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Removal of a stone from the ureter

Content
  • 1Dissolution of ureteral stones with drugs
  • 2How to deduce with the help of methods of modern medicine?
    • 2.1Endovezical method
    • 2.2Urethroscopy: removal of the stone through the urethra
    • 2.3Remote lithotripsy
    • 2.4Contact Lithotripsy
    • 2.5Percutaneous nephrolithotomy
    • 2.6Operative intervention
  • 3What to do at home?
    • 3.1Therapeutic bath
    • 3.2Broths of herbs
    • 3.38 juices from stones

Saline formations can become stuck in the urethra, in the urethra and at the exit from the bladder. In modern medicine, removal of the stone from the ureter, as well as from other structures of the urinary system, is widely used. There are many methods: from drug therapy and various types of crushing to surgical removal. Based on the size, chemical composition of the crystal formed, only a doctor can give an answer to the question of what to do in a particular clinical situation.

Dissolution of ureteral stones with drugs

With a planned treatment, it is possible to expel the stone from the ureter with the help of medications. Such a technique is used

for grinding small formations.Small grains of sand leave painlessly themselves.Those that are larger, under the influence of drugs fall into fragments. Preparations are selected by a urologist, based on the chemical composition of the calculus:

  • Urat treatment in most cases with allopurinolami ("Sanfipurol "Zilorik"). Quickly operate "Kanefron N "Blomaren "Urolesan."
  • Phosphates splits "Marilyn based on plant components from the madder.
  • Oxalates are excreted with the help of "Prolita" and preparations for alkalinization of urine.
  • To treat cystine formations appoint "Penicillamine "Tiopronin".

To speed up the exit of the stone from the ureter, recommend antispasmodics - "No-shpu "Papaverin." Relaxing the smooth muscles of the affected organs, they contribute to the rapid and painless exit of the stones. In parallel, you can use painkillers "Tempalgin analgin. With inflammation of the urinary canals, as well as for prevention, the doctor can decide on the appointment of antibiotics. No guarantee that the stone will disappear, no.

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How to deduce with the help of methods of modern medicine?

The method of removing stones (lithotripsy) allows you to destroy stones in the urinary tract without interfering with the human body with tools.

If you can not remove the stone from the ureter by conservative treatment, more radical techniques are needed. In the current urology, their spectrum is quite wide: catheterization, urethroscopy, remote and contact lithotripsy, percutaneous nephrolithotomy, surgical intervention. To understand which of them will give the result in a particular case, the doctor appoints:

  • general blood analysis;
  • electrocardiogram;
  • general urine analysis;
  • sowing urine;
  • urography.
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Endovezical method

If the stone is more than 8 mm stuck in the mouth of the ureter and can not move independently, a catheterization is prescribed. This technology is popular among endovezikalnoy therapy. The technique is effective in cases of difficulty urinating and renal colic. Its essence consists in the introduction into the urinary canal of medicines, which intensify peristalsis (novocaine, "Papaverin formitol). To achieve the result, the procedure is repeated several times, often using thin catheters: about 50 cm long and 1-3 mm wide.

In addition, the removal of stones from the ureter can be performed by electrical stimulation of the upper urinary tract through the electrodes of the catheter. In the medical arsenal, many ureteral loops have been proposed for the removal of solid formations. They are not recommended when the stone is set above the iliac vessels. If such methods can not help the patient, the urethral opening is dissected, and the concrement is allocated for 2-3 days. According to some experts, this method entails narrowing of the ureter and reflux.

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Urethroscopy: removal of the stone through the urethra

Examination of the urethra with a urethroscope probe makes it possible to see specific places of inflammation.

If a stone measuring no more than one centimeter has reached a third of the ureter or has sat down in its lower part, resort to ureteroscopy. Removal of the stone from the ureter through the urethra is done by a flexible instrument equipped with forceps, a camera and a basket. The procedure is painless, as it is accompanied by anesthesia and occurs without a single incision, the urethroscope is inserted into the urethra naturally. After the end, put a catheter to wash the urethra. A significant disadvantage of urethroscopy is severe pain after anesthesia, blood staining in urine, burning, frequent desires that can last up to 3 weeks. Remove these feelings with anesthetics.

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Remote lithotripsy

This term in medicine means the crushing of concrements with the help of a special device that generates waves. When they hit their pebbles, they scatter and eventually wash out with urine. The procedure is not traumatic, it is performed if the crystal in diameter does not exceed 5 mm and can be easily seen on X-ray images. Among the contraindications: the onset of inflammation, severe pain and ureteral overlap.Remote lithotripsy is considered ineffective, since the destruction of stones affects the surrounding walls of the organs, often repeated procedures are needed.

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Contact Lithotripsy

Contact lithotripsy is performed under operating conditions under anesthesia, the type of which is determined individually, and is determined by the age of the patient, the duration of the operation, the presence of accompanying diseases.

This method for removing stones is more effective and is considered one of the main among all types of stone crushing. It consists in the features of different equipment, which is involved in the process:

  • Pneumatic - through the urinary canal destroying the formation of a destructive jet of air. Its fragments are removed by forceps through a small incision. The drawback of the method is that it does not cope with dense formations.
  • Laser - waves on the calculus are guided through the urethra. The procedure is performed under general anesthesia and does not destroy the soft tissues of the ureters. The advantage is that the laser destroys even the most dense stone formations.
  • Ultrasonic - is performed using an ultrasound machine. By producing waves, he breaks the stones in the ureter into the sand.
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Percutaneous nephrolithotomy

If the stone in the ureter exceeds 2 cm in diameter, it is removed by inserting through the small incision with instruments. The procedure is accompanied by anesthesia, the concretions are extracted in a crushed form. The method is effective in coral formations, which are characterized by compacted and sharp edges. A nefoscope can extract calcium fragments even from the kidneys. In pregnancy, inflammation and malignant tumors in urogenitalia, percutaneous nephrolithotomy is strictly prohibited.

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Operative intervention

If the stones in the ureter are large and do not leave for a long time, and also provoked infectious inflammation in urogenitalia, severe pain, blocked the outflow of urine, their excretion takes place only by operative by way of. These are emergency measures aimed at saving the kidneys. Practically in all urological departments specialize in cavitary operations, in which the specialist reveals the ureter, overlaps the clamps on both sides of the site with a concretion and just above it dissecting. After checking the patency of the channel, stitches are applied. Operations are dangerous hemorrhage, tissue damage, passing infections and newly formed hernias. The rehabilitation period after the surgical intervention can last for a month.

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What to do at home?

Drinking regime is a necessary measure to eliminate the causes of stone formation.

Small stones from the ureter can be removed at home.To remove a stone does not mean to cure urolithiasis. Further measures should be aimed at eliminating the causes of stone formation.The list of necessary measures includes:

  • suitable for a particular type of concrement diet;
  • physical exertion (a doctor's advice is mandatory on their account);
  • drinking regime (not less than, l daily);
  • phytotherapy;
  • medical baths.
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Therapeutic bath

If there are signs of urolithiasis, it suffers from renal colic, stones are removed with unbearable pain, folk medicine men offer therapeutic baths from herbal decoctions. In particular, they are prepared according to one recipe: 2 handfuls of the collection are poured into 3 liters of boiling water and kept on the fire for 10 minutes. After 3 hours, after being infused, add to the bath. To this end, harvested field horsetail, dog rose, pine cones and branches, oat straw. In warm baths are added essential oils: lavender, thyme, mint, chamomile.

Baths contribute to vasodilation, relaxation of the smooth muscles of the urinary system, improve blood circulation and expand the walls of the ureter. Stones up to 7 mm can leave themselves after the first 10-15 minutes of a warm or hot bath. Longer procedures are more harmful than good, because they contribute to profuse sweating and reduce the allocation of urine.

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Broths of herbs

Home diuretics have the most mild effect on the body, possessing fewer contraindications than synthetic diuretics.

Diuretic tinctures are effective in combination with therapeutic baths. It should be noted that when stone formation is in the kidney, such decoctions can significantly harm, pushing them to the movement and causing renal colic and acute inflammation. If the stone is in the ureter, this way it can speed up its exit. They use herbal preparations from juniper, dog rose, birch and madder, horsetail, rosemary, thyme, cowberry. Decoctions are prepared from such ingredients:

  • Spores. 1 tbsp. l. Herbs are poured with boiling water and insisted for an hour. Take a third of the glass three times a day.
  • Shredded wild rose. 6 tbsp. l. berries or roots and 3 cups of boiling water are kept on the fire for 5-7 minutes. Eat a glass an hour after eating.
  • Dry leaves of the dummy. 1 tbsp. l. crushed funds pour 1 cup of boiling water. Bring to a boil and set to infuse for 8 hours.
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8 juices from stones

In renal calculi, traditional medicine recommends juices from such fruits and plants: pomegranates, watermelons, lemons, birch, beets and carrots (in the ratio:). Drinks should be diluted with water, as in a pure form they can cause dizziness and nausea. Take 1/3 cup 3 times a day, gradually bringing the daily dose to 200 ml. Juices are suitable from parsley, lemon and carrots (in the ratio:). Such drinks are recommended to drink 3 cups daily for 2 hours after meals. The juice of black radish is effective. To make it in the root, a groove is made and filled with honey. After a while they collect the juice. Drink a tablespoon three times a day.

Sokoterapija - rather preventive measure, is effective for stones which "sit" in kidneys. Its result is obvious in a few months.

Treatment with juices should take place under the supervision of a doctor, since with an incorrect dosage allergic reactions, ulcers and other complications are possible. Uranium stones dissolve even table water, and oxalate succumb to the alkaline drink. Solid formations will not dissolve the liquid, and also those that have got into the ureter, bladder or urethra. Movement konkrementa can be accompanied by renal colic, attracting acute pyelonephritis and many other complications, so here you need fast and accurate therapy.

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