Real case Mr. Zhang, 40, was in good health on weekdays, and after making out with his wife one night, he suddenly felt pain in his waist, which he thought was caused by sex, and did not care much.
Can rest after the back pain does not ease, even more intense, pain sweating, restless, and accompanied by nausea, Vomiting The family hastened to take him to the hospital. The emergency room doctor carried out a urine test for him and found that his urine contained a large number of red blood cells..
After X-ray and B-ultrasound examination, he was found to have a stone with a diameter of 0.8 cm in his right kidney and ureteral junction. Mr. Zhang's symptoms are typical of kidney cramps caused by kidney stones. The harm of kidney stone is not only to make the patient pain unbearable, more serious is if the stone long-term, clogging the urinary tract, may induce infection, or even damage the kidneys, serious can appear uremia.
So, if you know you have kidney stones, how should you treat them? Diagnosis of kidney stones through medical history, physical examination, B-Ultrasound, X-ray film, laboratory examination, most cases can be diagnosed, if necessary, CT examination can be carried out. B-Ultrasound and X-ray urinary system flat tablets are the most commonly used test methods for the diagnosis of kidney stones.
B-ultrasound examination is helpful to the diagnosis of hydronephrosis, kidney stones and other lesions, especially for asymptomatic stones and X-ray non-development of uric acid stones more significant. The choice of treatment methods for kidney stones varies from person to person.
Generally speaking, smaller stones can be taken by taking stone discharge medicine and a lot of drinking water to make stones discharge, or through medication, adjust diet, increase drinking water, alkaline urine so that stones dissolve and disappear. The method of Extracorporeal shock wave lithotripsy can be used for stones with large or invalid drug discharge stone.
Extracorporeal Shock wave lithotripsy is safe and effective, the process is about 30 minutes, the pain is small, the side effect is less, generally do not need to be hospitalized, will not affect the patient's work and life.
If the diameter of the stone is greater than 2.0 cm, it is advisable to use surgical treatment, including open surgery and minimally invasive surgery, the latter being the mainstream of contemporary kidney stone treatment. Minimally invasive surgery for kidney stones refers to minimally invasive percutaneous nephrolithotomy, which is an advanced technique for the treatment of kidney stones and upper ureteral calculi, commonly known as ' hole surgery ', that is, to wear a hole the size of a chopstick at the waist of the patient, and to establish a working channel between the skin and kidney stones with a special hose, with a 3 mm diameter ureteroscopy
Use a pneumatic ballistic or laser shredder to smash stones and flow them along the channel. Compared with traditional open surgery, minimally invasive percutaneous nephrolithotomy has the advantages of less trauma, less pain, fast recovery and low recurrence rate of stones. Compared with extracorporeal shock wave lithotripsy, it has the advantages of small renal damage and high stone removal rate.
Patients can get out of bed the next day after surgery and can be discharged on the third day. Minimally invasive surgery is not suitable if the patient is merged: Severe heart disease or pulmonary insufficiency, unable to tolerate the surgeon; (a) Patients with systemic hemorrhagic diseases that have not been corrected; Uncontrolled patients with diabetes or hypertension;
Take aspirin, warfarin and other anticoagulant drugs, need to stop the drug for 2 weeks, review the coagulation function is normal before the operation can be performed. According to statistics, the annual recurrence rate of urinary calculi is about 7%, 10 years in 50% of patients will relapse.
The recurrence of stones and the composition and number of stones, whether the treatment is thorough, the living habits of patients and whether they suffer from the original onset of stone formation and other factors. After Extracorporeal shock wave lithotripsy, some patients have residual stone left behind, which also increases the chance of recurrence of kidney stones.
The recurrence rate of kidney stones is high, requiring patients to regularly go to the outpatient clinic for routine examination.
Usually appropriate more drinking water, more exercise, eat less rich in oxalic acid salt food, can prevent the occurrence of kidney stones. After sex, low back pain is a kidney stone caused by the disaster
