{"id":32685,"date":"2024-12-12T17:38:11","date_gmt":"2024-12-12T16:38:11","guid":{"rendered":"https:\/\/www.mgc.es\/?p=32685"},"modified":"2024-09-16T17:55:50","modified_gmt":"2024-09-16T15:55:50","slug":"el-colic-nefritic-tot-el-que-nhas-de-saber","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/","title":{"rendered":"El c\u00f2lic nefr\u00edtic: tot el que n\u2019has de saber"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_1 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndex de continguts<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#Que_es_un_colic_nefritic\" >Qu\u00e8 \u00e9s un c\u00f2lic nefr\u00edtic<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#A_qui_afecta\" >A qui afecta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#Per_que_es_produeix\" >Per qu\u00e8 es produeix<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#Factors_intrinsecs\" >Factors intr\u00ednsecs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#Factors_extrinsecs\" >Factors extr\u00ednsecs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#Com_es_diagnostica\" >Com es diagnostica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#Com_es_tracta\" >Com es tracta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.mgc.es\/ca\/blog\/el-colic-nefritic-tot-el-que-nhas-de-saber\/#Procediments_per_extreure_els_calculs\" >Procediments per extreure els c\u00e0lculs<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/09\/colico_nefritico2.jpg\" alt=\"\" class=\"wp-image-32676\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/09\/colico_nefritico2.jpg 800w, https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/09\/colico_nefritico2-440x294.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/09\/colico_nefritico2-768x513.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Que_es_un_colic_nefritic\"><\/span><strong>Qu\u00e8 \u00e9s un c\u00f2lic nefr\u00edtic<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>El c\u00f2lic nefr\u00edtic \u00e9s un trastorn renal que es manifesta amb l\u2019aparici\u00f3 de <a href=\"https:\/\/medlineplus.gov\/spanish\/kidneystones.html#:~:text=Una%20piedra%20o%20un%20c%C3%A1lculo,del%20cuerpo%20sin%20ayuda%20m%C3%A9dica.\">c\u00e0lculs<\/a> (tamb\u00e9 anomenats pedres) als ronyons. Es caracteritza per un mal molt agut en un dels costats de l\u2019abdomen. El dolor \u00e9s c\u00f2lic, \u00e9s a dir intermitent, amb per\u00edodes d\u2019exacerbaci\u00f3 i de remissi\u00f3. Sol comen\u00e7ar de manera sobtada i s\u2019irradia als genitals i a la part inferior de l\u2019esquena. Tamb\u00e9 acostuma a dificultar l\u2019expulsi\u00f3 de l\u2019orina i a fer l\u2019efecte que en retenim, al marge de produir mol\u00e8sties, dolor i co\u00efssor a la zona.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_qui_afecta\"><\/span><strong>A qui afecta<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>\u00c9s un problema for\u00e7a freq\u00fcent i compr\u00e8n entre el 2 % i el 5 % de les consultes a urg\u00e8ncies. <a href=\"https:\/\/www.senefro.org\/modules.php?name=home&amp;lang=ES\">A Espanya<\/a> s\u2019estima que afecta tres de cada mil persones, un percentatge que representa cap a dos milions d\u2019afectats, amb mil pacients nous cada any.<\/p>\n\n\n\n<p>Per regla general, tres de cada quatre casos es resolen de manera espont\u00e0nia amb l\u2019expulsi\u00f3 dels c\u00e0lculs, i nom\u00e9s un de cada quatre fa necess\u00e0ria la intervenci\u00f3 de l\u2019especialista (un ur\u00f2leg).<\/p>\n\n\n\n<p>Afecta m\u00e9s els homes que les dones, sobretot en la franja d\u2019edat de 30 a 50 anys. En gaireb\u00e9 la meitat dels casos el problema reapareix al cap de cinc anys i el percentatge de recaiguda s\u2019eleva fins al 65 % dels pacients (dos de cada tres) al cap de deu anys.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Per_que_es_produeix\"><\/span><strong>Per qu\u00e8 es produeix<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>La causa dels c\u00f2lics nefr\u00edtics \u00e9s la formaci\u00f3 de c\u00e0lculs o pedres als ronyons, en un proc\u00e9s conegut com a litiasi renal. Els c\u00e0lculs s\u00f3n, habitualment, concrecions s\u00f2lides o vidres de diferents subst\u00e0ncies:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Oxalat c\u00e0lcic (entre el 70 % i el 80 % dels casos).<\/li>\n\n\n\n<li>Fosfat c\u00e0lcic.<\/li>\n\n\n\n<li>\u00c0cid \u00faric.<\/li>\n\n\n\n<li>Estruvita (un fosfat d\u2019amoni i magnesi).<\/li>\n\n\n\n<li>Cistina.<\/li>\n<\/ul>\n\n\n\n<p>En la formaci\u00f3 d\u2019aquestes concrecions intervenen dues classes de factors:<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Factors_intrinsecs\"><\/span><strong>Factors intr\u00ednsecs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>S\u00f3n les propietats inherents de cada individu, per exemple: l\u2019edat, el sexe, els possibles antecedents familiars i les anomalies anat\u00f2miques o funcionals dels ronyons.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Factors_extrinsecs\"><\/span><strong>Factors extr\u00ednsecs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>S\u00f3n les influ\u00e8ncies externes i s\u2019associen amb la dieta i l\u2019estil de vida dels pacients: una dieta rica en prote\u00efnes, hidrats de carboni refinats i sodi t\u00e9 un paper important en la formaci\u00f3 d\u2019oxalats. Per contra, la ingesta de potassi i de l\u00edquids es relaciona inversament amb el risc de c\u00e0lculs; dit d\u2019una altra manera, t\u00e9 efectes protectors.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_es_diagnostica\"><\/span><strong>Com es diagnostica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>El metge comen\u00e7a amb la hist\u00f2ria cl\u00ednica del pacient: fa la cerca dels seus antecedents familiars i personals, n\u2019esbrina els h\u00e0bits diet\u00e8tics, etc. La hist\u00f2ria compr\u00e8n una revisi\u00f3 m\u00e8dica i unes an\u00e0lisis de sang i d\u2019orina. Tamb\u00e9 es pot demanar al pacient una radiografia per explorar-ne les vies urin\u00e0ries o, fins i tot, una ecografia urol\u00f2gica.<\/p>\n\n\n\n<p>Les radiografies poden detectar els c\u00e0lculs a les vies urin\u00e0ries sempre que facin m\u00e9s de 2 mm de di\u00e0metre i continguin calci.<\/p>\n\n\n\n<p>Els c\u00e0lculs d\u2019\u00e0cid \u00faric i cistina, per\u00f2, s\u00f3n transparents als raigs X i requereixen fer servir una t\u00e8cnica m\u00e9s agressiva: la urografia intravenosa, en la qual s\u2019injecta contrast a la sang del pacient i se li fan les radiografies pertinents fins a identificar els c\u00e0lculs. El contrast s\u2019elimina per l\u2019orina.<\/p>\n\n\n\n<p>L\u2019estudi dels c\u00e0lculs \u00e9s interessant i, per tant, els pacients els haurien de conservar.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_es_tracta\"><\/span><strong>Com es tracta<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>El <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0304541223002743\">tractament<\/a> inicial dels c\u00f2lics \u00e9s per pal\u00b7liar-ne el dolor (que pot ser molt intens), facilitar l\u2019expulsi\u00f3 dels c\u00e0lculs i evitar-ne nous episodis.<\/p>\n\n\n\n<p>Per calmar el dolor es prenen analg\u00e8sics d\u2019una pot\u00e8ncia mitjana-alta, espasmol\u00edtics (que ajuden a inhibir la contracci\u00f3 de les fibres musculars llises de l\u2019ur\u00e8ter) i, principalment, antiinflamatoris administrats per via oral o intramuscular.<\/p>\n\n\n\n<p>De vegades, com que fan molt de mal es recorre a derivats de la morfina, que \u00e9s l\u2019analg\u00e8sic disponible m\u00e9s potent.<\/p>\n\n\n\n<p>Altres mesures, com ara el rep\u00f2s i l\u2019aplicaci\u00f3 d\u2019escalfor a la zona, ajuden millorar l\u2019estat del pacient. Per alleujar-ne possibles s\u00edmptomes associats (basques i v\u00f2mits) es fa servir un medicament a base de metoclopramida.<\/p>\n\n\n\n<p>Tal com s\u2019ha explicat, tres de cada quatre c\u00e0lculs s\u2019expulsen de manera espont\u00e0nia per l\u2019orina, per\u00f2 quan no passa, es pot obstruir l\u2019ur\u00e8ter, una afecci\u00f3 dolorosa que pot causar una infecci\u00f3.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Procediments_per_extreure_els_calculs\"><\/span><strong>Procediments per extreure els c\u00e0lculs<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Hi ha diferents t\u00e8cniques per extreure els c\u00e0lculs. S\u2019opta per una o altra en funci\u00f3 de la mida, la localitzaci\u00f3 i la composici\u00f3 de cadascun.<\/p>\n\n\n\n<p><strong>Litotr\u00edpsia extracorp\u00f2ria<\/strong><\/p>\n\n\n\n<p>La <a href=\"https:\/\/www.cun.es\/enfermedades-tratamientos\/tratamientos\/litrotricia-extracorporea\">litotr\u00edpsia<\/a> \u00e9s una t\u00e8cnica que aplica ultrasons o ones de xoc d\u2019alta energia per esmicolar els c\u00e0lculs. \u00c9s inn\u00f2cua i actualment \u00e9s el procediment que m\u00e9s es fa servir. Permet de fragmentar c\u00e0lculs de fins a 3 mm de di\u00e0metre i els residus se solen expulsar en un termini de 2 a 4 setmanes.<\/p>\n\n\n\n<p><strong>Uretrosc\u00f2pia transuretral<\/strong><\/p>\n\n\n\n<p>Consisteix a <a href=\"https:\/\/medlineplus.gov\/spanish\/ency\/article\/007593.htm#:~:text=Utiliza%20un%20peque%C3%B1o%20aparato%20de,como%20por%20ejemplo%20c%C3%A1lculos%20renales.\">introduir<\/a> una sonda per la uretra fins a arribar al c\u00e0lcul i extreure\u2019l. Nom\u00e9s es pot practicar si els c\u00e0lculs s\u00f3n petits.<\/p>\n\n\n\n<p><strong>Nefrolitotomia percut\u00e0nia<\/strong><\/p>\n\n\n\n<p>\u00c9s una t\u00e8cnica indicada per als c\u00e0lculs grossos i consisteix a fer una petita incisi\u00f3 a la pelvis renal per extreure\u2019ls. Es pot dur a terme mitjan\u00e7ant la cirurgia tradicional (oberta) o b\u00e9 per <a href=\"https:\/\/medlineplus.gov\/spanish\/pruebas-de-laboratorio\/laparoscopia\/\">laparosc\u00f2pia<\/a>, que \u00e9s una operaci\u00f3 en la qual el cirurgi\u00e0 fa dues incisions petites per on introdueix unes sondes amb c\u00e0mera i l\u2019instrumental necessari per extirpar els c\u00e0lculs.<\/p>\n\n\n\n<p>Bibliografia<\/p>\n\n\n\n<p><a href=\"https:\/\/www.clinicbarcelona.org\/asistencia\/enfermedades\/litiasis-renal\/colico-nefritico-cn\">Hospital Cl\u00ednic de Barcelona<\/a><a href=\"https:\/\/aeuexp.aeu.es\/areas-de-experiencia\/rinon\/litiasis\/colico-renoureteral\/\">Associaci\u00f3 Espanyola d\u2019Urologia<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Qu\u00e8 \u00e9s un c\u00f2lic nefr\u00edtic El c\u00f2lic nefr\u00edtic \u00e9s un trastorn renal que es manifesta amb l\u2019aparici\u00f3 de c\u00e0lculs (tamb\u00e9 anomenats pedres) als ronyons. Es caracteritza per un mal molt agut en un dels costats de l\u2019abdomen. El dolor \u00e9s c\u00f2lic, \u00e9s a dir intermitent, amb per\u00edodes d\u2019exacerbaci\u00f3 i de remissi\u00f3. Sol comen\u00e7ar de manera [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":32676,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[978,15],"tags":[],"class_list":["post-32685","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-enfermedades-y-salud-general","category-salut"],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/09\/colico_nefritico2.jpg","author_info":{"display_name":"Revista Inter\u00e8s Mutu","author_link":"https:\/\/www.mgc.es\/ca\/blog\/author\/interesmutu\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>El c\u00f2lic nefr\u00edtic: tot el que n\u2019has de saber - MGC M\u00fatua<\/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.mgc.es\/blog\/el-colico-nefritico-todo-lo-que-necesitas-saber\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El c\u00f2lic nefr\u00edtic: tot el que n\u2019has de saber - MGC M\u00fatua\" \/>\n<meta property=\"og:description\" content=\"Qu\u00e8 \u00e9s un c\u00f2lic nefr\u00edtic El c\u00f2lic nefr\u00edtic \u00e9s un trastorn renal que es manifesta amb l\u2019aparici\u00f3 de c\u00e0lculs (tamb\u00e9 anomenats pedres) als ronyons. Es caracteritza per un mal molt agut en un dels costats de l\u2019abdomen. El dolor \u00e9s c\u00f2lic, \u00e9s a dir intermitent, amb per\u00edodes d\u2019exacerbaci\u00f3 i de remissi\u00f3. Sol comen\u00e7ar de manera [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mgc.es\/blog\/el-colico-nefritico-todo-lo-que-necesitas-saber\/\" \/>\n<meta property=\"og:site_name\" content=\"MGC M\u00fatua\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/mgcmutua\" \/>\n<meta property=\"article:published_time\" content=\"2024-12-12T16:38:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2024\/09\/colico_nefritico2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"534\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Revista Inter\u00e8s Mutu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@mgcmutua\" \/>\n<meta name=\"twitter:site\" content=\"@mgcmutua\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"Revista Inter\u00e8s Mutu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minuts\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"El c\u00f2lic nefr\u00edtic: tot el que n\u2019has de saber - MGC M\u00fatua","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.mgc.es\/blog\/el-colico-nefritico-todo-lo-que-necesitas-saber\/","og_locale":"ca_ES","og_type":"article","og_title":"El c\u00f2lic nefr\u00edtic: tot el que n\u2019has de saber - MGC M\u00fatua","og_description":"Qu\u00e8 \u00e9s un c\u00f2lic nefr\u00edtic El c\u00f2lic nefr\u00edtic \u00e9s un trastorn renal que es manifesta amb l\u2019aparici\u00f3 de c\u00e0lculs (tamb\u00e9 anomenats pedres) als ronyons. 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