What should I do if I have ureteral stones during pregnancy?

The wife was 5 months pregnant, and one day, she suddenly felt pain on the right waist, severe pain, sweating throughout the body, feeling nauseous and vomiting.Seeing this, he hurriedly sent his wife to the hospital. After doing a B -ultrasound, he found that it was the scourge of urinary stones.What should I do if the ureteral stones during pregnancy may cause infection, kidney water, and even abortion?

1. Why is it easy to form urinary tract stones during pregnancy?

Wanderer is a very hard process. In this process, the physiological state of women will change, resultingSmooth muscle peristalsis weakens, and urinary flow is slow; ② 3 months before pregnancy, women may have physiological kidney accumulation; ③ A few months after pregnancy, increasing uterus may compress the ureter and bladder, increasing the risk of urinary tract obstruction and infection.

2. What are the dangers of urinary stones during pregnancy?

During pregnancy, changes in women’s physiological state make the risk of falling kidney stones into the risk of ureterification.Once stuck in the ureter, the most common symptoms are renal colic, that is, severe pain on the waist and back, which may be accompanied by symptoms such as nausea, vomiting, and hematuria.Some women do not take medicine and do not get injections for their babies. As a result, they damage their own health: pain and inflammation can induce uterine contraction and cause bleeding.Even abortion.If the urinary tract obstruction may cause accumulated water and urinary tract infection, it may not only damage the renal function, but also may cause miscarriage or even threatened life due to infection.Therefore, urinary tract stones during pregnancy are extremely harmful. Once found, they must be visited in time and active treatment.

3. How to diagnose ureteral stones during pregnancy?

During the normal pregnancy, the bladder of expectant mothers will also increase the compression of the uterus and cause symptoms such as urgency and frequent urination.These symptoms can easily affect doctors’ judgment on ureteral stones.At the same time, the diagnosis of doctors has increased difficulty because X -ray can cause fetal malformations.The B -ultrasound is harmless to the fetus. It is the first choice diagnostic method for clinical pregnancy ureteral stones. If necessary, you can also choose a low -dose CT examination to clarify the diagnosis.

4. How to treat ureteral stones with pregnancy?

The fetus is very sensitive to drugs and radiation. Any improper treatment may cause serious consequences. Therefore, there is no obstruction according to the size and location of the stones during treatment.The condition of infection and the specific situation of the pregnant woman themselves.During pregnancy, under the premise of controllable condition, conservative treatment is generally advocated.Conservative treatment mainly based on drug therapy and clinical observation is the first line of defense of ureteral stones during pregnancy.The main measures include: ① Drink a lot of water to increase the amount of urine, and promote the automatic stones to be automatically discharged; ② If the kidney colic seizures, give symptomatic treatment, choose the drugs that can remove ureteral spasm and relieve pain; ③ If you find urinary tract infection, Choose antibacterial drugs that affect the fetus.

If the stones are large and cannot be discharged by itself, what should I do? At this time, surgical treatment becomes the second line of defense, which can avoid severe damage to the fetus and the mother of the urinary tract.The in vitro shock wave gravel affects the fertility ability of the fetus and women, so it is not recommended to choose.The internal stent in the urethral urethra is commonly used.The main principle is that the double J tube is placed in the kidneys through the bladder retrograde. The urine can be drained from the kidney to the bladder through the double J tube to reduce the accumulation of the kidney and protect the kidney function.In this way, you can wait until the fetus is delivered and then treat the stones further.If you still cannot drain urine or control the infection after the rebellion of the double J tube, or the double J tube cannot be placed, you can consider performing a dermatological injection fistula.However, even if the above measures are taken, the accumulation of kidney water and infection cannot be controlled, such as stones for a long time.A severe infection is merged. When pregnant women have shock and unstable vital signs, pregnant women should be actively cured.Conditioning pregnancy if necessary.

5. How to prevent the occurrence of stones during pregnancy?

Since the harm of ureteral stones during pregnancy is so great, how should we prevent it?

① It is best to have a routine examination before pregnancy. If there is urine, it is best to eliminate hidden dangers before pregnancy.You can also find a specialist to evaluate before getting pregnant.

② Drink plenty of water and dilute urine, which is conducive to the excretion of stone crystals, reducing risks of stones, and do not urinate.

③ Eat more vegetables and fruits in diet, which can not only reduce the possibility of stones, but also play a role in lubricating the intestine.But spinach, strong tea, and coffee with high oxalic acid should be eaten as little as possible.

In short, mothers should pay attention to observing their physical discomfort during pregnancy. Due to discomfort, they should go to the hospital in time.

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