2014年3月7日星期五

Mothers suffering from kidney stones How safe is it treated?

Kidney stones are now relatively common disease , many people not much understanding of kidney stones , kidney stones, then what better treatment? Mothers how to safely treat kidney stones ! Clinical manifestations of pregnancy stones are mainly waist abdominal pain , nausea and vomiting , bladder irritation , gross hematuria and fever , and non-pregnancy symptoms are similar to renal colic treatment and more . Urolithiasis in pregnancy is rare , the incidence of less than 0.1 %, which, pregnancy , compared with late merge urinary stones were more common in early pregnancy .

In view of the X-ray teratogenic and other effects on the fetus , pregnancy stones disabled patients , including radiation CT. MRI examination of patients with renal failure and the fetus is safe, especially hydronephrosis caused by stones , using magnetic resonance imaging of urinary water (MRU) can clearly show the expansion of the collection system that can clearly show the site of obstruction . B super high diagnostic accuracy for stones and no damage to the fetus can be applied repeatedly , as the preferred method. Diagnosis by clinical manifestations and urinalysis B- urinary stones is not difficult.

Conservative treatment of choice for pregnant women with stones , should be based on the size of the stones , the site of obstruction , whether there is infection , with or without clinical symptoms of renal parenchymal damage and to determine treatment methods. For smaller stones in principle , did not cause severe renal dysfunction , integrated row of stone treatment, including drinking water, appropriate increase in activity , infusion diuretic, antispasmodic, analgesic and anti-infection measures to promote the row of stone .

For patients with stones of pregnancy , maintaining unobstructed urine flow is the primary goal of therapy. Under local anesthesia by percutaneous renal biopsy after gastrostomy , or into double J ureteral stent drainage of urine and other methods that can help stones stones discharged after treatment or to gain time . The risk of anesthesia and surgery during pregnancy is difficult to assess , three months before pregnancy (early ) anesthesia can cause an increase in the chance of birth defects , but it is generally believed that this chance is very small. Advocate under local anesthesia indwelling ureteral stents , the proposed replacement once a month to prevent stone formation stent coating on the stent . Hydronephrosis and infection effusion , before 22 weeks of pregnancy under local anesthesia and B ultrasound-guided percutaneous nephrostomy is the best choice, while still draining bacterial culture to guide treatment. Like with indwelling ureteral stents , percutaneous nephrostomy may also be avoided during pregnancy greater impact on pregnancy gravel and stone therapy.

About 30% of patients with conservative treatment fails or stone obstruction with severe infections , acute renal failure and eventually require surgery. Stones during pregnancy should not be 'ESWL, PNL and URS treatment. But also reported on the pregnancy stone patients for surgery , including percutaneous gastrostomy , or into double J ureteral stent , pus nephrectomy , renal pelvis and ureter lithotomy , PCNL or gravel even after percutaneous nephrolithotomy surgery . However , if there is extremely difficult to deal with complications of surgery , generally do not advocate trauma treatment.

In the course of the treatment of kidney disease in patients with kidney disease kidney to strengthen preventive measures , good self-care , and actively cooperate with medical treatment , and establish the confidence to overcome the disease. Early recovery .

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