Can infantile urolithiasis be cured?

summary

The incidence of urinary calculi, the composition and location of urinary calculi and the distribution of age were significantly different in different areas and different times. The incidence rate of urinary tract calculi in children is lower than that in adults, and only 2% to 5% of children with urinary calculi. The particularity of urinary calculi in children is related to special metabolic diseases or metabolic imbalance and congenital anatomical malformation caused by different reasons. Nutritional status, lifestyle, geographical environment and other factors also affect the composition and location of urinary calculi. Can infantile urolithiasis be cured?

Can infantile urolithiasis be cured?

Changes in the quality and quantity of urine: (1) the concentration of stone forming substances in urine is too high: the most common is the increase in the excretion of calcium, oxalic acid or uric acid in urine. Low urine volume and urine concentration can increase the concentration of all solutes in urine. ② Urine pH value changed. ③ Decrease of substances inhibiting crystal precipitation in urine: such as citric acid, acid mucopolysaccharide, magnesium, etc. ④ The bacterial colony, necrotic tissue and pus block in urine can become the core of the stone.

Urinary system local factors: ① urinary stasis: such as urinary tract stenosis, obstruction, diverticulum can make urine deposition, stone material deposition. ② Urinary tract foreign body: such as long-term indwelling catheter, non absorbable suture, shrapnel, plastic tube, etc., can become the attachment of stones.

Systemic factors: ① abnormal metabolism: hyperparathyroidism, abnormal calcium and phosphorus metabolism, can cause hypercalciuria. In gout, the excretion of uric acid is increased, and familial genetic cystine metabolism is abnormal, which can lead to cystine stones. ② Improper feeding: children lack animal protein and are prone to bladder stones. Animal protein, vitamin D intake too much, too little cellulose, easy to induce upper urinary tract stones. Less drinking water, concentrated urine, easy to form crystals.

matters needing attention

The most simple and effective way is to drink plenty of water. Diluting urine can delay the growth of urolithiasis and prevent the recurrence of urolithiasis. Cystine is more soluble in the urine with pH above 7.5. Soda and sodium citrate can alkalize the urine. It is effective to reduce the production of uric acid and 2,8-dihydroxyadenine.