STONES in the kidney
STONES in the kidney
Stones in the kidney
They are solid particles that form in the
and which sometimes they move until uretra (tube that connects the
The size of these
varies of 1mm to several centimeters of diameter.
They can appear one or more
It affects greater adults of 30 years and one occurs more frequently between the men.
normally remain in the
without showing symptoms, although they can get to damage to him.
easily are expelled through uréter by means of tinkles it.
that are not the quite small thing to be expelled easily, cause
winding pain that normally stops in few days.
In case that the stone stops and blocks tinkles it, it will have to be eliminated to avoid greater damages in the
extended to the blood.
Permanent damages to the
, needing in this case the surgical elimination the same one.
Repetition of the episodes by reproduction of
Diagnosis and treatment.
The diagnosis tests will include:
analysis and cultures of tinkle,
x - rayses of the abdomen,
ecografía of the
to escáner or TAC and.
it tinkles with
filter of paper or
gauze to detect the passage of the stone, or, tinkles in
crystal container, looks for and it recovers the stone rejecting tinkles it. Llévele the stone to its
so that it analyzes his composition.
It will not be necessary to follow
treatment in case of isolated small
that they do not present / display complications by obstruction or
The treatment to eliminate greater
, in case that they were not expelled spontaneously and they were causing complications,
or fort pain, contemplates the siguentes options:
The chemical, useful dissolution for determined types of
The endoscópica extraction of the stone, for calculations not very great.
The percutánea nefrolitotomía, incision on the stone to extaer it, in the cases in that it is accessible by this method.
The extracorpora litotricia of shock (for calculations of high situation) avoids the surgery,
sometimes it requires many sessions, and the pieces are expelled by via
, which can be painful.
In rare occasions, the open surgery.
New therapeutic options are being developed at the moment.
produced by hiperparatiroidismo require the surgical elimination of the abnormal weave.
The heat calms the pain, introdúzcase in
full hot water bathtub.
Drink much water during the
, will facilitate the expulsion of the stone.
Antispasmodics to relax muscles of uréter and to help the expulsion of the stone (sometimes)
With dependency of the type of stone (with calcic content,
of úrico acid or other compositions)
medication will be prescribed to him that stops the growth of existing
This often implies
long program for whose success its strict pursuit is important.
If you know that you have
, she avoids situations in which
sudden pain can put to him in danger, like for example raising by dangerous stairs, working roof top or beams.
During an episode of stone in the
, it follows assets, it does not remain in bed, the
can help him to expel the stone.
For all the types of
, it drinks
minimum of 13
, better pure water, to the day.
Avoid the water lasts (with much cálcio) of the Mediterranean zones.
It is recommended to follow
diet low in fats and fiber
According to the verified composition of its calculations:
, it avoids milky products, the dry chocolate and fruits.
Of phosphates, an acid diet will maintain tinkles it slightly acid.
alkaline diet will maintain tinkles it slightly alkaline.
it is advised to follow the following diet:
Diet in the nefrolitiasis.
Drink of 3 to 4 liters of
every day, preferably pure water.
Avoid milky milk and products if it
Avoid excessive perspiration.
Signs and symptoms.
Episodes of cólicos pains (intermittent) and forts every few minutes.
The pain appears normally first in the back, right under the ribs.
During several hours or days, the pain follows the course of the stone through uréter towards ingle.
The pain stops when the stone
Rest of blood in tinkle it.
It tinkles it can appear dark or cloudy.
Factors of risk.
Diminution in the volume of tinkles it due to the
or to the dry and warm time.
Inadequate diet (with too much
Familiar stone file in the
Rest in bed for some reason.
Geographic zone of residence (In Spain, the Mediterranean zone, by the hardness, content of
, the water)
In most of the cases, the underlying causes are not known.
It can be related to the following factors:
Excess of salts in tinkles it.
(it tinkles and
Obstruction to the passage of tinkles it at any level.