BS warns need to change
Unfortunate kidney removal cases
Dr. BS Nguyen Dinh Lien, Head of the Department of Nephrology and Urology Surgery, Hospital E, said that there were many cases of patients coming to the clinic when the kidneys were damaged, pus-filled, and function lost, which had to be removed, unfortunately.
Typically, the patient NHN (48 years old) came to the hospital in an emergency due to high fever, cloudy urine and pain in the left abdomen. The patient was diagnosed with pyelonephritis due to coral stones on both sides of the kidney. The patient knew the disease for a long time but refused to be treated, so the left kidney was dilated and completely lost its function.
Doctor Lien has met a number of patients who were previously diagnosed with kidney stones and required surgical intervention. However, the patient was “afraid” of having to undergo surgical intervention, so he asked to go back to take Southern medicine. After about 5-6 months, the patient returned to the clinic, and the two kidneys had completely lost their function, indicating that a kidney transplant was required.
“For kidney stones big when it was calcium chemical is very hardumbrella Add acid and can’t dissolve. Therefore, herbal medicine and tobacco cannot remove kidney stones when there are indications for intervention. Doctor Lien said.
Recently, the Department of Nephrology, Urology and Orthopedics, Hospital E, also received a patient who had symptoms of back pain on both sides at the time of the Covid-19 outbreak in Hanoi 3 years ago. 4 weeks. Instead of going to the hospital, the patient buys medicine to treat at home. Only when the patient has a high fever, a lot of pain, and has generalized edema, will he be admitted to the hospital.
Patients with retroperitoneal endoscopy to remove stones, Ngoc Minh photo.
When going to the hospital, the doctors diagnosed the patient with acute kidney failure due to ureteral stones on both sides, after emergency surgery, the ability to restore the function of the two kidneys is very close. Informed, the patient was very confused and regretted his subjectivity. The patient confided in the doctor that if he hadn’t been “lazy” to go to the doctor, he wouldn’t have lost 2 kidneys.
According to Dr. Lien, last year (2021), the Hospital’s Department of Nephrology, Urology and Orthopedics received 3 cases of kidney failure that had to be removed to preserve the remaining kidney. Besides the unfortunate cases of having to remove the kidney, there are also cases where the doctor has preserved the patient’s kidney.
That is the case of a Laotian patient with bilateral kidney stones. The image shows that the patient has coral stones in the left kidney and the right kidney is waterlogged due to pyelonephritis.
After taking the patient for a scan to evaluate the function, the doctors found that the glomerular filtration rate of the kidney must be almost 0%. However, after endoscopic percutaneous lithotripsy on the left side and placement of the right ureter, the renal function of the right kidney is restored up to 20%. The patient retained the right kidney. This is a very fortunate case for the patient because he did not need to have a kidney removed.
The “culprit” causes kidney stones and premature kidney failure
Doctor Lien said kidney disease has increased in recent years for the following reasons:
Firstly, Vietnam is located in the “stone belt” area, the rate of kidney stones is very high, accounting for 12-14% of the population.
Second, in the past, when healthcare was not yet developed, people rarely went to the doctor. Currently, medical development, the diagnosis of kidney stone pathology can be detected at the grassroots level. This is also the reason why the number of patients with kidney stones and kidney disease has increased greatly.
Video: Kidney stone in the patient’s abdomen.
According to Dr. Lien, there are no specific statistics on kidney stone disease in Vietnam. However, the rate of urolithiasis surgery in large hospitals usually accounts for nearly 50% of urological diseases.
There are many causes of kidney stones, such as urinary tract malformations, metabolic disorders causing hypercalcemia, urinary calcium, urine pH changes, hyperparathyroidism, etc. In which, factors such as location, family history, metabolism, working environment, infection, diet (lazy to drink water, lazy to exercise cause urine stagnation) are the factors that increase the risk of stagnation. sick body.
Doctor Lien information: “The kidney is like a water purifier. When there is too much waste, The kidneys cannot filter it all and excrete it, will cause phenomenon deposition and crystallization of inorganic substances, forming stones. That’s why some people eat too many oxalate-containing foodscalcium … will be the object of high risk of forming kidney stones, urinary stones. In fact, there are some cases where taking too much calcium without a doctor’s prescription has led to the formation of kidney stones.”
In some rural areas, people using hard water (water containing high mineral content, mainly calcium and magnesium ions) will also have a higher risk of stone formation.
Some people who have a habit of eating salty foods that lead to concentrated urine are also at risk of forming stones.
“Currently, the Vietnamese diet is following the direction of Westernization, increasing the risk of stone formation, but diet is only one risk factor involved in stone formation.” Doctor Nguyen Dinh Lien said.
According to Dr. Lien, the typical symptom of kidney stones is pain in the hips and back. When the stone moves down the ureter, it will cause cramping pain, sudden pain that spreads to the back and spreads to the hip area, very uncomfortable urination.
How to protect kidney function?
According to Doctor Lien, to have two good fruits, you must have a kidney-protective diet, specifically as follows:
– Avoid foods that are toxic to the kidneys, such as foods with chemical residues, and preservatives that are not allowed.
– Avoid eating too much meat.
Drink a lot of water: Kidneys are water purification plants, without water, the kidneys will not function properly. Note that elderly people who have urinary disorders or are afraid to drink a lot of water need to drink water and urinate on time. Young people need to drink according to their body condition, when doing sports, it is necessary to add electrolytes.
Having a healthy lifestyle reduces high risk factors.
Image of a large stone in the patient’s kidney, photo of Ngoc Minh.
Those who go to the doctor and find small stones should increase their exercise and sports activities, pat their hips and back so that the stones can fall out on their own.
Doctor Lien said that there were some patients who were afraid of surgery and went to take traditional medicine, but when they came back, the kidney had lost its function. The doctor emphasized that when there are kidney stones, patients should trust modern medicine and doctors. Currently, kidney stone surgery is very gentle with the patient’s percutaneous lithotripsy method. After the lithotripsy is completed, it is still possible to use traditional medicine drugs that have the effect of eliminating stones, helping to improve the effectiveness of treatment, avoiding the recurrence of stones soon after surgery.
With developed medicine, just ultrasound and X-ray can detect kidney stones early. For cases that have had kidney stones, Dr. Lien said that it is necessary to rule out risk factors to avoid recurrence of stones.
For example, for people working in a hot working environment, it is necessary to increase their water intake; Dietary changes such as reducing salt intake, limiting foods containing oxalates. People living in areas with hard water should buy a water purifier.
Besides, patients with stones need to be examined periodically because the rate of stone recurrence is quite high. Regular check-ups will help detect stones early and avoid affecting kidney function.
Dr. Lien said: “Currently, at hospital E, when a patient comes to kidney stone surgery, we will spread the stone for analysis to know the structure of the stone. From the clear analysis numbers, we will advise the appropriate diet for the patient. patients avoid the risk of recurrence.E hospital is one of the pioneer establishments now in the north put the app gravel analysis urology for patients Prevention of stone recurrence“.
at Blogtuan.info – Source: cafebiz.vn – Read the original article here
