What are the treatments for kidney stones, and what are the treatments for kidney stones

Crushing, dissolving, draining and preventing kidney stones.

For kidney stones, only the combination of crushing, dissolving, draining and preventing can achieve satisfactory clinical results. Before the appearance of extracorporeal lithotripsy, for some difficult cases, surgical methods are mostly used to solve them, but the operation increases the economic burden on the patient and aggravates the damage of the body, especially for some patients with good kidney function, the scar at the surgical incorpois site is a good breeding ground for stone formation. Some sutures produced during surgery are also prone to stone formation.

Although surgical stone removal has various drawbacks, surgery is an irreplaceable way to save lives for some patients with poor kidney function, or acute obstruction or suppuration. Surgical stone removal is often not possible at one time.

2. Traditional Chinese medicine detoxification **** kidney stones.

At present, there are three main ways of kidney stones: traditional Chinese medicine, lithotripsy and surgery, among these methods, traditional Chinese medicine is the safest, and traditional Chinese medicine detoxification can change the internal environment of the human body, eliminate the toxic substances that produce stones in the blood, and remove the material basis for producing stones. Larger stones can dissolve, break up, and become smaller and excreted from the body. After removing toxins from the body, the internal environment of the body is purified, which effectively prevents the recurrence and appearance of stones.

Changsha Puji Hospital.

The size, shape, and location of kidney stones are different, and the plans are also different, according to the condition of the patient's stones, drugs ** or surgery**, and actively remove related predisposing factors, kidney stones need to be short-term**.

1. Drugs**.

1. Renal colic**:

1) Non-steroidal analgesic and anti-inflammatory drugs: Non-steroidal analgesic and anti-inflammatory drugs are suitable for patients with kidney stones who have pain for the first time, and are used for anti-inflammatory and analgesic**. Commonly used drugs include diclofenac sodium and indomethacin, which have moderate analgesic effects.

Diclofenac sodium also reduces ureteral edema and pain** rates, often by intramuscular injection. Indomethacin can also act directly on the ureters, and patients can take it orally or plug the anus with an indomethacin suppository as prescribed.

2) Opioid analgesics: This class of drugs has strong analgesic and sedative effects, commonly used drugs are dihydromorphone, meperidine, buguizine, tramadol, etc., for patients with severe renal colic, doctors should inject intramuscularly according to the actual situation. It should be noted that opioids should not be used alone in the case of renal colic, and generally need to be used together with antispasmodic drugs such as atropine.

3) Antispasmodics: This class of drugs can relax smooth muscles and relieve spasms, commonly used drugs are atropine sulfate and hyoscyamine.

2. Row stones**:

1) Diclofenac sodium suppository anal plug: mainly used for ureteral stones, which can reduce ureteral edema, reduce pain, and promote stone discharge.

2) Alkalinization of urine: mainly oral oral sodium bicarbonate tablets to alkalize urine, promote uric acid excretion, and reduce the formation of stones.

2. Surgery**.

1. Extracorporeal shock wave lithotripsy: suitable for patients with 5 20mm renal pelvis, calycea and calyceal stones. It is mainly the shock wave that crushes the stone and then excretes it with the urine.

2. Percutaneous nephrolithotripsy: mainly nephroscopic entry into the body for lithotripsy. It is suitable for patients with kidney stones with a diameter of more than 2 cm or stones that cannot be crushed by shock waves.

3. Ureteroscopic lithotripsy: the stone is mainly removed through the ureter. It is suitable for patients with kidney stones less than 2cm and middle and lower ureteral stones.

4. Open surgery: Due to the large trauma of open surgery and the rapid development of other surgical techniques, the use of open surgery in kidney stones** has been significantly reduced. However, open surgical stone removal is still of great clinical value in some cases, such as contraindications, complications, or failures in other surgical modalities.

3. Others**.

Dissolved stones**: Dissolved stones ** is an effective adjuvant method, often used as an auxiliary after extracorporeal shock wave lithotripsy, percutaneous nephroscopic stone removal, ureteroscopic lithotripsy and open surgical stone removal, which is to dissolve stones or stone fragments by chemical methods to achieve the purpose of complete removal of stones, and has a significant effect on infectious stones, cystine stones, and uric acid stones.

The symptoms of kidney stones are not terrible, don't worry too much, there are many methods for kidney stones, which method to use needs to be determined according to the specific situation of the patient, and according to the doctor's advice, it is by no means blind and judgmental, let's talk about the best way to get kidney stones.

1. Extracorporeal shock wave lithotripsy.

Extracorporeal shock wave lithotripsy is the shock wave of the extracorporeal lithotripsy machine to impact and suppress the stone until the stone is completely crushed, because the more broken it is, the easier it is to remove it from the body. The use of this method must be carried out under the guidance of the doctor, in advance of the timely examination of the urinary system, but also to check the functional indicators, in line with the most basic standards can be used such a method, only in this way, can the use of extracorporeal lithotripsy with confidence.

2. Surgery**.

Surgery is mainly for some patients with large stones, other methods can not help them to eliminate the body smoothly, and the situation of stones is more complicated, at this time, only surgery can be used to kidney stones; At present, the main surgical method is generally laparoscopy, only if the kidney stones are too large and the number is relatively large, and the laparoscope cannot be removed, only the knife can be used to remove and exclude, and in severe cases, nephrectomy may be required, and uroplasty will be used at the same time.

3.Drugs**.

In recent years, there has been an increase in the number of people suffering from kidney stones. By prescribing some stones to the kidney stones, it can assist patients to eliminate them in time through urine, and the drugs are aimed at some people with relatively small stones, and the effect of taking medicine slowly is more obvious.

Kidney stones are formed by the deposition of urate, oxalate, and calcium salts in the kidneys. In general, kidney stones do not cause any clinical symptoms. There is no big obstacle to the kidneys, when the kidney stones fall into the ureter, it will cause abdominal pain and hematuria, ** can be used to dilate the ureter or shock wave lithotripsy, surgery and other ways to ensure the discharge of the stone, restore patency.

If the kidney stone causes hydronephrosis, then regardless of whether there are any clinical symptoms, it is necessary to be active to prevent renal dysfunction, and the specific method plan needs to be decided according to the size and location of the stone.

If the kidney stones are not serious, you can combine traditional Chinese medicine and Western medicine to try to pass the stones. Severe cases usually require surgery**.

The ** of kidney stones should be judged according to the size of the stones** method:

1. Kidney stones are less than 6 mm, and the method of expulsion of stones can be used with drugs**.

Kidney stones can be drunk with some Deyu Zhitong tea for 1-2 cycles to promote the dissolution of stones and excretion of stones, so that the stones can be excreted with urine as soon as possible. The effect of traditional Chinese medicine is better, **bitterness***.

2. Surgery for kidney stones**.

1.Extracorporeal shock wave lithotripsy.

**The most commonly used surgical method for kidney stones is extracorporeal shock wave lithotripsy. The doctor will use an ultrasound device to find the exact location of the kidney stone, and then use a shock wave to break down the large stone into small pieces and finally pass it out of the body in the urine. Extracorporeal lithotripsy is relatively damaging to the kidneys, and it is not recommended to use this method if it is going to be long-term.

2.Percutaneous nephrolithotomy or lithotripsy.

Kidney stones can also be treated by percutaneous nephrolithotomy or lithotripsy**, which is actually a thin needle pierced through the lower back into the renal calyce, and then put on a ureteroscope or nephroscope to remove the stone in a visual state. Stones can also be crushed by ultrasound, pneumatic ballistics or lasers.

3.Open surgery.

Open surgery can also be used for kidney stones, which is a very common traditional surgical method for kidney stones, mainly including renal pelvis or transsinus pyelotomy, renal parenchymal incision and partial nephrectomy, patients can choose a more suitable surgical method according to their own conditions.

The best way to treat kidney stones is as follows:

1. Drug**: Drug** is generally suitable for stones in the renal tubules, less than 5mm, and there are no symptoms, you don't have to**, you don't have to worry too much, you can drink De pro Radix Radix. Tea, long-term drinking to unblock the urethra helps to expel stones.

2. Surgery: Traditional surgery means that it will inevitably bring trauma, and traditional surgery has a large incision, large damage, high rate, high risk, and long recovery time, which is not suitable for multiple stones and chronic inflammation. The damage to the patient's body is relatively serious, especially for some patients with good kidney function, the scar formation at the surgical incision site is a good breeding ground for stones**, and some sutures left during the operation have also become an excellent base for stone formation.

And it will also leave surgical scars on the surface of the body for life.

3. Non-surgical: Finding a hard, efficient and difficult method is the key to stone disease, which not only reduces the physical pain and economic burden of patients, but also can effectively eliminate the complications and sequelae caused by stone disease, so that the best can not take detours and achieve twice the result with half the effort.

Although there are so many methods for kidney stones, it is still necessary to choose according to the needs of the patient's condition, and you can't choose which one because of the low cost. If necessary, then you can also use both methods at the same time, and I believe that through positive methods, you will be able to do it soon.

It's a bit complicated to say, let's just say that the kidney function is basically normal, simple stones, stone location, number, size. All determine the best method.

Let's take a look at the diagram of the urinary system, the diameter of the narrowest area of the normal ureter is only 5mm, which varies from person to person and some people are not yet, so the stone is theoretically less than 5mm, which can be discharged by medication and exercise, but even if the stone eventually falls to the bladder, the female urethra is short and thick and easy to clamp. For example, a 4 or 5 mm stone in men cannot be easily removed. Stomach pain may be caused by an existing stone rolling down from the kidney into the ureter, which may be close to 5mm or even larger in diameter, causing severe pain.

The premise of ablation of stones with drugs is that the entire urinary tract is unobstructed or basically unobstructed, if the urinary tract (generally in the ureter) is blocked by stones and blocked, it will cause hydrops, affecting the kidneys, and if it is not passed, the drug will not work at all. If there is a blockage in the ureter, the first thing to do is extracorporeal shock wave lithotripsy, which is a primary lithotripsy surgery to break up large stones into several smaller diameter pieces. Extracorporeal shock wave lithotripsy is the simplest surgery, which takes 10 minutes and can be done as you go, and the cost varies from hundreds to early thousands.

In this way, the success rate of this is not very high, so it is necessary to spend more time and money to find a hospital or department with advantages in this area. More modern stone crushers, more experienced and responsible physicians, strive to crush at a time. Although it is simple, there are contraindications to surgery, and this should be communicated with the doctor.

If it is a stone in the kidney, if it does not affect the function and urination, you can ignore it for a while and use dissolving drugs to take it slowly, but the dissolving drugs, whether they are Chinese or Western medicines, mostly contain diuretics, and should never be taken for a long time. Otherwise, the gains outweigh the losses. There are also many over-the-counter medicines for the erosion of traditional Chinese medicine, which can be treated according to their own specific conditions, find a suitable prescription to dispense, urinate without any problem, and remove the diuretic components in the prescription.

In fact, the stomach can, and drinking acidic drinks such as lemon water generally has a good effect on ablating stones.

Hello, you can usually drink more water, exercise more, and don't eat spicy food.

The only way to remove the root is to dissolve the stone, I used to have large stones in both kidneys, the largest is 2cm, and the secret recipe of Xiao Huamin's stones used later has been melted clean, and it has not grown again.

If the stone is less than 1cm, you can try drugs such as stone removal granule**, drink more water, wait for it to be discharged by itself, small stones have not been discharged for a long time, or stones "1cm, extracorporeal shock wave lithotripsy is preferred, and regular examination is recommended. Combined with Doctor**.

Guidance: In this case, it is generally considered that it is better to go to the hospital for further examination, and it is recommended to take medication under the guidance of a doctor, and it is usually necessary to pay attention to dietary habits. Enhance physical fitness as well.

You can go to the lithotripsy department of the hospital**, and the effect will be better with the stone soup.

For kidney stones, there are the following options:

1) Drink plenty of water: Maintain a daily urine output of 2-3L as much as possible.

2) Traditional Chinese medicine ,.. is now generally used in conservative aspectsDefu. Target. Radix tea clears away heat and detoxifies, diuretic fossils and excretes from the body.

In real life, the occurrence of many diseases is closely related to daily diet, and even most cancers may be avoided if you can do it at a regular time and eat modestly. Now let's remind everyone how to prevent kidney stone disease with diet.