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7.548 5.26-2.766 2.032-6.25 3.242-10.035 3.242A17.52 17.52 0 0 1 0 26.598C3.576 28.746 7.821 30 12.385 30"></path></g></svg></span></a></div></div><hr class="d5c7y9-0 jAAhhm"/></div></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Définition</h3><p>Les calculs rénaux sont des formations semblables à des pierres se développant au niveau des reins, du bassinet et des voies urinaires. Ils résultent de la cristallisation de substances normalement évacuées avec lurine. </p> <p>Les calculs constitués doxalate de calcium sont les plus fréquents. On rencontre plus rarement des calculs constitués de phosphate de calcium, de cystine ou dacide urique. Les hommes sont touchés environ deux fois plus souvent que les femmes.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Causes</h3><p>Facteurs favorisant la formation de calculs:</p> <ul> <li>Alimentation (trop riche en protéines animales et en graisses) </li> <li>Excrétion accrue dacide oxalique provoquée par la consommation daliments contenant de loxalate (rhubarbe, betterave rouge) </li> <li>Volume urinaire trop faible (apport en liquides insuffisant ou pertes de liquide par la transpiration), cause principale conduisant à des calculs calciques </li> <li>Infections répétées des voies urinaires </li> <li>Maladies métaboliques </li> <li>Malformations ou rétrécissements des voies urinaires </li> <li>Manque defforts physiques </li> <li>Perte de poids importante</li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Troubles (symptômes)</h3><p>Lorsque les calculs se détachent du bassinet, puis restent bloqués au niveau de luretère, des douleurs intenses se manifestent : on parle alors de coliques néphrétiques.</p> <h3>Symptômes dune colique néphrétique:</h3> <ul> <li>Douleurs violentes à type de crampe, évoluant par vagues et irradiant dans le dos et le flanc </li> <li>En cas de calculs situés en profondeur, les douleurs peuvent irradier jusquaux parties génitales. </li> <li>Nausées et vomissements </li> <li>Absence de selles et de gaz (occlusion intestinale réflexe) </li> <li>Diminution du volume durine </li> <li>Sang dans lurine dans près dun tiers des cas (calcul ayant provoqué une lésion de la muqueuse des voies urinaires) </li> </ul> <p>Si les calculs restent bloqués dans le bassinet, ils peuvent se compliquer de pyélonéphrite chronique.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Examens (diagnostic)</h3><ul> <li>Anamnèse avec prise en compte des symptômes </li> <li>Analyses durine (sang, signes dinfection) </li> <li>Ultrasons </li> <li>Radiographies (avec ou sans produit de contraste) </li> <li>Tomodensitométrie</li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Options thérapeutiques</h3><p>Les petits calculs se libèrent généralement par eux-mêmes. Ils peuvent provoquer de petits pics douloureux au moment de la miction.</p> <p>En cas de calculs plus volumineux, le traitement dépend de la taille, du type et de la position des calculs:</p> <h3>Mesures générales</h3> <ul> <li>Boire beaucoup </li> <li>Gymnastique légère (favorise lévacuation du calcul)</li> </ul> <h3>Médicaments</h3> <ul> <li>Spasmolytiques et anticongestifs </li> <li>Selon les cas, les calculs urinaires peuvent être dissouts à laide de médicaments (litholyse)</li> </ul> <h3>Traitement non-chirurgical</h3> <ul> <li>Lithotripsie extracorporelle par ondes de choc: les calculs sont localisés par échographie, puis fragmentés à laide dondes de choc, et ensuite éliminés avec lurine. Cette méthode ne nécessite aucune incision cutanée.</li> </ul> <h3>Chirurgie</h3> <ul> <li>Urétéroscopie: le médecin ôte le calcul situé au niveau de luretère à laide dun urétéroscope. Linstrument est introduit soit par luretère, soit par de petites incisions au niveau du flanc. De façon similaire, le calcul est brisé en petits morceaux, qui sont ensuite retirés à laide dun panier en forme de filet. </li> <li>Néphrectomie percutanée: ce type dopération pour retirer des calculs est pratiqué plus rarement. </li> </ul></div></div></div><div class="kw3gvu-1 cqHIiz"><div class="riphwg-1 kw3gvu-2 fycNAX"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="kw3gvu-0 eUIIhe"><h1 class="kw3gvu-3 dxKopd">Egalement susceptible de vous intéresser</h1></div></div></div></div><div class="ulmjm-1 fbgsh"><div class="riphwg-1 ulmjm-0 hHrAfN"><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/cancer_du_poumon_dans_quelque_85_pour_cent_des_cas_le_cancer_du_poumon_est_du_au_tabagisme"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg?ratio=0.5625&width=425" alt="Cancer du poumon" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Cancer du poumon : dans quelque 85 pour cent des cas, le cancer du poumon est dû au tabagisme</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">13.01.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Au stade précoce, le cancer du poumon est difficile à reconnaître, car les symptômes sont souvent atypiques et communs à d’autres maladies plus bénignes des voies respiratoires et des poumons...</p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/en_cas_d_arthrose_chaque_kilo_compte"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg?ratio=0.5625&width=425" alt="Arthrose" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE"> « En cas d’arthrose, chaque kilo compte ! »</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">08.01.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Professeur Thomas Hügle, Chef du service de rhumatologie du CHUV, Lausanne.</p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/osteoporose_le_calcium_et_la_vitamine_d_sont_importants_pour_le_developpement_osseux"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25&y=49&ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25&y=49&ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25&y=49&ratio=0.5625&width=425" alt="Dr. med. Catherine Lamm und Dr. med. Bernard Chappuis" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Ostéoporose : le calcium et la vitamine D sont importants pour le développement osseux</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">16.12.2020</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Les Dr Catherine Lamm et Dr Bernard Chappuis, service de diabétologie / endocrinologie de l’hôpital Emmental, répondent à nos questions sur l’ostéoporose...</p></div></a></div></div></div><section class="qxqpcn-0 eehpjO"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 qxqpcn-1 eDaGiC"><div class="qxqpcn-2 jlFskx"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="no1smy-0 cNYBch"><p style="margin-left:0cm; margin-right:0cm">Ce site web utilise des cookies. 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Ils résultent de la cristallisation de substances normalement évacuées avec lurine. \u003c/p\u003e\n\u003cp\u003eLes calculs constitués doxalate de calcium sont les plus fréquents. On rencontre plus rarement des calculs constitués de phosphate de calcium, de cystine ou dacide urique. Les hommes sont touchés environ deux fois plus souvent que les femmes.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eCauses\u003c/h3\u003e\u003cp\u003eFacteurs favorisant la formation de calculs:\u003c/p\u003e\n\u003cul\u003e\n \u003cli\u003eAlimentation (trop riche en protéines animales et en graisses) \u003c/li\u003e\n \u003cli\u003eExcrétion accrue dacide oxalique provoquée par la consommation daliments contenant de loxalate (rhubarbe, betterave rouge) \u003c/li\u003e\n \u003cli\u003eVolume urinaire trop faible (apport en liquides insuffisant ou pertes de liquide par la transpiration), cause principale conduisant à des calculs calciques \u003c/li\u003e\n \u003cli\u003eInfections répétées des voies urinaires \u003c/li\u003e\n \u003cli\u003eMaladies métaboliques \u003c/li\u003e\n \u003cli\u003eMalformations ou rétrécissements des voies urinaires \u003c/li\u003e\n \u003cli\u003eManque defforts physiques \u003c/li\u003e\n \u003cli\u003ePerte de poids importante\u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eTroubles (symptômes)\u003c/h3\u003e\u003cp\u003eLorsque les calculs se détachent du bassinet, puis restent bloqués au niveau de luretère, des douleurs intenses se manifestent : on parle alors de coliques néphrétiques.\u003c/p\u003e\n\u003ch3\u003eSymptômes dune colique néphrétique:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eDouleurs violentes à type de crampe, évoluant par vagues et irradiant dans le dos et le flanc \u003c/li\u003e\n \u003cli\u003eEn cas de calculs situés en profondeur, les douleurs peuvent irradier jusquaux parties génitales. \u003c/li\u003e\n \u003cli\u003eNausées et vomissements \u003c/li\u003e\n \u003cli\u003eAbsence de selles et de gaz (occlusion intestinale réflexe) \u003c/li\u003e\n \u003cli\u003eDiminution du volume durine \u003c/li\u003e\n \u003cli\u003eSang dans lurine dans près dun tiers des cas (calcul ayant provoqué une lésion de la muqueuse des voies urinaires) \u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eSi les calculs restent bloqués dans le bassinet, ils peuvent se compliquer de pyélonéphrite chronique.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eExamens (diagnostic)\u003c/h3\u003e\u003cul\u003e\n \u003cli\u003eAnamnèse avec prise en compte des symptômes \u003c/li\u003e\n \u003cli\u003eAnalyses durine (sang, signes dinfection) \u003c/li\u003e\n \u003cli\u003eUltrasons \u003c/li\u003e\n \u003cli\u003eRadiographies (avec ou sans produit de contraste) \u003c/li\u003e\n \u003cli\u003eTomodensitométrie\u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eOptions thérapeutiques\u003c/h3\u003e\u003cp\u003eLes petits calculs se libèrent généralement par eux-mêmes. Ils peuvent provoquer de petits pics douloureux au moment de la miction.\u003c/p\u003e\n\u003cp\u003eEn cas de calculs plus volumineux, le traitement dépend de la taille, du type et de la position des calculs:\u003c/p\u003e\n\u003ch3\u003eMesures générales\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eBoire beaucoup \u003c/li\u003e\n \u003cli\u003eGymnastique légère (favorise lévacuation du calcul)\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eMédicaments\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eSpasmolytiques et anticongestifs \u003c/li\u003e\n \u003cli\u003eSelon les cas, les calculs urinaires peuvent être dissouts à laide de médicaments (litholyse)\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eTraitement non-chirurgical\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eLithotripsie extracorporelle par ondes de choc: les calculs sont localisés par échographie, puis fragmentés à laide dondes de choc, et ensuite éliminés avec lurine. Cette méthode ne nécessite aucune incision cutanée.\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eChirurgie\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eUrétéroscopie: le médecin ôte le calcul situé au niveau de luretère à laide dun urétéroscope. Linstrument est introduit soit par luretère, soit par de petites incisions au niveau du flanc. De façon similaire, le calcul est brisé en petits morceaux, qui sont ensuite retirés à laide dun panier en forme de filet. \u003c/li\u003e\n \u003cli\u003eNéphrectomie percutanée: ce type dopération pour retirer des calculs est pratiqué plus rarement. \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}}]},{"type":"Area","children":[{"type":"Wrapper","children":[{"type":"Pe009TeaserGridHeader","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"headline":"Egalement susceptible de vous intéresser"}},{"type":"Pe008TeaserGrid","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"teaserCount":3},"children":[{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"13.01.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg","loadingIndicator":false,"alt":"Cancer du poumon","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/cancer_du_poumon_dans_quelque_85_pour_cent_des_cas_le_cancer_du_poumon_est_du_au_tabagisme"}},"text":{"type":"Text","props":{"type":"normal","content":"Au stade précoce, le cancer du poumon est difficile à reconnaître, car les symptômes sont souvent atypiques et communs à d’autres maladies plus bénignes des voies respiratoires et des poumons..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Cancer du poumon : dans quelque 85 pour cent des cas, le cancer du poumon est dû au tabagisme"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"08.01.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg","loadingIndicator":false,"alt":"Arthrose","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/en_cas_d_arthrose_chaque_kilo_compte"}},"text":{"type":"Text","props":{"type":"normal","content":"Professeur Thomas Hügle, Chef du service de rhumatologie du CHUV, Lausanne."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":" « En cas d’arthrose, chaque kilo compte ! »"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"16.12.2020"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25\u0026y=49","loadingIndicator":false,"alt":"Dr. med. 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Bernard Chappuis","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/osteoporose_le_calcium_et_la_vitamine_d_sont_importants_pour_le_developpement_osseux"}},"text":{"type":"Text","props":{"type":"normal","content":"Les Dr Catherine Lamm et Dr Bernard Chappuis, service de diabétologie / endocrinologie de l’hôpital Emmental, répondent à nos questions sur l’ostéoporose..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Ostéoporose : le calcium et la vitamine D sont importants pour le développement osseux"}}}}]}]}]},{"type":"Area","children":[{"type":"Pe007Comments","props":{"componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"enabled":false}}]},{"type":"Area","children":[{"type":"Pe012CookieNotice","props":{"acceptText":"J’accepte"},"children":[{"type":"RichText","props":{"content":"\u003cp style=\"margin-left:0cm; margin-right:0cm\"\u003eCe\u0026nbsp;site web utilise des cookies. 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