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The principle of ureteral stones** is to relieve pain in time, remove stones, relieve obstruction, resist infection, remove **, and protect kidney function. For bilateral ureteral stones, the side with better renal function should be treated first; When there is a kidney stone on one side and a ureteral stone on the other side, the ureteral stone should be treated first to protect the kidney function.
1. For smaller stones, suitable for Chinese and Western medicines to remove stones**; If you have ureteral stones, you can drink a lot of water, take traditional Chinese medicine, and you can drink elm scholastic tea. , it is not bad for ureteral stones to regulate and pass stones.
2. ESWL lithotripsy**: It is suitable for patients with ureteral stones and no obstructive disease of the ureteral distal end of the stone, and is often the preferred method.
3. Endovascular surgery**: Ureteroscopic lithotripsy is also a method for treating ureteral stones, but it requires special equipment and technical requirements.
4. Open surgery: For some patients who cannot be lithotripsy with ESWL, the volume of the stone is too large, or the uretera distal of the stone is accompanied by obstructive lesions, ureterotomy and stone removal can be used, and ureteroplasty is required if necessary, and appropriate intraluminal and extraluminal drainage can be performed. Urinary fistula is common after developmental ureteral surgery and requires enhanced drainage, delayed removal of the local drain until the urinary fistula stops.
Ureteral stricture is a common long-term complication after ureteral stone surgery and should be followed up for observation.
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There are three ways to treat kidney stones:
1. For stones with a diameter of less than 10 mm, herbal medicine can generally be taken.
2. For stones with a slightly larger volume (about 10 mm in diameter), if the kidney function is good and there is no urinary system obstruction, an extracorporeal shock wave lithotripsy can be used with a lithotripter.
3. For stones with large volume (diameter of more than 15 mm) and comorbidities such as hematuria, infection, tumor or urinary system obstruction, surgical stones should be performed.
Suggestion: The main substances of stones are calcium, oxalic acid, and uric acid.
First, you should drink a lot of water, and drink it in large gulps, drinking 2000-3000ml of water every day.
Second, the diet tends to be low in animal protein, low in animal fat, and high in vitamins, and limit calcium-rich foods such as dairy products and refined white flour (milk is best not to drink before bed); Eat less spinach, tomatoes, asparagus, strong tea and other foods containing oxalic acid; Avoid eating animal offal.
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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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It can be discharged through drugs, with more water and exercise, and for some relatively large stones, extracorporeal shock wave lithotripsy can be done to break large stones into small ones, and then discharge them through this ureter and bladder. Lin Bao Pharmaceutical's Stone Draining Oral Solution, you can learn about it, specializing in the treatment of stones.
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Two years later, Chishui met Hu Lang and the Eight Immortals in the mountains, rushed to Pi's house together, and reunited with the Phoenix Immortals. At the banquet, Fengxian was dissatisfied with her father's love and hatred based on the rich and the poor, and urged Chishui to study angrily and fight for herself.
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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.
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Can ureteral stones be expelled by taking medicine? Don't guess, listen to what the doctor has to say.
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Problem analysis: Urinary calculi are mostly related to diet and lifestyle habits, and can have symptoms such as low back pain, hematuria, and nausea.
Opinions on the source of the proposal:
Generally speaking, stones smaller than can be discharged on their own, and stones smaller than can be defended if there is no renal dysfunction or other complications, and stones that cannot be discharged by themselves can be tempered by extracorporeal shock wave lithotripsy**. Drink plenty of water and urinate frequently.
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
Fees vary by region.
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