How to remove stones after renal calculi lithotripsy
summary
Urinary calculi, also known as urolithiasis, is one of the most common diseases in urology, including renal calculi, ureteral calculi and urethral calculi. Kidney and ureteral calculi belong to upper urinary tract calculi, lower urinary tract calculi include bladder calculi and urethral calculi, and upper urinary tract calculi are the most common. At present, the formation mechanism of ureteral calculi is not completely clear, but affected by a variety of factors, the treatment of ureteral calculi is not only as simple as surgical treatment, diet therapy is the focus of the treatment of all diseases, and the treatment of ureteral calculi, lithotripsy surgery is very important, but the discharge of stones after lithotripsy is also an essential measure, can take a variety of ways to promote the discharge of stones So as to control stones and prevent the formation of stone street. How to row stones after renal stone lithotripsy.
How to remove stones after renal calculi lithotripsy
First, nephrostomy tube was used to drain urine and residual debris. After lithotripsy, patients should properly protect the drainage tubes, do not pull the fistula tube when turning over to prevent prolapse. Routine placement of J tube in ureter can play the role of no internal fixation and internal drainage, which can fully expand the ureter, help the discharge of small stones, and prevent the formation of stone street in ureter.
Second: the patient should take the semi sitting position during bed rest, do not hold urine, make the bladder overfilled and cause urine reflux, the patient should not be violent activities, excessive bending, squat suddenly, so as to avoid causing catheter prolapse or displacement, affect the effect of stone removal. Patients diet should avoid high calcium food, in order to avoid the formation of stones again. In addition, according to the nature of stone formation, avoid the intake of different ingredients of food.
Third: the appropriate use of drugs, such as vitamin B6 to reduce the discharge of oxalate, oral magnesium oxide, can increase the solubility of oxalate in urine, uric acid stone patients, can oral sodium bicarbonate, alkalize urine, so that the stone dissolved. In addition, the patient drank a lot of water to form enough urine volume, urinated frequently, and washed out the gravel in the body in time.
matters needing attention
The patient must drink a lot of water, and should not intentionally hold urine. Pay attention to the intake of some food to avoid the formation of stones again. Do not stop taking medicine by oneself. If the dosage is increased or decreased, it should be carried out under the guidance of the doctor. The patient should not be overworked after discharge. If he has hematuria, lumbago and other symptoms, he should be re examined in time.