Show simple item record

 
dc.contributorDepartament de Salut
dc.contributor.authorFerrer-Moret, Sílvia
dc.contributor.authorPérez-Morales, David
dc.date.accessioned2019-04-01T11:47:13Z
dc.date.available2019-04-01T11:47:13Z
dc.date.issued2018-05
dc.identifier.citationFerrer-Moret S, Pérez-Morales D. Actualització en el tractament de la litiasi renal. Butll Inf Ter. 2018 maig;29(04):21-28.
dc.identifier.issn1579-9441
dc.identifier.urihttp://hdl.handle.net/11351/3891
dc.descriptionNephrolithiasis; Renal colic; Expulsive treatment
dc.description.abstractNephrolithiasis is a metabolic disease with high incidence and prevalence in primary care consultations. It is characterized by the appearance of stones in the upper urinary system. Calcium oxalate lithiasis is the most frequent and nephritic colic is the most common form of presentation. The clinical history, imaging techniques, analysis of kidney stones and metabolic study, if necessary, determine the most appropriate treatment. This treatment includes the management of nephritic colic (treatment pharmacological, hygienic-dietic measures and expulsive treatment) and the treatment of prevention of recurrences. The initial approach of nephritic colic is aimed at relieving pain. Non-steroidal anti-inflammatories are the drugs of first choice, followed by opioids and dipyrone; the use of spasmolytic drugs is discouraged. The probability of expulsion of a calculation depends on its size and location. As an expulsion medical treatment, tamsulosin has been shown to be more effective than calcium antagonists, in addition to reducing the intensity and duration of pain. As a treatment to prevent recurrence in recurrent lithiasis, a specific treatment will be proposed according to the metabolic study or the mineralogical analysis of the stones. The increase of calcium and the reduction of animal proteins in the diet, together with the achievement of a diuresis greater than 1-1.5 l of urine / day has been shown to reduce the risk of recurrence. With a few exceptions, the vast majority of patients with lithiasis can be followed in primary care.
dc.language.isocat
dc.language.isospa
dc.publisherDepartament de Salut
dc.publisherServei Català de la Salut
dc.relation.ispartofseriesButlletí d'informació terapèutica;29(4)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceScientia
dc.subjectCàlculs renals - Tractament
dc.subject.meshNephrolithiasis
dc.subject.mesh/drug therapy
dc.subject.meshRenal Colic
dc.titleActualització en el tractament de la litiasi renal
dc.title.alternativeActualización en el tratamiento de la litiasis renal
dc.typeinfo:eu-repo/semantics/article
dc.subject.decsNefrolitiasis
dc.subject.decs/tratamiento farmacológico
dc.subject.decsCólico Renal
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.authoraffiliation[Ferrer-Moret S] CAP Encants, Institut Català de la Salut, Generalitat de Catalunya, Barcelona, Spain. [Pérez-Morales D] CAP Llefià, Institut Català de la Salut, Generalitat de Catalunya, Badalona, Barcelona, Spain
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record