We diagnosed with dysplasia of the right kidney
Daria asks:
Hello! At me such situation: when I was in position, approximately for 32 weeks at the child have found out a pathology - the right kidney is abnormal, have assumed a multicystosis. At birth, the diagnosis was confirmed. Then, when my son was 5 months old, we went to the regional hospital for examination, where he was made a urography, a diagnosis - dysplasia of the right kidney. Now my son is 3.5 years old and a month ago we again went to the examination, the kidney can not be found anywhere, they said that it is good, since the operation is now not required. But I honestly did not understand, first, where did it go, secondly, why is the diagnosis now aplasia? Kindly, tell me why it happened and how to help my son save his left kidney( diet, exercise, prevention during and after colds), well, any recommendations at all, because our doctor said - the usual way of life( and the left kidney a littleincreased and I'm worried).And one more thing: is disability invalidated with this disease? I'm sorry that there are so many questions, but I'm worried about my son. Thank you in advance for your attention!
Answer:
Daria, in your case, it is already good that the initial diagnosis - dysplasia of the right kidney - is one-sided. This means that the second, healthy kidney, from the very birth takes on the functions of a sick organ and your baby can grow absolutely healthy. Approximately to 5 years, the size of the affected kidney is so reduced that it can no longer be seen on x-rays or ultrasound. In your case, this happened a little earlier( at 3.5 years), which is why the diagnosis of aplasia. Your doctor is absolutely right that the operation of the child is not needed. To say something more specific, you need to examine your son, get acquainted with the results of ultrasound, x-rays and tests.
The reason for this anomaly is often genetic, perhaps you or your husband also has dysplasia. Also, such changes can develop in the fetus if the mother during pregnancy took medications that, when passing through the placental barrier, cause developmental anomalies. Not the least role is played by harmful working conditions during pregnancy, smoking, alcohol.
If your boy's examination showed that the second kidney is not affected and is functioning normally, then he can live a normal life, there are no special restrictions. With regard to the prevention of colds - it should be done with healthy kidneys, because microbes and viruses can give a variety of complications, including kidneys, even if there are two. The most important thing is to conduct a regular examination of the left kidney as many times a year as the doctor recommends, this depends on the results of each examination.
With regard to disability, this issue is decided exclusively by the Russian Federation law on the social protection of disabled people. The presence of one kidney in itself is not a criterion for disability registration, it can be given if there is a violation of the functions of the second kidney or concomitant diseases. Since the direction and documents are drawn up by the attending physician, he knows the diagnoses under which the disability and the procedure for its registration are given.
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