Diagnosis and treatment of kidney stones肾结石的诊断和治疗
When to Call a Doctor？
If you are in really bad pain, you probablywant to see a doctor. Other signs you should quickly seek medical care include:
* Being sick to your stomach and throwingup, while in pain
* Being feverish and cold off and on, whilein pain
* Having bloody urine or a hard time going
How does your doctor know if you really dohave a kidney stone?
First, she will get a medical history andexamine you.
Then, if needed, she will order tests toget pictures of your kidneys and urinary tract.
Once you have passed the stone, the doctorwill have it analyzed to figure out what it was made of. You also might need tocollect your pee for 24 hours to have it tested.
All of these results will help the doctorfigure out how best to treat you.
If your kidney stone is small, you may beable to get rid of it when you pee.
Your doctor may want you to save the stoneso it can be tested. If she can figure out what kind of stone it is, that mayhelp prevent you from having another one.
If your stone is bigger or you can’t passit, you might be in a fair amount of pain. In this case, the doctor can breakup the stone in a couple of ways, so your body can eventually get rid of it.
Shock wave lithotripsy: This is the most commonprocedure for kidney stones in the United States. It uses shock waves, whichcan blast the stone into little pieces. Then, the smaller pieces can moreeasily be passed in your urine.
The treatment takes about an hour, and youcan usually go home about an hour later.
This treatment doesn’t involve any surgicalcuts, but there’s still some pain. Your doctor will talk over your options withyou: sedation, local anesthesia (you’re given something to numb the pain butstay awake), general anesthesia (you’re not awake during the procedure).
Ureteroscopy: This procedure treats stonesin the kidneys and ureters. Your doctor uses a thin, flexible scope to find andremove stones. No cuts are made in your skin. You'll sleep through thisprocedure.
Your doctor will pass the scope throughyour bladder and ureter into your kidney. She uses a small basket to removesmall stones. If the stones are larger, the doctor will pass a laser throughthe scope to break them up. Typically, you are able to go home on the same day.
Surgery: Another way doctors can get rid ofa kidney stone is to cut a small hole in your back and through your kidney inorder to remove the stone. If this procedure is done, you could have to stay inthe hospital for several days.