What nephroptosis

Nephroptosis (nephroptosis, mobile, wandering kidney) - a condition in which the kidney is in the upright position of the body comes out of its bed and its displacement exceeds the limits of physiological mobility.

In the occurrence of the disease play an important role shape and depth of the paravertebral (near spine) niches that are typical sex differences. In men, they are deep, long, tapering sharply downward and having a conical or funnel-shaped, women - small, short, wide open down or cylindrical.

To lead the development of Nephroptosis injury, rapid weight loss, multiple, especially complicated, childbirth, major operations in the abdominal cavity, the hard work of the persons physically underdeveloped. All this leads to significant changes in the ligamentous apparatus kidneys.

Nephroptosis in children due to congenital anatomical and physiological defects: weak connective tissue formations and muscular system, the age disturbances in the proportions of children's bodies, imperfect shape of the spine and paravertebral failure niches. Nephroptosis can contribute to the emergence of diseases such as whooping cough This pest, pest whooping ... , Bronchitis, colitis, which lead to increased abdominal pressure, and rickets Rickets - all about vitamins Resulting in deformation of the skeleton and muscle relaxation (hypotonia). In advanced cases, when nephroptosis walled spikes Adhesions - how to get rid of them?   and scar tissue, there is a fixed nephroptosis.

The omission of the kidneys and the rotation causes the tension of blood vessels and impaired venous and arterial blood flow in the kidney.

How does nephroptosis

When nephroptosis appear dull pain and bouts of renal colic, sometimes the body temperature rises. Over time there is tension of lumbar muscles, anterior abdominal wall, increased blood pressure, signs of inflammation in the kidney due to accede infections (blood count increased erythrocyte sedimentation rate, increase in the number of white blood cells). In marked nephroptosis joined nervous system disorders due to persistent pain and high blood pressure.

Nephroptosis may be complicated by inflammation of the kidneys (pyelonephritis), resulting from disorders of blood circulation and the flow of urine, as well as frequent junction renal reflux (reverse current of urine). Urine of such patients usually infected with hemolytic staphylococcus and Proteus. Sometimes the background Nephroptosis formed kidney stones Kidney stones: identify and treat   and ureters.

Diagnosis and treatment Nephroptosis

Nephroptosis diagnosis based on a survey and examination of the patient's physician. In the upright position of the patient can be a movable probe kidney. The diagnosis is confirmed by ultrasound (in the supine position is detected movable kidney), Radiology (study carried out on the background of a contrast agent into a vein - it identifies the exact position of the kidney) and radioisotope (determined by the function of the kidneys) studies and laboratory tests.

Nephroptosis Treatment can be conservative and surgical. If there are no complications, you should be conservative therapy. Appoint special therapeutic exercises to strengthen the abdominal muscles, limiting strenuous exercise. In order to strengthen the anterior abdominal wall is recommended to wear a special brace that should securely hold the kidney in a natural position. The quality of fixation bandage kidney controlled X-ray examination. It should also suralimentation to increase the amount of adipose tissue in the lumbar region and abdominal region, if the patient is underweight.

Surgical treatment should be aimed at the return of the kidney in normal physiological situation, followed by fixation and the preservation of its inherent mobility. The indications for surgery are:

• nephroptosis with impaired blood circulation in the kidney;
• nephroptosis in violation of the outflow of urine;
• nephroptosis considerable pain;
• nephroptosis complicated by hydronephrosis or pyelonephritis;
• nephroptosis fixed.

Apply surgery, fixing the kidney with its capsule. Before and after the operation patients received prophylactic anti-inflammatory treatment. Ways to carrying out such an operation a few exactly what to choose, the surgeon decides. After surgery, it is recommended to restrict physical activity for six months.

Persistent positive effect of conservative treatment is not always observed, and the timely conduct of the operation is usually effective and recurrence of the disease are rare.

Galina Romanenko

Kidney disease and its treatment

Kidney disease is a chronic disease that emerged against the background of metabolic disorders Metabolism: The basis of life of all living things . Thus there are local variations in the renal tissue, which result in the formation of kidney tissue, cups and pelvis stones with different chemical composition and structure. Stones can consist of uric acid salts Uric acid - a normal level?   (urate), oxalic acid (oxalates), phosphoric acid (phosphate) and so on. Against the background of kidney stones is often a chronic inflammation (pyelonephritis)

The treatment in such cases can be conservative and surgical. Conservative treatment - a special diet, medication (especially this treatment of inflammation and dissolved salts), spa treatment, physiotherapy, physical therapy procedures.

Diet in this disease depends on the nature of the stones. When oxalate from the diet excludes foods containing oxalic acid and citric acid (lettuce, spinach, sorrel, beans, gooseberries, currants, strawberries, wild rose, citrus fruits). If urate recommended the exclusion from the diet of soups, meat, young animals, liver, kidney beans, alcohol, strong tea and coffee.

Patients with kidney stones Kidney stones: identify and treat   it is recommended to drink more in order to reduce the concentration of salts in the urine and excretion from the body. Taking large amounts of liquid coupled with physical therapy and physiotherapy.

But often conservative treatment is not effective in such cases the stones kidney removed surgically.

Every kidney disease is always dangerous, and it should be treated only by a doctor.

Alexander Chernov