Crushing of kidney stones by ultrasound: reviews, prices

Kidney stones are a common problem today. More often their formation occurs in patients in the age category after 30 years. According to statistics, in Russia approximately 3% of the population suffers from urolithiasis.

A stone in the kidney is found ... What should I do? This question is asked the majority of patients with urolithiasis (urolithiasis). We will talk about ways of treating the disease in this article. But first we will understand the factors that contribute to the occurrence of urolithiasis. The formation of kidney stones is a process, the causes of which can be very different. Modern medicine offers the latest methods of treating this pathology, including the use of a laser and crushing stones in the kidneys by ultrasound. The testimonies of grateful patients who were helped by these methods of treatment testify to their effectiveness.

Causes

The main cause of the growth of kidney stones is a violation of the metabolic processes. Mainly, this phenomenon is affected by water-salt metabolism and the chemical composition of human blood . In this case, an excess of salts appears in the urine - this leads to the formation of crystals (stones).

What factors contribute to the occurrence of urolithiasis?

Such factors include:

• Increased water hardness. There are entire regions in the Russian Federation, where the percentage of patients suffering from urolithiasis is very high precisely for this reason.
• Excess eating of salty, fried, spicy dishes.
• Violation of drinking regimen. Lack of fluid in the body leads to the formation of more concentrated urine, resulting in increased risk of salt crystals in the kidneys.
• In regions with a hot climate with insufficient intake of fluids in people, the risk of developing urolithiasis increases.
• Hypodinamy leads to stagnation of blood. Internal organs, including kidneys, suffer from a lack of nutrition. It is proved that with hypodynamia, calcium is washed out of the bones. This leads to an increased content of calcium in the urine, and, consequently, the risk of growing stones in the kidneys.
• Violation of the urinary system.
• Chronic diseases and infections of the urinary system.
• Heredity.
• The disadvantage or, on the contrary, the excess of some vitamins leads to disruption of metabolic processes. It is necessary to maintain the optimal balance of vitamins C, A, as well as group D.
• Alcohol abuse.
• Uncontrolled intake of certain medicines (diuretics, sulfanilamide preparations, etc.).

Classification of stones with urolithiasis

Stones with urolithiasis can be located in any part of the urinary system (kidneys, bladder, ureters). Types of kidney stones are very different. They can differ in chemical composition, shape, size, weight and quantity. There are single or multiple concretions. Sometimes their numbers reach several hundred and even thousands. The size of the renal calculi varies from the smallest sand grains to the size of a fist, and by weight - from tenths of a gram to a kilogram and even more.

Types of kidney stones by chemical composition also vary:

• Phosphates - are formed from salts of phosphoric acid (phosphoric acid calcium or magnesia). Tripolphosphates are phosphoric acid ammonia-magnesia. These stones are formed in alkaline urine, they are loose, soft consistency. Usually white or grayish color. They grow quickly and are well split. Usually formed in chronic inflammatory processes of the urinary system.
• Oxalates are salts of oxalic acid (oxalic calcium or ammonium). These are hard-to-rubble dense stones of black or dark brown color. They have an uneven, bumpy surface, often spiny.
• Urates are salts of uric acid (uric acid, or ammonium). These stones are dense, smooth, usually without shoots, brown color.
• Xanthine - consist of xanthine and uric acid. The color is greyish-green or dark yellow. Very dense. Formed in acid urine. They are rare.
• Carbonates - these stones consist of carbonic magnesia and calcium carbonate. They are white in color, easily crushed.
• Cystine - usually found immediately in both kidneys, smooth, shiny, pale gray in color and soft consistency. Observed in patients with a rare hereditary disease - cystinuria. Occurs in patients with urolithiasis.
• Protein - consist of fibrin, various formations from bacteria and salts, flattened forms, white, layered.
• Cholesterol - black, easily crumbled. They are rare.
• Mixed - a stone, consisting of various chemical components. Around the core of a stone of one composition, concentric circles of other chemical elements are formed.

According to statistics, in 80% of cases with urolithiasis there are oxalates, less often - urates (from 5 to 15%) and phosphates (from 5 to 8%). Other types of kidney stones are rare.

Diagnostics

How to identify kidney stones? There is a laboratory diagnosis of their definition and instrumental. The first includes the implementation of various laboratory studies. Instrumental is carried out with the help of special equipment.

Laboratory diagnostics

1. A clinical blood test is included in the compulsory examination for any diseases. When joining the infection can be detected: leukocytosis, a shift of the leukocyte formula to the left or anemia.
2. Biochemistry of blood is assigned to determine the concentration of uric acid, calcium, magnesium, inorganic phosphorus. Their high content in the blood can indicate a violation of metabolic processes in the body.
3. The general analysis of the blood is included in the mandatory examination for various pathologies, and especially the urinary system. With urolithiasis, erythrocytes, salt crystals can be present in the urine sediment during microscopy, and when the infection is attached, bacteria and an increased number of leukocytes are present.
4. To identify the stones in the kidneys are assigned various urinary samples: Nechiporenko, Amburge, Addis-Kakovski.
5. Biochemical examination of urine.
6. Perform urine culture on bacterial flora.

Instrumental diagnostics

1. Survey radiography.
2. Contrast radiography.
3. Ultrasound of the urinary system (kidney, bladder).
4. Magnetic resonance imaging.
5. CT scan.
6. Radioisotope nephroscintigraphy.
7. Cystoscopy.

Treatment

When urolithiasis is detected, conservative treatment, instrumental therapy, chemotherapy (dissolution of kidney stones with a number of medications), crushing of stones or surgical treatment can be indicated. The method of removal is offered by the doctor after a complete examination of the patient taking into account all contraindications to this or that method of therapy.

If a stone is found in the kidney - what to do in this case? First of all, you need to contact a urologist or a surgeon. Depending on the size of the stones, their quantity and chemical composition, a method of treatment will be proposed.

Conservative treatment

This method of treatment is aimed at the removal of pain during attacks of urolithiasis, as well as on the prevention of inflammatory processes in the urinary system. This includes the prevention of recurrences and complications of urolithiasis. Conservative treatment of this pathology is used only if the size of the calculus does not exceed 4 mm.

Medication

If there is an inflammatory process in the urinary system and the presence of concrements, the doctor first prescribes antibiotics. Only after the removal of inflammation is a decision about the method of treatment of urolithiasis.

Analgesics are usually used to relieve pain: Baralgin, No-Shpa, Ibuprofen, Metamizol Sodium, Indomethacin, Diclobarle, Dexalgin, Morphine, Baralgetas. The use of these drugs not only removes the pain syndrome, but also helps to relieve spasm from the ureters and relax the muscles of the entire urinary system. This greatly facilitates the condition of patients and stimulates the independent release of individual small stones.

Applying medicamentous treatment of urolithiasis, experts advise to observe the drinking regime and move more. This contributes to the removal of stones.

Chemotherapy for urolithiasis

This method of treatment is aimed at dissolving kidney stones and alkalinizing urine. Apply it mainly in the presence of urate and mixed stones, which are formed in an acidic environment. To do this, use medicines such as "Blomaren" and "Uralit U".

To dissolve renal, as well as biliary calculus, a plant-based drug "Urolesan" is used, which includes an extract of fir, hops, oregano and mint. This drug has an anti-inflammatory effect and relaxes smooth muscles, which contributes to the removal of small stones.

Operative treatment

If the doctor has confirmed that the patient has kidney stones, an operation to remove them can also be offered. Operative treatment of this pathology can be performed as an open surgical operation, endoscopic removal of stones and lithotripsy (contact or remote). Lithotripsy is the crushing of stones. This procedure can be performed using a laser or ultrasound.

Crushing stones in the kidneys by ultrasound. Reviews

To destroy in this way renal concretions can be contact or remotely.

Lithotripsy remote is carried out by the action of ultrasound on the stones through the muscle tissue. But the application of this method can lead to complications, because the effect is not only on the stones, but also on nearby tissues. This can lead to a concussion of the kidneys.

The contact fragmentation of stones in the kidneys is ultrasound. The patients' testimonies indicate the effectiveness of such treatment. Contact lithotripsy is carried out using endoscopic equipment. In this case, ultrasound is directly on the stones. They are scattered into separate small pieces and washed out by pumped liquid or removed by suction.

Depending on the clinic, from 15 to 45 thousand rubles will be worth the procedure, such as crushing stones in the kidneys by ultrasound. Feedback suggests that contact lithotripsy costs a little more than a remote one. It will cost the patient from 20 to 50 thousand rubles. The cost includes a full examination, consultation and the procedure itself is split into several receptions.

Laser crushing

This type of treatment can save the patient from stones of any composition and size in just one procedure. This method also applies to contact lithotripsy, which is performed using endoscopic equipment. The price of such treatment is several times higher than that of ultrasound.

If stones are found in the kidneys, the laser is able to painlessly and in just one session save the patient from the stones.

Herbs from kidney stones

With urolithiasis, folk medicine offers a variety of treatments. Mainly this is the use of various medicinal herbs. They are used both individually and in collections. Apply decoctions and infusions of dog rose, sporicha, douchebour, young birch leaves, juniper fruit, St. John's wort's herb, thyme grass creeping, etc.

The easiest way to prepare such a medicine is to make an infusion in a thermos bottle. For this, one art. A spoon of dry raw materials should be filled in the evening in a thermos and pour one glass of freshly boiled water. The thermos is closed, in the morning the drug will be ready. Usually such infusions recommend taking 1/3 cup before meals 3 times a day.

Such treatment can be carried out in those cases if small stones in the kidneys are found. The patients' testimonies indicate the effectiveness of traditional medicine methods. With large calculi in the kidneys (more than 3 mm) before applying any self-medication actions, one should consult a doctor, since this can lead to complications: for example, a large stone will move and get stuck in the ureter. Now there are modern and painless methods of treating urolithiasis.