Do kidney stones 1 2 1 8 require surgery, or do they need extracorporeal lithotripsy? Urgent!!!

In general, stones smaller than 5 to 8 mm have the possibility of self-expulsion. Your mother's right kidney stone is 12 18mm, and her age is 63 years old, the doctor first recommends that you do a KUB+IVP examination to find out whether there is urinary tract obstruction, and then check the liver and kidney function to find out whether there is abnormal liver and kidney function; This is followed by a urinalysis to check for urinary tract infections. Then, based on the results of the examination, if there is no urinary tract obstruction, it is definitely recommended that you undergo extracorporeal shock wave lithotripsy**.

If there is urinary tract obstruction, surgery is certain, otherwise it will lead to uremia of the right kidney.

Extracorporeal shock wave lithotripsy** is generally effective at one time. Occasionally, if the effect is not good, only a course of treatment can be performed with secondary extracorporeal shock wave lithotripsy**.

The common hazards of extracorporeal shock wave lithotripsy are hematuria, fever, pain, local tissue contusion, perirenal hematoma, intestinal perforation, etc. However, the chances of the latter three hazards are very low. At least it hasn't happened in the 10 years since our hospital was launched.

As for the first three complications, the probability of occurrence is 30 to 50%, but after extracorporeal shock wave lithotripsy**, doctors routinely use antispasmodic, hemostasis, and urination-promoting drugs**.

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 12 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.

Is there any specific reaction to her now?

The effect of drug stone expulsion is not very good, and the choice of kidney stone program must be checked in the hospital to find out the size, number and location of the stone, which is of great significance to the choice and prognosis of **

1.General**:(1) Drink plenty of water: try to maintain a daily urine output of 2-3L. (2) In the case of acute renal colic, antispasmodic drugs can be used to relieve pain.

3) Drug expulsion. 2.Extracorporeal shock wave lithotripsy (ESWL):

ESWL is less damaging to the human body and easy to operate, but it requires the ureter on the affected side to be open and the kidney function to be good. Stones with a diameter of less than 2 cm work best. 3.

Endovascular surgery**: The stones are crushed and removed by using percutaneous nephroscopy or ureteroscopy combined with lithotripsy methods such as hydroelectric, ultrasound, barometric ballistics, holmium laser, etc. 4.

Open surgery: Indications: (1) Giant or multiple kidney stones; (2) Other ** failures; (3) Combined with severe obstruction or infection; (4) non-functional empyema; (5) Stones combined with tumors; (6) There is a kidney stone that needs to be surgically surged.

Therefore, the choice of kidney stones must be checked in the hospital to find out the size, number and location of the stones, which is of great significance to the selection and prognosis of **.

Kidney stones are a relatively common urological disease, and many people ask: what size of the stone needs surgery? The doctor tells you the standard.

The ** of kidney stones is closely related to hereditary factors, metabolic factors, infectious factors, dietary factors, environmental factors and so on. Therefore, dietary adjustment is of great significance for the prevention and treatment of stones, and it is necessary to avoid intake of large amounts of vitamin C, animal offal, seafood, etc., and drink more water appropriately.

The diameter of the stone does not exceed that of ordinary gravel and can be solved. In your mother's case, I suggest you use the upstairs first'Drink plenty of water'**, in there is a moderate amount of activity, jumping up and down. Weak constitution. It is even more necessary to exercise in moderation

Smaller stones can be operated on without surgery, and the above ones must be operated on**! And it's better to ** early as well!

If the kidney function is normal, it will not cause symptoms such as low blood pressure. If the stone does not cause hydronephrosis, it can be left untreated, and the size can be observed at any time. If you want to deal with it, you can use extracorporeal shock wave lithotripsy.

If hydronephrosis or renal colic is caused, it is best to treat it promptly.

In fact, there is no need for surgery, the hospital exaggerates the condition, and says that it is necessary to have lithotripsy and surgery at every turn, I did an operation before because I didn't understand, and the physique after the operation was obviously not as good as before.

1 All upstairs, don't talk nonsense if you don't know, how many hundred yuan for laser gravel? Just kidding! For real laser stone crushing, the laser fee alone has to be about 3,000 yuan. At the same time, those who need to be admitted to the hospital and go to the operating table are called laser lithotripsy. The full cost is more than 10,000 yuan.

Now it is common to have extracorporeal shock wave lithotripsy, which costs a few hundred dollars a time.

For centimeter stones, I personally don't recommend lithotripsy. Based on the following two points.

1 Extracorporeal lithotripsy is performed in the kidneys to crush the stones, and when the stones are crushed, the stones will move in an undirected manner, which will cause substantial kidney damage.

2 If such a large stone is used for lithotripsy**, it needs to be carried out many times**, as mentioned in 1 above, the lithotripsy itself will damage the kidneys, and if you do it many times, you can imagine what the result will be.

Extracorporeal shock waves. Shock wave. Electromagnetic wave.

In fact, it is said that the machine itself has no damage to human tissues, which is right, but in the process of stone crushing will produce compressive force and tensile force, and the combination of the two forces will cause damage to the soft tissues of the human body in the process of stone crushing.

I don't say this to say that extracorporeal lithotripsy is not good, his advantages are indeed much stronger than other ** programs, at present, extracorporeal lithotripsy is the first choice for ** stone disease.

However, your stone is too large, and it may cause acute kidney failure in the process, and even if the stone is cured, there is a possibility of chronic kidney failure. Therefore, I suggest that you still walk around and see more before you talk about what kind of ** way to take.

Since you are not very detailed, I can answer you in most cases.

A detailed report will have a very detailed plan for your disease. I hope you understand what I'm saying.

1. When there are stones, they may be discharged by themselves, and they may be discharged by drinking more water. The stones need extracorporeal shock wave lithotripsy, and it may also be discharged by taking some stone removal drugs.

2. If the stone is discharged, it may be relatively small, considering surgery**, you can do percutaneous nephrolithotripsy or open stone removal, but the trauma of the incision is greater.

The most common symptoms of kidney stones are low back pain and hematuria, but some patients do not have any symptoms at all.

Do centimeter kidney stones require surgery What size kidney stones need surgery?

Kidney stones are caused by crystalline objects in the kidneys, and it is also a more common kind of urological diseases in young and middle-aged men The probability of kidney stones is relatively high, in the early stage of the disease, patients will have waist soreness and pain, and it will also lead to occasional stinging or dull pain in the process of urination It is best to have surgery to remove the stones, and let's find out how big kidney stones need surgery**.

Kidney stones are a disease regardless of age and gender, and the incidence is getting higher and higher, so it should be paid attention to, if the patient suddenly has urination discomfort, waist and abdominal cramps, nausea, vomiting, irritability or painful urination, to the hospital for physical examination, you can choose CT examination to judge the condition, relatively small stones can choose to drink more water or take Chinese medicine to make the stones out of the body, for relatively large stones, must be carried out by surgery.

Kidney stones with a relatively large diameter, you can choose the method of extracorporeal lithotripsy to carry out **, you can also control the condition through surgery to avoid significant increase in kidney stones, generally kidney stones should be carried out by surgery when they are centimeter large**, so centimeter kidney stones are best taken out by surgical methods to avoid obvious increase in stones that affect daily work and life, ** After the disease, you should pay more attention to rest, you must pay more attention to diet, drink more water, exercise more, and be sure to change bad eating habits.

Kidney stones are a relatively common disease, and they will also have a great impact on people's daily life, so they should be checked in time and pay more attention to rest, and they can also choose minimally invasive surgery if they appear, with a diameter of about centimeters, large kidney stones must be carried out by surgery, and during the disease, there must be a good life and diet rules, quit smoking and drinking, and eat less greasy food.

If you are strong, exercise more and drink plenty of water. Or you can use ultrasonic lithotripsy to break it down the urethra and drain it down, of course, this process is a little painful. I usually exercise more and move more. Sometimes a little smaller, he can also expel it.

Gallstones do not require surgery**. Ultrasonic lithotripsy can be performed. Minimally invasive lithotripsy can also be performed, which is actually very convenient.

Nephrolithiasis is a common disease in urology, and the common symptoms are low back pain and blood in the urine instantly, and the commonly used methods are, oral stone expulsion drug quality, extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy** and percutaneous nephroscopic lithotripsy ** according to the age and location of the appropriate ** scheme, if the size of the kidney stone is relatively small, you can drink more water, exercise appropriately, and take some oral stone expulsion drugs to carry out**. I know that the volume is relatively large and cannot be excreted through ureteral consultation, so I can choose extracorporeal shock wave lithotripsy or ureteroscopic lithotripsy**, but if the volume of kidney stones is too large, such as more than two centimeters of kidney stones, dermoscopic lithotripsy is usually used, and the specific plan of kidney stones depends on the size and location of kidney stones, whether they are combined, fluid accumulation and infection, as well as the patient's age, physical condition and other chronic disease factors**.

The world is millimeters, generally do not consider doing anything **, this kind of dieting is too dangerous and will hardly cause harm to the human body. In the case of kidney stones, surgery is generally not considered**, and stones are taken or extracorporeal shock wave lithotripsy is considered, which is relatively simple and does not cause much harm. However, if there are some special circumstances, for example, if the patient has obvious pain sensation, it is generally due to the fate of the kidney stone is induced in the process of excretion, and the cramping pain should be relieved of ureteral spasm on **, and the patient should be encouraged to drink more water, exercise more, and promote the excretion of the stone, if the patient's symptoms such as fever persist for a long time and multiple infections are considered, anti-infection ** is also required.

It is still okay to be conservative, because the diameter of the human ureter is 4 5mm, and your stones still need to exercise more and drink more water to promote the dissolution of stones. Fungus and walnuts also help to expel stones. Exercise can jump rope, jump steps, etc.

As the stone gradually becomes smaller, it can eventually be discharged.

It is mainly the cause of their own stone constitution, and it is necessary to clarify what kind of constitution they are and what stones they are through examination, so as to improve and fundamentally avoid stones

The characteristics of various stones are as follows:

Calcium oxalate stones: the most common, accounting for more than 80% of kidney stones, formed in acidic or neutral urine, the incidence is mostly young adults, and it is more common in men.

Calcium bisphosphonite stones: accounting for 6-9% of stones, they form in alkaline urine and are more common in young men and adults.

Triuricic acid stones: accounting for 6% of stones, formed in acidic urine, when the urine pH value is greater than the stone dissolves, more common in men.

Magnesium tetraphosphate amine stones: accounting for 10% of stones, formed in alkaline urine, when the urine pH value is less than the stone dissolves, it is more common in women.

Cysteine stones: rare, accounting for about 1-2% of stones, formed in acidic urine, and the stones dissolve when the urine pH is greater than that.

In addition, it is recommended to eat more fungus and walnuts, drink more water, these are conducive to stone discharge, I wish you a speed!

Kidney stones can be discharged without surgery, and the prescription is desmodium, sea jinsha chicken, and golden plantain decoction.

There is no need for surgery, just drink more water and exercise more to eliminate it.

Hello, in this case like yours, I think it's better to consider gravel teaching. However, it is not known where your specific stone is, and the length of time will have an impact.

The ** of kidney stones is nothing more than oral medications, extracorporeal lithotripsy, percutaneous nephroscopy and open surgery. The holmium laser is a ureteral stone, and the tube cannot be inserted into the kidney.

Relatively speaking, your stone is a bit big but not too big, at present, you can consider extracorporeal lithotripsy** has a certain success rate, the most important thing is that the damage is small. The damage that others say does not exist at all, so if there is, please take the trouble to tell it. Compared to surgery, it is basically negligible.

And even if there is, it is relative, the damage caused by lithotripsy is far less than the pain caused by stones, if it is really said that the damage is too big than surgery, it will be eliminated by history, not the scene that is blooming everywhere now.

Let's talk about percutaneous nephroscopy, this is the same as laparoscopy, making a hole, it is also a kind of open surgery, but the stones in this operation are not clean, and the ** rate of stones is also very high, basically it can grow to the size before the operation in about two years.

Finally, open surgery, which is not recommended or recommended, has a postoperative stone rate of more than 90%, and the opening is large, the trauma is large, and the cost is high.

Actually, your stone crushed stone is enough, I recently made two similar ones, and the effect is very good, one. One, the stones were seen on the third day after lithotripsy.