Turbid urine chyluria is characterized as milk, or like swill, milk one, hence the name. Chyluria age of 30 to 60 years is the highest. Chinese medicine called "cream cream," "Urine turbid."
Etiology of chyluria, currently considered to be thoracic duct obstruction, inflammation of the local lymphatic damage caused by the kinetic changes of lymph, lymph into the urinary tract, the occurrence of chyluria. Another part of the blood of filariasis patients with plaque's outbreak, as access to lymphatic filariasis, resulting from lymphatic damage.
Chyluria higher recurrence rate, according to reports is generally 20% to 30% of its reasons for the recurrence of overwork, alcohol, into the high-fat meal, cold and fever, Taiqian postpartum and so on. Experience has shown that rural busy season (tired), before and after the season (fatty meal) relapsed more.
The treatment of chyluria, in the past with 10% silver nitrate solution for renal pelvic perfusion, have some effect, but easy to relapse. Operative treatment of renal lymphatic vessels is cut off separation surgery, or renal and lumbar lymphatic lymphoid stem anastomosis, saphenous vein anastomosis with the inguinal lymph nodes, etc., have recurrence after surgery, and is more complicated.
Chyluria etiology, in medicine that is closely related with the spleen and two dirty. Spleen biochemical source of the kidney is the hidden essence. Spleen is to transport and have no right, kidney deficiency is loss of possession of the Secretary for closure that may cause subtle discharged, voicing regardless, under the bladder, so urine turbidity, such as milk or if the grease. Therefore, the cause of chyluria with Spleen subsidence, the gas shortage, damp, kidney yin deficiency. "Danxi Heart" says: "lack of real dollars, the next focus Deficiency, whitish urine, condensate, such as cream paste." "Medical Heart of Understanding", saying: "muddy because there are two kinds of kidney failure from the essence of a streamer ; one by the heat into the bladder, kidney qi deficiency, kidney and will be among the benefits of water. covered by the two orifices of renal, female awakened awakened to open the sperm is also closed. hot and humid, moisture will and understanding among, mulch Wang is able to wins wet, the soil Jianning, the water from the clear also. "basic approach is the treatment of chyluria Buzhongyiqi, heat and dampness, spleen and kidney. In the differentiation, the early implementation of the main heat standard; spleen deficiency disease for a long time, the late inclusion for the actual situation with each other.
Friday, November 19, 2010
Hydronephrosis
Obstruction of the urinary system, renal pelvis and calyces result in the expansion, in which retention of urine, referred to as hydronephrosis. Because the accumulation of urine in kidney, the pressure increases, so expansion of the renal pelvis and calyces and renal parenchymal atrophy. Retention of urine, such as infection, is known as infectious hydronephrosis; when the kidneys lose their function due to infection and necrosis, renal pelvis is full of pus, known as empyema, or pus kidney kidney. The main cause of hydronephrosis is the cause of ureteropelvic junction obstruction.
Clinical manifestations:
Adjacent to the urinary system and its various diseases caused by urinary obstruction, and ultimately can cause hydronephrosis. As a result of obstruction of the original disease, location and extent of the differences in the different clinical manifestations of patients with hydronephrosis and the process is not consistent. Congenital lesions, such as ureteropelvic junction stenosis, renal vascular or lower pole ectopic ureter and other fiber bundles caused by compression of hydronephrosis, the development is relatively slow, long-term no obvious symptoms, when a certain volume of abdominal mass. Ministries of urinary stones, cancer, inflammation and tuberculosis caused by hydronephrosis secondary to clinical manifestations were primary signs and symptoms, the disease rarely show hydronephrosis, as is often the incidence of complete obstruction abrupt, such as renal and ureteral stones and renal colic when incarcerated before they were discovered. Hydronephrosis secondary to infection, the disease usually presents symptoms of the original increase.
Hydronephrosis was intermittent episodes sometimes called intermittent hydronephrosis. Severe attack of ipsilateral abdominal cramps, nausea, vomiting, decreased urine output; by several hours or longer, the pain disappeared, and then emit large amounts of urine. This situation prevalent in the ureteral obstruction.
Long hydronephrosis caused by obstruction, will eventually lead to renal function decline. Bilateral renal or complete obstruction of solitary kidney anuria can occur, resulting in renal failure.
Need to mention that during normal pregnancy are often mild kidney, hydroureter. In addition to pregnancy outside the uterus ureteral compression is due to the secretion of progesterone during pregnancy causes renal pelvis and ureter due to muscle relaxation. The hydronephrosis is a physiological state, because almost all the anatomical relationship between the right place.
Diagnosis:
Should first determine the existence of hydronephrosis, and then identify the cause of hydronephrosis, lesion location, extent, with or without infection and renal damage. The differential diagnosis of abdominal masses should be noted that there is the possibility of hydronephrosis. Hydronephrosis can be inconsistent mass tension, such as the mass of the tension is low or when the soft-hard when there are fluctuations in a sense, the very possibility of hydronephrosis. Some secondary hydronephrosis, the primary disease, the symptoms are significant, such as tuberculosis, cancer and so easy to overlook the presence of hydronephrosis. Adjacent to the urinary system diseases and renal urinary obstruction caused by water, are often not diagnosed in time, and even to kidney failure or no urine was found until the time. Laboratory tests should include blood tests to see whether the azotemia, acidosis and electrolyte disturbances. Urine, in addition to routine examination and culture for the outside, if necessary, take the line of Mycobacterium tuberculosis and cytology examination.
Hydronephrosis
Clinical manifestations:
Adjacent to the urinary system and its various diseases caused by urinary obstruction, and ultimately can cause hydronephrosis. As a result of obstruction of the original disease, location and extent of the differences in the different clinical manifestations of patients with hydronephrosis and the process is not consistent. Congenital lesions, such as ureteropelvic junction stenosis, renal vascular or lower pole ectopic ureter and other fiber bundles caused by compression of hydronephrosis, the development is relatively slow, long-term no obvious symptoms, when a certain volume of abdominal mass. Ministries of urinary stones, cancer, inflammation and tuberculosis caused by hydronephrosis secondary to clinical manifestations were primary signs and symptoms, the disease rarely show hydronephrosis, as is often the incidence of complete obstruction abrupt, such as renal and ureteral stones and renal colic when incarcerated before they were discovered. Hydronephrosis secondary to infection, the disease usually presents symptoms of the original increase.
Hydronephrosis was intermittent episodes sometimes called intermittent hydronephrosis. Severe attack of ipsilateral abdominal cramps, nausea, vomiting, decreased urine output; by several hours or longer, the pain disappeared, and then emit large amounts of urine. This situation prevalent in the ureteral obstruction.
Long hydronephrosis caused by obstruction, will eventually lead to renal function decline. Bilateral renal or complete obstruction of solitary kidney anuria can occur, resulting in renal failure.
Need to mention that during normal pregnancy are often mild kidney, hydroureter. In addition to pregnancy outside the uterus ureteral compression is due to the secretion of progesterone during pregnancy causes renal pelvis and ureter due to muscle relaxation. The hydronephrosis is a physiological state, because almost all the anatomical relationship between the right place.
Diagnosis:
Should first determine the existence of hydronephrosis, and then identify the cause of hydronephrosis, lesion location, extent, with or without infection and renal damage. The differential diagnosis of abdominal masses should be noted that there is the possibility of hydronephrosis. Hydronephrosis can be inconsistent mass tension, such as the mass of the tension is low or when the soft-hard when there are fluctuations in a sense, the very possibility of hydronephrosis. Some secondary hydronephrosis, the primary disease, the symptoms are significant, such as tuberculosis, cancer and so easy to overlook the presence of hydronephrosis. Adjacent to the urinary system diseases and renal urinary obstruction caused by water, are often not diagnosed in time, and even to kidney failure or no urine was found until the time. Laboratory tests should include blood tests to see whether the azotemia, acidosis and electrolyte disturbances. Urine, in addition to routine examination and culture for the outside, if necessary, take the line of Mycobacterium tuberculosis and cytology examination.
Hydronephrosis
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