How can ureteral adhesions caused by kidney stones be treated?

Urinary stones include: kidney stones, ureteral stones, bladder stones, urethral stones. Among them, kidney stones are a little more difficult to treat.

If the diameter is 1 cm or more, it is recommended to have a simple surgery such as surgical lithotripsy, extracorporeal shock wave or laser. Then take the Chinese patent medicine within 1-3 months to promote stone expulsion, prevent complications, and also prevent **.

Why don't you use urolithiasis? National medical insurance class B, traditional Chinese medicine protected varieties, the only Chinese patent medicine recommended by the "Urolithiasis Diagnosis Guide" in the hands of the urology doctor, my mother ate 15 boxes, and all came down. "Urolithiasis Pill Online Pharmacy" is available. Very good against sticking.

Uolithiasis Tong Pill is the only Chinese patent medicine recommended for urolithiasis by the Chinese Society of Urology and Surgery Branch of the "Guidelines for the Diagnosis of Ulithiasis". It is a patented product, which is a national medical insurance category B variety and a traditional Chinese medicine protected variety. Urolithiasis pills can significantly increase urine output, significantly accelerate the frequency of ureteral pressure waves, relax ureteral smooth muscle, significantly reduce the levels of inflammatory substances such as CRP, 1L-1, PEG2, LTB4, etc., achieve antispasmodic and pain-relieving, prevent stone formation, and have a certain litholysis effect to reduce ureteral damage.

It is used for kidney, ureter, bladder and urethral stones, with a transverse diameter of less than 8 mm, and is a conventional drug after shock wave lithotripsy, which can accelerate stone removal and reduce complications. It is also used for the prevention of residual stones after surgical stone removal, and for the prevention of post-surgical or non-surgical stones. It is known as the "best partner" of ESWL, PNL, URL and open surgery.

There are a lot of miscellaneous things on the Internet, so it is recommended not to believe them.

Urolithiasis pills are used in many tertiary hospitals in Beijing.

Now online pharmacies (happy people) have.

You can go to the urology department for treatment, and the general methods are: 1. Urologic angiography, commonly known as pyelogram, can determine the degree and location of ureteral stricture. Second, in the urology department, through cystoscopy, retrograde ureterography, to determine the location and degree of stenosis, sometimes in the process of imaging, the stone is about to rush down, inevitably sometimes various instruments have blind spots (deficiencies) can make up for each other.

Rest assured, this is a common problem in urology. For your information, I wish you soon**!

Surgery**Stone potential has such a problem, you have already had two lithotripsy and have to go for surgery to have a great impact on the kidneys. It is easy to cause kidney deficiency, decreased kidney function and so on. Therefore, it is recommended that you use drugs**, and you can log on to the China Stone Disease Prevention Center** for specific medication and consult with experts.

If the symptoms are not severe, drink more water, 2000 ml of water a day, and 100 ml of water before going to bed at night.

It mainly depends on the size of the stone, if the stone is more than 8mm and accompanied by uncomfortable symptoms, it is necessary to use extracorporeal lithotripsy or surgery**; If the stone does not exceed 8mm, it can be conservatively regulated by traditional Chinese medicine, traditional Chinese medicine is the safest, and the use of traditional Chinese medicine Depu Yue Xuancheng tea can eliminate the toxic substances that produce stones in the blood, remove the material basis for the production of stones, and effectively prevent the recurrence and appearance of stones.

Stones are very easy, mainly related to diet, it is recommended to do the type of stones when the stones are discharged, so that you can pay more attention to your diet in later life and reduce the chance of stones.

Patients with ureteral stones are mainly improved by general symptomatic **, ****, drugs and surgery**, among which the effect of surgery ** is more obvious. The ** cycle of this disease is generally short-term**.

1. General**.

1. Drink a lot of water: increasing the amount of water can reduce the concentration of stone formation components in the urine, reduce the chance of precipitation into stones, promote the discharge of small stones, and also facilitate the drainage of infection, so patients with stones should develop the habit of drinking more water and keep the daily urine output above 2000 3000ml.

2. Pain relief: In the emergency treatment of severe renal colic, abdominal distention, nausea and vomiting, most of them can be relieved after infusion, local hot compress, injection of atropine, morphine or meperidine, and the injection of indomethacin has a better effect on pain relief.

Two****.

In a small number of patients, such as hyperparathyroidism (mainly parathyroidism), stones can be found in a small number of patients, and only removal of the adenoma can prevent urinary tract stones**. In patients with urinary tract obstruction, stones can only be avoided once the obstruction is relieved**.

3. Drugs**.

1. Tamsulosin: a receptor blocker, which can relax ureteral smooth muscle and play a role in stone expulsion and antispasmodic, which can promote stone discharge and shorten the time of stone expulsion.

2. Alkaline citrate: including potassium citrate, sodium citrate, potassium sodium citrate, sodium potassium hydrogen citrate, etc., recommended for dissolved stones of uric acid stones and cystine stones**, can be used for all calcium-containing stones.

3. Nifedipine: It can block calcium ion channels, relax ureteral smooth muscle, and have a certain effect on promoting stone expulsion.

4. Allopurinol: reduce the deposition of urate in bones, joints and kidneys, can inhibit the synthesis of uric acid, and has a good effect, and is used for uric acid stones and calcium oxalate stones with hyperuricuria.

4. Surgery**.

1. Extracorporeal shock wave lithotripsy: locate the stone by X-ray or ultrasound, and use the high-energy shock wave to focus on the stone to crack the stone until it is crushed into fine sand and discharged with urine.

1) Indications: It is suitable for patients with small diameter kidney stones and upper ureteral stones, and the success rate of middle and lower ureteral stones** is lower than that of ureteroscopic stones.

2) Contraindications: distal urinary tract obstruction of stones, pregnancy, bleeding disorders, severe cardiovascular and cerebrovascular diseases, aortic or renal aneurysms, uncontrolled urinary tract infections, etc. Obesity, high kidney position, severe bone and joint deformity, unclear location of stones, etc., due to technical reasons, this method is not suitable for use.

3) Stone crushing effect: It is related to factors such as the location, size, nature, and whether the stone is incarcerated or not. Nephrolithiasis that are large in size and do not have hydronephrosis are less effective because there is no room for lithotripsy to spread.

It is often necessary to crush stones many times, and cystine and calcium oxalate stones are hard and not easy to crush. Ureteral stones are difficult to break if they stay for a long time and are combined with polyps or incalculation.

2. Percutaneous nephrolithotripsy: Under ultrasound or X-ray positioning, the thin needle puncture through the lower back goes directly to the renal calyces or renal pelvis, dilates and establishes a channel to the kidney, and takes stones or lithotripsy under nephroscope. Smaller stones are removed by nephroscope with forceps, and larger stones are crushed and flushed out with water.

Crushed stone is mainly used.

This is a chest CT, the upper edge of the liver can be seen, and the presence of stones is found, so it is recommended to check the upper abdomen

Expert Q&A. ** method of ureteral stones.

He Feng. Chief physician.

Department of Urology, Beijing Jishuitan Hospital.

Methods for ureteral stones include symptomatic, drug, shock wave lithotripsy, and minimally invasive surgery.

1.Symptomatic**: Mainly to relieve renal colic (pain in the lower back and abdomen). Commonly used drugs include atropine, hyoscyamine, etc., which can effectively relieve renal colic.

2.Medications**: Patients with ureteral stones with a diameter of 6 mm, no obvious urinary tract obstruction and infection, can choose to pass stones with drugs**. Commonly used medications for expelling stones** include proprietary Chinese medicines, diuretics, and ureteral smooth muscle dilators.

3.Surgery**: The effect is clear, the trauma is small, and the complications are few, and it is the routine means of ureteral stones. Commonly used surgeries include extracorporeal shock wave lithotripsy, ureteroscopic lithotomy, percutaneous nephrolithotomy, flexible ureteroscopy, and laparoscopic ureterotomy and stone removal.

4.Other**: Drink plenty of water. Increasing water intake can reduce the concentration of stone-forming components in the urine, reduce the chance of precipitation of stone, promote the excretion of small stones, and also facilitate the drainage of infection.

Nephrolic and ureteral stones are usually ureteral stones that have a greater impact on the patient, which can cause pain, hematuria, obstructive hydrops, etc. Therefore, it is more critical to pass ureteral stones. As long as there are no comorbidities during pregnancy, there will be no major adverse effects.

The best methods for kidney stones and urinary stones are 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. Surgical Discussion**: Traditional surgery means that it will inevitably bring trauma, traditional surgery stone removal incision is large, the injury is large, the rate is high, the risk is large, and the recovery time is long, and it 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 at the surgical incision site is a good breeding ground for stones, and some sutures left during the operation have 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.