Renal colic, check out ureteral stones, how to choose a diagnosis and treatment plan?

Yesterday, the outpatient received a 1.5 cm ureteral calculi in the upper segment of the ureter, combined with hydronephrosis. He was recommended to be hospitalized for minimally invasive surgery, but he was determined to do extracorporeal lithotripsy, a diagnosis and treatment plan for ureteral calculi. How should he choose? The most common typical clinical manifestations are paroxysmal colic, severe pain, and obvious percussion in the renal area. Some may radiate to the abdomen or perineum, with or without hematuria. When encountering such patients, first consider Ureteral stones can cause ureteral obstruction. Color ultrasonography can be used to find hydronephrosis or ureteral stones. Obstruction and infection can also lead to urinary sepsis, chills and fever, and even shock. For renal colic only, morphine or dulenidine can be used to relieve pain, and atropine or 654-2 intramuscular injection can be used to relieve spasm. If the stones are small, you can consider conservative treatment, drink more water, exercise more, and promote the discharge of stones. If the stones are large, about 1cm, there is no infection, the stones are not incarcerated for a long time, and extracorporeal shock wave lithotripsy can be done. If the stones are too large and the incarcerated time is too long, ureteroscopy, percutaneous nephroscope, or ureterotomy and stone removal are required.

Cautions for patients with Lanzhou hernia.

What are the precautions for patients with hernia? Due to the lack of attention to hernias in some hernia patients, they often do not reset in time after the hernia prolapses, and the hernia ring is repeatedly stimulated to cause contraction and form an incarnation (stuck). Hernias can cause severe pain after incarceration, and in severe cases are accompanied by nausea, vomiting, and fever. &nbsp. Today, Lanzhou Longda Hospital (www.lzldyy.com) will take you to take a closer look.    Manual reduction of hernia is suitable for early (within 3-5 hours) incarcerated hernia, local tenderness is not obvious, it is estimated that no strangulation has been formed, and a reduction can be tried. Let the patient lie high in the head, feet, feet, and instruct the patient to relax as much as possible, take a deep breath, and apply a hot towel to the mass. Then lift the scrotum with your right hand, and continue to slowly push the hernia to the abdominal cavity. Manipulative reduction, avoid roughness, so as not to squeeze the intestine, so that you can seek help from the surgeon in time.    Hernia after incarceration must be dealt with in time.   The specific treatment method is as follows:      1. Hernia patients must lie down and gently accept with their palms.     2. Patients with hernia or their family members should apply hot water with a towel dipped in water.    3. If the hernia is still unable to be received, you need to go to the nearest hospital to inject the loosening hernia ring according to the need, and then pay it back.    4. If the incarceration time of hernia is too long, you must go to the hospital for surgery immediately, and the hernia incarceration should not exceed 24 hours, otherwise the small intestine is prone to ischemic necrosis and life-threatening. &nbsp.&nbsp.Lanzhou Longda Hospital warm reminder:  Notes for hernia patients-the right method to treat hernia. With the development of medicine and the advancement of technology, surgeons around the world have also proposed a new concept for the cause and treatment of hernia, traditional Hernia treatment was also abandoned due to unresolved postoperative pain and high recurrence rate. If you have any questions, you can directly click on the online consultation or call the health hotline: 0931-4523019 for consultation and understanding. I wish you a speedy recovery! Lanzhou Longda Male Hospital Address: Industry and Trade Building, No. 1, Gaolan Road, Chengguan District, Lanzhou City. Lanzhou Longda Male Hospital Website: www.lzldyy.net&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&bb. com&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.: www.lzldyy.cn&nbsp.

That “enchantment” in the baby’s “navel eyes”!

Under normal circumstances, the child’s navel should be concave, but some newborn umbilical cords are raised, but the navel is raised, just like a “button” on the belly. Press it and you will feel a “gas” inside. In fact, this is “umbilical hernia”, commonly known as “gas navel”, is one of the common diseases in infants. Because the umbilical cord passes through the abdominal wall during the fetal stage, the umbilical part is the site where the abdominal wall closes at the latest. In infancy, the abdominal muscles on both sides are not completely closed at the midline, leaving a defect, which is medically called the umbilical ring. The umbilicus lacks fat tissue, and the abdominal wall skin, fascia, and peritoneum are directly connected to become the weakest part of all abdominal walls. When the child’s intra-abdominal pressure increases when crying, coughing, or defecating, it will cause abdominal contents, especially The small intestine, protruding from the umbilical ring, together with the peritoneum and abdominal wall skin, gradually lifts outward from the umbilical part, forming an umbilical hernia. & nbsp. Compression of the raised navel with the fingertips makes it easy to incorporate the umbilical hernia into the abdominal cavity. Sometimes the “gurgling” sound of gas can be heard, which is medically called “qi over water sound”. After the protruding bowel is completely returned, a round “defect” can be felt under the navel. This defect is the unclosed “umbilical ring”. & nbsp. Infant umbilical hernia generally does not pose any risks, and most of them can heal themselves by about one year of age through the gradual contraction of the “umbilical ring”. Therefore, the attitude of most domestic and foreign doctors to umbilical hernia is “regardless of whether you ask, let yourself be cured.” & nbsp. Some people suggested the use of “umbilical hernia” compression to treat umbilical hernia, and some people used “buckle” or “coin” to oppress, and even those who made the mystery stressed that “silver coins” must be used to be effective. In fact, in order to make the umbilical hernia no longer bulge after the delivery, and shorten the closing time of the umbilical ring. This method is like “strapping” a belt at the baby’s navel, and it needs to be tightened to be effective. Imagine feeling uncomfortable for adults to tighten their belts, not to mention a newly born baby, and it can’t help it. The baby’s abdomen is swollen and spherical, and it often stretches its body like a “lazy waist”. This “umbilical hernia” will slip off and cannot be kept in the umbilical position. Then there is the pressure with adhesive tape, but long-term application will have an adverse effect on the skin. Because most umbilical hernias can heal themselves, the best treatment is to “wait”. If you take a bad method, “governance” is not as good as “uncurable”! & nbsp. So, is there any way that will not make the child feel uncomfortable, but also can promote the umbilical hernia to heal itself as soon as possible? The answer is-yes! When the child is fast asleep, press the raised belly button with one finger, and completely accept the bowel tube protruding from the umbilical ring. At this time, the umbilical ring is not filled with the bowel tube, and it is in a state of emptiness, which helps the umbilical ring to contract and become smaller, thereby accelerating the umbilical ring. The hernia was healed. This method is carried out while the child is sleeping, and the child does not feel uncomfortable. If you have the time and energy to do this often, the effect will be better, which is probably the best non-surgical treatment. There is a time limit for umbilical hernia to wait for self-healing. If the child is 2 years old and the umbilical hernia is still not self-healing, surgery should be considered. Umbilical hernias rarely have complications, and children generally do not experience significant discomfort or cause bowel dysfunction. Rarely, the abdominal cavity enters into the umbilical ring and “stuck”, which is medically called “umbilical hernia” incarceration. When the incarnation is long, there will be obstruction of blood flow in the intestinal tract and the formation of “intestinal stenosis”. Therefore, if “embedded” umbilical hernia occurs, you need to go to the hospital immediately. It should be emphasized that umbilical hernia “incarceration” is extremely rare, and you do not have to worry too much. How to judge the incarceration of umbilical hernia? When incarcerated, the child will have pain and cry, the umbilical hernia may be more obvious than usual, and the skin color may become darker. The raised belly button cannot be pushed back as easily as usual, and the child who touches the raised belly button will have Obvious pain. To sum up: 1. Umbilical hernia is a common congenital disease of infants, and generally does not cause harm to children. 2. Most umbilical hernias are self-healing, it is not recommended to use “umbilical hernia belt” compression treatment. 3. If the umbilical hernia is incarcerated, you need to go to the hospital in time. 4. Patients with umbilical hernia more than 2 years old who still have no tendency to heal are recommended for surgical treatment.