How to treat urinary calculi

summary

The treatment of urinary calculi is divided into two categories: surgical and non-surgical. Among them, non-surgical treatment mainly includes drug lithotripsy, endoscopic lithotripsy, extracorporeal shock wave lithotripsy and so on. Extracorporeal shock wave lithotripsy is gradually becoming the most important treatment method. How to treat urinary calculi? Let me talk about it.

How to treat urinary calculi

1. Treatment of renal colic 1. Spasmolysis and pain relief: commonly used drugs are dolantin and atropine, intramuscular injection of 0.5 mg atropine and 50-100 mg dolantin, oral administration of 16 mg belladonna tablets, three times a day. 2. Finger pressure for pain relief: press the thumb to the outer edge of sacrospinalis muscle and the transverse process of the third lumbar vertebra to relieve pain or relieve pain. 3. Local closure of skin allergy area: first, try out the skin allergy area at the waist of the affected side with a needle, and then use 20 ml of 0.5% novocaine for intradermal and subcutaneous infiltration closure of the allergy area, sometimes it can receive obvious analgesic effect. 4. Acupuncture therapy: take Shenshu, Zhishi, Sanyinjiao and other acupoints, use strong stimulation technique, or 0.5% novocaine 2ml for acupoint internal sealing.

Second, non-surgical treatment. Non surgical treatment is generally suitable for patients with stone diameter less than 1 cm, smooth surrounding, no obvious urinary obstruction and infection, and temporary non-surgical treatment is also available for some large staghorn stones that do not cause clinical symptoms. 1. Drinking a lot of water: drinking a lot of boiled water or magnetized water can not only increase the urine volume, wash the urinary tract and promote the downward movement of stones, but also dilute the urine and reduce crystal precipitation. 2. Chinese herbal medicine treatment: commonly used drugs are Lysimachia christinae, haijinsha, Qumai, Bianzhu, Cheqianzi, Mutong, talc, Jineijin, Shiwei, etc., which can be added or reduced with the disease. 3. Acupuncture methods: acupuncture or electroacupuncture at Shenshu, danashu, Sanyinjiao, Zusanli, Shuidao and Tianshu can increase the peristalsis of renal pelvis and ureter, which is conducive to the discharge of stones. 4. Frequent jumping activities, or inverted posture and slapping activities on the stones in the lower calyces are also conducive to the discharge of stones. 5. Others: for those who have bacterial infection in urine culture, sensitive pollutants should be selected to actively resist infection. For those who have metabolic disorder in the body, primary diseases should be actively treated and urine pH should be adjusted.

Third: extracorporeal shock wave lithotripsy (ESWL) has developed rapidly since its first successful application in the treatment of renal calculi in 1980, and its role in the treatment of upper urinary tract calculi has been widely recognized. According to the age, size and location of the stone, the appropriate parameters and auxiliary measures should be adopted for the treatment of specific patients to obtain satisfactory results. The previous percutaneous nephrolithotomy or lithotripsy has almost been replaced by this method.

matters needing attention

In peacetime to pay attention to healthy diet, do not eat spicy food. Ensure adequate sleep and improve sleep quality. Strengthen physical exercise and improve physical quality. Pay attention to the combination of work and rest.