Tuberculosis of the kidneys - the most common form of tuberculosis of the urinary organs. In men, the disease is more common than in women. In the initial stages of tuberculosis is difficult to distinguish from kidney pyelonephritis, moreover, these pyelonephritis sometimes complicates tuberculosis kidney.
Why and how renal tuberculosis begins
The cause of renal tuberculosis is getting into the body of an infectious agent - Mycobacterium tuberculosis (tubercle bacillus). Feature renal tuberculosis is that infection enters therein from the primary sites of infection (e.g., light) in the two kidneys, but develops and causes disease is often only one. In the other kidney focal changes are latent (hidden) in good condition and adequate treatment of immunity or regress.
There are the following forms of renal tuberculosis: Tuberculosis of the renal parenchyma (own kidney tissue), tuberculous papillitis (tuberculosis renal papilla), cavernous tuberculosis kidney, fibrous-cavernous tuberculosis of kidney, kidney tuberculoma, tuberculosis pyonephrosis.
With blood Mycobacterium tuberculosis can fall also in the adrenal glands. The inflammatory process in them is usually chronic.
Symptoms of renal tuberculosis
Symptoms of TB of the renal parenchyma are vague, worn character. Most often, the disease does not manifest itself and detected by chance in the investigation of urine, which detect Mycobacterium tuberculosis.
Sometimes, the main symptoms of the disease are weakness, malaise, decreased ability to work, small temperature rises, dull pain in the lower back. The reaction to the tuberculin (a mixture of leachate heat-killed Mycobacterium tuberculosis cultures of human and bovine species, which is administered intradermally to identify allergies to Mycobacterium tuberculosis) or p. Mantoux tuberculosis kidney usually questionable or weakly.
Tuberculous papillitis is a destructive form of tuberculosis of the kidneys, which leads to ulceration of the renal papilla and the appearance of blood in the urine. In multiple lesions of the renal papillae disease occurs with fever, chills, malaise, weakness and severe back pains.
Cavernous tuberculosis kidney does not develop immediately, but as a result of the progression of the pathological process in the kidneys with kazeoznym (caseous) collapse of the tissue and the formation of cavities. If it affects the renal pelvis of the kidney grows connective tissue with scar formation, preventing the excretion of urine from the kidney in the affected areas.
Fibro-cavernous tuberculosis kidney develops due to proliferation of connective tissue and leads to renal scarring. Tuberculosis pyonephrosis is the end of the process and a complete destruction of kidney tissue to form a bag filled with pus. Patients concerned about a feeling of heaviness and pain in the affected kidney. At the same time increases the intoxication, the patient loses weight.
Tuberculosis of the adrenal proceeds chronically sick are concerned malaise, weakness, lethargy, lack of appetite, nausea, vomiting, diarrhea or constipation, abdominal pain
Abdominal pain: Types and Symptoms
The total weight loss, dark pigmentation of the skin, lowering blood pressure. There may be signs of hypoglycemia
Lowered blood sugar - hypoglycemia signs
(decrease in blood glucose) because of violation of carbohydrate metabolism.
Tuberculosis of the kidneys in children
In children, renal tuberculosis is rare and is a little more than 2% of all cases of extrapulmonary tuberculosis
Extrapulmonary tuberculosis - many forms
. Get sick more often older children and adolescents who have tuberculosis goes unnoticed and is detected by chance.
A feature of renal tuberculosis in children is that the active tubercular process in the kidneys combined with active tuberculous process in the primary lesion, whereas in adults it usually does not happen.
How to identify tuberculosis kidney
Identify TB kidneys are not so simple, because the process is often asymptomatic. When the initial examination is of great importance urine. Sometimes the urine of other diseases may accidentally reveal the presence in it of Mycobacterium tuberculosis.
Diagnosis of renal tuberculosis is also carried out by X-ray examination, which reveals where the focus of inflammation and its prevalence. In addition to the review carried out radiography renal excretory urography, retrograde pyelography, and other studies.
The treat tuberculosis kidney
Patients received a comprehensive conservative treatment: antibiotics, fortifying agents, vitamins. It is important to good nutrition and a healthy lifestyle. In some forms of renal tuberculosis (cavernous tuberculosis
Tuberculosis - a full recovery is not guaranteed
kidney pyonephrosis) without surgery is necessary.
Treatment of renal tuberculosis can continue in sanatorium conditions - it will help to complete faster and better recovery of renal function.