<h3>泌尿系結(jié)石又稱尿石癥、尿路結(jié)石，是腎結(jié)石、膀胱結(jié)石、尿道結(jié)石等的統(tǒng)稱，也是泌尿外科常見病之一。這些結(jié)石的形成，輕則出現(xiàn)血尿、絞痛，重則腎盂積水，喪失腎功能。尿石癥引起的發(fā)作性腹部絞痛也是常見的急腹癥之一。手術(shù)方式有：體外沖擊波碎石、還有經(jīng)微創(chuàng)手術(shù)（經(jīng)尿道輸尿管鏡下鈥激光碎石、經(jīng)皮腎鏡鈥激光碎石等）。<br></h3> <h3>而我們最常見的，老百姓最了解的就是體外沖擊波碎石術(shù)</h3> <h3>目前我院泌尿外科所擁有的就是最新一代超聲定位電磁式?jīng)_擊波碎石機(jī)。該項技術(shù)使絕大多數(shù)泌尿系結(jié)石病患免除了手術(shù)痛苦，在治療時無需麻醉、無痛苦、無創(chuàng)傷、費(fèi)用低、隨到隨治、立竿見影、無后遺癥，全程超聲動態(tài)檢測，治療時間短，碎石顆粒小，排石徹底，治愈率高等特點(diǎn)。</h3> <h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><span style="max-width: 100%; font-family: 宋體; font-weight: bold; font-size: 24px; word-wrap: break-word !important;"> 碎石后健康教育</span></h3></h3><p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><span style="max-width: 100%; color: rgb(51, 102, 255); font-weight: bold; font-size: 20px; word-wrap: break-word !important;">1<span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">、利尿排石指導(dǎo)</span></span><span style="max-width: 100%; font-size: 20px; word-wrap: break-word !important;"> </span><span style="max-width: 100%; font-size: 16px; word-wrap: break-word !important;">講解利尿排石的意義，大量的尿液能沖洗尿路，有利于碎石顆粒排除體外，大量飲水，一般每日飲水量<span style="max-width: 100%; font-family: "Times New Roman"; word-wrap: break-word !important;">2000~3000ml</span><span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">。</span></span></h3> <p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><span style="letter-spacing: 0.544px; max-width: 100%; color: rgb(51, 102, 255); font-weight: bold; font-size: 20px; word-wrap: break-word !important;">2<span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">、收集排石指導(dǎo)</span></span><span style="letter-spacing: 0.544px; max-width: 100%; color: rgb(51, 102, 255); font-size: 16px; word-wrap: break-word !important;"> </span><span style="letter-spacing: 0.544px; max-width: 100%; font-size: 16px; word-wrap: break-word !important;">由于病人年齡、結(jié)石 部位及形成是將長短不一，結(jié)石排出時間液不同，告知患者術(shù)后<span style="max-width: 100%; font-family: "Times New Roman"; word-wrap: break-word !important;">1~7d</span><span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">排石較多，將排出的尿液用紗布過濾或置于瓶中沉淀后取得尿渣石，以觀察排石效果。</span></span></h3> <p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><span style="letter-spacing: 0.544px; max-width: 100%; color: rgb(51, 102, 255); font-weight: bold; font-size: 20px; word-wrap: break-word !important;">3<span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">、排石體位指導(dǎo)</span></span><span style="letter-spacing: 0.544px; max-width: 100%; font-size: 16px; word-wrap: break-word !important;"> 碎石后需采取相應(yīng)的體位促進(jìn)排石。腎上盞、中盞、輸尿管中上段結(jié)石病人，指導(dǎo)向健側(cè)臥位或立位，同時輕叩擊腰部。腎下盞結(jié)石，在憋尿時采取頭低腳高位或倒立，之后取健側(cè)臥位。輕叩擊腎區(qū)，。巨大腎結(jié)石，碎石后因短時間大量碎石突然充填輸尿管易發(fā)生阻塞，因此要放慢結(jié)石進(jìn)入輸尿管的速度，告知病人術(shù)后采取患側(cè)向下的逆引流體位，限制活動，以控制排石速度，防止阻塞輸尿管。</span></h3> <p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><span style="letter-spacing: 0.544px; max-width: 100%; color: rgb(51, 102, 255); font-weight: bold; font-size: 20px; word-wrap: break-word !important;">4<span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">、運(yùn)動排石指導(dǎo)</span></span><span style="letter-spacing: 0.544px; max-width: 100%; font-size: 16px; word-wrap: break-word !important;"> 早起活動可增加尿量幫助碎石排出。輸尿管碎石術(shù)后<span style="max-width: 100%; font-family: "Times New Roman"; word-wrap: break-word !important;">24h</span><span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">可做劇烈運(yùn)動，如跳繩、蹦臺階等，促進(jìn)結(jié)石排出。但腎結(jié)石病人碎石后要臥床休息</span><span style="max-width: 100%; font-family: "Times New Roman"; word-wrap: break-word !important;">1~3d</span><span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">后逐漸加大活動量。</span></span></h3> <p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><span style="letter-spacing: 0.544px; max-width: 100%; color: rgb(51, 102, 255); font-weight: bold; font-size: 20px; word-wrap: break-word !important;">5<span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">、預(yù)防并發(fā)癥指導(dǎo)</span></span><span style="letter-spacing: 0.544px; max-width: 100%; font-size: 16px; word-wrap: break-word !important;"> 碎石術(shù)后病人可有不同程度并發(fā)癥出現(xiàn)，說明可能出現(xiàn)的各種情況及處理方法，做好心理疏導(dǎo)。如血尿、疼痛、皮膚損傷、發(fā)熱、結(jié)石形成等，囑咐如出現(xiàn)不適及時報告醫(yī)生。</span></h3> <p style="max-width: 100%; clear: both; min-height: 1em; color: rgb(51, 51, 51); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: justify; white-space: normal; word-wrap: break-word !important;"><span style="letter-spacing: 0.544px; max-width: 100%; color: rgb(51, 102, 255); font-weight: bold; font-size: 20px; word-wrap: break-word !important;">6<span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">、飲食指導(dǎo)</span></span><span style="letter-spacing: 0.544px; max-width: 100%; font-weight: bold; font-size: 20px; word-wrap: break-word !important;"> </span><span style="letter-spacing: 0.544px; max-width: 100%; font-size: 16px; word-wrap: break-word !important;">結(jié)石具有復(fù)發(fā)性，良好的飲食習(xí)慣是防止復(fù)發(fā)最好的方法，術(shù)后注意養(yǎng)成多飲水的習(xí)慣，使每日尿液排出量在<span style="max-width: 100%; font-family: "Times New Roman"; word-wrap: break-word !important;">2000ml</span><span style="max-width: 100%; font-family: 宋體; word-wrap: break-word !important;">以上。避免高鈣、高鹽、高草酸、高蛋白、高動物脂肪及高糖飲食，應(yīng)進(jìn)高纖維飲食。</span></span></h3> <h3>歡迎廣大結(jié)石患者前來咨詢！</h3><h3><br></h3><h3>咨詢地址：</h3><h3>海西州人民醫(yī)院外科樓7樓泌尿外科住院部！</h3><h3>聯(lián)系電話：</h3><h3>黃醫(yī)生：15352966817</h3><h3>李醫(yī)生：13997288570</h3><h3>拉醫(yī)生：15202577955</h3>