How is the best treatment of kidney stones?

0 votes
asked in Internal Medicine by MARIAN
How is the best treatment of kidney stones? I'd like to ask how the kidney stones are best treated. Does the 0.6CM renal calculi without surgery and treatment with traditional Chinese medicine stone feasible? Can delay the disease? His symptoms are in the bladder without crystallization, dysuria, hematuria. Sneezes have urethral aches. Array backache, urinary weakness, weakness, loss of libido, poor sleep, tongue thick and greasy. Urine red yellow. There is a smell. Don't love dessert. After eating painful urination.

6 Answers

0 votes
answered by BROOKE
Kidney stones are not the best, only the most suitable for their own diseases and the least harm to the body. We must first clarify the situation of their own illness, and then choose appropriate treatment.
Treatment of renal calculi
One, conservative treatment (drug row stone)
It is suitable for patients with stones with a diameter less than 6mm and no renal calculi with obstruction of the urinary tract. A large number of drinking water, traditional Chinese medicine, and moderate exercise were used to help the stone discharge itself, and those with colic were treated by pain relief, spasmodic and so on.
Kidney stones, ureteral stones and bladder stones depicting Chinese "Shilin" category. Traditional Chinese medicine is mainly treated by clearing away the heat and heat, clearing out the drainage of the stone as the treatment. The treatment of stone with traditional Chinese medicine has many advantages, such as less side effects and prevention of recurrence of stone, which is widely used in clinical practice. The commonly used clinical Paishi medicines: Niaoshitong pill, Paishi granule etc.. Such as Niaoshitong pill for early treatment of gallstone surgery, after the promotion of all kinds of stone row of stone, stone prevention, curative effect.
For stones with a diameter of more than 8mm, or stones at special locations, minimally invasive surgery should be done first and then treated with conservative treatment.
Two, extracorporeal shock wave lithotripsy
Extracorporeal shock wave lithotripsy is the use of an extracorporeal shock wave to focus the stones in the body, so that it is discharged with the urine. The advantage is that there is no need for anesthesia, no hospitalization, and treatment in the outpatient department. Attention to the treatment of too many times can cause damage to the kidney tissue, the number of the total treatment is best below three times.
Three. Percutaneous nephrolithotomy
Percutaneous nephrolithotomy is a channel created by percutaneous nephrostomy. It is controlled by X-ray fluoroscopy. Under the direct vision of internal cavity nephroscope, it can remove stones and relieve obstruction by using gravel and stone removing instruments. It has the advantages of high success rate, small pain, less complications and wide adaptation.
The treatment of different types of kidney stones at the later stage is different. If there is no need for surgical treatment in the early stage of kidney stone disease, maybe conservative treatment is necessary. There is no need for surgical treatment with greater side effects.
Prevention and daily attention of renal calculi
1. more water. The amount of water is usually 2000 - 3000ml a day.
More than 2.. The movement of the upper and lower parts of the body that moves the stone down or out by gravity.
More than 3. eat vegetables and fruits. Because of the alkalinity of the urine, the fruits and vegetables help to dissolve the stones.
Eat more fish oil more than 4.. There is a special unsaturated fatty acid in fish oil, which has the function of preventing stone and protecting kidney function.
5. less beer.
6. the animal viscera should be less, because the purine is very high, after eating, the uric acid will be very high.
7. less salt, less sugar.
8. pay attention to vegetables with high oxalic acid. Some green vegetables like spinach, celery, lettuce contains oxalic acid, should eat less.
10. dinner is to be eaten early. A large amount of calcium can be avoided.
0 votes
answered by MYRA
When a patient has a viral hepatitis, a drug or an alcoholic, a toxic hepatitis. Bilirubin increases in hemolytic jaundice, pulmonary obstruction, sepsis, and hypothyroidism. 1. bilirubin is used to determine the degree of hepatocyte damage and to judge the prognosis. Serum bilirubin measurement is a sensitive index to understand the degree of necrosis of liver cells. Patients with elevated bilirubin concentration have severe hepatocyte damage. The long term abnormality of total bilirubin indicates the possibility of turning into chronic hepatitis. Such as jaundice in the short term rapid increase, said the critical illness, hospitalization, close observation of disease. The injury of liver cells showed elevated bilirubin, but not so, if the burst type hepatitis patients, serum bilirubin, only slightly increased, a handful of subacute hepatitis cases without jaundice, cholestasis hepatitis patients, serum bilirubin, elevated liver cells were less. 2., we can know whether the jaundice and jaundice of patients develop. The serum bilirubin is elevated in patients with jaundice. The determination of serum bilirubin and conjugated bilirubin can help to determine the type of jaundice.
0 votes
answered by KAYLA
If the total bilirubin is high, there is no obvious harm. Elevated bilirubin is usually caused by etiological factors. It should be treated for etiological factors, such as common causes, such as staying up late, tired, drunk, slow hepatitis B, slow hepatitis C, alcoholic liver, fatty liver, autoimmune hepatitis and some hereditary liver diseases. It is necessary to exclude common hepatitis B and HCV. If they are all negative, it may be congenital non hemolytic jaundice. This is due to the congenital defect of hepatocyte bilirubin intake, binding and excretion. Usually, it is not necessary to deal with the condition. It is in good condition and needs regular review.
0 votes
answered by SHELIA
Hello, bilirubin (Bilirubin) is the waste after heme metabolism of blood red blood cells in the blood. It is mainly converted from hemoglobin, and one gram of hemoglobin can produce 34mg bilirubin. Total bilirubin is unfamiliar to a lot of people. Total bilirubin is the sum of direct bilirubin and direct bilirubin two. If the bilirubin is beyond the normal range, it means that the patient may suffer from liver disease or biliary tract. At this time, it is necessary to go to the hospital for examination, confirm his condition and then follow the doctor's instructions.
0 votes
answered by JAN
When total bilirubin reaches this value, indirect bilirubin or direct bilirubin will rise, not all normal but only the total bilirubin is high. The causes and hazards of three kinds of bilirubin elevations are described as follows:
One, indirect red high:
If the red blood cell of the patient is destroyed too much, it will cause the indirect bilirubin high. When the liver does not completely convert it into direct bilirubin, it can cause hemolytic jaundice.
Two. Direct bilirubin is high.
When liver cells are damaged, or bilirubin can not be converted into bile normally, or because of hepatocyte swelling, the biliary obstruction of the liver will lead to a high level of direct bilirubin, which ultimately leads to the occurrence of hepatocyte jaundice.
Three. The total bilirubin is high.
Bilirubin is a waste after heme metabolism of red blood cells in the blood. If the total bilirubin is too high, abnormal information such as liver disease or obstruction of the bile duct is predicted. When patients are acute jaundice hepatitis, chronic active hepatitis, cirrhosis and toxic hepatitis, direct bilirubin and indirect bilirubin at the same time will lead to higher total bilirubin. In addition, when direct bilirubin is high or indirect bilirubin is high, it also causes high bilirubin. Therefore, the high risk of total bilirubin may be obstructive jaundice, cholestatic jaundice, and so on.
0 votes
answered by PATTY
Most of the bilirubin in the body comes from the hemoglobin released from the lysis of aging red cells, including indirect bilirubin and direct bilirubin. Indirect bilirubin is transported to the liver through the blood, and direct bilirubin is generated through the action of the hepatocytes. No matter in any one organ of heme metabolism, the total bilirubin can be high, causing jaundice in the human body. The risk of high total bilirubin: when the total bilirubin in the serum is too high, it indicates liver injury or obstruction of the bile duct.
The danger of indirect bilirubin is that if the destruction of red blood cells is excessive, the production of indirect bilirubin is too much, which is beyond the range of liver metabolism, and the liver can not completely transform it into direct bilirubin, it will cause hemolytic jaundice.
Direct bilirubin and indirect bilirubin are high hazards: jaundice in hepatitis patients is usually hepatocyte jaundice, that is, direct bilirubin and indirect bilirubin are increased, while cholestatic hepatitis is mainly caused by direct bilirubin.
Bilirubin not normally into bile, liver cell lesions, liver cell swelling, intrahepatic bile duct or bile excretion blocked compression will make bilirubin in the blood increased, and then the liver cell jaundice; tumor or calculus, occurrence of extrahepatic biliary obstruction of biliary tract, bile can not smooth excretion, and obstructive jaundice. Hepatoteric jaundice is the main jaundice in patients with hepatitis.
1) hemolytic jaundice. Due to some hemolytic diseases, it is possible to destroy too much red blood cells and lead to the increase of indirect bilirubin in the blood.
2) hepatoteric jaundice. When the hepatocyte changes, or because bilirubin can not be converted to bile normally, or because of hepatocyte swelling, the bile duct in the liver will be compressed, and the bile will be excreted and the bilirubin in the blood will increase.
To sum up the causes, the harm of indirect bilirubin high can be summed up as follows:
1) red blood cells are too much damaged.
2) indirect bilirubin can be transmitted through the cell membrane, which is toxic to the cells and can not be discharged through the kidney.
3) high indirect bilirubin indicates low compensatory ability of the liver or problems in the liver.
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