Renal failure, causes of pathology and treatment organization

Kidneys are an important excretory as well as an endocrine organ that is responsible for the chemical homeostasis in the human body. If the kidneys work improperly, there is a risk of kidney failure or kidney failure develops differently. The symptomatology of this serious illness can manifest quite unexpectedly - acute kidney failure, or, conversely, manifest itself after only a certain time - chronic kidney failure.

Causes of

The following types of acute kidney deficiency are classified in medicine: prerenal form due to blood flow problems, renal form resulting from impaired renal parenchyma functioning, postrenal form resulting from improper patency of the urinary canals.

The failure of the kidneys can be triggered by severe burns, an increase in the concentration of potassium in the body. In addition, the reasons for the refusal are dehydration due to persistent diarrhea or vomiting or other chronic kidney pathologies. Renal failure may occur during intrauterine development, or immediately after the birth of a child.

Symptomatology of pathology

Renal failure is a pathological condition when a violation of the control of physico-chemical homeostasis in the kidneys is formed, accompanied by partial or complete production and release of urine.

Symptoms of kidney failure often begin with a violation of sleep, fatigue, headaches. Must dryness of the oral cavity, when a person very often experiences an insuperable thirst, dyspnea, which develops due to excessive accumulation of fluid in the interstitial and intercellular space. Thus, edema forms on the legs, the lumbar zone of the back swells, a severe complication, such as interstitial swelling in the lungs, that causes insufficiency of respiratory processes may appear.

Acute form of kidney failure does not appear on an empty vengeance, and therefore, it is required to constantly listen to your own organism, as there are necessarily signs preceding the failure of the kidneys.

Signs of kidney failure in acute kidney failure will be as follows:

1. A strong decrease in diuresis or anuria, that is, complete absence of urinary retention.
2. Development of pronounced edema on the face and ankles, weight gain of a person.
3. Nausea with vomiting, lack of appetite.
4. Severe weakness and general malaise.
5. Pain in the abdomen.
6. Itching of the skin.
7. Appearance of blood impurities in the urine.

In the absence of proper treatment in the current situation at the final stage of the disease due to the large accumulation of fluid in the body, dyspnoea, drowsiness develops, confusion is manifested. At this time on the body of the patient for no apparent reason formed hematomas, can open unexpected bleeding, muscles spasmodically reduced, there are convulsions. There may be a loss of consciousness or coma.

The following symptoms are indicative of manifestations of chronic kidney failure:

• Frequent urges to urinate at night.
• Polyuria.
• Serious deterioration in overall well-being.
• Appearance of edema and dyspnea.
• Nausea with vomiting and lack of appetite.
• The appearance of bad breath.
• Painful sensations in the sternum and bone in the bones.
• Blurred skin with characteristic brown or yellowish tinge.
• Isolation of blood from the gums, formation of bruises and the occurrence of bleeding.
• Amenorrhea in women.
• Appearance on the skin of urea crystals of white color.
• Convulsions, muscle spasms, uremic coma and loss of consciousness.

Consequences of the disease

With the development of acute kidney failure, necrosis can develop in the cortical substance of the kidneys. Usually, this condition is formed because of prolonged disturbance of blood flow in the kidneys. Simultaneously, during the recovery due to stagnation of blood in the lungs there are swelling, and for this disease is characterized by infection with kidney infection - pyelonephritis.

With the development of the chronic form of renal failure more severe consequences are manifested. Due to the accumulation of uremic toxins in the body, the state of the central nervous system primarily suffers. Thus, the threshold of convulsive reactions decreases, provoking a tremor and subsequently convulsive conditions. Also, the mental function suffers greatly.

Due to a decrease in the production of erythropoietin, anemia begins, which is considered a characteristic feature of this condition. Consequences of hematological abnormalities are disruption of the immunity and phagocytic function of blood leukocytes, therefore, the risk of kidney damage to infectious pathologies is greatly increased in patients.

Hypertension is a complication of the cardiovascular system, which greatly complicates the course of renal failure. Also chronic kidney failure provokes the development of myocardial infarction or stroke.

Because of the prolonged disruption of calcium absorption processes, people with kidney deficiency can develop bone degeneration, in addition, the risk of fractures increases.

On the part of the gastrointestinal tract, weight loss occurs, sometimes reaching anorexia. Gastrointestinal bleeding may also occur. In patients with chronic kidney failure, metabolic processes are disrupted, production of sex hormones decreases, and fertility declines sharply.

Treatment of pathology

Acute kidney failure is detected through the analysis of urine and blood. In some situations, a kidney biopsy is required. If the fact of renal failure is established, appropriate treatment is performed.

Initially, the cause of kidney failure is eliminated, toxins are emitted from the sick person's body. In severe blood loss, blood transfusion is performed. Subsequently, the patient is shown intraperitoneal hemodialysis or dialysis with the aid of an artificial kidney apparatus, which is performed several times in a row until the restoration of the kidneys. At the terminal stage, renal failure is the transplantation of the donor organ.

All the time of treatment with a renal failure the patient is in a hospital. After discharge, the doctor prescribes maintenance drug therapy, as well as additional procedures.

Due to the achievements of modern medicine, the acute form of kidney failure is considered a curable pathology. The functioning of the kidneys is completely restored and approximately a year after the initiation of therapy the patient feels much better.

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