Operational treatment of urolithiasis

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  • Manifestation and operational treatment of urolithiasis


  • Urolithiasis today suffer to 5% of the population. According to experts, this figure, alas, will grow further, since this disease is directly connected with what we drink and eat. Widespread soil pollution worsens the composition of water, including drinking. Refined products and canned food do not provide us with vitamins, and their drawback (especially vitamins A and B) contributes «Deposition» Stones in the kidneys. More often suffer from urolithiasis people young and workable - from 30 to 55 years.

    By structure, kidney pebbles are the most different - ureny, cystine, oxalate... Determine which mineral you have grown inside, important! At least in order to be free from the existing stone, try to avoid new. Since the urolithiasis is associated with the general exchange of substances in the body, the getting rid of the stone does not mean healing - warns the head of the urolithic disease of the Ministry of Health of the Ministry of Health of the Russian Federation, the head of the Russian center of Litotripsy, Professor Nikolay Dzeranes.



    Manifestation and operational treatment of urolithiasis

    For a long time, the stone may not show himself. But this is not dangerous only in those rare cases (in 3-5% of patients) when stones can be considered «Clinically insignificant»- Not only «silent», But do not disturb the kidney function for many years. However, everything is completely upon time, so such patients still need to periodically visit the urologist.

    Stone in the kidney makes itself felt an attack of kidney colic. When this happens, it depends on not on its size, but from where the stone is donkey, whether the outflow of urine was blocked and.

    Operational treatment of urolithiasisRefer to medicines dissolving kidney stones. Today, despite the assurances of various commercials, there are no drugs capable of dissolving the formed oxalate and phosphate kidney phosphate stones (namely, there are found in most patients). Dissolve only urates (urates) and only 25-35% of cases.

    Mineral waters of our resorts as treatment can be recommended only if the stone is small - from 0.3 to 0.7 cm and due to this can easily move away from the body. And what exactly should not be done - it goes to the resort in spite of the doctor's opinion, which offers you prompt stone removal. Especially since today the operation is possible quite gentle.

    Today, kidney stones are able to fragrate, and this method is remote lithotripsy (DLT) - is widely used in almost all urological clinics of Russia. It allows you to minimize heavy complications that were observed with open operations. It became possible to get rid of patients from the kidneys who have undergone heart attack, stroke, angina, ischemic heart disease, etc. Diseases. This method is successfully treated even babies of the first year of life (from 7 months). However, DLT is also considered to be operational intervention, and she has its own contraindications.

    Deep delusion that already the next day the kidneys will be absolutely «clean»! Crushing only destroys the stone to small particles. But the process of their exit on urinary tracts can take not one week and accompanied by renal columes, to survive only painkillers and antispasmodics. At the same time, the observation of the urologist is important - after all, in 4-5% of cases, stone fragments can overlap the ureter for some time.

    The complete deduction of the destroyed particles in the first 3 months is observed on average in 47-75% of cases, after 6-12 months - in 82-96% of cases.

    If, according to the projection of the doctor, the effect of the DLT is expected to be insignificant, then it is possible endoscopic destruction and removal of stones. This method relates to «highly efficient, medium traumatic». For the destruction of the stones are the same energy, only directly when contacting the stone. Tools are introduced either by natural blades, or through the puncture of the skin over the kidney. In this case, treatment is more quickly - in one session, the stone is destroyed and all of its fragments immediately remove.

    The method of open surgical intervention for kidney stones today is rarely applied - no more often than in 1.5-4% of cases. For example, with complex forms of the disease (coral stones), as well as when the removal of the stone is not the only problem with the kidneys, but is required, for example, also a reconstructive operation on urinary tracts or kidney vessels.


    This is a kidney colic attack:

    • Sudden sharp pain in the lower back on one side;
    • Pain puts in the stomach, down to the bladder and siblings;
    • The patient continuously changes the position of the body;
    • nausea, vomiting, meteorism appear;
    • chills, increase temperature (very dangerous! Sign of joining acute pyelonephritis - kidney inflammation).


    It is impossible to crumble stones:

    • If the patient weighs a lot - more than 130 kg (technically impossible!);
    • pregnant women;
    • Those who suffer from hemophilia, aortic aneurysm and renal artery, diseases of the gastrointestinal tract (in the aggravation stage);
    • If there are tumors of kidneys, macrohematuria, acute pyelonephritis and the active phase of chronic pyelonephritis and others.

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