Kidney Stones

The kidney stones in fact are not formed in the kidney, but in the urinary channels. They are due to the precipitation you usually substantiates existing cristaloides in the urination in oversaturation state.

When the size of the crystalline precipitate concretions is very petty, forming a powder epsecie that you edimenta in the excreted urination, we have the calls "sands." If the crystalline masses form concretions of more size, they are described as stones or calculations.

According to your chemical composition, the calculations are usually: of oxalates, of uric acid or of phosphates and carbonates.

The stone formation can be due to many lawsuits. You are sometimes about general illnesses, of metabolic type that you/they give place to an urinary excessive deletion of certain substances, facilitating your precipitation. This mechanism can appraise it in the trend to the dormación of calculations that exist in the drop and in the hyperparathyroidism. In other occasions, the calculations taducen a stasis urinal or infections of the urinary channels; in these cases they are of phosphates and carbonates. Finally, the sour urinations facilitate the precipitation of the uric acid and of your salts (urates) and of the calcium oxalate.

The treatment of the urinary calculations will be, in general, physician. You will only be indebted the surgical intervention when a calculation located in the uréter puts in hazard to the kidney, or when they are responsible for haemorrhages or of relapsing infections.

The diet will depend on the chemical composition of the calculations. In the uric acid calculations, they will be prohibited the liver, the kidney, the pig and the alcohol; and the diets will be recommended in fruits and vegetables; these patients alkaline (bicarbonatadas) waters will also ingest, to diminish the acidity of the urination and with it to increase the solubility of the urates. In the trend to the oxalic stone formation, the spinaches are outlawed, beets, dry figs, paprika, cocoa and you will combat the hiperacedéz. To avoid the excessive deletion of calcium for the urination, you will decrease the ingestion of milk and derivates (cheese, curd, butter, etc.); they will also be prohibited the alkaline ones, to avoid the precipitation of the calcium, and vitamin D won't be administered, because you favor the absorption from the ion calcium to level of the intestine, with what your rate rises in blood and in urination.

The Drop - Hereditary Illness

The drop is a hereditary illness, almost exclusive of the mature male, due to an abnormality of the protean metabolism that produce an increase of the uric acid of the blood and your deposit in the cartilages articulares and sometimes also in the kidneys. The uric acid derives of the purines that, in turn, they are a component of the nucleoproteínas, present in the cellular cores. You are an endogenous uric acid, coming from the replacement of the nucleoproteínas of the body, and an exogenous uric acid that enter with the foods. The normal concentration of uric acid in the blood, is from 5 to 6 mg for 100 cc. Your deletion with the urination depends on the power supply, but, for average, you are of 1 g newspaper.

The sanguine uric acid is elevated in the drop sick person. This alteration is due to an increase of your formation and a decrease of the renal deletion. The rich food intake in purines can precipitate a joint inflammation attack, to cause a renal colic or to aggravate the pains of the chronic drop.

The diet is the base of the treatment of the gouty one. During the acute attack, the power supply should only consist on milk descremada, boiled rice and fresh fruits. To favor the urinary deletion the uric acid, they will take liquids in abundance. When the cross-reference begins, eggs can be added, flesh gelatina, pàsta of soup, butter and oleum; some days later the diet is completed with vegetables, vegetables, tender flesh and fish target. The richest foods in purines are the liver, the kidneys and the brains, the blue fish and the shellfish, the red flesh and the hunt; all they should be deleted, total and definitively, of the diet of the gouty one.

The treatment medicamentoso is founded in the management of drugs that you/they impede the uric acid formation and in others that favor your deletion with the urination. The acute attacks improve with the colchicine and with antinflamatorios of hormonal type, as the glucocorticoids, or synthetic, as the phenybutazone.