Tuesday, February 26, 2008

The renal and ureteral stones treatment

Stone formation is not known yet fully explained, The general was particularly prevalent in the 20 to 40-year-old male, more than in kidney stones and bladder formed, its composition as uric acid, calcium oxalate and magnesium ammonium phosphate, mixed morphology, size, can cause urinary tract obstruction, infection and mucosal injury. For more general unilateral stones.
[Causes]
Cause unknown, may be caused by a variety of factors, such as precipitation salts in the urine, urinary tract infection, urinary tract obstruction, hyperparathyroidism and the colloidal crystals with such imbalance.
[Clinical]
Suddenly paroxysmal waist pain, and the radiation to the lower abdomen, groin region, and the pain can be accompanied by severe sweating and looking pale and gross hematuria.
[Diagnosis]
(1) suddenly paroxysmal bladder District colic and radiation to the lower abdomen, groin region, and other clinical manifestations.
(2) renal area have pain.
(3) may have severe pain gross hematuria, generally have microscopic hematuria.
(4) renal ultrasonography and angiography can have stones shadow.
(5) the collection of urine after the onset of pain can be found at the stone from the phenomenon.
[Diagnosis]
(1) renal tuberculosis and renal tumors
Renal tuberculosis kidney and renal tumor may have pain and tenderness, microscopic hematuria, and other clinical symptoms, and renal and ureteral stones phase identification, the former rarely colic, ultrasound and X-ray examination can help identification.
(2) acute appendicitis
Right at the right lower ureteral stones abdominal pain easily confused with appendicitis required identification. Acute appendicitis is like calculus, abdominal pain, as serious and is continuing, with local tenderness, anti- and muscle tension, can have fever and increased white blood cell count, erythrocyte urine checks may not, ultrasound and X-ray examination can be no stones shadow. Identification with the former.
(3) cholelithiasis
Kidney stones to the right of identification with cholelithiasis, gallstones mainly right upper quadrant pain and to the right shoulder and back, radiology, ultrasound and angiography gallbladder stones can be found in the shadow, can help identification.
(4) acute pyelonephritis
Acute pyelonephritis have hematuria, and renal and ureteral stones phase differential, but the former have fever and other symptoms of poisoning, ultrasound and X-ray examination can help identification.
[Family Emergency Treatment]
(1) bed rest, and encourage patients to drinking water is conducive to Paishi.
(2) severe kidney pain can compress or oral atropine 0.5 mg, three times per day, can also acupuncture Shenshu, Sanyinjiao, Zusanli Point, analgesics and promoting Paishi role.
(3) If accompanied by urinary tract infection, it can pipemidate 0.5 g oral or norfloxacin 0.2 g, three times per day.
(4) Following the above should be addressed urgently taken to the hospital after further treatment.

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