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一水草酸钙肾结石预防建议 (原创)

施飞
施飞主治医师上海交通大学医学院附属瑞金医院古北分院 泌尿外科,上海交通大学医学院附属瑞金医院古北分院 男科

calcium oxalate monohydrate

肾结石百分之八十者为草酸钙结石。如果你的结石分析成分报告是:一水草酸钙,下面的预防策略可供参考。

一水草酸钙结石主要由高草酸尿所致,十年复发率大约为 30%~50%,因此,采取针对性预防措施控制结石复发至关重要。
Calculi of calcium oxalate monohydrate are mainly caused by hyperoxalate, and the recurrence rate is about 30% ~ 50% in ten years. Therefore, it is very important to take targeted preventive measures to control the recurrence of calculi.

1、忌食草酸: 高草酸食物主要包括苋菜、菠菜、大黄、芒果、草莓、芝麻、可可、巧克力、浓茶、各种坚果(栗子、杏仁、核桃等),应忌食或少食;
1. avoid oxalic acid diet: high oxalic acid food mainly includes amaranth, spinach, rhubarb, mango, strawberry, sesame, cocoa, chocolate, strong tea, all kinds of nuts (chestnut, almond, walnut, etc.), should avoid or eat less;

2、限食钠盐: 钠盐可造成尿钙排泄增加,所以每日食用氯化钠(食盐)不应超过 5 克,忌食味精、鸡精;
2. Limit sodium salt diet: sodium salt can cause urinary calcium excretion increase, so daily consumption of sodium chloride (salt) should not exceed 5 grams, Avoid MSG, chicken powder;

3、大量饮水: 很重要!每日饮水至少 2000ml(约一暖瓶),确保每日尿量 2000ml 以上;
3. Drink lots of water: important! Drink at least 2000ml of water every day (about one thermos bottle), and ensure the daily urine volume is above 2000ml;

4、常食柑桔: 食用柑桔类水果可增加尿中枸橼酸(结石抑制因子)的含量,有助于预防结石复发;
4. Often eat orange: orange kind of fruit can increase the content of citric acid in the urine (stone restraining factor), conduce to prevent stone to have a relapse;

5、适度运动: 有利于小结石排出,但应防止过度运动导致脱水造成尿液浓缩;
5. Moderate exercise: to facilitate the elimination of small stones, but should prevent excessive exercise lead to urine concentration resulting in dehydration.

6、控制体重: 肥胖易导致结石形成,肥胖者应减轻体重;
6. Weight control: obesity is easy to lead to stone formation, obese people should reduce weight;

7、定期体检: 每年应常规复查泌尿系 B 超,结石复发频繁者,应进一步做代谢评估检查,以明确结石病因。
7. Regular physical examination: routine re-examination of urinary system B ultrasound should be conducted every year. For those with frequent recurrence of stones, further metabolic assessment should be conducted to determine the cause of stones.

calcium oxalate monohydrate

肾结石百分之八十者为草酸钙结石。如果你的结石分析成分报告是:一水草酸钙,下面的预防策略可供参考。

一水草酸钙结石主要由高草酸尿所致,十年复发率大约为 30%~50%,因此,采取针对性预防措施控制结石复发至关重要。
Calculi of calcium oxalate monohydrate are mainly caused by hyperoxalate, and the recurrence rate is about 30% ~ 50% in ten years. Therefore, it is very important to take targeted preventive measures to control the recurrence of calculi.

1、忌食草酸: 高草酸食物主要包括苋菜、菠菜、大黄、芒果、草莓、芝麻、可可、巧克力、浓茶、各种坚果(栗子、杏仁、核桃等),应忌食或少食;
1. avoid oxalic acid diet: high oxalic acid food mainly includes amaranth, spinach, rhubarb, mango, strawberry, sesame, cocoa, chocolate, strong tea, all kinds of nuts (chestnut, almond, walnut, etc.), should avoid or eat less;

2、限食钠盐: 钠盐可造成尿钙排泄增加,所以每日食用氯化钠(食盐)不应超过 5 克,忌食味精、鸡精;
2. Limit sodium salt diet: sodium salt can cause urinary calcium excretion increase, so daily consumption of sodium chloride (salt) should not exceed 5 grams, Avoid MSG, chicken powder;

3、大量饮水: 很重要!每日饮水至少 2000ml(约一暖瓶),确保每日尿量 2000ml 以上;
3. Drink lots of water: important! Drink at least 2000ml of water every day (about one thermos bottle), and ensure the daily urine volume is above 2000ml;

4、常食柑桔: 食用柑桔类水果可增加尿中枸橼酸(结石抑制因子)的含量,有助于预防结石复发;
4. Often eat orange: orange kind of fruit can increase the content of citric acid in the urine (stone restraining factor), conduce to prevent stone to have a relapse;

5、适度运动: 有利于小结石排出,但应防止过度运动导致脱水造成尿液浓缩;
5. Moderate exercise: to facilitate the elimination of small stones, but should prevent excessive exercise lead to urine concentration resulting in dehydration.

6、控制体重: 肥胖易导致结石形成,肥胖者应减轻体重;
6. Weight control: obesity is easy to lead to stone formation, obese people should reduce weight;

7、定期体检: 每年应常规复查泌尿系 B 超,结石复发频繁者,应进一步做代谢评估检查,以明确结石病因。
7. Regular physical examination: routine re-examination of urinary system B ultrasound should be conducted every year. For those with frequent recurrence of stones, further metabolic assessment should be conducted to determine the cause of stones.

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发布时间:2019-04-22 08:39

施飞主治医师
上海交通大学医学院附属瑞金医院古北分院 泌尿外科,上海交通大学医学院附属瑞金医院古北分院 男科
擅长:擅长各类泌尿结石的微创手术、前列腺疾病和膀胱肿瘤的微创综合诊治,包括URL(输尿管镜治疗输尿管结石)、FURL(输尿管软镜治疗肾结石)、PCN(经皮肾镜治疗复杂巨大肾结石、鹿角形结石,1.6mm超微穿刺通道可视肾镜联合钬激光碎石)、一次性软镜治疗肾及输尿管上段结石、尤其擅长飞行员微小肾结石输尿管软镜下取石、泌尿结石综合防治、美容性包皮手术、前列腺增生TURP(电切手术)及绿激光手术、TURBt(膀胱肿瘤电切术)、腹腔镜下输尿管切开取石、腹腔镜下肾囊肿切除等手术。男性不育症诊治。 瑞金医院古北分院(民航上海医院)内设华东地区航空人员体检鉴定中心,积累了丰富的飞行员肾内微小结石、多发结石、复杂结石处理经验,已达国际先进水平,薄层CT可发现1mm及以上泌尿系统结石,我科拥有先进的结石处理设备(1.6mm可视肾镜、65W-CURESTAR钬激光、绿激光、德国STORZ输尿管软镜、输尿管硬镜、等离子电切镜等),科室以泌尿系结石诊治为重点发展方向,形成了输尿管硬镜、软镜及经皮肾镜联合治疗肾内和输尿管结石的系列治疗方式。2018年度我科已帮助20余名飞行员结石患者短期成功复飞。 << 收起

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