Child's kidney hydrocalcalysis: features, diagnosis and treatment options
Kidney hydrocalysis is a pathological condition when the cups and kidneys are stretched and expanded, and this causes the parenchyma to be squeezed. The main reason for the development of kidney hydrocalcalosis in a child is the incorrect passage of urine, which is formed in the kidneys.
In the formation of an expansion of pelvis and calyx buds, regardless of the level of the urinary tract, a block that breaks the outflow of urine is established. If such violations occur, only one side begins one-sided lesion, namely, hydrocalicosis of the left kidney or right kidney.
This is important! If both kidneys are damaged, the bilateral form of hydrocalysis develops - in this situation, the kidneys are damaged simultaneously and progresses slowly enough, but the prognosis of this condition is much worse than with unilateral damage. The lack of timely treatment becomes the cause of the manifestation of kidney failure in the future.
Causes of the manifestation of hydrocalicosis
The kidney hydrocalcalosis in a newborn child and in children at a later age is triggered by various inflammatory processes in the body, urolithiasis, mechanical influences and organ trauma of a different etiology.
In children, the disease becomes congenital, then it proceeds without symptoms and is diagnosed only when a routine examination is carried out.
Symptoms of the development of the disease
It is impossible to detect kidney hydrocalisis alone. First of all, due to the fact that its manifestations are similar to the signs of other pathologies of the organs of the urinary system.
With hydrocalysis, pain concentrates in the lumbar region and becomes even stronger during depression, and is also supplemented by a rise in body temperature. This pathology is characterized by the manifestation of chills and the patient complains of frequent urge to urinate. But the urine is released less than the norm, it is powerful with an admixture of blood.
To make the correct diagnosis, you need to remember that the listed symptoms can make themselves felt in acute attacks of appendicitis and other pathologies in the gastrointestinal tract. For this reason, a patient with suspected damage by hydrocalysis is referred for radiology and tomography.
If necessary treatment is not carried out, then at the stage of exacerbation the disease can be complicated by infection of the urinary tract, which can lead to death.
When diagnosing hydrocalcosis in a child, the child is treated by a pediatrician, and the methodology for implementing diagnosis and treatment development is similar to that for adults.
More often hydrocalcosis in children is an innate disease and is asymptomatic. But in medical practice cases are known where the expansion of the renal calyx is supplemented by an increase in body temperature, acute pains and other symptoms already mentioned.
If a child develops several symptoms at the same time, indicating a lesion of the organ with hydrocalicosis, then it is urgently needed to visit a specialist - a pediatric urologist or pediatrician. Any delay and neglect of the situation causes a serious threat to the life of the child.
Purpose of treatment of
pathology The decision on the method of treatment of kidney hydrocalysis is more often reduced to surgical intervention, because drug treatment very rarely gives the expected results.
This is important! The development of urinary infection is supplemented by the time of hydrocalysis. Then the microorganisms begin to stop producing special substances without stopping, which then provokes the formation of many crystals of amorphous phosphates. The described situation requires an immediate operation, as the child may die.
The operation makes it possible to eliminate any obstacles that arise that interfere with proper urine collection. Each case is considered individually, so the method of surgical intervention is always chosen only by the surgeon. Currently, the most popular is endoscopic surgery, which, compared to the usual, is less traumatic, and almost does not harm the health of the child.
In the process of sparing surgery in the abdominal wall, three punctures are made, and all the manipulations the doctor monitors with the help of a monitor located above the operating table. On average, the operation takes no more than one hour.
After the implementation of endoscopic surgery, the risk of any complication is very low, therefore, specialists prefer this method of getting rid of hydrocalicosis.
Treatment of pathology in a child can be carried out only by a highly qualified specialist, because often there are disputable issues that require immediate solutions and impeccable knowledge.
Kidney hydrocalysis, in fact, can be considered a harmless disease, but only on the condition that the diagnosis was made on time, and the right treatment was carried out on time, and this depends entirely on the professionalism of medical workers.
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