炙熱高溫,狂灌啤酒,小心尿路結石上身。北市1名45歲男性上班族,世界盃足球賽開打期間,常與朋友暢飲啤酒,詎料,半夜竟突然血尿、腰側劇痛難耐,送醫急診發現有0.6公分的結石卡在輸尿管下方,經手術取出結石始擺脫疼痛。
啤酒利尿 含高草酸易結石
醫師石宏仁強調,尿路結石的症狀,從完全沒有感覺到痛得喪失行為能力,都有可能。特別是夏日喝啤酒可清涼消暑,但喝啤酒可利尿?還是容易得到結石?常讓許多人存有迷思。不過,預防尿路結石最好的方法,就是「少喝酒、多喝水」。
因為啤酒雖有利尿作用,但高草酸成分會使尿酸升高,造成尿路結石。因此,建議結石患者,若想藉由解尿排出結石,夏天可透過多喝水,別再多喝啤酒,而患有痛風病史者,喝啤酒引發結石的機率,會遠比正常人高出好幾倍,更不可輕忽。
預防勝於治療 5錦囊防尿路結石
同時,要提醒民眾,不是只有喝啤酒容易造成尿路結石,而其它飲料,包括:咖啡、可樂與濃茶等都含有較多草酸鈣,少喝才能避免尿路結石上身,並且要有預防勝於治療觀念,掌握以下5錦囊,遠離夏日泌尿道疾病:
錦囊1.多喝水:每天攝取3000c.c.的水,除了稀釋尿液外,也可以排除部分小結石,且大量的水分也是泌尿道痙攣很好的止痛劑。建議每2小時喝1杯水,睡前喝300c.c.。同時要少喝啤酒、咖啡、濃茶及可樂等高草酸飲料。
錦囊2.不憋尿:養成不憋尿習慣,每1至2小時上1次廁所,每天維持尿2000c.c.以上。
錦囊3.調飲食:勿吃過多鹽分、少吃動物內臟等食物,避免尿路結石。以下草酸鈣結石、尿酸結石,以及磷酸鈣、磷酸銨鎂結石等3類食物攝取應謹慎。
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a.草酸鈣結石:避免草酸含量過高食物,如:咖啡、可樂、啤酒、花生、巧克力、菠菜等,也要避免攝取過多維他命C,如:蘋果、草莓、葡萄等。
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b.尿酸結石:少吃動物內臟、肉湯、海水魚、香菇、紫菜、豆類、酒,照醫生指示,多吃降尿酸的藥物。
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c.磷酸鈣、磷酸銨鎂結石:少吃含磷高的酵母、香菇等。
錦囊4.多運動:運動可以預防結石,因規律運動能促使泌尿道蠕動,減少尿液結晶沉澱,促進結石排泄。
錦囊5.常回診:尿路結石容易反覆發作,建議每3至6個月最好能按時回診1次,提早發現結石,治療也相對容易,可降低泌尿道復發風險。
Hot and hot, mad beer, careful urinary stones and upper body. A 45-year-old male office worker in the North City, during the World Cup soccer season, often drink beer with friends, unexpectedly, suddenly hematuria in the middle of the night, severe pain in the waist, and sent to the emergency department to find a 0.6 cm stone stuck under the ureter. Surgical removal of stones begins to get rid of pain.
Beer diuretic high oxalic acid easy stone
Physician Shi Hongren emphasized that the symptoms of urinary calculi are all possible without feeling painful and incapacitating. Especially in summer, drinking beer can cool down, but drinking beer can diuresis? Still easy to get stones? Often many people have myths. However, the best way to prevent urinary calculi is to "less drink, drink more water."
Because beer has a diuretic effect, high oxalic acid can cause uric acid to rise, causing urinary calculi. Therefore, it is recommended that patients with calculus, if they want to discharge stones by urinating, they can drink more water in the summer, and don't drink more beer. The person suffering from gout history, the chance of drinking beer and causing stones will be much higher than normal. Times, not to be neglected.
Prevention is better than cure 5 kits anti-urinary stones
At the same time, people should be reminded that not only drinking beer is easy to cause urinary calculi, but other beverages, including: coffee, cola and strong tea, contain more calcium oxalate, and less drink can avoid urinary calculi upper body, and must have prevention. In the concept of treatment, master the following 5 tips, away from summer urinary tract diseases:
Tips 1. Drink plenty of water: Ingest 3000c.c. of water every day, in addition to dilute the urine, you can also exclude some small stones, and a lot of water is also a good analgesic for urinary tract. It is recommended to drink 1 cup of water every 2 hours and 300c.c. before going to bed. At the same time, drink less oxalic acid drinks such as beer, coffee, strong tea and cola.
Tips 2. Do not urinate: develop a habit of not urinating, go to the toilet every 1 to 2 hours, and maintain a urine 2000c.c.
Tips 3. Adjust diet: Do not eat too much salt, eat less animal internal organs and other foods, avoid urinary stones. The following three types of foods such as calcium oxalate stones, uric acid stones, and calcium phosphate and magnesium ammonium phosphate stones should be cautious.
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a. Calcium oxalate stone: Avoid foods with high oxalic acid content, such as: coffee, cola, beer, peanuts, chocolate, spinach, etc., and avoid taking multivitamin C, such as apples, strawberries, grapes, etc.
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b. Uric acid stones: Eat less animal viscera, broth, sea fish, mushrooms, seaweed, beans, wine, according to the doctor's instructions, eat more uric acid-lowering drugs.
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c. Calcium phosphate, ammonium ammonium phosphate stone: Eat less yeast, mushrooms and so on.
Tips 4. Multi-sports: Exercise can prevent stones, regular movement can promote urinary tract peristalsis, reduce urine crystal precipitation, and promote stone excretion.
Tips 5. Frequent return: Urinary calculi are easy to recur, it is recommended to check back once every 3 to 6 months, early detection of stones, treatment is relatively easy, can reduce the risk of urinary recurrence.
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