怀孕期间尿病的管理
Kimberley Chan1, Taner Shakir1, Omar El-Taji1
1Urology Department, Lister Hospital, East and North Hertfordshire NHS Trust, Stevenage, UK.
Current urology
|September 11, 2023
概括
怀孕期间的尿石 (结石) 由于生理变化而带来诊断和管理挑战. 及时诊断和多学科方法对于孕妇患者的最佳结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
背景情况:
- 尿病是怀孕期间非产科性腹痛的常见原因,特别是在第二和第三季度.
- 怀孕涉及生理和解剖学变化,使急性尿道阻塞的管理变得复杂.
- 计算机断层扫描的使用受到限制,这给孕妇尿病的诊断带来了挑战.
研究的目的:
- 审查怀孕期间尿病诊断测试的作用,安全性,优点和缺点.
- 评估孕妇急性尿道阻塞的治疗选择.
- 强调需要采用多学科的方法来管理怀孕期间的尿病.
主要方法:
- 文献综述侧重于怀孕期间尿病的诊断方式和治疗干预措施.
- 分析安全概况和各种管理策略的有效性.
- 综合关于诊断和治疗产科患者结石的当前证据.
主要成果:
- 怀孕期间的尿病增加了败血症和早产的风险,需要及时诊断.
- 保守的管理是常见的,但大约25%的病例需要手术干预.
- 手术选择包括瘤切除,支架安置和尿路透镜,每个都有特定的指示和风险.
结论:
- 在怀孕期间诊断和管理尿病是复杂的,需要仔细考虑母亲和胎儿的福祉.
- 协作,多学科的方法对于优化患者护理至关重要.
- 对安全有效的诊断和治疗方法进行进一步的研究是有必要的.
相关概念视频
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urinary Tract Calculi V: Nursing Management
13
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
13
Urinary Tract Calculi VI: Surgical Management
10
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
10
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
11
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
11
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
13
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
13
Urinary Tract Calculi I: Introduction
16
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
16

