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Hello, according to the situation you said, the individual differences are still relatively large. If the stone is smaller than usual, drink more water, urinate more, and cooperate with exercise, for example, jumping rope up and down the stairs. Generally 2-3 days can be excreted from the body.
Individual times may be longer. It should be closely reviewed, it is recommended to go to the urology department of the hospital, do a detailed physical examination and necessary auxiliary examinations, and take ** measures according to the condition.
If it is a relatively small particle, then take painkillers, and then let it out by itself, especially the following ureteral stones belong to smaller stones, generally speaking, in the case of unobstructed urinary tract, you can use a conservative method to pass the stones, and tom tea can help to discharge. If the particles are relatively large, it is more difficult to discharge them on their own, especially if they are easily blocked in the urinary tract and cause urinary tract infections. Or it's a poor excretion or something.
When this happens, he needs to go to the hospital for emergency treatment. Therefore, if you are worried about having such a problem, you should go to the hospital in advance to do a check-up to determine whether you have such a problem, if so, then you should deal with it in time, if there is no problem, it is best to maintain a good diet, this is the most important.
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The purpose of ureteral stones** is not only to relieve pain and protect kidney function, but also to find and remove ** as much as possible to prevent stones**. According to the general condition of each patient, the size of the stone, the composition of the stone, the presence or absence of obstruction, infection, hydrops, the degree of renal parenchymal damage, and the trend of stones, the prevention and treatment plan is formulated.
1.Guard**.
1) Drinking a lot of water Increasing water intake can reduce the concentration of calculus forming components in the urine, reduce the chance of precipitation into stones, promote the discharge of small stones, and also facilitate the drainage of infection. Therefore, patients with stones should develop the habit of drinking more water and maintain a daily urine output of more than 2000 to 3000ml.
2) Control of urinary tract infections.
Stones, obstruction and infection often form a vicious circle in the body, so when stones are co-infected, stones should be examined and ** under the condition of infection control. Magnesium ammonium phosphate stones often form in infected urine.
3) Adjust the diet Decide on a stone-proof diet based on the composition of the stones. Uric acid.
A low-purine diet should be used for stones and low methionine for cystine stones.
Diet. Fruits and vegetables can make urine alkaline, which is good for preventing uric acid and cystine stones. Meat food makes the urine acidic, which is better for preventing stone infection.
For phosphate stones, a low-calcium, low-phosphorus diet can be used, and aluminum hydroxide gel can be taken at the same time. Calcium-containing kidney stones should avoid high calcium, high salt, high oxalic acid, high animal protein, high animal fat and high sugar, and adopt a high-fiber diet.
4) In the case of renal colic, the pain should be relieved first For the emergency treatment of severe renal colic, abdominal distension, nausea and vomiting, most of them are infusion, local hot compress, and atropine injection.
Remission can occur after morphine or meperidine. Acupuncture and auricular acupuncture have analgesic effects. Injectable indomethacin.
It has a better effect on pain relief.
5) Stone expulsion** For stones with a diameter smaller than most of the components can often be discharged on their own, and stones with a diameter or individual size, smooth surface, no obvious obstruction and infection symptoms, take the stone tea that is conducive to the discharge of stones, and it is possible to discharge.
6) Dissolved stones** Pure uric acid stones have a better dissolution effect with oral drugs. Drink plenty of water to maintain a daily urine output of more than 3000ml and regulate urine pH.
Limiting a high-purine diet and taking allopurinol may dissolve the stones. Note that allopurinol should be used with suspicion of nephrotoxicity, particularly in patients with poor renal function, based on creatinine clearance.
to adjust its dose. Cystine stones are used to dissolve stones and transrenal stomies with oral medications.
The effect of dissolving cystine stones with drugs is good. In addition to drinking more water regularly day and night, up to 3000 4000ml per day, low methionine diet, alkalizing urine to pH value, calcium oxalate and calcium phosphate stones So far, there have been no reliable reports of oral drug dissolution stones.
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How long it takes to pass is uncertain, it depends on the size of your stone, the faster the small stone is discharged, the more troublesome the large stone.
Surgery should be considered for patients who have affected renal function due to urinary flow obstruction caused by stones, or who have not been ineffective by non-surgery** and do not have extracorporeal shock wave lithotripsy conditions. You can drink the tea of Yujiao, which is diuretic and can safely expel stones.
Preoperative preparation: It is necessary to understand the bilateral renal function before surgery, and the infection must be controlled with antibiotics first. Patients with ureteral stones should take plain radiographs of the urinary tract before entering the operating room or on the operating table for the final positioning of the stones.
Surgical methods: Depending on the size, shape and location of the stone, the following surgical methods are commonly used:
1 Renal pelvis or sinus incision and stone removal: incision of the renal pelvis, removal of stones, antler stones or calyceal stones, sometimes it is necessary to perform intrasinus pelvis calyceal incision and stone removal.
2. Renal parenchymal incision and stone removal: If the kidney stone is large and cannot be incised through the renal sinus, the renal parenchyma needs to be incised and removed.
3 Partial nephrectomy: It is suitable for multiple stones at the first pole of the kidney (mostly at the lower pole of the kidney), or in the dilated and poorly drained calyce, and the first pole of the kidney or the calyces can be removed together with the stones.
4 Nephrectomy: One side of the kidney stone and severe hydronephrosis or pyomeria, which has caused serious damage or loss of kidney function, and the opposite kidney function is good, the affected kidney can be removed.
5 Ureterotomy and stone removal: ureteral stone diameter is greater than 1 cm or stone incarceration causes urinary flow obstruction or infection, and ureterotomy can be used for non-surgical ** ineffective patients.
6 Stone set: The diameter of the middle and lower ureteral stones is less than centimeters, and it can be tried with a special basket or catheter sleeve through cystoscopy.
7.After surgery, you can drink healed tea to help prevent **.
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Hello, the passage of ureteral stones is closely related to the size and shape of the stones, and the location of their existence, and their passage time varies from person to person; The general method of stone expulsion is mainly to drink more water, be more active, and add some stone expulsion drugs. Dietary regulation of ureteral stones is related to the composition of the stones; Most of the common stones are calcium oxalate stones, so when eating, avoid eating oxalic acid with calcium-containing foods, such as spinach and tofu. But from a professional point of view, diet control is not particularly effective.
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Method
1. Spontaneous stone discharge, for smaller stones (diameter less than 5mm), you can promote the discharge of stones by drinking more water + Shiqi tea + exercise, generally after a period of time, most of the small stones can be discharged, if the stones are too large, the width of the stones is greater than the inner diameter of the ureter, it is not appropriate to use drugs to discharge stones, and the stones cannot pass through the ureter.
2. Extracorporeal shock wave lithotripsy, for stones of about 1cm, because their diameter is much larger than the inner diameter of the ureter, they generally cannot be discharged from the body by themselves, and it is often necessary to carry out extracorporeal shock wave lithotripsy, and the large stones are beaten into smaller stones, and they are discharged one by one by using the action of urine flow scouring. However, extracorporeal shock wave lithotripsy also has its contraindications, such as bleeding in patients with abnormal coagulation mechanisms, and extracorporeal lithotripsy in patients with arrhythmias may cause arrhythmias to worsen. In addition, repeated extracorporeal lithotripsy can lead to ureteral stricture or renal atrophy, so you must be cautious, so if you have more than 2 times of extracorporeal lithotripsy and the stone still cannot be broken, it is not suitable for extracorporeal lithotripsy;
3. Ureteroscopy, most ureteral stones can be removed from the body through ureteroscopy, especially for patients who are ineffective in extracorporeal shock wave lithotripsy, most of them can be continued by ureteroscopy. However, ureteroscopy is performed in the ureter, which may cause ureteral damage, so it should be performed with caution.
4. Percutaneous nephroscopic surgery is only suitable for large stones (more than 2cm in diameter) in the ureteral connection site or upper ureter, which are either ineffective or inefficient with other methods. Percutaneous nephroscopy is performed with an eye on the kidney, which has some renal damage. Therefore, the indication is not as broad as that of ureteroscopy.
Your condition depends on the volume of ureteral stones and should be performed with ureteroscopy**.
Patients with ureteral stones should eat more fresh vegetables and fruits, and should not eat high-purine foods, such as animal offal, spinach, various beans, cauliflower, seafood, etc. Drinking, especially beer, can increase uric acid levels and cause urine concentration, so it should not be consumed; Excessive intake of animal protein can lead to an increase in urinary calcium and uric acid and a decrease in citrate, which is an important factor in the formation of urolithiasis. Therefore, the daily diet should be mainly vegetarian, and eat more fiber-rich foods.
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The location of ureteral stones has lower ureteral stones, so how long does it take for lower ureteral stones to pass?
Usually, the lower ureteral calculi can be diagnosed when the ear disturbed stones reach the lower ureter. Lower ureteral stones**. It is necessary to consider the location, size, and presence or absence of hydronephrosis according to the location and size of the stone.
In clinical medicine, the time to eliminate stones varies from person to person. Generally speaking, if the patient's ureteral stones are relatively small, the patient can help the stones pass by drinking more water, exercising more, and this ordinary method of stone removal takes about ten days.
If the patient's stone is large, but the adjustment of Tongxiang Laguo drug can move in the ureter, it will take more than half a month to pass. If the patient's ureteral stones are too large, it is not possible to pass them spontaneously. It is recommended that patients go to the hospital for lithotripsy and then use medication to remove the stones in the ureter.
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For ureteral stones less than 6 mm in diameter, the probability of spontaneous passage is about 60-80%, so for the first onset of such ureteral stones, drug stone expulsion** can be used for 1-2 months before repeat ultrasound or contrast.
Commonly used drugs include the traditional Chinese medicine tea of Depu's Yushigao tea, which can promote the discharge of intraureteral stones;
Drink plenty of water, and in the absence of renal colic and hematuria, you can do more activities, such as skipping rope and other exercises.
After 1-2 months, if the stone is still not passed, extracorporeal shock wave lithotripsy (one of the preferred methods for upper ureteral stones) or ureteroscopic laser or pneumatic ballistic lithotripsy (the first method is preferred for middle and lower ureteral stones, because the middle and lower ureteral stones are easy to overlap with the pelvis to affect the lithotripsy effect of the extracorporeal shock wave, and the ureteroscopic method is more effective).
If the stone causes refractory renal colic, which seriously affects life, and the effect is not good, ureteroscopic lithotripsy can also be used as soon as possible.
For ureteral stones with a diameter of 7-15 mm.
For middle and lower ureteral stones >15 mm in diameter, ureteroscopy or open stone removal can be used.
For upper ureteral stones with a diameter of more than 15 mm.
Because these stones tend to persist for a long time and are often accompanied by moderate to severe hydrops in the kidneys, percutaneous nephrolithotomy is a better minimally invasive option.
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It depends on the size of the stones, small stones can be drained by drinking more water with drugs, large stones need surgery, and the commonly used surgical methods include dual-frequency soft endoscopic lithotripsy, which is mainly clean and thorough, and it is not easy to take stones**,**!
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The timing of ureteral stone passage is uncertain. There are a variety of stone removal methods: 1. Spontaneous stone discharge, for smaller stones (diameter less than 5mm), you can promote stone discharge by drinking more water and exercising, generally after a period of time, most small stones can be spontaneously discharged, if the stone is too large, the width of the stone is greater than the inner diameter of the ureter, and it is not appropriate to use drugs to discharge stones.
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Stones are a common disease in men, there will be severe pain symptoms after the disease, in order to ** can take a large amount of water, diet, exercise, surgery**, extracorporeal lithotripsy, etc., these methods can be used, what method is recommended to be used under the guidance of a doctor, Lin Bao Pharmaceutical's stone excretion through the oral solution, you can understand, specializing in the treatment of stones.
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Hello! For ureteral 6mm stones, if there is no obvious hydronephrosis, you can first use drugs to pass the stones, drink more water appropriately, and jump more, which is conducive to increasing urine output and promoting the downward movement and discharge of stones.
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Opinion: This time should be based on your own condition!
1.Non-surgical**: suitable for patients with stones smaller than LCM, stones with a tendency to move downward, no significant impact on renal function, and no urinary tract infection.
Drink plenty of water, use antispasmodics, jump activities, etc. Small stones can be drunk Yu Shibei tea is not bad for urinary stones, and it can be used for a long time.
2.Ureteral stones: Ureteral stones are pulled out with a stone basket under a cystoscopy, which is suitable for small mobile middle and lower ureteral stones.
3.Ureteroscopic stone removal or lithotripsy: After the ureter is dilated, it is placed in the ureteroscope, and the stones are broken with liquid electricity or ultrasonic lithotripsy, and the stones can also be directly removed with stone forceps.
4.Extracorporeal flush wave lithotripsy: mainly suitable for upper ureteral stones.
5.Surgical ureterotomy and stone removal: suitable for patients who are ineffective in the above**, the stone is greater than LCM, and the surface is rough and cannot be discharged by itself, or patients with ureteral stricture and infection.
6.Drink plenty of fluids: Drinking plenty of water can dilute the urine and promote the passage of stones, which can help control infection, delay the growth of stones, and prevent stones after surgery**.
7.Patients with renal colic attacks should stop: in addition to using analgesics and antispasmodic drugs, it can be combined with acupuncture**, acupuncture of Kidney Yu, Jingmen, and Sanyinjiao, which has the effect of relieving pain and spasmodic. Topical warm compresses in the renal area can also be used.
8.Chinese herbal medicine stone drain**: The composition of the formula is desmodium, psyllium, stone reed, talc, hollyhock, Sichuan hyssop, husk, laifuzi, and zexiao, and is treated with syndrome differentiation. In general, small stones can be successfully expelled with Chinese medicine within an average of 30 days after they are lowered into the ureter.
Ureteral stones are a common occurrence of urinary stone disease, and their causes are related to diet. Patients with ureteral stones should always pay attention to dietary care in their daily life to ensure that they can recover as soon as possible. >>>More
Immediately the gravel is discharged without delay. You can choose between extracorporeal shock wave lithotripsy or ureteroscopic lithotripsy.
Hello, hydronephrosis is the ureteral stenosis or ureteral foreign body blockage that causes the fluid secreted by the kidneys to be discharged from the effusion, for your kidney hydrops is caused by the formation of blockage in your lower part of the stone, then the first thing to deal with the lower ureteral stone, your stone is not very big, you can take an extracorporeal lithotripsy technique, after the lithotripsy is discharged with the urine, drink more water, drink more than 2500ml, exercise more, keep the ureter unobstructed, and do a good job of regular review, Only when the stone is treated with the stagnant water will slowly subside, the stagnant water is acidic, the stagnant water will accumulate more and more if the stone is not treated, the stagnant water is acidic, and the damage to the kidneys is great, and the ureteral stones are treated and then considered the ** kidney stones. If you want to take all the stones at one time, you need to consider surgery, which is generally minimally invasive, with fibrosoft nephrolithotomy and percutaneous nephrolithotomy, which is less invasive and recovers quickly for patients, and does not affect the patient's work and study. Wishing you good health! z
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