{"id":37247,"date":"2017-03-24T15:23:38","date_gmt":"2017-03-24T15:23:38","guid":{"rendered":"http:\/\/humanitas.local\/cure\/pietre-la-rinichi\/"},"modified":"2017-03-24T15:23:38","modified_gmt":"2017-03-24T15:23:38","slug":"pietre-la-rinichi","status":"publish","type":"treatment","link":"https:\/\/www.humanitas.net\/ro\/treatments\/pietre-la-rinichi\/","title":{"rendered":"Pietre la rinichi"},"content":{"rendered":"<h2>Pietre la rinichi<\/h2>\n<p>&nbsp;<\/p>\n<h2>Introducere: Ce sunt pietrele la rinichi?<\/h2>\n<p>Urolitiaza este o boal\u0103 caracterizat\u0103 prin formarea uneia sau mai multor agregate (calculi) cu compozi\u021bie chimic\u0103, textur\u0103 \u0219i m\u0103rime diferit\u0103 la nivelul tractului urinar. Calculii pot fi amplasa\u021bi &icirc;n cavitatea renal\u0103 la nivel excretor, ureter sau vezica urinar\u0103.<\/p>\n<p>&nbsp;<\/p>\n<h2>Simptome: Cum pot s\u0103 \u0219tiu dac\u0103 am pietre la rinichi?<\/h2>\n<p>&Icirc;n cele mai multe cazuri, urolitiaza este complet asimptomatic\u0103 \u0219i apare &icirc;nt&acirc;mpl\u0103tor la examenele de control (de exemplu, ecografie abdominal\u0103) efectuate pentru alte motive. &Icirc;n alte cazuri, calculii pot s\u0103 apar\u0103 cu simptome acute tipice: colic\u0103 renal\u0103.<\/p>\n<p>Colica renal\u0103 se caracterizeaz\u0103 printr-o durere foarte intens\u0103 \u0219i brusc\u0103, care poate s\u0103 apar\u0103 &icirc;n diferite momente ale zilei. Durerea este cauzat\u0103 de obstruc\u021bia c\u0103ilor urinar, ca urmare a bloc\u0103rii la nivelul ureterului (tubul care face leg\u0103tura &icirc;ntre rinichi la vezica urinar\u0103). Acest obstacol provoac\u0103 o cre\u0219tere a presiunii &icirc;n amonte a calculilor, av&acirc;nd ca rezultat extinderea cavit\u0103\u021bii renal\u0103. Este o durere care poate dura de la c&acirc;teva minute p&acirc;n\u0103 la c&acirc;teva ore, are loc &icirc;n regiunea lombar\u0103 \u0219i adesea radiaz\u0103 de-a lungul ureterului, &icirc;n vezica urinar\u0103 \u0219i organele genitale externe. Ea poate fi &icirc;nso\u021bit\u0103 de simptome, cum ar fi grea\u021b\u0103, v\u0103rs\u0103turi, tahicardie \u0219i febr\u0103, &icirc;n special &icirc;n cazurile &icirc;n care colic\u0103 renal\u0103 este asociat\u0103 cu o infec\u021bie a tractului urinar. Uneori, durerea poate fi &icirc;nso\u021bit\u0103 \u0219i de hematurie, fie din punct de vedere microscopic (prezen\u021ba s&acirc;ngelui detectabil &icirc;ntr-un examen de urin\u0103) sau mai rar macroscopic (sange &icirc;n urina vizibil cu ochiul liber).<\/p>\n<h2>&nbsp;<\/h2>\n<h2>Epidemiologie: Cat de frecvente sunt pietrele la rinichi?<\/h2>\n<p>Colica renal\u0103 este o boal\u0103 foarte frecvente &icirc;n popula\u021bia occidental\u0103: studii recente au ar\u0103tat c\u0103 aproximativ 10% din popula\u021bie se dezvolt\u0103 cel pu\u021bin un episod de pietre la rinichi &icirc;n timpul vietii lor, cu o mai mare implicare a b\u0103rba\u021bilor dec&acirc;t femeilor (raport 2: 1). &Icirc;n Italia, aproximativ 250.000 de persoane sunt afectate de un episod de colic\u0103 renal\u0103 &icirc;n fiecare an, fie primitiv sau este o recidiv\u0103. Apare cel mai frecvent la persoanele cu v&acirc;rsta cuprins\u0103 &icirc;ntre 30 \u0219i 50, &icirc;ns\u0103 orice grup\u0103 de v&acirc;rst\u0103 poate fi afectat\u0103.<\/p>\n<p>&nbsp;<\/p>\n<h2>Diagnostic: Cum se pot diagnostica pietrele urinare?<\/h2>\n<p>Diagnosticul de urolitiaz\u0103 necesit\u0103 ini\u021bial o serie de teste de laborator \u0219i examin\u0103ri, cum ar fi: ultrasunetele tractului urinar \u0219i vizualizarea abdomenului folosind raze X. Examenul ecografic permite vizualizarea direct\u0103 a pietrelor urinare \u0219i, &icirc;n cazul unei posibile extinderi a tractului urinar, se observ\u0103, de asemenea, orice piatra ureteral\u0103. Vizualizarea cu raze X a abdomenului afi\u0219eaz\u0103 imagini radio-opace de-a lungul traiectului presupus al tractului urinar. &Icirc;n ceea ce prive\u0219te anticiparea de interven\u021bii chirurgicale pentru pietrele la rinichi, examin\u0103ri secundare ar putea fi necesare, inclusiv examenul CT a abdomenului sau urografie.<\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pietre la rinichi - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/ro\/treatments\/pietre-la-rinichi\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pietre la rinichi - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Pietre la rinichi &nbsp; Introducere: Ce sunt pietrele la rinichi? 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