How is hardness of kidney stone determined and why is it important for planning treatment

Hardness of kidney stones. Need and methods

The quantity of re-treatments, the quantity of shock waves and the vitality record (the voltage in kilovolts increased by the quantity of shock waves) required for an acceptable stone crumbling effect, all are relevant important reasons to pre determine the hardness of stones.

Kidney stone is a development of strong material that bunches together inside the urine and structures inside the kidney. Kidney stones are typically hard in light of the fact that they are made up for the most part of minerals. Practically all (98%) of the kidney stone weight is comprised of minerals. Yet, kidney stones likewise have delicate soft parts called network.

The delicate part is typically just 2% of the kidney stone weight. This delicate lattice material can be made of proteins, sugars, water or a blend of them.

At the point when kidney stones are delicate, it implies that there is a greater amount of the lattice material in the stone than expected. Some of the time the greater part of the heaviness of the kidney stone can be from the delicate network material. At the point when this occurs, the stone will be delicate and soft.

The most widely recognized kind of delicate and soft kidney stone is a contamination kidney stone. Once in a while kidney stones can be soft on the grounds that they contain protein material.

A plain stomach X-beam is regularly used as in X RAY KUB and CT scan is a much precise modality to estimate the hardness.

This hardness is represented in HU UNITS and the value helps to plan the fragmenting modality namely ESWL or holmium laser.

Stones up to 800 HU units are responsive to ESWL and fragment faster whereas upto 1200 are termed as hardened stones and require increased sessions.

Values above 1200 are treated by lasers as the fragmentation energy needed is much more.

This data is imperative to know as it might influence the treatment you’ll require; it will likewise be utilized to follow the stone to check whether it is hard, semi hard moving or may have passed.

The kidney and ureter sit behind the fundamental stomach depression; the disturbance happen on the grounds that the stone blockage will frequently irritated the gastrointestinal system enough to cause sickness and heaving. At last, the most patients who go to the crisis live with a kidney stone scene will have blood in their urine along with fragmentation which gradually subsides and is harmless.

For the most part, this might be visible blood that is recognized by the urine test, yet obvious blood can likewise be visualized.

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