Kya aap ya aapke ghar mein koi pathri (kidney stone) ke dard se pareshan hai? Agra aur aas-paas ke zilon mein pathri bahut aam samasya hai, garmi zyada hai aur paani kam piya jaata hai, isliye pathri baar-baar banti hai. Achhi baat yeh hai ki aaj ke zamane mein pathri ka operation bade chire ke bina hota hai, laser aur durbeen se, aur zyadatar mareez 1–2 din mein ghar chale jaate hain.
Pathri ke lakshan kya hote hain?
- Kamar ya pet ke side mein achanak tez dard, jo lehron mein aata hai
- Peshab mein khoon aana ya peshab ka rang laal/gehra hona
- Peshab mein jalan ya baar-baar peshab aana
- Dard ke saath ulti ya ghabrahat
Turant hospital jayein agar pathri ke dard ke saath bukhar aur kanpkanpi ho, peshab band ho jaye, ya aapki ek hi kidney ho. Yeh emergency hai.
Kya har pathri ka operation zaroori hai?
Nahi. Chhoti pathri (lagbhag 5 mm tak) aksar khoob paani peene aur dawa se apne aap nikal jaati hai. Operation tab zaroori hota hai jab pathri badi ho, kidney ka rasta rok rahi ho, baar-baar dard ya infection kar rahi ho, ya dawa ke baad bhi na nikle. Ultrasound aur zaroorat par CT scan (NCCT-KUB) se pathri ka size aur jagah pata chalti hai, ussi se ilaj tay hota hai.
Bina chire ke operation kaise hota hai?
1. Durbeen se, peshab ke raste (URS/RIRS): Ek patli durbeen peshab ke natural raste se andar jaati hai, kahin koi chira nahi lagta. Pathri ko laser se choor-choor karke nikal dete hain. Ureter (peshab ki nali) ki pathri ke liye URS, aur kidney ke andar ki pathri ke liye flexible durbeen se RIRS hota hai. Aksar usi din ya agle din chhutti mil jaati hai.
2. Mini-PCNL (durbeen se, peeth ke raste): Badi pathri ke liye peeth mein sirf ek chhota sa suraakh (keyhole) banakar durbeen seedhe kidney tak le jaate hain aur pathri tod kar nikal dete hain. Mini-PCNL mein instruments aur bhi patle hote hain, isliye dard kam aur recovery tez hoti hai. Hospital mein aam taur par 1–3 din lagte hain.
3. Shockwave (ESWL): Kuch chhoti pathri bahar se hi sound waves se todi ja sakti hai, bina behoshi ke bhi. Tukde dheere-dheere peshab ke raste nikal jaate hain. Yeh har pathri ke liye sahi nahi hota, doctor size aur jagah dekh kar batate hain.
Kuch aam galatfehmiyan
- "Beer peene se pathri nikal jaati hai", yeh galat hai. Zaroorat paani ki hai, sharab se sharir mein paani ki kami hoti hai.
- "Operation matlab bada chira aur lamba bed rest", ab aisa nahi hai. Laser aur durbeen ke zamane mein zyadatar mareez 2–3 din mein kaam par laut aate hain.
- "Ek baar nikal gayi to dobara nahi banegi", pathri dobara ban sakti hai, isliye paani aur khan-paan ka dhyan zaroori hai.
Pathri dobara na bane, iske liye kya karein?
- Din bhar mein 2.5–3 litre paani, garmi mein aur zyada; peshab ka rang halka rehna chahiye
- Namak kam karein, bahar ka packaged khana kam karein
- Doodh-dahi band na karein, normal calcium pathri se bachata hai
- Pathri nikalne ke baad saal mein ek baar ultrasound karva lein
Dr. Vijay Bora, MBBS, MS (Gold Medalist), MCh Urology (BHU) — Agra ke senior urologist, 28+ saal ka anubhav, 10,000+ PCNL operation. Pushpanjali Hospital mein Urology vibhag ke pramukh (HOD). Poora profile dekhein →
Yeh lekh sirf jaankari ke liye hai, ilaj ka faisla jaanch ke baad hi hota hai. Emergency mein turant nazdeeki hospital jayein.