腎臟和尿道結石,常常沒有徵兆,無論是哪一種結石,都與喝水不足有關。台灣慈濟醫院台北分院泌尿科主治醫師謝政興指出,面對小結石問題,有不少自我排除的好方法,除了多喝水,還有跑步、跳繩、扭扭舞等運動,或彎腰拍背,把小結石震出來。
謝政興指出,尿路有很多種結石類型,大部分是草酸鈣結石,還有感染性的磷酸銨鎂鹽結石、磷酸鈣結石,以及尿酸太高的尿酸結石等。
謝政興說,當腎臟尿量不夠時,無法將形成結石的物質稀釋,以致結石堵住輸尿管,便會造成腰痛、腹部悶脹、血尿等症狀。一般人大約一天要喝水2000到3000c.c.的水,勞力工作者汗流得多,相對就要補充得多;心臟衰竭者排水功能已經欠佳,喝太多水反而造成心臟負荷。
在各種排除結石的方法中,謝政興認為,可以嘗試的運動是跳繩、跑步。藉著身體上下頻繁的震動,卡在輸尿管的結石較易慢慢沿著輸尿管出來;還可以做向前彎腰的動作,讓腎「倒過來」,請旁人幫忙以手掌扣拍背部,讓腎臟下部的結石順勢滾進輸尿管裡,比較容易從體內排出。
他表示,小於0.4公分的尿路結石,靠著多喝水及上述運動,90%能自行排出,結石超過這個尺寸,可能就需要體外震波碎石、開刀治療。
此外,他提醒,腎結石患者在飲食上,要少吃菠菜、有殼海鮮、動物性蛋白質、巧克力等草酸含量高的食物,豆類如豆腐豆乾製品,因含有豐富的嘌呤,也會導致尿酸指數上升,結晶增加,成為結石。
至於富含維他命A的紅蘿蔔和綠花椰菜則有助於避免結石復發再生,可以多攝取一些。(中央社)
2008-09-21
Rule out the small stones to drink plenty of water
Shally dance skipping running and helps
Kidney stones and urinary tract, often no symptoms, no matter what kind of stone, with insufficient water. Taiwan's Tzu Chi Hospital in Taipei branch of the attending physician of Urology Cheng-Hsing Hsieh pointed out that, faced with the problem of small stones, there are a lot of self-rule out a good way, in addition to drink plenty of water, and jogging, rope skipping, such as sports shally dance, or bending Shot back, the small stones out of shock.
Cheng-Hsing Hsieh pointed out that the urinary tract there are many types of stone, most of calcium oxalate stones, and infection of magnesium ammonium phosphate stones, calcium stones, uric acid, as well as the high uric acid stones, and so on.
Cheng-Hsing Hsieh said that the kidney when urine enough, will be unable to form a stone material dilution, resulting in blocked ureter stone, it will result in low back pain, nausea bulging belly, and symptoms such as hematuria. Most people have to drink about one day in 2000 to 3000c.c.'s Water, Han Liu is much more labor workers, it is necessary to add relatively much; function of heart failure who have poor drainage, drinking too much water instead of the heart caused by the load.
Rule out stones in a variety of ways, the Cheng-Hsing Hsieh of the view that the campaign is to try to rope skipping, running. Upper and lower body by frequent tremors, stuck in the ureter stones easier to come out slowly along the ureter; can do bending forward movement so that kidney, "the other way round", to help other people in order to hold the palm of your hand to shoot back, so that kidney Take advantage of the lower part of the stone rolled into the ureter, the more easily discharged from the body.
He said that less than 0.4 centimeters of urinary tract stones, drink plenty of water and relying on the above-mentioned campaign, 90% of the self-discharge, over the stone size, it may need to extracorporeal shock wave lithotripsy, surgery treatment.
In addition, he reminded, in patients with kidney stones in the diet, to eat spinach, seafood shells, animal protein, such as chocolate high oxalic acid content of foods, beans Dougan products such as tofu, as rich in purine, will lead to Index increased uric acid, increasing the crystallization and become stone.
As for the rich in vitamin A of carrots and broccoli will help to avoid recurrence of gallstone regeneration can be more than some of the intake. (Central News Agency)
2008-09-21
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