Urography of kidneys in children and its distinctive features
Urography is assigned to a patient for the purpose of examining the condition of the kidneys. A contrast agent is injected into the kidney, then pictures are taken. In this regard, this method of examination of the condition of the body is called contrast urography.
The method is based on the ability of contrast to delay X-rays - initially the dye accumulates in the kidneys, then is excreted by the organs of the urinary system, which allows us to evaluate their condition. Urography is prescribed for patients who are suspected of having kidney stones, infectious lesions of the urinary canals, there is blood in the urine, indicating the onset of acute inflammation or oncology in the defeat of the urinary canals.
Classification of methods for conducting urography
In medicine, distinguish between intravenous, review and excretory urography:
- Overview urography is a type of method that makes it possible to diagnose tumor tumors, parasitic pathologies, the presence of foreign bodies or concrements in the kidneys. Often this is the very first study assigned to a patient in case of suspicion of having impaired renal function. Survey urography allows to study the condition of the organ, starting from its upper poles and ending with the beginning of the channel of urination. This diagnostic method is prescribed in case of additional examination of the bones of the skeleton, the shadows of the kidneys, their shape, location. If it is necessary to evaluate and correct the work of other organs of the urinary system - the ureters and the bladder.
- Excretory urography is based on the realization of the excretory function by the kidneys. Most of the images are taken at a time when the kidneys begin to remove the contrast medium. This method of diagnosis makes it possible to establish the intensity and rate of filling of the renal pelvis and bladder with liquid, the size, shape, consistency and location of concrements and various neoplasms - tumor cysts or tumors. Also features of the structure of the bladder and other organs in the urinary system are established.
Diagnostic features for children
In order to obtain clear pictures, the use of modern equipment will be required, which makes it possible to organize radiography in fractions of a second, and the child's breathing movements in the process of photographing do not affect the image.
In addition,
Any such examination for the child must be implemented without fail in the presence of a specialist. This condition helps to prevent possible technical errors and the organization of unjustified re-diagnosis.
In any case, it is better to try to avoid as much as possible any repeated radiographic diagnostic measures to prevent the risk of exposure to the child's body. If you need to organize a re-diagnosis, you need to make a time interval. Otherwise, the cumulative effect may develop. If possible, in children's medicine it is recommended to use small dosages of irradiation of the body.
This is important! One of the important conditions for answering the question of how to make a kidney urography for a child, especially in infancy, is maintaining a relatively high air temperature in the room - up to 30-35 degrees. To do this, you should use special heat lamps, the rays of which are sent to the examination table.
Due to the fact that a large number of instrumental diagnostic methods for children are under anesthesia, in the office, in addition to the anesthesia equipment, there are appropriate tools and medications that may be required by the doctor for the development of unforeseen complications due to anesthesia or because of the narcosis itselfsurvey. To properly decode the picture you need to establish some features of the structure and location of the urinary system in the child.
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