Causes, diagnosis and treatment of hydronephrosis

What are the causes of hydronephrosis? What are the symptoms of hydronephrosis? How to diagnose hydronephrosis? How is hydronephrosis treatment? Answers to these questions you will find in the article.

Content

Speaking easier, hydronephrosis is the expansion of pelvis and
Cashes due to too much accumulation in them urine. Take place
Such a delay can by virtue of various reasons, because hydronephrosis -
Polyethological disease. Completely different reasons can lead
To one outcome.

Causes of hydronephrosis

Hydronephrosis arises due to the presence of urine obstacles.
Distinguish primary or congenital hydronephrosis that develops
due to any anomaly of the development of urinary tract, renal tissue and
availability of additional blood vessels, as well as secondary
hydronephrosis. In the second case, the cause of the development of hydronephortic
The kidney transformation is a urolithiasis, kidney tumors,
Tumors of the kidney pelvis or ureter, traumatic damage
Urinary tract. Interestingly, urolithiasis can be as a cause,
So and the consequence of hydronephrosis.

At the very beginning of the disease due to the above reasons
urine pressure increases in pelvis and cups. The result of this
Actions is the reaction from stretched structures. In them
Elastic and muscle fibers develop. They become elastic and
For some time it is not bad to oppose high pressure. but
Soon the pressure rises as highly that the head of the cup and
Lohanks can not withstand. Pressure begins to act on the very
kidney. Naturally, increased pressure interferes with the urine.
A long existing situation leads to an amazing of renal tissue.
Gradually the girls and the tubules are atrophy - that is
Wrinkle. This process causes a decrease in the kidney layer, where
Forms urine

With a not eliminated reason, the process continues and eventually renal
The fabric is thinning, while the lochank and a cup reaches large
Sizes. Under the influence of gravity, a huge kidney can descend
way down.

Dangerous hydronephrosis occurrence of renal failure. Bud
ceases to work in connection with which the death may come from
inxication of exchange products, which are normalized along with
urine.

In hydronephrosis, urolithiasis may occur, and
also to join the infection (pyelonephritis), which in turn
may aggravate the course of the disease. Hazardous complication of hydronephrosis
is a spontaneous gap of a locher or a cup. At the same time urine
poured straight into the retroperitoneal space.

Symptoms of hydronephrosis

As mentioned above, there are many reasons for hydronephrosis, therefore
manifestations of this disease are also numerous. There are three main
Symptoms that are found in most patients - pain, hematuria,
and also determined by the abdominal enlarged kidney.

Pain in hydronephrosis can be different. At the beginning of the disease,
with urine pressure jumps in lochs and cups, as well as when driving
Stones in connection with this may occur renal colic, often with
pronounced pain syndrome. Stupid pain usually bother patient with
Belly or lower belt. Pains can intensify in the evening and
decrease at night. Pain attack can be provoked by physical
Load. Pains can irradiate («give away») in groin and leg. How
further progresses the disease, the less pronounced become
Pain.

Hematuria - the presence in the urine of blood elements is a consequence
increased pressure in lochanks and irritation of kidney fabric, as well as
The presence of stones consequence of movement of stones and microtrav. Hematuria can
Contribute to the formation of stones.

In the hydronephrosis of the kidney increases in size, and due to
Lohanks and Cashechk. In this regard, thin people have a kidney
Profitable through the front abdominal wall. Often kidney increases to
such sizes that it can be detected and not too thin people.

However, the same symptoms may occur with other diseases,
Because the diagnosis is based on patient inspection data and finding out it
complaints, as well as data of instrumental and laboratory methods
Research.

Diagnosis of hydronephrosis

As mentioned above, the diagnosis of hydronephrosis is based on data
inspection of the patient, as well as instrumental research data.
The simplest and fairly reliable diagnostic method is ultrasound research (ultrasound). Overview radiography of urinary tract is performed, according to which you can judge the increase in the kidney, the presence of stones in them.

However, these studies do not fully judge the function
kidney. Most often with the aim of diagnosing hydronephortic
transformations, as well as clarifying the functions of the kidney perform intravenous
Urography. An intravenously introduced a contrast agent that
accumulates in the kidneys, and stands out with urine. Performing pictures through
Some time after the introduction of a substance, you can determine the degree
Beware of renal fabric.

Used and radionuclide research methods that allow
It is fairly accurate to judge the kidney function - scintigraphy or
Radionuclide kidney scan.

Treatment of hydronephrosis

Treatment with hydronephrosis is aimed at eliminating the cause that caused
disease. Of course, such treatment is carried out in the presence of
Putting it. So, when urolithiasis may
crushing stones or their removal using surgical
interventions. With congenital anomalies, plastic are produced
Operations.

To date, the spread in hydronephrosis was obtained
Several operations. At one of them, the resentment is performed between
Ureteral and Lohanka. This creates an additional way
for urine, due to which the pressure is reduced in
Chescho-laughter system. Another operation is aimed at eliminating
narrowing the cup-glass complex, which is often the cause
Hydronephrosis. In the operation produce longitudinal dissection of tissues,
after which they cross them into the transverse direction.