1. bladder irritation Care

Bladder irritation catheter is placed after the most common clinical symptoms. Patients complaining of abdominal discomfort and urinary frequency , urgency, dysuria and other . The reason may be placed catheter damage the urethra , bladder mucosa and double J tube irritate the bladder trigone due. Therefore, we should patiently explain to the patient , introduce successful cases , lifting its psychological burden. The group of 69 cases of the above symptoms , the anti-infection , antispasmodic, and other measures to deal with self- adjust the position after the symptoms disappear.

2 Urine observation

Because ESWL treatment of mild renal tissue damage, as well as the movement of gravel on the kidney, ureter stimulation, coupled with double-J catheter longer time ( 3 months prone to aging salt deposits that harden and urinary catheter surface becomes rough ) , right renal pelvis , bladder mucous membrane irritation easily cause hematuria. Therefore, catheter and line ESWL treatment should pay attention to the color of urine , urine output , and a row of stone situation, the general discharge pipe 1d disappear after hematuria , activity increased slightly increased. Daily urine specimens specimens sent , if patients urine red or kidney pain and lower abdominal discomfort and other symptoms, should be checked whether it is because a larger catheter slipping or falling rubble caused by ureteral obstruction to the ureter . Therefore, catheter or ESWL therapy patient is asked to drink more water, increase urine output in order to facilitate the discharge of small stones . Strengthen the perineal care , generally do not indwelling catheter , to prevent retrograde infection. All patients in this group were treated by ESWL row 2 to 3 times the normal urine after gross hematuria .

3 urinary reflux

Because of the presence of double J catheter , ureteral orifice antireflux mechanism disappears when increased pressure within the bladder , the bladder will be through some double J catheter urine reflux to the pelvis , there may be pain catheter side of the waist . Four patients in this group the symptoms occur , the indwelling catheter and anti-infection , antispasmodic treatment, back pain disappeared . Therefore, to enhance life care , reduce abdominal pressure caused by any factors , such as the prevention of constipation , avoid supine urination, timely emptying the bladder , to avoid urinary retention, urinary bladder to reduce reflux .

4 ESWL impact of the number of control

Since different components of stones , the relative texture is different, hard texture , such as cystine stones, oxalate stones impact of the number can be increased , weekly , every impact 2,500 times on soft texture of the stones, such as pure urinary salt stones , the impact will be cut once a week , from 1500 to 2000 times each impact , so as to avoid excessive accumulation as crushed stone , causing ureteral obstruction . Therefore, the stones were too large , less activity after treatment patient is asked to avoid gravel drain faster ; using lateral position 1 ~ 2d, to slow down the gravel discharge speed . Be drained gravel base , then the line next ESWL.

eswl machine manufacturers , eswl manufacturer