Unfortunately, stones localized in the renal pelvis or bladder (urolithiasis) are a common phenomenon. Any person can be affected. In the risk group, there are people of the older generation and children.
Concrements are formed for various reasons: the use of hard water, poor food, genetic predisposition, urinary tract damage, proceeding in chronic form, etc. Modern medicine offers a method of intervention, such as crushing stones in the kidneys.
Severity of the disease for the patient
If a person is unwell, he periodically has renal colic. This condition is accompanied by severe pain. The patient can not safely eat, lie, sit, he must constantly move to escape from the attack. Taking painkillers helps to soften colic, but does not solve the problem. Crushing stones in the kidneys is the only procedure that safely and effectively eliminates concrements without the risk of relapse.
Diagnosis and choice of treatment methods
Before the beginning of therapeutic measures a person must undergo a range of studies. The patient is assigned such diagnostic procedures as ultrasound and x-rays. The doctor, based on the data obtained, determines the exact location of the localization of stones, their chemical composition and size.
To implement more accurate diagnosis and assessment of the patient's condition, an additional set of measures can be appointed:
- ECG is an electrocardiogram.
- A blood test for sugar, biochemistry.
- CT scan.
Depending on the results of the examination, ultrasonic or laser crushing of kidney stones may be suggested. Such manipulations are recognized as the most effective and safe, they are included in the treatment plan in modern medical centers. Surgical intervention, which involves access to the stones through a cut in the waist or abdomen, is practically not applied. An exception are only emergency cases.
Contraindications and possible complications
Carrying out of diagnostic measures allows to exclude presence of other pathological conditions of the patient. So, in the detection of cystic formations on the kidneys, cancerous tumors, coral-like stones, the technique is not performed.
Without fail the patient is cured of any acute infectious diseases. Also, crushing stones in the kidneys with a laser can not be realized if there are violations of blood coagulability (deviation from the norm in the direction of increase) and in pregnant women.
Doctors say that among the complications possible development of renal hematoma, exacerbation of pyelonephritis, the formation of the so-called stone path, which can lead to a relapse. Seeking professional medical help will avoid these problems. It is important that the procedure is carried out by a qualified and experienced doctor.
The treatment session is realized on an outpatient basis. Before the patient will be crushed stones in the kidneys with a laser (the price of treatment will increase slightly), he undergoes a number of preparatory procedures. In particular, the intestines are cleaned of stool and gas, which determines the normal course of treatment.
Distinctive features of laser action
The crushing of stones in the kidneys with a laser is performed in the case when the ultrasonic effect is ineffective, that is, the problem is in a neglected state. It is this technique that is needed to combat large formations.
During the treatment session, the patient is given a point incision. It can be localized in the bladder or lower back. Through the hole obtained, a special tip of the device is fed. The device is switched on and affects the pathological formation, which either is completely destroyed or turns into dust. Subsequently, all substances are removed by natural means by urination.
The advantages of the laser procedure are disclosed as follows:
- High impact efficiency on pebbles of any size.
- There are no post-operative traces on the patient's body.
- The action of the ray is shown for the destruction of rocks of complex rocks.
- Complete recovery can be achieved after one procedure.
- The patient is not given anesthesia.
- Rapid elimination of pain, removal of inflammation, improvement of urine outflow.
Laser therapy is not carried out in the detection of acute prostatitis in men, with purulent pyelonephritis, with a general severe condition of a person.
After 48-72 hours after the treatment, a person can return to work, and after 14 days is considered fully healthy.
Features of ultrasonic action
The fragmentation of kidney stones by ultrasound is indicated if the size of pathological formations does not exceed 2 cm. During the treatment session the patient receives anesthesia and does not experience painful sensations.
The sequence of actions is as follows:
- A person lays down on the operating table and is injected into anesthesia.
- The doctor determines the exact location of the stone.
- The patient is placed in a position that provides an accurate impact of ultrasound.
- A special bubble filled with water is placed in the projection of pathological formation. The equipment creates targeted shock waves that disrupt the structure of the stones.
- The control is carried out with the help of monitors, on which the state of the stones is displayed.
- The operation stops when the stone has disintegrated and small particles have formed, which can freely pass through the urethra and ureter.
The patient is assigned a plan of therapeutic measures, the purpose of which is to facilitate the release of the remaining elements. These are various antibiotics, antispasmodics, analgesics and diuretic teas.
After the completion of the treatment session, a person is under medical supervision (24-48 hours), followed by an extract. The doctor appoints special recommendations related to the diet, drinking and taking medicines.
Now it is advisable to get acquainted with what deserved fragmentation of kidney stones reviews among people who have suffered from urolithiasis.
Most patients note that the fight against neoplasm in the renal pelvis by means of a laser beam is the most painless method of therapy. Lithotrepsy (the official name of the procedure) is conducted only once, helping to forget about severe pain, and gives recovery.
People get rid of very large stones, whose diameter exceeds 12 mm. However, among the complaints there are complaints about the very high cost of the treatment session. Such therapy may be too costly for people with low incomes.
Doctors supplement positive assessments with their recommendations. A person who has had a urolithiasis should thoroughly revise his own way of life so that the disease can not return again. Requires a properly organized diet, a correct drinking regimen (exceptionally clean filtered water).
No less positive assessments sound with respect to ultrasound exposure. Patients note that the treatment session helps to get rid of several formations at once. In addition, anesthesia (most often epidural anesthesia) makes the effect as comfortable as possible, which is very important for patients of the older and younger age groups.
What happens after the crushing of kidney stones?
Immediately after medical manipulations, the patient is examined. In the first day the patient may experience frequent urination, which is quite normal. In the urine can be observed bloody inclusions, which is due to the natural release of the remains of stones. Such symptoms should disappear after 72 hours, otherwise it is necessary to visit a doctor.
During the passage of fragments along the urinary tract, attacks of renal colic may develop. They do not cause such pain as before, but a person can take an antispasmodic remedy to relieve unpleasant symptoms. In rare cases, the temperature rises.
Cost of treatment
If the crushing of stones in the kidneys is realized by a laser, the price of the treatment session will be at least 27-30 thousand rubles. The total cost depends on the general condition of the body and the size of pathological elements.
Crushing stones in the kidneys (the price ranges from 15 to 40 thousand rubles) using ultrasound is a little cheaper, but also entails serious financial costs. Expensive treatment is carried out in private clinics, public medical institutions offer services at a lower cost.
Instead of completing
Urolithiasis causes extremely unpleasant symptoms. The patient's quality of life decreases, he experiences unbearable pain. Modern methods of treatment, despite the high costs, can restore health and gain the joy of life.