怎么区分肾脏疼痛和背部疼痛

背部感到疼痛时，你可能无法轻易地确定其原因，因为背部疼痛和肾脏疼痛很难分辨。但是，它们在细节处仍然有所区别。为了区分这两者，你需要集中精力确定疼痛的确切位置、持续时间以及是否有其他症状。确定这些细节情况后，应该就能区分肾脏疼痛和背部疼痛了。

步骤

评估疼痛

1. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/c\/c6\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-1.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-1.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/c\/c6\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-1.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-1.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 1 识别下背部和臀部较大范围的疼痛。如果这些部位有大范围的疼痛，很可能是背部肌肉受伤，而不是肾脏问题。背痛多发于这些部位，并且经常扩散到整个区域，而肾脏疼痛比较少扩散到其它区域。
   • 背部肌肉的任何损伤都会影响身体背面各种肌肉功能和疼痛程度，包括臀肌。
   • 如果你有大范围的疼痛、虚弱或麻木感，特别是向下扩散到腿部，必须立即就医治疗。^[1]
2. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/5\/5c\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-2.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-2.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/5\/5c\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-2.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 2 检查肋骨和臀部之间是否有疼痛感。肾脏疼痛多发于肋腹部的侧面或背面。这是身体后部肾脏所在的位置。^[2]
   • 背部其他区域的疼痛通常不是由肾脏引起的，比如上背部疼痛。
3. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/4\/41\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-3.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-3.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/4\/41\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-3.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-3.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 3 识别腹痛。如果下背部疼痛还伴有腹部疼痛，那么它很可能和肾脏有关。背部疼痛通常只会影响身体背面。而肾脏肿大或感染除了影响身体背面外，还会引起身体正面的感染。^[3]
   • 如果你只有腹部疼痛而没有背痛，可能不是肾脏引起的。
4. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/6\/62\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-4.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-4.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/6\/62\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-4.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-4.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 4 评估疼痛是否持续。很多时候，肾脏疼痛是持续不断的。在一天中不同的时间点，它可能会略微减轻或加重，但不会完全消失。背部疼痛则相反，通常会完全消失，然后在晚些时候重新出现。^[4]
   • 在没有治疗的情况下，尿路感染和肾结石等大多数原因引起的肾脏疼痛是不会自行消失的。背部肌肉却可以自愈，疼痛也会随之消失。
   • 有些肾结石无需治疗，就可以被身体排出。^[5] 尽管如此，一定要获取医生对肾脏疼痛的诊断。
5. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/c\/c9\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-5.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-5.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/c\/c9\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-5.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-5.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 5 下背部其中一侧感到疼痛。如果你只在单侧肋腹感到疼痛，很可能是肾脏引起的。肾脏位于肋腹部右侧，肾结石可能导致单个肾脏疼痛。^[6]

识别不同的症状

1. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/6\/60\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-6.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-6.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/6\/60\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-6.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-6.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 1 想想背部疼痛的潜在原因。为了区分背部疼痛和肾脏疼痛，你可以回忆一下最近是否做过可能引起背部疼痛的事情。如果你最近搬过重物，或有过长时间弯腰的经历，这可能是背痛，而不是肾脏疼痛。
   • 如果最近有过久站或久坐的经历，你可能会感到背部疼痛。
   • 此外，如果你的背部有伤，那么刚出现的疼痛可能与之前的损伤有关。
2. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/9\/94\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-7.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-7.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/9\/94\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-7.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-7.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 2 注意排尿问题。由于肾脏是尿路的一部分，所以肾脏感染和其他问题通常会在排尿过程中显现出来。你可以检查一下自己尿液是否带血，注意排尿时疼痛是否会加剧。^[7]
   • 如果疼痛来自肾脏，尿液可能也会比较浑浊或颜色较深。
   • 有肾结石等肾脏问题时，可能会有强烈的排尿需求。^[8]
3. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/0\/0d\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-8.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-8.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/0\/0d\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-8.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-8.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 3 检查背部以下是否感觉麻木。在某些背痛病例中，你可能会因为神经压迫和血液流向臀部和腿部而感到麻木。这是坐骨神经引起的常见背痛症状。^[9]
   • 在严重的情况下，这种麻木甚至会向下扩散到脚趾。

获取医学诊断

1. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/2\/2d\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-9.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-9.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/2\/2d\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-9.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-9.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 1 如果疼痛持续不退，一定要就医治疗。你必须找专业医务人员来治疗引起背痛的健康问题。如果不及时治疗，未来可能引起更大的问题，给你带来更大的痛苦。
   • 就医治疗，向医生描述你的症状。他们会帮你做一些检查。
   • 如果你感到非常痛苦，使用非处方止痛药止痛是一个很好的临时解决方案。但是长期疼痛应该接受医疗护理，才有可能解决问题，不能简单地用药物来缓解。
2. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/3\/30\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-10.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-10.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/3\/30\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-10.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-10.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 2 接受检查和检测。就诊时，医生会了解症状，包括症状开始出现的时间和强度。然后他们会做身体检查，包括触摸疼痛部位。这时，医生也许可以大致判断出疼痛的原因，但他们也可能对你做各种检测，再做出具体的诊断。
   • 无论医生怀疑疼痛的原因是椎间盘突出等严重的背部问题，还是肾脏问题，都会让你接受影像检查。这类检查包括X光、超声波、脊髓磁共振成像（MRI）和计算机断层扫描（XT）等。
   • 如果医生怀疑问题在于肾脏，他们会让你做血液和尿液检查，以判断血细胞计数和蛋白计数等方面是否存在异常。
3. {"smallUrl":"https:\/\/www.zenmeban.com\/images_en\/thumb\/f\/fe\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-11.jpg\/v4-460px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-11.jpg","bigUrl":"https:\/\/www.zenmeban.com\/images\/thumb\/f\/fe\/Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-11.jpg\/v4-728px-Distinguish-Between-Kidney-Pain-and-Back-Pain-Step-11.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"} 3 治疗疼痛的原因。确定疼痛的原因后，医生会提出治疗方案。这个治疗方案既可以缓解疼痛，又可以治疗疼痛的原因。医生可能会开一种止痛药来止痛，以及另一种药物来治疗感染或损伤。
   • 如果你因为肾结石这种常见原因而有肾脏疼痛，那么医生会给你开止痛药。如果结石太大，不能排出，他们会与你讨论可能的手术治疗。^[10]
   • 如果你因为背部肌肉拉伤这种常见原因，而感到背部疼痛，医生会告诉你如何控制疼痛、护理肌肉，以及应该接受怎样的物理治疗。^[11]