常见问题
What is a kidney stone and how do I know if I have a kidney stone?
A kidney stone is a mineral that develops in the drainage system of your kidney, where the urine is deposited after being produced by the kidney. They are most commonly made of a combination of naturally occurring compounds called Calcium and Oxalate. Kidney stones usually develop for months to years with no symptoms, until they move and block off the tube called the ureter, 肾和膀胱连接在哪里. Once this happens you may experience the following symptoms:
- severe pain on either side of your back just below your ribs
- 疼痛向下传到你的生殖器
- 在任何位置都无法感到舒适
- 尿中带血
- 恶心或呕吐
- feeling the need to urinate frequently and urgently
肾结石有多常见?
Kidney stones are becoming more common, especially in the United States. Approximately one in eleven Americans will develop a kidney stone at least once in their life. Half of people with a kidney stone will have another within 5 years.
I hear many people pass their own kidney stones. Is there a time when kidney stones are an emergency?
If you are experiencing any of the symptoms above or are concerned you may be having a kidney stone, you need to be evaluated by a healthcare provider as soon as possible.
A kidney stone with an infection can be life threatening. If you are having fever and chills or think you may have a urinary tract infection along with the symptoms above, this could represent a life-threatening emergency and requires evaluation in the Emergency Room immediately.
As we are currently in the midst of a pandemic of the COVID-19 virus, the 泌尿外科 Department of SUNY 推荐最近最火的赌博软件 has established 泌尿外科 specific urgent care hours at our 550 Harrison Street location.
如何诊断我的肾结石?
Your healthcare provider will start by obtaining a medical history, 体格检查, and possibly blood work and imaging tests; they may check your urine for signs of infection. 当排出肾结石时, your provider will want to know the size and location of the stone, 如果它造成了阻塞, 称为肾积水, 你的肾脏. The most common ways of determining this are with a CT scan or ultrasound of the kidneys and traditional X-ray.
我能排出肾结石吗?
是的. 大多数肾结石都很小,可以通过. The American Urological Association recommends that Patients with uncomplicated ureteral stones ≤10 mm should be offered observation, and those with distal stones of similar size should be offered treatment with medicines called α-blockers, which may increase the rate of passing stones.
What treatments are available if I am having a stone during the COVID-19 pandemic?
在这些充满挑战的时期, you may have heard that elective surgical procedures across the nation have been delayed. 关于肾结石的治疗, it is important to know that the American Urological Association states that for patients with obstructing stones and suspected infection, clinicians must urgently drain the kidney with a stent or nephrostomy tube and delay stone treatment. 尽管正在发生COVID - 19大流行, we are able to perform these procedures in ways to keep you safe. Every patient is unique and you will need to have this conversation with your healthcare provider.
如何预防肾结石?
There are many different kinds of kidney stones, and your doctor will go over specific strategies to prevent kidney stones based upon your unique situation.
For all patients, however, the following things apply:
- 喝水使你的排尿量保持在2.每天5升(85盎司).
- 限制饮食中钠(盐)的摄入量.
- 不限制饮食中的钙摄入量. 事实上, adding calcium to oxalate rich foods like spinach or nuts can reduce oxalate absorption and prevent kidney stones.
- 尽量保持蛋白质(肉类,鸡肉等).) to about 4 Ounces per serving (the size of the palm of your hand).
我听说你能把石头炸开. 我怎么知道这是否适合我?
Shockwave Lithotripsy uses sound-waves which are passed through the skin to break up a stone. The procedure is non-invasive and successful in a variety of situations. You will likely see debris in your urine after the procedure as the stone fragments pass.
还有其他治疗方案吗?
Ureteroscopy is when a urologist uses a tiny, 可移动的, telescope to inspect the inside of your kidney. This procedure is usually done under general anesthesia or sedation and can be used to diagnose and treat a variety of conditions. 治疗肾结石, the surgeon can use a laser to break up your kidney stones before removing the pieces with a small basket.
经皮肾镜取石术是一种手术, 通常用于非常大的肾结石, where your urologist will place a small tube in your kidney and then be able to break up your kidney stones using a telescope with a device that breaks up stones and sucks out the pieces at the same time.
我以前得过肾结石. Is my family at increased risk or should they see a urologist?
这取决于. The causes of the most common types of kidney stones are not fully understood and there is no single gene responsible for the most common types of kidney stones which are made of Calcium and Oxalate. Your family members may be at increased risk partly due to genetics, but also partly due to shared dietary and exercise habits. 一些罕见类型的肾结石, 比如那些由胱氨酸制成的, 受基因的影响更大吗. You should ask your Urologist if they would like to evaluate your family members or refer you for further genetic testing.