- Nephroptosis kidney: lowered or wandering
- As shown
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
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, Bronchitis, colitis, which lead to increased abdominal pressure, and rickets
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Resulting in deformation of the skeleton and muscle relaxation (hypotonia). In advanced cases, when nephroptosis walled spikes
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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
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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.