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Nephrolithiasis is the most common surgical condition and needs to be distinguished from a surgical acute abdomen, such as acute appendicitis, in the setting of acute onset. The fastest way to excrete kidney stones is mainly in the following aspects:
First of all, the acute stage is treated, and after the examination, it is necessary to clarify whether the location, size, and kidney function of the stone are impaired, and give antispasmodic and analgesic relief urgently. Antispasmodic drugs can be atropine, painkillers can be ibuprofen, and demerol injections can be given when the pain is severe.
Secondly, when the stone is relatively small, the surface is relatively smooth, and there is no obstruction of the lower urinary tract, the stone can be passed, and oral stone removal drugs can be given, and a large amount of boiled water can be drunk to promote the passage of the stone.
Then, when the stone is larger than 2 cm, the fastest way to discharge it is mainly extracorporeal lithotripsy, which can make the stone smaller through extracorporeal lithotripsy, and make it excrete by itself by drinking water, and can not be discharged on its own. If the stone is very large and incarcerated, or if a staghorn stone is formed, surgical stone removal is relatively fast.
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Smaller kidney stones can be quickly expelled by drinking plenty of fluids, exercising properly, etc. The rapid discharge of relatively large kidney stones mainly includes drugs** such as potassium hydrogen citrate granules, etc., and surgical stone expulsion such as extracorporeal shock wave lithotripsy.
1.Small kidney stones: If the diameter is less than centimeters, you can increase the amount of water you drink, urinate frequently, and during this period, you need to do more jumping exercises, such as skipping rope.
When necessary, it can be combined with taking drugs such as potassium hydrogen and potassium citrate granules. Medications should be used under the guidance of a doctor.
2.Bulky kidney stones: If the volume of kidney stones is relatively large, the diameter has been exceeded, and conservative ** is ineffective, surgery ** can be used.
For example, surgical methods such as extracorporeal shock wave lithotripsy, transurethral ureteroscopic lithotripsy, percutaneous nephrolithotomy, and incisional lithotomy can be used**.
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There are two methods of laser lithotripsy for kidney stones, one is ureteroscopic holmium laser lithotripsy, and the other is percutaneous nephroscopic holmium laser lithotripsy. The type of lithotripsy is related to the type of surgery and the size of the stone. If it is a single ureteroscopic holmium laser lithotripsy, the general ** cost is about 10,000 yuan.
If it is a single percutaneous nephroscopic holmium laser lithotripsy, the cost is generally around 10,000 yuan. However, if the patient's stone volume is relatively large, flexible ureteroscopy or percutaneous nephroscopy surgery cannot complete lithotripsy, and a second-stage operation is required, so that the cost of the entire operation will increase significantly. For flexible ureteroscopy, some patients need to indwell a ureteral stent for ureteral dilation in the first stage because the ureteral condition is not mature enough, which may also increase the cost of flexible ureteroscopy.
For relatively small kidney stones, you can drink traditional Chinese medicine to promote stone expulsion, and it is recommended to use 1-3 cycles of De Bao Tang Yu Zhitong tea, and brew it with boiling water to remove stones. For kidney stones, it is advisable to eat foods low in purines, low phosphorus, low calcium, low sodium, and high in vitamin A. Drink plenty of water; limit high-protein animal foods; Limit milk, soybeans, tofu, etc.; Eat plenty of fresh vegetables and fruits; Limit high-purine offal, thick gravy and dried legumes; Increase exercise appropriately to maintain a healthy weight.
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The diameter of the kidney stones, the body can be excreted on its own. The methods to speed up the passage of kidney stones are as follows:
1. Drugs**: Patients with small stones can take antispasmodic and analgesic drugs with ureteral dilation, drink plenty of water and exercise appropriately to accelerate the discharge of kidney stones;
2. Surgery**: If the drug is ineffective, the patient can undergo surgery**, that is, through the ureteroscope into the kidney through the urethra to break the stones, so that they can be discharged by themselves.
The specific medication should be combined with clinical practice, and the doctor's face-to-face guidance shall prevail.
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