc. It is suitable for patients with salt and amino acid stones and stones with a diameter of less than one.

2. Lithotripsy: The damage caused by surgery to the human body is small and reversible, and there is no need to intervene in the body, which avoids the trauma of the incision, and is suitable for stones above the diameter and easy to crush. Kidney stones are more often than lithotripsy.

3. Surgery**: According to different conditions, pyelotomy and stone removal are selected, and the surgeries include open stone removal and percutaneous nephrolithotomy. At present, about 90% of surgeries no longer use traditional open surgery**, and more are used.

For now, it is one of the most advanced stone extraction techniques in the world, and it is as easy as doing it. Through the urethra, it enters the kidneys, can reach any part of the urinary system, and non-invasively remove kidney stones directly from the body. There is no need for wounds and will not cause any harm to the human body.

For kidney stones, it is necessary to choose the appropriate plan according to the size of the stone, the location of the stone in the kidney, and whether it causes hydronephrosis and secondary infection. Generally speaking, for relatively small kidney stones, such as smaller kidney stones, you can drink more water, exercise appropriately, take oral stone expulsion drugs, and be conservative**. For relatively large kidney stones, such as kidney stones of about 1 cm, extracorporeal shock wave lithotripsy or ureteroscopic lithotripsy can be used.

Extracorporeal shock wave lithotripsy is an extracorporeal lithotripsy method, which is located by X-ray or B-ultrasound, and focuses the high-energy shock wave on the stones in the body to make the stones crushed. Flexible ureteroscopy is a method of lithotripsy in the body, in which the flexible ureteroscope enters the renal pelvis through the urethra and ureters to find the stones in the kidneys and crush them. However, for relatively large kidney stones, such as those larger than 2 cm, percutaneous nephrolithotripsy can be used**.

Kidney stones are more common in middle and middle-aged years, and men are more common than women. Kidney stones may be long-standing without symptoms, especially for larger stones. Smaller stones have a large range of motion, and when small stones enter the ureteral junction or ureter, they cause the ureters to move violently to promote the passage of the stones, resulting in colic and hematuria.

Kidney stones can be performed by extracorporeal lithotripsy**.

Generally speaking, stones with a diameter of less than 1 cm can be expelled by taking the stone tea of Defu and drinking plenty of water. The stones can also be dissolved and disappeared by taking medications, adjusting diet, drinking more water, and alkalizing urine.

For stones larger than and less than 2 cm in diameter or ineffective for drug expulsion, extracorporeal shock wave lithotripsy can be used. Extracorporeal shock wave lithotripsy is safe and effective, less painful, less painful, and generally does not require hospitalization.

The main cause of the formation of kidney stones is diet. It is caused by an excessive intake of stone-forming components in the diet, so limit the consumption of foods that contribute to the formation of stones.

1. Calcium oxalate stones: low oxalic acid, low calcium diet.

Eat less spinach, asparagus, water chestnut, green garlic, rape, snow, onion, radish, beets, peppers, celery, strong tea, various beans, tofu, milk, mustard, kelp, sesame paste, shiitake mushrooms, dried shrimp, chocolate, cocoa, walnuts, nuts, etc.;

Provide alkalinizing foods to alkalize urine, such as eating more fruits, vegetables, etc.

2. Calcium phosphate and magnesium ammonium phosphate stones: low calcium, low phosphorus diet and acidification of urine.

Limit high-phosphorus diet, including eggs, organ meats, fish eggs, sardines, soybeans and peanuts;

Provide acid-producing diets such as grain products, noodles, bread, etc.

3. Uric acid stones: low-purine diet, eat more fruits, vegetables, and milk, and have diuretic alkalinization.

4. Not suitable for drinking beer: The wort of brewing beer contains calcium, oxalic acid and nucleotides, which are easy to cause urinary tract stones.

Reasonable calcium supplementation, especially dietary calcium supplementation, kidney stone patients often "talk about calcium discoloration", mistakenly thinking that the culprit of kidney stones is calcium, but in fact, kidney stone patients also need calcium supplementation. The first is that calcium supplementation can combine with oxalic acid contained in vegetables in the gastrointestinal tract to form insoluble calcium oxalate, which is excreted with feces, reducing part of the oxalic acid absorbed by the stomach and excreted through the kidneys, thereby reducing the chance of forming kidney stones. The second is the "acid-base balance theory" proposed by Japanese scholars.

That is, when the blood is acidic, stones are easy to form. When alkaline, it inhibits stone formation. When the blood is acidic when there is a lack of calcium, reasonable calcium supplementation and alkaline blood are conducive to inhibiting the formation of stones.

Kidney stones** measures.

**The purpose of kidney stones is to remove stones, keep the urinary tract open, and enable the urinary system to function normally.

The method of stone removal needs to be formulated according to the location, number, size, kidney function, whether there are anatomical abnormalities, whether there is infection, and physical condition. Generally speaking, kidney stones below 5mm are mainly conservative or observant. For 5mm 2cm kidney stones, extracorporeal lithotripsy is preferred.

In particular, it is important to note that extracorporeal lithotripsy cannot be performed based on only one ultrasound result or X-ray, and lithotripsy should be performed after the diagnosis is clear. Percutaneous nephrolithotomy is preferred for kidney stones larger than 2cm. The use of open surgical stone removal has become less and less, and in the case of anatomical abnormalities of the urinary system, it is possible to remove stones at the same time as anatomical abnormalities of open surgery**.

**After a stone, it is important to have a careful re-examination to determine if the stone has been completely passed. This is very important.

Choose your medications. How to choose the best kidney stone medicine? All kinds of stones have high risk factors, that is, if some drugs are not used correctly, it will cause the precipitation of stone components in the urine to increase, on the contrary, if the right medicine is prescribed, it can be achieved to reduce the risk factors and resolve the precipitation of stone components in the urine.