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052 \langfenp2052 \cf1 \caps0 COLICA RENALA}{\b0 \i0 \fs28 \
kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1047
\langnp1047 \langfe2052 \langfenp2052 \cf1 \caps0 \par }\pard \plain \s17 \ql \f
i0 \li0 \ri0 \sb0 \sa150 \sbauto0 \saauto0 \widctlpar \keep0 \keepn0 \noline0 \a
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33 \langnp1033 \langfe2052 \langfenp2052 {\b0 \i0 \fs28 \kerning0 \dbch \af2 \hi
ch \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1047 \langnp1047 \langfe2052
\langfenp2052 \cf1 \caps0 }{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \l
och \f0 \expnd0 \expndtw0 \chcbpat16 \lang1033 \langnp1033 \langfe2052 \langfenp
2052 \cf1 \caps0 Colica reno-ureterala reprezinta o durere lombo-abdominala prod
usa de iritatia renala sau ureterala produsa de pietrele de la nivelul acestora
care se manifesta sub forma de colica renala (se produce ca urmare a miscarii pi
etrelor (litiaza renala).}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \
f0 \expnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0
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ang1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 Cauza cea mai frecvent
a, in proportie de 90%, este reprezentata de o litiaza renala, ca si in cazul li
tiazei biliare, foarte mare in randul populatiei generale. Durerea mai poate fi
produsa de o infectie a cailor urinare.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hic
h \af0 \loch \f0 \expnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052 \langfenp20
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\chcbpat16 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 In apari
tia litiazei renale sunt incriminati o serie de factori metabolici generali, asa
cum ar fihipercalciuria (calciu in urina), reducerea diurezei,infectia urinara,
modificarile Ph-ului urinar.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loc
h \f0 \expnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \ca
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5 \b1 \i0 \fs28 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \la
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och \f0 \expnd0 \expndtw0 \chcbpat16 \cf1 \caps0 Semne si simptome}{\b0 \i0 \fs2
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033 \langfe2052 \langfenp2052 \cf1 \caps0 \par }\pard \plain \s17 \ql \fi0 \li0
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np2052 \cf1 \caps0 }{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0
\expnd0 \expndtw0 \chcbpat16 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \c
f1 \caps0 Litiaza renala poate evolua mult timp fara nici o simptomatologie,asa
cum se intampla in cazurile calculilor ficsi care nu impiedica scurgerea urinii
(mictiunea).}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \e
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ng0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1033 \lang
np1033 \langfe2052 \langfenp2052 \cf1 \caps0 Principalul simptom al colicii rena
le este durerea. Debutul durerii poate fi brutal, dupa trepidatii, eforturi fizi
ce, sarituri sau consumul exagerat de lichide care pot sa mobilizeze calculii ex
istenti.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expnd
tw0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 \par }\pard \pla
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\dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1033 \langnp10
33 \langfe2052 \langfenp2052 \cf1 \caps0 Durerea este localizata de obicei in sp
ate si in flancuri. La calculi care migreaza durerea este localizata de obicei i
n flancuri.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \ex
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g0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1033 \langn
p1033 \langfe2052 \langfenp2052 \cf1 \caps0 La calculii angajati, care stau sa i
asa, ceea ce se produce prin mictiune, durerea este localizata numai in flancuri
.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \la
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\lang1033 \langnp1033 \langfe2052 \langfenp2052 {\b0 \i0 \fs28 \kerning0 \dbch \
af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1033 \langnp1033 \lan
gfe2052 \langfenp2052 \cf1 \caps0 Durerea este de cele mai multe ori violenta su
b forma de colica, desi uneori se poate manifesta si sub jena lombara.}{\b0 \i0
\fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \lang1033 \lan
gnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 \par }\pard \plain \s17 \ql \fi0 \
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af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1033 \langnp1033 \langfe2052 \la
ngfenp2052 \cf1 \caps0 Durerea iradiaza in jos (descendent),de-a lungul ureterul
ui,spre fosa iliaca, hipogastru, labiile mari sau in testicule.}{\b0 \i0 \fs28 \
kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \lang1033 \langnp1033
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ch \f0 \expnd0 \expndtw0 \chcbpat16 \lang1033 \langnp1033 \langfe2052 \langfenp2
052 \cf1 \caps0 Durerea este insotita si de semne locale,asa cum ar fi dysuria (
dureri la urinare),polachiurea (mictiuni frecvente si putine cantitativ), care t
rezeste de multe ori bolnavul noaptea si hematuria (sange in urina care poate fi
in cantitate redusa cand are culoare rozalie sau in cantitate mare cand urina a
re culoarea rosie) si de semne generale,asa cum ar fi paloarea, agitatia psihomo
torie, transpiratia, greturi, varsaturi si chiar lesin cand durerea este de inte
nsitate foarte mare.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \e
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8 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang10
33 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 Durerea poate dura de la ca
teva ore,pana la cateva zile, sfarsitul durerii survenind uneori cu eliminarea c
alculilor prin urinat.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0
\expnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 \p
ar }\pard \plain \s17 \ql \fi0 \li0 \ri0 \sb0 \sa150 \sbauto0 \saauto0 \widctlpa
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tap0 \fs24 \kerning0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\b0 \i0 \f
s28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \expnd0 \expndtw0 \chcbpat16 \lang
1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 La mai mult de jumatate d
in din bolnavi calculii se pot regenera determinand colici frecvente la interval
e diferite de timp.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \f0 \ex
pnd0 \expndtw0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 \par
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3 \langnp1033 \langfe2052 \langfenp2052 \cf1 \caps0 Bolnavul de regula este agit
at,cauta o pozitie care sa-i amelioreze durerea (de obicei sta in picioare). Abd
omenul este usor balonat.}{\b0 \i0 \fs28 \kerning0 \dbch \af2 \hich \af0 \loch \
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