Child's kidney stone focuses on prevention Drink more lemonade and avoid the caffeine
Child secretes department's calculus morbidity of the urine low, count the report and account for total 1%-3% of calculus abroad, rely mainly on kidney stone, bladder calculus. Mainly think this, with diet structure, the supersession is disorderly, the inborn dissection structure unusually has something to do at present.
Child kidney stone regard pain in the back, polyuria, hematuria as main symptom, in child, the medical history can not be narrated clearly, symptom is not typical, check the body is uncooperative,etc., it is extremely apt to cause misdiagnosing or leak and examine, can show as sometimes that it is uneasy and refusing to eat to cry and scream, the body temperature rises, disgusting, vomit, damage and can be shown as edema, urine quantity are reduced, if parents find children unwilling to urinate until renal function, cry and scream while urinating, the diaper has red catching and hematuria, must send the inspection to hospital in time.
The diagnosis of kidney stone mainly relies on the image to learn to check, including X-ray, B are of superior grade. Until the intersection of urine and way calculus and exist secrete department's deformity of the urine, have important meanings on the child Ultrasonography B, it is free of calculus composition to include conveniently and swiftly, there is no radioactive damage, characteristic such as being high of accuracy rate.
Kidney stone focuses on prevention, including the following several points:
Includes the prevention of calcium calculus: From changing the habits and customs and adjusting the diet structure to begin, appropriate movement, keep nutritive equilibrium, increase and is rich in the citron the sour fruit to take in.
Increase the absorption of the liquid: Thus reduce passing the saturated condition of the way calculus composition of the urine and prevent the recurring of calculus, it is generally acknowledged a little one of content is not the liquid of milk product with oxalic acid, avoid caffeine, black tea, grape juice, apple juice, coca-cola. Drink more orange juice, lemonade,etc..
The content of diet calcium: Though low calcium diet can reduce the excretion of urine calcium, may cause osteoporosis and increase the excretion of urine oxalic acid, will cause the intersection of child and rickets and shoulder calcium to be balanced in the body. Containing calcium to enrich the calcium diet prevention in calculus unfavorable, because excessive high calcium take a photograph of affiliation, increase to pass saturation level urine, it is only suitable for source high oxalic acid of intestines to enrich the calcium to prevent the recurring including calcium calculus through the medicine, can inhibit the excretion of urine oxalic acid. So child enrich the calcium will certainly should pay attention to reasonable, right amount of, had better enrich the calcium under the guidance of doctor.
Limit the absorption of oxalic acid in the diet: The infant of calcium calculus oxalic acid should avoid taking in rich food containing oxalic acid such as the almond, peanut, beet beetroot, spinach, black tea, cocoa, the oxalic acid in the spinach content is the highest.
Limit the excessive absorption of protein: High protein diet causes the urine calcium and urine oxalate is excreted and increased, the acid of the citron is excreted and reduced in the urine, reduce urine pH value, it is to bring out the urine way and include the important dangerous factor that calcium calculus forms. So not much the better ones of nutrition.
Include, increase fruit and absorption of vegetables mainly while being other, increase the cellulosic diet, limit high purine diet, avoid absorption of excessive vitamin C,etc..
Most child calculus be treated to be can guarded,is it if getting less in calculus, singly, symptom is getting lighter relatively, can pass the drug therapy of diet, including rational and balanced diet, drink the water more, traditional Chinese medicine, in order to clear away heat, remove dampness, open to drench, it ranks the stone to be main fact, sour to the urine, cystine calculus, can leave the intersection of purine and alcohol, oral the intersection of citron and sour the intersection of hydrogen and the intersection of potassium and sodium or the intersection of carbonic acid and the intersection of hydrogen and the intersection of sodium and blocks of the intersection of alkalization and urine treatment through oral administration, the appropriate movement will have certain benefits.
At present, external shock wave rubble (ESWL) Has already become the first-selected method of child's kidney stone, because child's calculus forms time short, the structure is loosened; Child's body tissue is relatively thin, shock wave energy decays little; Urine way comply with to be fine, arrange stone ability strong. Child cooperates worse, can adopt the general anesthesia down ESWL, though already a small amount of case study has proved ESWL does not have prominent damage to child's renal function, but the long-term influence on child's kidney and gonad of such radioactive damage still needs to study further.
Relatively old as to calculus, the intersection of ESWL and difficult kidney stone that smash, can through puncture, fetch stone (PCNL) by leather kidney Or open the operation, dissect the structure unusually as amalgamating if the inborn renal pelvis ureter connects one narrowly (UPJO) ,Blood vessel oppression of the malposition,etc., the open operation can be handled together.
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